GCMB Approved Emergency Practice Permit/ Temp License 2020

EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2 3/23/2020 8/11/2020 Brian David Quint MD 586 Bothwell Drive Richmond Hill GA 31324

3 4/30/2020 8/11/2020 Mark E Franke MD 13422 Black Gum Ct Chantilly VA 20151

4 4/30/2020 8/11/2020 Ashley Noelle Davis MD 293 Deering Road NW Atlanta GA 30309

5 4/30/2020 8/11/2020 Tonja L. Gadsden MD 10817 Legend Manor Lane Glenn Dale MD 20769

6 4/30/2020 8/11/2020 Erin Kim APRN 155 South Court Avenue Orlando FL 32801

7 4/30/2020 8/11/2020 Kyle Ward APRN 7800 Freestyle Lane Winter Garden FL 34787

8 4/30/2020 8/11/2020 Mary E. Carrigan APRN 701 15th Ave S. Jax Beach FL 32250

9 4/30/2020 8/11/2020 Christine Thorogood MD 916 E. Pleasant Pl. St. Johns FL 32259

10 4/30/2020 8/11/2020 Courtney Allison Bryant Whatley RCP 98 N. Charity Lane Warner Robins GA 31088

11 4/30/2020 8/11/2020 Julia Tuyet Vu MD 105 Longwood Drive Jonesboro GA 30236

12 4/30/2020 8/11/2020 Susamma George Nathew MD 3525 Sugarloaf Parkway Lawrenceville GA 30044

13 4/30/2020 8/11/2020 Magdy Nassif Falstiny MD 1257 SW 87th PL Ocala FL 34476

14 4/30/2020 8/11/2020 Kirby Douglas Slifer DO 2554 Walker Drive Valparaiso IN 46385

15 4/30/2020 8/11/2020 Roy Niels Skousen DO 2112 Cooperfield Stillwater OK 74074

16 4/30/2020 8/11/2020 John Silver, MD, FCCP MD 810 East Pine Street Stayton OR 97383

17 4/30/2020 8/11/2020 Tiffany Best MD 3300 N. 7th Avenue Phoenix AZ 85013

06-Jul-20 Page 1 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

18 4/30/2020 8/11/2020 Ravikumar Patel DO 104 Chamblee Blvd. Greenville SC 29615

19 4/30/2020 8/11/2020 LaTania Michelle Akers-White, MD MD 512 Besler Lane Richmond VA 23223

20 4/30/2020 8/11/2020 Asha Zakiya Robinson-Parks, MD MD 5137 Sorrento Blvd. W. St. Cloud FL 344771

21 4/30/2020 8/11/2020 Heidi Ann Morris, DO DO 5317 Sanctuary Lane Sheffield village OH 44054

22 4/30/2020 8/11/2020 Peter John Vasquez MD 18427 N. Madison Road Maricopa AZ 85139

23 4/30/2020 8/11/2020 Nathaniel Morin DO 785 32nd Street Boulder CO 80303

24 4/30/2020 8/11/2020 Nicola Mario Zetola MD 3610 Dillon Street Baltimore MD 21224

25 4/30/2020 8/11/2020 Laura Gunder McClary PA 4245 Anderson Circle Evans GA 30809

26 4/30/2020 8/11/2020 Robert Harrell Martin, Jr. MD 1464 South 16th Section Road Monticello AR 71655

27 4/30/2020 8/11/2020 Tuesday Cunningham APRN 10733 Cambbage Tree Loop Orlando FL 32825

28 4/30/2020 8/11/2020 Cam Wagner APRN 401 E. Fairbanks Avenue Winter Park FL 32789

29 4/30/2020 8/11/2020 Eric Palmer APRN 6405 Diane Ct. St. Cloud FL 34771

30 4/30/2020 8/11/2020 Deborah Messier APRN 6362 Sedona Leaf Court Windermere FL 34786

31 4/30/2020 8/11/2020 Sharron McDonald APRN 8408 Diamond Cove Cr. Orlando FL 32838

32 4/30/2020 8/11/2020 Paula Vasquez APRN 1024 Girard Drive Orlando FL 32824

33 4/30/2020 8/11/2020 Heather Elizabeth Henry MD 905 20th Avenue S Nashville TN 37203

34 4/30/2020 8/11/2020 Lynne M. Evoy APRN 14975 Fern Hammock Drive NorthJacksonville FL 32258

35 3/24/2020 8/11/2020 Pamela J. Parsons MD Premier Psychiatric Services, LLCBaton Rouge LA 70816

36 3/26/2020 8/11/2020 Annette Wilson PA 3034 Fermanagh Dr. Tallahassee FL 32309

06-Jul-20 Page 2 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

37 3/26/2020 8/11/2020 Meeredith Ann Stasi PA 7871 Kiverton Place Atlanta GA 30350-588

38 3/26/2020 8/11/2020 Keyanna Monique Williams PA 3505 Cobblestone Blvd. Fayetteville GA 30215

39 3/26/2020 8/11/2020 Heather Ann Lewis Prusik PA 2638 Rangewood Drive Atlanta GA 30345

40 3/26/2020 8/11/2020 Brian Michael Free RCP 75 Rosewood Lane Young Harris GA 30582

41 3/26/2020 8/11/2020 Mark Ivo Kaminski MD 345 E 54th Street New York NY 10022

42 3/26/2020 8/11/2020 John R. Langefeld MD 2246 Vinings CV SE Smyrna GA 30080

43 3/26/2020 8/11/2020 Nicholas Wisnoski MD 154 E 29th Street New York NY 10016

44 3/26/2020 8/11/2020 Amy M. Korn-Reavis RCP 9573 Turkey Oak Bend Orlando FL 32817

45 3/26/2020 8/11/2020 Miri W. Rosen MD 1751 Second Avenue New York NY 10128

46 3/26/2020 8/11/2020 Jonathan Ohenhen MD 921 W. 11th Street Sulphur OK 73086

47 3/26/2020 8/11/2020 Soujanya Pulluru MD 3908 Littlestone Circle Naperville IL 60564

48 3/26/2020 8/11/2020 Tiffani L. Bell MD 6182 Barrington Oaks Dr. Clemmons NC 27012

49 3/26/2020 8/11/2020 Janet Marie Warrington DO 5533 Superior Dr. Lakeland FL 33805

50 3/26/2020 8/11/2020 Kairul Steven Lehardi APRN 10426 S 952 PR SE Kennewick WA 99338

51 3/26/2020 8/11/2020 Steven Arthur Rabin MD 10061 Riverside Dr. Toluca Lake CA 91602

52 3/26/2020 8/11/2020 Tiandra LaShay Quiller RCP 26 Cross Pointe Greenville SC 29607

53 3/30/2020 8/11/2020 Marjorie Lantum MD 333 Cedarcreek Drive Nashville TN 37211

54 3/30/2020 8/11/2020 Heidi Hansen Ashbaugh MD 841 Prudential Drive Jacksonville FL 32207

55 3/30/2020 8/11/2020 Dustin Huntington Brimblecom MD 841 Prudential Drive Jaconsonville FL 32207

06-Jul-20 Page 3 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

56 3/30/2020 8/11/2020 Karah Lynn Brown PA 11395 Old Post Road Hortense GA 31543

57 3/30/2020 8/11/2020 Dantae L. Bowie DO 14 Meadow Valley Court Midland GA 31820

58 3/30/2020 8/11/2020 Marcelo Carlos Darabos DO 841 Prudential Drive Jacksonville FL 32207

59 3/30/2020 8/11/2020 Jasmine Renay Dillard APRN 1401 Centerville Road Tallahassee FL 32308

60 3/30/2020 8/11/2020 David Jerry Dixon DO 1401 Centerville Road Tallahassee FL 32308

61 3/30/2020 8/11/2020 Alexander Dumas Jesse Brickler, III MD 1401 Centerville Road Tallahassee FL 32308

62 3/30/2020 8/11/2020 Erin Michaele Ferguson PA 7304 Gracemont Lane Brunswick GA 31525

63 3/30/2020 8/11/2020 Darrell Wayne Fixler Jr. RCP 178 Somersby Blvd. Pooler GA 31322

64 3/30/2020 8/11/2020 Andrea King Friall MD 1401 Centerville Road Tallahassee FL 32308

65 3/28/2020 8/11/2020 Christopher Joseph Gasho MD 52 Ivy Lane Santa Rosa Beach FL 32459

66 3/30/2020 8/11/2020 Joseph P. Grajo DO 461 Ron Horse Lane Walnut Creek CA 94597

67 3/30/2020 8/11/2020 Candice Priscilla Gregg APRN 1401 Centerville Road Tallahassee FL 32308

68 3/30/2020 8/11/2020 Laura J. Grippa MD 841 Prudential Drive Jacksonville FL 32207

69 3/30/2020 8/11/2020 Francisco Javier Gutierrez DO 841 Prudential Drive Suite 1400 FL 32207

70 3/30/2020 8/11/2020 Amy Marlo Haddock MD 1401 Centerville Road Tallahassee FL 32308

71 3/30/2020 8/11/2020 Stella Marie Hayes MD 841 Prudential Drive, Jacksonville FL 32201

72 3/30/2020 8/11/2020 Smruti J. Kinariwala MD 95002 Buckeye Court Fernandine Beach FL 65267

73 3/30/2020 8/11/2020 Jeffrey Ling Kang MD 147 Royal Palm Drive Fort Lauderdale FL 33301

74 3/30/2020 8/11/2020 Sajid Khan MD 1040 SW 2nd Ave Ocala FL 34471

06-Jul-20 Page 4 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

75 3/30/2020 8/11/2020 Joseph Mark King MD 841 Prudential Drive Jacksonville FL 32207

76 3/30/2020 7/20/2020 Kendra Wooley Marcinowski APRN 1401 Centerville Road Tallahassee FL 32308

77 3/30/2020 8/11/2020 Kenneth John McAlpine MD 1401 Centerville Road Tallahassee FL 32308

78 3/30/2020 8/11/2020 Sean F. McGrath MD 841 Prudential Drive Jacksonville FL 32207

79 3/30/2020 8/11/2020 Vikki Margaret McKinnie MD 1401 Centerville Road Tallahassee FL 32308

80 3/30/2020 8/11/2020 Rajasree Nambron MD 157 Birch Creek Drive Birmingham AL 35242

81 3/30/2020 8/11/2020 Lemuel Pierre PA 10842 Blue Palm Street Plantation FL 33324

82 3/30/2020 8/11/2020 Steven Arthur Rabin MD 10061 Riverside Drive Toluca Lake CA 91602

83 3/30/2020 8/11/2020 Gurijala Ramesh Ramayya MD 215 Autumn Trace Court Macon GA 31210

84 3/30/2020 8/11/2020 Kathleen Elizabeth Sharp MD 2943 Bandera Grand Prairie TX 75054

85 3/30/2020 8/11/2020 Anne-Marie Lewis Singleton APRN 1401 Centerville Road Tallahassee FL 32308

86 3/30/2020 8/11/2020 Kelley Lynn Stem PA 1401 Centerville Road Tallahassee FL 32308

87 3/30/2020 8/11/2020 Christopher Charles Sundstrom MD 1401 Centerville Road Tallahassee FL 32308

88 3/30/2020 8/11/2020 Briana Nicole Thompson MD 1401 Centerville Road Tallahassee FL 32308

89 3/30/2020 8/11/2020 Erin Roberts Thames APRN 1401 Centerville Road Tallahassee FL 32308

90 3/30/2020 8/11/2020 Courtney Blair Fahnhorst Vidrine MD 841 Prudential Drive Jacksonville FL 32207

91 3/30/2020 8/11/2020 Frank J. Welch MD 117 David Road Bala Cynwyd PA 19004

92 3/30/2020 8/11/2020 Elisa Alter Zenni MD 109 Lantern Wick Place Ponte Vedra Beach FL 32082

93 3/30/2020 8/11/2020 Asha Davis MD 888 Biscayne Blvd Miami FL 33132

06-Jul-20 Page 5 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

94 3/30/2020 8/11/2020 Moises Roberto Carpio MD 8555 Station Village Ln San Diego CA 92108

95 3/30/2020 8/11/2020 Laura Michele Crawford RCP 159 Cavan Way Mableton GA 30126

96 3/31/2020 8/11/2020 Mark Ivo Kaminski MD 345 E 54th Street New York NY 10022

97 3/31/2020 8/11/2020 Jesse Concepcion Salas RCP 2587 Dunmoore Drive Snellville GA 30078

98 3/31/2020 8/11/2020 Richard Michael Weathersby RCP 1101 Hardigree Bell Road Bishop GA 30621

99 3/31/2020 8/11/2020 Mary Jo Gochett RCP 2950 Ivey Ridge Lane Roswell GA 30076

100 3/31/2020 8/11/2020 William Michael Wrigley APRN 3949 Old Atlanta Station Ct. Atlanta GA 30339

101 3/31/2020 8/11/2020 David Shields Lesser MD 841 Prudential Drive Jacksonville FL 32207

102 3/31/2020 8/11/2020 Paul Aron Diaz-Granados MD 841 Prudential Drive Jacksonville FL 32207

103 3/31/2020 8/11/2020 Gretta Langley APRN 35153 Quail Road Callahan FL 32011

105 4/1/2020 8/11/2020 Rawan Osama Kablawi MD 841 Prudential Drive Jacksonville FL 32207

106 4/1/2020 8/11/2020 Andrea Marie Fritschle MD 4929 Skyway Drive Jacksonville FL 32246

107 4/1/2020 8/11/2020 Angela Antonacci-Gimbel MD 55 Mahi Drive Ponte Vedra FL 32081

108 4/1/2020 8/11/2020 Christopher Jolley MD 4310 NE 255 Dr. Melrose FL 32666

109 4/1/2020 8/11/2020 Samuel Quaynor MD 8677 Wheatfield Way Ellicott City MD 21043

110 4/1/2020 8/11/2020 Charles Alan McCaslin MD 807 Children's Way Jacksonville FL 32207

111 4/1/2020 8/11/2020 Christina Stockwell Wieczorek MD 841 Prudential Drive Jacksonville FL 32207

112 4/1/2020 8/11/2020 Jeffrey Stephen Smowton MD 841 Prudential Drive Jacksonville FL 32207

113 4/1/2020 8/11/2020 Ryan Budwany MD 2000 Whitetail Ct. Morgantown WV 26508

06-Jul-20 Page 6 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

114 4/1/2020 8/11/2020 Mary Carolyn Watson MD 3361 Shadowmoss Drive Tallahassee FL 32308

115 4/1/2020 8/11/2020 Christina Gindele Caro MD 841 Prudential Drive Jacksonville FL 32207

116 4/1/2020 8/11/2020 Gretta Langley APRN 35153 Quail Road Callahan FL 32011

117 4/1/2020 8/11/2020 Courtney Lynn Taylor RCP 929 Pallet Avenue Harvey LA 70058

118 4/1/2020 8/11/2020 Sarah Isabel Fernandez MD 1431 Riverplace Blvd Jacksonville FL 32207

119 4/2/2020 8/11/2020 William V. Bobo MD Mayo Clinic Jacksonville FL 32224

120 4/2/2020 8/11/2020 Bryce Rushton Tiller MD 841 Prudential Drive Jacksonville FL 32207

121 4/2/2020 8/11/2020 Samantha Marie Maplethorpe MD 701 5th Ave Seattle WA 98104

122 4/2/2020 8/11/2020 Risheet Rajendra Patel MD 701 5th Avenue Seattle WA 98104

123 4/1/2020 8/11/2020 Kelly James Tenbrink MD 701 5th Avenue Seattle WA 98104

124 4/2/2020 8/11/2020 Mubina Nasri MD 701 5th Ave Seattle WA 98104

125 4/2/2020 8/11/2020 Jill Anne Griffin MD 701 5th Ave Seattle WA 98104

126 4/2/2020 8/11/2020 Kylene Nicole Haskins DO 701 5th Ave Seattle WA 98104

127 4/2/2020 8/11/2020 Rebecca Jean Payne APRN 281 N. Lyerly Street Chattanooga TN 37404

128 4/1/2002 8/11/2020 Shyam Yallapragada MD 68 Ocean Point Drive Isle of Palms SC 29451

129 5/22/2020 8/11/2020 Jeffrey Marchant MD 12029 Willingdon Road Huntersville NC 28078

130 6/4/2020 8/11/2020 Melissa Anne Steele Oh MD 8710 Cameron Street Silver Spring MD 20910

131 4/3/2020 8/11/2020 Elizabeth Marini Simpson DO 1035 Executive Drive Hixson TN 37343

132 4/2/2020 8/11/2020 Issa Yusuf MD 12150 Annapolis Road Glenn Dale MD 20769

06-Jul-20 Page 7 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

133 4/3/2020 8/11/2020 Antonio Rodriguez MD 1801 Wingfield Drive Longwood FL 32779

134 4/3/2020 8/11/2020 Christopher Lesean Ifill MD 9554 Yellow Finch Ct. Brentwood TN 37027

135 4/3/2020 8/11/2020 Marjorie Dolezel Timmer RCP 1729 Coventry Road Decatur GA 30030

136 4/3/2020 8/11/2020 LaTosha Y. Flowers MD P O Box 182363 Arlington TX 76096

137 4/3/2020 8/11/2020 Andrea Marie Fritschie MD 4929 Skyway Drive Jacksonville FL 32246

138 4/3/2020 8/11/2020 Johnny Dias DO 5 Hidden Oak Ter Simpsonville SC 29681

139 4/3/2020 8/11/2020 Gayla Jean Singleton RCP 310 Chandler Court Sugar Hill GA 30518

140 4/3/2020 8/11/2020 Smruti J. Kinariwala MD 95002 Buckeye Court Fernandina Beach FL 32034

141 4/3/2020 8/11/2020 Parks Winfield Pratt MD 4300 West Main Street Dothan AL 36305

142 4/3/2020 8/11/2020 Faye Elaine Rao MD 4300 West Main Street Dothan AL 36305

143 4/3/2020 8/11/2020 Bethany Grace Shovlin APRN 140 Traveler Palm Court Ponte Vedra Beach FL 32082

144 4/3/2020 8/11/2020 Louis Todd House MD 315 S. Bayly Avenue Louisville KY 40206

145 4/3/2020 8/11/2020 Rosa E. Turcios MD 1126 W. State Street Marshfield WI 54449

146 4/3/2020 8/11/2020 Angela Antonacci-Gimbel MD 55 Mahl Drive Ponte Vedra FL 32081

147 4/3/2020 8/11/2020 Tonia Lee Ruddock MD 4300 West Main Street Dothan AL 36305

148 4/3/2020 8/11/2020 Simon Roland Brooks MD 4300 West Main Street Dothan AL 36305

149 4/3/2020 8/11/2020 Robert Benjamin Ash MD 4300 West Main Street Dothan AL 36305

150 4/3/2020 8/11/2020 Magan Bond Parker APRN 4300 West Main Street Dothan AL 36305

151 4/3/2020 8/11/2020 Laura McNeely Tamburin MD 4300 West Main Street Dothan AL 36305

06-Jul-20 Page 8 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

152 4/3/2020 8/11/2020 Kelli Nicole Heer PA 4300 West Main Street Dothan AL 36305

153 4/3/2020 8/11/2020 Craig Dean Omohundro MD 1433 West Main Street Dothan AL 36305

154 4/3/2020 8/11/2020 Brooke Barnes Sellers APRN 4300 West Main Street Dothan AL 36305

155 4/3/2020 8/11/2020 Brittney Hatcher Edge APRN 4300 West Main Street Dothan AL 36305

156 4/3/2020 8/11/2020 Tony Samir Faris DO 1370 Talon Way Melbourne FL 32934

157 4/3/2020 8/11/2020 Juan Carlos Cucalon MD 4219 Anne Ct Miami FL 33133

158 4/3/2020 8/11/2020 Thomas Edward Knuth MD 212 Stephens Road Grosse Pointe Farms MI 48236

159 4/3/2020 8/11/2020 Tiffany Michelle Ingrham MD 100 Shady Run LN Rochester NY 14625

160 4/3/2020 8/11/2020 Michelle Jonelle Urban RCP 7621 Charm CT. Las Vegas NV 89129

161 4/3/2020 8/11/2020 Melanie Denise Jones PA 250 North State Hwy 360 Mansfield TX 76063

162 4/3/2020 8/11/2020 Patricia M. Pavlak RCP 30 Morrison Street NW Marietta GA 30064

163 4/3/2020 8/11/2020 David Alan Wiles MD 281 N Lyerly Street Chattanooga TN 37404

164 4/3/2020 8/11/2020 Daun Johnson Lai MD 2530 Winding View San Antonio TX 78260

165 4/3/2020 8/11/2020 Glenn Harnett MD 4425 Sicard Hollow Road Birmingham AL 35242

166 4/3/2020 8/11/2020 Scott Martin Andes DO 1685 Fenimore Road Hewlett NY 11557

167 4/3/2020 8/11/2020 Brian D Smith MD 101 Via Salamanca San Clemente CA 92672

168 4/3/2020 8/11/2020 Robert Howard Lingerfelt RCP 7843 Lanerose Place San Antonio TX 78251

169 4/3/2020 8/11/2020 D'Mya Genise Clark 270 Honeysuckley Dr. Macon GA 31217

170 4/3/2020 8/11/2020 Paul Anthony Bryant MD 2009 Castleman Drive Nashville TN 37215

06-Jul-20 Page 9 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

171 4/3/2020 8/11/2020 Nicole R Davidson PA 7314 E Madero Ave Mesa AZ 85209

172 4/3/2020 8/11/2020 Jeffrey S Ward RCP 1090 CO RD 864 Wadley AL 36276

173 4/6/2020 8/11/2020 Olajide Ayool MD 5422 Bright Run San Antonio TX 78240

174 4/6/2020 8/11/2020 Rochelle Jettahn Skitt MD 866 Ulster Way Denver CO 80230

175 4/6/2020 8/11/2020 Jamie Ayers APRN 8680 Baymeadows Road East Jacksonville FL 32256

176 4/6/2020 8/11/2020 Angela Antonacci-Gimbel MD 55 Mahi Drive Ponte Vedra FL 32081

177 4/6/2020 8/11/2020 Donald Bennett MD 5000 Cedar Croft Drive Bethesda MD 20814-392

178 4/6/2020 8/11/2020 UWE Blecker MD 1431 Riverplace Boulevard Jacksonville FL 32207

179 4/6/2020 8/11/2020 Michael Joseph Bradburn DO 2168 Ketch Court Fernandina Beach FL 32034

180 4/6/2020 8/11/2020 Scott Mark Bradfield MD 67 Nantucket Island Ct. Ponte Vedra FL 32081

181 4/6/2020 8/11/2020 William S. Campbell., Jr. MD 609 North Bay Drive Lynn Haven FL 32444

182 4/6/2020 8/11/2020 Jill Dorsey MD 807 Children's Way Jacksonville FL 32207

183 4/6/2020 8/11/2020 Kristi Dvorak APRN 101 Greenbriar Estates Drive Jacksonville FL 32259

184 4/6/2020 8/11/2020 Alexander Sinclair Franz MD 1401 Centerville Road Tallahassee FL 32308

185 4/6/2020 8/11/2020 Jacob Marshall Gillikin MD 3926 Danforth Drive W Jacksonville FL 32224

186 4/6/2020 8/11/2020 Margaret Ashley Houston APRN 244 Odomr Mill Blvd. Ponte Vedra Beach FL 32082

187 4/6/2020 8/11/2020 James Edward Jolley, II MD 281 N. Lyerly Street Chattanooga TN 37404

188 4/6/2020 8/11/2020 Harry S. Abram MD 3672 Cathedral Oaks Place N. Jacksonville FL 32217

189 4/6/2020 8/11/2020 Christy Michelle Cockern RCP 3637 Trinity Mills Road Dallas TX 75287

06-Jul-20 Page 10 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

190 4/6/2020 8/11/2020 Darcy Andrew Krueger MD 6236 Socialville Foster Road Mason OH 45040

191 4/6/2020 8/11/2020 Daniel Joseph Lattin MD 712 Montego Road W. Jacksonville FL 32216

192 4/6/2020 8/11/2020 Linda Russell Maywood APRN 6 Cove Road Ponte Vedra Beach FL 32082

193 4/6/2020 8/11/2020 Katherine Eileen McGoogan MD Nemours Children's Specialty CareJacksonville FL 32207

194 4/6/2020 8/11/2020 Norma Faye McKnight APRN 1004 Skipper Road Dothan AL 36301

195 4/6/2020 8/11/2020 Karen McNeely APRN 2637 Scott Mill Lane Jacksonville FL 32223

196 4/6/2020 8/11/2020 David A Schaeffer MD Nemours Children's Specialty CareJacksonville FL 32207

197 4/6/2020 8/11/2020 Jessica Leighanne Scott PA 281 N Lyerly Street Chattanooga TN 37404

198 4/6/2020 8/11/2020 Kathy Dunaj Sella MD 4438 Tradewinds Drive Jacksonville Beach FL 32250

199 4/6/2020 8/11/2020 Mark Macgillivray Shoemaker MD 635 Fifth Avenue Albany GA 31701

200 4/6/2020 8/11/2020 Mary Patricia Sullivan DO 17920 Palm Circle Ft. Myers Bch FL 33931

201 4/6/2020 8/11/2020 Kelly Summers APRN 1238 Ingleside Ave Jacksonville FL 32205

202 4/6/2020 8/11/2020 Teresa Cleotilde Stewart MD 226 Osprey Hammock Trail Sanford FL 32771

203 4/6/2020 8/11/2020 Wayne Thomas Stewart MD 226 Osprey Hammock Trail Sanford FL 32771

204 4/6/2020 8/11/2020 Alpha J Watson MD 110 Easy Street Dublin GA 31021

205 4/20/2020 8/11/2020 Arkady Vaknansky MD 1800 S Ocean Dr. Hallandale Beach FL 33009

206 4/6/2020 8/11/2020 Adriana R. Vasquez MD Mayo Clinic Jacksonville FL 32224

207 4/6/2020 8/11/2020 Paul C. Wilson RCP 1817 Andrew Jackson Court Jefferson GA 30549

208 4/6/2020 8/11/2020 Meredith Ann McKean MD 250 25th Ave. N Nashville TN 37203

06-Jul-20 Page 11 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

209 4/7/2020 8/11/2020 Guillermo Vincent Sanchez PA 1301 South Perry St. Montgomery AL 36104

210 4/7/2020 8/11/2020 Mark McCommons MD 200 W Maple Street Johnson City TN 37604

211 4/7/2020 8/11/2020 Dwarka Rathi MD 4 Sunrise Ln. Scarsdale NY 10583

212 4/7/2020 8/11/2020 Duaine Duchamp Murphree MD 841 Prudential Drive Jacksonville FL 32207

213 4/7/2020 8/11/2020 Kylie Wainer DO 841 Prudential Drive Jacksonville FL 32207

214 4/7/2020 8/11/2020 Kara Palmer Bender APRN 2001 W. Howore St. Chicago IL 60614

215 4/8/2020 8/11/2020 Stacie Brewer Griffis MD 90 Alton Road Miami Beach FL 33139

216 4/8/2020 8/11/2020 Simon Jesus Kassis Hadid MD 540 West Avenue Miami Beach FL 33139

217 4/8/2020 8/11/2020 Robert Garver, Jr. MD 1250 Youpon Drive Andalusia AL 36420

218 4/8/2020 8/11/2020 Louis Vincent LaVopa MD 841 Prudential Drive Jacksonville FL 32207

219 4/8/2020 8/11/2020 Mi Yu MD 113 30th Ave. N. Nashville TN 37203

220 4/8/2020 8/11/2020 Archaiela Romane Murfree RCP 1625 Santa Venetia Street Chula Vista CA 91913

221 4/8/2020 8/11/2020 Osereimen Ehimare Omoike MD 3115 W. Villa Rosa Street Tampa FL 33611

222 4/8/2020 8/11/2020 Todd Everett Fowler MD 3 Rock Crest Lane Signal Mountain TN 37377

223 4/8/2020 8/11/2020 Paul Sabini MD 402 Woodale Drive Kennett Square PA 19348

224 4/8/2020 8/11/2020 Gregory Devon Miller DO 1306 Autumn Trace Fernandina Beach FL 32034

225 4/8/2020 8/11/2020 Martha M. Hicks APRN 96470 Chester Road Yulee FL 32097

226 4/8/2020 8/11/2020 Frank Bivins Calhoun MD 841 Prudential Drive Jacksonville FL 32207

227 4/8/2020 8/11/2020 Sina Ogholikhan MD 13019 Aegean Dr. Jacksonville FL 32246-555

06-Jul-20 Page 12 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

228 4/8/2020 8/11/2020 Kelly Hodson Unkrich MD 3447 Heron Dr., N. Jax Beach FL 32250

229 4/8/2020 8/11/2020 Nazir Adam MD 5823 Labs Run Lane Penn Laird VA 22846

230 4/9/2020 8/11/2020 Roy L. Hall MD 2884 Lengel Road Cincinnati OH 45244

231 4/9/2020 8/11/2020 Akinbola Adewole Ajayi-Obe MD 4440 Crisp Springs Road McMinnville TN 37110-634

232 4/9/2020 8/11/2020 Andrew Alexander Stec MD 807 Children's Way Jacksonville FL 32207

233 4/9/2020 8/11/2020 Cynthia Kaye Hancock RCP 3607 Lakewood Avenue Tifton GA 31794

234 4/9/2020 8/11/2020 Joe b. Putnam, Jr. MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

235 4/9/2020 8/11/2020 Glinda Worthom APRN 83381 Purple Martin Drive Yulee FL 32097

236 4/9/2020 8/11/2020 Bedford Hudson Berrey MD Baptist MD anderson Cancer CenterJacksonville FL 32207

237 4/9/2020 8/11/2020 Molly Allison Gayden PA 3675 J. Dewey Gray Circle Augusta GA 30909

238 4/9/2020 8/11/2020 Amy Nicole Maier PA 16300 Ledgemont Lane Addison TX 75001

239 4/9/2020 8/11/2020 Lynn Alison Paxton MD 305 Glendale Avenue Decatur GA 30030

240 4/9/2020 8/11/2020 Angela J Ranew RCP 1809 Antioch Road Albany GA 31705

241 4/9/2020 8/11/2020 Beth Ann Lesnikoski MD 825 LaSalle Street Jacksonville FL 32207

242 4/9/2020 8/11/2020 Thomas Patrick Doolittle MD 10003 E Milliron Road Cheyenne WY 82009

243 4/10/2020 8/11/2020 Stuart Howard Levine MD 540 South Helberta Avenue Redondo Beach CA 90277

244 4/13/2020 8/11/2020 Vladymir Gratia APRN 7481 W Oakland Park Blvd. Lauderhill FL 33319

245 4/13/2020 8/11/2020 Rachel Sammartano PA 7481 W Oakland Park Boulevard Lauderhill FL 33319

246 4/13/2020 8/11/2020 Edgar Alfonso Torres Villamil MD 1601 N Palm Avenue Pembroke Pines FL 33026

06-Jul-20 Page 13 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

247 4/13/2020 8/11/2020 Yakov Greenstein MD 7481 W Oakland Park Tamarac FL 3319

248 4/13/2020 8/11/2020 Argentino Antonio DiLuigi MD 10301 Hagen Ranch Road Boynton Beach FL 33437

249 3/25/2020 8/11/2020 Robert Lee Kushner, Jr. MD 511 Valley Road NW Atlanta GA 30305

250 4/14/2020 8/11/2020 Jeffrey Lang Moulton PA 228 Palm IS NW Clearwater FL 33767

251 4/14/2020 8/11/2020 Nicole Blount Austin RCP P O Box 5416 Macon GA 31208

252 4/14/2020 8/11/2020 Ankush Kumar Bansal MD 8762 Marlamoor Lane Palm Beach Gardens FL 33412

253 4/14/2020 8/11/2020 Nelhs Betancourt MD 447 East Yale Loop Irvine CA 92614

254 4/14/2020 8/11/2020 Christa Brockway APRN 14039 Leafmore Drive SE Huntsville AL 35803

255 4/14/2020 8/11/2020 Thanhmy Bui MD 17870 Newhope St. Fountain Valley CA 92708

256 4/14/2020 8/11/2020 Tra P Bui MD 11603 Forest Hill Court Fairfax VA 22030

257 4/14/2020 8/11/2020 Paul Capobianco DO 71 Walnut Road Glen Cove NY 11542

258 4/14/2020 8/11/2020 Marianne Carim MD 8003 Vanderhorn Lane Charlotte NC 28226

259 4/14/2020 8/11/2020 Allen Robbins Craig MD 1007 West Lincoln Street Tullahoma TN 37388

260 4/14/2020 8/11/2020 Victor Damaso Cruz MD 1190 E Washington Street Tampa FL 33602

261 4/14/2020 8/11/2020 Afrika Davis RCP 104S Shadowlawn Drive Albany GA 31707

262 4/14/2020 8/11/2020 Megan Day PA 76011 William Burgess Road Yulee FL 32097

263 4/14/2020 8/11/2020 Subrato Jesse Deb MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

264 4/14/2020 8/11/2020 Johnny Dias DO 5 Hidden Oak Ter Simpsonville SC 29681

265 4/14/2020 8/11/2020 Alexandra Lee Edenfield PA 32 St. James Circle Beaufort SC 29907

06-Jul-20 Page 14 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

266 4/14/2020 8/11/2020 Bassem Elmankabadi MD 1308 Amalfi Court San Ramon CA 94583

267 4/14/2020 8/11/2020 Tony Samir Faris DO 1370 Talon Way Melbourne FL 32934

268 4/14/2020 8/11/2020 Consuelo Fernandez MD 13956 King George Way Upper Marlboro MD 20772

269 4/14/2020 8/11/2020 Katherine J. Flaugh APRN 9825 Vale Road Vienna VA 22181

270 4/14/2020 8/11/2020 Taloria France RCP 132 Heatherfield Drive W. Columbia SC 29170

271 4/14/2020 8/11/2020 Yajun Ren, (Perfusionist) 9626 Eden Ridge LN Pearland TX 77584

272 4/14/2020 8/11/2020 Elizabeth Gallo PA 1258 Luffness Drive Jacksonville FL 32221

273 4/14/2020 8/11/2020 Brian P. Gilligan MD 841 Prudential Drive Jacksonville FL 32207

274 4/14/2020 8/11/2020 Ji Na Giusto MD 12004 Wayland Street Oakton VA 22124

275 4/14/2020 8/11/2020 Jennifer Ann Hadley MD 2740 Village Professional Drive Opelika AL 36801

276 4/14/2020 8/11/2020 Pavanne Marie Halpin RCP 4416 Trailwood Drive Cohutta GA 30710

277 4/14/2020 8/11/2020 Cynthia Kaye Hancock RCP 3607 Lakewood Ave Tifton GA 31794

278 4/14/2020 8/11/2020 Chad W. Harston MD 2236 Chamblee Lane Lexington KY 40513

279 4/14/2020 8/11/2020 Eric D'Wayne Hayward Sr. RCP 4190 Louden Drive Horn Lake MS 38637

280 4/14/2020 8/11/2020 Gloria N. Hicks RCP 213 Knightsbridge Drive North Charleston SC 29418

281 4/14/2020 8/11/2020 Carl Ansel Hughes MD 9205 Hanover South Trail Charlotte NC 28210

282 4/17/2020 8/11/2020 Kaylesh K Pandya DO 400 NW 107th Ave. Plantation FL 33324

283 4/14/2020 8/11/2020 Marie Judith Jean-Paul MD P O Box 73200 Newnan GA 30271

284 4/14/2020 8/11/2020 Nicole Jenkins RCP 905 Kenilworth Avenue Charlotte NC 28204

06-Jul-20 Page 15 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

285 4/14/2020 8/11/2020 Genine Johnson RCP 8011 S. Marshfield Ave Chicago IL 60620

286 4/14/2020 8/11/2020 Beenu Joy APRN 5283 Rishley Run Way Mt. Dora FL 32757

287 4/14/2020 7/6/2020 Nicholas Kanaan MD 585 N. Columbus St. Salt Lake UT 84103

288 4/14/2020 8/11/2020 Samantha Louis Zak RCP 7302 Kestrel Trail Hanahan SC 29410

289 4/14/2020 8/11/2020 Yosef Seewald PA 5920 SW 37 Avenue Ft. Lauderdale FL 33312

290 4/15/2020 8/11/2020 Marcus Antonio Walton MD 227 Hayes Lane Rex GA 30273

291 4/15/2020 8/11/2020 Rebecca Spofford Ogden APRN 4951 N. 34th Street Arlington VA 22207

292 4/15/2020 8/11/2020 Keith Terrance Murphy RCP 7825 Richwood Dr. Orlando FL 32825

293 4/15/2020 8/11/2020 Curtis Lawrence Storm MD 1747 Baptist Clay Dr. Fleming Island FL 32003

294 4/15/2020 8/11/2020 Dana Lane Culpepper PA 4300 W. Main Street Dothan AL 36305

295 4/15/2020 8/11/2020 Maryena L. Gross 2525 Hanover Street Hephzibah GA 30815

296 4/15/2020 8/11/2020 Kathy Christman MD 3 Magnolia Blossom Drive Bluffton SC 29910

297 4/15/2020 8/11/2020 Eva Marie Lackritz MD 1440 Rock Springs Circle, NE Atlanta GA 30306

298 4/15/2020 8/11/2020 Beth Ann Lesnikoski MD 825 LaSalle Street Jacksonville FL 32207

299 4/15/2020 8/11/2020 Bethany Marie Lipa MD 3551 N. Broad Street Philadelphia PA 19001

300 4/15/2020 8/11/2020 Carl Loveridge PA 4817 Shell Stream Blvd. New Port Richey FL 34652

301 4/15/2020 8/11/2020 Ashleigh Owen Maiers MD 1016 Windsong Bay Lane Tega Cay SC 29708

302 4/15/2020 8/11/2020 Christopher Edward Menster PA 588 W 8th Street Tower 1 Jacksonville FL 32209

303 4/15/2020 8/11/2020 Jennifer S. Moore APRN 4881 Highway 1760 Louisa KY 41230

06-Jul-20 Page 16 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

304 4/15/2020 8/11/2020 James Anthony Sheerin Muldowney MD 6218 Brownlee Drive Nashville TN 37205

305 4/15/2020 8/11/2020 Robert G. Mynatt MD 132 Eastview Drive Lookout Mountain TN 37350

306 4/15/2020 8/11/2020 Kevin M. Neal MD 284 Saint Johns Forest Blvd. Saint Johns FL 32259

307 4/15/2020 8/11/2020 William EsDorn O'Quinn, Jr. MD 906 Forrest Lane Beaufort SC 29902

308 4/15/2020 8/11/2020 Jimmy Pierre MD 2074 Midyette Road Tallahassee FL 32301

309 4/15/2020 8/11/2020 Kevin Alexander Porter RCP 935 Chesapeake Way Columbus GA 31907

310 4/15/2020 8/11/2020 Stacey Poznanski DO 9387 Paragon Mills Ln Dayton OH 45458

311 4/15/2020 8/11/2020 Kiersten Prince DO 841 Prudential Drive Jacksonville FL 32207

312 4/15/2020 8/11/2020 Ebony Rayond DO 8568 Warren Pkwy Frisco TX 75034

313 4/15/2020 8/11/2020 Dustin Alan Reed DO 615 East College St. Griffin GA 30224

314 4/15/2020 8/11/2020 Mari Ellen Resler RCP 10200 Springmere Drive Louisville KY 40241

315 4/15/2020 8/11/2020 Gail Roberts PA 1210 Ave. N Brooklyn NY 11230

316 4/15/2020 8/11/2020 Richard Bernard Rothenberg MD 876 Castle Falls Drive Atlanta GA 30329

317 4/15/2020 8/11/2020 Airelle P. Rucker APRN 12150 Annapolis Road Glendale MD 20769

318 4/15/2020 8/11/2020 Debbie Kelley RCP 9001 Eagles Ridge Tallahassee FL 32312

319 4/15/2020 8/11/2020 Jeremy K. Rush MD 222 Old Bluff Dr. Ponte Vedra FL 32081

320 4/15/2020 8/11/2020 Drayton M. Sanders MD 102 Ella Lane Dalton GA 30720

321 4/15/2020 8/11/2020 Christina Schrack APRN 12180 Hidden Brook Terr North Potomac MD 20878

322 4/16/2020 8/11/2020 Jennifer Sierra Smith MD 315 Windy Hill road Auburn AL 36830

06-Jul-20 Page 17 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

323 4/16/2020 8/11/2020 Elvin Molina-Arroyo PA P O Box 510841 Punta Gorda FL 33951

324 4/16/2020 8/11/2020 Sanjeev Pravin Shah MD 9606 Devonshire Drive Huntersville NC 28078

325 4/16/2020 8/11/2020 Denis Aviva Sherman MD 807 Childres's Way Jacksonville FL 32207

326 4/16/2020 8/11/2020 Bryan Chung-Yun Wong MD 48 Yosemite Court Ventura CA 93003

327 4/16/2020 8/11/2020 Louis Ruth Zador Spierre MD 436 Chattan Way Saint Johns FL 32259

328 4/16/2020 8/11/2020 Jamison Eugene Strahan MD 421 Cynthia Lane NE Vienna VA 22180

329 4/16/2020 8/11/2020 Salik Taufiq MD 807 Childrens Way Jacksonville FL 32207

330 4/16/2020 8/11/2020 Millie Ann Tremlett APRN 1923 Cedar Hill Road White Bluff TN 37187

331 4/16/2020 8/11/2020 Suzane Simpson Wilkins APRN 9 William Street Beaufort SC 29907

332 4/16/2020 8/11/2020 Tyrone Jamar Williams MD 16 Heath Street Somerville MA 02145

333 4/16/2020 8/11/2020 George Robert Woodward DO 841 Prudential Drive Jacksonville FL 32207

334 4/14/2020 8/11/2020 Alla Ziberman MD 4525 Cinnamon Drive Sarasota FL 34238

335 4/17/2020 8/11/2020 Brian Keith Meister RCP 1591 Powell Church Road Harlem GA 30814

336 4/17/2020 8/11/2020 James Edwin Boyd MD P o Box 35 Titusville FL 32781

337 4/17/2020 8/11/2020 Anitha Bhuvaneswaran PA 3375 Kensington Place Winston-Salem NC 27103

338 4/17/2020 8/11/2020 Matthew Atkins MD 1136 Banbury Road Raleigh NC 27607

339 4/17/2020 8/11/2020 Michael John Given MD 759 Blvd of Champions Shalimar FL 32579

340 4/17/2020 8/11/2020 Tammy Michelle Freeman RCP 815 Willow Wood Ln Rock Hill SC 29730

341 4/17/2020 8/11/2020 Margaret Anne Warren DO 5144 Del Roy Dr. Dallas TX 75229

06-Jul-20 Page 18 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

342 4/17/2020 8/11/2020 Gustavo Villalona MD 1266 Belmont Terrace Jacksonville FL 32207

343 4/17/2020 8/11/2020 Keith Terrance Murphy RCP 7825 Richwood Drive Orlando FL 32825

344 4/17/2020 8/11/2020 Hunter Samuel Arnold RCP 1500 Parklawn Dr. Charleston SC 29414

345 4/17/2020 7/2/2020 Stone Aaron Singleton RCP 2063 Dogwood Road Charleston SC 29414

346 4/17/2020 8/11/2020 Airean Tashyia Lowry RCP 1187 West Carthage Road Lumberton NC 28372

347 4/17/2020 8/11/2020 Gary Ryan Shelton MD 308 McDonald Ave Charlotte NC 28203

348 4/17/2020 8/11/2020 Hena Bukhari MD 11115 Crofton Overlook Court Duluth GA 30097

349 4/17/2020 8/11/2020 Sharon H. Galvin MD 107 Chester Drive Pine Grove Mills PA 16868

350 4/17/2020 8/11/2020 Syed Shoeb Qadri MD 9110 College Pointe Ct. Fort Myers FL 33919

351 4/17/2020 8/11/2020 Simpson Bobo Tanner MD 2611 West End Ave Nashville TN 37203

352 4/17/2020 8/11/2020 Arit E. Edwin-Enyenihi MD 1617 Crescent Knolls Glen Escondido CA 92029

353 4/17/2020 8/11/2020 Shantel LaShun Brooks RCP 539 Wall Road Statham GA 30666

354 4/17/2020 8/11/2020 Courtney Jenkins APRN 473 Palisade Drive St. Augustine FL 32092

355 4/17/2020 8/11/2020 Katherine J. Flaugh APRN 9825 Vale Road Vienna VA 22181

356 4/17/2020 8/11/2020 Mona Kameth Bakshi MD 820 Oakdale Drive Auburn AL 36830

357 4/17/2020 8/11/2020 Mary Holden Jones MD 528 Durham Dr. Birmingham AL 35209

358 4/17/2020 8/11/2020 Georgia Andrea Strong APRN 655 W 8th Street Jacksonville FL 32209

359 4/17/2020 8/11/2020 Jennifer Auerbach Hipp DO 15255 Max Leggett Parkway Jacksonville FL 32218

360 4/17/2020 8/11/2020 Amir Zadaka APRN 531 W. Melrose Street Chicago IL 60657

06-Jul-20 Page 19 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

361 4/17/2020 8/11/2020 Tina Marie Catanzaro DO 3954 Cordova Avenue Jacksonville FL 32207

362 4/17/2020 8/11/2020 Niraj Mahendra Mehta DO 3009 Ponder Path Keller TX 76248

363 4/17/2020 8/11/2020 Jay Paul Nagel PA 655 W. 8th Street Jacksonville FL 32209

364 4/17/2020 8/11/2020 Asha Davis RCP 888 Biscayne Blvd Miami FL 33132

365 4/17/2020 8/11/2020 Thomas Nolan Odom RCP 117 Marina Dr., NW Charleston TN 37310

366 4/17/2020 8/11/2020 Charlotte Siau RCP 210 East Main Street Harleyville SC 29448

367 4/17/2020 8/11/2020 Jacquelyn Hastings PA 1700 San Pablo, Dr., S Jacksonville FL 32224

368 4/17/2020 8/11/2020 Mary Mona Aspin MD 7065 Shakerag Road Ellijay GA 30540

369 4/17/2020 8/11/2020 Stephanie Sims MD UF Health Psychiatry-San Jose Jacksonville FL 32217

370 4/20/2020 8/11/2020 Randall Krawcheck DO 15 Madelyn Lane Fairview NC 28730

371 4/20/2020 8/11/2020 Ahmed Magdy Hassan DO 12840 Platt Dr. Frico TX 75035

372 4/20/2020 8/11/2020 Charlotte Siau RCP 210 East Main Street Harleyville SC 29448

373 4/20/2020 8/11/2020 Mark Antony LaPorta MD P O Box 456 Roseland FL 32957

374 4/20/2020 8/11/2020 Michal Szczodry MD Shriners Hospital for Children-ChicaChicago IL 60707

375 4/20/2020 8/11/2020 Rebekah Rae Chapman RCP 408 Deepwood Drive Hopkinsville KY 42240

376 4/20/2020 8/11/2020 Peter A. Smith MD Shriners Hospital for Children-ChicaChicago IL 60707

377 4/20/2020 8/11/2020 Jeffrey Ackman MD Shriners Hospital for Children-ChicaChicago IL 60707

378 4/20/2020 8/11/2020 Jodi E Bracy RCP 10624 N. 8th Street Phoenix AZ 85020

379 4/20/2020 8/11/2020 Brian Gunter MD P O Box 51541 Greenwood SC 29649

06-Jul-20 Page 20 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

380 4/20/2020 8/11/2020 Safiyya Shabazz MD 22 E. Mount Airy Ave. Philadelphia PA 19119

381 4/20/2020 8/11/2020 Roberto Enrique Ochoa Planchart MD 2561 SW 145th Avenue Miami FL 33175

382 4/21/2020 8/11/2020 Sherlonda Talat Adkins PA 4909 W. Liberty Park Circle N. Charleston SC 29405

383 4/21/2020 8/11/2020 Martha Cecilia Ballesteros MD 7303 SW 60th Street Miami FL 33143

384 4/21/2020 8/11/2020 Martha Brown APRN 841 Prudential Drive Jacksonville FL 32207

385 4/21/2020 8/11/2020 Amy Buzek PA 380 Heron Landing Road St. John's FL 32259

386 4/21/2020 8/11/2020 Michael James Ceranowski PA 1544 Glenlake Circle Niceville FL 32578

387 4/21/2020 8/11/2020 Sandro James Corti MD 9110 College Pointe Ct. Fort Myers FL 33919

388 4/21/2020 8/11/2020 Aniruddha Madhu Deshpande MD 200 Orcutt Dr. Fuilford CT 06437

389 4/21/2020 8/11/2020 Alan Lee Elliott MD 818 Deer Valley Drive Hixson TN 37343

390 4/21/2020 8/11/2020 Cathy Eng MD 777 Presgon Research Building Nashville TN 37232

391 4/21/2020 8/11/2020 Andrea Evola APRN 25 Monterey Avenue Staten Island NY 10312

392 4/17/2020 8/11/2020 Karen A. Fleck MD 841 Prudential Drive Jacksonville FL 32207

393 4/21/2020 8/11/2020 Catherine Gaelyn Garrett MD 8447 Heirloom Blvd. College Grove TN 37046

394 4/21/2020 8/11/2020 Sheree Kathleen Hall RCP 4610 Jarvis Corpus Christi TX 78412

395 4/21/2020 8/11/2020 Jennifer Clair Hughes RCP 935 Sudlow Lake Road North Augusta SC 29841

396 4/21/2020 8/11/2020 Grzegorz Brzezicki MD 1841 Atlantic Beach Dr. Atlantic Beach FL 32233

397 4/21/2020 8/11/2020 Admerle Hall Hoskins DO P O Box 768 Coppell TX 75019

398 4/21/2020 8/11/2020 Margaret Lamkin DO 1735 Vaughn Lane Montgomery AL 36106

06-Jul-20 Page 21 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

399 4/21/2020 8/11/2020 Tanya Ernestine Hunter MD 841 Prudential Drive Jacksonville FL 32207

400 4/21/2020 8/11/2020 Brocha Kagan PA 545 West Broadway Cedarhurst NY 11516

401 4/21/2020 8/11/2020 Imran Yaseen Kayani MD 9110 College Pointe Ct. Fort Myers FL 33919

402 4/21/2020 8/11/2020 Eli Kolp MD 1604 3rd Street Circle East Palmetto FL 34221

403 4/21/2020 8/11/2020 Lindsey Renee McCoy RCP 1123 Bull Run Road Luttrell TN 37779

404 4/21/2020 8/11/2020 Taylor Marie Krupp RCP 2176 Glenbury Avenue Lakewood OH 44107

405 4/21/220 8/11/2020 Josuha John Lennon MD 2424 Linkenholt Dr. Collierville TN 38017

407 4/22/2020 8/11/2020 Alexander Nguyen PA 2091 Pinellas Point Drive S St. Petersburg FL 33712

408 4/22/2020 8/11/2020 Shishir K. Khetan MD 950 N. Glebe Road Arlington VA 22203

409 4/22/2020 8/11/2020 Jennifer Ann Crozier MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

410 4/22/2020 8/11/2020 Praful Balkrishna Patel MD 8326 Amherst Hills Ln. Jacksonville FL 32256

411 4/22/2020 8/11/2020 Christian Bachman MD 7600 Mayo Street Century FL 32535

412 4/22/2020 8/11/2020 Jennifer Kay Lin DO 701 5th Ave Seattle WA 98104

413 4/22/2020 8/11/2020 Sui Li MD 9110 College Pointe Ct. Fort Myers GA 33919

414 4/22/2020 8/11/2020 Anthony Brehm MD 10299 Southern Blvd Royal Palm Beach FL 33421

415 4/22/2020 8/11/2020 Wayne Louis Kolberg RCP 17711 SR 23 South Bend IN 46635

416 4/22/2020 8/11/2020 James Patrick Johnston DO 7275 Flowes Store Road Concord NC 28025

417 4/22/2020 8/11/2020 Subhan Mohammed MD 3611 SW 34th Street Gainesville FL 32608

418 4/22/2020 8/11/2020 Hariharan Palayapalayam Ganapathi MD 653-1 West 8th Street UF College Jacksonvilleof FL 32209

06-Jul-20 Page 22 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

419 4/22/2020 8/11/2020 Jeffrey David Ricketts PA 15403 Hidden Foal Dr. Jacksonville FL 32234

420 4/22/2020 8/11/2020 Jennifer Womack MD 1102 Smoke House Drive Charlotte NC 28270

421 4/22/2020 8/11/2020 William Hammond MD 1301 Palm Avenue Jacksonville FL 32207

422 4/22/2020 8/11/2020 Akram Mouied Alashari MD 2555 S. Atlantic Ave Daytona Beach Fl 32118

423 4/22/2020 8/11/2020 Lauren Renee Moore RCP 270 Comanche Street Montevallo AL 35115

424 4/22/2020 8/11/2020 Amanda Lundberg APRN 37 Spice Mill Halfmoon NY 12065

425 4/22/2020 8/11/2020 Daniel Amoh PA 2531 Haulover Blvd. Deltona FL 32738

426 4/22/2020 8/11/2020 Allison Bechtel DO 807 Children's Way Jacksonville FL 32207

427 4/22/2020 8/11/2020 Ricky J. Simpson MD 2308 Lone Tree Tr. Edmond OK 73034

428 4/22/2020 8/11/2020 Elise Joyce Barney MD 2817 E. Elm Street Phoenix AZ 85016

429 4/22/2020 8/11/2020 Adedute A. Gbadehan MD 12411 Shelter Lane Bowie MD 20715

430 4/22/2020 8/11/2020 Christopher Robert Schneider MD 3673 Wood Hollow Road Kettering OH 45429

431 4/22/2020 8/11/2020 James Brett Chafin MD 3420 St. Johns Avenue Jacksonville FL 32205

432 4/22/2020 8/11/2020 Whitley D'nai Booth RCP 1725 Glenn Abbe Ct. St. Charles MO 63303

433 4/22/2020 8/11/2020 Vipul Mangal MD 4856 Muddler Way Fairfax VA 22030

434 4/22/2020 8/11/2020 Zaw Maung MD 701 Rollins Road Burlingame CA 94010

435 4/22/2020 8/11/2020 Jordan Danielle Bender RCP 1355 Crystal Lane Hiawassee GA 30546

436 4/22/2020 8/11/2020 Michael Daniel McCann, Jr. DO 841 Prudential Drive Jacksonville FL 32207

437 4/22/2020 8/11/2020 Tigist Girmy Mehari MD 9110 College Ponte Ct Ft. Myers FL 33919

06-Jul-20 Page 23 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

438 4/22/2020 8/11/2020 Lynnette Anne Morrison MD P O Box 364 Cave Springs AR 72718

439 4/22/2020 8/11/2020 Elena Parhomchuk APRN 841 Prudential Drive Jacksonville FL 32207

440 4/22/2020 8/11/2020 Muhammad Samir Qamar MD 851 S. Rampart Blvd. Las Vegas NV 89145

441 4/22/2020 8/11/2020 Shanna S. Garza MD 6901 Shoreview Drive McKinney TX 75072

442 4/22/2020 8/11/2020 Stephanie Agely MD 841 Prudential Drive Jacksonville FL 32207

443 4/22/2020 8/11/2020 Frank C. Vandy MD 4912 Abbott Avenue S. Minneapolis MN 55410

444 4/22/2020 8/11/2020 Zafar MD 7408 Coachman Street NE Albuquerque NM 87109

445 4/22/2020 8/11/2020 Michel Herns Gratia MD 6301 South 6 Street Road Springfield IL 62712

446 4/22/2020 8/11/2020 Brandace Kristine Reed RCP 325 Midland Pkwy Summerville SC 29485

447 4/22/2020 8/11/2020 Kenneth Gross MD 777 South Broad Street Philadelphia PA 19147

448 4/22/2020 8/11/2020 Manjit Gill APRN 395 Lake Avenue Staten Island NY 10303

449 4/22/2020 8/11/2020 Diva Arnold RCP 3635 Lansdowne Drive Belden MS 38826

450 4/22/2020 8/11/2020 William Edward Downey MD 1825 Beverly Drive Charlotte NC 28207

451 4/22/2020 8/11/2020 Jennifer Leigh Rammel MD 841 Prudential Drive Jacksonville FL 32207

452 4/22/2020 8/11/2020 Harinder Rai MD 326 East Washsington Street Ann Arbor MI 48104

453 4/22/2020 8/11/2020 Miles Sameer Raizada MD 603 Wyndham Hill Parkway Temple TX 76502

454 4/22/2020 8/11/2020 Kristin Clague Reihman MD 321 E Emmaus Avenue Allentown PA 18103

455 4/22/2020 8/11/2020 Marie Ellen Resler RCP 10200 Springmer Drive Louisville KY 40241

456 4/22/2020 8/11/2020 Enrique Amador Cortes Riera MD 9110 College Pointe Ct. Ft. Myers FL 33919

06-Jul-20 Page 24 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

457 4/22/2020 8/11/2020 Eric Thomas Rush MD 2401 Gillham Road Kansas City MO 64108

458 4/22/2020 8/11/2020 Abdo Saad MD 119 California Pine Road NE Rio Rancho NM 87124

459 4/22/2020 8/11/2020 Angelina Johnson Szuch APRN 7060 Nolen Park Circle Nolensville TN 37135

460 4/23/2020 8/11/2020 Vanessa Yap MD 10299 Southern Blvd. Royal Palm Beach FL 33411

461 4/23/2020 8/11/2020 Everald Uriah Walker MD 1010 Peck Place Hendersonville TN 37075

462 4/23/2020 8/11/2020 Frederick William Adler MD 2743 Harrison Street San Francisco CA 94110

463 4/22/2020 8/11/2020 Michael Craig Tiller DO 2152 Tremmel Avenue Ann Arbor MI 48104

464 4/23/2020 8/11/2020 Pamela Lyn Smith Trapane MD 841 Prudential Drive Jacksonville FL 32207

465 4/22/2020 8/11/2020 Lourdes Travieso MD 14351 SW 22 Street Miami FL 33175

466 4/23/2020 8/11/2020 Robert Michael Turner PA 1162 Carmel Circle #310 Casselberry FL 32707

467 4/23/2020 8/11/2020 Shelly Rhodes Weisenfeld MD 2101 Royal Fern Lane Hoover AL 35244

468 4/23/2020 8/11/2020 Suzanne Simpson Wilkins APRN 9 William Street Beaufort SC 29907

469 4/23/2020 8/11/2020 John Cromwell Wood MD 1021 Jays Way Ringgold GA 30736

470 4/23/2020 8/11/2020 Nathan Scott Woody APRN 281 N Lyerly Street Chattanooga TN 37404

471 4/23/2020 8/11/2020 Cortelius Charles Wright RCP 715 Ponderosa Ct. Fayetteville GA 30214

472 4/23/2020 8/11/2020 Taylor Marie Krupp RCP 2176 Glenbury Avenue Lakewood OH 44107

473 4/23/2020 8/11/2020 Tommelsha Fonzie RCP 310 Country Club Pkwy Maumelle AR 72113

474 4/23/2020 8/11/2020 Tequlia Re-Vell Everett RCP 400 Parkway Dr. White Hall AR 71602

475 4/23/2020 8/11/2020 Richard Ziewai Wu DO 14540 Old St. Augustine Road Jacksonville FL 32258

06-Jul-20 Page 25 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

476 4/23/2020 8/11/2020 Jason Puthottile Williams MD 918 Halcyon Ave Nashville TN 37204

477 4/23/2020 8/11/2020 Katie Barrier MD 841 Prudential Drive Jacksonville FL 32207

478 4/23/2020 8/11/2020 Kelli McAllister APRN 1169 Coach Road Slocomb AL 36375

479 4/23/2020 8/11/2020 Warren Sterling Groff MD 1903 Lakeside Dr. N. Fernandina Beach FL 32034

480 4/23/2020 8/11/2020 Angela Marie Massey APRN 4630 Ortega Blvd Jacksonville FL 32210

481 4/23/2020 8/11/2020 Mehulkumar Joshi DO 1220 Patriot Way Eastampton NJ 08060

482 4/23/2020 8/11/2020 Priya Arcot-Joshi DO 1220 Patriot Way Eastampton NJ 08060

483 4/23/2020 8/11/2020 Sandeep Grover MD University of florida - OphthalmologJacksonville FL 32209

484 4/23/2020 8/11/2020 Robert Martin Marble MD 325 Claremont Avenue Rockingham VA 22801

485 4/23/2020 8/11/2020 Joshua A. Goodstein PA 3827 18th Avenue Brooklyn NY 11218

486 4/23/2020 8/11/2020 Edgar Lee Wollam MD 12242 Big Canoe Jasper GA 30143

487 4/24/2020 8/11/2020 Federico Mariano Canavosio MD 7245 6th Street SW Vero Beach FL 32968

488 4/24/2020 8/11/2020 Heidi Yumi Lee MD 11622 Cedar Way Loma Linda CA 92354

489 4/24/2020 8/11/2020 Kevin M. Luftman MD 3443 Dickerson Pike Nashville TN 37207

490 4/24/2020 8/11/2020 Herbert Hopper MD 3443 Dickerson Pike Nashville TN 37207

491 4/24/2020 8/11/2020 Shajitha Melethil MD 2831 Preveza Ct. Jacksonville FL 32246

492 4/24/2020 8/11/2020 Robert Warren Letton Jr. MD 807 Children's Way Jacksonville FL 32207

493 4/25/2020 8/11/2020 Suleiman Issam Suleiman Al Ashi MD 4950 Iris Avenue ort Wayne IN 46825

494 4/24/2020 8/11/2020 Taran L Engelbart APRN 20905 33rd Drive SE Bothell WA 98021

06-Jul-20 Page 26 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

495 4/24/2020 8/11/2020 Gabrielle Carmen Johnson RCP 2844 Hosta Drive Charlotte NC 28269

496 4/24/2020 8/11/2020 Rita Margaret Mary Gillespie DO 1346 Brighton Way Lakeland FL 33813

497 4/24/2020 8/11/2020 Jason DeLeon MD 1346 Brighton Way Lakeland FL 33813

498 4/24/2020 8/11/2020 Anne Marie Eckhardt RCP 4523 Cloverdale Loop Hixson TN 37343

499 4/24/2020 8/11/2020 Sara Rose Eiseler MD 9110 College Pointe Ct. Fort Myers FL 33919

500 4/24/2020 8/11/2020 David Joseph Ebler MD 655 W. 8th Street Jacksonville FL 32209

501 4/24/2020 8/11/2020 Jose Emmanuel Palo MD 10299 Southern Blvd. Royal Palm Beach FL 33411

502 4/24/2020 8/11/2020 Peter Nicolai Fish MD 5 River Way Seabright NJ 07760

503 4/27/2020 8/11/2020 Johnathan Elbert Haywood RCP 5 Topridge Drive Cartersville GA 30120

504 4/27/2020 8/11/2020 Tania Nicolas RCP 1112 S Magnolia Dr. Tallahassee FL 23201

505 4/27/2020 8/11/2020 David Williamson MD 5665 New Northside Drive Atlanta GA 30328

506 4/27/2020 8/11/2020 Adnan Naeem Habib MD 10299 Southern Blvd Royal Palm Beach FL 33411

507 4/27/2020 8/11/2020 Arianna B. Smith RCP 235 West 10th Street Apopka FL 32703

508 4/27/2020 8/11/2020 Jerome Jeremy Cordova MD 6875 E Camelback Road Scottsdale AZ 87251

509 4/27/2020 8/11/2020 Carla Danielle Zingariello DO 11951 SW 32nd Ln Gainesville FL 32609

510 4/27/2020 8/11/2020 Glenlloyd Fitzgerald Fraser RCP 4519 Klondike Road lithonia GA 30038

511 4/27/2020 8/11/2020 David Gerard Rupar MD 1917 Cumberland Avenue Charlotte NC 28201

513 4/27/2020 8/11/2020 Shamsher Bakth MD 18002 Alison Park Place Tampa FL 33647

514 4/27/2020 8/11/2020 Latasha Dawn Armstrong RCP 109 Kennedy Street Red Bay AL 35582

06-Jul-20 Page 27 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

515 4/27/2020 8/11/2020 Melissa Auffenberg RCP 1 City Place Drive St. Louis MO 63141

516 4/27/2020 8/11/2020 Eddie Brown Jr. RCP 34 G and S LN Clinton SC 29325

517 4/27/2020 8/11/2020 Curtis M. Bryant MD 2015 North Jefferson Street Jacksonville FL 32206

518 4/27/2020 8/11/2020 Pamela Capik MD 5400 Hidden Trails Arlington TX 76017

519 4/27/2020 8/11/2020 Edward S. Chen MD 3759 Chateau Ridge Dr. Ellicott City MD 21042

520 4/27/2020 8/11/2020 Tiziano Colibazzi MD 51 East 25th Street New York NY 10010

521 4/27/2020 8/11/2020 Derek John William Parker PA 5049 Keowee School Road Seneca SC 29672

522 4/27/2020 8/11/2020 Charles Philip McKay MD 4735 Parview Road Charlotte NC 28226

523 4/27/2020 8/11/2020 Daniel Joseph Bonthius MD 345 Sharon Township Lane Charlotte NC 28211

524 4/27/2020 8/11/2020 Ashley Dinesh Chadha MD 3500 Broadfield Road Charlotte NC 28226

525 4/27/2020 8/11/2020 Eric Wren Cook RCP 797 Catlin Spur Road East Dublin GA 31027

526 4/27/2020 8/11/2020 Laurarose Dunn-O'Farrell PA 921 Breczewick Circle Towson MD 21286

527 4/27/2020 8/11/2020 Jim Patrick Ellison MD 302 Vicksburg Drive Tuscaloosa AL 35406

528 4/27/2020 8/11/2020 Elizabeth Nicole Fisher (Vichery) RCP 701 Industrial Park Road Goodhope AL 35055

529 4/27/2020 8/11/2020 Adam Lewis Holtzman MD 2015 North Jefferson Street Jacksonville FL 32206

530 4/27/2020 8/11/2020 Eric Michael Jackson MD 801 Hillstead Drive Lutherville MD 21093

531 4/27/2020 8/11/2020 James Phillip Jackson MD 1555 S. Havana Street Aurora CO 80012

532 4/27/2020 8/11/2020 Cristal Johnson RCP 508 4th Plaza Pleasant Grove AL 35127

533 4/27/2020 8/11/2020 Murtaza Kazmi MD 10299 Southern Blvd Royal Palm Beach FL 33411

06-Jul-20 Page 28 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

534 4/27/2020 8/11/2020 Brett Kodish MD 29-2279 Hanamalo Loop Hakalau HI 96710

535 4/27/2020 8/11/2020 Sarah Alma Logan MD 807 Children's Way Jacksonville FL 32207

536 4/27/2020 8/11/2020 William M. Mendenhall MD 2015 North Jefferson Street Jacksonville FL 32206

537 4/27/2020 8/11/2020 Yvonne Annette Patterson MD 358 Student Heath Center University Park PA 16802

538 4/27/2020 8/11/2020 Jaimie Roxas RCP 3900 5th Avenue South Birmingham AL 35222

539 4/27/2020 8/11/2020 Hortense Patricia Russell DO 127 Oakland Circle Lynchburg VA 24502

540 4/27/2020 8/11/2020 Nawal Salahuddi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

541 4/27/2020 8/11/2020 Scott Masson DO 3239 E. Scarborough Road Cleveland Heights OH 44118

542 4/27/2020 8/11/2020 Renato Blanco Jr. MD 132 Sailfish Dr. Ponte Vedro Beach FL 32082

543 4/27/2020 8/11/2020 Eadula Ujwala Sekhar MD 2423 Stearman Lane San Jose CA 95116

544 4/27/2020 8/11/2020 David Joseph Skarupa MD 655 W. 8th Street Jacksonville FL 32209

545 4/27/2020 8/11/2020 Karl Michael Duerr Spect MD 5665 New Northside Drive Atlanta GA 30328

546 4/27/2020 8/11/2020 Alejandra Maria Stewart MD 8814 Clavemorr Glenn Court Charlotte NC 28226

547 4/27/2020 8/11/2020 Michael Dodds Upton MD 237 West Shore Road South Hero VT 05486

548 4/30/2020 8/11/2020 Shelly Weisenfeld MD 5665 New Northside Drive Atlanta GA 30328

549 4/27/2020 8/11/2020 Steven Parrish Wineset MD 10025 SW 48th Place Gainesville FL 32608

550 4/27/2020 8/11/2020 Adeel Yousaf MD 7056 Founders Way Harrisburg NC 28075

551 4/28/2020 8/11/2020 Christopher Scuderi DO 96011 Park Place Fernandina FL 32034

552 4/28/2020 8/11/2020 Kevin G. Work MD 517 Soraparu St. New Orleans LA 70130

06-Jul-20 Page 29 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

553 4/29/2020 8/11/2020 Jasmin Moore RCP 9610 Wind Ridge Court Mobile AL 36695

554 4/29/2020 8/11/2020 Manisha Makker Bansal MD 10782 Waverly Bluff Way Jacksonville FL 32223

555 4/29/2020 8/11/2020 Michael John Joyce MD 807 Childrens Way Jacksonville FL 32207

556 4/29/2020 8/11/2020 Kathia Ortiz-Cantillo MD 2333 Yard Arm Way Fernandina Beach FL 32034

557 4/29/2020 8/11/2020 Zheng Zhu Topp MD 184 Cattail Circle Saint Johns FL 32259

558 4/29/2020 8/11/2020 Rafael L. Villela RCP 4928 Tonya Lee Circle Davie FL 33228

559 4/29/2020 8/11/2020 Jean-David Louis-Charles RCP 831 SW 49th Ter Margate FL 33068

560 4/29/2020 8/11/2020 Jeremy Robert Graham DO 657 Highway 348 Guntown MS 38849

561 4/30/2020 8/11/2020 Julie Ellyn Mervak MD 410 Market Street Chapel Hill NC 27516

562 4/30/2020 8/11/2020 Howard Scott Tackett PA 3179 Morgan Mill Road Brantley AL 36009

563 4/30/2020 8/11/2020 Kitty Leung MD 1401 Riverplace Blvd Jacksonville FL 32207

564 4/30/2020 8/11/2020 Scott Lee McPhee RCP 1673 Lavilla Dr. S. Jacksonville FL 32221

565 4/30/2020 8/11/2020 Deborah R. Simkin MD 4641 Gulfstarr Drive Destin FL 32541

566 4/30/2020 8/11/2020 Joshua Allen Menefee RCP 4083 Groveland Ave Sarasota FL 34231

567 4/30/2020 8/11/2020 Ryan Nicholas Pafford PA 580 West 8th Street Jacksonville FL 32209

568 4/30/2020 8/11/2020 Aaron Moore MD 2020 Orchard Road Ottawa Hills OH 43606

569 4/30/2020 8/11/2020 Stephen Ho RCP 11015 Royale Ridge Ln Houston TX 77089

570 4/30/2020 8/11/2020 Hamid Rabb MD 3571 Centennial Lane Ellicott City MD 21042

571 4/30/2020 8/11/2020 Adeel Yousaf MD 7056 Founders Way Harrisburg NC 28075

06-Jul-20 Page 30 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

572 4/30/2020 8/11/2020 Alejandra Maria Stewart MD 8814 Clavemorr Glenn Court Charlotte NC 28226

573 4/30/2020 8/11/2020 Theresa Domagola APRN 2881 Turtle Shores Drive Fernandina Beach FL 32034

574 4/30/2020 8/11/2020 Valori Hope Slane MD 3233 SW 138th Way Davis FL 33330

575 4/30/2020 8/11/2020 Richard Scott Bowies MD 120 St. Johns Forest Blvd. Jacksonville FL 32259

576 4/30/2020 8/11/2020 Roi Dagan MD 2015 North Jefferson Street Jacksonville FL 32206

577 4/30/2020 8/11/2020 Randal H. Henderson MD 2015 North Jefferson Street Jacksonville FL 32206

578 4/30/2020 8/11/2020 Gregory W. Chapman DO 13725 Bemuda Cay Ct. Jacksonville FL 32225

579 4/30/2020 8/11/2020 Alejandro Jose Luis MD 145 Belleford Ridge Road Columbia SC 29223

580 4/30/2020 8/11/2020 Thomas James Doohan MD 5665 New Northside Dr. Atlanta GA 30328

581 4/30/2020 8/11/2020 Carlos Guevarra MD 841 Prudential Drive Jacksonville FL 32207

582 4/30/2020 8/11/2020 Dahir Hassan RCP 288 Grants Lake Blvd. Sugar Land TX 77479

583 4/29/2020 8/11/2020 Silke Natasha Hunter MD 841 Prudential Drive Jacksonville FL 32207

584 4/30/2020 8/11/2020 Juli G. Horton MD 330 23rd Avenue North Nashville TN 37203

585 4/30/2020 8/11/2020 Mike M. Supplice APRN 2528 Golden Park Lane Tallahassee FL 32303

586 4/30/2020 8/11/2020 William Stewart RCP 224 N Mary Ella Panama City FL 32404

587 4/30/2020 8/11/2020 Marina Amber-Candis Sandoval RCP 5115 N Socrum 1000 Rd. Lakeland FL 33809

588 4/30/2020 8/11/2020 Gregoire Francois Jocelyn Jr. PA 183 Brower Ave Rockille Centre NY 11570

589 4/30/2020 8/11/2020 Stephanie Paulos APRN 11652 Kennedy Lane Jacksonville FL 32223

590 4/30/2020 8/11/2020 Ashley Whipple Tischler APRN 1401 Riverplace Blvd. Jacksonville FL 32207

06-Jul-20 Page 31 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

591 4/30/2020 8/11/2020 Deborah R. Simkin MD 4641 Gulfstarr Drive Destin FL 32541

592 4/30/2020 8/11/2020 Tangela Harris-Wells RCP 2400 Deerfield Drive Northport AL 35473

593 4/30/2020 8/11/2020 Mary Wagner MD 4740 NW 39th Place Gainesville FL 32606

594 4/30/2020 8/11/2020 Shannon Marie Laboy MD 580 W. 8th Street Jacksonville FL 32209

595 4/30/2020 8/11/2020 Daniel Frick DO 2331 Village Drive Louisville KY 40205

596 4/30/2020 8/11/2020 Andrea Diane Burns MD 1885 Ficus Point Drive Melbourne FL 32940

597 4/30/2020 8/11/2020 Lori Leigh Magyar APRN 2834 Estates Lane Jacksonville FL 32257

598 4/30/2020 7/27/2020 Jose Ramon Torradas MD 1435 Holicong Road New Hope PA 18938

599 4/30/2020 8/11/2020 Amy Wellman Smith RCP 24 West Broad Street Fox Worth MS 39483

600 4/30/2020 8/11/2020 Richard Casseus PA 2659 Tempest Trail Lithonia GA 30058

601 4/30/2020 8/11/2020 Charles Michael Smith, Jr. MD 1639 Peabody Avenue Memphis TN 38104

602 4/30/2020 8/11/2020 Erica Ebanks RCP 2010 Hatteras Point Lakeland FL 32304

603 4/30/2020 8/11/2020 Colleen Louis-Charles RCP 831 SW 49 Terrace Margate FL 33068

604 4/30/2020 8/11/2020 Hindi T. Mermelstein MD 1010 Northern Blvd Great Neck NY 11021

605 4/30/2020 8/11/2020 Larisa De Lima RCP 725 N Arboleda Street Clewiston FL 33440

606 4/30/2020 8/11/2020 John N. Moustoukas MD 898 Ash Street Winnetka IL 60093

607 4/30/2020 7/23/2020 Amos Pierre PA 6941 NW 46th Ct. Lauderhill FL 33319

608 5/1/2020 8/11/2020 Kristie R Mintze RCP 7825 Migration Drive Richmond VA 23231

609 5/1/2020 8/11/2020 John Andrew Ebanks RCP 2010 Hatteras Pointe Lakeland FL 33813

06-Jul-20 Page 32 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

610 5/1/2020 7/27/2020 Hardik Patel DO 132 Brownlee Circle Tifton GA 31794

611 5/1/2020 8/11/2020 Mitchell F. Grasseschi MD Shriners Hospital for Children- ChicaChicago IL 60707

612 5/1/2020 7/20/2020 Gerard Edward Farris MD 10107 Ridgecliff Road Huntersville NC 28078

613 5/1/2020 8/11/2020 Bernard Paul White MD 10299 Southern Blvd Royal Palm Beach FL 33411

614 5/1/2020 7/20/2020 Margurite Isaac APRN 1001 E Lakeview Avenue Olathe KS 66061

615 5/1/2020 8/11/2020 Tina Marie Solari APRN 60 Bridge Oak Lane St. Augustine FL 32095

616 5/4/2020 8/11/2020 Stephen Ho RCP 11015 Royale Ridge Lane Houston TX 77089

617 5/4/2020 7/13/2020 Murray Arons MD 3443 Dickerson Pike Nashville TN 7207

618 5/4/2020 8/11/2020 Ahmet Resai Bengur MD 100 Medical Park Drive NE Concord NC 28025

619 5/4/2020 8/11/2020 Heather Harper Augustyniak APRN 2268 Lake Shore Blvd. 904-382-9474 FL 32210

620 5/4/2020 7/18/2020 Joseph Costa DO Urology, 2nd Floor Faculty Clinic Jacksonville FL 32209

621 5/4/2020 8/11/2020 Ashley Merrick RCP 228 Edwin Gremillion Road Hessmer LA 71341

622 5/4/2020 8/11/2020 Joseph Anthony Paolillo Jr. MD 1001 Blythe Blvd. Charlotte NC 28203

623 5/4/2020 8/11/2020 Troy Leo MD 2309 E. 5th Street Charlotte NC 28204

624 5/4/2020 8/11/2020 Geoffrey Rose MD 315 Hempstead Place Charlotte NC 28207

625 5/4/2020 8/11/2020 George Craig Clinard MD 7266 Three Sisters Lane Concord NC 28027

626 5/4/2020 8/11/2020 Nathaniel Carter Edwards MD 1996 Farrow Drive Rock Holl SC 29732

627 5/4/2020 8/11/2020 Gonzalo Alberto Wallis MD 1001 Blythe Blvd. Charlotte NC 28203

628 5/4/2020 8/11/2020 Holly Capitano DeSena MD 1781 Tate Blvd. SE Hickory NC 28602

06-Jul-20 Page 33 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

629 5/4/2020 7/17/2020 Dunbar Alcindor MD 12847 Brodick Ct. Jacksonville FL 32224

630 5/4/2020 7/17/2020 McKenna Healy MD 337 Whitworth Way Nashville TN 37205

631 5/4/2020 8/11/2020 Bilal Mustafa MD 4809 Mulholland Drive Piano TX 75074

632 5/5/2020 8/11/2020 Marie Lynn Crandall MD 655 W. 8th Street Jacksonville FL 32209

633 5/5/2020 8/4/2020 Tara Kantharaj MD 3030 Octavia Street San Francisco CA 94123

634 5/5/2020 7/16/2020 Katherine Marie Singh APRN 13102 Tall Tree Dr S Jacksonville FL 32246

635 5/5/2020 8/4/2020 David Glenn Turner Jr. RCP 201 Lakeshore Drive Gadsden AL 35901

636 5/5/2020 8/11/2020 Brian Daniel Knox MD 4928 W. Melrose Ave N Tampa FL 33629

637 5/5/2020 8/11/2020 Sobner Aubourg PA 2149 Autumn Chase Drive Stockbridge GA 30281

638 4/28/2020 8/11/2020 Wendy Lewis RCP 1700 Demere Road Saint Simons Island GA 31522

639 5/5/2020 8/11/2020 Natalya Valeriyevna Shneyder MD 580 W 8th Str Tower 1 Jacksonville FL 32209

640 5/6/2020 8/5/2020 Marcos Valerio MD 6425 SW 102nd Ave Miami FL 33173

641 5/6/2020 8/11/2020 Kyle Alexander Wuthrich DO 2054 Riverside Avenue Jacksonville FL 32204

642 5/7/2020 7/27/2020 Amanda Joan Kocoloski DO 4525 Cameron Valley Parkway Charlotte NC 28211

643 5/6/2020 8/11/2020 Suresh Ramasubban MD 10299 Southern Blvd. Royal Palm Beach FL 33411

644 5/6/2020 8/11/2020 Rahul Bhatia MD 10406 North 58th Street Paradise Valley AZ 85253

645 5/6/2020 8/11/2020 Amy Hacker-Prietz PA 401 N. Broadway Baltimor MD 21231

646 5/6/2020 8/5/2020 Amol Kumar Narang MD John Hopkins University Baltimore MD 21287

647 5/6/2020 8/11/2020 Ayaz Pathan MD 5665 New Northside Drive Atlanta GA 30328

06-Jul-20 Page 34 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

648 5/6/2020 7/14/2020 Susan George MD 8704 Sicklebar Way Ellicott City MD 21043

649 5/6/2020 8/5/2020 David Culpepper MD 2324 Armature Ct Lexington KY 40513

650 5/6/2020 8/11/2020 Jonathan Jassey DO 2 Harvest Court Dix Hills NY 11746

651 5/6/2020 8/11/2020 David K. Close MD 961 Spring Creek Road Chattanooga TN 37412

652 5/6/2020 8/11/2020 Yasmine M. Swistek APRN 8356 Deer Run Circle OOLTEWAH TN 37363

653 5/6/2020 8/11/2020 Siobhan A. Duff MD 961 Spring Creek Road Chattanooga TN 37412

654 5/6/2020 8/11/2020 Robert A. Drake MD 961 Spring Creek Roa Chattanooga TN 37412

655 5/6/2020 8/11/2020 Monique H. Golding MD 961 Spring Creek Road Chattanooga TN 37412

656 5/6/2020 7/20/2020 Alexander E. Marsh MD 5920 E Prairiewood Dr. Grand Forks ND 58201

657 5/6/2020 7/20/2020 Makisha A. Gamble RCP 215 Hood Street St. Stephen SC 29479

658 5/6/2020 8/11/2020 Charlotte O'Neil Bedsole APRN 3477 Pinetree Road Jacksonville FL 32250

659 5/8/2020 8/8/2020 Charles William Lester MD 9875 SW 159 Path Miami FL 33196

660 5/7/2020 8/11/2020 Dimitrios Tsirigotis MD 633 East Main Street Louisville KY 40202

661 5/7/2020 8/11/2020 Beverly J. McPherson RCP 1 CityPlace Drive St. Louis MO 63141

662 5/7/2020 7/27/2020 Joshua M. Pahys MD 3551 N Broad Street Philadelphia PA 19140

663 5/7/2020 8/5/2020 Bijoy Easso John MD 5259 McGavock Road Brentwood TN 37027

664 5/7/2020 8/11/2020 Scott L. Silliman MD 580 West 8th Street Jacksonville FL 32209

665 5/7/2020 7/16/2020 Ryan Crooks MD 1544 Talbot Ave Jacksonville FL 32205

666 5/7/2020 8/11/2020 Suparna R. Krishnaiengar MD 4340 Chelsea Harbor Dr W Jacksonville FL 32224

06-Jul-20 Page 35 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

667 5/7/2020 8/11/2020 Noel Espinosa-Sanchez MD 26030 Meadow Breeze Lane Leesburg FL 34748

668 5/7/2020 8/11/2020 Patricia Joachim-Georges RCP 229 Bella Vista McDonough GA 30253

669 5/8/2020 8/11/2020 Briana Kali Lester MD 700 Terrace Heights Winona MN 55986

670 5/8/2020 8/11/2020 Anthony Ray Perkins MD 635 W. 424 St. New York NY 10036

671 5/8/2020 8/11/2020 Paul Edward Kobza DO 4 Chelsea Blvd. Houston TX 77006

672 5/7/2020 8/11/2020 Timothy Mark Jenkins PA 4725 Wilson Ave. Signel Mtn TN 37377

673 5/7/2020 8/11/2020 Natalie K. McQueen PA 40 Keystone Drive NE Cleveland TN 37312

674 5/7/2020 8/11/2020 Katelyn W. Bales APRN 1417 Market Street Chatt TN 37402

675 5/7/2020 8/11/2020 Sarah E. Snyder APRN 12207 Posey Hollow Road Soddy Daisy TN 37379

676 5/8/2020 8/11/2020 Jennifer Brooke Hale MD 9204 Heydon Hall Circle Charlotte NC 28210

677 5/8/2020 8/11/2020 Benjamin Keveson 10650 Park Road Charlotte NC 28210

678 5/8/2020 7/27/2020 Grigor Badalyan MD 3017 Highbury Place Weddington NC 28104

679 5/8/2020 7/27/2020 Gregory Scott Pape MD 3068 Hwy 130 East Shelbyville TN 37160

680 5/8/2020 7/27/2020 Kinnarsh Sureshbhai Patel MD 210 Kindling Wood Lane Waxhaw NC 28173

681 5/8/2020 7/27/2020 Chau Chu Taylor MD 3990 Brunswick Dr. Harrisburg NC 28075

682 5/8/2020 7/27/2020 John Albert Mitchell MD 914 Blue Crab Way Mt. Pleasant SC 29464

683 5/8/2020 7/27/2020 Jason Saint Zolak MD 2200 Charlotte Drive Charlotte NC 28203

684 5/8/2020 7/27/2020 Farshad Farnejad MD 2015 Weddingto Lake Dr. Weddington NC 28104

685 5/8/2020 7/27/2020 Yaakov Friedman MD 3116 W. Fargo Avenue Chicago IL 60645

06-Jul-20 Page 36 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

686 5/8/2020 7/27/2020 Sai Praveen Haranath MD 10299 Southern Blvd Royal Palm Beach FL 33411

687 5/8/2020 7/27/2020 Benjamin D. Bringardner MD 1503 Mt. Isle Harbor Dr. Charlotte NC 28214

688 5/8/2020 7/27/2020 Jonathan Jassey DO 2 Harvest Court Dix Hills NY 11746

689 5/8/2020 8/4/2020 Anthony Dallas MD 108 Franklin Circle Portland TN 37148

690 5/8/2020 8/11/2020 Michael Steven Reif MD 1621 Biltmore Drive Charlotte NC 28207

691 5/8/2020 8/11/2020 Pierre Margjoni RCP 2911 NW 57th Place Gainesville FL 32653

692 5/8/2020 8/11/2020 Carlos Roig MD 3545 NE 167th Street Miami Beach FL 33160

693 5/8/2020 7/23/2020 Michel Wagner MD 19489 Raven Drive Louisville NE 68937

694 5/11/2020 8/11/2020 Anna H. Matusiewicz MD Cornell Health Ithaca NY 14853

695 5/11/2020 8/8/2020 Rachel Lauren Clark APRN Cornell Health Ithaca NY 14853

696 5/11/2020 8/11/2020 Martin Musumbi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

697 5/11/2020 8/8/2020 Waqar Kashif MD 10299 Southern Blvd. Royal Palm Beach FL 33411

698 5/11/2020 8/11/2020 Nancy Price Mendenhall MD 2015 North Jefferson Street Jacksonville FL 32206

699 5/11/2020 8/8/2020 Michael S. Rutenberg MD 2015 North Jefferson Street Jacksonville FL 32206

700 5/11/2020 8/11/2020 Elron J. Wallace MD 96 Tarragon Lane Edgewater MD 21037

701 5/11/2020 8/11/2020 Jeffrey Paul Borkoski MD 8522 NW 190 Terrace Alachua FL 32615

702 5/11/2020 8/11/2020 Cara Kistler MD 5643 Merry Moont Drive Charlotte NC 28226

703 5/11/2020 8/8/2020 Brett Stuart Malone MD 3111 S. Lochlomond Drive Springfield MO 65804

704 5/11/2020 8/11/2020 Chuka Godwin Enebeli MD 6906 Dimarco Road Tampa FL 33634

06-Jul-20 Page 37 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

705 5/11/2020 8/11/2020 Richard D. Moody MD 961 Spring Creek Road Chattanooga TN 37412

706 5/12/2020 8/11/2020 Brittany C. Turner RCP 201 Lakeshore Drive Gadsden AL 35901

707 5/12/2020 8/11/2020 Cale D. Baskin PA 3726 Manson Pike Murfreesboro TN 27129

708 5/12/2020 8/12/2020 Daniel Paul Maman PA 1048 Steppe Eagle Avenue Henderson NV 89015

709 5/12/2020 8/11/2020 Ashley Nicole Nations RCP 109 Old Mill Lane Ringgold GA 3036

710 5/12/2020 7/23/2020 Matthew Paul Kochuba MD 655 W. 8th Street Jacksonville FL 32209

711 5/12/2020 8/12/2020 Marswaintra Zanshawn Moore RCP 287 Dunbar Cave Road Clarksville TN 37043

712 5/12/2020 7/23/2020 Albert T. Hsu MD 655 W. 8th Street Jacksonville FL 32209

713 5/12/2020 7/27/2020 Julie Ann Bradley MD 2015 North Jefferson Street Jacksonville FL 32206

714 5/12/2020 7/27/2020 Scott Shannon Lindblom MD 2720 Moss Spring Road Charlotte NC 28270

715 5/12/2020 8/11/2020 Taylor Shea Fleury RCP 10 Stacey Drive Hopkinton NH 03229

716 5/12/2020 8/8/2020 Gregory Wallace Stewart MD 1415 Tulane Avenue New Orleans LA 70112

717 5/12/2020 8/8/2020 Elmer Luis Quintero MD 137 Midle Street Niskayuna NY 12309

718 5/13/2020 8/11/2020 Joi Levett Grigsby RCP 3682 Graham's Port Lane Snellville GA 30039

719 5/14/2020 8/11/2020 Josette St Hilaire RCP 4099 Arthurium Avenue Lake Worth FL 33462

720 5/14/2020 7/17/2020 Peter Smith MD 6405 Dalston Street Baltimore MD 21220

721 5/14/2020 8/8/2020 Gene E. Walker Jr. MD 113 Hypoint Street Gadsden AL 35901

722 5/14/2020 8/11/2020 Donald No MD 9901 Washington Blvd. Culver City CA 90232

723 5/14/2020 8/12/2020 Denis Thomas RCP 3405 North Shepherd Houston TX 77018

06-Jul-20 Page 38 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

724 5/14/2020 8/11/2020 Denny Hong MD 63 Wessix Court Daly City CA 94015

725 5/14/2020 8/11/2020 Karen S. Shimshak MD Nemours Children's Specialty CareJacksonville FL 32207

726 5/14/2020 8/11/2020 Elizabeth Moran MD 4339 Fairway Drive Jacksonville FL 32210

727 5/14/2020 8/11/2020 Shirley Alleyne MD 13410 English Peak Court Jacksonville FL 32258

728 5/14/2020 8/14/2020 Richard Daniel Sue MD 119 Santa Ynez Dr. Arcadia CA 91007

729 5/14/2020 8/12/2020 Adarsh Kumar Srivastava MD 1325 Grace Ave Cincinnati OH 45208

730 5/14/2020 7/23/2020 Kokeisha D. Johnson RCP 619 Walnut Grove Dr. Pearl MS 39208

731 5/14/2020 8/11/2020 Khai-EL Johnson MD 2501 K St. NW #1A Washington DC 20037

732 5/14/2020 8/11/2020 Scott H. Kozin MD 3551 N Broad Street Philadelphia PA 19140

733 5/14/2020 8/11/2020 Bonnie Riportella DO 1260 Piney Woods Path The Villages FL 32163

734 5/14/2020 8/11/2020 Kanishka Wijegunaratne MD 340 Hauser Blvd. Los Angeles CA 90036

735 5/14/2020 8/11/2020 Edward S Kraus MD 6115 Benhurst Road Baltimore MD 21209

736 5/15/2020 8/11/2020 Sarah Nicole Bitzas RCP 438 Bottesford Drive NW Kennesaw GA 30144

737 5/15/2020 8/5/2020 Clifford Sussman MD 5410 Connecticut Ave NS Washington DC 20015

738 5/15/2020 8/11/2020 Jennifer Miller MD 2001 SW 102nd Terr Gainesville FL 32607

739 5/15/2020 8/11/2020 Darrius Landy RCP 1413 Broughton Street Bainbridge GA 39817

740 5/15/2020 8/11/2020 Amiee Dickerson RCP 1529 Sunset Drive Jacksonville FL 32250

741 5/15/2020 8/11/2020 Francis Wang MD 75 Mt Auburn Street Cambridge MA 02138

742 5/15/2020 8/14/2020 Julio Rodriguez RCP 5196 SW 90 Terrance Ft Lauderdale FL 33328

06-Jul-20 Page 39 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

743 5/15/2020 8/11/2020 Cathy Ann Stevens MD 910 Blackford Street Chattanooga TN 37403

744 5/15/2020 8/14/2020 Eftim Adhami MD 1117 NW 98th Street Gainesville FL 32606

745 5/15/2020 8/11/2020 Elizabeth Toby Chorney MD 9429 S Star Hill Cir Lonetree CO 80124

746 5/15/2020 8/11/2020 Erika Hamilton MD 250 25th Avenue N. Nashville TN 37203

747 5/15/2020 8/11/2020 Michelle McClain Calabro MD 709 N Dekalb Street Shelby NC 28152

748 5/15/2020 7/14/2020 Rebecca Fuqua APRN 4035 Skyland Drive Kingsport TN 37664

749 5/15/2020 8/11/2020 Chad H. Peterson PA 2675 Big Sewickley Creek Road Sewikley PA 15143

750 5/15/2020 8/11/2020 Howard Katzenstein MD 1720 Atlantic Beach Drive Atlantic Beach FL 32233

751 5/15/2020 8/11/2020 Jeanine C. Shah MD 1214 N. Marion Court Chicago IL 60622

752 5/15/2020 8/11/2020 Emily Johnson MD Johns Hopkins Baltimore MD 21287

753 5/22/2020 8/11/2020 William Norman Lane, Jr. MD 259 High Circle Mooresville NC 28117

754 5/15/2020 8/11/2020 Anup Vora MD 17908 Toboggan Lane Rockville MD 20855

755 5/15/2020 8/11/2020 Kathryn Elaine Rivers RCP 1602 Magwilliams Road Chickamauga GA 30707

756 5/15/2020 8/11/2020 Katherine Byra MD 13770 Beach Blvd. Jacksonville FL 32224

757 5/15/2020 8/11/2020 Maria Teresa Valdes MD 13241 Bartram Park Blvd. Jacksonville FL 32258

758 5/15/2020 8/11/2020 Paul J. Leadem Jr. MD 13241 Bartram Park Blvd. Jacksonville FL 32258

759 5/15/2020 8/11/2020 Ashraf Abu Affan MD 13241 Bartram Prk Blvd. Jacksonville FL 32258

760 5/15/2020 8/11/2020 Barbara O'Reilly MD 13770 Beach Blvd. Jacksonville FL 32224

761 5/15/2020 8/11/2020 Jeremy Screws MD 4016 Breakwater Drive Hixson TN 37343

06-Jul-20 Page 40 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

762 5/15/2020 7/13/2020 Rbert Martin Marble MD 325 Claremont Avenue Rockingham VA 22801

763 5/15/2020 7/13/2020 David Robert Kang MD 849 N. Franklin Street Chicago IL 60610

764 5/15/2020 8/14/2020 Xiulian Chen MD 851 SW Normandy Terrace Normandy Pakr WA 98166

765 5/15/2020 8/11/2020 Mohammad Qasim Baig MD 2814 44th Street Ct NE Tacoma WA 98422

766 5/18/2020 8/11/2020 Melissa A. Moser APRN 8391 Lexie Lane Ooltewah TN 37363

767 5/18/2020 8/11/2020 Sunil Paul Keshwah MD 1333 S. Wabash Ave Chicago IL 60605

768 5/18/2020 8/8/2020 Raymond Bernard Mailhot MD 2015 North Jefferson Street Jacksonville FL 32206

769 5/18/2020 8/11/2020 Romaine Charles Nichols MD 2015 North Jefferson Street Jacksonville FL 32206

770 5/18/2020 8/18/2020 Abhishake Raina MD P O Box 388 Hartsdale NY 10530

771 5/18/2020 8/8/2020 Cheryl Grace Baxter APRN 3586 Skipstone Place Columbus OH 43221

772 5/18/2020 8/11/2020 Kenneth D. Mullins RCP 1508 Ebenezer Church Road Memphis IN 47143

773 5/18/2020 8/11/2020 Katherine Ann Zarroli MD UF Health Neurology - JacksonvilleJacksonville FL 32209

774 5/19/2020 7/23/2020 Anne Marie Eckhardt RCP 4523 Cloverdale Loop Hixson TN 37343

775 5/19/2020 8/11/2020 Rosa M. Huguet MD 13713 SW 38 Street Miami FL 33175

776 5/19/2020 8/18/2020 Joel C. Ledbetter MD 2157 Shirewood Lane Signal Mtn TN 37377

777 5/19/2020 8/18/2020 Ankur Gupta MD 1247 Woodward Ave Detroit MI 48226

778 5/19/2020 8/11/2020 Ruchira Singh MD 653-1 W. 8th Street Jacksonville FL 32246

779 5/19/2020 8/11/2020 Douglas Gladstone MD 1909 Pot Spring Road Lutherville MD 21093

780 5/19/2020 8/8/2020 Melody B. Msiska MD 8901 River Crossing Blvd. Indianapolis IN 46240

06-Jul-20 Page 41 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

781 5/19/2020 8/14/2020 Chelsea Caroline Capone, Perfusioni 112 Golden Eagle Lane Brisbane CA 94005

782 5/20/2020 8/11/2020 Sean Matthew Jones DO 105 W College Street Black Mountain NC 28711

783 5/20/2020 8/11/2020 Lynsey Keach Schlotzer MD 841 Prudential Drive Jacksonville FL 32207

784 5/20/2020 8/11/2020 Matthew James Thompson MD 841 Prudential Drive Jacksonville FL 32207

785 5/20/2020 7/16/2020 Vani Shree Vallabhaneni MD 10601 Pecan Park Blvd; Austin TX 78750

786 5/20/2020 8/14/2020 Luis Gaspar Maduro Padilla MD 500 Condominio Paseo del Rio Humacao PR 00791

787 5/20/2020 8/11/2020 Lucy Mange Chartier APRN 8233 Hillside Drive Raleigh NC 27612

788 5/21/2020 8/17/2020 Leslie Harris Jr. MD 8192 Longneedle Place Montgomery AL 26117

789 5/21/2020 8/11/2020 James Marshall Groneck Perfusionist 2065 La Chandelle Ct. Brookfield WI 53045

790 5/21/2020 8/11/2020 George K. Cleland PA 27 Pinetree Circle Valdosta GA 31601

791 5/21/2020 7/17/2020 Joshua Flatow MD 320 Pine Avenue Long Beach CA 90802

792 5/22/2020 8/11/2020 Melissa Tsuboyama MD 114 Riverway Boston MA 02215

793 5/22/2020 8/11/2020 Cara Kistler MD 5643 Merry Moont Dr. Charlotte NC 28226

794 5/22/2020 8/11/2020 Dileep Raman MD 10299 Southern Blvd. Royal Palm Beach FL 33411

795 5/22/2020 8/11/2020 Ritu Dave' MD 1321 Upland Drive Houston TX 77043

796 5/22/2020 8/11/2020 Cheryl M. Weyers MD 1025 Brafford Dr. Concord NC 28025

797 5/22/2020 8/11/2020 Neveen Habashi MD 501 N. Aspen Street Lincolnton NC 28092

798 5/20/2020 8/11/2020 Jawad Iqbal MD 518 33rd Ave Ct NW Gig Harbor WA 98335

799 5/22/2020 8/11/2020 Hashir Majid MD 10299 Southern Blvd. Royal Palm Beach FL 33411

06-Jul-20 Page 42 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

800 5/22/2020 8/11/2020 Kinila T. Mohan MD E1-802, Waters Edge, Vishal NagarPune MH 411027

801 5/22/2020 8/11/2020 Dela Cruz Anton Micael Katigbak MD 10299 Southern Blvd Royal Palm Beach FL 33421

802 5/22/2020 8/11/2020 Matthew Abraham MD 29 Miller Avenue SW Concord NC 28025

803 5/22/2020 8/11/2020 Kamal Chater MD 920 Church Street Concord NC 28025

804 5/22/2020 8/11/2020 James Kenneth Roberts MD 4401 Forest Hills Drive Charlotte NC 28226

805 5/1/2020 8/11/2020 Rebecca Elizabeth Burkhart MD 8611 Concord Mills Blvd. Concord NC 28078

806 5/1/2020 8/11/2020 Steve Everett Herndon MD 125 Doughty Street Charleston SC 29403

807 5/7/2020 8/11/2020 Scott Anthony Crane MD 1235 Delaney Drive Weddington NC 28204

809 5/1/2020 8/11/2020 Amy Watson MD 13528 Evening Primrose Drive Davidson NC 28036

810 5/1/2020 8/11/2020 Steven Kadiev MD 3421 Walston Lane Charlotte NC 28211

811 5/1/2020 8/11/2020 Sunil Kmat MD 10299 Southern Blvd. Royal Palm Beach FL 33411

812 5/1/2020 8/11/2020 Azeem Elahi MD 2442 Christenbury Hall Dr. NW Concord NC 28027

813 5/2/2020 8/11/2020 Susan Lynn Evans MD 2224 Club Road Charlotte NC 28205

814 5/4/2020 8/11/2020 Toan Thiet Huynh MD 15831 Strickland Ct. Charlotte NC 28277

815 5/2/2020 8/11/2020 Aishwarya Palwai MD 12414 Old Timber Road Charlotte NC 28269

816 5/4/2020 8/11/2020 Reddy Sreenivas Singasani MD 10299 Southern Blvd. Royal Palm Beach FL 33411

817 5/4/2020 8/11/2020 Lakshmiprya Kasirajan MD 11304 Hawthorne Drive Mint Hill NC 28227

818 5/4/2020 8/11/2020 Soumya Parimi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

819 5/5/2020 8/11/2020 Jason Earl Gunn MD 125 Doughty Street Charleston SC 29403

06-Jul-20 Page 43 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

820 5/6/2020 8/11/2020 Anil Prem Jotwani MD 2501 Chelsea Place Court Charlotte NC 28211

821 5/7/2020 8/11/2020 Jaspal Singh MD 2923 Providence Trail Lane Charlotte NC 28270

822 5/12/2020 8/11/2020 Alan C. Heffner MD 2146 Roswell Avenue Charlotte NC 28207

823 5/22/2020 8/11/2020 Michael Brian Green MD 2905 Windsor Avenue Charlotte NC 28209

824 5/22/2020 8/11/2020 Michael Andrew Zgoda MD 7919 Deerbridge Street Mint Hill NC 28227

825 5/22/2020 8/11/2020 Christopher David Russell MD 4731 Binfords Ridge Road Charlotte NC 28226

826 5/22/2020 8/11/2020 Krista D. Pellicore MD 5313 N Oro Vista Ct. Litchfield Park AZ 85340

827 5/22/2020 8/11/2020 Michael Hoonbae Chung MD 96 Selman Street SE Atlanta GA 30316

828 5/22/2020 8/11/2020 Anne Gurlan Dangerfield (Anne Gurl MD 5 Johnson Avenue Medlord Ma 02155

829 5/22/2020 8/11/2020 David Franz MD 545 Evergreen Dr. Springboro OH 45066

830 5/22/2020 8/11/2020 Katherine E. Rowan MD 71 Washington Street Babylon NY 11702

831 5/21/2020 8/11/2020 Gina Glass MD 137 Europa Blvd Cherry Hill NJ 08003

832 5/21/2020 8/11/2020 Sheeva Rajaei MD 721 Presidential Drive Horsham PA 19044

833 5/21/2020 8/11/2020 Daniel M. Goldman MD 111 Lucerne Blvd. Cherry Hill NJ 08003

834 5/21/2020 8/11/2020 Nitin D. Desai MD 1139 Offshore Drive Fayetteville NC 28305

835 5/26/2020 8/11/2020 Anitricia Denise Harris DO 8192 Longneedle Place Montgomery AL 36117

836 5/26/2020 8/11/2020 Emily Aventura MD 10299 Southern Blvd. Royal Palm Beach FL 33411

837 5/26/2020 8/11/2020 Ann Marie Baker MD 8759 New Holland Lane Mechanicsville VA 23116

838 5/26/2020 8/11/2020 Candance Renay Smalls RCP 308 Oak Street E. Hampton SC 29924

06-Jul-20 Page 44 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

839 5/26/2020 8/11/2020 Muhammad Atif Rashad MD 1392 Founders Way Mount Pleasant SC 29464

840 5/26/2020 8/11/2020 Diane Sophia Ford RCP 6574 East Brainerd Road Chattanooga TN 37421

841 5/26/2020 8/11/2020 Aviral Roy MD 10299 Southern Blvd Royal Palm Beach FL 33411

842 5/26/2020 8/11/2020 Jennifer LeAnn Welch RCP 3023 Spring Street Catoosa OK 74015

843 5/26/2020 8/11/2020 Russell Wesley Homan MD 908 Shadowlawn Drive Tallahassee FL 32312

844 5/27/2020 8/11/2020 Ian W Flinn MD 250 25th Ave. N Nashville TN 37203

845 5/27/2020 8/11/2020 Thomas Kuciejczyk-Kernan MD 627 Sunnyside Avenue Webster Groves MO 63119

846 5/27/2020 8/11/2020 Kristin L Strawhun MD 4000Sherbrooke Drive Charlotte NC 28210

847 5/27/2020 8/11/2020 Carla Rae Nordstrom MD 4 Chambers Circle West Lebanon NH 03784

848 5/27/2020 8/11/2020 Susan Lynn Evans MD 2224 Club Road Charlotte NC 28205

849 5/27/2020 8/11/2020 James Joseph Carswell IV MD 125 Doughty Street Charleston SC 29403

850 5/27/2020 8/11/2020 Arash Ansari MD 161 Beech Street Belmont MA 02478

851 5/27/2020 8/11/2020 Gina Glass MD 137 Europa Blvd. Cherry Hill NJ 08003

852 5/28/2020 8/11/2020 Ranjini Murali Krishnan MD 1701, 94th Avenue NE Clyde Hill WA 98004

853 5/28/2020 8/11/2020 Janice Elaine Brunstrom-Hernandez MD 7709 San Jacinto Place Plano TX 75024

854 5/28/2020 8/11/2020 Doris C. Cifuentes MD 15240 NW 89th Avenue Hialeah FL 33018

855 5/28/2020 8/11/2020 Michael F Oakes MD 6565 Olde Stage Road Boulder CO 80302

856 5/28/2020 8/11/2020 Joni Collins Ricketts PA 1819 Hawkcrest Drive Jacksonville FL 32259

857 5/28/2020 8/11/2020 Bonnie Riportella DO 1260 Piney Woods Path The Villages FL 32163

06-Jul-20 Page 45 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

858 5/29/2020 8/11/2020 Jacqueline Helene Slakoper Delessio DO 626 Highponte Circle Langhorne PA 19047

859 5/29/2020 8/11/2020 Frank Diether Aprile (Perfusionist) 10380 Hemlock Avenue Paris MI 49338

860 5/29/2020 8/11/2020 Julie Copeland RCP 133 Lake Front Drive Daphne AL 36526

861 5/29/2020 8/11/2020 Wachovia Chanta Banks DO 1175 Grey Pine Drive Blythewood SC 29016

862 5/29/2020 8/11/2020 David Scott Ross MD 841 Prudential Drive Jacksonville FL 32207

863 5/29/2020 8/11/2020 Jaishri Blakeley MD 603 West Joppa Road Towson MD 21204

864 5/29/2020 8/11/2020 Steve Plouffe RCP 1105 East Francis Drive Palm Springs CA 92262

865 5/29/2020 8/11/2020 Mark Brodeur MD 841 Prudential Drive Jacksonville FL 32207

866 6/2/2020 8/11/2020 Abhinav Agarwal MD 6010 63rd Ave Ct. NW Gia Harbor WA 98335

867 6/2/2020 8/11/2020 Fernando Woll Plenge MD 10299 Southern Blvd. Royal Palm Beach FL 33411

868 6/2/2020 8/11/2020 Melanie Winegar APRN 323 Old Persia Road Rogersville TN 37857

869 6/2/2020 8/11/2020 Samir Patel MD 3060 Pharr Court North NW Atlanta GA 30305

870 6/2/2020 8/11/2020 Mark C Wilson MD 221 Merion Drive Pittsburgh PA 15228

871 6/4/2020 8/11/2020 Ivorique' Orenna Turner DO 102 Queensland Florida Ponte Vedra FL 32081

872 6/4/2020 8/11/2020 Shanee Owens APRN 9029 Chaffin Lane Chattanooga TN 37421

873 6/4/2020 8/11/2020 Amanda Tedstrom MD 979 E 3rd St. Chattanooga TN 37403

874 6/4/2020 8/11/2020 Steven Gary Fein MD 5825 SW 117th Street Coral Gables FL 33156

875 6/5/2020 8/11/2020 Sushil Rao Puskur MD 1740 SE 18th Street Ocala FL 34471

876 6/5/2020 8/11/2020 Linda Bluestein MD 225 S Executive Drive Brookfield WI 53005

06-Jul-20 Page 46 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

877 6/5/2020 8/11/2020 Donna M Baldwin DO 3513 Brighton Blvd. Denver CO 80216

878 6/5/2020 8/11/2020 Tracy M. Dozier MD 166 N. Crest Road Chattanooga TN 37404

879 6/5/2020 8/11/2020 Jaishri Blakeley MD 603 West Joppa Road Towson MD 21204

880 6/8/2020 8/11/2020 Boby Ukken APRN 1250 SW 27th Avenue Coral Gables FL 33135

881 6/8/2020 8/11/2020 Bijoy Easso John MD 5259 McGavock Road Brentwood TN 37027

882 6/8/2020 8/11/2020 Mark Christopher Wilson MD 1400 Crane Road Waxhaw NC 28173

883 6/10/2020 8/11/2020 Fernando Windemuller MD 1501 Chamberlain Avenue Chattanooga TN 37404

884 6/11/2020 8/11/2020 Linda Suzanne Gifford DO 141 Wiley Road Naples ME 04055

885 6/12/2020 8/11/2020 Allan Joel Belzberg MD 8419 Greenspring Avenue Pikesville MD 21208

886 6/12/2020 8/11/2020 Jean Corioland RCP 620 SW 28 St. Miramar FL 33023

887 6/12/2020 8/11/2020 Arom Evans MD 200 2nd Avenue S. Saint Pete FL 33701

888 6/12/2020 8/11/2020 Alan C. Heffner MD 2146 Roswell Avenue Charlotte NC 28207

889 6/12/2020 8/11/2020 Lorynn Ashley Hunter DO 4500 140th Ave. Clearwater FL 33762

890 6/12/2020 8/11/2020 ChaRandle Jordan MD 4315 Hwy 39 N Meridian MS 39301

891 6/12/2020 8/11/2020 Rebecca Twersky-Kengmana MD 5209 Fieldston Road Bronx NY 10471

892 6/12/2020 8/11/2020 Sook Kyung Yoon MD 6401 Offshore Drive Madison WI 53705

893 6/16/2020 8/11/2020 Maria Cristina LaJonchere-Ruenger MD Harvard University Health ServicesCambridge MA 02138

894 6/16/2020 8/11/2020 Sara C Herstad DO 3513 Brighton Blvd. Denver CO 80216

895 6/16/2020 8/11/2020 Marcia Wendy Suval MD 22 Gilderview Drive Simpsonville SC 29681

06-Jul-20 Page 47 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

896 6/17/2020 8/11/2020 Mansoor Sheikh MD 1763 S Citus Cove Mesa AZ 85204

897 6/17/2020 8/11/2020 Leslie Armstrong Turner APRN 1162 Hidden Creek Drive Chattanooga TN 37405

898 6/17/2020 8/11/2020 Steven Andrew Wasson RCP 158 Dixboro Drive Jonesboro GA 30238

899 6/18/2020 8/11/2020 Jennifer Rose Walton MD 700 Children's Drive, LA-3D Columbus OH 43205

900 6/18/2020 8/11/2020 Bret Robert Scher MD 5275 Raven Hill PT. San Diego CA 92130

901 6/18/2020 8/11/2020 Aditi S. Hendi MD 525 S. Church Street Charlotte NC 28202

902 6/19/2020 8/11/2020 Rami Abboud MD 1654 Village Center Dr. Lakeland FL 33803

903 6/19/2020 8/11/2020 Justin C. Chang MD 3513 Brighton Blvd. Denver CO 80216

904 6/19/2020 8/11/2020 Raymond Christopher Howard APRN 5541 Abby Grace Loop Chattanooga TN 37415

905 6/19/2020 8/11/2020 Daniel Guerra MD 10720 SW 73rd Avenue Pinecrest FL 33156

906 6/19/2020 8/11/2020 Jonathan Thomas Mills MD 8665 Summit Peak Way Oolewah TN 37363

907 6/19/2020 8/11/2020 Steven Robert Phillips DO 325 Four Leaf Lane Charlottesville VA 22903

908 6/22/2020 8/11/2020 Hubertus Franz Kiefl MD 15 Atherton Avenue Roslindale MA 02131

909 6/22/2020 8/11/2020 Delanya Allen MD 67 Madison Avenue Memphis TN 38103

910 6/23/2020 8/11/2020 Danial Arshad Soleja MD 7223 Switchgrass Road Frisco TX 75033

911 6/23/2020 8/11/2020 Darren Doyle Phelan MD 60 Winchester Dr. Atherton CA 94027

912 6/23/2020 8/11/2020 Nathan David Lewandwski MD 1558 Shasta Avenue San Jose CA 95126

913 6/23/2020 8/11/2020 Patricia Roukee Sitnitsky MD 3719 Heron Way Palo Alto CA 94303

914 6/23/2020 8/11/2020 Guha Krishnaswamy MD 1176 Oakencroft Court Lewisville NC 27023

06-Jul-20 Page 48 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

915 6/23/2020 8/11/2020 Jeremy Rackley MD 105 Ainslie Street Brooklyn NY 11211

916 6/23/2020 8/11/2020 Karisten R Djernes MD 2530 Wessex Lane Chattanooga TN 37421

917 6/25/2020 8/11/2020 Paul Arthur Lawrence MD 7468 Good Earth Circle Ooltewah TN 37363

918 6/25/2020 8/11/2020 Zachary Jones PA 113 Marlee Court Leesburg GA 31763

919 6/25/2020 8/11/2020 Lorrin David Martin MD 7835 Early Morning Street Fulton MD 20759

920 6/25/2020 8/11/2020 Cara Freeland Hennings MD 7 Rock Crest Lane Signal Mnt TN 37377

921 7/1/2020 8/11/2020 Douglas W. Ball MD 1 Glen Ellen Court Towson MD 21286

922 7/1/2020 8/11/2020 Gray Clark Stahlman MD 401 Bowling Avenue Nashville TN 37205

923 7/1/2020 8/11/2020 Michael Britt MD 979 E 3rd Street Chattanooga TN 37403

924 7/1/2020 8/11/2020 Elizabeth L. S. Turner MD 979 East 3rd Chattanooga TN 37403

925 7/1/2020 8/11/2020 Brandon Brown MD 1635 Gunbarrel Chattanooga TN 37421

926 7/1/2020 8/11/2020 Stephanie L. Sutton APRN 8499 Lexie Lane Ooltewah TN 37363

927 7/1/2020 8/11/2020 Naina Sharma MD 1200 Dodson Avenue Chattanooga TN 37406

928 7/1/2020 8/11/2020 Sonya LaShawn Johnson-Crum MD 1634 Brandi Lane Hixson TN 37343

929 7/1/2020 8/11/2020 Talundria NeShae Hinton APRN 1400 Chestnut Street Chattanooga TN 37402

930 7/1/2020 8/11/2020 Steven Wright Cooper MD 1200 Dodson Avenue Chattanooga TN 37406

931 7/1/2020 8/11/2020 Emily Cleveland Ager MD 3800 Tennessee Avenue Chattanooga TN 37409

932 7/1/2020 8/11/2020 YingWei Lum MD 600 N Wolfe Street Baltimore MD 21287

933 7/1/2020 8/11/2020 Lorrin David Martin MD 7835 Early Morning Street Fulton MD 20759

06-Jul-20 Page 49 of 50 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

934 7/1/2020 8/11/2020 Zarazuela Zolkipli Cunningham MD 3797 Rotherfield Lane Chadds Ford PA 19317

935 7/1/2020 8/11/2020 Amy Miller Anderson APRN 7490 Ziegler Road Chattanooga TN 37421

936 7/1/2020 8/11/2020 Kathleen Garrett APRN 7490 Ziegler Road Chattanooga TN 37421

937 7/1/2020 8/11/2020 Laura Cleary MD 1635 Gunbarrel Road Chattanooga TN 37421

938 7/1/2020 8/11/2020 Linda Anegawa MD 2041 Kakela Drive Honolulu HI 96822

939 7/1/2020 8/11/2020 George Zbigniew Retsch-Bogart MD 100 Cardiff Place Chapel Hill NC 27514

940 7/2/2020 8/11/2020 Tomeka G. Day MD 922 Hwy 81 East McDonough GA 30252

941 7/2/2020 8/11/2020 Joseph Donovan Fishel MD 840 Southwest 89th Terrace Ocala FL 34481

942 7/2/2020 8/11/2020 Anand Niranjan Shridharani MD 7864 Lexsaturno Lane Ooltewah TN 37363

943 7/2/2020 8/11/2020 Michael Keith Herrin MD 5461 Huntington Marsh Road Murrells Inlet SC 29576

944 7/6/2020 8/11/2020 Michelle Gillette RCP 1600 Pine Street St. Louis MO 63103

945 7/6/2020 8/11/2020 Lashunda Blackshear APRN 538 Cypress Drive Lake Park FL 33403

946 7/6/2020 8/11/2020 Ahmad Abadullah MD 4817 70th Avenue West University Place WA 98467

947 7/6/2020 8/11/2020 Laura Michelle Kaplan-Weisman MD 263 Congressional Lane Rockville MD 20852

06-Jul-20 Page 50 of 50