License Verification

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JOHNNY THANH SON NGUYEN

License Number: OS15404

Data As Of 12/3/2024

Profession
Osteopathic Physician
License
OS15404
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
3/31/2026
License Original Issue Date
06/04/2018
Address of Record
Envision Physician Services
5380 Tech Data Dr.
Suite 101
CLEARWATER, FL 33760
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
AMINZADEH, MARYAM AA Anesthesiologist Assistants 17 7/1/2018
ARTMAN, TIFFANY LYNNE AA Anesthesiologist Assistants 116 4/29/2019
BENNETT, TAYLOR GRACE Subordinate Anesthesiologist Assistants 297 7/1/2018
BIEL, DAVID JOHN AA Anesthesiologist Assistants 382 7/1/2018
BOONE, MELISSA MOORE MEYER AA Anesthesiologist Assistants 318 7/1/2018
BOUDREAU, CAREY DOUGLAS JR AA Anesthesiologist Assistants 192 7/1/2018
DESHMUKH, ANEEL AA Medical Doctor 139951 7/1/2018
DESORBO, LORI JEAN AA Anesthesiologist Assistants 9 7/1/2018
DIAZ-WICKE, JENNIFER MARIE AA Anesthesiologist Assistants 101 7/1/2018
EMERY, DAVID ALEXANDER AA Anesthesiologist Assistants 430 7/1/2018
EULIANO, TAMMY YACHABACH AA Medical Doctor 68249 7/1/2018
GREEN, MAGGIE DENISE AA Anesthesiologist Assistants 505 4/1/2019
HOOGHUIS, WILLIAM JOSHUA AA Anesthesiologist Assistants 77 7/1/2018
KREUZER, TANNER WILLI AA Anesthesiologist Assistants 406 7/1/2018
LUPI, ROCKY JAMES AA Anesthesiologist Assistants 328 7/1/2018
MARRERO, SARAH MICHELLE AA Anesthesiologist Assistants 346 7/1/2018
PATEL, CHERRIE AA Anesthesiologist Assistants 66 7/1/2018
PROVOST, MICHAEL JOHN AA Anesthesiologist Assistants 41 7/1/2018
STONER, SAMANTHA BARBARA AA Anesthesiologist Assistants 291 7/1/2018

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/3/2024



* 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.