License Verification

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GRACE MARIE SMITH

License Number: AA665

Data As Of 12/4/2024

Profession
Anesthesiologist Assistant
License
AA665
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/08/2021
Address of Record
St. Joseph's Hospital
3001 W Dr Martin Luther King Jr Blvd
TAMPA, FL 33614
Discipline on File
No
Public Complaint
No
Address
3030 W . Dr. Martin Luther King Jr. Blvd
TAMPA, FL 33607
Name Relationship Profession License Effective Date
ANDERSON, ADRIANA LUCIA M D SUPERVISOR for AA Medical Doctor 92105 10/01/2021
DOCTOR, MONICA CHRISTINE SUPERVISOR for AA Medical Doctor 144955 10/01/2021
ESCOBAR, ALEJANDRO SUPERVISOR for AA Medical Doctor 94848 10/01/2021
FREEMAN, NORMAN GEORGE SR SUPERVISOR for AA Medical Doctor 72527 10/01/2021
HAMILTON, ASHLEY MARIE SUPERVISOR for AA Medical Doctor 136350 10/01/2021
HU, PING SUPERVISOR for AA Medical Doctor 82358 10/01/2021
KETCHEY, CHRISTOPHER CHARLES SUPERVISOR for AA Medical Doctor 119596 10/01/2021
MORONEY, THOMAS ROGER MD SUPERVISOR for AA Medical Doctor 71767 10/01/2021
NEKKANTI, SONIE SUPERVISOR for AA Medical Doctor 99168 10/01/2021
ORBEGOSO, ALFREDO EDUARDO SUPERVISOR for AA Medical Doctor 69490 10/01/2021
PALOMA, ALEXANDER SUPERVISOR for AA Medical Doctor 92255 10/29/2021
PANCHAL, SUMEDHA ANANT SUPERVISOR for AA Medical Doctor 100857 10/01/2021
PATEL, MUKESHBHAI KANUBHAI SUPERVISOR for AA Medical Doctor 63188 10/01/2021
PATT, MINDA LISA SUPERVISOR for AA Medical Doctor 131648 10/01/2021
REDDY, SATISH BOLLU MD SUPERVISOR for AA Medical Doctor 102274 10/01/2021
ROSEN, DAVID MAURICE SUPERVISOR for AA Medical Doctor 47394 10/01/2021
VANN, H DAVID JR SUPERVISOR for AA Medical Doctor 60991 10/01/2021
VINDHYA, MANI KUMAR CHAND SUPERVISOR for AA Medical Doctor 99187 10/01/2021
WESTBURY, MICHAEL JOHN SUPERVISOR for AA Medical Doctor 59436 10/01/2021

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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.