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EDWARD ALLEN MAYBURY JR

License Number: ME79595

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME79595
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
01/04/2000
Address of Record
Holmes regional medically cent
UNIVERSITY BLVD.
MELBOURNE, FL 32940
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Public Complaint
Yes - Click on Discipline/Admin Action tab to see more details
Address
1775 W HIBISCUS BLVD, STE 215 BREVARD PHYSICIAN ASSOCIATES, PLLC
MELBOURNE, FL 32901
Name Relationship Profession License Effective Date
BUTLER, NATALIE VINCENT SUPERVISOR for AA Medical Doctor 112397 10/25/2020
FIER, ADAM RYAN DO SUPERVISOR for AA Osteopathic Physician 10956 10/25/2020
KAUFMANN, MARC WALTER SUPERVISOR for AA Osteopathic Physician 14373 10/25/2020
LIDDY, MICHAEL MILES MD SUPERVISOR for AA Medical Doctor 110099 10/25/2020
MAYBURY, EDWARD ALLEN JR SUPERVISOR for AA Medical Doctor 79595 10/25/2020
NOVA, HUGO A SUPERVISOR for AA Medical Doctor 111882 10/25/2020
NOVO, ROBERT FRANK SUPERVISOR for AA Osteopathic Physician 11280 10/25/2020
PRESTON, WILLIAM LAURENCE MD SUPERVISOR for AA Medical Doctor 68478 10/25/2020
ROGERS, JONATHAN MATTHEW SUPERVISOR for AA Medical Doctor 99871 10/25/2020
SCHRADER, KEITH JOSEPH MD SUPERVISOR for AA Medical Doctor 48296 10/25/2020
SHORE, JEFFREY MICHAEL SUPERVISOR for AA Medical Doctor 96836 10/25/2020

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

Name Relationship Profession License Effective Date
ALVAREZ, JEYSI AA Anesthesiologist Assistants 607 11/2/2020
BELNAP, DANIEL AA Anesthesiologist Assistants 610 10/25/2020
BERG, PAUL III AA Anesthesiologist Assistants 385 10/25/2020
BERG, PAUL III Subordinate Anesthesiologist Assistants 385 7/17/2017
BLANKE, ANDREW THOMAS Subordinate Anesthesiologist Assistants 415 10/9/2018
BLANKE, ERIKA RAE Subordinate Anesthesiologist Assistants 407 10/9/2018
BLATSTEIN, MILES AA Anesthesiologist Assistants 661 2/1/2024
BRECESE, NATALIE NICOLE AA Anesthesiologist Assistants 273 10/25/2020
BRECESE, NATALIE NICOLE Subordinate Anesthesiologist Assistants 273 8/2/2016
BURNHAM, DUSTIN AA Anesthesiologist Assistants 586 10/25/2020
CARDON, JOSEPH ERIC Subordinate Anesthesiologist Assistants 25 10/11/2017
CARROLL, JEFFREY RYAN AA Anesthesiologist Assistants 98 7/31/2023
CIESLIK, KRZYSZTOF AA Anesthesiologist Assistants 126 10/25/2020
CIESLIK, KRZYSZTOF Subordinate Anesthesiologist Assistants 126 8/4/2016
CRUNKILTON, JAMES MATTHEW AA Anesthesiologist Assistants 542 10/25/2020
CRUNKILTON, JAMES MATTHEW Subordinate Anesthesiologist Assistants 542 12/6/2019
DANKERT, LINDSAY AA Anesthesiologist Assistants 294 10/25/2020
DANKERT, LINDSAY Subordinate Anesthesiologist Assistants 294 8/2/2016
DIVINE, KAREN MICHELLE-AFRE Subordinate Anesthesiologist Assistants 283 8/4/2016
DODD, ROBERT PATRICK AA Anesthesiologist Assistants 262 10/25/2020
DODD, ROBERT PATRICK Subordinate Anesthesiologist Assistants 262 8/2/2016
FEIGENBAUM, ERIC NICHOLAS AA Anesthesiologist Assistants 368 10/25/2020
FEIGENBAUM, ERIC NICHOLAS Subordinate Anesthesiologist Assistants 368 12/23/2016
FIER, ADAM RYAN DO AA Osteopathic Physician 10956 10/25/2020
FITZGERALD, ANUSHREE AA Anesthesiologist Assistants 627 10/25/2020
FITZGERALD, JARED BLAINE AA Anesthesiologist Assistants 459 9/23/2020
FULLERTON, SHANNIA AA Anesthesiologist Assistants 621 10/25/2020
GORANOVIC, JOLENE KEIKO AA Anesthesiologist Assistants 132 1/1/2021
GORANOVIC, JOLENE KEIKO Subordinate Anesthesiologist Assistants 132 8/2/2016
HARDY, ROBERT FRANKLIN Subordinate Anesthesiologist Assistants 434 1/4/2018
HAUGEN, DENNIS F AA Anesthesiologist Assistants 157 8/2/2016
HAWKINS, LINDSAY LEE AA Anesthesiologist Assistants 582 11/12/2020
HENDERSHOT, GREGORY MICHAEL AA Anesthesiologist Assistants 465 10/25/2020
HENDERSHOT, GREGORY MICHAEL Subordinate Anesthesiologist Assistants 465 10/10/2018
HEWLETT, TODD FREW AA Medical Doctor 66344 12/13/2023
HLADEK, STEPHEN GREGORY Subordinate Anesthesiologist Assistants 111 8/2/2016
HUETHER, KATE ELIZABETH AA Anesthesiologist Assistants 222 10/25/2020
HUETHER, KATE ELIZABETH Subordinate Anesthesiologist Assistants 222 8/2/2016
KELLY, JOSHUA RYAN AA Anesthesiologist Assistants 317 10/25/2020
KRATISH, MATTHEW STEPHEN Subordinate Anesthesiologist Assistants 236 8/2/2016
MAYBURY, EDWARD ALLEN JR AA Medical Doctor 79595 10/25/2020
MCCOY, JESSIE LEE AA Anesthesiologist Assistants 523 10/25/2020
MILLER, ANNA JOY Subordinate Anesthesiologist Assistants 473 10/10/2018
MILLS, AMANDA MITCHELL Subordinate Anesthesiologist Assistants 286 3/29/2017
NICOLAS, GEORGE EZZAT AA Anesthesiologist Assistants 577 9/16/2020
NOVA, HUGO A AA Medical Doctor 111882 10/25/2020
NOVO, ROBERT FRANK AA Osteopathic Physician 11280 10/25/2020
PARRISH, JOSEPH MICHAEL Subordinate Anesthesiologist Assistants 411 10/9/2018
PEREZ, ANA LAURA AA Anesthesiologist Assistants 848 12/3/2023
ROGERS, JONATHAN MATTHEW AA Medical Doctor 99871 10/25/2020
SADOWSKY, JESSICA NICOLE AA Anesthesiologist Assistants 507 10/25/2020
SARTOR, JENNIFER MD AA Medical Doctor 97997 10/25/2020
SHAND, SEAN CLIFFAINE AA Anesthesiologist Assistants 69 10/25/2020
SHAND, SEAN CLIFFAINE Subordinate Anesthesiologist Assistants 69 8/2/2016
STALL, RICHARD BRIAN JR AA Anesthesiologist Assistants 571 7/31/2020
SZPAK, JORDAN TYLER AA Anesthesiologist Assistants 511 10/25/2020

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/2/2024



* 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.


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