License Verification

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TATE DAVIS STOREY

License Number: AA341

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA341
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
08/25/2016
Address of Record
1525 W Cypress Creek Rd
FORT LAUDERDALE, FL 33309
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ABOUELENIN, KARIM HASSAN Supervising ME Medical Doctor 83859 02/20/2024
ADENIGBAGBE, ADESOJI A Supervising ME Medical Doctor 102912 02/20/2024
AMADO, JEFFREY ALAN M D Supervising ME Medical Doctor 50612 02/20/2024
BATTAGLIA, DAN R DO SUPERVISOR for AA Osteopathic Physician 7108 02/20/2024
BECKER, JEREMY Supervising ME Medical Doctor 153529 02/20/2024
BROWN, COLIN GARY Supervising ME Medical Doctor 103302 02/20/2024
CLASS, JOSHUA Supervising ME Medical Doctor 137277 02/20/2024
EVANS, ADAM STUART Supervising ME Medical Doctor 125933 02/20/2024
FELTMAN, RICHARD S Supervising ME Medical Doctor 138823 02/20/2024
KNURR, ALEXANDER JOSEPH Supervising ME Medical Doctor 63141 02/20/2024
NYE, PHILLIP ALEX Supervising ME Medical Doctor 95624 02/20/2024
SEGAL, JEREMY MICHAEL MD Supervising ME Medical Doctor 80418 02/20/2024
SHEIKH, JANAID H SUPERVISOR for AA Osteopathic Physician 15306 02/20/2024
UNTRACHT, MITCHEL SCOTT Supervising ME Medical Doctor 54051 02/20/2024

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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 12/24/2024



* 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.