EXCLUDEDPROVIDER
Individual Revocation

Sebastian Alexander Fomenko

Pembroke Pines, FL 33026

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Sebastian Alexander Fomenko of Pembroke Pines, FL is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of March 19, 2020.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Pembroke Pines, FL 33026
Exclusion date
March 19, 2020
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Sebastian Alexander Fomenko appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Pembroke Pines, Florida. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is March 19, 2020, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateMarch 19, 2020
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Pembroke Pines, FL 33026. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Therapist.

Other excluded providers in Pembroke Pines, FL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Pembroke Pines, FL address.

Millicent Louise Muir Individual Revocation
Pembroke Pines, FL · License revocation, suspension, or surrender · Excluded Jul 2024
Tommy Lee Louisville Individual Program Crime
Pembroke Pines, FL · Conviction of program-related crimes · Excluded May 2024
Ronald Eugene Sherry Individual Felony Fraud
Pembroke Pines, FL · Felony conviction relating to health care fraud · Excluded Dec 2020
Bill David Torres Individual Revocation
Pembroke Pines, FL · License revocation, suspension, or surrender · Excluded Nov 2020
Enrique Tomas Rodriguez Individual Revocation
Pembroke Pines, FL · License revocation, suspension, or surrender · Excluded Oct 2020
Tommy Lee Louisville Individual Revocation
Pembroke Pines, FL · License revocation, suspension, or surrender · Excluded Sep 2020
Kimberly Suzanne Correa Individual Felony Fraud
Pembroke Pines, FL · Felony conviction relating to health care fraud · Excluded Aug 2020
Gregory C Campbell Individual Program Crime
Pembroke Pines, FL · Conviction of program-related crimes · Excluded Mar 2019

See all 36 excluded providers in Pembroke Pines →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More excluded individuals in Florida More records in Pembroke Pines More license revocation, suspension, or surrender records