License Verification

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JOSE DAVID PUELL MD

License Number: ME111013

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME111013
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/30/2011
Address of Record
6350 DAVIS BLVD UNIT 1001
NAPLES, FL 34104
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
247 North Collier Blvd #101
MARCO ISLAND, FL 34145
Name Relationship Profession License Effective Date
BATISTA, REBECCA BEATRICE Supervisor Medical Doctor 104274 04/01/2018
BIRUSINGH, RHEA JEANNINE Supervisor Medical Doctor 108070 04/01/2018
BROWN, HUNTER BALL Supervisor Osteopathic Physician 8076 04/01/2018
GREENE, TUCKER MD Supervisor Medical Doctor 76719 04/01/2018
KLEIN, JUSTIN BLAKE Supervisor Osteopathic Physician 13685 04/01/2018
LAMOS, JON EDWARD Supervisor Medical Doctor 70268 04/01/2018
MARQUIS, DAVID ALLAN Supervisor Osteopathic Physician 7851 04/01/2018
MIKNAITIS, REBECCA ABIGAIL DO Supervisor Osteopathic Physician 11417 04/01/2018
MUJICA, JORGE ANTONIO Supervisor Medical Doctor 108845 04/01/2018
OBREGON, ALAN VICTOR Supervisor Medical Doctor 95446 04/01/2018
TRESGALLO, FRANK Supervisor Medical Doctor 111592 04/01/2018
VAN HEERTUM, JONATHAN JASON Supervisor Osteopathic Physician 12981 04/01/2018

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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 12/22/2024



* 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.


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