License Verification

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JAMES BRIAN SANDOVAL MANZANARES

License Number: ME82473

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME82473
License Status
CLEAR/Active
Qualifications
Dispensing Practitioner
License Expiration Date
1/31/2026
License Original Issue Date
05/11/2001
Address of Record
7824 Lake Underhill Road
SUITE H
ORLANDO, FL 32822
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
9410 Fountain Medical CT Suite 201
BONITA SPRINGS, FL 34135
Address
2955 Brownwood Blvd.
THE VILLAGES, FL 32163
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
AMIMO, RICKY ANANGWE Prescribing Physician Assistant Physician Assistant 9111430 9/26/2018
MAGRANN, NICOLE LISETT Prescribing Physician Assistant Physician Assistant 9110925 3/15/2018

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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.


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.