License Verification

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GLEN FITZGERALD MARTIN

License Number: ME76157

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME76157
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
06/26/1998
Address of Record
Baptist Medical Center Beaches
1350 13th Ave South
JACKSONVILLE BEACH, FL 32250
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
Nova Southeastern University 6675 Corporate Pkwy, Unit 115
JACKSONVILLE, FL 32216
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ADE, CEDRICK AA Anesthesiologist Assistants 674 5/26/2021
ALAHMADY, FARRAH KAISS Subordinate Anesthesiologist Assistants 471 10/30/2018
BENNETT, ROOSEVELT JR Subordinate Anesthesiologist Assistants 100 11/15/2018
BREWER, MEGAN AA Anesthesiologist Assistants 715 2/15/2022
CLARK, BRITTANY AMBER Subordinate Anesthesiologist Assistants 555 2/16/2020
COMSTOCK, ROBERT ALAN Subordinate Anesthesiologist Assistants 177 9/1/2013
GERRY, CASEY LADD Subordinate Anesthesiologist Assistants 352 10/29/2018
HAO, PHINARAK Subordinate Anesthesiologist Assistants 44 11/4/2010
HART, CORY JOSHUA AA Anesthesiologist Assistants 365 10/29/2018
HART, JENNIFER Subordinate Anesthesiologist Assistants 374 10/29/2018
HEFFINGER, EMILY GREEN Subordinate Anesthesiologist Assistants 503 2/17/2020
HILLIS, KYLE MATTHEW Subordinate Anesthesiologist Assistants 427 11/9/2018
HOWARD, THOMAS AUSTIN Subordinate Anesthesiologist Assistants 260 11/30/2018
IROHA, MARY BEN AA Anesthesiologist Assistants 659 9/3/2021
JAGERNAUTH, ALEXANDER SHIVA Subordinate Anesthesiologist Assistants 225 2/16/2020
KABLAOUI, NOUR Subordinate Anesthesiologist Assistants 423 10/30/2018
KEMP, ASHLEY RENE Subordinate Anesthesiologist Assistants 370 11/9/2018
KENNEDY, JESSICA HYAMS Subordinate Anesthesiologist Assistants 178 9/1/2013
KESSLER, MARCUS IAN Subordinate Anesthesiologist Assistants 476 10/29/2018
KISTEMAKER, JONATHAN DANIEL Subordinate Anesthesiologist Assistants 489 11/9/2018
MANCAO, MIGUEL TANCINCO III Subordinate Anesthesiologist Assistants 200 10/24/2018
MCLEMORE, JONATHAN BRUCE Subordinate Anesthesiologist Assistants 549 2/16/2020
MOORE, SWINITA AA Anesthesiologist Assistants 662 9/9/2021
MOULDS, ALYSSA KAY AA Anesthesiologist Assistants 617 9/8/2020
MULVANEY, SEAN HENRY Subordinate Anesthesiologist Assistants 238 10/30/2018
NAVARRO, LOURDES ADELENE Subordinate Anesthesiologist Assistants 231 11/27/2018
NELSON, CHRISTOPHER DANIEL Subordinate Anesthesiologist Assistants 552 2/16/2020
ORGAN, WILLIAM BRETT Subordinate Anesthesiologist Assistants 353 10/29/2018
PEREZ, DIANA AA Anesthesiologist Assistants 626 10/5/2020
PRAVER, JOSEPH I Subordinate Anesthesiologist Assistants 426 10/29/2018
PRUSINSKI, MATTHEW KENT Subordinate Anesthesiologist Assistants 227 10/29/2018
REGAN, ANDREA MARIE Subordinate Anesthesiologist Assistants 217 11/12/2018
SMITH, CORY RYAN Subordinate Anesthesiologist Assistants 193 10/29/2018
YOO, HYUN AH Subordinate Anesthesiologist Assistants 787 2/20/2024

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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.