License Verification

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MARK SAUL KRUGER

License Number: ME43984

Data As Of 12/22/2024

Profession
Medical Doctor
License
ME43984
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
05/09/1984
Address of Record
500 WINDERLEY PLACE SUITE 115
STE. 115
MAITLAND, FL 32751
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
BLACKMAN, ABIGAIL SHNITER Supervisor Medical Doctor 127220 08/01/2018
COLON MENDEZ, MANUEL J Supervisor Medical Doctor 127869 08/01/2018
CUEVAS, DANIEL LIM Supervisor Medical Doctor 129675 08/01/2018
FASIUDDIN, NAJAM Supervisor Osteopathic Physician 15006 08/01/2018
FIELDS, WILLIAM ANTHONY Supervisor Medical Doctor 122379 08/01/2018
GARCIA-GONZALEZ, ALEXANDER Supervisor Medical Doctor 109637 08/01/2018
GONZALEZ, JAVIER IGNACIO Supervisor Medical Doctor 107827 08/01/2018

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Name Relationship Profession License Effective Date
BURCHENSON, KRYSTA-GAYE LATOYA Prescribing Physician Assistant Physician Assistant 9108009 3/27/2018
GRAHAM, KELLY ANN Prescribing Physician Assistant Physician Assistant 9112573 10/24/2019
HABIB, LAILA NICOLE Prescribing Physician Assistant Physician Assistant 9111509 12/17/2018
LUKASIK, MICHELLE NICOLE Prescribing Physician Assistant Physician Assistant 9111603 12/19/2018
MACKENZIE, WILLIAM CARL Prescribing Physician Assistant Physician Assistant 9112545 10/9/2019

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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.