License Verification

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CODY EMMERMAN

License Number: AA826

Data As Of 12/3/2024

Profession
Anesthesiologist Assistant
License
AA826
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
09/05/2023
Address of Record
5013 N Armenia Ave
Tampa
TAMPA, FL 33603
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALLEE, JOY Supervising ME Medical Doctor 107342 02/23/2024
ATTAALLAH, AHMED FIKRY Supervising ME Medical Doctor 102788 02/23/2024
BANDARUPALLI, SUNIL R Supervising ME Medical Doctor 90915 02/23/2024
BARSOUM, GEORGE Supervising ME Medical Doctor 140156 02/23/2024
DAVIS, KATHLEEN MARIE Supervising ME Medical Doctor 134389 02/23/2024
FATTOUCH, HANY ANTOUN Supervising ME Medical Doctor 147673 02/23/2024
HUSSAIN, INTESAR Supervising ME Medical Doctor 133007 02/23/2024
KRAMER, DANIEL SUPERVISOR for AA Osteopathic Physician 7393 02/23/2024
LE, HARRISON QUANMINH M D Supervising ME Medical Doctor 107196 02/23/2024
LECLAIR, NICOLE JACLYN DO SUPERVISOR for AA Osteopathic Physician 19761 02/23/2024
NICOLAY, MICHAEL DUSTIN Supervising ME Medical Doctor 148213 02/23/2024
PALMERI, SHAWN ROBERT Supervising ME Medical Doctor 139346 02/23/2024
PATEL, SAGAR K SUPERVISOR for AA Osteopathic Physician 16403 02/23/2024
SHAH, MAHIMA SUPERVISOR for AA Osteopathic Physician 18549 02/23/2024
TAMMINEEDI, SRINIVAS Supervising ME Medical Doctor 98497 02/23/2024
UMHOLTZ, MATTHEW JAMES SUPERVISOR for AA Osteopathic Physician 12498 02/23/2024
WEBBER, BETH TRUEBLOOD SUPERVISOR for AA Osteopathic Physician 18402 02/23/2024

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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 12/3/2024



* 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.