License Verification

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YVETTE LYNN CRUZ

License Number: PA9104295

Data As Of 12/22/2024

Profession
Physician Assistant
License
PA9104295
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
08/20/2007
Address of Record
200 SE Hospital Ave.
MARTIN MEMORIAL HOSPITAL
STUART, FL 34994
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2100 SE Salerno Rd
STUART, FL 34997
Address
10000 SW Innovation Way
PORT SAINT LUCIE, FL 34987
Name Relationship Profession License Effective Date
AHMAD, JAWAD Supervising Prescribing Practitioner Medical Doctor 132786 01/25/2018
ALTEMA, REYNALD Supervising Prescribing Practitioner Medical Doctor 109047 05/09/2016
ANAGO, KOSISOCHUKWU NKENNA Supervising Prescribing Practitioner Medical Doctor 137136 04/29/2019
BAKER, RODERICK Supervising Prescribing Practitioner Medical Doctor 123351 01/25/2018
BIGLIONE, ALEJANDRO GUSTAVO MD Supervising Prescribing Practitioner Medical Doctor 78592 05/09/2016
BUCKMIRE, SOWANDE M Supervising Prescribing Practitioner Medical Doctor 129503 01/25/2018
COOPER, CHRISTIAN Supervising Prescribing Practitioner Medical Doctor 131795 01/25/2018
DESHPANDE, KRISHNARAJ GOPAL Supervising Prescribing Practitioner Osteopathic Physician 11305 05/09/2016
DUNTEMAN, COLT ROLAND Supervising Prescribing Practitioner Medical Doctor 123078 01/25/2018
EDELMAN, DANIEL SCOTT Supervising Prescribing Practitioner Osteopathic Physician 9048 05/09/2016
FITZGERALD, KEVIN Supervising Prescribing Practitioner Medical Doctor 126226 01/25/2018
GAETA, PAUL ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 59193 05/09/2016
HOU, KEVIN Supervising Prescribing Practitioner Medical Doctor 135279 04/29/2019
KUMAR, MADHURESH MD Supervising Prescribing Practitioner Medical Doctor 74870 05/09/2016
LACOSSIERE, KENSON Supervising Prescribing Practitioner Medical Doctor 114403 01/25/2018
LEHNHOFF, REBECCA LYNN Supervising Prescribing Practitioner Medical Doctor 109113 01/25/2018
MASOOD, ASIF Supervising Prescribing Practitioner Medical Doctor 100913 04/29/2019
MILLER, SEAN ANTHONY MD Supervising Prescribing Practitioner Medical Doctor 105658 01/25/2018
NEGANDHI, PRIYA VIKASH Supervising Prescribing Practitioner Medical Doctor 132504 01/25/2018
PATEL, SHERI M D Supervising Prescribing Practitioner Medical Doctor 131428 04/29/2019
PATEL, TANMAY AMRUTLAL Supervising Prescribing Practitioner Medical Doctor 115718 05/09/2016
POUDEL, PUSHPA RAJ Supervising Prescribing Practitioner Medical Doctor 125134 05/09/2016
PRETTELT, EDGAR ALBERTO Supervising Prescribing Practitioner Medical Doctor 88280 01/25/2018
RATANU, MARIUS TRAIAN Supervising Prescribing Practitioner Medical Doctor 100662 05/09/2016
REYES, ANDRES M Supervising Prescribing Practitioner Medical Doctor 100755 04/29/2019
SHAH, PRAKASH BABU Supervising Prescribing Practitioner Medical Doctor 125031 05/09/2016
SNEDEKER, SCOTT WALTER Supervising Prescribing Practitioner Medical Doctor 73810 05/09/2016
STHILAIRE, MICHECA Supervising Prescribing Practitioner Medical Doctor 124548 05/09/2016
SUGAR, DAVID Supervising Prescribing Practitioner Osteopathic Physician 14004 01/25/2018
THOMAS, KERONE P Supervising Prescribing Practitioner Medical Doctor 127455 05/09/2016
THUMMA, VIJAY BHASKER REDDY Supervising Prescribing Practitioner Medical Doctor 135589 04/29/2019
TURNER, ALAN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 11994 05/09/2016
VAN VLIET, ROBERT JOHN Supervising Prescribing Practitioner Osteopathic Physician 7460 05/09/2016
VASIREDDY, PADMAJA Supervising Prescribing Practitioner Medical Doctor 129253 01/25/2018

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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 12/23/2024



* 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.