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JOANAH CHRISTINE BODERO

License Number: PA9104352

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9104352
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/13/2007
Address of Record
4300 ALTON RD
MT SINAI MEDICAL CENTER
MIAMI BEACH, FL 33140
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6050 W. 20th Ave
HIALEAH, FL 33016
Address
4306 Alton Road
MIAMI BEACH, FL 33141
Address
2845 Aventura Blvd Mount Sinai Medical Center Aventura Emergency Room
AVENTURA, FL 33180-3118
Address
4306 ALTON RD. 3RD FLOOR MT. SINAI MEDICAL CENTER/ CANCER CENTER
MIAMI BEACH, FL 33140
Address
2845 Aventura Blvd Mt. Sinai Medical Center
AVENTURA, FL 33180
Name Relationship Profession License Effective Date
ALBERINO-CATAPANO, AMANDA DO Supervising Prescribing Practitioner Osteopathic Physician 19723 02/07/2024
ALFRED, GREGORY J Supervising Prescribing Practitioner Medical Doctor 99486 08/01/2021
ANDERSON, KIRSTIN ELIZABETH Supervising Prescribing Practitioner Physician Assistant 9104911 08/01/2021
ARMAN, DARIAN Supervising Prescribing Practitioner Medical Doctor 152228 03/17/2023
ASKARI, KYAN MICHAEL Supervising Prescribing Practitioner Medical Doctor 130783 10/01/2021
AZAR, ISAAC DARIO Supervising Prescribing Practitioner Medical Doctor 138191 03/02/2023
AZUBUIKE, FIONA OKWUCHI Supervising Prescribing Practitioner Medical Doctor 101591 07/28/2022
CAO, CARLOS ERNESTO Supervising Prescribing Practitioner Medical Doctor 101864 07/01/2021
CATAPANO, ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 19064 01/19/2023
CONNOR, ERIN CRUISE Supervising Prescribing Practitioner Osteopathic Physician 11550 08/01/2021
DALLEY, MICHAEL THOMAS Supervising Prescribing Practitioner Osteopathic Physician 9730 08/01/2021
DE VARONA, MICHAEL RYAN Supervising Prescribing Practitioner Osteopathic Physician 11739 08/01/2021
DREYFUSS, LAURENT RENE Supervising Prescribing Practitioner Osteopathic Physician 9539 05/23/2023
FARCY, DAVID ALEXANDER Supervising Prescribing Practitioner Medical Doctor 96083 08/01/2021
FARROW, ROBERT ALAN II Supervising Prescribing Practitioner Osteopathic Physician 15271 08/01/2021
FERNANDEZ, STEPHANIE GABRIELA Supervising Prescribing Practitioner Medical Doctor 149675 08/01/2021
GLAZE, DANIELLE NICOLE Supervising Prescribing Practitioner Osteopathic Physician 20940 04/26/2024
GOLDEN, ANTOINETTE Supervising Prescribing Practitioner Medical Doctor 127153 08/01/2021
GOMEZ, DAVID FELIPE Supervising Prescribing Practitioner Medical Doctor 165516 04/04/2024
GONZALEZ, PAMELA LORENA Supervising Prescribing Practitioner Physician Assistant 9102005 08/01/2021
GREENE, JOSEPH PAUL Supervising Prescribing Practitioner Medical Doctor 145718 07/10/2022
GUPTA, NEHA Supervising Prescribing Practitioner Medical Doctor 168477 06/11/2024
GUZMAN, JORGE Supervising Prescribing Practitioner Medical Doctor 85794 06/15/2022
KAPLAN, MERISA Supervising Prescribing Practitioner Medical Doctor 132425 07/27/2021
KIM, HANNAH SUNGEUN Supervising Prescribing Practitioner Osteopathic Physician 19087 08/24/2022
KINAS, DAVID H Supervising Prescribing Practitioner Osteopathic Physician 16265 12/01/2021
KIRPALANI, SHAILA BHAGWAN Supervising Prescribing Practitioner Medical Doctor 109611 08/01/2021
KLEIN, JUSTIN BLAKE Supervising Prescribing Practitioner Osteopathic Physician 13685 08/01/2021
KRESCH, FRAYDA SHEERA Supervising Prescribing Practitioner Medical Doctor 129807 07/26/2021
LAMOUR, DANIELLA Supervising Prescribing Practitioner Osteopathic Physician 19702 06/03/2023
LEE, CHAD NICHOLAS Supervising Prescribing Practitioner Osteopathic Physician 13812 08/01/2021
LEE, JAMES ROBERT Supervising Prescribing Practitioner Medical Doctor 150362 07/09/2022
LEVINE, ROBYN Supervising Prescribing Practitioner Medical Doctor 145392 08/01/2021
LYN-LASSITER, SAFIYA KIM MD Supervising Prescribing Practitioner Medical Doctor 115667 12/01/2022
MALAKOTI, DIYANA Supervising Prescribing Practitioner Physician Assistant 9103269 08/01/2021
MANRESA, ALDO OMAR Supervising Prescribing Practitioner Osteopathic Physician 15369 08/01/2021
MARQUIT, SETH JEREMY MD Supervising Prescribing Practitioner Medical Doctor 82629 08/01/2021
MEMON, ADAM Supervising Prescribing Practitioner Osteopathic Physician 15887 08/01/2021
MENENDEZ, RICHARD JOHN Supervising Prescribing Practitioner Medical Doctor 56114 08/01/2021
MESUK, JEFFREY L Supervising Prescribing Practitioner Medical Doctor 76098 08/01/2021
NEWBERRY, MARK ANTHONY Supervising Prescribing Practitioner Osteopathic Physician 11941 08/01/2021
PEREZ, JIODANY Supervising Prescribing Practitioner Medical Doctor 151714 07/01/2023
PETERSEN, PAUL LEWIS MD Supervising Prescribing Practitioner Medical Doctor 82450 08/01/2021
POPA, ANDREEA Supervising Prescribing Practitioner Medical Doctor 164783 03/27/2024
POPLAW, BARRY Supervising Prescribing Practitioner Medical Doctor 87502 08/01/2021
PUEBLA, DANIEL LUIS Supervising Prescribing Practitioner Medical Doctor 160543 06/06/2023
QUIROS, MARIO IGNACIO Supervising Prescribing Practitioner Medical Doctor 115156 08/01/2021
RODRIGUEZ, NICOLE MARIE Supervising Prescribing Practitioner Medical Doctor 145434 02/23/2022
RON, VICTORIA Supervising Prescribing Practitioner Medical Doctor 133069 08/01/2021
ROSSELLI, MICHAEL Supervising Prescribing Practitioner Medical Doctor 111396 08/01/2021
SCHILLINGER, DAVID SCOTT MD Supervising Prescribing Practitioner Medical Doctor 44821 07/26/2021
SHALABY, MICHAEL M Supervising Prescribing Practitioner Medical Doctor 148928 08/01/2021
SIGLER, KEVIN Supervising Prescribing Practitioner Medical Doctor 150025 07/26/2021
SMITH, MELISSA F Supervising Prescribing Practitioner Medical Doctor 156304 07/04/2022
STUEVE, PETER Supervising Prescribing Practitioner Osteopathic Physician 16106 10/12/2022
TORRES GONZALEZ, BRIAN HUMBERTO Supervising Prescribing Practitioner Medical Doctor 162259 06/06/2023
TRAN, LAM Supervising Prescribing Practitioner Osteopathic Physician 18477 07/04/2022
ULLOA, NICOLAS A Supervising Prescribing Practitioner Medical Doctor 157819 08/01/2023
VARNER GEARY, JENNA LYNN Supervising Prescribing Practitioner Osteopathic Physician 17656 07/26/2021
VAZQUEZ-GONZALEZ, YAMILA MD Supervising Prescribing Practitioner Medical Doctor 119573 11/18/2021
VEJDANI, RAMIN ALLEN Supervising Prescribing Practitioner Osteopathic Physician 9894 08/01/2021
WARREN, NICOLE LYNN Supervising Prescribing Practitioner Osteopathic Physician 14967 08/01/2021
ZAPATA, DARIO HERMAN Supervising Prescribing Practitioner Physician Assistant 9103082 08/01/2021
ZITEK, ANTON JOSEPH Supervising Prescribing Practitioner Medical Doctor 133862 09/15/2021

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2024



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