2015

GatorCare Provider Network Tier 1 Directory Jacksonville

Table of Contents

Hospital/Outpatient Facilities....................................................................................... 3 Urgent Care Centers ........................................................................................................ 4

Primary Care Centers ...................................................................................................... 5

Specialty Care Centers ..................................................................................................10

Other Care Providers .....................................................................................................22

Hospital/Outpatient Facilities Duval County *Shands Jacksonville Medical Center-Clinical Center 655 W. 8th St. Jacksonville, FL 32209 904-244-0411 Nemours Children's Clinic 807 Children's Way Jacksonville, FL 32207 904-697-3694

Wolfson Childrens Hospital 800 Prudential Dr. Jacksonville, FL 32207 (904)202-8000

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 3 of 23

Urgent Care Centers Clay County Urgent Care Clinic/Center Care Spot Urgent Care 1708 Blanding Blvd Middleburg, FL 32068 904-406-8240 2140 Kingsley Ave. Orange Park, FL 32073 904-213-0600

Magnolia Urgent Care 3185 Highway 17 Green Cover Springs, FL 32043 904-284-4222

5915 Normandy Blvd Jacksonville, FL 32205 904-378-0121 8705 Perimeter Park Blvd , Suite 2 Jacksonville, FL 32216 904-248-3910

Nassau County Urgent Care Clinic/Center Care Spot Urgent Care 464016 State Road 200 Yulee, FL 32097 904-261-3913

Saint Johns County Scheiner Clinic LLC 1880 Eagle Harbor Pkwy Fleming Island, FL 32003 904-213-8277

Duval County Urgent Care Clinic/Center Arlington Acute Care Center 1021 Cesery Blvd Jacksonville, FL 32211 904-743-2466

Care Spot Urgent Care 12303 San Jose Blvd Jacksonville, FL 32223 904-288-0277

Urgent Care Clinic/Center Care Spot Urgent Care 2095 US 1 S St Augustine, FL 32084 904-429-0001 James F Connor PA Urgent Care 1851 Old Moultrie Rd , Suite A St Augustine, FL 32084 904-824-8088

St. Johns Express Care 880 A1A N Suite 16, Suite 16 Ponte Vedra, FL 32082 904-280-1300

2032 Dunn Ave. Jacksonville, FL 32218 904-757-2008 2401 Monument Road Jacksonville, FL 32225 904-642-0337 410 Atlantic Blvd Neptune Beach, FL 32266 904-241-0117

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 4 of 23

Primary Care Providers Baker County Family Practice/Primary Care UF Crossroads Family Medicine Center 802 South 6th St MacClenny, FL 32063 (904)383-1777 Alvarez, Edgar R., M.D. 5 and Up

Pediatrics/Primary Care Childrens Health Assoc 124th S. 6th Street MacClenny, FL 32063 904-259-5766 Assi, John , M.D. Birth to 18

Camden County Family Practice/Primary Care UF Health Family Medicine and Pediatrics - St. Mary's 51 Lindsey Lane Kingsland, GA 31548 (912)576-2344 Price, James William, M.D. Birth and Up

UF Family Medicine and Pediatric Center at Plantation Oaks 4215 Plantation Oaks Blvd Orange Park, FL 32065 (904)633-0820 Waters, Lynn M., D.O. Birth and Up

Pediatrics/Primary Care Family Medical Center Pediatrics

1555 Kingsley Ave Suite 601 Orange Park, FL 32073 (904) 264-0264 Aboushaar, Mohammad H, M.D. Hardin, Michael , M.D. Middleburg Pediatrics 3839 County Road 218 Suite E Middleburg, FL 32065 904-861-1034 Mora, Maria E, MD FAAP PA UF Family Medicine and Pediatric Center at Plantation Oaks 4215 Plantation Oaks Blvd Orange Park, FL 32065 (904)633-0820 Wells, Saran, M.D. Birth and Up

Clay County

Duval County

Family Practice/Primary Care

Family Practice/Primary Care

Family Medical Center Middleburg

Family Medical Center San Pablo

3839 County Road 218 Middleburg, FL 32068 904-282-5474 Braeutigam, Kent , D.O.

14011 Beach Blvd, Unit 120 Jacksonville, FL 32250 904-223-6400 Caballero, Jorge B, D.O.

Goh, Benjamin , D.O.

Hamaty, Anthony C, M.D.

Family Medical Center Orange Park 1409 Kingsley Ave, Suite 6A Orange Park, FL 32073 904-264-7517 Harris, Gene A, D.O.

Porcase, Fredric , Jr. D.O. Secunda, Edward , D.O.

Oceanway Medical Center 11513 N Main St Jacksonville, FL 32218 904-751-6200 Micolucci, Victor , M.D. Yu, Zhi , M.D. Shands Jacksonville Brentwood Primary Care Center 3465 Village Center Dr Jacksonville, FL 32209 (904)633-0500 Pratt, Ebony Nicole, M.D. Birth and Up

SJ Elizabeth G Means Comm Hlth Ctr 1155 E 21st St Jacksonville, FL 32206 (904)633-0500 Jaminal, Mar Antonio Celestial, M.D. Birth and Up Jones, Ross E., M.D. 18 and Up UF Augustine Oaks Family Medicine Center 11481 Old St. Augustine Rd, Ste 101 Jacksonville, FL 32258 (904)633-0210 Alvarez, Edgar R., M.D. 5 and Up

UF Baymeadows Family Practice & Pediatric Center 8274 Bayberry Rd Jacksonville, FL 32256 (904)633-0800 Array, Samir Y., M.D. 18 and Up Grewal, Reetu, M.D. Birth and Up Zaiden, Julianni M., M.D. Birth and Up

Family Medical Center Southside 1906 Southside Blvd Jacksonville, FL 32216 (904)724-3083

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Primary Care Providers UF Blanding Family Medicine and Pediatric Center 6015 118th Street Jacksonville, FL 32244 (904)633-0610 Anand, Subashini V., M.D. Birth and Up Silva, Jose A., M.D. Birth and Up UF Commonwealth Family Medicine and Pediatric Center

761 Edgewood Ave N Jacksonville, FL 32254 (904)633-0500 Registre, Louis Joseph, M.D. Birth and Up Stewart, Eric B., M.D. Birth and Up UF Dunn Avenue Family Practice Center 2377 Dunn Ave Jacksonville, FL 32218 (904)633-0700 Bonaquist, Casey-Sue, D.O. Birth and Up Haddad, Charles J., M.D. Birth and Up Hadzic, Amra , M.D. Birth and Up

UF Family Medicine Center at Lem Turner 1255 Lila Ave Jacksonville, FL 32208 (904)383-1001 Amin, Aisha, M.D. 18 and Up Funderburk, Marcia W., M.D. Birth and Up Okoli, Emeka Jude, M.D. Birth and Up Wilson, Linda Lea Manning, D.O. Birth and Up

UF Health Family Medicine - Goodby's Creek 3872 San Jose Park Dr. Jacksonville, FL 32217 (904)731-0304 Jacqmein, Jeffry Alan, M.D. Birth and Up UF Kernan Square Family Medicine Center 12620 Beach Blvd, Ste 13 Jacksonville, FL 32246 (904)633-0585 Sharma, Swati , M.D. Birth and Up

UF Merrill Road Family Medicine Center 7645 Merrill Rd, Ste 301 Jacksonville, FL 32277 (904)633-0285 Hoffmann, Susan Lee, M.D. 16 and Up UF Monument Landing Family Medicine Center 2485 Monument Road, Suite 12 Jacksonville, FL 32225 (904)383-1026 Rosada, Miguel A., M.D. Birth and Up

UF Murray Hill Family Practice Center 5205 Normandy Blvd, Ste 13 Jacksonville, FL 32205 (904)633-0500 Gajda, Anna , M.D. Birth and Up UF New Berlin Family Medicine Center 3122 New Berlin Rd. Jacksonville, FL 32226 (904)633-0340 Johnson, Tra'Chella C., M.D. Birth and Up Scuderi, Christopher Benjamin, D.O. Birth and Up: Established Patients Only

UF Normandy Family Practice Center 8093 Normandy Blvd Jacksonville, FL 32221 (904)633-0640 Corpus, Lorenzo Mil, M.D. Birth an Up UF San Jose Family Practice Center 5614 San Jose Blvd Jacksonville, FL 32207 (904)633-0475 Ober, Vincent Hilles, Jr. M.D. Birth and Up

UF Soutel Plaza Family Practice and Pediatric Center 5045 Soutel Dr, Ste 12 Jacksonville, FL 32208 (904)633-0500 Bosque-Perez, Monique D., D.O. Birth and Up University of Florida Community Health Center 655 W 8th St, ACC 4th Fl Jacksonville, FL 32209 (904)383-1002 Dimmitt, Steven , D.O. Birth and Up

Haddad-Lacle', Judella , M.D. Birth and Up Hussain, Mahrukh , M.D. Birth and Up Salman, Farah , M.D. Birth and Up Shah, Nipa R., M.D. Birth and Up

Internal Medicine/Primary Care Anil George MD PA 915 W Monroe St, Suite 301 Jacksonville, FL 32204 904-353-8562 Bates, Paige , M.D. Davuluir, Satya , M.D.

George, Anil , MD PA

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Primary Care Providers Internal Medicine Primary Care Center

UF General Internal Medicine

655 W 8th St, ACC 1st Fl Jacksonville, FL 32209 (904)383-1003 Edwards, Linda R., M.D. 18 and Up: Established Patients Only

4555 Emerson Street, Suite 220 Jacksonville, FL 32207 (904)383-1003 Edwards, Linda R., M.D. 18 and Up; Established Patients Only

House, Jeffrey G., D.O. 18 and Up: Established Patients Only

House, Jeffrey G., D.O. 18 and Up; Established Patients Only

Jacob, Rafik, M.D. 18 and Up

Isache, Carmen L., M.D. 18 and Up

Palacio, Carlos , M.D. 18 and Up

Jacob, Rafik, M.D. 18 and Up

Sottile, Elisa Marie, M.D. 18 and Up

Masri, Ghania, M.D. 18 and Up

Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Sanchez-Rojas, Wilfredo, M.D. 18 and Up w/ HIV+ UF Dunn Avenue Family Practice Center 2377 Dunn Ave Jacksonville, FL 32218 (904)633-0700 Greenberg, Adam, M.D. 18 and Up

UF Family Medicine Center at Lem Turner 1255 Lila Ave Jacksonville, FL 32208 (904)383-1001 Amin, Aisha, M.D. 18 and Up Brown, Alex J., M.D. 18 and Up

UF Health General Medicine - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Abreu Read, Silvia V., M.D. 18 and Up Isache, Carmen L., M.D. 18 and Up UF Kernan Square Family Medicine Center 12620 Beach Blvd, Ste 13 Jacksonville, FL 32246 (904)633-0585 Liao, Weichi, M.D. 18 and Up

UF Merrill Road Family Medicine Center 7645 Merrill Rd, Ste 301 Jacksonville, FL 32277 (904)633-0285 Hoffmann, Susan Lee, M.D. 16 and Up

Pediatrics/Primary Care Carithers Pediatric Group 2121 Park St Jacksonville, FL 32204 904-387-6200

Children First Pediatric 1233 Lane Ave S, Suite 21 Jacksonville, FL 32205 904-786-9600 Valdes, Maria , M.D. Childrens Health Assoc 1522 Emerson St Jacksonville, FL 32207 904-396-3964 Assi, John , M.D. Birth to 18

Sakhaei, Masoud , MD Birth to 21 Children's Medical Group 4131 University Blvd S, Suite 16 Jacksonville, FL 32216 904-733-7408 White, Susan H, M.D. 530 Jacksonville Dr Jacksonville Beach, FL 32250 904-246-4500 9776 San Jose Blvd, Suite 1 Jacksonville, FL 32257 904-268-6725 Family Medical Center

5445 Norwood Jacksonville, FL 32208 904-765-7075 Eisenberg, Iris , M.D. Family Medical Center San Pablo 14011 Beach Blvd, Unit 120 Jacksonville, FL 32250 904-223-6400 Hamaty, Anthony C, M.D. Internal Medicine Primary Care Center 655 W 8th St, ACC 1st Fl Jacksonville, FL 32209 (904)244-9233 Nathawad, Rita, M.D. 16-26

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Primary Care Providers Middleburg Pediatrics 10250 Normandy Blvd Unit 201 Jacksonville, FL 32221 904-652-0870 Lavina, Zenaida , M.D. Northeast Florida Pediatrics 1301 Monument Rd, Suite 19 Jacksonville, FL 32225 904-727-5160 Penariet, Rodolfo , M.D.

13595 Atlantic Blvd. Jacksonville, FL 32225 904-221-4325 Oceanway Pediatrics 11521 N Main St Jacksonville, FL 32218 904-751-9491 Pediatric Assocs of Jacksonville PA 8011 Merrill Rd, Suite 4 Jacksonville, FL 32277 904-743-2100 Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Mirza, Ayesha , M.D. Birth to 24 w/HIV+

Rathore, Mobeen H., M.D. Birth to 24 w/HIV+ Simmons Pediatrics Inc. 1771 Edgewood Ave W, Suite 1 Jacksonville, FL 32208 904-766-1106 SJ Elizabeth G Means Comm Hlth Ctr 1155 E 21st St Jacksonville, FL 32206 (904)633-0500 Agnila, Concepcion Latoza, M.D. Birth to 17

UF Baymeadows Family Practice & Pediatric Center 8399 Bayberry Rd Jacksonville, FL 32256 (904)633-0800 Arango, Carlos A., M.D. Birth to 17 Array, Victoria C., M.D. Birth to 17 UF Blanding Family Medicine and Pediatric Center

6015 118th Street Jacksonville, FL 32244 (904)633-0610 Chua-Ravago, Leslie Surara, M.D. Birth to 21 UF Commonwealth Family Medicine and Pediatric Center 761 Edgewood Ave N Jacksonville, FL 32254 (904)633-0500 Agnila, Concepcion Latoza, M.D. Birth to 17 UF Health Pediatrics - Beaches 530 Jacksonville Dr Jacksonville Beach, FL 32250 904-383-1046 Beverly, Laura N., M.D. Birth to 21

Solo-Josephson, Patricia Ana, M.D. Birth to 21 UF Health Pediatrics - North 15255 Max Leggett Parkway, Ste 4000 Jacksonville, FL 32218 (904)383-1000 Knight, Jennifer L., M.D. Birth to 18 UF New Berlin Family Medicine Center 3122 New Berlin Rd. Jacksonville, FL 32226 (904)633-0340 Cuevas, Christine Lim, M.D. Birth to 18

UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Nathawad, Rita, M.D. 16-26 UF San Jose Pediatrics and Adolescent Center 6271 St. Augustine Rd, Ste A Jacksonville, FL 32217 (904)633-0460 Cedres, Carmelo , M.D. Birth to 17

Lindor, Pamela Alix, M.D. Birth to 17 UF Soutel Plaza Family Practice and Pediatric Center 5045 Soutel Dr, Ste 12 Jacksonville, FL 32208 (904)633-0500 Agnila, Concepcion Latoza, M.D. Birth to 17 UFCARES 910 Jefferson Street Jacksonville, FL 32209 (904)244-2120 Mirza, Ayesha, M.D. Birth to 15 w/HIV+ & ID

Nassau County Family Practice/Primary Care UF Callahan Family Practice Center 450077 State Road 200 (A1A) Callahan, FL 32011 (904)633-0560 Day, Charles M., M.D. 3 and Up Kecskemeti-Kovacs, Timea A., M.D. 3 and Up Solomon, William C., Jr.M.D. 3 and Up

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 8 of 23

Primary Care Providers UF Yulee Family Practice Center 851042 US Highway 17 Yulee, FL 32097 (904)633-0670 Coleman, Jeremy Latron, M.D. 2 and Up Hamilton, Holly Lane, M.D. Birth and Up Price, James William, M.D. Birth and Up

Internal Medicine/Primary Care UF Yulee Family Practice Center 851042 US Highway 17 Yulee, FL 32097 (904)633-0670 Broughton, Nanako, M.D. Birth and Up

Saint Johns County Family Practice/Primary Care UF Health Family Medicine - Ponte Vedra Beach 1102 A1A N., Suite 106 Ponte Vedra Beach, FL 32082 (904)280-8228 Fong, Arnold Douglas, M.D. Birth and Up

Pediatrics/Primary Care Pediatric Assocs of Jacksonville PA 1102 A1A N Unit 104 Ponte Vedra, FL 32082 904-273-6533 Ozdemir, Aylin , M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers Camden County

Clay County

Columbia County

Cardiovascular Disease

Allergy & Immunology Allergy

Cardiovascular Disease

UF St Mary's Multi-Specialty Center

Allergy & Asthma Specialists

201 B Lakeshore Point St. Mary's, GA 31558 (912)729-6821 Bass, Theodore A., M.D. Chapman, Douglas B., M.D. Oberst, Leslie M., M.D.

Paterick, Timothy, M.D. Zenni, Martin, M.D.

Clinical Cardiac Electrophysiology UF St Mary's Multi-Specialty Center 201 B Lakeshore Point St. Mary's, GA 31558 (912)729-6821 Catanzaro, John, M.D

Neurology UF St Mary's Multi-Specialty Center 201 B Lakeshore Point St. Mary's, GA 31558 (912)729-6821 Bautista, Ramon E., M.D.

1895 Kingsley Avenue, Suite 401 Orange Park, FL 32073 904-272-5251

Dermatology 1495 Kingsley Avenue Orange Park, FL 32073 (904)354-4488

Miller, Alan B., M.D.

Park Avenue Dermatology PA 906 Park Ave Orange Park, FL 32073 (904)541-0315

Obstetrics & Gynecology UF Generation to Generation Obstetrics and Gynecology

Ozcan, Michelle Stalnaker , M.D.

Oguh, Odinachi Ngozi, M.D.

Rowan, Nikki Jean, M.D.

Pulley, Michael Thomas, M.D.

Tchankoshvili, Nickoloz, M.D.

Pediatric Cardiology UF Health Pediatric Cardiology - Clay

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1747 Baptist Clay Drive Fleming Island, FL 32003 (904)633-4110 English, Robert F., M.D.

UF St Mary's Multi-Specialty Center

Ettedgui, Jose A., M.D.

201 B Lakeshore Point St. Mary's, GA 31558 (912)729-6821 Pirris, John P., M.D.

Percy, Robert F., M.D. Suryadevara, Siva K., M.D. Zenni, Martin, M.D.

Krishnaiengar, Suparna R., M.D.

Silliman, Scott L., M.D.

Chapman, Douglas B., M.D.

Kim, Robert J., M.D.

Cvejic, Mara, D.O.

Shah, Jaimin S., M.D.

163 SW Stonegate Terrace, Ste 105 Lake City, FL 32055 (904)633-0200 Antoun, Patrick, M.D.

North Florida Dermatology

1887 Kingsley Ave, Ste 1500 Orange Park, FL 32073 (904)633-0880 Evans, Lindsey M., M.D.

Sanders, Kalina M., M.D.

University of Florida Lake City Cardiovascular Center

Clinical Cardiac Electrophysiology University of Florida Lake City Cardiovascular Center 163 SW Stonegate Terrace, Ste 105 Lake City, FL 32055 (904)633-0200 Catanzaro, John, M.D Kim, Robert J., M.D.

Pediatric Cardiology University of Florida Lake City Pediatric Cardiovascular Center

351 NE Franklin St, Ste 1112 Lake City, FL 32055 (904)633-0200 English, Robert F., M.D. Ettedgui, Jose A., M.D.

Kuebler, Brandon E., M.D. Marvin, William J., Jr. M.D. Moon, Thomas J., Jr. M.D. Neagu, Daniela L., M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 10 of 23

Specialty Care Providers Duval County Allergy & Immunology Allergy Allergy & Asthma Specialists 11701-32 San Jose Blvd Suite 117 Jacksonville, FL 32223 904-880-3880 3636 University Blvd S. Suite A3 Jacksonville, FL 32216 904-730-4870

Behavioral Health Developmental Pediatric Center 6271 St. Augustine Rd, Ste B Jacksonville, FL 32217 (904)633-0750 Holmes, Stephanie Backof, Ph. D (Psychologist) New Directions Behavioral Health Network (866)287-9569 Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Dew-Reeves, Sarah Emily, Ph.D (Psychologist)

Khokhar, Ubaid A., M.D. (Psychiatry) Marra, Jaime, Ph.D (Psychologist) Sims, Stephanie Vetere, M.D. (Child & Adolescent Psychiatry)

UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Desai, Chirag V., M.D. 3 and Up Ford, Regina L., LMHC 3 and Up Gauntlett, Matthew W., LMHC 3 to 21

McCrea, Sarah J., LCSW 3 to 21 Sims, Stephanie Vetere, M.D. 3 and Up Witherspoon, Dawn O., Ph.D (Psychologist) 3 to 21 University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Celso, Brian G., Ph.D (Psychologist) 18 and Up Cuffe, Steven P., M.D. 5 and Up

Cardiovascular Disease The Cardiovascular Center at Shands Jacksonville 655 W 8th St, ACC 5th Fl Jacksonville, FL 32209 (904)244-4198 Angiolillo, Dominick Joseph, M.D. Antoun, Patrick, M.D. Bass, Theodore A., M.D. Chapman, Douglas B., M.D.

Hsu, Steve S., M.D. Kim, Robert J., M.D. Miller, Alan B., M.D. Oberst, Leslie M., M.D. Paterick, Timothy, M.D. Percy, Robert F., M.D. Suryadevara, Siva K., M.D. Velarde, Gladys P., M.D. Zenni, Martin, M.D. UF Cardiovascular Center at Emerson 4555 Emerson St, Ste 120 Jacksonville, FL 32207 (904)383-1036 Angiolillo, Dominick Joseph, M.D.

Desai, Chirag V., M.D. 8 and Up

Bass, Theodore A., M.D.

Ford, Regina L., LMHC 3 and Up

Miller, Alan B., M.D.

Shadden, Elizabeth B., LMHC 18 and Up Taylor, Phyliss N., M.D. 18 and Up

Cardiothoracic Surgery UF Pediatric Cardiovascular Center 841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Bleiweis, Mark S., M.D. Shillingford, Michael S, M.D.

Chapman, Douglas B., M.D.

Oberst, Leslie M., M.D. Percy, Robert F., M.D. Velarde, Gladys P., M.D. Zenni, Martin, M.D. UF Health Cardiovascular Center - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Antoun, Patrick, M.D. Bass, Theodore A., M.D. Oberst, Leslie M., M.D. Velarde, Gladys P., M.D. Zenni, Martin, M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers Child & Adolescent Psychiatry Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Sims, Stephanie Vetere, M.D. UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Desai, Chirag V., M.D. 3 and Up

Sims, Stephanie Vetere, M.D. 3 and Up University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Cuffe, Steven P., M.D. 5 and Up Desai, Chirag V., M.D. 8 and Up

Child Neurology Developmental Pediatric Center 6271 St. Augustine Rd, Ste B Jacksonville, FL 32217 (904)633-0750 Painter, Michael J., M.D.

Tardo, Carmela Lydia, M.D. UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Painter, Michael J., M.D. Tardo, Carmela Lydia, M.D.

Clinical Cardiac Electrophysiology The Cardiovascular Center at Shands Jacksonville 655 W 8th St, ACC 5th Fl Jacksonville, FL 32209 (904)244-4198 Catanzaro, John, M.D

North Florida Dermatology 1541 Riverside Jacksonville, FL 32204 (904)354-4488 1551 Riverside Jacksonville, FL 32204 (904)354-4488

Hsu, Steve S., M.D. Kim, Robert J., M.D.

UF Cardiovascular Center at Emerson 4555 Emerson St, Ste 120 Jacksonville, FL 32207 (904)383-1036 Catanzaro, John, M.D UF Health Cardiovascular Center - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Catanzaro, John, M.D Hsu, Steve S., M.D.

Clinical Genetics UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Perszyk, Anthony A., M.D.

Dermatology First Coast Dermatology 4479 Baymeadows Rd Jacksonville, FL 32217 (904)731-8300 Rosario-Collazo, Juan, M.D. Smith, Edward, M.D.

9191 R.G. Skinner Pkwy Jacksonville, FL 32256 (904)354-4488

UF Health Dermatology at Emerson 4555 Emerson , #100 Jacksonville, FL 32207 Baker, Robert, M.D.

Developmental-Behavioral Pediatrics Developmental Pediatric Center 6271 St. Augustine Rd, Ste B Jacksonville, FL 32217 (904)633-0750 Childers, David Omer, M.D.

Endocrinology, Diabetes & Metabolism UF Endocrinology 655 W 8th St, ACC 1st Fl Jacksonville, FL 32209 (904)383-1004 Chehade, Joe Michel, M.D. Mooradian, Arshag Dertad, M.D. Wehmeier, Kent Ray, M.D. UF Endocrinology & Diabetes 4555 Emerson Street, Suite 200 Jacksonville, FL 32207 (904)383-1004 Chehade, Joe Michel, M.D. Gandhi, Gunjan, M.D. Mooradian, Arshag Dertad, M.D. Wehmeier, Kent Ray, M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers UF Health Endocrinology - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Gandhi, Gunjan, M.D. Wehmeier, Kent Ray, M.D.

Gastroenterology UF Beaches Digestive & Liver Specialist 570 Jacksonville Drive Jacksonville Beach, FL 32250 (904)633-4000 Bass, Robert T., M.D.

UF Gastroenterology 4555 Emerson Street, Ste 300 Jacksonville, FL 32207 (904)633-0797 Deutch, Amie G., M.D.

UF Southside Digestive and Liver Specialist 4203 Belfort Road, Ste 310 Jacksonville, FL 32216 (904)633-0375 Sievert, Paul A., M.D.

Geriatric Medicine UF San Jose Family Practice Center 5614 San Jose Blvd Jacksonville, FL 32207 (904)633-0475 Ober, Vincent Hilles, Jr. M.D.

Gynecological Oncology Care Center for Women at Shands Jacksonville

Malespin, Miguel H., M.D.

655 W 8th St, ACC 3rd Fl Jacksonville, FL 32209 (904)383-1037 Benrubi, Guy I., M.D.

Scolapio, James S., M.D.

Smith, Karl H., M.D.

580 W 8th St, Tower I, 5th Fl Jacksonville, FL 32209 (904)633-0797 de Melo, Silvio W., Jr., M.D.

Ward, Kristy Kay, M.D.

Eid, Amalie Faouzi, M.D.

Deutch, Amie G., M.D. Eid, Amalie Faouzi, M.D.

Malespin, Miguel H., M.D. Scolapio, James S., M.D. UF Health Gastroenterology - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 de Melo, Silvio W., Jr., M.D.

UF Health Women's Specialists - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Ward, Kristy Kay, M.D.

UF Southside Women's Health Specialists 4549 Emerson St, 2nd Fl Jacksonville, FL 32207 (904)633-0140 Smith, Karl H., M.D. Ward, Kristy Kay, M.D.

Eid, Amalie Faouzi, M.D.

Hematology

Malespin, Miguel H., M.D.

SJ C.B. McIntosh Pediatric Center

Scolapio, James S., M.D. UF Health Multi-Specialty Center - Beaches 3316 South Third Street, Ste 201 Jacksonville Beach, FL 32250 (904)383-1042 Scolapio, James S., M.D.

555 W 11th St Jacksonville, FL 32206 (904)244-4472 Rana, Fauzia Naeem, M.D.

UF Hematology/Oncology 4555 Emerson Street, Ste 300 Jacksonville, FL 32207 (904)383-1021 Rana, Fauzia Naeem, M.D. Zuberi, Lara, M.D. 653 W 8th St., 3rd Floor Jacksonville, FL 32209 (904)383-1021 Rana, Fauzia Naeem, M.D.

Zuberi, Lara, M.D.

Hospital/Outpatient Facilities *Shands Jacksonville Medical CenterClinical Center 655 W. 8th St. Jacksonville, FL 32209 904-244-0411 Nemours Children's Clinic 807 Children's Way Jacksonville, FL 32207 904-697-3694 Wolfson Childrens Hospital 800 Prudential Dr. Jacksonville, FL 32207 (904)202-8000

Infectious Disease Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Guzman, Nilmarie , M.D. Mercado, Diana Iniguez, M.D. Ravi, Malleswari S., M.D. Sands, Michael L., M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers UF Infectious Disease

UF Southside Women's Health Specialists

580 W 8th St, Tower I, 5th Fl Jacksonville, FL 32209 (904)383-1006 Guzman, Nilmarie , M.D.

4549 Emerson St, 2nd Fl Jacksonville, FL 32207 (904)633-0140 Delke, Isaac , M.D.

Mercado, Diana Iniguez, M.D.

Sanchez-Ramos, Luis , M.D.

Sands, Michael L., M.D. UF Infectious Disease & Travel Medicine 4555 Emerson Street, Suite 220 Jacksonville, FL 32207 (904)383-1006 Guzman, Nilmarie , M.D.

Mercado, Diana Iniguez, M.D. 18 and Up

Interventional Cardiology The Cardiovascular Center at Shands Jacksonville 655 W 8th St, ACC 5th Fl Jacksonville, FL 32209 (904)244-4198 Soffer, Daniel, M.D. UF Cardiovascular Center at Emerson 4555 Emerson St, Ste 120 Jacksonville, FL 32207 (904)383-1036 Soffer, Daniel, M.D.

UF Health Cardiovascular Center - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Soffer, Daniel, M.D.

Maternal & Fetal Medicine Care Center for Women at Shands Jacksonville 655 W 8th St, ACC 3rd Fl Jacksonville, FL 32209 (904)383-1037 Delke, Isaac , M.D. Sanchez-Ramos, Luis , M.D.

Medical Oncology SJ C.B. McIntosh Pediatric Center 555 W 11th St Jacksonville, FL 32206 (904)244-4472 Rana, Fauzia Naeem, M.D.

UF Hematology/Oncology 4555 Emerson Street, Ste 300 Jacksonville, FL 32207 (904)383-1021 Zhou, Louise, M.D. Zuberi, Lara, M.D. 653 W 8th St., 3rd Floor Jacksonville, FL 32209 (904)383-1021 Pham, Dat Cao, M.D. Zhou, Louise, M.D. Zuberi, Lara, M.D.

Mental Health Counselor UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Ford, Regina L., LMHC 3 and Up Gauntlett, Matthew W., LMHC 3 to 21 University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Ford, Regina L., LMHC 3 and Up

Nephrology UF Nephrology 580 W 8th St, Tower I, 5th Fl Jacksonville, FL 32209 (904)383-1013 Gupta, Ashwani K., M.D. Heilig, Charles W., M.D. James, Leighton Rolston, M.D. Mars, Ronald L., M.D.

Poenariu, Andreea , M.D. UF Nephrology at Emerson 4555 Emerson Street, Ste 300 Jacksonville, FL 32207 (904)383-1013 Gupta, Ashwani K., M.D.

Neurological Surgery The Neuroscience Institute at Shands Jacksonville 580 W 8th St, Tower I, 9th Fl Jacksonville, FL 32209 (904)383-1022 Hawkins, John C., III M.D. UF Health Neurosurgery - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Hawkins, John C., III M.D.

Keshavarzi, Sassan , M.D. Tavanaiepour, Daryoush , M.D. UF Neuro-Surgery 580 W 8th St, Tower I 8th Fl Jacksonville, FL 32209 (904)383-1022 Arce, Carlos A., M.D. Hawkins, John C., III M.D. Keshavarzi, Sassan , M.D. Nguyen, Tai Quyen, M.D. Tavanaiepour, Daryoush , M.D. Vitarbo, Elizabeth Anne, M.D.

Shadden, Elizabeth B., LMHC 18 and Up

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers UF Pediatric Neurosurgery Center

UF Oceanway Neurology Center

UF Health Birth Center

836 Prudential Dr, Ste 1205 Jacksonville, FL 32207 (904)633-0780 Aldana, Phillipp Roque, M.D.

11513 N Main St Jacksonville, FL 32218 (904)751-6200 Cvejic, Mara, D.O.

15255 Max Leggett Parkway, Ste 4600 Jacksonville, FL 32218 (904)427-6378 Burnett, Erin, M.D.

Beier, Alexandra Daros, D.O.

Sanders, Kalina M., M.D.

Seibel, Brent E., M.D.

Keshavarzi, Sassan , M.D. Ranalli, Nathan Joseph, M.D. UF Southside Neuroscience Institute 4555 Emerson Street, Ste 120 Jacksonville, FL 32207 (904)633-0052 Arce, Carlos A., M.D.

Neurology The Neuroscience Institute at Shands Jacksonville 580 W 8th St, Tower I, 9th Fl Jacksonville, FL 32209 (904)383-1022 Antonios, Nader M., M.D. Bautista, Ramon E., M.D.

UF Southside Neuroscience Institute 4555 Emerson Street, Ste 120 Jacksonville, FL 32207 (904)633-0052 Bautista, Ramon E., M.D.

Cvejic, Mara, D.O. Pulley, Michael Thomas, M.D. Sanders, Kalina M., M.D. Shah, Jaimin S., M.D. Shneyder, Natalya V., M.D. Urban, Edward S., M.D.

Obstetrics & Gynecology Care Center for Women at Shands Jacksonville

UF Health Birth Clinic 15255 Max Leggett Parkway, Ste 4600 Jacksonville, FL 32218 (904)427-6378 Burnett, Erin, M.D.

UF Health Women's Specialists - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Good, Meadow M., D.O. McCullough, Deanna, M.D. Seibel, Brent E., M.D. Wiggins, Jibri, M.D. UF Southside Women's Health Specialists

Glassner, Stuart J., D.O.

655 W 8th St, ACC 3rd Fl Jacksonville, FL 32209 (904)383-1037 Burnett, Erin, M.D.

4549 Emerson St, 2nd Fl Jacksonville, FL 32207 (904)633-0140 Best, Kelly Ann, M.D.

Krishnaiengar, Suparna R., M.D.

Good, Meadow M., D.O.

Burnett, Erin, M.D.

Oguh, Odinachi Ngozi, M.D.

Irby, B. Freeman, M.D.

Good, Meadow M., D.O.

Pulley, Michael Thomas, M.D.

McNeill, H. W., M.D.

Irby, B. Freeman, M.D.

Russo, Louis S., M.D.

Mojadidi, Qudratullah, M.D.

Kaunitz, Andrew Moss, M.D.

Sanders, Kalina M., M.D.

Ozcan, Michelle Stalnaker , M.D.

Ozcan, Michelle Stalnaker , M.D.

Shah, Jaimin S., M.D.

Pellegrino, Fiorina , D.O.

Seibel, Brent E., M.D.

Berger, Alan R., M.D. Cvejic, Mara, D.O.

Shneyder, Natalya V., M.D. Silliman, Scott L., M.D. Urban, Edward S., M.D. UF Health Neurology - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Bautista, Ramon E., M.D. Cvejic, Mara, D.O. Sanders, Kalina M., M.D. Shneyder, Natalya V., M.D. Urban, Edward S., M.D.

Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Mojadidi, Qudratullah, M.D. SJ Elizabeth G Means Comm Hlth Ctr 1155 E 21st St Jacksonville, FL 32206 (904)633-0500 Irby, B. Freeman, M.D. Jones, James L., M.D. Ozcan, Michelle Stalnaker , M.D.

Occupational Medicine UF Health Occupational Medicine - North 15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Chapa, Robert Michael, M.D. UF Occupational Medicine at Emerson 4555 Emerson St, Ste 300 Jacksonville, FL 32207 (904)383-1440 Chapa, Robert Michael, M.D. 18 and Up

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 15 of 23

Specialty Care Providers Ophthalmology UF Ophthalmology/UF Eye Institute 580 W 8th St, Tower II 3rd & 7th Fl Jacksonville, FL 32209 (904)244-9390 Alvarez, Karen A., D.O. Brar, Vikram Singh, M.D. Chalam, Kakarla V., M.D. Cho, Michelle Yeon, M.D.

Davis, Don K., M.D. Gayasaddin, Omar, D.O. Grover, Sandeep , M.D. Gupta, Jyoti R., M.D. Gupta, Shailesh K., M.D. Kennerdell, John S., M.D. Lukowski, Zachary L., M.D. Patel, Chirag Jitendra, M.D. Pau, Derrick Chee-Sak, M.D. Smithwick, IV, Walter , M.D. Stass-Isern, Merrill L., M.D. Zhou, Zimei, M.D.

Oral & Maxillofacial Surgery UF Health - Cleft & Craniofacial Program 910 Jefferson Street Jacksonville, FL 32209 (904)633-0935 Salman, Salam O., MD, DDS

UF Health Oral and Maxillofacial Surgery North

UF Oral Maxillofacial 653 W 8th St Jacksonville, FL 32209 (904)383-1018 Fattahi, Tirbod T., MD, DDS

4555 Emerson Street, Ste 100 Jacksonville, FL 32207 (904)383-1010 Bell, Anthony J., M.D.

Fernandes, Rui P., MD, DMD

Berrey, Bedford Hudson, M.D.

Johnson, Douglas L., D.M.D

Brinkis, Edmund Z., M.D.

Manlove, Ashley E., MD, DMD

Brunelli, Jeffrey Allen, M.D.

Pirgousis, Phillip , MD, DMD

Kaye, Marc , M.D.

Salman, Salam O., MD, DDS

Schare, Howard J., D.M.D. Steinberg, Barry, MD, DDS UF Southside Head & Neck Maxillofacial & Aesthetic Surgery 4203 Belfort Road, Suite 345 Jacksonville, FL 32216 (904)383-1667 Fattahi, Tirbod T., MD, DDS Fernandes, Rui P., MD, DMD Manlove, Ashley E., MD, DMD Pirgousis, Phillip, MD, DMD Salman, Salam O., MD, DDS Steinberg, Barry, MD, DDS

Orthopaedic Surgery The Bone and Joint Institute at Shands Jacksonville

655 W 8th St, ACC 2nd Fl Jacksonville, FL 32209 (904)383-1010 Bell, Anthony J., M.D.

15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1044 Fattahi, Tirbod T., MD, DDS

Berrey, Bedford Hudson, M.D.

Fernandes, Rui P., MD, DMD

Helms, Jonathon R., M.D.

Manlove, Ashley E., MD, DMD Pirgousis, Phillip , MD, DMD

UF Bone and Joint Center at Emerson

Brinkis, Edmund Z., M.D. Brunelli, Jeffrey Allen, M.D. Harris, Anthony M., M.D. Kaye, Marc , M.D.

UF Health Orthopedic Surgery - North

15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Brinkis, Edmund Z., M.D. Brunelli, Jeffrey Allen, M.D. Helms, Jonathon R., M.D. Kaye, Marc , M.D.

Otolaryngology The Otolaryngology ENT Clinic at Shands Jacksonville 653 W 8th St Jacksonville, FL 32209 (904)383-1017 Fraker, John T., M.D. Knox, Glenn W., M.D. UF Health Otolaryngology - North

15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Fraker, John T., M.D. Knox, Glenn W., M.D. UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Fraker, John T., M.D.

Salman, Salam O., MD, DDS Schare, Howard J., D.M.D. Steinberg, Barry, MD, DDS

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 16 of 23

Specialty Care Providers Pain Medicine

Pediatric Cardiology

Center for Pain Management

UF Pediatric Cardiovascular Center

555 W 8th St, Pav 2nd Fl S Jacksonville, FL 32209 (904)383-1020 Kumar, Sanjeev, M.D.

841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Bryant, Randall M., M.D.

Patel, Monika Y., M.D.

English, Robert F., M.D.

Quevedo Vela, Alfredo J., M.D.

Ettedgui, Jose A., M.D.

Tabakian, Hagop M., M.D.

Fricker, Frederick Jay, M.D.

Florida Institute of Pain Medicine 6144 Gazebo Art Place South, Suite 104 Jacksonville, FL 32257 (904)880-4505 Canlas, Bernard, M.D. Integrative Pain Management 12443 San Jose Blvd., Suite 104 Jacksonville, FL 32217 (904)260-1070 Golden, Marla, D.O. UF Health Pain Management Center - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Kumar, Sanjeev, M.D. Patel, Monika Y., M.D.

Fudge, James Curtis, Jr.M.D. Ho, Jason , M.D. Kropf, Paulette, M.D. Kuebler, Brandon E., M.D. Lacey, Stephanie R., D.O. Marvin, William J., Jr. M.D. Moon, Thomas J., Jr. M.D. Neagu, Daniela L., M.D. Pietra, Biagio Antonio, M.D. Saidi, Arwa S., M.D.

Pediatric Cleft & Craniofacial UF Health - Cleft & Craniofacial Program 910 Jefferson Street Jacksonville, FL 32209 (904)633-0935 Goldhagen, Jeffrey L., M.D.

Obi, John J., M.D. Ranalli, Nathan Joseph, M.D. Steinberg, Barry, MD, DDS

Pediatric Infectious Diseases Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Alvarez, Ana Mabel, M.D. Maraqa, Nizar F., M.D.

UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Alvarez, Ana Mabel, M.D. Maraqa, Nizar F., M.D. Mirza, Ayesha , M.D. Rathore, Mobeen H., M.D. UFCARES 910 Jefferson Street Jacksonville, FL 32209 (904)244-2120 Alvarez, Ana Mabel, M.D. Birth to 15 w/HIV+ & ID

Maraqa, Nizar F., M.D. Birth to 15 w/HIV+ & ID

Pediatric Nephrology UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Ilyas, Mohammad , M.D. Tolaymat, M. Al Asad , M.D.

Pediatric Otolaryngology Pediatric ENT

10475 Centurion Parkway North, Suite 302 Jacksonville, FL 32256 (904)398-5437 Maddern, Bruce R., M.D., P.L. McMillin, B. Denise, M.D. Simonsen, Andrew R., D.O.

Pediatric Rehabilitation Medic UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Thorogood, Christine , M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers UF Pediatric Physical Medicine and Rehabilitation 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0926 Spierre, Louise Ruth Zabor, M.D.

Pediatric Surgery UF Pediatric Surgery 653 W 8th St Jacksonville, FL 32209 (904)244-3915 Tepas, III, Joseph J., M.D.

Physical Med & Rehab UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Lewelt, Aga Julia, M.D.

Plastic Surgery UF Health Surgery - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Murray, John D., M.D. Shaddix, Kyle Kit, M.D.

UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Obi, John J., M.D. UF Plastic Surgery 653 W 8th St Jacksonville, FL 32209 (904)633-0130 Murray, John D., M.D. 18 and Up Shaddix, Kyle Kit, M.D. 18 and Up

UF Plastic Surgery Institute

UF Pulmonology

4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0130 Murray, John D., M.D. 18 and Up

653 W 8th St., 3rd Floor Jacksonville, FL 32209 (904)383-1014 Bajwa, Abubakr Akhtar, M.D.

Shaddix, Kyle Kit, M.D. 18 and Up

Jones, Lisa M., M.D.

Podiatry The Bone and Joint Institute at Shands Jacksonville

655 W 8th St, ACC 2nd Fl Jacksonville, FL 32209 (904)383-1010 Piraino, Jason A., D.P.M. Stranningan, Kristin L., D.P.M. UF Bone and Joint Center at Emerson 4555 Emerson Street, Ste 100 Jacksonville, FL 32207 (904)383-1010 Piraino, Jason A., D.P.M. UF Health Podiatry - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Stranningan, Kristin L., D.P.M.

UF New Berlin Family Medicine Center

Cury, James Davis, M.D. Louis, Mariam, M.D. Seeram, Vandana Kavita, M.D.

Radiation Oncology Florida Proton Therapy Institute, Inc. 2015 N. Jefferson Street Jacksonville, FL 32206 (904)588-1800 Bradley, Julie Ann, M.D. Bryant, Curtis, M.D. Dagan, Roi , M.D. Henderson, Randal Hollis, M.D. Hoppe, Bradford Scott, M.D. Indelicato, Daniel Joseph, M.D. Lightsey, Judith L., M.D. Mendenhall, Nancy J., M.D. Mendenhall, William M., M.D. Nichols, Romaine Charles, M.D. Rotondo, Ronny L., M.D. Rutenberg, Michael S., M.D.

Shands Jacksonville Radiation Oncology

3122 New Berlin Rd. Jacksonville, FL 32226 (904)633-0340 Piraino, Jason A., D.P.M.

2015 N Jefferson Street Jacksonville, FL 32206 (904)244-7810 Bradley, Julie Ann, M.D.

Stranningan, Kristin L., D.P.M.

Bryant, Curtis, M.D.

Pulmonary Disease UF Health Pulmonary - North

Dagan, Roi , M.D. Henderson, Randal Hollis, M.D. Hoppe, Bradford Scott, M.D.

15255 Max Leggett Parkway, Ste 3900 Jacksonville, FL 32218 (904)383-1000 Bajwa, Abubakr Akhtar, M.D.

Indelicato, Daniel Joseph, M.D.

Seeram, Vandana Kavita, M.D.

Nichols, Romaine Charles, M.D.

Lightsey, Judith L., M.D. Mendenhall, Nancy J., M.D. Mendenhall, William M., M.D. Rotondo, Ronny L., M.D. Rutenberg, Michael S., M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 18 of 23

Specialty Care Providers Rheumatology UF Rheumatology 4555 Emerson Street, Suite 220 Jacksonville, FL 32207 (904)383-1005 Kaeley, Gurjit Singh, M.D. Taba, Reza M., M.D. Thway, Myint M., M.D. 655 W 8th St, ACC 1st Fl Jacksonville, FL 32209 (904)383-1005 Kaeley, Gurjit Singh, M.D.

Taba, Reza M., M.D. Thway, Myint M., M.D.

Surgery UF Health Surgery - North

UF Surgery 653 W 8th St Jacksonville, FL 32209 (904)383-1015 Ahmed, Bestoun , M.D. Ali, Abubaker, M.D. Awad, Ziad Tarik, M.D. Hsu, Albert T., M.D. Jasra, Bharti, M.D. Latzko, Michael Patrick, M.D.

Leaphart, Cynthia Lynn, M.D. Nussbaum, Michael S., M.D. Tepas, III, Joseph J., M.D. UF Weight Loss Surgery Institute 4555 Emerson St, Ste 230 Jacksonville, FL 32207 (904)383-1023 Ahmed, Bestoun , M.D.

15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Ahmed, Bestoun , M.D.

Surgical Critical Care

Ali, Abubaker, M.D.

UF Surgery

Awad, Ziad Tarik, M.D. Jasra, Bharti, M.D. Latzko, Michael Patrick, M.D. Nussbaum, Michael S., M.D.

UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Ahmed, Bestoun , M.D. Ali, Abubaker, M.D. Awad, Ziad Tarik, M.D. Fattahi, Tirbod T., MD, DDS Jasra, Bharti, M.D. Knox, Glenn W., M.D. Latzko, Michael Patrick, M.D. Nussbaum, Michael S., M.D.

Ali, Abubaker, M.D.

653 W 8th St Jacksonville, FL 32209 (904)383-1015 Burns, Jr., J. Bracken, D.O. Crandall, Marie L., M.D.

Kerwin, Andrew J., M.D. Ra, Jin Hee, M.D.

Surgical Oncology UF Health Surgery - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Samiian, Laila , M.D.

UF Surgery 653 W 8th St Jacksonville, FL 32209 (904)383-1015 Samiian, Laila , M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) The Cardiovascular Center at Shands Jacksonville

655 W 8th St, ACC 5th Fl Jacksonville, FL 32209 (904)244-4198 Anastasi, John S., M.D. Pirris, John P., M.D. Rosenblum, Harry M., M.D. UF Cardiovascular Center at Emerson 4555 Emerson St, Ste 120 Jacksonville, FL 32207 (904)383-1036 Anastasi, John S., M.D. Pirris, John P., M.D. Rosenblum, Harry M., M.D. UF Health Cardiovascular Center - North 15255 Max Leggett Parkway, Ste 3600 Jacksonville, FL 32218 (904)383-1000 Rosenblum, Harry M., M.D.

UF Pediatric Cardiovascular Center 841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Ceithaml, Eric L., M.D. Stein, William, M.D.

UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Samiian, Laila , M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Specialty Care Providers UF Health Multi-Specialty Center - Beaches

Urology UF Health Surgery - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Costa, Joseph A., D.O. Harris, Stephanie Elizabeth, M.D. Mandia, Stephen Ernest J., M.D. Williams, Christopher R., M.D.

UF Southside Digestive and Liver Specialist 4203 Belfort Road, Ste 310 Jacksonville, FL 32216 (904)633-0375 Harris, Stephanie Elizabeth, M.D. UF Urology 653 W 8th St Jacksonville, FL 32209 (904)383-1016 Costa, Joseph A., D.O. Harris, Stephanie Elizabeth, M.D. Mandia, Stephen Ernest J., M.D. Williams, Christopher R., M.D.

Vascular Neurology The Neuroscience Institute at Shands Jacksonville

580 W 8th St, Tower I, 9th Fl Jacksonville, FL 32209 (904)383-1022 Antonios, Nader M., M.D.

Vascular Surgery The Cardiovascular Center at Shands Jacksonville 655 W 8th St, ACC 5th Fl Jacksonville, FL 32209 (904)244-4198 Habib, Joseph Hasan, M.D.

3316 South Third Street, Ste 201 Jacksonville Beach, FL 32250 (904)383-1042 Allmon, Jon C., M.D. Dennis, James W., M.D. UF Health Surgery - North 15255 Max Leggett Parkway, Ste 3100 Jacksonville, FL 32218 (904)383-1000 Allmon, Jon C., M.D.

Dennis, James W., M.D. Habib, Joseph Hasan, M.D. UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Dennis, James W., M.D. UF Surgery 653 W 8th St Jacksonville, FL 32209 (904)383-1015 Allmon, Jon C., M.D. Dennis, James W., M.D.

Vascular/Interventional Radiology UF Health at Jacksonville - Vascular and Interventional Radiology 655 W 8th St., 2nd Floor Jacksonville, FL 32209 (904)244-6086 Cunningham, James C., D.O. Matteo, Jerry Peter, M.D. Northup, Harry M., M.D. Siragusa, Daniel A., M.D.

Nassau County Pain Medicine Matos-Garsault MD 1001 Atlantic Avenue Fernandina Beach, FL 32034 (904)322-8047 Matos, Kirsten, M.D. Matos-Garsault, Huber, M.D.

Pierce County Pediatric Cardiology UF Waycross Pediatric Cardiovascular Center 410 Darling Ave Waycross, GA 31501 (904)633-4110 English, Robert F., M.D.

Saint Johns County Dermatology North Florida Dermatology 200 Southpark Blvd., Suite 209 St. Augustine, FL 32086 (904)354-4488

Suwannee County Cardiovascular Disease University of Florida Live Oak Cardiovascular Center 1100 Southwest 11th St, Ste 1126 Live Oak, FL 32064 (386)362-0820 Antoun, Patrick, M.D. Miller, Alan B., M.D. Paterick, Timothy, M.D. Percy, Robert F., M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

Page 20 of 23

Specialty Care Providers Clinical Cardiac Electrophysiology UF Health Cardiology - Dowling Park 10820 Marvin Jones Drive Dowling Park, FL 32064 (904)633-0200 Kim, Robert J., M.D. University of Florida Live Oak Cardiovascular Center

1100 Southwest 11th St, Ste 1126 Live Oak, FL 32064 (386)362-0820 Kim, Robert J., M.D.

Volusia County Pediatric Cardiology UF Pediatric Cardiovascular Center at Daytona 1219 Dunn Avenue Daytona Beach, FL 32114 (904)633-4110 Bryant, Randall M., M.D. English, Robert F., M.D. Ettedgui, Jose A., M.D. Ho, Jason , M.D. Kropf, Paulette, M.D.

Kuebler, Brandon E., M.D. Lacey, Stephanie R., D.O. Marvin, William J., Jr. M.D. Moon, Thomas J., Jr. M.D. Neagu, Daniela L., M.D.

Pediatric Infectious Diseases UF Pediatric Infectious Disease at Halifax 201 North Clyde Morris Blvd, Ste 120 Daytona Beach, FL 32114 (904)633-0920 Alvarez, Ana Mabel, M.D. Maraqa, Nizar F., M.D. Mirza, Ayesha , M.D. Rathore, Mobeen H., M.D.

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Other Health Care Providers Duval County Dialysis Shands Jacksonville Dialysis 655 W. 8th St., ACC Basement Jacksonville, FL 32209 904-244-6690

Home Health Shands Jacksonville Home Health Services 580 W. 8th St., Suite 9009 Jacksonville, FL 32209 904-244-9900

Hospice Northeast Florida Community Hospice George and Margaret Morris Center for Caring - Shands Jacksonville Campus 555 West 8th Street - Pavilion 6th Floor Jacksonville, FL 32209 (904)244-1651

Hospital Based Surgery Center Shands Jacksonville Outpatient Surgery Center 653 W. 8th St, 1st Floor Jacksonville, FL 32209 904-244-6557

UF Health Outpatient Surgery - North 15255 Max Leggett Parkway, 2nd Fl Jacksonville, FL 32218 904-427-6000

Infusion

Outpt Radiology

Infusion Center for Women @ Shands Jacksonville 655 W. 8th St., 3rd Fl Clinical Ctr Jacksonville, FL 32209 904-244-3854

Shands Jacksonville Imaging Center at Emerson 4549 Emerson Street, Suite 100 Jacksonville, FL 32207 904-383-1024

Shands Jacksonville Infusion Center 655 W. 8th St., Pavilion 4th Fl North Jacksonville, FL 32209 904-244-1560

Shands Jacksonville Pavillion Radiology 555 W 8th St, Pavillion 2nd Fl Jacksonville, FL 32209 904-383-1024

UF Health Oncology-Baymeadows 7751 Baymeadows Rd., E. Suite 205 Jacksonville, FL 32256 904-493-5190

UF Health Radiology - North 15255 Max Leggett Parkway, 1st Fl Jacksonville, FL 32218 904-383-1000

Lab Shands Jacksonville Laboratory 555 W. 8th St., Pavilion 1st Fl Jacksonville, FL 32209 904-244-8755 UF Health Outreach Lab - Beaches 390 16th Avenue South, Suite 8 Jacksonville Beach, FL 32250 904-633-0425

UF Health Outreach Lab - Emerson 4555 Emerson Street, Suite 300-A Jacksonville, FL 32207 904-633-0099 UF Health Pathology & Laboratory Medicine - North 15255 Max Leggett Parkway, 1st Fl, Rm 1506 Jacksonville, FL 32218 904-427-2418

Outpt Radiology/CT and MRI Only Shands Advanced Imaging Center 1800 Blvd Street Jacksonville, FL 32209 904-383-1024

Outpt Radiology/CT/MRI Shands Jacksonville Clinical Center Radiology 655 W 8th St, Clinical Ctr, 1st Fl Jacksonville, FL 32209 904-383-1024

Outpt Radiology/General Radiology and Ultrasound Shands Jacksonville Diagnostic Radiology 655 W 8th St., Clinical Ctr, 2nd Fl Jacksonville, FL 32209 904-383-1024

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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Other Health Care Providers Outpt Radiology/Nuclear Medicine Shands Jacksonville Clinical Center Radiology 655 W 8th St., Clinical Ctr Basement Jacksonville, FL 32209 904-244-2945

Women's Health Outpt Radiology/ Imaging Bone Density Advanced Breast Imaging Center at Emerson 4549 Emerson Expy, #200 Jacksonville, FL 33207 904-383-1024

Proton Therapy Florida Proton Therapy Institute 2015 N. Jefferson Street Jacksonville, FL 32206 904-588-1800

Rehab Shands Jacksonville Rehabilitative Services 555 W. 8th St., Pavilion 1st Fl Jacksonville, FL 32209 904-244-1179 Shands Rehab Services at Emerson 4555 Emerson Street, Suite 110 Jacksonville, FL 32207 904-633-0090

Shands Jacksonville Women’s Breast Center 580 W 8th St, Tower II, 4th Fl Jacksonville, FL 32209 904-383-1024

Saint Johns County Rehab Revive Rehab, Inc. 151 Sawgrass Corners Dr. Ponte Vedra Beach, FL 32082 904-371-4649

UF Health Rehabilitation Center - North 15255 Max Leggett Parkway, Suite 4100 Jacksonville, FL 32218 904-244-1179

Skilled Nursing Shands Jacksonville Transitional Care Unit 555 W. 8th St., Pavilion 3rd Fl Jacksonville, FL 32209 904-244-1816

Sleep Center The Sleep Disorders Center at Shands Jacksonville 580 W. 8th St., Tower I, 4th Fl Jacksonville, FL 32209 904-383-1033

Note: Services must be received at the address listed in GatorCare Provider Directory for Tier 1 benefits. Revised: 10/29/15

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