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ANNA L. BOGDANOVA

License Number: PA9105154

Data As Of 11/21/2024

Profession
Physician Assistant
License
PA9105154
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
09/10/2009
Address of Record
6200 sw 73 street
MIAMI, FL 33143
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
5975 Sunset Drive #402
SOUTH MIAMI, FL 33143
Address
5975 Sunset drive
MIAMI, FL 33143
Address
6200 SW 73rd street
MIAMI, FL 33143
Address
9915 NW 41 ST. DORAL URGENT CARE
MIAMI, FL 33178
Address
1642 Town Center Circle Baptist Medical Plaza at Weston
WESTON, FL 33326
Address
12472 W SUNRISE BLVD. BAPTIST HEALTH URGENT CARE (SUNRISE)
SUNRISE, FL 33323
Address
2660 Brickell Ave. Baptist Medical Plaza at Brickell
MIAMI, FL 33129
Address
1240 S. Dixie Hwy University Urgent Care
CORAL GABLES, FL 33146
Address
15885 Pines Blvd. Pembroke Pines Urgent Care
PEMBROKE PINES, FL 33027
Address
14701 NW 77 Ave Miami Lakes Urgent Care
MIAMI LAKES, FL 33014
Address
4741 S. University Dr. Davie Urgent Care
DAVIE, FL 33328
Address
6264 W. Sample Rd. Suite 100 Coral Springs Urgent Care
CORAL SPRINGS, FL 33067
Address
10 Giralda Ave. Coral Gables Urgent Care
CORAL GABLES, FL 33134
Name Relationship Profession License Effective Date
ABIA, INEMESIT NYONG Supervising Dispensing Practitioner Medical Doctor 84077 06/29/2016
ABIA, INEMESIT NYONG Supervising Prescribing Practitioner Medical Doctor 84077 07/19/2016
ALI, SAFIA ANSAR Supervising Dispensing Practitioner Medical Doctor 101914 06/29/2016
ALI, SAFIA ANSAR Supervising Prescribing Practitioner Medical Doctor 101914 07/19/2016
ALTER, LIZBETH Supervising Dispensing Practitioner Medical Doctor 80663 06/29/2016
ALTER, LIZBETH Supervising Prescribing Practitioner Medical Doctor 80663 07/19/2016
ALTMAN, ALAN MAYER Supervising Dispensing Practitioner Medical Doctor 27843 06/29/2016
ALTMAN, ALAN MAYER Supervising Prescribing Practitioner Medical Doctor 27843 07/19/2016
ARCE MONTOYA, WILLIAM FERNANDO Supervising Dispensing Practitioner Medical Doctor 106532 06/29/2016
ARCE MONTOYA, WILLIAM FERNANDO Supervising Prescribing Practitioner Medical Doctor 106532 07/19/2016
ARROYO, ADALBERTO DAVID Supervising Dispensing Practitioner Medical Doctor 94941 06/29/2016
ARROYO, ADALBERTO DAVID Supervising Prescribing Practitioner Medical Doctor 94941 07/19/2016
BALDINO, JOHN DOMINIC M D Supervising Dispensing Practitioner Medical Doctor 36441 06/29/2016
BALDINO, JOHN DOMINIC M D Supervising Prescribing Practitioner Medical Doctor 36441 07/19/2016
BRUNSON, ADAM JEREMY Supervising Prescribing Practitioner Medical Doctor 139854 09/13/2019
CABRERA, DENISE Supervising Dispensing Practitioner Medical Doctor 81824 06/29/2016
CABRERA, DENISE Supervising Prescribing Practitioner Medical Doctor 81824 07/19/2016
CAMPBELL, DAMION RICHARD Supervising Prescribing Practitioner Medical Doctor 80043 07/19/2016
CARBONELL, SHEILA IVETTE MD Supervising Dispensing Practitioner Medical Doctor 96216 06/29/2016
CARBONELL, SHEILA IVETTE MD Supervising Prescribing Practitioner Medical Doctor 96216 07/19/2016
COKER, ALICIA DOLORES Supervising Dispensing Practitioner Medical Doctor 83860 06/29/2016
COKER, ALICIA DOLORES Supervising Prescribing Practitioner Medical Doctor 83860 07/19/2016
CORDOVA, LEONEL Supervising Dispensing Practitioner Medical Doctor 94828 06/29/2016
CORDOVA, LEONEL Supervising Prescribing Practitioner Medical Doctor 94828 07/19/2016
DE URRESTI, MIREN ALAI Supervising Dispensing Practitioner Medical Doctor 72002 06/29/2016
DE URRESTI, MIREN ALAI Supervising Prescribing Practitioner Medical Doctor 72002 07/19/2016
DIAZ, GERARDO MD Supervising Dispensing Practitioner Medical Doctor 103459 06/26/2016
DIAZ, GERARDO MD Supervising Prescribing Practitioner Medical Doctor 103459 07/19/2016
EAGLSTEIN, EMILY CARROLL Supervising Prescribing Practitioner Medical Doctor 126227 10/25/2016
ESTEVEZ, VICTOR M Supervising Dispensing Practitioner Medical Doctor 96674 06/29/2016
ESTEVEZ, VICTOR M Supervising Prescribing Practitioner Medical Doctor 96674 07/19/2016
GANDIA, ANTONIO Supervising Dispensing Practitioner Medical Doctor 53887 06/29/2016
GANDIA, ANTONIO Supervising Prescribing Practitioner Medical Doctor 53887 07/19/2016
GARCIA, DINA ZAKI Supervising Dispensing Practitioner Osteopathic Physician 11587 06/29/2016
GARCIA, DINA ZAKI Supervising Prescribing Practitioner Osteopathic Physician 11587 07/19/2016
GAZO, ARTURO JOSE Supervising Dispensing Practitioner Medical Doctor 91347 06/29/2016
GAZO, ARTURO JOSE Supervising Prescribing Practitioner Medical Doctor 91347 07/19/2016
GONCALVES, CAIO NERY Supervising Dispensing Practitioner Medical Doctor 97694 06/29/2016
GONCALVES, CAIO NERY Supervising Prescribing Practitioner Medical Doctor 97694 07/19/2016
GONZALEZ CARRILLO, ROYNEL Supervising Dispensing Practitioner Medical Doctor 108237 06/29/2016
GONZALEZ CARRILLO, ROYNEL Supervising Prescribing Practitioner Medical Doctor 108237 07/19/2016
GOODFRIEND, STEVEN DAVID Supervising Prescribing Practitioner Medical Doctor 84608 08/21/2023
JOHNSON, YVONNE TURNER Supervising Prescribing Practitioner Medical Doctor 58205 07/19/2016
KRANICHFELD, WILLIAM HUBERT JR Supervising Dispensing Practitioner Medical Doctor 57914 06/29/2016
KRANICHFELD, WILLIAM HUBERT JR Supervising Prescribing Practitioner Medical Doctor 57914 07/19/2016
LAZOVIC, NINA MD Supervising Dispensing Practitioner Medical Doctor 98974 06/29/2016
LAZOVIC, NINA MD Supervising Prescribing Practitioner Medical Doctor 98974 07/19/2016
LEWIS, LINDSAY NICOLE Supervising Dispensing Practitioner Medical Doctor 107010 06/29/2016
LEWIS, LINDSAY NICOLE Supervising Prescribing Practitioner Medical Doctor 107010 07/19/2016
LIU, CONNIE X Supervising Dispensing Practitioner Medical Doctor 118974 06/29/2016
LIU, CONNIE X Supervising Prescribing Practitioner Medical Doctor 118974 07/19/2016
LUNN, JASON ROBERT Supervising Prescribing Practitioner Medical Doctor 130944 09/04/2018
MEDEROS, RAINER Supervising Dispensing Practitioner Medical Doctor 102176 06/29/2016
MEDEROS, RAINER Supervising Prescribing Practitioner Medical Doctor 102176 07/19/2016
MEDNICK, STEVEN LEWIS Supervising Dispensing Practitioner Medical Doctor 60361 06/29/2016
MEDNICK, STEVEN LEWIS Supervising Prescribing Practitioner Medical Doctor 60361 07/19/2016
MION-BET, STEFANO Supervising Dispensing Practitioner Medical Doctor 75066 06/29/2016
MION-BET, STEFANO Supervising Prescribing Practitioner Medical Doctor 75066 07/19/2016
MORRISON, THOMAS O'GLENN Supervising Dispensing Practitioner Medical Doctor 79946 06/29/2016
MORRISON, THOMAS O'GLENN Supervising Prescribing Practitioner Medical Doctor 79946 07/19/2016
NAVARRO MARIN, ANIEL Supervising Prescribing Practitioner Medical Doctor 125677 03/20/2019
NGUYEN, DAI LE Supervising Dispensing Practitioner Medical Doctor 102196 06/29/2016
NGUYEN, DAI LE Supervising Prescribing Practitioner Medical Doctor 102196 07/19/2016
O'SULLIVAN, BONNIE-JEAN Supervising Dispensing Practitioner Medical Doctor 84904 06/29/2016
O'SULLIVAN, BONNIE-JEAN Supervising Prescribing Practitioner Medical Doctor 84904 07/19/2016
PARDO, DAVERT Supervising Dispensing Practitioner Medical Doctor 89900 06/29/2016
PARDO, DAVERT Supervising Prescribing Practitioner Medical Doctor 89900 07/19/2016
PATRICK, ANN MARIE DO Supervising Dispensing Practitioner Osteopathic Physician 9432 06/29/2016
PATRICOFF, TRACEY CARROLL Supervising Prescribing Practitioner Medical Doctor 56325 07/19/2016
PICK, DAVID LEON Supervising Dispensing Practitioner Medical Doctor 51760 06/29/2016
PICK, DAVID LEON Supervising Prescribing Practitioner Medical Doctor 51760 07/19/2016
PITTS, DAPHNE MARIAN MD Supervising Dispensing Practitioner Medical Doctor 90371 06/29/2016
PITTS, DAPHNE MARIAN MD Supervising Prescribing Practitioner Medical Doctor 90371 07/19/2016
POURMASIHA, LADAN Supervising Dispensing Practitioner Osteopathic Physician 11763 06/29/2016
POURMASIHA, LADAN Supervising Prescribing Practitioner Osteopathic Physician 11763 07/19/2016
QUEEN, CHRISTOPHER LARRY D O Supervising Dispensing Practitioner Osteopathic Physician 10481 06/29/2016
QUEEN, CHRISTOPHER LARRY D O Supervising Prescribing Practitioner Osteopathic Physician 10481 07/19/2016
RANCATORE, ELAINE MARIE DO Supervising Dispensing Practitioner Osteopathic Physician 5701 06/29/2016
RANCATORE, ELAINE MARIE DO Supervising Prescribing Practitioner Osteopathic Physician 5701 07/19/2016
RODRIGUEZ, FELIX ALEJANDRO Supervising Dispensing Practitioner Medical Doctor 77127 06/29/2016
RODRIGUEZ, FELIX ALEJANDRO Supervising Prescribing Practitioner Medical Doctor 77127 07/19/2016
RODRIGUEZ, JORGE Supervising Dispensing Practitioner Medical Doctor 80730 06/29/2016
RODRIGUEZ, JORGE Supervising Prescribing Practitioner Medical Doctor 80730 07/19/2016
RODRIGUEZ, JOSE R Supervising Dispensing Practitioner Medical Doctor 59427 06/29/2016
RODRIGUEZ, JOSE R Supervising Prescribing Practitioner Medical Doctor 59427 07/19/2016
RUTHMAN, KAREN ELIZABETH MD Supervising Dispensing Practitioner Medical Doctor 76593 06/29/2016
RUTHMAN, KAREN ELIZABETH MD Supervising Prescribing Practitioner Medical Doctor 76593 07/18/2016
SANZ MARTINEZ, ERNESTO Supervising Dispensing Practitioner Medical Doctor 121839 06/29/2016
SANZ MARTINEZ, ERNESTO Supervising Prescribing Practitioner Medical Doctor 121839 07/19/2016
SASONI, MICHAEL JACOB JR Supervising Dispensing Practitioner Osteopathic Physician 9047 06/29/2016
SASONI, MICHAEL JACOB JR Supervising Prescribing Practitioner Osteopathic Physician 9047 07/19/2016
SHAFFER, ROBERT INGO MD Supervising Dispensing Practitioner Medical Doctor 64953 06/29/2016
SHAFFER, ROBERT INGO MD Supervising Prescribing Practitioner Medical Doctor 64953 07/19/2016
STANLEY, ANTHONY GEORGE MD Supervising Dispensing Practitioner Medical Doctor 77954 06/29/2016
STANLEY, ANTHONY GEORGE MD Supervising Prescribing Practitioner Medical Doctor 77954 07/19/2016
VAZQUEZ, LISETTE Supervising Dispensing Practitioner Osteopathic Physician 9315 06/29/2016
VAZQUEZ, LISETTE Supervising Prescribing Practitioner Osteopathic Physician 9315 07/19/2016
VAZQUEZ-GONZALEZ, YAMILA MD Supervising Prescribing Practitioner Medical Doctor 119573 03/13/2017
ZAKI, SAMIA FAHMI Supervising Dispensing Practitioner Medical Doctor 78986 06/29/2016
ZAKI, SAMIA FAHMI Supervising Prescribing Practitioner Medical Doctor 78986 07/19/2016

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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 11/21/2024



* 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.