License Verification

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DANIEL LE PHAN

License Number: AA589

Data As Of 11/23/2024

Profession
Anesthesiologist Assistant
License
AA589
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/01/2020
Address of Record
800 Prudential Drive
JACKSONVILLE, FL 32207
Discipline on File
No
Public Complaint
No
Address
1015 Atlantic Boulevard, # 518
ATLANTIC BCH, FL 32233
Name Relationship Profession License Effective Date
ALEA, PAUL JOSEPH Supervising ME Medical Doctor 144822 03/21/2024
AMIN, MOLLY DHARMESH Supervising ME Medical Doctor 141389 03/21/2024
BEJAR, MIGUEL ANTONIO Supervising ME Medical Doctor 80815 03/21/2024
BLUM, ALFRED MERLIN Supervising ME Medical Doctor 97499 03/21/2024
BRAININ, JOSUE Supervising ME Medical Doctor 105380 03/21/2024
BREMER, NICHOLAS JOHN Supervising ME Medical Doctor 126043 03/21/2024

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/23/2024



* 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.