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MANUEL ALEJANDRO BERMUDEZ

License Number: AA104

Data As Of 12/4/2024

Profession
Anesthesiologist Assistant
License
AA104
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/23/2011
Address of Record
2173 CENTERVILLE PLACE
TALLAHASSEE, FL 32308
Discipline on File
No
Public Complaint
No
Address
2773 A Centerville Place
TALLAHASSEE, FL 32308
Name Relationship Profession License Effective Date
APPLEGATE, MARK RICHARD Supervising ME Medical Doctor 96955 09/01/2011
ATWATER, ROBERT JACKSON Supervising ME Medical Doctor 72543 09/01/2011
BAKER, WILMOTH HENRY III Supervising ME Medical Doctor 56076 09/01/2011
BHIMANI, VIPUL V Supervising ME Medical Doctor 120292 04/22/2024
CANNELLA, MARK E Supervising ME Medical Doctor 95603 09/01/2011
CONRAD, DANIEL PAUL MD Supervising ME Medical Doctor 34908 09/01/2011
DRAPER, DAVID WINTHROP MD Supervising ME Medical Doctor 67772 09/01/2011
DRAPER, KEVIN WINTHROP Supervising ME Medical Doctor 144509 04/22/2024
DUNKERLEY, CHRISTOPHER JOHN Supervising ME Medical Doctor 147307 04/22/2024
FRANKLAND, JAMES MICHAEL Supervising ME Medical Doctor 82386 09/01/2011
GILLELAND, SCOTT BENJAMIN Supervising ME Medical Doctor 139878 04/22/2024
GIRALT, JOAKIM ANTHONY MD Supervising ME Medical Doctor 60659 09/01/2011
GREEN, JOHN C M D Supervising ME Medical Doctor 128019 04/22/2024
HENRY, RICHARD L Supervising ME Medical Doctor 46736 09/01/2011
HORTON, ELIZABETH MAY Supervising ME Medical Doctor 120303 04/22/2024
JAIN, PRAVIN KUMAR Supervising ME Medical Doctor 158406 04/22/2024
LAZZELL, VALERIE ANNE Supervising ME Medical Doctor 64805 09/01/2011
LOEFFLER, NANCY L MD Supervising ME Medical Doctor 66089 09/01/2011
LUIBRAND, NATHAN Supervising ME Medical Doctor 166293 11/04/2024
LYNCH, PATRICK Supervising ME Osteopathic Physician 20536 11/04/2024
MAI, HARRY THANHHAO Supervising ME Medical Doctor 149964 04/22/2024
MARCHIO, WILLIAM ALAN Supervising ME Medical Doctor 110912 09/19/2011
MCLANAHAN, GREGORY ALLEN Supervising ME Medical Doctor 82354 09/01/2011
MILLER, MICHAEL WILLIAM CARL Supervising ME Medical Doctor 88327 09/01/2011
MNOOKIN, STEPHEN CHARLES Supervising ME Medical Doctor 82157 04/22/2024
MOORE, LATASHA DENISE Supervising ME Medical Doctor 129044 04/22/2024
MYERS, JEFFREY ALLEN MD Supervising ME Medical Doctor 70940 09/01/2011
O'NEILL, JAMES FRANCIS Supervising ME Medical Doctor 54677 09/01/2011
PADALIA, JITENDRA G Supervising ME Medical Doctor 34721 09/01/2011
PADALIA, MANSUKHLAL G Supervising ME Medical Doctor 25439 09/01/2011
SAND, ROBERT IAN SUPERVISOR for AA Osteopathic Physician 16962 04/22/2024
SCHWINDT, TIANI Supervising ME Medical Doctor 166663 11/04/2024
SELL, BRENCE ALAN Supervising ME Medical Doctor 53808 09/01/2011
STAPLETON, DAVID DION Supervising ME Medical Doctor 120024 04/22/2024
TAYLOR, LIBERTY EVE Supervising ME Medical Doctor 123779 04/22/2024
THURMAN, NANCY M Supervising ME Medical Doctor 133939 04/22/2024
TIAN, LING Supervising ME Medical Doctor 155905 04/22/2024
TOTTEN, JAMES ALBERT Supervising ME Medical Doctor 56833 09/01/2011
WALKER, JAMES DEAROE Supervising ME Medical Doctor 117278 04/22/2024
WARREN, SAMUEL MACKENZIE Supervising ME Medical Doctor 66560 09/01/2011
WENLEDER, BRETT CHRISTIAN Supervising ME Medical Doctor 109099 09/01/2011
WILHOIT, CHRISTOPHER ANDREW M D Supervising ME Medical Doctor 72642 09/01/2011

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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 12/4/2024



* 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.