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KATHRYN FLAVIN

License Number: ME136753

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME136753
License Status
CLEAR/Active
Qualifications
NICA Exempt
License Expiration Date
1/31/2026
License Original Issue Date
06/05/2018
Address of Record
2201 Cantu Court
Suite 109
SARASOTA, FL 34232
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALLEE, JOY SUPERVISOR for AA Medical Doctor 107342 02/22/2024
ATTAALLAH, AHMED FIKRY SUPERVISOR for AA Medical Doctor 102788 02/22/2024
BANDARUPALLI, SUNIL R SUPERVISOR for AA Medical Doctor 90915 02/22/2024
BENNETT, AMANDA LAUREN SUPERVISOR for AA Medical Doctor 159199 02/22/2024
BOWSER, RICHARD P SUPERVISOR for AA Medical Doctor 140969 02/22/2024
CHRISTOPOULOS, JAMES LEON SUPERVISOR for AA Medical Doctor 73026 02/22/2024
CUPIDO, MATTHEW JOSEPH SUPERVISOR for AA Osteopathic Physician 13170 02/22/2024
DAVIS, KATHLEEN MARIE SUPERVISOR for AA Medical Doctor 134389 02/22/2024
ESCOBAR, ENRIQUE DIEGO SUPERVISOR for AA Medical Doctor 118044 02/22/2024
HUSSAIN, INTESAR SUPERVISOR for AA Medical Doctor 133007 02/22/2024
KIM, CALVIN K MD SUPERVISOR for AA Medical Doctor 61569 02/22/2024
KRAMER, DANIEL SUPERVISOR for AA Osteopathic Physician 7393 02/22/2024
LECLAIR, NICOLE JACLYN DO SUPERVISOR for AA Osteopathic Physician 19761 02/22/2024
LI, YUE MONICA SUPERVISOR for AA Medical Doctor 143912 02/22/2024
MAHESHWARI, NEERAJ SUPERVISOR for AA Medical Doctor 163132 02/22/2024
MONTANA, GEMA SUPERVISOR for AA Medical Doctor 151680 02/22/2024
NEKKANTI, SONIE SUPERVISOR for AA Medical Doctor 99168 02/22/2024
NICOLAY, MICHAEL DUSTIN SUPERVISOR for AA Medical Doctor 148213 02/22/2024
O'TOOLE, JAMES THOMAS SUPERVISOR for AA Medical Doctor 135702 02/22/2024
PALMERI, SHAWN ROBERT SUPERVISOR for AA Medical Doctor 139346 02/22/2024
PATEL, SAGAR K SUPERVISOR for AA Osteopathic Physician 16403 02/22/2024
RESNICK, ANDREW SCOT SUPERVISOR for AA Medical Doctor 159077 02/22/2024
SHAH, MAHIMA SUPERVISOR for AA Osteopathic Physician 18549 02/22/2024
TAMMINEEDI, SRINIVAS SUPERVISOR for AA Medical Doctor 98497 02/22/2024
UMHOLTZ, MATTHEW JAMES SUPERVISOR for AA Osteopathic Physician 12498 02/22/2024
WEBBER, BETH TRUEBLOOD SUPERVISOR for AA Osteopathic Physician 18402 02/22/2024
WELLS, JASON SUPERVISOR for AA Medical Doctor 140329 02/22/2024

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Name Relationship Profession License Effective Date
ALVAREZ, JESSICA ELIZABETH Subordinate Anesthesiologist Assistants 486 6/3/2024
AQQAD, OMAR Subordinate Anesthesiologist Assistants 798 6/3/2024
BETSARAKIS, GARRETT Subordinate Anesthesiologist Assistants 481 6/3/2024
BLEVINS, ANNA VELDKAMP Subordinate Anesthesiologist Assistants 487 6/3/2024
BLEVINS, MATTHEW SCOTT Subordinate Anesthesiologist Assistants 840 6/3/2024
CHUNG, DIANA Subordinate Anesthesiologist Assistants 585 9/9/2024
CHUNG, JULIA Subordinate Anesthesiologist Assistants 408 6/3/2024
CORNMAN, JACOB Subordinate Anesthesiologist Assistants 660 6/3/2024
DARNA, JACQUELINE CECILIA Subordinate Anesthesiologist Assistants 134 6/3/2024
DENNIS, MICHAEL Subordinate Anesthesiologist Assistants 788 6/3/2024
FATTOUCH, HANY ANTOUN Subordinate Medical Doctor 147673 6/3/2024
FICHTNER, LINDSEY Subordinate Anesthesiologist Assistants 1012 12/4/2024
FISH, ERIC D Subordinate Anesthesiologist Assistants 497 6/3/2024
GEORGE, ASHLYMOL Subordinate Anesthesiologist Assistants 785 6/3/2024
GERRY, CASEY LADD Subordinate Anesthesiologist Assistants 352 12/6/2024
GRAFF, HEIDI J Subordinate Anesthesiologist Assistants 58 6/3/2024
GRYN, SAMANTHA RYCE Subordinate Anesthesiologist Assistants 567 6/3/2024
HOCKING, BAILEY CHRISTINE Subordinate Anesthesiologist Assistants 239 6/3/2024
HUDSON, FARAH Subordinate Anesthesiologist Assistants 435 6/3/2024
JAREMKO, MICHELLE PATRICIA Subordinate Anesthesiologist Assistants 458 6/3/2024
JOHNSON, MADILYN Subordinate Anesthesiologist Assistants 713 6/3/2024
KOMARIN, AMY ELLEN Subordinate Anesthesiologist Assistants 151 6/3/2024
LIGON, MACKENSIE Subordinate Anesthesiologist Assistants 802 6/3/2024
MADATHILATE, NICHOLAS Subordinate Anesthesiologist Assistants 1020 12/13/2024
MAHESHWARI, NEERAJ AA Medical Doctor 163132 6/3/2024
MASELLA, VINCENT JOSEPH Subordinate Anesthesiologist Assistants 221 6/3/2024
MATIS, ALLISON LEIGH Subordinate Anesthesiologist Assistants 18 6/3/2024
MEDINA, ROSALINDA Subordinate Anesthesiologist Assistants 440 6/3/2024
MILLER, ROBERT LEE Subordinate Anesthesiologist Assistants 491 6/3/2024
MILLER, ROXANNE Subordinate Anesthesiologist Assistants 591 6/3/2024
MORRIS, REBECCA ANN Subordinate Anesthesiologist Assistants 109 6/3/2024
MUIR, MICHAEL JOSEPH Subordinate Anesthesiologist Assistants 541 6/3/2024
MULLIS, CORY MORGAN AA Anesthesiologist Assistants 367 6/3/2024
MULLIS, CORY MORGAN Subordinate Anesthesiologist Assistants 367 6/3/2024
NARANJO, ISLEN Subordinate Anesthesiologist Assistants 588 6/3/2024
NGUYEN, HUY DUC Subordinate Anesthesiologist Assistants 482 6/3/2024
NGUYEN, THOMAS MINH Subordinate Anesthesiologist Assistants 740 6/3/2024
PALUCH, NATHAN WILLIAM Subordinate Anesthesiologist Assistants 543 6/3/2024
PATEL, KAJALKUMARI VINODCHANDRA Subordinate Anesthesiologist Assistants 1001 12/13/2024
PIERRE, MICHAELLE Subordinate Anesthesiologist Assistants 392 6/3/2024
PILIEGO, JUSTIN SHAWN Subordinate Anesthesiologist Assistants 479 6/3/2024
PINGEL, AARON Subordinate Anesthesiologist Assistants 602 6/3/2024
RAPALO PERDOMO, NELSON MANZUR Subordinate Anesthesiologist Assistants 906 6/3/2024
REDZOVIC, NAFIJE Subordinate Anesthesiologist Assistants 15 6/3/2024
RUTH, HEIDI CHRISTINA Subordinate Anesthesiologist Assistants 158 6/3/2024
SICLARE, BENJAMIN DAVID Subordinate Anesthesiologist Assistants 675 6/3/2024
VARLOTTA, RICHARD MAX Subordinate Anesthesiologist Assistants 195 6/3/2024
WALER, VICTORIA Subordinate Anesthesiologist Assistants 1027 12/6/2024
WARD, JONATHAN Subordinate Anesthesiologist Assistants 697 6/3/2024
WILLIAMSON, MARYA CAROLINE Subordinate Anesthesiologist Assistants 249 6/3/2024
ZAYAS-BAZAN, FERNANDO Subordinate Medical Doctor 121049 12/18/2024

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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.