License Verification

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NICOLE LEA MENDOZA

License Number: AA388

Data As Of 4/22/2025

Profession
Anesthesiologist Assistant
License
AA388
License Status
CLEAR/Active
License Expiration Date
1/31/2027
License Original Issue Date
06/15/2017
Address of Record
851 Trafalgar Court
MAITLAND, FL 32751
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AUSTIN, RUSSELL WILLIAM SUPERVISOR for AA Osteopathic Physician 7002 12/08/2017
BERG, RENATA J Supervising ME Medical Doctor 102125 08/01/2024
BLACKWELL, SCOTT Supervising ME Osteopathic Physician 18676 01/21/2025
CHASE, CHARLES JOSEPH D O SUPERVISOR for AA Osteopathic Physician 5987 12/08/2017
DENNY, JOHN T Supervising ME Medical Doctor 142659 08/01/2024
DLUZNESKI, JOHN STEPHEN MD SUPERVISOR for AA Medical Doctor 47731 12/08/2017
FLAVIN, KATHRYN Supervising ME Medical Doctor 136753 01/21/2025
FLORIO, KAYLA ENES SUPERVISOR for AA Medical Doctor 144409 12/08/2017
HARTENBACH, WILLIAM NORBERT Supervising ME Medical Doctor 56245 08/01/2024
HAUGE, LESTER NORMAN JR SUPERVISOR for AA Medical Doctor 78635 12/08/2017
KATZ, BENJAMIN SUPERVISOR for AA Medical Doctor 143808 12/08/2017
LEE, EDWARD JOONHO Supervising ME Medical Doctor 117181 01/21/2025
LEGARE, THOMAS KEITH Supervising ME Medical Doctor 72189 01/21/2025
LUZARDO GRANADOS, GERMAN ENRIQUE Supervising ME Medical Doctor 103190 01/21/2025
MARAMAG, CARLOS C JR Supervising ME Medical Doctor 127327 01/21/2025
MERCADO, JAIME H Supervising ME Medical Doctor 109525 01/21/2025
MUZZI, DONALD ANTHONY SUPERVISOR for AA Medical Doctor 60909 12/08/2017
MYRICK BREWER, CAROL J MD Supervising ME Medical Doctor 67348 08/01/2024
NAHMIAS, NEIL JEFFREY SUPERVISOR for AA Osteopathic Physician 14828 10/30/2024
NGUYEN, NGOC THI SUPERVISOR for AA Medical Doctor 67875 12/08/2017
OPPENHEIMER, JOHN PAUL M D SUPERVISOR for AA Medical Doctor 118911 12/08/2017
PAGE, PATRICK Supervising ME Medical Doctor 154817 01/21/2025
PALMERI, SHAWN ROBERT Supervising ME Medical Doctor 139346 08/01/2024
POLLIZZI, ANTHONY MD Supervising ME Medical Doctor 55771 08/01/2024
ROWLEY, MICHAEL WILLIAM M D SUPERVISOR for AA Medical Doctor 108434 12/08/2017
RUST, DAVID G M D Supervising ME Medical Doctor 133226 08/01/2024
SILLART, DOUGLAS RICHARD Supervising ME Medical Doctor 144682 08/01/2024
SMITH, DANIEL P SUPERVISOR for AA Medical Doctor 98899 12/08/2017
SMITH, DANIEL P Supervising ME Medical Doctor 98899 08/01/2024
VAN FOSSEN, LARRY DOUGLAS Supervising ME Osteopathic Physician 18532 08/01/2024
WEITZNER, H CORY SCOTT SUPERVISOR for AA Medical Doctor 95455 12/08/2017
ZAYAS-BAZAN, FERNANDO Supervising ME Medical Doctor 121049 01/21/2025

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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 4/22/2025



* 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.