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W.

Stephen Muldrow USAFLM May 14, 2017


Acting United States Attorney
Middle District of Florida
U.S. Attorney's Office
400 North Tampa Street, Suite 3200
Tampa, FL 33602
VIA email: w.stephen.muldrow@usdoj.gov

RE: Forged signature of Natasha Aguilar for Dr. Gamero on Schedule II and other drugs

Dear U.S. Attorney Muldrow:

Natasha Aguilar frequently forged the name of Dr. Gamero on my prescriptions for drugs,
including Schedule II Hydrocodon-Acetaminophen 5-325. I know because I stood in front of her
and watched her write the name Cesar Gamero on prescriptions while in the office.

Natasha Aguilar is an unlicensed medical assistant ( 458.3485). Is forging the name of a doctor
on prescriptions by an unlicensed medical assistant a crime? Ms. Aguilar does not meet the
requirements of 458.345. A sample of Dr. Gameros handwriting is enclosed ( 458.339).

Examples of forged and not forged prescriptions are attached to my letter May 8, 2017 to Aimee
Moon, Investigation Specialist II, Re Natasha Aguilar, DOH reference #2017-06351.

Please find attached:

x Letter May 8, 2017 to Aimee Moon, Investigation Specialist II, Re Natasha Aguilar, DOH
reference #2017-06351, with examples of forged and not forged prescriptions.
x Handwriting sample for Dr. Gamero provided by PRR from the Fla. Department of Health.
x Fla. Stat. 458.345 Registration of resident physicians, interns, and fellows; list of hospital
employees; prescribing of medicinal drugs; penalty.
x Fla. Stat. 458.3485 Medical assistant
x Fla. Stat. 458.339 Physicians consent; handwriting samples; mental or physical examinations
x Letter to Crystal Morris, GovAnalystI Florida Health, re Cesar Raul Gamero 201707871

Sincerely,

Neil J. Gillespie
8092 SW 115th Loop
Ocala, FL 34481
Tel. 352-854-7807
Email: neilgillespie@mfi.net
attachments
VIA Email and U.S. Mail First Class May 8, 2017

Aimee Moon, Investigation Specialist II Cc. Celeste Philip, M.D.


Department of Health Surgeon General and Secretary
Division of Medical Quality Assurance Florida Department of Health
Bureau of Enforcement 4052 Bald Cypress Way
Office of Consumer Services Tallahassee, FL 32399
4052 Bald Cypress Way Bin C-75 Email: Celeste.Philip@flhealth.gov
Tallahassee, FL 32399-1708 Email: health@flhealth.gov
Phone 850/245-4339 Cc. Nichole Geary, General Counsel
Email: Aimee.Moon@flhealth.gov Email: nichole.geary@flhealth.gov

Re: Natasha Aguilar, DOH reference #2017-06351

Dear Ms. Moon,

This is a follow-up to your phone call April 18, 2017 about the nurse services provided by
Natasha Aguilar, who is not a licensed nurse. None of the following medical procedures were
done under the direct supervision of Dr. Gamero. He may have been in the office seeing other
patients, or not in the office at all.

Natasha Aguilar performed drug screening on me because I was prescribed pain medication, see
the report February 27, 2017, bearing her electronic signature AGULAR NATASHA, MA. Is
drug screening by urinalysis considered a nurse function? Also, Natasha Aguilar signed her
name followed by MA indicating she has a masters degree, which I assumed was a masters in
nursing degree. However the MA may actually refer to m.a. medical assistant. Is that right?

Natasha Aguilar gave me injections, my annual flu shot, and perhaps other injections. Is giving
injections of a flu shot considered a nurse function?

Natasha Aguilar frequently forged the name of Dr. Gamero on my prescriptions for drugs. I
know because I stood in front of her and watched her write the name Cesar Gamero on
prescriptions while in the office. Is forging the name of a doctor on prescriptions considered a
nurse function? Or is that just illegal? I scanned many of the prescriptions for years, and have
PDF copies, but not for scripts only sent electronically.

I scan documents and keep detailed records to compensate for disability, so I can recall with the
aid of records memory function damaged by traumatic brain injury and/or other disabilities.

I believe the forgoing shows Dr. Gamero and Natasha violated Fla. Stat. 458.331 Grounds for
disciplinary action; action by the board and department.

Compare and contrast the signature on prescriptions signed in 2008 and 2009, before Natasha
Aguilar worked for Dr. Gamero, and after. The signatures are wildly different, not even close.
Florida Department of Health May 8, 2017
Re: Natasha Aguilar and Dr. Cesar Gamero Page - 2
Scripts signed before Natasha Aguilar was hired:

2008, 10-27-08, for Lipitor.pdf


2008, 11-11-08, for anxiety.pdf
2008, 11-11-08, for depression.pdf
2009, 11-11-09, HCTZ.pdf
2009, 11-11-09, reasapan.pdf
2009, 11-11-09, Tricor.pdf

Scripts signed after Natasha Aguilar was hired:

2013, 07-15-13, Adipex P, color.pdf


2013, 11-26-13, Ritalin script.pdf
2014, 09-29-14, Xanex script color.pdf
2015, 11-13-15, Ritalin script color.pdf
2016, 06-29-16, lisinopril 20 mg oral tablet.pdf
2016, 06-29-16, metformin 850 mg oral tablet.pdf
2017, 01-31-17, hydrocodone 7.5-325 script color.pdf
2017, 03-01-17, hydrocodone 5-325 APAP script color.pdf

A sample of Dr. Gameros handwriting ought to be on file with the Department of Health, see
Fla. Stat. 458.339 Physicians consent; handwriting samples; mental or physical examinations.

The foregoing is another reason why phone calls are bad. When you called April 18, 2017, I did
not know a nurse/medical assistant could lawfully practice unlicensed; and I was not prepared
to know and apply the Florida nursing standards to an unlicensed nurse/medical assistant.

I was a patient of Dr. Gamero since 2008. I believe Natasha Aguilar may have started working
for Dr. Gamero in January 2013.

For a number of years Dr. Gamero complained to me about the Florida courts, for himself, and
for his cousin Adolpho Cairo in the Miami area. Dr. Gamero complained that a judge talked
down to him during a hearing in his divorce case. (he speaks English poorly, but Florida judges
are notoriously rude to everybody, even English-only speakers like me). So I provided him a
copy of my DOJ complaint alleging rigged judicial elections in Florida. Then I provided him and
his staff (they all use the same email) my petition for president, Case SC16-2031. I also provided
him my letter in 2015 to the Chief Medical Examiner in Hillsborough County about the death of
a litigant in court on a home foreclosure case.

I provided Dr. Gamero at least 5 documents or sets of documents:

2013, 04-08-13, letter to Dr. Gamero re his cousin Adolpho R. Cairo.


2015, 10-06-15, Chief Medical Examiner Mary Mainland MD, Hillsborough court death.
2016, 09-14-16, Email NJG to Dr. Gamero re my statement of candidacy for president.
2016, 11-25-16, Email 2016 NJG Election Petition No. SC16-2031.
2017, 01-22-17, Email Floridas rigged judicial elections.
Florida Department of Health May 8, 2017
Re: Natasha Aguilar and Dr. Cesar Gamero Page - 3

In March 2013 I provided legal research, books and CDs to Natasha about a child custody issue
with her 4 year-old niece, her brothers daughter with an estranged woman who is not his wife, a
drug addict living in Orlando motels, who voluntarily gave child to Natasha. Natasha wanted to
legalize the agreement, and raise her niece and start her in school next year, and legally terminate
the parental rights of woman, and her brother. (Natasha said the woman was a prostitute).

I now recall a snide remark by Natasha about my presidential petition. They likely supported
Hillary Clinton in the 2016 election. They may wrongly blame me for a role in her defeat.
Whatever happened, Dr. Gamero falsified my medical record dated February 27, 2017, with a
likely intent to end my disability status and end my Social Security payments. So I believe that
may have happened. Or Gameros conduct is part of a general effort to get people off disability. I
believe that is why he stubbornly refused to provide my lab report showing my poor health.

Regarding Dr. Gameros inability to speak proficient English, Natasha acted as an interpreter
more than once. But Natasha was not in the room during exams and office visits, so there was no
one present to interpret during those critical times in the so-called doctor-patient relationship.

The website for Dr. Gameros Jeunesse Aesthetic Medicine is Spanish language only. He
apparently has no desire to improve his English-speaking skills, communication vital to the so-
called doctor-patient relationship.

The article in the West Marion Messenger June 26, 2013 shows Cesar Gamero wanted to be a
singer, not a doctor, but his parents pushed him into medicine, and he capitulated. Now well into
middle age, I believe he regrets not pursing a singing career. Cesar Gamero does not like sick
people, which may be one reason he started Jeunesse Aesthetic Medicine, with a website
depicting young, healthy, thin, attractive women.

I expect a response to the foregoing. Thank you.

Sincerely,

Neil J. Gillespie
8092 SW 115th Loop
Ocala, FL 34481
Tel. 352-854-7807
Email: neilgillespie@mfi.net

Attachments/enclosures
2 Wednesday, June 26, 2013 messengermessenger MESSENGER messengermessengermessengermessengermessengermessenger

Special thanks to an excellent local physician


R
ecently several of us in Fairfield Village were
discussing one of the issues of significant con-
cern to many of usmedical care. While we
had many comments that were addressed toward
questions about Medicare, Obamacare, and just
Fairfield Village
care in general, we were happy to find that we had Priscilla Geissal
one common denominator that was very positive. We
all share the same excellent care from a unique
physician here in Ocala, Dr, Cesar Gamero.
Dr. Gamero and his assistant, Natasha Aguilar, work
from a most friendly office in the TimberRidge Med-
ambitions. He still loves musiche has a great singing
ical Complex. The office does not have the cold at-
voiceand enjoys his extensive music collection. His
mosphere of many medical offices. When one enters
sister is a psychologist and his brother is a civil engi-
the waiting area, he or she is met with a warm and
neer. Obviously, he is part of an extremely successful
friendly greeting by Natasha who seems to know each
family.
patient as a personal friend. Any trepidation is soon
After graduating from San Augustin National Uni-
dispelled by the smile and assuring words of this
versity and San Marcos National University in Are-
lovely, competent professional lady. Dr. Cesar Aguilar and his assistant, Natasha Aguilar,
quipo, Peru, Dr. Gamero did his post-doctoral work at
I recently talked with Natasha about her career. She have a special rapport with their patients who
Hospital Episcopal San Lucas in Ponce, Puerto Rico.
came to the central Florida area after graduating
In June of 2001, he received a first place award for his greatly appreciate the individual attention given by
from the nursing program at St. John the Baptist Hos-
presentation at the 38th Scientific Activity Americo these two fine medical professionals to all those in
pital in West Islip, N.Y. in 2002. Previously, she was
Serro. He worked as a Critical Care Physician and their care.
the night nurse in Gainesville at the Alachua County
Emergency Room Physician in Coama, Puerto Rico.
Jail. She became Dr. Gameros assistant when she
Later he practiced in both Texas and Arizona before cuss possible treatments. He is a true M.D.
found out through her family (who were his patients)
deciding to come to Ocala. Needless to say, we, his pa- Another Fairfield neighbor said:
that the job was open. As the single mom of two chil-
tients are so very glad that he made that decision. I will admit that I have not always had complete
dren and her adopted niece as well, this position is
Other than being an exceptional internal medicine faith in the medical community because of some very
much more satisfying. Her children, Jasmine (11),
professional, Dr. Gamero is a unique physician in that bad experiences when I was younger. Now, I have a
Deven (8), and Arianna (4) are all very proud of their
he has hospital privileges at all three of our local hos- totally different feeling about doctors because Dr.
mom who is fluent in both Spanish and English which
pitals. He regularly sees his patients who are hospi- Gamero takes the time to listen to me and to answer
is a great help to many patients.
talized himself. That is most unusual these days and all my questions. To me, he is almost like a psycholo-
Natasha has tremendous respect for Dr. Gamero.
so very appreciated by his patients. As I checked his gist and medical doctor all in one.
She says that he is adamant about having a one-on-
profile on local internet evaluations, I foundnot at Katherine and Augustin Stenz said:
one relationship with his patients and works with the
all to my surprisethat Dr. Gamero has a 4.0 star rat- Since we moved here from New York, we have
whole person. Dr. Gamero does not work with an as-
ing in all categories. That is quite an accomplishment! been so pleased with Dr. Gameros care. He is one of
sociate doctor because he wants to make sure that
Kudos from several of his patients reiterate how the finest doctors we have ever seen. He is so person-
there is always strict continuity of care. He spends a
highly his patients think of him. able and attentive to his patients. Another important
great deal of time getting to know his patients, their
Sandy Norris said: thinghe always calls us right back if we need him.
habits and their lifestyle taking all these things into
Moving permanently to Ocala posed many prob- T. F said:
consideration with their diagnoses and appropriate
lems but a primary concern was finding good medical I feel like a real person to Dr. Gameronot just
treatments.
care. How fortunate it was that Dr. Gamero was both money in his pocket. He is really awesome. I have con-
The father of three children, Dr. Gamero is origi-
recommended and was also in our insurance plan. We genital heart failure as well as other conditions and I
nally from Lima, Peru. His mother always encouraged
could not have found a better doctor. He truly cares! am totally confident in his care for me. He is one of a
him toward medicine, as did his father who was a
Patients have his full attention and never have the kind.
pharmaceutical representative. Ironically, Dr.
feeling of being shoved through. Each appointment As the comments show, Dr. Cesar Gamero is re-
Gameros first love was music, but he realized the sig-
ends with his questioning if we have any more con- garded as a most unusually caring and professional
nificance of a medical career and tabled his musical
cerns. What a joy it is to have him listen to us and dis- physician. We who are his patients feel especially
blessed and want to thank him for being the doctor
KELLEAN K. TRUESDELL, J.D., LLM who really cares for his patients in his own unique
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HOURS: Mon. - Fri. 10am - 5pm COMPLETE DETAILS ARE IMPORTANT - APPOINTMENTS RECOMMENDED
Jeunesse Aesthetic Medicine
http://www.jeunesseam.com/home

Tratamientos

Faciales

Corporales

Capilares
Jeunesse Aesthetic Medicine
http://www.jeunesseam.com/capilares/

Capilares
Bioestimulacin con Plaquetas

El plasma rico en plaquetas es, en la actualidad, uno de los tratamientos ms usados para el rejuvenecimiento
facial y corporal tanto en hombres como en mujeres. Tambin se utiliza como tratamiento capilar para reforzar
el folculo y evitar la cada del cabello.

Consiste en usar los factores de crecimiento (protenas) que se obtienen de la propia sangre del paciente para
potenciar, acelerar y estimular la regeneracin de tejidos. Esto permite la produccin, por parte de nuestras
clulas, de nuevo colgeno y elastina. Obtenemos, de esta manera, una atenuacin de las arrugas y un aumento
de grosor y suavidad de la piel.

Este tratamiento se puede realizar a partir de los 35 aos como prevencin del proceso de envejecimiento o a
partir de los 45 aos como tratamiento correctivo y regenerativo.

Mesoterapia

La mesoterapia es una tcnica mdica no quirrgica muy reconocida en Europa y Sudamrica. Este
procedimiento consiste en la inyeccin de cantidades muy pequeas de medicamentos, vitaminas, minerales y/o
aminocidos en la capa media de la piel.
Esto permite:

Evitar la cada del cabello y ayudar al crecimiento del mismo


Rejuvenecer la piel
Disminuir el acn
Ayudar a controlar la roscea
Mejorar el aspecto de cicatrices y queloides
Disminuir la celulitis (piernas, glteos y abdomen)
Disminuir la grasa corporal

Electroporacin

La electroporacin (mesoterapia virtual) es una alternativa no invasiva a la mesoterapia convencional . Esta


tcnica permite la introduccin de frmacos en la piel de forma localizada mediante la apertura de finsimos
canales en la epidermis. No produce dolor ni inflamacin.

Puede utilizarse a tanto a nivel facial como corporal y capilar.

Indicado para tratar:

Envejecimiento facial y corporal


Secuelas de acn
Adiposidades localizadas
Celulitis
Estras
Flaccidez
Hiperpigmentacin
Cicatrices y Quelodes
Prdida o debilitamiento del cabello
Jeunesse Aesthetic Medicine
http://www.jeunesseam.com/corporales/

Corporales
Bioestimulacin con Plaquetas

El plasma rico en plaquetas es, en la actualidad, uno de los tratamientos ms usados para el rejuvenecimiento
facial y corporal tanto en hombres como en mujeres. Tambin se utiliza como tratamiento capilar para reforzar
el folculo y evitar la cada del cabello.

Consiste en usar los factores de crecimiento (protenas) que se obtienen de la propia sangre del paciente para
potenciar, acelerar y estimular la regeneracin de tejidos. Esto permite la produccin, por parte de nuestras
clulas, de nuevo colgeno y elastina. Obtenemos, de esta manera, una atenuacin de las arrugas y un aumento
de grosor y suavidad de la piel.

Este tratamiento se puede realizar a partir de los 35 aos como prevencin del proceso de envejecimiento o a
partir de los 45 aos como tratamiento correctivo y regenerativo.

Radiofrencuencia
La radiofrecuencia es una de las tecnologas ms avanzadas para el tratamiento de la flaccidez facial y corporal.
Este tratamiento no invasivo genera calor a altas temperaturas en la profundidad de la piel, estimulando as la
produccin de colgeno. Los resultados consiguen:

Atenuar las arrugas (patas de gallo, surcos, escotes, etc.)


Tensar la piel
Mejorar la celulitis
Rejuvencer el rostro

Mesoterapia

La mesoterapia es una tcnica mdica no quirrgica muy reconocida en Europa y Sudamrica. Este
procedimiento consiste en la inyeccin de cantidades muy pequeas de medicamentos, vitaminas, minerales y/o
aminocidos en la capa media de la piel.

Esto permite:

Evitar la cada del cabello y ayudar al crecimiento del mismo


Rejuvenecer la piel
Disminuir el acn
Ayudar a controlar la roscea
Mejorar el aspecto de cicatrices y queloides
Disminuir la celulitis (piernas, glteos y abdomen)
Disminuir la grasa corporal

Ultracavitacin (Liposuccin sin ciruga)


Es un mtodo no invasivo e indoloro que permite reducir los depsitos de grasa sin recurrir a cirugas. Trabaja
con ondas de ultrasonido de baja intensidad que rompen la membrana de la clula grasa haciendo que se libere
su contenido y luego se elimine por las vas naturales del organismo (sistema linftico y renal). No requiere
anestesia ni reposo.

La mayora de los pacientes experimenta resultados notables desde la primera sesin. Estos, a su vez, van
mejorando con las sucesivas visitas.

Electroporacin

La electroporacin (mesoterapia virtual) es una alternativa no invasiva a la mesoterapia convencional . Esta


tcnica permite la introduccin de frmacos en la piel de forma localizada mediante la apertura de finsimos
canales en la epidermis. No produce dolor ni inflamacin.

Puede utilizarse a tanto a nivel facial como corporal y capilar.

Indicado para tratar:

Envejecimiento facial y corporal


Secuelas de acn
Adiposidades localizadas
Celulitis
Estras
Flaccidez
Hiperpigmentacin
Cicatrices y Quelodes
Prdida o debilitamiento del cabello
Jeunesse Aesthetic Medicine
http://www.jeunesseam.com/faciales/

Faciales
Microdermoabrasin

La microdermoabrasin es un procedimiento que consiste en exfoliar la piel, retirando las clulas muertas sin
lesionar las zonas tratadas, dejando una piel ms lisa, suave y rejuvenecida. Los resultados son inmediatos, las
sesiones duran aproximadamente 30 minutos y se deben repetir una vez por semana o cada 15 das.

Tratamiento para:

Pieles fotoenvejecidas
Pigmentaciones superficiales
Secuelas de acn
Lneas finas
Pieles secas/Deshidratadas
Cicatrices

Bioestimulacin con Plaquetas

El plasma rico en plaquetas es, en la actualidad, uno de los tratamientos ms usados para el rejuvenecimiento
facial y corporal tanto en hombres como en mujeres. Tambin se utiliza como tratamiento capilar para reforzar
el folculo y evitar la cada del cabello.
Consiste en usar los factores de crecimiento (protenas) que se obtienen de la propia sangre del paciente para
potenciar, acelerar y estimular la regeneracin de tejidos. Esto permite la produccin, por parte de nuestras
clulas, de nuevo colgeno y elastina. Obtenemos, de esta manera, una atenuacin de las arrugas y un aumento
de grosor y suavidad de la piel.

Este tratamiento se puede realizar a partir de los 35 aos como prevencin del proceso de envejecimiento o a
partir de los 45 aos como tratamiento correctivo y regenerativo.

Se aprecia un efecto "Lifting" inmediato, pero los verdaderos resultados se obtienen a partir de la segunda
semana, ya que el organismo debe producir nuevo colgeno.

Peeling Qumico
Es una tcnica que consiste en la utilizacin de cidos sobre la piel para renovar sus capas mediante una
exfoliacin que permite mejorar las imperfecciones y uniformar el color de la misma, logrndose una
atenuacin de las arrugas, una piel mas luminosa, hidratada y rejuvenecida. Los resultados mejoran
paulatinamente luego de varias sesiones.

SUPERFICIAL MEDIO PROFUNDO

Recomendado para personas con una piel cuidada o jvenes que solo buscan dar luminosidad a su rostro de
forma prolongada. Sus resultados se ven en los primeros das del tratamiento.

Recomendado para atenuar secuelas de acn, manchas o arrugas finas. Este peeling uniforma la piel, reduce la
profundidad de lneas y arrugas, mejora las manchas y minimiza el acn microqustico.

Recomendado para mejorar cicatrices, arrugas profundas, pieles secas y deshidratadas. Se usan cidos ms
potentes que conllevan a perodos de recuperacin ms largos.

Radiofrencuencia
La radiofrecuencia es una de las tecnologas ms avanzadas para el tratamiento de la flaccidez facial y corporal.
Este tratamiento no invasivo genera calor a altas temperaturas en la profundidad de la piel, estimulando as la
produccin de colgeno. La duracin de la sesin es aproximadamente de 30-50 minutos dependiendo de la
zona a tratar. Los resultados consiguen:

Atenuar las arrugas (patas de gallo, surcos, escotes, etc.)


Tensar la piel
Mejorar la celulitis
Rejuvencer el rostro

Mesoterapia

La mesoterapia es una tcnica mdica no quirrgica muy reconocida en Europa y Sudamrica. Este
procedimiento consiste en la inyeccin de cantidades muy pequeas de medicamentos, vitaminas, minerales y/o
aminocidos en la capa media de la piel.

Esto permite:

Evitar la cada del cabello y ayudar al crecimiento del mismo


Rejuvenecer la piel
Disminuir el acn
Ayudar a controlar la roscea
Mejorar el aspecto de cicatrices y queloides
Disminuir la celulitis (piernas, glteos y abdomen)
Disminuir la grasa corporal

Fillers (Rellenos)
Son sustancias que se inyectan en la piel para corregir inesteticismos (cicatrices, arrugas y surcos)

CIDO HIALURNICO PLASMA GEL

Es una sustancia altamente hidratante, segura y biocompatible que puede ser utilizada en distintas partes del
cuerpo para corregir imperfecciones.

Es un mtodo que utiliza el plasma extrado de la sangre del propio paciente. Este, a travs de un proceso
especial, se gelifica y se inyecta en las zonas que necesitan ser corregidas. El proceso es puramente natural, ya
que no se utiliza ningn tipo de qumico.

Electroporacin

La electroporacin (mesoterapia virtual) es una alternativa no invasiva a la mesoterapia convencional . Esta


tcnica permite la introduccin de frmacos en la piel de forma localizada mediante la apertura de finsimos
canales en la epidermis. No produce dolor ni inflamacin.

Puede utilizarse a tanto a nivel facial como corporal y capilar.


Indicado para tratar:

Envejecimiento facial y corporal


Secuelas de acn
Adiposidades localizadas
Celulitis
Estras
Flaccidez
Hiperpigmentacin
Cicatrices y Quelodes
Prdida o debilitamiento del cabello

Toxina Botulnica

La toxina botulnica elimina arrugas por inmovilizacin temporal del musculo. Se realiza preferentemente en el
tercio superior del rostro para poder tratar las arrugas del entrecejo, las patas de gallo, las lineas frontales y las
nasales. Proporciona un rostro mas relajado, fresco y joven. El tiempo promedio de duracin es de 6 a 8 meses.

Alta Frecuencia

La alta frecuencia es un tipo de corriente elctrica que emplea electrodos de cristal llenos de gas con el objetivo
de generar un aumento de calor en la piel, mayor irrigacin sangunea y, como consecuencia, enriquecimiento
del tejido de oxgeno. Este tratamiento es desinfectante, descongestivo, anti-inflamatorio y estimulante de los
tejidos. Es un procedimiento no invasivo y no requiere de ningn tiempo de recuperacin.
May 10, 2017

Public Records Coordinator Cc. Celeste Philip, MD, MPH


4052 Bald Cypress Way-Bin A02 Surgeon General and Secretary
Tallahassee, Florida 32399-1702 Florida Department of Health
Telephone (850) 245-4005 Email: Celeste.Philip@flhealth.gov
FAX (850) 413-8743 Email: health@flhealth.gov
PublicRecordsRequest@flhealth.gov
Nichole Geary, General Counsel
Email: nichole.geary@flhealth.gov

Public Records Request. F.S. 119.07(1)(c) All public records requests shall be acknowledged
promptly and in good faith. Access to public records and meetings, Art. I, Sec. 24, Fla. Const.

To the Public Records Coordinator:

Provide a handwriting sample for CESAR RAUL GAMERO License No.: ME95007 on file with
the Department of Health, see Fla. Stat. 458.339 Physicians consent; handwriting samples;
mental or physical examinations. Thank you.

Sincerely,

Neil J. Gillespie
8092 SW 115th Loop
Ocala, Florida 34481
Tel. 352-854-7807
Email: neilgillespie@mfi.net
Page 1 of 1

Neil Gillespie

From: "Florida Department of Health" <fdh@mycusthelp.net>


To: <neilgillespie@mfi.net>
Sent: Wednesday, May 10, 2017 2:42 PM
Subject: Public Records Request :: P035780-051017

Dear Neil Gillespie:


This email is to confirm receipt of your public records request. If this request requires extensive use of
resources, this office will contact you again once an estimate of the costs associated with producing the
records you seek is prepared. The tracking number associated with your request is in the subject line of
this email. If you have any questions, please let me know. Your request was received in this office on
5/10/2017 and given the reference number P035780-051017 for tracking purposes.
Records Requested: Provide a handwriting sample for CESAR RAUL GAMERO License No.:
ME95007 on file with the Department of Health, see Fla. Stat. 458.339 Physicians consent;
handwriting samples; mental or physical examinations.
You can monitor the progress of your request at the link below and you'll receive an email when your
request has been completed.
Florida Department of Health

To track your request and respond, visit the Public Records Center, then click on "View My Public
Records Requests."

5/10/2017
http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0458/Sections/0458.345.html

Select Year:

The 2016 Florida Statutes

Title XXXII Chapter 458 View Entire Chapter


REGULATION OF PROFESSIONS AND OCCUPATIONS MEDICAL PRACTICE
458.345 Registration of resident physicians, interns, and fellows; list of hospital employees;
prescribing of medicinal drugs; penalty.
(1) Any person desiring to practice as a resident physician, assistant resident physician, house physician,
intern, or fellow in fellowship training which leads to subspecialty board certification in this state, or any
person desiring to practice as a resident physician, assistant resident physician, house physician, intern, or
fellow in fellowship training in a teaching hospital in this state as defined in s. 408.07(45) or s. 395.805(2), who
does not hold a valid, active license issued under this chapter shall apply to the department to be registered
and shall remit a fee not to exceed $300 as set by the board. The department shall register any applicant the
board certifies has met the following requirements:
(a) Is at least 21 years of age.
(b) Has not committed any act or offense within or without the state which would constitute the basis for
refusal to certify an application for licensure pursuant to s. 458.331.
(c) Is a graduate of a medical school or college as specified in s. 458.311(1)(f).
(2) The board shall not certify to the department for registration any applicant who is under investigation
in any state or jurisdiction for an act which would constitute grounds for disciplinary action under s. 458.331
until such time as the investigation is completed, at which time the provisions of s. 458.331 shall apply.
(3) Every hospital or teaching hospital employing or utilizing the services of a resident physician, assistant
resident physician, house physician, intern, or fellow in fellowship training registered under this section shall
designate a person who shall, on dates designated by the board, in consultation with the department, furnish
the department with a list of such hospitals employees and such other information as the board may direct.
The chief executive officer of each such hospital shall provide the executive director of the board with the
name, title, and address of the person responsible for furnishing such reports.
(4) Registration under this section shall automatically expire after 2 years without further action by the
board or the department unless an application for renewal is approved by the board. No person registered
under this section may be employed or utilized as a house physician or act as a resident physician, an assistant
resident physician, an intern, or a fellow in fellowship training in a hospital or teaching hospital of this state
for more than 2 years without a valid, active license or renewal of registration under this section.
Requirements for renewal of registration shall be established by rule of the board. An application fee not to
exceed $300 as set by the board shall accompany the application for renewal, except that resident physicians,
assistant resident physicians, interns, and fellows in fellowship training registered under this section shall be
exempt from payment of any renewal fees.
(5) Notwithstanding any provision of this section or s. 120.52 to the contrary, any person who is registered
under this section is subject to the provisions of s. 458.331.
(6) A person registered as a resident physician under this section may in the normal course of his or her
employment prescribe medicinal drugs described in schedules set out in chapter 893 when:
(a) The person prescribes such medicinal drugs through use of a Drug Enforcement Administration number

5/14/2017 1:46 PM
http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0458/Sections/0458.345.html

issued to the hospital or teaching hospital by which the person is employed or at which the persons services
are used;
(b) The person is identified by a discrete suffix to the identification number issued to such hospital; and
(c) The use of the institutional identification number and individual suffixes conforms to the requirements
of the federal Drug Enforcement Administration.
(7) Any person willfully violating this section commits a misdemeanor of the first degree, punishable as
provided in s. 775.082 or s. 775.083.
(8) The board shall promulgate rules pursuant to ss. 120.536(1) and 120.54 as necessary to implement this
section.
History.ss. 1, 8, ch. 79-302; ss. 2, 3, ch. 81-318; ss. 25, 26, ch. 86-245; s. 28, ch. 88-1; s. 25, ch. 89-162; s. 12, ch. 89-374; s. 1,
ch. 91-22; s. 4, ch. 91-429; s. 83, ch. 92-149; s. 25, ch. 97-264; s. 248, ch. 98-166; s. 39, ch. 2000-318; s. 22, ch. 2001-277; s. 6, ch.
2005-81.

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5/14/2017 1:46 PM
http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0458/Sections/0458.3485.html

Select Year:

The 2016 Florida Statutes

Title XXXII Chapter 458 View Entire Chapter


REGULATION OF PROFESSIONS AND OCCUPATIONS MEDICAL PRACTICE
458.3485 Medical assistant.
(1) DEFINITION.As used in this section, medical assistant means a professional multiskilled person
dedicated to assisting in all aspects of medical practice under the direct supervision and responsibility of a
physician. This practitioner assists with patient care management, executes administrative and clinical
procedures, and often performs managerial and supervisory functions. Competence in the field also requires
that a medical assistant adhere to ethical and legal standards of professional practice, recognize and respond
to emergencies, and demonstrate professional characteristics.
(2) DUTIES.Under the direct supervision and responsibility of a licensed physician, a medical assistant
may undertake the following duties:
(a) Performing clinical procedures, to include:
1. Performing aseptic procedures.
2. Taking vital signs.
3. Preparing patients for the physicians care.
4. Performing venipunctures and nonintravenous injections.
5. Observing and reporting patients signs or symptoms.
(b) Administering basic first aid.
(c) Assisting with patient examinations or treatments.
(d) Operating office medical equipment.
(e) Collecting routine laboratory specimens as directed by the physician.
(f) Administering medication as directed by the physician.
(g) Performing basic laboratory procedures.
(h) Performing office procedures including all general administrative duties required by the physician.
(i) Performing dialysis procedures, including home dialysis.
History.s. 7, ch. 84-543; s. 7, ch. 84-553; ss. 21, 26, ch. 86-245; s. 4, ch. 91-429; s. 28, ch. 97-264; s. 113, ch. 2007-5; s. 1, ch.
2016-67.

Copyright 1995-2017 The Florida Legislature Privacy Statement Contact Us

5/14/2017 1:56 PM
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Select Year:

The 2016 Florida Statutes

Title XXXII Chapter 458 View Entire Chapter


REGULATION OF PROFESSIONS AND OCCUPATIONS MEDICAL PRACTICE
458.339 Physicians consent; handwriting samples; mental or physical examinations. Every
physician who accepts a license to practice medicine in this state shall, by so accepting the license or by
making and filing a renewal of licensure to practice in this state, be deemed to have given his or her consent,
during a lawful investigation of a complaint, to the following:
(1) To render a handwriting sample to an agent of the department and, further, to have waived any
objections to its use as evidence against him or her.
(2) To waive the confidentiality and authorize the preparation and release of medical reports pertaining to
the mental or physical condition of the physician himself or herself when the department has reason to believe
that a violation of this chapter has occurred and when the department issues an order, based on the need for
additional information, to produce such medical reports for the time period relevant to the complaint. As used
in this section, medical reports means a compilation of medical treatment of the physician himself or
herself which shall include symptoms, diagnosis, treatment prescribed, relevant history, and progress.
(3) To waive any objection to the admissibility of the reports as constituting privileged communications.
Such material maintained by the department shall remain confidential and exempt from s. 119.07(1) until
probable cause is found and an administrative complaint issued.
History.ss. 1, 8, ch. 79-302; ss. 1, 3, ch. 80-352; ss. 2, 3, ch. 81-318; ss. 25, 26, ch. 86-245; s. 10, ch. 91-140; s. 4, ch. 91-429;
s. 312, ch. 96-406; s. 1092, ch. 97-103.

Copyright 1995-2017 The Florida Legislature Privacy Statement Contact Us

5/8/2017 2:40 PM
VIA Email and First Class Mail May 12, 2017

Crystal Morris, Government Analyst I


Florida Department of Health
4052 Bald Cypress Way
Tallahassee, FL 32399
Email Crystal.Morris@flhealth.gov

Respondent: Cesar Raul Gamero


Reference Number: 201707871

Dear Ms. Morris:

I received your letter in the mail dated May 9, 2017, PDF/copy attached. You wrote in part:

We have determined from our review that we can take no further action because the
healthcare provider has not violated any laws or rules regulating this profession.

Florida law requires that all information in this complaint remain confidential.

First, what review did you contact me about? I made several complaints against Respondent
Cesar Raul Gamero. There is nothing in the letter that indicates which complaint you mean.

Second, you failed to cite any Florida law that requires that all information in this complaint
remain confidential. Even so, any such law is likely unconstitutional.

The FIRST AMENDMENT to the Constitution of the United States says,

Congress shall make no law respecting an establishment of religion, or prohibiting the


free exercise thereof; or abridging the freedom of speech, or of the press; or the right of
the people peaceably to assemble, and to petition the Government for a redress of
grievances.[1]

https://en.wikipedia.org/wiki/First_Amendment_to_the_United_States_Constitution

The Supremacy Clause to the Constitution of the United States (Article VI, Clause 2) says the
FIRST AMENDMENT is the supreme law of the land,

This Constitution, and the Laws of the United States which shall be made in Pursuance
thereof; and all Treaties made, or which shall be made, under the Authority of the United
States, shall be the supreme Law of the Land; and the Judges in every State shall be
bound thereby, any Thing in the Constitution or Laws of any State to the Contrary
notwithstanding.

https://en.wikipedia.org/wiki/Supremacy_Clause
Crystal Morris, Government Analyst I May 12, 2017
Florida Department of Health Page - 2

Ms. Morris, you are encouraged to consult an attorney who can investigate the particular
circumstances of your situation. I expect a reply to this letter. Until then, I have published this
under The FIRST AMENDMENT to the Constitution of the United States. Thank you.

Sincerely,

Neil J. Gillespie
8092 SW 115th Loop
Ocala, FL 34481
Tel: 352-854-7807
Email: neilgillespie@mfi.net

Email Service List May 12, 2017

Celeste Philip, MD, MPH


Surgeon General and Secretary
Florida Department of Health
4052 Bald Cypress Way
Tallahassee, FL 32399
Tel. 850-245-4444
Email: Celeste.Philip@flhealth.gov
Email: health@flhealth.gov
Website: http://www.floridahealth.gov/

Florida Department of Health


Email: mqa.consumerservices@flhealth.gov

Kelli T. Wells, MD
Deputy Secretary for Health
Florida Department of Health
Email: Kelli.Wells@flhealth.gov

Alexis Lambert, Chief of Staff


Florida Department of Health
Email: Alexis.Lambert@flhealth.gov

Nichole Geary, General Counsel


Florida Department of Health
Email: Nichole.Geary@flhealth.gov

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