License Verification

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JARED BLAINE FITZGERALD

License Number: AA459

Data As Of 12/24/2024

Profession
Anesthesiologist Assistant
License
AA459
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
08/23/2018
Address of Record
Brevard Physician Associates
1775 W Hibiscus Blvd #215
MELBOURNE, FL 32901
Discipline on File
No
Public Complaint
No
Address
1775 W. Hibiscus Blvd Suite 215
MELBOURNE, FL 32901
Name Relationship Profession License Effective Date
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 09/23/2020
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 09/23/2020
GOTAY, RICARDO MANUEL SUPERVISOR for AA Medical Doctor 85502 10/25/2020
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 09/23/2020
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 09/23/2020
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 09/23/2020
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 09/23/2020
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 09/23/2020
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 09/23/2020
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 09/23/2020
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 09/23/2020
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 09/23/2020
WAGNER, MICHAEL DONALD SUPERVISOR for AA Medical Doctor 98355 10/25/2020
WEBB, OSCAR JET SUPERVISOR for AA Medical Doctor 57984 10/25/2020

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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.