License Verification

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MICHAEL M GUTIERREZ

License Number: ME50355

Data As Of 12/23/2024

Profession
Medical Doctor
License
ME50355
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
04/27/1987
Address of Record
100 W. GORE ST.
602
ORLANDO, FL 32806
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
91 Scenic Gulf Dr Suite 200
MIRAMAR BEACH, FL 32550
Address
519 N DIXIE FWY
NEW SMYRNA BEACH, FL 32168
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CRILE, COLBY Prescribing Physician Assistant Physician Assistant 9109879 12/12/2016
CULLEN, KRISTYN MARIE Prescribing Physician Assistant Physician Assistant 9111621 10/18/2018
HOPSON, BRENT DAVIN Prescribing Physician Assistant Physician Assistant 9105356 10/31/2018
MID-FLORIDA DERMATOLOGY ASSOCIATES, P.A HCCE Health Care Clinic Establishment Permit 1707 3/9/2009

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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



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** 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.


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