License Verification

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BRIGITTE SOUCY

License Number: PA9107377

Data As Of 12/2/2024

Profession
Physician Assistant
License
PA9107377
License Status
CLEAR/Active
Qualifications
Prescribing
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
08/15/2013
Address of Record
9555 SW 162ND AVENUE
WEST KENDALL BAPTIST HOSPITAL
EMERGENCY ROOM
MIAMI, FL 33196
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
14660 S.W. 8TH STREET BAPTIST MEDICAL PLAZA AT TAMIAMI
MIAMI, FL 33184
Address
6200 SW 73rd Street South Miami Hospital Emergency Department
MIAMI, FL 33143
Address
14661 S.W. 56TH STREET BAPTIST HEALTH URGENT CARE AT KENDALE LAKES
MIAMI, FL 33175
Address
13001 N. KENDALL DRIVE BAPTIST HEALTH URGENT CARE AT WEST KENDALL
MIAMI, FL 33186
Address
13500 S.W. 152ND STREET BAPTIST MEDICAL PLAZA AT COUNTRY WALK
MIAMI, FL 33177
Address
8750 S.W. 144TH STREET BAPTIST MEDICAL PLAZA AT PALMETTO BAY
MIAMI, FL 33176
Address
11805 S. DIXIE HIGHWAY BAPTIST HEALTH URGENT CARE AT PINECREST
MIAMI, FL 33156
Name Relationship Profession License Effective Date
ARROYO, ADALBERTO DAVID Supervising Dispensing Practitioner Medical Doctor 94941 11/08/2016
ARROYO, ADALBERTO DAVID Supervising Prescribing Practitioner Medical Doctor 94941 10/13/2016
AVILA ZAMORA, OCTAVIO Supervising Prescribing Practitioner Medical Doctor 123042 10/13/2016
AYMERICH, ENRIQUE JOAQUIN Supervising Dispensing Practitioner Medical Doctor 102602 11/08/2016
AYMERICH, ENRIQUE JOAQUIN Supervising Prescribing Practitioner Medical Doctor 102602 10/13/2016
BARDINAS RODRIGUEZ, ROGELIO OSCAR Supervising Dispensing Practitioner Medical Doctor 106246 11/08/2016
BARDINAS RODRIGUEZ, ROGELIO OSCAR Supervising Prescribing Practitioner Medical Doctor 106246 11/08/2016
CABRERA, DENISE Supervising Dispensing Practitioner Medical Doctor 81824 11/08/2016
CABRERA, DENISE Supervising Prescribing Practitioner Medical Doctor 81824 10/13/2016
CARPIO, ROBERTO Supervising Dispensing Practitioner Medical Doctor 102273 11/08/2016
CARPIO, ROBERTO Supervising Prescribing Practitioner Medical Doctor 102273 10/13/2016
CHEDEBEAU, FERNANDO Supervising Dispensing Practitioner Medical Doctor 105499 11/08/2016
CHEDEBEAU, FERNANDO Supervising Prescribing Practitioner Medical Doctor 105499 10/13/2016
GARCIA, DINA ZAKI Supervising Dispensing Practitioner Osteopathic Physician 11587 11/08/2016
GARCIA, DINA ZAKI Supervising Prescribing Practitioner Osteopathic Physician 11587 10/13/2016
HAMMAD, ZEIDAN Supervising Dispensing Practitioner Medical Doctor 97750 12/14/2016
HAMMAD, ZEIDAN Supervising Prescribing Practitioner Medical Doctor 97750 12/19/2016
HEVIA, ALFREDO Supervising Dispensing Practitioner Medical Doctor 89871 11/08/2016
HEVIA, ALFREDO Supervising Prescribing Practitioner Medical Doctor 89871 10/13/2016
JEAN-LOUIS, SENDY Supervising Dispensing Practitioner Medical Doctor 95222 11/08/2016
JEAN-LOUIS, SENDY Supervising Prescribing Practitioner Medical Doctor 95222 10/13/2016
JIMENEZ, MAURIN Supervising Dispensing Practitioner Medical Doctor 95052 11/08/2016
JIMENEZ, MAURIN Supervising Prescribing Practitioner Medical Doctor 95052 11/08/2016
LLACH, JOSE F Supervising Dispensing Practitioner Osteopathic Physician 10826 11/08/2016
LLACH, JOSE F Supervising Prescribing Practitioner Osteopathic Physician 10826 11/08/2016
MARTIN, GERARD J Supervising Dispensing Practitioner Medical Doctor 114724 11/08/2016
MARTIN, GERARD J Supervising Prescribing Practitioner Medical Doctor 114724 10/13/2016
MEDEROS, RAINER Supervising Dispensing Practitioner Medical Doctor 102176 11/08/2016
MEDEROS, RAINER Supervising Prescribing Practitioner Medical Doctor 102176 10/13/2016
MION-BET, STEFANO Supervising Dispensing Practitioner Medical Doctor 75066 11/08/2016
MION-BET, STEFANO Supervising Prescribing Practitioner Medical Doctor 75066 10/13/2016
MORONO-PONCE, IDAYLIS Supervising Dispensing Practitioner Medical Doctor 102072 11/08/2016
MORONO-PONCE, IDAYLIS Supervising Prescribing Practitioner Medical Doctor 102072 11/08/2016
NATEMAN, DAVID RAYMOND Supervising Dispensing Practitioner Medical Doctor 38769 11/08/2016
NATEMAN, DAVID RAYMOND Supervising Prescribing Practitioner Medical Doctor 38769 11/08/2016
NONELL, JORGE LUIS Supervising Dispensing Practitioner Medical Doctor 94909 11/08/2016
NONELL, JORGE LUIS Supervising Prescribing Practitioner Medical Doctor 94909 10/13/2016
OROZCO, ANA PAOLA Supervising Dispensing Practitioner Medical Doctor 105873 11/08/2016
OROZCO, ANA PAOLA Supervising Prescribing Practitioner Medical Doctor 105873 10/13/2016
PANDO, JARY DR Supervising Dispensing Practitioner Medical Doctor 94774 11/08/2016
PANDO, JARY DR Supervising Prescribing Practitioner Medical Doctor 94774 10/13/2016
PARDO, DAVERT Supervising Dispensing Practitioner Medical Doctor 89900 11/08/2016
PARDO, DAVERT Supervising Prescribing Practitioner Medical Doctor 89900 10/13/2016
PERALTA, ANA ELIZABETH Supervising Dispensing Practitioner Medical Doctor 79183 11/08/2016
PERALTA, ANA ELIZABETH Supervising Prescribing Practitioner Medical Doctor 79183 10/13/2016
PERERA, ALEXIS MD Supervising Dispensing Practitioner Medical Doctor 97052 11/08/2016
PERERA, ALEXIS MD Supervising Prescribing Practitioner Medical Doctor 97052 10/13/2016
PEREZ, JOSE RAMON Supervising Dispensing Practitioner Medical Doctor 125214 11/08/2016
PEREZ, JOSE RAMON Supervising Prescribing Practitioner Medical Doctor 125214 10/13/2016
PONCE DE LEON, MERCEDES Supervising Dispensing Practitioner Medical Doctor 122121 11/08/2016
PONCE DE LEON, MERCEDES Supervising Prescribing Practitioner Medical Doctor 122121 11/08/2016
PURON, LUIS ENRIQUE Supervising Dispensing Practitioner Medical Doctor 97466 11/08/2016
PURON, LUIS ENRIQUE Supervising Prescribing Practitioner Medical Doctor 97466 10/13/2016
SANTIN, JORGE JESUS Supervising Dispensing Practitioner Medical Doctor 102326 11/08/2016
SANTIN, JORGE JESUS Supervising Prescribing Practitioner Medical Doctor 102326 10/13/2016
VALDES, ARIADNA Supervising Dispensing Practitioner Medical Doctor 108943 11/08/2016
VALDES, ARIADNA Supervising Prescribing Practitioner Medical Doctor 108943 10/13/2016
VEGAS, MARIA ANDREINA Supervising Dispensing Practitioner Medical Doctor 102723 11/08/2016
VEGAS, MARIA ANDREINA Supervising Prescribing Practitioner Medical Doctor 102723 11/08/2016
WEIMER, PHILIP CARLIN MD Supervising Dispensing Practitioner Medical Doctor 30910 11/08/2016
WEIMER, PHILIP CARLIN MD Supervising Prescribing Practitioner Medical Doctor 30910 10/13/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



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