License Verification

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ANDRES EDUARDO O'DALY BAQUERO

License Number: ME126890

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME126890
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
02/03/2016
Address of Record
8000 SR 64 E
BRADENTON, FL 34212
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
6202 17th Ave West
BRADENTON, FL 34209
Name Relationship Profession License Effective Date

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

Name Relationship Profession License Effective Date
BABINEC, JACOB STEPHEN Prescribing Physician Assistant Physician Assistant 9114162 3/2/2017
DUPONT, CAMILLE AUBREY Prescribing Physician Assistant Physician Assistant 9109306 3/3/2017
FOWLER, ASHLEY R Prescribing Physician Assistant Physician Assistant 9106487 3/3/2017
JETER, MELINDA BIGHAM Prescribing Physician Assistant Physician Assistant 9103553 6/29/2017
JOHNSON, COURTNEY BALCOME Prescribing Physician Assistant Physician Assistant 9110696 5/16/2019
KELLY, DANA MICHELLE Prescribing Physician Assistant Physician Assistant 9116042 6/12/2022
LEE, JASON MICHAEL Prescribing Physician Assistant Physician Assistant 9103767 9/11/2018
MONROE, LYNDSAY DANIELLE Prescribing Physician Assistant Physician Assistant 9105092 8/2/2017
NIXON, ROBERT DANIEL Prescribing Physician Assistant Physician Assistant 9101789 3/3/2017
NOTLEY, AMANDA LYNN Prescribing Physician Assistant Physician Assistant 9114182 3/17/2021
RILEY, KRISTEN FAYE Prescribing Physician Assistant Physician Assistant 9101640 10/4/2017
STUMP, HOLLY LYNNE Prescribing Physician Assistant Physician Assistant 9106982 3/2/2017

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.