License Verification

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NGOC THI NGUYEN

License Number: ME67875

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME67875
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
03/14/1995
Address of Record
6158 NE 9 AVE CIRCLE
BRADENTON, FL 34212
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
14547 Bruce B Downs Blvd
TAMPA, FL 33613
Address
38135 Market Square Dr Ste 115
ZEPHYRHILLS, FL 33542
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
AUSTIN, LLALANDO L II Subordinate Anesthesiologist Assistants 20 6/1/2013
GLISPIE, TERRI-ANN SIMONE Subordinate Anesthesiologist Assistants 70 6/1/2013
KELSEY, MICHAEL THOMAS-JOSEPH JR Subordinate Anesthesiologist Assistants 56 6/1/2013
LARA, JOSE GABRIEL Subordinate Anesthesiologist Assistants 576 12/2/2024
MENDOZA, NICOLE LEA AA Anesthesiologist Assistants 388 12/8/2017
OUM, RORTANA Subordinate Anesthesiologist Assistants 68 6/1/2013
PATEL, BHAVIN Subordinate Anesthesiologist Assistants 82 6/1/2013
SELVAGGIO, JACQUELYN ANNE Subordinate Anesthesiologist Assistants 67 6/1/2013
THORNTON, ERIN MARIE Subordinate Anesthesiologist Assistants 75 6/1/2013

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

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.