License Verification
MARIZOL FONTANEZ
License Number: PA9103289
Data As Of 6/16/2024
- Address
- 3727 N. Goldenrod Rd. DAVITA WINTER PARK#101
- WINTERPARK, FL 32792
- Address
- 203 Ernestine St CFKC downtown
- ORLANDO, FL 32801
- Address
- 11616 Lake Underhill Rd. DAVITA EAST ORLANDO #206
- ORLANDO, FL 32825
- Address
- 116 Sturtevant St Davita orlando Dialysis
- ORLANDO, FL 32801
- Address
- 6925 Lake Ellenor Dr Davita orlando southwest suit650
- ORLANDO, FL 32809
- Address
- 5135 Adanson St Davita orlando North suit 700
- ORLANDO, FL 32804
- Address
- 1002 CYPRESS PARKWAY DAVITA POINCIANA
- KISSIMMEE, FL 34758
- Address
- 14522 LANDSTAR BLVD. CFKC Kissimmee suit109
- ORLANDO, FL 32824
- Address
- 802 N. JOHN YOUNG PARKWAY DAVITA KISSIMMEE
- KISSIMMEE, FL 34741
- Address
- 4750 OLD CANOE CREEK RD DAVITA ST. CLOUD DIALYSIS
- SAINT CLOUD, FL 34769
- Address
- 14050 TOWNLOOP BLVD. HUNTERS CREEK DAVITA suit 104A
- ORLANDO, FL 32837
- Address
- 401 S. CHICKASAW TRAIL CFKC East
- ORLANDO, FL 32825
- Address
- 1222 WINTER GARDEN VINELAND RD DAVITA WINTER GARDEN BUILDING 3 SUIT 100
- WINTER GARDEN, FL 34787
- Address
- 5778 SOUTH SEMORAN BLVD DAVITA ORLANDO AIRPORT DIALYSIS suit A
- ORLANDO, FL 32822
- Address
- 11140 W. COLONIAL DRIVE DAVITA OCOEE DIALYSIS suit 5
- OCOEE, FL 34761
- Address
- 7727 Lake Underhill rd Advent health East Orlando
- ORLANDO , FL 32822
- Address
- 200 North Lakemont Av Advent health Winter Park
- WINTER PARK, FL 32792
| Name | Relationship | Profession | License | Effective Date |
|---|---|---|---|---|
| ABI ANTOUN, TANIA ELIA | Supervising Prescribing Practitioner | Medical Doctor | 129397 | 06/01/2023 |
| ABREU, ELPIDIO ANTONIO MD | Supervising Prescribing Practitioner | Medical Doctor | 70401 | 06/01/2023 |
| AHMED, FAWAD MD | Supervising Prescribing Practitioner | Medical Doctor | 88757 | 06/01/2023 |
| BAYNES-FIELDS, JAIME ANN | Supervising Prescribing Practitioner | Osteopathic Physician | 16725 | 11/01/2023 |
| BHARGAVA, AMIT M D | Supervising Prescribing Practitioner | Medical Doctor | 67454 | 06/01/2023 |
| COHEN, JEFFREY M MD | Supervising Prescribing Practitioner | Medical Doctor | 65149 | 06/01/2023 |
| DELGADO, LAZARO LUIS | Supervising Prescribing Practitioner | Medical Doctor | 87494 | 02/02/2015 |
| LARRANAGA, JORGE ANTONIO MD | Supervising Prescribing Practitioner | Medical Doctor | 70052 | 02/02/2015 |
| MADAN, ARVIND MD | Supervising Prescribing Practitioner | Medical Doctor | 77533 | 06/01/2023 |
| MOHANLAL, VIRESH | Supervising Prescribing Practitioner | Medical Doctor | 109408 | 06/01/2023 |
| NAIR, REJI RADHAKRISHNAN | Supervising Prescribing Practitioner | Medical Doctor | 111887 | 06/01/2023 |
| PORTOCARRERO, MIGUEL RAFAEL MD | Supervising Prescribing Practitioner | Medical Doctor | 100657 | 06/01/2023 |
| REHMAN, SAIF UR MD | Supervising Prescribing Practitioner | Medical Doctor | 89323 | 02/03/2015 |
| ROSARIO CACHO, JOAQUIN OMAR MD | Supervising Prescribing Practitioner | Medical Doctor | 95273 | 02/03/2015 |
| SANCHEZ RUSSO, LUIS FERNANDO | Supervising Prescribing Practitioner | Medical Doctor | 160446 | 06/01/2023 |
| SIDDIQUI, MOHAMMAD TAHIRMAJID | Supervising Prescribing Practitioner | Medical Doctor | 98002 | 06/01/2023 |
| SULLIVAN, ROBERT MICHAEL | Supervising Prescribing Practitioner | Medical Doctor | 103826 | 04/30/2023 |
| SYED, JAVED AKHTAR MD | Supervising Prescribing Practitioner | Medical Doctor | 75439 | 04/30/2013 |
| VALLIAPPAN, CHIDAMBARAM SUNDER | Supervising Prescribing Practitioner | Medical Doctor | 142882 | 07/17/2023 |
| WHITESIDE, AMAPOLA DUMLAO | Supervising Prescribing Practitioner | Medical Doctor | 116181 | 06/01/2023 |
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
| Name | Relationship | Profession | License | Effective Date |
|---|
Click on the License Number to view License Details for that Practitioner
No Continuing Education Hours Received from Approved Providers As Of 6/16/2024
* To find out more about Approved Providers,
or ask a provider why the course you took is not yet listed,
please visit our Continuing Education Providers page.
** Personal Development is limited to no more than 3 hours per renewal cycle.
Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted
from the total available for renewal.
Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.
For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.
