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KRISTL LEE KAMM

License Number: AA727

Data As Of 6/15/2024

Profession
Anesthesiologist Assistant
License
AA727
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
05/17/2022
Address of Record
601 E Rollins Street
ORLANDO, FL 32803
Discipline on File
No
Public Complaint
No
Address
1118 South Orange Avenue Suite 103
LAKELAND, FL 33806
Name Relationship Profession License Effective Date
ADDONIZIO, MARK A M D SUPERVISOR for AA Medical Doctor 68102 06/19/2023
AGUINA QUIODETTIS, LUZ MARIEL MD SUPERVISOR for AA Medical Doctor 131880 04/18/2023
BORSKY, BART JONATHAN SUPERVISOR for AA Medical Doctor 151802 04/18/2023
BOSAK, JODI LYNNE SUPERVISOR for AA Medical Doctor 110241 04/18/2023
BURNS, JEFFERSON PAUL SUPERVISOR for AA Medical Doctor 116108 04/18/2023
CHAMS, DAVID SUPERVISOR for AA Medical Doctor 84485 04/18/2023
DEL VALLE, RODNEY MERVIL SUPERVISOR for AA Medical Doctor 83423 12/20/2023
DELOACH, JULIA KATE SUPERVISOR for AA Medical Doctor 116815 04/18/2023
EDSALL, MATTHEW BENJAMIN SUPERVISOR for AA Medical Doctor 112564 12/20/2023
FATTOUCH, PATRICK CHARBEL SUPERVISOR for AA Medical Doctor 119553 04/18/2023
FERNANDEZ GARCIA ROVES, DIEGO SUPERVISOR for AA Medical Doctor 146988 04/18/2023
FORREST, RICHARD SUPERVISOR for AA Medical Doctor 148308 04/18/2023
FUNEZ, KEVIN M SUPERVISOR for AA Medical Doctor 129124 04/18/2023
GEWOLB, JAY D SUPERVISOR for AA Medical Doctor 55713 12/20/2023
GRAY, LOGAN SUPERVISOR for AA Osteopathic Physician 19893 03/26/2024
GRIFFIN, JOSHUA KEITH SUPERVISOR for AA Medical Doctor 147731 04/18/2023
GROOVER, TIMOTHY GENTLE MD Supervising ME Medical Doctor 65840 03/26/2024
HAKIM, JAMAL A MD SUPERVISOR for AA Medical Doctor 59966 04/18/2023
HARRISON, STEVEN MARSHALL SUPERVISOR for AA Medical Doctor 103759 04/18/2023
ISKANDAR, MARIA-KARNINA SUPERVISOR for AA Medical Doctor 124705 12/20/2023
JIANG, PETER SHIQING SUPERVISOR for AA Medical Doctor 80455 12/20/2023
KIM, JUSTIN MINOO SUPERVISOR for AA Medical Doctor 136181 04/18/2023
KWA, ANDRE M SUPERVISOR for AA Medical Doctor 64543 04/18/2023
MADISON, LAUREN SUPERVISOR for AA Medical Doctor 156720 12/20/2023
MCCARTHY, AUSTIN JAMES SUPERVISOR for AA Medical Doctor 144595 04/18/2023
MILLER, DOUGLAS T SUPERVISOR for AA Medical Doctor 51603 04/18/2023
MONTALVO, RAFAEL G SUPERVISOR for AA Medical Doctor 81668 04/18/2023
MU, JIANLONG SUPERVISOR for AA Medical Doctor 160455 05/01/2023
MUKERJEE, SANDEEP SUPERVISOR for AA Medical Doctor 62331 12/20/2023
MUPPALA, SUNIL KUMAR SUPERVISOR for AA Medical Doctor 133701 12/20/2023
NWOZUZU, ADAMBEKE SUPERVISOR for AA Medical Doctor 153355 12/20/2023
OH, YONG TAEK SUPERVISOR for AA Medical Doctor 78608 12/20/2023
PAREDES, LEA LYN GELERA SUPERVISOR for AA Medical Doctor 85412 04/18/2023
PATEL, RIKIN SUPERVISOR for AA Medical Doctor 156155 12/20/2023
PEREZ-MUNOZ, IVETTE SUPERVISOR for AA Medical Doctor 156417 12/20/2023
PETERS, KRYSTA SUPERVISOR for AA Medical Doctor 164020 12/20/2023
PICHON, ANDRE FRANCIS SUPERVISOR for AA Medical Doctor 81710 04/18/2023
PITYK, PETER EUGENE JR SUPERVISOR for AA Medical Doctor 148962 04/18/2023
REED, TIMOTHY TODD SUPERVISOR for AA Medical Doctor 84184 04/18/2023
SABATELLI, DANIEL CARMEN JR SUPERVISOR for AA Medical Doctor 85164 04/18/2023
SAMIR, AMIR SUPERVISOR for AA Medical Doctor 118652 04/18/2023
SANTIAGO, JASON MICHAEL SUPERVISOR for AA Medical Doctor 127910 04/18/2023
SHAH, NIPA RAVI SUPERVISOR for AA Osteopathic Physician 10418 04/18/2023
SHANKARA, TRISTAN CHANNEGOWDA SUPERVISOR for AA Medical Doctor 115318 04/18/2023
SMITH, DAVID T JR SUPERVISOR for AA Medical Doctor 49617 04/18/2023
STEWART, MATTHEW L SUPERVISOR for AA Medical Doctor 63836 04/18/2023
THOMAS, NICOLE ALEXANDRIA SUPERVISOR for AA Medical Doctor 116364 04/18/2023
URTON, RONALD JAMES SUPERVISOR for AA Medical Doctor 118574 04/18/2023
ZOCCOLI, MARY CATHERINE SUPERVISOR for AA Medical Doctor 117848 04/18/2023

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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 6/15/2024



* 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.