License Verification

Printer Friendly Version

PHUONG PHAM DONG NGUYEN

License Number: AA1051

Data As Of 7/23/2025

Profession
Anesthesiologist Assistant
License
AA1051
License Status
Clear/Active
License Expiration Date
1/31/2027
License Original Issue Date
02/15/2025
Address of Record
83 W Miller Street
ORLANDO, FL 32806
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
BORSKY, BART JONATHAN Supervising ME Medical Doctor 151802 03/06/2025
CHAMS, DAVID Supervising ME Medical Doctor 84485 03/06/2025
CRUZ, GRACE AILEEN Supervising ME Medical Doctor 127346 03/06/2025
DEL VALLE, RODNEY MERVIL Supervising ME Medical Doctor 83423 03/06/2025
DELOACH, JULIA KATE Supervising ME Medical Doctor 116815 03/06/2025
EDSALL, MATTHEW BENJAMIN Supervising ME Medical Doctor 112564 03/06/2025
FATTOUCH, PATRICK CHARBEL SUPERVISOR for AA Medical Doctor 119553 03/06/2025
FUNEZ, KEVIN M SUPERVISOR for AA Medical Doctor 129124 03/06/2025
GEWOLB, JAY D Supervising ME Medical Doctor 55713 03/06/2025
ISKANDAR, MARIA-KARNINA Supervising ME Medical Doctor 124705 03/06/2025
JIANG, PETER SHIQING Supervising ME Medical Doctor 80455 03/06/2025
MCCARTHY, AUSTIN JAMES SUPERVISOR for AA Medical Doctor 144595 03/06/2025
MONTALVO, RAFAEL G SUPERVISOR for AA Medical Doctor 81668 03/06/2025
MUKERJEE, SANDEEP Supervising ME Medical Doctor 62331 03/06/2025
NWOZUZU, ADAMBEKE Supervising ME Medical Doctor 153355 03/06/2025
PATEL, RIKIN Supervising ME Medical Doctor 156155 03/06/2025
PEREZ-MUNOZ, IVETTE Supervising ME Medical Doctor 156417 03/06/2025
PETERS, KRYSTA Supervising ME Medical Doctor 164020 03/06/2025
PICHON, ANDRE FRANCIS Supervising ME Medical Doctor 81710 03/06/2025
SAMIR, AMIR Supervising ME Medical Doctor 118652 03/06/2025
SHAH, NIPA RAVI Supervising ME Osteopathic Physician 10418 03/06/2025
SHANKARA, TRISTAN CHANNEGOWDA Supervising ME Medical Doctor 115318 03/06/2025
THOMAS, NICOLE ALEXANDRIA Supervising ME Medical Doctor 116364 03/06/2025
URTON, RONALD JAMES Supervising ME Medical Doctor 118574 03/06/2025

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

Name Relationship Profession License Effective Date

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

Name Relationship Profession License Effective Date

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



No Continuing Education Hours Received from Approved Providers As Of 7/23/2025



* 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.