License Verification

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TOM PHAM

License Number: AA846

Data As Of 11/23/2024

Profession
Anesthesiologist Assistant
License
AA846
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/19/2023
Address of Record
1525 W Cypress Creek Rd
FORT LAUDERDALE, FL 33309
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
APPLEGATE, MARK RICHARD Supervising ME Medical Doctor 96955 04/24/2024
ATWATER, ROBERT JACKSON Supervising ME Medical Doctor 72543 04/24/2024
BAKER, WILMOTH HENRY III Supervising ME Medical Doctor 56076 04/24/2024
BHIMANI, VIPUL V Supervising ME Medical Doctor 120292 04/24/2024
CANNELLA, MARK E Supervising ME Medical Doctor 95603 04/24/2024
CONRAD, DANIEL PAUL MD Supervising ME Medical Doctor 34908 04/24/2024
DRAPER, KEVIN WINTHROP Supervising ME Medical Doctor 144509 04/24/2024
DUNKERLEY, CHRISTOPHER JOHN Supervising ME Medical Doctor 147307 04/24/2024
FRANKLAND, JAMES MICHAEL Supervising ME Medical Doctor 82386 04/24/2024
GILLELAND, SCOTT BENJAMIN Supervising ME Medical Doctor 139878 04/24/2024
GREEN, JOHN C M D Supervising ME Medical Doctor 128019 04/24/2024
HENRY, RICHARD L Supervising ME Medical Doctor 46736 04/24/2024
HORTON, ELIZABETH MAY Supervising ME Medical Doctor 120303 04/24/2024
JAIN, PRAVIN KUMAR Supervising ME Medical Doctor 158406 04/24/2024
LAZZELL, VALERIE ANNE Supervising ME Medical Doctor 64805 04/24/2024
LOEFFLER, NANCY L MD Supervising ME Medical Doctor 66089 04/24/2024
MAI, HARRY THANHHAO Supervising ME Medical Doctor 149964 04/24/2024
MARCHIO, WILLIAM ALAN Supervising ME Medical Doctor 110912 04/24/2024
MCLANAHAN, GREGORY ALLEN Supervising ME Medical Doctor 82354 04/24/2024
MILLER, MICHAEL WILLIAM CARL Supervising ME Medical Doctor 88327 04/24/2024
MNOOKIN, STEPHEN CHARLES Supervising ME Medical Doctor 82157 04/24/2024
MOORE, LATASHA DENISE Supervising ME Medical Doctor 129044 04/24/2024
MYERS, JEFFREY ALLEN MD Supervising ME Medical Doctor 70940 04/24/2024
O'NEILL, JAMES FRANCIS Supervising ME Medical Doctor 54677 04/24/2024
SAND, ROBERT IAN SUPERVISOR for AA Osteopathic Physician 16962 04/24/2024
SELL, BRENCE ALAN Supervising ME Medical Doctor 53808 04/24/2024
STAPLETON, DAVID DION Supervising ME Medical Doctor 120024 04/24/2024
TAYLOR, LIBERTY EVE Supervising ME Medical Doctor 123779 04/24/2024
THURMAN, NANCY M Supervising ME Medical Doctor 133939 04/24/2024
TIAN, LING Supervising ME Medical Doctor 155905 04/24/2024
TOTTEN, JAMES ALBERT Supervising ME Medical Doctor 56833 04/24/2024
WENLEDER, BRETT CHRISTIAN Supervising ME Medical Doctor 109099 04/24/2024

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

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.