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ALYSSA KAY MOULDS

License Number: AA617

Data As Of 12/4/2024

Profession
Anesthesiologist Assistant
License
AA617
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/18/2020
Address of Record
10199 Southside Blvd
Suite 101
JACKSONVILLE, FL 32256
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AMIN, MOLLY DHARMESH SUPERVISOR for AA Medical Doctor 141389 09/08/2020
BEBEAU, EUGENE RUSSELL JR SUPERVISOR for AA Medical Doctor 59387 10/05/2020
BEJAR, MIGUEL ANTONIO SUPERVISOR for AA Medical Doctor 80815 09/08/2020
BLUM, ALFRED MERLIN SUPERVISOR for AA Medical Doctor 97499 09/08/2020
BRAININ, JOSUE SUPERVISOR for AA Medical Doctor 105380 09/08/2020
CARDENAS, EFREN BAUTISTA SUPERVISOR for AA Osteopathic Physician 10358 09/08/2020
CHUGAY, OLEXY SUPERVISOR for AA Medical Doctor 90078 09/08/2020
COOK, RACHEL ALISON SUPERVISOR for AA Medical Doctor 105050 09/08/2020
DIXON, CHERYL LYNN MD SUPERVISOR for AA Medical Doctor 53494 09/08/2020
ERVANIAN, JAMES ARMEN SUPERVISOR for AA Medical Doctor 64376 09/08/2020
FARUQI, ADNAN SUPERVISOR for AA Medical Doctor 140144 09/08/2020
FLEMING, JAMES WESLEY SUPERVISOR for AA Medical Doctor 55700 09/08/2020
GROOVER, TIMOTHY GENTLE MD SUPERVISOR for AA Medical Doctor 65840 09/08/2020
HEWLETT, TODD FREW SUPERVISOR for AA Medical Doctor 66344 09/08/2020
INGE, WELLFORD WARRINER III SUPERVISOR for AA Medical Doctor 67189 09/08/2020
JIMENEZ, JOSE FRANCISCO SUPERVISOR for AA Medical Doctor 50023 09/08/2020
KRAMP, MARK WAYNE MD SUPERVISOR for AA Medical Doctor 39585 09/08/2020
LUMERMANN, LEANDRO SUPERVISOR for AA Medical Doctor 132142 09/08/2020
MARTIN, GLEN FITZGERALD SUPERVISOR for AA Medical Doctor 76157 09/08/2020
MCDONALD, JOHN DOUGLAS SUPERVISOR for AA Medical Doctor 113798 09/08/2020
MORGAN, MATTHEW L SUPERVISOR for AA Medical Doctor 103395 09/08/2020
O'SHAUGHNESSY, TIMOTHY JOSEPH SUPERVISOR for AA Medical Doctor 114323 09/08/2020
PALMA, MATTHEW JAMES SUPERVISOR for AA Medical Doctor 141259 09/08/2020
PATEL, SANJEEV CHANDRAKANT SUPERVISOR for AA Medical Doctor 90167 09/08/2020
PERRY, ELIZABETH BOLTER SUPERVISOR for AA Medical Doctor 71665 09/08/2020
PIERCE, MARINA A SUPERVISOR for AA Medical Doctor 93509 09/08/2020
PIPPINS, DAVID NOEL SUPERVISOR for AA Medical Doctor 58756 09/08/2020
QUIGGLE, FORREST CHRISTIAN SUPERVISOR for AA Medical Doctor 105730 09/08/2020
RAMJOHN, JOANNE SUPERVISOR for AA Medical Doctor 92966 09/08/2020
SOPKOVICH, CHRISTOPHER JOHN SUPERVISOR for AA Osteopathic Physician 15857 09/08/2020
SUTTER, JUDITH ALTHAUSER M D SUPERVISOR for AA Medical Doctor 68448 09/08/2020
TAKACS, ANTAL SUPERVISOR for AA Medical Doctor 91042 09/08/2020
TARTT, SHANE RANDALL SUPERVISOR for AA Medical Doctor 101522 09/08/2020
VANGURA, DAVID JOHN SUPERVISOR for AA Medical Doctor 107680 09/08/2020
VANGURA, KARIN HERZELE SUPERVISOR for AA Medical Doctor 108223 09/08/2020
VELEZ, SAMUEL J MD SUPERVISOR for AA Medical Doctor 91607 09/08/2020
WALKER, FRANK BENNETT MD SUPERVISOR for AA Medical Doctor 47438 09/08/2020

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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 12/4/2024



* 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.