License Verification

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DAI LE NGUYEN

License Number: ME102196

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME102196
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
07/08/2008
Address of Record
14701 NW 77th Avenue
MIAMI LAKES, FL 33014
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No
Address
12472 W. SUNRISE BLVD.
SUNRISE, FL 33323
Address
1642 TOWN CENTER CIRCLE
WESTON, FL 33326
Address
2660 BRICKELL AVENUE
MIAMI, FL 33129
Address
1240 S. DIXIE HWY UNIVERSITY URGENT CARE
CORAL GABLES, FL 33146
Address
10 GIRALDA AVENUE CORAL GABLES URGENT CARE
CORAL GABLES, FL 33134
Address
15885 PINES BLVD
PEMBROKE PINES, FL 33027
Address
4741 S UNIVERSITY DRIVE
DAVIE, FL 33328
Address
9915 NW 41st St.
DORAL, FL 33178
Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date
BOGDANOVA, ANNA L Dispensing Physician Assistant Physician Assistant 9105154 6/29/2016
BOGDANOVA, ANNA L Prescribing Physician Assistant Physician Assistant 9105154 7/19/2016
GOMEZ YATES, JESSICA GABRIELLE Dispensing Physician Assistant Physician Assistant 9106649 6/27/2016
GOMEZ YATES, JESSICA GABRIELLE Prescribing Physician Assistant Physician Assistant 9106649 7/8/2016
GUERRERO, JORGE ALBERT Dispensing Physician Assistant Physician Assistant 9104178 6/28/2016
GUERRERO, JORGE ALBERT Prescribing Physician Assistant Physician Assistant 9104178 6/28/2016
MALAKOTI, DIYANA Dispensing Physician Assistant Physician Assistant 9103269 6/29/2016
MALAKOTI, DIYANA Prescribing Physician Assistant Physician Assistant 9103269 6/28/2016
STEWART, MARKIRA OLGA Dispensing Physician Assistant Physician Assistant 9107494 6/23/2016
STEWART, MARKIRA OLGA Prescribing Physician Assistant Physician Assistant 9107494 7/13/2016
SUKHWANI, ARTI V Dispensing Physician Assistant Physician Assistant 9100958 6/27/2016
SUKHWANI, ARTI V Prescribing Physician Assistant Physician Assistant 9100958 7/28/2016
ZAPATA, DARIO HERMAN Dispensing Physician Assistant Physician Assistant 9103082 6/23/2016
ZAPATA, DARIO HERMAN Prescribing Physician Assistant Physician Assistant 9103082 7/6/2016

Click on the License Number to view License Details for that Practitioner

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 12/2/2024



* 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.