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DANIEL P SMITH

License Number: ME98899

Data As Of 12/3/2024

Profession
Medical Doctor
License
ME98899
License Status
CLEAR/Active
License Expiration Date
1/31/2025
License Original Issue Date
06/07/2007
Address of Record
6182 9th Avenue Circle NE
BRADENTON, FL 34212
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Yes
Discipline on File
No
Public Complaint
No
Address
Liberate Physician Centers 3148 Tamiami Tr. STE B
PORT CHARLOTTE, FL 33952
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CARBONELL, JAVIER Subordinate Anesthesiologist Assistants 735 10/11/2024
DEROBERTIS, DOMENIC AA Anesthesiologist Assistants 698 4/1/2022
DEROBERTIS, DOMENIC Subordinate Anesthesiologist Assistants 698 4/1/2022
LARA, JOSE GABRIEL Subordinate Anesthesiologist Assistants 576 12/2/2024
MENDOZA, NICOLE LEA AA Anesthesiologist Assistants 388 12/8/2017
MENDOZA, NICOLE LEA Subordinate Anesthesiologist Assistants 388 8/1/2024
TSONAS, ALANA NOEL AA Anesthesiologist Assistants 820 8/4/2023
TSONAS, ALANA NOEL Subordinate Anesthesiologist Assistants 820 6/13/2024
WILDING, MATTHEW RICHARD AA Anesthesiologist Assistants 107 10/1/2021

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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



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** 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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