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ANID ORBEZO PHELPS

License Number: ME94653

Data As Of 11/21/2024

Profession
Medical Doctor
License
ME94653
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
11/01/2005
Address of Record
1600 Lakeland hills blvd
LAKELAND, FL 33805
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AMIN, MUHAMMAD Supervisor Medical Doctor 33481 08/01/2020
CONTINI, KYLE VINCENT Supervisor Medical Doctor 117959 08/01/2020
EDLER, RAYME MICHELLE Supervising Prescribing Practitioner Medical Doctor 109913 09/09/2021
NGUYEN, HUY BAO Supervisor Medical Doctor 140015 08/01/2020
YUNUS, MOHAMMAD Supervisor Medical Doctor 27818 08/01/2020

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Name Relationship Profession License Effective Date
AMBROSE, JESSICA Prescribing Physician Assistant Physician Assistant 9110160 2/21/2017
ATHEARN, CHERYL PARKER Prescribing Physician Assistant Physician Assistant 9107831 1/28/2019
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 1/8/2020
BUCK, JENNIFER FRANCES Prescribing Physician Assistant Physician Assistant 9106346 1/8/2020
CERANOWSKI, MICHAEL JAMES Prescribing Physician Assistant Physician Assistant 9104159 9/13/2017
CRAWFORD, JIMMIE CONRAD Prescribing Physician Assistant Physician Assistant 9104289 11/10/2016
FOWLER JR, TIMOTHY DALE Prescribing Physician Assistant Physician Assistant 9110560 1/28/2019
KEETON, PATRICK RAY Prescribing Physician Assistant Physician Assistant 9107121 2/7/2019
MADRID, DORIAN KENNETH Prescribing Physician Assistant Physician Assistant 9106025 4/20/2017
MITCHELL, CRAIG ROBERT MD Subordinate Medical Doctor 102920 3/1/2020
SAMSON, JESSICA AURELIO Prescribing Physician Assistant Physician Assistant 9103076 9/13/2017
TERSHESHEE, STEVEN JUPITER Prescribing Physician Assistant Physician Assistant 9105306 3/1/2017

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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.