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ALDRICH VILLAMIN MENDOZA

License Number: ME142221

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME142221
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/15/2019
Address of Record
801 Anchor Rode Drive
NAPLES, FL 34103
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
7100 Pines Blvd
PEMBROKE PINES, FL 33024
Address
400 S Tamiami Trl
VENICE, FL 34285
Address
609 E. Colonial Dr
ORLANDO, FL 32803
Address
13595 SW 134th Ave
MIAMI, FL 33186
Address
3380 Tamiami Trail
PORT CHARLOTTE, FL 33952
Address
165 S Lee St
LABELLE, FL 33935
Address
3208 Chiquita Blvd S
CAPE CORAL, FL 33914
Address
1306 Homestead Rd N
LEHIGH ACRES, FL 33936
Address
2915 Colonial Blvd
FT MYERS, FL 33966
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BRAUTIGAN, FREDERICK BRIAN Subordinate Medical Doctor 117546 1/7/2021
BRAX, AIDA LYNN Prescribing Physician Assistant Physician Assistant 9112536 2/22/2020
CARR, PAUL Dispensing Physician Assistant Physician Assistant 9106423 8/14/2020
CARR, PAUL Prescribing Physician Assistant Physician Assistant 9106423 8/28/2020
CORPUS, DON LAWRENCE Subordinate Medical Doctor 94488 11/20/2020
DELP, PRISCILLA GAIL Dispensing Physician Assistant Physician Assistant 9113490 11/20/2020
DELP, PRISCILLA GAIL Prescribing Physician Assistant Physician Assistant 9113490 11/20/2020
DIAMOND, HOWARD MD Prescribing Physician Assistant Medical Doctor 58424 7/28/2020
KECK, ANNE MARIE Prescribing Physician Assistant Physician Assistant 9109592 5/18/2021
NEZOWITZ, GREGG DAVID Subordinate Medical Doctor 75671 6/16/2021
RENFROE, BRANDON JAMES Dispensing Physician Assistant Physician Assistant 9114351 4/29/2021
RENFROE, BRANDON JAMES Prescribing Physician Assistant Physician Assistant 9114351 4/29/2021
WARNER, TAMMY JEAN Prescribing Physician Assistant Physician Assistant 9113541 1/7/2021

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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 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.


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.