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ISMENE NINA MARAVEGIAS

License Number: ME85168

Data As Of 12/2/2024

Profession
Medical Doctor
License
ME85168
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
06/13/2002
Address of Record
17430 Bali Blvd
WINTER GARDEN, FL 34787
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
40100 US 27
DAVENPORT, FL 33837
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
BERRY, RANAE SHANNON Prescribing Physician Assistant Physician Assistant 9103545 8/10/2022
CASANOVA, ROSE MARIE Prescribing Physician Assistant Physician Assistant 9102253 7/23/2021
CONDE, NATALIE E Prescribing Physician Assistant Physician Assistant 9105106 7/23/2021
CONTI, LORETTA MARIE Prescribing Physician Assistant Physician Assistant 9102660 4/6/2022
CRUZ, CHRISTINE Prescribing Physician Assistant Physician Assistant 9107269 7/23/2021
DEMARSE, WILLIAM ROBEY III Prescribing Physician Assistant Physician Assistant 9101285 7/23/2021
GAREL, JOHAN ISAIAH Prescribing Physician Assistant Physician Assistant 9106448 11/20/2021
HAMIL, JUSTIN Prescribing Physician Assistant Physician Assistant 9115544 6/1/2022
HANCOCK, MAE ROSANNE VILLEGAS Prescribing Physician Assistant Physician Assistant 9105391 9/23/2021
HOLT, CHARDE BREANN Prescribing Physician Assistant Physician Assistant 9112643 9/16/2021
JOUBERT, CHRISTY LAU Prescribing Physician Assistant Physician Assistant 9113148 7/23/2021
LAGMAY, CASEY MARIE Prescribing Physician Assistant Physician Assistant 9107276 7/23/2021
MILLARD, CHRISTOPHER J DO Prescribing Physician Assistant Osteopathic Physician 6911 9/23/2021
NUNEZ-CUBILLAS, ALBERTO Prescribing Physician Assistant Physician Assistant 9101680 7/23/2021
RAJA, JAVALIKA GADHIA Prescribing Physician Assistant Physician Assistant 9102156 7/23/2021
SMITH, ALLISTAIR Prescribing Physician Assistant Physician Assistant 9111535 7/23/2021
WEAVER, LEAH DARE Prescribing Physician Assistant Physician Assistant 9103804 7/23/2021
WONDERLICH, JACOB LEE Prescribing Physician Assistant Physician Assistant 9103414 7/23/2021

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

Name Relationship Profession License Effective Date

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



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.