License Verification

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ROOSEVELT BENNETT JR

License Number: AA100

Data As Of 6/24/2024

Profession
Anesthesiologist Assistant
License
AA100
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/08/2011
Address of Record
807 CHILDREN'S WAY
JACKSONVILLE, FL 32207
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ADKISON, MICHAEL GREGORY Supervising ME Medical Doctor 97111 09/12/2011
AJALA, ADEBISI MATILDA Supervising ME Medical Doctor 97225 01/06/2016
ANTONACCI-GIMBEL, ANGELA DAWN Supervising ME Medical Doctor 92108 11/15/2018
BANNISTER, CAROLYN FLEMING Supervising ME Medical Doctor 121972 01/05/2016
BARASCH, STEPHEN T MD Supervising ME Medical Doctor 20241 09/12/2011
BARGAS, MATTHEW ST JOHN Supervising ME Medical Doctor 60752 01/19/2016
BARTON, WILLIAM P Supervising ME Medical Doctor 41164 11/15/2018
BATA, AHMED REDA Supervising ME Medical Doctor 78120 09/12/2011
BEBEAU, EUGENE RUSSELL JR Supervising ME Medical Doctor 59387 11/15/2018
BEJAR, MIGUEL ANTONIO Supervising ME Medical Doctor 80815 11/15/2018
BESSER, TIMOTHY PAUL Supervising ME Medical Doctor 46665 01/05/2016
BINFORD, MICHAEL ASHTON Supervising ME Medical Doctor 68242 09/12/2011
BLUM, ALFRED MERLIN Supervising ME Medical Doctor 97499 11/15/2018
BOLTON, JOANN EMMANUEL Supervising ME Medical Doctor 117202 11/15/2018
BRAININ, JOSUE Supervising ME Medical Doctor 105380 11/15/2018
BRYSKIN, ROBERT BORIS Supervising ME Medical Doctor 100847 01/05/2016
BURNS, AMY ELIZABETH Supervising ME Medical Doctor 112496 01/13/2016
CARDENAS, EFREN BAUTISTA Supervising ME Osteopathic Physician 10358 11/15/2018
CHEN, AVIS SHIRLEY Supervising ME Medical Doctor 56181 02/11/2016
CHUGAY, OLEXY Supervising ME Medical Doctor 90078 11/15/2018
COLLINS, STEVEN VICTOR Supervising ME Medical Doctor 76156 01/06/2016
COOK, RACHEL ALISON Supervising ME Medical Doctor 105050 11/15/2018
DIXON, CHERYL LYNN MD Supervising ME Medical Doctor 53494 11/15/2018
ERVANIAN, JAMES ARMEN Supervising ME Medical Doctor 64376 11/15/2018
FELEMA, GOHALEM Supervising ME Medical Doctor 110492 01/13/2016
FLEMING, JAMES WESLEY Supervising ME Medical Doctor 55700 11/15/2018
FRISON, LISA D O SUPERVISOR for AA Osteopathic Physician 4861 11/15/2018
FUENTES-GUILLEMYN, KARINA Supervising ME Medical Doctor 99862 01/13/2016
GARCIA, JORGE EDUARDO Supervising ME Medical Doctor 107641 09/12/2011
GOODWIN, JANE AYERS Supervising ME Medical Doctor 69793 02/11/2016
GROOVER, TIMOTHY GENTLE MD Supervising ME Medical Doctor 65840 11/15/2018
GURGIS, FAHMY SHAKER Supervising ME Medical Doctor 87763 01/06/2016
HELFFRICH, RICHARD ARTHUR Supervising ME Medical Doctor 50735 01/04/2016
HENG, RENEE MARIE Supervising ME Medical Doctor 116903 01/13/2016
HEWLETT, TODD FREW Supervising ME Medical Doctor 66344 11/15/2018
HOLLIS, STEPHANIE DYANE M D Supervising ME Medical Doctor 90482 11/15/2018
INGE, WELLFORD WARRINER III Supervising ME Medical Doctor 67189 11/15/2018
JIMENEZ, JOSE FRANCISCO Supervising ME Medical Doctor 50023 11/15/2018
KRAMP, MARK WAYNE MD Supervising ME Medical Doctor 39585 11/15/2018
LEWIS, MARJORIE ANN Supervising ME Medical Doctor 80214 01/05/2016
LONDERGAN, BEVAN PATRICK Supervising ME Medical Doctor 112918 01/04/2016
MARTIN, GLEN FITZGERALD Supervising ME Medical Doctor 76157 11/15/2018
MARYAK, BROOKE NEWMAN Supervising ME Medical Doctor 107656 01/21/2016
MCDONALD, JOHN DOUGLAS Supervising ME Medical Doctor 113798 11/15/2018
MORGAN, MATTHEW L Supervising ME Medical Doctor 103395 11/15/2018
ORALLO, PEACHES MARIE RAVAL Supervising ME Medical Doctor 114147 11/15/2018
PATEL, SANJEEV CHANDRAKANT Supervising ME Medical Doctor 90167 11/15/2018
PERRY, ELIZABETH BOLTER Supervising ME Medical Doctor 71665 11/15/2018
PIERCE, MARINA A Supervising ME Medical Doctor 93509 11/15/2018
PIPPINS, DAVID NOEL Supervising ME Medical Doctor 58756 11/15/2018
POST-MARTENS, KATRIN Supervising ME Medical Doctor 125388 01/06/2016
PRICE, JOHN ALLAN Supervising ME Medical Doctor 97620 09/12/2011
QUIGGLE, FORREST CHRISTIAN Supervising ME Medical Doctor 105730 11/15/2018
RAMJOHN, JOANNE Supervising ME Medical Doctor 92966 11/15/2018
SCHRUM, STEFANIE FRIEDFELD Supervising ME Medical Doctor 62432 01/06/2015
SCRIVENS-GAVER, OLINDA RENEE Supervising ME Medical Doctor 74935 01/13/2016
SHAH, TANVI JAYENDRA Supervising ME Medical Doctor 123756 01/06/2015
SULLIVAN, KEVIN JOSEPH Supervising ME Medical Doctor 70848 01/13/2016
SUTTER, JUDITH ALTHAUSER M D Supervising ME Medical Doctor 68448 11/15/2018
TAKACS, ANTAL Supervising ME Medical Doctor 91042 11/15/2018
TARTT, SHANE RANDALL Supervising ME Medical Doctor 101522 11/15/2018
TERRIET, MENNO FRANK Supervising ME Medical Doctor 71589 11/15/2018
TURNAGE, WILLIAM SHERMAN Supervising ME Medical Doctor 80917 09/12/2011
VANGURA, DAVID JOHN Supervising ME Medical Doctor 107680 11/15/2018
VELEZ, SAMUEL J MD Supervising ME Medical Doctor 91607 11/15/2018
WALKER, FRANK BENNETT MD Supervising ME Medical Doctor 47438 11/15/2018
WHEATLEY, REBEKAH LEANNE Supervising ME Medical Doctor 110260 01/06/2016
ZAYAS-BAZAN, FERNANDO Supervising ME Medical Doctor 121049 01/20/2016
ZIEMANN-GIMMEL, PATRICK Supervising ME Medical Doctor 99902 09/12/2011

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 6/24/2024



* 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.