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FERNANDO ZAYAS-BAZAN

License Number: ME121049

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME121049
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
07/24/2014
Address of Record
12451 Shady Bridge Trail
JACKSONVILLE, FL 32258
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALLEE, JOY Supervising ME Medical Doctor 107342 12/18/2024
ANDRES, JASON B SUPERVISOR for AA Osteopathic Physician 19568 12/18/2024
ATTAALLAH, AHMED FIKRY Supervising ME Medical Doctor 102788 12/18/2024
BARSOUM, GEORGE Supervising ME Medical Doctor 140156 12/18/2024
BEGGS, KIM SUPERVISOR for AA Osteopathic Physician 19352 12/18/2024
BENNETT, AMANDA LAUREN Supervising ME Medical Doctor 159199 12/18/2024
BOWSER, RICHARD P Supervising ME Medical Doctor 140969 12/18/2024
CHRISTOPOULOS, JAMES LEON Supervising ME Medical Doctor 73026 12/18/2024
CUPIDO, MATTHEW JOSEPH SUPERVISOR for AA Osteopathic Physician 13170 12/18/2024
DAVIS, KATHLEEN MARIE Supervising ME Medical Doctor 134389 12/18/2024
DEL VALLE, PAUL GASTON Supervising ME Medical Doctor 159543 12/18/2024
ESCOBAR, ENRIQUE DIEGO Supervising ME Medical Doctor 118044 12/18/2024
FLAVIN, KATHRYN Supervising ME Medical Doctor 136753 12/18/2024
GOMEZ, ORLANDO SUPERVISOR for AA Osteopathic Physician 16075 12/18/2024
HUSSAIN, INTESAR Supervising ME Medical Doctor 133007 12/18/2024
KELLEDY, PATRICK Supervising ME Medical Doctor 157124 12/18/2024
KIM, CALVIN K MD Supervising ME Medical Doctor 61569 12/18/2024
KRAMER, DANIEL SUPERVISOR for AA Osteopathic Physician 7393 12/18/2024
LECLAIR, NICOLE JACLYN DO SUPERVISOR for AA Osteopathic Physician 19761 12/18/2024
LEE, EDWARD JOONHO Supervising ME Medical Doctor 117181 12/18/2024
LI, YUE MONICA Supervising ME Medical Doctor 143912 12/18/2024
LIPSKA, ANNA Supervising ME Medical Doctor 93703 12/18/2024
LOWERY, DAVID ROBERT Supervising ME Medical Doctor 147741 12/18/2024
LUZARDO GRANADOS, GERMAN ENRIQUE Supervising ME Medical Doctor 103190 12/18/2024
MAHESHWARI, NEERAJ Supervising ME Medical Doctor 163132 12/18/2024

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

Name Relationship Profession License Effective Date
ALVAREZ, JESSICA ELIZABETH Subordinate Anesthesiologist Assistants 486 9/9/2024
AQQAD, OMAR Subordinate Anesthesiologist Assistants 798 9/9/2024
BENNETT, ROOSEVELT JR Subordinate Anesthesiologist Assistants 100 1/20/2016
BETSARAKIS, GARRETT Subordinate Anesthesiologist Assistants 481 9/9/2024
BLEVINS, ANNA VELDKAMP Subordinate Anesthesiologist Assistants 487 9/9/2024
BLEVINS, MATTHEW SCOTT Subordinate Anesthesiologist Assistants 840 9/9/2024
CHARLES, SEBASTIEN Subordinate Anesthesiologist Assistants 140 11/22/2016
CHUNG, DIANA Subordinate Anesthesiologist Assistants 585 9/9/2024
CHUNG, JULIA Subordinate Anesthesiologist Assistants 408 9/9/2024
CORNMAN, JACOB Subordinate Anesthesiologist Assistants 660 9/9/2024
DARNA, JACQUELINE CECILIA Subordinate Anesthesiologist Assistants 134 9/9/2024
DENNIS, MICHAEL Subordinate Anesthesiologist Assistants 788 11/7/2024
FICHTNER, LINDSEY Subordinate Anesthesiologist Assistants 1012 12/4/2024
FISH, ERIC D Subordinate Anesthesiologist Assistants 497 11/7/2024
GEORGE, ASHLYMOL Subordinate Anesthesiologist Assistants 785 11/7/2024
GERRY, CASEY LADD Subordinate Anesthesiologist Assistants 352 12/6/2024
GRAFF, HEIDI J Subordinate Anesthesiologist Assistants 58 11/8/2024
GRYN, SAMANTHA RYCE Subordinate Anesthesiologist Assistants 567 11/8/2024
HOCKING, BAILEY CHRISTINE Subordinate Anesthesiologist Assistants 239 11/8/2024
HUDSON, FARAH Subordinate Anesthesiologist Assistants 435 11/8/2024
JAREMKO, MICHELLE PATRICIA Subordinate Anesthesiologist Assistants 458 11/8/2024
JOHNSON, MADILYN Subordinate Anesthesiologist Assistants 713 11/8/2024
KESSEL, MEGHAN QUINN Subordinate Anesthesiologist Assistants 187 1/20/2016
KOMARIN, AMY ELLEN Subordinate Anesthesiologist Assistants 151 11/8/2024
LIGON, MACKENSIE Subordinate Anesthesiologist Assistants 802 9/9/2024
MADATHILATE, NICHOLAS Subordinate Anesthesiologist Assistants 1020 12/13/2024
MASELLA, VINCENT JOSEPH Subordinate Anesthesiologist Assistants 221 9/9/2024
MATIS, ALLISON LEIGH Subordinate Anesthesiologist Assistants 18 9/9/2024
MEDINA, ROSALINDA Subordinate Anesthesiologist Assistants 440 9/9/2024
MILLER, ROBERT LEE Subordinate Anesthesiologist Assistants 491 9/9/2024
MILLER, ROXANNE Subordinate Anesthesiologist Assistants 591 9/9/2024
MORRIS, REBECCA ANN Subordinate Anesthesiologist Assistants 109 9/9/2024
MUIR, MICHAEL JOSEPH Subordinate Anesthesiologist Assistants 541 9/9/2024
MULLIS, CORY MORGAN Subordinate Anesthesiologist Assistants 367 9/9/2024
NARANJO, ISLEN Subordinate Anesthesiologist Assistants 588 9/9/2024
NAVARRO, LOURDES ADELENE Subordinate Anesthesiologist Assistants 231 1/20/2016
NGUYEN, HUY DUC Subordinate Anesthesiologist Assistants 482 9/9/2024
NGUYEN, THOMAS MINH Subordinate Anesthesiologist Assistants 740 9/9/2024
PALUCH, NATHAN WILLIAM Subordinate Anesthesiologist Assistants 543 9/9/2024
PATEL, KAJALKUMARI VINODCHANDRA Subordinate Anesthesiologist Assistants 1001 12/13/2024
PIERRE, MICHAELLE Subordinate Anesthesiologist Assistants 392 9/9/2024
PILIEGO, JUSTIN SHAWN Subordinate Anesthesiologist Assistants 479 9/9/2024
PINGEL, AARON Subordinate Anesthesiologist Assistants 602 9/9/2024
PIPPIN, MICHAEL ANTHONY Subordinate Anesthesiologist Assistants 174 5/6/2016
RAPALO PERDOMO, NELSON MANZUR Subordinate Anesthesiologist Assistants 906 9/9/2024
REDZOVIC, NAFIJE Subordinate Anesthesiologist Assistants 15 9/9/2024
RUTH, HEIDI CHRISTINA Subordinate Anesthesiologist Assistants 158 9/9/2024
SICLARE, BENJAMIN DAVID Subordinate Anesthesiologist Assistants 675 9/9/2024
VARLOTTA, RICHARD MAX Subordinate Anesthesiologist Assistants 195 9/9/2024
WALER, VICTORIA Subordinate Anesthesiologist Assistants 1027 12/6/2024
WARD, JONATHAN Subordinate Anesthesiologist Assistants 697 9/9/2024
WILLIAMSON, MARIA RENEE Subordinate Anesthesiologist Assistants 220 7/13/2016
WILLIAMSON, MARYA CAROLINE Subordinate Anesthesiologist Assistants 249 9/9/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* 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.