License Verification

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HARRISON DERMER

License Number: ME165742

Data As Of 10/25/2025

Profession
Medical Doctor
License
ME165742
License Status
Clear/Active
License Expiration Date
1/31/2028
License Original Issue Date
11/15/2023
Address of Record
Good Samaritan Medical Center
1309 N Flagler Drive
WEST PALM BCH, FL 33401
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
BEAULIEU, LEON NICHOLAS Subordinate Anesthesiologist Assistants 149 7/31/2025
BIANCARDI, DANIELLE ROSE Subordinate Anesthesiologist Assistants 418 9/18/2025
BUSMAN, MEGAN GRACE Subordinate Anesthesiologist Assistants 655 9/18/2025
CIOFFI, MICHAEL Subordinate Anesthesiologist Assistants 304 9/18/2025
KHOSHNOOD, NATASHA M Subordinate Anesthesiologist Assistants 168 9/18/2025
LATHAM, RYAN NICHOLAS Subordinate Anesthesiologist Assistants 307 9/18/2025
LO, KELLY CHRISTINE Subordinate Anesthesiologist Assistants 1048 9/18/2025
MAJDALAWI, RAWAN Subordinate Anesthesiologist Assistants 603 9/18/2025
MARSEILLE, LEGRAND Subordinate Anesthesiologist Assistants 933 9/18/2025
MINGIONE, MICHAEL WILLIAM Subordinate Anesthesiologist Assistants 241 9/18/2025
STOREY, TATE DAVIS Subordinate Anesthesiologist Assistants 341 7/9/2025

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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 10/25/2025



* 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.