2019 FLORIDA PROVIDER DIRECTORY

Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Suwannee, Union

CAD_29790M_0119 State Approved 02102014 FL9WHKDIR29790M_0W04 ©WellCare 2019

Table of Contents Provider Directory Introduction I How to Read Our Provider Listings II Icon Guide II List of Plan Providers Primary Care Physicians Alachua 1 Baker 6 Bradford 7 Citrus 8 Clay 10 Columbia 13 Dixie 14 Gilchrist 15 Hamilton 16 Lafayette 17 Levy 18 Marion 20 Putnam 23 Suwannee 24 Taylor 25 Specialty Physicians Alachua 26 Baker 90 Bradford 92 Citrus 95 Clay 104 Columbia 122 Dixie 130 Gilchrist 131 Hamilton 132 Levy 133 Madison 134 Marion 135 Putnam 157 Suwannee 160 Taylor 161 Union 163 Hospitals Alachua 164 FL9WHKDIR29790M_0W04 List of Plan Providers Hospitals Baker 165 Bradford 166 Citrus 167 Clay 168 Columbia 169 Levy 170 Madison 171 Marion 172 Putnam 173 Suwannee 174 Taylor 175 Behavioral Health Alachua 176 Baker 189 Bradford 190 Citrus 191 Clay 192 Columbia 194 Dixie 195 Gilchrist 196 Hamilton 197 Levy 198 Madison 199 Marion 200 Putnam 203 Suwannee 205 Taylor 206 Union 207 Ancillary Providers Alachua 208 All 210 Baker 211 Bradford 212 Citrus 213 Clay 215 Columbia 217 Dixie 218 Gilchrist 219 List of Plan Providers Ancillary Providers Lafayette 220 Levy 221 Madison 222 Marion 223 Putnam 226 Suwannee 227 Taylor 228 Allied Providers Alachua 229 Baker 246 Bradford 247 Citrus 248 Clay 252 Columbia 260 Dixie 263 Gilchrist 264 Hamilton 265 Lafayette 266 Levy 267 Madison 269 Marion 270 Putnam 279 Suwannee 281 Taylor 282 Union 283 Pharmacy Alachua 284 Baker 286 Bradford 287 Citrus 288 Clay 290 Columbia 292 Dixie 293 Gilchrist 294 Hamilton 295 Lafayette 296 Levy 297 Madison 298 List of Plan Providers Pharmacy Marion 299 Putnam 302 Suwannee 303 Taylor 304 Union 305 Indexes Alternate Languages Index 306 Specialty Index 314 Extended Hours Index 321 Provider Index 329 Here is your Staywell Kids provider directory. It lists all of the providers in our network. These providers include: • Primary care providers (PCPs) and specialists • Hospitals • Pharmacies Each of these providers will make his or her own decisions about the care you need. Staywell Kids is not responsible for these decisions. Some providers may not perform certain services due to their religious or moral beliefs. We've listed all of the providers by county. Then we've grouped them together by the type of care or services they give. We've also included: • The providers' addresses and phone numbers • Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible We have a provider look-up tool on our website. Go to www.wellcare.com/Florida. Then click on the "Find a Provider" icon. You'll be able to search for providers right in your area. This is the best place to get our most current directory information. Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-866-698-5437. TTY users can call 711. You can reach us Monday-Friday, 7 a.m. to 7 p.m. We wish you good health.

www.wellcare.com/Florida | I How to Read Our Provider Listings

Indicates provider is board certified Indicates provider has wheelchair access Provider name Smith, Joe, MD Provider ID: 111111 Practice name Your Family Medical Center Indicates provider is not accepting new patients Provider gender Male Provider 123 Main Street address and { Anytown, FL 12345 phone number (555) 555-5555 00 Yrs/99 Yrs Ages of patients seen by provider Sunshine Hospital Hospital the provider is associated with Language: Spanish Language spoken by provider or staff 9:00 am-5:00 pm Hours of operation PCMH: YES/NO. Level 1, 2, 3 Takes part in the PCMH* Model

Icon Guide

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of health care professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest).

www.wellcare.com/Florida | II Este es su directorio de proveedores de Staywell Kids. Aquí se listan todos los proveedores en nuestra red. Estos proveedores incluyen: • Proveedores de cuidado primario (PCP) y especialistas • Hospitales • Farmacias Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. Staywell Kids no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen ciertos servicios debido a sus creencias religiosas o morales. Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado o servicios que ofrecen. También hemos incluido: • Las direcciones y los números de teléfono de los proveedores • Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o si cuenta con acceso para silla de ruedas En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite www.wellcare.com/Florida. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información de directorio más actual. Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es1-866-698-5437. Los usuarios de TTY pueden llamar al 711. Puede comunicarse con nosotros de lunes a viernes de 7 a.m. a 7 p.m. Le deseamos una buena salud.

www.wellcare.com/Florida | III Cómo leer nuestros listados de proveedores

Indica que el proveedor es certificado por la junta médica Indica que el proveedor tiene Nombre del proveedor Smith, Joe, MD acceso para silla de ruedas Provider ID: 111111 Nombre de la práctica Your Family Medical Center Indica que el proveedor no está Sexo del proveedor Male aceptando a nuevos pacientes Dirección y número 123 Main Street de teléfono del { Anytown, FL 12345 proveedor (555) 555-5555 00 Yrs/99 Yrs Edades de pacientes vistos por el proveedor Sunshine Hospital Hospital con el que está asociado el proveedor Language: Spanish Idioma hablado por el proveedor o personal 9:00 am-5:00 pm Horario de atención PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH*

Guía de íconos

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).

www.wellcare.com/Florida | IV Spanish to English Provider Types*/Tipos de proveedores de español a inglés* Español Inglés Español Inglés Acupuntura Acupuncture Electrofisiología Cardiac cardíaca Electrophysiology Psiquiatría de Addiction Psychiatry adicciones Monitoreo cardíaco Cardiac Monitoring Medicina para Adolescent Cardiología Cardiology adolescentes Medicine Cirugía cardiovascular Cardiovascular Servicios de Adult Companion Surgery acompañante para Services adultos Cirugía cardiovascular Cardiovascular Surgery Cuidado diurno para Adult Day Care adultos Servicios de Case Management administración Services Hogar de cuidado Adult Foster Care de casos sustituto para adultos Home Pediatría de abuso Child Abuse Cuidado médico Adult Medical Day infantil Pediatrics diurno para adultos Care Centro de desarrollo Child Development Cuidado residencial Adult Residential para niños Center para adultos Care Home Administración de Children Targeted Administración de Adult Targeted Case casos enfocados Case Management casos enfocados Management en niños en adultos Niños con necesidades Children With Centro para tratar AIDS Center especiales de cuidado Special Health Care el SIDA de la salud Needs Alergias e inmunología Allergy & Immunology Quiropráctica Chiropractic Centro de cirugía Ambulatory Surgery Servicios de tareas Chore/Housekeeping ambulatoria Center domésticas y limpieza Services del hogar Servicios de vida Assisted Living asistida Services Clínica Clinic Audiología Audiology Neurofisiología Clinical clínica Neurophysiology Asesoramiento Behavioral Health en salud del Counseling Cirugía de colon Colon & Rectal comportamiento y recto Surgery Centro de salud del Behavioral Health Centro de salud Community Health comportameinto Facility comunitario Center Centro de salud Community Mental Centro de maternidad Birthing Center mental comunitario Health Center Laboratorio de Cardiac Cath Junta de servicios Community Service cateterismo cardíaco Laboratory a la comunidad Board

www.wellcare.com/Florida | V Español Inglés Español Inglés Cirugía cardíaca Congenital Cardiac Planificación familiar Family Planning congénita Surgery Medicina familiar Family Practice Servicios de Consumable Medical Servicios de Family Training suministros médicos Supply Services capacitación familiar Services descartables Centro de salud con Federally Qualified Clínica de cuidado Convenient Care calificación federal Health Center conveniente Clinic Hospital de acceso Critical Access Servicios de Financial Risk crítico Hospital evaluación/reducción Assessment/Risk de riesgos financieros Reduction Services Odontología Dentistry Centro de aptitud Fitness Center Dermatología Dermatology física Dermatopatología Dermatopathology Gastroenterología Gastroenterology Centro designado Designated Aids Gastroenterología Gastroenterology & para el sida Center y hepatología Hepatology Educación sobre Diabetes Education Medicina general General Practice la diabetes Cirugía general General Surgery Centro de diagnóstico Diagnostic And y tratamiento Treatment Center Asesoramiento Genetic Counseling genético Centro de diagnóstico Diagnostic Center Medicina geriátrica Geriatric Medicine Diagnóstico por Diagnostic Imaging imágenes Psiquiatría geriátrica Geriatric Psychiatry Diálisis Dialysis Oncología Gynecological ginecológica Oncology Equipo médico Durable Medical duradero Equipment Ginecología Gynecology Otorrinolaringología Ear, Nose & Throat Cirugía de la mano Hand Surgery Endocrinología, Endocrinology, Oncología de cabeza Head & Neck diabetes, Diabetes, y cuello Oncology metabolismo Metabolism Cirugía de cabeza Head & Neck Endodoncia Endodontics y cuello Surgery Servicios de Environmental Control de la Health Safety adaptaciones de Accessibility seguridad de la salud Monitoring accesibilidad al Adaptation Services entorno Proveedor de Hearing Aid Supplier audífonos Servicios especiales EPSDT Special de EPSDT Services Terapia y especialista Hearing Aid Therapy en audífonos & Specialist Servicios de Escort Services acompañante Hematología Hematology

www.wellcare.com/Florida | VI Español Inglés Español Inglés Hematología Hematology & Diagnóstico con Mobile Diagnostic y oncología Oncology equipos portátiles VIH/SIDA HIV/AIDS MRI, equipos abiertos MRI Open Comidas entregadas Home-Delivered Medicina perinatal Neonatal Perinatal a domicilio Meals neonatal Medicine Cuidado de la salud Home Health Care Nefrología Nephrology en el hogar Neurooncología Neuro Oncology Hospicio Hospice Discapacidades Neurodevelopmental Cuidado de hospicio Hospice & Palliative del desarrollo Disabilities y paliativo Care neurológico Hospital Hospital Neurodiagnóstico Neurodiagnostic Servicios de limpieza Housekeeping/ Neurología Neurology del hogar y tareas Chore Services Neurología/otología Neurology/Otology domésticas Medicina hiperbárica Hyperbaric Medicine Medicina Neuromuscular neuromuscular Medicine Enfermedades Infectious Disease Neurooncología Neuro-Oncology infecciosas Terapia de infusión Infusion Therapy Neuropsicología Neuropsychology Medicina interna Internal Medicine Neurorradiología Neuroradiology Pruebas de laboratorio Laboratory Neurocirugía Neurosurgery de patología Pathology Testing Servicios de transporte Non-Emergency Agencia licenciada Licensed Home Care sin carácter de Transportation de servicios de Service Agency emergencia cuidado en el hogar Cardiología nuclear Nuclear Cardiology Litotripsia Lithotripsy Medicina nuclear Nuclear Medicine Imágenes por Magnetic Resonance Radiología nuclear Nuclear Radiology resonancia magnética Imaging Enfermeras parteras Nurse Midwife Mamografía Mammography Nutrición Nutrition Masoterapia Massage Therapy Obstetricia Obstetrics Medicina Maternal Fetal Obstetricia/ Obstetrics/ maternofetal Medicine Ginecología Gynecology Genética médica Medical Genetics Medicina ocupacional Occupational Oncología médica Medical Oncology Medicine Terapia ocupacional Occupational Therapy Administración de Medication medicamentos Administration Oftalmología Ophthalmology

www.wellcare.com/Florida | VII Español Inglés Español Inglés Óptico Optician Hematología/ Pediatric Hematology/ Optometría Optometry oncología pediátricas Oncology Cirugía oral y Oral & Maxillofacial Enfermedades Pediatric Infectious maxilofacial Surgery infecciosas pediátricas Disease Ortodoncia Orthodontics Nefrología pediátrica Pediatric Nephrology Cirugía ortopédica Orthopaedic Surgery Neurología pediátrica Pediatric Neurology Ortésica Orthotics Neurocirugía Pediatric Neurosurgery Ortopedia y Orthotics & pediátrica prostética Prosthetics Oncología pediátrica Pediatric Oncology Establecimiento Outpatient Surgical quirúrgico Facility Oftalmología Pediatric para pacientes pediátrica Ophthalmology ambulatorios Ortopedia pediátrica Pediatric Orthopaedics Tratamiento del Pain Management Cirugía ortopédica Pediatric Orthopedic dolor pediátrica Surgery Apoyo para el Pain Management Psiquiatría pediátrica Pediatric Psychiatry tratamiento del Support el dolor Neumonología Pediatric Pulmonology pediátrica Alergias e inmunología Pediatric Allergy pediátricas & Immunology Medicina de Pediatric Rehabilitation rehabilitación Medicine Medicina pediátrica Pediatric Behavioral pediátrica del comportamiento Medicine Monitoreo cardíaco Pediatric Cardiac Reumatología Pediatric pediátrico Monitoring pediátrica Rheumatology Cardiología pediátrica Pediatric Cardiology Medicina deportiva Pediatric Sports pediátrica Medicine Cirugía cardiovascular Pediatric Cardiovascular pediátrica Surgery Cirugía pediátrica Pediatric Surgery Dermatología Pediatric Dermatology Hepatología pediátrica Pediatric Transplant pediátrica y trasplante Hepatology Otorrinolaringología Pediatric Ear, Nose Urología pediátrica Pediatric Urology pediáatrica & Throat Pediatría Pediatrics Endocrinología Pediatric pediátrica Endocrinology Comportamiento y Pediatrics Behavioral desarollo pediátrico & Developmental Gastroenterología Pediatric pediátrica Gastroenterology Pedodoncia Pedodontics Genética pediátrica Pediatric Genetics Periodoncia Periodontics

www.wellcare.com/Florida | VIII Español Inglés Español Inglés Servicios de cuidado Personal Care Centro de Rehabilitation personal Services rehabilitación Facility Servicios personales Personal Emergency Medicina de Rehabilitation de respuesta de Response System rehabilitación Medicine emergencias Terapia de Rehabilitation Farmacia Pharmacy rehabilitación Therapy Medicina física Physical Medicine Endocrinología Reproductive y rehabilitación & Rehabilitation reproductiva Endocrinology Terapia respiratoria Respiratory Therapy Terapia física Physical Therapy Servicios de cuidado Respite Care Laboratorio de Physiological Lab de relevo Services fisiología Reumatología Rheumatology Cirugía plástica y Plastic & reconstructiva Reconstructive Centro de salud rural Rural Health Center Surgery Cuidado autodirigido Self-Directed Care Podiatría Podiatry Centro de enfermería Skilled Nursing Medicina preventiva Preventive Medicine especializada Facility Centro de cuidado Primary Care Center Estudios de diagnóstico Sleep Diagnostic primario del sueño Studies Medicina del sueño Sleep Medicine Aparatos protésicos Prosthetics Cuidado diurno Social Day Care Prostodoncia Prosthodontics social Psiquiatría Psychiatry Terapia del habla Speech Therapy Psicología Psychology Medicina para Spinal Cord Injury Medicina Psychosomatic lesiones de médula Medicine psicosomática Medicine espinal Enfermedad Pulmonary Disease Medicina deportiva Sports Medicine pulmonar Cuidado subagudo Sub-Acute Care Oncología Radiation Oncology Abuso de sustancias Substance Abuse radioterápica Oncología quirúrgica Surgical Oncology Radioterapia Radiation Therapy Monitoreo Tele-Cardiac Centro de Radiation Therapy telecardíaco Monitoring radioterapia Center Cirugía torácica Thoracic & Radiología Radiology - y cardiovascular Cardiovascular Surgery intervencional Interventional & y vascular Vascular Cirugía torácica Thoracic Surgery

www.wellcare.com/Florida | IX Español Inglés Español Inglés Tórax/sistema Thoracic/Vascular Oncología urológica Urology Oncology vascular Urología/ginecología Urology/Gynecology Hepatología de Transplant trasplante Hepatology Laboratorio vascular Vascular Lab Centro de cuidado Urgent Care Center Medicina vascular Vascular Medicine urgente Cirugía vascular Vascular Surgery Urología Urology

* These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book. *Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.

www.wellcare.com/Florida | X Men anyè pwofesyonèl swen medikal Staywell Kids lan. Li gen lis non pwofesyonèl swen medikal ki nan sistèm nou an. Nan pwofesyonèl swen medikal sa yo, gen: • Doktè prensipal (PCP) ak espesyalis • Lopital • Famasi Chak pwofesyonèl swen medikal sa yo pran pwòp desizyon pa yo konsènan swen ou bezwen an. Staywell Kids pa responsab desizyon sa yo. Gen kèk pwofesyonèl swen medikal ki pa fè kèk sèvis poutèt kwayans relijye oswa kwayans moral. Nou mete non pwofesyonèl swen medikal yo sou yon lis dapre konte kote to ye a. Lèfini, nou mete yo ansanm an gwoup dapre kalite swen oswa sèvis yo fè yo. Epitou, nou mete: • Adrès ak nimewo telefòn pwofesyonèl swen medikal yo • Senbòl ki pou fè ou konnen si pwofesyonèl swen medikal la ap aksepte nouvo malad, si pwofesyonèl swen medikal la sètifye oswa si klinik pwofesyonèl la aksesib pou moun ki sou chèz-woulant Nou gen yon zouti pou gade enfòmasyon sou yon pwofesyonèl swen medikal sou sitwèb nou an. Ale nan www.wellcare.com/Florida. Lèfini, klike sou senbòl “Find a Provider” a (Jwenn yon pwofesyonèl swen medikal). W ap kapab chèche pwofesyonèl swen medikal ki egzakteman nan zòn kote ou rete a. Se pi bon kote pou jwenn enfòmasyon ki pi ajou nan anyè a. Rele nou si ou gen kesyon konsènan anyè sa a. Nou ka ede ou jwenn yon pwofesyonèl swen medikal. Nou ka menm ede ou pran yon randevou. Nimewo telefòn gratis nou an se1-866-698-5437. Moun ki itilize TTY/TDD kapab rele 711. Ou ka kontakte nou lendi jiska vandredi, depi 7 a.m. jiska 7 p.m. Nou swete ou bòn sante.

www.wellcare.com/Florida | XI Kijan pou Li Anyè Pwofesyonèl Swen Medikal nou an

Li fè konnen si pwofesyonèl la sètifye Li fè konnen si klinik la gen aksè pou Non pwofesyonèl la Smith, Joe, MD chèz-woulant Provider ID: 111111 Non klinik la Your Family Medical Center Li fè konnen si pwofesyonèl la pap Sèks pwofesyonèl Male aksepte nouvo malad swen sante Pwofesyonèl la 123 Main Street adrès ak nimewo { Anytown, FL 12345 telefòn (555) 555-5555 00 Yrs/99 Yrs Laj malad pwofesyonèl swen medikal la wè yo Sunshine Hospital Lopital kote pwofesyonèl swen medikal la gen afilyasyon Language: Spanish Lang pwofesyonèl la oswa pèsonèl la pale 9:00 am-5:00 pm Lè klinik la ouvri pou travay PCMH: YES/NO. Level 1, 2, 3 Patisipe nan Modèl PCMH*

Gid pou senbòl yo

Li fè konnen si pwofesyonèl la sètifye

Li fè konnen si klinik la gen aksè pou chèz-woulant

Li fè konnen si pwofesyonèl la ap aksepte nouvo malad

*PCMH vle di Kay Medikal ki Konsantre sou Pasyan. Sa a se yon fason pou bay swen ki gen pou wè ak yon ekip pwofesyonèl swen sante. Ekip la travay ansanm pou satisfè bezwen chak pasyan. Nou mete pwofesyonèl swen sante yo nan youn nan twa (3) nivo; Nivo 1 (pi ba a), Nivo 2, ak Nivo 3 (pi wo a).

www.wellcare.com/Florida | XII Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle* Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle Akiponkti Acupuncture Kadyoloji Cardiology Sikyatri pou Addiction Psychiatry Operasyon Kadyo- Cardiovascular Akoutimans Vaskilè Surgery Lamedsin Adolesan Adolescent Medicine Operasyon Kadyo- Cardiovascular Vaskilè Surgery Sèvis Konpay pou Adult Companion Adilt Services Sèvis Jesyon Dosye Case Management Services Gadri Adilt Adult Day Care Pedyatri pou Abi Child Abuse Fanmi Plasman pou Adult Foster Care sou Timoun Pediatrics Adilt Home Sant Devlopman Child Development Swen Medikal Adult Medical Day Timoun Center Lajounen pou Adilt Care Jesyon dosye ki Vize Children Targeted Kay Plasman pou Adult Residential pou Timoun Case Management Adilt Care Home Timoun ki Bezwen Children With Special Jesyon dosye ki vize Adult Targeted Case Swen Sante Espesyal Health Care Needs Management Kiwopratik Chiropractic Sant pou Moun ki AIDS Center gen SIDA Sèvis pou Travay nan Chore/Housekeeping Alèji ak Iminoloji Allergy & Kay/Pwòpte nan Kay Services Immunology Klinik Clinic Sant Operasyon san Ambulatory Surgery Pasyan an pa Entène Center Newo-Fizyoloji Clinical Klinik Neurophysiology Sèvis pou Viv avèk Assisted Living Asistans Services Operasyon Kolon ak Colon & Rectal Rektòm Surgery Odyoloji Audiology Sant Sante Community Health Konsèy sou Sante Behavioral Health Kominotè Center Konpòtmantal Counseling Sant Sante Mantal Community Mental Sant Sante Behavioral Health Kominotè Health Center Konpòtmantal Facility Sant Akouchman Birthing Center Konsèy Sèvis Community Service Kominotè Board Laboratwa Kateteris Cardiac Cath Operasyon Kè nan Congenital Cardiac Kadyak Laboratory Moman Akouchman Surgery Elektwo-Fizyoloji Cardiac Sèvis Materyèl Consumable Medical Kadyak Electrophysiology Medikal pou Supply Services Siveyans Kadyak Cardiac Monitoring Renouvle Souvan

www.wellcare.com/Florida | XIII Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle Klinik Swen Sante Convenient Care Sèvis Evalyasyon/ Financial Risk Pratik Clinic Rediksyon Risk Assessment/Risk Lopital ki Gen Aksè Critical Access Finansye Reduction Services Enpòtan Hospital Sant pou Fitness Center Dantistri Dentistry Antrènman an Dèmatoloji Dermatology Gastwo-antewoloji Gastroenterology Dèmato-Patoloji Dermatopathology Gastwo-Antewoloji Gastroenterology ak Epatoloji & Hepatology Sant Èd ki Deziyen Designated Aids Center Pratik Jeneral General Practice Edikasyon sou Diabetes Education Chiriji Jeneral General Surgery Dyabèt Konsèy Jenetik Genetic Counseling Sant pou Dyagnostik Diagnostic And ak Tretman Treatment Center Lamedsin Jeryatrik Geriatric Medicine Sant Dyagnostik Diagnostic Center Sikyatri Timoun Geriatric Psychiatry Imajri Dyagnostik Diagnostic Imaging Onkoloji Jinekolojik Gynecological Oncology Dyaliz Dialysis Jinekoloji Gynecology Ekipman Medikal Durable Medical Dirab Equipment Chiriji Men Hand Surgery Zòrèy, Nen ak Gòj Ear, Nose & Throat Onkoloji Men ak Kou Head & Neck Oncology Lamedsin Espò Endocrinology, Timoun Diabetes, Chiriji Men ak Kou Head & Neck Surgery Metabolism Kontwòl Sekirite Health Safety Andodonti Endodontics Kadyak Monitoring Sèvis Adaptasyon Environmental Founisè Pwotèz Hearing Aid Supplier Aksesibilite nan Accessibility Oditif Anviwònman Adaptation Services Terapi ak Espesyalis Hearing Aid Therapy Sèvis Espesyal EPSDT Special Pwotèz Oditif & Specialist EPSDT Services Ematoloji Hematology Sèvis Akonpayman Escort Services Ematoloji ak Hematology & Planing Familyal Family Planning Onkoloji Oncology VIH/SIDA HIV/AIDS Pratik pou Lafanmi Family Practice Repa ki Distribiye Home-Delivered Sèvis Fòmasyon Family Training nan Kay Meals Fanmi Services Swen Sante nan Kay Home Health Care Sant Sante ki Gen Federally Qualified Kalifikasyon Federal Health Center Enstitisyon ki Ofri Hospice Swen pou Soulajman

www.wellcare.com/Florida | XIV Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle Enstitisyon Swen Hospice & Palliative Newoloji Neurology pou Soulajman ak Care Swen pou Soulajman Newoloji/Otoloji Neurology/Otology Lopital Hospital Lamedsin Newo- Neuromuscular Miskilè Medicine Sèvis pou Pwòpte nan Housekeeping/ Kay/Travay nan Kay Chore Services Newo-Onkoloji Neuro-Oncology Lamedsin Ipèbarik Hyperbaric Medicine Newo-Sikoloji Neuropsychology Maladi Enfektye Infectious Disease Newo-Radyoloji Neuroradiology Terapi Enjeksyon Infusion Therapy Newo-Chiriji Neurosurgery Lamedsin Entèn Internal Medicine Sèvis Transpò ki pa Non-Emergency pou Ijans Transportation Tès Patoloji Laboratory Laboratwa Pathology Testing Kadyoloji Nikleyè Nuclear Cardiology Ajans Sèvis Swen Licensed Home Care Lamedsin Nikleyè Nuclear Medicine nan Kay ki gen Lisans Service Agency Radyoloji Nikleyè Nuclear Radiology Litotripsi Lithotripsy Fanmsaj Enfimyè Nurse Midwife Imajri avèk Rezonans Magnetic Resonance Mayetik Imaging Nitrisyon Nutrition Mamografi Mammography Obstetrik Obstetrics Terapi nan Masaj Massage Therapy Obstetrik/Jinekoloji Obstetrics/ Gynecology Lamedsin Fetis Maternal Fetal Matènèl Medicine Lamedsin Travay Occupational Medicine Jenetik Medikal Medical Genetics Ègoterapi Occupational Onkoloji Medikal Medical Oncology Therapy Administrasyon Medication Oftalmoloji Ophthalmology Medikaman Administration Optisyen Optician Dyagnostik Mobil Mobile Diagnostic Optometri Optometry MRI Ouvè MRI Open Operasyon nan Oral & Maxillofacial Lamedsin pou Tibebe Neonatal Perinatal Bouch, nan Maksilyè Surgery Apre Akouchman Medicine ak nan Figi Nefwoloji Nephrology Òtodonti Orthodontics Newo-Onkoloji Neuro Oncology Operasyon Òtopedik Orthopaedic Surgery Andikap Newo- Neurodevelopmental Òtetik Orthotics Devlòpmantal Disabilities Òtetik ak Pwostetik Orthotics & Newo-Dyagnostik Neurodiagnostic Prosthetics

www.wellcare.com/Florida | XV Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle Sant Chirijikal pou Outpatient Surgical Chiriji Òtopedik Pediatric Orthopedic Pasyan ki pa Entène Facility Timoun Surgery Kontwòl Doulè Pain Management Sikyatri Timoun Pediatric Psychiatry Sipò pou Kontwole Pain Management Nemoloji Timoun Pediatric Pulmonology Doulè Support Lamedsin Pediatric Alèji ak Iminoloji Pediatric Allergy Reyabilitasyon Rehabilitation Timoun & Immunology Timoun Medicine Lamedsin Pediatric Behavioral Rimatoloji Timoun Pediatric Konpòtmantal Medicine Rheumatology Timoun Lamedsin Espò Pediatric Sports Kontwòl Kadyak Pediatric Cardiac Timoun Medicine Timoun Monitoring Chiriji Timoun Pediatric Surgery Kadyoloji Timoun Pediatric Cardiology Epatoloji Pediatric Transplant Operasyon Kadyo- Pediatric Transplantasyon Hepatology Vaskilè Timoun Cardiovascular Surgery Timoun Dèmatoloji Timoun Pediatric Iwoloji Timoun Pediatric Urology Dermatology Pedyatri Pediatrics Zòrèy, Nen ak Gòj Pediatric Ear, Nose & Timoun Throat Konpòtman ak Pediatrics Behavioral Andokrinoloji Pediatric Devlopman Timoun & Developmental Timoun Endocrinology Pedodonti Pedodontics Gastwo-Antewoloji Pediatric Pawodonti Periodontics Timoun Gastroenterology Jenetik Timoun Pediatric Genetics Sèvis Swen Pèsonèl Personal Care Services Ematoloji/Onkoloji Pediatric Hematology/ Sistèm Repons pou Personal Emergency Timoun Oncology Ijans Pèsonèl Response System Maladi Kontajye Pediatric Infectious Famasi Pharmacy Timoun Disease Lamedsin ak Physical Medicine Nefwoloji Timoun Pediatric Nephrology Reyabilitasyon Fizik & Rehabilitation Newoloji Timoun Pediatric Neurology Terapi Fizik Physical Therapy Newo-Chiriji Pediatric Laboratwa Fizyolojik Physiological Lab Timoun Neurosurgery Chiriji Plastik ak Plastic & Onkoloji Timoun Pediatric Oncology Rekonstwiktif Reconstructive Surgery Oftalmoloji Timoun Pediatric Podoloji Podiatry Ophthalmology Lamedsin pou Preventive Medicine Òtopedik Timoun Pediatric Orthopaedics Prekosyon

www.wellcare.com/Florida | XVI Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle Sant Swen Sante Primary Care Center Kay Retrèt Kalifye Skilled Nursing Facility Prensipal Etid Dyagnostik Sleep Diagnostic Pwotèz Prosthetics Somèy Studies Pwostodonti Prosthodontics Lamedsin Somèy Sleep Medicine Sikyatri Psychiatry Gadri Sosyal Social Day Care Sikoloji Psychology Òtofoni Speech Therapy Lamedsin Siko- Psychosomatic Lamedsin Chòk nan Spinal Cord Injury Somatik Medicine Mwal Epinyè Medicine Maladi Poumon Pulmonary Disease Lamedsin Espò Sports Medicine Radyo-Onkoloji Radiation Oncology Swen Kontini Sub-Acute Care Radyoterapi Radiation Therapy Abi Dwòg/Alkòl Substance Abuse Sant Radyoterapi Radiation Therapy Onkoloji Chirijikal Surgical Oncology Center Radyoloji - Radiology - Tele-Kontwòl Tele-Cardiac Entèvansyon ak Interventional Kadyak Monitoring Vaskilè & Vascular Chiriji Torasik ak Thoracic & Sant Reyabilitasyon Rehabilitation Kadyo-Vaskilè Cardiovascular Surgery Facility Chiriji Torasik Thoracic Surgery Medikaman pou Rehabilitation Torasik/Vaskilè Thoracic/Vascular Reyabilitasyon Medicine Terapi Rehabilitation Epatoloji Transplant Reyabilitasyon Therapy Transplantasyon Hepatology Andokrinoloji Reproductive Sant Swen Ijan Urgent Care Center Repwodiktif Endocrinology Iwoloji Urology Terapi Respiratwa Respiratory Therapy Onkoloji Iwoloji Urology Oncology Sèvis Swen pou Pran Respite Care Repo Services Iwoloji/Jinekoloji Urology/Gynecology Rimatoloji Rheumatology Laboratwa Vaskilè Vascular Lab Sant Sante Riral Rural Health Center Lamedsin Vaskilè Vascular Medicine Swen Endepandan Self-Directed Care Chiriji Vaskilè Vascular Surgery

*These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book. *Sa yo se kèk kalite pwofesyonèl swen medikal sèlman. Ou ka jwenn yon kalite pwofesyonèl an patikilye nan Lis Espesyalite a. Ou ka jwenn li nan dènye paj liv sa a.

www.wellcare.com/Florida | XVII List of Plan Providers Updated: 01/04/2019 Primary Care Physicians Alachua

Family Practice Bright, Philippa MD Feller, David MD Governale, Karyn MD Provider ID: 200220 Abernethy, John MD Provider ID: 719758 Gender: Male Provider ID: 1636947 Gender: Female Family Medicine Center At Gender: Female Provider ID: 1705787 UF Health Family Medicine - Main Stre UF Health Family Medicine Gender: Male Haile P 1707 N Main St Springhil Meridian Behavoral 2846 SW 87th Way Ste A Gainesville, FL 32609 4197 NW 86th Terr 2nd Fl Healthcare Gainesville, FL 32608 (352) 265-7001 Gainesville, FL 32606 4300 SW 13th St (352) 265-0944 Fax: (352) 265-9575 (352) 265-9475 Gainesville, FL 32608 Fax: (352) 594-8511 00 Yrs/21 Yrs Fax: (352) 265-9476 (352) 374-5600 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 07 Yrs/130 Yrs Fax: (352) 224-2751 M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 2 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Gan, Run DC PCMH: No Chang, Ku MD Provider ID: 510277 Hall, Karen MD Provider ID: 708515 Gender: Male Provider ID: 200240 Alois, Marika MD Gender: Female UF Health Family Medicine At Gender: Female Provider ID: 1272992 UF Health Family Medicine Jonesv Family Medicine Center At Gender: Female Hapton Oa 13611 NW 1st Ln Ste 200 Main Stre UF Health Internal Medicine 200 SW 62nd Blvd Ste D Newberry, FL 32669 1707 N Main St Medical Gainesville, FL 32607 (352) 265-8670 Gainesville, FL 32609 2000 SW Archer Rd 4th Fl (352) 265-9475 Fax: (352) 265-8671 (352) 265-7001 Gainesville, FL 32608 Fax: (352) 265-9476 05 Yrs/130 Yrs Fax: (352) 265-9575 (352) 265-0140 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2 M-F 8:00 AM - 5:00 PM Languages: Spanish PCMH: Yes, Level 2 PCMH: Yes, Level 2 M-F 8:00 AM - 5:00 PM Ghaffar, Umar MD PCMH: No Chapman, Christine DO Provider ID: 708539 Hansen, Lucia MD Gender: Male Anim, Tanya MD Provider ID: 1104860 UF Health Surgical Specialists Provider ID: 1191779 Provider ID: 1006496 Gender: Female VA Gender: Female Gender: Female Palms Medical Group 1600 SW Archer Rd 1505 SW UF Health Family Medicine UF Health Family Medicine 1010 NW 8th Ave Ste A Archer Rd Haile Pla Main Gainesville, FL 32601 Gainesville, FL 32610 2846 SW 87th Way Ste A 1707 N Main St (352) 376-8211 (352) 265-9928 Gainesville, FL 32608 Gainesville, FL 32609 Fax: (352) 373-9594 12 Yrs/130 Yrs (352) 265-0944 (352) 265-9593 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 594-8511 Fax: (352) 265-9575 North Florida Regional PCMH: No 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Ghaffar, Umar MD M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Provider ID: 708539 Dunn, Grace MD Gender: Male Ihnatsenka, Volha MD Bray, Stefania MD Provider ID: 1104816 UF Shands Hospital Provider ID: 708507 Gender: Female 1600 SW Archer Rd Provider ID: 708560 Gender: Female Palms Medical Group Gainesville, FL 32641 Gender: Female Family Medicine At Haile 1014 NW 57th St (352) 265-3589 UF Health Family Medicine Plantation Gainesville, FL 32605 Fax: (352) 265-7021 Haile P 2846 SW 87th Way Ste A (352) 376-8211 12 Yrs/130 Yrs 2846 SW 87th Way Ste A Gainesville, FL 32608 Fax: (352) 373-9594 M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 (352) 265-0944 00 Yrs/130 Yrs PCMH: No (352) 265-0944 Fax: (352) 594-8511 M-F 9:00 AM - 5:00 PM Fax: (352) 594-8511 05 Yrs/130 Yrs PCMH: No 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 1 Updated: 01/04/2019 Primary Care Physicians Alachua

Family Practice - cont. Kuritzky, Louis MD McTiernan, Michael MD Papierniak, Nancy DO Provider ID: 1209929 Jones, Jennifer MD Gender: Male Provider ID: 708588 Provider ID: 757995 Provider ID: 1692794 Palms Medical Group Gender: Male Gender: Female Gender: Female 1014 NW 57th St UF Health Family Medicine Gainesville Family Physicuans Trenton Medical Center Gainesville, FL 32605 Haile P LLC 1014 NW 57th St (352) 376-8211 2846 SW 87th Way Ste A 133 SW 130th Way Ste I Gainesville, FL 32605 Fax: (352) 373-7594 Gainesville, FL 32608 Tioga, FL 32669 (352) 376-8211 00 Yrs/130 Yrs (352) 265-0944 (352) 333-3838 Fax: (352) 373-7594 M-F 8:00 AM - 5:00 PM Fax: (352) 594-8511 Fax: (352) 333-3887 00 Yrs/130 Yrs PCMH: No 05 Yrs/130 Yrs 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Logan, Aniruddha DO PCMH: No PCMH: No

Jones, Mitul MD Provider ID: 1634253 Mercado, Elvira MD Quillen, David MD Provider ID: 566493 Gender: Male Provider ID: 708589 Provider ID: 715733 Gender: Female Palms Medical Group Gender: Female Gender: Male Family Medicine At Haile 1014 NW 57th St UF Health Family Medicine Family Medicine Center At Plantation Gainesville, FL 32605 Eastsid Main Stre 2846 SW 87th Way Ste A (352) 376-8211 410 NE Waldo Rd 1707 N Main St Gainesville, FL 32608 Fax: (352) 373-7594 Gainesville, FL 32641 Gainesville, FL 32609 (352) 265-0944 00 Yrs/130 Yrs (352) 265-7015 (352) 265-7001 Fax: (352) 594-8511 M-F 8:00 AM - 5:00 PM Fax: (352) 265-7021 Fax: (352) 265-9575 05 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Logan, Aniruddha DO PCMH: Yes, Level 2 PCMH: No

Keller, Gerald DO Provider ID: 1647694 Nelson, Danielle MD Samraj, George MD Provider ID: 1431189 Gender: Male Gender: Male Gainesville Physicians LLC Provider ID: 1330060 Provider ID: 715739 Palms Medical Group 810 NW 16th Ave Gender: Female Gender: Male 1014 NW 57th St Gainesville, FL 32601 UF Health Fp Main Family Medicine Center At Gainesville, FL 32605 (352) 331-3583 1707 N Main St Main Stre (352) 376-8211 Fax: (352) 331-3669 Gainesville, FL 32609 1707 N Main St Fax: (352) 373-7594 00 Yrs/130 Yrs (352) 265-7001 Gainesville, FL 32609 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-9575 (352) 265-7001 M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs Fax: (352) 265-9575 PCMH: No Languages: Spanish, French 00 Yrs/21 Yrs Malaty, John MD M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Keller, Gerald DO Provider ID: 611094 PCMH: No PCMH: Yes, Level 2 Provider ID: 688744 Gender: Male Gender: Male Family Medicine Center At Oduntan, Omobola MD Sayre, Jerry MD 13611 NW 1st Ln Ste 200 Main Stre Provider ID: 449453 Gainesville, FL 32606 1707 N Main St Provider ID: 1529891 Gender: Male (352) 265-8670 Gainesville, FL 32609 Gender: Female Palms Medical Group Fax: (352) 265-8671 (352) 265-7001 UF Health Family Medicine 1014 NW 57th St 05 Yrs/130 Yrs Fax: (352) 265-9575 Eastside Gainesville, FL 32605 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 410 NE Waldo Rd (352) 376-8211 PCMH: No M-F 8:00 AM - 5:00 PM Gainesville, FL 32641 Fax: (352) 373-7594 PCMH: Yes, Level 2 (352) 265-7015 00 Yrs/130 Yrs Fax: (352) 265-7021 North Florida Regional 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Yoruba PCMH: Yes, Level 3 M-W 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 2 Updated: 01/04/2019 Primary Care Physicians Alachua

Family Practice - cont. Wittstruck, Sarah MD Pediatrics Choi, Joon DO Provider ID: 1697736 Selman, David MD Provider ID: 1135715 Acharya, Ratna MD Gender: Male Provider ID: 660654 Gender: Female Provider ID: 621885 UF Health Pediatrics Magnolia Gender: Male Palms Medical Group Gender: Female Park Florida Clinical Practice 1014 NW 57th St UF Health Pediatrics Magnolia 4740 NW 39th Pl Ste B Associati Gainesville, FL 32605 Par Gainesville, FL 32606 1600 SW Archer Rd Shands (352) 376-8211 4740 NW 39th Pl Ste B (352) 594-7337 Medical Plaza Fax: (352) 373-7594 Gainesville, FL 32606 Fax: (352) 265-5343 Gainesville, FL 32610 00 Yrs/130 Yrs (352) 594-7337 00 Yrs/18 Yrs (352) 265-0425 M-F 8:00 AM - 5:00 PM Fax: (352) 265-5343 M-F 8:00 AM - 5:00 PM Fax: (352) 265-0327 PCMH: Yes, Level 3 00 Yrs/21 Yrs PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M 9:00 AM - 5:00 PM Internal Medicine PCMH: No Coleman, Rachel MD PCMH: No Barker, Paige MD Acharya, Ratna MD Provider ID: 1326860 Silvian, Monica MD Provider ID: 1333697 Gender: Female Gender: Female Provider ID: 816109 UF Health Pediatrics Tower Provider ID: 1697750 UF Health Internal Medicine Gender: Female Square Gender: Female Medical UF Health Pediatric Specialties 7046 SW Archer Rd UF Health Family Medicine 2000 SW Archer Rd 4th Fl Ger Gainesville, FL 32608 Main Gainesville, FL 32608 1699 SW 16th Ave (352) 733-1770 1707 N Main St (352) 265-0140 Gainesville, FL 32608 Fax: (352) 372-5164 Gainesville, FL 32609 Fax: (352) 265-7092 (352) 334-0206 00 Yrs/130 Yrs (352) 265-7001 00 Yrs/130 Yrs Fax: (352) 627-4325 M-F 8:00 AM - 6:00 PM Fax: (352) 265-9575 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: Yes, Level 2 18 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Grooms, Ann MD PCMH: No Kim, So MD Provider ID: 668105 Provider ID: 1431502 Carter, Carolyn MD Gender: Female Taffe, Jonathan MD Gender: Female Provider ID: 646494 UF Student Health Provider ID: 1162082 UF Health Senior Care Gender: Female 280 Fletcher Dr Gender: Male 2004 Mowry Rd UF Health Pediatrics Tower Gainesville, FL 32611 605 NE 1st St Gainesville, FL 32610 Square (352) 392-1161 Gainesville, FL 32601 (352) 265-0615 7046 SW Archer Rd Fax: (352) 392-9625 (352) 371-3212 Fax: (352) 294-5803 Gainesville, FL 32608 00 Yrs/130 Yrs Fax: (352) 371-3213 65 Yrs/110 Yrs (352) 733-1770 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Korean Fax: (352) 372-5164 PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/17 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Kachru, Ruchita MD PCMH: Yes, Level 2 Toromanovski, Todor MD Zaidi, Zareen MD Provider ID: 1155454 Provider ID: 783600 Castillo Melendez, Romeo MD Gender: Female Provider ID: 1553483 Gender: Female UF Health Pediatric Specialties Gender: Male UF Health Internal Medicine Provider ID: 1099995 1699 SW 16th Ave Gerold L Pediatric and Internal Tower H Gender: Male Schiebler CMS Center Medicine Spe 7540 W University Ave Ste A Gainesville Pediatric Medicine Gainesville, FL 32608 25050 W Newberry Rd Gainesville, FL 32607 1131 NW 64th Ter Ste B (352) 334-0206 Newberry, FL 32669 (352) 265-0335 Gainesville, FL 32605 Fax: (352) 334-4041 (352) 474-6118 Fax: (352) 265-0336 (352) 332-9940 00 Yrs/21 Yrs Fax: (352) 474-6521 12 Yrs/130 Yrs Fax: (352) 332-9939 M-F 8:00 AM - 6:00 PM 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No M-TH 8:30 AM - 7:00 PM PCMH: Yes, Level 2 M-F 8:00 AM - 5:00 PM F 8:30 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 3 Updated: 01/04/2019 Primary Care Physicians Alachua

Pediatrics - cont. Moroshanley, Ana MD Parker, Donna MD Scaccabarrozzi, Luis MD Provider ID: 711450 Kelly, Maria MD Provider ID: 1733167 Gender: Female Provider ID: 1100650 Provider ID: 323827 Gender: Female UF Health Pediatrics Tower Gender: Male Gender: Female Healthy Steps Pediatrics Square Kids Doctor Pediatrics UF Health Pediatrics Tower 2005 SW 75th St Ste 10 7046 SW Archer Rd 6400 W Newberry Rd Ste 109 Square Gainesville, FL 32607 Gainesville, FL 32608 Gainesville, FL 32605 7046 SW Archer Rd (352) 333-0085 (352) 733-1770 (352) 332-4400 Gainesville, FL 32608 Fax: (352) 333-0174 Fax: (352) 372-5164 Fax: (352) 332-0086 (352) 733-1770 00 Yrs/21 Yrs 00 Yrs/17 Yrs 00 Yrs/18 Yrs Fax: (352) 372-5164 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM North Florida Regional 00 Yrs/17 Yrs Sat 8:30 AM - 12:00 PM PCMH: Yes, Level 2 Languages: Spanish, Italian M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 1 M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2 Ryan, Stephanie MD Sat 8:00 AM - 12:00 PM Novak, Maureen MD PCMH: Yes, Level 2 Kirkconnell, Stephanie MD Provider ID: 231671 Provider ID: 708625 Gender: Female Gender: Female Seguias, Luis MD Provider ID: 1738569 UF Health Pediatrics Magnolia UF Health Pediatrics Tower Provider ID: 1272981 Gender: Female PA Square Gender: Male Alliance Pediatrics, P. A. 4740 NW 39th Pl Ste B 7046 SW Archer Rd UF Health Pediatric Specialties 4627 NW 53rd Ave Gainesville, FL 32606 Gainesville, FL 32608 1699 SW 16th Ave Gainesville, FL 32653 (352) 594-7337 (352) 733-1770 Gainesville, FL 32608 (352) 335-8888 Fax: (352) 265-5343 Fax: (352) 372-5164 (352) 334-0206 Fax: (352) 335-9427 00 Yrs/21 Yrs 00 Yrs/17 Yrs Fax: (352) 334-4041 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2 PCMH: Yes, Level 2 M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM PCMH: No PCMH: No Numssen, Valerie MD Sanders, Sandy MD St Martin, Dacelin MD Mas, Olga MD Provider ID: 812585 Provider ID: 629658 Provider ID: 1738385 Gender: Female Gender: Male Provider ID: 1553487 Gender: Female Gainesville Pediatric Medicine Palms Medical Group/ Gender: Male Alliance Pediatrics, PA 1131 NW 64th Ter Ste B Pediatrics Pediatric and Internal Med 4627 NW 53rd Ave Gainesville, FL 32605 1014 NW 57th St Speciali Gainesville, FL 32635 (352) 332-9940 Gainesville, FL 32605 25050 W Newberry Rd (352) 335-8888 Fax: (352) 332-9939 (352) 376-8211 Lecanto, FL 32669 Fax: (352) 335-9427 00 Yrs/18 Yrs Fax: (352) 373-7594 (352) 474-6118 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/18 Yrs Fax: (352) 474-6521 M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM North Florida Regional 00 Yrs/18 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM Sat 8:30 AM - 12:00 PM F 8:30 AM - 5:00 PM Massias, Michelle MD Parker, Donna MD PCMH: Yes, Level 3 PCMH: No Provider ID: 711450 Provider ID: 1738249 Gender: Female Sarantos, Katheryn MD Stern, Mori MD Gender: Female UF Health Pediatrics After Provider ID: 538018 Alliance Pediatrics, PA Hours Provider ID: 1738126 Gender: Female 4627 NW 53rd Ave 1600 SW Archer Rd Gender: Female UF Health Pediatrics Magnolia Gainesville, FL 32653 Gainesville, FL 32610 Alliance Pediatrics, PA PA (352) 335-8888 (352) 265-5437 4627 NW 53rd Ave 4740 NW 39th Pl Ste B Fax: (352) 335-9427 Fax: (352) 265-1330 Gainesville, FL 32653 Gainesville, FL 32606 00 Yrs/18 Yrs 00 Yrs/17 Yrs (352) 335-8888 (352) 594-7337 M-F 8:00 AM - 5:00 PM M-F 5:00 AM - 10:00 PM Fax: (352) 335-9427 Fax: (352) 265-5343 Sat 8:00 AM - 12:00 PM Sat 12:00 AM - 9:00 PM 00 Yrs/18 Yrs 00 Yrs/17 Yrs PCMH: No Sun 8:00 AM - 9:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: Yes, Level 2

www.wellcare.com/Florida | 4 Updated: 01/04/2019 Primary Care Physicians Alachua Pediatrics - cont.

Tuli, Sanjeev MD Provider ID: 195385 Gender: Male UF Health Pediatric Specialties Ger 1699 SW 16th Ave Gainesville, FL 32608 (352) 334-0206 Fax: (352) 334-4041 00 Yrs/17 Yrs M-F 8:00 AM - 7:00 PM PCMH: No

Valletta, Mary MD Provider ID: 1104866 Gender: Female Palms Medical Group 1010 NW 8th Ave Ste A Gainesville, FL 32601 (352) 376-8211 Fax: (352) 373-9594 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Vyas, Priyanka MD Provider ID: 1730892 Gender: Female Milestones Pediatrics 3780 NW 83rd St Gainesville, FL 32606 (352) 559-8911 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 5 Updated: 01/04/2019 Primary Care Physicians Baker

Family Practice Assi, Gabriella MD Provider ID: 1536811 Alvarez, Edgar MD Gender: Female Provider ID: 1036478 Gabriella Assi MD LLC Gender: Male 124 S 6th St UF Crossroads Family Macclenny, FL 32063 Medicine Center (904) 259-5766 802 S 6th St Fax: (904) 259-8416 Macclenny, FL 32063 00 Yrs/21 Yrs (904) 383-1777 Languages: Arabic Fax: (904) 383-1776 M-F 9:00 AM - 5:00 PM 05 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Bosque-Perez, Monique DO

Provider ID: 707974 Gender: Female 802 S 6th St Macclenny, FL 32063 (904) 633-0500 Fax: (904) 384-4663 00 Yrs/130 Yrs Languages: Spanish, Creole, Polish M-F 9:00 AM - 5:00 PM PCMH: No

Waters, Lynn DO Provider ID: 1642002 Gender: Male UF Health Family Medicine Crossroa 802 S 6th St Macclenny, FL 32063 (904) 383-1777 Fax: (904) 383-1776 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Pediatrics

Assi, Gabriella MD Provider ID: 1125818 Gender: Female Children's Health Associates 124 S 6th St Macclenny, FL 32063 (904) 259-5766 Fax: (386) 255-4927 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 6 Updated: 01/04/2019 Primary Care Physicians Bradford

Family Practice Mercado Quinones, Alfredo Smith, Maria MD MD Provider ID: 1488957 Dunn, Grace MD Provider ID: 1601485 Gender: Female Provider ID: 1104821 Gender: Male North Florida Pediatrics Gender: Female North Florida Pediatrics PA 417 E Call St Palms Medical Group 417 E Call St Starke, FL 32091 550 Georgia St Starke, FL 32091 (904) 368-0368 Starke, FL 32091 (904) 368-0368 Fax: (904) 317-4949 (904) 364-2900 Fax: (904) 317-4949 00 Yrs/21 Yrs Fax: (904) 364-2901 00 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Sat-Sun 9:00 AM - 2:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Rendon, Orlando MD Valletta, Mary MD Hunt, Dona MD Provider ID: 920553 Provider ID: 1104874 Provider ID: 1636955 Gender: Male Gender: Female Gender: Female Pediatric Associates At Argyle Palms Medical Group Shands Medical Group of PA 550 Georgia St Starke 417 E Call St Starke, FL 32091 1550 S Water St Starke, FL 32091 (904) 364-2900 Starke, FL 32091 (904) 368-0368 Fax: (904) 364-2901 (904) 368-2480 Fax: (904) 368-0378 00 Yrs/21 Yrs Fax: (904) 964-1400 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Orange Park Medical Center PCMH: No M-F 8:00 AM - 5:00 PM Languages: Tagalog PCMH: No M-F 8:00 AM - 5:00 PM Wittstruck, Sarah MD PCMH: No Pediatrics Provider ID: 1104888 Santelices, Pamela MD Gender: Female Bamzai, Arjun MD Palms Medical Group Provider ID: 1014900 Provider ID: 755917 550 Georgia St Gender: Male Gender: Female Starke, FL 32091 Shands Medical Group of North Florida Pediatrics (904) 364-2900 Starke 417 E Call St Fax: (904) 364-2901 1550 S Water St Starke, FL 32091 00 Yrs/21 Yrs Starke, FL 32091 (904) 368-0368 M-F 8:00 AM - 5:00 PM (904) 368-2480 Fax: (904) 317-4949 PCMH: No Fax: (904) 964-1400 00 Yrs/21 Yrs 00 Yrs/18 Yrs M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Sat-Sun 9:00 AM - 2:00 PM PCMH: No PCMH: No

Gulzar, Tariq MD Santelices, Samuel MD Provider ID: 1131238 Gender: Male Provider ID: 528888 North Florida Pediatrics Gender: Male 417 E Call St North Florida Pediatrics Starke, FL 32091 417 E Call St (904) 368-0368 Starke, FL 32091 Fax: (904) 317-4949 (904) 368-0368 00 Yrs/21 Yrs Fax: (904) 317-4949 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No M-F 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 7 Updated: 01/04/2019 Primary Care Physicians Citrus

Family Practice Rodriguez, Angelina MD Welty, Katherine MD Howard, Marcy MD

Grajales, Olga MD Provider ID: 1724642 Provider ID: 1731921 Provider ID: 148496 Provider ID: 1724151 Gender: Female Gender: Female Gender: Female Gender: Female Community Hospital Family Project Health Inc Citrus County Pediatrics Inc Langley Health Services Practice 120 N Montgomery Ave 547 SE Fort Island Trl Ste C 151 E Highland Blvd Ste 151 7945 S Suncoast Blvd Ste A Inverness, FL 34450 Crystal River, FL 34429 Inverness, FL 34452 Homosassa, FL 34446 (352) 419-5760 (352) 794-7391 (352) 419-5760 (352) 382-5000 Fax: (352) 419-7085 Fax: (352) 794-7394 Fax: (352) 419-7085 Fax: (352) 382-1940 00 Yrs/130 Yrs 00 Yrs/18 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Seven Rivers Regional Medical M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Center PCMH: No PCMH: No MTHF 9:00 AM - 5:30 PM Pediatrics T 12:00 AM - 8:00 PM Hare, Nina DO Toromanovski, Todor MD W 10:00 AM - 5:30 PM Provider ID: 1731871 Fialko, Ira DO PCMH: No Gender: Female Provider ID: 1299135 Provider ID: 202840 Project Health Inc Gender: Male Gender: Male Howard, Marcy MD 120 N Montgomery Ave Pediatric and Internal 6171 W Gulf To Lake Hwy Inverness, FL 34450 Medicine Spe Crystal River, FL 34429 Provider ID: 1731422 (352) 793-5900 1990 N Prospect Ave (352) 563-0220 Gender: Female Fax: (352) 793-6269 Lecanto, FL 34461 Fax: (352) 563-0706 Langley Health Services 00 Yrs/130 Yrs (352) 527-6888 00 Yrs/18 Yrs 547 SE Fort Island Trl Ste C M-F 8:00 AM - 5:00 PM Fax: (352) 527-8818 Citrus Memorial Health Fo Crystal River, FL 34429 PCMH: No 00 Yrs/130 Yrs MTTHF 9:00 AM - 5:00 PM (352) 794-7391 Seven Rivers Regional Medical W 9:00 AM - 12:30 PM 00 Yrs/130 Yrs Nelson, Donoffa DO Center PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 7:00 PM PCMH: No Provider ID: 1731235 PCMH: No Hiremath, Uday MD Gender: Female Provider ID: 401330 Schramm, Heather MD Project Health Inc Toromanovski, Todor MD Gender: Male 120 N Montgomery Ave Ste B West Florida Medical Provider ID: 1690613 Inverness, FL 34450 Provider ID: 1299136 Associates PA Gender: Female (352) 419-5760 Gender: Male 3733 E Gulf To Lake Hwy Nature Coast Center For Fax: (352) 793-6269 Pediatric and Internal Inverness, FL 34453 Primary Car 00 Yrs/130 Yrs Medicine Spe (352) 746-3338 7945 S Suncoast Blvd Ste A M-F 8:00 AM - 5:00 PM 8468 W Periwinkle Ln Ste C Fax: (352) 344-3414 Homosassa, FL 34446 PCMH: No Homosassa, FL 34446 00 Yrs/21 Yrs (352) 382-5000 (352) 628-7270 Citrus Memorial Health Fo Fax: (352) 382-1940 Nelson, Donoffa DO Fax: (352) 765-4563 Languages: Hindi 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 4:30 PM Provider ID: 1731238 Seven Rivers Regional Medical PCMH: No PCMH: No Gender: Female Center Project Health Inc M-F 8:30 AM - 5:00 PM St Martin, Dacelin MD 151 E Highland Blvd Ste 151 PCMH: No Inverness, FL 34452 Provider ID: 1713418 (352) 419-5760 Gender: Male 00 Yrs/130 Yrs Pediatric and Internal Med M-F 8:00 AM - 5:00 PM Speciali PCMH: No 8468 W Periwinkle Ln Homosassa, FL 34446 (352) 628-7270 Fax: (352) 563-0935 00 Yrs/18 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 8 Updated: 01/04/2019 Primary Care Physicians Citrus Pediatrics - cont.

Tinio, Anna Katrina MD

Provider ID: 962681 Gender: Female 3733 E Gulf To Lake Hwy Inverness, FL 34453 (352) 746-3338 Fax: (352) 344-3414 00 Yrs/21 Yrs Citrus Memorial Health Fo M-F 8:00 AM - 5:00 PM PCMH: No

Tinio, Anna Katrina MD

Provider ID: 975983 Gender: Female West Florida Medical Associates PA 10489 N Florida Ave Citrus Springs, FL 34434 (352) 746-3338 Fax: (352) 489-8806 00 Yrs/21 Yrs Citrus Memorial Health Fo Seven Rivers Regional Medical Center M-F 8:30 AM - 5:00 PM Sat 9:00 AM - 12:00 PM PCMH: No

Tinio, Anna Katrina MD

Provider ID: 975987 Gender: Female West Florida Medical Associates PA 3733 E Gulf To Lake Hwy Inverness, FL 34453 (352) 746-3338 Fax: (352) 344-3414 00 Yrs/21 Yrs Citrus Memorial Health Fo Seven Rivers Regional Medical Center M-F 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 9 Updated: 01/04/2019 Primary Care Physicians Clay

Family Practice Braeutigam, Kent DO D'Angelo, Nicholas MD Fetchero III, John DO

Afshar, Ali MD Provider ID: 13490 Provider ID: 1634234 Provider ID: 1163988 Provider ID: 1368381 Gender: Male Gender: Male Gender: Male Gender: Male Family Medical Centers Palms Medical Groupp Family Practice Associates of Clay Primary and Family Care 3839 County Rd 218 2020 Pro Center Dr Ste 100 Orang Center Middleburg, FL 32068 Orange Park, FL 32073 2755 Blanding Blvd 109 865 Blanding Blvd (904) 282-5474 (904) 688-3000 Middleburg, FL 32068 Orange Park, FL 32065 Fax: (904) 282-5824 Fax: (904) 688-3001 (904) 264-8621 (904) 276-1133 05 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 215-9418 Fax: (904) 276-1821 Baptist Medical Center M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 02 Yrs/130 Yrs Memorial Hospital PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM Jacksonville PCMH: No Sat-Sun 9:00 AM - 3:00 PM Orange Park Medical Center Dolven, Craig DO PCMH: No M-F 8:00 AM - 5:00 PM Provider ID: 1198727 Fetchero III, John DO PCMH: No Gender: Male Al-Awady, Murshid MD Family Practice Associates of Provider ID: 1508192 Castiel, Alberto MD Orang Gender: Male Provider ID: 204560 4711 Hwy 17 Ste B1 Memorial Family Practice Gender: Male Provider ID: 1441524 Orange Park, FL 32003 Associates South Clay Medical Gender: Male (904) 278-5048 4689 US Hw 17 Ste 14 Associates Alberto Castiel MD Global Fax: (904) 278-9503 Orange Park, FL 32003 3360 County Rd 220 Fami 00 Yrs/130 Yrs (904) 264-8621 Middleburg, FL 32068 1677 Wells Rd Ste C Languages: French Fax: (904) 215-9418 (904) 291-2221 Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (904) 291-2261 (904) 215-8400 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (904) 215-8489 PCMH: No Orange Park Medical Center 03 Yrs/130 Yrs Edwards, Michael DO MWTH 9:00 AM - 4:30 PM Orange Park Medical Center Gill, Stephen MD TF 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1136695 Provider ID: 575131 PCMH: No PCMH: No Gender: Male Gender: Male Family Medical Center Baptist Primary Care Aprameya, Sriramulu MD Channaveeraiah, Naganna MD 421 Kingsley Ave Ste 400 2349 Vlg Sq Pkwy Ste 110 Orange Park, FL 32073 Fleming Island, FL 32003 Provider ID: 1350228 Provider ID: 1195218 (904) 621-0643 (904) 264-6404 Gender: Male Gender: Male Fax: (904) 621-0644 Fax: (904) 264-6884 South Clay Medical Palms Medical Group 00 Yrs/130 Yrs 00 Yrs/130 Yrs Associates 2021 Pro Center Dr 100 M-F 9:00 AM - 5:00 PM Baptist Medical Center 3360 County Rd 220 Orange Park, FL 32073 PCMH: No Orange Park Medical Center Middleburg, FL 32068 (904) 688-3000 St Vincents Medical Center (904) 291-2221 Fax: (904) 688-3001 El Hassan, David MD Riverside Fax: (904) 291-2261 00 Yrs/130 Yrs Provider ID: 1505102 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs MW 8:00 AM - 7:00 PM Gender: Male PCMH: No M-F 9:00 AM - 5:00 PM TTHF 8:00 AM - 5:00 PM St Vincent's Ambulatory Care PCMH: No PCMH: Yes, Level 3 Inc 1545 Brannan Field Rd Ste 1 Middleburg, FL 32068 (904) 450-8575 Fax: (904) 291-3822 18 Yrs/130 Yrs M-TH 7:15 AM - 6:00 PM F 7:15 AM - 5:15 PM PCMH: No

www.wellcare.com/Florida | 10 Updated: 01/04/2019 Primary Care Physicians Clay

Family Practice - cont. Miller, Jessica MD Peterson, Michael DO Weyer, Deborah MD Provider ID: 1043423 Provider ID: 1475668 Goh, Benjamin DO Gender: Female Gender: Female Provider ID: 953598 Village Doctors Family St Vincents Ambulatory Care Gender: Female Provider ID: 13492 Medical Center Inc St Vincents Physician Gender: Male 175 N Lawrence Blvd 1570 Island Lane Enterprise Family Medical Centers Keystone Heights, FL 32656 Fleming Island, FL 32003 1658 St Vincents Way Ste 320 3839 County Rd 218 (352) 473-3199 (904) 264-1204 Middleburg, FL 32068 Middleburg, FL 32068 Fax: (352) 473-4491 Fax: (904) 264-1227 (904) 602-4330 (904) 282-5474 00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (904) 602-4371 Fax: (904) 282-5824 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs 05 Yrs/130 Yrs PCMH: No PCMH: No St Vincents Medical Center Memorial Hospital Riverside Jacksonville Mueller, Aino DO Schueler III, Arthur DO M-F 8:00 AM - 5:00 PM Orange Park Medical Center Provider ID: 1071946 PCMH: Yes, Level 3 M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 933765 PCMH: No Memorial Family Practice Gender: Male General Practice Associates St Vincents Physician Hill-Antoine, Tiffany MD 2755 Blanding Blvd Ste 109 Enterprise Colon, Carlos MD Middleburg, FL 32068 1545 Branan Field Rd Ste 1 Provider ID: 1264766 Provider ID: 1610285 (904) 264-8621 Middleburg, FL 32068 Gender: Male Gender: Female Fax: (904) 215-9418 (904) 450-8575 Rural Health Care Inc Palms Medical Group 00 Yrs/130 Yrs Fax: (904) 291-3822 Keystone Heig 2021 Pro Center Dr Ste 100 Memorial Hospital 00 Yrs/130 Yrs 100 Commercial Dr Orange Park, FL 32073 Jacksonville Orange Park Medical Center Keystone Heights, FL 32656 (904) 688-3000 Orange Park Medical Center St Vincents Medical Center (352) 473-6595 Fax: (904) 688-3001 M-F 8:00 AM - 5:00 PM Riverside Fax: (352) 473-6597 00 Yrs/130 Yrs PCMH: No MTWF 7:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM TH 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Munipalli, Bala MD PCMH: No PCMH: Yes, Level 3 PCMH: No

Jones, Takaya MD Provider ID: 201150 Scott, Randall DO Pediatrics Provider ID: 1185501 Gender: Female Provider ID: 1537469 Gender: Female St Vincents Physician Gender: Male Aboushaar, Mohammad MD Baptist Primary Care Inc. Enterprise Coastal Family Medicine 2349 Vlg Sq Pkwy Ste 110 1545 Branan Field Rd Ste 1 3189 Hwy 17 Provider ID: 219800 Fleming Island, FL 32003 Middleburg, FL 32068 Green Cove Springs, FL 32043 Gender: Male (904) 264-6404 (904) 450-8575 (904) 621-0247 Family Medical Centers Fax: (904) 264-6884 Fax: (904) 291-3822 Fax: (904) 339-9945 1555 Kingsley Ave Ste 601 00 Yrs/130 Yrs 00 Yrs/130 Yrs 12 Yrs/130 Yrs Orange Park, FL 32073 M-F 8:30 AM - 5:00 PM MTWF 7:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (904) 264-0264 PCMH: No TH 8:00 AM - 5:00 PM PCMH: No Fax: (904) 278-0437 PCMH: Yes, Level 3 00 Yrs/19 Yrs Kinimaka, Chamonix MD Warren, Charles DO Baptist Medical Center Parghi, Anjan MD Memorial Hospital

Provider ID: 1655299 Provider ID: 1654018 Provider ID: 342921 Jacksonville

Gender: Female Gender: Male Gender: Male St Vincents Medical Center Riverside Trenton Medical Center Trenton Medical Center Family Care Partners Argyle Languages: Arabic 2021 Pro Center Dr Ste 100 2021 Pro Center Dr Ste 100 4565 US Hwy 17 Ste 106 M-F 9:00 AM - 5:00 PM Orange Park, FL 32073 Orange Park, FL 32073 Orange Park, FL 32003 PCMH: No (314) 872-1439 (314) 872-1439 (904) 269-4559

Fax: (888) 766-1772 Fax: (888) 766-1772 Fax: (904) 269-4597

00 Yrs/130 Yrs 00 Yrs/130 Yrs 02 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 11 Updated: 01/04/2019 Primary Care Physicians Clay

Pediatrics - cont. Moshiree, Massoud MD Spearman, Dan MD Provider ID: 149236 Bedard, Mark DO Provider ID: 0795 Gender: Male Provider ID: 953088 Gender: Male Orange Park Pediatric Gender: Male Clay Primary and Family Care Associates PA 2140 Smith St Center 2140 Smith St Orange Park, FL 32073 865 Blanding Blvd Orange Park, FL 32073 (904) 269-2140 Orange Park, FL 32065 (904) 269-2140 Fax: (904) 264-3018 (904) 276-1133 Fax: (904) 264-3018 00 Yrs/18 Yrs Fax: (904) 276-1821 00 Yrs/21 Yrs Baptist Medical Center 02 Yrs/130 Yrs Baptist Medical Center PCMH: No Baptist Medical Center Orange Park Medical Center Orange Park Medical Center St Vincents Medical Center Downey, James MD M-F 8:00 AM - 9:00 PM Riverside Sat-Sun 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1340758 PCMH: No PCMH: No Gender: Male Tilak, Suwarna MD 1658 St Vincents Way Ste 320 Sauer, Shiree MD Provider ID: 146850 Middleburg, FL 32068 Provider ID: 906399 Gender: Female (904) 602-4330 Gender: Female Doctors Inlet Pediatrics Fax: (904) 602-4371 Baptist Primary Care 430 College Dr Ste 100-102 00 Yrs/21 Yrs 1747 Baptist Clay Dr Ste 110 Middleburg, FL 32068 M-F 8:00 AM - 5:00 PM Fleming Island, FL 32003 (904) 644-8669 PCMH: Yes, Level 3 (904) 520-6620 Fax: (904) 520-6610 Fax: (904) 298-1973 Gehret, Richard MD 00 Yrs/21 Yrs 00 Yrs/18 Yrs Provider ID: 149183 Baptist Medical Center Baptist Medical Center

Gender: Male Orange Park Medical Center Shands Jacksonville Med Center Baptist Primary Care St Vincents Medical Center Languages: Hindi 1747 Baptist Clay Dr Ste 110 Riverside M-F 7:30 AM - 8:30 PM Fleming Island, FL 32003 M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM (904) 520-6620 PCMH: No PCMH: Yes, Level 3 Fax: (904) 520-6610 Schare, Rachel MD 00 Yrs/21 Yrs Provider ID: 1641894 Wallizada, Abdul MD Baptist Medical Center Orange Park Medical Center Gender: Female St Vincents Medical Center St Vincents Ambulatory Care Provider ID: 08789 Riverside Inc Gender: Male M-F 9:00 AM - 5:00 PM 1658 St Vincents Way Ste 320 Khalil A Wallizada MD PCMH: No Middleburg, FL 32068 2051 Professional Center Dr (904) 602-4330 Orange Park, FL 32073 Mora, Maria MD Fax: (904) 602-4371 (904) 276-0005 Provider ID: 28128 00 Yrs/18 Yrs Fax: (855) 600-3475 Gender: Female M-F 8:00 AM - 5:00 PM 00 Yrs/20 Yrs Middleburg Pediatrics PCMH: No Baptist Medical Center 91 Branscomb Rd Ste 3 Orange Park Medical Center Green Cove Springs, FL 32043 Languages: Persian - Farsi (904) 861-1034 M-F 8:30 AM - 5:00 PM Fax: (904) 861-1037 PCMH: No 00 Yrs/21 Yrs Baptist Medical Center Orange Park Medical Center St Vincents Medical Center Riverside Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 12 Updated: 01/04/2019 Primary Care Physicians Columbia Pediatrics Milla-Orellana, Paulino MD Rural Health Center

Gulzar, Tariq MD Provider ID: 163374 Santelices, Samuel MD Provider ID: 1135389 Gender: Male Gender: Male Grace Pediatrics Provider ID: 1099987 North Florida Pediatrics, PA 4196 W US Hwy 90 Ste 105 Gender: Male 1859 SW Newland Way Lake City, FL 32055 North Florida Pediatrics Lake City, FL 32025 (386) 243-8474 1859 SW Newland Way (386) 758-0003 Fax: (386) 438-5945 Lake City, FL 32025 Fax: (386) 755-4432 00 Yrs/21 Yrs (386) 758-0003 00 Yrs/21 Yrs Languages: Spanish Fax: (386) 755-4432 Languages: Spanish, French M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM PCMH: No M-F 8:00 AM - 6:00 PM Sat-Sun 9:00 AM - 2:00 PM Sat-Sun 9:00 AM - 2:00 PM PCMH: No Santelices, Pamela MD PCMH: No

Khodr, Bilal MD Provider ID: 1099982 Provider ID: 935210 Gender: Female Gender: Male North Florida Pediatrics Magnolia Pediatrics 1859 SW Newland Way 1140 SW Bascom Norris Dr Ste Lake City, FL 32025 104 (386) 758-0003 Lake City, FL 32025 Fax: (386) 755-4432 (386) 719-6500 00 Yrs/21 Yrs Fax: (386) 719-6503 M-F 8:00 AM - 6:00 PM 00 Yrs/21 Yrs Sat-Sun 9:00 AM - 2:00 PM Doctors Memorial Hospital PCMH: No Inc M-F 8:00 AM - 5:00 PM Santelices, Samuel MD PCMH: No Mercado Quinones, Alfredo Provider ID: 1099987 MD Gender: Male North Florida Pediatrics Provider ID: 1526986 1859 SW Newland Way Gender: Male Lake City, FL 32025 North Florida Pediatrics PA (386) 758-0003 1859 SW Newland Way Fax: (386) 755-4432 Lake City, FL 32025 00 Yrs/21 Yrs (386) 758-0003 M-F 8:00 AM - 6:00 PM Fax: (386) 755-7940 Sat-Sun 9:00 AM - 2:00 PM 00 Yrs/130 Yrs PCMH: No Languages: Spanish, Russian M-F 8:00 AM - 5:30 PM Smith, Maria MD

Sat-Sun 9:00 AM - 2:00 PM Provider ID: 1508158

PCMH: No Gender: Female North Florida Pediatrics 1859 SW Newland Way Lake City, FL 32025 (386) 758-0003 Fax: (386) 628-5035 00 Yrs/21 Yrs M-F 8:00 AM - 5:30 PM Sat-Sun 9:00 AM - 2:00 PM PCMH: No

www.wellcare.com/Florida | 13 Updated: 01/04/2019 Primary Care Physicians Dixie

Family Practice Santelices, Samuel MD

Brandt, John MD Provider ID: 1142602 Provider ID: 1177515 Gender: Male Gender: Male North Florida Pediatrics Tri County Primary Care Inc 149 NE 241st St Ste A 306 NE Hwy 351 Cross City, FL 32628 Cross City, FL 32628 (352) 498-3337 (352) 498-3372 Fax: (352) 498-3773 Fax: (352) 498-7119 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-W 8:00 AM - 5:00 PM MT 8:30 AM - 5:30 PM PCMH: No WTHF 8:30 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Smith, Maria MD PCMH: No Provider ID: 1508160 Gender: Female Laibstain, Sarah MD North Florida Pediatrics Provider ID: 688753 149 NE 241st St Ste A Gender: Female Cross City, FL 32628 Family Medicine At Old Town (352) 498-3337 25827 SE Hwy 19 Fax: (352) 498-3773 Old Town, FL 32680 00 Yrs/21 Yrs (352) 542-0068 M-F 8:00 AM - 5:30 PM Fax: (352) 542-1843 PCMH: No 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2 Pediatrics

Mercado Quinones, Alfredo MD Provider ID: 1526985 Gender: Male North Florida Pediatrics PA 149 NE 241st St Cross City, FL 32628 (352) 498-3337 Fax: (352) 498-3773 00 Yrs/130 Yrs Languages: Spanish, Russian M-F 8:30 AM - 5:00 PM PCMH: No

Santelices, Pamela MD

Provider ID: 1142596 Gender: Female North Florida Pediatrics 149 NE 241st St Ste A Cross City, FL 32628 (352) 498-3337 Fax: (352) 498-3773 00 Yrs/21 Yrs M-W 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 14 Updated: 01/04/2019 Primary Care Physicians Gilchrist

Family Practice Wittstruck, Sarah MD

Dunn, Grace MD Provider ID: 1104894 Provider ID: 1104822 Gender: Female Gender: Female Palms Medical Group Palms Medical Group 911 S Main St 911 S Main St Trenton, FL 32693 Trenton, FL 32693 (352) 463-6292 (352) 463-2374 Fax: (352) 463-2726 Fax: (352) 463-2726 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

Ivey, James MD Provider ID: 1104835 Gender: Male Palms Medical Group 1830 N Main St Bell, FL 32619 (352) 463-1100 Fax: (352) 463-3924 00 Yrs/130 Yrs North Florida Regional MT 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Pediatrics

Valletta, Mary MD Provider ID: 1104880 Gender: Female Palms Medical Group 911 S Main St Trenton, FL 32693 (352) 463-6292 Fax: (352) 463-2726 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM Sat 8:30 AM - 12:00 PM PCMH: No

Wittstruck, Sarah MD

Provider ID: 1104883 Gender: Female Palms Medical Group 1830 N Main St Bell, FL 32619 (352) 463-1100 Fax: (352) 463-3925 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 15 Updated: 01/04/2019 Primary Care Physicians Hamilton Pediatrics

Gulzar, Tariq MD Provider ID: 1135386 Gender: Male North Florida Pediatrics, PA 1117 NW Hwy 41 Ste B Jasper, FL 32052 (386) 792-3864 Fax: (386) 792-1530 00 Yrs/21 Yrs Languages: Spanish, French M-F 9:00 AM - 5:00 PM PCMH: No

Olivia, Arlene MD Provider ID: 1099963 Gender: Female North Florida Pediatrics 1117 NW Hwy 41 Ste B Jasper, FL 32052 (386) 792-3864 Fax: (386) 792-1530 00 Yrs/21 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Santelices, Pamela MD

Provider ID: 1099979 Gender: Female North Florida Pediatrics 1117 NW Hwy 41 Ste B Jasper, FL 32052 (386) 792-3864 Fax: (386) 792-1530 00 Yrs/21 Yrs M-F 8:30 AM - 5:00 PM PCMH: No

Smith, Maria MD Provider ID: 1508159 Gender: Female North Florida Pediatrics 1117 NW Hwy 41 Ste B Jasper, FL 32052 (386) 792-3864 Fax: (386) 792-1530 00 Yrs/21 Yrs M-F 8:00 AM - 5:30 PM PCMH: No

www.wellcare.com/Florida | 16 Updated: 01/04/2019 Primary Care Physicians Lafayette Family Practice

Yu, Tae DO Provider ID: 774954 Gender: Male Dmh Family Practice 117 SW Virginia Cir Mayo, FL 32066 (386) 294-2475 Fax: (386) 294-2478 00 Yrs/130 Yrs Doctors Memorial Hospital Inc Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 17 Updated: 01/04/2019 Primary Care Physicians Levy

Family Practice Dunn, Grace MD Rogers, Douglas DO Gulzar, Tariq MD Provider ID: 1104859 Provider ID: 1551973 Burkett, Elizabeth DO Gender: Female Provider ID: 1441547 Gender: Male Palms Medical Group Gender: Male North Florida Pediatrics Provider ID: 1146962 630 N Main St Chiefland Medical Center LLC 2220 N Young Blvd Gender: Female Williston, FL 32696 1113 NW 23rd Ave Chiefland, FL 32626 Chiefland Medical Center LLC (352) 463-1100 Chiefland, FL 32626 (352) 221-7337 1113 NW 23rd Ave Fax: (352) 528-4834 (352) 493-9500 Fax: (352) 221-7344 Chiefland, FL 32626 00 Yrs/130 Yrs Fax: (866) 895-8359 00 Yrs/21 Yrs (352) 493-9500 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 493-7070 PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 7:00 PM Ellis, Matthew MD Pepin, Andrea MD Sat 8:00 AM - 12:00 PM Provider ID: 1169439 Toromanovski, Todor MD Provider ID: 1317894 PCMH: No Gender: Male Gender: Female Family and After Hours Care, Provider ID: 1553486 Palms Medical Group Chapman, Christine DO LLC Gender: Male 410 N Main St Ste 1 and 2 1413 NW 23rd Ave Pediatric and Internal Chiefland, FL 32626 Provider ID: 1104849 Chiefland, FL 32626 Medicine Spe (352) 493-7274 Gender: Female (352) 493-9393 514 W Noble Ave Fax: (352) 493-9290 Palms Medical Group Fax: (352) 493-9390 Williston, FL 32696 00 Yrs/18 Yrs 2010 N Young Blvd 00 Yrs/130 Yrs (352) 528-9355 M-F 9:00 AM - 5:00 PM Chiefland, FL 32626 North Florida Regional Fax: (352) 528-7427 PCMH: No (352) 463-2374 MTWTHFSatSun 8:00 AM ­ 00 Yrs/21 Yrs Fax: (352) 463-2726 5:00 PM M-F 9:00 AM - 7:00 PM Santelices, Pamela MD 00 Yrs/130 Yrs PCMH: No Sat 9:00 AM - 5:00 PM North Florida Regional PCMH: No Provider ID: 1551979 Falkowski, Stephen DO M-F 8:00 AM - 6:00 PM Gender: Female Sat 8:30 AM - 12:00 PM Pediatrics North Florida Pediatrics PCMH: No Provider ID: 1104847 2220 N Young Blvd Gender: Female Gaines, Casady MD Chiefland, FL 32626 Clevinger, Sidney MD Palms Medical Group Provider ID: 179682 (352) 221-7337 630 N Main St Gender: Female Fax: (352) 221-7344 Provider ID: 947825 Williston, FL 32696 Williston Pediatrics 00 Yrs/21 Yrs Gender: Male (352) 528-0587 223 N Main St M-W 8:00 AM - 5:00 PM Williston Rural Health and Fax: (352) 463-2726 Williston, FL 32696 PCMH: No Wellness 00 Yrs/130 Yrs (352) 529-0477 300A NW 1st Ave M-F 9:00 AM - 5:00 PM Fax: (352) 529-0406 Smith, Maria MD Williston, FL 32696 PCMH: No 00 Yrs/21 Yrs Provider ID: 1551977 (352) 529-0966 Languages: Spanish Gender: Female Fax: (352) 529-0966 Ivey, James MD M-F 8:00 AM - 7:00 PM North Florida Pediatrics 02 Yrs/130 Yrs Provider ID: 1104831 PCMH: No 2220 N Young Blvd Florida Hospital Ocala Gender: Male Chiefland, FL 32626 Ocala Regional Medical Palms Medical Group Gonzalez Rosa, Esther MD (352) 221-7337 Center 1010 NW 8th Ave Ste A Fax: (352) 221-7344 Languages: Spanish Williston, FL 32696 Provider ID: 1156452 00 Yrs/21 Yrs M-F 7:30 AM - 5:00 PM (352) 528-0587 Gender: Female M-F 8:00 AM - 5:30 PM PCMH: No Fax: (352) 528-4834 Chiefland Medical Center LLC PCMH: No 00 Yrs/130 Yrs 1113 NW 23rd Ave North Florida Regional Chiefland, FL 32626 M-F 8:00 AM - 6:00 PM (352) 493-9500 Sat 8:30 AM - 12:00 PM Fax: (352) 493-7070 PCMH: No 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 18 Updated: 01/04/2019 Primary Care Physicians Levy Pediatrics - cont.

St Martin, Dacelin MD

Provider ID: 1553489 Gender: Male Pediatric and Internal Med Speciali 514 W Noble Ave Williston, FL 32696 (352) 528-9355 Fax: (352) 528-7427 00 Yrs/18 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM PCMH: No

Valletta, Mary MD Provider ID: 1104872 Gender: Female Palms Medical Center 410 N Main St Ste 1 Chiefland, FL 32626 (352) 493-7274 Fax: (352) 493-9290 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

Valletta, Mary MD Provider ID: 1104877 Gender: Female Palms Medical Group 630 N Main St Williston, FL 32696 (352) 528-0587 Fax: (352) 528-4834 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

Wittstruck, Sarah MD

Provider ID: 1104891 Gender: Female Palms Medical Group 630 N Main St Williston, FL 32696 (352) 528-0587 Fax: (352) 528-4834 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 19 Updated: 01/04/2019 Primary Care Physicians Marion

Family Practice Crespo, Juan MD Grajales, Olga MD Nardandrea Jr, John MD Provider ID: 549486 Provider ID: 1724155 Brown, James DO Gender: Male Gender: Female Provider ID: 173764 Provider ID: 493068 Ocala Health Primary Care Langley Health Services Gender: Male Gender: Male 2415 SE 17th St 7205 SE Maricamp Rd Ocala Health Primary Care Ocala Health Primary Care Ocala, FL 34471 Ocala, FL 34472 2415 SE 17th St 10696 SE US Hwy 441 (352) 622-2221 (352) 680-7000 Ocala, FL 34471 Belleview, FL 34420 Fax: (352) 732-5372 Fax: (352) 680-0173 (352) 732-5365 (352) 245-1111 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 732-5372 Fax: (352) 245-1435 Florida Hospital Ocala M-F 8:00 AM - 5:00 PM 05 Yrs/130 Yrs 00 Yrs/130 Yrs Ocala Regional Medical PCMH: No Florida Hospital Ocala Florida Hospital Ocala Center Ocala Regional Medical Ocala Regional Medical West Marion Community Hare, Nina DO Center Center Hospital Provider ID: 1531439 West Marion Community West Marion Community Languages: Spanish Gender: Female Hospital Hospital M-F 7:30 AM - 5:00 PM Project Health Inc M-F 7:30 AM - 5:00 PM M-F 7:30 AM - 5:00 PM PCMH: Yes, Level 2 7205 SE Maricamp Rd PCMH: Yes, Level 2 PCMH: Yes, Level 2 Ocala, FL 34472 Earley, Brian DO (352) 680-0324 Nelson, Donoffa DO Chua, Ian MD Provider ID: 1493043 Fax: (352) 680-0173 Provider ID: 930100 Gender: Male 00 Yrs/130 Yrs Provider ID: 1474945 Gender: Male Ocala Health Primary Care M-F 8:00 AM - 5:00 PM Gender: Female LLC Weirsdale Family Health PCMH: No Project Health Inc Center Inc 1111 NE 25th Ave Ste 302 7205 SE Maricamp Rd 16400 S Hwy 25 Ocala, FL 34470 Kidambi, Vasudevan MD Ocala, FL 34472 Weirsdale, FL 32195 (352) 622-2221 (352) 680-7000 (352) 821-9797 Fax: (352) 622-4193 Provider ID: 1110376 Fax: (352) 680-0173 Fax: (352) 982-0553 00 Yrs/130 Yrs Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs Ocala Regional Medical Vasudevan A Kidambi, MDPA M-F 8:00 AM - 5:00 PM Center Leesburg Reg Med Center PCMH: No M-F 8:00 AM - 5:00 PM 3200 SW 34th Ave Bldg 300 M-TH 8:00 AM - 5:00 PM Ste 302 PCMH: No F 8:00 AM - 2:00 PM Ocala, FL 34474 Price, James MD PCMH: No Provider ID: 1431492 Fusco, Frank MD (352) 732-2900 Fax: (352) 732-4430 Gender: Male Clevinger, Sidney MD Provider ID: 173557 UF Health Family Medicine Gender: Male 00 Yrs/130 Yrs Ocala Hea Ocal Health Primary Care Inc Ocala Regional Medical Provider ID: 546665 Center 4730 SW 49th Rd 1800 SE 17th St Ste 100 Gender: Male M-TH 9:00 AM - 4:00 PM Ocala, FL 34474 Ocala, FL 34471 Ocala Health Primary F 9:00 AM - 1:00 PM (352) 854-0681 (352) 351-4999 2415 SE 17th St PCMH: No Fax: (352) 240-9727 Ocala, FL 34471 Fax: (352) 351-8106 05 Yrs/130 Yrs (352) 732-5365 00 Yrs/130 Yrs Murthy, Srinivasa MD M-W 8:00 AM - 5:00 PM Fax: (352) 690-6607 Florida Hospital Ocala PCMH: No Ocala Regional Medical 02 Yrs/130 Yrs Provider ID: 1724182 Florida Hospital Ocala Center M-F 7:30 AM - 5:00 PM Gender: Male Ocala Regional Medical Project Health Inc Center PCMH: Yes, Level 2 7205 SE Maricamp Rd Languages: Spanish Ocala, FL 34472 M-F 7:30 AM - 5:00 PM (352) 680-7000 PCMH: Yes, Level 2 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 20 Updated: 01/04/2019 Primary Care Physicians Marion

Family Practice - cont. Internal Medicine Howard, Marcy MD Ribay, MA Teresita MD

Rockower, Robert DO Khan, Nilofer MD Provider ID: 1731445 Provider ID: 707522 Provider ID: 1557758 Gender: Female Gender: Female Provider ID: 194199 Gender: Female Langley Health Services Heart of Florida Health Gender: Male Weirsdale Family Health 7205 SE Maricamp Rd Center Inc Family Care Specialists Inc Center Inc Ocala, FL 34472 1025 SW 1st Ave 10696 SE US Hwy 441 16400 S Hwy 25 (352) 793-5900 Ocala, FL 34471 Belleview, FL 34420 Weirsdale, FL 32195 Fax: (352) 793-6269 (352) 732-6599 (352) 245-1111 (352) 821-9797 00 Yrs/130 Yrs Fax: (352) 732-4816 Fax: (352) 245-1435 Fax: (352) 821-0553 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No Ocala Regional Medical Florida Hospital Ocala M-TH 8:00 AM - 5:00 PM Center Ocala Regional Medical F 8:00 AM - 3:00 PM Irizarry Padilla, Jadira MD Languages: Spanish, Filipino Center PCMH: No M-F 8:00 AM - 5:00 PM M-F 7:30 AM - 5:00 PM Provider ID: 1200226 PCMH: Yes, Level 3 PCMH: Yes, Level 2 Pediatrics Gender: Female Heart of Florida Health Sandu, Mamatha MD Rockower, Robert DO Ajufo, Sylvester MD Center Inc 7055 SE 110th St Rd Provider ID: 1099467 Provider ID: 546747 Provider ID: 1099948 Belleview, FL 34420 Gender: Female Gender: Male Gender: Male (352) 732-6599 Kid's Health Alliance, PA Ocala Health Primary Care Trinity Pediatrics Inc Fax: (352) 732-4816 2650 NW 2nd St Ste 100 10696 SE US Hwy 441 2131 SW 22nd Pl Ste 202 00 Yrs/21 Yrs Ocala, FL 34475 Belleview, FL 34420 Ocala, FL 34474 Languages: Spanish (352) 237-5400 (352) 245-1111 (352) 369-3700 M-F 8:00 AM - 5:00 PM Fax: (866) 423-8644 Fax: (352) 245-1435 Fax: (352) 369-3931 PCMH: Yes, Level 3 00 Yrs/18 Yrs 00 Yrs/130 Yrs 00 Yrs/18 Yrs M-F 8:00 AM - 6:00 PM Florida Hospital Ocala Florida Hospital Ocala Odunlami, Adebayo MD Sat 9:00 AM - 1:00 PM Ocala Regional Medical Ocala Regional Medical PCMH: No Center Center Provider ID: 483327 M-F 7:30 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Gender: Male Sandu, Mamatha MD PCMH: Yes, Level 2 PCMH: Yes, Level 3 Fast Track Pediatrics, Inc 1133 SE 18th Pl Ste 1 Provider ID: 1648277 Rockower, Robert DO Eunus, Shahab MD Ocala, FL 34471 Gender: Female Provider ID: 1707656 (352) 433-2633 Premier Pediatrics Provider ID: 546748 Gender: Male Fax: (352) 433-2644 5388 S US Hwy 41 Gender: Male Community Family Health 00 Yrs/21 Yrs Dunnellon, FL 34432 Care Family Care Specialists Inc Florida Hospital Ocala (352) 522-1862 11392 E Hwy 316 1111 NE 25th Ave Ste 302 Languages: Spanish Fax: (352) 522-1863 Fort MC Coy, FL 32134 Ocala, FL 34470 M-F 10:00 AM - 8:00 PM 00 Yrs/18 Yrs (352) 236-0440 (352) 622-2221 Sat 10:00 AM - 2:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 236-0717 Fax: (352) 622-4193 PCMH: No PCMH: No 00 Yrs/130 Yrs 00 Yrs/21 Yrs Florida Hospital Ocala M-F 8:00 AM - 6:00 PM Qamar, Humeraa MD Shrinath, Madhukar MD Ocala Regional Medical PCMH: No Center Provider ID: 1099950 Provider ID: 1103633 West Marion Community Hospital Gender: Female Gender: Male

M-F 7:30 AM - 6:00 PM Huneraa Qamar MD Sunshine Pediatrics of Ocala PA PCMH: No 1749 SE 28th Loop Ocala, FL 34471 1900 SW 20th Pl (352) 369-8690 Ocala, FL 34471 Fax: (352) 369-8693 (352) 840-5437 00 Yrs/21 Yrs Fax: (352) 237-1094 M-F 8:00 AM - 5:00 PM 00 Yrs/18 Yrs PCMH: No M-F 9:00 AM - 6:00 PM PCMH: No

www.wellcare.com/Florida | 21 Updated: 01/04/2019 Primary Care Physicians Marion Pediatrics - cont.

Velez-Borras, Jose MD

Provider ID: 1100373 Gender: Male Trinity Pediatrics Inc 2131 SW 22nd Pl Ste 202 Ocala, FL 34474 (352) 369-3700 Fax: (352) 369-3931 00 Yrs/18 Yrs Ocala Regional Medical Center Languages: Spanish M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3

www.wellcare.com/Florida | 22 Updated: 01/04/2019 Primary Care Physicians Putnam

Family Practice Rivera, Maria Josefina MD

Abernethy, John MD Provider ID: 1152431 Gender: Female Provider ID: 174080 Sunrise Primary Care Inc Gender: Male 811 N Summit St Ste 100 Birth and Beyond PA Crescent City, FL 32112 1326 SR 100 (386) 698-2279 Grandin, FL 32138 Fax: (386) 698-2239 (386) 659-2104 00 Yrs/130 Yrs Fax: (386) 659-2196 Languages: Spanish 00 Yrs/130 Yrs M-F 9:00 AM - 5:30 PM Shands At The University of PCMH: No Florida M-F 8:30 AM - 5:30 PM Rivera, Maria Josefina MD PCMH: No Provider ID: 1152433 Graham Hooker, Suzanne MD Gender: Female Sunrise Primary Care Inc Provider ID: 1515864 219 N Palm Ave Gender: Female Palatka, FL 32177 Rural Health Care Inc D/B/A (386) 325-8002 Azalea Fax: (386) 325-8055 1302 River St 00 Yrs/130 Yrs Palatka, FL 32177 Languages: Spanish (386) 328-8371 M-F 9:00 AM - 5:30 PM Fax: (386) 328-1519 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Pediatrics PCMH: No Anderson, Luis MD Hernandez Mendez, Francisco MD Provider ID: 749806 Provider ID: 1143648 Gender: Male Gender: Male Community Care Pediatrics Rural Health Care, Inc. D/B/A 1112 State Rd 20 Unit 2

Azale Interlachen, FL 32148

405 Elm St (386) 684-0828

Welaka, FL 32193 Fax: (855) 510-5718

(386) 467-3171 00 Yrs/21 Yrs

Fax: (386) 467-3174 Flagler Hospital

00 Yrs/130 Yrs Languages: Spanish

M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

PCMH: No PCMH: No

Raybon, Cindie MD

Provider ID: 1629040 Gender: Female Raybon Pediatrics 700 Zeagler Dr Ste 7 Palatka, FL 32177 (386) 385-8137 Fax: (386) 487-2113 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 23 Updated: 01/04/2019 Primary Care Physicians Suwannee

Family Practice Razi, James MD Santelices, Pamela MD Wittstruck, Sarah MD Provider ID: 1324816 Awojulu, Adetokunbo MD Gender: Male Provider ID: 1099984 Provider ID: 1104882 Trenton Medical Center Gender: Female Gender: Female Provider ID: 1496953 211 Ranchero St North Florida Pediatrics Palms Medical Group Gender: Male Live Oak, FL 32064 1101 Ohio Ave S 109 SW Savannah Ave Shands Live Oak Primary Care (386) 364-1751 Live Oak, FL 32064 Branford, FL 32008 1116 11th St SW Unit B Fax: (386) 364-1761 (386) 339-1060 (386) 935-3090 Live Oak, FL 32064 00 Yrs/130 Yrs Fax: (386) 339-1067 Fax: (386) 935-3198 (386) 362-0820 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs 00 Yrs/130 Yrs Fax: (386) 362-0821 PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Pediatrics PCMH: No Santelices, Samuel MD Gulzar, Tariq MD Gonzalez, Maria MD Provider ID: 1135387 Provider ID: 1099985 Provider ID: 1517546 Gender: Male Gender: Male Gender: Female North Florida Pediatrics, PA North Florida Pediatrics Acv Community Service 1101 Ohio Ave S 1101 Ohio Ave S 10820 Marvin Jones Blvd Live Oak, FL 32064 Live Oak, FL 32064 Live Oak, FL 32064 (386) 339-1060 (386) 339-1060 (386) 658-5300 Fax: (386) 339-1067 Fax: (386) 628-5035 Fax: (386) 658-5130 00 Yrs/21 Yrs 00 Yrs/21 Yrs 18 Yrs/130 Yrs Languages: Spanish, French M-F 8:30 AM - 5:00 PM Languages: Spanish M-F 8:30 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Smith, Maria MD Mercado Quinones, Alfredo Provider ID: 1508161 Messcher, Daniel MD MD Gender: Female Provider ID: 1526983 North Florida Pediatrics Provider ID: 681104 Gender: Male 1101 Ohio Ave S Gender: Male North Florida Pediatrics PA Live Oak, FL 32064 Shands Live Oak Primary Care 1101 Ohio Ave S (386) 339-1060 1116 11th St SW Live Oak, FL 32064 Fax: (386) 339-1067 Live Oak, FL 32064 (386) 339-1060 00 Yrs/21 Yrs (386) 362-0820 Fax: (386) 339-1067 M-F 8:00 AM - 5:30 PM Fax: (386) 362-0821 00 Yrs/130 Yrs PCMH: No 05 Yrs/130 Yrs Languages: Spanish, Russian Shands At The University of M-F 8:30 AM - 5:00 PM Valletta, Mary MD Florida PCMH: No Provider ID: 1104869 M-F 8:00 AM - 5:00 PM Gender: Female PCMH: No Oliva, Arlene MD Palms Medical Group Provider ID: 814367 109 SW Savannah Ave Pidgeon, Lana MD Gender: Female Branford, FL 32008 Provider ID: 1135714 North Florida Pediatrics (386) 935-3090 Gender: Female 417 E Call St Fax: (386) 935-3198 Trenton Medical Center Inc Starke, FL 32064 00 Yrs/21 Yrs DBA Palm (904) 368-0368 M-F 8:00 AM - 5:00 PM 109 SW Savannah Ave Fax: (904) 317-4949 PCMH: No Branford, FL 32008 00 Yrs/21 Yrs (386) 935-3090 M-F 8:00 AM - 5:00 PM Fax: (386) 935-3198 PCMH: No 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

www.wellcare.com/Florida | 24 Updated: 01/04/2019 Primary Care Physicians Taylor Family Practice

El Kinge, Nizar MD Provider ID: 1138312 Gender: Male Tallahassee Memorial Healthcare Phy 555 N Byron Butler Pkwy Perry, FL 32347 (850) 838-8636 Fax: (850) 838-3614 18 Yrs/130 Yrs Tallahassee Memorial Hosptial M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 25 Updated: 01/04/2019 Specialty Physicians Alachua

Allergy & Immunology Cardiac Electrophysiology Aggarwal, Monica MD Anderson, Russell MD Provider ID: 566226 Cuervo Pardo, Lyda MD Goel, Ramil MD Provider ID: 1352254 Gender: Male Provider ID: 1428501 Gender: Female UF Health Cardiology Heart Provider ID: 1636944 Gender: Male UF Health Cardiology and Vasc Gender: Female UF Health Cardiology- Springhill 1505 SW Archer Rd UF Health Allergy Springhill 2 Springhill 4037 NW 86th Ter 2nd Fl Gainesville, FL 32610 4197 NW 86th Terr 1st Fl 4037 NW 86th Ter Fl 2 Gainesville, FL 32606 (352) 265-0820 Gainesville, FL 32606 Gainesville, FL 32606 (352) 265-0820 18 Yrs/130 Yrs (352) 265-0420 (352) 265-0820 Fax: (352) 627-4293 Shands At The University of 18 Yrs/130 Yrs Fax: (352) 627-4293 00 Yrs/130 Yrs Florida M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Hindi M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Anderson, Russell MD Cuervo Pardo, Lyda MD Panna, Mark MD Ahmed, Mustafa MD Provider ID: 566226 Gender: Male Provider ID: 1636944 Provider ID: 566696 Provider ID: 799138 Gender: Male Gender: Male UF Health Cardiology Gender: Female Springhill UF Health Cardiology Shands At UF UF Health Internal Medicine 4037 NW 86th Ter Fl 2 Medical Springhill 1600 SW Archer Rd Gainesville, FL 32606 2000 SW Archer Rd 4th Fl 4037 NW 86th Ter Fl 2 Gainesville, FL 32610 (352) 265-0820 Gainesville, FL 32608 Gainesville, FL 32606 (352) 265-0535 Fax: (352) 627-4293 (352) 265-0140 (352) 265-0139 Fax: (352) 265-0328 18 Yrs/130 Yrs Fax: (352) 265-7092 Fax: (352) 265-0823 00 Yrs/130 Yrs Shands At The University of 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Florida M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Anderson, Russell MD PCMH: No Torres, Vilma MD Rodenas, Mario MD Provider ID: 566226 Barb, Ilie MD Provider ID: 1316641 Provider ID: 1636996 Gender: Male Gender: Female Provider ID: 919499 Gender: Male Cardiovascular Center At Gender: Male UF Health Allergy Springhill 2 UF Health Cardiology Heart Shands UF and Vasc The Cardiac and Vascular 4197 NW 86th Terr 1st Fl 1600 SW Archer Rd Ste 1901 1505 SW Archer Rd Institute Gainesville, FL 32606 Gainesville, FL 32610 Gainesville, FL 32610 1151 NW 64th Ter (352) 265-0420 (352) 265-9900 (352) 265-0820 Gainesville, FL 32605 00 Yrs/130 Yrs Fax: (352) 265-0344 00 Yrs/130 Yrs (352) 375-1212 Languages: Spanish 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 371-4650 M-F 8:00 AM - 5:00 PM Shands At The University of 18 Yrs/130 Yrs PCMH: No Florida PCMH: No North Florida Regional M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Cardiology PCMH: No Rodenas, Mario MD PCMH: No Aggarwal, Monica MD Anderson, Russell MD Provider ID: 1316641 Barb, Ilie MD Provider ID: 566226 Gender: Male Provider ID: 919499 Provider ID: 1352254 Gender: Male UF Health Internal Medicine Gender: Male Gender: Female Shands At UF Tower H The Cardiac and Vascular UF Health Cardiology Shands 1600 SW Archer Rd 7540 W University Ave Hospita Institute Gainesville, FL 32610 Gainesville, FL 32607 1600 SW Archer Rd Ste 1901 4645 NW 8th Ave Ste B (352) 265-9900 (352) 265-0335 Gainesville, FL 32610 Gainesville, FL 32605 Fax: (352) 265-0328 Fax: (352) 265-0336 (352) 265-0457 (352) 375-1212 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-0344 Fax: (352) 333-7051 Languages: Spanish Shands At The University of 18 Yrs/130 Yrs 00 Yrs/130 Yrs Florida M-F 7:00 AM - 7:00 PM North Florida Regional Languages: Hindi M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No

PCMH: No PCMH: No

www.wellcare.com/Florida | 26 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Caputo, Christopher DO Conti, Charles MD Estel, Christopher MD Provider ID: 515407 Bavry, Anthony MD Provider ID: 226934 Gender: Male Provider ID: 1735707 Provider ID: 566463 Gender: Male Cardiovascular Center At Gender: Male Gender: Male The Cardiac and Vascular Shands UF The Cardiac & Vascular UF Health Cardiology Heart Institute 1600 SW Archer Rd Ste 1901 Institute and Vasc 1151 NW 64th Ter Gainesville, FL 32610 1151 NW 64th Ter 1505 SW Archer Rd Gainesville, FL 32605 (352) 265-0457 Gainesville, FL 32605 Gainesville, FL 32610 (352) 375-1212 Fax: (352) 265-0344 (352) 375-1212 (352) 265-0820 Fax: (352) 371-4650 00 Yrs/130 Yrs Fax: (352) 371-4650 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Dibu, George MD Bavry, Anthony MD Provider ID: 1724690 Estel, Christopher MD Provider ID: 566463 Caputo, Christopher DO Gender: Male Gender: Male UF Health Cardiology Provider ID: 1735707 UF Health Cardiology Provider ID: 226934 Springhill 1 Gender: Male Springhill Gender: Male 4037 NW 86th Terr 2nd Fl The Cardiac & Vascular 4037 NW 86th Ter Fl 2 The Cardiac and Vascular Gainesville, FL 32606 Institute Gainesville, FL 32606 Institute (352) 265-0820 4645 NW 8th Ave (352) 265-0820 4645 NW 8th Ave Fax: (352) 265-0823 Gainesville, FL 32605 Fax: (352) 627-4293 Gainesville, FL 32605 00 Yrs/130 Yrs (352) 375-1212 18 Yrs/130 Yrs (352) 375-1212 M-F 8:00 AM - 5:00 PM Fax: (352) 371-4650 M-F 9:00 AM - 5:00 PM Fax: (352) 371-4650 PCMH: No 18 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional Dillon, Michael MD PCMH: No Burkart, Thomas MD M-F 8:00 AM - 5:00 PM Provider ID: 208895 PCMH: No Provider ID: 01782 Goel, Ramil MD Gender: Male Gender: Male Provider ID: 1428501 Shands At UF Choi, Calvin MD The Cardiac and Vascular Gender: Male 1600 SW Archer Rd Provider ID: 621588 Institute UF Health Cardiology- Gainesville, FL 32610 Gender: Male 1151 NW 64th Ter Springhill (352) 265-0535 UF Health Cardiology Gainesville, FL 32605 4037 NW 86th Ter Fl 2 Fax: (352) 265-0344 Springhill (352) 375-1212 Gainesville, FL 32606 18 Yrs/130 Yrs 4037 NW 86th Ter Fl 2 Fax: (352) 371-4650 (352) 265-0820 Shands At The University of Gainesville, FL 32606 18 Yrs/130 Yrs Fax: (352) 627-4293 Florida (352) 265-0820 Lake City Medical Center 00 Yrs/130 Yrs Languages: German Fax: (352) 265-0823 North Florida Regional M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Green, Preston MD Burkart, Thomas MD Dillon, Michael MD

Provider ID: 208895 Conti, Charles MD Provider ID: 672908

Gender: Male Provider ID: 515407 Provider ID: 01782 Gender: Male

UF Health Cardiology Gender: Male Gender: Male Cardivascular Health Springhill Cardiology West At Springhill The Cardiac and Vascular Consultants PA 4037 NW 86th Ter Fl 2 4037 NW 86th Ter Fl 2 Institute 350 NW 76th Dr Ste B Gainesville, FL 32606 Gainesville, FL 32606 4645 NW 8th Ave Gainesville, FL 32607 (352) 265-0820 (352) 265-0820 Gainesville, FL 32605 (352) 332-5755 Fax: (352) 265-0823 Fax: (352) 627-4293 (352) 375-1212 Fax: (844) 965-9217 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 371-4650 18 Yrs/130 Yrs Shands At The University of 18 Yrs/130 Yrs North Florida Regional Florida M-F 9:00 AM - 5:00 PM Lake City Medical Center M-F 8:00 AM - 5:00 PM Languages: German PCMH: No North Florida Regional PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 27 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Jacob, Jessen MD Khuddus, Matheen MD Lee, Arthur MD Provider ID: 1724705 Provider ID: 287465 Hamburger, Robert DO Gender: Male Provider ID: 470612 Gender: Male UF Health Cardiology Gender: Male The Cardiac and Vascular Provider ID: 1462217 Springhill 1 The Cardiac and Vascular Institute Gender: Male 4037 NW 86th Terr 2nd Fl Institute 1151 NW 64th Ter UF Health Cardiology- Gainesville, FL 32606 1151 NW 64th Ter Gainesville, FL 32605 Springhill (352) 265-0820 Gainesville, FL 32605 (352) 375-1212 4037 NW 86th Terr 2nd Fl Fax: (352) 265-0823 (352) 375-1212 Fax: (352) 371-4650 Gainesville, FL 32606 00 Yrs/130 Yrs Fax: (352) 371-4650 18 Yrs/130 Yrs (352) 265-0820 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Lake City Medical Center Fax: (352) 265-0823 PCMH: No North Florida Regional North Florida Regional 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Jansen, Michael MD PCMH: No PCMH: No PCMH: No Provider ID: 1200268 Khuddus, Matheen MD Lee, Arthur MD Imperi, Gregory MD Gender: Male Provider ID: 287465 Provider ID: 159675 The Cardiac and Vascular Provider ID: 470612 Gender: Male Gender: Male Institute Gender: Male The Cardiac and Vascular 6500 W Newberry Rd 1151 NW 64th Ter The Cardiac and Vascular Institute Gainesville, FL 32605 Gainesville, FL 32605 Institute 4645 NW 8th Ave (352) 333-4000 (352) 375-1212 4645 NW 8th Ave Gainesville, FL 32605 18 Yrs/130 Yrs Fax: (352) 371-4650 Gainesville, FL 32605 (352) 375-1212 Lake City Medical Center 18 Yrs/130 Yrs (352) 375-1212 Fax: (352) 371-4650 North Florida Regional Lake City Medical Center Fax: (352) 371-4650 18 Yrs/130 Yrs PCMH: No North Florida Regional 18 Yrs/130 Yrs Lake City Medical Center South Florida Baptist Hospital North Florida Regional North Florida Regional Imperi, Gregory MD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 159675 PCMH: No PCMH: No PCMH: No Gender: Male The Cardiac and Vascular Jansen, Michael MD Koons, Jay MD Limacher, Marian MD Institute Provider ID: 208930 Provider ID: 344888 1151 NW 64th Ter Provider ID: 1200268 Gender: Male Gender: Female Gainesville, FL 32605 Gender: Male The Cardiac and Vascular Cardiovascular Center At (352) 375-1212 The Cardiac and Vascular Institute Shands UF Fax: (352) 371-4650 Institute 1151 NW 64th Ter 1600 SW Archer Rd Ste 1901 18 Yrs/130 Yrs 4645 NW 8th Ave Gainesville, FL 32605 Gainesville, FL 32610 Lake City Medical Center Gainesville, FL 32605 (352) 375-1212 (352) 265-0457 North Florida Regional (352) 375-1212 Fax: (352) 333-7051 Fax: (352) 265-0344 M-F 8:00 AM - 5:00 PM Fax: (352) 371-4650 18 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs North Florida Regional M-F 9:00 AM - 5:00 PM Lake City Medical Center M-F 8:00 AM - 5:00 PM PCMH: No Imperi, Gregory MD North Florida Regional PCMH: No South Florida Baptist Hospital Limacher, Marian MD Provider ID: 344888 Provider ID: 159675 M-F 8:00 AM - 5:00 PM Koons, Jay MD Gender: Female Gender: Male PCMH: No Provider ID: 208930 UF Health Cardiology The Cardiac and Vascular Gender: Male Institute Kerensky, Richard MD Springhill The Cardiac and Vascular 4037 NW 86th Ter Fl 2 4645 NW 8th Ave Provider ID: 1550571 Institute Gainesville, FL 32606 Gainesville, FL 32605 Gender: Male 4645 NW 8th Ave (352) 265-0820 (352) 375-1212 UF Springhill Health Center Gainesville, FL 32605 Fax: (352) 265-0823 Fax: (352) 371-4650 8491 NW 39th Ave (352) 375-1212 00 Yrs/130 Yrs 18 Yrs/130 Yrs Gainesville, FL 32606 Fax: (352) 371-4650 M-F 9:00 AM - 5:00 PM Lake City Medical Center (352) 265-5404 18 Yrs/130 Yrs PCMH: No North Florida Regional Fax: (352) 376-6270 North Florida Regional M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 28 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Miles, William MD Panna, Mark MD Pepine, Carl MD Provider ID: 21738 Provider ID: 566696 Provider ID: 144328 Massoomi, Mohammad MD Gender: Male Gender: Male Gender: Male UF Health Cardiology UF Health Cardiology UF Health Cardiology Provider ID: 1272980 Springhill Springhill Springhill Gender: Male 4037 NW 86th Ter Fl 2 4037 NW 86th Ter Fl 2 4037 NW 86th Ter Fl 2 UF Health Cardiology- Gainesville, FL 32606 Gainesville, FL 32606 Gainesville, FL 32606 Springhill (352) 265-0820 (352) 265-0139 (352) 265-0820 4037 NW 86th Ter 2nd Fl Fax: (352) 627-4293 Fax: (352) 265-0823 Fax: (352) 627-4293 Gainesville, FL 32606 18 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-0820 Shands At The University of M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 265-0823 Florida PCMH: No PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Pauly, Daniel MD Pepine, Carl MD PCMH: No Provider ID: 566719 Provider ID: 144328 Miles, William MD Gender: Male Gender: Male Massoomi, Mohammad MD Provider ID: 21738 Cardiology West At Springhill UF Phys Cardiology West @ Gender: Male 4037 NW 86th Ter Fl 2 Drs Park

Provider ID: 1330107 UF Health Shands Hospital Gainesville, FL 32606 7019 NW 11th Pl Bldg B

Gender: Male 1600 SW Archer Rd (352) 265-0820 Gainesville, FL 32605

UF Health Cardiology - Gainesville, FL 32610 Fax: (352) 265-0823 (352) 376-0600 Shands Hospi (352) 265-0535 00 Yrs/130 Yrs 00 Yrs/130 Yrs 1600 SW Archer Rd Ste 1901 Fax: (352) 265-0328 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 18 Yrs/130 Yrs PCMH: No PCMH: No (352) 265-0457 Shands At The University of

Fax: (352) 265-0344 Florida Pauly, Daniel MD Petersen, John MD

00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 566719 Provider ID: 566195

MWTHF 8:00 AM - 5:00 PM PCMH: No Gender: Male Gender: Male Congenital Heart Center UF Health Cardiology T 80:0 AM - 5:00 PM O'Meara, James MD PCMH: No 2000 SW Archer Rd At Shands Springhill Medical Plaza 4037 NW 86th Ter Fl 2 Massoomi, Mohammad MD Provider ID: 144307 Gainesville, FL 32608 Gainesville, FL 32606 Gender: Male (352) 273-7770 (352) 265-0820

Provider ID: 1330107 The Cardiac and Vascular Fax: (352) 265-8254 Fax: (352) 627-4293 Institute Gender: Male 00 Yrs/130 Yrs 18 Yrs/130 Yrs 1151 NW 64th Ter M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM UF Health Cardiology- Springhill Gainesville, FL 32605 PCMH: No PCMH: No

4037 NW 86th Ter 2nd Fl (352) 375-1212 Pepine, Carl MD Gainesville, FL 32606 Fax: (352) 371-4650 Petersen, John MD

(352) 265-0820 18 Yrs/130 Yrs Provider ID: 144328 Provider ID: 566195

Fax: (352) 265-0823 North Florida Regional Gender: Male Gender: Male

00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM UF Health Cardiology - UF Health Medical Specialties Shands Hospital MWTHF 8:00 AM - 5:00 PM PCMH: No 2000 SW Archer Rd Fl 3 1600 SW Archer Rd Ste 1901 T 80:0 AM - 5:00 PM Gainesville, FL 32608 O'Meara, James MD Gainesville, FL 32610 PCMH: No (352) 265-0139 (352) 265-0820 Fax: (352) 265-7091 Provider ID: 144307 Fax: (352) 265-0344 18 Yrs/130 Yrs Gender: Male 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM The Cardiac and Vascular M-F 9:00 AM - 5:00 PM PCMH: No Institute PCMH: No 4645 NW 8th Ave Gainesville, FL 32605 (352) 375-1212 Fax: (352) 371-4650 18 Yrs/130 Yrs North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 29 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Roark, Steven MD Smock, Andrew MD Subramanian, Natrajan MD Provider ID: 164728 Provider ID: 164667 Pondicherry-Harish, Roja MD Gender: Male Gender: Male Provider ID: 527422 The Cardiac and Vascular The Cardiac and Vascualr Gender: Male Provider ID: 1736304 Institute Institute The Cardiac and Vascular Gender: Male 4645 NW 8th Ave 1151 NW 64th Ter Institute The Cardiac Vascular Institute Gainesville, FL 32605 Gainesville, FL 32605 4645 NW 8th Ave 4645 NW 8th Ave (352) 375-1212 (352) 375-1212 Gainesville, FL 32605 Gainesville, FL 32605 Fax: (352) 333-7051 Fax: (352) 371-4650 (352) 375-1212 (352) 375-1212 18 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (352) 333-7051 Fax: (352) 371-4650 Lake City Medical Center Lake City Medical Center 18 Yrs/130 Yrs 18 Yrs/130 Yrs North Florida Regional North Florida Regional Lake City Medical Center M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM North Florida Regional PCMH: No PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Pondicherry-Harish, Roja MD Silverstein, Burton MD Smock, Andrew MD Provider ID: 164667 Tong, Ann MD Provider ID: 1736304 Provider ID: 280028 Gender: Male Provider ID: 575251 Gender: Male Gender: Male The Cardiac and Vascular Gender: Female The Cardiac & Vascular The Cardiac and Vascular Institute The Cardiac and Vascular Institute Institute 4645 NW 8th Ave Institute 1151 NW 64th Ter 1151 NW 64th Ter Gainesville, FL 32605 1151 NW 64th Ter Gainesville, FL 32605 Gainesville, FL 32605 (352) 375-1212 Gainesville, FL 32605 (352) 375-1212 (352) 375-1212 Fax: (352) 333-7051 (352) 375-1212 Fax: (352) 371-4650 Fax: (352) 371-4650 18 Yrs/130 Yrs Fax: (352) 371-4650 18 Yrs/130 Yrs 18 Yrs/130 Yrs Lake City Medical Center 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lake City Medical Center North Florida Regional Lake City Medical Center PCMH: No North Florida Regional M-F 8:00 AM - 5:00 PM North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Roark, Steven MD PCMH: No PCMH: No Subramanian, Natrajan MD Provider ID: 164728 Gender: Male Silverstein, Burton MD Tong, Ann MD The Cardiac and Vascular Provider ID: 527422 Provider ID: 575251 Institute Provider ID: 280028 Gender: Male Gender: Female 1151 NW 64th Ter Gender: Male The Cardiac and Vascular The Cardiac and Vascular Gainesville, FL 32605 The Cardiac and Vascular Institute Institute (352) 375-1212 Institute 1151 NW 64th Ter 4645 NW 8th Ave Fax: (352) 371-4650 4645 NW 8th Ave Gainesville, FL 32605 Gainesville, FL 32605 18 Yrs/130 Yrs Gainesville, FL 32605 (352) 331-8570 (352) 375-1212 Lake City Medical Center (352) 375-1212 Fax: (352) 333-7051 Fax: (352) 371-4650 North Florida Regional Fax: (352) 371-4650 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Lake City Medical Center Lake City Medical Center PCMH: No Lake City Medical Center North Florida Regional North Florida Regional North Florida Regional M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Torres, Vilma MD Provider ID: 1636996 Gender: Female UF Health Cardiology Heart and Vasc 1505 SW Archer Rd Gainesville, FL 32610 (352) 265-0820 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 30 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Van Roy, Daniel MD Wessel, Timothy MD Winchester, David MD Provider ID: 166034 Provider ID: 451461 Provider ID: 621433 Tulli, Mark MD Gender: Male Gender: Male Gender: Male Provider ID: 368216 The Cardiac and Vascular The Cardiac and Vascular Faculty Group Practice Gender: Male Institute Institute 1600 SW Archer Rd Ste 100277 6500 W Newberry Rd 4645 NW 8th Ave 4645 NW 8th Ave Gainesville, FL 32610 Gainesville, FL 32605 Gainesville, FL 32605 Gainesville, FL 32605 (352) 265-9900 (352) 333-4000 (352) 375-1212 (352) 375-1212 Fax: (352) 265-0328 18 Yrs/130 Yrs Fax: (352) 371-4650 Fax: (352) 333-7051 00 Yrs/130 Yrs Lake City Medical Center 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM North Florida Regional Lake City Medical Center North Florida Regional PCMH: No PCMH: No North Florida Regional M-F 8:00 AM - 5:00 PM Languages: French, Thai PCMH: No Winchester, David MD Tulli, Mark MD M-F 8:00 AM - 5:00 PM Provider ID: 621433 Provider ID: 368216 PCMH: No Wever Pinzon, James MD Gender: Male Gender: Male UF Health Cardiology The Cardiac and Vascular Werbel, Brian MD Provider ID: 1695733 Springhill Institute Provider ID: 329174 Gender: Male 4037 NW 86th Ter Fl 2 1151 NW 64th Ter Gender: Male UF Cardiology Gainesville, FL 32606 Gainesville, FL 32605 The Cardiac and Vascular 511 Medical Plaza Dr Ste 101 (352) 265-0820 (352) 375-1212 Institute Leesburg, FL 32607 Fax: (352) 265-0823 Fax: (352) 371-4650 1151 NW 64th Ter (352) 728-6808 00 Yrs/130 Yrs 18 Yrs/130 Yrs Gainesville, FL 32605 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Lake City Medical Center (352) 375-1212 M-F 8:00 AM - 5:00 PM PCMH: No North Florida Regional Fax: (352) 371-4650 PCMH: No M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Wokhlu, Anita MD PCMH: No North Florida Regional Wever Pinzon, James MD Provider ID: 799892 M-F 8:00 AM - 5:00 PM Provider ID: 1695733 Gender: Female Tulli, Mark MD PCMH: No Gender: Male Florida Clinical Practice Provider ID: 368216 UF Health Cardiology Shands Associati Gender: Male Werbel, Brian MD Hospit 1600 SW Archer Rd Ste 1901 The Cardiac and Vascular Provider ID: 329174 1600 SW Archer Rd Ste 1901 Gainesville, FL 32610 Institute Gender: Male Gainesville, FL 32610 (352) 265-0457 4645 NW 8th Ave The Cardiac and Vascular (352) 265-0457 Fax: (352) 265-0344 Gainesville, FL 32605 Institute Fax: (352) 265-0344 00 Yrs/130 Yrs (352) 375-1212 4645 NW 8th Ave 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM Fax: (352) 371-4650 Gainesville, FL 32605 M-F 8:00 AM - 5:00 PM PCMH: No 18 Yrs/130 Yrs (352) 375-1212 PCMH: No Lake City Medical Center Fax: (352) 371-4650 Zentko, Suzanne MD North Florida Regional 18 Yrs/130 Yrs Wever Pinzon, James MD Provider ID: 790774 M-F 8:00 AM - 5:00 PM North Florida Regional Provider ID: 1695733 Gender: Female PCMH: No M-F 9:00 AM - 5:00 PM Gender: Male The Cardiac and Vascular PCMH: No UF Health Cardiology 4645 NW 8th Ave Van Roy, Daniel MD Springhill 1 Gainesville, FL 32605 Provider ID: 166034 Wessel, Timothy MD 4037 NW 86th Terr 2nd Fl (352) 375-1212 Gender: Male Provider ID: 451461 Gainesville, FL 32606 Fax: (352) 333-7051 The Cardiac and Vascular Gender: Male (352) 265-0820 18 Yrs/130 Yrs Institute The Cardiac and Vascular Fax: (352) 265-0823 Lake City Medical Center 1151 NW 64th Ter Institute 00 Yrs/130 Yrs North Florida Regional Gainesville, FL 32605 1151 NW 64th Ter M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 375-1212 Gainesville, FL 32605 PCMH: No PCMH: No Fax: (352) 371-4650 (352) 375-1212 18 Yrs/130 Yrs Fax: (352) 371-4650 Lake City Medical Center 18 Yrs/130 Yrs North Florida Regional North Florida Regional Languages: French, Thai M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 31 Updated: 01/04/2019 Specialty Physicians Alachua

Cardiology - cont. Ghosh, Suman MD Sladky, John MD Restieri, Lawrence DC Provider ID: 1011717 Provider ID: 308307 Provider ID: TPV11033-01 Zentko, Suzanne MD Gender: Male Gender: Male Gender: Male Provider ID: 790774 UF Health Pediatric UF Health Pediatric Specialties High Springs Family Gender: Female Specialiteis Me 2000 SW Archer Rd Chiropractic The Cardiac and Vascular 2000 SW Archer Rd Fl 2 Gainesville, FL 32608 18245 NW US Hwy 441 Institute Gainesville, FL 32608 (352) 294-5757 High Springs, FL 32643 1151 NW 64th Ter (352) 265-8250 Fax: (352) 294-8115 (386) 454-3941 Gainesville, FL 32605 Fax: (352) 627-4415 00 Yrs/18 Yrs Fax: (386) 454-4066 (352) 375-1212 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (352) 371-4650 M-F 8:00 AM - 5:00 PM PCMH: No M-W 9:00 AM - 6:00 PM 18 Yrs/130 Yrs PCMH: No PCMH: No Lake City Medical Center Zingariello, Carla DO North Florida Regional Kang, Peter MD Provider ID: 1695735 Sutton, Kevin DC M-F 8:00 AM - 5:00 PM Provider ID: 923942 Gender: Female Provider ID: TPV17861-01 PCMH: No Gender: Male UF Health Pediatric Specialties Gender: Male Shands At UF 2000 SW Archer Rd 2000 SW Barnhill Clinic PA Cardiovascular Surgery 1600 SW Archer Rd Rm 403 Archer Rd 5270 NW 34th Blvd Gainesville, FL 32610 Gainesville, FL 32607 Gainesville, FL 32605 Klodell, Charles MD (352) 265-9900 (352) 265-8250 (352) 377-2255 Fax: (352) 265-0328 Fax: (352) 265-0730 Fax: (352) 377-5233 Provider ID: 1437081 00 Yrs/18 Yrs 00 Yrs/21 Yrs 00 Yrs/99 Yrs Gender: Male MT 7:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM MT 8:00 AM - 6:00 PM North Florida Surgical PCMH: No PCMH: No W 9:00 AM - 1:00 PM Associates L PCMH: No 6440 W Newberry Rd Ste 102 Kang, Peter MD Chiropractic Gainesville, FL 32605 Provider ID: 923942 Colon & Rectal Surgery (352) 333-5610 Gender: Male Barnhill, Robert DC Fax: (352) 333-5611 UF Health Pediatric Provider ID: TPV10001-01 Iqbal, Atif MD 00 Yrs/21 Yrs Specialiteis Me Gender: Male Provider ID: 657992 M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Fl 2 Barnhill Clinic PA Gender: Male PCMH: No Gainesville, FL 32608 5270 NW 34th Blvd Florida Clinical Practice Assoc (352) 265-8250 Gainesville, FL 32605 1600 SW Archer Rd Rm 6164 Child Neurology Fax: (352) 627-4415 (352) 377-2255 Gainesville, FL 32610 00 Yrs/18 Yrs Fax: (352) 377-5233 (352) 265-0535 Ghosh, Suman MD M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (352) 265-8236 Provider ID: 1011717 PCMH: No M-W 8:00 AM - 6:00 PM 00 Yrs/130 Yrs Gender: Male PCMH: No M-F 9:00 AM - 5:00 PM UF Health Neurosurgery Lodolo, Mauro MD PCMH: No Neuromedic Provider ID: 1718519 Graham, Lauri DC 1600 SW Archer Rd Ste 100371 Gender: Male Provider ID: TPV18048-01 Congenital Cardiac Gainesville, FL 32610 Florida Clinical Practice Assoc Gender: Female Surgery (352) 265-0301 2000 SW Archer Rd Barnhill Clinic PA Fax: (352) 392-8413 Gainesville, FL 32608 5270 NW 34th Blvd Gutierrez Reyes, Karl MD 00 Yrs/18 Yrs (352) 256-8250 Gainesville, FL 32605

M-F 8:00 AM - 5:00 PM Fax: (352) 256-0730 (352) 377-2255 Provider ID: 1330043

PCMH: No 00 Yrs/21 Yrs Fax: (352) 377-5233 Gender: Male M-F 8:00 AM - 5:00 PM 00 Yrs/99 Yrs UF Health Pediatric Specialties PCMH: No M 8:00 AM - 6:00 PM 2000 SW Archer Rd PCMH: No Gainesville, FL 32608 (352) 265-8250 Fax: (352) 265-0730 00 Yrs/130 Yrs Languages: Filipino M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 32 Updated: 01/04/2019 Specialty Physicians Alachua

Congenital Cardiac Carstens, Stephanie MD Konda, Sailesh MD Mitchell, Christina MD Surgery - cont. Provider ID: 1115075 Provider ID: 1149951 Provider ID: 497256 Gender: Female Gender: Male Gender: Female Gutierrez Reyes, Karl MD UF Health Dermatology and UF Health Dermatology UF Health Dermatology Skin Canc Medical Plaza Springhill

Provider ID: 1330043 4037 NW 86th Terr Fl 4 2000 SW Archer Rd 4037 NW 86th Ter Fl 4

Gender: Male Gainesville, FL 32606 Gainesville, FL 32608 Gainesville, FL 32606

UF Health Shands Hospital (352) 594-1500 (352) 594-1500 (352) 594-1500

1600 SW Archer Rd Fax: (352) 594-1501 00 Yrs/130 Yrs Fax: (352) 594-1501

Gainesville, FL 32610 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs

(352) 265-0535 M-F 8:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Fax: (352) 265-0328 Loyd, Amy DO 00 Yrs/130 Yrs Chen, Karen MD Provider ID: 1011624 Montanez-Wiscovich, Languages: Filipino Provider ID: 1636940 Gender: Female Marjorie MD M-F 8:00 AM - 5:00 PM Gender: Female UF Health Dermatology PCMH: No Provider ID: 1731107 UF Health Dermatology and Medical Plaza Gender: Female Dermatology Skin Canc 2000 SW Archer Rd UF Health Dermatology and 4037 NW 86th Terr 4th F Gainesville, FL 32608 Skin Canc Aouthmany, Mouhammad MD Gainesville, FL 32606 (352) 594-1500 4037 NW 86th Terr 4th Fl Provider ID: 1588096 (352) 594-1500 00 Yrs/130 Yrs Gainesville, FL 32606 Gender: Male Fax: (352) 594-1501 M-F 8:00 AM - 50:0 PM (352) 594-1500 UF Health Dermatology and 00 Yrs/130 Yrs PCMH: No Fax: (352) 594-1501 Skin Canc M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 4037 NW 86th Terr Fl 4 PCMH: No Loyd, Amy DO M-F 8:00 AM - 5:00 PM Gainesville, FL 32606 Provider ID: 1011624 PCMH: No (352) 594-1500 Grant-Kels, Jane MD Gender: Female Fax: (352) 594-1501 Provider ID: 1733799 UF Health Plastic Surgery and Motaparthi, Kiran MD 00 Yrs/130 Yrs Gender: Female Aesth M-F 8:00 AM - 5:00 PM UF Health Dermatology and 4037 NW 86th Ter Fl 4 Provider ID: 1328467 PCMH: No Skin Canc Gainesville, FL 32606 Gender: Male 4037 NW 86th Terr 4th Fl (352) 594-1500 UF Health Dermatology and Brown, Brandon MD Gainesville, FL 32606 Fax: (352) 594-1501 Skin Canc (352) 594-1500 00 Yrs/130 Yrs 4037 NW 86th Ter 4th Fl

Provider ID: 1125507 Fax: (352) 594-1501 M-F 8:00 AM - 5:00 PM Gainesville, FL 32606

Gender: Male 00 Yrs/130 Yrs PCMH: No (352) 594-1500 M-F 8:00 AM - 5:00 PM Fax: (352) 627-4322 UF Health Dermatology and Mitchell, Christina MD Skin Canc PCMH: No 00 Yrs/130 Yrs 4037 NW 86th Ter 4th Fl Provider ID: 497256 Languages: Spanish, Telugu Konda, Sailesh MD Gainesville, FL 32606 Gender: Female M-F 8:00 AM - 5:00 PM (352) 594-1500 Provider ID: 1149951 Florida Clinical Practice Assoc PCMH: No Fax: (352) 594-1501 Gender: Male 2000 SW Archer Rd 00 Yrs/130 Yrs UF Health Dermatology and Gainesville, FL 32608 Nousari, Carlos MD Skin Canc M-F 8:00 AM - 5:00 PM (352) 265-0111 Provider ID: 799909 4037 NW 86th Ter 4th Fl PCMH: No 00 Yrs/130 Yrs Gender: Male Gainesville, FL 32606 M-F 9:00 AM - 5:00 PM UF Health Dermatology and (352) 594-1500 PCMH: No Skin Canc Fax: (352) 594-1501 4037 NW 86th Ter Fl 4 00 Yrs/130 Yrs Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM (352) 594-1500 PCMH: No Fax: (352) 594-1501 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 33 Updated: 01/04/2019 Specialty Physicians Alachua

Dermatology - cont. Schoch, Jennifer MD Sexton, Shenara MD Tucker, Duane MD Provider ID: 1149988 Provider ID: 1496967 Pennie, Michelle MD Gender: Female Provider ID: 1477403 Gender: Male Provider ID: 678824 UF Health Dermatology and Gender: Female UF Health Dermatology and Gender: Female Skin Canc UF Health Dermatology Skin Canc Florida Clinical Practice 4037 NW 86th Ter Medical Plaza 4037 NW 86th Ter Fl 4 Associati Gainesville, FL 32606 2000 SW Archer Rd Gainesville, FL 32606 4037 NW 86th Ter Fl 4 (352) 594-1500 Gainesville, FL 32608 (352) 594-1500 Gainesville, FL 32606 Fax: (352) 627-4322 (352) 594-1500 Fax: (352) 594-1501 (352) 594-1500 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 594-1501 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No PCMH: No M 9:00 AM - 5:00 PM PCMH: No Schoch, Jennifer MD Torres, Abel MD Vonhilsheimer, George MD Provider ID: 1149988 Provider ID: 1724761 Ramos-Caro, Francisco MD Gender: Female Gender: Male Provider ID: 1010411 UF Health Dermatology UF Health Dermatology and Gender: Male Provider ID: 497037 Medical Plaza Skin Canc UF Health Dermatology and Gender: Male 2000 SW Archer Rd 4037 NW 86th Terr 4th Fl Skin Canc UF Health Dermatology Gainesville, FL 32608 Gainesville, FL 32606 4037 NW 86th Ter Ste 4 Medical Plaza (352) 594-1500 (352) 594-1500 Gainesville, FL 32606 2000 SW Archer Rd 00 Yrs/130 Yrs Fax: (352) 594-1501 (352) 594-1500 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 594-1501 (352) 265-9900 PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No MTWTHFSatSun 8:00 AM ­ Languages: Spanish Sevigny, Gina MD 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1044808 Torres, Jorge MD PCMH: No PCMH: No Gender: Female Provider ID: 281609 UF Health Dermatology and Gender: Male Wangia, Michael MD Ramos-Caro, Francisco MD Skin Canc UF Health Dermatology and Provider ID: 897075 Provider ID: 497037 4037 NW 86th Ter Fl 4 Skin Canc Gender: Male Gender: Male Gainesville, FL 32606 4037 NW 86th Ter Fl 4 UF UF Health Dermatology and UF Health Dermatology (352) 594-1500 Health Dermatology-Springhill Skin Canc Springhill Fax: (352) 594-1501 Gainesville, FL 32606 4037 NW 86th Ter Fl 4 4037 NW 86th Ter Fl 4 00 Yrs/130 Yrs (352) 594-1500 Gainesville, FL 32606 Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM Fax: (352) 594-1501 (352) 594-1500 (352) 594-1500 PCMH: No 00 Yrs/130 Yrs Fax: (352) 594-1501 Fax: (352) 594-1501 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs Sexton, Shenara MD PCMH: No M 9:00 AM - 5:00 PM Languages: Spanish PCMH: No M-F 9:00 AM - 5:00 PM Provider ID: 1477403 Torres, Jorge MD PCMH: No Gender: Female Provider ID: 281609 Dermatopathology UF Health Dermatology and Gender: Male Robins, Douglas MD Skin Canc UF Health Dermatology Motaparthi, Kiran MD Provider ID: 692860 4037 NW 86th Terr Springhill Gender: Male Gainesville, FL 32606 4037 NW 86th Ter Fl 4 Provider ID: 1328467 UF Health Dermatology and (352) 594-1500 Gainesville, FL 32606 Gender: Male

Skin Canc Fax: (352) 594-1501 (352) 594-1500 UF Health Dermatology and 4037 NW 86th Ter Fl 4 00 Yrs/130 Yrs 00 Yrs/130 Yrs Skin Canc Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 4037 NW 86th Ter 4th Fl (352) 594-1500 PCMH: No PCMH: No Gainesville, FL 32606 Fax: (352) 594-1501 (352) 594-1500 00 Yrs/130 Yrs Fax: (352) 627-4322 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Languages: Spanish, Telugu M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 34 Updated: 01/04/2019 Specialty Physicians Alachua

Dermatopathology - cont. Antonelli, Patrick MD Collins, William MD Coticchia, James MD Provider ID: 566229 Provider ID: 332659 Provider ID: 1734812 Schmits, Kristen MD Gender: Male Gender: Male Gender: Male Skin and Cancer Center UF Health ENT and Allergy UF Health Shands Hospital Provider ID: 1330067 1600 SW Archer Rd Rm D1-121 Hampton O 1600 SW Archer Rd Gender: Female Gainesville, FL 32610 200 SW 62nd Blvd Ste C Gainesville, FL 32610 UF Health Dermatology and (352) 265-1234 Gainesville, FL 32607 (352) 265-0535 Skin Canc Fax: (352) 265-8002 (352) 265-9465 Fax: (352) 265-0328 4037 NW 86th Ter 4th Fl 00 Yrs/130 Yrs Fax: (352) 627-4411 00 Yrs/130 Yrs Gainesville, FL 32606 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No (352) 594-1500 PCMH: No M-F 9:00 AM - 5:00 PM Fax: (352) 594-1501 PCMH: No Dziegielewski, Peter MD 00 Yrs/130 Yrs Antonelli, Patrick MD Provider ID: 799667 Languages: French Provider ID: 566229 Coticchia, James MD Gender: Male M-F 8:00 AM - 5:00 PM Gender: Male Provider ID: 1734812 ENT At Shands UF PCMH: No UF Health ENT and Allergy Gender: Male 1600 SW Archer Rd Ste D121 Hampton O Facial Plastic Surgery Gainesville, FL 32610 Walker, Addie MD 200 SW 62nd Blvd Ste C 200 SW 62nd Blvd At (352) 265-8989 Provider ID: 1478606 Gainesville, FL 32607 Hampton Oaks Medical Plaza Fax: (352) 392-8968 Gender: Female (352) 265-9465 Gainesville, FL 32607 00 Yrs/130 Yrs UF Health Dermatology and Fax: (352) 627-4411 (352) 265-1234 M-F 9:00 AM - 5:00 PM Skin Canc 00 Yrs/130 Yrs Fax: (352) 265-3465 PCMH: No 4037 NW 86th Ter Fl 4 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Gainesville, FL 32606 PCMH: No M-F 8:00 AM - 5:00 PM Haberman, Rex MD (352) 594-1500 PCMH: No Provider ID: 1647489 Fax: (352) 594-1501 Chheda, Neil MD Gender: Male 00 Yrs/130 Yrs Provider ID: 507882 Coticchia, James MD Facial Plastic Surgery M-F 8:00 AM - 5:00 PM Gender: Male Provider ID: 1734812 200 SW 62nd Blvd At PCMH: No Florida Clinical Practice Assoc Gender: Male Hampton Oaks Medical Plaza 1600 SW Archer Rd Ste D121 UF Health Ear Nose and Gainesville, FL 32607 Ear, Nose & Throat Gainesville, FL 32610 Throat - Sha (352) 265-1234 (352) 265-8989 1600 SW Archer Rd D1 - 121 Fax: (352) 265-3465 Antonelli, Patrick MD Fax: (352) 265-8968 Gainesville, FL 32610 00 Yrs/130 Yrs Provider ID: 566229 00 Yrs/130 Yrs (352) 265-8989 M-F 8:00 AM - 5:00 PM Gender: Male Shands At The University of Fax: (352) 392-8968 PCMH: No 3480 Hull Rd Florida 00 Yrs/130 Yrs Gainesville, FL 32607 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Haberman, Rex MD (352) 733-0600 PCMH: No PCMH: No Provider ID: 1647489 Fax: (352) 733-0601 Gender: Male 00 Yrs/130 Yrs Chheda, Neil MD Coticchia, James MD Florida Surgical Center M-F 9:00 AM - 5:00 PM Provider ID: 507882 Provider ID: 1734812 3480 Hull Rd PCMH: No Gender: Male Gender: Male Gainesville, FL 32607 UF Health ENT and Allergy UF Health ENT and Allergy (352) 733-0600 Antonelli, Patrick MD Hampton O Hampton O Fax: (352) 733-8801 Provider ID: 566229 200 SW 62nd Blvd Ste C 200 SW 62nd Blvd Ste C 00 Yrs/130 Yrs Gender: Male Gainesville, FL 32607 Gainesville, FL 32607 M-F 8:00 AM - 5:00 PM Select Specialty Hospital- (352) 265-1234 (352) 265-0920 PCMH: No Gainesvil Fax: (352) 265-3465 Fax: (352) 265-9466 1600 SW Archer Rd 5th Fl 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gainesville, FL 32610 Shands At The University of M-F 8:00 AM - 5:00 PM (352) 265-0055 Florida PCMH: No Fax: (352) 265-4766 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No

www.wellcare.com/Florida | 35 Updated: 01/04/2019 Specialty Physicians Alachua

Ear, Nose & Throat - cont. Harwick, John MD Sawhney, Raja MD Endocrinology, Diabetes, Provider ID: 327567 Provider ID: 656940 Metabolism Haberman, Rex MD Gender: Male Gender: Male Provider ID: 1647489 UF Health ENT and Allergy UF Health ENT and Allergy Barb, Diana MD Gender: Male Hampton O Hampton O Provider ID: 800703 UF Health Ear Nose & Throat 200 SW 62nd Blvd Ste C 200 SW 62nd Blvd Ste C Gender: Female Shands Gainesville, FL 32607 Gainesville, FL 32607 Florida Clinical Practice 1600 SW Archer Rd D1 121 (352) 265-9465 (352) 265-9480 Associati Gainesville, FL 32610 Fax: (352) 627-4411 Fax: (352) 627-4411 2000 SW Archer Rd Fl 3 (352) 265-8989 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 392-8968 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 273-8656 00 Yrs/130 Yrs PCMH: No PCMH: No Fax: (352) 627-4268 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No Justice, Jeb MD Schrepfer, Thomas MD M 9:00 AM - 5:00 PM Provider ID: 699168 PCMH: No Haberman, Rex MD Gender: Male Provider ID: 1731111 Provider ID: 1647489 UF Health ENT and Allergy Gender: Male Basheer, Hiba MD Gender: Male Hampton O UF Health ENT and Allergy Provider ID: 1510804 UF Health ENT and Allergy 200 SW 62nd Blvd Ste C Hampton O Gender: Female Hampton O Gainesville, FL 32607 200 SW 62nd Blvd Ste C Endocrinology At Shands 200 SW 62nd Blvd Ste C (352) 265-9465 Gainesville, FL 32607 Medical Pla Gainesville, FL 32607 Fax: (352) 627-4411 (352) 265-0920 2000 SW Archer Rd (352) 265-0920 00 Yrs/130 Yrs Fax: (352) 265-9466 Gainesville, FL 32608 Fax: (352) 265-9466 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (352) 265-0139 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Fax: (352) 265-8215 M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No O'Malley, Matthew MD M-F 8:00 AM - 5:00 PM Provider ID: 584020 Silver, Natalie MD PCMH: No Haberman, Rex MD Gender: Male Provider ID: 1327225 Provider ID: 1647489 Faculty Group Practice Gender: Female Clare Salzler, Michael MD Gender: Male 1600 SW Archer Rd UF Health Ear Nose and UF Health Shands Hospital Gainesville, FL 32610 Throat Sh Provider ID: 359183 1600 SW Archer Rd (352) 265-9900 1600 SW Archer Rd D1 - 121 Gender: Male Gainesville, FL 32610 Fax: (352) 265-8968 Gainesville, FL 32610 Faculty Group Pratice (352) 265-0535 00 Yrs/130 Yrs (352) 265-8989 2000 SW Archer Rd Fl 3 Fax: (352) 265-0328 M-F 9:00 AM - 5:00 PM Fax: (352) 392-8968 Gainesville, FL 32608 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs (352) 265-0139 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 265-7090 O'Malley, Matthew MD PCMH: No PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Harwick, John MD Provider ID: 584020 Vaysberg, Mikhail MD PCMH: No Provider ID: 327567 Gender: Male Provider ID: 453179 Gender: Male Faculty Group Practice Gender: Male Clare Salzler, Michael MD ENT At Shands UF 200 SW 62nd Blvd Ste C Otolaryngology At Hampton Provider ID: 359183 1600 SW Archer Rd Rm D1-121 Gainesville, FL 32607 Oaks Gender: Male Gainesville, FL 32610 (352) 265-9465 200 SW 62nd Blvd Ste C Florida Clinical Practic (352) 265-8989 Fax: (352) 627-4411 Gainesville, FL 32607 1600 SW Archer Rd Ste 1901 Fax: (352) 265-8968 00 Yrs/130 Yrs (352) 265-9465 Gainesville, FL 32610 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-9466 (352) 265-0457 M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs Fax: (352) 265-0344 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 36 Updated: 01/04/2019 Specialty Physicians Alachua

Endocrinology, Diabetes, Munoz Pena, Juan MD Stacpoole, Peter MD Family Practice Metabolism - cont. Provider ID: 144438 Provider ID: 1636972 Gender: Male Alois, Marika MD Grant, Maria MD Gender: Male UF Medical Specialties At Provider ID: 1330099 Provider ID: 143813 Endocrinology At Shands Medical Gender: Female Gender: Female Medical Pla 2000 SW Archer Rd Fl 1 UF Health Internal Medicine Shands At UF 2000 SW Archer Rd Gainesville, FL 32608 Medical 1600 SW Archer Rd Gainesville, FL 32608 (352) 273-8656 2000 SW Archer Rd 4th Fl Gainesville, FL 32610 (352) 265-0139 Fax: (352) 627-4268 Gainesville, FL 32608 (352) 265-0535 Fax: (352) 265-8215 18 Yrs/130 Yrs (352) 265-0140 Fax: (352) 265-0328 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-7092 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Subbarayan, Sreevidya MD PCMH: No Singh Ospina, Naykky MD Grant, Maria MD Provider ID: 681124 Chacko, Lisa MD Provider ID: 143813 Provider ID: 1327247 Gender: Female Provider ID: 1330102 Gender: Female Gender: Male Faculty Group Practice Gender: Female UF Medical Specialties At Endocrinology At Shands 2000 SW Archer Rd Fl 3 UF Health Family Medicine - Medical P Medical Pla Gainesville, FL 32608 Eastsid 2000 SW Archer Rd 3rd Fl 2000 SW Archer Rd (352) 265-0139 410 NE Waldo Rd Gainesville, FL 32608 Gainesville, FL 32608 Fax: (352) 265-7090 Gainesville, FL 32641 (352) 265-1234 (352) 265-0139 00 Yrs/130 Yrs (352) 265-7015 Fax: (352) 265-7091 Fax: (352) 265-8215 M-F 9:00 AM - 5:00 PM Fax: (352) 265-7021 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish M-F 8:00 AM - 6:00 PM PCMH: No M-F 7:00 AM - 7:00 PM Subbarayan, Sreevidya MD PCMH: No PCMH: No Grant, Maria MD Provider ID: 681124 Dorsey, Nicholas MD Provider ID: 143813 Singh Ospina, Naykky MD Gender: Female Gender: Female Shands At UF Provider ID: 1537505 UF Springhill Health Center Provider ID: 1327247 1600 SW Archer Rd Gender: Male 8491 NW 39th Ave Gender: Male Gainesville, FL 32610 Florida Clinical Practice Assoc Gainesville, FL 32606 Endocrinology At UF (352) 265-0535 2846 SW 87th Way Ste A (352) 265-5404 1600 SW Archer Rd Fax: (352) 265-0328 Gainesville, FL 32608 Fax: (352) 376-6270 Gainesville, FL 32610 00 Yrs/130 Yrs (352) 265-0944 00 Yrs/130 Yrs (352) 265-0139 M-F 9:00 AM - 5:00 PM Fax: (352) 594-8511 M-F 9:00 AM - 5:00 PM Fax: (352) 265-8215 PCMH: No 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Spanish Woodmansee, Whitney MD PCMH: No Leey-Casella, Julio MD M-F 7:00 AM - 7:00 PM PCMH: No Provider ID: 1537804 Dorsey, Nicholas MD Provider ID: 1316638 Gender: Female Gender: Male Srihari, Ashok MD Endocrinology At Shands Provider ID: 1537505 Endocrinology At Shands Provider ID: 1476326 Medical Pla Gender: Male Medical Pla Gender: Male 2000 SW Archer Rd UF Health Primary Care After 2000 SW Archer Rd Endocrinology At Shands Gainesville, FL 32608 Hours Gainesville, FL 32608 Medical Pla (352) 265-0139 3450 Hull Rd (352) 265-0139 2000 SW Archer Rd Fax: (352) 265-8215 Gainesville, FL 32607 Fax: (352) 265-8215 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 273-8613 00 Yrs/130 Yrs (352) 265-0139 M-F 8:00 AM - 5:00 PM Fax: (352) 273-7295 Languages: Spanish Fax: (352) 265-8215 PCMH: No 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 37 Updated: 01/04/2019 Specialty Physicians Alachua

Family Practice - cont. Padilla, Cheree MD Agito, Markus Angelo MD Amaris, Manuel MD Provider ID: 572081 Provider ID: 1214257 Gavin, Sharon MD Gender: Female Provider ID: 1478591 Gender: Male Provider ID: 143411 UF Student Health Gender: Male UF Health GI Multidisciplinary Gender: Female 280 Fletcher Dr UF Health Medical Specialties Clin Florida Clinical Practice Assoc Gainesville, FL 32611 Medic 2000 SW Archer Rd Davis 1600 SW Archer Rd (352) 392-1161 2000 SW Archer Rd Fl 3 Cancer Pavillion Gainesville, FL 32610 Fax: (352) 392-5127 Gainesville, FL 32608 Gainesville, FL 32608 (352) 265-0680 M-F 8:00 AM - 5:00 PM (352) 265-0139 (352) 273-9472 Fax: (352) 265-0328 PCMH: No Fax: (352) 265-7091 Fax: (352) 265-7546 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Rubin, Daniel MD Languages: Tagalog Languages: Spanish PCMH: No Provider ID: 191967 M-F 8:00 AM - 5:00 PM M-F 7:00 AM - 7:00 PM Gender: Male PCMH: No PCMH: No Lang, Scott MD UF Health Family Medicine Provider ID: 1562372 Haile P Agnone, Louis MD Amaris, Manuel MD Gender: Male 2846 SW 87th Way Ste A Provider ID: 175796 Provider ID: 1214257 Gainesville Physicians LLC Gainesville, FL 32608 Gender: Male Gender: Male 810 NW 16th Ave (352) 265-0944 Borland Groover Clinic PA UF Health Medical Specialties Gainesville, FL 32601 Fax: (352) 594-8511 1465 Kingsley Ave Ste 1101 Med P (352) 331-3583 05 Yrs/130 Yrs Gainesville, FL 32605 2000 SW Archer Rd 3rd Fl Fax: (352) 331-3669 M-F 8:00 AM - 5:00 PM (904) 264-9797 Gainesville, FL 32608 00 Yrs/130 Yrs PCMH: No Fax: (904) 264-9797 (352) 265-0139 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (352) 265-7091 PCMH: No Taylor, Dale MD Florida Hospital Memorial 00 Yrs/130 Yrs Provider ID: 1309317 Medical Center Languages: Spanish Nelson, Danielle MD Gender: Male Halifax Hospital Medical M-F 8:00 AM - 5:00 PM UF Health Internal Medicine Center PCMH: No Provider ID: 1310846 Medical Languages: Spanish, Greek Gender: Female 2000 SW Archer Rd 4th Fl M-F 9:00 AM - 5:00 PM Cabrera, Roniel MD UF Health Family Medicine Gainesville, FL 32608 PCMH: No Provider ID: 566533 Main (352) 265-0140 Gender: Male 1707 N Main St Fax: (352) 265-7092 Amaris, Manuel MD UF Health Endoscopy Center Gainesville, FL 32609 00 Yrs/130 Yrs Provider ID: 1214257 2001 SW 13th St (352) 265-7001 M-F 8:00 AM - 5:00 PM Gender: Male Gainesville, FL 32608 Fax: (352) 265-9575 PCMH: No Select Specialty Hospital- (352) 265-8982 Gainesvil Fax: (352) 265-8984 00 Yrs/130 Yrs Gastroenterology M-F 8:00 AM - 6:00 PM 1600 SW Archer Rd 5th Fl 00 Yrs/130 Yrs PCMH: No Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM Agito, Markus Angelo MD (352) 265-0055 PCMH: No Odocha, Innocent MD Fax: (352) 265-4766 Provider ID: 980009 Provider ID: 1478591 00 Yrs/130 Yrs Cabrera, Roniel MD Gender: Male Gender: Male Languages: Spanish Provider ID: 566533 605 NE 1st St UF Health Endoscopy PCMH: No Gender: Male Gainesville, FL 32601 2001 SW 13th St UF Health Internal Medicine (352) 371-3212 Gainesville, FL 32608 Amaris, Manuel MD Medical Fax: (352) 371-3213 (352) 265-8900 Provider ID: 1214257 2000 SW Archer Rd 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male Gainesville, FL 32608 North Florida Regional Languages: Tagalog UF Health Endoscopy Center (352) 273-9400 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 2001 SW 13th St Fax: (352) 627-4179 PCMH: Yes, Level 2 PCMH: No Gainesville, FL 32608 00 Yrs/130 Yrs (352) 627-4074 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: Yes, Level 2 Languages: Spanish M-F 7:00 AM - 7:00 PM PCMH: No

www.wellcare.com/Florida | 38 Updated: 01/04/2019 Specialty Physicians Alachua

Gastroenterology - cont. Collins, Dennis MD Estores, David MD Firpi-Morell, Roberto MD Provider ID: 426272 Provider ID: 783396 Cabrera, Roniel MD Gender: Male Gender: Male Provider ID: 566739 Provider ID: 566533 Cardiovascular Center At 2001 SW 13th St Gender: Male Gender: Male Shands UF Gainesville, FL 32608 UF Health Internal Medicine UF Health Medical Specialties 1600 SW Archer Rd Ste 1901 (352) 265-8982 Medical Hepat Gainesville, FL 32610 Fax: (352) 265-8984 2000 SW Archer Rd 2004 Mowry Rd (352) 265-0820 00 Yrs/130 Yrs Gainesville, FL 32608 Gainesville, FL 32610 Fax: (352) 265-0344 PCMH: No (352) 265-0139 (352) 265-0615 00 Yrs/130 Yrs Fax: (352) 265-1053 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Estores, David MD 00 Yrs/130 Yrs Provider ID: 783396 M-F 9:00 AM - 5:00 PM PCMH: No Shands At The University of PCMH: No Gender: Male Florida Collins, Dennis MD Shands At UF M-F 9:00 AM - 5:00 PM Clark, Virginia MD Provider ID: 426272 1600 SW Archer Rd PCMH: Yes, Level 2 Provider ID: 503817 Gender: Male Gainesville, FL 32610 Gender: Female GI Multid Clinic @ Davis (352) 273-9400 Firpi-Morell, Roberto MD 1600 SW Archer Rd Cancer Center Fax: (352) 265-0328 Gainesville, FL 32610 2000 SW Archer Rd 00 Yrs/130 Yrs Provider ID: 566739 (352) 273-3500 Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM Gender: Male 00 Yrs/130 Yrs (352) 265-8001 PCMH: No UF Health Medical Specialties PCMH: No Fax: (352) 265-7546 Hepat 00 Yrs/130 Yrs Firpi-Morell, Roberto MD 2001 Mowry Rd Clark, Virginia MD M-F 9:00 AM - 5:00 PM Provider ID: 566739 Gainesville, FL 32610 Provider ID: 503817 PCMH: Yes, Level 2 Gender: Male (352) 265-0139 Gender: Female Faculty Group Practice 00 Yrs/130 Yrs Faculty Group Practice Draganov, Peter MD 2001 SW 13th St Shands At The University of 2000 SW Archer Rd Ste D Provider ID: 143657 Gainesville, FL 32608 Florida Gainesville, FL 32608 Gender: Male (352) 265-8982 M-F 9:00 AM - 5:00 PM (352) 265-0139 2000 SW Archer Rd Ste D Fax: (352) 265-8984 PCMH: No Fax: (352) 265-1053 Gainesville, FL 32608 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-0139 Shands At The University of Firpi-Morell, Roberto MD M-F 9:00 AM - 5:00 PM Fax: (352) 627-1479 Florida PCMH: Yes, Level 2 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 566739 Languages: French, Russian, PCMH: No Gender: Male Clark, Virginia MD Bulgarian UF Health Medical Specialties Provider ID: 503817 M-F 9:00 AM - 5:00 PM Firpi-Morell, Roberto MD Medic Gender: Female PCMH: Yes, Level 2 2000 SW Archer Rd Fl 3 UF Health Edoscopy Center Provider ID: 566739 Gainesville, FL 32608 Draganov, Peter MD 2001 SW 13th St Gender: Male (352) 265-0139 Provider ID: 143657 Gainesville, FL 32608 UF Health Cardiology Shands Fax: (352) 265-7091 Gender: Male (352) 265-8982 Hospi 00 Yrs/130 Yrs UF Health Endoscopy Center Fax: (352) 265-8984 1600 SW Archer Rd Ste 1901 Shands At The University of 00 Yrs/130 Yrs 2001 SW 13th St Gainesville, FL 32610 Florida

M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 (352) 265-0457 M-F 9:00 AM - 5:00 PM

PCMH: No (352) 265-8982 Fax: (352) 265-0344 PCMH: Yes, Level 2 Fax: (352) 265-8984 00 Yrs/130 Yrs 00 Yrs/130 Yrs Shands At The University of Languages: French, Russian, Florida Bulgarian M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 39 Updated: 01/04/2019 Specialty Physicians Alachua

Gastroenterology - cont. Glover, Sarah DO Joshi-Guske, Priti MD Nelson, David MD Provider ID: 584009 Provider ID: 540715 Provider ID: 144272 Forsmark, Christopher MD Gender: Female Gender: Female Gender: Male Provider ID: 143874 UF Health Endoscopy Center Faculty Group Practice UF Health Medical Specialties Gender: Male 2001 SW 13th St 2000 SW Archer Rd Ste D 2000 SW Archer Rd Fl 3 UF Health Endoscopy Center Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32608 2001 SW 13th St (352) 265-8982 (352) 265-0139 (352) 265-0139 Gainesville, FL 32608 Fax: (352) 265-8984 Fax: (352) 627-1479 Fax: (352) 265-7091 (352) 265-8982 00 Yrs/130 Yrs 00 Yrs/130 Yrs 21 Yrs/130 Yrs Fax: (352) 265-8984 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: Yes, Level 2 PCMH: Yes, Level 2 M-F 8:00 AM - 5:00 PM PCMH: No Glover, Sarah DO Joshi-Guske, Priti MD Nosler, Michael MD Provider ID: 584009 Provider ID: 540715 Forsmark, Christopher MD Gender: Female Gender: Female Provider ID: 621385 Provider ID: 143874 UF Health Medical Specialties UF Health Medical Specialities Gender: Male Gender: Male Med Med Faculty Group Practice UF Health Med 2000 SW Archer Rd 3rd Fl 2000 SW Archer Rd 3rd Fl 2000 SW Archer Rd Ste D Gastroenterology Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32608 1600 SW Archer Rd (352) 265-0139 (352) 265-0139 (352) 265-0139 Gainesville, FL 32610 Fax: (352) 627-4179 Fax: (352) 627-1479 Fax: (352) 265-7091 (352) 265-9900 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 627-4268 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: Yes, Level 2 PCMH: Yes, Level 2 PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Jawaid, Salmaan MD Morelli, Giuseppe MD Nosler, Michael MD Provider ID: 1636960 Provider ID: 232497 Forsmark, Christopher MD Gender: Male Gender: Male Provider ID: 621385 Provider ID: 143874 UF Health Endoscopy Center UF Health Internal Medicine Gender: Male Gender: Male 2001 SW 13th St Medical Faculty Group Practice UF Health Medical Specialties Gainesville, FL 32608 2000 SW Archer Rd Fl 3 2001 SW 13th St 2000 SW Archer Rd Fl 3 (352) 265-8900 Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 265-0139 (352) 265-8900 (352) 265-0139 M-F 8:00 AM - 5:00 PM Fax: (352) 627-4179 00 Yrs/130 Yrs Fax: (352) 627-1479 PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Jawaid, Salmaan MD PCMH: Yes, Level 2 PCMH: Yes, Level 2 Provider ID: 1636960 Pham, Angela MD Gender: Male Muehlbauer, Marcus MD Provider ID: 1695724 Glover, Sarah DO UF Health Surgical Specialist Gender: Female Provider ID: 584009 Shand Provider ID: 1103212 UF Health Endoscopy Center Gender: Female 1600 SW Archer Rd Gender: Male 2001 SW 13th St Faculty Group Practice Gainesville, FL 32610 UF Health Medical Specialties Gainesville, FL 32608 2000 SW Archer Rd Ste D (352) 265-0055 Medic (352) 265-8900 Shands Medical Plz Fax: (352) 627-4173 2000 SW Archer Rd Fl 3 00 Yrs/130 Yrs Gainesville, FL 32608 00 Yrs/130 Yrs Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM (352) 265-0139 M-F 8:00 AM - 5:00 PM (352) 265-0139 PCMH: No Fax: (352) 627-4179 PCMH: No Fax: (352) 627-4179 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: German PCMH: Yes, Level 2 MTWTHFSatSun 7:00 AM ­ 4:00 PM PCMH: No

www.wellcare.com/Florida | 40 Updated: 01/04/2019 Specialty Physicians Alachua

Gastroenterology - cont. Zimmermann, Ellen MD Zori, Andreas MD General Practice Provider ID: 915424 Provider ID: 1637004 Pham, Angela MD Gender: Female Gender: Male Diaz Barrientos, Joseph MD Provider ID: 1695724 UF Health Endoscopy Center UF Health Internal Medicine Provider ID: 1366898 Gender: Female 2001 SW 13th St Medical Gender: Male UF Health Internal Medicine Gainesville, FL 32608 2000 SW Archer Rd Medical 224 SE 24th St Medical (352) 265-8982 Plaza Gainesville, FL 32641 Medical Plaza Liver 2000 SW Fax: (352) 265-8984 Gainesville, FL 32608 (352) 334-7900 Archer Rd 18 Yrs/130 Yrs (352) 265-0754 Fax: (352) 334-7957 Gainesville, FL 32607 PCMH: No Fax: (352) 265-1053 00 Yrs/130 Yrs (352) 265-0754 00 Yrs/130 Yrs PCMH: No Fax: (352) 265-1053 Zimmermann, Ellen MD M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 915424 PCMH: No Martinez, Alfonso MD M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 1231415 PCMH: No UF Health Shands Hospital Zori, Andreas MD Gender: Male 1600 SW Archer Rd Provider ID: 1637004 Azalea Health Soldevila-Pico, Consuelo MD Gainesville, FL 32610 Gender: Male 22066 SE 71st Ave (352) 265-0535 UF Health Shands Hospital Hawthorne, FL 32640 Provider ID: 566542 Fax: (352) 265-0328 1600 SW Archer Rd (352) 481-2700 Gender: Female 18 Yrs/130 Yrs Gainesville, FL 32610 Fax: (352) 481-2392 Faculty Group Practice M-F 8:00 AM - 5:00 PM (352) 265-0535 00 Yrs/130 Yrs 1600 SW Archer Rd Ste 1901 PCMH: No Fax: (352) 265-0328 M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 00 Yrs/130 Yrs PCMH: No (352) 265-9900 Zori, Andreas MD PCMH: No Fax: (352) 265-0344 Provider ID: 1637004 General Surgery 00 Yrs/130 Yrs Gender: Male Gastroenterology & M-F 9:00 AM - 5:00 PM Select Specialty Hospital- Hepatology Andreoni, Kenneth MD PCMH: No Gainesvil Provider ID: 692746 1600 SW Archer Rd 5th Fl Suman, Amitabh MD Gender: Male Soldevila-Pico, Consuelo MD Gainesville, FL 32610 Provider ID: 229639 Faculty Group Practice (352) 265-0055 Gender: Male 1600 SW Archer Rd Provider ID: 566542 Fax: (352) 265-4766 UF Health Med Gainesville, FL 32610 Gender: Female 00 Yrs/130 Yrs Gastroenterology (352) 265-0535 UF Medical Specialties At PCMH: No 1600 SW Archer Rd Fax: (352) 265-8236 Medical P Gainesville, FL 32610 00 Yrs/130 Yrs 2000 SW Archer Rd Zori, Andreas MD (352) 273-9400 M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Provider ID: 1637004 Fax: (352) 627-4268 PCMH: No (352) 265-0139 Gender: Male 00 Yrs/130 Yrs Fax: (352) 627-4179 UF Health Endoscopy Center M-F 8:00 AM - 5:00 PM Andreoni, Kenneth MD 00 Yrs/130 Yrs 2001 SW 13th St PCMH: No M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Provider ID: 692746 PCMH: Yes, Level 2 (352) 265-8900 Suman, Amitabh MD Gender: Male 00 Yrs/130 Yrs Provider ID: 229639 Internal Medicine and Medical Weiner, Brian MD M-F 8:00 AM - 5:00 PM Gender: Male Speci Provider ID: 1185541 PCMH: No UF Health Medical Specialties 2000 SW Archer Rd Fl 3 Gender: Male 2000 SW Archer Rd Fl 3 Gainesville, FL 32608 UF Health Medical Specialties Gainesville, FL 32608 (352) 265-0606 Medic (352) 265-0139 Fax: (352) 265-0678 2000 SW Archer Rd 3rd Fl Fax: (352) 627-1479 00 Yrs/130 Yrs Gainesville, FL 32608 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 265-0139 M-F 8:00 AM - 5:00 PM PCMH: No Fax: (352) 265-7091 PCMH: Yes, Level 2 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 41 Updated: 01/04/2019 Specialty Physicians Alachua

General Surgery - cont. Brient, Bruce MD Cuellar, Trajan MD Hipp, Timothy MD Provider ID: 214870 Provider ID: 1724684 Provider ID: 273836 Andreoni, Kenneth MD Gender: Male Gender: Male Gender: Male Provider ID: 692746 6400 W Newberry Rd Ste 106 UF Health Plastic Surgery and 6400 W Newberry Rd Ste 106 Gender: Male Gainesville, FL 32605 Aesth Gainesville, FL 32605 Peds Surgery At Shands (352) 331-5255 4037 NW 86th Terr 3rd Fl (352) 331-5255 Medical Plaz Fax: (352) 333-6205 Gainesville, FL 32606 Fax: (352) 333-6205 2000 SW Archer Rd 00 Yrs/130 Yrs (352) 265-8402 12 Yrs/130 Yrs Gainesville, FL 32608 PCMH: No Fax: (352) 594-1793 North Florida Regional (352) 265-0129 00 Yrs/130 Yrs PCMH: No Fax: (352) 273-8772 Brient, Bruce MD M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 214870 PCMH: No Hipp, Timothy MD M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 273836 PCMH: No 6500 W Newberry Rd Deturris, Stanley MD Gender: Male Gainesville, FL 32605 6500 W Newberry Rd Arnaoutakis, Konstantinos MD (352) 333-4000 Provider ID: 188911 Gainesville, FL 32605 Provider ID: 1477364 00 Yrs/130 Yrs Gender: Male (352) 333-4000 Gender: Male PCMH: No Surgical Group of Gainesvill 12 Yrs/130 Yrs

UF Health Surgical Specialists PA VA North Florida Regional Brient, Bruce MD 1143 NW 64th Ter 1505 SW Archer Rd PCMH: No Provider ID: 214870 Gainesville, FL 32605 Gainesville, FL 32610 Gender: Male (352) 331-1201 Hipp, Timothy MD (352) 265-9928 Surgical Group of Gainesvill Fax: (352) 331-5273 Provider ID: 273836 00 Yrs/130 Yrs PA 00 Yrs/130 Yrs Gender: Male M-F 8:00 AM - 5:00 PM 1143 NW 64th Ter M-F 8:30 AM - 5:00 PM Surgical Group of Gainesville PCMH: No Gainesville, FL 32605 PCMH: No PA (352) 331-1201 1143 NW 64th Ter Ayzengart, Alexander MD Fax: (352) 331-5273 Feezor, Robert MD Gainesville, FL 32605 00 Yrs/130 Yrs Provider ID: 493421 (352) 331-1201 Provider ID: 1312070 M-F 8:30 AM - 5:00 PM Gender: Male Fax: (352) 331-5273 Gender: Male PCMH: No Faculty Group Practice 12 Yrs/130 Yrs UF Health Shands Hospital 1600 SW Archer Rd Rm NG45 North Florida Regional 1600 SW Archer Rd Castaldo, Eric MD Gainesville, FL 32610 M-F 8:30 AM - 5:00 PM Gainesville, FL 32610 Provider ID: 617428 (352) 265-0535 PCMH: No (352) 265-0535 Gender: Male Fax: (352) 265-8236 Fax: (352) 265-0328 Surgical Group of Gainesville 00 Yrs/130 Yrs Hughes, Steven MD 16 Yrs/130 Yrs PA M-F 9:00 AM - 5:00 PM Provider ID: 566471 Languages: Russian 1143 NW 64th Ter PCMH: No Gender: Male MTWTHFSatSun 12:00 AM ­ Gainesville, FL 32605 Faculty Group Practice 12:59 PM (352) 331-1201 Feezor, Robert MD 2000 SW Archer Rd PCMH: No Fax: (352) 331-5273 Provider ID: 493421 Gainesville, FL 32608 12 Yrs/130 Yrs Gender: Male Battula, Narendra MD (352) 265-9900 Florida Surgical Center Provider ID: 1580519 M-F 8:30 AM - 5:00 PM Fax: (352) 265-7546 3480 Hull Rd Gender: Male PCMH: No 00 Yrs/130 Yrs Gainesville, FL 32607 M-F 9:00 AM - 5:00 PM UF Health Internal Medicine Cooper, Michol MD Medical (352) 265-1234 PCMH: No

2000 SW Archer Rd Medical Provider ID: 1724681 Fax: (352) 733-8801 Plaza Surgery Gender: Female 00 Yrs/130 Yrs Gainesville, FL 32608 UF Health Surgical Specialists M-F 9:00 AM - 5:00 PM

(352) 265-0606 Vas PCMH: No

Fax: (352) 265-0678 1505 SW Archer Rd

00 Yrs/130 Yrs Gainesville, FL 32610

M-F 8:00 AM - 5:00 PM (352) 265-9928

PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 42 Updated: 01/04/2019 Specialty Physicians Alachua

General Surgery - cont. Klodell, Charles MD Mozingo, David MD Oduntan, Olusola MD Provider ID: 220019 Provider ID: 144276 Provider ID: 1462385 Hughes, Steven MD Gender: Male Gender: Male Gender: Not Available Provider ID: 566471 Faculty Group Practice UF Health Burn Clinic UF Health Surgical Specialists Gender: Male 1600 SW Archer Rd Ste 1901 1600 SW Archer Rd Tcv Surgery At Shands UF Gainesville, FL 32610 Gainesville, FL 32610 1505 SW Archer Rd 1600 SW Archer Rd Rm 6164 (352) 265-0820 (352) 265-8932 Gainesville, FL 32608 Gainesville, FL 32610 Fax: (352) 265-8236 Fax: (352) 265-0344 (352) 265-5470 (352) 265-9900 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-8236 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Klodell, Charles MD Mustafa, Moiz MD Pickens, Brian MD Provider ID: 220019 Provider ID: 1312074 Provider ID: 212951 Johnson, Mark MD Gender: Male Gender: Male Gender: Male Provider ID: 1125554 Faculty Group Practice UF Health Burn Clinic Gateway Surgical Group LLC Gender: Male 7120 NW 11th Pl 1600 SW Archer Rd Rm 6164 1143 NW 64th Ter UF Health Medical Specialties Gainesville, FL 32605 Gainesville, FL 32610 Gainesville, FL 32605 Medic (352) 265-0820 (352) 265-8932 (352) 331-1201 2000 SW Archer Rd 3rd Fl Fax: (352) 265-0823 Fax: (352) 265-0125 Fax: (352) 331-5273 Gainesville, FL 32608 00 Yrs/130 Yrs 00 Yrs/130 Yrs 12 Yrs/130 Yrs (352) 265-0130 M-F 9:00 AM - 5:00 PM Languages: Arabic M-F 9:00 AM - 5:00 PM Fax: (352) 265-7091 PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Moore, Frederick MD Pickens, Norman MD PCMH: No Provider ID: 610525 Mustafa, Moiz MD Gender: Male Provider ID: 1312074 Provider ID: 214930 Klodell, Charles MD Florida Clinical Practice Gender: Male Gender: Male 1600 SW Archer Rd UF Health Children's Surgical Surgical Group of Gainesvill Provider ID: 1437081 Gainesville, FL 32610 Center PA Gender: Male (352) 265-0535 3480 Hull Rd 1143 NW 64th Ter North Florida Surgical Fax: (352) 265-8236 Gainesville, FL 32607 Gainesville, FL 32605 Associates L 00 Yrs/130 Yrs (352) 733-0065 (352) 331-1201 6440 W Newberry Rd Ste 102 M-F 9:00 AM - 5:00 PM Fax: (352) 627-4173 Fax: (352) 331-5273 Gainesville, FL 32605 PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 333-5610 Languages: Arabic M-F 8:30 AM - 5:00 PM Fax: (352) 333-5611 Motamarry, Isaac MD M-F 6:00 AM - 5:00 PM PCMH: No 00 Yrs/21 Yrs Provider ID: 799703 PCMH: No M-F 8:00 AM - 5:00 PM Gender: Male Rose, Jeffrey MD PCMH: No Florida Clinical Practice Mustafa, Moiz MD Provider ID: 617430 Associati Provider ID: 1312074 Gender: Male Klodell, Charles MD 1600 SW Archer Rd Gender: Male 6400 W Newberry Rd Ste 106 Provider ID: 220019 Gainesville, FL 32610 UF Health Pediatric Surgery Gainesville, FL 32605 Gender: Male (352) 265-0535 2000 SW Archer Rd (352) 331-5255 Cardiology West At Springhill Fax: (352) 265-8236 Gainesville, FL 32608 Fax: (352) 333-6205 4037 NW 86th Ter Fl 2 00 Yrs/130 Yrs (352) 273-8800 12 Yrs/130 Yrs Gainesville, FL 32606 M 9:00 AM - 5:00 PM Fax: (352) 273-8772 North Florida Regional (352) 265-0820 PCMH: No 00 Yrs/130 Yrs PCMH: No Fax: (352) 265-0823 Languages: Arabic 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 43 Updated: 01/04/2019 Specialty Physicians Alachua

General Surgery - cont. Sarosi, George MD Spiguel, Lisa MD Zori, Roberto MD Provider ID: 574624 Provider ID: 707807 Provider ID: 144466 Rose, Jeffrey MD Gender: Male Gender: Female Gender: Male Provider ID: 617430 Faculty Group Practice Surgery At Shands UF UF Path Labs Gender: Male 2000 SW Archer Rd At Shands 1600 SW Archer Rd 4800 SW 35th Dr Surgical Group of Gainesville Medical Plaza Gainesville, FL 32610 Gainesville, FL 32608 PA Gainesville, FL 32608 (352) 265-0535 (352) 265-9900 1143 NW 64th Ter (352) 273-7770 Fax: (352) 265-8236 Fax: (352) 265-9901 Gainesville, FL 32605 Fax: (352) 265-8235 00 Yrs/130 Yrs 00 Yrs/18 Yrs (352) 331-1201 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Italian Fax: (352) 331-5273 M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs PCMH: No PCMH: No North Florida Regional Spiguel, Lisa MD M-F 8:30 AM - 5:00 PM Schmit, Bradley MD Provider ID: 707807 Zori, Roberto MD PCMH: No Provider ID: 1498631 Gender: Female Provider ID: 144466 Gender: Male UF Health Surgerical Specialist Gender: Male Sarantos, Panagiotis MD Surgical Group of Gainesville Spr UF Peds Genetics Provider ID: 214940 1143 NW 64th Ter 4037 NW 86th Terr 3rd Fl 2000 SW Archer Rd Fl 2 Gender: Male Gainesville, FL 32605 Gainesville, FL 32606 Gainesville, FL 32608 6400 W Newberry Rd Ste 106 (352) 331-1201 (352) 265-0535 (352) 265-8250 Gainesville, FL 32605 Fax: (352) 331-5273 Fax: (352) 733-4173 Fax: (352) 627-4415 (352) 331-5255 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/18 Yrs Fax: (352) 333-6205 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Languages: Italian 12 Yrs/130 Yrs PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Shaw, Christiana MD Walters, Michael MD Sarantos, Panagiotis MD Provider ID: 578413 Provider ID: 1462435 Geriatric Medicine Gender: Female Gender: Not Available Provider ID: 214940 Faculty Group Practice Select Specialty Hospital- Hincapie Echeverri, Jacobo Gender: Male 1600 SW Archer Rd Gainesvil MD Surgical Group of Gainesville Gainesville, FL 32610 1600 SW Archer Rd 5th Fl Provider ID: 1009211 PA (352) 265-0535 Gainesville, FL 32610 Gender: Male 1143 NW 64th Ter Fax: (352) 265-8236 (352) 265-0055 Florida Clinical Practice Gainesville, FL 32605 00 Yrs/130 Yrs Fax: (352) 265-4766 Associati (352) 331-1201 Shands At The University of 00 Yrs/130 Yrs 1600 SW Archer Rd Fax: (352) 331-5273 Florida PCMH: No Gainesville, FL 32610 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 265-0535 M-F 8:30 AM - 5:00 PM PCMH: No Genetic Counseling Fax: (352) 265-0328 PCMH: No 60 Yrs/130 Yrs Shaw, Christiana MD Santolaya, Joaquin MD M 7:00 AM - 7:00 PM Sarosi, George MD Provider ID: 578413 Provider ID: 1442301 PCMH: No Provider ID: 574624 Gender: Female Gender: Male Gender: Male UF Health Surgerical Specialist UF Health Womens Center Kim, So MD Faculty Group Practice Spr Medical Pla Provider ID: 1431502 1601 SW Archer Rd Ste 112 4037 NW 86th Ter 3 Rd Fl 2000 SW Archer Rd Fl 4 Gender: Female Gainesville, FL 32608 Gainesville, FL 32606 Gainesville, FL 32608 UF Health Senior Care (352) 337-3240 (352) 265-0535 (352) 265-8200 2004 Mowry Rd 00 Yrs/130 Yrs Fax: (352) 627-4173 Fax: (352) 265-8202 Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-0615 PCMH: No Shands At The University of Languages: Spanish Fax: (352) 294-5803 Florida M-F 8:00 AM - 5:00 PM 65 Yrs/110 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Languages: Korean PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 44 Updated: 01/04/2019 Specialty Physicians Alachua

Geriatric Medicine - cont. Gynecological Oncology Ripley, Daylene MD Hematology

Leey-Casella, Julio MD Cardenas-Goicoechea, Provider ID: 144365 Close, Julia MD Provider ID: 1316638 Segundo MD Gender: Female Provider ID: 566929 Gender: Male Provider ID: 1214258 Gainesville GYN Oncology of Gender: Female Endocrinology At Shands Gender: Male North F Pulm Multid Clinic @ Shands Medical Pla UF Health Womens Center 6400 W Newberry Rd Ste 103 UF 2000 SW Archer Rd Medical Pla Gainesville, FL 32605 1600 SW Archer Rd 1600 SW Gainesville, FL 32608 2000 SW Archer Rd 4th Fl (352) 333-5946 Archer Rd (352) 265-0139 Gainesville, FL 32608 Fax: (352) 333-5947 Gainesville, FL 32608 Fax: (352) 265-8215 (352) 265-8200 18 Yrs/130 Yrs (352) 265-9900 00 Yrs/130 Yrs Fax: (352) 265-8202 North Florida Regional Fax: (352) 265-0122 Languages: Spanish 00 Yrs/130 Yrs Languages: Spanish 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Shands At The University of M-F 8:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM PCMH: No Florida PCMH: No PCMH: No Languages: Spanish Sandesara, Bhanuprasad MD M-F 8:00 AM - 5:00 PM Hand Surgery Close, Julia MD PCMH: No Provider ID: 566929 Provider ID: 717188 Matthias, Robert MD Gender: Female Gender: Male Castagno, Jacqueline MD Provider ID: 586670 UF Health Medical Specialties Hemat Geriatrics @ Oak Hammock Provider ID: 345822 Gender: Male 2000 SW Archer Rd Fl 3 5100 SW 25th Blvd Gender: Female Shands At UF Gainesville, FL 32608 Gainesville, FL 32608 Florida Clinical Practice 1600 SW Archer Rd Associati (352) 273-7770 (352) 548-1100 Gainesville, FL 32610 2000 SW Archer Rd 4th Fl Fax: (352) 265-8432 Fax: (352) 548-1063 (352) 273-7001 Gainesville, FL 32608 00 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-8200 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 02 Yrs/130 Yrs Fax: (352) 627-4375 PCMH: No PCMH: No Shands At The University of 00 Yrs/130 Yrs Florida Moreb, Jan MD Schneider, Susan MD Shands At The University of M-F 9:00 AM - 5:00 PM Florida PCMH: No Provider ID: 144265 M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1431494 PCMH: No Matthias, Robert MD Bone Marrow Transplant At

Gender: Female Provider ID: 586670 Shands

UF Health Senior Care Castagno, Jacqueline MD Gender: Male 1600 SW Archer Rd

2004 Mowry Rd 1st Fl Provider ID: 345822 UF Orthopedics and Sports Gainesville, FL 32610 Gainesville, FL 32610 Gender: Female Medicine (352) 265-9900 (352) 265-0615 UF Health Womens Center 3450 Hull Rd Fax: (352) 265-0525 Fax: (352) 265-8296 Springhill Gainesville, FL 32607 00 Yrs/130 Yrs 65 Yrs/110 Yrs 4037 NW 86th Ter Fl 2 (352) 273-7001 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gainesville, FL 32606 Fax: (352) 273-7293 PCMH: No PCMH: No (352) 265-6200 02 Yrs/130 Yrs Fax: (352) 265-0281 Shands At The University of Parekh, Hiral MD 00 Yrs/130 Yrs Florida Provider ID: 1330597 Shands At The University of M-F 9:00 AM - 5:00 PM Gender: Female Florida PCMH: No UF Health Medical Oncology M-F 9:00 AM - 5:00 PM Davis CT PCMH: No 2000 SW Archer Rd Gainesville, FL 32608 (352) 265-0725 Fax: (352) 627-4268 00 Yrs/130 Yrs Languages: Hindi M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 45 Updated: 01/04/2019 Specialty Physicians Alachua

Hematology - cont. Cascio, Matthew DO Markham, Merry MD Hincapie Echeverri, Jacobo Provider ID: 1472822 Provider ID: 566741 MD Rajasekhar, Anita MD Gender: Male Gender: Female Provider ID: 1009211 Provider ID: 566217 Florida Clinical Practice Assoc UF Health Medical Specialties Gender: Male Gender: Female 1600 SW Archer Rd Box Hemat Florida Clinical Practice UF Health Medical Specialties 100296 1600 SW Archer Rd 2000 SW Archer Rd Fl 3 Associati Hemat Gainesville, FL 32610 Gainesville, FL 32608 1600 SW Archer Rd 2000 SW Archer Rd Fl 3 (352) 273-9120 (352) 265-8199 Gainesville, FL 32610 Gainesville, FL 32608 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-0535 (352) 265-0139 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 265-0328 Fax: (352) 627-4179 PCMH: No PCMH: No 60 Yrs/130 Yrs 00 Yrs/130 Yrs M 7:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM Duff, Jennifer MD Norkin, Maxim MD PCMH: No PCMH: No Provider ID: 799740 Provider ID: 566942 Gender: Female Gender: Male Schneider, Susan MD Zumberg, Marc MD Shands At UF Bone Marrow Transplant At Provider ID: 1431494 Provider ID: 566915 1601 SW Archer Rd 1600 SW Shands UF Gender: Female Gender: Male Archer Rd 1515 SW Archer Rd Ste 100 UF Health Senior Care Shands Adult Infusion Center Gainesville, FL 32608 Gainesville, FL 32608 2004 Mowry Rd 1st Fl 2000 SW Archer Rd Fl 2 (352) 265-0535 (352) 733-0972 Gainesville, FL 32610 Gainesville, FL 32608 Fax: (352) 265-0328 Fax: (352) 265-0525 (352) 265-0615 (352) 265-0725 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-8296 Fax: (352) 627-4150 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 65 Yrs/110 Yrs 00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Kaye, Frederic MD Norkin, Maxim MD Provider ID: 519420 Provider ID: 566942 Infectious Disease Zumberg, Marc MD Gender: Male Gender: Male Provider ID: 566915 Pulm Multid Clinic @ Shands Bone Marrow Transplant At Becker, Dawn MD

Gender: Male 1600 SW Archer Rd 2 Shands UF Provider ID: 1636924

UF Health Medical Specialties Gainesville, FL 32610 1600 SW Archer Rd Gender: Female

Hemat (352) 265-0457 Gainesville, FL 32610 UF Health Medical Specialties 2000 SW Archer Rd 3rd Fl Fax: (352) 265-0122 (352) 265-9900 Medic Gainesville, FL 32608 00 Yrs/130 Yrs Fax: (352) 273-8109 2000 SW Archer Rd 3rd Fl (352) 265-1234 Shands At The University of 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 265-8432 Florida M-F 8:00 AM - 5:00 PM (352) 265-0139 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Fax: (352) 265-7091 M-F 9:00 AM - 5:00 PM PCMH: No Hospice and Palliative 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Kaye, Frederic MD Care PCMH: No Hematology & Oncology Provider ID: 519420 Gender: Male Barker, Paige MD Bender, Bradley MD Brown, Randy MD UF Health Medical Oncology Provider ID: 1333697 Provider ID: 496489 Davis CT Gender: Female Provider ID: 143543 Gender: Male 2000 SW Archer Rd 1 UF Health Internal Medicine Gender: Male Medical Bone Marrow Transplant At Gainesville, FL 32608 Cardiovascular Center At Shands UF (352) 265-0725 2000 SW Archer Rd 4th Fl Shands UF 1515 SW Archer Rd Rm 7202 00 Yrs/130 Yrs Gainesville, FL 32608 1600 SW Archer Rd Ste 1901 Gainesville, FL 32608 Shands At The University of (352) 265-0140 Gainesville, FL 32610 (352) 733-1269 Florida Fax: (352) 265-7092 (352) 265-0457 Fax: (352) 265-0525 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-0344 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 46 Updated: 01/04/2019 Specialty Physicians Alachua

Infectious Disease - cont. Iovine, Nicole MD Janelle, Jennifer MD Olaoye, Adetoun MD Provider ID: 574427 Provider ID: 144068 Cherabuddi, Kartikeya MD Gender: Female Gender: Female Provider ID: 1415150 Provider ID: 808750 Florida Clinical Practice Shands At UF Gender: Female Gender: Male Associati 1600 SW Archer Rd UF Health Shands Hospital Shands At UF 2000 SW Archer Rd Fl 3 Gainesville, FL 32610 1600 SW Archer Rd 1600 SW Archer Rd Shands Medical Plaza (352) 265-9900 Gainesville, FL 32608 Gainesville, FL 32610 Gainesville, FL 32608 Fax: (352) 265-0328 (352) 265-0535 (352) 265-0535 (352) 265-0139 18 Yrs/130 Yrs Fax: (352) 265-0328 Fax: (352) 265-0328 Fax: (352) 265-7091 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No Languages: Yoruba M-F 9:00 AM - 5:00 PM M 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Janelle, Jennifer MD Provider ID: 144068 Ramphal, Reuben MD Gadkowski, Lara MD Iovine, Nicole MD Gender: Female Provider ID: 144439 Provider ID: 1471505 Provider ID: 574427 UF Health Medcial Specialties Gender: Male Gender: Female Gender: Female 2000 SW Archer Rd Fl 3 Shands At UF Florida Clinical Practice Assoc UF Health Medical Specialties Gainesville, FL 32608 1600 SW Archer Rd 1600 SW Archer Rd Box Med (352) 294-5480 Gainesville, FL 32610 100277 1600 SW Archer Rd 2000 SW Archer Rd Fl 3 Fax: (352) 265-7091 (352) 265-0535 Gainesville, FL 32610 Gainesville, FL 32608 18 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-0535 (352) 265-0139 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (352) 265-0328 Fax: (352) 265-7091 PCMH: No PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Kariyawasam, Vidhu MD Schain, Denise MD PCMH: No PCMH: No Provider ID: 566488 Provider ID: 1636965 Gender: Female Gonzalez, Arnoldo MD Islam, Shehla MD Gender: Female Cardiovascular Center At Provider ID: 511254 UF Health Medical Specialties Shands UF Provider ID: 1180239 Gender: Female Medic 1600 SW Archer Rd Ste 1901 Gender: Male Faculty Group Practice 2000 SW Archer Rd 3rd Fl Gainesville, FL 32610 UF Health Medical Specialties 2000 SW Archer Rd Ste Gainesville, FL 32608 (352) 265-9900 Medic 100383 (352) 265-0139 Fax: (352) 265-0344 2000 SW Archer Rd 3rd Fl Gainesville, FL 32608 Fax: (352) 265-7091 00 Yrs/130 Yrs Gainesville, FL 32608 (352) 265-0139 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 265-0139 Fax: (352) 265-7091 M-F 8:00 AM - 5:00 PM PCMH: No Fax: (352) 265-7091 00 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Schain, Denise MD Languages: Spanish PCMH: No Kima, Marie MD Provider ID: 566488 M-F 8:00 AM - 5:00 PM Provider ID: 173566 Gender: Female PCMH: No Islam, Shehla MD Gender: Female Faculty Group Practice Provider ID: 511254 Marie Alixe Kima PA 2000 SW Archer Rd Fl 4 Gupte, Asmita MD Gender: Female 500 NW 43rd St Ste 1 Gainesville, FL 32608 Provider ID: 522881 UF Health Medical Specialties Gainesville, FL 32607 (352) 265-0139 Gender: Female Med (352) 378-9100 Fax: (352) 627-4179 Florida Clinical Practice Assoc 2000 SW Archer Rd 3ED Fl Fax: (352) 378-9005 00 Yrs/130 Yrs 1600 SW Archer Rd Gainesville, FL 32608 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gainesville, FL 32610 (352) 265-0139 M-F 9:00 AM - 5:00 PM PCMH: No (352) 392-4058 Fax: (352) 265-7091 PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 47 Updated: 01/04/2019 Specialty Physicians Alachua

Infectious Disease - cont. Alquadan, Kawther MD Alsamarah, Ali MD Amaris, Manuel MD Provider ID: 1238143 Provider ID: 928887 Provider ID: 1214257 Schain, Denise MD Gender: Female Gender: Male Gender: Male Provider ID: 566488 Select Specialty Hospital- Shands At UF UF Health Medical Specialties Gender: Female Gainesvil 1600 SW Archer Rd Med P University of Florida Clinic 1600 SW Archer Rd 5th Fl Gainesville, FL 32610 2000 SW Archer Rd 3rd Fl 1600 SW Archer Rd Gainesville, FL 32610 (352) 265-0535 Gainesville, FL 32608 Gainesville, FL 32610 (352) 265-0055 Fax: (352) 265-0328 (352) 265-0139 (352) 265-9900 Fax: (352) 265-4766 18 Yrs/130 Yrs Fax: (352) 265-7091 Fax: (352) 265-0344 00 Yrs/130 Yrs Languages: Arabic 00 Yrs/130 Yrs 00 Yrs/130 Yrs Shands At The University of M-F 8:00 AM - 5:00 PM Languages: Spanish M-F 9:00 AM - 5:00 PM Florida PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Languages: Arabic PCMH: No PCMH: No Amaris, Manuel MD Wang, Gary MD Provider ID: 1214257 Anderson, Russell MD Provider ID: 574577 Alquadan, Kawther MD Gender: Male Provider ID: 566226 Gender: Male Select Specialty Hospital- Gender: Male Faculty Group Practice Provider ID: 1238143 Gainesvil Cardiovascular Center At 2000 SW Archer Rd Ste D Gender: Female 1600 SW Archer Rd 5th Fl Shands UF Shands Medical Plaza Transplant At Shands UF Gainesville, FL 32610 1600 SW Archer Rd Ste 1901 Gainesville, FL 32608 1600 SW Archer Rd Rm (352) 265-0055 Gainesville, FL 32610 (352) 265-0139 CG-1901 Fax: (352) 265-4766 (352) 265-9900 Fax: (352) 265-7091 Gainesville, FL 32610 00 Yrs/130 Yrs Fax: (352) 265-0344 00 Yrs/130 Yrs (352) 265-1234 Languages: Spanish 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-0344 PCMH: No Shands At The University of PCMH: No 00 Yrs/130 Yrs Florida Shands At The University of Amaris, Manuel MD M-F 9:00 AM - 5:00 PM Internal Medicine Florida PCMH: No Languages: Arabic Provider ID: 1214257 Ali, Azka MD M-F 8:00 AM - 5:00 PM Gender: Male Anderson, Russell MD Provider ID: 1647480 PCMH: No UF Health Endoscopy Center Provider ID: 566226 Gender: Female 2001 SW 13th St Gender: Male UF Health Shands Hospital Alquadan, Kawther MD Gainesville, FL 32608 Shands At UF 1600 SW Archer Rd (352) 627-4074 1600 SW Archer Rd Gainesville, FL 32610 Provider ID: 1238143 00 Yrs/130 Yrs Gainesville, FL 32610 (352) 265-0535 Gender: Female Languages: Spanish (352) 265-9900 Fax: (352) 265-0328 UF Health Nephrology - M-F 7:00 AM - 7:00 PM Fax: (352) 265-0328 00 Yrs/130 Yrs Shands Hospi PCMH: No 18 Yrs/130 Yrs MTWTHFSatSun 12:00 AM ­ 1600 SW Archer Rd 1st Fl Rm Shands At The University of 11:59 PM 1901 Amaris, Manuel MD Florida PCMH: No Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM (352) 265-4845 Provider ID: 1214257 PCMH: No Ali, Rozina DO Fax: (352) 627-4268 Gender: Male Provider ID: 1731095 00 Yrs/130 Yrs Anderson, Russell MD UF Health GI Multidisciplinary Provider ID: 566226 Gender: Female Shands At The University of Clin Gender: Male UF Health Shands Hospital Florida 2000 SW Archer Rd Davis 1600 SW Archer Rd Languages: Arabic Cancer Pavillion UF Health Cardiology Heart and Vasc Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 1505 SW Archer Rd (352) 265-0535 PCMH: No (352) 273-9472 Gainesville, FL 32610 Fax: (352) 265-0328 Fax: (352) 265-7546 (352) 265-0820 00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs MTWTHFSatSun 8:00 AM ­ Languages: Spanish Shands At The University of 9:00 PM M-F 7:00 AM - 7:00 PM PCMH: No Florida PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 48 Updated: 01/04/2019 Specialty Physicians Alachua

Internal Medicine - cont. Cuervo Pardo, Lyda MD Gadkowski, Lara MD Hamburger, Robert DO Provider ID: 1471505 Anderson, Russell MD Provider ID: 1636944 Gender: Female Provider ID: 1462217 Provider ID: 566226 Gender: Female Florida Clinical Practice Assoc Gender: Male Gender: Male UF Health Allergy Springhill 2 1600 SW Archer Rd Box UF Health Cardiology- UF Health Cardiology 4197 NW 86th Terr 1st Fl 100277 1600 SW Archer Rd Springhill Springhill Gainesville, FL 32606 Gainesville, FL 32610 4037 NW 86th Terr 2nd Fl 4037 NW 86th Ter Fl 2 (352) 265-0420 (352) 265-0535 Gainesville, FL 32606 Gainesville, FL 32606 18 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-0820 (352) 265-0820 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-0823 Fax: (352) 627-4293 PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Shands At The University of Cuervo Pardo, Lyda MD PCMH: No Florida Gadkowski, Lara MD M-F 9:00 AM - 5:00 PM Provider ID: 1636944 Provider ID: 1500486 Hincapie Echeverri, Jacobo PCMH: No Gender: Female Gender: Female MD UF Health Shands Hospital Provider ID: 1009211 Ataya, Ali MD UF Health Internal Medicine Medical 1600 SW Archer Rd Box Gender: Male Provider ID: 1238145 2000 SW Archer Rd 4th Fl 100277 1600 SW Archer Rd Florida Clinical Practice Gender: Male Gainesville, FL 32608 Gainesville, FL 32610 Associati UF Health Medical Specialties 00 Yrs/130 Yrs 1600 SW Archer Rd Med (352) 265-0140 Languages: Spanish Gainesville, FL 32610 2000 SW Archer Rd 3rd Fl Fax: (352) 265-7092 M-F 8:00 AM - 5:00 PM (352) 265-0535 Gainesville, FL 32608 18 Yrs/130 Yrs PCMH: No Fax: (352) 265-0328 (352) 273-8740 M-F 8:00 AM - 5:00 PM PCMH: No 60 Yrs/130 Yrs Fax: (352) 265-7091 Goel, Ramil MD M 7:00 AM - 7:00 PM 00 Yrs/130 Yrs Dibu, George MD Provider ID: 1428501 PCMH: No Shands At The University of Provider ID: 1724690 Gender: Male Florida Gender: Male UF Health Cardiology- Hughes, Natalie MD Languages: Arabic UF Health Cardiology Springhill M-F 8:00 AM - 5:00 PM Springhill 1 4037 NW 86th Ter Fl 2 Provider ID: 1647493 PCMH: No 4037 NW 86th Terr 2nd Fl Gainesville, FL 32606 Gender: Female (352) 265-0820 UF Health Shands Hospital Basheer, Hiba MD Gainesville, FL 32606 Fax: (352) 627-4293 1600 SW Archer Rd Provider ID: 1510804 (352) 265-0820 00 Yrs/130 Yrs Gainesville, FL 32610 Gender: Female Fax: (352) 265-0823 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 265-0535 Endocrinology At Shands PCMH: No Medical Pla M-F 8:00 AM - 5:00 PM Fax: (352) 265-0328 PCMH: No 00 Yrs/130 Yrs 2000 SW Archer Rd Gonzalez, Arnoldo MD Gainesville, FL 32608 MTWTHFSatSun 12:00 AM ­ Doonan, Bently MD 11:59 PM (352) 265-0139 Provider ID: 1724697 Provider ID: 1180239 PCMH: No Fax: (352) 265-8215 Gender: Male Gender: Male 00 Yrs/130 Yrs UF Health Shands Hospital UF Health Medical Specialties Jacob, Jessen MD M-F 8:00 AM - 5:00 PM 1600 SW Archer Rd Medic Provider ID: 1724705 PCMH: No Gainesville, FL 32610 2000 SW Archer Rd 3rd Fl Gender: Male Gainesville, FL 32608 UF Health Cardiology Becker, Dawn MD (352) 265-0535 Fax: (352) 265-0328 (352) 265-0139 Springhill 1 Provider ID: 1636924 Fax: (352) 265-7091 4037 NW 86th Terr 2nd Fl Gender: Female 00 Yrs/130 Yrs MTWTHFSatSun 12:00 AM ­ 18 Yrs/130 Yrs Gainesville, FL 32606 UF Health Medical Specialties Languages: Spanish (352) 265-0820 Medic 11:59 PM M-F 8:00 AM - 5:00 PM Fax: (352) 265-0823 2000 SW Archer Rd 3rd Fl PCMH: No PCMH: No 00 Yrs/130 Yrs Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM (352) 265-0139 PCMH: No Fax: (352) 265-7091 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 49 Updated: 01/04/2019 Specialty Physicians Alachua

Internal Medicine - cont. Jones, Dennie MD Koratala, Abhilash MD Moses, Viju MD Provider ID: 1214261 Provider ID: 1330573 Provider ID: 1330585 Janelle, Jennifer MD Gender: Male Gender: Male Gender: Male Provider ID: 144068 UF Health Medical Oncology UF Health Neurolgy Shands Rheumatology & Immunology Gender: Female Davis Ca Hospital At Med Pl Shands At UF 2000 SW Archer Rd Fl 2 1600 SW Archer Rd Rm 2000 SW Archer Rd 1600 SW Archer Rd Gainesville, FL 32608 CG-1901 Gainesville, FL 32608 Gainesville, FL 32610 (352) 273-7832 Gainesville, FL 32610 (352) 265-0139 (352) 265-9900 Fax: (352) 627-4150 00 Yrs/130 Yrs Fax: (352) 265-7546 Fax: (352) 265-0328 00 Yrs/130 Yrs Languages: Hindi, Telugu 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No PCMH: No Kariyawasam, Vidhu MD Leon, Carlos MD Muehlbauer, Marcus MD Janelle, Jennifer MD Provider ID: 1315798 Provider ID: 144068 Provider ID: 1636965 Gender: Male Provider ID: 1103212 Gender: Female Gender: Female UF Health Shands Hospital Gender: Male UF Health Medcial Specialties UF Health Medical Specialties 1600 SW Archer Rd Rm 4102 UF Health Medical Specialties 2000 SW Archer Rd Fl 3 Medic Gainesville, FL 32610 Medic Gainesville, FL 32608 2000 SW Archer Rd 3rd Fl (352) 265-0535 2000 SW Archer Rd Fl 3 (352) 294-5480 Gainesville, FL 32608 Fax: (352) 265-0328 Gainesville, FL 32608 Fax: (352) 265-7091 (352) 265-0139 00 Yrs/130 Yrs (352) 265-0139 18 Yrs/130 Yrs Fax: (352) 265-7091 PCMH: No Fax: (352) 627-4179 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Lin, Christine MD Languages: German PCMH: No Provider ID: 1541139 MTWTHFSatSun 7:00 AM ­ Jawaid, Salmaan MD Gender: Female 4:00 PM Kerensky, Richard MD UF Health Shands Hospital PCMH: No Provider ID: 1636960 Provider ID: 1550571 1600 SW Archer Rd Gender: Male Gender: Male Gainesville, FL 32610 Munoz Pena, Juan MD UF Health Endoscopy Center UF Springhill Health Center (352) 265-0535 2001 SW 13th St 8491 NW 39th Ave Fax: (352) 265-0328 Provider ID: 1636972 Gainesville, FL 32608 Gainesville, FL 32606 00 Yrs/130 Yrs Gender: Male (352) 265-8900 (352) 265-5404 MTWTHFSatSun 12:00 AM ­ Endocrinology At Shands 00 Yrs/130 Yrs Fax: (352) 376-6270 11:59 PM Medical Pla M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No 2000 SW Archer Rd PCMH: No M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 PCMH: No Lomonaco, Mayra MD (352) 265-0139 Jawaid, Salmaan MD Provider ID: 1731104 Fax: (352) 265-8215 Koratala, Abhilash MD Gender: Female 00 Yrs/130 Yrs

Provider ID: 1636960 UF Medical Specialties At M-F 8:00 AM - 5:00 PM Medical P Gender: Male Provider ID: 1330573 PCMH: No 2000 SW Archer Rd UF Health Shands Hospital Gender: Male Gainesville, FL 32608 1600 SW Archer Rd UF Health Nephrology - Olaoye, Adetoun MD (352) 265-1234 Gainesville, FL 32610 Shands Hospi Fax: (352) 265-8215 (352) 265-0055 1600 SW Archer Rd 1st Fl, Rm Provider ID: 1415150 00 Yrs/130 Yrs Fax: (352) 265-0328 1901 Gender: Female M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Gainesville, FL 32608 UF Health Shands Hospital PCMH: No M-F 8:00 AM - 5:00 PM (352) 265-4845 1600 SW Archer Rd PCMH: No Fax: (352) 627-4268 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 265-0535 Languages: Hindi, Telugu Fax: (352) 265-0328 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Languages: Yoruba PCMH: No

www.wellcare.com/Florida | 50 Updated: 01/04/2019 Specialty Physicians Alachua

Internal Medicine - cont. Sandesara, Bhanuprasad MD Smith, James MD Torres, Abel MD Provider ID: 583722 Provider ID: 1724761 Papierniak, Eric DO Provider ID: 717188 Gender: Male Gender: Male Provider ID: 799860 Gender: Male UF Health Internal Medicine UF Health Dermatology and Gender: Male Geriatrics @ Oak Hammock Tower H Skin Canc UF Health Medical Specialties 5100 SW 25th Blvd 7540 W University Ave Ste A 4037 NW 86th Terr 4th Fl 2000 SW Archer Rd Fl 3 Gainesville, FL 32608 Gainesville, FL 32607 Gainesville, FL 32606 Gainesville, FL 32608 (352) 548-1100 (352) 265-0335 (352) 594-1500 00 Yrs/130 Yrs Fax: (352) 548-1063 Fax: (352) 265-0336 Fax: (352) 594-1501 M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs 12 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: Yes, Level 2 PCMH: No Rodenas, Mario MD Provider ID: 1316641 Sattari, Maryam MD Stalvey, Carolyn MD Wayangankar, Siddharth MD Gender: Male Provider ID: 591415

UF Health Allergy Springhill 2 Provider ID: 658218 Gender: Female Provider ID: 1324992

4197 NW 86th Terr 1st Fl Gender: Female UF Health Internal Medicine Gender: Male Tower H Gainesville, FL 32606 UF Health Cardiology - Internal Medicine At Medical (352) 265-0420 Plaza 7540 W University Ave Ste A Shands Hospi

00 Yrs/130 Yrs 2000 SW Archer Rd Fl 4 Gainesville, FL 32607 1600 SW Archer Rd Ste 1901

Languages: Spanish Gainesville, FL 32608 (352) 265-0335 Gainesville, FL 32610

M-F 8:00 AM - 5:00 PM (352) 265-0140 Fax: (352) 265-0336 (352) 265-0457

PCMH: No Fax: (352) 265-7092 12 Yrs/130 Yrs Fax: (352) 265-0344

18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs

Rodenas, Mario MD M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 2 Languages: Hindi, Gujarati, Marathi PCMH: Yes, Level 2 Taqi, Mohammad MD Provider ID: 1316641 M-F 8:00 AM - 5:00 PM Gender: Male Shahmohammadi, Abbas MD PCMH: No UF Health Internal Medicine Provider ID: 272283

Tower H Provider ID: 1428394 Gender: Male Weiner, Brian MD

7540 W University Ave Gender: Male Shands At UF Provider ID: 1185541

Gainesville, FL 32607 Florida Surgical Center 1600 SW Archer Rd Gender: Male

(352) 265-0335 2000 SW Archer Rd Gainesville, FL 32610 UF Health Medical Specialties Medic Fax: (352) 265-0336 Gainesville, FL 32608 (352) 265-0535 2000 SW Archer Rd 3rd Fl 00 Yrs/130 Yrs (352) 265-8940 Fax: (352) 265-0328 Gainesville, FL 32608 Languages: Spanish Fax: (352) 265-8970 18 Yrs/130 Yrs (352) 265-0139 M-F 7:00 AM - 7:00 PM 18 Yrs/130 Yrs Languages: Urdu Fax: (352) 265-7091 PCMH: No Languages: Faroese M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Samnani, Imran MD PCMH: No Provider ID: 566480 Thoburn, Robert MD PCMH: No Gender: Male Shrode, Charles MD Provider ID: 1180242 Womer, Karl MD Shands At UF Provider ID: 793971 Gender: Male Provider ID: 1009232 1600 SW Archer Rd Gender: Male UF Health Shands Hospital Gender: Male Gainesville, FL 32610 Shands At UF 1600 SW Archer Rd

(352) 265-0535 Gainesville, FL 32610 Select Specialty Hospital- 1600 SW Archer Rd Gainesvil Fax: (352) 265-0328 (352) 265-0535 Gainesville, FL 32610 1600 SW Archer Rd 5th Fl 12 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-0535 Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-0055 PCMH: No Languages: Italian 00 Yrs/130 Yrs Fax: (352) 265-4766 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 51 Updated: 01/04/2019 Specialty Physicians Alachua

Internal Medicine - cont. Interventional Cardiology Anderson, Russell MD Kerensky, Richard MD Provider ID: 566226 Provider ID: 1550571 Woodmansee, Whitney MD Anderson, Russell MD Gender: Male Gender: Male Provider ID: 1537804 Provider ID: 566226 UF Health Cardiology UF Springhill Health Center Gender: Female Gender: Male Springhill 8491 NW 39th Ave Endocrinology At Shands Cardiovascular Center At 4037 NW 86th Ter Fl 2 Gainesville, FL 32606 Medical Pla Shands UF Gainesville, FL 32606 (352) 265-5404 2000 SW Archer Rd 1600 SW Archer Rd Ste 1901 (352) 265-0820 Fax: (352) 376-6270 Gainesville, FL 32608 Gainesville, FL 32610 Fax: (352) 627-4293 00 Yrs/130 Yrs (352) 265-0139 (352) 265-9900 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 265-8215 Fax: (352) 265-0344 Shands At The University of PCMH: No 00 Yrs/130 Yrs 18 Yrs/130 Yrs Florida M-F 8:00 AM - 5:00 PM Shands At The University of M-F 9:00 AM - 5:00 PM Pondicherry-Harish, Roja MD PCMH: No Florida PCMH: No M-F 9:00 AM - 5:00 PM Provider ID: 1736304 Wright, Ashleigh MD Estel, Christopher MD PCMH: No Gender: Male Provider ID: 708663 Provider ID: 1735707 The Cardiac Vascular Institute Gender: Female Gender: Male Anderson, Russell MD 4645 NW 8th Ave 7540 W University Ave Provider ID: 566226 The Cardiac & Vascular Gainesville, FL 32607 Institute Gainesville, FL 32605 Gender: Male (352) 265-0335 1151 NW 64th Ter (352) 375-1212 Shands At UF Fax: (352) 265-0672 Gainesville, FL 32605 Fax: (352) 371-4650 1600 SW Archer Rd 18 Yrs/130 Yrs (352) 375-1212 18 Yrs/130 Yrs Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM Fax: (352) 371-4650 M-F 8:00 AM - 5:00 PM (352) 265-9900 PCMH: No PCMH: Yes, Level 2 Fax: (352) 265-0328 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Pondicherry-Harish, Roja MD Zimmermann, Ellen MD Shands At The University of PCMH: No Provider ID: 915424 Florida Gender: Female Estel, Christopher MD Provider ID: 1736304 M-F 9:00 AM - 5:00 PM Gender: Male UF Health Endoscopy Center PCMH: No Provider ID: 1735707 2001 SW 13th St Gender: Male The Cardiac & Vascular Institute Gainesville, FL 32608 Anderson, Russell MD The Cardiac & Vascular 1151 NW 64th Ter (352) 265-8982 Provider ID: 566226 Institute Gainesville, FL 32605 Fax: (352) 265-8984 Gender: Male 4645 NW 8th Ave (352) 375-1212 18 Yrs/130 Yrs UF Health Cardiology Heart Gainesville, FL 32605 Fax: (352) 371-4650 PCMH: No and Vasc (352) 375-1212 1505 SW Archer Rd Fax: (352) 371-4650 18 Yrs/130 Yrs Zimmermann, Ellen MD Gainesville, FL 32610 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 915424 (352) 265-0820 M-F 8:00 AM - 5:00 PM PCMH: No Gender: Female 18 Yrs/130 Yrs PCMH: No Wayangankar, Siddharth MD UF Health Shands Hospital Shands At The University of 1600 SW Archer Rd Florida Keeley, Ellen MD Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM Provider ID: 1462220 Provider ID: 1324992 (352) 265-0535 PCMH: No Gender: Not Available Gender: Male Fax: (352) 265-0328 UF Health Cardiology and UF Health Cardiology - Shands Hospi 18 Yrs/130 Yrs Vascular H 1600 SW Archer Rd Ste 1901 M-F 8:00 AM - 5:00 PM 1505 SW Archer Rd Gainesville, FL 32610 PCMH: No Gainesville, FL 32610 (352) 265-0820 (352) 265-0457 00 Yrs/130 Yrs Fax: (352) 265-0344 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Languages: Hindi, Gujarati, Marathi M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 52 Updated: 01/04/2019 Specialty Physicians Alachua

Maternal Fetal Medicine Fareeduddin, Rizwana MD Gregg, Anthony MD Medical Genetics Provider ID: 958061 Provider ID: 598361 Egerman, Robert MD Gender: Female Gender: Male Driscoll, Daniel MD Provider ID: 655517 North Florida Perinatal UF Health Womens Center Provider ID: 566718 Gender: Male Associates Medical Pla Gender: Male Florida Clinical Practice Assoc 6440 W Newberry Rd Ste 410 2000 SW Archer Rd Fl 4 UF Health Pediatric 1600 SW Archer Rd Gainesville, FL 32605 Gainesville, FL 32608 Specialiteis Me Gainesville, FL 32610 (352) 224-1840 (352) 265-8200 2000 SW Archer Rd Fl 2 (352) 265-0535 Fax: (352) 224-1859 Fax: (352) 265-8202 Gainesville, FL 32608 Fax: (352) 265-0328 12 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-8250 00 Yrs/130 Yrs Gulf Coast Medical Centerc M-F 9:00 AM - 5:00 PM Fax: (352) 627-4415 Shands At The University of North Florida Regional PCMH: No 00 Yrs/130 Yrs Florida Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 4:30 PM Gregg, Anthony MD PCMH: No Provider ID: 598361 PCMH: No PCMH: No Gender: Male Medical Oncology Egerman, Robert MD Genc, Mehmet PHD UF Health Womens Center

Provider ID: 655517 Springhill Allegra, Carmen MD

Gender: Male Provider ID: 1462216 4037 NW 86th Ter Fl 2 Provider ID: 566209

UF Health Womens Center Gender: Not Available Gainesville, FL 32606 Gender: Male

Medical Pla UF Health Womens Center (352) 265-6200 UF Health Medical Oncology 2000 SW Archer Rd Fl 4 Medical Pla Fax: (352) 594-1716 Davis Ca Gainesville, FL 32608 2000 SW Archer Rd 4th Fl 00 Yrs/130 Yrs 2000 SW Archer Rd Fl 2 (352) 265-8200 Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Fax: (352) 265-8202 (352) 265-8200 PCMH: No (352) 273-7832 00 Yrs/130 Yrs Fax: (352) 265-8202 Fax: (352) 627-4150 Gregg, Anthony MD Shands At The University of 00 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 598361 Florida M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gender: Male M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: Yes, Level 2 Womens Center At Magnolia Genc, Mehmet PHD Parke Carroll, Robert MD

Egerman, Robert MD 3951 NW 48th Ter Ste 101 Provider ID: 190723 Gainesville, FL 32606 Provider ID: 655517 Provider ID: 1462216 Gender: Male (352) 265-6200 Gender: Male Gender: Not Available UF Health Medical Oncology Fax: (352) 265-0281 UF Health Womens Center Davis Ca UF Health Womens Center Springhill Springhill 00 Yrs/130 Yrs 2000 SW Archer Rd Fl 2

4037 NW 86th Ter Fl 2 4037 NW 86th Terr 2nd Fl M-F 9:00 AM - 5:00 PM Gainesville, FL 32608

Gainesville, FL 32606 Gainesville, FL 32606 PCMH: No (352) 265-0725 (352) 265-6200 Fax: (352) 627-4150 (352) 265-6200 Livingston, Jeffrey MD Fax: (352) 265-0281 Fax: (352) 265-0281 18 Yrs/130 Yrs Provider ID: 957819 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gender: Male Shands At The University of M-F 8:00 AM - 5:00 PM PCMH: No North Florida Perinatal Florida PCMH: No M-F 9:00 AM - 5:00 PM Associates Carroll, Robert MD PCMH: No Gregg, Anthony MD 6440 W Newberry Rd Ste 410 Provider ID: 190723 Provider ID: 598361 Gainesville, FL 32605 Gender: Male Gender: Male (855) 249-6872 UF Health Medical Specialties 1600 SW Archer Rd Ste N3-7 Fax: (954) 851-9251 Hemat Gainesville, FL 32610 12 Yrs/130 Yrs 2000 SW Archer Rd Fl 3 (352) 273-7580 Gulf Coast Medical Centerc Gainesville, FL 32608

00 Yrs/130 Yrs North Florida Regional (352) 265-0725

PCMH: No M-F 8:00 AM - 5:00 PM Fax: (352) 265-8432 PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 53 Updated: 01/04/2019 Specialty Physicians Alachua

Medical Oncology - cont. Heldermon, Coy MD Parekh, Hiral MD Wingard, John MD Provider ID: 559337 Provider ID: 1330597 Provider ID: 566906 Dang, Long MD Gender: Male Gender: Female Gender: Male Provider ID: 227442 UF Health Medical Oncology UF Health Medical Oncology Bone Marrow Transplant At Gender: Male Davis Ca Davis CT Shands UF UF Health GI Multidisciplinary 2000 SW Archer Rd Fl 2 2000 SW Archer Rd 1600 SW Archer Rd Clin Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32610 2000 SW Archer Rd Fl 2 (352) 294-5757 (352) 265-0725 (352) 265-9900 Gainesville, FL 32608 Fax: (352) 294-8115 Fax: (352) 627-4268 Fax: (352) 733-1374 (352) 265-0725 00 Yrs/09 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 627-4150 M-F 8:00 AM - 5:00 PM Languages: Hindi M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Hiemenz, John MD Wingard, John MD Provider ID: 499099 Riggs, Charles MD Provider ID: 566906 Dang, Nam MD Gender: Male Provider ID: 566239 Gender: Male Provider ID: 560242 Faculty Group Practice Gender: Male Faculty Group Practice Gender: Male 1600 SW Archer Rd Pulm Multid Clinic @ Shands 2000 SW Archer Rd Florida Clinical Practice Assoc Gainesville, FL 32610 UF Gainesville, FL 32608 1600 SW Archer Rd (352) 733-0972 1600 SW Archer Rd (352) 273-7770 Gainesville, FL 32610 Fax: (352) 733-1374 Gainesville, FL 32610 Fax: (352) 265-0728 (352) 265-9900 00 Yrs/130 Yrs (352) 265-9900 00 Yrs/130 Yrs Fax: (352) 265-0328 M-F 9:00 AM - 5:00 PM Fax: (352) 265-0122 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs PCMH: No Shands At The University of M-F 9:00 AM - 5:00 PM Florida Jones, Dennie MD PCMH: No Neonatal Perinatal M-F 9:00 AM - 5:00 PM Provider ID: 1214261 Medicine PCMH: No Gender: Male Spiguel, Andre MD UF Health Medical Oncology Provider ID: 818157 Neu, Josef MD Dang, Nam MD Davis Ca Gender: Male Provider ID: 205603 Provider ID: 560242 2000 SW Archer Rd Fl 2 Shands At UF Gender: Male Gender: Male Gainesville, FL 32608 1600 SW Archer Rd Florida Clinical Practice Assoc UF Health Medical Oncology (352) 273-7832 Gainesville, FL 32610 1600 SW Archer Rd Davis Ca Fax: (352) 627-4150 (352) 265-0535 Gainesville, FL 32610 2000 SW Archer Rd Fl 2 00 Yrs/130 Yrs Fax: (352) 265-8236 (352) 265-9900 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM 02 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 273-7832 PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 627-4150 PCMH: No PCMH: No 18 Yrs/130 Yrs May, William MD Shands At The University of Provider ID: 566749 Spiguel, Andre MD Neu, Josef MD Florida Gender: Male Provider ID: 818157 Provider ID: 205603 M-F 8:00 AM - 5:00 PM Bone Marrow Transplant At Gender: Male Gender: Male PCMH: No Shands UF UF Orthocare After Hours UF Health Pediatric 1600 SW Archer Rd Clinic Specialiteis Me Dang, Nam MD Gainesville, FL 32610 3450 Hull Rd 1600 SW Archer Rd 2000 SW Provider ID: 560242 (352) 733-0972 Gainesville, FL 32607 Archer Rd Gender: Male Fax: (352) 265-0525 (352) 273-7001 Gainesville, FL 32610 UF Health Medical Specialties Fax: (352) 627-4418 (352) 265-9900 Hemat 00 Yrs/130 Yrs 02 Yrs/130 Yrs Fax: (352) 265-0730 2000 SW Archer Rd Fl 3 M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 9:00 PM 00 Yrs/130 Yrs Gainesville, FL 32608 Sat 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (352) 265-0725 Sun 5:00 AM - 9:00 PM PCMH: No Fax: (352) 265-0728 PCMH: No 18 Yrs/130 Yrs Shands At The University of Florida M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 54 Updated: 01/04/2019 Specialty Physicians Alachua

Neonatal Perinatal Alquadan, Kawther MD Bihorac, Azra MD Esprit, Don MD Medicine - cont. Provider ID: 1238143 Provider ID: 334431 Provider ID: 1450480 Gender: Female Gender: Female Gender: Male Roig, Juan MD Select Specialty Hospital- Shands At UF Northern Florida Kidney Care Provider ID: 632561 Gainesvil 1600 SE Archer Rd By Nps Gender: Male 1600 SW Archer Rd 5th Fl Gainesville, FL 32610 4960 W Newberry Rd Ste 280 Faculty Group Practice Gainesville, FL 32610 (352) 265-0535 Gainesville, FL 32607 1600 SW Archer Rd (352) 265-0055 Fax: (352) 265-0328 (386) 752-6107 Gainesville, FL 32610 Fax: (352) 265-4766 00 Yrs/130 Yrs Fax: (386) 755-6950 (352) 265-0535 00 Yrs/130 Yrs Languages: Turkish, Bosnian 18 Yrs/130 Yrs Fax: (352) 265-0328 Shands At The University of M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Florida PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM Languages: Arabic PCMH: No PCMH: No Canales, Muna MD Garrett, Tiffani MD Provider ID: 497268 Sullivan, Sandra MD Alquadan, Kawther MD Gender: Female Provider ID: 1352216 Provider ID: 1339548 Select Specialty Hospital Gender: Female Gender: Female Provider ID: 1238143 2708 SW Archer Rd Northern Florida Kidney Care UF Health Shands Hospital Gender: Female Gainesville, FL 32608 4690 W Newberry Rd Ste 280 1600 SW Archer Rd Transplant At Shands UF (352) 337-3240 Gainesville, FL 32607 Gainesville, FL 32610 1600 SW Archer Rd Rm Fax: (352) 377-3410 (386) 752-6107 (352) 265-0535 CG-1901 00 Yrs/130 Yrs Fax: (386) 755-6950 Fax: (352) 265-0328 Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs 00 Yrs/21 Yrs (352) 265-1234 PCMH: No M-TH 8:00 AM - 5:00 PM PCMH: No Fax: (352) 265-0344 F 8:00 AM - 12:00 PM 00 Yrs/130 Yrs Canales, Muna MD PCMH: No Weiss, Michael MD Shands At The University of Provider ID: 497268 Provider ID: 200904 Florida Gender: Female Hatamizadeh, Parta MD Gender: Male Languages: Arabic UF Health Cardiovascular UF Health Pediatric M-F 8:00 AM - 5:00 PM Center At Provider ID: 1346020 Specialiteis Me PCMH: No 1600 SW Archer Rd Ste 1901 Gender: Male 2000 SW Archer Rd Gainesville, FL 32610 UF Health Nephrology - Gainesville, FL 32608 Alquadan, Kawther MD (352) 265-9900 Shands Hospi (352) 273-8920 Fax: (352) 627-4268 1600 SW Archer Rd 1st Fl, Rm Fax: (352) 334-1475 Provider ID: 1238143 00 Yrs/130 Yrs 1901 00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM UF Health Nephrology - PCMH: No (352) 265-4845 PCMH: No Shands Hospi Fax: (352) 627-4268 1600 SW Archer Rd 1st Fl Rm Canales, Muna MD 00 Yrs/130 Yrs Nephrology 1901 Provider ID: 497268 Languages: Faroese Gainesville, FL 32608 Gender: Female M-F 8:00 AM - 5:00 PM Ali, Rozina DO (352) 265-4845 UF Health Shands Hospital PCMH: No Provider ID: 1731095 Fax: (352) 627-4268 1600 SW Archer Rd Rm Gender: Female 00 Yrs/130 Yrs CG-1901 Hatamizadeh, Parta MD UF Health Shands Hospital Shands At The University of Gainesville, FL 32610 1600 SW Archer Rd Florida (352) 265-9900 Provider ID: 1346020 Gainesville, FL 32610 Languages: Arabic Fax: (352) 265-0328 Gender: Male (352) 265-0535 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs UF Health Shands Hospital Fax: (352) 265-0328 PCMH: No M-F 9:00 AM - 5:00 PM 1600 SW Archer Rd Fl 1rm1901 00 Yrs/130 Yrs PCMH: No Gainesville, FL 32610 MTWTHFSatSun 8:00 AM ­ (352) 265-0535 9:00 PM Fax: (352) 265-0328 PCMH: No 00 Yrs/130 Yrs Languages: Faroese PCMH: No

www.wellcare.com/Florida | 55 Updated: 01/04/2019 Specialty Physicians Alachua

Nephrology - cont. Koratala, Abhilash MD Santos, Alfonso MD Tantravahi, Jogiraju MD Provider ID: 1330573 Provider ID: 566482 Ibrahim, Hisham MD Gender: Male Gender: Male Provider ID: 566707 Provider ID: 1733801 UF Health Nephrology - UF Health Internal Medicine Gender: Male Gender: Male Shands Hospi Medical Select Specialty Hospital UF Health Nephrology Shands 1600 SW Archer Rd 1st Fl, Rm 2000 SW Archer Rd 2708 SW Archer Rd Hospit 1901 Gainesville, FL 32608 Gainesville, FL 32608 1600 SW Archer Rd 1st Fl Rm Gainesville, FL 32608 (352) 265-0130 (352) 337-3240 1901 (352) 265-4845 Fax: (352) 265-8244 Fax: (352) 377-3410 Gainesville, FL 32610 Fax: (352) 627-4268 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 265-4845 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 627-4268 Languages: Hindi, Telugu PCMH: No PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Santos, Alfonso MD Tantravahi, Jogiraju MD PCMH: No Provider ID: 566482 Koratala, Abhilash MD Gender: Male Provider ID: 566707 Kazory, Amir MD Provider ID: 1330573 UF Health Shands Hospital Provider ID: 526015 Gender: Male Gender: Male 1600 SW Archer Rd Gender: Male UF Health Cardiology-Shands UF Health Neurolgy Shands Gainesville, FL 32610 2000 SW Archer Rd Fl 3 Hospita Hospital (352) 265-0535 Gainesville, FL 32608 1600 SW Archer Rd Ste 1901 1600 SW Archer Rd Rm Fax: (352) 265-0328 Gainesville, FL 32610 (352) 265-0139 CG-1901 00 Yrs/130 Yrs (352) 265-0457 00 Yrs/130 Yrs Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM Fax: (352) 265-0344 PCMH: No 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs Languages: Hindi, Telugu M-F 9:00 AM - 5:00 PM Kazory, Amir MD M-F 8:00 AM - 5:00 PM Provider ID: 526015 Shukla, Ashutosh MD PCMH: No PCMH: No Gender: Male Provider ID: 681102 Gender: Male Tantravahi, Jogiraju MD 3850 NW 83rd St Ste 101 Olabige, Olutayo MD Gainesville, FL 32606 2409 SW Archer Rd Gainesville, FL 32608 Provider ID: 566707 (352) 337-6021 Provider ID: 1408878 (352) 265-6890 Gender: Male Fax: (352) 337-6028 Gender: Male 00 Yrs/130 Yrs Fax: (352) 265-6891 UF Medical Specialties At Nephrology Medical 00 Yrs/130 Yrs Medical P PCMH: No Associates of Ge Shands At The University of 2000 SW Archer Rd 4960 W Newberry Rd Ste 280 Koratala, Abhilash MD Florida Gainesville, FL 32608 Gainesville, FL 32607 Provider ID: 1315786 PCMH: No (352) 273-7770 (386) 752-6107 Gender: Male Fax: (352) 265-8215 Fax: (386) 755-6950 Tantravahi, Jogiraju MD UF Health Nephrology - 00 Yrs/130 Yrs 18 Yrs/130 Yrs Provider ID: 566707 Shands Hospi M-F 9:00 AM - 5:00 PM Gender: Male M-F 9:00 AM - 5:00 PM 1600 SW Archer Rd 1st Fl, Rm PCMH: No 1901 PCMH: No 2409 SW Archer Rd

Gainesville, FL 32608 Gainesville, FL 32608 Weiner, Irving MD Santos, Alfonso MD (352) 265-4845 (352) 265-6890 Provider ID: 144713 Provider ID: 566482 Fax: (352) 627-4268 Fax: (352) 265-6891 Gender: Male Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs UF Health Cardiovascular

UF Health Cardiovascular PCMH: No Center At M-F 8:00 AM - 5:00 PM Center At 1600 SW Archer Rd Ste 1901 PCMH: No 1600 SW Archer Rd Ste 1901 Gainesville, FL 32610 Gainesville, FL 32610 (352) 265-9900 (352) 265-4845 Fax: (352) 627-4268 Fax: (352) 627-4268 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 56 Updated: 01/04/2019 Specialty Physicians Alachua

Nephrology - cont. Neurodevelopmental Babi, Marc-Alain MD Carlson, Aaron MD Disabilities Provider ID: 1428420 Wingo, Charles MD Gender: Male Provider ID: 1636938 Provider ID: 144769 Siddiqi, Siraj MD UF Health Neurology Gender: Male Gender: Male Provider ID: 292053 Neuromedicine UF Health Neurology Faculty Group Practice Gender: Male 1600 SW Archer Rd 1505 SW Neuromedicine 1600 SW Archer Rd UF Health Pediatric Archer Rd 1600 SW Archer Rd Ste 100236 Gainesville, FL 32610 Specialiteis Me Gainesville, FL 32610 Gainesville, FL 32610 (352) 265-9900 2000 SW Archer Rd (352) 294-5000 (352) 294-5000 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 265-4295 Fax: (352) 265-4295 M-F 8:00 AM - 5:00 PM (352) 265-8250 18 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No Fax: (352) 265-0730 Languages: French, Arabic M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Wingo, Charles MD M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 144769 PCMH: No Chuquilin Arista, Miguel MD Gender: Male Barmore, Ryan MD Select Specialty Hospital Neurology Provider ID: 1731096 Provider ID: 863080 2708 SW Archer Rd Gender: Male Gender: Male Gainesville, FL 32608 Armstrong, Melissa MD UF Health Center For UF Health Neurology Medical (352) 337-3240 Movement Disor Plaza 00 Yrs/130 Yrs Provider ID: 1149782 3450 Hull Rd and 2000 SW Archer Rd Ste

M-F 9:00 AM - 5:00 PM Gender: Female Neurorestoration 100383

PCMH: No UF Health Center For Gainesville, FL 32607 Gainesville, FL 32608 Movement Disor (352) 273-5400 (352) 265-8408 Wingo, Charles MD 3450 Hull Rd Fax: (352) 273-5575 Fax: (352) 265-8409 Provider ID: 144769 Gainesville, FL 32607 18 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male (352) 294-5400 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM UF Health Cardiovascular Fax: (352) 627-4295 PCMH: No PCMH: No Center At 18 Yrs/130 Yrs Burks, David MD 1600 SW Archer Rd Ste 1901 M-F 8:00 AM - 5:00 PM Chuquilin Arista, Miguel MD

Gainesville, FL 32610 PCMH: No Provider ID: 285002 (352) 265-9900 Gender: Male Provider ID: 863080 Fax: (352) 627-4268 Armstrong, Melissa MD Neurology At Shands Medical Gender: Male

00 Yrs/130 Yrs Provider ID: 1149782 Plaza UF Health Neurology- M-F 9:00 AM - 5:00 PM Gender: Female 2000 SW Archer Rd Neuromedicine H PCMH: No UF Health Surgical Specialists Gainesville, FL 32608 1505 SW Archer Rd TC (352) 294-5000 Gainesville, FL 32610 Womer, Karl MD 1505 SW Archer Rd Fax: (352) 627-4295 (352) 294-5000 Provider ID: 1009232 Gainesville, FL 32610 00 Yrs/130 Yrs Fax: (352) 265-4295 Gender: Male (352) 265-5470 M-TH 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Select Specialty Hospital- 18 Yrs/130 Yrs F 9:00 AM - 50:00 PM M-F 8:00 AM - 5:00 PM Gainesvil M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No 1600 SW Archer Rd 5th Fl PCMH: No Gainesville, FL 32610 Carlson, Aaron MD Cibula, Jean MD (352) 265-0055 Babi, Marc-Alain MD Provider ID: 454495 Fax: (352) 265-4766 Provider ID: 1428420 Provider ID: 1636938 Gender: Female 18 Yrs/130 Yrs Gender: Male Gender: Male Florida Clinical Practice Assoc PCMH: No UF Health Neurology Medical UF Health Center For 1600 SW Archer Rd Plaza Movement Disor Gainesville, FL 32610 2000 SW Archer Rd 3450 Hull Rd (352) 273-6990 Gainesville, FL 32608 Neurorestoration Fax: (352) 265-0344 (352) 265-8408 Gainesville, FL 32607 00 Yrs/130 Yrs Fax: (352) 265-8409 (352) 273-5400 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (352) 273-5575 PCMH: No Languages: French, Arabic 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 57 Updated: 01/04/2019 Specialty Physicians Alachua

Neurology - cont. Dekosky, Steven MD Gyang, Tirisham MD Hella, Maria MD Provider ID: 1456135 Provider ID: 692025 Cibula, Jean MD Provider ID: 1496945 Gender: Female Gender: Female Provider ID: 454495 Gender: Male UF Health Center For UF Health Neurology Gender: Female UF Health Shands Hospital Movement Disor Neuromedicine UF Health Neurology 1600 SW Archer Rd 3450 Hull Rd 1505 SW Archer Rd Neuromedicine Gainesville, FL 32610 Gainesville, FL 32607 Gainesville, FL 32608 1505 SW Archer Rd (352) 265-0535 (352) 273-5400 (352) 294-5000 Gainesville, FL 32610 Fax: (352) 265-0328 Fax: (352) 273-5575 Fax: (352) 265-4295 (352) 294-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-4295 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Eisenschenk, Stephan MD Gyang, Tirisham MD Heller, Scott MD Provider ID: 143769 Provider ID: 1428405 Cook, James MD Gender: Male Provider ID: 1456135 Gender: Male Provider ID: 1161012 2000 SW Archer Rd Fl 2 Gender: Female UF Health Center For Gender: Male Gainesville, FL 32608 UF Health Neurology Medical Movement Disor Ocala Health Surgical Group, (352) 294-5000 Plaza 3450 Hull Rd LLC Fax: (352) 273-5575 2000 SW Archer Rd Fl 3 Gainesville, FL 32607 6500 W Newberry Rd Ste 202 00 Yrs/130 Yrs Gainesville, FL 32608 (352) 273-5400 Gainesville, FL 32605 M-F 9:00 AM - 5:00 PM (352) 265-8408 Fax: (352) 273-5575 (352) 331-3583 PCMH: No Fax: (352) 265-8409 18 Yrs/130 Yrs Fax: (352) 331-3669 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Eisenschenk, Stephan MD M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Provider ID: 143769 PCMH: No PCMH: No Gender: Male Hess, Christopher MD Sleep Clinic @ Sleep Disorder Gyang, Tirisham MD Provider ID: 783448 Deeb, Wissam MD Center Gender: Male UF Center For Movement Provider ID: 1456117 4740 NW 39th Pl Ste C Provider ID: 1456135 Gender: Male Gainesville, FL 32606 Disorders Gender: Female 3450 Hull Rd Fl 4 UF Health Center For (352) 265-5240 UF Health Shands Hospital Movement Disor Gainesville, FL 32607 Fax: (352) 265-5241 1600 SW Archer Rd 3450 Hull Rd Fl 4 (352) 265-8408 00 Yrs/130 Yrs Gainesville, FL 32610 Gainesville, FL 32607 Fax: (352) 627-4295 M-F 9:00 AM - 5:00 PM (352) 733-0111 (352) 265-8408 00 Yrs/130 Yrs PCMH: No Fax: (352) 265-0328 Fax: (352) 627-4295 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs Eisenschenk, Stephan MD PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 143769 PCMH: No PCMH: No Gender: Male Hoh, Daniel MD Provider ID: 566450 UF Health Neurology Hella, Maria MD

Dekosky, Steven MD Neuromedicine Provider ID: 692025 Gender: Male

1505 SW Archer Rd Gender: Female Neurosurgical Specialties At Shands Provider ID: 1496945 Gainesville, FL 32610 Faculty Group Practice 1600 SW Archer Rd Gender: Male (352) 294-5000 2000 SW Archer Rd Gainesville, FL 32610 UF Health Neurology Medical Fax: (352) 265-4295 Gainesville, FL 32608 (352) 273-6990 Plaza 00 Yrs/130 Yrs (352) 294-5000 Fax: (352) 265-0344 2000 SW Archer Rd Fl 2 M-F 8:00 AM - 5:00 PM Fax: (352) 627-4295 00 Yrs/130 Yrs Gainesville, FL 32608 PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 265-8250 M-F 9:00 AM - 5:00 PM PCMH: No Fax: (352) 627-4415 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 58 Updated: 01/04/2019 Specialty Physicians Alachua

Neurology - cont. Jaffee, Michael MD Maciel, Carolina MD Maraganore, Demetrius MD Provider ID: 1174564 Provider ID: 1462379 Hoh, Daniel MD Gender: Male Gender: Not Available Provider ID: 1695718 Provider ID: 566450 UF Health Neurology Medical UF Health Neurology Gender: Male Gender: Male Plaza Neuromedicine UF Health Center For UF Health Neurosurgery 2000 SW Archer Rd Fl 2 1505 SW Archer Rd Movement Disor Neuromedicin Gainesville, FL 32608 Gainesville, FL 32608 and Neurorestoration 3450 1505 SW Archer Rd (352) 265-8250 (352) 294-5000 Hull Rd Gainesville, FL 32608 Fax: (352) 627-4415 Fax: (352) 265-4295 Gainesville, FL 32607 (352) 392-9000 18 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 273-5400 Fax: (352) 392-8413 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 273-5575 00 Yrs/130 Yrs PCMH: No PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Jerath, Nivedita MD Maciel, Carolina MD PCMH: No

Hyder, Douglas MD Provider ID: 1482083 Provider ID: 1462379 Maraist, Michael MD Gender: Female Gender: Not Available Provider ID: 1610770 UF Health Center For UF Health Neurology Medical Provider ID: 1724262 Gender: Male Movement Disor Plaza Gender: Male UF Health Pediatric Specialties 3450 Hull Rd 2000 SW Archer Rd Ocala Health Surgical Group 2000 SW Archer Rd Neurorestoration Gainesville, FL 32608 LLC Gainesville, FL 32608 Gainesville, FL 32607 (352) 265-8408 6500 W Newberry Rd Ste 202 (352) 265-8250 (352) 273-5400 Fax: (352) 265-8409 Gainesville, FL 32605 Fax: (352) 265-0730 Fax: (352) 273-5575 00 Yrs/130 Yrs (352) 331-5310 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 331-0482 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No 18 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Malaty, Irene MD PCMH: No Hyder, Douglas MD Jerath, Nivedita MD Provider ID: 502357 Gender: Female McFarland, Nikolaus MD Provider ID: 1610770 Provider ID: 1482083 Florida Clinical Practice Assoc Provider ID: 566756 Gender: Male Gender: Female 1600 SW Archer Rd Gender: Male UF Health Shands Hospital UF Health Shands Hospital Gainesville, FL 32610 UF Center For Movement 1600 SW Archer Rd Ste 100296 1600 SW Archer Rd (352) 273-5550 Disorders An Gainesville, FL 32610 Neurorestoration 00 Yrs/130 Yrs 3450 Hull Rd Fl 4 (352) 265-0535 Gainesville, FL 32610 M-F 9:00 AM - 5:00 PM Gainesville, FL 32607 Fax: (352) 265-0328 (352) 265-0535 PCMH: No (352) 265-8408 00 Yrs/130 Yrs Fax: (352) 265-0328 Fax: (352) 627-4295 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Malaty, Irene MD 00 Yrs/130 Yrs Provider ID: 502357 PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM Gender: Female PCMH: No Jaffee, Michael MD Jerath, Nivedita MD UF Center For Movement

Provider ID: 1174564 Disorders An Nadeau, Stephen MD Provider ID: 144263 Gender: Male Provider ID: 1510820 3450 Hull Rd Fl 4 Gender: Male UF Health Center For Gender: Female Gainesville, FL 32607

Movement Disor UF Health Center For (352) 265-8408 1600 SW Archer Rd 3450 Hull Rd and Movement Disor Fax: (352) 627-4295 Gainesville, FL 32610 Neurorestoration 3450 Hull Rd 00 Yrs/130 Yrs (352) 265-8989 Gainesville, FL 32607 Gainesville, FL 32607 M-F 9:00 AM - 5:00 PM Fax: (352) 265-8968 (352) 273-5400 (352) 273-5400 PCMH: No 00 Yrs/130 Yrs Fax: (352) 273-5575 Fax: (352) 273-5575 Shands At The University of

18 Yrs/130 Yrs 18 Yrs/130 Yrs Florida

M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 59 Updated: 01/04/2019 Specialty Physicians Alachua Neurology - cont. Nazariolopez, Bernadette MD Ramirez-Zamora, Adolfo MD Subramony, S. MD Provider ID: 583528 Nadeau, Stephen MD Provider ID: 1172743 Provider ID: 1348059 Gender: Male Provider ID: 144263 Gender: Female Gender: Male UF Health Center For Gender: Male UF Health Neurology Medical UF Health Center For Movement Disor Faculty Group Practice Plaza Movement Disor 3450 Hull Rd 2000 SW Archer Rd 2000 SW Archer Rd Fl 3 3450 Hull Rd Fl 4 Gainesville, FL 32607 Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32607 (352) 294-5757 (352) 294-5000 (352) 265-8408 (352) 265-8408 Fax: (352) 294-5426 Fax: (352) 627-4295 Fax: (352) 265-8409 Fax: (352) 627-4295 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Shands At The University of Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No Florida M-F 8:00 AM - 5:00 PM PCMH: No Triggs, William MD M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 144634 PCMH: No Robinson, Christopher DO Okun, Michael MD Gender: Male 1600 SW Archer Rd Nagaraja, Nandakumar MD Provider ID: 231107 Provider ID: 1462407 Gainesville, FL 32610 Gender: Male Gender: Not Available (352) 265-9900 Provider ID: 1330590 UF Center For Movement UF Health Neurology Medical Gender: Male Disorders An Plaza Fax: (352) 265-8968

UF Health Neurology 3450 Hull Rd Fl 4 2000 SW Archer Rd 00 Yrs/130 Yrs

Neuromedicine Gainesville, FL 32607 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM

1505 SW Archer Rd (352) 265-8408 (352) 265-8408 PCMH: No Gainesville, FL 32608 Fax: (352) 627-4295 Fax: (352) 265-8409 Triggs, William MD (352) 294-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 144634 Fax: (352) 265-4295 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gender: Male 18 Yrs/130 Yrs PCMH: No PCMH: No Languages: Telugu Faculty Group Practice

M-F 8:00 AM - 5:00 PM Orlova, Yulia MD Robinson, Christopher DO 2000 SW Archer Rd

PCMH: No Provider ID: 1476318 Gainesville, FL 32608 (352) 294-5000 Gender: Female Provider ID: 1462407 Fax: (352) 627-4295 Nagaraja, Nandakumar MD UF Health Neurology Medical Gender: Not Available 00 Yrs/130 Yrs Plaza UF Health Neurosurgery Provider ID: 1330590 2000 SW Archer Rd Neuromedicin M-F 9:00 AM - 5:00 PM

Gender: Male Gainesville, FL 32608 1505 SW Archer Rd PCMH: No (352) 265-8408 UF Health Neurology Medical Gainesville, FL 32608 Wagle Shukla, Aparna MD Plaza Fax: (352) 265-8409 (352) 294-5000 Provider ID: 586673 2000 SW Archer Rd 00 Yrs/130 Yrs Fax: (352) 265-4295 Gender: Female Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Faculty Group Practice (352) 294-5000 PCMH: No M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Fl 3 Fax: (352) 265-8409 PCMH: No 18 Yrs/130 Yrs Patel, Bhavana DO Gainesville, FL 32608

Languages: Telugu Provider ID: 1724733 Shuhaiber, Hans MD (352) 265-8408

M-F 8:00 AM - 5:00 PM Gender: Female Fax: (352) 265-8409 00 Yrs/130 Yrs PCMH: No UF Health Center For Provider ID: 1462419 M-F 9:00 AM - 5:00 PM Movement Disor Gender: Male PCMH: No 3450 Hull Rd UF Health Neurology Medical Gainesville, FL 32607 Plaza (352) 273-5400 2000 SW Archer Rd Fl 3 Fax: (352) 273-5575 Gainesville, FL 32608 18 Yrs/130 Yrs (352) 265-8408 M-F 8:00 AM - 5:00 PM Fax: (352) 265-8409 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 60 Updated: 01/04/2019 Specialty Physicians Alachua

Neurology - cont. Weisbrod, Neal MD Wilson, Christina MD Youn, Teddy MD Provider ID: 783585 Provider ID: 1352265 Wagle Shukla, Aparna MD Provider ID: 1636999 Gender: Female Gender: Male Provider ID: 586673 Gender: Male UF Health Neurosurgery UF Health Neurosurgery Gender: Female UF Health Neurology Medical Neuromedicin Neuromedicin UF Health Center For Plaza 1505 SW Archer Rd 1505 SW Archer Rd Movement Disor 2000 SW Archer Rd Gainesville, FL 32608 Gainesville, FL 32608 3450 Hull Rd Fl 4 Gainesville, FL 32608 (352) 294-5000 (352) 294-5000 Gainesville, FL 32607 (352) 265-8408 Fax: (352) 265-4295 Fax: (352) 265-4295 (352) 265-8408 Fax: (352) 265-8409 00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (352) 627-4295 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Korean 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM MTWTHFSatSun 12:00 AM ­ PCMH: No PCMH: No 11:59 PM Wymer, James MD PCMH: No Wicklund, Meredith MD Provider ID: 1248373 Neuromuscular Medicine Provider ID: 799889 Gender: Male Wang, Yue MD Gender: Female UF Health Center For Heller, Scott MD Provider ID: 1139274 3450 Hull Rd Fl 2 Movement Disor Provider ID: 1428405 Gender: Female Gainesville, FL 32607 3450 Hull Rd Gender: Male UF Health Neurm Medical (352) 265-8408 Gainesville, FL 32607 UF Health Center For Plaza Fax: (352) 627-4295 (352) 273-5400 Movement Disor 2000 SW Archer Rd 00 Yrs/130 Yrs Fax: (352) 273-5575 3450 Hull Rd Gainesville, FL 32608 PCMH: No 18 Yrs/130 Yrs Gainesville, FL 32607 (352) 294-5000 M-F 8:00 AM - 5:00 PM (352) 273-5400 Fax: (352) 627-4295 Wicklund, Meredith MD PCMH: No Fax: (352) 273-5575 00 Yrs/130 Yrs Provider ID: 799889 18 Yrs/130 Yrs Shands At The University of Gender: Female Wymer, James MD M-F 8:00 AM - 5:00 PM Florida Neurology At Shands Medical Provider ID: 1248373 PCMH: No Languages: Chinese Plaza Gender: Male M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Fl 3 UF Health Neurology Medical Neuroradiology PCMH: No Gainesville, FL 32608 Plazauf (352) 265-8408 2000 SW Archer Rd Fl 3 Jani, Manish MD Wang, Yue MD Fax: (352) 265-8409 Gainesville, FL 32608 Provider ID: 1600200 Provider ID: 1139274 00 Yrs/130 Yrs (352) 265-8408 Gender: Male Gender: Female M-F 9:00 AM - 5:00 PM Fax: (352) 294-5010 Doctors Imaging Group UF Health Neurosurgery PCMH: No 18 Yrs/130 Yrs 6716 NW 11th Pl Ste 200 Neuromedicin M-F 8:00 AM - 5:00 PM Gainesville, FL 32605 1505 SW Archer Rd Wilson, Christina MD PCMH: No (352) 331-9729 Gainesville, FL 32608 Provider ID: 783585 Fax: (352) 331-0136 (352) 294-5000 Gender: Female Youn, Teddy MD 00 Yrs/130 Yrs Fax: (352) 265-4295 Neurology At Shands Medical Provider ID: 1352265 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Plaza Gender: Male PCMH: No Shands At The University of 2000 SW Archer Rd UF Health Neurology Medical Florida Gainesville, FL 32608 Plaza Nazarian, Skon MD Languages: Chinese (352) 294-5000 2000 SW Archer Rd Fl 3

M-F 8:00 AM - 5:00 PM Fax: (352) 265-8409 Gainesville, FL 32608 Provider ID: 1734432

PCMH: No 00 Yrs/130 Yrs (352) 273-5550 Gender: Male

M-F 9:00 AM - 5:00 PM Fax: (352) 627-4295 Doctors Imaging Group, LLC

PCMH: No 18 Yrs/130 Yrs 6685 NW 9th Blvd Languages: Korean Gainesville, FL 32605 M-F 8:00 AM - 5:00 PM (352) 331-9729 PCMH: No Fax: (352) 331-0137 00 Yrs/130 Yrs Lake City Medical Center North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 61 Updated: 01/04/2019 Specialty Physicians Alachua

Neuroradiology - cont. Cox, Joseph MD Friedman, William MD Murad, Gregory MD Provider ID: 799390 Provider ID: 143875 Provider ID: 427437 Nazarian, Skon MD Gender: Male Gender: Male Gender: Male Neurosurgical Specialties At Florida Surgical Center Florida Clinical Practice Assoc Provider ID: 1734432 Shands 3480 Hull Rd 1600 SW Archer Rd Gender: Male 1600 SW Archer Rd Gainesville, FL 32607 Gainesville, FL 32610 Doctors Imaging Group, LLC Gainesville, FL 32610 (352) 733-0600 (352) 273-7770 6716 NW 11th Pl Ste 200 (321) 841-7550 Fax: (352) 733-8801 Fax: (352) 392-3614 Gainesville, FL 32605 Fax: (352) 265-0344 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 331-9729 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 331-0137 Orlando Health Orlando PCMH: No PCMH: No

00 Yrs/130 Yrs Regional Med Murad, Gregory MD M-F 9:00 AM - 5:00 PM Friedman, William MD Lake City Medical Center North Florida Regional PCMH: No Provider ID: 143875 Provider ID: 427437

M-F 8:00 AM - 5:00 PM Gender: Male Gender: Male Foote, Kelly MD UF Health Neurosurgery PCMH: No Provider ID: 300123 Neurosurgical Specialties At Shands Neuromedicin Gender: Male Neurosurgery 1600 SW Archer Rd UF Helath 1505 SW Archer Rd UF Health Neurosurgery Neurosurgery Neuromedic Gainesville, FL 32608 Neuromedic Gainesville, FL 32610 (352) 392-9000 Blatt, Jason MD 1505 SW Archer Rd (352) 265-9900 Fax: (352) 392-8413 Provider ID: 1427257 Gainesville, FL 32610 Fax: (352) 265-0344 00 Yrs/130 Yrs Gender: Male (352) 392-9000 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM UF Health Neurosurgery Fax: (352) 392-8413 Neuromedic M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs 1505 SW Archer Rd PCMH: No M-F 8:00 AM - 5:00 PM Rahman, Maryam MD Gainesville, FL 32610 PCMH: No Hilliard, Justin MD Provider ID: 692537 (352) 392-9000 Provider ID: 1724702 Gender: Female Fax: (352) 392-8413 Fox, William MD Gender: Male UF Health Neurosurgery 00 Yrs/21 Yrs Provider ID: 1149790 Neuromedicin

Languages: Spanish Gender: Male UF Health Neurosurgery Neuromedici 1505 SW Archer Rd M-F 8:00 AM - 5:00 PM UF Health Neurosurgery 1505 SW Archer Rd Gainesville, FL 32608 PCMH: No Neuromedic Gainesville, FL 32610 (352) 273-6990 1505 SW Archer Rd (352) 392-9000 Fax: (352) 392-8143 Blatt, Jason MD Gainesville, FL 32610 Fax: (352) 392-8413 00 Yrs/130 Yrs Provider ID: 1427257 (352) 392-9000 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gender: Male Fax: (352) 392-8413 PCMH: No UF Health Neurosurgery 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Shands Hospi M-F 8:00 AM - 5:00 PM PCMH: No Reddy, Chandan MD 1600 SW Archer Rd PCMH: No Gainesville, FL 32610 Hoh, Brian MD Provider ID: 1456168 (352) 265-7337 Provider ID: 327505 Friedman, William MD Gender: Male Fax: (352) 265-0344 Gender: Male Provider ID: 143875 Florida Surgical Center 00 Yrs/21 Yrs UF Health Neurosurgery Gender: Male 3480 Hull Rd Languages: Spanish Neuromedici 1600 SW Archer Rd Gainesville, FL 32611 M-F 8:00 AM - 5:00 PM 1505 SW Archer Rd Gainesville, FL 32610 (352) 733-0600 PCMH: No Gainesville, FL 32608 (352) 265-9900 (352) 392-9000 Fax: (352) 733-8801 00 Yrs/130 Yrs Fax: (352) 392-8413 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 62 Updated: 01/04/2019 Specialty Physicians Alachua Neurosurgery - cont. Sriharan, Sivasupiramaniam Obstetrics/Gynecology Byun, Sharon MD MD Provider ID: 543828 Reddy, Chandan MD Provider ID: 1541484 Agrios, Anthony MD Gender: Female Provider ID: 1456168 Gender: Male Provider ID: 780120 1600 SW Archer Rd Ste N3-7 Gender: Male North Florida Surgical Gender: Male Gainesville, FL 32610 UF Health Neurosurgery Associates L Florida Woman Care LLC (352) 273-7580 Neuromedicin 1121 NW 64th Ter Ste A 6440 W Newberry Rd Ste 111 00 Yrs/130 Yrs 1505 SW Archer Rd Gainesville, FL 32605 Gainesville, FL 32605 PCMH: No Gainesville, FL 32608 (352) 331-3583 (352) 331-3332 (352) 392-9000 Fax: (352) 331-3669 Fax: (352) 331-3320 Byun, Sharon MD Fax: (352) 392-8413 00 Yrs/130 Yrs 12 Yrs/130 Yrs Provider ID: 543828 00 Yrs/130 Yrs Languages: Tamil North Florida Regional Gender: Female M-F 8:00 AM - 5:00 PM M 8:00 AM - 5:00 PM Languages: Spanish, German, UF Health Womens Center PCMH: No TWTHF 2:20 AM - 5:00 PM Greek, Faroese Springhill PCMH: No M-F 9:00 AM - 5:00 PM 4037 NW 86th Ter Fl 2 Reddy, Chandan MD PCMH: No Gainesville, FL 32606 Obstetrics (352) 265-6200 Provider ID: 1456168 Botha, Tracey MD Fax: (352) 594-1716 Gender: Male Moawad, Nashat MD Provider ID: 932364 00 Yrs/130 Yrs UF Health Neurosurgery Provider ID: 566928 Gender: Female M-F 9:00 AM - 5:00 PM Shands Hospi Gender: Male 6440 W Newberry Rd Ste 508 PCMH: No 1600 SW Archer Rd Florida Clinical Practice Assoc Gainesville, FL 32605 Gainesville, FL 32610 1600 SW Archer Rd (352) 332-7222 Byun, Sharon MD (352) 273-9000 Gainesville, FL 32610 Fax: (352) 332-7330 Provider ID: 543828 Fax: (352) 265-0344 (352) 273-7673 16 Yrs/130 Yrs Gender: Female 00 Yrs/130 Yrs 00 Yrs/130 Yrs North Florida Regional Womens Health At Shands M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish Medical Pl PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM 2000 SW Archer Rd 4th Fl PCMH: No Gainesville, FL 32610 Sherr, Gregory MD Moawad, Nashat MD (352) 265-8200 Provider ID: 566928 Provider ID: 1331312 Brazzel, Richard MD Fax: (352) 265-8202 Gender: Male Gender: Male 00 Yrs/130 Yrs

UF Health Womens Center M-F 9:00 AM - 5:00 PM North Florida Surgical Assoc Springhill Provider ID: 759673 LLC PCMH: No 4037 NW 86th Ter Fl 2 Gender: Male 6400 W Newberry Rd Ste 210 Gainesville, FL 32606 6440 W Newberry Rd Ste 508 Gainesville, FL 32605 Cardenas-Goicoechea, (352) 265-6200 Gainesville, FL 32605 (352) 331-3583 Segundo MD Fax: (352) 594-1716 (352) 332-7222 Fax: (352) 331-3669 Provider ID: 1214258 00 Yrs/130 Yrs Fax: (352) 332-7330 00 Yrs/130 Yrs Gender: Male M-F 9:00 AM - 5:00 PM 16 Yrs/65 Yrs M-F 9:00 AM - 5:00 PM UF Health Womens Center PCMH: No North Florida Regional PCMH: No Medical Pla Languages: Spanish, Chinese 2000 SW Archer Rd 4th Fl Moawad, Nashat MD M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Sherr, Gregory MD Provider ID: 566928 PCMH: No Provider ID: 1331312 (352) 265-8200 Gender: Male Fax: (352) 265-8202 Gender: Male Buchanan Jr, George MD Womens Health At Shands 00 Yrs/130 Yrs North Florida Surgical Provider ID: 559403 Medical Pla Shands At The University of Associates 2000 SW Archer Rd 4th Fl Gender: Male 1121 NW 64th Ter Ste A Florida Gainesville, FL 32610 George Buchanan Jr MD PA Languages: Spanish Gainesville, FL 32605 (352) 265-8200 717 SW 4th Ave (352) 331-3583 M-F 8:00 AM - 5:00 PM Fax: (352) 265-8202 Gainesville, FL 32601 PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 378-4689 M 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 372-5435 TWTHF 9:00 AM - 5:00 PM PCMH: No 12 Yrs/130 Yrs PCMH: No Shands At The University of Florida M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 63 Updated: 01/04/2019 Specialty Physicians Alachua

Obstetrics/Gynecology - Cotter, Michael MD Deen, Juline MD Duff, William MD cont. Provider ID: 1022646 Provider ID: 1313939 Provider ID: 502375 Gender: Male Gender: Female Gender: Male Carroccio, Sheyna MD Westside Samaritans Clinic Florida Woman Care LLC Womens Health At Shands 6440 W Newberry Rd Ste 204 6400 W Newberry Rd Ste 204 Medical Pla Provider ID: 932599 Gainesville, FL 32605 Gainesville, FL 32605 2000 SW Archer Rd 4th Fl Gender: Female (352) 872-5171 (352) 371-2011 Gainesville, FL 32610 6440 W Newberry Rd Ste 508 Fax: (352) 505-5604 Fax: (352) 686-3611 (352) 265-8200 Gainesville, FL 32605 12 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-8202 (352) 332-7222 North Florida Regional M 9:00 AM - 6:00 PM 00 Yrs/130 Yrs Fax: (352) 332-7330 M 9:00 AM - 6:00 PM TWTH 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs TWTH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM PCMH: No North Florida Regional F 8:00 AM - 12:00 PM PCMH: No Languages: Spanish PCMH: No Egerman, Robert MD M-F 9:00 AM - 5:00 PM Delker, Jill MD Provider ID: 655517 PCMH: No Cotter, Michael MD Provider ID: 940930 Gender: Male Provider ID: 924934 Gender: Female Florida Clinical Practice Assoc Chamberlain, Kelly MD Gender: Male Florida Woman Care LLC 1600 SW Archer Rd Florida Woman Care LLC 6440 W Newberry Rd Ste 508 Gainesville, FL 32610 Provider ID: 932645 6400 W Newberry Rd Ste 207 Gainesville, FL 32605 (352) 265-0535 Gender: Female Gainesville, FL 32605 (352) 332-7222 Fax: (352) 265-0328 6440 W Newberry Rd Ste 508 (352) 371-2011 Fax: (352) 332-7330 00 Yrs/130 Yrs Gainesville, FL 32605 Fax: (352) 384-3611 16 Yrs/130 Yrs Shands At The University of (352) 332-7222 00 Yrs/130 Yrs Languages: Spanish Florida Fax: (352) 332-7330 North Florida Regional M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 16 Yrs/65 Yrs M 9:00 AM - 6:00 PM PCMH: No PCMH: No TWTH 8:00 AM - 5:00 PM North Florida Regional Egerman, Robert MD Languages: Spanish F 8:00 AM - 12:00 PM Duff, William MD Provider ID: 655517 M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 502375 Gender: Male PCMH: No Gender: Male Davis, John MD UF Health Womens Center UF Health Womens Center Medical Pla Cook, Jean MD Provider ID: 143650 Springhill 2000 SW Archer Rd Fl 4 Provider ID: 148363 Gender: Male 4037 NW 86th Ter Fl 2 Gainesville, FL 32608 Gender: Female UF Health Womens Center Gainesville, FL 32606 Medical Pla (352) 265-8200 Florida Woman Care, LLC (352) 265-6200 2000 SW Archer Rd Fl 4 Fax: (352) 265-8202 6440 W Newberry Rd Ste 111 Fax: (352) 594-1716 Gainesville, FL 32608 00 Yrs/130 Yrs Gainesville, FL 32605 00 Yrs/130 Yrs (352) 265-8200 Shands At The University of (352) 331-3332 M-F 9:00 AM - 5:00 PM Fax: (352) 265-8202 Florida Fax: (352) 331-3320 PCMH: No 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Duff, William MD PCMH: Yes, Level 2 Lake City Medical Center North Florida Regional PCMH: No Provider ID: 502375 Gender: Male Egerman, Robert MD M-F 9:00 AM - 5:00 PM Davis, John MD Provider ID: 655517 PCMH: No Women's Center At Magnolia Provider ID: 143650 Parke Gender: Male Gender: Male 3951 NW 48th Ter Ste 101 UF Health Womens Center UF Health Womens Center Gainesville, FL 32606 Springhill Springhill (352) 265-6200 4037 NW 86th Ter Fl 2 4037 NW 86th Ter Fl 2 Fax: (352) 265-0281 Gainesville, FL 32606 Gainesville, FL 32606 00 Yrs/130 Yrs (352) 265-6200 (352) 265-6200 M-F 9:00 AM - 5:00 PM Fax: (352) 265-0281 Fax: (352) 594-1716 PCMH: No 00 Yrs/130 Yrs 18 Yrs/130 Yrs Shands At The University of M-F 9:00 AM - 5:00 PM Florida PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 64 Updated: 01/04/2019 Specialty Physicians Alachua

Obstetrics/Gynecology - Hatfield, Ann MD Jackson, Darwin MD Kreinest, Richard MD cont. Provider ID: 422541 Provider ID: 163016 Gender: Female Provider ID: 807109 Gender: Male Foda, Mohamed MD Florida Woman Care LLC Gender: Male UF Health Womens Center 6440 W Newberry Rd Ste 508 All Womens Health Center of Springhill Provider ID: 1739539 Gainesville, FL 32605 Gainesv 4037 NW 86th Terr Fl 2 Gender: Male (352) 332-7222 1135 NW 23rd Ave Ste N Gainesville, FL 32606 Starke Hma Medical Group, Fax: (352) 332-7330 Gainesville, FL 32609 (352) 265-6200 LLC D/B/A 18 Yrs/130 Yrs (352) 378-9191 Fax: (352) 594-1716 6440 W Newberry Rd Ste 202 North Florida Regional Fax: (352) 372-4823 00 Yrs/130 Yrs Gainesville, FL 32605 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 792-6123 PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Fax: (352) 792-6138 PCMH: No Kreinest, Richard MD 00 Yrs/130 Yrs Iobst, Joseph MD M-F 8:00 AM - 5:00 PM Provider ID: 786095 Kinson, Michael MD Provider ID: 163016 PCMH: No Gender: Male Provider ID: 1139194 Gender: Male Florida Woman Care Gender: Male Women's Health @ Ayers Genc, Mehmet PHD 6440 W Newberry Rd Ste 202 UF Health Womens Center Medical Plaz Gainesville, FL 32605 Medical Pla 720 SW 2nd Ave Ste 409 Gainesville, FL 32601 Provider ID: 1462216 (352) 792-6123 2000 SW Archer Rd 4th Fl (352) 733-0360 Gender: Not Available Fax: (352) 792-6138 Gainesville, FL 32608 Fax: (352) 733-0399 UF Health Womens Center 12 Yrs/130 Yrs (352) 265-8200 Medical Pla Lake City Medical Center Fax: (352) 265-8202 00 Yrs/130 Yrs 2000 SW Archer Rd 4th Fl North Florida Regional 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Languages: Spanish, German, M-F 8:00 AM - 5:00 PM PCMH: No Greek, Faroese PCMH: No (352) 265-8200 Main Site Alachua Chd Fax: (352) 265-8202 M 9:00 AM - 5:00 PM Provider ID: 207621 00 Yrs/130 Yrs PCMH: No Kreinest, Richard MD Florida Department of Health M-F 8:00 AM - 5:00 PM Provider ID: 163016 224 SE 24th St PCMH: No Iobst, Joseph MD Gender: Male Provider ID: 786095 1600 SW Archer Rd Gainesville, FL 32641 Genc, Mehmet PHD Gender: Male Gainesville, FL 32610 (352) 334-7963 Florida Woman Care LLC (352) 265-0111 Fax: (352) 334-8837 12 Yrs/130 Yrs Provider ID: 1462216 6440 W Newberry Rd Ste 111 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM Gender: Not Available Gainesville, FL 32605 PCMH: No TWTHF 9:00 AM - 5:00 PM UF Health Womens Center (352) 331-3332 Fax: (352) 331-3320 Kreinest, Richard MD PCMH: No Springhill Provider ID: 163016 4037 NW 86th Terr 2nd Fl 12 Yrs/130 Yrs Lake City Medical Center Gender: Male Marichal, Eduardo MD Gainesville, FL 32606 UF Health Womens Center (352) 265-6200 North Florida Regional Languages: Spanish, German, Medical Pla Provider ID: 149890 Fax: (352) 265-0281 2000 SW Archer Rd Fl 4 00 Yrs/130 Yrs Greek, Faroese Gender: Male M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 6440 W Newberry Rd Ste 508 M-F 8:00 AM - 5:00 PM (352) 265-8200 PCMH: No PCMH: No Gainesville, FL 32605 Fax: (352) 265-8202 (352) 332-7222 00 Yrs/130 Yrs Harris, Karen MD Fax: (352) 332-7330 M-F 8:00 AM - 5:00 PM 16 Yrs/65 Yrs Provider ID: 148362 PCMH: No Gender: Female Plantation General Hospital 6440 W Newberry Rd Ste 202 Languages: Spanish Gainesville, FL 32605 M-F 9:00 AM - 5:00 PM (352) 332-7222 PCMH: No Fax: (352) 792-6138 16 Yrs/130 Yrs North Florida Regional Languages: Spanish M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 65 Updated: 01/04/2019 Specialty Physicians Alachua

Obstetrics/Gynecology - Schulman, Jeffrey MD Sims, Shireen MD Walsh, Ashley MD cont. Provider ID: 382299 Provider ID: 900188 Provider ID: 1717845 Gender: Female Gender: Female O'Shea, Tina MD Gender: Male UF Health Womens Center 6400 W Newberry Rd Ste 207 Provider ID: 1462386 Lorida Woman Care LLC Springhill Gainesville, FL 32605 Gender: Not Available 6440 W Newberry Rd Ste 202 4037 NW 86th Ter 2nd Fl (352) 371-2011 UF Health Womens Center Gainesville, FL 32605 Gainesville, FL 32606 Fax: (352) 384-3611 Medical Pla (352) 792-6123 (352) 265-6200 12 Yrs/130 Yrs 2000 SW Archer Rd 4th Fl Fax: (352) 792-6138 Fax: (352) 265-0281 North Florida Regional Gainesville, FL 32608 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 265-8200 M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Fax: (352) 265-8202 PCMH: No PCMH: No 00 Yrs/130 Yrs Weber Lebrun, Emily MD M-F 8:00 AM - 5:00 PM Scogin, Kristen MD Stewart, David MD PCMH: No Provider ID: 1349357 Provider ID: 1022650 Provider ID: 566767 Gender: Female Gender: Male Gender: Female O'Shea, Tina MD Florida Woman Care LLC Samaritan OB/GYN UF Health Womens Center Provider ID: 1462386 6440 W Newberry Rd Ste 111 6440 W Newberry Rd Ste 204 Springhill Gender: Not Available Gainesville, FL 32605 Gainesville, FL 32605 4037 NW 86th Ter Fl 2 UF Health Womens Center (352) 331-3332 (352) 872-5171 Gainesville, FL 32606 Springhill Fax: (352) 331-3320 Fax: (352) 505-5604 (352) 265-6200 4037 NW 86th Terr 2nd Fl 18 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (352) 594-1716 Gainesville, FL 32606 M 9:00 AM - 8:00 PM North Florida Regional 00 Yrs/130 Yrs (352) 265-6200 TWTHF 9:00 AM - 5:00 PM M 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 265-0281 PCMH: No TWTHF 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Sims, Shireen MD Weber Lebrun, Emily MD PCMH: No Provider ID: 382299 Stewart, David MD Gender: Female Provider ID: 566698 Provider ID: 566767 Roussos-Ross, Dikea MD Faculty Group Practice Gender: Male Gender: Female 3951 NW 48th Ter Ste 101 Florida Woman Care LLC Womens Health At Shands Provider ID: 643399 Gainesville, FL 32606 6400 W Newberry Rd Ste 207 Medical Pla Gender: Female (352) 265-6200 Gainesville, FL 32605 2000 SW Archer Rd 4th Fl Faculty Group Practice Fax: (352) 265-0281 (352) 371-2011 Gainesville, FL 32610 2000 SW Archer Rd 4th Fl 00 Yrs/130 Yrs Fax: (352) 384-3611 (352) 265-8200 Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 627-4375 (352) 265-8200 PCMH: No North Florida Regional 00 Yrs/130 Yrs Fax: (352) 265-8202 M 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Sims, Shireen MD TWTH 8:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM Provider ID: 382299 F 8:00 AM - 12:00 PM PCMH: No Gender: Female PCMH: No Werner, Erin MD UF Health Womens Center Provider ID: 227077 Roussos-Ross, Dikea MD Medical Pla Walsh, Ashley MD Gender: Female 2000 SW Archer Rd 4th Fl Provider ID: 1022669 6440 W Newberry Rd Ste 508 Provider ID: 643399 Gainesville, FL 32608 Gender: Female Gainesville, FL 32605 Gender: Female (352) 265-8200 Westside Samaritans Clinic (352) 332-7222 UF Health Womens Center Fax: (352) 265-8202 6440 W Newberry Rd Ste 204 Fax: (352) 332-7330 Springhill 00 Yrs/130 Yrs Gainesville, FL 32605 16 Yrs/65 Yrs 4037 NW 86th Ter Fl 2 M-F 8:00 AM - 5:00 PM (352) 872-5171 North Florida Regional Gainesville, FL 32606 PCMH: No Fax: (352) 505-5604 Languages: Spanish (352) 265-6200 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-0281 North Florida Regional PCMH: No 00 Yrs/130 Yrs M 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM TWTH 8:00 AM - 5:00 PM PCMH: No F 8:00 AM - 12:00 PM PCMH: No

www.wellcare.com/Florida | 66 Updated: 01/04/2019 Specialty Physicians Alachua

Obstetrics/Gynecology - Ophthalmology Horn, Erich MD Iyer, Siva MD cont. Provider ID: 1456137 Provider ID: 1227955 Agarwal, Swati MD Gender: Male Gender: Male Werner, Erin MD Provider ID: 1642246 UF Health Eye Center Medical UF Health Eye Center Medical Provider ID: 227077 Gender: Female Plaza Plaza Gender: Female UF Health Eye Center 2000 SW Archer Rd 4th Fl 2000 SW Archer Rd 4th Fl 6500 W Newberry Rd Hampton Oaks Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32605 200 SW 62nd Blvd Ste A (352) 265-7080 (352) 265-7080 (352) 333-4000 Gainesville, FL 32607 Fax: (352) 627-4299 Fax: (352) 265-7081 16 Yrs/65 Yrs (352) 265-9470 00 Yrs/130 Yrs 18 Yrs/130 Yrs North Florida Regional Fax: (352) 265-9471 M-F 8:00 AM - 5:00 PM Languages: Tamil Languages: Spanish 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Horn, Erich MD Wyckoff, Erich MD Provider ID: 1456137 Kesen, Muge MD Provider ID: 239694 Agarwal, Swati MD Gender: Male Provider ID: TPV1770676017-0 Gender: Male Provider ID: 1642246 UF Health Shands Hospital Gender: Female UF Health Womens Center Gender: Female 1600 SW Archer Rd Sunil Gupta MD LLC Springhill UF Health Eye Center Medical Gainesville, FL 32610 6717 NW 11th Pl Ste C 4037 NW 86th Terr 2nd Fl Plaza (352) 265-0535 Gainesville, FL 32605 Gainesville, FL 32606 2000 SW Archer Rd Fl 4 Fax: (352) 265-0328 (352) 792-1193 (352) 265-6200 Gainesville, FL 32608 00 Yrs/130 Yrs Fax: (352) 729-3568 Fax: (352) 265-0281 (352) 265-7080 M-F 8:00 AM - 5:00 PM 18 Yrs/99 Yrs 00 Yrs/130 Yrs Fax: (352) 265-7081 PCMH: No No Hospital Privileges- Shands At The University of 00 Yrs/130 Yrs Covering Arrangem Florida M-F 8:00 AM - 5:00 PM Horn, Erich MD Languages: French, Hindi M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 1462219 M-F 8:00 AM - 5:00 PM PCMH: No Gender: Not Available PCMH: No Agarwal, Swati MD UF Health Eye Center Medical Wyckoff, Erich MD Provider ID: 1642246 Plaza Khuddus, Nausheen MD Provider ID: 799895 Gender: Female 2000 SW Archer Rd 4th Fl Gender: Male UF Health Pediatric Eye Gainesville, FL 32608 Provider ID: TPV1124069505-0 UF Health Womens Center Center Magn (352) 265-7080 Gender: Female Springhill 4740 NW 39th Pl Ste B Fax: (352) 627-4299 Columbia Eye Associates PA 4037 NW 86th Ter 2nd Fl Gainesville, FL 32606 00 Yrs/130 Yrs 7120 NW 11th Place Gainesville, FL 32606 (352) 594-7337 M-F 8:00 AM - 5:00 PM Gainesville, FL 32605 (352) 265-6200 Fax: (352) 627-4299 PCMH: No (386) 755-2785 Fax: (352) 265-0281 00 Yrs/130 Yrs Fax: (386) 755-1128 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Iyer, Siva MD 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 1227955 North Florida Regional PCMH: No Gender: Male Medical Center Gupta, Sunil MD Florida Surgical Center Wyckoff, Erich MD M-F 8:30 AM - 5:00 PM Provider ID: TPV1063489383-0 Provider ID: 799897 3480 Hull Rd PCMH: No Gender: Male Gender: Male Gainesville, FL 32607 Sunil Gupta MD LLC (352) 733-0600 Livecchi, Thomas MD Womens Health At Shands Provider ID: 1733744 Medical Pla 6717 NW 11th Pl Ste C Fax: (352) 733-0601 Gender: Male 2000 SW Archer Rd 4th Fl Gainesville, FL 32605 18 Yrs/130 Yrs UF Health Eye Center Medical Gainesville, FL 32608 (352) 792-1193 Languages: Tamil Plaza (352) 265-8200 Fax: (352) 729-3568 M-F 6:00 AM - 5:00 PM 2000 SW Archer Rd 4th Fl Fax: (352) 265-8202 18 Yrs/99 Yrs PCMH: No Gainesville, FL 32608 00 Yrs/130 Yrs West Florida Hospital (352) 265-7080 M-F 9:00 AM - 5:00 PM Languages: French, Hindi Fax: (352) 265-7081 PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 67 Updated: 01/04/2019 Specialty Physicians Alachua

Ophthalmology - cont. Shah, Ankit MD Four-H Optical Company Inc Beckwitt, Julie-Ann OD Provider ID: 1476171 Provider ID: TPV1437262953-0 Mills, David MD Gender: Male Provider ID: TPV1720232648-0 Gender: Female Provider ID: 1316650 UF Health Eye Center Medical 2441 NW 43rd St Ste 2C Myeyedr Optometry of Gender: Male Plaza Gainesville, FL 32606 Florida LLC UF Health Eye Center Medical 2000 SW Archer Rd 4th Fl (352) 376-8653 3968 SW Archer Rd W-101 Plaza Gainesville, FL 32610 Fax: (352) 377-5813 Gainesville, FL 32608 2000 SW Archer Rd 4th Fl (352) 265-7080 00 Yrs/99 Yrs (352) 376-6622 Gainesville, FL 32608 Fax: (352) 265-7081 M-F 10:00 AM - 6:00 PM Fax: (352) 376-1786 (352) 265-7080 00 Yrs/130 Yrs PCMH: No 05 Yrs/99 Yrs Fax: (352) 265-7081 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM 00 Yrs/130 Yrs PCMH: No Optometry Sat 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Shah, Ankit MD Arnao, Jose OD Provider ID: 1476171 Provider ID: TPV1417185364-0 Caputi, Lori OD Myers, John MD Gender: Male Gender: Male Provider ID: TPV1336251511-0 Provider ID: TPV1881661585-0 UF Health Shands Hospital Super Optical Express Gender: Female Gender: Male 1600 SW Archer Rd Box 6757 W Newberry Rd Myeyedr Optometry of Sunil Gupta MD LLC 100284 1600 SW Archer Rd Gainesville, FL 32605 Florida LLC 6717 NW 11th Pl Ste C Gainesville, FL 32610 (352) 331-2040 3968 SW Archer Rd W-101 Gainesville, FL 32605 (352) 265-0535 Fax: (352) 331-1526 Gainesville, FL 32608 (352) 792-1193 Fax: (352) 265-0328 12 Yrs/99 Yrs (352) 376-6622 Fax: (352) 729-3568 00 Yrs/130 Yrs Languages: Spanish Fax: (352) 376-1786 18 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 7:00 PM 05 Yrs/99 Yrs Gulf Breeze Hospital PCMH: No Sat-Sun 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM Languages: French, Hindi PCMH: No Sat 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Shuler, Magdalena MD PCMH: No PCMH: No Provider ID: TPV1851368559-0 Atkins, Brian OD Gender: Female Provider ID: TPV1184637001-0 Chiaramonti, Alycia OD Shah, Ankit MD Sunil Gupta MD LLC Gender: Male Provider ID: TPV1659722874-0 Provider ID: 1476171 6717 NW 11th Pl Ste C Myeyedr Optometry of Gender: Female Gender: Male Gainesville, FL 32605 Florida LLC Eye Doctors Optical Outlets Florida Surgical Center (352) 792-1193 3968 SW Archer Rd W-101 PA 3480 Hull Rd Fax: (352) 729-3568 Gainesville, FL 32608 3324 W University Ave Gainesville, FL 32607 18 Yrs/99 Yrs (352) 376-6622 Gainesville, FL 32607 (352) 733-0600 Gulf Coast Medical Center Fax: (352) 376-1786 (352) 240-0801 Fax: (352) 733-8801 Languages: French, Hindi 05 Yrs/99 Yrs Fax: (352) 414-5298 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM 05 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Sat 9:00 AM - 5:00 PM Languages: Spanish, PCMH: No PCMH: No Vietnamese Optician M-F 9:00 AM - 6:00 PM Shah, Ankit MD Barber, Jon OD Sat 9:00 AM - 3:00 PM Provider ID: 1476171 Eye Doctors Optical Outlets Provider ID: TPV1477698504-0 PCMH: No Gender: Male PA Gender: Male UF Health Eye Center Provider ID: TPV1225463763-0 University Opticians Inc Funderburk, Paul OD Hampton Oaks 3324 W University Ave 300 SW 4th Ave Provider ID: TPV1376571752-0 200 SW 62nd Blvd Ste A Gainesville, FL 32607 Gainesville, FL 32601 Gender: Male Gainesville, FL 32607 (352) 240-0801 (352) 378-4480 Paul E Funderburk OD (352) 265-9470 Fax: (352) 414-5298 Fax: (352) 377-5710 6757 W Newberry Rd Fax: (352) 265-9471 00 Yrs/99 Yrs 04 Yrs/99 Yrs Gainesville, FL 32605 00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM M 10:00 AM - 6:15 PM (352) 331-2040 M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM TWTHF 10:00 AM - 5:30 PM Fax: (352) 331-1526 PCMH: No PCMH: No PCMH: No 03 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 7:00 PM Sat-Sun 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 68 Updated: 01/04/2019 Specialty Physicians Alachua

Optometry - cont. Huynh, An Tam OD Robinson, Marc OD Dolwick, Melvin DMD Provider ID: TPV1275941874-0 Provider ID: TPV1619324308-0 Provider ID: 565829 Gorman, Neil OD Gender: Female Gender: Male Gender: Male Provider ID: TPV1578637310-2 Eye Doctors Optical Outlets Eye Doctors Optical Outlets Pediatrics Specialties Gender: Male PA PA 2000 SW Archer Rd At Shands Eye Doctors Optical Outlets 3324 W University Ave 3324 W University Ave Medical Plaza PA Gainesville, FL 32607 Gainesville, FL 32607 Gainesville, FL 32608 3324 W University Ave (352) 240-0801 (352) 240-0801 (352) 265-1234 Gainesville, FL 32607 Fax: (352) 414-5298 Fax: (352) 414-5298 Fax: (352) 392-6909 (352) 240-0801 05 Yrs/99 Yrs 05 Yrs/99 Yrs 00 Yrs/130 Yrs Fax: (352) 414-5298 Languages: Spanish, Languages: Spanish, M-F 9:00 AM - 5:00 PM 05 Yrs/99 Yrs Vietnamese Vietnamese PCMH: No Languages: Spanish, M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM Vietnamese Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 3:00 PM Freburg-Hoffmeister, Danielle M-F 9:00 AM - 6:00 PM PCMH: No PCMH: No DDS Sat 9:00 AM - 3:00 PM Provider ID: 1456127 PCMH: No Kesavalu, Sheela OD Williams, Gary OD Gender: Female Provider ID: TPV1538534474-0 Provider ID: TPV1033211263-0 Faculty Associates Grey, Maritza OD Gender: Female Gender: Male 1600 SW Archer Rd Provider ID: TPV1740561430-0 Myeyedr Optometry of Dr Gary O Williams OD Gainesville, FL 32610 Gender: Female Florida LLC 1800 NE 12th Ave (352) 273-6820 Eye Doctors Optical Outlets 3968 SW Archer Rd W-101 Gainesville, FL 32641 Fax: (352) 392-5606 PA Gainesville, FL 32608 (352) 372-3104 00 Yrs/130 Yrs 3324 W University Ave (352) 376-6622 Fax: (352) 372-3345 M-F 8:00 AM - 5:00 PM Gainesville, FL 32607 Fax: (352) 376-1786 05 Yrs/99 Yrs PCMH: No (352) 240-0801 05 Yrs/99 Yrs M 9:00 AM - 6:00 PM Fax: (352) 414-5298 M-F 9:00 AM - 6:00 PM T 9:00 AM - 12:00 PM Freburg-Hoffmeister, Danielle 05 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM W 8:00 AM - 12:00 PM DDS Languages: Spanish, PCMH: No PCMH: No Provider ID: 1456127 Vietnamese Gender: Female M-F 9:00 AM - 6:00 PM Nguyen, Joseph OD Oral & Maxillofacial Florida Surgical Center Sat 9:00 AM - 3:00 PM Provider ID: TPV1891148268-0 Surgery 3480 Hull Rd PCMH: No Gender: Male Gainesville, FL 32607 Myeyedr Optometry of Bowers IV, Thomas DMD (352) 265-1234 Ho, Thanh OD Florida LLC Provider ID: 1539369 Fax: (352) 733-8801 Provider ID: TPV1336404342-0 3968 SW Archer Rd W-101 Gender: Male 00 Yrs/130 Yrs Gender: Female Gainesville, FL 32608 Pediatrics Specialties At M-F 8:00 AM - 5:00 PM Myeyedr Optometry of (352) 376-6622 Shands Me PCMH: No Florida LLC Fax: (352) 376-1786 2000 SW Archer Rd Freburg-Hoffmeister, Danielle 3968 SW Archer Rd W-101 05 Yrs/99 Yrs Gainesville, FL 32608 Gainesville, FL 32608 M-F 9:00 AM - 6:00 PM DDS (352) 265-1234 Provider ID: 1541106 (352) 376-6622 Sat 9:00 AM - 5:00 PM Fax: (352) 392-6909 Gender: Female Fax: (352) 376-1786 PCMH: No 00 Yrs/130 Yrs 05 Yrs/99 Yrs Faculty Associates M-F 8:00 AM - 5:00 PM 1600 SW Archer Rd M-F 9:00 AM - 6:00 PM PCMH: No Sat 9:00 AM - 5:00 PM Gainesville, FL 32610 PCMH: No Dolwick, Melvin DMD (352) 273-6820 Provider ID: 565829 Fax: (352) 392-5606 Gender: Male 00 Yrs/130 Yrs Faculty Associates M-F 8:00 AM - 5:00 PM 1600 SW Archer Rd PCMH: No Gainesville, FL 32610 (352) 273-6820 Fax: (352) 392-6909 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 69 Updated: 01/04/2019 Specialty Physicians Alachua

Oral & Maxillofacial Guevara, Carlo MD Ruprecht, Axel DDS Blakemore, Laurel MD Surgery - cont. Provider ID: 926652 Provider ID: 1456131 Provider ID: 1476323 Gender: Female Freburg-Hoffmeister, Danielle Gender: Male Gender: Male Surgery At Shands UF DDS UF Health Shands Hospital Faculty Associates 1600 SW Archer Rd Ste 101 Provider ID: 1541106 1600 SW Archer Rd 1600 SW Archer Rd Gainesville, FL 32610 Gender: Female Gainesville, FL 32610 Gainesville, FL 32610 (352) 265-9900 Pediatrics Specialties (352) 273-6820 (352) 273-6820 Fax: (352) 265-8236 2000 SW Archer Rd At Shands Fax: (352) 392-5606 Fax: (352) 392-5606 02 Yrs/130 Yrs Medical Plaza 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No (352) 265-1234 PCMH: No PCMH: No Fax: (352) 392-6909 Blakemore, Laurel MD 00 Yrs/130 Yrs Hardeman, John DDS Schlott, Benjamin MD Provider ID: 926652 M-F 8:00 AM - 5:00 PM Provider ID: 1043644 Provider ID: 1011692 Gender: Female PCMH: No Gender: Male Gender: Male UF Orthopedics and Sports Shands At UF Florida Surgical Center Medicine Graper, Charles MD 1600 SW Archer Rd 3480 Hull Rd 3450 Hull Rd Gainesville, FL 32610 Gainesville, FL 32611 Gainesville, FL 32607 Provider ID: 504304 (352) 273-6820 (352) 265-1234 (352) 273-7001 Gender: Male Fax: (352) 392-5606 Fax: (352) 733-8801 Fax: (352) 627-4418 Graper Facial Institute 00 Yrs/130 Yrs 00 Yrs/130 Yrs 02 Yrs/130 Yrs 832 NW 57th St M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gainesville, FL 32605 PCMH: No PCMH: No PCMH: No (352) 331-6661 Fax: (352) 331-6336 Lawrence, Martha DDS Schlott, Benjamin MD Chan, Chung MD 00 Yrs/130 Yrs Provider ID: 899721 Provider ID: 1011692 Provider ID: 1456112 Lake City Medical Center Gender: Female Gender: Male Gender: Male Languages: Spanish Faculty Associates Shands At UF Florida Surgical Center M-TH 9:00 AM - 5:00 PM 1600 SW Archer Rd 1600 SW Archer Rd 3480 Hull Rd F 7:00 AM - 5:00 PM Gainesville, FL 32610 Gainesville, FL 32610 Gainesville, FL 32607 PCMH: No (800) 633-3953 (352) 273-6820 (352) 733-0600 Fax: (352) 392-6909 Fax: (352) 392-5606 Fax: (352) 733-8801 Guevara, Carlo MD 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM MTWTHFSatSun 12:00 AM ­ PCMH: No Provider ID: 1456131 PCMH: No 11:59 PM Gender: Male PCMH: No Chan, Chung MD Florida Surgical Center OH, Esther DDS Provider ID: 1456112 3480 Hull Rd Provider ID: 799854 Orthopaedic Surgery Gender: Male Gainesville, FL 32607 Gender: Female Select Specialty Hospital- (352) 273-6731 Shands At UF Anderson, Colin MD Gainesvil Fax: (352) 733-8801 1600 SW Archer Rd Provider ID: 1695693 1600 SW Archer Rd 5th Fl 00 Yrs/130 Yrs Gainesville, FL 32610 Gender: Male Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM (352) 273-6820 UF Health Orthopedics and (352) 265-0055 PCMH: No Fax: (352) 392-5606 Sports Me Fax: (352) 265-4766 00 Yrs/130 Yrs 3450 Hull Rd 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gainesville, FL 32607 PCMH: No PCMH: No (352) 273-7001 Fax: (352) 273-7293 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 70 Updated: 01/04/2019 Specialty Physicians Alachua

Orthopaedic Surgery - Decker, Robert MD Farmer, Kevin MD Myers, Scott MD cont. Provider ID: 566706 Provider ID: 471636 Provider ID: 144219 Gender: Male Gender: Male Gender: Male Chan, Chung MD UF Health Orthopaedics UF Orthopaedic Clinic UF Orthopedics and Sports Provider ID: 1456112 Neuromedicin 3450 Hull Rd Medicine Gender: Male 1505 SW Archer Rd Gainesville, FL 32607 3450 Hull Rd UF Health Orthopedics and Gainesville, FL 32608 (352) 273-7001 Gainesville, FL 32607 Sports Me (352) 265-7763 Fax: (352) 627-4418 (352) 273-7001 3450 Hull Rd 16 Yrs/130 Yrs 02 Yrs/130 Yrs Fax: (352) 273-7388 Gainesville, FL 32607 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 02 Yrs/130 Yrs (352) 273-7001 PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Fax: (352) 273-7294 PCMH: No 00 Yrs/130 Yrs Decker, Robert MD Hagan, Jennifer MD Parvataneni, Hari MD M-F 8:00 AM - 5:00 PM Provider ID: 566706 Provider ID: 1085308 Provider ID: 670269 PCMH: No Gender: Male Gender: Female Gender: Male UF Orthopedics and Sports UF Health Shands Hospital Faculty Group Practice Chan, Chung MD Medicine 1600 SW Archer Rd 3450 Hull Rd Fl 2 Provider ID: 1456112 3450 Hull Rd Gainesville, FL 32610 Gainesville, FL 32607 Gender: Male Gainesville, FL 32607 (352) 265-0535 (352) 273-7001 UF Health Shands Hospital (352) 273-7001 Fax: (352) 265-0328 Fax: (352) 627-4418 1600 SW Archer Rd Fax: (352) 273-7388 02 Yrs/130 Yrs 02 Yrs/130 Yrs Gainesville, FL 32610 16 Yrs/130 Yrs MTWTHFSatSun 12:00 AM ­

(352) 265-0535 M-F 8:00 AM - 5:00 PM 11:59 PM M-F 9:00 AM - 5:00 PM

Fax: (352) 265-0328 PCMH: No PCMH: No PCMH: No 00 Yrs/130 Yrs Deen, Justin MD Pulido Sierra, Luis MD PCMH: No Molinari, William MD Provider ID: 1324984 Chidgey, Larry MD Gender: Male Provider ID: 1328464 Provider ID: 1566921 Provider ID: 143623 UF Health Orthopedics and Gender: Male Gender: Male Sports Me Gender: Male UF Health Orthopedics and UF Health Orthopaedics Haile

UF Health Ortho and Sports 3450 Hull Rd Sports Me Plant Med Inst Gainesville, FL 32607 3450 Hull Rd 2846 SW 87th Way 3480 Hull Rd (352) 273-7001 Gainesville, FL 32607 Gainesville, FL 32608 Gainesville, FL 32607 Fax: (352) 273-7294 (352) 273-7001 (352) 273-7001 (352) 273-7001 00 Yrs/130 Yrs Fax: (352) 273-7293 Fax: (352) 273-7388 Fax: (352) 273-7388 Languages: Spanish 00 Yrs/130 Yrs 00 Yrs/130 Yrs 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No PCMH: No Dell, Paul MD Molinari, William MD Pulido Sierra, Luis MD Provider ID: 143542 Chidgey, Larry MD Gender: Male Provider ID: 143623 Provider ID: 1328464 Provider ID: 1566921 UF Orthocare After Hours Gender: Male Gender: Male Clinic Gender: Male UF Orthocare After Hours UF Health Shands Hospital UF Health Orthopedics and 3450 Hull Rd Sports Me Clinic 1600 SW Archer Rd Gainesville, FL 32607 3450 Hull Rd 3450 Hull Rd Gainesville, FL 32610 (352) 273-7001 Gainesville, FL 32607 Gainesville, FL 32607 (352) 265-0535 Fax: (352) 273-7388 (352) 273-7001 (352) 273-7001 Fax: (352) 265-0328 02 Yrs/130 Yrs Fax: (352) 273-7293 Fax: (352) 273-7293 00 Yrs/130 Yrs Shands At The University of 00 Yrs/130 Yrs 02 Yrs/130 Yrs Florida PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 71 Updated: 01/04/2019 Specialty Physicians Alachua

Orthopaedic Surgery - Stanton, Robert MD Wright, Thomas MD Chandran, Arun MD cont. Provider ID: 150536 Provider ID: 144788 Provider ID: 233146 Gender: Male Gender: Male Gender: Male Reams, Robert MD Florida Surgical Center UF Orthocare After Hours UF Health Pediatric Provider ID: 1732726 3480 Hull Rd Clinic Specialiteis Me Gender: Male Gainesville, FL 32611 3450 Hull Rd 2000 SW Archer Rd Fl 2 UF Health Orthopaedics - (352) 265-1234 Gainesville, FL 32607 Gainesville, FL 32608 Haile Plan Fax: (352) 733-8801 (352) 273-7001 (352) 265-8250 2846 SW 87th Way 00 Yrs/130 Yrs Fax: (352) 273-7293 Fax: (352) 627-4415 Gainesville, FL 32608 Sacred Heart Hospital 02 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 273-7001 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM Languages: Spanish, Hindi, Fax: (352) 273-7388 PCMH: No Sat 9:00 AM - 5:00 PM Swahili 00 Yrs/130 Yrs Sun 5:00 AM - 9:00 PM M 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Stanton, Robert MD PCMH: No PCMH: No PCMH: No Provider ID: 150536 Gender: Male Pediatric Allergy & Chang, Philip MD Reb, Christopher DO UF Orthopedics and Sports Immunology Provider ID: 1478594 Provider ID: 1289512 Medicine Gender: Male Gender: Male 3450 Hull Rd Thatayatikom, Sthorn MD UF Health Congenital Heart UF Health Orthopedics and Gainesville, FL 32607 Center Sports Me (352) 273-7001 Provider ID: 1330265 2000 SW Archer Rd Medical 3450 Hull Rd Fax: (352) 273-7293 Gender: Female Plaza Gainesville, FL 32607 00 Yrs/130 Yrs UF Health Pediatric Specialties Gainesville, FL 32608 (352) 273-7001 Sacred Heart Hospital Mag (352) 273-7770 Fax: (352) 627-4418 M-F 9:00 AM - 5:00 PM 4740 NW 39th Pl Ste B Fax: (352) 265-8254 00 Yrs/130 Yrs PCMH: No Newberry, FL 32669 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 265-8250 Languages: Spanish, Chinese, PCMH: No Vander Griend, Robert MD Fax: (352) 627-4415 Mandarin 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Reb, Christopher DO Provider ID: 144734 M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 1289512 Gender: Male PCMH: No Co-Vu, Jennifer MD Gender: Male UF Orthopedics and Sports UF Health Shands Hospital Medicine Pediatric Cardiology Provider ID: 677062 1600 SW Archer Rd 3450 Hull Rd Gender: Female Gainesville, FL 32610 Gainesville, FL 32607 Byrne, Barry MD Florida Clinical Practice Associati (352) 265-0535 (352) 273-7001 Provider ID: 143878 1600 SW Archer Rd Fax: (352) 265-0328 Fax: (352) 627-4418 Gender: Male Gainesville, FL 32610 00 Yrs/130 Yrs 02 Yrs/130 Yrs UF Health Pediatric (352) 265-0535 M 12:00 AM - 11:15 PM M-F 8:00 AM - 5:00 PM Specialiteis Me Fax: (352) 265-0328 TWTHFSatSun 12:00 AM ­ PCMH: No 2000 SW Archer Rd 11:59 PM Gainesville, FL 32608 00 Yrs/130 Yrs PCMH: No Vlasak, Richard MD (352) 273-7770 M 9:00 AM - 5:00 PM Provider ID: 566750 Fax: (352) 294-8115 PCMH: No Sadasivan, Kalia MD Gender: Male 00 Yrs/21 Yrs Provider ID: 392932 UF Orthocare After Hours M-F 8:00 AM - 5:00 PM Co-Vu, Jennifer MD Gender: Male Clinic PCMH: No Provider ID: 677062 UF Orthocare After Hours 3450 Hull Rd Gender: Female Clinic Gainesville, FL 32607 Chandran, Arun MD Florida Clinical Practice 3450 Hull Rd (352) 273-7001 Provider ID: 233146 Associati Gainesville, FL 32607 Fax: (352) 273-7293 Gender: Male 2000 SW Archer Rd At Shands (352) 273-7001 00 Yrs/130 Yrs 1600 SW Archer Rd Medical Plaza Fax: (352) 273-7293 M-F 9:00 AM - 5:00 PM Gainesville, FL 32610 Gainesville, FL 32608 02 Yrs/130 Yrs PCMH: No (352) 265-0111 (352) 273-7770 M-F 8:00 AM - 9:00 PM 00 Yrs/130 Yrs Fax: (352) 265-8254 Sat 9:00 AM - 5:00 PM Languages: Spanish, Hindi, 00 Yrs/130 Yrs Sun 5:00 AM - 9:00 PM Swahili M 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 72 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatric Cardiology - Ho, Jason MD Moguillansky, Diego MD Vyas, Himeshkumar MD cont. Provider ID: 692805 Gender: Male Provider ID: 637511 Provider ID: 817009 Fudge, James MD Faculty Group Practice Gender: Male Gender: Male Provider ID: 605610 1600 SW Archer Rd Cardiovascular Center At Florida Clinical Practice Gender: Male Gainesville, FL 32610 Shands UF Associati Faculty Group Practice (352) 265-1234 1600 SW Archer Rd Ste 1901 1600 SW Archer Rd 2000 SW Archer Rd Ste 4164 Fax: (352) 338-7167 Gainesville, FL 32610 Gainesville, FL 32610 Gainesville, FL 32610 00 Yrs/21 Yrs (352) 265-0535 (352) 265-0535 (352) 265-8250 Baptist Medical Center Fax: (352) 265-0344 Fax: (352) 265-0328 Fax: (352) 265-8254 Shands Jacksonville Med 00 Yrs/21 Yrs 00 Yrs/130 Yrs

00 Yrs/21 Yrs Center M-F 9:00 AM - 5:00 PM Shands At The University of

M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Florida

PCMH: No PCMH: No M 9:00 AM - 5:00 PM Moguillansky, Diego MD PCMH: No Gessner, Ira MD Ho, Jason MD Provider ID: 692805 Provider ID: 144059 Provider ID: 637511 Vyas, Himeshkumar MD Gender: Male Gender: Male Faculty Group Practice Gender: Male UF Health Neurosurgery Provider ID: 817009 2000 SW Archer Rd At Shands Faculty Group Practice Neuromedic 1600 SW Archer Rd Rm Gender: Male 1600 SW Archer Rd Rm Medical Plaza Gainesville, FL 32608 Hd-303 Florida Clinical Practice Hd-303 Gainesville, FL 32610 Associati Gainesville, FL 32610 (352) 273-7770 (352) 265-0535 2000 SW Archer Rd At Shands (352) 273-7770 Fax: (352) 265-0730 Medical Plz 00 Yrs/21 Yrs Fax: (352) 265-0328 Fax: (352) 392-8413 00 Yrs/21 Yrs Gainesville, FL 32608 00 Yrs/21 Yrs Baptist Medical Center M-F 9:00 AM - 5:00 PM (352) 273-7770 M-F 8:00 AM - 5:00 PM Shands Jacksonville Med Center PCMH: No Fax: (352) 265-8254 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Pietra, Biagio MD Shands At The University of Gessner, Ira MD Provider ID: 1009230 Florida Provider ID: 144059 Ho, Jason MD Gender: Male M 9:00 AM - 5:00 PM Gender: Male Provider ID: 692805 Congenital Heart Center PCMH: No

UF Health Pediatric Specialiteis Me Gender: Male 2000 SW Archer Rd At Shands Medical Plz Pediatric Dermatology 2000 SW Archer Rd Fl 2 Faculty Group Practice Gainesville, FL 32608 Gainesville, FL 32608 2000 SW Archer Rd. At Shands Medical Plaza (352) 273-7770 Schoch, Jennifer MD (352) 273-7770 Gainesville, FL 32608 Fax: (352) 265-8254 Fax: (352) 265-8254 (352) 273-7770 00 Yrs/130 Yrs Provider ID: 1149988 00 Yrs/21 Yrs Fax: (352) 265-8254 M-F 8:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No UF Health Dermatology and PCMH: No Baptist Medical Center Skin Canc Shands Jacksonville Med Shih, Renata MD 4037 NW 86th Ter Gupta, Dipankar MD Center Provider ID: 798549 Gainesville, FL 32606 Provider ID: 1247811 M-F 9:00 AM - 5:00 PM Gender: Female (352) 594-1500 Gender: Male PCMH: No Shands At UF Fax: (352) 627-4322 UF Health Congenital Heart 00 Yrs/130 Yrs Center 1600 SW Archer Rd Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Medical PCMH: No Plaza (352) 265-0535 Gainesville, FL 32608 Fax: (352) 265-0328 (352) 273-7770 00 Yrs/130 Yrs Fax: (352) 265-8254 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Languages: Hindi, Punjabi M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 73 Updated: 01/04/2019 Specialty Physicians Alachua Pediatric Dermatology - Pediatric Endocrinology Fudge, Elizabeth MD Jacobsen, Laura MD cont. Provider ID: 637646 Provider ID: 1733737 Bernier, Angelina MD Gender: Female Gender: Female Schoch, Jennifer MD Provider ID: 1139127 Shands At UF North UF Health Pediatric Specialties Gender: Female 1600 SW Archer Rd 1699 SW 16th Ave Gerold L Provider ID: 1149988 UF Health Pediatric Specialties Gainesville, FL 32610 Schiebler CMS Center Gender: Female 1699 SW 16th Ave (352) 265-5437 Gainesville, FL 32608

UF Health Dermatology Gainesville, FL 32608 Fax: (352) 334-4041 (352) 334-0206 Medical Plaza (352) 334-0206 00 Yrs/21 Yrs Fax: (352) 334-4041 2000 SW Archer Rd Fax: (352) 334-4041 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Gainesville, FL 32608 00 Yrs/21 Yrs PCMH: No M 8:00 AM - 5:00 PM (352) 594-1500 M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No Haller, Michael MD Miller, Jennifer MD M-F 8:00 AM - 5:00 PM Provider ID: 337423

PCMH: No Bernier, Angelina MD Gender: Male Provider ID: 279810 Provider ID: 1139127 Faculty Group Practice Gender: Female Pediatric Ear, Nose & Gender: Female 1600 SW Archer Rd Faculty Group Practice Throat UF Health Pediatrics Gainesville, FL 32610 1600 SW Archer Rd Specialties (352) 265-9900 Gainesville, FL 32610 Schrepfer, Thomas MD 2000 SW Archer Rd Fl 2 Fax: (352) 334-4041 (352) 265-9900 Gainesville, FL 32608 00 Yrs/21 Yrs Fax: (352) 334-4041 00 Yrs/21 Yrs Provider ID: 1731111 (352) 265-8250 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Gender: Male Fax: (352) 627-4415 PCMH: No PCMH: No UF Health ENT and Allergy 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Haller, Michael MD Hampton O Provider ID: 337423 Miller, Jennifer MD 200 SW 62nd Blvd Ste C PCMH: No Gender: Male Provider ID: 279810 Gainesville, FL 32607 UF Health Pediatric Gender: Female (352) 265-0920 Dayton, Kristin MD Provider ID: 1636946 Specialiteis Me UF Health Pediatric Fax: (352) 265-9466 2000 SW Archer Rd Fl 2 Specialiteis Me 00 Yrs/130 Yrs Gender: Female UF Health Pediatric Specialties Gainesville, FL 32608 2000 SW Archer Rd Fl 2 M-F 8:00 AM - 5:00 PM (352) 265-8250 Gainesville, FL 32608 PCMH: No 1699 SW 16th Ave Gerold L Schiebler CMS Center Fax: (352) 627-4415 (352) 265-8250 00 Yrs/21 Yrs Fax: (352) 627-4415 Schrepfer, Thomas MD Gainesville, FL 32608 (352) 627-9100 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Provider ID: 1735327 Fax: (352) 334-4041 PCMH: No Gender: Male 00 Yrs/21 Yrs Haller, Michael MD UF Health ENT and Allergy M 8:00 AM - 5:00 PM PCMH: No Provider ID: 337423 Miller, Jennifer MD Hampton O Gender: Male Provider ID: 279810 200 SW 62nd Blvd Ste C Dayton, Kristin MD UF Health Pediatric Specialties Gender: Female Gainesville, FL 32607 Ger UF Health Pediatric Specialties (352) 265-0920 Provider ID: 1636946 1699 SW 16th Ave Ger Fax: (352) 265-9466 Gender: Female Gainesville, FL 32608 1699 SW 16th Ave 00 Yrs/130 Yrs UF Medical Specialties At Medical P (352) 334-0206 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Fl 2 Fax: (352) 334-1325 (352) 334-0206 PCMH: No Gainesville, FL 32608 00 Yrs/21 Yrs Fax: (352) 334-4041 (352) 265-8250 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Fax: (352) 627-4415 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 74 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatric Endocrinology - Silverstein, Janet MD Chan, Albert MD Novak, Donald MD cont. Provider ID: 1647485 Provider ID: 144293 Provider ID: 144458 Gender: Male Gender: Male Rivkees, Scott MD Gender: Female UF Health Childrens Surgical 3480 Hull Rd Provider ID: 184560 UF Health Pediatric Specialties Center Gainesville, FL 32607 Gender: Male Ger 3480 Hull Rd (352) 733-0065 UF Health Pediatric 1699 SW 16th Ave Gainesville, FL 32607 00 Yrs/21 Yrs Specialiteis Me Gainesville, FL 32608 (352) 733-0065 PCMH: No 2000 SW Archer Rd (352) 334-0206 Fax: (352) 627-4173 Gainesville, FL 32608 Fax: (352) 334-1325 00 Yrs/130 Yrs Novak, Donald MD (352) 265-8250 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 144293 Fax: (352) 265-0730 M-F 9:00 AM - 5:00 PM PCMH: No Gender: Male 00 Yrs/130 Yrs PCMH: No UF Health Pediatric Specialiteis Me M 9:00 AM - 5:00 PM Chan, Albert MD 2000 SW Archer Rd Fl 2 PCMH: No Weinstein, David MD Provider ID: 1647485 Provider ID: 565106 Gender: Male Gainesville, FL 32608 Rivkees, Scott MD Gender: Male UF Health Pediatric Specialties (352) 265-8250 Provider ID: 184560 Faculty Group Practice 2000 SW Archer Rd Medical Fax: (352) 627-4415 Gender: Male 1600 SW Archer Rd Plaza 00 Yrs/21 Yrs UF Health Pediatric Specialties Gainesville, FL 32610 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM Ger (352) 265-0535 (352) 265-8250 PCMH: No 1699 SW 16th Ave Fax: (352) 265-0730 Fax: (352) 334-4041 Rivera-Nieves, Desiree MD Gainesville, FL 32608 00 Yrs/21 Yrs 00 Yrs/130 Yrs (352) 334-0206 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 334-4041 PCMH: No PCMH: No Provider ID: 1647517 00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM Pediatric Jolley, Christopher MD UF Health Childrens Surgical PCMH: No Gastroenterology Provider ID: 620809 Center Gender: Male 3480 Hull Rd Gainesville, FL 32607 Schatz, Desmond MD Ahmad, Osman MD 1600 SW Archer Rd Ste RG120 (352) 733-0065 Provider ID: 144428 Provider ID: 1626007 Gainesville, FL 32610 Fax: (352) 627-4173 Gender: Male Gender: Male (352) 273-9350 00 Yrs/130 Yrs UF Health Pediatric UF Health Children's Surgical 00 Yrs/21 Yrs Specialiteis Me Center PCMH: No M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd Fl 2 3480 Hull Rd PCMH: No Gainesville, FL 32608 Jolley, Christopher MD Gainesville, FL 32607 Rivera-Nieves, Desiree MD (352) 265-8250 (352) 733-0065 Provider ID: 620809 Fax: (352) 627-4415 Fax: (352) 627-4173 Gender: Male 00 Yrs/21 Yrs 00 Yrs/21 Yrs UF Health Pediatric Provider ID: 1647517 Specialiteis Me M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gender: Female 2000 SW Archer Rd Fl 2 PCMH: No PCMH: No UF Health Pediatric Specialties Gainesville, FL 32608 2000 SW Archer Rd Medical Silverstein, Janet MD Ahmad, Osman MD (352) 265-8250 Plaza Provider ID: 144458 Provider ID: 1626007 Fax: (352) 627-4415 Gainesville, FL 32608 Gender: Female Gender: Male 00 Yrs/21 Yrs (352) 265-8250 2000 SW Archer Rd Fl 2 UF Health Pediatric Specialties M-F 9:00 AM - 5:00 PM Fax: (352) 265-0730 Gainesville, FL 32608 2000 SW Archer Rd Medical PCMH: No 00 Yrs/130 Yrs (352) 265-8250 Plaza M-F 8:00 AM - 5:00 PM Novak, Donald MD PCMH: No Fax: (352) 627-4415 Gainesville, FL 32608 Provider ID: 144293 00 Yrs/21 Yrs (352) 733-0111 Gender: Male PCMH: No Fax: (352) 265-0730 1600 SW Archer Rd Ste RG120 00 Yrs/21 Yrs Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM (352) 265-7337 PCMH: No 00 Yrs/21 Yrs PCMH: No

www.wellcare.com/Florida | 75 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatric Hematology/ Gururangan, Sridharan MD Slayton, William MD Pediatric Nephrology Oncology Provider ID: 1174563 Provider ID: 229010 Gender: Male Gender: Male Gupta, Nirupama MD Castillo Caro, Paul MD UF Health Neurosurgery Bone Marrow Transplant At Provider ID: 1139162 Provider ID: 1149785 Neuromedic Shands UF Gender: Female Gender: Male 1505 SW Archer Rd 1600 SW Archer Rd 2000 SW Archer Rd Peds Specialties At Shands UF Gainesville, FL 32608 Gainesville, FL 32610 Gainesville, FL 32608 1600 SW Archer Rd (352) 392-9000 (352) 265-0535 (352) 265-8250 Gainesville, FL 32608 Fax: (352) 392-8413 Fax: (352) 733-1374 Fax: (352) 627-4415 (352) 737-7770 00 Yrs/21 Yrs 00 Yrs/21 Yrs 00 Yrs/21 Yrs 00 Yrs/130 Yrs Shands At The University of M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Languages: Spanish Florida PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Languages: Tamil PCMH: No M-F 8:00 AM - 5:00 PM Pediatric Infectious Patterson, Larry MD PCMH: No Disease Castillo Caro, Paul MD Provider ID: 1636981 Horn, Biljana MD Provider ID: 1149785 Lew, Judy MD Gender: Male Gender: Male Provider ID: 144184 UF Health Pediatric Specialties UF Health Childrens Surgical Provider ID: 1462218 Gender: Female Sha Center Gender: Not Available UF Health Pediatric 1600 SW Archer Rd Ste 100296 3480 Hull Rd UF Health Children's Surgical Specialiteis Me Gainesville, FL 32610 Gainesville, FL 32607 Center 2000 SW Archer Rd Fl 2 (330) 543-8950 (352) 733-0065 3480 Hull Rd Gainesville, FL 32608 00 Yrs/21 Yrs Fax: (352) 627-4173 Gainesville, FL 32607 (352) 265-8250 PCMH: No 00 Yrs/130 Yrs (352) 733-0065 Fax: (352) 627-4415 Languages: Spanish Fax: (352) 627-4173 00 Yrs/21 Yrs Patterson, Larry MD M-F 9:00 AM - 1:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 1636981 PCMH: No Gender: Male Fort, John MD Ryan-Poirier, Kathleen MD UF Medical Specialties At Provider ID: 692773 Horn, Biljana MD Provider ID: 144338 Medical P Gender: Male Gender: Female 2000 SW Archer Rd UF Health Childrens Surgical Provider ID: 1462218 UF Health Pediatric Gainesville, FL 32608 Center Gender: Not Available Specialiteis Me (352) 265-1234 3480 Hull Rd UF Health Pediatric Specialties 2000 SW Archer Rd Fax: (352) 265-8215 Gainesville, FL 32607 Sha Gainesville, FL 32608 00 Yrs/21 Yrs (352) 733-0065 1600 SW Archer Rd (352) 265-8250 M-F 8:00 AM - 5:00 PM Fax: (352) 627-4173 Gainesville, FL 32610 Fax: (352) 334-4041 PCMH: No 00 Yrs/130 Yrs (352) 265-5062 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Shoemaker, Lawrence MD PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Provider ID: 1009266 Fort, John MD Washam, Matthew MD Gender: Male Provider ID: 692773 Sayour, Elias MD UF Health Pediatric Gender: Male Provider ID: 923955 Provider ID: 1462439 Specialiteis Me UF Health Pediatric Specialties Gender: Male Gender: Not Available 2000 SW Archer Rd 1600 SW Archer Rd 4th Fl Shands At UF UF Medical Specialties At Gainesville, FL 32608 Gainesville, FL 32610 1600 SW Archer Rd Medical P (352) 265-8250 (352) 265-8250 Gainesville, FL 32610 2000 SW Archer Rd Fax: (352) 627-4415 Fax: (352) 265-0328 (352) 265-0535 Gainesville, FL 32608 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-0328 (352) 265-1234 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-8215 PCMH: No PCMH: No PCMH: No 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 76 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatric Pulmonology Prabhakaran, Sreekala MD Modica, Renee MD Pediatric Surgery Provider ID: 565250 Abu-Hasan, Mutasim MD Provider ID: 598203 Gender: Female Larson, Shawn MD Provider ID: 581796 Gender: Female Florida Clinical Practice Assoc Provider ID: 629144 Gender: Male UF Health Pediatric 1600 SW Archer Rd Gender: Male UF Health Pediatric Specialiteis Me Gainesville, FL 32610 UF Health Pediatric Specialiteis Me 2000 SW Archer Rd Rm 2534 (352) 265-9900 Specialiteis Me 2000 SW Archer Rd Fl 2 Gainesville, FL 32608 Fax: (352) 265-0328 2000 SW Archer Rd Gainesville, FL 32608 (352) 265-8195 00 Yrs/21 Yrs Gainesville, FL 32608 (352) 265-8250 Fax: (352) 627-4415 M-F 9:00 AM - 5:00 PM (352) 273-8800 Fax: (352) 627-4415 00 Yrs/18 Yrs PCMH: No Fax: (352) 265-0730 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Shiff, Natalie MD M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 1185539 PCMH: No Prabhakaran, Sreekala MD Gender: Female El Mallah, Mai MD Provider ID: 598203 Peds Specialties At Shands UF Mustafa, Moiz MD Provider ID: 719055 Gender: Female 1600 SW Archer Rd Provider ID: 1312074 Gender: Female UF Health Sleep Center Gainesville, FL 32608 Gender: Male Pediatrics Specialties At UF Health Burn Clinic Shands Me 4740 NW 39th Pl Ste C (352) 265-5062 1600 SW Archer Rd Rm 6164 1600 SW Archer Rd Gainesville, FL 32606 00 Yrs/21 Yrs Gainesville, FL 32610 Gainesville, FL 32610 (352) 265-5240 M-F 8:00 AM - 5:00 PM (352) 265-8932 (352) 265-0535 Fax: (352) 273-5575 PCMH: No Fax: (352) 265-0125 Fax: (352) 265-0730 00 Yrs/18 Yrs Shiff, Natalie MD 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1185539 Languages: Arabic M-F 9:00 AM - 5:00 PM PCMH: No Gender: Female M-F 8:00 AM - 5:00 PM PCMH: No Wagner, Mary MD UF Health Pediatric Specialties PCMH: No Ezmigna, Dima MD Provider ID: 144639 2000 SW Archer Rd Medical Plaza Mustafa, Moiz MD Provider ID: 1125524 Gender: Female Gainesville, FL 32608 Provider ID: 1312074 Gender: Female UF Health Pediatric Specialiteis Me (352) 265-9900 Gender: Male UF Health Pediatric Specialties 2000 SW Archer Rd Fl 2 Fax: (352) 265-0730 UF Health Children's Surgical 2000 SW Archer Rd Medical Center Plaza Gainesville, FL 32608 00 Yrs/21 Yrs 3480 Hull Rd Gainesville, FL 32608 (352) 265-8250 M-F 8:00 AM - 5:00 PM Gainesville, FL 32607 (352) 273-7770 Fax: (352) 627-4415 PCMH: No (352) 733-0065 Fax: (352) 265-0730 00 Yrs/21 Yrs Sukumaran, Sukesh MD Fax: (352) 627-4173 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 620370 00 Yrs/130 Yrs Languages: Arabic PCMH: No Gender: Male Languages: Arabic M-F 8:00 AM - 5:00 PM Pediatric Rheumatology Faculty Group Practice M-F 6:00 AM - 5:00 PM PCMH: No 1600 SW Archer Rd PCMH: No Elder, Melissa MD Gainesville, FL 32610 Light, Michael MD Provider ID: 284441 (352) 265-0535 Mustafa, Moiz MD Provider ID: 1139200 Gender: Female 00 Yrs/21 Yrs Provider ID: 1312074 Gender: Male Faculty Group Practice M-F 9:00 AM - 5:00 PM Gender: Male UF Health Pediatric Specialties 1600 SW Archer Rd PCMH: No UF Health Pediatric Surgery 2000 SW Archer Rd Fl 2 Gainesville, FL 32610 2000 SW Archer Rd Gainesville, FL 32608 (352) 265-0535 Thatayatikom, Akaluck MD Gainesville, FL 32608 (352) 265-8250 Fax: (352) 265-0328 Provider ID: 1139338 (352) 273-8800 Fax: (352) 627-4415 00 Yrs/21 Yrs Gender: Male Fax: (352) 273-8772 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM UF Health Shands Hospital 00 Yrs/130 Yrs Languages: Spanish, French PCMH: No 1600 SW Archer Rd Languages: Arabic M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM PCMH: No (352) 265-9900 PCMH: No Fax: (352) 265-0328 00 Yrs/21 Yrs Languages: Thai PCMH: No

www.wellcare.com/Florida | 77 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatrics Beebe, Stephen MD Dayton, Kristin MD Fitzgerald, Melissa MD Provider ID: 907536 Provider ID: 1539428 Ahmad, Osman MD Gender: Male Provider ID: 1636946 Gender: Female Provider ID: 1626007 UF Health Pediatrics After Gender: Female UF Health Pediatric Specialties Gender: Male Hours UF Medical Specialties At 2000 SW Archer Rd Medical UF Health Children's Surgical 1600 SW Archer Rd Medical P Plaza Center Gainesville, FL 32610 2000 SW Archer Rd Fl 2 Gainesville, FL 32608 3480 Hull Rd (352) 265-0724 Gainesville, FL 32608 (352) 265-8250 Gainesville, FL 32607 Fax: (352) 265-0730 (352) 265-8250 Fax: (352) 265-0730 (352) 733-0065 00 Yrs/130 Yrs Fax: (352) 627-4415 00 Yrs/21 Yrs Fax: (352) 627-4173 M-F 5:00 AM - 10:00 PM 00 Yrs/21 Yrs MTWTHFSat 8:00 AM - 5:00 00 Yrs/21 Yrs Sat-Sun 8:00 AM - 9:00 PM M-F 8:00 AM - 5:00 PM PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No PCMH: No Castillo Caro, Paul MD Dumont-Driscoll, Marilyn MD Gupta, Dipankar MD Ahmad, Osman MD Provider ID: 1247811 Provider ID: 1626007 Provider ID: 1149785 Provider ID: 143338 Gender: Male Gender: Male Gender: Male Gender: Female UF Health Congenital Heart Center UF Health Pediatric Specialties Peds Specialties At Shands UF UF Health Pediatric Specialties 2000 SW Archer Rd Medical 1600 SW Archer Rd Ger 2000 SW Archer Rd Medical Plaza Plaza Gainesville, FL 32608 1699 SW 16th Ave Gainesville, FL 32608 Gainesville, FL 32608 (352) 737-7770 Gainesville, FL 32608 (352) 273-7770 (352) 733-0111 00 Yrs/130 Yrs (352) 334-0206 Fax: (352) 265-8254 Fax: (352) 265-0730 Languages: Spanish Fax: (352) 334-4041 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs Languages: Hindi, Punjabi M-F 8:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Castillo Caro, Paul MD PCMH: No Ahmed, Nasir MD Emerick Jr, Ronald DO Gururangan, Sridharan MD Provider ID: 1103956 Provider ID: 1149785 Provider ID: 1309358 Provider ID: 1174563 Gender: Male Gender: Male Gender: Male Gender: Male High Springs Pediatrics UF Health Childrens Surgical Little Pine Pediatrics PLLC UF Health Neurosurgery 19228 NW US Hwy 441 Center 15551 NW Hwy 441 Ste 40 Neuromedic High Springs, FL 32643 3480 Hull Rd Alachua, FL 32615 1505 SW Archer Rd (386) 454-1156 Gainesville, FL 32607 (386) 518-0102 Gainesville, FL 32608 Fax: (386) 454-1158 (352) 733-0065 Fax: (386) 518-0116 (352) 392-9000 00 Yrs/130 Yrs Fax: (352) 627-4173 00 Yrs/21 Yrs Fax: (352) 392-8413 MTHF 9:00 AM - 6:00 PM 00 Yrs/130 Yrs North Florida Regional 00 Yrs/21 Yrs TW 9:00 AM - 1:00 PM Languages: Spanish M-F 8:00 AM - 5:00 PM Shands At The University of PCMH: No M-F 9:00 AM - 1:00 PM Sat 9:00 AM - 12:00 PM Florida PCMH: No PCMH: No Languages: Tamil Banks, Judith MD Provider ID: 708497 M-F 8:00 AM - 5:00 PM Dayton, Kristin MD Fitzgerald, Melissa MD PCMH: No Gender: Female Provider ID: 1410576 UF Health Pediatrics After Provider ID: 1636946 Gender: Female Horn, Biljana MD Hours Gender: Female UF Health Pediatrics Tioga 1600 SW Archer Rd 1600 SW Provider ID: 1462218 Archer Rd UF Health Pediatric Specialties 133 SW 130th Way Ste C Gender: Not Available Gainesville, FL 32610 1699 SW 16th Ave Gerold L Newberry, FL 32669 UF Health Children's Surgical Schiebler CMS Center (352) 265-0724 (352) 733-7337 Center Gainesville, FL 32608 Fax: (352) 265-0730 Fax: (352) 627-4567 3480 Hull Rd (352) 627-9100 00 Yrs/130 Yrs 00 Yrs/21 Yrs Gainesville, FL 32607 Fax: (352) 334-4041 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 733-0065 00 Yrs/21 Yrs PCMH: No PCMH: No Fax: (352) 627-4173 M 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 78 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatrics - cont. Nackashi, John MD Rosenthal, Cameron MD Shychuk, Elahe MD Provider ID: 144259 Horn, Biljana MD Gender: Male Provider ID: 783471 Provider ID: 1456180 Provider ID: 1462218 2000 SW Archer Rd Gender: Female Gender: Female Gender: Not Available Gainesville, FL 32608 UF Health Pediatric Specialties UF Health Pediatric Specialties UF Health Pediatric Specialties Fax: (352) 334-4041 Ger Gerold L Schiebler CMS Sha 00 Yrs/21 Yrs 1699 SW 16th Ave Center 1699 SW 16th Ave. 1600 SW Archer Rd M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32610 PCMH: No (352) 334-0206 (352) 334-0206 (352) 265-5062 Fax: (352) 334-1521 Fax: (352) 334-4041 00 Yrs/130 Yrs Nguyen, Kim MD 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 799370 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Gender: Female PCMH: No PCMH: No UF Shands Eastside Levette, Dunbar MD Community Practi Seguias, Luis MD Shychuk, Elahe MD Provider ID: 1315017 410 NE Waldo Rd Provider ID: 1330262 Gender: Female Gainesville, FL 32641 Gender: Male Provider ID: 1456180 Little Pine Pediatrics PLLC (352) 265-7015 UF Health Pediatric Specialties Gender: Female 15551 NW Hwy 441 Ste 40 Fax: (352) 265-7021 1699 SW 16th Ave UF Health Pediatrics ­ Alachua, FL 32615 00 Yrs/21 Yrs Gainesville, FL 32608 Magnolia Par (386) 518-0102 M-F 9:00 AM - 5:00 PM (352) 334-0206 4740 NW 39th Pl Ste B Fax: (386) 518-0116 PCMH: Yes, Level 2 Fax: (352) 334-4041 Gainesville, FL 32606 00 Yrs/21 Yrs 00 Yrs/21 Yrs (352) 594-7337 North Florida Regional Pietra, Biagio MD M-F 8:00 AM - 6:00 PM Fax: (352) 265-5343 M-F 8:00 AM - 5:00 PM Provider ID: 1009230 PCMH: No 00 Yrs/130 Yrs PCMH: No Gender: Male M-F 8:00 AM - 5:00 PM Congenital Heart Center Shiff, Natalie MD PCMH: No Lossius, Michele MD 2000 SW Archer Rd At Shands Provider ID: 1185539 Provider ID: 366426 Medical Plz Gender: Female Shychuk, Elahe MD Gender: Female Gainesville, FL 32608 UF Health Pediatric Specialties

Faculty Group Practice (352) 273-7770 2000 SW Archer Rd Medical Provider ID: 1456180

1600 SW Archer Rd Fax: (352) 265-8254 Plaza Gender: Female

Gainesville, FL 32610 00 Yrs/130 Yrs Gainesville, FL 32608 UF Health Pediatrics - Tioga

(352) 265-9900 M-F 8:00 AM - 5:00 PM (352) 265-9900 133 SW 130th Way Ste C

Fax: (352) 265-0328 PCMH: No Fax: (352) 265-0730 Newberry, FL 32669 00 Yrs/18 Yrs 00 Yrs/21 Yrs Pietra, Biagio MD (352) 733-7337 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 627-4567 Provider ID: 1009230 PCMH: No PCMH: No 00 Yrs/130 Yrs Gender: Male M-F 8:00 AM - 5:00 PM Shands At UF Mott-Young, Adrienne MD Shoemaker, Lawrence MD PCMH: No Provider ID: 1456905 1600 SW Archer Rd Gender: Not Available Gainesville, FL 32610 Provider ID: 1009266 Shychuk, Elahe MD UF Health Pediatric Specialties (352) 265-0535 Gender: Male Fax: (352) 265-0328 Gerold L Schiebler CMS UF Health Pediatric Provider ID: 1456180 Center 1699 SW 16th Ave 00 Yrs/130 Yrs Specialiteis Me Gender: Female Gainesville, FL 32608 M-W 12:00 AM - 11:59 PM 2000 SW Archer Rd UF Health Pediatrics Tower (352) 334-0206 PCMH: No Gainesville, FL 32608 Square

Fax: (352) 334-4041 (352) 265-8250 7046 SW Archer Rd

00 Yrs/21 Yrs Fax: (352) 627-4415 Gainesville, FL 32608

M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (352) 733-1770

PCMH: No M-F 8:00 AM - 5:00 PM Fax: (352) 372-5164 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 79 Updated: 01/04/2019 Specialty Physicians Alachua

Pediatrics - cont. Upadhyay, Kiran MD Periodontics McGargill, Shawn MD Provider ID: 799925 Provider ID: 1346023 Sladky, John MD Gender: Male White, Cecil DMD Gender: Male Provider ID: 308307 Shands At UF Provider ID: 1346029 UF Health Orthopedics and Gender: Male 1600 SW Archer Rd Rm HD214 Gender: Male Sports Me UF Health Pediatric Specialties Gainesville, FL 32610 Faculty Associates 3450 Hull Rd Fl 2 2000 SW Archer Rd (352) 265-0535 1600 SW Archer Rd Gainesville, FL 32607 Gainesville, FL 32608 Fax: (352) 265-0328 Gainesville, FL 32610 (352) 273-7001 (352) 294-5757 00 Yrs/130 Yrs (352) 273-6820 Fax: (352) 627-4418 Fax: (352) 294-8115 M-F 9:00 AM - 5:00 PM Fax: (352) 392-5606 00 Yrs/130 Yrs 00 Yrs/18 Yrs PCMH: No 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Upadhyay, Kiran MD PCMH: No Provider ID: 799925 Montes Chinea, Nataly MD Thompson, Lindsay MD Gender: Male Physical Medicine & UF Health Pediatric Rehabilitation Provider ID: 1482104 Provider ID: 333247 Specialiteis Me Gender: Female Gender: Female 2000 SW Archer Rd Ansoanuur, Frieda MD UF Health Shands Hospital Faculty Group Practice Gainesville, FL 32608 Provider ID: 1227943 1600 W Archer Rd 1600 SW Archer Rd (352) 265-8250 Gender: Female Gainesville, FL 32610 Gainesville, FL 32610 Fax: (352) 627-4415 Select Specialty Hospital- (352) 265-0535 (352) 265-5437 00 Yrs/130 Yrs Gainesvil Fax: (352) 265-0328 Fax: (352) 334-4041 M-F 9:00 AM - 5:00 PM 1600 SW Archer Rd 5th Fl 02 Yrs/130 Yrs 00 Yrs/18 Yrs PCMH: No Gainesville, FL 32610 M 8:00 AM - 5:00 PM Shands At The University of (352) 265-0055 PCMH: No Williams, Charles MD Florida Fax: (352) 265-4766 Provider ID: 144747 M-F 9:00 AM - 5:00 PM 02 Yrs/130 Yrs Vincent, Kevin MD Gender: Male PCMH: No Languages: French Provider ID: 423528 Shands Gender: Male PCMH: No Thompson, Lindsay MD 1600 SW Archer Rd Ste RG232 Select Specialty Hospital- Gainesville, FL 32610 Ansoanuur, Frieda MD Gainesvil

Provider ID: 333247 (352) 392-4104 Provider ID: 1227943 1600 SW Archer Rd 5th Fl

Gender: Female Fax: (352) 392-3051 Gender: Female Gainesville, FL 32610

UF Health Pediatric Specialties 00 Yrs/18 Yrs UF Health Shands Psychiatric (352) 265-0055 Ger M-F 8:00 AM - 5:00 PM Hospit Fax: (352) 265-4766 1699 SW 16th Ave PCMH: No 4101 NW 89th Blvd 02 Yrs/130 Yrs Gainesville, FL 32608 Gainesville, FL 32606 PCMH: No Williams, Charles MD (352) 334-0206 (352) 265-5424

Fax: (352) 334-4041 Provider ID: 144747 Fax: (352) 265-5425 Vincent, Kevin MD

00 Yrs/18 Yrs Gender: Male 02 Yrs/130 Yrs Provider ID: 423528 Shands At The University of UF Health Pediatric Gender: Male Languages: French Florida Specialiteis Me UF Orthopedics and Sports MTWTHFSatSun 12:00 AM ­ M-F 9:00 AM - 5:00 PM 2000 SW Archer Rd Fl 2 11:59 PM Medicine

PCMH: No Gainesville, FL 32608 PCMH: No 3450 Hull Rd (352) 265-8250 Gainesville, FL 32607 Tung, Puneet DO Fax: (352) 627-4415 McGargill, Shawn MD (352) 273-7001 Provider ID: 1309322 00 Yrs/18 Yrs Provider ID: 1346023 Fax: (352) 273-7388 Gender: Male M-F 9:00 AM - 5:00 PM Gender: Male 02 Yrs/130 Yrs UF Health Internal Medicine PCMH: No UF Health Orthopaedics M-F 8:00 AM - 5:00 PM Medical Neuromedicin PCMH: No 2000 SW Archer Rd 4th Fl 1600 SW Archer Rd Ste 12 Gainesville, FL 32608 Gainesville, FL 32610 (352) 265-0140 (352) 265-7388 Fax: (352) 265-7092 Fax: (352) 273-7388 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 80 Updated: 01/04/2019 Specialty Physicians Alachua

Physical Medicine & Coady-Fariborzian, Loretta Katz, Adam MD Lentz, Ashley MD Rehabilitation - cont. MD Provider ID: 681017 Provider ID: 574559 Provider ID: 440276 Gender: Male Gender: Female Zaremski, Jason MD Gender: Female Surgery At Shands UF UF Health Plastic Surgery and Provider ID: 681130 UF Health Plastic Surgery and 1600 SW Archer Rd Aesth Gender: Male Aesth Gainesville, FL 32610 4037 NW 86th Ter 3rd Fl UF Orthocare Daytime 4037 NW 86th Ter 3rd Fl (352) 265-0535 Gainesville, FL 32606 3450 Hull Rd Gainesville, FL 32606 Fax: (352) 627-4173 (352) 265-8402 Gainesville, FL 32607 (352) 265-8402 00 Yrs/130 Yrs Fax: (352) 594-1793 (352) 273-7001 Fax: (352) 332-2180 Shands At The University of 00 Yrs/130 Yrs Fax: (352) 273-7294 00 Yrs/130 Yrs Florida M-F 9:00 AM - 5:00 PM 02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Leyngold, Mark MD Cuellar, Trajan MD Katz, Adam MD Provider ID: 799686 Plastic & Reconstructive Provider ID: 1724684 Provider ID: 681017 Gender: Male Surgery Gender: Male Gender: Male Florida Clinical Practice UF Health Plastic Surgery and UF Health Plastic Surgery and Associati Chim, Harvey MD Aesth Aesth 1600 SW Archer Rd

Provider ID: 1366825 4037 NW 86th Terr 3rd Fl 4037 NW 86th Ter 3rd Fl Gainesville, FL 32610

Gender: Male Gainesville, FL 32606 Gainesville, FL 32606 (352) 265-0055

UF Health Plastic Surgery and (352) 265-8402 (352) 271-5367 Fax: (352) 627-4173 Aesth Fax: (352) 594-1793 Fax: (352) 332-2180 00 Yrs/130 Yrs 4037 NW 86th Ter 3rd Fl 00 Yrs/130 Yrs 00 Yrs/130 Yrs Shands At The University of Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM Shands At The University of Florida (352) 265-8402 PCMH: No Florida M 9:00 AM - 5:00 PM Fax: (352) 594-1793 M-F 9:00 AM - 5:00 PM PCMH: No Katz, Adam MD 00 Yrs/130 Yrs PCMH: No Leyngold, Mark MD Languages: Chinese, Mandarin Provider ID: 681017 Lentz, Ashley MD M-F 8:00 AM - 5:00 PM Gender: Male Provider ID: 799686 Provider ID: 574559 PCMH: No Florida Center For Plastic Gender: Male Surgery Gender: Female UF Health Plastic Surgery and Coady-Fariborzian, Loretta 4340 W Newberry Rd Faculty Group Practice Aesth MD Gainesville, FL 32607 1600 SW Archer Rd 4037 NW 86th Ter Fl 3

Provider ID: 440276 (352) 271-5367 Gainesville, FL 32610 Gainesville, FL 32606

Gender: Female Fax: (352) 271-5385 (352) 265-0535 (352) 265-8402

Faculty Group Practice 00 Yrs/130 Yrs Fax: (352) 265-8236 Fax: (352) 627-4173

2000 SW Archer Rd Shands At The University of 00 Yrs/130 Yrs 00 Yrs/130 Yrs

Gainesville, FL 32608 Florida M-F 9:00 AM - 5:00 PM Shands At The University of

(352) 265-1234 M-F 8:00 AM - 5:00 PM PCMH: No Florida

Fax: (352) 265-8235 PCMH: No M 9:00 AM - 5:00 PM Lentz, Ashley MD 00 Yrs/130 Yrs PCMH: No Katz, Adam MD Provider ID: 574559 M-F 9:00 AM - 5:00 PM Provider ID: 681017 Gender: Female Mast, Bruce MD PCMH: No Gender: Male Florida Surgical Center Provider ID: 566917 Coady-Fariborzian, Loretta Florida Surgical Center 3480 Hull Rd Gender: Male MD 3480 Hull Rd Gainesville, FL 32607 Florida Surgical Center Provider ID: 440276 Gainesville, FL 32607 (352) 265-1234 3480 Hull Rd Gender: Female (352) 265-1234 Fax: (352) 733-8801 Gainesville, FL 32607 Florida Surgical Center Fax: (352) 733-8801 00 Yrs/130 Yrs (352) 265-1234 3480 Hull Rd 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 733-8801 Gainesville, FL 32607 Shands At The University of PCMH: No 00 Yrs/130 Yrs

(352) 265-1234 Florida M-F 9:00 AM - 5:00 PM

Fax: (352) 733-8801 M-F 9:00 AM - 5:00 PM PCMH: No

00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 81 Updated: 01/04/2019 Specialty Physicians Alachua

Plastic & Reconstructive Whyatt, Timothy DPM Brantly, Mark MD Greenberg, Robert MD Surgery - cont. Provider ID: 1036119 Provider ID: 143663 Gender: Male Gender: Male Provider ID: 1122714 Mast, Bruce MD North Florida Foot and Ankle 1600 SW Archer Rd Ste 1901 Gender: Male Provider ID: 566917 Associ Gainesville, FL 32610 Robert Grenndberg MD PA Gender: Male 6717 NW 11th Pl Ste D (352) 265-9900 6628 NW 9th Blvd Ste 4 Surgery At Shands UF Gainesville, FL 32605 Fax: (352) 265-0344 Gainesville, FL 32605 1600 SW Archer Rd (352) 331-7543 00 Yrs/130 Yrs (352) 331-1155 Gainesville, FL 32610 Fax: (352) 331-7756 M-F 8:00 AM - 5:00 PM Fax: (352) 331-3371 (352) 265-8402 00 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs Fax: (352) 265-8236 North Florida Regional M-F 8:30 AM - 4:00 PM Brantly, Mark MD 00 Yrs/130 Yrs Ocala Regional Medical Provider ID: 143663 PCMH: No M-F 9:00 AM - 5:00 PM Center Gender: Male PCMH: No M-F 9:00 AM - 5:00 PM Jantz, Michael MD PCMH: No 2000 SW Archer Rd Ste 4144 Provider ID: 566491 Mast, Bruce MD Gainesville, FL 32608 Gender: Male

Provider ID: 566917 Prosthodontics (352) 265-8195 Cardiovascular Center At

Gender: Male Fax: (352) 265-5328 Shands UF

UF Health Plastic Surgery and Dasilva, Margarete DDS 00 Yrs/130 Yrs 1600 SW Archer Rd Ste 1901 Aesth M-F 9:00 AM - 5:00 PM Gainesville, FL 32610 4037 NW 86th Ter 3rd Fl Provider ID: 1009486 PCMH: No (352) 265-0820 Gainesville, FL 32606 Gender: Female Fax: (352) 265-0344 Brantly, Mark MD (352) 265-8402 Dental Clinic 00 Yrs/130 Yrs Provider ID: 143663 Fax: (352) 627-4173 1600 SW Archer Rd Shands At M-F 9:00 AM - 5:00 PM Gender: Male 00 Yrs/130 Yrs UF PCMH: No M-F 9:00 AM - 5:00 PM Gainesville, FL 32610 UF Health Medical Specialties Med PCMH: No (352) 273-6820 Jantz, Michael MD Fax: (352) 392-5606 2000 SW Archer Rd Fl 3 Provider ID: 566491 Podiatry 00 Yrs/130 Yrs Gainesville, FL 32608 Gender: Male Languages: Portuguese 00 Yrs/130 Yrs Select Specialty Hospital Neville, Leaha DPM M-F 9:00 AM - 5:00 PM M-F 80:0 AM - 5:00 PM 2000 SW Archer Rd Ste C Provider ID: 1428506 PCMH: No PCMH: No Gainesville, FL 32608 Gender: Female (352) 273-9400 Pulmonary Disease Gomez Manjarres, Diana MD UF Health Orthopedics and Provider ID: 1574355 Fax: (352) 627-4179 Sports Me 00 Yrs/130 Yrs Ataya, Ali MD Gender: Female 3450 Hull Rd M-F 9:00 AM - 5:00 PM Provider ID: 1238145 UF Health Shands Hospital Gainesville, FL 32611 PCMH: No Gender: Male 1600 SW Archer Rd (352) 273-7001 Gainesville, FL 32610 Fax: (352) 273-7293 UF Health Medical Specialties Khokar, Abid MD Med (352) 265-0535 00 Yrs/130 Yrs Fax: (352) 265-0328 Provider ID: 1522961 M-F 8:00 AM - 5:00 PM 2000 SW Archer Rd 3rd Fl Gender: Male Gainesville, FL 32608 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM North Florida Surgical (352) 273-8740 Associates L PCMH: No Scola, Jere DPM Fax: (352) 265-7091 1121 NW 64th Ter Ste A Provider ID: 271868 00 Yrs/130 Yrs Gomez Manjarres, Diana MD Gainesville, FL 32605 Gender: Male Shands At The University of Provider ID: 1574355 (352) 331-5026 Florida Scola Podiatry Gender: Female Fax: (352) 332-0318 Languages: Arabic 4615 NW 53rd Ave UF Medical Specialties At 00 Yrs/130 Yrs Gainesville, FL 32653 M-F 8:00 AM - 5:00 PM Medical P M-F 9:00 AM - 5:00 PM (352) 264-0094 PCMH: No 2000 SW Archer Rd PCMH: No Fax: (352) 377-4816 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 265-1234 Shands At The University of Fax: (352) 265-8215 Florida 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 82 Updated: 01/04/2019 Specialty Physicians Alachua

Pulmonary Disease - cont. Mehta, Hiren MD Sriram, Peruvemba MD Amdur, Robert MD Provider ID: 678815 Provider ID: 566549 Provider ID: 143641 Khokar, Abid MD Gender: Male Gender: Male Gender: Male Provider ID: 1522961 UF Health Medical Specialties UF Health Medical Specialties Radiation Oncology At Gender: Male 2000 SW Archer Rd Fl 3 2000 SW Archer Rd Fl 3 Shands Med Pl North Florida Surgical Gainesville, FL 32608 Gainesville, FL 32608 2000 SW Archer Rd Fl 1 Associates L (352) 273-8740 (352) 273-8740 Gainesville, FL 32608 1121 NW 64th Ter Ste B Fax: (352) 627-4179 Fax: (352) 627-4179 (352) 265-0316 Gainesville, FL 32605 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-0546 (352) 331-3583 M-F 8:00 AM - 5:00 PM Languages: Hindi, Gujarati, 00 Yrs/130 Yrs Fax: (352) 331-3669 PCMH: No Tamil, Malayalam Shands At The University of 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Florida M-TH 8:00 AM - 5:00 PM Pelaez, Andres MD PCMH: No M-F 9:00 AM - 5:00 PM F 9:00 AM - 5:00 PM Provider ID: 1328551 PCMH: No PCMH: No Gender: Male Tunsupon, Pichapong MD UF Health Lung Transplant Dagan, Roi MD Lauzardo, Michael MD Clinic Provider ID: 1456185 Provider ID: 678809 Provider ID: 147646 1505 SW Archer Rd Gender: Male Gender: Male Gender: Male Gainesville, FL 32608 UF Medical Specialties At Radiation Oncology At Faculty Group Practice (352) 265-8940 Medical P Shands Med Pl 2000 SW Archer Rd Fl 3 Fax: (352) 265-8970 2000 SW Archer Rd 2000 SW Archer Rd Gainesville, FL 32608 00 Yrs/130 Yrs Gainesville, FL 32608 Gainesville, FL 32608 (352) 265-0139 Languages: Spanish (352) 265-1234 (352) 265-0287 Fax: (352) 627-4179 M-F 8:00 AM - 5:00 PM Fax: (352) 265-8215 Fax: (352) 265-0546 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Reddy, Raju MD PCMH: No PCMH: No Provider ID: 1478465 Lin, Christine MD Gender: Male Tunsupon, Pichapong MD Indelicato, Daniel MD Provider ID: 1541139 UF Medical Specialties At Provider ID: 566478 Gender: Female Medical P Provider ID: 1462432 Gender: Male UF Health Shands Hospital 2000 SW Archer Rd Gender: Not Available Radiation Oncology At 1600 SW Archer Rd Gainesville, FL 32608 UF Medical Specialties At Shands Med Pl Gainesville, FL 32610 (352) 265-1234 Medical P 2000 SW Archer Rd (352) 265-0535 Fax: (325) 226-5821 2000 SW Archer Rd Gainesville, FL 32608 Fax: (352) 265-0328 00 Yrs/130 Yrs Gainesville, FL 32608 (352) 265-9900 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 265-1234 Fax: (352) 265-0546 MTWTHFSatSun 12:00 AM ­ PCMH: No Fax: (352) 265-8215 00 Yrs/130 Yrs 11:59 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Shahmohammadi, Abbas MD M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Mehrad, Borna MD Provider ID: 1428394 Lockney, Natalie MD Provider ID: 1477394 Gender: Male Radiation Oncology Gender: Male Florida Surgical Center Provider ID: 1647499 UF Health Medical Specialties 2000 SW Archer Rd Amdur, Robert MD Gender: Female 2000 SW Archer Rd Fl 3 Gainesville, FL 32608 Provider ID: 143641 UF Health Radiation Oncology Gainesville, FL 32608 (352) 265-8940 Gender: Male 2000 SW Archer Rd Fl 2 (352) 265-0139 Fax: (352) 265-8970 North Florida Radiation Gainesville, FL 32608 Fax: (352) 265-7091 18 Yrs/130 Yrs Oncology (352) 265-0725 00 Yrs/130 Yrs Languages: Faroese 1600 SW Archer Rd Fax: (352) 627-4150 Languages: Faroese M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No (352) 265-9900 M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No Shands At The University of Florida M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 83 Updated: 01/04/2019 Specialty Physicians Alachua

Radiation Oncology - Yeung, Anamaria MD Rheumatology Hahn, Paulette MD cont. Provider ID: 566912 Gender: Female Bubb, Michael MD Provider ID: 143867 Mendenhall, Nancy MD UF Health Radiation Oncology Provider ID: 566518 Gender: Female 2000 SW Archer Rd Fl 1 Gender: Male Cardiovascular Center At Provider ID: 144143 Gainesville, FL 32608 Cardiovascular Center At Shands UF Gender: Female (352) 265-0316 Shands UF 1600 SW Archer Rd Ste 1901 Radiation Oncology At Fax: (352) 265-0546 1600 SW Archer Rd Ste 1901 Gainesville, FL 32610 Shands Med Pl 00 Yrs/130 Yrs Gainesville, FL 32610 (352) 265-9900 2000 SW Archer Rd Fl 1 M-F 8:00 AM - 5:00 PM (352) 265-9900 Fax: (352) 265-0344 Gainesville, FL 32608 PCMH: No Fax: (352) 265-0344 00 Yrs/130 Yrs (352) 265-0316 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 265-0546 Radiology - Interventional M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs & Vascular PCMH: No M-F 9:00 AM - 5:00 PM Hahn, Paulette MD PCMH: No Mann, Wesley MD Bubb, Michael MD Provider ID: 143867 Provider ID: 1600124 Provider ID: 566518 Gender: Female Okunieff, Paul MD Gender: Male Gender: Male UF Health Medical Specialties Provider ID: 566940 Doctors Imaging Group Ufhealth Medical Specialties Med P Gender: Male 6716 NW 11th Pl Ste 200 Med 2000 SW Archer Rd Fl 3 1600 SW Archer Rd Gainesville, FL 32605 2000 SW Archer Rd Fl 2 Gainesville, FL 32608 Gainesville, FL 32610 (352) 331-9729 Gainesville, FL 32608 (352) 273-7770 (352) 265-0111 Fax: (352) 331-0136 (352) 265-0139 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Okunieff, Paul MD Massini, John MD Provider ID: 566940 Reproductive Edwards, Newton MD Provider ID: 999718 Gender: Male Endocrinology Provider ID: 143738 Gender: Male Radiation Oncology At Gender: Male Internal Medicine and Medical Shands Med Pl Christman, Gregory MD UF Health Medical Specialties Speci

2000 SW Archer Rd Provider ID: 766708 Medic 2000 SW Archer Rd Fl 3

Gainesville, FL 32608 Gender: Male 2000 SW Archer Rd Fl 3 Shands Medical Plaza

(352) 265-0287 UF Health Reproductive Gainesville, FL 32608 Gainesville, FL 32608 Fax: (352) 265-7057 Medicine S (352) 265-0139 (352) 265-0139 00 Yrs/130 Yrs 4037 NW 86th Terr Fl 2 Fax: (352) 627-4179 Fax: (352) 265-7091 M-F 9:00 AM - 5:00 PM Gainesville, FL 32606 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No (352) 265-6200 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 594-1716 PCMH: No PCMH: No Yeung, Anamaria MD 16 Yrs/130 Yrs Provider ID: 566912 Hahn, Paulette MD M-F 8:00 AM - 5:00 PM Massini, John MD Gender: Female PCMH: No Provider ID: 143867 Provider ID: 999718 Pulm Multid Clinic Shands UF Gender: Female Gender: Male 1600 SW Archer Rd Christman, Gregory MD 1600 SW Archer Rd UF Health Medical Specialties Gainesville, FL 32610 Gainesville, FL 32610 Med (352) 265-0457 Provider ID: 766708 (352) 265-9900 2000 SW Archer Rd 3rd Fl Fax: (352) 265-0122 Gender: Male 00 Yrs/130 Yrs Gainesville, FL 32608 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 265-0139 Womens Health At Shands M-F 8:00 AM - 5:00 PM Medical Pl PCMH: No Fax: (352) 265-7091

PCMH: No 2000 SW Archer Rd 4th Fl 00 Yrs/130 Yrs Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM (352) 265-8200 PCMH: No Fax: (352) 265-8202 16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 84 Updated: 01/04/2019 Specialty Physicians Alachua

Rheumatology - cont. Reeves, Westley MD Thoburn, Robert MD Thoracic & Cardiovascular Provider ID: 566222 Provider ID: 1180242 Surgery Mejia Otero, Carolina MD Gender: Male Gender: Male Faculty Group Practice UF Health Shands Hospital Arnaoutakis, George MD Provider ID: 1315785 2000 SW Archer Rd Ste D 1600 SW Archer Rd Provider ID: 1346031 Gender: Female Gainesville, FL 32608 Gainesville, FL 32610 Gender: Male Rheumatology Immunology (352) 265-0139 (352) 265-0535 Select Specialty Hospital- At Med Pla Fax: (352) 265-7091 Fax: (352) 265-0328 Gainesvil 2000 SW Archer Rd 00 Yrs/130 Yrs 00 Yrs/130 Yrs 1600 SW Archer Rd 5th Fl Gainesville, FL 32608 M-F 9:00 AM - 5:00 PM Languages: Italian Gainesville, FL 32610 (352) 265-1234 PCMH: No M-F 8:00 AM - 5:00 PM (352) 265-0055 Fax: (352) 265-7546 PCMH: No Fax: (352) 265-4766 00 Yrs/130 Yrs Reeves, Westley MD 00 Yrs/130 Yrs M-F 7:00 AM - 7:00 PM Provider ID: 566222 Sleep Medicine Languages: Greek PCMH: No Gender: Male PCMH: No University of Florida Clinic Al Hourani, Lubna MD Moses, Viju MD 1600 SW Archer Rd Provider ID: 900852 Arnaoutakis, George MD Provider ID: 1315790 Gainesville, FL 32610 Gender: Female Gender: Male (352) 265-9900 Shands At UF Provider ID: 1346031 Rheumatology Immunology Fax: (352) 265-0344 1600 SW Archer Rd Gender: Male At Med Pla 00 Yrs/130 Yrs Gainesville, FL 32610 UF Health Cardiology- 2000 SW Archer Rd M-F 9:00 AM - 5:00 PM (352) 265-0535 Springhill Gainesville, FL 32608 PCMH: No Fax: (352) 265-0328 4037 NW 86th Ter 2nd Fl (352) 265-0139 00 Yrs/130 Yrs Gainesville, FL 32606 Fax: (352) 265-7546 Sobel, Eric MD M-F 9:00 AM - 5:00 PM (352) 265-0820 00 Yrs/130 Yrs Provider ID: 566540 PCMH: No Fax: (352) 265-0823 M-F 8:00 AM - 5:00 PM Gender: Male 00 Yrs/130 Yrs PCMH: No Cardiovascular Center At Sports Medicine Languages: Greek Shands UF M-F 8:00 AM - 5:00 PM Moses, Viju MD 1600 SW Archer Rd Ste 1901 Giammittorio, Stephanie DO PCMH: No Provider ID: 1330585 Gainesville, FL 32610 Gender: Male (352) 265-0820 Provider ID: 1476306 Arnaoutakis, George MD Rheumatology & Immunology Fax: (352) 265-0344 Gender: Female At Med Pl 00 Yrs/130 Yrs UF Health Neurosurgery Provider ID: 1346031 2000 SW Archer Rd Shands At The University of Neuromedic Gender: Male Gainesville, FL 32608 Florida 1505 SW Archer Rd UF Health Surgical Specialist (352) 265-0139 M-F 9:00 AM - 5:00 PM Gainesville, FL 32608 Shand Fax: (352) 265-7546 PCMH: No (352) 392-9000 1600 SW Archer Rd 18 Yrs/130 Yrs Fax: (352) 392-8413 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM Sobel, Eric MD 00 Yrs/130 Yrs (352) 265-0535 PCMH: No Provider ID: 566540 M-F 8:00 AM - 5:00 PM Fax: (352) 627-4173 Gender: Male PCMH: No 00 Yrs/130 Yrs Reeves, Westley MD Rheumatology & Immunology Languages: Greek Provider ID: 566222 At Med Pl Herman, Daniel MD M-F 8:00 AM - 5:00 PM Provider ID: 799777 Gender: Male 2000 SW Archer Rd Fl 3 PCMH: No Cardiovascular Center At Gainesville, FL 32608 Gender: Male Shands UF (352) 265-4846 UF Orthocare After Hours 1600 SW Archer Rd Ste 1901 Fax: (352) 627-4268 Clinic Gainesville, FL 32610 00 Yrs/130 Yrs 3450 Hull Rd (352) 265-9900 Shands At The University of Gainesville, FL 32607 Fax: (352) 265-0344 Florida (352) 273-7001 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 273-7294 M-F 9:00 AM - 5:00 PM PCMH: No 02 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 85 Updated: 01/04/2019 Specialty Physicians Alachua

Thoracic & Cardiovascular Khanna, Sohit MD Oduntan, Olusola MD Transplant Hepatology Surgery - cont. Provider ID: 1105496 Gender: Male Provider ID: 1462385 Zori, Andreas MD Arnaoutakis, George MD UF Health Surgical Specialist Gender: Not Available Provider ID: 1637004 Provider ID: 1346031 Shand UF Health Surgical Specialist Gender: Male Gender: Male 1600 SW Archer Rd Shand Select Specialty Hospital- UF Health Surgical Specialists Gainesville, FL 32610 1600 SW Archer Rd Gainesvil TC (352) 265-0535 Gainesville, FL 32610 1600 SW Archer Rd 5th Fl 1505 SW Archer Rd Fax: (352) 627-4173 (352) 265-0535 Gainesville, FL 32610 Gainesville, FL 32610 12 Yrs/130 Yrs Fax: (352) 627-4173 (352) 265-0055 (352) 265-5470 Halifax Hospital Medical 00 Yrs/130 Yrs Fax: (352) 265-4766 00 Yrs/130 Yrs Center M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Greek Languages: Hindi, Punjabi PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Oduntan, Olusola MD Zori, Andreas MD Provider ID: 1462385 Provider ID: 1637004 Proia, Richard MD Machucca, Tiago MD Gender: Not Available Gender: Male Provider ID: 970482 Provider ID: 1085201 UF Health Surgical Specialists UF Health Endoscopy Center Gender: Male Gender: Male Tcv 2001 SW 13th St Thoracic and Vascular UF Health Surgical Specialists 1505 SW Archer Rd Gainesville, FL 32608 Surgeons of G TC Gainesville, FL 32608 (352) 265-8900 1151 NW 64th Ter 1505 SW Archer Rd (352) 265-5470 00 Yrs/130 Yrs Gainesville, FL 32605 Gainesville, FL 32608 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 416-2628 (352) 265-5470 M-F 8:00 AM - 5:00 PM PCMH: No Fax: (352) 416-2633 00 Yrs/130 Yrs PCMH: No 16 Yrs/130 Yrs Languages: Portuguese Zori, Andreas MD North Florida Regional M-F 8:00 AM - 5:00 PM Stinson, Wade MD Provider ID: 1637004 M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 574673 Gender: Male PCMH: No Gender: Male UF Health Internal Medicine Manning, Eddie MD Faculty Group Practice Medical Provider ID: 1139317 Thoracic Surgery 1600 SW Archer Rd 2000 SW Archer Rd Medical Gender: Male Gainesville, FL 32610 Plaza UF Health Shands Hospital Jeng, Eric MD (352) 265-0535 Gainesville, FL 32608 1600 SW Archer Rd Provider ID: 1647495 Fax: (352) 265-8236 (352) 265-0754 Gainesville, FL 32610 Gender: Male 00 Yrs/130 Yrs Fax: (352) 265-1053 (352) 265-0535 UF Health Surgical Specialist M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-0328 Tcv PCMH: No M-F 8:00 AM - 5:00 PM 1505 SW Archer Rd 00 Yrs/130 Yrs PCMH: No Gainesville, FL 32610 Languages: Spanish Stinson, Wade MD (352) 265-5470 PCMH: No Provider ID: 574673 Zori, Andreas MD Fax: (352) 733-9372 Gender: Male Provider ID: 1637004 00 Yrs/130 Yrs Martin, Tomas MD UF Health Surgical Specialists Gender: Male M-F 8:00 AM - 5:00 PM Provider ID: 1709654 Tcv UF Health Shands Hospital PCMH: No Gender: Male 1601 SW Archer Rd Ste 112 1600 SW Archer Rd UF Health Surgical Specialist Gainesville, FL 32608 Gainesville, FL 32610 Tcv (352) 265-5470 (352) 265-0535 1505 SW Archer Rd 00 Yrs/130 Yrs Fax: (352) 265-0328 Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs

(352) 265-5470 PCMH: No PCMH: No Fax: (352) 733-9372 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 86 Updated: 01/04/2019 Specialty Physicians Alachua

Urology Bird, Vincent MD Crispen, Paul MD Moy, M. MD Provider ID: 766722 Provider ID: 566933 Bayne, Christopher MD Provider ID: 566498 Gender: Male Gender: Male Gender: Male Urology At Shands Medical 2000 SW Archer Rd Fl 3 Provider ID: 1647482 UF Health Nephrology - Plaza Gainesville, FL 32608 Gender: Male Shands Hospi 2000 SW Archer Rd (352) 265-8240 Florida Surgical Center 1600 SW Archer Rd 1st Fl, Rm Gainesville, FL 32608 Fax: (352) 627-4172 3480 Hull Rd 1901 (352) 265-8240 00 Yrs/130 Yrs Gainesville, FL 32607 Gainesville, FL 32608 Fax: (352) 265-0281 M-F 9:00 AM - 5:00 PM (352) 733-0600 (352) 265-9900 18 Yrs/130 Yrs PCMH: No Fax: (352) 733-8801 Fax: (352) 627-4268 Shands At The University of 00 Yrs/130 Yrs 00 Yrs/130 Yrs Florida Narayan, Perinchery MD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Provider ID: 1638833 Gender: Male Bayne, Christopher MD Bird, Vincent MD Dahm, Philipp MD North Florida Urology Provider ID: 418612 Associates PA Provider ID: 1647482 Provider ID: 566498 Gender: Male 3426 NW 43rd St Ste B Gender: Male Gender: Male Urology At Shands Medical Gainesville, FL 32606 UF Health Pediatric Specialties Urology At Shands Medical Plaza (352) 338-2089 2000 SW Archer Rd Medical Plaza 2000 SW Archer Rd Fax: (352) 338-1415 Plaza 2000 SW Archer Rd Fl 3 Gainesville, FL 32610 14 Yrs/130 Yrs Gainesville, FL 32608 Gainesville, FL 32608 (352) 265-9900 M 9:00 AM - 12:00 PM (352) 265-8250 (352) 265-8240 00 Yrs/130 Yrs T 9:00 AM - 1:00 PM Fax: (352) 265-0730 Fax: (352) 627-4179 M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM O'Malley, Padraic MD Dennis, Michael MD PCMH: No PCMH: No Provider ID: 1733806 Provider ID: 1139147 Gender: Male Bayne, Christopher MD Crispen, Paul MD Gender: Male Urology At Shands Medical Provider ID: 766722 UF Health Urology Haile Plaza Plantation Provider ID: 1647482 Gender: Male 2000 SW Archer Rd 2846 SW 87th Way Ste A Gender: Male UF Health Urology Clinical Gainesville, FL 32608 Gainesville, FL 32608 Urology At Shands Medical 2004 Mowry Rd (352) 265-8240 Plaza Gainesville, FL 32610 (352) 265-8240 00 Yrs/130 Yrs 2000 SW Archer Rd (352) 265-8240 Fax: (352) 265-8237 M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 Fax: (352) 265-8237 18 Yrs/130 Yrs PCMH: No (352) 265-8240 18 Yrs/130 Yrs Shands At The University of Florida Otto, Brandon MD 00 Yrs/130 Yrs Shands At The University of M-F 8:00 AM - 5:00 PM MTWTHFSatSun 12:00 AM ­ Florida Provider ID: 1125580 11:59 PM M-F 8:00 AM - 5:00 PM PCMH: No Gender: Male PCMH: No PCMH: No UF Health Shands Hospital Mason, James MD 1600 SW Archer Rd Rm 6164 Bird, Vincent MD Crispen, Paul MD Provider ID: 1478602 Gainesville, FL 32610 Provider ID: 566498 Provider ID: 766722 Gender: Male (352) 265-0535 Gender: Male Gender: Male Urology At Shands Medical 18 Yrs/130 Yrs Plaza Select Specialty Hospital- UF Health Urology Haile M-F 8:00 AM - 5:00 PM Gainesvil Plantation 2000 SW Archer Rd PCMH: No 1600 SW Archer Rd 5th Fl 2846 SW 87th Way Gainesville, FL 32608 Gainesville, FL 32610 Gainesville, FL 32608 (352) 265-8240 (352) 265-0055 (352) 265-8240 Fax: (352) 627-4172 Fax: (352) 265-4766 Fax: (352) 265-8237 18 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs MTWF 8:00 AM - 5:00 PM PCMH: No Shands At The University of TH 80:0 AM - 5:00 PM Florida PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 87 Updated: 01/04/2019 Specialty Physicians Alachua

Urology - cont. Su, Li-Ming MD Back, Martin MD Cooper, Michol MD Provider ID: 566701 Provider ID: 1346016 Provider ID: 1724681 Otto, Brandon MD Gender: Male Gender: Male Gender: Female Provider ID: 1125580 Urology At Shands Medical UF Health Surgical Specialists UF Health Surgical Specialists Gender: Male Plaza - SP Vas Urology At Shands Medical 2000 SW Archer Rd Fl 3 4037 NW 86th Ter 3rd Fl 1505 SW Archer Rd Plaza Gainesville, FL 32608 Gainesville, FL 32606 Gainesville, FL 32610 2000 SW Archer Rd (352) 265-8240 (352) 265-0535 (352) 265-9928 Gainesville, FL 32608 Fax: (352) 627-4179 Fax: (352) 733-4173 00 Yrs/130 Yrs (352) 265-8240 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Croushore, Elmer MD Yeung, Lawrence MD Back, Martin MD Stringer, Thomas MD Provider ID: 1346016 Provider ID: 1335661 Provider ID: 621434 Gender: Male Gender: Male Provider ID: 189284 Gender: Male UF Health Surgical Specialists The Cardiac and Vascular Gender: Male Faculty Group Practice VA Institute Faulty Group Practice 2000 SW Archer Rd 1505 SW Archer Rd 1151 NW 64th Ter 2000 SW Archer Rd Gainesville, FL 32608 Gainesville, FL 32610 Gainesville, FL 32605 Gainesville, FL 32610 (352) 265-8240 (352) 265-9928 (352) 375-1212 (352) 265-8240 Fax: (352) 627-4179 00 Yrs/130 Yrs Fax: (352) 371-4650 Fax: (352) 627-4179 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs 18 Yrs/130 Yrs Shands At The University of PCMH: No M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Florida PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM Berceli, Scott MD PCMH: No Provider ID: 143624 Croushore, Elmer MD Stringer, Thomas MD Gender: Male Yeung, Lawrence MD UF Health Surgical Specialist Provider ID: 1335661 Provider ID: 189284 Provider ID: 621434 Shand Gender: Male Gender: Male Gender: Male 1600 SW Archer Rd The Cardiac and Vascular UF Health Urology Clinical UF Health Urology Haile Gainesville, FL 32610 Institute and Tran Plantation (352) 265-9900 4645 NW 8th Ave Ste B 2004 Mowry Rd 2846 SW 87th Way Ste A Fax: (352) 338-9818 Gainesville, FL 32605 Gainesville, FL 32610 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 375-1212 (352) 265-8240 (352) 265-8240 M-F 9:00 AM - 5:00 PM Fax: (352) 371-4650 Fax: (352) 265-8237 Fax: (352) 265-8237 PCMH: No 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Shands At The University of Berceli, Scott MD PCMH: No PCMH: No Florida Provider ID: 143624 M-F 8:00 AM - 5:00 PM Gender: Male Huber, Thomas MD Su, Li-Ming MD PCMH: No UF Health Surgical Specialists Provider ID: 144044 Provider ID: 566701 VA Gender: Male Gender: Male Vascular Surgery 1600 SW Archer Rd 1505 SW UF Health Cardiology

1600 SW Archer Rd Archer Rd 1600 SW Archer Rd Ste 1901

Gainesville, FL 32610 Arnaoutakis, Konstantinos MD Gainesville, FL 32610 Gainesville, FL 32610 Provider ID: 1477364 (352) 265-0111 (352) 265-9900 (352) 265-0535 Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-8236

UF Health Surgical Specialists M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No VA PCMH: No M-F 9:00 AM - 5:00 PM 1505 SW Archer Rd PCMH: No Gainesville, FL 32610 (352) 265-9928 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 88 Updated: 01/04/2019 Specialty Physicians Alachua Vascular Surgery - cont.

Huber, Thomas MD Provider ID: 144044 Gender: Male UF Health Surgical Specialists VA 1505 SW Archer Rd Gainesville, FL 32608 (352) 265-9928 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Scali, Salvatore MD Provider ID: 574322 Gender: Male Faculty Group Practice 1600 SW Archer Rd Gainesville, FL 32610 (352) 265-0535 Fax: (352) 265-8236 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Scali, Salvatore MD Provider ID: 574322 Gender: Male UF Health Surgical Specialists Vasc 1600 SW Archer Rd 1505 SW Archer Rd Gainesville, FL 32610 (352) 265-9928 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 89 Updated: 01/04/2019 Specialty Physicians Baker

Chiropractic General Practice Salameh, Jamal MD Pain Management

Cardozo, James DC Eason, Carl MD Provider ID: 272713 Andrawis, Ashraf MD Provider ID: TPV10758-01 Provider ID: 1728874 Gender: Male Gender: Male Gender: Male First Coast Nephrology Inc Provider ID: 426028 Baker County Chiropractic Baker County Health 159 N 3rd St Gender: Male Center Department Macclenny, FL 32063 Premier Spine Pain Center 1437 S 6th St 480 W Lowder St (904) 744-4448 159 N 3rd St Macclenny, FL 32063 Macclenny, FL 32063 Fax: (904) 744-4048 Macclenny, FL 32063 (904) 259-2999 (904) 259-6291 18 Yrs/130 Yrs (904) 264-0770 Fax: (904) 259-3026 Fax: (904) 259-1950 Orange Park Medical Center Fax: (904) 264-0670 00 Yrs/99 Yrs 00 Yrs/130 Yrs St Vincents Medical Center 18 Yrs/130 Yrs M-TH 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Southside Orange Park Medical Center F 9:00 AM - 4:00 PM PCMH: No M 8:30 AM - 5:00 PM Languages: Arabic PCMH: No PCMH: No M 1:00 AM - 5:00 PM Internal Medicine PCMH: No Gastroenterology Obstetrics/Gynecology Sharma, Nalini MD Sourial, Sourial DO Kuehn, Stephen MD Provider ID: 1717850 Edelenbos, Eric DO Provider ID: 25074 Gender: Female Provider ID: 342337 Provider ID: 1114686 Gender: Male Baker County Health Gender: Male Gender: Male Borland-Groover Clinic PA Department 725 S 6th St Premier Spine Pain Center 159 N 3rd St 480 W Lowder St Macclenny, FL 32063 159 N 3rd St Macclenny, FL 32063 Macclenny, FL 32063 (904) 259-7809 Macclenny, FL 32063 (904) 381-9393 (904) 259-6291 00 Yrs/130 Yrs (904) 264-0770 Fax: (904) 381-9314 Fax: (904) 259-1950 Orange Park Medical Center Fax: (904) 264-0670 18 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs Baptist Medical Center M-F 8:00 AM - 5:00 PM Orange Park Medical Center Jacksonville Center For PCMH: No McCauley, Richard MD Languages: Arabic Endoscopy Provider ID: 05797 St Vincents Medical Center Nephrology MT 8:00 AM - 5:00 PM Gender: Male PCMH: No Riverside 725 S 6th St M-F 8:00 AM - 5:00 PM Salameh, Jamal MD Macclenny, FL 32063 Podiatry PCMH: No (904) 259-7809 Provider ID: 1169948 12 Yrs/130 Yrs Coleman, John DPM Sprague, Richard MD Gender: Male PCMH: No Provider ID: 25069 Provider ID: 05972 First Coast Nephrology Inc Gender: Male Gender: Male 159 N 3rd St Morphet, Michael DO Borland-Groover Clinic PA John J Coleman DPM Macclenny, FL 32063 Provider ID: 1441555 159 N 3rd St 159 N 3rd St (904) 744-4448 Gender: Male Macclenny, FL 32063 Macclenny, FL 32063 Fax: (904) 744-4048 North Florida OB/GYN Assoc (904) 259-5277 (904) 381-9393 18 Yrs/130 Yrs 725 South 6th St Fax: (904) 381-9314 Fax: (904) 653-2093 Memorial Hospital Macclenny, FL 32063 00 Yrs/130 Yrs 18 Yrs/130 Yrs Jacksonville (904) 264-9555 Baptist Medical Center Memorial Hospital St Vincents Medical Center Fax: (904) 259-7890 Jacksonville Jacksonville Center For Riverside 00 Yrs/130 Yrs Endoscopy St Vincents Medical Center M 2:00 AM - 5:00 PM M 8:30 AM - 5:00 PM Riverside St Vincents Medical Center PCMH: No Riverside PCMH: No M 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM T 8:00 AM - 4:00 PM PCMH: No W 9:00 AM - 3:00 PM PCMH: No

www.wellcare.com/Florida | 90 Updated: 01/04/2019 Specialty Physicians Baker Pulmonary Disease

Millstone, Stuart MD

Provider ID: 0778 Gender: Male St. Vincents Ambulatory Care, Inc 159 N 3rd St Ste B Macclenny, FL 32063 (904) 449-7288 Fax: (904) 203-2173 18 Yrs/130 Yrs Orange Park Medical Center St Vincents Medical Center Riverside M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 91 Updated: 01/04/2019 Specialty Physicians Bradford

Cardiology Imperi, Gregory MD Silverstein, Burton MD Colon & Rectal Surgery Provider ID: 159675 Abboud, Lucien MD Gender: Male Provider ID: 280028 Rizk, Bassam MD Provider ID: 1580217 The Cardiac and Vascular Gender: Male Provider ID: 1636990 Gender: Male Institute The Cardiac and Vascular Gender: Male Shands Starke Cardiology 319 W Call St Ste B Institute Shands Starke Surgical Group 922 E Call St Starke, FL 32091 319 W Call St Ste B 922 E Call St Starke, FL 32091 (352) 264-2500 Starke, FL 32091 Starke, FL 32091 (904) 368-2489 Fax: (352) 331-9095 (352) 264-2500 (904) 368-2305 Fax: (904) 964-2119 18 Yrs/130 Yrs Fax: (352) 331-9095 Fax: (904) 368-2333 16 Yrs/130 Yrs Lake City Medical Center 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional Lake City Medical Center M-F 8:00 AM - 4:30 PM PCMH: No M-F 8:00 AM - 5:00 PM North Florida Regional PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Anderson, Russell MD PCMH: No Family Practice Provider ID: 566226 Khuddus, Matheen MD Gender: Male Tulli, Mark MD Innocent-Simon, Joelle DO Cardiology East @ Hma Starke Provider ID: 470612 Provider ID: 368216 922 E Call St Gender: Male Gender: Male Provider ID: 309563 Starke, FL 32091 The Cardiac and Vascular The Cardiac and Vascular Gender: Female (352) 265-0820 Institute Institute Shands Medical Group of Fax: (352) 265-0823 319 W Call St Ste B 319 W Call St Ste B Starke 18 Yrs/130 Yrs Starke, FL 32091 Starke, FL 32091 1550 S Water St Shands At The University of (352) 264-2500 (352) 375-1212 Starke, FL 32091 Florida Fax: (352) 331-9095 Fax: (352) 331-9095 (904) 368-2480 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (904) 964-1400 PCMH: No North Florida Regional Lake City Medical Center 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional M-F 8:00 AM - 6:00 PM Bavry, Anthony MD PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Provider ID: 566463 Lee, Arthur MD McBride, Kevin MD Gender: Male Provider ID: 287465 Chiropractic Provider ID: 147327 Cardiology East @ Hma Starke Gender: Male Gender: Male 922 E Call St The Cardiac and Vascular Slaughter, Martin DC Shands Medical Group of Starke, FL 32091 Institute Provider ID: TPV11287-01 Starke (352) 265-0820 319 W Call St Ste B Gender: Male 1550 S Water St Fax: (352) 265-0823 Starke, FL 32091 Starke Chiropractic Starke, FL 32091 18 Yrs/130 Yrs (352) 264-2500 225 S Orange St (904) 368-2480 M-F 8:00 AM - 5:00 PM Fax: (352) 331-9095 Starke, FL 32091 Fax: (904) 964-1400 PCMH: No 18 Yrs/130 Yrs (904) 368-0011 00 Yrs/130 Yrs Lake City Medical Center Fax: (904) 368-0013 M-F 8:00 AM - 6:00 PM Burkart, Thomas MD North Florida Regional 00 Yrs/99 Yrs PCMH: No Provider ID: 208895 M-F 8:00 AM - 5:00 PM M-TH 9:00 AM - 6:00 PM Gender: Male PCMH: No F 9:00 AM - 4:00 PM Cardiology East @ Hma Starke Sat 9:00 AM - 11:00 PM 922 E Call St PCMH: No Starke, FL 32091 (352) 265-0820 Fax: (352) 265-0823 18 Yrs/130 Yrs Shands At The University of Florida Languages: German M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 92 Updated: 01/04/2019 Specialty Physicians Bradford

Gastroenterology Anderson, Russell MD Williams, Gary OD Sourial, Sourial DO Provider ID: 566226 Provider ID: TPV1033211263-0 Faisal, Mohammad MD Gender: Male Gender: Male Provider ID: 1114686 Cardiology East @ Hma Starke Dr Gary O Williams OD Gender: Male Provider ID: 435 922 E Call St 14500 US Hwy 301 S Premier Spine Pain Center Gender: Male Starke, FL 32091 Starke, FL 32091 1548B S Water St 1548B S Water St (352) 265-0820 (904) 964-2250 Starke, FL 32091 Starke, FL 32091 Fax: (352) 265-0823 Fax: (904) 964-2425 (904) 264-0770 (386) 758-5985 18 Yrs/130 Yrs 05 Yrs/99 Yrs Fax: (904) 264-0670 Fax: (386) 758-5987 Shands At The University of MWTHF 9:00 AM - 12:00 PM 18 Yrs/130 Yrs 18 Yrs/130 Yrs Florida T 9:00 AM - 8:00 PM Orange Park Medical Center North Florida Surgery Center M-F 8:00 AM - 5:00 PM Sat-Sun 8:00 AM - 12:00 PM Languages: Arabic Languages: Bengali PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM MT 9:00 AM - 12:00 PM PCMH: No PCMH: No Interventional Cardiology Orthopaedic Surgery Pediatrics General Surgery Anderson, Russell MD Ottey, Deron MD Provider ID: 566226 Provider ID: 690925 Abella, Eleanor MD Farha, Fawzi MD Gender: Male Gender: Male Provider ID: 1223737 Provider ID: 722315 Cardiology East @ Hma Starke Ottey Bone and Joint Gender: Female Gender: Male 922 E Call St Associates Bradford County Health Shands Starke Surgical Group Starke, FL 32091 417 W Call St Department 922 E Call St (352) 265-0820 Starke, FL 32091 1801 N Temple Ave Starke, FL 32091 Fax: (352) 265-0823 (904) 368-0641 Starke, FL 32091 (904) 368-2305 18 Yrs/130 Yrs Fax: (904) 368-0643 (904) 964-7732 Fax: (904) 368-2333 Shands At The University of 00 Yrs/130 Yrs Fax: (904) 964-3829 00 Yrs/130 Yrs Florida Shands Jacksonville Med 00 Yrs/18 Yrs Languages: French, Arabic M-F 8:00 AM - 5:00 PM Center Languages: French, Tagalog M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Optometry Rizk, Bassam MD Pain Management Physical Medicine & Provider ID: 1636990 Schlofman, Arthur OD Rehabilitation Gender: Male Provider ID: TPV1013997055-0 Arcila, Marisol MD Shands Starke Surgical Group Gender: Male Provider ID: 919076 Arcila, Marisol MD 922 E Call St Michael Schlofman OD PLLC Gender: Female Provider ID: 919076 Starke, FL 32091 1105 S Walnut St Premier Spine Pain Center Gender: Female (904) 368-2305 Starke, FL 32091 922 E Call St Premier Spine Pain Center Fax: (904) 368-2333 (904) 964-8076 Starke, FL 32091 922 E Call St 18 Yrs/130 Yrs Fax: (904) 964-8107 (904) 264-0770 Starke, FL 32091 M-F 8:00 AM - 4:30 PM 05 Yrs/99 Yrs Fax: (904) 264-0670 (904) 264-0770 PCMH: No MTTHF 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (904) 264-0670 WSat 9:00 AM - 12:00 PM Orange Park Medical Center 00 Yrs/130 Yrs Internal Medicine PCMH: No M-F 9:00 AM - 5:00 PM Orange Park Medical Center PCMH: No M-F 9:00 AM - 5:00 PM Abboud, Lucien MD Schlofman, Michael OD PCMH: No Provider ID: 1580217 Provider ID: TPV1801043641-0 Gender: Male Gender: Male Shands Starke Cardiology Michael Schlofman OD PLLC 922 E Call St 1105 S Walnut St Starke, FL 32091 Starke, FL 32091 (904) 368-2489 (904) 964-8076 Fax: (904) 964-2119 Fax: (904) 964-8107 16 Yrs/130 Yrs 05 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM MTTHF 9:00 AM - 5:00 PM PCMH: No WSat 9:00 AM - 12:00 PM PCMH: No

www.wellcare.com/Florida | 93 Updated: 01/04/2019 Specialty Physicians Bradford Urology

Ordinario, Eric DO Provider ID: 146460 Gender: Male Urology Medical Inc 922 E Call St Starke, FL 32091 (386) 752-4189 Fax: (386) 752-4213 00 Yrs/130 Yrs Lake City Medical Center M 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 94 Updated: 01/04/2019 Specialty Physicians Citrus

Allergy & Immunology Ansari, Mohammad MD Balasubramanian, Ram MD Kannam, Hari MD Provider ID: 508444 Alibrahim, Ayman MD Provider ID: 1117832 Provider ID: 1366810 Gender: Male Gender: Male Gender: Male Citrus Cardiology Consultants Provider ID: 215795 Citrus Cardiology Copy of Citrus Cardiology PA Gender: Male Consultants, PA Consultan 540 N Lecanto Hwy Advanced Allergy Asthma and 7955 S Suncoast Blvd 540 N Lecanto Hwy Lecanto, FL 34461 Immunol Homosassa, FL 34446 Lecanto, FL 34461 (352) 423-1013 508 N Lecanto Hwy Ste 508 (352) 795-9266 (352) 423-1013 Fax: (352) 513-3043 Lecanto, FL 34461 Fax: (352) 795-4879 Fax: (352) 513-3043 18 Yrs/130 Yrs (352) 746-3336 02 Yrs/130 Yrs 18 Yrs/130 Yrs Citrus Memorial Health Fo Fax: (352) 746-3305 Citrus Memorial Health Fo M-F 8:00 AM - 5:00 PM Seven Rivers Regional Medical 00 Yrs/130 Yrs Seven Rivers Regional Medical PCMH: No Center Oak Hill Hospital Center Languages: Hindi, Telugu Languages: Arabic M 8:00 AM - 5:00 PM Delfin, Luis MD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM T 1:00 AM - 5:00 PM Provider ID: 497070 PCMH: No PCMH: No PCMH: No Gender: Male Citrus Cardiology Consultants Kannam, Hari MD Cardiology Attanti, Srinivas MD PA Provider ID: 508444 Provider ID: 267010 308 W Highland Blvd Gender: Male Ansari, Mohammad MD Gender: Male Inverness, FL 34452 Citrus Cardiology Consultants Citrus Cardiology Consultants (352) 726-8353 PA Provider ID: 1117832 PA Fax: (352) 726-0485 5606 W Norvell Bryant Hwy Gender: Male 308 W Highland Blvd 18 Yrs/130 Yrs Crystal River, FL 34429 Citrus Cardiology Inverness, FL 34452 Citrus Memorial Health Fo (352) 795-9266 Consultants, PA (352) 726-8353 Languages: Spanish Fax: (352) 795-4879 308 W Highland Blvd Fax: (352) 726-5038 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Inverness, FL 34452 18 Yrs/130 Yrs PCMH: No Citrus Memorial Health Fo (352) 726-8353 Citrus Memorial Health Fo Seven Rivers Regional Medical Center Fax: (352) 726-5038 Leesburg Reg Med Center Kannam, Hari MD Languages: Hindi, Telugu 02 Yrs/130 Yrs Languages: Hindi, Kannada Provider ID: 508444 M-F 8:00 AM - 5:00 PM Citrus Memorial Health Fo M-F 8:00 AM - 5:00 PM Gender: Male Seven Rivers Regional Medical PCMH: No Citrus Cardiology Consultants PCMH: No Center PA Kannam, Hari MD M-F 8:00 AM - 5:00 PM Balasubramanian, Ram MD 308 W Highland Blvd PCMH: No Inverness, FL 34452 Provider ID: 508444 Provider ID: 1366810 (352) 726-8353 Gender: Male Ansari, Mohammad MD Gender: Male Fax: (352) 726-5038 Citrus Cardiology Consultants PA Citrus Cardiology Consultants 18 Yrs/130 Yrs 7955 S Suncoast Blvd Provider ID: 1117832 PA Citrus Memorial Health Fo Homosassa, FL 34446 Gender: Male 5606 W Norvell Bryant Hwy Seven Rivers Regional Medical (352) 795-9266 Citrus Cardiology Crystal River, FL 34429 Center Consultants, PA (352) 795-9266 Languages: Hindi, Telugu Fax: (352) 795-4879 5606 W Norvell Bryant Hwy Fax: (352) 795-4879 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Crystal River, FL 34429 18 Yrs/130 Yrs PCMH: No Citrus Memorial Health Fo M-F 8:00 AM - 5:00 PM Seven Rivers Regional Medical (352) 795-9266 Center PCMH: No Fax: (352) 795-4879 Languages: Hindi, Telugu 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Citrus Memorial Health Fo PCMH: No Seven Rivers Regional Medical Center M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 95 Updated: 01/04/2019 Specialty Physicians Citrus

Cardiology - cont. Nerella, Nishant MD Pasupuleti, Suman MD Stark, Stephen MD Provider ID: 02784 Nerella, Nishant MD Provider ID: 720121 Provider ID: 626806 Gender: Male Gender: Male Gender: Male Citrus Cardiology Consultants Provider ID: 720121 Citrus Cardiology Consultants Citrus Cardiology Consultants PA Gender: Male PA PA 5606 W Norvell Bryant Hwy Citrus Cardiology Consultants 7955 S Suncoast Blvd 308 W Highland Blvd Crystal River, FL 34429 PA Homosassa, FL 34446 Inverness, FL 34452 (352) 795-9266 308 W Highland Blvd (352) 795-9266 (352) 726-8353 Fax: (352) 795-4879 Inverness, FL 34452 Fax: (352) 795-4879 Fax: (352) 726-5038 18 Yrs/130 Yrs (352) 726-8353 18 Yrs/130 Yrs 18 Yrs/130 Yrs Citrus Memorial Health Fo Fax: (352) 726-5038 Citrus Memorial Health Fo Citrus Memorial Health Fo Mease Countryside Hospital 18 Yrs/130 Yrs Seven Rivers Regional Medical Seven Rivers Regional Medical Seven Rivers Regional Medical Citrus Memorial Health Fo Center Center Center Seven Rivers Regional Medical MT 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Languages: Spanish Center PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Pasupuleti, Suman MD Potu, Ranganatha MD Trigo, Gisela MD Nerella, Nishant MD Provider ID: 626806 Provider ID: 1513427 Provider ID: 406219 Provider ID: 720121 Gender: Male Gender: Male Gender: Female Gender: Male Citrus Cardiology Consultants Potu Cardiology Pl Citrus Cardiology Consultants Citrus Cardiology Consultants 5606 W Norvell Bryant Hwy 6122 W Corporate Oaks Dr 308 W Highland Blvd PA Crystal River, FL 34429 Crystal River, FL 34429 Inverness, FL 34452 540 N Lecanto Hwy (352) 795-9266 (352) 228-8429 (352) 726-8353 Lecanto, FL 34461 Fax: (352) 795-4879 Fax: (352) 794-6326 Fax: (352) 726-5038 (352) 513-3219 18 Yrs/130 Yrs 12 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (352) 513-3043 Citrus Memorial Health Fo M-F 8:00 AM - 4:30 PM Citrus Memorial Health Fo 18 Yrs/130 Yrs Seven Rivers Regional Medical PCMH: No Languages: Spanish Citrus Memorial Health Fo Center M-F 8:00 AM - 5:00 PM Seven Rivers Regional Medical M-F 8:00 AM - 5:00 PM Stark, Stephen MD PCMH: No Center PCMH: No Provider ID: 02784 M-F 8:00 AM - 5:00 PM Gender: Male Trigo, Gisela MD PCMH: No Pasupuleti, Suman MD Citrus Cardiology Consultants Provider ID: 406219 PA Gender: Female Nerella, Nishant MD Provider ID: 626806 308 W Highland Blvd Citrus Cardiology Consultants Gender: Male Inverness, FL 34452 PA Provider ID: 720121 Citrus Cardiology Consultants (352) 726-8353 540 N Lecanto Hwy Gender: Male 7955 S Suncoast Blvd Fax: (352) 726-5038 Lecanto, FL 34461 Citrus Cardiology Consultants Homosassa, FL 34446 18 Yrs/130 Yrs (352) 513-3219 PA (352) 795-9266 Citrus Memorial Health Fo Fax: (352) 513-3043 5606 W Norvell Bryant Hwy Fax: (352) 795-4879 Mease Countryside Hospital 18 Yrs/130 Yrs Crystal River, FL 34429 18 Yrs/130 Yrs Seven Rivers Regional Medical Citrus Memorial Health Fo (352) 795-9266 Citrus Memorial Health Fo Center Languages: Spanish Fax: (352) 795-4879 Seven Rivers Regional Medical Languages: Spanish M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Center M-F 8:00 AM - 5:00 PM PCMH: No Citrus Memorial Health Fo M 8:00 AM - 5:00 PM PCMH: No Seven Rivers Regional Medical T 1:00 AM - 5:00 PM Center PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 96 Updated: 01/04/2019 Specialty Physicians Citrus

Cardiology - cont. Chiropractic Family Practice Hellstern, Paul MD Provider ID: 150369 Trigo, Gisela MD Chaney, William DC Shadiack, Anthony DO Gender: Male Provider ID: 406219 Provider ID: TPV11482-02 Provider ID: 1443763 Gastroenterology Associates Gender: Female Gender: Male Gender: Male 3653 E Forest Dr Citrus Cardiology Consultants Chaney Chiropractic Clinic Project Health Inc Inverness, FL 34453 PA 3470 N Lecanto Hwy 120 N Montgomery Ave Ste B (352) 563-2450 5606 W Norvell Bryant Hwy Beverly Hills, FL 34465 Inverness, FL 34450 Fax: (352) 563-2512 Crystal River, FL 34429 (352) 270-8869 (352) 419-5760 00 Yrs/130 Yrs (352) 795-9266 Fax: (352) 270-8899 Fax: (352) 419-7085 Citrus Endoscopy & Srg Fax: (352) 795-4879 00 Yrs/99 Yrs 00 Yrs/130 Yrs Center 18 Yrs/130 Yrs MT 2:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Seven Rivers Regional Medical Citrus Memorial Health Fo PCMH: No PCMH: No Center Languages: Spanish Suncoast Endoscopy Center M-F 8:00 AM - 5:00 PM Hensley, Scott DC Gastroenterology M-F 8:00 AM - 4:00 PM PCMH: No Provider ID: TPV10951-01 PCMH: No Gender: Male Chandrupatla, Sreekanth MD Vanga, Subba MD Scott H Hensley DC Inc Hellstern, Paul MD Provider ID: 1163602 406 Tompkins St Provider ID: 230635 Provider ID: 150369 Gender: Male Inverness, FL 34450 Gender: Male Gender: Male 308 W Highland Blvd (352) 726-1557 Gastroenterology Associates Gastroenterology Associates Inverness, FL 34452 Fax: (888) 299-9352 6410 W Gulf To Lake Hwy 6410 W Gulf To Lake Hwy (352) 726-8353 00 Yrs/99 Yrs Crystal River, FL 34429 Crystal River, FL 34429 Fax: (352) 726-5038 M-W 8:00 AM - 5:00 PM (352) 563-2450 (352) 563-2450 18 Yrs/130 Yrs PCMH: No Fax: (352) 563-2512 Fax: (352) 563-2512 PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs Kinnard, Jeffery DC Citrus Endoscopy & Srg Citrus Endoscopy & Srg Vanga, Subba MD Provider ID: TPV10974-01 Center Center Seven Rivers Regional Medical Provider ID: 1163602 Gender: Male Citrus Memorial Health Fo Suncoast Endoscopy Center Center Gender: Male Kinnard Chiropractic Suncoast Endoscopy Center M-F 8:00 AM - 4:00 PM Citrus Cardiology 2611 Hwy 44 W M-F 8:00 AM - 4:00 PM Consultants, PA PCMH: No Inverness, FL 34453 PCMH: No 5606 W Norvell Bryant Hwy (352) 527-5433 Hellstern, Paul MD Crystal River, FL 34429 Fax: (352) 726-3885 Hellstern, Paul MD Provider ID: 150369 (352) 795-9266 00 Yrs/99 Yrs Provider ID: 150369 Gender: Male Fax: (352) 795-4879 M-TH 7:30 AM - 5:00 PM Gender: Male Gastroenterology Associates 18 Yrs/130 Yrs PCMH: No Gastroenterology Associates 10489 N Florida Ave M-F 9:00 AM - 5:00 PM 7151 W International Ct Citrus Springs, FL 34434 PCMH: No Torres, Bryan DC Homosassa, FL 34446 (352) 465-8001 Provider ID: TPV17414-01 (352) 563-2450 Walker, Dennis MD Fax: (352) 564-1542 Gender: Male Fax: (352) 563-2512 Provider ID: 317034 00 Yrs/130 Yrs Kinnard Chiropractic 00 Yrs/130 Yrs Gender: Male Citrus Endoscopy & Srg 2611 Hwy 44 W Citrus Endoscopy & Srg Citrus Cardiology Consultants Inverness, FL 34453 Center Seven Rivers Regional Medical Center PA (352) 726-0554 Seven Rivers Regional Medical 308 W Highland Blvd Fax: (352) 726-3885 Center Suncoast Endoscopy Center Center Inverness, FL 34452 00 Yrs/99 Yrs Suncoast Endoscopy Center M 8:30 AM - 11:30 PM (352) 726-8353 M-F 7:00 AM - 5:00 PM M-F 8:00 AM - 4:00 PM PCMH: No Fax: (352) 726-5038 PCMH: No PCMH: No 18 Yrs/130 Yrs Citrus Memorial Health Fo M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 97 Updated: 01/04/2019 Specialty Physicians Citrus

Gastroenterology - cont. Reddi, Lakshmipathi MD Shinde, Trupti MD Fernandez, Marc MD Provider ID: 218408 Provider ID: 694115 Provider ID: 1224540 Martensson, Johannes MD Gender: Male Gender: Female Gender: Male 3621 E Forest Dr Gastroenterology Associates 502 W Highland Blvd Provider ID: 213279 Inverness, FL 34453 6410 W Gulf To Lake Hwy Inverness, FL 34452 Gender: Male (352) 637-2787 Crystal River, FL 34429 (352) 726-1551 Citrus Gastroenterology PA Fax: (352) 563-2525 (352) 563-2450 00 Yrs/130 Yrs 3653 E Forest Dr 00 Yrs/130 Yrs Fax: (352) 563-2512 PCMH: No Inverness, FL 34453 Citrus Endoscopy & Srg 18 Yrs/130 Yrs (352) 344-8080 Center Citrus Endoscopy & Srg Fernandez, Marc MD Fax: (352) 344-0631 Citrus Memorial Health Fo Center 18 Yrs/130 Yrs Suncoast Endoscopy Center Seven Rivers Regional Medical Provider ID: 1224540 Citrus Memorial Health Fo Languages: Hindi Center Gender: Male Seven Rivers Regional Medical PCMH: No Suncoast Endoscopy Center Inverness Surgical Associates Center M-F 8:00 AM - 4:00 PM 403 W Highland Blvd Suncoast Endoscopy Center Reddi, Lakshmipathi MD PCMH: No Inverness, FL 34452 Languages: German, Swedish, Provider ID: 218408 (352) 726-3646 Wallis, Barrett MD Norwegian Gender: Male Fax: (352) 726-0079 Provider ID: 557238 M-F 8:00 AM - 5:00 PM Gastroenterology Associates 00 Yrs/130 Yrs Gender: Male PCMH: No 3653 E Forest Dr M-F 8:00 AM - 5:00 PM Advanced Gastroenterology Inverness, FL 34453 PCMH: No Mathur, Siddharth MD (352) 563-2450 and Assoc Fax: (352) 563-2512 6152 W Corporate Oaks Dr Gelinas, William DO Provider ID: 694119 00 Yrs/130 Yrs Crystal River, FL 34429 (352) 564-3900 Gender: Male Citrus Endoscopy & Srg Provider ID: 1142502 Fax: (352) 564-3906 Gastroenterology Associates Center Gender: Male Citrus Memorial Health Fo 18 Yrs/130 Yrs 6410 W Gulf To Lake Hwy Suncoast Endoscopy Center Suncoast Vascular and Crystal River, FL 34429 Citrus Memorial Health Fo General Surge (352) 563-2450 Languages: Hindi Seven Rivers Regional Medical 11535 W Emerald Oaks Dr Fax: (352) 563-2512 M-F 8:00 AM - 4:00 PM Center Suncoast Endoscopy Center Crystal River, FL 34428 18 Yrs/130 Yrs PCMH: No Languages: Spanish, French (352) 794-6191

Citrus Endoscopy & Srg Fax: (352) 794-6193 Center Reddi, Lakshmipathi MD M-F 8:30 AM - 5:00 PM PCMH: No 18 Yrs/130 Yrs Seven Rivers Regional Medical Provider ID: 218408 Seven Rivers Regional Medical Center Center Suncoast Endoscopy Center Gender: Male General Surgery M-TH 9:00 AM - 4:00 PM M-F 8:00 AM - 4:00 PM Gastroenterology Associates F 9:00 AM - 12:30 PM PCMH: No 6410 W Gulf To Lake Hwy Carmain, Torr MD PCMH: No Crystal River, FL 34429 Provider ID: 1230837 Ram, Anil MD Gender: Male (352) 563-2450 Patel, Parth MD Provider ID: 174092 Citrus Specialty Group, Inc Fax: (352) 563-2512 Provider ID: 1576833 Gender: Male 403 W Highland Blvd 00 Yrs/130 Yrs Gender: Male Gastroenterology Associates Inverness, FL 34452 Citrus Endoscopy & Srg Inverness Surgical Associates 10489 N Florida Ave Center (352) 726-3646 403 W Highland Blvd Citrus Springs, FL 34434 Citrus Memorial Health Fo Fax: (352) 726-0079 Inverness, FL 34452 (352) 465-8001 Suncoast Endoscopy Center 00 Yrs/130 Yrs (352) 726-3646 Fax: (352) 564-1542 Languages: Hindi Citrus Memorial Health Fo Fax: (352) 726-0079 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM M-TH 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No F 8:00 AM - 12:00 PM Citrus Endoscopy & Srg Center PCMH: No M-F 9:00 AM - 5:00 PM Seven Rivers Regional Medical PCMH: No Center Suncoast Endoscopy Center M 8:30 AM - 11:30 PM PCMH: No

www.wellcare.com/Florida | 98 Updated: 01/04/2019 Specialty Physicians Citrus

Hematology & Oncology Stanley, Beena MD Rivero, Abel MD Obstetrics/Gynecology Provider ID: 1557825 Provider ID: 727259 Koti, Ravi MD Gender: Female Gender: Male Antony, Thomas MD Provider ID: 1111507 Beena Stanley MD PA Citrus Cardiology Consultants Gender: Male 511 W Highland Blvd PA Provider ID: 1232972 Central Florida Cancer and Inverness, FL 34452 308 W Highland Blvd Gender: Male Blood Center (352) 860-0202 Inverness, FL 34452 Citrus Specialty Group Inc 10483 N Florida Ave Fax: (352) 860-1918 (352) 726-8353 800 Medical Ct E Citrus Springs, FL 34434 18 Yrs/130 Yrs Fax: (352) 726-0090 Inverness, FL 34452 (352) 671-4422 Citrus Memorial Health Fo 18 Yrs/130 Yrs (352) 726-7667 Fax: (352) 671-4423 M-F 10:00 AM - 5:00 PM Ocala Regional Medical Fax: (352) 726-8193 18 Yrs/130 Yrs PCMH: No Center 00 Yrs/130 Yrs Florida Hospital Ocala Promises Hosptial of Florida Languages: Spanish, American At The Vill M-TH 9:00 AM - 5:00 PM Interventional Cardiology M-TH 8:30 AM - 5:00 PM F 9:00 AM - 12:00 PM West Marion Community Hospital F 8:30 AM - 12:30 PM PCMH: No Attanti, Srinivas MD M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Internal Medicine Provider ID: 267010 Kero, Niloufer MD Gender: Male Medical Oncology Provider ID: 1229351 Cartwright, Thomas MD Citrus Cardiology Consultants Gender: Female PA Cartwright, Thomas MD Suncoast OB GYN Provider ID: 1468714 308 W Highland Blvd 7945 S Suncoast Blvd Ste B Gender: Male Inverness, FL 34452 Provider ID: 1468714 Homosassa, FL 34446 Project Health Inc (352) 726-8353 Gender: Male (352) 596-8911 120 N Montgomery Ave Fax: (352) 726-5038 Project Health Inc Fax: (352) 382-6112 Inverness, FL 34450 18 Yrs/130 Yrs 120 N Montgomery Ave 16 Yrs/130 Yrs (352) 419-5760 Citrus Memorial Health Fo Inverness, FL 34450 Oak Hill Hospital Fax: (352) 793-6269 Leesburg Reg Med Center (352) 419-5760 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs Languages: Hindi, Kannada Fax: (352) 793-6269 PCMH: No Florida Hospital Ocala M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Sobel, Rose MD Florida Hospital Ocala PCMH: No Provider ID: 270423 M-F 8:00 AM - 5:00 PM Prashad, Rakesh MD Gender: Female PCMH: No Potu, Ranganatha MD Provider ID: 1549402 3700 W. Sovereign Path Gender: Male Neurology Lecanto, FL 34461 Provider ID: 1513427 5606 W Norvell Bryant Hwy (352) 527-0068 Crystal River, FL 34429 Gender: Male Stanley, Beena MD Fax: (352) 527-0629 (352) 795-9266 Potu Cardiology Pl Provider ID: 1557825 00 Yrs/130 Yrs 18 Yrs/130 Yrs 6122 W Corporate Oaks Dr Gender: Female Seven Rivers Regional Medical PCMH: No Center Crystal River, FL 34429 Beena Stanley MD PA PCMH: No (352) 228-8429 511 W Highland Blvd

Fax: (352) 794-6326 Inverness, FL 34452 Sobel, Rose MD 12 Yrs/130 Yrs (352) 860-0202 Provider ID: 270423 M-F 8:00 AM - 4:30 PM Fax: (352) 860-1918 PCMH: No Gender: Female 18 Yrs/130 Yrs Crystal River Womens Health Citrus Memorial Health Fo Center M-F 10:00 AM - 5:00 PM 6151 N Suncoast Blvd Ste 1C PCMH: No Crystal River, FL 34428 (352) 794-0878 Fax: (352) 794-0877 00 Yrs/130 Yrs Seven Rivers Regional Medical Center M-F 8:00 AM - 4:30 PM PCMH: No

www.wellcare.com/Florida | 99 Updated: 01/04/2019 Specialty Physicians Citrus

Ophthalmology Optician Caruso, Mark OD Furman, Adam OD Provider ID: TPV1306389739-0 Provider ID: TPV1336541465-0 Grabow, Harry MD Eye Doctors Optical Outlets Gender: Male Gender: Male Provider ID: TPV1356344188-0 PA Eye Doctors Optical Outlets Vision Specialty Associates PA Gender: Male Provider ID: TPV1114118106-0 PA 1661 US Hwy 19 S Crystal River Eye Center LLC 3922 S Suncoast Blvd 3922 S Suncoast Blvd Crystal River, FL 34429 295 SE Hwy 19 Homosassa, FL 34448 Homosassa, FL 34448 (352) 563-1666 Crystal River, FL 34429 (352) 621-7528 (352) 621-7528 Fax: (352) 228-4443 (352) 795-6622 Fax: (352) 414-5520 Fax: (352) 414-5520 06 Yrs/99 Yrs Fax: (352) 563-2598 00 Yrs/99 Yrs 05 Yrs/99 Yrs Languages: Spanish 05 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Sarasota Memorial Hospital Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 2:00 PM Languages: Spanish PCMH: No PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Optimart Inc Chiaramonti, Alycia OD Furman, Adam OD Provider ID: TPV1013124882-0 Provider ID: TPV1659722874-0 Provider ID: TPV1336541465-0 Kesen, Muge MD 2637 E Gulf To Lake Hwy Unit Gender: Female Gender: Male Provider ID: TPV1770676017-0 B1 Eye Doctors Optical Outlets Vision Specialty Associates PA Gender: Female Inverness, FL 34453 PA 2637 E Gulf To Lake Hwy Unit Sunil Gupta MD LLC (352) 637-5180 3922 S Suncoast Blvd B1 131 S Citrus Ave 2nd Fl Fax: (352) 637-5181 Homosassa, FL 34448 Inverness, FL 34453 Inverness, FL 34452 00 Yrs/99 Yrs (352) 621-7528 (352) 637-5180 (352) 419-0560 M-F 8:00 AM - 5:00 PM Fax: (352) 414-5520 Fax: (352) 423-1410 Fax: (352) 419-0559 PCMH: No 05 Yrs/99 Yrs 06 Yrs/99 Yrs 18 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM No Hospital Privileges- Optimart Inc Sat 9:00 AM - 4:00 PM PCMH: No Covering Arrangem Provider ID: TPV1811104672-0 PCMH: No Languages: Spanish, Hindi 1661 US Hwy 19 S Gorman, Neil OD M-F 8:00 AM - 5:00 PM Crystal River, FL 34429 Day, Paul OD Provider ID: TPV1578637310-2 PCMH: No (352) 563-1666 Provider ID: TPV1265634224-0 Gender: Male Fax: (352) 228-4443 Gender: Male Eye Doctors Optical Outlets Ross, Joseph MD 00 Yrs/99 Yrs Vision Specialty Associates PA PA Provider ID: TPV1780602482-0 MTWTHFSat 8:00 AM - 5:00 1661 US Hwy 19 S 3922 S Suncoast Blvd Gender: Male PM Crystal River, FL 34429 Homosassa, FL 34448 Crystal River Eye Center LLC PCMH: No (352) 563-1666 (352) 621-7528 295 SE Hwy 19 Fax: (352) 228-4443 Fax: (352) 414-5520 Crystal River, FL 34429 Optometry 05 Yrs/99 Yrs 05 Yrs/99 Yrs (352) 795-6622 Languages: Spanish M-F 9:00 AM - 6:00 PM Fax: (352) 563-2598 Caputi, Lori OD M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM 12 Yrs/99 Yrs Provider ID: TPV1336251511-0 Sat 9:00 AM - 2:00 PM PCMH: No Citrus Memorial Hospital Gender: Female PCMH: No Largo Medical Center Eye Doctors Optical Outlets Herriott, Michael OD Languages: Spanish PA Day, Paul OD Provider ID: TPV1942588926-0 M-F 9:00 AM - 5:00 PM 3922 S Suncoast Blvd Provider ID: TPV1265634224-1 Gender: Male PCMH: No Homosassa, FL 34448 Gender: Male Eye Doctors Optical Outlets (352) 621-7528 Vision Specialty Associates PA PA Fax: (352) 414-5520 2637 E Gulf To Lake Hwy Unit 3922 S Suncoast Blvd 05 Yrs/99 Yrs B1 Homosassa, FL 34448 M-F 9:00 AM - 6:00 PM Inverness, FL 34453 (352) 621-7528 Sat 9:00 AM - 4:00 PM (352) 637-5180 Fax: (352) 414-5520 PCMH: No Fax: (352) 423-1410 05 Yrs/99 Yrs 05 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 100 Updated: 01/04/2019 Specialty Physicians Citrus

Optometry - cont. Muse, James OD Hirsch, Eric MD Petrella, Andrew MD Provider ID: TPV1710964077-0 Provider ID: 531918 Provider ID: 179890 Kreifels, Kacie OD Gender: Male Gender: Male Gender: Male Provider ID: TPV1508277948-0 Crystal River Eye Center LLC Citrus Orthopaedic Joint 6201 N Suncoast Blvd Gender: Female 295 SE Hwy 19 Institute Crystal River, FL 34428 Crystal River Eye Center LLC Crystal River, FL 34429 950 N Avalon Way (352) 795-6560 295 SE Hwy 19 (352) 795-6622 Lecanto, FL 34461 00 Yrs/130 Yrs Crystal River, FL 34429 Fax: (352) 563-2598 (352) 746-2663 Seven Rivers Regional Medical (352) 795-6622 16 Yrs/99 Yrs Fax: (352) 746-6907 Center Fax: (352) 563-2598 Languages: Spanish 00 Yrs/130 Yrs PCMH: No 03 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Seven Rivers Regional Medical Languages: Spanish PCMH: No Center Petrella, Andrew MD M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 179890 PCMH: No Orthopaedic Surgery PCMH: No Gender: Male Citrus Orthopeadic and Joint Lappano, Alfred OD Choung, Walter MD Keen, Christopher MD 950 N Avalon Way Provider ID: TPV1194727669-0 Provider ID: 158507 Provider ID: 705978 Lecanto, FL 34461 Gender: Male Gender: Male Gender: Male (352) 746-2663 Vision Specialty Associates PA 110 N Lecanto Hwy 110 N Lecanto Hwy Fax: (352) 746-6907 1661 US Hwy 19 S Lecanto, FL 34461 Lecanto, FL 34461 00 Yrs/130 Yrs Crystal River, FL 34429 (352) 527-1825 (352) 527-1825 Seven Rivers Regional Medical (352) 563-1666 Fax: (352) 527-1827 Fax: (352) 527-1827 Center Fax: (352) 228-4443 02 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 05 Yrs/99 Yrs PCMH: No Seven Rivers Regional Medical PCMH: No Center Languages: Spanish PCMH: No M-F 8:00 AM - 5:00 PM Choung, Walter MD Pediatrics Provider ID: 158507 Sat 9:00 AM - 2:00 PM Keen, Christopher MD PCMH: No Gender: Male Hiremath, Uday MD Nature Coast Orthopaedics Provider ID: 705978 Provider ID: 269540 Lappano, Alfred OD 2155 W Mustang Blvd Gender: Male Gender: Male Citrus Orthopaedic Joint Provider ID: TPV1194727669-1 Beverly Hills, FL 34465 Citrus Springs Rhc (352) 746-5707 Institute 10489 N Florida Ave Gender: Male 950 N Avalon Way Vision Specialty Associates PA Fax: (352) 746-5944 Citrus Springs, FL 34434 02 Yrs/130 Yrs Lecanto, FL 34461 (352) 746-3338 2637 E Gulf To Lake Hwy Unit (352) 746-2663 B1 M-F 8:00 AM - 5:00 PM Fax: (352) 344-3414 Fax: (352) 746-6907 Inverness, FL 34453 PCMH: No 00 Yrs/18 Yrs 00 Yrs/130 Yrs (352) 637-5180 Citrus Memorial Health Fo Hirsch, Eric MD Seven Rivers Regional Medical Languages: Hindi Fax: (352) 423-1410 Center Provider ID: 531918 M-F 9:00 AM - 5:00 PM 05 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Gender: Male PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No 110 N Lecanto Hwy Lecanto, FL 34461 Shammas, Lilia MD Petrella, Andrew MD Merlino, Brian OD (352) 527-1825 Provider ID: 576071

Fax: (352) 527-1827 Provider ID: 179890 Gender: Female Provider ID: TPV1841418555-0 00 Yrs/130 Yrs Gender: Male Pediatric and Internal Med Gender: Male 110 N Lecanto Hwy Seven Rivers Regional Medical Speciali Vision Specialty Associates PA Lecanto, FL 34461 1661 US Hwy 19 S Center 1990 N Prospect Ave PCMH: No (352) 527-1825 Lecanto, FL 34461 Crystal River, FL 34429 Fax: (352) 527-1827 (352) 527-6888 (352) 563-1666 00 Yrs/130 Yrs Fax: (352) 527-8818 Fax: (352) 228-4443 Seven Rivers Regional Medical 05 Yrs/99 Yrs 00 Yrs/21 Yrs Center M-TH 8:30 AM - 7:00 PM Languages: Spanish PCMH: No M-F 8:00 AM - 5:00 PM F 8:30 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 101 Updated: 01/04/2019 Specialty Physicians Citrus

Physical Medicine & Pritchyk, Kenneth DPM Desai, Pareshkumar MD Seneriz, Manuel MD Rehabilitation Provider ID: 917641 Provider ID: 1142178 Provider ID: 1141194 Sharma, Anuj DO Gender: Male Gender: Male Gender: Male Provider ID: 1117636 6151 N Suncoast Blvd Ste 1E Advanced Urology Institute, Advanced Urology Institute, Gender: Male Crystal River, FL 34428 LLC LLC Sharman Instituted of Pain (352) 563-5488 3475 S Suncoast Blvd 3075 W Glf To Lk Hwy Ste A­ Medicine Fax: (352) 291-0361 Homosassa, FL 34448 C 211 S Seminole Ave 00 Yrs/130 Yrs (352) 628-7671 Lecanto, FL 34461 Inverness, FL 34452 Citrus Memorial Health Fo Fax: (352) 628-9893 (352) 527-0102 (866) 288-5450 Seven Rivers Regional Medical 00 Yrs/130 Yrs Fax: (352) 527-8863 Fax: (866) 509-3414 Center Seven Rivers Regional Medical 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Center Citrus Memorial Health Fo Languages: Hindi PCMH: No M-F 8:00 AM - 5:00 PM Languages: Spanish M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Pritchyk, Kenneth DPM PCMH: No Desautel, Michael MD Podiatry Provider ID: 917641 Seneriz, Manuel MD Gender: Male Provider ID: 1143594 Fox, Jennifer DPM Nature Coast Foot and Ankle Gender: Male Provider ID: 1141194 Provider ID: 1263683 Center Advanced Urology Institute, Gender: Male Gender: Female 6254 W Corporate Oaks Dr LLC Advanced Urology Institute, Jennifer Fox DPM Crystal River, FL 34429 3075 W Glf To Lk Hwy Suites LLC 104 W Highland Blvd (352) 228-4975 A-C 609 W Highland Blvd Inverness, FL 34452 Fax: (352) 228-4977 Lecanto, FL 34461 Inverness, FL 34452 (352) 726-4818 00 Yrs/130 Yrs (352) 527-0102 (352) 726-9707 00 Yrs/130 Yrs Citrus Memorial Health Fo Fax: (352) 527-8863 Fax: (352) 726-8763 M-F 9:00 AM - 6:00 PM Seven Rivers Regional Medical 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No Center Citrus Memorial Health Fo Citrus Memorial Health Fo M-F 8:30 AM - 5:00 PM Leesburg Reg Med Center Languages: Spanish Matysik, Thomas DPM PCMH: No Seven Rivers Regional Medical M-F 8:00 AM - 5:00 PM Provider ID: 168085 Center PCMH: No Gender: Male Urology Languages: Spanish 2246 Hwy 44 W M-F 8:00 AM - 5:00 PM Vascular Surgery Inverness, FL 34453 Desai, Pareshkumar MD PCMH: No (352) 726-0331 Gelinas, William DO Desautel, Michael MD Fax: (352) 726-7189 Provider ID: 1142178 00 Yrs/130 Yrs Gender: Male Provider ID: 1142502 Citrus Memorial Health Fo Advanced Urology Institute, Provider ID: 1143594 Gender: Male M-F 9:00 AM - 5:00 PM LLC Gender: Male Suncoast Vascular and PCMH: No 3075 W Glf To Lk Hwy Ste A­ Advanced Urology Institute, General Surge C LLC 11535 W Emerald Oaks Dr Miller, Stephen DPM Lecanto, FL 34461 609 W Highland Blvd Crystal River, FL 34428 Provider ID: 727372 (352) 527-0102 Inverness, FL 34452 (352) 794-6191 Gender: Male Fax: (352) 527-8863 (352) 726-9707 Fax: (352) 794-6193 532 N Lecanto Hwy 00 Yrs/130 Yrs Fax: (352) 726-8763 18 Yrs/130 Yrs Lecanto, FL 34461 Seven Rivers Regional Medical 00 Yrs/130 Yrs Seven Rivers Regional Medical (352) 746-3333 Center Citrus Memorial Health Fo Center Fax: (352) 746-1903 M-F 8:00 AM - 5:00 PM Leesburg Reg Med Center M-TH 9:00 AM - 4:00 PM PCMH: No Seven Rivers Regional Medical F 9:00 AM - 12:30 PM 00 Yrs/130 Yrs Center PCMH: No PCMH: No Languages: Spanish M-F 8:00 AM - 4:30 PM PCMH: No

www.wellcare.com/Florida | 102 Updated: 01/04/2019 Specialty Physicians Citrus Vascular Surgery - cont.

Otto, James MD Provider ID: 1234824 Gender: Male Citrus Specialty Group, Inc 403 W Highland Blvd Inverness, FL 34452 (352) 726-3646 Fax: (352) 726-0079 00 Yrs/130 Yrs Citrus Memorial Health Fo M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM PCMH: No

www.wellcare.com/Florida | 103 Updated: 01/04/2019 Specialty Physicians Clay

Adolescent Medicine Cardiac Electrophysiology Rose, Cary MD Dajani, Omar MD Provider ID: 1750615 Provider ID: 666850 Wallizada, Abdul MD Goel, Satish MD Gender: Female Gender: Male Provider ID: 08789 Provider ID: 198508 First Coast Cardiovascular 1670 St Vincents Way Gender: Male Gender: Male Institut Middleburg, FL 32068 Khalil A Wallizada MD First Coast Cardiovascular 1681 Eagle Harbor Pkwy East (904) 602-1000 2051 Professional Center Dr Institut Ste B 18 Yrs/130 Yrs Orange Park, FL 32073 1681 Eagle Harbor Pkwy Ste B Fleming Island, FL 32003 PCMH: No (904) 276-0005 Orange Park, FL 32003 (904) 644-0092 Fax: (855) 600-3475 (904) 644-0092 Fax: (904) 644-0099 Edwards, Christopher DO 00 Yrs/20 Yrs Fax: (904) 644-0099 00 Yrs/130 Yrs Baptist Medical Center 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 1462184 Orange Park Medical Center Baptist Medical Center PCMH: No Gender: Male Languages: Persian - Farsi Baptist Medical Center of The First Coast Heart and Vascular M-F 8:30 AM - 5:00 PM Beaches Walsh, James MD Center PCMH: No Memorial Hospital Provider ID: 624065 1679 Eagle Harbor Pkwy Ste B Jacksonville Gender: Male Fleming Island, FL 32003 Allergy & Immunology Languages: Spanish St Vincents Ambulatory (904) 375-8100 M-F 8:00 AM - 5:00 PM 2300 Park Ave Ste 101B Fax: (904) 375-8101 Demarco, Patrick MD PCMH: No Orange Park, FL 32073 00 Yrs/130 Yrs (904) 264-0088 M-F 8:00 AM - 5:00 PM Ibrahim, Moraf MD Provider ID: 364623 Fax: (904) 264-3302 PCMH: No

Gender: Male Provider ID: 1353821 18 Yrs/130 Yrs

Allergy Asthma Immunology Gender: Male Orange Park Medical Center Goel, Satish MD

1895 Kingsley Ave Ste 401 Ibrahim Heart Clinic PLLC St Vincents Medical Center Provider ID: 198508

Orange Park, FL 32073 3360 County Rd 220 3364 Riverside Gender: Male County Rd 220 (904) 272-5251 St Vincents Medical Center First Coast Cardiovascular Middleburg, FL 32068 Southside Fax: (904) 730-4873 Institut (904) 580-4730 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 1681 Eagle Harbor Pkwy Ste B Fax: (904) 580-4740 PCMH: No Baptist Medical Center Orange Park, FL 32003 00 Yrs/130 Yrs Memorial Hospital Cardiology (904) 644-0092 Jacksonville Baptist Medical Center Fax: (904) 644-0099 Orange Park Medical Center Memorial Hospital Avati Nanjundappa, Ravi MD 18 Yrs/130 Yrs M 1:30 AM - 5:00 PM Jacksonville Orange Park Medical Center Baptist Medical Center T 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Baptist Medical Center of The W 8:30 AM - 5:00 PM Provider ID: 1731263 Beaches PCMH: No PCMH: No Gender: Male Memorial Hospital St. Vincent's Cardiology- Clay Jacksonville Patterson, Jay MD Lupoli, Thomas DO 1658 St Vincents Way Ste 300 Languages: Spanish Provider ID: 08687 Middleburg, FL 32068 M-F 8:00 AM - 5:00 PM Gender: Male (904) 276-5100 PCMH: No Provider ID: 582122 Southern Heart Group PA Gender: Male Fax: (904) 276-5393 2300 Park Ave Ste 101B 00 Yrs/130 Yrs Hayes, Kevin DO Allergy and Asthma Specialists Orange Park, FL 32073 of N M-F 8:00 AM - 5:00 PM Provider ID: 473901 (904) 264-0088 1895 Kingsley Ave Ste 401 PCMH: No Gender: Male Fax: (904) 264-3302 Orange Park, FL 32073 First Coast Heart and Vascular 18 Yrs/130 Yrs (904) 272-5251 Cohen, Joel DO Center Orange Park Medical Center Fax: (904) 730-4873 Provider ID: 1650430 1679 Eagle Harbor Pkwy Ste B St Vincents Medical Center Gender: Male Orange Park, FL 32003 02 Yrs/130 Yrs Riverside M 1:30 AM - 5:00 PM St Vincents Cardiology Clay (904) 375-8100 St Vincents Medical Center T 8:00 AM - 5:00 PM Southside 1658 St Vincents Way Ste 300 Fax: (904) 375-8101

W 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Middleburg, FL 32068 18 Yrs/130 Yrs

PCMH: No PCMH: No (904) 276-5100 Baptist Medical Center Fax: (904) 276-5393 Bayfront Medical Center 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 4:30 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 104 Updated: 01/04/2019 Specialty Physicians Clay

Cardiology - cont. Pubbi, Dinesh MD Singh, Sunil MD Child Neurology Provider ID: 458788 Provider ID: 1603555 Kaveti, Punita MD Gender: Male Gender: Male Kim, Jun Ho MD Provider ID: 1603632 First Coast Heart and Vascular First Coast Heart and Vascular Provider ID: 1748755 Gender: Female Center Center Gender: Male First Coast Heart Vascular 1679 Eagle Harbor Pkwy Ste B 1679 Eagle Harbor Pkwy Ste B Nemours Childrens Specialty Center Orange Park, FL 32003 Fleming Isle, FL 32003 Care, F 1679 Eagle Harbor Pkwy Ste B (904) 375-8100 (904) 375-8100 1747 Baptist Clay DR Fleming Isle, FL 32003 Fax: (904) 375-8101 Fax: (904) 375-8101 Fleming Island, FL 32003 (904) 375-8100 18 Yrs/130 Yrs 18 Yrs/130 Yrs (904) 697-3088 Fax: (904) 375-8101 Baptist Medical Center M-F 8:00 AM - 5:00 PM Fax: (904) 697-3060 00 Yrs/130 Yrs Baptist Medical Center of The PCMH: No 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Beaches M-F 8:00 AM - 5:00 PM PCMH: No Flagler Hospital Vedre, Ameeth MD PCMH: No M-F 8:00 AM - 5:00 PM Provider ID: 784680 Martin, Lilla MD PCMH: No Gender: Male Chiropractic Provider ID: 1709472 First Coast Cardiovascular Gender: Female Sasseen, Brett MD Institut Paulk, Michael DC First Coast Heart and Vascular Provider ID: 956652 1681 Eagle Harbor Pkwy Ste B Provider ID: TPV11511-01 Center Gender: Male Orange Park, FL 32203 Gender: Male 1679 Eagle Harbor Pkwy Ste B 1681 Eagle Harbor Pkwy Ste B (904) 644-0092 Kingsley Chiropractic Clinic Fleming Island, FL 32003 Fleming Island, FL 32003 Fax: (904) 644-0099 1413 Kingsley Ave (904) 375-8100 (904) 644-0092 18 Yrs/130 Yrs Orange Park, FL 32073 Fax: (904) 375-8101 00 Yrs/130 Yrs Baptist Medical Center (904) 264-3966 00 Yrs/130 Yrs Highlands Regional Medical Flagler Hospital Fax: (904) 278-7171 M-F 8:00 AM - 5:00 PM Putnam Community Hospital Memorial Hospital 00 Yrs/99 Yrs PCMH: No St Vincents Medical Center Jacksonville MWF 8:00 AM - 6:00 PM Riverside Languages: Spanish, Hindi, TTH 2:00 AM - 6:00 PM PCMH: No Martin, Lilla MD Urdu PCMH: No Provider ID: 1709472 M-F 8:00 AM - 5:00 PM Seals, Albert MD Gender: Female PCMH: No Schertell, Keith DC Provider ID: 195739 First Coast Heart and Vascular Provider ID: TPV10660-03 Gender: Male Wolford, Thomas MD Center Gender: Male St Vincents Cardiology Clay 4546 US Hwy Ste 106 Provider ID: 666845 Orange Park Chiropractic Fleming Island, FL 32003 1658 St Vincents Way Ste 300 Gender: Male Center (904) 375-8100 Middleburg, FL 32068 St Vincents Ambulatory Care 784 Blanding Blvd Ste 106

Fax: (904) 375-8101 (904) 276-5100 Inc Orange Park, FL 32065

00 Yrs/130 Yrs Fax: (904) 276-5393 1658 St Vincents Way Ste 300 (904) 272-4555

M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Middleburg, FL 32068 Fax: (904) 276-2521

PCMH: No Baptist Medical Center (904) 276-5100 00 Yrs/99 Yrs Memorial Hospital Fax: (904) 276-5393 MF 7:00 AM - 12:00 PM Jacksonville Martin, Lilla MD 00 Yrs/130 Yrs TTH 7:00 AM - 6:00 PM St Vincents Medical Center Provider ID: 487 M-F 9:00 AM - 5:00 PM WSat 8:00 AM - 12:00 PM Southside PCMH: No Gender: Female M-F 8:00 AM - 4:30 PM PCMH: No L Gayle Martin MD Facc PCMH: No 1893 Kingsley Ave Ste B Orange Park, FL 32073 (904) 272-6955 Fax: (904) 272-5001 12 Yrs/130 Yrs Orange Park Medical Center MTWTHSat 8:30 AM - 5:00 PM F 8:30 AM - 5:30 PM Sun 8:30 AM - 12:30 PM PCMH: No

www.wellcare.com/Florida | 105 Updated: 01/04/2019 Specialty Physicians Clay Colon & Rectal Surgery Krishnamurthy, Karthik DO Ear, Nose & Throat Gastroenterology

Rizk, Bassam MD Provider ID: 1047785 Herrero, Nicholas MD Butt, Mujtaba MD Provider ID: 275896 Gender: Male Provider ID: 562709 Gender: Male Park Avenue Dermatology PA Provider ID: 730423 Gender: Male First Coast Surgical Associates 906 Park Ave Gender: Male 1465 Kingsley Ave Ste 1101 2140 Kingsley Ave Ste 11 Orange Park, FL 32073 St Vincents Ambulatory Care Orange Park, FL 32073 Orange Park, FL 32073 (904) 541-0315 Inc (904) 398-7205 (904) 276-6200 Fax: (904) 541-0316 2035 Pro Center Dr Ste A Fax: (904) 264-4644 Fax: (904) 779-3303 02 Yrs/130 Yrs Orange Park, FL 32073 00 Yrs/130 Yrs 18 Yrs/130 Yrs Orange Park Medical Center (904) 272-3200 Jacksonville Center For Memorial Hospital M-F 8:00 AM - 5:00 PM Fax: (904) 272-3211 Endoscopy Jacksonville PCMH: No 00 Yrs/130 Yrs Orange Park Medical Center Orange Park Medical Center Orange Park Medical Center Languages: Urdu, Punjabi St Vincents Medical Center Schmieder, George DO St Vincents Medical Center PCMH: No Southside Riverside Languages: French, Arabic Provider ID: 273165 M-F 8:00 AM - 5:00 PM Butt, Mujtaba MD M-TH 8:00 AM - 4:30 PM Gender: Male PCMH: No Provider ID: 562709 F 8:00 AM - 5:00 PM Park Avenue Dermatology Gender: Male PCMH: No 1677 Eagle Harbor Pkwy E Ste Ruggiero, Joseph MD Borland Groover Clinic PA 1747 Baptist Clay Dr Ste 300 Dermatology B Orange Park, FL 32003 Provider ID: H0998 Fleming Island, FL 32003 Gender: Male (904) 375-8120 Krishnamurthy, Karthik DO (604) 541-0315 Fax: (604) 541-0316 St Vincents Ambulatory Care Fax: (904) 265-6479 02 Yrs/130 Yrs Inc 00 Yrs/130 Yrs Provider ID: 1047785 Orange Park Medical Center 2035 Prfssnl Center Dr Ste A Jacksonville Center For Gender: Male M-F 8:00 AM - 5:00 PM Orange Park, FL 32073 Endoscopy Orange Park Medical Center Park Avenue Dermatology PCMH: No (904) 272-3200 1677 Eagle Harbor Pkwy E Ste Fax: (904) 272-3211 Languages: Urdu, Punjabi B Schmieder, George DO 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fleming Island, FL 32003 Orange Park Surgery Center PCMH: No (604) 541-0315 Provider ID: 273165 St Vincents Medical Center Fax: (604) 541-0316 Riverside Chisholm, Sian MD Gender: Male 02 Yrs/130 Yrs Languages: French Park Avenue Dermatology PA Orange Park Medical Center MTTHF 8:00 AM - 4:00 PM Provider ID: 1119104 1543 Kingsley Ave Ste 16 M-F 8:00 AM - 5:00 PM W 8:00 AM - 12:00 PM Gender: Female Orange Park, FL 32073 PCMH: No PCMH: No Borland-Groover Clinic (904) 541-0315 1658 St Vincents Way Ste 200 Fax: (904) 541-0316 Krishnamurthy, Karthik DO Family Practice Middleburg, FL 32068 02 Yrs/130 Yrs (904) 214-8100 Orange Park Medical Center Provider ID: 1047785 Moshiree, Banafsheh MD Fax: (904) 214-8109 M-F 8:00 AM - 5:00 PM Gender: Male 18 Yrs/130 Yrs PCMH: No Park Avenue Dermatology PA Provider ID: 780242 St Vincents Medical Center 1543 Kingsley Ave Bldg 16 Schmieder, George DO Gender: Female Riverside Orange Park, FL 32073 1305 N Orange Ave Ste 120 123 M-F 8:00 AM - 5:00 PM (904) 541-0315 Green Cove Springs, FL 32043 PCMH: No Provider ID: 273165 Fax: (904) 541-0316 (904) 284-5904 Gender: Male 02 Yrs/130 Yrs Fax: (904) 284-5905 Park Avenue Dermatology PA Orange Park Medical Center 00 Yrs/130 Yrs 906 Park Ave M-F 8:00 AM - 5:00 PM MWTH 8:00 AM - 5:00 PM Orange Park, FL 32073 PCMH: No T 8:00 AM - 7:00 PM (904) 541-0315 F 8:00 AM - 12:00 PM Fax: (904) 541-0316 PCMH: No 02 Yrs/130 Yrs Orange Park Medical Center M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 106 Updated: 01/04/2019 Specialty Physicians Clay

Gastroenterology - cont. Madhok, Dinesh MD Sprague, Richard MD Farha, Fawzi MD Provider ID: 05853 Provider ID: 25069 Provider ID: 314191 Goldberg, Lawrence MD Gender: Male Gender: Male Gender: Male Provider ID: 06132 Borland Groover Clinic Borland Groover Clinic 2140 Kingsley Ave Ste 11 Gender: Male 1465 Kingsley Ave Ste 1101 1465 Kingsley Ave Ste 1101 Orange Park, FL 32073 Borland Groover Clinic Orange Park, FL 32073 Orange Park, FL 32073 (904) 276-6200 1465 Kingsley Ave Ste 1101 (904) 398-7205 (904) 264-9797 Fax: (904) 276-6205 Orange Park, FL 32073 Fax: (904) 264-4644 Fax: (904) 264-4644 18 Yrs/130 Yrs (904) 264-9797 12 Yrs/130 Yrs 18 Yrs/130 Yrs Memorial Hospital 18 Yrs/130 Yrs Jacksonville Center For Baptist Medical Center Jacksonville Baptist Medical Center Endoscopy Jacksonville Center For Orange Park Medical Center Jacksonville Center For Orange Park Medical Center Endoscopy Languages: French, Arabic Endoscopy St Vincents Medical Center St Vincents Medical Center M 8:00 AM - 4:30 PM St Vincents Medical Center Riverside Riverside TWTHF 8:00 AM - 4:00 PM Southside M-F 8:00 AM - 5:00 PM MWTHF 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No T 8:00 AM - 5:00 PM PCMH: No PCMH: No Fatemi, Amir MD Madhok, Dinesh MD Provider ID: 03327 Herman, Michael DO Provider ID: 05853 General Practice Gender: Male Provider ID: 585637 Gender: Male 2300 Park Ave Ste 101D Gender: Male Borland Groover Clinic Colon, Carlos MD Orange Park, FL 32073 1658 St Vincents Way Ste 200 2001 Kinglsey Ave Provider ID: 1230841 (904) 737-9393 Middleburg, FL 32068 Orange Park, FL 32073 Gender: Male Fax: (904) 737-9263 (904) 398-7205 (904) 264-9797 Rural Health Care Inc 00 Yrs/130 Yrs Fax: (904) 214-8109 12 Yrs/130 Yrs Keystone Heig Memorial Hospital 18 Yrs/130 Yrs Jacksonville Center For 100 Commercial Dr Jacksonville Jacksonville Center For Endoscopy Keystone Heights, FL 32656 Orange Park Medical Center Endoscopy Orange Park Medical Center (352) 473-6595 Orange Park Surgery Center Orange Park Medical Center St Vincents Medical Center Fax: (352) 473-6597 Languages: Faroese St Vincents Medical Center Riverside 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Riverside M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Languages: Hindi PCMH: No PCMH: No PCMH: No Hayne, Walter MD Roychowdhury, Abhijit MD General Surgery Provider ID: 1549834 Kimberly, James MD Gender: Male Provider ID: 458039 Provider ID: 212981 Farha, Fawzi MD Memorial Family Practice Gender: Male Gender: Male Provider ID: 314191 Associates Borland Groover Clinic PA Borland Groover Clinic Gender: Male 1895 Kingsley Ave Ste 200 1465 Kingsley Ave Ste 1101 1465 Kingsley Ave Ste 1101 2001 Kingsley Ave Orange Park, FL 32003 Orange Park, FL 32073 Orange Park, FL 32073 Orange Park, FL 32073 (904) 264-5426 (904) 398-7205 (904) 398-7205 (904) 639-8500 Fax: (904) 264-5427 Fax: (904) 264-4644 Fax: (904) 264-4644 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs Memorial Hospital M-F 9:00 AM - 5:00 PM Jacksonville Center For Jacksonville Center For Jacksonville PCMH: No Endoscopy Endoscopy Orange Park Medical Center M-F 8:00 AM - 5:00 PM Orange Park Medical Center Languages: French, Arabic Hayne, Walter MD PCMH: No St Vincents Medical Center PCMH: No Provider ID: 1549834 Riverside Gender: Male M-F 8:00 AM - 5:00 PM Memorial Family Practice PCMH: No Associates 4711 US Hwy 17 Ste B1 Fleming Island, FL 32003 (904) 264-5426 Fax: (904) 264-5427 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 107 Updated: 01/04/2019 Specialty Physicians Clay

General Surgery - cont. Powers, Robert DO Farooq, Aamer MD Stanciu, Sebastian MD Provider ID: 05969 Provider ID: 297781 Rizk, Bassam MD Gender: Male Provider ID: 1523534 Gender: Male Provider ID: 275896 North Florida OB/GYN Gender: Male 2001 Kingsley Ave Gender: Male Associates PA Cancer Specialist of North Orange Park, FL 32073 First Coast Surgical Associates 1680 Eagle Harbor Pkwy Ste A Florida (904) 639-8500 2140 Kingsley Ave Ste 11 Orange Park, FL 32003 2370 Market Dr 18 Yrs/130 Yrs Orange Park, FL 32073 (904) 264-9555 Fleming Island, FL 32003 Baptist Medical Center (904) 276-6200 Fax: (904) 215-7960 (904) 264-6201 Memorial Hospital Fax: (904) 779-3303 00 Yrs/130 Yrs Fax: (904) 264-6858 Jacksonville 18 Yrs/130 Yrs Orange Park Medical Center 18 Yrs/130 Yrs Languages: Spanish, French, Romanian Memorial Hospital M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

Jacksonville PCMH: No PCMH: No PCMH: No Orange Park Medical Center Internal Medicine St Vincents Medical Center Hand Surgery Vankayala, Hema MD Southside Ahmad, Aftab MD Languages: French, Arabic Murray, Peter MD Provider ID: 1441162 M-TH 8:00 AM - 4:30 PM Provider ID: 210739 Gender: Male Provider ID: 1198064 F 8:00 AM - 5:00 PM Gender: Male Cancer Specialists of North PCMH: No Nemours Childrens Clinic Florida Gender: Male Fleming Is 2370 Market Dr Palms Medical Group Gynecology 1747 Baptist Clay Dr Fleming Island, FL 32003 2021 Pro Center Dr Ste 100 Orange Park, FL 32003 (904) 264-6201 Orange Park, FL 32073 Powers, Robert DO (904) 697-3088 Fax: (904) 264-6858 (904) 688-3000 Provider ID: 05969 Fax: (904) 697-3060 18 Yrs/130 Yrs Fax: (904) 688-3001 Gender: Male 00 Yrs/18 Yrs M-F 8:30 AM - 5:00 PM 18 Yrs/130 Yrs North Florida OB/GYN M-F 9:00 AM - 5:00 PM PCMH: No Languages: Urdu, Punjabi Associates PA PCMH: No M-F 8:30 AM - 5:00 PM 1075 Oakleaf Plantation Pkwy Infectious Disease PCMH: Yes, Level 3 Ste 109 Hematology & Oncology Orange Park, FL 32065 Kim, Inwha MD Bednarzyk, Paul MD

(904) 264-9555 Farooq, Aamer MD Provider ID: 1129112

Fax: (904) 215-7960 Gender: Female Provider ID: 06120

00 Yrs/130 Yrs Provider ID: 1523534 Mihaela Ionescu, MD Gender: Male

Orange Park Medical Center Gender: Male 2021 Kingsley Ave Ste 101 St Vincents Ambulatory Care

M-F 8:00 AM - 5:30 PM Cancer Specialist of North Orange Park, FL 32073 Inc

PCMH: No Florida (904) 298-2113 2300 Park Ave Ste 101 B 1658 St Vincents Way Ste 230 Orange Park, FL 32073 Powers, Robert DO Fax: (904) 298-2113 Middleburg, FL 32068 18 Yrs/110 Yrs (904) 264-0088 (904) 214-8050 Orange Park Medical Center Fax: (904) 264-3302

Provider ID: 05969 Fax: (904) 214-8051 M-F 9:00 AM - 4:00 PM 18 Yrs/130 Yrs

Gender: Male 18 Yrs/130 Yrs PCMH: No Orange Park Medical Center North Florida OB/GYN M-F 9:00 AM - 5:00 PM St Vincents Medical Center Associates PA PCMH: No Marty Vigo, Harry MD Riverside

1605 Kingsley Ave Provider ID: 1691536 Languages: Spanish

Orange Park, FL 32073 Gender: Male M-F 8:00 AM - 5:00 PM

(904) 264-9555 Mihaela Ionescu PCMH: No

Fax: (904) 269-9013 2021 Kingsley Ave Ste 101

00 Yrs/130 Yrs Orange Park, FL 32073

Orange Park Medical Center (904) 272-3307

M-F 8:00 AM - 5:00 PM Fax: (904) 298-1922

PCMH: No 18 Yrs/130 Yrs MTWF 9:00 AM - 4:30 PM TH 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 108 Updated: 01/04/2019 Specialty Physicians Clay

Internal Medicine - cont. Maggard, Reuben MD Al-Saghir, Youssef MD Khatib, Yazan MD Provider ID: 378551 Provider ID: 207993 Beidas, Sary MD Provider ID: 1312040 Gender: Male Gender: Male Provider ID: 1247641 Gender: Male 2001 Kingsley Ave First Coast Cardiovascular Gender: Male Nephrology Associates of Orange Park, FL 32073 1681 Eagle Harbor Pkwy Ste B Palms Medical Group Northeast (904) 639-8500 Orange Park, FL 32003 2021 Pro Center Dr Ste 100 1563 Kingsley Ave Ste 106 18 Yrs/130 Yrs (904) 644-0092 Orange Park, FL 32073 Orange Park, FL 32073 Memorial Hospital Fax: (904) 644-0099 (904) 688-3000 (904) 272-6161 Jacksonville 18 Yrs/130 Yrs Fax: (904) 688-3001 Fax: (904) 272-9797 Orange Park Medical Center Baptist Medical Center 18 Yrs/130 Yrs 18 Yrs/110 Yrs St Vincents Medical Center Orange Park Medical Center M-F 8:00 AM - 5:00 PM Baptist Medical Center Southside St Vincents Medical Center PCMH: Yes, Level 3 Orange Park Medical Center Languages: Arabic Southside Languages: Spanish, PCMH: No Languages: French, Arabic Edwards, Christopher DO Portuguese M-F 8:00 AM - 5:00 PM MWTHF 8:00 AM - 5:00 PM Al-Saghir, Youssef MD PCMH: No Provider ID: 1462184 T 7:30 AM - 4:30 PM Gender: Male PCMH: No Provider ID: 378551 Lim, Annie MD First Coast Heart and Vascular Gender: Male Provider ID: 1327422 Center Interventional Cardiology First Coast Cardiovascular Gender: Female 1679 Eagle Harbor Pkwy Ste B 1681 Eagle Harbor Pkwy Ste B Nemours Childrens Specialty Fleming Island, FL 32003 Achtchi, Ahsan DO Orange Park, FL 32003 Care Florida (904) 375-8100 Provider ID: 1285579 (904) 644-0092 1747 Baptist Clay Dr Fax: (904) 375-8101 Gender: Male Fax: (904) 644-0099 Orange Park, FL 32003 00 Yrs/130 Yrs Ashchi Heart and Vascular 18 Yrs/130 Yrs (904) 697-4201 M-F 8:00 AM - 5:00 PM Center PA Memorial Hospital Fax: (302) 651-4945 PCMH: No 1689 Eagle Harbor Pkwy Ste B Jacksonville 00 Yrs/18 Yrs Orange Park, FL 32003 Orange Park Medical Center M-F 8:00 AM - 5:00 PM Illovsky, Michael MD (904) 222-6656 St Vincents Medical Center PCMH: No Fax: (904) 222-6657 Southside Provider ID: 950099 Languages: Arabic Gender: Male 18 Yrs/130 Yrs Singh, Sunil MD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1603555 1681 Eagle Harbor Pkwy Ste B PCMH: No Fleming Island, FL 32003 PCMH: No Gender: Male (904) 644-0092 First Coast Heart and Vascular Bansal, Manish MD Center Fax: (904) 644-0099 Achtchi, Ahsan DO Provider ID: 1285579 1679 Eagle Harbor Pkwy Ste B 18 Yrs/130 Yrs Provider ID: 1507170 Gender: Male Fleming Isle, FL 32003 St Vincents Medical Center Gender: Male Riverside Ashchi Heart and Vascular (904) 375-8100 St Vincents Medical Center Center PA Vascular Surgery Associates of Fax: (904) 375-8101 Southside 3839 County Rd 218 Nort 18 Yrs/130 Yrs PCMH: No Middleburg, FL 32068 2140 Kingsley Ave Ste 14 M-F 8:00 AM - 5:00 PM (904) 222-6656 Orange Park, FL 32073 PCMH: No Kaveti, Punita MD Fax: (904) 222-6657 (904) 515-5746 Provider ID: 1603632 18 Yrs/130 Yrs Fax: (904) 276-7559 Zuberi, Omer MD Gender: Female M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 567386 First Coast Heart Vascular PCMH: No Languages: Spanish, Hindi Gender: Male Center M-F 9:00 AM - 5:00 PM First Coast Cardiovascular 1679 Eagle Harbor Pkwy Ste B PCMH: No 1681 Eagle Harbor Pkwy St B Fleming Isle, FL 32003 Fleming Island, FL 32003 (904) 375-8100 (904) 644-0092 Fax: (904) 375-8101 Fax: (904) 644-0099 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 109 Updated: 01/04/2019 Specialty Physicians Clay

Nephrology Chique Figueroa, Juan MD Salameh, Jamal MD DO, Thi MD Provider ID: 1169948 Provider ID: 906576 Barakzoy, Ahmad MD Provider ID: 1692064 Gender: Male Gender: Male Provider ID: 584497 Gender: Male 1730 Kingsley Ave 4689 US Hwy 17 Ste 11 Gender: Male James D Baker III MD PA Orange Park, FL 32073 Orange Park, FL 32003 2001 Kingsley Ave 1563 Kingsley Ave Ste 106 (904) 744-4448 (904) 269-6565 Orange Park, FL 32073 Orange Park, FL 32073 Fax: (904) 744-4048 Fax: (904) 269-8008 (904) 579-3578 (904) 389-5333 18 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (904) 389-5332 Memorial Hospital M-F 9:00 AM - 5:00 PM Baptist Medical Center 00 Yrs/130 Yrs Jacksonville PCMH: No Orange Park Medical Center M-F 9:00 AM - 5:00 PM St Vincents Medical Center St Vincents Medical Center PCMH: No Riverside Pierre, Christine MD Riverside PCMH: No Provider ID: 592038 Languages: Urdu, Persian - Maggard, Reuben MD Gender: Female Farsi Salameh, Jamal MD 1665 Kingsley Ave Ste 107 PCMH: No Provider ID: 1169948 Provider ID: 1312040 Orange Park, FL 32073 Gender: Male Gender: Male (904) 272-9981 Barakzoy, Ahmad MD 2061 Professional Center Dr Fax: (904) 272-9982 Provider ID: 584497 Nephrology Associates of Northeast Orange Park, FL 32073 16 Yrs/130 Yrs Gender: Male 1563 Kingsley Ave Ste 106 (904) 276-3311 Orange Park Medical Center 2061 Professional Center Dr Orange Park, FL 32073 18 Yrs/130 Yrs Languages: Creole Orange Park, FL 32073 (904) 272-6161 Memorial Hospital M-F 9:00 AM - 5:00 PM (904) 276-3311 Jacksonville Fax: (904) 272-9797 PCMH: No Fax: (904) 276-6422 St Vincents Medical Center 18 Yrs/110 Yrs 18 Yrs/130 Yrs Riverside Pierre, Christine MD Baptist Medical Center PCMH: No Baptist Medical Center Orange Park Medical Center Orange Park Medical Center St Vincents Medical Center Languages: Spanish, Neurology Provider ID: 592038 Riverside Portuguese Gender: Female Languages: Urdu, Persian - MWTHF 8:00 AM - 5:00 PM Bond, Ronnie MD Jacksonville Mulispecialty Farsi T 7:30 AM - 4:30 PM Provider ID: 1169356 Services PCMH: No PCMH: No Gender: Male 1887 Kingsley Ave Ste 1900 Orange Park, FL 32073 Salahuddin, Muhammad MD 2001 Kingsley Ave Barakzoy, Ahmad MD Orange Park, FL 32073 (904) 272-9981 Provider ID: 584497 (904) 639-8500 Fax: (904) 272-9982 Gender: Male Provider ID: 930396 00 Yrs/130 Yrs 16 Yrs/130 Yrs Ahmad S Barakzoy MD Gender: Male PCMH: No Orange Park Medical Center 1689 Eagle Harbor Pkwy Ste B Nephrology Associates of Languages: Creole Orange Park, FL 32003 Northeast Bond, Ronnie MD M-F 8:00 AM - 5:00 PM (904) 579-3578 895 Kingsley Ave Ste 303 Provider ID: 1169356 PCMH: No Fax: (904) 375-8568 Orange Park, FL 32073 Gender: Male Pierre, Christine MD 18 Yrs/130 Yrs (904) 389-5333 First Coast Neurology

Baptist Medical Center Fax: (904) 389-5332 1887 Kingsley Ave Ste 1900 Provider ID: 592038

Orange Park Medical Center 00 Yrs/130 Yrs Orange Park, FL 32073 Gender: Female

St Vincents Medical Center Orange Park Medical Center (904) 276-7336 Jacksonville Mulispecialty Services Riverside M-F 9:00 AM - 5:00 PM Fax: (904) 276-7337 4689 US Hwy 17 Ste 11 Languages: Urdu, Persian - PCMH: No 00 Yrs/130 Yrs Fleming Island, FL 32003 Farsi M-F 8:30 AM - 5:00 PM (904) 269-7009 M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Fax: (904) 278-4425 16 Yrs/130 Yrs Orange Park Medical Center Languages: Creole M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 110 Updated: 01/04/2019 Specialty Physicians Clay

Neurology - cont. Tafish, Islam MD Vitarbo, Elizabeth MD Obstetrics/Gynecology Provider ID: 1208569 Shapovalov, Denys MD Gender: Male Provider ID: 1253013 Ayuso, Andres MD Provider ID: 1145940 First Coast Neurology Gender: Female Provider ID: 1308794 Gender: Male 4689 US Hwy 17 Ste 11 Memorial Neurosurgery Gender: Male 1670 St Vincents Way Fleming Island, FL 32003 Group LLC Florida Woman Care LLC Middleburg, FL 32068 (904) 269-6565 1887 Kingsley Ave Ste 1900 1560 Kingsley Ave Ste 4 (904) 602-1000 Fax: (904) 269-8008 Orange Park, FL 32073 Orange Park, FL 32073 00 Yrs/130 Yrs 18 Yrs/110 Yrs (904) 276-7336 (904) 264-1628 PCMH: No M-F 8:30 AM - 5:00 PM Fax: (904) 276-7337 Fax: (904) 264-8386 PCMH: No 18 Yrs/130 Yrs 12 Yrs/130 Yrs Shapovalov, Denys MD Orange Park Medical Center MTTH 8:30 AM - 5:00 PM Ventura, Julio MD M-F 8:30 AM - 5:30 PM WF 8:30 AM - 2:00 PM Provider ID: 1145940 Provider ID: 1518582 PCMH: No PCMH: No Gender: Male Gender: Male St Vincents Physician St Vincents Ambulatory Care Nuclear Medicine Ayuso, Andres MD Enterprise Inc Provider ID: 1308794 1658 St Vincents Way Ste 310 1658 St Vincents Way Ste 310 Mody, Tejal MD Gender: Male Middleburg, FL 32068 Middleburg, FL 32068 Provider ID: 1265919 Florida Woman Care LLC (904) 602-4450 (904) 602-4450 Gender: Female 1658 St Vincents Way Ste 130 Fax: (904) 308-7938 Fax: (904) 308-7938 Nemours Childrens Specialty Middleburg, FL 32068 00 Yrs/130 Yrs 21 Yrs/130 Yrs Care (904) 264-1628 M-F 8:30 AM - 4:30 PM Languages: Spanish 1747 Baptist Clay Dr Fax: (904) 264-8386 PCMH: No M-W 8:00 AM - 5:00 PM Orange Park, FL 32003 12 Yrs/130 Yrs PCMH: No (904) 697-3088 MTTH 8:30 AM - 5:00 PM Tafish, Islam MD Fax: (904) 697-3060 WF 8:30 AM - 2:00 PM Provider ID: 1208569 Neurosurgery 00 Yrs/18 Yrs PCMH: No Gender: Male M-F 9:00 AM - 5:00 PM First Coast Neurology Rothschild, Cheslovas MD PCMH: No Collier, Angela MD 1665 Kingsley Ave Ste 107 Provider ID: 723397 Orange Park, FL 32073 Provider ID: 667579 Obstetrics Gender: Female (904) 272-9981 Gender: Male North Florida OB/GYN Fax: (904) 272-9982 Memorial Neurosurgery Phillips, Jason MD Associates PA 18 Yrs/110 Yrs Group LLC Provider ID: 1525935 1075 Oakleaf Plantation Pkwy M-F 8:30 AM - 5:30 PM 1887 Kingsley Ave Ste 1900 Gender: Male Ste 109 PCMH: No Orange Park, FL 32073 Florida Woman Care LLC Orange Park, FL 32065 (904) 276-7336 1658 St Vincents Way Ste 130 (904) 264-9555 Tafish, Islam MD Fax: (904) 276-7337 Middleburg, FL 32068 Fax: (904) 215-7960 Provider ID: 1208569 18 Yrs/130 Yrs (904) 264-1628 12 Yrs/130 Yrs Gender: Male Orange Park Medical Center Fax: (904) 264-8386 Orange Park Medical Center First Coast Neurology Languages: Spanish 00 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM 1887 Kingsley Ave Ste 1900 M-TH 9:00 AM - 5:00 PM MTTH 8:30 AM - 5:00 PM PCMH: No Orange Park, FL 32003 PCMH: No WF 8:00 AM - 2:00 PM (904) 272-9981 PCMH: No Collier, Angela MD Fax: (904) 272-9982 Provider ID: 723397 18 Yrs/110 Yrs Weaver, Sarah MD Gender: Female M-F 8:30 AM - 5:30 PM Provider ID: 1461048 North Florida OB/GYN PCMH: No Gender: Female Associates PA UF Generation To Generation 1605 Kingsley Ave Obstric Orange Park, FL 32073 1887 Kingsley Ave Ste 1500 (904) 269-5600 Orange Park, FL 32073 Fax: (904) 269-9013 (904) 633-0880 12 Yrs/130 Yrs Fax: (904) 633-0881 Orange Park Medical Center 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 111 Updated: 01/04/2019 Specialty Physicians Clay

Obstetrics/Gynecology - Edelenbos, Eric DO McCauley, Richard MD Pizarro, Jade MD cont. Provider ID: 548813 Provider ID: 342337 Provider ID: 05797 Gender: Female Collier, Angela MD Gender: Male Gender: Male North Florida OB/GYN Provider ID: 723397 North Florida OB/GYN North Florida OB/GYN Associat Gender: Female Associates PA Associates PA 1075 Oakleaf Plantation Pkwy North Florida OB/GYN 1680 Eagle Harbor Pkwy Ste A 1680 Eagle Harbor Pkwy Ste A Ste 109 Associates PA Orange Park, FL 32003 Orange Park, FL 32003 Orange Park, FL 32065 1680 Eagle Harbor Pkwy Ste A (904) 264-9555 (904) 264-9555 (904) 264-9555 Orange Park, FL 32003 Fax: (904) 215-7960 Fax: (904) 215-7960 Fax: (904) 215-7960 (904) 264-9555 00 Yrs/130 Yrs 12 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 215-7960 Orange Park Medical Center M-F 8:00 AM - 5:00 PM Orange Park Medical Center 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:30 PM Orange Park Medical Center PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Morphet, Michael DO PCMH: No McCauley, Richard MD Provider ID: 1441555 Pizarro, Jade MD Provider ID: 05797 Gender: Male Provider ID: 548813 Edelenbos, Eric DO Gender: Male North Florida OB/GYN Assoc Gender: Female Provider ID: 342337 2001 Kingsley Ave 1075 Oakleaf Plantation Pkwy North Florida Obstertical Gender: Male Orange Park, FL 32073 Ste 109 Gynecolo 2001 Kingsley Ave (904) 639-8500 Orange Park, FL 32065 1605 Kingsley Ave Orange Park, FL 32073 12 Yrs/130 Yrs (904) 264-9555 Orange Park, FL 32073 (904) 639-8500 PCMH: No Fax: (904) 215-7960 (904) 269-5600 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 269-9013 Orange Park Medical Center McCauley, Richard MD M-F 8:00 AM - 5:30 PM 00 Yrs/130 Yrs PCMH: No PCMH: No Orange Park Medical Center Provider ID: 05797 M-F 8:00 AM - 5:00 PM Edelenbos, Eric DO Gender: Male Morphet, Michael DO PCMH: No Provider ID: 342337 North Florida OB/GYN Provider ID: 1441555 Gender: Male Associates PA Gender: Male Pizarro, Jade MD North Florida OB/GYN 1075 Oakleaf Plantation Pkwy North Florida OB/GYN Assoc Provider ID: 548813 Associates PA Ste 109 1605 Kingsley Ave Gender: Female 1075 Oakleaf Plantation Pkwy Orange Park, FL 32065 Orange Park, FL 32073 North Florida Obstertical Ste 109 (904) 264-9555 (904) 264-9555 Gynecolo Orange Park, FL 32065 Fax: (904) 215-7960 Fax: (904) 269-9013 1680 Eagle Harbor Pkwy Ste A (904) 264-9555 12 Yrs/130 Yrs 00 Yrs/130 Yrs Orange Park, FL 32003 Fax: (904) 215-7960 M-F 8:00 AM - 5:30 PM M-F 8:00 AM - 5:00 PM (904) 264-9555 00 Yrs/130 Yrs PCMH: No PCMH: No Fax: (904) 215-7960 Orange Park Medical Center 00 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM McCauley, Richard MD Morphet, Michael DO Orange Park Medical Center PCMH: No Provider ID: 1441555 M-F 8:00 AM - 5:00 PM Provider ID: 05797 Gender: Male PCMH: No Edelenbos, Eric DO Gender: Male North Florida OB/GYN Assoc Rowan, Nikki MD North Florida OB/GYN 1680 Eagle Harbor Pkwy Ste A Provider ID: 564580 Provider ID: 342337 Associates PA Orange Park, FL 32003 Gender: Female Gender: Male 1605 Kingsley Ave (904) 264-9555

North Florida OB/GYN Orange Park, FL 32073 UF Generation To Generation Fax: (904) 215-7960 OB/GYN Associates PA (904) 269-5600 00 Yrs/130 Yrs 1887 Kingsley Ave Ste 1500 1605 Kingsley Ave Fax: (904) 269-9013 M 8:00 AM - 6:30 PM Orange Park, FL 32073 Orange Park, FL 32073 12 Yrs/130 Yrs TWTHF 8:00 AM - 5:00 PM (904) 633-0880 (904) 269-5600 M-F 8:30 AM - 5:30 PM PCMH: No Fax: (904) 633-0881 Fax: (904) 269-9013 PCMH: No 00 Yrs/130 Yrs 12 Yrs/130 Yrs

Orange Park Medical Center M-F 8:30 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 112 Updated: 01/04/2019 Specialty Physicians Clay

Obstetrics/Gynecology - Ophthalmology Logan, Sarah MD Optometry cont. Provider ID: 1655328 Jeroudi, Abdallah MD Gender: Female Abshire, Kyle OD Shah, Arjav MD Provider ID: TPV1730479650-0 Nemours Childrens Specialty Provider ID: TPV1578545869-0 Provider ID: 391728 Gender: Male Care Florida Gender: Male Gender: Male Florida Retina Institute James 1747 Baptist Clay Dr Dr Kyle D Abshire Dr James R 2001 Kingsley Ave A Staman MD PA Fleming Island, FL 32003 Hoffman PA Orange Park, FL 32073 4607 US Hwy 17 Ste 1 (904) 697-3088 784 Blanding Blvd Ste 100 (904) 639-8500 Fleming Island, FL 32003 Fax: (904) 697-3060 Orange Park, FL 32065 00 Yrs/130 Yrs (904) 579-2800 00 Yrs/18 Yrs (904) 272-3937 Orange Park Medical Center Fax: (904) 579-2799 M-F 8:00 AM - 5:00 PM Fax: (904) 272-3436 PCMH: No 00 Yrs/99 Yrs PCMH: No 05 Yrs/99 Yrs No Hospital Privileges- M 9:00 AM - 6:00 PM Shah, Arjav MD Covering Arrangem Thomas, Benjamin MD T 9:30 AM - 6:00 PM Provider ID: 391728 MT 8:00 AM - 5:00 PM Provider ID: TPV1427290360-0 WTHF 8:00 AM - 5:00 PM Gender: Male PCMH: No Gender: Male Sat 9:00 AM - 1:00 PM North Florida OB/GYN Florida Retina Institute James PCMH: No Associates PA Lambrou, Jr, Fred MD A Staman MD PA 1075 Oakleaf Plantation Pkwy Provider ID: TPV1437143666-0 4607 US Hwy 17 Ste 1 Abshire, Kyle OD Ste 109 Gender: Male Fleming Island, FL 32003 Provider ID: TPV1578545869-0 Orange Park, FL 32065 Retina Associates PA (904) 579-2800 Gender: Male (904) 264-9555 1563 Kingsley Ave Ste 101 Fax: (904) 579-2799 Dr Kyle D Abshire Dr James R Fax: (904) 215-7960 Orange Park, FL 32073 01 Yrs/99 Yrs Hoffman PA 00 Yrs/130 Yrs (904) 269-5002 No Hospital Privileges- 905 Park Ave Ste 100 Orange Park Medical Center Fax: (904) 269-5060 Covering Arrangem Orange Park, FL 32073 M-F 8:00 AM - 5:30 PM 18 Yrs/99 Yrs MT 8:00 AM - 5:00 PM (904) 264-1206 PCMH: No St Vincent's Riverside PCMH: No Fax: (904) 264-3685 M 12:30 AM - 4:00 PM 05 Yrs/99 Yrs Shah, Arjav MD TW 7:30 AM - 10:30 PM Optician MT 9:00 AM - 6:00 PM Provider ID: 391728 TH 7:30 AM - 12:00 PM WTHF 8:00 AM - 5:00 PM Gender: Male PCMH: No Kenneth L Groleau Sat 8:00 AM - 2:00 PM North Florida OB/GYN Provider ID: TPV1942755160-0 PCMH: No Associates PA Leder, Henry MD 225 Blanding Blvd 1605 Kingsley Ave Provider ID: TPV1275563652-0 Orange Park, FL 32073 Allen, Margaret OD Orange Park, FL 32073 Gender: Male (904) 276-4611 Provider ID: TPV1053343269-0 (904) 269-5600 Retina Associates PA Fax: (904) 276-4328 Gender: Female Fax: (904) 215-7960 1563 Kingsley Ave Ste 101 00 Yrs/99 Yrs Myeyedr Optometry of 00 Yrs/130 Yrs Orange Park, FL 32073 MTTH 9:30 AM - 5:30 PM Florida LLC Orange Park Medical Center (904) 269-5002 W 9:30 AM - 7:00 PM 1545 Branan Field Rd Ste 5 M-F 8:00 AM - 5:00 PM Fax: (904) 269-5060 F 10:00 AM - 3:30 PM Middleburg, FL 32068 PCMH: No 00 Yrs/99 Yrs PCMH: No (904) 291-5800 No Hospital Privileges- Fax: (904) 291-9772 Shah, Arjav MD Covering Arrangem 05 Yrs/99 Yrs Provider ID: 391728 M 12:30 AM - 4:00 PM MWF 9:00 AM - 5:00 PM Gender: Male TW 7:30 AM - 10:30 PM TTH 9:00 AM - 7:00 PM North Florida OB/GYN TH 7:30 AM - 12:00 PM Sat 9:00 AM - 1:00 PM Associates PA PCMH: No PCMH: No 1680 Eagle Harbor Pkwy Ste A Orange Park, FL 32003 (904) 264-9555 Fax: (904) 215-7960 00 Yrs/130 Yrs Orange Park Medical Center M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 113 Updated: 01/04/2019 Specialty Physicians Clay

Optometry - cont. Bowman, Christina OD Hodges, Jacob OD Hoffman, James OD Provider ID: TPV1629066410-0 Provider ID: TPV1336436948-0 Provider ID: TPV1730115759-0 Anguas, Edwin OD Gender: Female Gender: Male Gender: Male Provider ID: TPV1316968233-0 Dr Kyle D Abshire Dr James R Dr Kyle D Abshire Dr James R Dr Kyle D Abshire Dr James R Gender: Male Hoffman PA Hoffman PA Hoffman PA Myeyedr Optometry of 905 Park Ave Ste 100 905 Park Ave Ste 100 784 Blanding Blvd Ste 100 Florida LLC Orange Park, FL 32073 Orange Park, FL 32073 Orange Park, FL 32065 28 Blanding Blvd (904) 264-1206 (904) 264-1206 (904) 272-3937 Orange Park, FL 32073 Fax: (904) 264-3685 Fax: (904) 264-3685 Fax: (904) 272-3436 (904) 264-5483 05 Yrs/99 Yrs 05 Yrs/99 Yrs 05 Yrs/99 Yrs Fax: (904) 213-0515 MT 9:00 AM - 6:00 PM MT 9:00 AM - 6:00 PM M 9:00 AM - 6:00 PM 05 Yrs/99 Yrs WTHF 8:00 AM - 5:00 PM WTHF 8:00 AM - 5:00 PM T 9:30 AM - 6:00 PM MTHF 9:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Sat 8:00 AM - 2:00 PM WTHF 8:00 AM - 5:00 PM TW 9:00 AM - 7:00 PM PCMH: No PCMH: No Sat 9:00 AM - 1:00 PM Sat 9:00 AM - 4:00 PM PCMH: No PCMH: No Cone, Paul OD Hodges, Virginia OD Provider ID: TPV1932117363-0 Provider ID: TPV1669769287-0 Hoffman, James OD Armanious Hendy, Mary OD Gender: Male Gender: Female Provider ID: TPV1730115759-0 Dr Paul J Cone OD Dr Kyle D Abshire Dr James R Gender: Male Provider ID: TPV1104174564-0 225 Blanding Blvd Hoffman PA Dr Kyle D Abshire Dr James R Gender: Female Orange Park, FL 32073 784 Blanding Blvd Ste 100 Hoffman PA Myeyedr Optometry of (904) 276-4611 Orange Park, FL 32065 905 Park Ave Ste 100 Florida LLC Fax: (904) 276-4328 (904) 272-3937 Orange Park, FL 32073 28 Blanding Blvd 04 Yrs/99 Yrs Fax: (904) 272-3436 (904) 264-1206 Orange Park, FL 32073 MTTH 9:30 AM - 5:30 PM 05 Yrs/99 Yrs Fax: (904) 264-3685 (904) 264-5483 W 9:30 AM - 7:00 PM M 9:00 AM - 6:00 PM 05 Yrs/99 Yrs Fax: (904) 213-0515 F 10:00 AM - 3:30 PM T 9:30 AM - 6:00 PM MT 9:00 AM - 6:00 PM 05 Yrs/99 Yrs PCMH: No WTHF 8:00 AM - 5:00 PM WTHF 8:00 AM - 5:00 PM MTHF 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Sat 8:00 AM - 2:00 PM TW 9:00 AM - 7:00 PM Hodges, Jacob OD PCMH: No PCMH: No Sat 9:00 AM - 4:00 PM Provider ID: TPV1336436948-0 PCMH: No Gender: Male Hodges, Virginia OD Hossenlopp, Craig OD Dr Kyle D Abshire Dr James R Provider ID: TPV1669769287-0 Provider ID: TPV1346618311-0 Bowman, Christina OD Hoffman PA Gender: Female Gender: Male Provider ID: TPV1629066410-0 784 Blanding Blvd Ste 100 Dr Kyle D Abshire Dr James R Myeyedr Optometry of Gender: Female Orange Park, FL 32065 Hoffman PA Florida LLC Dr Kyle D Abshire Dr James R (904) 272-3937 905 Park Ave Ste 100 28 Blanding Blvd Hoffman PA Fax: (904) 272-3436 Orange Park, FL 32073 Orange Park, FL 32073 784 Blanding Blvd Ste 100 05 Yrs/99 Yrs (904) 264-1206 (904) 264-5483 Orange Park, FL 32065 M 9:00 AM - 6:00 PM Fax: (904) 264-3685 Fax: (904) 213-0515 (904) 272-3937 T 9:30 AM - 6:00 PM 05 Yrs/99 Yrs 05 Yrs/99 Yrs Fax: (904) 272-3436 WTHF 8:00 AM - 5:00 PM MT 9:00 AM - 6:00 PM MTHF 9:00 AM - 5:00 PM 05 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM WTHF 8:00 AM - 5:00 PM TW 9:00 AM - 7:00 PM M 9:00 AM - 6:00 PM PCMH: No Sat 8:00 AM - 2:00 PM Sat 9:00 AM - 4:00 PM T 9:30 AM - 6:00 PM PCMH: No PCMH: No WTHF 8:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No

www.wellcare.com/Florida | 114 Updated: 01/04/2019 Specialty Physicians Clay

Optometry - cont. Larson, Karen OD Parrish, Gregory OD Stephens, Amy OD Provider ID: TPV1558463588-0 Provider ID: TPV1598759458-2 Provider ID: TPV1598825184-1 Houser, Frank OD Gender: Female Gender: Male Gender: Female Provider ID: TPV1366435604-0 Dr Kyle D Abshire Dr James R Myeyedr Optometry of Myeyedr Optometry of Gender: Male Hoffman PA Florida LLC Florida LLC Myeyedr Optometry of 784 Blanding Blvd Ste 100 1545 Branan Field Rd Ste 5 28 Blanding Blvd Florida LLC Orange Park, FL 32065 Middleburg, FL 32068 Orange Park, FL 32073 28 Blanding Blvd (904) 272-3937 (904) 291-5800 (904) 264-5483 Orange Park, FL 32073 Fax: (904) 272-3436 Fax: (904) 291-9772 Fax: (904) 213-0515 (904) 264-5483 05 Yrs/99 Yrs 05 Yrs/99 Yrs 05 Yrs/99 Yrs Fax: (904) 213-0515 M 9:00 AM - 6:00 PM MWF 9:00 AM - 5:00 PM MTHF 9:00 AM - 5:00 PM 05 Yrs/99 Yrs T 9:30 AM - 6:00 PM TTH 9:00 AM - 7:00 PM TW 9:00 AM - 7:00 PM MTHF 9:00 AM - 5:00 PM WTHF 8:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Sat 9:00 AM - 4:00 PM TW 9:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM PCMH: No PCMH: No Sat 9:00 AM - 4:00 PM PCMH: No PCMH: No Poole, Erica OD Ung, Jessy OD Larson, Karen OD Provider ID: TPV1417280769-0 Provider ID: TPV1639697584-0 Kawa, Samantha OD Provider ID: TPV1558463588-0 Gender: Female Gender: Male Provider ID: TPV1306262886-0 Gender: Female Dr Kyle D Abshire Dr James R Myeyedr Optometry of Gender: Female Dr Kyle D Abshire Dr James R Hoffman PA Florida LLC Dr Kyle D Abshire Dr James R Hoffman PA 905 Park Ave Ste 100 28 Blanding Blvd Hoffman PA 905 Park Ave Ste 100 Orange Park, FL 32073 Orange Park, FL 32073 784 Blanding Blvd Ste 100 Orange Park, FL 32073 (904) 264-1206 (904) 264-5483 Orange Park, FL 32065 (904) 264-1206 Fax: (904) 264-3685 Fax: (904) 213-0515 (904) 272-3937 Fax: (904) 264-3685 04 Yrs/99 Yrs 05 Yrs/99 Yrs Fax: (904) 272-3436 05 Yrs/99 Yrs MT 9:00 AM - 6:00 PM MTHF 9:00 AM - 5:00 PM 00 Yrs/99 Yrs MT 9:00 AM - 6:00 PM WTHF 8:00 AM - 5:00 PM TW 9:00 AM - 7:00 PM M 9:00 AM - 6:00 PM WTHF 8:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Sat 9:00 AM - 4:00 PM T 9:30 AM - 6:00 PM Sat 8:00 AM - 2:00 PM PCMH: No PCMH: No WTHF 8:00 AM - 5:00 PM PCMH: No Sat 9:00 AM - 1:00 PM Smith, William OD Ung, Jessy OD PCMH: No Lyons, Audrey OD Provider ID: TPV1538401476-0 Provider ID: TPV1639697584-0 Provider ID: TPV1710060405-1 Gender: Male Gender: Male Kawa, Samantha OD Gender: Female Myeyedr Optometry of Myeyedr Optometry of Provider ID: TPV1306262886-0 Myeyedr Optometry of Florida LLC Florida LLC Gender: Female Florida LLC 28 Blanding Blvd 28 Blanding Blvd Dr Kyle D Abshire Dr James R 28 Blanding Blvd Orange Park, FL 32073 Orange Park, FL 32073 Hoffman PA Orange Park, FL 32073 (904) 264-5483 (904) 264-5483 905 Park Ave Ste 100 (904) 264-5483 Fax: (904) 213-0515 Fax: (904) 213-0515 Orange Park, FL 32073 Fax: (904) 213-0515 05 Yrs/99 Yrs 05 Yrs/99 Yrs (904) 264-1206 05 Yrs/99 Yrs MTHF 9:00 AM - 5:00 PM MTHF 9:00 AM - 5:00 PM Fax: (904) 264-3685 MTHF 9:00 AM - 5:00 PM TW 9:00 AM - 7:00 PM TW 9:00 AM - 7:00 PM 00 Yrs/99 Yrs TW 9:00 AM - 7:00 PM Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 4:00 PM MT 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM PCMH: No PCMH: No WTHF 8:00 AM - 5:00 PM PCMH: No Sat 8:00 AM - 2:00 PM PCMH: No Minesinger, James OD Provider ID: TPV1477690709-0 Gender: Male James H Minesinger OD 260 S Lawrence Blvd Ste 101 Keystone Heights, FL 32656 (352) 473-2600 Fax: (352) 473-1263 05 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 115 Updated: 01/04/2019 Specialty Physicians Clay

Optometry - cont. Orthopaedic Surgery Neway III, William DO Latif, Shariq MD Provider ID: 1191417 Villa, Carlos OD Baldwin, Paul MD Provider ID: 1538009 Gender: Male Provider ID: TPV1942291901-0 Provider ID: 1537960 Gender: Male Afa Pain Specialist Gender: Male Gender: Male Coastal Spine and Pain Center 728 Blanding Blvd Ste C Myeyedr Optometry of Hughston Orthopaedic 1564 Kingsley Ave Ste 300 Orange Park, FL 32065 Florida LLC Southeast PC Orange Park, FL 32073 (904) 639-6747 28 Blanding Blvd 4689 US Hwy 17 Ste 11 and 12 (904) 264-0400 Fax: (904) 639-6769 Orange Park, FL 32073 Fleming Island, FL 32003 Fax: (904) 264-0401 18 Yrs/130 Yrs (904) 264-5483 (904) 269-6565 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (904) 213-0515 Fax: (904) 375-8380 M-F 8:00 AM - 5:00 PM PCMH: No 05 Yrs/99 Yrs 00 Yrs/130 Yrs PCMH: No MTHF 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Von Tobel, Travis MD TW 9:00 AM - 7:00 PM PCMH: No Neway III, William DO Provider ID: 1508210 Sat 9:00 AM - 4:00 PM Gender: Male PCMH: No Burnette, Jeffrey MD Provider ID: 1538009 The Institute For Florida Pain Gender: Male Spec Wagner, Ellen OD Provider ID: 1537716 Coastal Spine and Pain Center 1895 Kingsley Ave Ste 903 Provider ID: TPV1316987753-0 Gender: Male 1821 Blanding Blvd Ste 1 Orange Park, FL 32073 Gender: Female Hughston Orthopaedic Middleburg, FL 32068 (904) 644-8472 Myeyedr Optometry of Southeast PC (904) 406-3160 Fax: (904) 644-8289 Florida LLC 2 Pavilion Pl Fax: (904) 406-3159 00 Yrs/130 Yrs 28 Blanding Blvd Penney Farms, FL 32079 00 Yrs/130 Yrs Orange Park Medical Center Orange Park, FL 32073 (904) 284-8200 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (904) 264-5483 Fax: (706) 494-3008 PCMH: No PCMH: No Fax: (904) 213-0515 00 Yrs/130 Yrs 05 Yrs/99 Yrs Orange Park Medical Center Pain Management Pediatric Allergy & MTHF 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Immunology TW 9:00 AM - 7:00 PM PCMH: No Andrawis, Ashraf MD Sat 9:00 AM - 4:00 PM Leonard, Sharon MD PCMH: No Burnette, Jeffrey MD Provider ID: 426028 Gender: Male Provider ID: 398732 Weinstein, Harry OD Provider ID: 1537716 Premier Spine Pain Center Gender: Female

Provider ID: TPV1568540870-0 Gender: Male 1543 Kingsley Ave Bldg 3 Childrens Clinic Fleming Is

Gender: Male Hughston Orthopaedic Orange Park, FL 32073 1747 Baptist Clay Dr Ste 130

Myeyedr Optometry of Southeast PC (904) 264-0770 Fleming Island, FL 32003 Florida LLC 4689 US Hwy 17 Ste 11and12 Fax: (904) 264-0670 (904) 697-3089 28 Blanding Blvd Fleming Island, FL 32003 18 Yrs/130 Yrs Fax: (904) 697-3060 Orange Park, FL 32073 (904) 375-9753 Orange Park Medical Center 00 Yrs/18 Yrs (904) 264-5483 Fax: (706) 494-3008 Languages: Arabic M-F 9:00 AM - 5:00 PM Fax: (904) 213-0515 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No 05 Yrs/99 Yrs Orange Park Medical Center PCMH: No MTHF 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Schrum, Jacob MD TW 9:00 AM - 7:00 PM PCMH: No Arcila, Marisol MD Provider ID: 210778

Sat 9:00 AM - 4:00 PM Provider ID: 919076 Gender: Male

PCMH: No Gould, Mark MD Gender: Female Nemours Childrens Clinic Provider ID: 1537719 Premier Spine Pain Center Fleming Is Gender: Male 1543 Kingsley Ave Ste 3 1747 Baptist Clay Dr Ste 130 Hughston Orthopaedic Orange Park, FL 32073 Fleming Island, FL 32003

Southeast PC (904) 264-0770 (904) 697-3089

4689 US Hwy 17 Ste 11 and 12 Fax: (904) 264-0670 Fax: (904) 697-3060

Fleming Island, FL 32003 00 Yrs/130 Yrs 00 Yrs/18 Yrs

(904) 375-9753 Orange Park Medical Center Languages: Spanish, Creole

Fax: (706) 494-3008 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

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Pediatric Allergy & Juraszek, Amy MD Neagu, Daniela MD Chafin, James MD Immunology - cont. Provider ID: 1339544 Provider ID: 681381 Provider ID: 562582 Gender: Female Gender: Female Gender: Male Yousef, Ejaz MD UF Health Pediatric UF Health Pediatric Nemours Childrens Clinic Provider ID: 1052353 Cardiology - Be Cardiology Cl 1747 Baptist Clay Dr Ste 130 Gender: Male 530 Jacksonville Dr 1747 Baptist Clay Dr Ste 100 Fleming Island, FL 32003 Nemours Childrens Clinic Jacksonville Beach, FL 32250 Orange Park, FL 32003 (904) 697-3089 Fleming Is (904) 383-1046 (904) 633-4110 Fax: (904) 697-3060 1747 Baptist Clay Dr Fax: (904) 633-4111 Fax: (904) 633-4111 00 Yrs/130 Yrs Fleming Island, FL 32003 00 Yrs/18 Yrs 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM (904) 697-3088 M 8:00 AM - 5:00 PM Baptist Medical Center PCMH: No Fax: (904) 697-3060 PCMH: No Shands Jacksonville Med 00 Yrs/18 Yrs Center Josephson, Gary MD Baptist Medical Center Juraszek, Amy MD Languages: Spanish M-F 8:00 AM - 5:00 PM Provider ID: 1339544 M 8:00 AM - 4:30 PM Provider ID: 210764 PCMH: No Gender: Female PCMH: No Gender: Male UF Health Pediatric Nemours Childrens Clinic Pediatric Cardiology Cardiology - Cl Pediatric Ear, Nose & 1747 Baptist Clay Dr Ste 130 1747 Baptist Clay Dr Ste 100 Throat Fleming Island, FL 32003 English, Robert MD Orange Park, FL 32003 (904) 697-3089 Provider ID: 708054 (904) 633-4110 Andreoli, Steven MD Fax: (904) 697-3060 Gender: Male Fax: (904) 633-4111 00 Yrs/18 Yrs UF Health Pediatric 00 Yrs/18 Yrs Provider ID: 900348 M-F 9:00 AM - 5:00 PM Cardiology Clay M 8:00 AM - 4:30 PM Gender: Male PCMH: No 1747 Baptist Clay Dr Ste 100 PCMH: No Nemours Childrens Clinic Fleming Island, FL 32003 Fleming I Pediatric Endocrinology (904) 633-4110 Kuebler, Brandon MD 1747 Baptist Clay Dr Ste 130 Fax: (904) 633-4111 Provider ID: 1173249 Fleming Island, FL 32003 Hasan, Reham MD 00 Yrs/130 Yrs Gender: Male (904) 697-3089 Provider ID: 1576708 Languages: Spanish UF Health Pediatric Fax: (904) 697-3060 Gender: Female M-F 8:00 AM - 4:30 PM Cardiology - Cl 00 Yrs/17 Yrs Nemours Childrens Specialty PCMH: No 1747 Baptist Clay Dr Ste 100 M-F 9:00 AM - 5:00 PM Care Florida Fleming Island, FL 32003 PCMH: No 1747 Baptist Clay Dr Ste 130 Ettedgui, Jose MD (904) 633-4110 Fleming Island, FL 32003 Provider ID: 198383 Fax: (904) 633-4111 Black, Angela MD (904) 697-3600 Gender: Male 00 Yrs/18 Yrs Provider ID: 900352 Fax: (904) 697-3060 UF Health Pediatric Shands Jacksonville Med Gender: Female 00 Yrs/18 Yrs Cardiology Clay Center Nemours Childrens Clinic M-F 8:00 AM - 5:00 PM 1747 Baptist Clay Dr Ste 100 Languages: Spanish Fleming I PCMH: No Fleming Island, FL 32003 M-F 8:00 AM - 5:00 PM 1747 Baptist Clay Dr Ste 130 (904) 633-4110 PCMH: No Fleming Island, FL 32003 Pediatric Ophthalmology Fax: (904) 633-4111 (904) 697-3089 00 Yrs/21 Yrs Moon, Thomas MD Fax: (904) 697-3060 Lattin, Daniel MD Shands Jacksonville Med Provider ID: 685866 00 Yrs/17 Yrs Provider ID: 1640010 Center Gender: Male Baptist Medical Center Gender: Male Languages: Spanish UF Health Pediatric M-F 9:00 AM - 5:00 PM Nemours Childrens Specialty M-F 8:00 AM - 4:30 PM Cardiology Cl PCMH: No Care F PCMH: No 1747 Baptist Clay Dr Ste 100 1747 Baptist Clay Dr Ste 130 Fleming Island, FL 32003 Fleming Island, FL 32003 (904) 633-4110 (904) 697-3600 Fax: (904) 633-4111 Fax: (904) 697-3060 00 Yrs/18 Yrs 00 Yrs/18 Yrs Shands Jacksonville Med M-F 8:00 AM - 5:00 PM

Center PCMH: No Languages: Spanish M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 117 Updated: 01/04/2019 Specialty Physicians Clay Pediatric Orthopaedics Pediatric Orthopedic Physical Medicine & Podiatry Surgery Rehabilitation Mandel, David MD Bateh, Mousa DPM Provider ID: 17080 Hayden, Lukas MD Arcila, Marisol MD Gender: Male Provider ID: 1697039 Provider ID: 919076 Provider ID: 315184 Nemours Childrens Clinic Gender: Male Gender: Female Gender: Male Fleming Is Nemours Childrens Specialty Premier Spine Pain Center North East Florida Endocrine 1747 Baptist Clay Dr Ste 130 Care Florida 1543 Kingsley Ave Ste 3 Diabetes Fleming Island, FL 32003 1747 Baptist Clay Dr Orange Park, FL 32073 1635 Eagle Harbor Pkwy Ste 5 (904) 697-3089 Fleming Island, FL 32003 (904) 264-0770 Orange Park, FL 32003 Fax: (904) 697-3060 (904) 697-3088 Fax: (904) 264-0670 (904) 384-2240 00 Yrs/18 Yrs Fax: (904) 697-3060 00 Yrs/130 Yrs Fax: (904) 448-0030 M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Orange Park Medical Center 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Murray, Peter MD Provider ID: 210739 Pediatric Pulmonology Kalman, Arthur DO Clark, John DPM Gender: Male Provider ID: 636563 Nemours Childrens Clinic Catanzaro, Tina DO Provider ID: 1460485 Gender: Male Fleming Is Provider ID: 1138712 Gender: Male 2300 Park Ave Ste 101D 1747 Baptist Clay Dr Gender: Female Post Acute Physicians of Orange Park, FL 32073 Orange Park, FL 32003 Nemours Childrens Clinic, Florida Pl (904) 264-3724 (904) 697-3088 Fleming I 2001 Kingsley Ave Fax: (904) 879-6360 Fax: (904) 697-3060 1747 Baptist Clay Dr Ste 130 Orange Park, FL 32073 00 Yrs/130 Yrs 00 Yrs/18 Yrs Fleming Island, FL 32003 (904) 639-8553 St Vincents Medical Center M-F 9:00 AM - 5:00 PM (904) 697-3600 Fax: (305) 265-4824 Riverside PCMH: No Fax: (904) 697-3060 18 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Neal, Kevin MD Languages: Spanish PCMH: No Provider ID: 210774 M-F 8:00 AM - 5:00 PM Ernst, Emily DPM Gender: Male PCMH: No Pham, Bao DO Provider ID: 1189780 Nemours Childrens Clinic Provider ID: 1248334 Gender: Female Fleming Is Pediatrics Gender: Male J and E Jackson Enterprises 1747 Baptist Clay Dr Florida Spine Care PLLC Orange Park, FL 32003 Klammer, Veronica DO 1689 Eagle Harbor Pkwy Ste A 1677 Eagle Harbor Pkwy Ste C (904) 697-3088 Orange Park, FL 32003 Orange Park, FL 32003 Fax: (904) 697-3060 Provider ID: 1181633 (904) 527-3135 (904) 278-5112 00 Yrs/18 Yrs Gender: Male Fax: (904) 683-4293 Fax: (904) 579-3609 M-F 9:00 AM - 5:00 PM Maria E Mora MD PA Faap/ 12 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No Normandy Pe Languages: Vietnamese M-F 9:00 AM - 5:00 PM 91 Branscomb Rd Ste 3 M-F 8:00 AM - 5:00 PM PCMH: No Stunja, Laura DO Green Cove Springs, FL 32043 PCMH: No Provider ID: 1593587 (904) 861-1034 Ernst, Emily DPM Gender: Female Fax: (904) 861-1037 Provider ID: 762566 Nemours Childrens Specialty 00 Yrs/21 Yrs Gender: Female Care F M-F 8:00 AM - 5:00 PM Health Park Podiatric Foot 1747 Baptist Clay Dr PCMH: No and Ankl Fleming Island, FL 32003 1677 Eagle Harbor Pkwy Ste C (904) 697-3600 Fleming Isle, FL 32003 Fax: (904) 697-3503 (904) 278-5112 00 Yrs/18 Yrs Fax: (904) 579-3609 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Florida Hospital Waterman M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 118 Updated: 01/04/2019 Specialty Physicians Clay

Podiatry - cont. Schoen, Jeffrey DPM Hamdani, Irram MD McCoskey, Eugene DO Provider ID: 1109478 Greenhut, Steven DPM Provider ID: 923662 Gender: Female Provider ID: 166406 Gender: Male 1681 Eagle Harbor Pkwy Ste B Gender: Male Provider ID: 06133 Clay County Podiatry Fleming Island, FL 32003 Pulmonary Critical Care Gender: Male Associates PA (904) 644-0092 Associates 2300 Park Ave Ste 101D 1658 St Vincents Way Ste 250 Fax: (904) 644-0099 801 Oak St Orange Park, FL 32073 Middleburg, FL 32068 16 Yrs/130 Yrs Green Cove Springs, FL 32043 (904) 264-3724 (904) 291-4885 Curahealth Jacksonville LLC (904) 276-2044 Fax: (904) 879-6360 Fax: (904) 291-8834 Memorial Hospital Fax: (904) 276-2106 00 Yrs/130 Yrs 12 Yrs/130 Yrs Jacksonville 18 Yrs/130 Yrs Baptist Medical Center Baptist Medical Center Orange Park Medical Center Orange Park Medical Center Memorial Hospital Orange Park Medical Center Languages: Hindi, Urdu, St Vincents Medical Center Jacksonville St Vincents Medical Center Punjabi Riverside St Vincents Medical Center Riverside PCMH: No M-F 8:00 AM - 5:00 PM Riverside M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:30 AM - 5:00 PM PCMH: No Hovda, Margaret MD PCMH: No Provider ID: 1102991 Millstone, Stuart MD Pulmonary Disease Gender: Female Jackson, Jeffrey DPM 1658 St Vincent's Way Ste 100 Provider ID: 0778 Provider ID: 1189385 Bhaskar, Harish MD Middleburg, FL 32068 Gender: Male Gender: Male (904) 354-8200 St. Vincents Ambulatory Care, J and E Jackson Enterprises Provider ID: 966432 Fax: (904) 354-1340 Inc PLLC Gender: Male 00 Yrs/130 Yrs 1893 Kingsley Ave Ste C 1677 Eagle Harbor Pkwy Ste C St Vincents Ambulatory Care M-F 8:30 AM - 5:00 PM Orange Park, FL 32073 Fleming Island, FL 32003 1658 St Vincents Way Ste 340 PCMH: No (904) 276-2044 (904) 278-5112 Middleburg, FL 32068 Fax: (904) 276-2106 Fax: (904) 579-3609 (904) 354-8200 McCoskey, Eugene DO 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 354-1340 Orange Park Medical Center M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 166406 St Vincents Medical Center PCMH: No St Vincents Medical Center Gender: Male Riverside Riverside Pulmonary Critical Care M-F 8:00 AM - 5:00 PM Penn, Chester DPM M-F 8:00 AM - 4:00 PM Associates PCMH: No Provider ID: 611137 PCMH: No 1893 Kingsley Ave Ste C Gender: Male Orange Park, FL 32073 Millstone, Stuart MD 2300 Park Ave Ste 101D Bhaskar, Harish MD (904) 276-2044 Orange Park, FL 32073 Fax: (904) 276-2106 Provider ID: 0778 (904) 264-3724 Provider ID: 966432 18 Yrs/130 Yrs Gender: Male Fax: (904) 879-6360 Gender: Male Orange Park Medical Center St. Vincents Ambulatory Care, 00 Yrs/130 Yrs St Vincents Ambulatory Care St Vincents Medical Center Inc Lake City Medical Center 2300 Park Ave Ste 101 D Riverside 1893 Kingsley Ave Ste D St Vincents Medical Center Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM Orange Park, FL 32073 Riverside (904) 354-8200 PCMH: No (904) 276-2044 M-F 9:00 AM - 5:00 PM Fax: (904) 354-1340 Fax: (904) 276-2106 PCMH: No 00 Yrs/130 Yrs 18 Yrs/130 Yrs St Vincents Medical Center Orange Park Medical Center Riverside St Vincents Medical Center M-F 8:00 AM - 4:00 PM Riverside PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 119 Updated: 01/04/2019 Specialty Physicians Clay

Pulmonary Disease - cont. Yataco, Jose MD Deegan, Brian MD Ling, Stella MD Provider ID: 1574689 Provider ID: 1611288 Provider ID: 1549948 Pumarejo, Raymond MD Gender: Male Gender: Male Gender: Female St Vincents Lung, Sleep and Cancer Specialists LLC Cancer Specialist of North Provider ID: 705330 Critica 2370 Market Dr Florida Gender: Male 1658 St Vincents Way Ste 100 Fleming Island, FL 32003 2370 Market Dr St Vincents Ambulatory Care Middleburg, FL 32068 (904) 264-6201 Fleming Island, FL 32003 Inc (904) 354-8200 Fax: (904) 264-6858 (904) 264-6201 1658 St Vincents Way Ste 100 Fax: (904) 354-1340 18 Yrs/130 Yrs Fax: (904) 264-6858 Middleburg, FL 32068 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM 18 Yrs/130 Yrs (904) 354-8200 M-F 8:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM Fax: (904) 354-1340 PCMH: No PCMH: No 18 Yrs/130 Yrs Deshmukh, Abhijit MD St Vincents Medical Center Radiation Oncology Schoeppel, Sonja MD Riverside Provider ID: 1507257 St Vincents Medical Center Akl, Ahmed MD Gender: Male Provider ID: 1505199 Southside Provider ID: 1518435 Cancer Specialists LLC Gender: Female M-F 8:30 AM - 5:00 PM Gender: Male 2370 Market Dr Cancer Specialists LLC PCMH: No Cancer Specialist of North Fleming Island, FL 32003 2370 Market Dr Florida (904) 264-6201 Fleming Island, FL 32003 Wyzan, Daniel MD 2370 Market Dr Fax: (904) 264-6858 (904) 264-6201 Provider ID: 612867 Fleming Island, FL 32003 18 Yrs/130 Yrs Fax: (904) 264-6858 Gender: Male (904) 264-6201 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs 2300 Park Ave Ste 101D Fax: (904) 264-6858 PCMH: No M-F 9:00 AM - 5:00 PM Orange Park, FL 32073 18 Yrs/130 Yrs PCMH: No (904) 354-8200 M-F 9:00 AM - 5:00 PM Johnson, Douglas MD Fax: (904) 354-1340 PCMH: No Rheumatology 00 Yrs/130 Yrs Provider ID: 1508276 M-F 8:30 AM - 5:00 PM Bahari-Kashani, Jessica MD Gender: Male Gatla, Nandita MD PCMH: No Cancer Specialist LLC Provider ID: 1531466 Provider ID: 1111930 2370 Market Dr Gender: Female Yataco, Jose MD Gender: Female Fleming Island, FL 32003 2233 Park Ave. Ste 403 Provider ID: 1574689 Cancer Specialists of Nfl (904) 264-6201 Orange Park, FL 32073 Gender: Male 2370 Market Dr Fax: (904) 264-6858 (904) 215-2510

St Vincents Lung Institute- Orange Park, FL 32003 Fax: (904) 215-2515 Kingsley 18 Yrs/130 Yrs (904) 264-6201 00 Yrs/130 Yrs 1893 Kingsley Ave Ste C M-F 9:00 AM - 5:00 PM Fax: (904) 264-6858 PCMH: No M-F 8:00 AM - 4:30 PM Orange Park, FL 32073 18 Yrs/130 Yrs PCMH: No (904) 276-2041 Baptist Medical Center Kaleem, Tasneem MD Fax: (904) 279-2106 Baptist Medical Center South Provider ID: 1529471 Gatla, Nandita MD 00 Yrs/130 Yrs Memorial Hospital Gender: Female Provider ID: 1531466 M-F 8:00 AM - 5:00 PM Jacksonville Cancer Specialists LLC Gender: Female PCMH: No M-F 8:00 AM - 5:00 PM 2370 Market Dr St Vincent's Ambulatory Care PCMH: No Inc Yataco, Jose MD Fleming Island, FL 32003 2300 Park Ave Ste 201 Provider ID: 1574689 Cassidy, Richard MD (904) 264-6201 Orange Park, FL 32073 Gender: Male Provider ID: 1605521 Fax: (904) 264-6858 (904) 272-0384 St Vincents Lung Gender: Male 18 Yrs/130 Yrs Fax: (904) 272-6748 Institutemacclenny Cancer Specialists LLC Languages: Hindi, Urdu 00 Yrs/130 Yrs 1893 Kingsley Ave Ste D 2370 Market Dr M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Macclenny, FL 32073 Fleming Island, FL 32003 PCMH: No (904) 276-2041 (904) 264-6201 Fax: (904) 279-2106 Fax: (904) 264-6858 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 120 Updated: 01/04/2019 Specialty Physicians Clay

Sports Medicine Moore, Christopher MD Rifkin, Kerry MD Provider ID: 05763 Henry, Joshua MD Provider ID: 694201 Gender: Male Provider ID: 1533381 Gender: Male 1895 Kingsley Ave Ste 200 Gender: Male Florida Physicians Specialists Orange Park, FL 32073 Je Foot and Ankle Associates LLC (904) 639-8688 1677 Eagle Harbor Pkwy Ste C 1658 St Vincents Way DBA Fax: (904) 639-8506 Fleming Island, FL 32003 Urology Associates of NE 16 Yrs/130 Yrs (904) 278-5112 Florida Baptist Medical Center Fax: (904) 579-3609 Middleburg, FL 32068 Memorial Hospital 00 Yrs/130 Yrs (904) 291-4495 Jacksonville

Fax: (904) 291-4496 St Vincents Medical Center M-TH 9:00 AM - 5:00 PM Riverside 00 Yrs/130 Yrs F 9:00 AM - 5:30 PM PCMH: No PCMH: No Orange Park Medical Center M-F 9:00 AM - 5:00 PM Rifkin, Kerry MD Read, Jason MD PCMH: No Provider ID: 05763

Provider ID: 1126099 Gender: Male Moore, Christopher MD Gender: Male Vascular Surgery Associates of Nemours Childrens Clinic N Florida Provider ID: 694201 Jacksonvil 2140 Kingsley Ave Ste 14 Gender: Male 1747 Baptist Clay Dr Ste 130 Orange Park, FL 32073 Florida Physicians Specialists Fleming Island, FL 32003 (904) 276-7997 LLC (904) 697-3600 Fax: (904) 276-7559 1715 Village Way DBA Urology Fax: (904) 697-3060 16 Yrs/130 Yrs 00 Yrs/18 Yrs Associates of NE Florida Orange Park, FL 32073 Baptist Medical Center M-F 8:00 AM - 5:00 PM (904) 264-8418 Memorial Hospital PCMH: No Jacksonville Fax: (904) 264-9692 St Vincents Medical Center Urology 00 Yrs/130 Yrs Riverside Orange Park Medical Center M-F 8:00 AM - 5:00 PM Antar, Mohamed MD M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Provider ID: 1449115 Gender: Male Vascular Surgery Ackerman Cancer Center 1895 Kingsley Ave Ste 801 Allmon, Jon MD Orange Park, FL 32073 Provider ID: 1709436 (904) 272-6417 Gender: Male Fax: (904) 272-0699 Cardiothoracic and Vascular 00 Yrs/130 Yrs Surgica M-F 8:30 AM - 4:30 PM 1893 Kingsley Ave Ste A PCMH: No Orange Park, FL 32073 (904) 592-4940 Fax: (904) 400-6673 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 121 Updated: 01/04/2019 Specialty Physicians Columbia

Cardiology Estel, Christopher MD Khuddus, Matheen MD Pondicherry-Harish, Roja MD

Barb, Ilie MD Provider ID: 1735707 Provider ID: 470612 Provider ID: 1736304 Provider ID: 919499 Gender: Male Gender: Male Gender: Male Gender: Male The Cardiac & Vascular The Cardiac and Vascular The Cardiac & Vascular The Cardiac and Vascular Institute Institute Institute Institute 3239 NW York Dr 3239 NW York Dr 3239 NW York Dr 3239 NW York Dr Lake City, FL 32055 Lake City, FL 32055 Lake City, FL 32055 Lake City, FL 32055 (352) 375-1212 (386) 375-1212 (352) 375-1212 (352) 375-1212 Fax: (352) 371-4650 Fax: (386) 371-4650 Fax: (352) 371-4650 Fax: (386) 752-3815 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional M-F 8:00 AM - 5:00 PM North Florida Regional PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Imperi, Gregory MD Ravindra, Ankem MD Provider ID: 159675 Lee, Arthur MD Caputo, Christopher DO Gender: Male Provider ID: 287465 Provider ID: 1321517 The Cardiac and Vascular Gender: Male Gender: Male Provider ID: 226934 Institute The Cardiac and Vascular Ankem Ravindra MD PA Gender: Male 3239 NW York Dr Institute 1740 W US Hwy 90 Ste 101 The Cardiac and Vascular Lake City, FL 32055 3239 NW York Dr Lake City, FL 32055 Institute (386) 752-1212 Lake City, FL 32055 (386) 752-3400 3239 NW York Dr Fax: (386) 751-4650 (386) 375-1212 Fax: (386) 752-3110 Lake City, FL 32055 18 Yrs/130 Yrs Fax: (386) 371-4650 21 Yrs/130 Yrs (386) 375-1212 Lake City Medical Center 18 Yrs/130 Yrs Lake City Medical Center Fax: (386) 371-4650 North Florida Regional Lake City Medical Center M-W 10:30 AM - 3:30 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM North Florida Regional PCMH: No North Florida Regional PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No Roark, Steven MD PCMH: No Jansen, Michael MD Provider ID: 164728 O'Meara, James MD Gender: Male Dillon, Michael MD Provider ID: 1200268 The Cardiac and Vascular Gender: Male Provider ID: 144307 Institute Provider ID: 01782 The Cardiac and Vascular Gender: Male 3239 NW York Dr Gender: Male Institute The Cardiac and Vascular Lake City, FL 32055 The Cardiac and Vascular 3239 NW York Dr Institute (386) 375-1212 Institute Lake City, FL 32055 3239 NW York Dr Fax: (386) 371-4650 3239 NW York Dr (386) 752-1212 Lake City, FL 32055 18 Yrs/130 Yrs Lake City, FL 32055 Fax: (386) 371-4650 (386) 375-1212 Lake City Medical Center (386) 375-1212 18 Yrs/130 Yrs Fax: (386) 371-4650 North Florida Regional Fax: (386) 371-4650 Lake City Medical Center 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs North Florida Regional North Florida Regional PCMH: No Lake City Medical Center South Florida Baptist Hospital M-F 8:00 AM - 5:00 PM North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: No Salvucci, Thomas DO M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 1724748 PCMH: No Gender: Male Lake Shore Cardiology 348 NE Methodist Terr Ste 103 Lake City, FL 32055 (386) 292-8250 Fax: (386) 292-7780 15 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Cardiology - cont. Tong, Ann MD Werbel, Brian MD Morse, David DC Provider ID: 575251 Provider ID: 329174 Provider ID: TPV10693-01 Silverstein, Burton MD Gender: Female Gender: Male Gender: Male The Cardiac and Vascular The Cardiac and Vascular Morse Chiropractic Provider ID: 280028 Institute Institute 444 SW Alachua Ave Gender: Male 3239 NW York Dr 3239 NW York Dr Lake City, FL 32025 The Cardiac and Vascular Lake City, FL 32055 Lake City, FL 32055 (386) 719-5656 Institute (386) 375-1212 (386) 375-1212 Fax: (386) 719-5654 3239 NW York Dr Fax: (386) 371-4650 Fax: (386) 371-4650 00 Yrs/99 Yrs Lake City, FL 32055 18 Yrs/130 Yrs 18 Yrs/130 Yrs M 7:30 AM - 5:00 PM (386) 375-1212 Lake City Medical Center North Florida Regional TTH 8:00 AM - 6:30 PM Fax: (386) 371-4650 North Florida Regional M-F 8:00 AM - 5:00 PM W 8:00 AM - 5:30 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No F 7:30 AM - 4:00 PM Lake City Medical Center PCMH: No PCMH: No North Florida Regional Zentko, Suzanne MD M-F 8:00 AM - 5:00 PM Tulli, Mark MD Provider ID: 790774 Dermatology PCMH: No Provider ID: 368216 Gender: Female Gender: Male The Cardiac and Vascular Doshi, Daven MD Smock, Andrew MD The Cardiac and Vascular Institute Provider ID: 1464327 Provider ID: 164667 Institute 3239 NW York Dr Gender: Male Gender: Male 3239 NW York Dr Lake City, FL 32055 North Florida Dermatology The Cardiac and Vascualr Lake City, FL 32055 (386) 375-1212 1717 SW Newland Way Institute (386) 375-1212 Fax: (386) 371-4650 Lake City, FL 32025 3239 NW York Dr Fax: (386) 371-4650 18 Yrs/130 Yrs (386) 344-6102 Lake City, FL 32055 18 Yrs/130 Yrs Lake City Medical Center Fax: (386) 344-6103 (386) 375-1212 Lake City Medical Center North Florida Regional 00 Yrs/130 Yrs Fax: (386) 371-4650 North Florida Regional M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Lake City Medical Center PCMH: No North Florida Regional Chiropractic Tepedino, Kelly MD M-F 8:00 AM - 5:00 PM Van Roy, Daniel MD Provider ID: 1327496 PCMH: No Provider ID: 166034 Harrison, Kevin DC Gender: Female Gender: Male Provider ID: TPV11207-02 North Florida Dermatology Subramanian, Natrajan MD The Cardiac and Vascular Gender: Male LLC Institute Lake City Chiropractic and 1717 SW Newland Way Provider ID: 527422 3239 NW York Dr Massage Center Lake City, FL 32025 Gender: Male Lake City, FL 32055 1233 SW State Rd 47 (386) 344-6102 The Cardiac and Vascular (386) 375-1212 Lake City, FL 32025 Fax: (386) 344-6103 Institute Fax: (386) 371-4650 (386) 752-3877 00 Yrs/130 Yrs 3239 NW York Dr 18 Yrs/130 Yrs Fax: (386) 752-3544 M-F 9:00 AM - 5:00 PM Lake City, FL 32055 Lake City Medical Center 00 Yrs/99 Yrs PCMH: No (386) 752-0515 North Florida Regional MWF 8:30 AM - 5:30 PM Fax: (386) 752-3815 Languages: French, Thai T 8:30 AM - 12:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM TH 8:30 AM - 6:00 PM Lake City Medical Center PCMH: No PCMH: No North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: No

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Ear, Nose & Throat Family Practice General Practice Schmit, Bradley MD Provider ID: 1498631 Ahn, Andrew MD Cadet, Jean-Felert MD Diaz Barrientos, Joseph MD Gender: Male Provider ID: 1179989 Provider ID: 366735 Surgical Group of Gainesville Gender: Male Gender: Male Provider ID: 1356330 3140 NW Medical Center Lane Jacksonville ENT Surgery Jean Felert Cadet MD PA Gender: Male Ste 140 Center 1226 SW Main Blvd Florida Department of Health Lake City, FL 32055 789 W Duval St Lake City, FL 32025 217 NE Franklin St (352) 331-1201 Lake City, FL 32055 (386) 719-6843 Lake City, FL 32055 Fax: (352) 331-5273 (904) 419-2054 Fax: (386) 719-6656 (386) 758-1068 00 Yrs/130 Yrs Fax: (904) 419-2057 05 Yrs/130 Yrs Fax: (386) 758-2180 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs Languages: Spanish, Creole 00 Yrs/130 Yrs PCMH: No Memorial Hospital M-F 8:30 AM - 5:30 PM M-F 8:00 AM - 5:00 PM Jacksonville PCMH: No PCMH: No Schmit, Bradley MD Languages: Korean Provider ID: 1498631 MF 8:00 AM - 4:00 PM Gastroenterology Malik, Aleem MD Gender: Male T 9:00 AM - 1:00 PM Provider ID: 1362253 Surgical Group of Gainesville W 7:00 AM - 3:00 PM Faisal, Mohammad MD Gender: Male 733 SW State Rd 47 TH 11:00 AM - 3:00 PM Florida Department of Health Lake City, FL 32025 PCMH: No Provider ID: 435 Columb (352) 331-1201 Gender: Male 535 SW Dortch St Fax: (352) 331-5273 Sugar, Jerome MD 1283 SW SR 47 Ste 104 Fort White, FL 32038 00 Yrs/130 Yrs Provider ID: 1431441 Lake City, FL 32025 (386) 497-4899 M-F 9:00 AM - 5:00 PM Gender: Male (386) 758-5985 Fax: (386) 758-3900 PCMH: No Greene Charles C MD Fax: (386) 758-5987 00 Yrs/130 Yrs 789 W Duval St 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Soler, Alejandro MD Lake City, FL 32055 North Florida Surgery Center PCMH: No Provider ID: 588317 (904) 419-2054 Languages: Bengali Gender: Male Fax: (904) 419-2057 M-F 9:00 AM - 5:30 PM General Surgery 340 NW Commerce Dr 18 Yrs/130 Yrs PCMH: No Lake City, FL 32055 M-F 9:00 AM - 5:00 PM Lewis, Dennis MD (386) 719-9000 PCMH: No Faisal, Mohammad MD Provider ID: 1731293 12 Yrs/130 Yrs Provider ID: 435 Gender: Male Lake City Medical Center Endocrinology, Diabetes, Gender: Male Lake Shore Surgical Specialist PCMH: No Metabolism 256 SW Pro Gln Ste 101 755 SW State Rd 47 Lake City, FL 32025 Lake City, FL 32025 Soler, Alejandro MD Weizenecker, Richard MD (386) 758-8937 (386) 755-7788 Fax: (386) 755-2169 Fax: (386) 752-0410 Provider ID: 588317 Provider ID: 1152437 18 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male Gender: Male North Florida Surgery Center M-F 8:00 AM - 5:00 PM South Florida Surgical Richard Weizenecker MD PA Languages: Bengali PCMH: No Specialists 1297 SW State Rd 47 PCMH: No 3140 NW Med Center Ln Ste Lake City, FL 32025 Pickens, Brian MD 120 (386) 752-4711 Faisal, Mohammad MD Provider ID: 212951 Lake City, FL 32055 Fax: (386) 752-5075 Provider ID: 435 Gender: Male (386) 755-6682 18 Yrs/130 Yrs Gender: Male Surgical Group of Gainesville Fax: (386) 755-6796 Lake Shore Hma 368 NE Franklin St Ste 2 PA 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Lake City, FL 32055 3140 NW Med Center Ln Ste Lake City Medical Center PCMH: No (386) 292-8000 140 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Lake City, FL 32055 PCMH: No North Florida Surgery Center (386) 755-6682 Languages: Bengali Fax: (386) 755-6796 PCMH: No 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 124 Updated: 01/04/2019 Specialty Physicians Columbia

General Surgery - cont. Internal Medicine Montoya, Vernon MD Interventional Cardiology Provider ID: 1583540 Staudinger, Christopher MD Iyer, UMA MD Gender: Male Estel, Christopher MD Provider ID: 1582655 Lake City Cancer Care LLC Provider ID: 1735707 Provider ID: 1494361 Gender: Female 289 SW Stonegate Ter Ste 103 Gender: Male Gender: Male Lake City Cancer Care, LLC Lake City, FL 32024 The Cardiac & Vascular Surgical Group of Gainesville 289 SW Stonegate Ter Ste 103 (386) 755-1655 Institute 3140 NW Medical Center Ln Lake City, FL 32024 Fax: (386) 628-9231 3239 NW York Dr Ste 140 (386) 755-1655 18 Yrs/130 Yrs Lake City, FL 32055 Lake City, FL 32055 Fax: (386) 628-9231 Lake City Medical Center (352) 375-1212 (386) 466-6044 18 Yrs/130 Yrs North Florida Regional Fax: (352) 371-4650 Fax: (386) 269-0966 Lake City Medical Center M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Montoya, Vernon MD Iyer, UMA MD Provider ID: 1583540 Pondicherry-Harish, Roja MD Hematology Provider ID: 1582655 Gender: Male Gender: Female Lake City Cancer Care LLC Provider ID: 1736304 Iyer, UMA MD Lake City Cancer Care, LLC 4520 W US Hwy 90 Gender: Male Provider ID: 1582655 4520 W US Hwy 90 Lake City, FL 32055 The Cardiac & Vascular Gender: Female Lake City, FL 32055 (386) 755-0601 Institute Lake City Cancer Care, LLC (386) 755-0601 Fax: (386) 755-0602 3239 NW York Dr 289 SW Stonegate Ter Ste 103 Fax: (386) 755-0602 18 Yrs/130 Yrs Lake City, FL 32055 Lake City, FL 32024 18 Yrs/130 Yrs Lake City Medical Center (352) 375-1212 (386) 755-1655 Lake City Medical Center North Florida Regional Fax: (352) 371-4650 Fax: (386) 628-9231 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Lake City Medical Center PCMH: No M-F 8:00 AM - 5:00 PM Khan, Waseem MD Salvucci, Thomas DO PCMH: No Provider ID: 1581808 Provider ID: 1724748 Medical Oncology Gender: Male Gender: Male Iyer, UMA MD Lake City Cancer Care LLC Lake Shore Cardiology Khan, Waseem MD Provider ID: 1582655 289 SW Stonegate Ter Ste 103 348 NE Methodist Terr Ste 103 Provider ID: 1581808 Gender: Female Lake City, FL 32024 Lake City, FL 32055 Gender: Male Lake City Cancer Care, LLC (386) 755-1655 (386) 292-8250 Lake City Cancer Care LLC 4520 W US Hwy 90 Fax: (386) 628-9231 Fax: (386) 292-7780 289 SW Stonegate Ter Ste 103 Lake City, FL 32055 21 Yrs/130 Yrs 15 Yrs/130 Yrs Lake City, FL 32024 (386) 755-0601 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (386) 755-1655 Fax: (386) 755-0602 PCMH: No PCMH: No Fax: (386) 628-9231 18 Yrs/130 Yrs 21 Yrs/130 Yrs Lake City Medical Center Khan, Waseem MD Weizenecker, Richard MD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1581808 PCMH: No PCMH: No Gender: Male Provider ID: 1152437 Lake City Cancer Care LLC Gender: Male Khan, Waseem MD 4520 W US Hwy 90 Richard Weizenecker MD PA Provider ID: 1581808 Lake City, FL 32055 1297 SW State Rd 47 Gender: Male (386) 755-0601 Lake City, FL 32025 Lake City Cancer Care LLC Fax: (386) 755-2330 (386) 752-4711 4520 W US Hwy 90 21 Yrs/130 Yrs Fax: (386) 752-5075 Lake City, FL 32055 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs (386) 755-0601 PCMH: No Lake Shore Hma Fax: (386) 755-2330 M-F 8:00 AM - 5:00 PM 21 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 125 Updated: 01/04/2019 Specialty Physicians Columbia

Medical Oncology - cont. Olabige, Olutayo MD Iobst, Joseph MD Ophthalmology Provider ID: 786095 Montoya, Vernon MD Provider ID: 1408878 Gender: Male Bedoya, Eduardo MD Provider ID: 1583540 Gender: Male Florida Woman Care LLC Provider ID: TPV1629173158-0 Gender: Male Nephrology Medical 4447 NW American Ln Ste 102 Gender: Male Lake City Cancer Care LLC Associates of Ge Lake City, FL 32055 Bedoya Eye Care PA 289 SW Stonegate Ter Ste 103 221 SW Stonegate Terrace Ste (386) 754-1744 876 SW State Rd 247 Lake City, FL 32024 105 Fax: (352) 331-3320 Lake City, FL 32025 (386) 755-1655 Lake City, FL 32024 12 Yrs/130 Yrs (386) 755-7595 Fax: (386) 628-9231 (386) 752-6107 Lake City Medical Center Fax: (386) 755-7561 18 Yrs/130 Yrs Fax: (386) 755-6950 North Florida Regional 18 Yrs/99 Yrs Lake City Medical Center 18 Yrs/130 Yrs Languages: Spanish, German, No Hospital Privileges- North Florida Regional M-TH 8:00 AM - 5:00 PM Greek, Faroese Covering Arrangem M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish PCMH: No PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Montoya, Vernon MD Obstetrics/Gynecology Marquez Guerra, Eric MD Provider ID: 1583540 Provider ID: 1550588 Jeroudi, Abdallah MD Gender: Male Agrios, Anthony MD Gender: Male Provider ID: TPV1730479650-0 Lake City Cancer Care LLC Lake Shore Obstetrics and Gender: Male 4520 W US Hwy 90 Provider ID: 780120 Gynecolog Florida Retina Institute James Lake City, FL 32055 Gender: Male 348 NE Methodist Ter Ste 101 A Staman MD PA (386) 755-0601 Florida Woman Care LLC Lake City, FL 32055 265 SW Malone St Ste 109 Fax: (386) 755-0602 4447 NW American Ln Ste 102 (386) 292-7844 Lake City, FL 32025 18 Yrs/130 Yrs Lake City, FL 32055 Fax: (386) 292-7842 (386) 487-0090 Lake City Medical Center (386) 754-1744 12 Yrs/130 Yrs Fax: (800) 237-3846 North Florida Regional Fax: (352) 331-3320 Languages: Spanish 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM No Hospital Privileges- PCMH: No North Florida Regional PCMH: No Covering Arrangem Languages: Spanish, German, Languages: Spanish Nephrology Greek, Faroese Marquez Guerra, Eric MD M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Garrett, Tiffani MD PCMH: No Provider ID: 1642252 Gender: Male Staman, Jonathan MD Provider ID: 1352216 Cook, Jean MD Lake Shore Hma Medical Provider ID: TPV1588855639-0 Gender: Female Provider ID: 148363 Group LLC Gender: Male Northern Florida Kidney Care Gender: Female 348 NE Methodist Ter Ste 101 Florida Retina Institute James 221 SW Stonegate Ter Ste 105 Florida Woman Care LLC Lake City, FL 32055 A Staman MD PA Lake City, FL 32024 4447 NW American Ln Ste 101 (386) 292-7844 265 SW Malone St Ste 109 (386) 752-6107 Lake City, FL 32055 Fax: (386) 292-7842 Lake City, FL 32025 Fax: (386) 755-6950 (386) 754-1744 00 Yrs/130 Yrs (386) 487-0090 12 Yrs/130 Yrs Fax: (352) 331-3320 M-F 8:00 AM - 5:00 PM Fax: (800) 237-3846 M-F 8:00 AM - 5:00 PM 16 Yrs/130 Yrs PCMH: No 18 Yrs/99 Yrs PCMH: No Lake City Medical Center Baptist Medical Center North Florida Regional Scogin, Kristen MD Jacksonville M-F 9:00 AM - 5:00 PM Provider ID: 1349357 Languages: Spanish PCMH: No Gender: Female M-F 8:00 AM - 5:00 PM Florida Woman Care LLC PCMH: No 4447 NW American Ln Ste 102 Lake City, FL 32055 (386) 754-1744 Fax: (352) 331-3320 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 126 Updated: 01/04/2019 Specialty Physicians Columbia

Optometry Owens, Julie OD Orthopaedic Surgery Juraszek, Amy MD Provider ID: TPV1750364063-0 Provider ID: 1339544 Bailey, Patricia OD Gender: Female Valenzuela, Richard MD Gender: Female Provider ID: TPV1942351218-0 Julie L Owens OD PA Provider ID: 928953 UF Health Pediatric Specialty Gender: Female 763 SW Main Blvd Ste 101 Gender: Male Center Julie L Owens OD PA Lake City, FL 32025 Lake Shore Orthopaedics and 164 NW Madison St Ste 201 763 SW Main Blvd Ste 101 (386) 752-1722 Sports Lake City, FL 32055 Lake City, FL 32025 Fax: (386) 755-1858 404 NW Hall of Fame Dr (904) 633-4110 (386) 752-1722 05 Yrs/99 Yrs Lake City, FL 32055 Fax: (904) 633-4111 Fax: (386) 755-1858 M-TH 8:00 AM - 6:00 PM (386) 755-4007 00 Yrs/18 Yrs 05 Yrs/99 Yrs F 8:00 AM - 5:30 PM Fax: (386) 755-7098 M-F 8:00 AM - 4:00 PM M-TH 8:00 AM - 6:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No F 8:00 AM - 5:30 PM Languages: Spanish PCMH: No Robinson, Marc OD M-F 9:00 AM - 5:00 PM Kuebler, Brandon MD Provider ID: TPV1619324308-0 PCMH: No Provider ID: 1173249 Broome, Frank OD Gender: Male Gender: Male Provider ID: TPV1679554760-0 Julie L Owens OD PA Pain Management Wolfson Children's Specialty Gender: Male 763 SW Main Blvd Ste 101 Center Broome Eye Care and Optical Lake City, FL 32025 Vu, Hoang DO 164 NW Madison St Ste 201 PA (386) 752-1722 Provider ID: 1339601 Lake City, FL 32055 125 SW Midtown Pl Ste 101 Fax: (386) 755-1858 Gender: Male (904) 633-4110 Lake City, FL 32025 05 Yrs/99 Yrs Florida Pain & Rehabilitation Fax: (904) 633-4111 (386) 466-1062 M-TH 8:00 AM - 6:00 PM Assoc 00 Yrs/18 Yrs Fax: (386) 466-1061 F 8:00 AM - 5:30 PM 440 SW Perimeter Gln Shands Jacksonville Med 00 Yrs/99 Yrs PCMH: No Lake City, FL 32025 Center M-F 8:30 AM - 5:00 PM (386) 719-9663 Languages: Spanish PCMH: No Williams, Gary OD Fax: (866) 300-2394 M-F 8:00 AM - 5:00 PM Provider ID: TPV1033211263-0 16 Yrs/130 Yrs PCMH: No Cole, Reaves OD Gender: Male M-F 8:30 AM - 5:00 PM Provider ID: TPV1407956071-0 Dr Gary O Williams OD PCMH: No Lacey, Stephanie DO Provider ID: 708191 Gender: Male 2767 US Hwy 90 W. Gender: Female Lake City Eye Physicians LLC Lake City, FL 32055 Pediatric Cardiology 164 NW Madison St Ste 201 621 SW Baya Dr Ste 101 (386) 755-3136 Lake City, FL 32055 Lake City, FL 32025 Fax: (386) 755-4816 English, Robert MD (904) 633-4110 (386) 754-6616 05 Yrs/99 Yrs Provider ID: 708054 Fax: (904) 633-4111 Fax: (386) 754-6615 MWTHSat 1:00 AM - 7:00 PM Gender: Male 00 Yrs/130 Yrs 00 Yrs/99 Yrs T 8:00 AM - 12:00 PM Wolfson Children's Specialty Center Languages: Spanish MWTHF 9:00 AM - 5:00 PM F 12:00 AM - 8:00 PM 164 NW Madison St Ste 201 PCMH: No T 9:00 AM - 4:00 PM PCMH: No PCMH: No Lake City, FL 32055 Oral & Maxillofacial (904) 633-4110 Mayo, Shawyntee MD Kershner, Jesse OD Surgery Fax: (904) 633-4111 Provider ID: TPV1659687069-0 00 Yrs/130 Yrs Provider ID: 1352185 Gender: Male Graper, Charles MD Languages: Spanish Gender: Female Julie L Owens OD PA M-F 8:30 AM - 5:00 PM UF Health Pediatric 763 SW Main Blvd Ste 101 PCMH: No Cardiology Cla Provider ID: 504304 1747 Baptist Clay Dr Ste 100 Lake City, FL 32025 Gender: Male (386) 752-1722 Fleming Island, FL 32003 Graper Facial Institute (904) 633-4110 Fax: (386) 755-1858 1111 SW Main Blvd 00 Yrs/99 Yrs Fax: (904) 633-4111 Lake City, FL 32025 00 Yrs/21 Yrs M-TH 8:00 AM - 6:00 PM (352) 331-6661 F 8:00 AM - 5:30 PM M 8:00 AM - 4:30 PM Fax: (352) 331-6336 PCMH: No PCMH: No 00 Yrs/130 Yrs Lake City Medical Center Languages: Spanish MT 8:30 AM - 10:00 PM PCMH: No

www.wellcare.com/Florida | 127 Updated: 01/04/2019 Specialty Physicians Columbia

Pediatric Cardiology - Pediatrics Podiatry Thompson, Mark DO cont. Garber, Matthew MD Samera, Scott DPM Provider ID: 1582662 Mayo, Shawyntee MD Provider ID: 1586123 Provider ID: 664775 Gender: Male Gender: Male Gender: Male Lake City Cancer Care, LLC Provider ID: 1352185 Wolfson Childrens Specialty 404 NW Hall of Fame Dr 2nd 4520 W US Hwy 90 Gender: Female Center Fl Lake City, FL 32055 Wolfson Children's Specialty 164 NW Madison St Ste 201 Lake City, FL 32055 (386) 755-0601 Center Lake City, FL 32055 (386) 758-3668 Fax: (386) 755-0602 164 NW Madison St Ste 201 (904) 633-4110 Fax: (386) 758-2032 12 Yrs/130 Yrs Lake City, FL 32055 Fax: (904) 633-4111 00 Yrs/130 Yrs Lake City Medical Center (904) 633-4110 00 Yrs/18 Yrs Lake City Medical Center M-F 8:00 AM - 5:00 PM Fax: (904) 633-4111 Shands Jacksonville Med Languages: Spanish, Tagalog PCMH: No 00 Yrs/21 Yrs Center M-TH 8:30 AM - 5:00 PM M-F 8:30 AM - 5:00 PM M-F 8:30 AM - 5:00 PM PCMH: No Sports Medicine PCMH: No PCMH: No Radiation Oncology Valenzuela, Richard MD Neagu, Daniela MD Physical Medicine & Provider ID: 928953 Provider ID: 681381 Rehabilitation Thompson, Mark DO Gender: Male Gender: Female Lake Shore Orthopaedics and Wolfson Childrens Specialty Vu, Hoang DO Provider ID: 1159441 Sports Center Provider ID: 1339601 Gender: Male 404 NW Hall of Fame Dr 164 NW Madison St Ste 201 Gender: Male Community Cancer Center Lake City, FL 32055 Lake City, FL 32055 Florida Pain & Rehabilitation 4520 W US Hwy 90 (386) 755-4007 (904) 633-4110 Assoc Lake City, FL 32055 Fax: (386) 755-7098 Fax: (904) 633-4111 440 SW Perimeter Gln (386) 755-0601 00 Yrs/130 Yrs 00 Yrs/21 Yrs Lake City, FL 32025 Fax: (386) 755-0602 Languages: Spanish Baptist Medical Center (386) 719-9663 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Shands Jacksonville Med Fax: (866) 300-2394 M-F 9:00 AM - 5:00 PM PCMH: No Center 16 Yrs/130 Yrs PCMH: No Languages: Spanish M-F 8:30 AM - 5:00 PM Urology M-F 8:30 AM - 5:00 PM PCMH: No Thompson, Mark DO PCMH: No Ordinario, Eric DO Plastic & Reconstructive Provider ID: 1582662 Provider ID: 146460 Pediatric Ear, Nose & Surgery Gender: Male Gender: Male Throat Lake City Cancer Care, LLC Urology Medical Inc Keener, Melinda MD 289 SW Stonegate Ter Ste 103 4601 W US Hwy 90 Black, Angela MD Provider ID: 973363 Lake City, FL 32024 Lake City, FL 32055 Provider ID: 900352 Gender: Female (386) 755-1655 (386) 752-4189 Gender: Female Lake Shore Center For Fax: (386) 628-9231 Fax: (386) 752-4213 Nemours Childrens Clinic Aesthetics An 12 Yrs/130 Yrs 00 Yrs/130 Yrs Fleming I 263 SW Professional Gln Lake City Medical Center Lake City Medical Center 164 NW Madison St Lake City, FL 32025 M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Lake City, FL 32055 (386) 755-6676 PCMH: No PCMH: No (904) 697-3707 Fax: (386) 755-1667 Fax: (386) 758-5910 00 Yrs/130 Yrs 00 Yrs/17 Yrs Lake City Medical Center Baptist Medical Center M-F 8:30 AM - 4:30 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 128 Updated: 01/04/2019 Specialty Physicians Columbia Vascular Surgery

Croushore, Elmer MD

Provider ID: 1335661 Gender: Male The Cardiac and Vascular Institute 3239 NW York Dr Lake City, FL 32055 (386) 375-1212 Fax: (386) 371-4650 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 129 Updated: 01/04/2019 Specialty Physicians Dixie Cardiology

Winchester, David MD Provider ID: 621433 Gender: Male Family Medicine At Old Town 25827 SE Hwy 19 Old Town, FL 32680 (352) 542-0068 Fax: (352) 542-1843 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Optometry

Minesinger, James OD Provider ID: TPV1477690709-0 Gender: Male James H Minesinger OD 85 NE 351 Hwy Cross City, FL 32628 (352) 498-5007 Fax: (352) 578-8119 05 Yrs/99 Yrs MT 9:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 130 Updated: 01/04/2019 Specialty Physicians Gilchrist Chiropractic

Frazier, John DC Provider ID: 1498654 Gender: Male Palms Medical Group 911 S Main St Trenton, FL 32693 (352) 463-2221 Fax: (352) 463-2726 18 Yrs/130 Yrs M-W 8:00 AM - 5:00 PM PCMH: Yes, Level 3

Frazier, John DC Provider ID: TPV10857-02 Gender: Male Palms Medical Group 911 S Main St Trenton, FL 32693 (352) 463-2374 Fax: (352) 463-2726 00 Yrs/99 Yrs M-W 8:30 AM - 5:00 PM PCMH: No Family Practice

Thomas, Bruce MD Provider ID: 629661 Gender: Male Palms Medical Group 1830 N Main St Bell, FL 32619 (352) 463-1100 Fax: (352) 463-3924 00 Yrs/130 Yrs North Florida Regional M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3

www.wellcare.com/Florida | 131 Updated: 01/04/2019 Specialty Physicians Hamilton Family Practice Obstetrics/Gynecology

Hamilton County Health Marquez Guerra, Eric MD Department Provider ID: 1550588 Provider ID: 208164 Gender: Male 209 Central Ave SE Hamilton Primary Care Jasper, FL 32052 1150 US Hwy 41 NW (904) 792-1414 Jasper, FL 32052 00 Yrs/130 Yrs (386) 792-7744 M-F 8:00 AM - 5:00 PM Fax: (386) 792-7745 PCMH: No 12 Yrs/130 Yrs Languages: Spanish General Practice M-F 8:00 AM - 5:00 PM PCMH: No Diaz Barrientos, Joseph MD

Provider ID: 1366898 Gender: Male Hamilton County Health Department 16811 Spring St White Springs, FL 32096 (386) 792-1414 Fax: (386) 792-2352 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Internal Medicine

Rana, Anjana MD Provider ID: 1043395 Gender: Female Anjana Rana MD 413 5th Ave NW Jasper, FL 32052 (386) 792-2985 Fax: (386) 792-0833 12 Yrs/130 Yrs Languages: Hindi M-TH 8:00 AM - 4:30 PM F 8:00 AM - 1:00 PM PCMH: No

www.wellcare.com/Florida | 132 Updated: 01/04/2019 Specialty Physicians Levy Family Practice

Lumb, Pratibha MD Provider ID: 1254462 Gender: Female Trenton Medical Center 410 N Main St Chiefland, FL 32626 (352) 493-7274 Fax: (352) 463-2726 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM F 8:00 AM - 7:00 PM PCMH: No Pediatrics

Olivia, Arlene MD Provider ID: 1551974 Gender: Female North Florida Pediatrics 2220 N Young Blvd Chiefland, FL 32626 (352) 221-7337 Fax: (352) 221-7344 00 Yrs/21 Yrs M-W 8:00 AM - 5:00 PM PCMH: No Podiatry

Tocco, Anthony DPM

Provider ID: 1156450 Gender: Male Chiefland Medical Center LLC 1113 NW 23rd Ave Chiefland, FL 32626 (352) 493-9500 Fax: (352) 493-7070 00 Yrs/130 Yrs MT 8:30 AM - 4:30 PM PCMH: No

www.wellcare.com/Florida | 133 Updated: 01/04/2019 Specialty Physicians Madison

Dermatology Optometry Mejia, Hector MD Provider ID: 566877 Inglese, Marc MD Ferrell, Valerie OD Gender: Male Provider ID: 1238082 Provider ID: TPV1437452380-0 235 SW Dade St Ste 1 Gender: Male Gender: Female Madison, FL 32340 Dermatology Associates of South Georgia Eye Partners (850) 973-2557 Tallahass PC Fax: (229) 246-1635 486 SW Rutledge St 234 SW Range Ave 05 Yrs/130 Yrs Madison, FL 32340 Madison, FL 32340 Red Hills Surgical Center LLC (850) 877-4134 (850) 973-3937 Tallahassee Memorial Hosptial Fax: (850) 402-9130 Fax: (850) 973-4879 Languages: Spanish 00 Yrs/130 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Tallahassee Memorial Hosptial M-TH 8:30 AM - 5:00 PM PCMH: No M-TH 8:00 AM - 4:00 PM F 8:30 AM - 1:00 PM F 8:00 AM - 12:00 PM PCMH: No Stephens, William MD PCMH: No Provider ID: 621703 Hill, Melanie OD Gender: Male Gastroenterology Provider ID: TPV1538229141-0 Tallahassee Orhtopedic Clinic Gender: Female 235 SW Dade St Ste 1 Stockwell, James MD South Georgia Eye Partners Madison, FL 32340 PC (850) 973-2557 Provider ID: 209170 234 SW Range Ave Fax: (850) 973-2382 Gender: Male Madison, FL 32340 00 Yrs/130 Yrs Madison County Memorial (850) 973-3937 Red Hills Surgical Center LLC Hospital Fax: (850) 973-4879 Tallahassee Memorial Hosptial 309 NE Marion St 00 Yrs/99 Yrs M 8:00 AM - 5:00 PM Madison, FL 32340 M-TH 8:30 AM - 5:00 PM PCMH: No (850) 785-9393 F 8:30 AM - 1:00 PM 16 Yrs/130 Yrs PCMH: No Pediatrics M-F 9:00 AM - 5:00 PM PCMH: No Orthopaedic Surgery Dunbar, Levette MD Provider ID: 1352152 Hand Surgery Jaggears, Floyd MD Gender: Female Provider ID: 150389 Little Pine Pediatrics PLLC Stephens, William MD Gender: Male 194 NE Hancock Ave Provider ID: 621703 Tallahassee Orthopedic Clinic Madison, FL 32340 Gender: Male 235 SW Dade St Ste 1 (850) 253-2275 Tallahassee Orhtopedic Clinic Madison, FL 32340 Fax: (850) 253-2280 235 SW Dade St Ste 1 (850) 973-2557 00 Yrs/21 Yrs Madison, FL 32340 Fax: (850) 973-2382 MT 8:00 AM - 6:00 PM (850) 973-2557 00 Yrs/130 Yrs WTHF 8:00 AM - 5:00 PM Fax: (850) 973-2382 Tallahassee Memorial Hosptial Sat 9:00 AM - 12:00 PM 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM PCMH: No Red Hills Surgical Center LLC PCMH: No Tallahassee Memorial Hosptial M 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 134 Updated: 01/04/2019 Specialty Physicians Marion

Allergy & Immunology Cardiology Bittl, John MD Feldman, Robert MD Provider ID: 1107738 Johnson, Thomas MD Acevedo, Celso MD Gender: Male Provider ID: 1147719 Robert L Feldman MD PA Gender: Male Provider ID: 1117477 Provider ID: 1107743 125 SW 11th St Robert L Feldman, MD, PA Gender: Male Gender: Male Ocala, FL 34471 125 SW 11th St Allergy and Asthma Care of Robert L Feldman MD PA (352) 354-9000 Ocala, FL 34471 Florida 125 SW 11th St Fax: (352) 354-9020 (352) 354-9000 1740 SE 18th St Ste 1002 Ocala, FL 34471 00 Yrs/130 Yrs Fax: (352) 620-0255 Ocala, FL 34471 (352) 354-9000 Florida Hospital Ocala 12 Yrs/130 Yrs (352) 622-1126 Fax: (352) 354-9020 M-F 8:00 AM - 5:00 PM Florida Hospital Ocala Fax: (352) 622-2391 00 Yrs/130 Yrs PCMH: No M-F 8:30 AM - 4:30 PM 00 Yrs/130 Yrs Broward Health Imperial Point PCMH: No MTTH 8:00 AM - 5:00 PM M-F 8:00 AM - 4:00 PM Del Carpio Tenorio, Cristian W 8:00 AM - 12:00 PM PCMH: No MD Gonzalez, Javier MD F 7:00 AM - 4:00 PM Provider ID: 1465851 Provider ID: 222365 PCMH: No Aggarwal, Monica MD Gender: Male Gender: Male Provider ID: 1352254 Premier Specialty Alliance Inc Citrus Cardiology Consultants Stewart, George MD Gender: Female 10250 S US Hwy 441 PA UF Health Cardiology Villages Belleview, FL 34421 2101 SW 20th Place Provider ID: 1099457 10435 SE 170th Pl (352) 259-2159 Ocala, FL 34471 Gender: Male Summerfield, FL 34491 Fax: (352) 259-5731 (352) 622-7008 Allergy and Asthma Care of (352) 233-4393 16 Yrs/130 Yrs Fax: (352) 622-4072 Florida 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM 18 Yrs/130 Yrs 1740 SE 18th St Ste 1002 Languages: Hindi PCMH: No Citrus Memorial Health Fo Ocala, FL 34471 M-F 8:00 AM - 6:00 PM Leesburg Reg Med Center (352) 622-1126 PCMH: No Feldman, Robert MD Languages: Spanish Fax: (352) 622-2391 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Aranda, Juan MD Provider ID: 1107745 PCMH: No Florida Hospital Ocala Provider ID: 143703 Gender: Male MTTH 8:00 AM - 5:00 PM Gender: Male Robert L Feldman MD PA Gummadi, Siva MD W 8:00 AM - 12:00 PM 4730 SW 49th Rd 125 SW 11th St F 7:00 AM - 4:00 PM Ocala, FL 34474 Ocala, FL 34471 Provider ID: 1161030 PCMH: No (352) 854-0681 (352) 354-9000 Gender: Male 00 Yrs/130 Yrs Fax: (352) 620-0255 Cardiovascular Institute of Cardiac Electrophysiology PCMH: No 00 Yrs/130 Yrs Central Florida Hospital Ocala 2105 SW 20th Pl Torres, Vilma MD Aranda, Juan MD Ocala Regional Medical Ocala, FL 34471 Provider ID: 1636996 Provider ID: 143703 Center (352) 622-4251 Gender: Female Gender: Male M-F 9:00 AM - 4:30 PM Fax: (352) 873-3920 UF Health Cardiology Ocala UF Health Cardiology PCMH: No 18 Yrs/130 Yrs Heath Br Villagesuf Hea Florida Hospital Ocala 4730 SW 49th St 10435 SE 170th Pl Feldman, Robert MD M-F 8:00 AM - 5:00 PM Ocala, FL 34474 Summerfield, FL 34491 Provider ID: 1147719 PCMH: No (352) 854-0681 (352) 259-5658 Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs 1500 SW 1st Ave M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM Ocala, FL 34471 PCMH: No PCMH: No (352) 351-7200 12 Yrs/130 Yrs Florida Hospital Ocala PCMH: No

www.wellcare.com/Florida | 135 Updated: 01/04/2019 Specialty Physicians Marion

Cardiology - cont. Koka, Vijaya MD Koneru, Jayanth MD Rao, Srisha MD Provider ID: 1161038 Provider ID: 1160842 Gummadi, Siva MD Gender: Male Provider ID: 1160838 Gender: Female Cardiovascular Institute of Gender: Male Cardiovascular Institute of Provider ID: 1161030 Central Cardiovascular Institute of Central Gender: Male 2111 SW 20th Pl Central 2111 SW 20th Pl Cardiovascular Institute of Ocala, FL 34471 2111 SW 20th Pl Ocala, FL 34471 Central (352) 622-4251 Ocala, FL 34471 (352) 622-4251 2111 SW 20th Pl Fax: (352) 622-0102 (352) 622-4251 Fax: (352) 622-0102 Ocala, FL 34471 18 Yrs/130 Yrs Fax: (352) 622-0102 18 Yrs/130 Yrs (352) 622-4251 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 622-0102 PCMH: No Florida Hospital Ocala PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Florida Hospital Ocala Kolaventy, Ravindra MD PCMH: No Santoian, Edward MD M-F 8:00 AM - 5:00 PM Provider ID: 1122684 PCMH: No Gender: Male Mikkilineni, Hima MD Provider ID: 1107751 Central Florida Heart Group Gender: Male

Gummadi, Siva MD PA Provider ID: 1160840 Robert Feldman MD PA

6600 SW Hwy 200 Ste 200 Gender: Female 125 SW 11th St

Provider ID: 1161030 Ocala, FL 34476 Cardiovascular Institute of Ocala, FL 34471

Gender: Male (352) 237-4116 Central (352) 354-9000

Cardiovascular Institute of Fax: (352) 237-1785 2105 SW 20th Pl Fax: (352) 354-9020 Central 18 Yrs/130 Yrs Ocala, FL 34471 18 Yrs/130 Yrs 4600 SW 46th Ct Ste 250 Bldg Florida Hospital Ocala (305) 622-4251 Florida Hospital Ocala 200 Ocala Regional Medical Fax: (352) 873-3920 M-F 9:00 AM - 4:30 PM Ocala, FL 34474 Center West Marion Community 18 Yrs/130 Yrs PCMH: No (352) 622-4251 Hospital Ocala Regional Medical 18 Yrs/130 Yrs Languages: Hindi, Telugu Center Singh, Premranjan MD Florida Hospital Ocala M 8:00 AM - 12:00 PM M-F 8:30 AM - 4:30 PM Provider ID: 1161963 M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Gender: Male PCMH: No 2111 SW 20th Pl Kolaventy, Ravindra MD Mikkilineni, Hima MD Ocala, FL 34471 Han, Richard MD (352) 622-4251 Provider ID: 1107737 Provider ID: 1122684 Provider ID: 1160840 Fax: (352) 622-0102 Gender: Male Gender: Male Gender: Female 18 Yrs/130 Yrs Robert L Feldman MD PA Central Florida Heart Group, Cardiovascular Institute of Ocala Regional Medical 125 SW 11th St PA Central Center Ocala, FL 34471 6600 SW Hwy 200 Ste 300 2111 SW 20th Pl PCMH: No (352) 354-9000 Ocala, FL 34476 Ocala, FL 34471 Singh, Premranjan MD Fax: (352) 354-9020 (352) 237-4116 (352) 622-4251 00 Yrs/130 Yrs Fax: (352) 237-1785 Fax: (352) 622-0102 Florida Hospital Ocala 18 Yrs/130 Yrs 18 Yrs/130 Yrs Provider ID: 1161963

Ocala Regional Medical Ocala Regional Medical Gender: Male Center Florida Hospital Ocala Ocala Regional Medical Center Cardiovascular Institute of M-F 9:00 AM - 5:00 PM Center M-F 8:30 AM - 4:30 PM Central PCMH: No West Marion Community PCMH: No 4600 SW 46th Ct Bldg 200 Hospital Ste 250 Languages: Hindi, Telugu Ocala, FL 34474 M-F 8:00 AM - 5:00 PM (352) 622-4251 PCMH: No Fax: (352) 873-3920 18 Yrs/130 Yrs Ocala Regional Medical Center M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 136 Updated: 01/04/2019 Specialty Physicians Marion

Cardiology - cont. Solanki, Kalpesh DO Urban, Paul MD Cardiovascular Surgery Provider ID: 1169244 Solanki, Kalpesh DO Provider ID: 1549971 Gender: Male Chung, Sooyoung MD Gender: Male Cardiovascular Institute of Provider ID: 1170390 Provider ID: 1182441 Cardiovascular Institute of Central Gender: Male Gender: Male Central 4600 SW 46th Ct Bldg 200 1511 SW 1st Ave Ste 200 Solanki Cardiology, LLC 4600 SW 46th Ct Ste 250 Ste 250 Ocala, FL 34471 3515 SE 17th St Ste 100 Ocala, FL 34474 Ocala, FL 34474 (352) 369-0288 Ocala, FL 34471 (352) 622-4251 (352) 622-4251 Fax: (352) 867-1053 (352) 245-7788 Fax: (352) 622-0102 Fax: (352) 873-3920 00 Yrs/130 Yrs Fax: (352) 245-5474 18 Yrs/130 Yrs 18 Yrs/130 Yrs Florida Hospital Ocala 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Ocala Regional Medical PCMH: No PCMH: No PCMH: No Center West Marion Community Torres, Vilma MD Vanga, Subba MD Chung, Sooyoung MD Hospital Provider ID: 1636996 Provider ID: 1163602 Provider ID: 1170390 MTTHF 8:00 AM - 5:00 PM Gender: Female Gender: Male Gender: Male W 8:0 AM - 5:00 PM UF Health Cardiology Ocala 1920 SW 20th Place Ste 100 Munroe Hma Hmpn LLC PCMH: No Heath Br Ocala, FL 34471 1720 SE 16th Ave Ste 303 4730 SW 49th St (352) 622-7008 Ocala, FL 34471 Solanki, Kalpesh DO Ocala, FL 34474 18 Yrs/130 Yrs (352) 369-0288 (352) 854-0681 PCMH: No Fax: (352) 867-1053 Provider ID: 1549971 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male M-F 8:00 AM - 5:00 PM Vanga, Subba MD Florida Hospital Ocala Cardiovascular Institute of PCMH: No Provider ID: 1163602 M-F 9:00 AM - 5:00 PM Central Gender: Male PCMH: No 2105 SW 20th Pl Urban, Paul MD Citrus Cardiology Ocala, FL 34471 Provider ID: 1169244 Consultants, PA Child Neurology (352) 622-4251 Gender: Male 2101 SW 20th Place Fax: (352) 622-0102 1431 SW 1st Ave Ocala, FL 34471 Andrade, Edgard MD 18 Yrs/130 Yrs Ocala, FL 34471 (352) 622-7008 Provider ID: 1637729 M-F 8:00 AM - 5:00 PM (352) 401-1000 Fax: (352) 622-4072 Gender: Male PCMH: No 18 Yrs/130 Yrs 18 Yrs/130 Yrs Institute of Pediatric PCMH: No M-F 8:00 AM - 5:00 PM Neuroscience Solanki, Kalpesh DO PCMH: No 1315 SE 25th Loop Ste 104 Urban, Paul MD Ocala, FL 34471 Provider ID: 1549971 Provider ID: 1169244 Von Mering, Gregory MD (352) 512-9898 Gender: Male Gender: Male Fax: (855) 889-8577 Cardiovascular Institute of 2111 SW 20th Pl Provider ID: 1107754 00 Yrs/21 Yrs Central Ocala, FL 34471 Gender: Male M-F 8:00 AM - 5:00 PM 2111 SW 20th Pl (352) 622-4251 Robert Feldman MD PA PCMH: No Ocala, FL 34471 Fax: (352) 622-0102 125 SW 11th St (352) 622-4251 18 Yrs/130 Yrs Ocala, FL 34471 Chiropractic Fax: (352) 622-0102 PCMH: No (352) 354-9000 18 Yrs/130 Yrs Fax: (352) 620-0255 Frazier, John DC M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Provider ID: TPV10857-01 PCMH: No M-F 9:00 AM - 4:30 PM Gender: Male PCMH: No Chiropractic Associates of Ocala 1107 E Silver Springs Blvd Ste 6 Ocala, FL 34470 (352) 732-8801 Fax: (352) 732-5839 00 Yrs/99 Yrs MT 8:30 AM - 5:00 PM PCMH: No

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Chiropractic - cont. Plante, Amber DC Swinson, Douglas DC Colon & Rectal Surgery Provider ID: TPV11357-01 Provider ID: TPV11056-01 Hartley, Kaycie DC Gender: Female Gender: Male Oraedu, Christian MD Provider ID: TPV18403-01 Chiropractic USA of Laurel Swinson Chiropractic Total Provider ID: 207939 Gender: Female Run Health Center Gender: Male Chiropractic USA of Laurel 2100 SE 17th St Ste 801 5481 SW 60th St Ste 302 1500 SW 1st Ave Run Ocala, FL 34471 Ocala, FL 34474 Ocala, FL 34471 2202 SE 17th St (352) 861-0566 (352) 840-0444 (352) 351-7200 Ocala, FL 34471 Fax: (352) 402-0565 Fax: (352) 873-4066 00 Yrs/130 Yrs (352) 861-0566 00 Yrs/99 Yrs 00 Yrs/99 Yrs Ocala Regional Medical Fax: (352) 402-0565 Languages: Spanish MWF 8:30 AM - 6:00 PM Center 00 Yrs/99 Yrs MWTH 8:30 AM - 6:00 PM T 9:00 AM - 1:00 PM PCMH: No MWTH 8:30 AM - 6:00 PM T 3:00 AM - 6:00 PM TH 1:00 AM - 5:00 PM T 12:00 AM - 5:00 PM PCMH: No PCMH: No Oraedu, Christian MD PCMH: No Provider ID: 207939 Plante, Amber DC Taylor, Jeanna DC Gender: Male Lonadier, Sonja DC Provider ID: TPV11357-02 Provider ID: TPV11366-01 Surgical Consultants of Provider ID: TPV11364-01 Gender: Female Gender: Female Central Fla Gender: Female Chiropractic USA of Laurel Pitts Chiropractic 1830 SE 18th Ave Ste 3 Pitts Chiropractic Run 801 NE 25th Ave Ocala, FL 34471 801 NE 25th Ave 2202 SE 17th St Ocala, FL 34470 (352) 690-6000 Ocala, FL 34470 Ocala, FL 34471 (352) 732-0200 Fax: (352) 690-6643 (352) 732-0200 (352) 861-0566 Fax: (352) 732-2623 00 Yrs/130 Yrs Fax: (352) 732-2623 Fax: (352) 402-0565 00 Yrs/99 Yrs Ocala Regional Medical 00 Yrs/99 Yrs 00 Yrs/99 Yrs M 9:00 AM - 6:00 PM Center MWF 8:15 AM - 3:00 PM Languages: Spanish TWF 9:00 AM - 11:30 PM M-W 7:30 AM - 5:30 PM TTH 8:15 AM - 5:35 PM MWTH 8:30 AM - 6:00 PM TH 2:00 AM - 6:00 PM TH 7:30 AM - 5:00 PM PCMH: No T 3:00 AM - 6:00 PM PCMH: No F 8:30 AM - 12:30 PM PCMH: No PCMH: No Mammana, Thomas DC Walker, Jonathan DC Provider ID: TPV11018-01 Stanley, Cheryl DC Provider ID: TPV11153-02 Dermatology Gender: Male Provider ID: TPV10235-01 Gender: Male Mammana Chiropractic Clinic Gender: Female Ocala Integrative Medicine Cauthen, Ashley MD 3256 NE Jacksonville Rd Dunnellon Chiropractic 1541 SE 17th St Ocala, FL 34479 20079 E Pennsylvania Ave Ocala, FL 34471 Provider ID: 764305 (352) 867-7577 Dunnellon, FL 34432 (352) 732-5590 Gender: Female Fax: (352) 867-7771 (352) 489-2995 Fax: (352) 732-0292 Midstate Skin Institute LLC 00 Yrs/99 Yrs Fax: (352) 465-4809 00 Yrs/99 Yrs 1630 SE 18th St Ste 400 MWF 2:00 AM - 6:00 PM 00 Yrs/99 Yrs MWF 8:00 AM - 6:00 PM Ocala, FL 34471 TTH 8:00 AM - 12:00 PM Languages: Spanish T 9:00 AM - 1:00 PM (352) 512-0092 PCMH: No MTTH 8:30 AM - 6:00 PM TH 2:00 AM - 6:00 PM Fax: (352) 512-0093 W 10:00 AM - 12:00 PM PCMH: No 00 Yrs/130 Yrs Mammana, Thomas DC PCMH: No M-W 8:00 AM - 5:00 PM Provider ID: TPV11018-02 Wilemon, Travis DC PCMH: No Gender: Male Stanley, Lauri DC Provider ID: TPV11363-01 Advanced Wellness Provider ID: TPV10695-01 Gender: Male Cauthen, Ashley MD Chiropractic Clinic Gender: Female Pitts Chiropractic 15151 S Hwy 441 Dunnellon Chiropractic 801 NE 25th Ave Provider ID: 764305 Summerfield, FL 34491 20079 E Pennsylvania Ave Ocala, FL 34470 Gender: Female (352) 307-0033 Dunnellon, FL 34432 (352) 732-0200 Midstate Skin Institute LLC Fax: (352) 307-1998 (352) 489-2995 Fax: (352) 732-2623 7550 SW 61st Ave Ste 1 00 Yrs/99 Yrs Fax: (352) 465-4809 00 Yrs/99 Yrs Ocala, FL 34476 MWF 8:00 AM - 12:00 PM 00 Yrs/99 Yrs MWTH 8:00 AM - 6:00 PM (352) 512-0092 TTH 2:00 AM - 6:00 PM Languages: Spanish T 2:00 AM - 6:00 PM Fax: (352) 512-0093 PCMH: No MTTH 8:30 AM - 6:00 PM PCMH: No 00 Yrs/130 Yrs W 10:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

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Dermatology - cont. Towry, James DO Lewin, Pamela MD De Jonghbeyer, Mariana MD Provider ID: 1268328 Provider ID: 1600353 Doshi, Daven MD Gender: Male Gender: Female Provider ID: 1117860 Provider ID: 1274802 7502 SW 60th St Unit A Express Care of Ocala Inc Gender: Female Gender: Male Ocala, FL 34476 1834 SW 1st Ave 17355 SE 109th Terrace Rd Midstate Skin Institute LLC (352) 484-0463 Ocala, FL 34471 Summerfield, FL 34491 3210 SW 33rd Rd Ste 101 Fax: (561) 296-6174 (352) 732-9888 (352) 245-0846 Ocala, FL 34474 00 Yrs/130 Yrs Fax: (352) 732-0490 Fax: (352) 245-7768 (352) 512-0092 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 512-0093 PCMH: No M-F 7:00 AM - 7:00 PM Leesburg Reg Med Center 00 Yrs/130 Yrs Sat-Sun 8:00 AM - 4:00 PM PCMH: No M-F 8:00 AM - 5:00 PM Family Practice PCMH: No PCMH: No Kesari, Anand MD Ahmed, Naeem DO Gastroenterology Provider ID: 296255 Doshi, Daven MD Gender: Male Provider ID: 1274802 Provider ID: 1467461 Barish, Robert MD Gimd Inc Gender: Male Gender: Male Provider ID: 204444 7535 SW 62nd Ct Midstate Skin Institute, LLC Project Health Inc Gender: Male Ocala, FL 34476 1630 SE 18th St Ste 400 7205 SE Maricamp Rd 17355 SE 109th Terrace Rd (352) 237-1253 Ocala, FL 34471 Ocala, FL 34472 Summerfield, FL 34491 Fax: (352) 237-1254 (352) 512-0092 (352) 680-7000 (352) 245-0846 00 Yrs/130 Yrs Fax: (352) 512-0093 Fax: (352) 687-3261 Fax: (352) 245-7768 Endosurg Outpatient Center 00 Yrs/130 Yrs 02 Yrs/130 Yrs 00 Yrs/130 Yrs Wellington Regional Med M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Ocala Endoscopy ASC Languages: Hindi PCMH: No PCMH: No PCMH: No M-F 8:00 AM - 4:30 PM PCMH: No Doshi, Daven MD Anwar, Ghulam MD Barish, Robert MD Provider ID: 1274802 Provider ID: 204444 Kumar, Thimmiah MD Gender: Male Provider ID: 1465626 Gender: Male Midstate Skin Institute, LLC Gender: Male Gastroenterology Associates Provider ID: 226945 7550 SW 61st Ave Ste 1 Weirsdale Family Health 1901 SE 18th Ave Ste 400 Gender: Male Ocala, FL 34476 Center Inc Ocala, FL 34471 Thimmiah Kumar MD PA (352) 732-7337 16400 S Hwy 25 (352) 732-8905 1950 SW 18th Ct Ste 101 Fax: (352) 512-0093 Weirsdale, FL 32195 Fax: (352) 732-2440 Ocala, FL 34471 00 Yrs/130 Yrs (352) 821-9797 00 Yrs/130 Yrs (352) 861-8555 M-F 8:00 AM - 5:00 PM Fax: (352) 669-3640 Ocala Endoscopy ASC Fax: (352) 401-0124 PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Florida Hospital Ocala Mitchell, Christina MD PCMH: No Mid Florida Endoscopy and Brown, Thomas MD Surgery Center Provider ID: 1230824 Ice, Shirley MD West Marion Community Gender: Female Provider ID: 1000778 Provider ID: 1159191 Hospital Midstate Skin Institute, LLC Gender: Female Gender: Male Languages: Kannada 7550 SW 61st Ave Ste 1 Express Care of Belleview LLC Endoscopy Center of Ocala, MW 9:00 AM - 11:00 PM Ocala, FL 34476 10762 SE US Hwy 441 Inc T 9:00 AM - 4:00 PM (352) 732-7337 Belleview, FL 34420 1901 SE 18th Ave Ste 400 PCMH: No Fax: (352) 512-0093 (352) 347-5225 Ocala, FL 34471 00 Yrs/130 Yrs Fax: (352) 347-1073 (352) 732-8905 Mathew, Thomas MD M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 732-2440 Provider ID: 1110375 PCMH: No M-F 7:00 AM - 7:00 PM 00 Yrs/130 Yrs Gender: Male Sat 8:00 AM - 5:00 PM Florida Hospital Ocala 17355 SE 109th Terrace Rd PCMH: Yes, Level 1 M-F 8:00 AM - 5:00 PM Summerfield, FL 34491 PCMH: No (352) 245-0846 Fax: (352) 245-7768 18 Yrs/130 Yrs PCMH: No

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Gastroenterology - cont. Ramos, Miguel MD Rumalla, Ashwin MD Rumalla, Prabhakar MD Provider ID: 203244 Mathew, Thomas MD Provider ID: 1111505 Gender: Male Provider ID: 778501 Gender: Male 17355 SE 109th Terrace Rd Gender: Male Provider ID: 1110375 Gastroenterology Associates Summerfield, FL 34491 Gastroenterology Associates Gender: Male 1901 SE 18th Ave Ste 400 (352) 245-0846 1901 SE 18th Ave Ste 400 1901 SE 18th Ave Ste 400 Ocala, FL 34471 Fax: (352) 245-7768 Ocala, FL 34471 Ocala, FL 34471 (352) 732-8905 00 Yrs/130 Yrs (352) 732-8905 (352) 732-8905 Fax: (352) 732-2440 Endoscopy Center of Ocala Fax: (352) 732-2440 Fax: (352) 732-2440 00 Yrs/130 Yrs Inc 00 Yrs/130 Yrs 18 Yrs/130 Yrs Florida Hospital Ocala Ocala Endoscopy ASC Ocala Endoscopy ASC M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Rumalla, Ashwin MD McClary, Robert MD Reddi, Lakshmipathi MD Siddiqui, Dabir MD Provider ID: 218408 Provider ID: 203244 Provider ID: 194893 Gender: Male Gender: Male Provider ID: 02602 Gender: Male Gastroenterology Associates Gastroenterology Associates Gender: Male Gastroenterology Associates 11707 N Williams St 1160 SE 18th Pl 7 Hill Gastroenterology LLC 1160 SE 18th Pl Dunnellon, FL 34432 Ocala, FL 34471 3256 S Pine Ave Ocala, FL 34471 (352) 489-8070 (352) 261-0499 Ocala, FL 34471 (352) 261-0499 Fax: (352) 795-0071 Fax: (352) 732-2440 (352) 401-1919 Fax: (352) 732-2440 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 401-1870 00 Yrs/130 Yrs Citrus Endoscopy & Srg Endoscopy Center of Ocala 18 Yrs/130 Yrs Ocala Endoscopy ASC Center Inc M-F 8:00 AM - 5:00 PM Ocala Endoscopy ASC M-F 8:00 AM - 5:00 PM Citrus Memorial Health Fo PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Suncoast Endoscopy Center Languages: Hindi PCMH: No Vaidya, Trinetra MD McClary, Robert MD M-F 8:00 AM - 4:00 PM Provider ID: 389372 Rumalla, Ashwin MD PCMH: No Gender: Male Provider ID: 194893 17355 SE 109th Terrace Rd Reddy, Vishnu MD Provider ID: 203244 Gender: Male Summerfield, FL 34491 Gender: Male Gastroenterology Associates Provider ID: 171541 (352) 245-0846 Gastroenterology Associates 1901 SE 18th Ave Ste 400 Gender: Male Fax: (352) 245-7768 1901 SE 18th Ave Ste 400 Ocala, FL 34471 7 Hill Gastroenterology LLC 00 Yrs/130 Yrs Ocala, FL 34471 (352) 732-8905 3256 S Pine Ave Bldg 100 Endoscopy Center of Ocala (352) 732-8905 Fax: (352) 732-2440 Ocala, FL 34471 Inc Fax: (352) 732-2440 00 Yrs/130 Yrs (352) 401-1919 PCMH: No 00 Yrs/130 Yrs Ocala Endoscopy ASC Fax: (352) 401-1870 Endoscopy Center of Ocala M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Van Eldik, Richard MD Inc PCMH: No Florida Hospital Ocala Provider ID: 1114660 Ocala Regional Medical Ocala Endoscopy ASC Gender: Male Center M-F 8:00 AM - 5:00 PM 17355 SE 109th Terrace Rd Olejeme, Henry MD West Marion Community PCMH: No Hospital Summerfield, FL 34491

Provider ID: 1111506 Languages: Hindi, Telugu (352) 245-0846

Gender: Male M-F 8:00 AM - 5:00 PM Fax: (352) 245-7768

Endoscopy Center of Ocala, PCMH: No 00 Yrs/130 Yrs Inc Florida Hospital Ocala 1901 SE 18th Ave Bldg 400 PCMH: No Ocala, FL 34471 (352) 732-8905 Fax: (352) 732-2440 18 Yrs/130 Yrs Florida Hospital Ocala M-F 8:00 AM - 5:00 PM PCMH: No

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Gastroenterology - cont. Griffin, Reginald MD Oraedu, Christian MD Rossidis, Georgios MD Provider ID: 207939 Provider ID: 1505118 Van Eldik, Richard MD Provider ID: 708096 Gender: Male Gender: Male Gender: Male 1500 SW 1st Ave Minimally Invasive Surgeons Provider ID: 1114660 Concierge Bariatrics Ocala, FL 34471 of Ocal Gender: Male 1630 SE 18th St Ste 103 (352) 351-7200 4600 SW 46th Ct Ste 340 Endoscopy Center of Ocala, Ocala, FL 34471 00 Yrs/130 Yrs Ocala, FL 34474 Inc (352) 236-5809 Ocala Regional Medical (352) 291-0239 1901 SE 18th Ave Ste 400 Fax: (352) 236-5461 Center Fax: (352) 291-0254 Ocala, FL 34471 12 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs (352) 732-8905 Florida Hospital Ocala Languages: Greek Fax: (352) 732-2440 Ocala Regional Medical Oraedu, Christian MD M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Center Provider ID: 207939 PCMH: No Florida Hospital Ocala Languages: Hindi, Arabic, Gender: Male M-F 8:00 AM - 4:30 PM Faroese Surgical Consultants of Swaminathan, Krishna MD PCMH: No M-TH 9:00 AM - 5:00 PM Central Fla Provider ID: 1117633 F 9:00 AM - 12:00 PM 1830 SE 18th Ave Ste 3 Gender: Male Vyapaka, Jagannadha MD PCMH: No Ocala, FL 34471 1431 SW 1st Ave Ste 101 (352) 690-6000 Ocala, FL 34471 Provider ID: 22631 Mustafa, Moiz MD Fax: (352) 690-6643 (352) 401-1000 Gender: Male Provider ID: 1312074 00 Yrs/130 Yrs 00 Yrs/130 Yrs 129 SW 11th St Gender: Male Ocala Regional Medical Languages: Spanish Ocala, FL 34471 UF Health Pediatric Surgery Center PCMH: No (352) 622-5536 Ocala M-W 7:30 AM - 5:30 PM Fax: (352) 622-5883 1500 SE 17th St Ste 600 TH 7:30 AM - 5:00 PM Swaminathan, Krishna MD 18 Yrs/130 Yrs Ocala, FL 34471 F 8:30 AM - 12:30 PM Florida Hospital Ocala (352) 273-8800 PCMH: No Provider ID: 1117633 Ocala Regional Medical Fax: (352) 627-4173 Gender: Male Center 00 Yrs/130 Yrs Ramos, Salvador DO K Swaminathan MD PA Provider ID: 1120106 West Marion Community Languages: Arabic 1054 SW 1st Ave Gender: Male Hospital M-F 8:00 AM - 5:00 PM Ocala, FL 34471 9401 SW Hwy 200 Bldg 90 M-F 8:00 AM - 5:00 PM PCMH: No (352) 732-3036 Ocala, FL 34481 PCMH: No Fax: (352) 368-3940 (352) 368-1661 Oduntan, Olusola MD 00 Yrs/130 Yrs Fax: (352) 867-9794 General Surgery Provider ID: 1462385 Languages: Spanish 18 Yrs/130 Yrs Gender: Not Available MTTHF 9:00 AM - 4:30 PM PCMH: No Caban, Angel MD UF Health Surgical Specialists W 9:00 AM - 1:00 PM Provider ID: 1261511 4730 SW 49th Rd PCMH: No Gender: Male Ocala, FL 34474 Ramos, Salvador DO Minimally Invasive Surgeons (352) 265-5470 Provider ID: 1496565 Genetic Counseling of Ocal 00 Yrs/130 Yrs Gender: Male 4600 SW 46th Ct Ste 340 M-F 8:00 AM - 5:00 PM Adventhealth Medical Group Santolaya, Joaquin MD Multispe Ocala, FL 34474 PCMH: No Provider ID: 1442301 9401 SW Hwy 200 Bldg 90 (352) 291-0239 Gender: Male Ocala, FL 34481 Fax: (352) 291-0254 Oduntan, Olusola MD UF Health Womens Center 00 Yrs/130 Yrs Provider ID: 1462385 (352) 368-1661 Ocala Heath

Ocala Regional Medical Gender: Not Available Fax: (352) 867-9794 4730 SW 49th Rd

Center UF Health Surgical Specialists 12 Yrs/130 Yrs Ocala, FL 34474

M-F 9:00 AM - 5:00 PM - Vi M-F 8:00 AM - 5:00 PM (352) 854-8031

PCMH: No 10435 SE 170th Pl PCMH: No Fax: (352) 854-8031 Summerfield, FL 34491 00 Yrs/130 Yrs (352) 265-5470 Languages: Spanish Fax: (352) 854-8031 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

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Gynecological Oncology Berger, Maury MD Hematology & Oncology Koti, Ravi MD Provider ID: 206157 Provider ID: 1161968 Cardenas-Goicoechea, Gender: Male Balaraman, Rama MD Gender: Male Segundo MD Ocala Oncology Center Central Florida Cancer and Provider ID: 1214258 9401 SW Hwy 200 Ste 702 Provider ID: 364990 Blood Center Gender: Male Ocala, FL 34481 Gender: Female 2494 SW 19th Ave Rd UF Health Womens Center (352) 237-7170 Ocala Oncology Center Ocala, FL 34471 Villages Fax: (352) 732-4191 433 SW 10th St (352) 671-4422 10435 SE 170th Pl 18 Yrs/130 Yrs Ocala, FL 34471 Fax: (352) 671-4423 Summerfield, FL 34491 Florida Hospital Ocala (352) 732-4032 18 Yrs/130 Yrs (352) 233-4393 Ocala Regional Medical Fax: (352) 732-4191 M-F 9:00 AM - 5:00 PM Fax: (352) 265-8202 Center 18 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs West Marion Community Florida Hospital Ocala Shands At The University of Hospital Ocala Regional Medical Patterson, Daniel MD Florida Languages: Spanish Center Provider ID: 468380 Languages: Spanish M-TH 9:00 AM - 5:00 PM West Marion Community Gender: Male M 8:00 AM - 5:00 PM PCMH: No Hospital Bethel Blood and Cancer PCMH: No Languages: Hindi, Tamil Center Doshi, Ketankumar MD M-F 9:00 AM - 5:00 PM 11660 SW 97th Ter Unit 201 Gynecology PCMH: No Ocala, FL 34481 Provider ID: 450844 (352) 291-9376 Pacariem, Emilia MD Gender: Male Balaraman, Rama MD Fax: (352) 512-0689 Provider ID: 1154656 Ocala Oncology Center 18 Yrs/130 Yrs Gender: Female 9401 SW Hwy 200 Ste 702 Provider ID: 364990 Florida Hospital Ocala Emilia B Pacariem MD Ocala, FL 34481 Gender: Female Ocala Regional Medical 1328 SE 25th Loop Ste 101 (352) 237-7170 Ocala Oncology Center Center Ocala, FL 34471 Fax: (352) 237-8808 9401 SW Hwy 200 Ste 702 Languages: Russian (352) 351-1164 18 Yrs/130 Yrs Ocala, FL 34481 M-F 8:30 AM - 4:30 PM Fax: (352) 351-0556 Adventhealth Fish Memorial (352) 547-1912 PCMH: No 12 Yrs/130 Yrs Central Florida Regional Fax: (352) 237-8808 Ocala Regional Medical Hospital 18 Yrs/130 Yrs Patterson, Daniel MD Center West Marion Community Florida Hospital Ocala Provider ID: 468380 MTTHF 9:00 AM - 4:00 PM Hospital Ocala Regional Medical Gender: Male W 9:00 AM - 12:00 PM Languages: Hindi, Gujarati Center Bethel Blood and Cancer PCMH: No M-TH 9:00 AM - 5:00 PM West Marion Community Center PCMH: No Hospital 3256 S Pine Ave Ste 303 Hematology Languages: Hindi, Tamil Ocala, FL 34471 Doshi, Ketankumar MD M-TH 9:00 AM - 5:00 PM (352) 512-0688 Berger, Maury MD PCMH: No Fax: (352) 512-0689 Provider ID: 206157 Provider ID: 450844 18 Yrs/130 Yrs Gender: Male Gender: Male Koti, Ravi MD Florida Hospital Ocala Ocala Oncology Center Ocala Oncology Center Pl Provider ID: 1111507 Ocala Regional Medical 433 SW 10th St 433 SW 10th St 433 SE 10th St Gender: Male Center Ocala, FL 34474 Ocala, FL 34471 Central Florida Cancer and Languages: Russian (352) 732-4032 (352) 732-4032 Blood Center M-F 8:30 AM - 4:30 PM Fax: (352) 732-4191 Fax: (352) 732-4191 2494 SW 19th Ave Rd PCMH: No 18 Yrs/130 Yrs 18 Yrs/130 Yrs Ocala, FL 34471 Florida Hospital Ocala Adventhealth Fish Memorial (352) 671-4422 Ocala Regional Medical Central Florida Regional Fax: (352) 671-4423 Center Hospital 18 Yrs/130 Yrs West Marion Community West Marion Community Florida Hospital Ocala Hospital Hospital M-TH 9:00 AM - 5:00 PM Languages: Spanish Languages: Hindi, Gujarati F 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No

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Hematology & Oncology Hospice and Palliative Gomez, Francisco MD Barroso, Luis DO - cont. Care Provider ID: 1707660 Provider ID: 1704524 Gender: Male Vasudevan, Anju MD Center For Comprehensive Gender: Male Quad County Treatment Palliative Idr Med Florida LLC Center Provider ID: 483220 Provider ID: 949576 2760 SE 17th St Bldg 400 216 NE 1st Ave Gender: Female Center For Comperhensive Ocala, FL 34471 Ocala, FL 34470 Marion Heart Center PA Palliative (351) 245-1845 (352) 732-6565 9401 SW Hwy 200 Bldg 700 3231 Sw34th Ave Fax: (352) 433-1381 Fax: (352) 732-5593 Ste 702 Ocala, FL 34474 12 Yrs/130 Yrs 18 Yrs/130 Yrs Ocala, FL 34481 (352) 873-7434 M-F 8:00 AM - 5:00 PM M-F 5:00 AM - 1:30 PM (352) 861-6633 00 Yrs/130 Yrs PCMH: No Sat-Sun 5:15 AM - 9:15 PM Fax: (352) 873-3050 Languages: Spanish PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Mirza, Haris MD M-F 8:00 AM - 5:00 PM PCMH: No Provider ID: 241425 Cartwright, Thomas MD PCMH: No Gender: Male Quigley, Carmel MD 1500 SW 1st Ave Provider ID: 1468714 HIV/AIDS Ocala, FL 34471 Gender: Male Provider ID: 1483719 (352) 351-7200 Project Health Inc Mirza, Haris MD Gender: Female 18 Yrs/130 Yrs 7205 SE Maricamp Rd Provider ID: 241425 Center For Comprehensive Florida Hospital Ocala Ocala, FL 34472 Gender: Male Palliative Ocala Regional Medical (352) 680-7000 1500 SW 1st Ave 3231 SW 34th Ave Center Fax: (352) 680-0173 Ocala, FL 34471 Ocala, FL 34474 West Marion Community 12 Yrs/130 Yrs (352) 351-7200 (352) 873-7400 Hospital Florida Hospital Ocala 18 Yrs/130 Yrs Fax: (352) 873-7445 Languages: Urdu M-F 8:00 AM - 5:00 PM Florida Hospital Ocala 02 Yrs/130 Yrs PCMH: No PCMH: No Ocala Regional Medical M-F 8:00 AM - 5:00 PM Center PCMH: No Mirza, Haris MD Cartwright, Thomas MD West Marion Community Provider ID: 241425 Hospital Infectious Disease Gender: Male Provider ID: 1645288 Languages: Urdu 2651 SW 32nd Pl Gender: Male PCMH: No Garlington, Wendy MD Ocala, FL 34471 Project Health Inc (352) 401-7552 1025 SW 1st Ave Mirza, Haris MD Fax: (352) 622-7945 Provider ID: 241425 Provider ID: 1214345 Ocala, FL 34471 Gender: Female 18 Yrs/130 Yrs (352) 732-6599 Gender: Male Florida Hospital Ocala 2651 SW 32nd Pl Infectious Diseases Associates 12 Yrs/130 Yrs of N Ocala Regional Medical Ocala, FL 34471 M-F 8:00 AM - 5:00 PM 3306 SW 26th Ave Ste 104 Center (352) 401-7552 PCMH: No Ocala, FL 34471 West Marion Community Fax: (352) 622-7945 Hospital (352) 622-2020 18 Yrs/130 Yrs Languages: Urdu Decker, Gary MD Fax: (352) 622-2025 Florida Hospital Ocala PCMH: No Provider ID: 1706340 Ocala Regional Medical 12 Yrs/130 Yrs Gender: Male Center Florida Hospital Ocala Internal Medicine Mid Florida Metro Treatment West Marion Community M-F 8:00 AM - 5:00 PM Center Hospital PCMH: No Abusaada, Khalid MD 216 NE 1st Ave Languages: Urdu Provider ID: 1645460 Ocala, FL 34470 PCMH: No Gender: Male (352) 732-6565 Heart of Florida Health Fax: (352) 732-5593 Center Inc 18 Yrs/130 Yrs 1025 SW 1st Ave M-F 5:00 AM - 1:30 PM Ocala, FL 34471 Sat-Sun 5:15 AM - 9:15 PM (352) 732-6599 PCMH: No 18 Yrs/110 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

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Internal Medicine - cont. Fischer, Stephen MD Gomez, Francisco MD Hsu, Stephen MD Provider ID: 1652731 Provider ID: 1564136 Fischer, Stephen MD Gender: Male Provider ID: 1704524 Gender: Male Provider ID: 1652731 Heart of Florida Health Gender: Male Premier Specialty Alliance Inc Gender: Male Center Idr Med Florida LLC 9311 SW Hwy 200 Heart of Florida Health 4500 NW 152nd Ln 2760 SE 17th St Bldg 400 Ocala, FL 34481 Center Reddick, FL 32686 Ocala, FL 34471 (352) 259-2159 100 Marion Oaks Blvd (352) 591-0877 (351) 245-1845 Fax: (352) 259-5731 Ocala, FL 34473 Fax: (352) 591-0645 Fax: (352) 433-1381 12 Yrs/130 Yrs (352) 732-6599 00 Yrs/130 Yrs 12 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Fax: (352) 307-8605 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Khan, Nilofer MD PCMH: No Fischer, Stephen MD Hanley, Allison MD Provider ID: 1504365 Provider ID: 1652731 Gender: Female Fischer, Stephen MD Gender: Male Provider ID: 1706332 Weirsdale Family Health Provider ID: 1652731 Heart of Florida Health Gender: Female Center Inc Gender: Male Center Daytona Methadone 16400 S Hwy 25 Heart of Florida Health 6041 SW 54th St Ste 100 Treatment Center Weirsdale, FL 32195 Center Ocala, FL 34474 216 NE 1st Ave (352) 821-9797 1025 SW 1st Ave (352) 854-0700 Ocala, FL 34470 Fax: (352) 821-0553 Ocala, FL 34471 Fax: (352) 854-2493 (352) 732-6565 00 Yrs/130 Yrs (352) 732-6599 00 Yrs/130 Yrs Fax: (352) 732-5593 M-F 9:00 AM - 5:00 PM Fax: (352) 732-8036 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs PCMH: No M-F 5:00 AM - 1:30 PM M-F 8:00 AM - 5:00 PM Sat-Sun 5:15 AM - 9:15 PM Mitta, Walter MD PCMH: No Fischer, Stephen MD PCMH: No Provider ID: 1652731 Provider ID: 1023239 Fischer, Stephen MD Gender: Male Hsu, Stephen MD Gender: Male Provider ID: 1652731 Heart of Florida Health Provider ID: 1564136 Mitta Primary Care LLC Gender: Male Center Gender: Male 9401 SW Hwy 200 Bldg 700 Heart of Florida Health 7055 SE 110th St Rd Premier Specialty Alliance Inc Ste 701 Center Belleview, FL 34420 10250 SE US Hwy 441 Ocala, FL 34481 1801 SE 32nd Ave (352) 307-1648 Belleview, FL 34420 (352) 873-0501 Ocala, FL 34471 Fax: (352) 307-4417 (352) 259-2159 Fax: (352) 873-0502 (352) 694-0643 00 Yrs/130 Yrs Fax: (352) 259-5731 12 Yrs/130 Yrs Fax: (352) 694-0885 M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs Ocala Regional Medical 00 Yrs/130 Yrs PCMH: No M-F 8:30 AM - 5:00 PM Center M-F 8:00 AM - 5:00 PM PCMH: No Languages: Spanish PCMH: No Garlington, Wendy MD M-F 8:00 AM - 5:00 PM Hsu, Stephen MD PCMH: No Fischer, Stephen MD Provider ID: 1214345 Provider ID: 1564136 Provider ID: 1652731 Gender: Female Gender: Male Xiang, Kun MD Gender: Male Infectious Diseases Associates Premier Specialty Alliance Inc Provider ID: 1253036 Heart of Florida Health of N 1800 SE 17th St Ste 700 Gender: Male Center 3306 SW 26th Ave Ste 104 Ocala, FL 34471 Central Florida Heart Center 19204 E Pennsylvania Ave Ocala, FL 34471 (352) 259-2159 3310 SW 34th St Dunnellon, FL 34432 (352) 622-2020 Fax: (352) 259-5731 Ocala, FL 34474 (352) 462-6000 Fax: (352) 622-2025 12 Yrs/130 Yrs (352) 873-0707 Fax: (352) 465-6538 12 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Fax: (352) 873-9615 00 Yrs/130 Yrs Florida Hospital Ocala PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-W 8:00 AM - 4:30 PM PCMH: No PCMH: No TH 8:00 AM - 4:00 PM F 8:00 AM - 12:00 PM PCMH: No

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Interventional Cardiology Prashad, Rakesh MD Gregg, Anthony MD Cartwright, Thomas MD Provider ID: 1549402 Provider ID: 598361 Abusara, Ashraf MD Gender: Male Gender: Male Provider ID: 1468714 1920 SW 20th Place Ste 100 UF Health Womens Center Gender: Male Provider ID: 1456101 Ocala, FL 34471 Ocala Heath Project Health Inc Gender: Male (352) 622-7008 4730 SW 49th Rd 7205 SE Maricamp Rd UF Health Cardiology Ocala 18 Yrs/130 Yrs Ocala, FL 34474 Ocala, FL 34472 Heath Br M-F 8:00 AM - 5:00 PM (352) 854-8031 (352) 680-7000 4730 SW 49th St PCMH: No Fax: (352) 854-8031 Fax: (352) 680-0173 Ocala, FL 34474 00 Yrs/130 Yrs 12 Yrs/130 Yrs (352) 854-0681 Yelamanchi, Vishnu MD M-F 8:00 AM - 5:00 PM Florida Hospital Ocala Fax: (352) 854-8031 Provider ID: 190261 PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Gender: Male PCMH: No M-F 8:00 AM - 5:00 PM 10762 SE US Hwy 441 Medical Oncology PCMH: No Belleview, FL 34420 Cartwright, Thomas MD (352) 633-1966 Berger, Maury MD Provider ID: 206157 Patel, Jigar MD Fax: (352) 633-1969 Provider ID: 1645288 Gender: Male Provider ID: 1160841 18 Yrs/130 Yrs Gender: Male Ocala Oncology Center Gender: Male Leesburg Reg Med Center Project Health Inc 433 SW 10th St 2111 SW 20th Pl Languages: Telugu 1025 SW 1st Ave Ocala, FL 34474 Ocala, FL 34471 PCMH: No Ocala, FL 34471 (352) 732-4032 (352) 622-4251 (352) 732-6599 Fax: (352) 732-4191 Fax: (352) 622-0102 Maternal Fetal Medicine 12 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Florida Hospital Ocala PCMH: No Egerman, Robert MD PCMH: No Provider ID: 655517 Ocala Regional Medical Patel, Jigar MD Gender: Male Center West Marion Community Cartwright, Thomas MD Provider ID: 1160841 UF Health Womens Center Ocala Heath Hospital Gender: Male 4730 SW 49th Rd Languages: Spanish Provider ID: 206158 Cardiovascular Institute of Ocala, FL 34474 M-F 8:00 AM - 5:00 PM Gender: Male Central (352) 854-8031 PCMH: No Ocala Oncology Center 4600 SW 46th Ct Ste 250 Bldg 433 SW 10th St 200 Fax: (352) 854-8031 Berger, Maury MD Ocala, FL 34471 Ocala, FL 34474 00 Yrs/130 Yrs Provider ID: 206157 (352) 732-4032 (352) 622-4251 Shands At The University of Gender: Male Fax: (352) 732-4191 Fax: (352) 873-3920 Florida Ocala Oncology Center 18 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 9401 SW Hwy 200 Ste 702 Florida Hospital Ocala M-F 8:00 AM - 5:00 PM PCMH: No Ocala, FL 34481 Ocala Regional Medical PCMH: No Genc, Mehmet PHD (352) 237-7170 Center Fax: (352) 732-4191 West Marion Community Prashad, Rakesh MD Provider ID: 1462216 Hospital Provider ID: 1549402 Gender: Not Available 18 Yrs/130 Yrs Florida Hospital Ocala Languages: Spanish, Creole Gender: Male UF Health Womens Center M-F 8:00 AM - 5:00 PM Ocala Heath Ocala Regional Medical 1431 SW 1st Ave Ste 101 PCMH: No 4730 SW 49th Rd Center Ocala, FL 34471 West Marion Community (800) 530-1188 Ocala, FL 34474 (352) 854-8031 Hospital 18 Yrs/130 Yrs Languages: Spanish PCMH: No Fax: (352) 854-8031 00 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

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Medical Oncology - cont. Myrick, Samuel MD Chitumall, Venkat MD Kovalchuk, Oleksandr MD

Doshi, Ketankumar MD Provider ID: 317010 Provider ID: 1109557 Provider ID: 1109555 Gender: Male Gender: Male Gender: Male Provider ID: 450844 Ocala Oncology Center Ocala Kidney Group Inc Ocala Kidney Group Inc Gender: Male 9401 SW Hwy 200 Ste 702 2980 SE 3rd Ct 2980 SE 3rd Ct Ocala Oncology Center Ocala, FL 34481 Ocala, FL 34471 Ocala, FL 34471 9401 SW Hwy 200 Ste 702 (352) 237-7170 (352) 622-4231 (352) 622-4231 Ocala, FL 34481 Fax: (352) 732-4191 Fax: (352) 622-0518 Fax: (352) 622-0518 (352) 237-7170 18 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 237-8808 Florida Hospital Ocala M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Languages: Spanish PCMH: No PCMH: No Adventhealth Fish Memorial M-TH 9:00 AM - 5:00 PM Central Florida Regional PCMH: No Hsu, Stephen MD Lakshminarayanan, Suresh MD Hospital Provider ID: 1564136 West Marion Community Vasudevan, Anju MD Gender: Male Provider ID: 1109559 Hospital Premier Specialty Alliance Inc Gender: Male Languages: Hindi, Gujarati Provider ID: 1311362 10250 SE US Hwy 441 Ocala Kidney Group Inc M-TH 9:00 AM - 5:00 PM Gender: Female Belleview, FL 34420 2980 SE 3rd Ct PCMH: No Florida Cancer Affiliates- (352) 259-2159 Ocala, FL 34471 Ocala Fax: (352) 259-5731 (352) 622-4231 Doshi, Ketankumar MD 433 SW 10th St 12 Yrs/130 Yrs Fax: (352) 622-0513 Ocala, FL 34471 M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 450844 (352) 732-4032 PCMH: No M-F 8:00 AM - 5:00 PM Gender: Male Fax: (352) 732-4191 PCMH: No Ocala Oncology Center Pl 18 Yrs/110 Yrs Hsu, Stephen MD 433 SW 10th St 433 SE 10th St M-F 7:30 AM - 4:30 PM Provider ID: 1564136 Locay, Harold MD Ocala, FL 34471 PCMH: No Gender: Male Provider ID: 1109563 (352) 732-4032 Premier Specialty Alliance Inc Gender: Male Fax: (352) 732-4191 Vasudevan, Anju MD 1800 SE 17th St Ste 700 8613 SW 103rd St Rd 18 Yrs/130 Yrs Ocala, FL 34471 Ocala, FL 34481 Adventhealth Fish Memorial Provider ID: 1311362 (352) 259-2159 (352) 622-4231 Central Florida Regional Gender: Female Fax: (352) 259-5731 Fax: (352) 671-7859 Hospital Florida Cancer Affiliates- 12 Yrs/130 Yrs 00 Yrs/130 Yrs West Marion Community Hospital Ocala M-F 8:30 AM - 5:00 PM Ocala Regional Medical

Languages: Hindi, Gujarati 9401 SW Hwy 200 PCMH: No Center

M-F 9:00 AM - 5:00 PM Ocala, FL 34481 PCMH: No Hsu, Stephen MD PCMH: No (352) 237-7170 Fax: (352) 237-8808 Provider ID: 1564136 Locay, Harold MD Myrick, Samuel MD 18 Yrs/110 Yrs Gender: Male Provider ID: 1109563 M-F 9:00 AM - 5:00 PM Premier Specialty Alliance Inc Gender: Male 9311 SW Hwy 200 Ocala Kidney Group Inc Provider ID: 317010 PCMH: No Ocala, FL 34481 2980 SE 3rd Ct Gender: Male Nephrology (352) 259-2159 Ocala, FL 34471 Ocala Oncology Center Fax: (352) 259-5731 (352) 622-4231 433 SW 10th St Chitumall, Venkat MD 12 Yrs/130 Yrs Fax: (352) 622-0518 Ocala, FL 34471 Provider ID: 1109557 M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs (352) 732-4032 Gender: Male PCMH: No Ocala Regional Medical

Fax: (352) 732-4191 1500 SW 1st Ave Center

18 Yrs/130 Yrs Ocala, FL 34471 Kovalchuk, Oleksandr MD M-F 8:00 AM - 5:00 PM

Florida Hospital Ocala (352) 351-7200 Provider ID: 1109555 PCMH: No

Languages: Spanish 00 Yrs/130 Yrs Gender: Male

M-F 9:00 AM - 5:00 PM PCMH: No 1500 SW 1st Ave PCMH: No Ocala, FL 34471 (352) 351-7200 00 Yrs/130 Yrs PCMH: No

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Nephrology - cont. Ong, Rebecca MD Seek, Melvin MD Vaghela, Maheshkumar MD Provider ID: 1231622 Provider ID: 1114659 Nwakoby, Izuchukwu MD Gender: Female Gender: Male Provider ID: 1114699 Provider ID: 1109556 Ocala Kidney Group Inc Ocala Kidney Group Inc Gender: Male Gender: Male 2980 SE 3rd Ct 8613 SW 103rd St Rd Ocala Kidney Group Inc 2620 W Hwy 316 Ocala, FL 34471 Ocala, FL 34481 8613 SW 103rd St Rd Citra, FL 32113 (352) 622-4231 (352) 622-4231 Ocala, FL 34481 (352) 591-4680 Fax: (352) 622-0518 Fax: (352) 671-7859 (352) 622-4231 Fax: (352) 591-4679 00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (352) 671-7859 00 Yrs/130 Yrs Languages: Spanish Florida Hospital Ocala 18 Yrs/130 Yrs Ocala Regional Medical M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Languages: Spanish Center F 8:00 AM - 3:00 PM PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Vaghela, Maheshkumar MD Nwakoby, Izuchukwu MD Ong, Rebecca MD Ventrapragada, Sailaja MD Provider ID: 1109556 Provider ID: 1231622 Provider ID: 1114699 Gender: Male Gender: Female Gender: Male Provider ID: 1119669 8613 SW 103rd St Rd Ocala Kidney Group Inc 1500 SW 1st Ave Gender: Female Ocala, FL 34481 8613 SW 103rd St Rd Ocala, FL 34471 Ocala Kidney Group Inc (352) 622-4231 Ocala, FL 34481 (352) 351-7200 2980 SE 3rd Ct Fax: (352) 671-7859 (352) 622-4231 18 Yrs/130 Yrs Ocala, FL 34471 00 Yrs/130 Yrs Fax: (352) 671-7859 Languages: Spanish (352) 622-4231 Ocala Regional Medical 00 Yrs/130 Yrs PCMH: No Fax: (352) 622-0518 Center Languages: Spanish 18 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Vaghela, Maheshkumar MD Florida Hospital Ocala PCMH: No Languages: Spanish Nwakoby, Izuchukwu MD Provider ID: 1114699 M-TH 8:00 AM - 5:00 PM Rogers, Timothy MD Gender: Male F 8:00 AM - 3:00 PM Provider ID: 1109556 Provider ID: 1109924 9310 Spring Rd PCMH: No Gender: Male Gender: Male Ocala, FL 34472 Ocala Kidney Group Inc Ocala Kidney Group Inc (352) 687-0403 Ventrapragada, Sailaja MD 2980 SE 3rd Ct 2980 SE 3rd Ct Fax: (352) 687-2527 Ocala, FL 34471 Ocala, FL 34471 18 Yrs/130 Yrs Provider ID: 1119669 (352) 622-4231 (352) 622-4231 Languages: Spanish Gender: Female Fax: (352) 622-0518 Fax: (352) 622-0518 PCMH: No Ocala Kidney Group Inc 00 Yrs/130 Yrs 18 Yrs/130 Yrs 8613 SW 103rd St Rd 8613 SE Ocala Regional Medical Languages: Spanish Vaghela, Maheshkumar MD 103rd St Rd Center M-TH 8:00 AM - 5:00 PM Ocala, FL 34481 M-F 8:00 AM - 5:00 PM F 8:00 AM - 3:00 PM Provider ID: 1114699 (352) 622-4231 PCMH: No PCMH: No Gender: Male Fax: (352) 671-7859 Ocala Kidney Group Inc 18 Yrs/130 Yrs Ong, Rebecca MD Seek, Melvin MD 2980 SE 3rd Ct Florida Hospital Ocala Provider ID: 1231622 Provider ID: 1114659 Ocala, FL 34471 Languages: Spanish Gender: Female Gender: Male (352) 622-4231 M-F 8:00 AM - 5:00 PM 1431 SW 1st Ave Ste 101 Ocala Kidney Group Inc Fax: (352) 622-0518 PCMH: No Ocala, FL 34471 2980 SE 3rd Ct 18 Yrs/130 Yrs (352) 401-1000 Ocala, FL 34471 Languages: Spanish 00 Yrs/130 Yrs (352) 622-4231 M-TH 8:00 AM - 5:00 PM Languages: Spanish Fax: (352) 622-0518 F 8:00 AM - 3:00 PM PCMH: No 18 Yrs/130 Yrs PCMH: No Florida Hospital Ocala M-TH 8:00 AM - 5:00 PM F 8:00 AM - 3:00 PM PCMH: No

www.wellcare.com/Florida | 147 Updated: 01/04/2019 Specialty Physicians Marion

Neurology Karuppiah, Saravanan MD Nuclear Cardiology Cardenas-Goicoechea, Segundo MD Kim, Lance DO Provider ID: 1239784 Xiang, Kun MD Provider ID: 1214258 Provider ID: 201287 Gender: Male Provider ID: 1253036 Gender: Male Gender: Male Ocala Health Surgical Group, Gender: Male UF Health Womens Center Florida Neurological Center LLC Central Florida Heart Center Villages 2237 SW 19th Ave Rd Ste 101 1500 SE Magnolia Ext Ste 204 3310 SW 34th St 10435 SE 170th Pl Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34474 Summerfield, FL 34491 (352) 867-9877 (352) 351-1022 (352) 873-0707 (352) 233-4393 Fax: (352) 867-1040 Fax: (352) 351-1372 Fax: (352) 873-9615 Fax: (352) 265-8202 00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs 00 Yrs/130 Yrs Ocala Regional Medical M-F 9:00 AM - 5:00 PM M-W 8:00 AM - 4:30 PM Shands At The University of Center PCMH: No TH 8:00 AM - 4:00 PM Florida West Marion Community F 8:00 AM - 12:00 PM Languages: Spanish Hospital Main, John DO PCMH: No M 8:00 AM - 5:00 PM Languages: Korean Provider ID: 1719793 PCMH: No M-F 9:00 AM - 5:00 PM Gender: Male Obstetrics/Gynecology PCMH: No Ocala Health Surgical Group Egerman, Robert MD LLC Alvarado Hernandez, Luis MD Provider ID: 655517 Zhou, Yili MD 1725 SE 28th Loop Ste 101 Gender: Male Provider ID: 1339603 Ocala, FL 34471 UF Health Womens Center Provider ID: 1571140 Ocala Heath Gender: Male (352) 629-1743 Gender: Male 4730 SW 49th Rd 1910 SW 18th Ct Ste 200 Fax: (352) 629-1748 Premier Specialty Alliance Ocala, FL 34474 Ocala, FL 34471 00 Yrs/130 Yrs 10250 SE US Hwy 441 (352) 854-8031 (352) 629-7011 M-F 8:00 AM - 5:00 PM Belleview, FL 34420 Fax: (352) 854-8031 Fax: (866) 592-7773 PCMH: No (352) 259-2159 16 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 259-5731 Shands At The University of PCMH: No Tuli, Sagun MD 00 Yrs/130 Yrs Provider ID: 1719157 Florida Neurosurgery M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gender: Female PCMH: No Ocala Health Trauma LLC PCMH: No Kaplan, Barry MD 1500 SE Magnolia Ext Ste 204 Alvarado Hernandez, Luis MD Genc, Mehmet PHD Provider ID: 1230168 Ocala, FL 34471 Gender: Male Provider ID: 1462216 (352) 351-1022 Provider ID: 1571140 Ocala Health Neurosurgical Gender: Not Available Fax: (352) 351-1372 Gender: Male UF Health Womens Center Group 00 Yrs/130 Yrs 1725 SE 28th Loop Ste 101 Premier Specialty Alliance Ocala Heath M-F 9:00 AM - 5:00 PM 1800 SE 17th St Ste 700 4730 SW 49th Rd Ocala, FL 34471 PCMH: No (352) 629-1743 Ocala, FL 34471 Ocala, FL 34474 (352) 259-2159 (352) 854-8031 Fax: (352) 629-1748 Tuli, Sagun MD Fax: (352) 259-5731 Fax: (352) 854-8031 00 Yrs/130 Yrs Provider ID: 1719157 00 Yrs/130 Yrs 00 Yrs/130 Yrs Ocala Regional Medical Gender: Female Center M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Ocala Regional Medical PCMH: No Languages: Spanish, Creole Center PCMH: No M-F 9:00 AM - 5:00 PM 1234 SE Magnolia Ext Unit 1 Cappleman, Sarah MD PCMH: No Jones, Kurt MD Ocala, FL 34471 Provider ID: 1637699 Provider ID: 1465627 (352) 351-1022 Gender: Female Gender: Male Fax: (352) 351-1372 Florida Women's Health LLC Premier Specialty Alliance 00 Yrs/130 Yrs 4600 SW 46th Ct Ste 150 1800 SE 17th St Bldg 700 M-F 8:00 AM - 5:00 PM Ocala, FL 34474 Ocala, FL 34471 PCMH: No (352) 369-5999 (352) 259-2159 Fax: (352) 629-4227 Fax: (352) 259-5731 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-W 8:30 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 148 Updated: 01/04/2019 Specialty Physicians Marion

Obstetrics/Gynecology - Charles, Keith MD Maizel, Raoul MD Wilker, Shawn MD cont. Provider ID: TPV1255334389-0 Provider ID: TPV1831192954-0 Provider ID: TPV1578691515-0 Gender: Male Gender: Male Gender: Male Lindo, Hersell MD Mid Florida Eye Center PA Mid Florida Eye Center PA Mid Florida Eye Center PA Provider ID: 1423353 17556 SE 109th Terr Rd Ste 109 17556 SE 109th Terr Rd Ste 109 17556 SE 109th Terr Rd Ste 109 Gender: Male Summerfield, FL 34491 Summerfield, FL 34491 Summerfield, FL 34491 Hersell O Lindo MD (352) 735-2020 (352) 735-2020 (352) 735-2020 1056 SW 1st Ave Fax: (352) 735-5187 Fax: (352) 735-5187 Fax: (352) 735-5187 Ocala, FL 34471 05 Yrs/99 Yrs 05 Yrs/99 Yrs 06 Yrs/99 Yrs (352) 390-6607 Florida Hospital Waterman Florida Hospital Waterman Florida Hospital Waterman Fax: (352) 433-2135 Languages: Spanish Languages: Spanish Languages: Spanish 13 Yrs/18 Yrs M-TH 8:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM M 12:00 AM - 5:30 PM F 8:00 AM - 4:00 PM F 8:00 AM - 4:00 PM F 8:00 AM - 4:00 PM T 8:30 AM - 5:00 PM PCMH: No PCMH: No PCMH: No WTH 8:00 AM - 5:30 PM PCMH: No Clark, Alan MD Panzo, Gregory MD Optician Provider ID: TPV1659363539-0 Provider ID: TPV1457354573-0 Ophthalmology Gender: Male Gender: Male E Wingo P Colchiski Ptr Alan J Clark MD Mid Florida Eye Center PA Provider ID: TPV1629128475-0 Baumann, Jeffrey MD 133 Marion Oaks Blvd Ste 101 17556 SE 109th Terr Rd Ste 109 2441 SE Fort King St Ste 100 Provider ID: TPV1841293974-0 Ocala, FL 34473 Summerfield, FL 34491 Ocala, FL 34471 Gender: Male (352) 347-3937 (352) 735-2020 (352) 629-2422 Mid Florida Eye Center PA Fax: (352) 307-0872 Fax: (352) 735-5187 Fax: (352) 732-0177 17556 SE 109th Terr Rd Ste 109 18 Yrs/99 Yrs 05 Yrs/99 Yrs 00 Yrs/99 Yrs Summerfield, FL 34491 No Hospital Privileges- Florida Hospital Waterman M-TH 8:00 AM - 5:00 PM (352) 735-2020 Covering Arrangem Languages: Spanish F 8:00 AM - 4:00 PM Fax: (352) 735-5187 Languages: Spanish, French M-TH 8:00 AM - 5:00 PM PCMH: No 06 Yrs/99 Yrs M-F 9:00 AM - 5:30 PM F 8:00 AM - 4:00 PM Florida Hospital Waterman PCMH: No PCMH: No Eye Doctors Optical Outlets Languages: Spanish PA M-TH 8:00 AM - 5:00 PM Goldey, Stacia MD Ross, Joseph MD Provider ID: TPV1760673677-0 F 8:00 AM - 4:00 PM Provider ID: TPV1033112156-0 Provider ID: TPV1780602482-0 2393 SW College Rd PCMH: No Gender: Female Gender: Male Ocala, FL 34474 Mid Florida Eye Center PA Crystal River Eye Center LLC (352) 291-5098 Bovee, Courtney MD 17556 SE 109th Terr Rd Ste 109 60 SW 17th St Fax: (352) 414-5525 Provider ID: TPV1427346683-0 Summerfield, FL 34491 Ocala, FL 34471 00 Yrs/99 Yrs Gender: Female (352) 735-2020 (352) 482-0305 M-F 9:00 AM - 7:00 PM Mid Florida Eye Center PA Fax: (352) 735-5187 Fax: (352) 482-0311 Sat 9:00 AM - 5:00 PM 17556 SE 109th Terr Rd Ste 109 06 Yrs/99 Yrs 12 Yrs/99 Yrs PCMH: No Summerfield, FL 34491 Florida Hospital Waterman Citrus Memorial Hospital (352) 735-2020 Languages: Spanish Largo Medical Center Optometry Fax: (352) 735-5187 M-TH 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 06 Yrs/99 Yrs F 8:00 AM - 4:00 PM PCMH: No Anderson, Paul OD No Hospital Privileges- PCMH: No Provider ID: TPV1881678415-0 Covering Arrangem Gender: Male Languages: Spanish Grabow, Harry MD Paul Anderson OD PA M-TH 8:00 AM - 5:00 PM Provider ID: TPV1356344188-0 600 SW 10th St Ste 104 F 8:00 AM - 4:00 PM Gender: Male Ocala, FL 34471 PCMH: No Crystal River Eye Center LLC (352) 629-7509 60 SW 17th St Fax: (352) 867-5652 Ocala, FL 34471 05 Yrs/99 Yrs (352) 482-0305 Languages: Spanish Fax: (352) 482-0311 MTTH 9:00 AM - 6:00 PM 05 Yrs/99 Yrs WF 8:00 AM - 5:00 PM Sarasota Memorial Hospital Sat 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 149 Updated: 01/04/2019 Specialty Physicians Marion

Optometry - cont. Caputi, Lori OD Chai, Sook OD Helman, Lori OD Provider ID: TPV1336251511-0 Provider ID: TPV1760557813-0 Provider ID: TPV1205839396-0 Atkins, Brian OD Gender: Female Gender: Male Gender: Female Provider ID: TPV1184637001-0 Myeyedr Optometry of Eye Doctors Optical Outlets Mid Florida Eye Center PA Gender: Male Florida LLC PA 17556 SE 109th Terr Rd Ste 109 Myeyedr Optometry of 3101 SW College Rd 2393 SW College Rd Summerfield, FL 34491 Florida LLC Ocala, FL 34474 Ocala, FL 34474 (352) 735-2020 3101 SW College Rd (352) 237-3768 (352) 291-5098 Fax: (352) 735-5187 Ocala, FL 34474 Fax: (352) 237-4595 Fax: (352) 414-5525 06 Yrs/99 Yrs (352) 237-3768 05 Yrs/99 Yrs 05 Yrs/99 Yrs Languages: Spanish Fax: (352) 237-4595 M-F 9:00 AM - 6:00 PM Languages: Spanish, M-TH 8:00 AM - 5:00 PM 05 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM Vietnamese F 8:00 AM - 4:00 PM M-F 9:00 AM - 6:00 PM PCMH: No M-F 9:00 AM - 7:00 PM PCMH: No Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 5:00 PM PCMH: No Caputi, Lori OD Sun 12:00 AM - 5:30 PM Ho, Thanh OD Provider ID: TPV1336251511-0 PCMH: No Provider ID: TPV1336404342-0 Atkins, Brian OD Gender: Female Gender: Female Provider ID: TPV1184637001-0 Myeyedr Optometry of Chiaramonti, Alycia OD Myeyedr Optometry of Gender: Male Florida LLC Provider ID: TPV1659722874-0 Florida LLC Myeyedr Optometry of 11100 SW 93rd Court Rd Ste 15 Gender: Female 3101 SW College Rd Florida LLC Ocala, FL 34481 Eye Doctors Optical Outlets Ocala, FL 34474 11100 SW 93rd Court Rd Ste 15 (352) 291-2000 PA (352) 237-3768 Ocala, FL 34481 Fax: (352) 387-0944 2393 SW College Rd Fax: (352) 237-4595 (352) 291-2000 05 Yrs/99 Yrs Ocala, FL 34474 05 Yrs/99 Yrs Fax: (352) 387-0944 M-F 8:00 AM - 5:00 PM (352) 291-5098 M-F 9:00 AM - 6:00 PM 05 Yrs/99 Yrs PCMH: No Fax: (352) 414-5525 Sat 9:00 AM - 3:00 PM M-F 8:00 AM - 5:00 PM 05 Yrs/99 Yrs PCMH: No PCMH: No Cevallos, Michelle OD Languages: Spanish, Provider ID: TPV1104070788-0 Vietnamese Ho, Thanh OD Beckwitt, Julie-Ann OD Gender: Female M-F 9:00 AM - 7:00 PM Provider ID: TPV1336404342-0 Provider ID: TPV1437262953-0 Eye Doctors Optical Outlets Sat 9:00 AM - 5:00 PM Gender: Female Gender: Female PA Sun 12:00 AM - 5:30 PM Myeyedr Optometry of Myeyedr Optometry of 2393 SW College Rd PCMH: No Florida LLC Florida LLC Ocala, FL 34474 11100 SW 93rd Court Rd Ste 15 3101 SW College Rd (352) 291-5098 Gorman, Neil OD Ocala, FL 34481 Ocala, FL 34474 Fax: (352) 414-5525 Provider ID: TPV1578637310-2 (352) 291-2000 (352) 237-3768 00 Yrs/99 Yrs Gender: Male Fax: (352) 387-0944 Fax: (352) 237-4595 Languages: Spanish, Eye Doctors Optical Outlets 05 Yrs/99 Yrs 05 Yrs/99 Yrs Vietnamese PA M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM 2393 SW College Rd PCMH: No Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 5:00 PM Ocala, FL 34474 PCMH: No Sun 12:00 AM - 5:30 PM (352) 291-5098 Huynh, An Tam OD PCMH: No Fax: (352) 414-5525 Provider ID: TPV1275941874-0 Beckwitt, Julie-Ann OD 05 Yrs/99 Yrs Gender: Female Provider ID: TPV1437262953-0 Languages: Spanish, Eye Doctors Optical Outlets Gender: Female Vietnamese PA Myeyedr Optometry of M-F 9:00 AM - 7:00 PM 2393 SW College Rd Florida LLC Sat 9:00 AM - 5:00 PM Ocala, FL 34474 11100 SW 93rd Court Rd Ste 15 Sun 12:00 AM - 5:30 PM (352) 291-5098 Ocala, FL 34481 PCMH: No Fax: (352) 414-5525 (352) 291-2000 05 Yrs/99 Yrs Fax: (352) 387-0944 Languages: Spanish, 05 Yrs/99 Yrs Vietnamese M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM PCMH: No Sat 9:00 AM - 5:00 PM Sun 12:00 AM - 5:30 PM PCMH: No

www.wellcare.com/Florida | 150 Updated: 01/04/2019 Specialty Physicians Marion

Optometry - cont. Kreifels, Kacie OD Ness, David OD Patel, Kim OD Provider ID: TPV1508277948-0 Provider ID: TPV1346324308-0 Provider ID: TPV1144685694-0 Jones, Brian OD Gender: Female Gender: Male Gender: Female Provider ID: TPV1578553376-0 Crystal River Eye Center LLC David R Ness OD PA Mid Florida Eye Center PA Gender: Male 60 SW 17th St 15936 E Hwy 40 17556 SE 109th Terr Rd Ste 109 Mid Florida Eye Center PA Ocala, FL 34471 Silver Springs, FL 34488 Summerfield, FL 34491 17556 SE 109th Terr Rd Ste 109 (352) 482-0305 (352) 625-0135 (352) 735-2020 Summerfield, FL 34491 Fax: (352) 482-0311 Fax: (352) 625-0134 Fax: (352) 735-5187 (352) 735-2020 03 Yrs/99 Yrs 05 Yrs/99 Yrs 06 Yrs/99 Yrs Fax: (352) 735-5187 M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 5:00 PM Languages: Spanish 05 Yrs/99 Yrs PCMH: No PCMH: No M-TH 8:00 AM - 5:00 PM Languages: Spanish F 8:00 AM - 4:00 PM M-TH 8:00 AM - 5:00 PM Meer, Henry OD Nguyen, Joseph OD PCMH: No F 8:00 AM - 4:00 PM Provider ID: TPV1255449732-0 Provider ID: TPV1891148268-0 PCMH: No Gender: Male Gender: Male Patel, Margi OD Eye Doctors Optical Outlets Myeyedr Optometry of Provider ID: TPV1538416177-0 Kesavalu, Sheela OD PA Florida LLC Gender: Female Provider ID: TPV1538534474-0 2393 SW College Rd 3101 SW College Rd Mid Florida Eye Center PA Gender: Female Ocala, FL 34474 Ocala, FL 34474 17556 SE 109th Terr Rd Ste 109 Myeyedr Optometry of (352) 291-5098 (352) 237-3768 Summerfield, FL 34491 Florida LLC Fax: (352) 414-5525 Fax: (352) 237-4595 (352) 735-2020 3101 SW College Rd 05 Yrs/99 Yrs 05 Yrs/99 Yrs Fax: (352) 735-5187 Ocala, FL 34474 Languages: Spanish, M-F 9:00 AM - 6:00 PM 06 Yrs/99 Yrs (352) 237-3768 Vietnamese Sat 9:00 AM - 3:00 PM Languages: Spanish Fax: (352) 237-4595 M-F 9:00 AM - 7:00 PM PCMH: No M-TH 8:00 AM - 5:00 PM 05 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM F 8:00 AM - 4:00 PM M-F 9:00 AM - 6:00 PM Sun 12:00 AM - 5:30 PM Nguyen, Quyen OD PCMH: No Sat 9:00 AM - 3:00 PM PCMH: No Provider ID: TPV1144478868-0 PCMH: No Gender: Female Pieschke, Glenn OD Muse, James OD Eye Doctors Optical Outlets Provider ID: TPV1639139439-0 Konynenbelt, Jessie OD Provider ID: TPV1710964077-0 PA Gender: Male Provider ID: TPV1659749323-0 Gender: Male 2393 SW College Rd Mid Florida Eye Center PA Gender: Female Crystal River Eye Center LLC Ocala, FL 34474 17556 SE 109th Terr Rd Ste 109 Myeyedr Optometry of 60 SW 17th St (352) 291-5098 Summerfield, FL 34491 Florida LLC Ocala, FL 34471 Fax: (352) 414-5525 (352) 735-2020 3101 SW College Rd (352) 482-0305 05 Yrs/99 Yrs Fax: (352) 735-5187 Ocala, FL 34474 Fax: (352) 482-0311 Languages: Spanish, 06 Yrs/99 Yrs (352) 237-3768 16 Yrs/99 Yrs Vietnamese Languages: Spanish Fax: (352) 237-4595 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM M-TH 8:00 AM - 5:00 PM 05 Yrs/99 Yrs PCMH: No Sat 9:00 AM - 5:00 PM F 8:00 AM - 4:00 PM M-F 9:00 AM - 6:00 PM Sun 12:00 AM - 5:30 PM PCMH: No Sat 9:00 AM - 3:00 PM Ness, David OD PCMH: No PCMH: No Provider ID: TPV1346324308-0 Gender: Male Parrish, Gregory OD Konynenbelt, Jessie OD Mid Florida Eye Center PA Provider ID: TPV1598759458-1 Provider ID: TPV1659749323-0 17556 SE 109th Terr Rd Ste 109 Gender: Male Gender: Female Summerfield, FL 34491 Myeyedr Optometry of Myeyedr Optometry of (352) 735-2020 Florida LLC Florida LLC Fax: (352) 735-5187 3101 SW College Rd 11100 SW 93rd Court Rd Ste 15 05 Yrs/99 Yrs Ocala, FL 34474 Ocala, FL 34481 Languages: Spanish (352) 237-3768 (352) 291-2000 M-TH 8:00 AM - 5:00 PM Fax: (352) 237-4595 Fax: (352) 387-0944 F 8:00 AM - 4:00 PM 05 Yrs/99 Yrs 05 Yrs/99 Yrs PCMH: No M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 151 Updated: 01/04/2019 Specialty Physicians Marion Optometry - cont. Orthopaedic Surgery Pain Management Pediatric Cardiology

Robinson, Marc OD Chan, Chung MD Fazal, Zulfiqar MD Pietra, Biagio MD Provider ID: TPV1619324308-0 Provider ID: 1456112 Provider ID: 1104906 Provider ID: 1009230 Gender: Male Gender: Male Gender: Male Gender: Male Eye Doctors Optical Outlets UF Orthopaedics and Sports 11740 SW 97th Ter Florida Clinical Practice PA Medicine Ocala, FL 34481 Associati 2393 SW College Rd 2300 SE 17th St Ste 500 (352) 854-9991 1500 SE 17th St Ste 600 Ocala, FL 34474 Ocala, FL 34471 Fax: (352) 854-9966 Ocala, FL 34471 (352) 291-5098 (352) 273-7001 00 Yrs/130 Yrs (352) 273-7770 Fax: (352) 414-5525 Fax: (352) 273-7293 PCMH: No Fax: (352) 392-0547 05 Yrs/99 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish, M-F 8:00 AM - 5:00 PM Fazal, Zulfiqar MD M-F 8:00 AM - 5:00 PM Vietnamese PCMH: No Provider ID: 1104906 PCMH: No M-F 9:00 AM - 7:00 PM Gender: Male Sat 9:00 AM - 5:00 PM Denard Jr, Antony MD 1623 SW 1st Ave Pediatric Sun 12:00 AM - 5:30 PM Provider ID: 1690616 Ocala, FL 34471 Gastroenterology PCMH: No Gender: Male (352) 489-5152 Adventhealth Medical Group Fax: (352) 732-6787 Ahmad, Osman MD Shorr, Jack OD Multispe 00 Yrs/130 Yrs Provider ID: 1626007 Provider ID: TPV1346243425-0 9401 SW Hwy 200 Bldg 90 PCMH: No Gender: Male Gender: Male Ocala, FL 34481 UF Pediatric Specialties At Mid Florida Eye Center PA (352) 237-9298 Rajashekar, Harsha DO Ocala 17556 SE 109th Terr Rd Ste 109 Fax: (352) 351-4193 1500 SE 17th St Ste 600 Summerfield, FL 34491 00 Yrs/130 Yrs Provider ID: 1312064 Ocala, FL 34471 (352) 735-2020 Florida Hospital Memorial Gender: Male (352) 273-7770 Fax: (352) 735-5187 Medical Center Florida Pain and Rehabilitation Fax: (352) 392-0547 06 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM Assoc 00 Yrs/21 Yrs Languages: Spanish PCMH: No 1731 SW 2nd Ave Ste A M-F 8:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM Ocala, FL 34471 PCMH: No F 8:00 AM - 4:00 PM Mariano, Erin MD (352) 369-0322 PCMH: No Provider ID: 1264066 Fax: (352) 369-0325 Chan, Albert MD Gender: Female 16 Yrs/130 Yrs Provider ID: 1647485 Walton, Sean OD Munroe Hma Hmpn LLC M-F 8:30 AM - 5:00 PM Gender: Male Provider ID: TPV1720244387-0 2801 SE 1st Ave Bldg 300 Ste PCMH: No UF Pediatric Specialties At Gender: Male 302 Ocala Eye Doctors Optical Outlets Ocala, FL 34471 Sacher, Mark DO 1500 SE 17th St Ste 600 PA (352) 237-9298 Provider ID: 912713 Gainesville, FL 34471 2393 SW College Rd Fax: (352) 351-4193 Gender: Male (352) 273-7770 Ocala, FL 34474 00 Yrs/130 Yrs Total Patient Care of Ocala Fax: (352) 392-0547 (352) 291-5098 M-F 8:00 AM - 5:00 PM 3320 SW 33rd Rd Ste 200 00 Yrs/130 Yrs Fax: (352) 414-5525 PCMH: No Ocala, FL 34474 M-F 8:00 AM - 5:00 PM 05 Yrs/99 Yrs (352) 512-0970 PCMH: No Languages: Spanish, Pulido Sierra, Luis MD Fax: (352) 512-0962 Vietnamese 12 Yrs/130 Yrs Rivera-Nieves, Desiree MD M-F 9:00 AM - 7:00 PM Provider ID: 1566921 M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM Gender: Male PCMH: No Provider ID: 1647517 Sun 12:00 AM - 5:30 PM UF Health Orthopaedics Gender: Female PCMH: No Villages UF Pediatric Specialties At 10435 SE 170th Pl Ocala Gainesville, FL 34491 1500 SE 17th St Ste 600 (352) 259-5658 Gainesville, FL 34471 Fax: (352) 245-6278 (352) 273-7770 00 Yrs/130 Yrs Fax: (352) 392-0547 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 152 Updated: 01/04/2019 Specialty Physicians Marion

Pediatric Pulmonology Pediatric Urology Eunus, Shahab MD Lorica, Cherish MD Provider ID: 1107720 Provider ID: 808572 Kuriakose, Kevin MD Hoover, Dennis MD Gender: Male Gender: Female Provider ID: 777446 Provider ID: 02812 Premier Pediatrics LLC Premier Pediatrics LLC Gender: Male Gender: Male 5388 S US Hwy 41 7960 SW 60th Ave Unit 100 Orlando Pediatric Pulmonary Ocala At Associates For Dunnellon, FL 34432 Ocala, FL 34476 And Sle Urology Car (352) 522-1862 (352) 671-6741 2930 SE 3rd Ct Bldg 1 9401 SW SR 200 Timber Ridge Fax: (352) 522-1863 Fax: (352) 671-6742 Ocala, FL 34471 Professional Bldg 3000 Ste 00 Yrs/21 Yrs 00 Yrs/21 Yrs (407) 898-2767 3001 Languages: Spanish, Russian, M-F 8:00 AM - 5:00 PM Fax: (407) 898-9443 Ocala, FL 34481 Bengali PCMH: No 00 Yrs/130 Yrs (813) 874-7500 M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Fax: (813) 877-1397 PCMH: No Lorica, Cherish MD PCMH: No 00 Yrs/18 Yrs Provider ID: 808581 Johns Hopkins All Childrens Eunus, Shahab MD Gender: Female Penugonda, Madhuri MD Hospital Inc Provider ID: 1107722 Premier Pediatrics, LLC Tampa Bay Surgery Center Gender: Male 14141 E Hwy 40 Unit B Provider ID: 816127 M-F 8:00 AM - 5:00 PM Premier Pediatrics, LLC Silver Springs, FL 34488 Gender: Female PCMH: No 14141 E Hwy 40 Ste B (352) 512-0466 Orlando Pediatric Pulmonary Pediatrics Ocala, FL 34476 00 Yrs/21 Yrs And Sle (352) 671-6741 M-F 8:00 AM - 5:00 PM 2930 SE 3rd Ct Bldg 1 Fax: (352) 671-6742 PCMH: No Ocala, FL 34471 Ahmad, Osman MD 00 Yrs/21 Yrs (407) 898-2767 Provider ID: 1626007 Languages: Spanish, Russian, Mercado Quinones, Alfredo Fax: (407) 898-9443 Gender: Male Bengali MD 00 Yrs/130 Yrs UF Pediatric Specialties At M-F 8:00 AM - 5:00 PM Provider ID: 1236628 Ocala Languages: Spanish PCMH: No Gender: Male 1500 SE 17th St Ste 600 M-F 8:30 AM - 5:00 PM Premier Pediatrics LLC Ocala, FL 34471 PCMH: No Irizarry Padilla, Jadira MD 14141 E Hwy 40 Ste B (352) 273-7770 Silver Springs, FL 34488 Pediatric Surgery Fax: (352) 392-0547 Provider ID: 1200228 (352) 671-6741 00 Yrs/21 Yrs Gender: Female Fax: (352) 625-2728 Mustafa, Moiz MD M-F 8:00 AM - 5:00 PM Heart of Florida Health 00 Yrs/18 Yrs Provider ID: 1312074 PCMH: No Center Inc MT 8:00 AM - 5:00 PM Gender: Male 1025 SW 1st Ave PCMH: No Eunus, Shahab MD UF Health Pediatric Surgery Ocala, FL 34471 Ocala Provider ID: 1107719 (352) 732-6599 Mercado Quinones, Alfredo 1500 SE 17th St Ste 600 Gender: Male Fax: (352) 732-8036 MD Ocala, FL 34471 Premier Pediatrics, LLC 00 Yrs/21 Yrs Provider ID: 1236629 (352) 273-8800 7960 SW 60th Ave Ste 200 Languages: Spanish Gender: Male Fax: (352) 627-4173 Ocala, FL 34476 M-F 8:00 AM - 5:00 PM Premier Pediatrics LLC 00 Yrs/130 Yrs (352) 671-6741 PCMH: No 5388 S US Hwy 41 Languages: Arabic Fax: (352) 671-6742 Dunnellon, FL 34432 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs Lorica, Cherish MD (352) 522-1862 PCMH: No Languages: Spanish, Russian, Provider ID: 1103961 Fax: (352) 522-1863 Bengali Gender: Female 00 Yrs/18 Yrs M-F 7:00 AM - 7:00 PM Premier Pediatrics, LLC M-TH 8:00 AM - 5:00 PM Sat 8:00 AM - 5:00 PM 5338 S US Hwy 41 PCMH: No PCMH: No Dunnellon, FL 34432 (352) 522-1862 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 153 Updated: 01/04/2019 Specialty Physicians Marion

Pediatrics - cont. Poole, Millie MD Podiatry Whyatt, Timothy DPM Provider ID: 808311 Mercado Quinones, Alfredo Gender: Female Goldstein, Scott DPM Provider ID: 230548 MD Premier Pediatrics LLC Gender: Male Provider ID: 1236631 5388 S US Hwy 41 Provider ID: 1091341 3301 SW 34th Cir Ste 12 Gender: Male Dunnellon, FL 34432 Gender: Male Ocala, FL 34474 Premier Pediatrics LLC (352) 671-6741 Twin Palm Orthopedics (352) 861-0444 7960 SW 60th Ave Ste 100 Fax: (352) 671-6742 2640 SW 32nd Pl Fax: (352) 861-0464 Ocala, FL 34476 00 Yrs/18 Yrs Ocala, FL 34471 00 Yrs/130 Yrs (352) 671-6741 M-F 8:00 AM - 5:00 PM (352) 369-1099 North Florida Regional Fax: (352) 671-6742 PCMH: No Fax: (352) 369-0299 Ocala Regional Medical 00 Yrs/18 Yrs 00 Yrs/130 Yrs Center M-F 7:00 AM - 7:00 PM Physical Medicine & Marion Surgery Center LLC M-F 8:00 AM - 4:00 PM Sat 8:00 AM - 5:00 PM Rehabilitation M-F 7:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Jollu, Chayapathy MD Pulmonary Disease Pietra, Biagio MD McGowan, Michele DPM Provider ID: 1009230 Provider ID: 1100383 Bapatla, Amruth MD Gender: Male Gender: Male Provider ID: 220991 Provider ID: 1045812 Florida Clinical Practice Medical Associates LLC Gender: Female Gender: Male Associati 10238 SW 86th Cir Ste 200 Center For Ankle and Foot Amruth S Bapatla MD 1500 SE 17th St Ste 600 Ocala, FL 34481 Care 1133 SE 18th Pl Ste 4 Ocala, FL 34471 (352) 873-1011 16920 S US Hwy 441 Ste 104 Ocala, FL 34471 (352) 273-7770 Fax: (352) 873-1011 Summerfield, FL 34491 (352) 369-2040 Fax: (352) 392-0547 18 Yrs/130 Yrs (352) 242-2502 Fax: (352) 369-2045 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 242-0316 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs Florida Hospital Ocala PCMH: No ORHS-South Lake Hospital Ocala Regional Medical Sharma, Anuj DO Languages: Spanish Center Poole, Millie MD Provider ID: 1117636 M-TH 9:00 AM - 2:00 PM Languages: Telugu Provider ID: 696802 Gender: Male PCMH: No MT 12:00 AM - 5:00 PM Gender: Female Sharman Instituted of Pain PCMH: No Premier Pediatrics LLC Medicine Miller, Stephen DPM 7960 SW 60th Ave Unit 100 3221 SW 33rd Rd Ste 100 Bapatla, Amruth MD Provider ID: 1045812 Ocala, FL 34476 Ocala, FL 34474 Provider ID: 727372 Gender: Male (352) 671-6741 (866) 288-5450 Gender: Male Amruth S Bapatla MD Fax: (352) 671-6742 Fax: (866) 509-3414 3301 SW 34th Cir Ste 102 6041 SW 73rd St Rd Ste 1 00 Yrs/18 Yrs 00 Yrs/130 Yrs Ocala, FL 34474 Ocala, FL 34476 M-F 7:30 AM - 7:00 PM Languages: Hindi (352) 861-0444 (352) 369-2040 Sat 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 861-0464 Fax: (352) 369-2045 PCMH: No PCMH: No 00 Yrs/130 Yrs 18 Yrs/130 Yrs MW 8:00 AM - 5:00 PM Poole, Millie MD Florida Hospital Ocala Varela-Batista, Lourdes MD T 8:00 AM - 12:00 PM Provider ID: 779117 Ocala Regional Medical PCMH: No Center Gender: Female Provider ID: 1322866 Languages: Telugu Premier Pediatrics LLC Gender: Female M-TH 8:00 AM - 5:00 PM 14141 E Hwy 40 Unit B Florida Pain and Rehabilitation Silver Springs, FL 34471 Assoc F 8:00 AM - 4:00 PM

(352) 625-2727 1910 SW 18th Ct Ste 200 PCMH: No Fax: (352) 625-2728 Ocala, FL 34471 00 Yrs/18 Yrs (352) 629-7011 M-F 8:00 AM - 5:00 PM Fax: (866) 592-7773 PCMH: No 18 Yrs/130 Yrs Languages: Spanish M-F 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 154 Updated: 01/04/2019 Specialty Physicians Marion

Radiation Oncology Sports Medicine Osian, Omeni MD Thoracic Surgery Provider ID: 1114658 Flink, Herman MD Giammittorio, Stephanie DO Gender: Male Laudito, Antonio MD Provider ID: 193762 Heart Lung Surgical Associates Gender: Male Provider ID: 1476306 1740 SE 18th St Ste 1201 Provider ID: 1418207 Robert Boissoneault Gender: Female Ocala, FL 34471 Gender: Male Oncology Instit UF Health Orthopaedics (352) 789-6450 Munroe Hma Hmpn LLC 2020 SE 17th St Villages Fax: (352) 789-6453 1511 SW 1st Ave Ocala, FL 34471 10435 SE 170th Pl 00 Yrs/130 Yrs Ocala, FL 34471 (352) 732-0277 Summerfield, FL 34491 Ocala Regional Medical (352) 369-0288 Fax: (352) 732-6574 (352) 259-5658 Center Fax: (352) 867-1053 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Florida Hospital Waterman M-F 8:00 AM - 5:00 PM PCMH: No Florida Hospital Ocala ORHS-South Lake Hospital PCMH: No Languages: Spanish, French, M-F 8:00 AM - 5:00 PM Osian, Omeni MD Portuguese PCMH: No Mariano, Erin MD Provider ID: 1114658 M-F 8:00 AM - 5:00 PM Provider ID: 1264066 Gender: Male PCMH: No Lightsey, Judith MD Gender: Female Ocala Health Surgical Group Munroe Hma Hmpn LLC LLC Machucca, Tiago MD Provider ID: 1504390 2801 SE 1st Ave Bldg 300 Ste 1511 SW 1st Ave Provider ID: 1085201 Gender: Female 302 Ocala, FL 34471 Gender: Male Robert Boissoneault Ocala, FL 34471 (352) 351-1883 UF Health Surgical Specialists Oncology Instit (352) 237-9298 Fax: (352) 351-1643 Ocal 2020 SE 17th St Fax: (352) 351-4193 00 Yrs/130 Yrs 4730 SW 49th Rd Ocala, FL 34471 00 Yrs/130 Yrs Ocala Regional Medical Ocala, FL 34474 (352) 732-0277 M-F 8:00 AM - 5:00 PM Center (352) 265-5470 Fax: (352) 732-6574 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No Languages: Portuguese M-F 8:00 AM - 4:00 PM Thoracic & Cardiovascular M-F 8:00 AM - 5:00 PM PCMH: No Surgery Osian, Omeni MD PCMH: No Provider ID: 1114658 Lightsey, Judith MD Hoang, Bao-Thuy MD Gender: Male Oduntan, Olusola MD Provider ID: 1212534 Ocala Health Vascular Surgery Provider ID: 1462385 Provider ID: 1504390 Gender: Male 1500 SE Magnolia Ext Ste 203 Gender: Not Available Gender: Female Ocala Health Surgical Group Ocala, FL 34471 UF Health Surgical Specialists Robert Boissoneault LLC (352) 629-1378 4730 SW 49th Rd Oncology Instit 1511 SW 1st Ave Fax: (352) 629-1406 Ocala, FL 34474 9401 SW Hwy 200 Ste 800 Ocala, FL 34471 00 Yrs/130 Yrs (352) 265-5470 Ocala, FL 34481 (352) 629-1378 Ocala Regional Medical 00 Yrs/130 Yrs (352) 861-2400 Fax: (352) 629-1406 Center M-F 8:00 AM - 5:00 PM Fax: (352) 861-2401 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 4:00 PM PCMH: No Oduntan, Olusola MD PCMH: No Hoang, Bao-Thuy MD Provider ID: 1462385 Provider ID: 1212534 Gender: Not Available Gender: Male UF Health Surgical Specialists Ocala Health Vascular Surgery - Vi 1500 SE Magnolia Ext Ste 203 10435 SE 170th Pl Ocala, FL 34471 Summerfield, FL 34491 (352) 351-1883 (352) 265-5470 Fax: (352) 351-1643 Fax: (352) 854-8031 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 155 Updated: 01/04/2019 Specialty Physicians Marion

Urology King, Edward MD Taub, Harvey MD Provider ID: 1141175 Provider ID: 1142527 Cunningham, David MD Gender: Male Gender: Male Advanced Urology Institute, Advanced Urology Institute Provider ID: 1141169 LLC LLC Gender: Male 1901 SE 18th Ave Ste 300 9401 SW Hwy 200 Ste 3001 Advanced Urology Institute, Ocala, FL 34471 Ocala, FL 34481 LLC (352) 351-1313 (352) 351-2801 1901 SE 18th Ave Ste 300 Fax: (352) 351-1285 Fax: (352) 351-2279 Ocala, FL 34471 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 351-1313 MWTHF 9:00 AM - 4:30 PM West Marion Community Fax: (352) 351-1285 T 9:00 AM - 12:00 PM Hospital 00 Yrs/130 Yrs PCMH: No Languages: Spanish Languages: Spanish M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Narayan, Perinchery MD PCMH: No PCMH: No Provider ID: 1638833 Taub, Harvey MD Dersch, Mark MD Gender: Male Provider ID: 1142527 Provider ID: 1141170 North Florida Urology Gender: Male Gender: Male Associates PA Advanced Urology Institute, Advanced Urology Institute, 3200 SW 34th Ave Ste 202 LLC LLC Ocala, FL 34474 1901 SE 18th Ave Ste 300 1901 SE 18th Ave Ste 300 (352) 451-1650 Ocala, FL 34471 Ocala, FL 34471 Fax: (352) 451-1651 (352) 351-1313 (352) 351-1313 14 Yrs/130 Yrs Fax: (352) 351-1285 Fax: (352) 351-1285 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No West Marion Community Languages: Spanish Hospital M 8:00 AM - 6:30 PM Rao, Dinesh MD Languages: Spanish TWTHF 8:00 AM - 5:00 PM Provider ID: 1141185 M-F 8:00 AM - 5:00 PM PCMH: No Gender: Male PCMH: No Advanced Urology Institute Karavadia, Saumilkumar MD LLC Thompson, John MD 9401 SW Hwy 200 Ste 3001 Provider ID: 1141133 Ocala, FL 34481 Provider ID: 1179885 Gender: Male (352) 351-2801 Gender: Male Advanced Urology Institute, Fax: (352) 351-2279 Urology Health Team, PLLC LLC 00 Yrs/130 Yrs 3200 SW 34th Ave Ste 202 1901 SE 18th Ave Ste 300 Languages: Spanish Ocala, FL 34474 Ocala, FL 34471 M-F 8:00 AM - 5:00 PM (352) 237-6162 (352) 351-1313 PCMH: No Fax: (352) 237-5684 Fax: (352) 351-1285 16 Yrs/130 Yrs 00 Yrs/130 Yrs Rao, Dinesh MD Florida Hospital Waterman M-F 8:00 AM - 5:00 PM Provider ID: 1141185 Ocala Regional Medical PCMH: No Gender: Male Center Advanced Urology Institute, Languages: Spanish LLC M-TH 8:00 AM - 5:00 PM 1901 SE 18th Ave Ste 300 F 8:00 AM - 1:00 PM Ocala, FL 34471 PCMH: No (352) 351-1313 Fax: (352) 351-1285 00 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 156 Updated: 01/04/2019 Specialty Physicians Putnam

Cardiac Electrophysiology Romero, Alfred MD Rodriguez, Iris MD Stillword, Joseph MD Provider ID: 226866 Provider ID: 1169296 Ibrahim, Moraf MD Gender: Male Gender: Female Provider ID: 146904 Northeast Florida Cardiology Rural Health Care DBA Azalea Gender: Male Provider ID: 1353821 6710 Old Wolf Bay Rd Health 800 Zeagler Dr Ste 320 Gender: Male Palatka, FL 32177 306 Union Ave Palatka, FL 32177 Ibrahim Heart Clinic PLLC (386) 326-1590 Crescent City, FL 32112 (386) 328-9977 215 S US Hwy 17 Fax: (386) 326-1592 (386) 698-1232 Fax: (386) 329-1953 East Palatka, FL 32131 00 Yrs/130 Yrs Fax: (386) 698-4154 18 Yrs/130 Yrs (904) 580-4730 Putnam Community Hospital 00 Yrs/130 Yrs Baptist Medical Center South Fax: (904) 580-4740 St Vincents Medical Center M-F 8:00 AM - 5:00 PM Putnam Community Hospital 00 Yrs/130 Yrs Riverside PCMH: No M-F 8:00 AM - 5:00 PM Baptist Medical Center M-F 8:00 AM - 5:00 PM PCMH: No Memorial Hospital PCMH: No Vastey, Myriame MD Jacksonville Provider ID: 370589 Internal Medicine Orange Park Medical Center Sasseen, Brett MD Gender: Female M-F 8:00 AM - 5:00 PM Provider ID: 956652 Family Medical and Dental Ansaarie, Imraan MD PCMH: No Gender: Male Centers Provider ID: 1330089 205 Zeagler Dr Ste 101 1213 Hwy 20 W Gender: Male Rose, Cary MD Palatka, FL 32177 Interlachen, FL 32148 215 S US Hwy 17 Provider ID: 1750615 (386) 325-2836 (386) 684-4914 East Palatka, FL 32131 Gender: Female Fax: (386) 325-2736 Fax: (386) 684-6524 (386) 232-9203 First Coast Cardiovascular 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (386) 222-3064 Institut Highlands Regional Medical Languages: Spanish 00 Yrs/130 Yrs 205 Zeagler Dr Ste 101 Putnam Community Hospital M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Palatka, FL 32256 St Vincents Medical Center PCMH: No PCMH: No (386) 325-2836 Riverside Fax: (386) 325-2736 PCMH: No General Surgery Interventional Cardiology 00 Yrs/130 Yrs Family Practice M-F 8:00 AM - 5:00 PM Cummings, David MD Alnabki, Ziad MD PCMH: No Provider ID: 1537731 Provider ID: 1456335 Eichler, Derek MD Gender: Male Gender: Male Provider ID: 1072435 Cardiology Putnam Surgical Group LLC First Coast Cardiovascular Gender: Male 414 Zeagler Dr Institut Ansaarie, Imraan MD Family Physicians of Melrose Palatka, FL 32177 205 Zeagler Dr Ste 101 Provider ID: 1330089 300 SR 26 Ste 104 (386) 328-4123 Palatka, FL 32177 Gender: Male Melrose, FL 32666 Fax: (386) 328-4125 (386) 325-2836 215 S US Hwy 17 (352) 475-5332 00 Yrs/130 Yrs Fax: (386) 325-2736 East Palatka, FL 32131 Fax: (352) 475-5337 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs (386) 232-9203 18 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Fax: (386) 222-3064 MT 8:00 AM - 6:00 PM PCMH: No 00 Yrs/130 Yrs PCMH: No Salzman, Christopher MD M-F 8:00 AM - 5:00 PM Ansaarie, Imraan MD PCMH: No McBride, Kevin MD Provider ID: 819439 Provider ID: 1330089 Gender: Male Gender: Male Provider ID: 1072424 414 Zeagler Dr 215 S US Hwy 17 Gender: Male Palatka, FL 32177 East Palatka, FL 32131 Family Physicians of Melrose (386) 328-4123 (386) 232-9203 300 SR 26 Ste 104 Fax: (386) 328-4125 Fax: (386) 222-3064 Melrose, FL 32666 18 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 475-5332 Putnam Community Hospital M-F 8:00 AM - 5:00 PM Fax: (352) 475-5337 Languages: Spanish PCMH: No 05 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM MT 8:00 AM - 6:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 157 Updated: 01/04/2019 Specialty Physicians Putnam

Interventional Cardiology Nazarian, Skon MD Tchuisse, Lucien-Maximin MD Ophthalmology - cont. Provider ID: 1734432 Provider ID: 1098346 Jeroudi, Abdallah MD Khatib, Yazan MD Gender: Male Gender: Male Provider ID: TPV1730479650-0 Provider ID: 207993 Putnam Radiology Group Rural Health Care DBA Azalea Gender: Male Gender: Male 6121 Saint Johns Ave Health Florida Retina Institute James First Coast Cardiovascular Palatka, FL 32177 306 Union Ave A Staman MD PA 205 Zeagler Dr Ste 101 (352) 331-9729 Crescent City, FL 32112 800 Zeagler Dr Ste 310 Palatka, FL 32177 Fax: (352) 331-0137 (386) 698-1232 Palatka, FL 32177 (386) 325-2836 00 Yrs/130 Yrs Fax: (386) 698-4154 (386) 325-2411 Fax: (386) 325-2736 Lake City Medical Center 12 Yrs/130 Yrs Fax: (386) 325-2499 18 Yrs/130 Yrs North Florida Regional Languages: Spanish, French 00 Yrs/99 Yrs Baptist Medical Center M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM No Hospital Privileges- Orange Park Medical Center PCMH: No PCMH: No Covering Arrangem St Vincents Medical Center Languages: Spanish Southside Obstetrics/Gynecology Tchuisse, Lucien-Maximin MD M-F 8:00 AM - 5:00 PM Languages: French, Arabic PCMH: No M-F 8:00 AM - 5:00 PM Hyler II, David MD Provider ID: 208027 PCMH: No Gender: Male Thomas, Benjamin MD Provider ID: 649166 First Coast OB/GYN PA Provider ID: TPV1427290360-0 Nephrology Gender: Male 6100 Saint Johns Ave Ste 6 Gender: Male Birth and Beyond PA Palatka, FL 32177 Florida Retina Institute James Jayachandra, Paul MD 1326 SR 100 (386) 325-5699 A Staman MD PA Provider ID: 150095 Grandin, FL 32138 Fax: (386) 325-5644 800 Zeagler Dr Ste 310 Gender: Male (386) 659-2104 12 Yrs/130 Yrs Palatka, FL 32177 6541 Saint Johns Ave Fax: (386) 659-2196 Brandon Regional Hospital (386) 325-2411 Palatka, FL 32177 00 Yrs/130 Yrs Florida Hospital Tampa Fax: (386) 325-2499 (386) 328-6600 Orange Park Medical Center St Josephs Hospital 01 Yrs/99 Yrs Fax: (386) 328-1630 St Vincents Medical Center Languages: Spanish, French No Hospital Privileges- 18 Yrs/130 Yrs Riverside M-F 9:00 AM - 5:00 PM Covering Arrangem Flagler Hospital M-F 8:30 AM - 5:30 PM PCMH: No Languages: Spanish Putnam Community Hospital PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No Yarian, Susan MD PCMH: No Searle, Thomas MD Provider ID: 1138351 Neuroradiology Gender: Female Vassallo, John MD Provider ID: 1115424 Florida Woman Care LLC Provider ID: TPV1346241221-0 Jani, Manish MD Gender: Male 700 Zeagler Dr Ste 3 Gender: Male Provider ID: 1600200 700 Zeagler Dr Ste 3 Palatka, FL 32177 Vassallo Eye Institute PA Gender: Male Palatka, FL 32177 (904) 819-1500 800 Zeagler Dr Ste 300 Doctors Imaging Group LLC (386) 530-2380 Fax: (904) 810-1023 Palatka, FL 32177 6121 Saint Johns Ave Fax: (904) 810-1023 12 Yrs/130 Yrs (386) 328-1658 Palatka, FL 32177 12 Yrs/130 Yrs Languages: Spanish, German, Fax: (386) 328-2286 (386) 326-0077 Flagler Hospital Greek 05 Yrs/99 Yrs Fax: (386) 326-0188 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Baptist Medical Center- 00 Yrs/130 Yrs PCMH: No PCMH: No Beaches M-F 8:00 AM - 5:00 PM Flagler Hospital PCMH: No M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 158 Updated: 01/04/2019 Specialty Physicians Putnam Optometry Pulmonary Disease Rheumatology

Deputy, Gerald OD Feibelman, Richard MD Relan, Manish MD Provider ID: TPV1275506628-0 Provider ID: 802041 Gender: Male Provider ID: 1353034 Gender: Male St Johns Eye Care PA Gender: Male 800 Zeagler Dr Ste 430 2504 Crill Ave Putm Pulomry Practice Palatka, FL 32177 Palatka, FL 32177 700 Zeagler Dr Ste 6 (904) 503-6999 (386) 328-5141 Palatka, FL 32177 Fax: (904) 503-6998 Fax: (386) 328-3972 (386) 530-2749 18 Yrs/130 Yrs 05 Yrs/99 Yrs Fax: (386) 530-2735 Shands Jacksonville Med Languages: Spanish 12 Yrs/130 Yrs Center M-TH 8:00 AM - 5:30 PM Putnam Community Hospital M 8:00 AM - 5:00 PM F 8:00 AM - 1:00 PM M-F 8:30 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Urology Lennon, John OD Radiation Oncology Provider ID: TPV1104800697-0 Narayan, Perinchery MD Gender: Male Kuruvilla, Anand MD St Johns Eye Care PA Provider ID: 224338 Provider ID: 1638833 2504 Crill Ave Gender: Male Gender: Male Palatka, FL 32177 Cancer Center of Putnam North Florida Urology (386) 328-5141 600 Zeagler Dr Associates PA Fax: (386) 328-3972 Palatka, FL 32177 800 Zeagler Dr Ste 430 05 Yrs/99 Yrs (386) 325-8140 Palatka, FL 32177 Languages: Spanish Fax: (386) 325-8848 (386) 328-2990 M-TH 8:00 AM - 5:30 PM 00 Yrs/130 Yrs Fax: (352) 338-1415 F 8:00 AM - 1:00 PM Baptist Medical Center 14 Yrs/130 Yrs PCMH: No Baptist Medical Center of The M 1:00 AM - 5:00 PM Beaches T 9:00 AM - 5:00 PM Orthopaedic Surgery Putnam Community Hospital PCMH: No Languages: Hindi Baird, Karl MD M-F 9:00 AM - 5:00 PM Provider ID: 1433668 PCMH: No Gender: Male 414 Zeagler Dr Radiology - Interventional Palatka, FL 32177 & Vascular (386) 326-8965 Fax: (386) 328-4125 Mann, Wesley MD 00 Yrs/130 Yrs Provider ID: 1600124 Putnam Community Hospital Gender: Male PCMH: No Doctors Imaging Group LLC 6121 Saint Johns Ave Baird, Karl MD Palatka, FL 32177 Provider ID: 1433668 (386) 326-0077 Gender: Male Fax: (386) 326-0188 Putnam Surgical Group LLC 00 Yrs/130 Yrs 700 Zeagler Dr Ste 7 M-F 8:00 AM - 5:00 PM Palatka, FL 32177 PCMH: No (386) 326-8965 Fax: (386) 326-8967 00 Yrs/130 Yrs Putnam Community Hospital M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 159 Updated: 01/04/2019 Specialty Physicians Suwannee

Gastroenterology Obstetrics/Gynecology Robinson, Marc OD Provider ID: TPV1619324308-0 Alakrad, Eyad MD Marquez Guerra, Eric MD Gender: Male Provider ID: 1180219 Provider ID: 1550588 Julie L Owens OD PA Gender: Male Gender: Male 522 S Ohio Ave Digestive Disease Center of Shands Live Oak Primary Care Live Oak, FL 32064 Live Oa 1116 11th St SW Ste 101 (386) 362-5055 609 5th St SW Ste 6 Live Oak, FL 32064 Fax: (386) 208-8660 Live Oak, FL 32064 (386) 362-0820 05 Yrs/99 Yrs (386) 330-2310 Fax: (386) 362-0821 M-F 8:00 AM - 12:00 PM Fax: (386) 330-2314 12 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs Languages: Spanish Languages: Arabic M-F 8:00 AM - 5:00 PM Pediatric Pulmonology M-F 8:30 AM - 4:30 PM PCMH: No PCMH: No Prabhakaran, Sreekala MD Optometry Provider ID: 598203 General Surgery Gender: Female Bailey, Patricia OD UF Health Pediatric Specialties Lewis, Dennis MD Provider ID: TPV1942351218-0 915 Nobles Ferry Rd Provider ID: 1731293 Gender: Female Live Oak, FL 32060 Gender: Male Julie L Owens OD PA (352) 265-7337 Shands Live Oak Primary Care 522 S Ohio Ave Fax: (352) 627-4415 1116 SW 11th St Live Oak, FL 32064 00 Yrs/18 Yrs Live Oak, FL 32064 (386) 362-5055 M 8:00 AM - 5:00 PM (386) 362-0820 Fax: (386) 208-8660 PCMH: No Fax: (386) 362-0821 05 Yrs/99 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 12:00 PM M 1:00 AM - 3:00 PM PCMH: No TWTH 10:00 AM - 3:00 PM PCMH: No Kershner, Jesse OD Provider ID: TPV1659687069-0 Lewis, Dennis MD Gender: Male Provider ID: 1732880 Julie L Owens OD PA Gender: Male 522 S Ohio Ave Shands Live Oak Primary Care Live Oak, FL 32064 1116 11th St SW (386) 362-5055 Live Oak, FL 32064 Fax: (386) 208-8660 (386) 362-0820 00 Yrs/99 Yrs Fax: (386) 362-0821 M-F 8:00 AM - 12:00 PM 00 Yrs/130 Yrs PCMH: No M 1:00 AM - 3:00 PM TWTH 10:00 AM - 3:00 PM Owens, Julie OD PCMH: No Provider ID: TPV1750364063-0 Gender: Female Julie L Owens OD PA 522 S Ohio Ave Live Oak, FL 32064 (386) 362-5055 Fax: (386) 208-8660 05 Yrs/99 Yrs M-F 8:00 AM - 12:00 PM PCMH: No

www.wellcare.com/Florida | 160 Updated: 01/04/2019 Specialty Physicians Taylor

Cardiology Sauls, Pamela MD Internal Medicine Optometry Provider ID: 1216900 Hartlage, Gregory MD Gender: Female Bhaskar, Girish MD Lyons, Audrey OD Premier Medical Clinic Inc Provider ID: TPV1710060405-1 Provider ID: 1239915 315 E Ash St Provider ID: 1045765 Gender: Female Gender: Male Perry, FL 32347 Gender: Male Myeyedr Optometry of Doctors Memorial Hospital (850) 838-2121 Department of Health, Taylor Florida LLC Inc Fax: (850) 838-1842 County 404 E Ash St 333 N Byron Butler Pkwy 05 Yrs/130 Yrs 1215 N Peacock Ave Perry, FL 32347 Perry, FL 32347 M-F 8:30 AM - 5:00 PM Perry, FL 32347 (850) 584-2200 (850) 584-0800 PCMH: No (850) 584-5087 Fax: (888) 429-8421 Fax: (850) 584-0679 Fax: (850) 584-7335 05 Yrs/99 Yrs 00 Yrs/130 Yrs General Surgery 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Lake City Medical Center PCMH: No PCMH: No Nelson, Miles MD Languages: Hindi Provider ID: 354765 M-F 8:00 AM - 5:00 PM Stephens, Amy OD Dermatology Gender: Male PCMH: No Provider ID: TPV1598825184-0 333 N Byron Butler Pkwy Gender: Female Ford, Michael MD Perry, FL 32347 Sofi, Abdul MD Myeyedr Optometry of Provider ID: 166286 (850) 584-0800 Provider ID: 802685 Florida LLC Gender: Male 02 Yrs/130 Yrs Gender: Male 404 E Ash St Southeastern Dermatology Doctors Memorial Hospital Premier Med Pediatric Clinic Perry, FL 32347 Inc Inc 315 E Ash St (850) 584-2200 333 N Byron Butler Pkwy Languages: Spanish Perry, FL 32347 Fax: (888) 429-8421 Perry, FL 32347 PCMH: No (850) 584-3278 05 Yrs/99 Yrs (850) 422-3376 Fax: (850) 584-8171 M-F 8:30 AM - 5:00 PM Fax: (850) 205-7182 Nelson, Miles MD 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs Provider ID: 354765 Doctors Memorial Hospital Capital Regional Medical Gender: Male Inc Wright, Douglas OD Center Dmh Surgical Services M-F 8:30 AM - 4:30 PM Provider ID: TPV1871902437-0 Tallahassee Memorial Hosptial 1218 N Peacock Ave PCMH: No Gender: Male M-TH 7:30 AM - 5:00 PM Perry, FL 32347 Myeyedr Optometry of F 7:30 AM - 12:00 PM (850) 584-8404 Ophthalmology Florida LLC PCMH: No Fax: (850) 584-3885 404 E Ash St 02 Yrs/130 Yrs Kaushal, Shalesh MD Perry, FL 32347 General Practice Doctors Memorial Hospital Provider ID: TPV1649225640-0 (850) 584-2200 Inc Gender: Male Fax: (888) 429-8421 Sauls, Pamela MD Languages: Spanish Premier Medical Clinic Inc 06 Yrs/99 Yrs Provider ID: 1178603 M-F 8:00 AM - 5:00 PM 315 E Ash St M-F 8:30 AM - 5:00 PM Gender: Female PCMH: No Perry, FL 32347 PCMH: No Premier Medical Clinic Inc (850) 584-3278 315 E Ash St Fax: (850) 584-8171 Orthopaedic Surgery Perry, FL 32347 00 Yrs/99 Yrs (850) 838-2121 Orlando Regional Medical Borom, Andrew MD Fax: (850) 838-1842 Center Provider ID: 209278 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gender: Male M-F 8:30 AM - 5:00 PM PCMH: No Tallahassee Orthopedic Clinic PCMH: No 333 N Byron Butler Pkwy Perry, FL 32347 (850) 584-0649 00 Yrs/130 Yrs Red Hills Surgical Center LLC M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 161 Updated: 01/04/2019 Specialty Physicians Taylor

Orthopaedic Surgery - Pediatrics Tran, Jean MD cont. Provider ID: 1141138 Dunbar, Levette MD Gender: Male Bryant, Tony MD Provider ID: 1216649 Advanced Urology Institute Provider ID: 1238114 Gender: Female LLC Gender: Male Little Pine Pediatrics PLLC 333 N Byron Butler Pkwy Tallahassee Orthopedic Clinic 1702 S Jefferson St Perry, FL 32347 333 N Byron Butler Pkwy Perry, FL 32348 (850) 309-0400 Perry, FL 32347 (855) 577-5437 Fax: (850) 942-2562 (850) 584-0241 Fax: (850) 838-2140 00 Yrs/130 Yrs Fax: (850) 584-7037 00 Yrs/21 Yrs Capital Regional Medical 00 Yrs/130 Yrs MT 8:00 AM - 6:00 PM Center M-TH 8:00 AM - 4:30 PM WTHF 8:00 AM - 5:00 PM Jackson Hospital Tallahassee Memorial Hosptial F 8:00 AM - 1:00 PM Sat 9:00 AM - 12:00 PM M-F 8:30 AM - 5:00 PM PCMH: No PCMH: No PCMH: No Hutchinson, Hank MD Pierre, Venette DO Provider ID: 357260 Gender: Male Provider ID: 719457 Tallahassee Orthopedic Clinic Gender: Female 333 N Byron Butler Pkwy Little Pine Pediatrics Perry, FL 32347 1702 S Jefferson St (850) 526-3236 Perry, FL 32348 00 Yrs/130 Yrs (855) 577-5437 Capital Regional Medical Fax: (850) 838-2140 Center 00 Yrs/21 Yrs Red Hills Surgical Center LLC M-F 8:00 AM - 5:00 PM M-TH 8:00 AM - 4:30 PM PCMH: No F 0:0 AM - 0: PM PCMH: No Urology

Zirgibel, Brian MD Camps, Joseph MD Provider ID: 1518581 Provider ID: 1139286 Gender: Male Gender: Male Tallahassee Orthopedic Clinic Advanced Urology Institute 333 N Byron Butler Pkwy LLC Perry, FL 32347 333 N Byron Butler Pkwy (850) 584-0241 Perry, FL 32347 Fax: (850) 584-7037 (850) 309-0400 00 Yrs/130 Yrs Fax: (850) 942-2562 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Tallahassee Memorial Hosptial M-F 8:30 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 162 Updated: 01/04/2019 Specialty Physicians Union General Practice

New River Community Health Care Center Provider ID: 1146497 New River Community Health Care Center 395 W. Main St Lake Butler, FL 32054 (386) 496-3154 Fax: (386) 243-6500 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2 Obstetrics/Gynecology

New River Community Health Care Center Provider ID: 1544210 New River Community Health Care Center 395 W. Main St Lake Butler, FL 32054 (386) 496-3154 Fax: (386) 243-6500 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 2

www.wellcare.com/Florida | 163 Updated: 01/04/2019 Hospitals Alachua Hospital

North Florida Regional Provider ID: 20484 Sub Specialty: Diagnostic Radiology, Mammography 6500 W Newberry Rd Gainesville, FL 32605 (352) 333-4000 Fax: (727) 478-0286 00 Yrs/130 Yrs Shands At The University of Florida Provider ID: 0650 Sub Specialty: Outpatient Infusion/Chemo, Surgical Services, Occupational Therapy Fac Serv, Critical Care Services ICU, Outpatient Dialysis, Cardiac Catherization Services, Cardiac Surgery Program, Mammography, Speech Therapy Facility Serv, Physical Therapy Fac Service, Diagnostic Radiology 1600 SW Archer Rd Gainesville, FL 32610 (352) 265-0111 Fax: (352) 627-4400 00 Yrs/130 Yrs

www.wellcare.com/Florida | 164 Updated: 01/04/2019 Hospitals Baker Hospital

Ed Fraser Memorial Hospital

Provider ID: 21028 159 N 3rd St Macclenny, FL 32063 (904) 259-3151 Fax: (904) 653-4695 00 Yrs/130 Yrs

www.wellcare.com/Florida | 165 Updated: 01/04/2019 Hospitals Bradford Critical Access Hospital

Starke Hma Provider ID: 5072 922 E Call St Starke, FL 32091 (904) 368-2300 Fax: (904) 368-2326 00 Yrs/130 Yrs

www.wellcare.com/Florida | 166 Updated: 01/04/2019 Hospitals Citrus Hospital

Citrus Memorial Health Fo Provider ID: 20185 502 W Highland Blvd Inverness, FL 34452 (352) 726-1551 00 Yrs/130 Yrs Johns Hopkins All Childrens Hospital Inc Provider ID: 20032 538 N Lecanto Hwy Ste 538 Lecanto, FL 34461 (352) 746-3300 Fax: (352) 746-0569 00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM Seven Rivers Regional Medical Center Provider ID: 20918 Sub Specialty: Surgical Services, Speech Therapy Facility Serv 6201 N Suncoast Blvd Crystal River, FL 34428 (352) 795-6560 00 Yrs/130 Yrs

www.wellcare.com/Florida | 167 Updated: 01/04/2019 Hospitals Clay Hospital

Baptist Emergency Center Clay Provider ID: 950747 1771 Baptist Clay Dr Fleming Island, FL 32003 (904) 516-1000 Fax: (904) 202-1216 00 Yrs/130 Yrs Orange Park Medical Center

Provider ID: 21151 Sub Specialty: Cardiac Catherization Services, Physical Therapy Fac Service, Speech Therapy Facility Serv, Diagnostic Radiology, Surgical Services, Mammography, Occupational Therapy Fac Serv, Outpatient Infusion/ Chemo 2001 Kingsley Ave Orange Park, FL 32073 (904) 276-8560 Fax: (904) 276-8610 00 Yrs/130 Yrs St Vincents Medical Center Clay County Provider ID: 924953 1670 St Vincents Way Middleburg, FL 32068 (904) 602-1000 00 Yrs/130 Yrs

www.wellcare.com/Florida | 168 Updated: 01/04/2019 Hospitals Columbia Hospital

Lake City Medical Center

Provider ID: 20822 340 NW Commerce Dr Lake City, FL 32055 (386) 719-9000 Fax: (904) 719-7787 00 Yrs/130 Yrs

Lake Shore Hma Provider ID: 575569 368 NE Franklin St Lake City, FL 32055 (386) 292-8120 Fax: (386) 292-8121 00 Yrs/130 Yrs

www.wellcare.com/Florida | 169 Updated: 01/04/2019 Hospitals Levy Hospital

RGH Williston Provider ID: 404 125 SW 7th St Williston, FL 32696 (352) 528-2801 Fax: (352) 528-6149 00 Yrs/130 Yrs

www.wellcare.com/Florida | 170 Updated: 01/04/2019 Hospitals Madison Critical Access Hospital

Madison County Memorial Hospital Provider ID: 20379 224 NW Crane Ave Madison, FL 32340 (850) 973-2271 Fax: (850) 973-8158 00 Yrs/130 Yrs

www.wellcare.com/Florida | 171 Updated: 01/04/2019 Hospitals Marion Hospital

Florida Hospital Ocala Provider ID: 20238 1500 SW 1st Ave Ocala, FL 34471 (352) 351-7200 00 Yrs/130 Yrs Ocala Regional Medical Center Provider ID: 21046 1431 SW 1st Ave Ocala, FL 34474 (352) 401-1101 Fax: (352) 401-1198 00 Yrs/130 Yrs West Marion Community Hospital Provider ID: 245906 Sub Specialty: Diagnostic Radiology, Critical Care Services ICU 4600 SW 46th Ct Ocala, FL 34474 (352) 291-3000 00 Yrs/130 Yrs

www.wellcare.com/Florida | 172 Updated: 01/04/2019 Hospitals Putnam Hospital

Putnam Community Hospital

Provider ID: 20486 611 Zeagler Dr Palatka, FL 32177 (386) 328-5711 Fax: (386) 325-5013 00 Yrs/130 Yrs

www.wellcare.com/Florida | 173 Updated: 01/04/2019 Hospitals Suwannee Critical Access Hospital

Live Oak Hma Provider ID: 143103 1100 11th St SW Live Oak, FL 32064 (386) 362-0840 Fax: (386) 362-0841 00 Yrs/130 Yrs

www.wellcare.com/Florida | 174 Updated: 01/04/2019 Hospitals Taylor Hospital

Doctors Memorial Hospital Inc Provider ID: 20853 Sub Specialty: Critical Care Services ICU, Physical Therapy Fac Service, Diagnostic Radiology, Mammography, Outpatient Infusion/Chemo 333 N Byron Butler Pkwy Perry, FL 32347 (850) 584-0800 Fax: (850) 584-0679 00 Yrs/130 Yrs

www.wellcare.com/Florida | 175 Updated: 01/04/2019 Behavioral Health Alachua Addiction Psychiatry Camp, Genevieve LMHC Damron, Heather LMHC Behavioral Health Facility

Reisfield, Gary MD Provider ID: 1105490 Provider ID: 795066 Camelot Community Care Inc Provider ID: 999310 Gender: Female Gender: Female Gender: Male UF Health Shands Hospital Sub Specialty: Adoption/ Provider ID: 274915 Florida Clinical Practice 1600 SW Archer Rd Attachment Issues, Bi-Lingual, Camelot Community Care, Inc Associati Gainesville, FL 32610 Adolescent/Children Issues, Sub Specialty: Inpatient 4001 SW 13th St (352) 265-0535 Geriatric/Aging Issues, Court Services, Substance Abuse Gainesville, FL 32608 Fax: (352) 265-0328 Ordered Mental Eval, Dual Treatment Ctr, State Inpatient (352) 265-4372 Diagnosis-MH/Dev Disable, Psych Program, Outpatient 00 Yrs/130 Yrs Gender/Sexual Issues, Eating Fax: (352) 265-5515 MTWTHFSatSun 12:00 AM ­ Services Disorders, Domestic Abuse 7731 W Newberry Rd Ste A1 00 Yrs/130 Yrs 11:59 PM (Adult), Domestic Abuse M 9:00 AM - 5:00 PM PCMH: No Gainesville, FL 32606 (Child), Separation/Grief/Loss, PCMH: No Sexual/Physical Abuse (Adult), (352) 877-3413 Camp, Genevieve LMHC Post-Traumatic Stress Fax: (352) 671-7379 Reisfield, Gary MD Syndrome, Sexual/Physical 00 Yrs/130 Yrs Provider ID: 999310 Provider ID: 1105490 Abuse (Child), Expert Witness M-F 8:30 AM - 5:00 PM Gender: Male Gender: Female Testimony PCMH: No Florida Clinical Practice UF Health Shands Psychiatric 4432 NW 23rd Ave Ste 4 Associati Hospit Gainesville, FL 32606 Clinical Neurophysiology 4037 NW 86th Ter Fl 3 4101 NW 89th Blvd (352) 379-4665 Gainesville, FL 32606 Gainesville, FL 32606 Fax: (352) 377-0002 Wang, Yue MD (352) 265-4357 (352) 265-5424 00 Yrs/130 Yrs Provider ID: 1139274 Fax: (352) 627-4163 Fax: (352) 265-5425 Languages: Russian, Bulgarian Gender: Female 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 7:00 AM - 9:00 PM UF Health Neurm Medical M 9:00 AM - 5:00 PM MTWTHFSatSun 12:00 AM ­ Sat-Sun 8:00 AM - 6:00 PM Plaza PCMH: No 11:59 PM PCMH: No 2000 SW Archer Rd PCMH: No Gainesville, FL 32608 Behavioral Health Pitkethly, Olivia LMHC (352) 294-5000 Counseling Camp, Genevieve LMHC Fax: (352) 627-4295 Provider ID: 1125583 00 Yrs/130 Yrs Beasley, David LMHC Provider ID: 1105490 Gender: Female Shands At The University of Provider ID: 909530 Gender: Female UF Health Shands Counseling Florida Gender: Male UF Psychiatry Springhill Svcs Languages: Chinese 408 W University Ave Ste Center 3850 NW 83rd St Ste 201 M-F 8:00 AM - 5:00 PM 401A 4037 NW 86th Ter 3rd Fl Gainesville, FL 32606 PCMH: No Gainesville, FL 32601 Gainesville, FL 32606 (352) 265-5492 (352) 281-3428 (352) 265-4357 Fax: (352) 265-5495 Wang, Yue MD Fax: (385) 558-5917 Fax: (352) 627-4160 00 Yrs/130 Yrs Provider ID: 1139274 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gender: Female MW 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No UF Health Neurosurgery Neuromedicin T 9:00 AM - 6:00 PM PCMH: No THF 9:00 AM - 5:00 PM 1505 SW Archer Rd PCMH: No Camp, Genevieve LMHC Gainesville, FL 32608 (352) 294-5000 Fax: (352) 265-4295 Provider ID: 1105490 00 Yrs/130 Yrs Gender: Female Shands At The University of UF Springhill Health Center Florida 8491 NW 39th Ave Languages: Chinese

Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM

(352) 265-5404 PCMH: No Fax: (352) 376-6270 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 176 Updated: 01/04/2019 Behavioral Health Alachua Community Mental Geriatric Psychiatry Simpson, Heather LCSW Avila, Jorge MD Health Center Provider ID: 1541123 Provider ID: 999219 Cheong, Josepha MD Gender: Female Gender: Male Childrens Home Society of Provider ID: 1724773 UF Medical Specialties At Florida Clinical Practice Florida Gender: Female Medical P Associati Provider ID: 274874 UF Health Psychiatry Springhill 2000 SW Archer Rd 4001 SW 13th St 249 W University Ave Ste B 1 Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32601 4037 NW 86th Terr 3rd Fl (352) 265-1234 (352) 265-4372 (352) 334-0304 Gainesville, FL 32606 Fax: (352) 265-8215 Fax: (352) 265-5515 Fax: (352) 334-0306 (352) 265-4357 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 627-4160 M-F 8:00 AM - 5:00 PM M 9:00 AM - 5:00 PM Languages: Spanish, Creole 18 Yrs/130 Yrs PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No Yurko, Jennifer LCSW Avila, Jorge MD Provider ID: 1637002 Provider ID: 999219 Fundamental Therapy Licensed Clinical Social Gender: Female Gender: Male Solutions Worker Psychology At Shands UF Florida Clinical Practice Provider ID: 1003608 1600 SW Archer Rd Associati 250 NW 76th Dr Simpson, Heather LCSW Gainesville, FL 32610 8491 NW 39th Ave Gainesville, FL 32607 Provider ID: 1539046 (352) 265-0294 Gainesville, FL 32606 (352) 505-6363 Gender: Female Fax: (352) 265-0096 (352) 265-4357 Fax: (352) 505-6383 UF Health Shands Hospital 00 Yrs/130 Yrs Fax: (352) 376-6270 00 Yrs/130 Yrs 1600 SW Archer Rd M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM Gainesville, FL 32610 PCMH: No M 9:00 AM - 5:00 PM F 10:00 AM - 4:00 PM (352) 265-0535 PCMH: No PCMH: No Fax: (352) 265-0328 Licensed Marriage and 00 Yrs/130 Yrs Family Therapist Frazier, Sarah MD Meridian Behavioral M-F 8:00 AM - 5:00 PM Provider ID: 1256845 Healthcare PCMH: No Buie, Linda LMFT Gender: Female Provider ID: 214366 Provider ID: 1695699 Meridian Behavioral Meridian Behavioral Simpson, Heather LCSW Gender: Female Healthcare Inc Healthcare Inc Provider ID: 1539046 UF Health Womens Center 4300 SW 13th St 4300 SW 13th St Gender: Female Medical Pla Gainesville, FL 32608 Gainesville, FL 32608 UF Medical Specialties At 2000 SW Archer Rd. 4th Fl (352) 374-5600 (352) 374-5600 Medical P Gainesville, FL 32607 Fax: (352) 224-2741 Fax: (352) 375-0298 2000 SW Archer Rd (352) 265-8200 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 265-8202 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 265-1234 15 Yrs/130 Yrs PCMH: No PCMH: No Fax: (352) 265-8215 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Ginory, Laura MD Distinct Part Unit Rehab M-F 8:00 AM - 5:00 PM Provider ID: 1149970 PCMH: No Pediatric Psychiatry Gender: Female Shands Rehab Hospital UF Springhill Health Center Simpson, Heather LCSW Avila, Jorge MD 8491 NW 39th Ave Provider ID: 143148 Provider ID: 1541123 Provider ID: 999219 Gainesville, FL 32606 1600 SW Archer Rd Gender: Female Gender: Male (352) 265-5404 Gainesville, FL 32610 UF Health Shands Hospital Florida Clinical Practice Fax: (352) 376-6270 (800) 633-3395 1600 SW Archer Rd Associati 02 Yrs/130 Yrs 00 Yrs/130 Yrs Gainesville, FL 32610 1600 SW Archer Rd M-F 8:00 AM - 5:00 PM PCMH: No (352) 265-0535 Gainesville, FL 32610 PCMH: No Fax: (352) 265-0328 (352) 265-4357 Shands Rehab Hospital 00 Yrs/130 Yrs Fax: (352) 392-3614 Provider ID: 143148 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 8900 NW 39th Ave PCMH: No M 9:00 AM - 5:00 PM Gainesville, FL 32606 PCMH: No (352) 338-0091 00 Yrs/130 Yrs PCMH: No

www.wellcare.com/Florida | 177 Updated: 01/04/2019 Behavioral Health Alachua Pediatric Psychiatry - Rahmani, Mariam MD Wasiak, Marta MD Wasiak, Marta MD cont. Provider ID: 999226 Provider ID: 509377 Provider ID: 509377 Gender: Female Gender: Female Gender: Female Ginory, Laura MD UF Health Child Psychiatry Psychiatry At Shands UF UF Springhill Health Center Provider ID: 1149970 Springhi Sub Specialty: Separation/ Sub Specialty: Separation/ Gender: Female 4197 NW 86th Terr 3rd Fl Grief/Loss, Serious Mental Grief/Loss, Serious Mental UF Student Health Gainesville, FL 32606 Illness, Gender/Sexual Issues, Illness, Gender/Sexual Issues, 280 Fletcher Dr (352) 265-4357 Trauma-Focused Treatment, Trauma-Focused Treatment, Fax: (352) 316-6270 Eating Disorders, Sexual/ Eating Disorders, Sexual/ Gainesville, FL 32611 Physical Abuse (Adult), Co- Physical Abuse (Adult), Co- (352) 392-1161 00 Yrs/130 Yrs Occuring Disorders, Domestic Occuring Disorders, Domestic Fax: (352) 392-7620 Languages: Urdu Abuse (Adult), Domestic Abuse (Adult), Domestic 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Abuse (Child), Adoption/ Abuse (Child), Adoption/ M-F 8:00 AM - 5:00 PM PCMH: No Attachment Issues, Behavioral Attachment Issues, Behavioral PCMH: No Analysis, Bi-Lingual, Post- Analysis, Bi-Lingual, Post- Shapiro, Michael MD Traumatic Stress Syndrome, Traumatic Stress Syndrome, Nallapula, Kishan MD Provider ID: 783501 Severe/Persistent Mentally Ill, Severe/Persistent Mentally Ill, Provider ID: 1330592 Gender: Male Comprehensive Assessment, Comprehensive Assessment, Gender: Male UF Health Child Psychiatry Court Ordered Mental Eval, Court Ordered Mental Eval, UF Health Child Psychiatry Springhi Dual Diagnosis-MH/Dev Dual Diagnosis-MH/Dev Springhi Sub Specialty: Court Ordered Disable, Geriatric/Aging Disable, Geriatric/Aging 4197 NW 86th Terr 3rd Fl Mental Eval, Sexual/Physical Issues, Sexual/Physical Abuse Issues, Sexual/Physical Abuse Gainesville, FL 32606 Abuse (Adult), Adolescent/ (Child), Adolescent/Children (Child), Adolescent/Children Issues, Expert Witness Issues, Expert Witness (352) 265-4357 Children Issues, Domestic Abuse (Adult), Dual Diagnosis­ Testimony, Personality Testimony, Personality Fax: (352) 316-6270 Disorders Disorders 00 Yrs/130 Yrs MH/Dev Disable, Expert Witness Testimony, 1600 SW Archer Rd 4037 NW 86th Ter 3rd Fl Languages: Hindi, Telugu Adoption/Attachment Issues, Gainesville, FL 32610 Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM Geriatric/Aging Issues, Post- (352) 955-5540 (352) 562-4357 PCMH: No Traumatic Stress Syndrome, Fax: (352) 392-3614 Fax: (352) 265-7053 Bi-Lingual, Gender/Sexual 02 Yrs/130 Yrs 02 Yrs/130 Yrs Nallapula, Kishan MD Issues, Domestic Abuse M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1330592 (Child), Eating Disorders, PCMH: No PCMH: No Gender: Male Separation/Grief/Loss, UF Springhill Health Center Sexual/Physical Abuse (Child) Psych Hospital 8491 NW 39th Ave 4197 NW 86th Terr 3rd Fl Gainesville, FL 32606 Gainesville, FL 32606 UF Health Shands Psychiatric (352) 265-4357 (352) 265-4357 Hospital Fax: (352) 627-4163 Fax: (352) 316-6270 Provider ID: 559183 00 Yrs/130 Yrs 18 Yrs/130 Yrs Sub Specialty: Outpatient Languages: Hindi, Telugu M-F 8:00 AM - 5:00 PM Services M-F 8:00 AM - 5:00 PM PCMH: No 4101 NW 89th Blvd PCMH: No Gainesville, FL 32606 (352) 265-5497 Rahmani, Mariam MD Fax: (352) 265-5421 Provider ID: 999226 00 Yrs/130 Yrs Gender: Female PCMH: No Florida Clinical Practice Associati 8491 NW 39th Ave Gainesville, FL 32606 (352) 265-4357 Fax: (352) 627-4163 00 Yrs/130 Yrs Languages: Urdu M 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 178 Updated: 01/04/2019 Behavioral Health Alachua Psychiatry Cheong, Josepha MD Ginory, Laura MD Jaffee, Michael MD Provider ID: 1724773 Provider ID: 1149970 Provider ID: 1174564 Bachus, Robert MD Gender: Female Gender: Female Gender: Male Provider ID: 1284341 UF Health Psychiatry Springhill UF Student Health UF Health Neurology Medical Gender: Male 1 280 Fletcher Dr Plaza Meridian Behavoral 4037 NW 86th Terr 3rd Fl Gainesville, FL 32611 2000 SW Archer Rd Fl 2 Healthcare Gainesville, FL 32606 (352) 392-1161 Gainesville, FL 32608 4300 SW 13th St (352) 265-4357 Fax: (352) 392-7620 (352) 265-8250 Gainesville, FL 32608 Fax: (352) 627-4160 02 Yrs/130 Yrs Fax: (352) 627-4415 (352) 374-5600 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (352) 244-0294 M-F 8:00 AM - 5:00 PM PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM Heenk, Kristine APRN PCMH: No D'Alli, Richard MD Provider ID: 987080 Kanter, Gary MD Provider ID: 1115088 Gender: Female Provider ID: 1227954 Bizri, Ahmad MD Gender: Male Faculty Group Prctice Gender: Male Provider ID: 1578890 UF Health Pediatric Specialties 1600 SW Archer Rd Psychiatry UF Psychiatry Springhill Gender: Male 1699 SW 16th Ave Bldg A At Shands UF Center Harmony United Healthcare Gainesville, FL 32608 Gainesville, FL 32610 4037 NW 86th Ter 3rd Fl and (352) 334-0206 (352) 265-4357 Gainesville, FL 32606 912 NW 57th St Ste B Fax: (352) 334-4041 Fax: (352) 265-7053 (352) 733-0111 Gainesville, FL 32605 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 627-4160 (352) 431-3940 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Fax: (352) 431-3173 PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Frazier, Sarah MD Iyer, Mala MD PCMH: No Provider ID: 1256845 Provider ID: 1647494 Kanter, Gary MD Gender: Female Gender: Female Provider ID: 1227954 Camacho-Duran, Angela MD Meridian Behavioral UF Health Psychiatry Springhill Gender: Male Healthcare Inc 1 UF Springhill Health Center Provider ID: 1316617 4300 SW 13th St 4037 NW 86th Terr 3rd Fl 8491 NW 39th Ave Gender: Female Gainesville, FL 32608 Gainesville, FL 32606 Gainesville, FL 32606 UF Psychiatry Springhill (352) 374-5600 (352) 265-4357 (352) 265-5404 Center Fax: (352) 224-2741 Fax: (352) 627-4160 Fax: (352) 376-6270 4037 NW 86th Ter 3rd Fl 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/18 Yrs Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 265-4357 PCMH: No PCMH: No PCMH: No Fax: (352) 265-7053 00 Yrs/130 Yrs Ginory, Laura MD Jaffee, Michael MD Mayberry, Kohl DO Languages: Spanish Provider ID: 1149970 Provider ID: 1174564 Provider ID: 1309290 M-F 8:00 AM - 5:00 PM Gender: Female Gender: Male Gender: Male PCMH: No UF Springhill Health Center UF Health Center For UF Health Child Psychiatry 8491 NW 39th Ave Movement Disor Springhi Carr, Brent MD Gainesville, FL 32606 3450 Hull Rd and 4197 NW 86th Terr 3rd Fl Provider ID: 1316629 (352) 265-5404 Neurorestoration Gainesville, FL 32606 Gender: Male Fax: (352) 376-6270 Gainesville, FL 32607 (352) 265-4357 UF Psychiatry Springhill 02 Yrs/130 Yrs (352) 273-5400 Fax: (352) 316-6270 Center M-F 8:00 AM - 5:00 PM Fax: (352) 273-5575 00 Yrs/130 Yrs 4037 NW 86th Ter 3rd Fl PCMH: No 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gainesville, FL 32606 M-F 9:00 AM - 5:00 PM PCMH: No (352) 265-4357 PCMH: No Fax: (352) 265-7053 00 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 179 Updated: 01/04/2019 Behavioral Health Alachua Psychiatry - cont. Oloufa, Ashraf MD Pumariega, Andres MD Rodriguez-Roman, Laura MD Provider ID: 564510 Provider ID: 1550666 Mohammed, Adil MD Gender: Male Gender: Male Provider ID: 1456173 Department of Psychiatry UF Springhill Health Center Gender: Female Provider ID: 818389 Clinical F 8491 NW 39th Ave UF Psychiatry Springhill Gender: Male Sub Specialty: Eating Gainesville, FL 32606 Center Harmony United Healthcare Disorders, Bi-Lingual, Court (352) 265-5404 4037 NW 86th Terr 3rd Fl Research Ordered Mental Eval, Fax: (352) 376-6270 Gainesville, FL 32606 912 NW 57th St Ste B Domestic Abuse (Child), 00 Yrs/130 Yrs (352) 265-4357 Personality Disorders, Trauma- Languages: Spanish Gainesville, FL 32605 Focused Treatment, Geriatric/ Fax: (352) 627-4160 (352) 431-3940 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Aging Issues, Sexual/Physical Fax: (352) 431-3173 Abuse (Adult), Adolescent/ PCMH: No M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs Children Issues, PCMH: No Leesburg Reg Med Center Comprehensive Assessment, Rao, Nikhil MD West Florida Hospital Expert Witness Testimony, Provider ID: 1428527 Rodriguez-Roman, Laura MD Languages: French, Russian, Serious Mental Illness, Dual Gender: Male Hindi, Urdu Diagnosis-MH/Dev Disable, UF Health Child Psychiatry Provider ID: 1462412 M-F 9:00 AM - 5:30 PM Separation/Grief/Loss, Springhi Gender: Not Available PCMH: No Adoption/Attachment Issues, 4197 NW 86th Terr 3rd Fl UF Psychiatry Springhill Gender/Sexual Issues, Post- Gainesville, FL 32606 Center Traumatic Stress Syndrome, Nallapula, Kishan MD (352) 265-4357 4037 NW 86th Terr 3rd Fl Provider ID: 1330592 Severe/Persistent Mentally Ill, Fax: (352) 316-6270 Behavioral Analysis, Co- Gainesville, FL 32606 Gender: Male 00 Yrs/130 Yrs (352) 265-4357 Occuring Disorders, Domestic UF Health Child Psychiatry Abuse (Adult), Sexual/Physical M-F 8:00 AM - 5:00 PM Fax: (352) 627-4160 Springhi Abuse (Child) PCMH: No 18 Yrs/130 Yrs 4197 NW 86th Terr 3rd Fl 1149 S Newell Dr L4 - 100 M-F 8:00 AM - 5:00 PM Rao, Nikhil MD Gainesville, FL 32606 Gainesville, FL 32611 PCMH: No (352) 265-4357 (352) 294-4900 Provider ID: 1428527 Fax: (352) 316-6270 Fax: (352) 392-4357 Gender: Male Rye, Karen APRN 00 Yrs/130 Yrs 18 Yrs/130 Yrs UF Springhill Health Center Provider ID: 1010447 Languages: Hindi, Telugu M-F 9:00 AM - 5:00 PM 8491 NW 39th Ave Gender: Female M-F 8:00 AM - 5:00 PM PCMH: No Gainesville, FL 32606 Archer Family Health Care PCMH: No (352) 265-4357 16939 SW 134th Ave University Pumariega, Andres MD Fax: (352) 627-4163 of Florida College Of Nursing Nallapula, Kishan MD Provider ID: 1550666 00 Yrs/130 Yrs Archer, FL 32618 Gender: Male M-F 8:00 AM - 5:00 PM (352) 495-2550 Provider ID: 1330592 UF Health Child Psychiatry PCMH: No Fax: (352) 495-3401 Gender: Male Springhi 00 Yrs/130 Yrs UF Springhill Health Center 4197 NW 86th Terr 3rd Fl Rodriguez-Roman, Laura MD MT 8:00 AM - 5:00 PM 8491 NW 39th Ave Gainesville, FL 32606 PCMH: No Gainesville, FL 32606 (352) 265-4357 Provider ID: 1456173 (352) 265-4357 Fax: (352) 316-6270 Gender: Female Shriner, Richard MD Fax: (352) 627-4163 00 Yrs/130 Yrs UF Health Shands Psychiatric Provider ID: 999793 00 Yrs/130 Yrs Languages: Spanish Hospit Gender: Male Languages: Hindi, Telugu M-F 8:00 AM - 5:00 PM 4101 NW 89th Blvd Florida Clinical Practice M-F 8:00 AM - 5:00 PM PCMH: No Gainesville, FL 32609 Associati PCMH: No (352) 265-5424 1600 SW Archer Rd Fax: (352) 265-5425 Gainesville, FL 32610 00 Yrs/130 Yrs (352) 392-3611 M-F 8:00 AM - 5:00 PM Fax: (352) 392-3614 PCMH: No 00 Yrs/130 Yrs M 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 180 Updated: 01/04/2019 Behavioral Health Alachua Psychiatry - cont. Teitelbaum, Kimberly APRN Psychology Ashkanazi, Glenn PHD

Shriner, Richard MD Provider ID: 708646 Anton, Steve PHD Provider ID: 270457 Provider ID: 999793 Gender: Female Provider ID: 708444 Gender: Male Gender: Male Psychiatry At Shands UF Gender: Male Psychology At Shands UF Florida Clinical Practice Sub Specialty: Adolescent/ Psychology At Shands UF Sub Specialty: Geriatric/Aging Associati Children Issues, Co-Occuring Sub Specialty: Adolescent/ Issues, Personality Disorders, 4001 SW 13th St Disorders, Personality Children Issues, Dual Serious Mental Illness, Sexual/ Gainesville, FL 32608 Disorders, Trauma-Focused Diagnosis-MH/Dev Disable, Physical Abuse (Adult), (352) 265-4357 Treatment, Geriatric/Aging Eating Disorders, Post- Domestic Abuse (Adult), Post- Fax: (352) 265-5503 Issues, Separation/Grief/Loss, Traumatic Stress Syndrome, Traumatic Stress Syndrome, 00 Yrs/130 Yrs Sexual/Physical Abuse (Child), Co-Occuring Disorders, Domestic Abuse (Child), Bi- Sexual/Physical Abuse (Adult), Gender/Sexual Issues, Lingual, Co-Occuring M 9:00 AM - 5:00 PM Behavioral Analysis, Court Personality Disorders, Severe/ Disorders, Trauma-Focused PCMH: No Ordered Mental Eval, Persistent Mentally Ill, Treatment, Comprehensive Domestic Abuse (Adult), Comprehensive Assessment, Assessment, Dual Diagnosis­ Sutton, Jill MD Domestic Abuse (Child), Domestic Abuse (Child), MH/Dev Disable, Expert Provider ID: 1330621 Comprehensive Assessment, Sexual/Physical Abuse (Child), Witness Testimony, Gender: Female Eating Disorders, Post- Trauma-Focused Treatment, Adoption/Attachment Issues, UF Health Florida Recovery Traumatic Stress Syndrome, Behavioral Analysis, Geriatric/ Adolescent/Children Issues, Center Severe/Persistent Mentally Ill, Aging Issues, Separation/ Court Ordered Mental Eval, 3939 SW 13th St Adoption/Attachment Issues, Grief/Loss, Expert Witness Eating Disorders, Gender/ Gainesville, FL 32608 Bi-Lingual, Expert Witness Testimony, Serious Mental Sexual Issues, Separation/ (352) 265-4357 Testimony, Gender/Sexual Illness, Adoption/Attachment Grief/Loss, Sexual/Physical Fax: (352) 627-4162 Issues, Serious Mental Illness, Issues, Bi-Lingual, Court Abuse (Child), Behavioral 18 Yrs/130 Yrs Dual Diagnosis-MH/Dev Ordered Mental Eval, Analysis, Severe/Persistent M-F 8:00 AM - 5:00 PM Disable Domestic Abuse (Adult), Mentally Ill Sexual/Physical Abuse (Adult) PCMH: No 1600 SW Archer Rd 1600 SW Archer Rd Gainesville, FL 32610 1600 SW Archer Rd Gainesville, FL 32610 (352) 392-3261 Gainesville, FL 32610 (352) 265-0294 Fax: (352) 392-3614 (352) 265-0294 Fax: (352) 265-0096 18 Yrs/130 Yrs Fax: (352) 265-0096 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 181 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Bauer, Russell PHD Bittar, Krystal PsyD Bowers, Dawn PHD Provider ID: 326784 Bauer, Russell PHD Gender: Male Provider ID: 1462209 Provider ID: 708506 Provider ID: 326784 UF Health Clinical Psychology Gender: Not Available Gender: Female Gender: Male Sub Specialty: Adoption/ UF Health Pediatric Specialties UF Health Clinical Psychology Psychology At Shands UF Attachment Issues, Geriatric/ Gerold L Schiebler CMS - Osm Sub Specialty: Adoption/ Aging Issues, Co-Occuring Center 1699 SW 16th Ave Sub Specialty: Behavioral Attachment Issues, Geriatric/ Disorders, Domestic Abuse Gainesville, FL 32608 Analysis, Court Ordered Aging Issues, Co-Occuring (Adult), Domestic Abuse (352) 334-0206 Mental Eval, Domestic Abuse (Child), Dual Diagnosis-MH/ Disorders, Domestic Abuse Fax: (352) 334-4041 (Child), Dual Diagnosis-MH/ (Adult), Domestic Abuse Dev Disable, Serious Mental Dev Disable, Personality Illness, Gender/Sexual Issues, 03 Yrs/130 Yrs (Child), Dual Diagnosis-MH/ Disorders, Separation/Grief/ Dev Disable, Serious Mental Trauma-Focused Treatment, M-F 8:00 AM - 5:00 PM Loss, Sexual/Physical Abuse Illness, Gender/Sexual Issues, Comprehensive Assessment, PCMH: No (Adult), Severe/Persistent Trauma-Focused Treatment, Court Ordered Mental Eval, Mentally Ill, Bi-Lingual, Co- Comprehensive Assessment, Adolescent/Children Issues, Bowers, Dawn PHD Occuring Disorders, Domestic Court Ordered Mental Eval, Behavioral Analysis, Eating Provider ID: 708506 Abuse (Adult), Eating Adolescent/Children Issues, Disorders, Separation/Grief/ Gender: Female Disorders, Post-Traumatic Behavioral Analysis, Eating Loss, Sexual/Physical Abuse Psychology At Shangs UF Stress Syndrome, Serious Disorders, Separation/Grief/ (Child), Personality Disorders, Sub Specialty: Behavioral Mental Illness, Sexual/Physical Loss, Sexual/Physical Abuse Sexual/Physical Abuse (Adult), Analysis, Court Ordered Abuse (Child), Adolescent/ (Child), Personality Disorders, Bi-Lingual, Expert Witness Mental Eval, Domestic Abuse Children Issues, Geriatric/ Sexual/Physical Abuse (Adult), Testimony, Post-Traumatic (Child), Dual Diagnosis-MH/ Aging Issues, Gender/Sexual Bi-Lingual, Expert Witness Stress Syndrome, Severe/ Dev Disable, Personality Issues, Trauma-Focused Testimony, Post-Traumatic Persistent Mentally Ill Disorders, Separation/Grief/ Treatment, Adoption/ Stress Syndrome, Severe/ 3450 Hull Rd Loss, Sexual/Physical Abuse Attachment Issues, Expert Persistent Mentally Ill Gainesville, FL 32607 (Adult), Severe/Persistent Witness Testimony, 1600 SW Archer Rd (352) 265-0294 Mentally Ill, Bi-Lingual, Co- Comprehensive Assessment Gainesville, FL 32610 Fax: (352) 265-0096 Occuring Disorders, Domestic 3450 Hull Rd (352) 265-0294 18 Yrs/130 Yrs Abuse (Adult), Eating Gainesville, FL 32607 Fax: (352) 265-0096 M-F 8:00 AM - 5:00 PM Disorders, Post-Traumatic (352) 273-7001 18 Yrs/130 Yrs PCMH: No Stress Syndrome, Serious Fax: (352) 265-0096 M-F 9:00 AM - 5:00 PM Mental Illness, Sexual/Physical 18 Yrs/130 Yrs Bittar, Krystal PsyD Abuse (Child), Adolescent/ M-F 8:00 AM - 5:00 PM PCMH: No Children Issues, Geriatric/ Provider ID: 1365605 Aging Issues, Gender/Sexual PCMH: No Gender: Female Issues, Trauma-Focused UF Health Pediatric Specialties Treatment, Adoption/ Cascio, Erika PsyD 1699 SW 16th Ave Gerold L Attachment Issues, Expert Provider ID: 1313478 Schiebler CMS Center Witness Testimony, Gender: Female Gainesville, FL 32608 Comprehensive Assessment Psychology At Shands UF (352) 334-0206 1600 SW Archer Rd 1600 SW Archer Rd Fax: (352) 334-4041 Gainesville, FL 32610 Gainesville, FL 32610 00 Yrs/21 Yrs (352) 265-0294 (352) 265-0297 Languages: Spanish Fax: (352) 265-0096 Fax: (352) 265-0096 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 182 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Dede, Duane PHD Durning, Patricia PHD Guenther, Robert PHD Provider ID: 708522 Provider ID: 708530 Provider ID: 215828 Cascio, Erika PsyD Gender: Male Gender: Female Gender: Male Provider ID: 1313478 Psychology At Shands UF UF Health Womens Center Faculty Group Practice Gender: Female Sub Specialty: Court Ordered Springhill 1600 SW Archer Rd UF Health Clinical Psychology Mental Eval, Dual Diagnosis­ Sub Specialty: Behavioral Psychology At Shands UF - Osm MH/Dev Disable, Post- Analysis, Sexual/Physical Gainesville, FL 32610 3450 Hull Rd Traumatic Stress Syndrome, Abuse (Adult), Expert Witness (352) 265-0294 Gainesville, FL 32607 Severe/Persistent Mentally Ill, Testimony, Separation/Grief/ Fax: (352) 265-0096 (352) 265-0294 Adolescent/Children Issues, Loss, Adolescent/Children 00 Yrs/130 Yrs Geriatric/Aging Issues, Co- Issues, Court Ordered Mental Fax: (352) 265-0096 Occuring Disorders, Eating Eval, Dual Diagnosis-MH/Dev M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Disorders, Separation/Grief/ Disable, Sexual/Physical PCMH: No M-F 8:00 AM - 5:00 PM Loss, Sexual/Physical Abuse Abuse (Child), Co-Occuring PCMH: No (Adult), Sexual/Physical Abuse Disorders, Post-Traumatic Hancock-Smith, Anyaliese (Child), Gender/Sexual Issues, Stress Syndrome, Bi-Lingual, PHD Clifford, Lisa PHD Comprehensive Assessment, Domestic Abuse (Child), Provider ID: 1125539 Provider ID: 1355663 Behavioral Analysis, Expert Eating Disorders, Personality Gender: Female Gender: Female Witness Testimony, Trauma- Disorders, Domestic Abuse UF Springhill Health Center Psychology At Shands UF Focused Treatment, Domestic (Adult), Geriatric/Aging Issues, 8491 NW 39th Ave 1600 SW Archer Rd Abuse (Child), Domestic Trauma-Focused Treatment, Gainesville, FL 32606 Gainesville, FL 32610 Abuse (Adult), Adoption/ Adoption/Attachment Issues, (352) 265-4357 Attachment Issues, Bi-Lingual, Severe/Persistent Mentally Ill, (352) 265-0294 Fax: (352) 627-4163 Personality Disorders, Serious Comprehensive Assessment, Fax: (352) 265-0096 Mental Illness Gender/Sexual Issues, Serious 18 Yrs/130 Yrs

02 Yrs/130 Yrs 1600 SW Archer Rd Mental Illness M-F 8:00 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 4037 NW 86th Ter 2nd Fl PCMH: No PCMH: No (352) 265-0294 Gainesville, FL 32606 Hancock-Smith, Anyaliese Fax: (352) 265-0096 (352) 265-6200 Daley, Matthew PHD PHD 18 Yrs/130 Yrs Fax: (352) 265-0281 Provider ID: 1582501 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Provider ID: 1476299 Gender: Female PCMH: No M-F 9:00 AM - 5:00 PM Gender: Male UF Springhill Health Center PCMH: No UF Springhill Health Center 8491 NW 39th Ave

8491 NW 39th Ave Gainesville, FL 32606 Fedele, David PHD Gainesville, FL 32606 (352) 265-4357 Provider ID: 1049517 (352) 265-5404 Fax: (352) 627-4163 Gender: Male Fax: (352) 376-6270 18 Yrs/130 Yrs Psychology At Shands UF 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 1600 SW Archer Rd PCMH: No M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 PCMH: No (352) 265-0294 Heaton, Shelley PHD Fax: (352) 265-0096 Provider ID: 708552 Daley, Matthew PHD 00 Yrs/130 Yrs Gender: Female Provider ID: 1539410 M-F 9:00 AM - 5:00 PM Psychology At Shands UF Gender: Male PCMH: No UF Springhill Health Center 1600 SW Archer Rd 8491 NW 39th Ave Gainesville, FL 32610 Fisher, Jennifer PHD (352) 265-0294 Gainesville, FL 32606 Provider ID: 1322869 (352) 265-5404 Fax: (352) 265-0096 Gender: Female 00 Yrs/18 Yrs Fax: (352) 376-6270 Psychology At Shands UF 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 1600 SW Archer Rd PCMH: No M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 PCMH: No (352) 265-0294 Fax: (352) 265-0096 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 183 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Janicke, David PHD Kerkhoff, Thomas PHD Laplante, Marie-Claude PHD Provider ID: 708563 Heaton, Shelley PHD Gender: Male Provider ID: 368099 Provider ID: 708572 Psychology At Shands UF Gender: Male Gender: Female Provider ID: 708552 Sub Specialty: Domestic Psychology At Shands UF Psychology At Shands UF Gender: Female Abuse (Child), Post-Traumatic Sub Specialty: Behavioral Sub Specialty: Adoption/ UF Health Clinical Psychology Stress Syndrome, Adolescent/ Analysis, Separation/Grief/ Attachment Issues, Domestic - Osm Children Issues, Eating Loss, Adoption/Attachment Abuse (Adult), Domestic 3450 Hull Rd Disorders, Behavioral Analysis, Issues, Comprehensive Abuse (Child), Personality Separation/Grief/Loss, Court Gainesville, FL 32607 Assessment, Court Ordered Disorders, Severe/Persistent Ordered Mental Eval, Mental Eval, Expert Witness Mentally Ill, Bi-Lingual, Court (352) 265-0294 Domestic Abuse (Adult), Testimony, Trauma-Focused Ordered Mental Eval, Dual Fax: (352) 265-0096 Expert Witness Testimony, Treatment, Co-Occuring Diagnosis-MH/Dev Disable, 00 Yrs/18 Yrs Personality Disorders, Dual Disorders, Geriatric/Aging Geriatric/Aging Issues, M-F 8:00 AM - 5:00 PM Diagnosis-MH/Dev Disable, Issues, Post-Traumatic Stress Adolescent/Children Issues, PCMH: No Trauma-Focused Treatment, Syndrome, Sexual/Physical Behavioral Analysis, Gender/ Bi-Lingual, Geriatric/Aging Abuse (Adult), Sexual/Physical Sexual Issues, Separation/ Huynh, Ann PsyD Issues, Gender/Sexual Issues, Abuse (Child), Eating Grief/Loss, Expert Witness Provider ID: 1135405 Sexual/Physical Abuse (Adult), Disorders, Severe/Persistent Testimony, Post-Traumatic Gender: Female Sexual/Physical Abuse (Child), Mentally Ill, Gender/Sexual Stress Syndrome, Sexual/ Psychology At Shands UF Severe/Persistent Mentally Ill, Issues, Adolescent/Children Physical Abuse (Child), Eating Adoption/Attachment Issues, 1600 SW Archer Rd Issues, Domestic Abuse Disorders, Trauma-Focused Co-Occuring Disorders, (Adult), Domestic Abuse Treatment, Comprehensive Gainesville, FL 32610 Comprehensive Assessment, (Child), Personality Disorders, Assessment, Co-Occuring (352) 265-0294 Serious Mental Illness Bi-Lingual, Dual Diagnosis­ Disorders, Serious Mental Fax: (352) 265-0096 1600 SW Archer Rd MH/Dev Disable, Serious Illness, Sexual/Physical Abuse 21 Yrs/130 Yrs Gainesville, FL 32610 Mental Illness (Adult) Languages: Vietnamese (352) 265-0294 1600 SW Archer Rd 1600 SW Archer Rd M-F 8:00 AM - 5:00 PM Fax: (352) 265-0096 Gainesville, FL 32610 Gainesville, FL 32610 PCMH: No 00 Yrs/18 Yrs (352) 265-0294 (352) 265-0294 M-F 9:00 AM - 5:00 PM Fax: (352) 265-0096 Fax: (352) 265-0096 PCMH: No 18 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No Languages: French M-F 9:00 AM - 5:00 PM King, Lisa PsyD PCMH: No Provider ID: 1214263 Gender: Female Levy, Shellie Anne PHD Psychology At Shands UF 1600 SW Archer Rd 3rd Fl Provider ID: 1482095 Gainesville, FL 32610 Gender: Female (352) 265-0294 Psychology At Shands UF Fax: (352) 265-0096 1600 SW Archer Rd 21 Yrs/130 Yrs Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM (352) 265-0294 PCMH: No Fax: (352) 265-0096 21 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 184 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Lewis, Carol PHD Lim, Crystal PHD Moffett, Kristin PHD Provider ID: 1330268 Provider ID: 708579 Levy, Shellie Anne PHD Gender: Female Gender: Female Provider ID: 1482100 Provider ID: 1582618 UF Health Shands Psychiatric Psychology At Shands UF Gender: Female Gender: Female Hospit Sub Specialty: Adoption/ UF Health Shands Hospital Psychology At Shands UF 4101 NW 89th Blvd Attachment Issues, 1600 SW Archer Rd 1600 SW Archer Rd Gainesville, FL 32606 Adolescent/Children Issues, Gainesville, FL 32610 Gainesville, FL 32610 (352) 265-5424 Domestic Abuse (Adult), Dual (352) 265-0535

(352) 265-0294 Fax: (352) 265-5425 Diagnosis-MH/Dev Disable, Eating Disorders, Geriatric/ Fax: (352) 265-0328 Fax: (352) 265-0096 00 Yrs/130 Yrs 18 Yrs/130 Yrs 21 Yrs/130 Yrs Aging Issues, Post-Traumatic MTWTHFSatSun 12:00 AM ­ PCMH: No Stress Syndrome, Sexual/ M-F 8:00 AM - 5:00 PM 11:59 PM Physical Abuse (Child), PCMH: No PCMH: No Behavioral Analysis, Moffett, Kristin PHD Comprehensive Assessment, Levy, Shellie Anne PHD Lewis, Carol PHD Personality Disorders, Bi- Provider ID: 1482100 Provider ID: 1582618 Provider ID: 1330268 Lingual, Court Ordered Gender: Female Gender: Female Gender: Female Mental Eval, Domestic Abuse UF Health Shands Psychiatric UF Health Clinical Psychology UF Psychiatry Springhill (Child), Separation/Grief/Loss, Hospit Osm Center Gender/Sexual Issues, Severe/ 4101 NW 89th Blvd 3450 Hull Rd Persistent Mentally Ill, 4037 NW 86th Ter 3rd Fl Gainesville, FL 32606 Gainesville, FL 32607 Trauma-Focused Treatment, Gainesville, FL 32606 (352) 265-5424 (352) 265-0294 Expert Witness Testimony, (352) 265-4357 Fax: (352) 265-5425 Fax: (352) 265-0096 Fax: (352) 627-4160 Co-Occuring Disorders, Serious Mental Illness 18 Yrs/130 Yrs 21 Yrs/130 Yrs 00 Yrs/130 Yrs 1600 SW Archer Rd PCMH: No M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gainesville, FL 32610 PCMH: No PCMH: No (352) 265-0294 Nelson, Melanie PHD Provider ID: 1048239 Lewis, Carol PHD Fax: (352) 265-0096 Lewis, Carol PHD Gender: Female Provider ID: 1272979 00 Yrs/130 Yrs Provider ID: 1330268 M-F 9:00 AM - 5:00 PM UF Health Psychology Gender: Female Gender: Female Springhill 2 PCMH: No UF Health Psychology UF Springhill Health Center 4197 NW 86th Terr 3rd Fl Springhill 2 8491 NW 39th Ave Gainesville, FL 32606 4197 NW 86th Terr 3rd Fl McNamara, Joseph PHD Gainesville, FL 32606 (352) 265-4357 Gainesville, FL 32606 Provider ID: 958576 (352) 265-5404 18 Yrs/130 Yrs (352) 265-4357 Gender: Male Fax: (352) 367-6270 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs UF Health Psychology 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM Springhill 2 M-F 8:00 AM - 5:00 PM 4197 NW 86th Terr 3rd Fl PCMH: No Nelson, Melanie PHD PCMH: No Gainesville, FL 32606

Lewis, Carol PHD (352) 265-4357 Provider ID: 1048239 Gender: Female Provider ID: 1272979 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM UF Psychiatry Springhill Gender: Female Center PCMH: No UF Psychiatry Springhill 4037 NW 86th Ter Fl 3 Center Gainesville, FL 32606 4037 NW 86th Ter 3rd Fl Moffett, Kristin PHD (352) 265-4357 Gainesville, FL 32606 Provider ID: 1482100 Fax: (352) 265-7053 (352) 265-4357 Gender: Female 18 Yrs/130 Yrs Fax: (352) 627-4160 UF Health Florida Recovery M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Center PCMH: No M-F 8:00 AM - 5:00 PM 3939 SW 13th St PCMH: No Gainesville, FL 32608 (352) 265-4357 Fax: (352) 627-4162 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 185 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Payne Murphy, Jessica PHD Pereira, Deidre PHD Perlstein, William PHD Provider ID: 708608 Nelson, Melanie PHD Provider ID: 1365633 Provider ID: 708607 Gender: Male Provider ID: 1048239 Gender: Female Gender: Female Psychology At Shands UF Gender: Female UF Health Sleep Center Psychology At Shands UF Sub Specialty: Adolescent/ UF Springhill Health Center 4740 NW 39th Pl Ste C Sub Specialty: Domestic Children Issues, Severe/ 8491 NW 39th Ave Gainesville, FL 32606 Abuse (Child), Severe/ Persistent Mentally Ill, Gainesville, FL 32606 (352) 273-5550 Persistent Mentally Ill, Co- Comprehensive Assessment,

(352) 265-4357 Occuring Disorders, Eating Domestic Abuse (Child), Fax: (352) 273-5575 Sexual/Physical Abuse (Child), Fax: (352) 376-6270 00 Yrs/130 Yrs Disorders, Domestic Abuse (Adult), Dual Diagnosis-MH/ Trauma-Focused Treatment, 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Bi-Lingual, Gender/Sexual Dev Disable, Serious Mental M-F 8:00 AM - 5:00 PM PCMH: No Illness, Sexual/Physical Abuse Issues, Behavioral Analysis, PCMH: No (Child), Adoption/Attachment Serious Mental Illness, Co- Payne-Murphy, Jessica PHD Issues, Behavioral Analysis, Occuring Disorders, Dual Olsen, Brian PHD Provider ID: 1443887 Court Ordered Mental Eval, Diagnosis-MH/Dev Disable, Provider ID: 1057484 Gender: Female Gender/Sexual Issues, Sexual/ Expert Witness Testimony, Gender: Male Psychology At Shands UF Physical Abuse (Adult), Bi- Separation/Grief/Loss, Shands At UF 1600 SW Archer Rd Lingual, Personality Disorders, Sexual/Physical Abuse (Adult), 1600 SW Archer Rd Gainesville, FL 32610 Trauma-Focused Treatment, Adoption/Attachment Issues, Gainesville, FL 32610 (352) 265-0294 Adolescent/Children Issues, Court Ordered Mental Eval, Fax: (352) 265-0096 Comprehensive Assessment, Domestic Abuse (Adult), (352) 265-0535 Eating Disorders, Geriatric/ Fax: (352) 265-0328 00 Yrs/130 Yrs Expert Witness Testimony, Post-Traumatic Stress Aging Issues, Personality 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Disorders, Post-Traumatic Syndrome, Geriatric/Aging Languages: Spanish PCMH: No Issues, Separation/Grief/Loss Stress Syndrome MTWTHFSatSun 12:00 AM ­ 1600 SW Archer Rd Payne-Murphy, Jessica PHD 1600 SW Archer Rd 11:59 PM Gainesville, FL 32610 Provider ID: 1443887 Gainesville, FL 32610 PCMH: No (352) 265-0294 Gender: Female (352) 265-0294 Fax: (352) 265-0096 Olsen, Brian PHD UF Health Sleep Center Fax: (352) 265-0096 18 Yrs/130 Yrs Provider ID: 1057484 4740 NW 39th Pl Ste C 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gender: Male Gainesville, FL 32606 M-F 9:00 AM - 5:00 PM PCMH: No UF Health Psychology (352) 273-5550 PCMH: No Springhill 2 Fax: (352) 273-5575 Perri, Michael PHD 4197 NW 86th Terr 3rd Fl 00 Yrs/130 Yrs Provider ID: 958577 Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM Gender: Male (352) 265-4357 PCMH: No Psychology At Shands UF 18 Yrs/130 Yrs 1600 SW Archer Rd Languages: Spanish Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM (352) 265-9900 PCMH: No Fax: (352) 265-0096 Olsen, Brian PHD 18 Yrs/130 Yrs Provider ID: 1057484 M-F 9:00 AM - 5:00 PM Gender: Male PCMH: No UF Springhill Health Center 8491 NW 39th Ave Gainesville, FL 32606 (352) 265-4357 Fax: (352) 627-4163 18 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 186 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont. Price, Catherine PHD Smith, Glenn PHD Wiens, Brenda PHD Provider ID: 1150310 Provider ID: 708659 Price, Catherine PHD Provider ID: 708612 Gender: Male Gender: Female Gender: Female Psychology At Shands UF Psychology At Shands UF Provider ID: 708612 UF Orthopaedic Clinic 1600 SW Archer Rd Sub Specialty: Adolescent/ Gender: Female Sub Specialty: Domestic Gainesville, FL 32610 Children Issues, Geriatric/ Presurgical Center At Shands Abuse (Child), Court Ordered (352) 265-0535 Aging Issues, Separation/ UF Mental Eval, Co-Occuring Fax: (352) 265-0096 Grief/Loss, Domestic Abuse Sub Specialty: Domestic Disorders, Separation/Grief/ 21 Yrs/130 Yrs (Child), Dual Diagnosis-MH/ Abuse (Child), Court Ordered Loss, Serious Mental Illness, Dev Disable, Expert Witness M-F 8:00 AM - 5:00 PM Testimony, Sexual/Physical Mental Eval, Co-Occuring Adoption/Attachment Issues, PCMH: No Disorders, Separation/Grief/ Sexual/Physical Abuse (Child), Abuse (Adult), Sexual/Physical Abuse (Child), Adoption/ Loss, Serious Mental Illness, Adolescent/Children Issues, Smith, Glenn PHD Behavioral Analysis, Gender/ Attachment Issues, Eating Adoption/Attachment Issues, Provider ID: 1150310 Sexual/Physical Abuse (Child), Sexual Issues, Trauma-Focused Disorders, Behavioral Analysis, Adolescent/Children Issues, Treatment, Eating Disorders, Gender: Male Bi-Lingual, Post-Traumatic Behavioral Analysis, Gender/ Comprehensive Assessment, UF Health Clinical Psychology Stress Syndrome, Trauma- Sexual Issues, Trauma-Focused Dual Diagnosis-MH/Dev - Osm Focused Treatment, Domestic Treatment, Eating Disorders, Disable, Post-Traumatic Stress 3450 Hull Rd Abuse (Adult), Personality Comprehensive Assessment, Syndrome, Bi-Lingual, Gainesville, FL 32607 Disorders, Serious Mental Dual Diagnosis-MH/Dev Domestic Abuse (Adult), (352) 265-0294 Illness, Comprehensive Disable, Post-Traumatic Stress Expert Witness Testimony, Fax: (352) 265-0096 Assessment, Court Ordered Syndrome, Bi-Lingual, Geriatric/Aging Issues, Mental Eval, Gender/Sexual 21 Yrs/130 Yrs Issues, Severe/Persistent Domestic Abuse (Adult), Personality Disorders, Sexual/ M-F 8:00 AM - 5:00 PM Physical Abuse (Adult), Mentally Ill, Co-Occuring Expert Witness Testimony, PCMH: No Geriatric/Aging Issues, Severe/Persistent Mentally Ill Disorders 1600 SW Archer Rd Personality Disorders, Sexual/ 3450 Hull Rd Waxenberg, Lori PHD Physical Abuse (Adult), Gainesville, FL 32607 Gainesville, FL 32610 Provider ID: 233035 Severe/Persistent Mentally Ill (352) 265-1234 (352) 265-0294 Gender: Female 1600 SW Archer Rd Fax: (352) 273-7388 Fax: (352) 265-0096 Faculty Group Practice Gainesville, FL 32610 18 Yrs/130 Yrs 00 Yrs/18 Yrs Sub Specialty: Dual Diagnosis­ (352) 265-9900 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM MH/Dev Disable, Expert PCMH: No Fax: (352) 265-0096 PCMH: No Witness Testimony, 18 Yrs/130 Yrs Separation/Grief/Loss, M-F 9:00 AM - 5:00 PM Romero, Regilda Anne PHD Geriatric/Aging Issues, Sexual/ Williamson, John PHD PCMH: No Provider ID: 1566924 Physical Abuse (Adult), Provider ID: 958582 Gender: Female Adoption/Attachment Issues, Gender: Male UF Health Psychology Post-Traumatic Stress UF Health Neurology Medical Springhill 2 Syndrome, Severe/Persistent Plaza 4197 NW 86th Terr 3rd Fl Mentally Ill, Comprehensive 2000 SW Archer Rd Gainesville, FL 32606 Assessment, Domestic Abuse Gainesville, FL 32608 (352) 265-4357 (Child), Personality Disorders, (352) 265-8408 00 Yrs/130 Yrs Sexual/Physical Abuse (Child), Fax: (352) 265-8409 M-F 8:00 AM - 5:00 PM Trauma-Focused Treatment, 18 Yrs/130 Yrs PCMH: No Behavioral Analysis, Court M-F 9:00 AM - 5:00 PM Ordered Mental Eval, PCMH: No Romero, Regilda Anne PHD Domestic Abuse (Adult), Eating Disorders, Serious Mental Illness, Adolescent/ Provider ID: 1566924 Children Issues, Bi-Lingual, Co- Gender: Female Occuring Disorders, Gender/ UF Springhill Health Center Sexual Issues 8491 NW 39th Ave 1600 SW Archer Rd Gainesville, FL 32606 Gainesville, FL 32610 (352) 265-4357 (352) 265-0294 Fax: (352) 627-4163 Fax: (352) 265-0096 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No

www.wellcare.com/Florida | 187 Updated: 01/04/2019 Behavioral Health Alachua Psychology - cont.

Winkleman, Wendy PHD

Provider ID: 1574138 Gender: Female Harmony United Healthcare and Resea 912 NW 57th St Ste B Gainesville, FL 32605 (352) 331-3268 Fax: (352) 331-3270 00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM PCMH: No Substance Abuse

Childrens Home Society of Florida Provider ID: 274874 249 W University Ave Ste B Gainesville, FL 32601 (352) 334-0304 Fax: (352) 334-0306 00 Yrs/130 Yrs Languages: Spanish, Creole M-F 9:00 AM - 5:00 PM PCMH: No Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 4300 SW 13th St Gainesville, FL 32608 (352) 374-5600 Fax: (352) 375-0298 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 188 Updated: 01/04/2019 Behavioral Health Baker Community Mental Health Center

River Region Human Services Inc Provider ID: 287525 56 N 2nd St Macclenny, FL 32063 (904) 259-0264 Fax: (904) 259-0265 12 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM PCMH: No

www.wellcare.com/Florida | 189 Updated: 01/04/2019 Behavioral Health Bradford Advance Registered Substance Abuse Nurse Practitioner Psychiatrist Childrens Home Society of Florida Vernon, Natasha APRN Provider ID: 274874 Provider ID: 1450815 405 Georgia St Gender: Female Starke, FL 32091 The Transition House Inc (904) 964-1540 17356 US Ay 301 N 00 Yrs/130 Yrs Starke, FL 32091 Languages: Spanish, Creole (407) 892-5700 M-F 9:00 AM - 5:00 PM Fax: (407) 593-2932 PCMH: No 02 Yrs/130 Yrs Meridian Behavioral M-F 9:00 AM - 5:00 PM Healthcare PCMH: No Provider ID: 214366 Community Mental Meridian Behavioral Health Center Healthcare Inc 945 Grand St Childrens Home Society of Starke, FL 32091 Florida (904) 964-8382

Provider ID: 274874 Fax: (904) 964-4827

405 Georgia St 00 Yrs/130 Yrs

Starke, FL 32091 M-F 8:00 AM - 5:00 PM

(904) 964-1540 PCMH: No 00 Yrs/130 Yrs Languages: Spanish, Creole M-F 9:00 AM - 5:00 PM PCMH: No Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 945 Grand St Starke, FL 32091 (904) 964-8382 Fax: (904) 964-4827 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 945 Grand St Starke, FL 32091 (904) 964-8382 Fax: (904) 244-0465 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 190 Updated: 01/04/2019 Behavioral Health Citrus Community Mental Licensed Social Worker Psychiatry Health Center Logsdon, Irene LCSW Bleecker, Linda APRN The Centers Provider ID: 1193446 Provider ID: 1611391 Provider ID: 211998 Gender: Female Gender: Female The Centers Inc Heron Pond Counseling, Inc Project Health Inc 3238 S Lecanto Hwy Ste 2 107 Dr M L King Jr Ave Ste 2 120 N Montgomery Ave Lecanto, FL 34461 Inverness, FL 34450 Inverness, FL 34450 (352) 291-5555 (352) 422-3053 (352) 793-5900 Fax: (325) 229-1540 Fax: (352) 419-8983 Fax: (352) 793-6269 00 Yrs/130 Yrs 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No M-TH 8:00 AM - 6:00 PM PCMH: No PCMH: No Licensed Clinical Social Nwokolo, Felix MD Worker Pediatric Psychiatry Provider ID: 1021905 Gender: Male Keefe Cecere, Laurie LCSW Nwokolo, Felix MD The Centers Inc Provider ID: 1021905 3238 S Lecanto Hwy Provider ID: 1505210 Gender: Male Lecanto, FL 34461 Gender: Female The Centers Inc (352) 628-5020 Tree of Life Counseling 3238 S Lecanto Hwy Fax: (352) 628-5459 Center, LLC Lecanto, FL 34461 02 Yrs/130 Yrs 8163 S Florida Ave (352) 628-5020 M-F 8:00 AM - 5:00 PM Floral City, FL 34436 Fax: (352) 628-5459 PCMH: No (352) 400-9118 02 Yrs/130 Yrs 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Riascos, Julio MD M-TH 10:00 AM - 7:00 PM PCMH: No Provider ID: 1719752 FSat 10:00 AM - 2:00 PM Gender: Female PCMH: No Riascos, Julio MD The Centers Inc Provider ID: 1719752 3238 S Lecanto Hwy Martin, Deborah LCSW Gender: Female Lecanto, FL 34461 The Centers Inc (352) 291-5445 Provider ID: 1322796 3238 S Lecanto Hwy Fax: (352) 291-5585 Gender: Female Lecanto, FL 34461 00 Yrs/130 Yrs Deborah A Martin Inc (352) 291-5445 M-F 8:00 AM - 5:00 PM 708 NE 6th St Fax: (352) 291-5585 PCMH: No Crystal River, FL 34428 00 Yrs/130 Yrs (352) 228-4969 M-F 8:00 AM - 5:00 PM Substance Abuse Fax: (352) 228-8901 PCMH: No 02 Yrs/130 Yrs The Centers M-F 8:00 AM - 8:00 PM Psych Hospital Provider ID: 211998 PCMH: No The Centers Inc The Centers 3238 S Lecanto Hwy Ste 2 Rowell, Timothy LCSW Provider ID: 211998 Lecanto, FL 34461 The Centers Inc (352) 291-5555 Provider ID: 1719786 3238 S Lecanto Hwy Ste 2 Fax: (325) 229-1540 Gender: Male Lecanto, FL 34461 00 Yrs/130 Yrs Ecclesia Behavioral Health LLC (352) 291-5555 M-F 8:00 AM - 5:00 PM 107 Dr M L King Jr Ave Ste 1 Fax: (325) 229-1540 PCMH: No Inverness, FL 34450 00 Yrs/130 Yrs (352) 535-8774 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 7:00 PM PCMH: No

www.wellcare.com/Florida | 191 Updated: 01/04/2019 Behavioral Health Clay Behavioral Health Gydish, Kimberly LMHC Licensed Clinical Social Licensed Marriage and Counseling Worker Family Therapist Provider ID: 330370 Arendt, Suzanne LMHC Gender: Female Anderson, Stacie LCSW Patneau, Kathleen LMFT Sub Specialty: Adolescent/ Provider ID: 1533442 Provider ID: 790607 Children Issues, Court Provider ID: 1441550 Gender: Female Gender: Female Ordered Mental Eval, Gender: Female 1570 Island Lave 328 Stiles Ave Ste 3 Domestic Abuse (Adult), Cancer Specialist of North Fleming Island, FL 32003 Orange Park, FL 32073 Expert Witness Testimony, Florida (904) 308-3751 Domestic Abuse (Child), Dual 1658 St Vincents Way Ste 230 Fax: (904) 308-6890 (904) 264-8311 Diagnosis-MH/Dev Disable, Fax: (904) 264-8311 Middleburg, FL 32068 18 Yrs/130 Yrs Gender/Sexual Issues, M-F 8:00 AM - 5:00 PM 05 Yrs/130 Yrs Separation/Grief/Loss, (904) 214-8050 MW 9:00 AM - 9:00 PM Adoption/Attachment Issues, Fax: (904) 214-8051 PCMH: No T 9:00 AM - 7:00 PM Bi-Lingual, Sexual/Physical 00 Yrs/130 Yrs Abuse (Adult), Eating M-F 9:00 AM - 5:00 PM Patneau, Kathleen LMFT TH 9:00 AM - 8:00 PM Provider ID: 1533442 F 9:00 AM - 5:00 PM Disorders, Post-Traumatic PCMH: No Stress Syndrome, Geriatric/ Gender: Female Sat 9:00 AM - 4:00 PM 2300 Park Ave Ste 205 PCMH: No Aging Issues, Sexual/Physical Anderson, Stacie LCSW Abuse (Child) Orange Park, FL 32073 Gabel, Mark LCSW 328 Stiles Ave Ste 3 Provider ID: 1441550 (904) 308-3751 Provider ID: 1111498 Orange Park, FL 32073 Gender: Female Fax: (904) 308-6890 Gender: Male (904) 264-8311 Cancer Specialist of North 18 Yrs/130 Yrs Rural Healthcare Inc Fax: (904) 264-8377 Florida M-F 8:00 AM - 5:00 PM 1305 N Orange Ave Ste 120-123 05 Yrs/130 Yrs 2370 Market Dr PCMH: No MW 9:00 AM - 9:00 PM Green Cove Springs, FL 32043 Flemng Island, FL 32003 Neuropsychology (904) 284-5904 T 9:00 AM - 7:00 PM (904) 264-6201 TH 9:00 AM - 8:00 PM Fax: (904) 264-6858 Fax: (904) 284-5905 Rossilli, Christopher PsyD F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 05 Yrs/130 Yrs Provider ID: 1176164 Sat 9:00 AM - 4:00 PM M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gender: Male PCMH: No PCMH: No PCMH: No Christopher M Rossilli Clinical Neurophysiology Brooks, Christan LCSW 1555 Kingsley Ave Ste 302 Orange Park, FL 32073 (904) 579-2265 Ventura, Julio MD Provider ID: 1749306 Fax: (904) 541-4884 Provider ID: 1518582 Gender: Female 18 Yrs/130 Yrs Gender: Male River's Edge Counseling, PLLC M-F 9:00 AM - 5:00 PM St Vincents Ambulatory Care 43 Knight Boxx Rd Ste 1 Inc PCMH: No Orange Park, FL 32065 1658 St Vincents Way Ste 310 (904) 379-8675 Middleburg, FL 32068 Pediatric Psychiatry Fax: (904) 423-0490 (904) 602-4450 00 Yrs/130 Yrs Fax: (904) 308-7938 De LA Hunt, Michael MD M-F 9:00 AM - 7:00 PM 21 Yrs/130 Yrs Sat-Sun 9:00 AM - 12:00 PM Languages: Spanish PCMH: No Provider ID: 1655362 M-W 8:00 AM - 5:00 PM Gender: Male PCMH: No Riley, Tracy LCSW Nemours Childrens Clinic Provider ID: 1234883 2300 Park Ave Gender: Female Orange Park, FL 32073 New Hope Family Services (904) 278-8888 165 Wells Rd Ste 409 Fax: (904) 390-3512 Orange Park, FL 32073 00 Yrs/18 Yrs (904) 704-2527 M-F 9:00 AM - 5:00 PM Fax: (866) 384-3669 PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 192 Updated: 01/04/2019 Behavioral Health Clay Pediatric Psychiatry - De Carvalho, Marcus MD cont. Provider ID: 727443 Dickson, Miriam MD Gender: Male Provider ID: 1648481 Sub Specialty: Bi-Lingual, Gender: Female Court Ordered Mental Eval, Nemours Childrens Specialty Domestic Abuse (Child), Care Florida Separation/Grief/Loss, Eating 1747 Baptist Clay Dr Disorders, Expert Witness Orange Park, FL 32003 Testimony, Geriatric/Aging Issues, Domestic Abuse (904) 697-3088 (Adult), Post-Traumatic Stress Fax: (904) 697-3060 Syndrome, Gender/Sexual 00 Yrs/18 Yrs Issues, Adoption/Attachment M-F 8:00 AM - 5:00 PM Issues, Adolescent/Children PCMH: No Issues, Dual Diagnosis-MH/ Dev Disable, Sexual/Physical Psychiatry Abuse (Adult), Sexual/Physical Abuse (Child) Carvajal, Jonathan MD 1677 Wells Rd Ste A Provider ID: 1138903 Orange Park, FL 32073 Gender: Male (904) 272-0043 Memorial Family Practice Fax: (904) 269-4978 Associates 00 Yrs/130 Yrs 2001 Kingsley Ave Orange Park Medical Center Orange Park, FL 32073 Languages: Spanish (904) 702-6353 M-F 9:00 AM - 4:00 PM Fax: (904) 702-6356 PCMH: No 18 Yrs/130 Yrs M-W 8:00 AM - 8:00 PM Khokhar, Ubaid MD PCMH: No Provider ID: 1198101 Gender: Male First Coast Psychiatric Services, P 462 Kingsley Ave Ste 102 Orange Park, FL 32073 (904) 375-9679 Fax: (904) 579-4781 18 Yrs/110 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 193 Updated: 01/04/2019 Behavioral Health Columbia Behavioral Health Pediatric Psychiatry Ravindra, Rajani MD Substance Abuse Counseling Provider ID: 286199 Nallapula, Kishan MD Gender: Female Meridian Behavioral Brody, Barry LMHC Provider ID: 1281231 Sub Specialty: Sexual/Physical Healthcare Provider ID: 751361 Gender: Male Abuse (Adult), Adolescent/ Provider ID: 214366 Gender: Male Meridian Behavoral Children Issues, Bi-Lingual, Meridian Behavioral 1384 SE Baya Dr Healthcare Sexual/Physical Abuse (Child), Healthcare Inc 439 SW Michigan St Adoption/Attachment Issues, 439 SW Michigan St Lake City, FL 32025 Court Ordered Mental Eval, (386) 755-1720 Lake City, FL 32025 Lake City, FL 32025 Domestic Abuse (Child), Post­ (352) 471-0069 Fax: (386) 754-1325 (386) 487-0800 Traumatic Stress Syndrome, 00 Yrs/130 Yrs Fax: (386) 758-0675 Dual Diagnosis-MH/Dev Fax: (352) 471-0069 M-W 11:00 AM - 7:00 PM 00 Yrs/130 Yrs Disable, Expert Witness 00 Yrs/130 Yrs PCMH: No Languages: Hindi, Telugu, Testimony, Separation/Grief/ M-F 8:00 AM - 5:00 PM Kannada Loss, Eating Disorders, PCMH: No Community Mental M-F 9:00 AM - 5:00 PM Geriatric/Aging Issues, Health Center PCMH: No Domestic Abuse (Adult), Resolutions Health Alliance Gender/Sexual Issues PA Meridian Behavioral Psychiatry 1740 W US Hwy 90 Ste 102 Provider ID: 1169531 Healthcare Lake City, FL 32055 Resolutions Health Alliance Provider ID: 214366 Bachus, Robert MD (386) 755-3000 512 W Duval St Meridian Behavioral Provider ID: 1284341 Fax: (386) 719-4297 Lake City, FL 32055 Healthcare Inc Gender: Male 18 Yrs/130 Yrs (386) 754-9005 439 SW Michigan St Meridian Behavoral Lake City Medical Center Fax: (386) 754-9017 Lake City, FL 32025 Healthcare Languages: Hindi 02 Yrs/130 Yrs (352) 471-0069 439 SW Michigan St M-TH 8:30 AM - 4:15 PM M-W 8:00 AM - 5:00 PM Fax: (352) 471-0069 Lake City, FL 32025 PCMH: No PCMH: No 00 Yrs/130 Yrs (386) 487-0800 Resolutions Health Alliance M-F 8:00 AM - 5:00 PM Fax: (386) 244-0299 Psychology PA PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Cohen, Jonathan PHD Provider ID: 1169531 Resolutions Health Alliance PCMH: No Provider ID: 749710 Resolutions Health Alliance, PA Gender: Male PA Provider ID: 1169531 Mhatre, Umesh MD Jonathan D Cohen 297 NW Hillsboro St Resolutions Health Alliance Sub Specialty: Dual Diagnosis- Lake City, FL 32055 512 W Duval St Provider ID: 28874 MH/Dev Disable, Post­ (386) 754-9005 Traumatic Stress Syndrome, Lake City, FL 32055 Gender: Male Fax: (386) 754-9017 Adolescent/Children Issues, 02 Yrs/130 Yrs (386) 754-9005 165 SW Vision Gln Gender/Sexual Issues, Fax: (386) 754-9017 Lake City, FL 32025 MT 8:00 AM - 5:00 PM Domestic Abuse (Adult), PCMH: No 02 Yrs/130 Yrs (386) 755-1800 Eating Disorders, Bi-Lingual, M-W 8:00 AM - 5:00 PM Fax: (386) 758-8770 Adoption/Attachment Issues, PCMH: No 03 Yrs/130 Yrs Separation/Grief/Loss, Flagler Hospital Geriatric/Aging Issues, Sexual/ Resolutions Health Alliance Lake City Medical Center Physical Abuse (Adult), PA Languages: Hindi Domestic Abuse (Child), Provider ID: 1169531 MTH 8:00 AM - 8:00 PM Expert Witness Testimony, Resolutions Health Alliance, TWF 8:00 AM - 5:00 PM Sexual/Physical Abuse (Child), PA PCMH: No Court Ordered Mental Eval 297 NW Hillsboro St 4255 SW Cambridge Gln Lake City, FL 32055 Lake City, FL 32024 (386) 754-9005 (386) 288-4734 Fax: (386) 754-9017 Fax: (866) 472-1489 02 Yrs/130 Yrs 00 Yrs/130 Yrs MT 8:00 AM - 5:00 PM M-F 5:00 AM - 9:00 PM PCMH: No Sat 10:00 AM - 4:00 PM PCMH: No

www.wellcare.com/Florida | 194 Updated: 01/04/2019 Behavioral Health Dixie Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 41 NE 238th St Cross City, FL 32628 (352) 374-5600 Fax: (352) 244-0304 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 195 Updated: 01/04/2019 Behavioral Health Gilchrist Community Mental Meridian Behavioral Health Center Healthcare Provider ID: 214366 Childrens Home Society of Meridian Behavioral Florida Healthcare Inc Provider ID: 274874 728 NW 7th St 1208 E Wade St Trenton, FL 32693 Trenton, FL 32693 (352) 487-0064 (352) 463-3110 Fax: (352) 487-0069 Fax: (352) 463-4413 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Spanish, Creole PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 728 NW 7th St Trenton, FL 32693 (352) 487-0064 Fax: (352) 487-0069 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 728 NW 7th St Trenton, FL 32693 (352) 374-5600 Fax: (352) 244-0464 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Substance Abuse

Childrens Home Society of Florida Provider ID: 274874 1208 E Wade St Trenton, FL 32693 (352) 463-3110 Fax: (352) 463-4413 00 Yrs/130 Yrs Languages: Spanish, Creole M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 196 Updated: 01/04/2019 Behavioral Health Hamilton Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 406 10th Ave NW Jasper, FL 32052 (386) 792-1338 Fax: (386) 244-0466 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 197 Updated: 01/04/2019 Behavioral Health Levy Community Mental Health Center

Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 100 Ishie Ave Bronson, FL 32621 (352) 374-5600 Fax: (352) 244-0289 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 100 Ishie Ave Bronson, FL 32621 (386) 487-0800 Fax: (352) 439-0069 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Substance Abuse

Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 100 Ishie Ave Bronson, FL 32621 (352) 374-5600 Fax: (352) 244-0289 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 198 Updated: 01/04/2019 Behavioral Health Madison Behavioral Health Facility

The Florida United Methodist Children's Provider ID: 1003442 The Florida United Methodist Childr 1647 NE Captain Buie Rd Pinetta, FL 32350 (850) 929-3000 Fax: (850) 929-2210 00 Yrs/21 Yrs PCMH: No Pediatric Psychiatry

Agbunag, Melody MD Provider ID: 1227940 Gender: Female Apalachee Center 225 SW Sumatra Ave Madison, FL 32340 (850) 973-5124 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Henry, Bruce MD Provider ID: 1142538 Gender: Male Florida United Methodist Childrens 1647 NE Captain Buie Rd Pinetta, FL 32350 (850) 929-3000 Fax: (850) 929-2210 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Psychiatry

Agbunag, Melody MD Provider ID: 1227940 Gender: Female Apalachee Center 225 SW Sumatra Ave Madison, FL 32340 (850) 973-5124 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 199 Updated: 01/04/2019 Behavioral Health Marion Advance Registered Behavioral Health Behavioral Health Facility Families First of Florida LLC Nurse Practitioner Counseling Psychiatrist Camelot Community Care Inc Provider ID: 792132 Oibo, Mercy LMHC 1701 NE 42nd Ave Ste 301 Brown, Joni APRN Provider ID: 814928 Provider ID: 274915 Ocala, FL 34470 Provider ID: 908181 Gender: Female Sub Specialty: Inpatient (813) 290-8560 Gender: Female Sub Specialty: Geriatric/Aging Services, Substance Abuse Fax: (352) 354-9166 UF Health Pain Medicine Issues, Sexual/Physical Abuse Treatment Ctr, State Inpatient 00 Yrs/18 Yrs Ocala Heath (Adult), Sexual/Physical Abuse Psych Program, Outpatient M-F 8:30 AM - 5:00 PM 4730 SW 49th Rd (Child), Court Ordered Mental Services PCMH: No Ocala, FL 34474 Eval, Gender/Sexual Issues, 1601 NE 25th Ave Ste 306 (352) 355-1380 Post-Traumatic Stress Ocala, FL 34470 Ocala Consulting and Fax: (352) 627-4668 Syndrome, Bi-Lingual, (352) 671-7884 Prevention LLC Separation/Grief/Loss, Dual 18 Yrs/130 Yrs Fax: (352) 671-7379 Provider ID: 1576994 Diagnosis-MH/Dev Disable, 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM Domestic Abuse (Adult), 2100 SE 17th St Ste 701 PCMH: No Domestic Abuse (Child), M-F 9:00 AM - 5:00 PM Ocala, FL 34471 Eating Disorders, Expert PCMH: No (352) 622-4488 Gatlin, Debra APRN Witness Testimony, Fax: (352) 622-4485 Provider ID: 1697572 Adoption/Attachment Issues, Clinical Neurophysiology 05 Yrs/130 Yrs Gender: Female Adolescent/Children Issues Languages: Spanish The Centers Inc 1730 SW 1st Ave Andrade, Edgard MD M-F 8:00 AM - 7:00 PM 5664 SW 60th Ave Ocala, FL 34471 Provider ID: 1637729 PCMH: No Ocala, FL 34474 (352) 622-4888 Gender: Male (352) 291-5555 Fax: (352) 694-4884 Institute of Pediatric Perspectives II LLC Fax: (352) 291-5409 00 Yrs/130 Yrs Neuroscience Provider ID: 1538967 00 Yrs/130 Yrs Languages: Spanish 1315 SE 25th Loop Ste 104 818 E Silver Springs Blvd M-TH 7:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM Ocala, FL 34471 Ocala, FL 34470 F 7:30 AM - 12:00 PM PCMH: No (352) 512-9898 (352) 622-3725 PCMH: No Fax: (855) 889-8577 Fax: (352) 622-3721 Urban, Joyce LMHC 00 Yrs/21 Yrs 18 Yrs/130 Yrs Goodrow, Tina APRN Provider ID: 951218 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1697574 Gender: Female PCMH: No PCMH: No Gender: Female Joyce K Urban LMHC The Centers 1130 SE 18th Pl Ste 400 Community Mental Perspectives II LLC 5664 SW 60th Ave Ocala, FL 34471 Health Center Provider ID: 1538967 Ocala, FL 34474 (352) 390-6656 9425 SE Hwy 42 (352) 291-5555 Fax: (352) 390-8756 Duval Metro Treatment Summerfield, FL 34491 Fax: (352) 291-5409 00 Yrs/130 Yrs Center (352) 347-6272 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1338129 Fax: (352) 347-6876 M-TH 8:00 AM - 6:00 PM PCMH: No Quad County Treatment 18 Yrs/130 Yrs PCMH: No Center MWTH 8:00 AM - 8:30 PM 216 NE 1st Ave TF 8:00 AM - 5:30 PM Ocala, FL 34470 PCMH: No (352) 732-6565 Fax: (352) 732-5593 The Centers 18 Yrs/130 Yrs Provider ID: 211998 M-F 5:00 AM - 1:30 PM 5664 SW 60th Ave Sat-Sun 5:30 AM - 9:15 PM Ocala, FL 34474 PCMH: No (352) 291-5555 Fax: (352) 291-9536 00 Yrs/130 Yrs PCMH: No

www.wellcare.com/Florida | 200 Updated: 01/04/2019 Behavioral Health Marion Community Mental Licensed Professional Riascos, Julio MD Bizri, Ahmad MD Health Center - cont. Counselor Provider ID: 1719752 Provider ID: 1578890 Gender: Female Gender: Male The Centers Ellis, Mary LPC The Centers Inc Harmony United Healthcare Provider ID: 211998 Provider ID: 1310511 5664 SW 60th Ave and The Centers Inc Gender: Female Ocala, FL 34474 3233 SW 33rd Rd Ste 202 717 SW Martin Luther King Jr Growing Well Family (352) 291-5555 Ocala, FL 34474 Ave Behavioral Services Fax: (352) 291-5409 (352) 431-3940 Ocala, FL 34471 20114 E Pennsylvania Ave 00 Yrs/130 Yrs Fax: (352) 431-3173 (352) 291-5555 Dunnellon, FL 34432 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (325) 229-1540 (352) 465-2444 PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 465-7854 PCMH: No M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs Psych Hospital PCMH: No Languages: Sign Bleecker, Linda APRN M-F 9:00 AM - 6:00 PM The Centers Provider ID: 1611391 The Chrysalis Center Inc PCMH: No Provider ID: 211998 Gender: Female 5664 SW 60th Ave Project Health Inc Provider ID: 303776 Pediatric Psychiatry Ocala, FL 34474 7205 SE Maricamp Rd 1515 E Slvr Spg Blvd Ste 206 (352) 291-5555 Ocala, FL 34472 Ocala, FL 34470 Nwokolo, Felix MD Fax: (352) 291-9536 (352) 680-7000 (813) 443-4827 00 Yrs/130 Yrs Fax: (352) 793-6269 Fax: (954) 587-0080 Provider ID: 1021905 PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM The Centers Inc The Centers PCMH: No PCMH: No 5664 SW 60th Ave Provider ID: 211998 Ocala, FL 34474 The Centers Inc Bokhari, Hassan MD The Chrysalis Center Inc (352) 291-5555 717 SW Martin Luther King Jr Fax: (352) 291-5588 Ave Provider ID: 1585227 Provider ID: 303776 02 Yrs/130 Yrs Ocala, FL 34471 Gender: Male 1515 E Slvr Spring Blvd Ste 206 M-F 8:00 AM - 5:00 PM (352) 291-5555 The Centers Inc Ocala, FL 34470 PCMH: No Fax: (325) 229-1540 5664 SW 60th Ave (813) 443-4827 00 Yrs/130 Yrs Ocala, FL 34474 Fax: (954) 587-0080 Nwokolo, Felix MD M-F 8:00 AM - 5:00 PM (352) 291-5555 00 Yrs/130 Yrs Provider ID: 1021905 PCMH: No Fax: (352) 291-5409 M-F 9:00 AM - 5:30 PM Gender: Male 00 Yrs/130 Yrs PCMH: No The Centers Inc Psychiatry M-F 9:00 AM - 5:00 PM 717 SW Martin Luther King PCMH: No Licensed Clinical Social Ave Abraham, Joy MD Worker Ocala, FL 34471 Provider ID: 1196811 Demosthene, Antoine MD (352) 291-5555 Gender: Male Martinsen, Emily LCSW Fax: (352) 291-5409 Ocala Behavioral Health LLC Provider ID: 1591318 Provider ID: 1504397 02 Yrs/130 Yrs DBA The Gender: Male Gender: Female M-F 8:00 AM - 5:00 PM 3130 SW 27th Ave The Centers Inc Emily C Martinsen PCMH: No Ocala, FL 34471 5664 SW 60th Ave

1000 SW 26th St (352) 671-3130 Ocala, FL 34474

Ocala, FL 34471 Pushur, Sushil MD Fax: (352) 387-0767 (352) 291-5555

(352) 237-2050 Provider ID: 1274814 05 Yrs/130 Yrs Fax: (352) 291-5588

Fax: (352) 237-2050 Gender: Male PCMH: No 05 Yrs/130 Yrs 00 Yrs/130 Yrs Camelot Community Care M-F 7:30 AM - 6:00 PM M-F 7:00 AM - 6:00 PM 1601 NE 25th Ave Ste 306 PCMH: No Sat 7:30 AM - 12:00 PM Ocala, FL 34470 PCMH: No (352) 671-7884 Fax: (352) 671-7379 00 Yrs/21 Yrs M 9:00 AM - 4:00 PM PCMH: No

www.wellcare.com/Florida | 201 Updated: 01/04/2019 Behavioral Health Marion Psychiatry - cont. Nwokolo, Felix MD Psychology The Centers Provider ID: 211998 Gomez, Ana MD Provider ID: 1021905 Winkleman, Wendy PHD The Centers Inc Provider ID: 1493211 Gender: Male 717 SW Martin Luther King Jr Gender: Female The Centers Inc Provider ID: 1574138 Ave Phoenix Programs of Florida 5664 SW 60th Ave Gender: Female Ocala, FL 34471 Inc Ocala, FL 34474 Harmony United Healthcare (352) 291-5555 15681 N Hwy 301 (352) 291-5555 and Resea Fax: (325) 229-1540 Citra, FL 32113 Fax: (352) 291-5588 3233 SW 33rd Rd Ste 202 00 Yrs/130 Yrs (813) 881-1000 02 Yrs/130 Yrs Ocala, FL 34474 M-F 8:00 AM - 5:00 PM Fax: (813) 689-2856 M-F 8:00 AM - 5:00 PM (352) 431-3940 PCMH: No 12 Yrs/130 Yrs PCMH: No Fax: (352) 431-3173 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No Nwokolo, Felix MD M-F 9:00 AM - 6:00 PM Provider ID: 1021905 PCMH: No Mohammed, Adil MD Gender: Male The Centers Inc Substance Abuse Provider ID: 818389 717 SW Martin Luther King Gender: Male Ave Perspectives II LLC Harmony United Healthcare Ocala, FL 34471 Provider ID: 1538967 Research (352) 291-5555 818 E Silver Springs Blvd 3233 SW 33rd Rd Ste 202 Fax: (352) 291-5409 Ocala, FL 34470 Ocala, FL 34474 02 Yrs/130 Yrs (352) 622-3725 (352) 431-3940 M-F 8:00 AM - 5:00 PM Fax: (352) 622-3721 Fax: (352) 431-3173 PCMH: No 18 Yrs/130 Yrs 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Leesburg Reg Med Center Riascos, Julio MD PCMH: No West Florida Hospital Provider ID: 1719752 Languages: French, Russian, Gender: Female Perspectives II LLC Hindi, Urdu The Centers Inc Provider ID: 1538967 MTWF 9:00 AM - 5:30 PM 5664 SW 60th Ave 9425 SE Hwy 42 TH 9:00 AM - 5:00 PM Ocala, FL 34474 Summerfield, FL 34491 PCMH: No (352) 291-5555 (352) 347-6272 Fax: (352) 291-5409 Fax: (352) 347-6876 Nanjundasamy, Anaimalai MD 00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM MWTH 8:00 AM - 8:30 PM Provider ID: 1697573 PCMH: No TF 8:00 AM - 5:30 PM Gender: Male PCMH: No The Centers Inc Sayers Erfourth, Sharmayn DO 5664 SW 60th Ave The Centers Ocala, FL 34474 Provider ID: 1709430 Provider ID: 211998 (352) 291-5555 Gender: Female 5664 SW 60th Ave Fax: (352) 291-5409 Quad County Treatment Ocala, FL 34474 00 Yrs/130 Yrs Center (352) 291-5555 M-TH 8:00 AM - 6:00 PM 216 NE 1st Ave Fax: (352) 291-9536 PCMH: No Ocala, FL 34470 00 Yrs/130 Yrs (352) 732-6555 PCMH: No Fax: (352) 732-5593 18 Yrs/130 Yrs M-F 5:00 AM - 1:30 PM Sat-Sun 5:15 AM - 9:15 PM PCMH: No

www.wellcare.com/Florida | 202 Updated: 01/04/2019 Behavioral Health Putnam Advance Registered Behavioral Health Pediatric Psychiatry Czaykowsky, Guy MD Nurse Practitioner Counseling Provider ID: 1064081 Psychiatrist Wilson, Crystal MD Gender: Male Deegan, George LCSW Provider ID: 1472807 Sma Behavioral Healthcare Hamilton, Laurie APRN Provider ID: 958212 Gender: Female 330 Kay Larkin Dr Gender: Male The Childrens Home Society Palatka, FL 32177 Provider ID: 1611351 DBA Azalea Health of Florida (800) 539-4228 Gender: Female 306 Union Ave 1910 Reid St Fax: (386) 385-1269 Sma Behavioral Healthcare Crescent City, FL 32112 Palatka, FL 32177 00 Yrs/130 Yrs 330 Kay Larkin Dr (386) 698-1232 (386) 326-4244 Languages: Spanish, French, Palatka, FL 32177 Fax: (386) 698-4154 Fax: (321) 397-3024 Creole (800) 539-4228 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Fax: (386) 385-1269 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No 02 Yrs/130 Yrs PCMH: No PCMH: No Epstein, Angel APRN M-F 8:00 AM - 5:00 PM Psychiatry PCMH: No Kahn, Asuncion LCSW Provider ID: 1064091 Provider ID: 1114689 Gender: Female Schmidt, Lisa APRN Gender: Female Amole, Jacques APRN Sma Behavioral Healthcare Provider ID: 1528047 Rural Healthcare Inc Provider ID: 1063961 330 Kay Larkin Dr Gender: Female 306 Union Ave Gender: Male Palatka, FL 32177 Sma Behavioral Health Crescent City, FL 32112 Sma Behavioral Healthcare (800) 539-4228 Services (386) 698-1232 330 Kay Larkin Dr Fax: (386) 385-1269 330 Kay Larkin Dr Fax: (386) 698-4154 Palatka, FL 32177 00 Yrs/130 Yrs Palatka, FL 32177 05 Yrs/130 Yrs (800) 539-4228 M-F 8:00 AM - 5:00 PM (800) 539-4228 M-F 8:00 AM - 5:00 PM Fax: (386) 385-1269 PCMH: No Fax: (386) 385-1269 PCMH: No 00 Yrs/130 Yrs 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Martinez, Ramon MD M-F 8:00 AM - 5:00 PM Community Mental PCMH: No PCMH: No Health Center Provider ID: 1064110 Brown, Tananarieve APRN Gender: Male Smith, Marie APRN Sma Behavioral Healthcare Sma Behavioral Healthcare Provider ID: 1064140 Provider ID: 1226638 330 Kay Larkin Dr Gender: Female Provider ID: 469517 Gender: Female Palatka, FL 32177 Sma Behavioral Health 330 Kay Larkin Dr Sma Behavioral Health (800) 539-4228 Services Palatka, FL 32177 Services Inc Fax: (386) 385-1269 330 Kay Larkin Dr (800) 539-4228 330 Kay Larkin Dr 00 Yrs/130 Yrs Palatka, FL 32177 Fax: (386) 385-1269 Palatka, FL 32177 Languages: Spanish (800) 539-4228 00 Yrs/130 Yrs (800) 539-4228 M-F 8:00 AM - 5:00 PM Fax: (386) 385-1269 M-F 8:00 AM - 5:00 PM Fax: (386) 385-1269 PCMH: No 00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Matejka, Theodore APRN PCMH: No Licensed Clinical Social PCMH: No Worker Provider ID: 1064117 Talarico, Irene APRN Canaan, Antonio MD Gender: Male Provider ID: 1610263 Marrero, Mary LCSW Provider ID: 1063968 Sma Behavioral Healthcare Gender: Female Provider ID: 1594989 Gender: Male 330 Kay Larkin Dr Sma Behavorial Health Gender: Female Sma Behavioral Healthcare Palatka, FL 32177 Services Rural Health Care Inc 330 Kay Larkin Dr (800) 539-4228 330 Kay Larkin Dr 306 Union Ave Palatka, FL 32177 Fax: (386) 385-1269

Palatka, FL 32177 Crescent City, FL 32112 (800) 539-4228 18 Yrs/130 Yrs

(800) 539-4228 (386) 698-1232 Fax: (386) 385-1269 M-F 8:00 AM - 5:00 PM

Fax: (386) 385-1269 Fax: (386) 698-4154 00 Yrs/130 Yrs PCMH: No

02 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No

www.wellcare.com/Florida | 203 Updated: 01/04/2019 Behavioral Health Putnam Psychiatry - cont.

Poulos, Peter MD Provider ID: 1059753 Gender: Male Flagler Mental Health Center 3424 Saint Johns Ave Palatka, FL 32177 (386) 313-1989 Fax: (386) 206-1057 00 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM PCMH: No

Richards, Jasmine APRN

Provider ID: 1226389 Gender: Female Sma Behavioral Health Services 330 Kay Larkin Dr Palatka, FL 32177 (800) 539-4228 Fax: (386) 385-1269 00 Yrs/130 Yrs MTWF 8:00 AM - 5:00 PM TH 8:0 AM - 5:00 PM PCMH: No

Woods, Elizabeth APRN

Provider ID: 1064189 Gender: Female Sma Behavioral Healthcare 330 Kay Larkin Dr Palatka, FL 32177 (800) 539-4228 Fax: (386) 385-1269 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Substance Abuse

Sma Behavioral Healthcare

Provider ID: 469517 330 Kay Larkin Dr Palatka, FL 32177 (800) 539-4228 Fax: (386) 385-1269 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 204 Updated: 01/04/2019 Behavioral Health Suwannee Community Mental Health Center

Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 920 Nobles Ferry Rd Live Oak, FL 32064 (386) 362-4218 Fax: (386) 364-5606 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No Substance Abuse

Meridian Behavioral Healthcare Provider ID: 214366 Meridian Behavioral Healthcare Inc 920 Nobles Ferry Rd Live Oak, FL 32064 (386) 362-4218 Fax: (386) 364-5606 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 205 Updated: 01/04/2019 Behavioral Health Taylor Behavioral Health Licensed Clinical Social Psychiatry Counseling Worker Agbunag, Melody MD Haswell, Dawna LCSW Oxamendi, Marsha LCSW Provider ID: 1227940 Provider ID: 987948 Gender: Female Gender: Female Provider ID: 1500367 Apalachee Center Dawna Haswell Gender: Female 1421 S Dixie Hwy 555 N Byron Butler Pkwy A New Dawn A New Perry, FL 32348 Perry, FL 32347 Beginning (850) 584-5613 (850) 329-5776 555 N Byron Butler Pkwy 05 Yrs/130 Yrs Fax: (888) 974-6195 Perry, FL 32347 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (850) 329-5776 PCMH: No Tallahassee Memorial Hosptial Fax: (888) 974-6195 MTWTHFSat 9:00 AM - 5:00 00 Yrs/130 Yrs Substance Abuse PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Apalachee Center Inc Provider ID: 209949 Taylor County Recovery Licensed Marriage and 1421 S Dixie Hwy Center Inc Family Therapist Perry, FL 32348 Provider ID: 1359394 (850) 584-5613 1709 S Jefferson St Scott, Nita LMFT 18 Yrs/130 Yrs Perry, FL 32348 Provider ID: 1505203 M-F 9:00 AM - 5:00 PM (850) 584-2772 Gender: Female PCMH: No Fax: (850) 584-2776 A New Dawn A New Taylor County Recovery 18 Yrs/130 Yrs Beginning Center Inc M-TH 10:00 AM - 7:30 PM 555 N Byron Butler Pkwy F 1:00 AM - 6:00 PM Perry, FL 32347 Provider ID: 1359394 PCMH: No (850) 329-5776 1709 S Jefferson St Fax: (888) 974-6195 Perry, FL 32348 Behavioral Health Facility 00 Yrs/130 Yrs (850) 584-2772 M-F 8:30 AM - 7:00 PM Fax: (850) 584-2776 Apalachee Center Inc PCMH: No 18 Yrs/130 Yrs Provider ID: 209949 M-TH 10:00 AM - 7:30 PM Sub Specialty: Inpatient Pediatric Psychiatry F 1:00 AM - 6:00 PM Services, Substance Abuse PCMH: No Treatment Ctr, State Inpatient Psych Program, Outpatient Agbunag, Melody MD Services Provider ID: 1227940 1421 S Dixie Hwy Gender: Female Perry, FL 32348 Apalachee Center (850) 584-5613 1421 S Dixie Hwy 18 Yrs/130 Yrs Perry, FL 32348 M-F 9:00 AM - 5:00 PM (850) 584-5613 PCMH: No 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Community Mental PCMH: No Health Center

Apalachee Center Inc Provider ID: 209949 1421 S Dixie Hwy Perry, FL 32348 (850) 584-5613 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 206 Updated: 01/04/2019 Behavioral Health Union Psychiatry

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 10 W Main St Lake Butler, FL 32054 (386) 496-2347 Fax: (386) 244-0462 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

Bachus, Robert MD Provider ID: 1284341 Gender: Male Meridian Behavoral Healthcare 920 NW Noble Ferry Lake Butler, FL 32054 (352) 374-5600 Fax: (386) 244-0467 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM PCMH: No

www.wellcare.com/Florida | 207 Updated: 01/04/2019 Ancillary Providers Alachua Ambulatory Surgery Gainesville Open MRI Center Barnes Healthcare of Florida Home Health Care Center Inc LLC Provider ID: 672243 Provider ID: 686674 Family Life Care Inc Surgical Center of North Gainesville Open MRI 1700 NW 80th Blvd Provider ID: 1159207 Florida LLC 4340 W Newberry Rd Ste 104 Gainesville, FL 32606 4061 NW 43rd St Provider ID: 1189748 Gainesville, FL 32607 (813) 888-7607 Gainesville, FL 32606 Surgical Center of North (352) 377-3100 Fax: (844) 275-5874 (352) 692-2899 Florida LL Fax: (352) 377-1286 00 Yrs/130 Yrs Fax: (352) 374-4409 6520 NW 9th Blvd 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Gainesville, FL 32605 Languages: Spanish M-F 8:00 AM - 4:00 PM (352) 745-7202 M-F 8:00 AM - 8:00 PM Gator Custom Mobility Inc Fax: (352) 745-7209 Hospice 00 Yrs/130 Yrs Southern Cardiac Nuclear Provider ID: 1493225 M-F 7:00 AM - 5:00 PM Imaging LLC 501 NE 23rd Ave Haven Hospice Provider ID: 275058 Gainesville, FL 32609 Provider ID: 818120 Convenient Care Clinic 150 NW 75th Dr Ste A (352) 373-9673 Haven Hospice Inpatient Gainesville, FL 32607 Fax: (352) 271-9070 4200 NW 90th Blvd Minuteclinic LLC (352) 332-5755 00 Yrs/130 Yrs Gainesville, FL 32606 Provider ID: 1129577 Fax: (352) 332-8996 M-F 8:00 AM - 5:00 PM (352) 378-2121 Minuteclinic In CVS/ 00 Yrs/130 Yrs Fax: (352) 379-6286 Pharmacy M-F 8:00 AM - 5:00 PM Lincare Inc 00 Yrs/130 Yrs 3404 SW Archer Rd Provider ID: 378045 Gainesville, FL 32608 Dialysis Ahp Home Care Alliance of Haven Hospice (866) 389-2727 Gainesvil Provider ID: 818120 Fax: (401) 216-3854 Gainesville Home Dialysis 6645 SW Archer Rd Haven Hospice Satellite 00 Yrs/130 Yrs Gainesville, FL 32608 4305 NW 90th Blvd M-F 8:30 AM - 7:30 PM Provider ID: 904274 (352) 244-5200 Gainesville, FL 32606 Sat 9:00 AM - 5:30 PM 4960 W Newberry Rd Ste 280 Fax: (352) 244-5204 (352) 378-2121 Sun 10:00 AM - 5:30 PM Gainesville, FL 32607 00 Yrs/130 Yrs Fax: (352) 379-6290 (352) 378-4960 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Minuteclinic LLC Fax: (352) 378-1552 Provider ID: 1129577 18 Yrs/130 Yrs TC Medical Supply LLC Hospice of Citrus County Inc Minuteclinic In CVS/ M-F 8:00 AM - 5:00 PM Pharmacy Provider ID: 1136136 Provider ID: 727812 4354 NW 23rd Ave Durable Medical 5200 W Newberry Rd Ste E7 Alachua Team Gainesville, FL 32606 Equipment Gainesville, FL 32607 18646 High Springs Main St (866) 389-2727 (352) 260-0844 High Springs, FL 32643 Fax: (401) 216-3854 Ahp Home Care Alliance of Fax: (352) 506-6623 (386) 454-1338 00 Yrs/130 Yrs Gainesville 00 Yrs/130 Yrs Fax: (386) 454-1358 M-F 8:30 AM - 7:30 PM Provider ID: 1205568 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Sat 9:00 AM - 5:30 PM Ahp Home Care Alliance of Languages: Spanish Sun 10:00 AM - 5:30 PM Gainesvil Hearing Aid Supplier 6645 SW Archer Rd Infusion Therapy Diagnostic Imaging Gainesville, FL 32608 Robbins, Gregory Had (352) 244-5200 Provider ID: TPV08962-01 Barnes Healthcare of Florida Doctors Imaging Group LLC Fax: (352) 244-5204 Gender: Male LLC 00 Yrs/130 Yrs Gainesville Hearing Aid Provider ID: 686674 Provider ID: 165736 M-F 8:00 AM - 5:00 PM Center 1700 NW 80th Blvd Doctors Imaging Group 1003 NW 23 Ave Gainesville, FL 32606 6716 NW 11th Pl Apria Healthcare LLC Gainesville, FL 32609 (813) 888-7607 Gainesville, FL 32605 Provider ID: 1245926 (352) 376-0095 Fax: (844) 275-5874 (352) 331-9729 4040 W Newberry Rd STE1200 Fax: (352) 376-0442 00 Yrs/130 Yrs Fax: (352) 331-9744 Gainesville, FL 32607 21 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs (352) 374-4227 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (888) 492-0010 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 208 Updated: 01/04/2019 Ancillary Providers Alachua Nutrition O and P Clinical Technologies Skilled Nursing Facility Shands Solantic Joint Venture Inc LLC Talbot, Erin MD Provider ID: 501558 Park Meadows Health and Provider ID: 692186 Provider ID: 927935 Gainesville Prosthetics Rehab Center 720 SW 2nd Ave Gender: Female 3870 NW 83rd St Provider ID: 413593 Gainesville, FL 32601 Shands Nutrition Gainesville, FL 32606 3250 SW 41st Pl (352) 240-8000 2000 SW Archer Rd (352) 331-4221 Gainesville, FL 32608 Fax: (352) 377-6039 Gainesville, FL 32608 Fax: (352) 332-8074 (352) 378-1558 00 Yrs/130 Yrs (352) 265-0400 00 Yrs/130 Yrs Fax: (352) 377-4562 Languages: Spanish Fax: (352) 265-1071 Languages: Spanish 00 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sat-Sun 8:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM Parklands Care Center Physical Therapy Provider ID: 530561 Solantic of Orlando LLC Orthotics & Prosthetics 1000 SW 16th Ave Pediatric Physical Gainesville, FL 32601 Provider ID: 692205 Hanger Clinic Therapy-Kids On The M (352) 376-2461 Solantic of Orlando LLC Provider ID: 134894 Fax: (352) 376-7867 Gainesvi Hanger Prosthetics & Provider ID: 1562368 00 Yrs/130 Yrs 3925 NW 43rd St Orthotics Inc Pediatric PT - Kids On The Languages: Spanish Gainesville, FL 32606 3600 NW 43rd St Ste C2 Move (352) 371-1777 Gainesville, FL 32606 1203 NW 16th Ave Signature Healthcare of Fax: (352) 371-0298 (352) 372-8694 Gainesville, FL 32601 Gainesville 00 Yrs/130 Yrs Fax: (352) 376-1229 (352) 373-7337 Provider ID: 629071 Languages: Spanish 00 Yrs/130 Yrs Fax: (352) 377-3622 US Managed Care Servcies M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs LLP Sat-Sun 8:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM 4000 SW 20th Ave M and M Rehab Inc Gainesville, FL 32607 Provider ID: 795809 Rehabilitation Facility (352) 377-1981 Mid Florida Prosthetics Fax: (352) 377-0277 6608 NW 9th Blvd Acg Therapy Center Inc 00 Yrs/130 Yrs Gainesville, FL 32605 (352) 331-3399 Provider ID: 1268334 Sleep Diagnostic Studies Fax: (352) 331-9927 4907 NW 43rd St Ste C 00 Yrs/130 Yrs Gainesville, FL 32606 Gainesville Sleep Lab LLC M-TH 8:00 AM - 5:00 PM (352) 372-0047 Provider ID: 1201969 F 8:00 AM - 4:00 PM Fax: (352) 502-4210 Gainesville Sleep Lab, LLC 00 Yrs/21 Yrs 9200 NW 36th Pl Ste B Mid Florida Prosthetics and M-F 8:00 AM - 6:00 PM Gainesville, FL 32606 Orthotics (352) 376-8587 Provider ID: 902310 Lake Area Physical Therapy Fax: (352) 376-8588 Mid Florida Prosthetics and 18 Yrs/130 Yrs Orthoti Provider ID: 167061 M-F 8:00 AM - 4:30 PM 6608 NW 9th Blvd Lake Area Physcial Therapy Gainesville, FL 32605 25727 NE State Rd 26 Urgent Care Center (352) 331-3399 Melrose, FL 32666 Fax: (352) 331-9927 (352) 475-3113 Quick Care Med Pl 00 Yrs/130 Yrs Fax: (352) 475-5796 Provider ID: 789465 M-TH 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Quick Care Med F 8:00 AM - 4:00 PM MW 8:00 AM - 6:00 PM 25050 W Newberry Rd TTHF 8:00 AM - 5:00 PM Newberry, FL 32669 (352) 527-7425 00 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM Sat-Sun 9:00 AM - 4:00 PM

www.wellcare.com/Florida | 209 Updated: 01/04/2019 Ancillary Providers All Durable Medical Equipment

Durable Medical Equipment For Additional Providers and Locations Please Call: (866) 334-7927 Home Health Care

Home Health Care For Additional Providers and Locations Please Call: (866) 334-7927 Laboratory Pathology Testing

Quest Diagnostics For Additional Providers and Locations Please Call: (888) 277-8772

www.wellcare.com/Florida | 210 Updated: 01/04/2019 Ancillary Providers Baker Convenient Care Clinic

Minuteclinic LLC Provider ID: 1129577 Minuteclinic In CVS/ Pharmacy 121 W Macclenny Ave Macclenny, FL 32063 (866) 389-2727 Fax: (401) 216-3854 00 Yrs/130 Yrs M-F 8:30 AM - 7:30 PM Sat 9:00 AM - 5:30 PM Sun 10:00 AM - 5:30 PM Skilled Nursing Facility

Macclenny Nursing and Rehab Center Provider ID: 167811 Sovereign Healthcare 755 S 5th St Macclenny, FL 32063 (904) 259-4873 Fax: (904) 259-5381 18 Yrs/110 Yrs

www.wellcare.com/Florida | 211 Updated: 01/04/2019 Ancillary Providers Bradford Rehabilitation Facility

Lake Area Physical Therapy

Provider ID: 167061 Lake Area Physcial Therapy 1554 S Water St Starke, FL 32091 (904) 964-2208 Fax: (904) 966-2203 00 Yrs/130 Yrs MW 8:00 AM - 6:00 PM TTHF 8:00 AM - 5:00 PM Physical Therapy and Rehabilitation Clin Provider ID: 1043167 Preferred Physical Therapy 319 W Call St Starke, FL 32091 (904) 368-1257 Fax: (904) 368-1258 12 Yrs/130 Yrs M-TH 8:00 AM - 7:00 PM F 8:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM Physical Therapy and Rehabilitation Clin Provider ID: 1043167 Preferred Physical Therapy 319 W Call St Ste A Starke, FL 32091 (904) 368-1257 Fax: (904) 368-1258 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 212 Updated: 01/04/2019 Ancillary Providers Citrus Ambulatory Surgery Diagnostic and Treatment West Hernando Diag And Hospice of Citrus County Inc Center Center MRI Center Provider ID: 09686 Provider ID: 727812 Citrus Endoscopy & Srg PET Services of Florida Citrus Open MRI Center Citrus East Home Team Center Provider ID: 374609 2687 E Gulf To Lake Hwy 326 S Line Ave Provider ID: 174070 Pet CT Services of Florida LLC Inverness, FL 34453 Inverness, FL 34452 6410 W Gulf To Lake Hwy 3404 N Lecanto Hwy (352) 637-4466 (352) 560-0105 Crystal River, FL 34429 Beverly Hills, FL 34465 Fax: (352) 637-4482 Fax: (352) 560-0143 (352) 563-2450 (352) 746-6888 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 746-3335 M-F 8:00 AM - 5:00 PM Languages: Spanish Citrus Endoscopy & Srg 00 Yrs/130 Yrs Center Languages: Spanish Hearing Aid Supplier Hospice of Citrus County Inc Suncoast Endoscopy Center M-F 8:00 AM - 5:00 PM Bush, Leslie Had Provider ID: 727812 Citrus Endoscopy & Srg Provider ID: TPV08685-01 Center Diagnostic Imaging Citrus Facility Team Gender: Female Provider ID: 174070 3280 W Audubon Park Path Hearmore Solutions 6412 W Gulf To Lake Hwy Homosassa Open MRI, Inc Lecanto, FL 34461 6441 W. Norvell Bryant Hwy Crystal River, FL 34429 Provider ID: 273946 (352) 746-6578 Crystal River, FL 34429 (352) 563-0223 8464 W Aquaduct St Fax: (352) 746-7254 (352) 795-3277 Fax: (352) 563-2961 Homosassa, FL 34448 00 Yrs/130 Yrs 21 Yrs/99 Yrs 00 Yrs/130 Yrs (352) 628-4800 Languages: Spanish M-F 9:00 AM - 5:00 PM Citrus Endoscopy & Srg Fax: (352) 628-4801 Center 05 Yrs/130 Yrs Hospice of Citrus County Inc Suncoast Endoscopy Center M-F 8:00 AM - 5:00 PM Petty, Jason Had M-F 7:00 AM - 4:00 PM Provider ID: TPV17202-01 Provider ID: 727812 Inverness Medical Imaging Gender: Male Citrus West Home Team Citrus Regional Surgery Provider ID: 324686 Tri County Audiology Hearing 8471 W Periwinkle Ln Aid Services Inc Center LP 2105 Hwy 44 W Homosassa, FL 34446 3519 N Lecanto Hwy Provider ID: 506424 Inverness, FL 34453 (352) 621-1500 Beverly Hills, FL 34465 Citrus Regional Surgery (352) 419-4818 Fax: (352) 621-1599 (352) 746-1133 Center, LP Fax: (352) 637-1034 00 Yrs/130 Yrs Fax: (352) 746-3474 110 N Lecanto Hwy 00 Yrs/130 Yrs Languages: Spanish Lecanto, FL 34461 M-F 9:00 AM - 5:00 PM 21 Yrs/99 Yrs (352) 527-1825 M-F 9:00 AM - 5:00 PM Hospice of Citrus County Inc Fax: (352) 527-1827 Inverness Medical Imaging Home Health Care 00 Yrs/130 Yrs Provider ID: 324686 Provider ID: 727812 Languages: Spanish, German 2105 St Rd 44 W Hospice House M-F 5:30 AM - 5:00 PM Inverness, FL 34452 Family Life Care Inc Provider ID: 1159207 3350 W Audubon Park Path (352) 637-6100 216 S Apopka Ave Ste B Lecanto, FL 34461 Suncoast Endoscopy Center 00 Yrs/130 Yrs Inverness, FL 34452 (352) 746-6578 Provider ID: 196653 M-F 8:00 AM - 5:00 PM 3621 E Forest Dr (352) 344-5228 Fax: (352) 746-7254 00 Yrs/130 Yrs Inverness, FL 34453 Sugar Mill Diagnostic Imaging Fax: (352) 344-0894 Languages: Spanish (352) 637-2787 LLC 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM Fax: (352) 637-2525 Provider ID: 452366 Hospice of Citrus County Inc 00 Yrs/130 Yrs 8303 S Suncoast Blvd Citrus Endoscopy & Srg Homosassa, FL 34446 Hospice Provider ID: 727812 Center (352) 628-9900 Hospice of Citrus County Inc Hospice of Citrus Suncoast Endoscopy Center Fax: (352) 628-9700 M-F 7:00 AM - 3:00 PM Provider ID: 727812 Administration 00 Yrs/130 Yrs 10 Regina Blvd 3264 W Audubon Park Path M-F 8:00 AM - 5:00 PM Beverly Hills, FL 34465 Lecanto, FL 34461 (352) 527-2348 (352) 527-2020 Fax: (352) 527-9240 Fax: (352) 527-0386 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish Languages: Spanish

www.wellcare.com/Florida | 213 Updated: 01/04/2019 Ancillary Providers Citrus Hospice - cont. TLC Rehab Inc Diamond Ridge Health & Provider ID: 178117 Rehab Center Hph Hospice 10511 N Florida Ave Provider ID: 370467 Provider ID: 21043 Citrus Springs, FL 34434 2730 W Marc Knighton Ct Hernando Pasco Hospice (352) 465-5880 Lecanto, FL 34461 2341 W Norvell Bryant Hwy Fax: (352) 382-1146 (352) 746-9500 Lecanto, FL 34461 00 Yrs/130 Yrs Fax: (352) 746-9666 (352) 746-5700 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 746-5704 Languages: Spanish 00 Yrs/130 Yrs TLC Rehab Inc M-F 9:00 AM - 5:00 PM Provider ID: 178117 Urgent Care Center 8477 S Suncoast Blvd Hph Hospice Homosassa, FL 34446 Quick Care Med Pl Provider ID: 21043 (352) 382-7214 Provider ID: 789465 Hernando Pasco Hospice Fax: (352) 382-7781 Quick Care Med 3545 N Lecanto Hwy 00 Yrs/130 Yrs 1907 Hwy 44 W Beverly Hills, FL 34465 M-F 8:00 AM - 5:00 PM Inverness, FL 34453 (352) 527-4600 (352) 344-2273 Fax: (352) 527-4507 Skilled Nursing Facility Fax: (352) 344-2204 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Citrus County Operations LLC M-F 9:00 AM - 7:00 PM Sat-Sun 9:00 AM - 4:00 PM Orthotics & Prosthetics Provider ID: 1357666 Life Care Center of Citrus Quick Care Med Pl Hanger Clinic County Provider ID: 789465 Provider ID: 134894 3325 W Jerwayne Lane Quick Care Med Hanger Prosthetics & Lecanto, FL 34461 3956 S Suncoast Blvd Orthotics Inc (352) 746-4434 Homosassa, FL 34448 221 W Main St Fax: (352) 746-7022 (352) 628-0911 Inverness, FL 34450 00 Yrs/130 Yrs Fax: (352) 563-0919 (352) 726-5966 00 Yrs/130 Yrs Fax: (352) 726-2039 Citrus Health and M-F 9:00 AM - 7:00 PM 00 Yrs/130 Yrs Rehabilitation Center Sat-Sun 9:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1307961 701 Medical Ct E Quick Care Med Pl Sonlife Prosthetics & Inverness, FL 34452 Provider ID: 789465 Orthotics Inc (352) 860-0200 Quick Care Med Provider ID: 172792 Fax: (352) 860-0975 659 NE Hwy 19 Unit 1 Point Health Centers of 50 Yrs/110 Yrs Crystal River, FL 34429 America Inc (352) 563-0911 2024 Hwy 44 W Citrus Hills Nh LLC Fax: (352) 563-0919 Inverness, FL 34453 Provider ID: 1018504 00 Yrs/130 Yrs (352) 344-8200 124 W Norvell Bryant Hwy MTWTHFSatSun 9:00 AM ­ Fax: (352) 344-5997 Hernando, FL 34442 7:00 PM 00 Yrs/130 Yrs (352) 249-3100 M-F 8:30 AM - 5:00 PM Fax: (352) 746-0748 Rehabilitation Facility 00 Yrs/130 Yrs Cypress Cove Care Center Pcs Superior Therapy Services Inc Provider ID: 14780 Provider ID: 1145190 700 SE 8th Ave 315 NE 10th Ave Crystal River, FL 34429 Crystal River, FL 34429 (352) 795-8832 (352) 795-7006 Fax: (352) 795-0490 Fax: (352) 795-7008 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 7:30 AM - 7:00 PM

www.wellcare.com/Florida | 214 Updated: 01/04/2019 Ancillary Providers Clay Convenient Care Clinic Dialysis Hearing Aid Supplier Hospice

Minuteclinic LLC Ara-Orange Park LLC Silverman, Richard Had Haven Hospice Provider ID: 1129577 Provider ID: 1482040 Provider ID: TPV08931-02 Provider ID: 818120 Minuteclinic In CVS/ Northeast Florida Dialysis Gender: Male Haven Hospice Inpatient Pharmacy Center American Hearing Care 745 Blanding Blvd 906 Blanding Blvd 2141 Loch Rane Blvd Ste 115 1990 Kingsley Ave Orange Park, FL 32065 Orange Park, FL 32065 Orange Park, FL 32073 Orange Park, FL 32073 (904) 213-2506 (866) 389-2727 (904) 272-7331 (904) 264-0075 00 Yrs/130 Yrs Fax: (401) 216-3854 Fax: (904) 272-9425 Fax: (904) 264-0136 00 Yrs/130 Yrs 00 Yrs/130 Yrs 21 Yrs/99 Yrs Haven Hospice M-F 8:30 AM - 7:30 PM MTWTHFSat 6:00 AM - 6:00 M-F 9:00 AM - 5:00 PM Provider ID: 818120 Sat 9:00 AM - 5:30 PM PM Haven Hospice Satellite Sun 10:00 AM - 5:30 PM Home Health Care 741 Blanding Blvd Clay County Dialysis Orange Park, FL 32065 Diagnostic Imaging Provider ID: 1178747 Ardnas Health Care Services (904) 212-2639 Total Renal Care Inc of Jacksonvi 00 Yrs/130 Yrs A1 Imaging 1784 Blanding Blvd Provider ID: 1146974 Provider ID: 27292 Middleburg, FL 32068 Ardnas Health Care Services Orthotics & Prosthetics A1 Imaging of Orange Park (904) 291-1537 2105 Park Ave Ste 25 1566 Kingsley Ave Fax: (904) 282-9869 Orange Park, FL 32073 Florida O and P Services Inc Orange Park, FL 32073 00 Yrs/130 Yrs (904) 278-5462 (904) 278-2128 M-W 6:00 AM - 4:00 PM Fax: (904) 215-1462 Provider ID: 793586 Fax: (904) 278-2129 12 Yrs/130 Yrs 1555 Kingsley Ave Ste 505 00 Yrs/130 Yrs Middleburg Dialysis LLC M-F 9:00 AM - 5:00 PM Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM Provider ID: 1482094 (904) 278-7025 2070 Palmetto St Ste 9 Doctors Choice Jacksonville Fax: (904) 278-7027 LCM Imaging Inc Middleburg, FL 32068 LLC 00 Yrs/130 Yrs Provider ID: 405122 (904) 406-5560 Provider ID: 1138168 M-F 9:00 AM - 5:00 PM Advanced Diagnostic Group Fax: (904) 406-5559 Doctors Choice Home Health 1465 Kingsley Ave Ste 1404 00 Yrs/130 Yrs 1536 Kingsley Ave Ste 122 123 Hanger Clinic Orange Park, FL 32073 MTWTHFSat 6:00 AM - 6:00 Orange Park, FL 32073 Provider ID: 134894 (904) 458-0141 PM (904) 269-6868 Hanger Prosthetics and Fax: (904) 458-4802 Fax: (866) 898-3261 Orthotics 05 Yrs/130 Yrs Durable Medical 00 Yrs/130 Yrs 4611 US Hwy 17 Languages: Spanish Equipment Orange Park, FL 32003 M-F 7:00 AM - 7:00 PM Family Life Care Inc (904) 269-4993 Sat 8:00 AM - 4:00 PM Mayhugh Drugs Inc Provider ID: 1159207 Fax: (904) 269-4587 555 Wells Rd 00 Yrs/130 Yrs Southern Cardiac Nuclear Provider ID: 1131695 Orange Park, FL 32073 M-F 9:00 AM - 5:00 PM Imaging LLC 200B S Orange Ave (904) 579-1581 Provider ID: 275058 Green Cove Springs, FL 32043 Fax: (904) 375-1673 Physical Therapy 1590 Island Ln Ste 1 (904) 284-8683 00 Yrs/130 Yrs Orange Park, FL 32003 Fax: (904) 254-7918 M-F 8:00 AM - 4:00 PM Rebound Rehabilitative (352) 332-5755 00 Yrs/130 Yrs Services Inc Fax: (904) 278-2866 M-F 9:00 AM - 5:00 PM Golden Heart Home Health Provider ID: 1211417 00 Yrs/130 Yrs Care 904 Park Ave Ste 2 M-F 8:00 AM - 5:00 PM Medco Inc Provider ID: 1429090 Orange Park, FL 32073 Provider ID: 1146977 Baitan Enterprises Co. (904) 824-1636 CMS Imaging Medco Inc 1700 Wells Rd Ste 23 Fax: (904) 824-7488 653 Kingsley Ave Orange Park, FL 32073 12 Yrs/130 Yrs Orange Park, FL 32073 (904) 541-0222 Languages: Hindi (904) 264-8154 Fax: (904) 541-0333 M-F 8:00 AM - 5:00 PM Fax: (904) 264-1509 00 Yrs/130 Yrs 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Spanish M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 215 Updated: 01/04/2019 Ancillary Providers Clay Rehabilitation Facility Physical Therapy and Life Care Center of Orange Rehabilitation Clin Park Heartland Rehabilitations Provider ID: 1043167 Provider ID: 1096993 Services of Florida Preferred Physical Therapy Managed Care Consultants of Provider ID: 1049321 1835 Eastwest Pkwy Ste 16 Florida Inc Heartland Rehabilitations Fleminng Island, FL 32003 2145 Kingsley Ave Services (904) 215-3958 Orange Park, FL 32073 2710 Blanding Blvd Ste 305 Fax: (904) 215-3970 (904) 272-2424 Middleburg, FL 32068 12 Yrs/130 Yrs Fax: (904) 272-0013 (904) 282-8640 M-TH 8:00 AM - 7:00 PM 18 Yrs/130 Yrs Fax: (904) 282-8696 F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Sat 9:00 AM - 12:00 PM Signature Healthcare of M-TH 8:00 AM - 6:00 PM Orange Park F 8:00 AM - 5:00 PM Physical Therapy and Provider ID: 465624 Rehabilitation Clin 2029 Professional Center Dr Heartland Rehabilitations Provider ID: 1043167 Orange Park, FL 32073 Services of Florida Preferred Physical Therapy (904) 272-6194 Provider ID: 1049321 2140 Kingsley Ave Ste 5 Fax: (904) 272-2085 Heartland Rehabilitations Orange Park, FL 32073 00 Yrs/130 Yrs Services (904) 272-2830 554 Kingsley Ave Fax: (904) 272-8814 Urgent Care Center Orange Park, FL 32073 12 Yrs/130 Yrs (904) 264-0792 MWF 8:00 AM - 5:00 PM Care Spot Urgent Care Fax: (904) 264-0970 TTH 8:00 AM - 7:00 PM Provider ID: 956974 00 Yrs/130 Yrs Solantic of Jacksonville LLC M-TH 7:00 AM - 7:00 PM Therapyworks of Jacksonville 1708 Blanding Blvd F 7:00 AM - 4:00 PM Inc Middleburg, FL 32068 Sat 9:00 AM - 1:00 PM Provider ID: 1042713 (904) 406-8240 Therapy Works of Orange Fax: (904) 291-4376 Heartland Rehabilitations Park 00 Yrs/130 Yrs Services of Florida 1409 Kingsley Ave Bldg 3 MTWTHFSatSun 8:00 AM ­ Provider ID: 1049340 Orange Park, FL 32073 8:00 PM Heartland Rehabilitations (904) 348-5511 Services Fax: (904) 348-6601 4711 US Hwy 17 Ste B3 00 Yrs/130 Yrs Fleming Island, FL 32003 MTTHF 9:00 AM - 7:00 PM (904) 264-9400 W 9:00 AM - 4:00 PM Fax: (904) 264-2712 00 Yrs/130 Yrs Skilled Nursing Facility MWF 7:00 AM - 5:00 PM TTH 7:30 AM - 5:00 PM Heartland Health Care Orange Park Lake Area Physical Therapy Provider ID: 10532 570 Wells Rd Provider ID: 167061 Orange Park, FL 32073 Lake Area Physcial Therapy (904) 264-3912 465 S Lawrence Blvd Fax: (904) 264-6751 Keystone Heights, FL 32656 00 Yrs/130 Yrs (352) 473-7560 Fax: (352) 473-7566 00 Yrs/130 Yrs MW 8:00 AM - 6:00 PM TTHF 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 216 Updated: 01/04/2019 Ancillary Providers Columbia Ambulatory Surgery Baya Pharmacy Orthotics & Prosthetics Heartland Rehabilitations Center Provider ID: 1185532 Services of Florida Baya Medical Hanger Clinic Provider ID: 1049361 North Florida Surgery Center 1465 W US Hwy 90 Ste 100 Provider ID: 134894 Heartland Rehabilitations Lake City, FL 32055 Hanger Prosthetics and Services Provider ID: 818297 (386) 755-2277 Orthotics 1852 SW Barnett Way Ste 101 North Florida Surgery Center, Fax: (386) 466-1923 457 SW Perimeter Gln Ste 102 Lake City, FL 32025 Inc 00 Yrs/130 Yrs Lake City, FL 32025 (386) 752-7332 256 SW Professional Gln M 8:30 AM - 5:30 PM (386) 719-2078 Fax: (386) 752-5256 Lake City, FL 32025 TWTHF 8:30 AM - 8:30 PM Fax: (386) 719-4852 00 Yrs/130 Yrs (386) 758-8937 00 Yrs/130 Yrs M-TH 8:00 AM - 6:00 PM Fax: (386) 755-2169 North Florida Medical Sales M-F 8:00 AM - 5:00 PM F 8:00 AM - 2:00 PM 00 Yrs/130 Yrs and Rentals North Florida Surgery Center Provider ID: 1138108 M and M Rehab Inc Skilled Nursing Facility M-F 6:00 AM - 5:00 PM North Florida Medical Sales Provider ID: 795809 and Ren Mid Florida Prosthetics Solaris Healthcare Lake City Diagnostic Imaging 347 SW Main Blvd Ste 101 757 W Duval St Lake City, FL 32025 Lake City, FL 32055 Provider ID: 163468 Physicians Imaging Lake City (386) 755-4995 (386) 755-5774 Managed Care Consultants LLC Fax: (386) 755-3623 Fax: (386) 755-5785 560 SW McFarlane Ave Provider ID: 710993 00 Yrs/130 Yrs 00 Yrs/130 Yrs Lake City, FL 32025 404 NW Hall of Fame Dr M-F 8:00 AM - 6:30 PM MT 8:00 AM - 5:00 PM (386) 758-4777 Lake City, FL 32055 Sat 9:00 AM - 1:30 PM Fax: (386) 961-9296 (386) 487-3970 Mid Florida Prosthetics and 00 Yrs/130 Yrs Fax: (386) 487-3972 Hospice Orthotics Languages: Spanish 00 Yrs/130 Yrs Provider ID: 902321 M-F 8:30 AM - 5:30 PM Haven Hospice Mid Florida Prosthetics and Provider ID: 818120 Orthoti Dialysis Haven Hospice Satellite 757 W Duval St 6037 W US Hwy 90 Lake City, FL 32055 Columbia County Dialysis Lake City, FL 32055 (386) 755-5774 Provider ID: 1130768 (386) 752-9191 Fax: (386) 755-5785 1389 W US Hwy 90 Ste 100 Fax: (386) 752-4118 00 Yrs/130 Yrs Lake City, FL 32055 00 Yrs/130 Yrs MT 8:00 AM - 5:00 PM (386) 466-0197 Fax: (386) 292-8992 Hospice of Citrus County Inc Rehabilitation Facility 18 Yrs/130 Yrs Healthworks Rehabilitation of M-W 5:00 AM - 3:00 PM Provider ID: 727812 Suwannee Team Lake City Durable Medical 857 SW Main Blvd Ste 125 Provider ID: 1050654 Equipment Lake City, FL 32025 Healthworks Rehabilitation of (386) 755-7714 Lake 1206 SW Main Blvd Ste 101 Apria Healthcare LLC Fax: (386) 755-7726 Lake City, FL 32025 Provider ID: 1245926 00 Yrs/130 Yrs (386) 752-1652 1389 W US Hwy 90 Ste 150 Languages: Spanish Fax: (386) 752-0939 Lake City, FL 32055 05 Yrs/130 Yrs (386) 752-6348 M-F 8:00 AM - 5:00 PM Fax: (888) 492-0010 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 217 Updated: 01/04/2019 Ancillary Providers Dixie Skilled Nursing Facility

Cross City Rehab and Health Care Center Provider ID: 550411 US Managed Care Services LLC 583 NE 351 Hwy Cross City, FL 32628 (352) 498-2005 Fax: (352) 498-2006 18 Yrs/130 Yrs Languages: Spanish

www.wellcare.com/Florida | 218 Updated: 01/04/2019 Ancillary Providers Gilchrist Durable Medical Equipment

Home Respiratory Solutions Inc Provider ID: 1129176 Home Respiratory Solutions Inc. 1535 E Wade St Ste A Trenton, FL 32693 (352) 463-6575 Fax: (352) 463-6424 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Skilled Nursing Facility

Ayers Health and Rehab Center Provider ID: 14801 606 NE 7th St Trenton, FL 32693 (352) 463-7101 Fax: (352) 463-7710 21 Yrs/130 Yrs Languages: Spanish

www.wellcare.com/Florida | 219 Updated: 01/04/2019 Ancillary Providers Lafayette Skilled Nursing Facility

Lafayette Nursing and Rehabilitation Cen Provider ID: 628728 512 W Main St Mayo, FL 32066 (386) 294-3300 Fax: (386) 294-3301 00 Yrs/130 Yrs

www.wellcare.com/Florida | 220 Updated: 01/04/2019 Ancillary Providers Levy Hospice Rehabilitation Facility

Haven Hospice Heartland Rehabilitations Provider ID: 818120 Services of Florida Haven Hospice Satellite Provider ID: 1049361 311 NE 9th St Heartland Rehabilitations Chiefland, FL 32626 Services (352) 493-2333 2014 NW 11th Dr Fax: (352) 493-0553 Chiefland, FL 32626 00 Yrs/130 Yrs (352) 493-7776 Fax: (352) 493-0337 Hospice of Citrus County Inc 00 Yrs/130 Yrs MTTH 8:00 AM - 6:00 PM Provider ID: 727812 WF 8:00 AM - 3:00 PM Dixie Team 304 N Main St Respiratory Therapy Chiefland, FL 32626 (352) 493-1181 Diagnostic Medical Testing Inc Fax: (352) 493-1971 00 Yrs/130 Yrs Provider ID: 1456298 Languages: Spanish 13891 SW 77th Pl Cedar Key, FL 32625 Hospice of Citrus County Inc (877) 202-1191 Fax: (866) 323-3781 Provider ID: 727812 00 Yrs/130 Yrs Levy Team Languages: Spanish 24B Hwy 40 E M-F 9:00 AM - 5:00 PM Inglis, FL 34449 (352) 447-4002 Skilled Nursing Facility Fax: (352) 447-4003 00 Yrs/130 Yrs Williston Care Center Languages: Spanish Provider ID: 703355 300 NW 1st Ave Orthotics & Prosthetics Williston, FL 32696 (352) 528-3561 Tri-County Orthotic Fax: (352) 528-0250 Prosthetic Institute 00 Yrs/130 Yrs Provider ID: 785644 1411 NW 23rd Ave Urgent Care Center Chiefland, FL 32626 (352) 493-0360 Quick Care Med Pl Fax: (352) 493-0369 Provider ID: 789465 00 Yrs/130 Yrs Quick Care Med M-F 9:00 AM - 5:00 PM 514 W Noble Ave Williston, FL 32696 (352) 528-9355 Fax: (352) 528-7427 00 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM Sat-Sun 9:00 AM - 4:00 PM

www.wellcare.com/Florida | 221 Updated: 01/04/2019 Ancillary Providers Madison Dialysis

Four Freedoms Dialysis Provider ID: 360801 Dva Renal Healthcare Inc 289 SW Range Ave Ste A Madison, FL 32340 (850) 973-3852 Fax: (850) 973-9861 00 Yrs/130 Yrs M-W 6:00 AM - 6:00 PM Orthotics

Wells, Kenneth Co Provider ID: 150386 Gender: Male Tallahassee Orthopedic Clinic 235 SW Dade St Ste 1 Madison, FL 32340 (850) 973-2557 Fax: (850) 246-1635 00 Yrs/130 Yrs Jackson Hospital M-F 8:00 AM - 4:30 PM Skilled Nursing Facility

Lake Park of Madison Nursing and Rehabil Provider ID: 14800 259 SW Captain Brown Rd Madison, FL 32340 (850) 973-8277 Fax: (850) 973-4006 18 Yrs/130 Yrs

Madison Nursing Center Provider ID: 303130 2481 W US 90 Madison, FL 32340 (850) 973-4880 Fax: (850) 973-2667 00 Yrs/130 Yrs Languages: Spanish

www.wellcare.com/Florida | 222 Updated: 01/04/2019 Ancillary Providers Marion Ambulatory Surgery Surgery Center of Ocala LLC Diagnostic Imaging Clinical PET of Ocala LLC Center Provider ID: 194672 A1 Imaging Provider ID: 205367 Endoscopy Center of Ocala 3241 SW 34th St Provider ID: 27292 Clinical Pet of Ocala MRI Inc Ocala, FL 34474 A1 Imaging of Aventura 7494 SW 60th Ave Ste B Provider ID: 681456 (352) 237-5906 301 SE 17th St Unit 102 Ocala, FL 34476 Lake Endoscopy Center Fax: (352) 237-5785 Ocala, FL 34471 (352) 291-9484 17355 SE 109th Terrace Rd 00 Yrs/130 Yrs (352) 622-7459 Fax: (352) 291-1220 Summerfield, FL 34491 Languages: Spanish Fax: (352) 622-9238 00 Yrs/130 Yrs (352) 245-0846 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Spanish Fax: (352) 245-7768 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Villages Endoscopy Center Endoscopy Center of Ocala LLC Belleview Imaging Center Diagnostic Outpatient Inc Provider ID: 812685 Centers of Ocala M-TH 7:00 AM - 5:00 PM 10900 SE 174th Place Rd Provider ID: 231502 Provider ID: 369650 Summerfield, FL 34491 Belleview Imaging Docs of Ocala Marion Surgery Center LLC (352) 245-7427 10762 SE US Hwy 441 1030 SE 17th St Fax: (352) 245-2387 Belleview, FL 34420 Ocala, FL 34471 Provider ID: 1177517 00 Yrs/130 Yrs (352) 307-5070 (352) 401-3627 2207 SW 1st Ave Villages Endoscopy Center Fax: (352) 347-1073 Fax: (352) 401-0444 Ocala, FL 34471 LLC 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 732-4020 M-F 8:00 AM - 5:00 PM Languages: Spanish M-F 8:00 AM - 5:00 PM Fax: (352) 732-4042 M-F 9:00 AM - 5:00 PM 02 Yrs/130 Yrs Birthing Center Ocala Health Imaging Services M-F 8:00 AM - 5:00 PM Clinical PET of Ocala LLC The Ocala Birth Center LLC Provider ID: 780052 Provider ID: 25048 Mid Florida Endoscopy and Radiological Institute of Ocala 2300 SE 17th St Bldg 800 Surgery Center Provider ID: 1005414 419 SW 15th St Ste 200 Ocala, FL 34471 Provider ID: 727366 5455 SE Maricamp Rd Ocala, FL 34471 (352) 867-9606 Mid Florida Endoscopy and Ocala, FL 34480 (352) 622-3002 Fax: (352) 867-9686 Surgery C (352) 286-7681 Fax: (352) 622-3005 00 Yrs/130 Yrs 1950 SW 18th Ct Ste 102 Fax: (352) 369-8328 00 Yrs/130 Yrs Languages: Spanish Ocala, FL 34471 00 Yrs/130 Yrs Languages: Spanish M-F 7:30 AM - 6:00 PM (352) 861-8555 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM Fax: (352) 401-0124 03 Yrs/95 Yrs Diagnostic and Treatment Clinical PET of Ocala LLC Dialysis Mid Florida Endoscopy and Center Surgery Center Ocala Region Kidney Ctrs Provider ID: 205367 Home Dialys Div Languages: Spanish PET Services of Florida 3233 SW 33rd Rd Ste 301 Provider ID: 553474 M-F 8:00 AM - 4:30 PM Provider ID: 374609 Ocala, FL 34474 2860 SE 1st Ave Pet Services of Florida LLC (352) 861-4602 Ocala Endoscopy ASC Ocala, FL 34471 1541 SW 1st Ave Ste 101 Fax: (352) 387-1230 Provider ID: 187448 (352) 622-8758 Ocala, FL 34471 00 Yrs/130 Yrs Ocala Endoscopy ASC LLC Fax: (352) 622-8658 (352) 622-1133 Languages: Spanish 1160 SE 18th Pl 18 Yrs/130 Yrs Fax: (352) 795-9262 M-F 8:00 AM - 5:00 PM Ocala, FL 34471 00 Yrs/130 Yrs MTWTHFSatSun 8:00 AM - 5:00 PM (352) 732-8905 Languages: Spanish Clinical PET of Ocala LLC Fax: (352) 732-2440 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Ocala Regional Kidney Center Provider ID: 205367 Ocala Endoscopy ASC North Clinical Pet of Ocala M-F 7:00 AM - 5:00 PM Provider ID: 310907 3143 SW 32nd Ave Ste 100 Renal Treatment Centers SE Ocala, FL 34474 LP (352) 291-0014 2620 W Hwy 316 Fax: (352) 291-0057 Citra, FL 32113 00 Yrs/130 Yrs (352) 591-4680 Languages: Spanish Fax: (352) 591-4679 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 223 Updated: 01/04/2019 Ancillary Providers Marion Dialysis - cont. Home Respiratory Solutions Hospice of Marion County Inc J Hill Pedorthics Inc Provider ID: 1122368 Ocala Regional Kidney Provider ID: 1129176 Provider ID: 959311 3423 E Slvr Spg Blvd Ste 2 Center-East Home Respiratory Solutions Legacy House Ocala, FL 34470 Provider ID: 186425 Inc. 9505 SW 110th St (352) 390-6113 Renal Treatment Centers SE 3315 SW 13th St Ste 202 Ocala, FL 34481 Fax: (352) 390-6973 LP Ocala, FL 34474 (352) 291-5100 00 Yrs/130 Yrs 2870 SE 1st Ave (352) 861-2337 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Ocala, FL 34471 Fax: (352) 861-0843 (352) 351-9140 00 Yrs/130 Yrs Hospice of Marion County Inc M and M Rehab Inc Fax: (352) 351-9150 M-F 9:00 AM - 5:00 PM Provider ID: 795809 00 Yrs/130 Yrs Provider ID: 959311 Mid Florida Prosthetics and Oxylife Respiratory Services M-F 9:00 AM - 5:00 PM Sylvias House Orthoti LLC 2895 SE 62nd St 2300 SE 17th St Ste 401 Ocala Regional Kidney Provider ID: 1131709 Ocala, FL 34480 Ocala, FL 34471 Center-West Oxylife Respiratory Services, (352) 351-3207 LLC (352) 629-1313 Provider ID: 171081 00 Yrs/130 Yrs Fax: (352) 351-3267 Renal Treatment Centers SE 6405 SW 38th St Bldg 100 00 Yrs/130 Yrs LP 101-104 Hospice of Marion County Inc M-TH 8:00 AM - 5:00 PM 9401 SW Hwy 200 Bldg 600 Ocala, FL 34474 F 8:00 AM - 4:00 PM Ocala, FL 34481 (352) 873-2971 Provider ID: 959311 (352) 873-9371 Fax: (352) 873-2972 Tuscany House Physical Therapy Fax: (352) 873-9389 00 Yrs/130 Yrs 17395 SE 109th Terrace Rd 00 Yrs/130 Yrs Languages: Spanish Empower Physical Therapy Summerfield, FL 34491 M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM LLC (352) 307-3417 Provider ID: 1036405 00 Yrs/130 Yrs Ocala West Home Training TC Medical Supply LLC Empower Physical Therapy Occupational Therapy 7750 SW 60th Ave Ste E Provider ID: 1131395 Provider ID: 1121300 Ocala, FL 34476 3315 SW 13th St Ste 201 8615 SW 103rd St Rd Kidspot Therapy PLLC (352) 433-1918 Ocala, FL 34474 Ocala, FL 34481 Provider ID: 1343122 Fax: (352) 433-0950 (352) 671-5291 (352) 854-3099 The Kidspot 02 Yrs/130 Yrs Fax: (352) 671-5292 Fax: (352) 854-3480 425 SW 14th St M-F 8:00 AM - 5:30 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs Ocala, FL 34471 M-F 9:00 AM - 5:00 PM Rehabilitation Facility MTWTHFSat 8:00 AM - 5:00 (352) 351-8300 PM Hospice Fax: (844) 382-5300 Advanced Physical Therapy of Silver Springs Shores 00 Yrs/21 Yrs Central Flo Provider ID: 765390 Hospice of Marion County Inc M-F 8:00 AM - 5:00 PM Provider ID: 1229126 9310 Spring Rd Orthotics & Prosthetics Advanced Physical Therapy of Ocala, FL 34472 Provider ID: 959311 Centra (352) 687-0403 1015 SE 17th St Ste 300 3231 SW 34th Ave Hanger Clinic Fax: (352) 687-2527 Ocala, FL 34474 Ocala, FL 34471 Provider ID: 134894 18 Yrs/130 Yrs (352) 873-7400 (352) 693-3378 MTWTHFSat 6:00 AM - 4:30 Hanger Prosthetics & Fax: (888) 758-9645 Fax: (352) 873-7435 Orthotics Inc PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs 1750 SW 1st Ave Languages: Spanish Ocala, FL 34471 Durable Medical Hospice of Marion County Inc M-F 8:00 AM - 5:00 PM Equipment (352) 351-2788 Fax: (352) 351-3582 Provider ID: 959311 Apria Healthcare LLC 00 Yrs/130 Yrs Estelles House M-F 9:00 AM - 5:00 PM Provider ID: 1245926 2897 SE 62nd St 5920 SW 25th St Ocala, FL 34480 Ocala, FL 34474 (352) 629-4556 (352) 368-1055 00 Yrs/130 Yrs Fax: (352) 861-8339 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM

www.wellcare.com/Florida | 224 Updated: 01/04/2019 Ancillary Providers Marion Rehabilitation Facility - Skilled Nursing Facility Urgent Care Center cont. Hawthorne Health Rehab of Express Care of Ocala Inc Advanced Physical Therapy of Ocala Central Flo Provider ID: 721675 Provider ID: 1121672 Provider ID: 1229126 4100 SW 33rd Ave Express Care of Ocala, Inc Advanced Physical Therapy of Ocala, FL 34474 1834 SW 1st Ave Ste 201 Centra (352) 237-7776 Ocala, FL 34471 5036 SE 110th St Fax: (352) 237-5551 (352) 732-9888 Belleview, FL 34420 00 Yrs/130 Yrs Fax: (352) 732-0490 (352) 693-3378 Languages: Spanish 00 Yrs/130 Yrs Fax: (888) 758-9645 M-F 7:00 AM - 7:00 PM 00 Yrs/130 Yrs New Horizon Rehabilitation Sat-Sun 8:00 AM - 4:00 PM Languages: Spanish Center M-F 8:00 AM - 5:00 PM Provider ID: 223759 Medone PLLC 635 SE 17th St Provider ID: 718782 Advanced Physical Therapy of Ocala, FL 34471 Medone, PLLC Central Flo (352) 629-7921 6160 SW Hwy 200 Unit 119 Provider ID: 1229126 Fax: (352) 732-8804 Ocala, FL 34476 Advanced Physical Therapy of 00 Yrs/130 Yrs (352) 694-6337 Centra Languages: Spanish Fax: (352) 694-6338 8585 SW Hwy 200 Unit 8 00 Yrs/130 Yrs Oakhurst Rehabilitation and Ocala, FL 34481 MTWTHFSun 8:00 AM - 8:00 (352) 693-3378 Nursing Cent Provider ID: 07444 PM Fax: (888) 758-9645 Sat 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Oakhurst Rehabilitation and Nursing Languages: Spanish Quick Care Med Pl M-F 8:00 AM - 5:00 PM Sub Specialty: Occupational Therapy, Respite Care, Provider ID: 789465 Quick Care Med Kidspot Therapy PLLC Physical Therapy 1501 SE 24th Rd 11371 N Williams St Ste 4 Provider ID: 1343122 Ocala, FL 34471 Dunnellon, FL 34432 The Kidspot (352) 629-8900 (352) 465-2273 425 SW 14th St Fax: (352) 351-4806 Fax: (352) 465-6343 Ocala, FL 34471 21 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 351-8300 M-F 9:00 AM - 7:00 PM Fax: (844) 382-5300 Palm Garden of Ocala Sat-Sun 9:00 AM - 4:00 PM 00 Yrs/21 Yrs Provider ID: 199535 M-F 8:00 AM - 5:00 PM 2700 SW 34th St Shands Solantic Joint Venture LLC Sphinx Wellness Inc Ocala, FL 34474 (352) 854-6262 Provider ID: 692103 Fax: (352) 854-0010 Ocala Provider ID: 1161960 00 Yrs/130 Yrs 2415 SW College Rd Sphinx Wellness, Inc Ocala, FL 34471 10935 SE 177th Pl Ste 403 Sleep Diagnostic Studies (352) 237-3536 Summerfield, FL 34491 Fax: (352) 237-8735 (352) 307-6843 Florida Sleep Solutions Inc 00 Yrs/130 Yrs Fax: (352) 307-9308 Languages: Spanish

05 Yrs/130 Yrs Provider ID: 1156646 M-F 8:00 AM - 8:00 PM M-F 8:00 AM - 5:00 PM Florida Sleep Solutions, Inc Sat-Sun 8:00 AM - 5:00 PM 3301 SW 34th Cir Ste 303 Ocala, FL 34474 (352) 873-7500 Fax: (352) 861-7501 05 Yrs/130 Yrs Languages: Spanish M-TH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM

www.wellcare.com/Florida | 225 Updated: 01/04/2019 Ancillary Providers Putnam Diagnostic Imaging Hospice Palatka Health Care Center-Pcs Doctors Imaging Group LLC Haven Hospice Provider ID: 14789 Provider ID: 818120 110 Kay Larkin Dr Provider ID: 165736 Haven Hospice Satellite Palatka, FL 32177 Putnam Radiology Group 6400 Saint Johns Ave (386) 325-0173 6121 Saint Johns Ave Palatka, FL 32177 Fax: (386) 325-3946 Palatka, FL 32177 (386) 328-7100 00 Yrs/130 Yrs (386) 326-0077 Fax: (386) 328-8172 Languages: Spanish Fax: (386) 326-0188 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Hospice of Citrus County Inc Provider ID: 727812 Dialysis 6721 Crill Ave Palatka, FL 32177 Palatka Dialysis (386) 530-4600 Provider ID: 902307 Fax: (386) 328-4331 326 Zeagler Dr 00 Yrs/130 Yrs Palatka, FL 32177 Languages: Spanish (386) 329-9458 18 Yrs/130 Yrs Rehabilitation Facility M-W 6:00 AM - 16:00 PM Heartland Rehabilitations Durable Medical Services of Florida Equipment Provider ID: 1049361 Heartland Rehabilitations Culpepperharrell Inc DBA Services Your Home Medi 6500 Crill Ave Bldg 3

Provider ID: 1189753 Palatka, FL 32177

Your Home Medical Crescent (386) 325-1119 City Fax: (386) 325-4326 1125 N Summit St Ste B 00 Yrs/130 Yrs Crescent City, FL 32112 M-TH 7:00 AM - 5:30 PM (386) 698-1520 Skilled Nursing Facility Fax: (386) 698-1569 00 Yrs/130 Yrs Crestwood Nursing Center Inc Languages: Spanish M-F 8:00 AM - 5:00 PM Provider ID: 692607 Hearing Aid Supplier 501 S Palm Ave Palatka, FL 32177 Davis, James Had (386) 328-1472 Provider ID: TPV06385-01 Fax: (386) 325-1531 Gender: Male 21 Yrs/130 Yrs American Hearing Aid Center Lakewood Nursing Center Inc 100 South Palm DR Palatka, FL 32177 (386) 325-3187 Provider ID: 1509861 21 Yrs/99 Yrs 100 N Lake St M-F 9:00 AM - 5:00 PM Crescent City, FL 32112 (386) 698-2222 Fax: (386) 698-2717 00 Yrs/130 Yrs

www.wellcare.com/Florida | 226 Updated: 01/04/2019 Ancillary Providers Suwannee Home Health Care Skilled Nursing Facility

Family Life Care Inc Surrey Place Care Center Provider ID: 1159207 Provider ID: 628389 205 Howard St W US Managed Care Services Live Oak, FL 32064 LLC (386) 364-5515 110 Lee Ave SE Fax: (386) 364-5648 Live Oak, FL 32064 00 Yrs/130 Yrs (386) 365-5961 M-F 8:00 AM - 4:00 PM Fax: (386) 362-1831 00 Yrs/130 Yrs Rehabilitation Facility

Healthworks Rehabilitation of Lake City Provider ID: 1050654 Healthworks Rehabilitation of Lake 27063 83rd Pl Branford, FL 32008 (386) 752-1652 Fax: (386) 752-0939 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Healthworks Rehabilitation of Lake City Provider ID: 1050654 Healthworks Rehabilitation of Lake 813 Pinewood Dr SW Live Oak, FL 32064 (386) 752-1652 Fax: (386) 752-0939 05 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Heartland Rehabilitations Services of Florida Provider ID: 1049361 Heartland Rehabilitations Services 405 11th St SW Ste 103 Live Oak, FL 32064 (386) 364-5051 Fax: (386) 364-3741 00 Yrs/130 Yrs MTTH 8:00 AM - 6:00 PM W 8:00 AM - 5:00 PM F 8:00 AM - 1:00 PM

www.wellcare.com/Florida | 227 Updated: 01/04/2019 Ancillary Providers Taylor Dialysis

Perry Dialysis Provider ID: 555701 118 W Main St Perry, FL 32347 (850) 584-6012 Fax: (850) 584-6040 18 Yrs/130 Yrs M-W 5:30 AM - 12:45 PM Durable Medical Equipment

Home Respiratory Solutions Inc Provider ID: 1129176 304 E Hampton Springs Ave Perry, FL 32347 (850) 584-7378 Fax: (850) 223-3647 00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM

www.wellcare.com/Florida | 228 Updated: 01/04/2019 Allied Providers Alachua Audiology Gray-Lingis, Katherine AUD Partin, Stephanie AUD Cardiology

Dion, Dawn AUD Provider ID: 1247765 Provider ID: 1330600 Atkinson-Staten, Sharma Provider ID: 1731290 Gender: Female Gender: Female APRN Gender: Female UF Health Speech Hearing UF Health Speech & Hearing Provider ID: 1117995 UF Health Hearing Center At Center Sh Center S Gender: Female Hampton 1600 SW Archer Rd Rm D2-55 1600 SW Archer Rd Rm D2-55 The Cardiac and Vascular 200 SW 62nd Ave Ste C Gainesville, FL 32610 Gainesville, FL 32610 Institute Gainesville, FL 32607 (352) 273-5555 (352) 273-5555 4645 NW 8th Ave (352) 265-9484 Fax: (352) 846-1565 Fax: (352) 846-1565 Gainesville, FL 32605 Fax: (352) 265-9485 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 264-2500 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 331-9095 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Letlow, Kristin AUD Pitkin, Thea AUD M-F 8:00 AM - 5:00 PM Flechas, M. AUD Provider ID: 1731103 Provider ID: 1330602 Provider ID: 1347039 Gender: Female Gender: Female Coyle, Kathleen APRN Gender: Female UF Health Speech & Hearing UF Health Speech & Hearing Provider ID: 951771 UF Health Hearing Center At Center S Center S Gender: Female Hampton 1600 SW Archer Rd Rm D2 55 1600 SW Archer Rd Rm D2-55 The Cardiac and Vascular 200 SW 62nd Blvd Ste C Gainesville, FL 32610 Gainesville, FL 32610 Institute Gainesville, FL 32607 (352) 273-5555 (352) 273-5555 1151 NW 64th Ter (352) 265-9484 Fax: (352) 846-1565 Fax: (352) 846-1565 Gainesville, FL 32605 Fax: (352) 265-9485 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 331-8570 21 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 331-9095 MT 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Matthews, Stephanie AUD Ross, Francisco AUD North Florida Regional Frans, Noreen AUD Provider ID: 1731109 Languages: French, Mandarin, Provider ID: 1365616 Provider ID: 1330578 Gender: Male Italian, German Gender: Female Gender: Female UF Health Speech & Hearing M-F 8:00 AM - 5:00 PM UF Health Hearing Center At UF Health Speech & Hearing Center S Hampton Center S 1600 SW Archer Rd Rm D2 55 Coyle, Kathleen APRN 200 SW 62nd Blvd Ste C 1600 SW Archer Rd Rm D2-55 Gainesville, FL 32610 Provider ID: 951771 Gainesville, FL 32607 Gainesville, FL 32610 (352) 273-5555 Gender: Female (352) 265-9484 (352) 273-5555 Fax: (352) 846-1565 The Cardiac and Vascular Fax: (352) 265-9485 Fax: (352) 846-1565 00 Yrs/130 Yrs Institute 18 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 4645 NW 8th Ave M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Gainesville, FL 32605 Ulmer, Dana AUD (352) 375-1212 Gray-Lingis, Katherine AUD McClain Tuttle, Emily AUD Provider ID: 1330623 Fax: (352) 371-4650 Gender: Female 18 Yrs/130 Yrs Provider ID: 1247765 Provider ID: 1330580 UF Health Speech & Hearing North Florida Regional Gender: Female Gender: Female Center S Languages: French, Mandarin, Italian, German UF Health Hearing Center At UF Health Speech & Hearing 1600 SW Archer Rd Rm D2-55 Hampton Center S Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM 200 SW 62nd Blvd Ste C 1600 SW Archer Rd Rm D2-55 (352) 273-5555 Gainesville, FL 32607 Gainesville, FL 32610 Fax: (352) 846-1565 (352) 265-9484 (352) 273-5555 00 Yrs/130 Yrs Fax: (352) 265-9485 Fax: (352) 846-1565 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 229 Updated: 01/04/2019 Allied Providers Alachua Cardiology - cont. Kazmierski, Gregory APRN Price, Robert APRN Rossidis, Heather PA Provider ID: 981708 Farnham, Genevieve APRN Provider ID: 1014353 Gender: Male Provider ID: 1462417 Gender: Male The Cardiac and Vascular Gender: Not Available Provider ID: 1069132 The Cardiac and Vascular Institute UF Health Cardiology- Gender: Female Institute 1151 NW 64th Ter Springhill The Cardiac and Vascular 4645 NW 8th Ave Gainesville, FL 32605 4037 NW 86th Terr 2nd Fl Institute Gainesville, FL 32605 (352) 331-8570 Gainesville, FL 32606 1151 NW 64th Ter (352) 264-2500 Fax: (352) 333-7051 (352) 265-0820 Gainesville, FL 32605 Fax: (352) 331-9095 18 Yrs/130 Yrs Fax: (352) 265-0823 (352) 375-1212 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 371-4650 North Florida Regional M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Price, Robert APRN Lake City Medical Center Provider ID: 981708 Certified Nurse Midwife North Florida Regional Munksgard, Jennifer APRN Gender: Male M-F 8:00 AM - 5:00 PM The Cardiac and Vascular Camargo, Katie CNM Provider ID: 1610275 Institute Provider ID: 1439681 Farnham, Genevieve APRN Gender: Female 4645 NW 8th Ave Gender: Female Cardiovascular Health Gainesville, FL 32606 Florida Woman Care LLC Provider ID: 1069132 Consultaints (352) 375-1212 6400 W Newberry Rd Ste 204 Gender: Female 350 NW 76th Dr Ste B Fax: (352) 371-4650 Gainesville, FL 32605 The Cardiac and Vascular Gainesville, FL 32607 18 Yrs/130 Yrs (352) 371-2011 Institute (352) 332-5755 M-F 8:00 AM - 5:00 PM Fax: (352) 384-3611 4645 NW 8th Ave Fax: (844) 965-9217 12 Yrs/130 Yrs Gainesville, FL 32605 00 Yrs/130 Yrs Rivera, Angela PA M 9:00 AM - 6:00 PM (352) 375-1212 M-F 8:30 AM - 5:00 PM Provider ID: 1096742 TWTH 8:00 AM - 5:00 PM Fax: (352) 371-4650 Gender: Female F 8:00 AM - 12:00 PM 18 Yrs/130 Yrs Nackashi, Alexander PA The Cardiac and Vascular Lake City Medical Center Provider ID: 1116966 Institute Camargo, Katie CNM North Florida Regional Gender: Male 1151 NW 64th Ter M-F 8:00 AM - 5:00 PM The Cardiac and Vascular Gainesville, FL 32605 Provider ID: 1439681 Institute (352) 331-8570 Gender: Female Kazmierski, Gregory APRN 1151 NW 64th Ter Fax: (352) 333-7051 Florida Woman Care LLC Gainesville, FL 32605 18 Yrs/130 Yrs 6400 W Newberry Rd Ste 207 Provider ID: 1014353 (352) 331-8570 Lake City Medical Center Gainesville, FL 32605 Gender: Male Fax: (352) 331-9095 M-F 8:00 AM - 5:00 PM (352) 371-2011 The Cardiac and Vascular 18 Yrs/130 Yrs Fax: (352) 505-5604 Rivera, Angela PA Institute North Florida Regional 12 Yrs/130 Yrs 1151 NW 64th Ter M-F 8:00 AM - 5:00 PM Provider ID: 1096742 M 9:00 AM - 6:00 PM Gainesville, FL 32605 Gender: Female TWTH 8:00 AM - 5:00 PM (352) 375-1212 Nackashi, Alexander PA The Cardiac and Vascular F 8:00 AM - 12:00 PM Fax: (352) 331-9095 Institute 18 Yrs/130 Yrs Provider ID: 1116966 4645 NW 8th Ave Cook, Kristen Anne ARNP North Florida Regional Gender: Male Gainesville, FL 32605 (352) 375-1212 M-F 8:00 AM - 5:00 PM The Cardiac and Vascular Provider ID: 1450792 Fax: (352) 371-4650 Institute Gender: Female 18 Yrs/130 Yrs 4645 NW 8th Ave Ste B Florida Woman Care LLC Lake City Medical Center Gainesville, FL 32605 6440 W Newberry Rd Ste 111 M-F 8:00 AM - 5:00 PM (352) 375-1212 Gainesville, FL 32605 Fax: (352) 371-4650 (352) 331-3332 18 Yrs/130 Yrs Fax: (352) 331-3320 North Florida Regional 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 230 Updated: 01/04/2019 Allied Providers Alachua Certified Nurse Midwife - Rodriguez, Sanjuana PA Agro, Nicole RD Carlton, Claire RD cont. Provider ID: 1580247 Provider ID: 1501449 Provider ID: 1346027 Gender: Female Gender: Female Cosenza, Joy CNM Gender: Female Shands Nutrition UF Medical Specialties At Provider ID: 1365742 UF Health Dermatology and 2000 SW Archer Rd Medical P Gender: Female Skin Canc Gainesville, FL 32608 2000 SW Archer Rd UF Health Womens Center 4037 NW 86th Ter 4th Fl (352) 265-0400 Gainesville, FL 32608 Medical Pla Gainesville, FL 32606 Fax: (352) 265-1071 (352) 265-1234 2000 SW Archer Rd Fl 4 (352) 594-1500 00 Yrs/130 Yrs Fax: (352) 265-8215 Gainesville, FL 32608 Fax: (352) 594-1501 M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs (352) 265-8200 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 265-8202 M-F 8:00 AM - 5:00 PM Aponick, Amy RD 16 Yrs/130 Yrs Provider ID: 1580454 Dati, Alexandra RD M-F 8:00 AM - 5:00 PM Rodriguez, Sanjuana PA Gender: Female Provider ID: 1580510 UF Health Pediatric Specialties Gender: Female Shands Nutrition Elswick, Danielle CNM Provider ID: 1346027 1699 SW 16th Ave Gerold L Schiebler CMS Center 2000 SW Archer Rd. Provider ID: 1364971 Gender: Female Gainesville, FL 32608 Gainesville, FL 32608 Gender: Female UF Health Dermatology UF Health Womens Center Medical Plaza (352) 334-0206 (352) 265-0400

Medical Pla 2000 SW Archer Rd Fax: (352) 334-4041 Fax: (352) 265-1071

2000 SW Archer Rd 4th Fl Gainesville, FL 32608 00 Yrs/21 Yrs 00 Yrs/130 Yrs

Gainesville, FL 32608 (352) 594-1500 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 265-8200 00 Yrs/130 Yrs Fax: (352) 265-8202 Bledsoe, Alexa RD Romano, Kristen RD M-F 8:00 AM - 5:00 PM 16 Yrs/130 Yrs Provider ID: 1580541 Provider ID: 1582147

M-F 8:00 AM - 5:00 PM Gender: Female Gender: Female Sternat, Meghan PA UF Health Pediatric Specialties Shands Nutrition Russell, Deidre CNM 1699 SW 16th Ave Gerold L 2000 SW Archer Rd Provider ID: 1482128 Provider ID: 1355829 Schiebler CMS Center Gainesville, FL 32608 Gender: Female Gender: Female Gainesville, FL 32608 (352) 265-0400 UF Health Dermatology Florida Woman Care LLC (352) 334-0206 Fax: (352) 265-1071 Springhill 6440 W Newberry Rd Ste 111 Fax: (352) 334-4041 00 Yrs/130 Yrs 4037 NW 86th Terrace Gainesville, FL 32605 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Gainesville, FL 32606 M-F 8:00 AM - 5:00 PM (352) 331-3332 (904) 383-1430 Tannen, Sarah RD Fax: (352) 331-3320 Fax: (904) 383-1435 Bledsoe, Alexa RD Provider ID: 1580296 12 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 1580541 Gender: Female M 9:00 AM - 7:30 PM M-F 8:00 AM - 5:00 PM Gender: Female Shands Nutrition TW 9:00 AM - 5:00 PM UF Health Pediatric Specialties 2000 SW Archer Rd THF 9:30 AM - 5:00 PM Dietician 2000 SW Archer Rd Medical Gainesville, FL 32608 Plaza Dermatology (352) 265-0400 Agro, Nicole RD Gainesville, FL 32608 Fax: (352) 265-1071 Provider ID: 1580247 (352) 265-8250 00 Yrs/130 Yrs Fischer, Lauren APRN Gender: Female Fax: (352) 265-0730 M-F 8:00 AM - 5:00 PM Provider ID: 1496955 Shands At UF 00 Yrs/21 Yrs Gender: Female 1600 SW Archer Rd M-F 8:00 AM - 5:00 PM Tondreault, Jamie RD UF Health Dermatology Gainesville, FL 32610 Provider ID: 1214245 Springhill (352) 265-0535 Brown, Michelle RD Gender: Female 4037 NW 86th Ter Fl 4 Fax: (352) 265-0328 Provider ID: 1580208 Shands Nutrition Gainesville, FL 32606 00 Yrs/130 Yrs Gender: Female 2000 SW Archer Rd (352) 594-1500 MTWTHFSatSun 8:00 AM ­ Shands Nutrition Gainesville, FL 32608 Fax: (352) 594-1501 5:00 PM 2000 SW Archer Rd (352) 265-0400 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 265-1071 M-F 8:00 AM - 5:00 PM (352) 265-0400 00 Yrs/130 Yrs Fax: (352) 265-1071 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 231 Updated: 01/04/2019 Allied Providers Alachua Dietician - cont. Carr, Sharron APRN Goldberg, Elizabeth APRN Kirby, Amy PA Provider ID: 669625 Provider ID: 566194 Provider ID: 1104864 Wourms, Amy RD Gender: Female Gender: Female Gender: Female Provider ID: 1580489 Gainesville Physicians, LLC UF Health Neurology Palms Medical Group Gender: Female 6900 NW 9th Blvd Neuromedicine H 1014 NW 57th St Shands Nutrition Gainesville, FL 32605 1505 SW Archer Rd Gainesville, FL 32605 2000 SW Archer Rd (352) 333-6680 Gainesville, FL 32608 (352) 376-8211 Gainesville, FL 32608 Fax: (352) 331-4006 (352) 294-5000 Fax: (352) 373-7594 (352) 265-0400 05 Yrs/130 Yrs Fax: (352) 265-4295 00 Yrs/130 Yrs Fax: (352) 265-1071 M-TH 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs F 8:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Large, Shannon APRN Dillon, Elizabeth APRN Horne, Patrick APRN Provider ID: 899706 Ear, Nose & Throat Provider ID: 566716 Provider ID: 574573 Gender: Female Gender: Female Gender: Male Florida Recovery Center Sarduy, Tiffany PA UF Health Medical Specialties 2000 SW Archer Rd Fl 3 4001 SW 13th St Provider ID: 1011673 Hemat Gainesville, FL 32608 Gainesville, FL 32608 Gender: Female 2000 SW Archer Rd Fl 3 00 Yrs/130 Yrs (352) 265-4372 UF Health Ear Nose And Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM Fax: (352) 265-5515 Throat Shand (352) 265-0725 00 Yrs/130 Yrs 1600 SW Archer Rd D1 - 121 Fax: (352) 265-8432 Horne, Patrick APRN M-F 9:00 AM - 5:00 PM Gainesville, FL 32610 00 Yrs/130 Yrs Provider ID: 574573 (352) 265-8989 M-F 8:00 AM - 5:00 PM Gender: Male Large, Shannon APRN Fax: (352) 392-8968 Faculty Group Practice Provider ID: 899706 00 Yrs/130 Yrs Gamewell, Brooke APRN 2000 SW Archer Rd Ste D Gender: Female M-F 8:00 AM - 5:00 PM Provider ID: 692018 Gainesville, FL 32608 Shands Vista Gender: Female (352) 265-0139 4101 NW 89th Blvd Family Practice UF Health Surgical Specialist Fax: (352) 265-7091 Gainesville, FL 32606 Shand 00 Yrs/130 Yrs (352) 265-5424 Beigel, Karen APRN 1600 SW Archer Rd M-F 9:00 AM - 5:00 PM Fax: (352) 265-5425 Gainesville, FL 32610 00 Yrs/130 Yrs Provider ID: 706434 (352) 265-9900 Hutchinson, Lakennya APRN M-F 9:00 AM - 5:00 PM Gender: Female Fax: (352) 627-4173 Gainesville Physicians 00 Yrs/130 Yrs Provider ID: 1652740 Locke, Jessica APRN 6900 NW 9th Blvd M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 568048 Gainesville, FL 32605 Trenton Medical Center Gender: Female (352) 333-6680 Goldberg, Elizabeth APRN 23476 W US Hwy 27 UF Health Neurology Fax: (352) 331-4006 Provider ID: 566194 High Springs, FL 32643 Neuromedicin 00 Yrs/130 Yrs Gender: Female (386) 454-0568 1505 SW Archer Rd M-F 8:00 AM - 5:00 PM UF Health Medical Specialties Fax: (352) 224-7899 Gainesville, FL 32610 2000 SW Archer Rd Fl 3 00 Yrs/130 Yrs (352) 273-5550 Carpiz Turkdogan, Charmaine Hematology Oncology M-F 8:00 AM - 5:00 PM Fax: (352) 733-9363 APRN Gainesville, FL 32608 00 Yrs/130 Yrs Provider ID: 1642248 (352) 273-5550 Kairalla, Anna APRN M-F 8:00 AM - 5:00 PM Gender: Female Fax: (352) 273-5575 Provider ID: 899594 UF Health Pain Medicine 00 Yrs/130 Yrs Gender: Female Murray, Erin APRN Springhill M-F 8:00 AM - 5:00 PM Archer Family Health Care Provider ID: 708594 4037 NW 86th Ter Fl 3 16939 SW 134th Ave 16942 SW Gender: Female Gainesville, FL 32606 134th Ave UF Health Pediatric (352) 265-7777 Archer, FL 32618 Specialiteis Me Fax: (352) 627-4163 (352) 495-2550 2000 SW Archer Rd 00 Yrs/130 Yrs Fax: (352) 495-3401 Gainesville, FL 32608 MTTHF 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (352) 265-8250 W 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 265-0730 Sat 9:00 AM - 1:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 232 Updated: 01/04/2019 Allied Providers Alachua Family Practice - cont. Wiggs, Pamela APRN Gill, Isaac PA Wohl, Ronald APRN Provider ID: 1416827 Provider ID: 1645394 Provider ID: 1647066 Nesbit, Susan APRN Gender: Female Gender: Male Gender: Male Provider ID: 708600 UF Health Ear Nose and Florida Department of Health Florida Department of Health Gender: Female Throat Sha In Ala In Ala UF Student Health 1600 SW Archer Rd Ste C -121 15530 NW US Hwy 441 Ste 816 SW 64th Ter 280 Fletcher Dr Ste D1 10010 Gainesville, FL 32607 Gainesville, FL 32611 Gainesville, FL 32610 Alachua, FL 32615 (352) 225-4320 (352) 392-1161 (352) 265-8989 (386) 462-2542 00 Yrs/130 Yrs Fax: (352) 392-9625 Fax: (352) 392-8968 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM General Surgery Gill, Isaac PA Perrin, Karen APRN Wiggs, Pamela APRN Provider ID: 1645394 Douglas, Caroline PA Provider ID: 482173 Provider ID: 1416827 Gender: Male Provider ID: 1494201 Gender: Female Gender: Female Florida Department of Health Gender: Female Select Specialty Hospital UF Health ENT and Allergy In Ala Surgical Group of Gainesville 2708 SW Archer Rd Hampton O 224 SE 24th St 1143 NW 64th Ter Gainesville, FL 32608 200 Southwest 62nd Blvd Ste Gainesville, FL 32641 Gainesville, FL 32605 (352) 337-3240 C (352) 334-7900 (352) 331-1201 00 Yrs/130 Yrs Gainesville, FL 32607 Fax: (386) 462-0610 Fax: (352) 331-5273 MTWTHFSatSun 12:00 AM ­ (352) 265-0920 00 Yrs/130 Yrs 00 Yrs/130 Yrs 11:59 PM Fax: (352) 265-9466 M-F 7:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Romrell, Janet PA M-F 8:00 AM - 5:00 PM Nobles, Kristin APRN Kalb, Aimee PA Provider ID: 566775 Provider ID: 1653385 Provider ID: 1491015 Gender: Female Wolfe, Angela APRN Gender: Female Gender: Female

UF Health Center For Provider ID: 527571 Florida Department of Health Surgical Group of Gainesville Movement Disor Gender: Female In Ala 1143 NW 64th Ter 3450 Hull Rd Fl 4 UF Health Neurosurgery 15530 NW US Hwy 441 Ste Gainesville, FL 32605 Neuromedicin Gainesville, FL 32607 10010 (352) 331-1201 1505 SW Archer Rd (352) 265-8408 Alachua, FL 32615 Fax: (352) 331-5273 Gainesville, FL 32608 Fax: (352) 627-4295 (386) 462-2542 00 Yrs/130 Yrs (352) 392-9000 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 392-8413 M-F 8:00 AM - 4:00 PM 00 Yrs/130 Yrs Lee, Katharine PA Schmidt, Palma APRN M-F 8:00 AM - 5:00 PM Nobles, Kristin APRN Provider ID: 1508140 Provider ID: 566492 Provider ID: 1653385 General Practice Gender: Female Gender: Female Gender: Female Surgical Group of Gainesville UF Health Medical Specialties Florida Department of Health Brooks, Brian PA 1143 NW 64th Ter 2000 SW Archer Rd Fl 3 In Ala Gainesville, FL 32605 Provider ID: 1006961 Gainesville, FL 32608 224 SE 24th St (352) 331-1201 Gender: Male (352) 265-0139 Gainesville, FL 32641 Fax: (352) 331-5273 Rural Health DBA Azalea Fax: (352) 265-7091 (352) 334-7900 00 Yrs/130 Yrs Health 00 Yrs/130 Yrs Fax: (352) 955-2126 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 22066 SE 71st Ave 00 Yrs/130 Yrs Hawthorne, FL 32640 M-F 7:30 AM - 5:00 PM Turley, Melissa PA (352) 481-2700 Provider ID: 899782 Fax: (352) 481-2392 Nobles, Kristin APRN Gender: Female 02 Yrs/130 Yrs Provider ID: 1653385 UF Student Health M-F 8:00 AM - 5:00 PM Gender: Female 280 Fletcher Dr Florida Department of Health Gainesville, FL 32611 In Ala (352) 392-1161 816 SW 64th Ter Fax: (352) 392-9625 Gainesville, FL 32607 00 Yrs/130 Yrs (352) 225-4320 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 233 Updated: 01/04/2019 Allied Providers Alachua Gynecological Oncology Orlando, Dina LMHC Anthony, Kayla LMHC Schramm, Anne PA Provider ID: 1580878 Provider ID: 1626385 Provider ID: 1064238 Presnell, Emily APRN Gender: Female Gender: Female Gender: Female Provider ID: 1144331 Shands At Vista UF Health Pediatrics Tioga UF Health Neurology Medical Gender: Female 4101 NW 89th Blvd 133 SW 130th Way Ste C Plaza Gainesville GYN Oncology of Gainesville, FL 32606 Newberry, FL 32669 2000 SW Archer Rd North F (352) 265-5497 (352) 733-7337 Gainesville, FL 32608 6400 W Newberry Rd Ste 103 Fax: (352) 265-5421 Fax: (352) 627-4567 (352) 265-8408 Gainesville, FL 32605 18 Yrs/130 Yrs 03 Yrs/21 Yrs Fax: (352) 265-8235 (352) 333-5946 MTWTHFSat 8:00 AM - 5:00 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (352) 333-5947 PM M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Neurology North Florida Regional Rivers, Brittany LMHC Neurosurgery M-F 8:00 AM - 5:00 PM Provider ID: 1581588 Avizinis, Julie PA Gender: Female Provider ID: 1478592 Meekins, Jacqueline APRN Gynecology UF Health Pediatric Specialties Gender: Female 1699 SW 16th Ave UF Health Nephrology Shands Provider ID: 1691559 Zapata, Elaine APRN Gainesville, FL 32608 Hospita Gender: Female Provider ID: 690344 (352) 334-0206 1600 SW Archer Rd 1st Fl Rm North Florida Sugical Gender: Female Fax: (352) 334-4041 1901 Associates LL Gainesville GYN Oncology of 00 Yrs/21 Yrs Gainesville, FL 32610 6400 W Newberry Rd North F M-F 8:00 AM - 5:00 PM (352) 265-4845 Gainesville, FL 32605 6400 W Newberry Rd Ste 103 Fax: (352) 627-4268 (352) 331-3583 Gainesville, FL 32605 Mental Health Counselor 00 Yrs/130 Yrs Fax: (352) 331-3669 (352) 333-5946 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 333-5947 Anthony, Kayla LMHC M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Provider ID: 1626385 Barabas, Matthew PA North Florida Regional Gender: Female Provider ID: 1105489 Nurse Midwife Languages: Spanish Gerold L. Schiebler CMS Gender: Male Center M-F 8:00 AM - 4:30 PM UF Health Center For King, Libby CNM 1699 SW 16th Ave Movement Disor Provider ID: 566520 Licensed Mental Health Gainesville, FL 32608 3450 Hull Rd Fl 4 Gender: Female Counselor (352) 334-0206 Gainesville, FL 32607 Women's Health At Shands Fax: (352) 334-4041 (352) 265-8408 Medical Pl Jones, Desiree LMHC 03 Yrs/21 Yrs Fax: (352) 627-4295 2000 SW Archer Rd 4th Fl Provider ID: 1581794 M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM (352) 265-8200 Gender: Female Anthony, Kayla LMHC Step By Step Behavioral Fax: (352) 265-8202 Provider ID: 1626385 Jordan, Kirsten APRN 00 Yrs/130 Yrs Health Services Gender: Female 901 NW 8th Ave Ste B3 Provider ID: 1610779 M-F 9:00 AM - 5:00 PM UF Health Pediatrics Magnolia Gender: Female Gainesville, FL 32601 Par (352) 225-3710 UF Health Shands Hospital Prieto, Natalia CNM 4740 NW 39th Pl Ste B 1600 SW Archer Rd Rm 6164 Provider ID: 566205 Fax: (352) 226-8093 Gainesville, FL 32606 00 Yrs/130 Yrs Gainesville, FL 32610 Gender: Female (352) 594-7337 (352) 265-0055 UF Health Shands Hospital MTWTHFSatSun 8:30 AM ­ Fax: (352) 265-5343 5:00 PM Fax: (352) 265-0328 1600 SW Archer Rd Rm 6164 03 Yrs/21 Yrs 00 Yrs/130 Yrs Gainesville, FL 32610 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 265-0535 Fax: (352) 265-0328 00 Yrs/130 Yrs MTWTHFSatSun 12:00 AM ­ 11:59 PM

www.wellcare.com/Florida | 234 Updated: 01/04/2019 Allied Providers Alachua Nurse Midwife - cont. Summers, Marlene CNM Noah, Samantha APRN Phillips, Melinda APRN Provider ID: 1187305 Provider ID: 1408897 Provider ID: 1733775 Rex, Jennifer CNM Gender: Female Gender: Female Gender: Female Provider ID: 144334 1201 NW 64th Ter North Florida Surgical UF Health Surgical Specialist Gender: Female Gainesville, FL 32605 Associates L Tcv UF Health Womens Center (352) 872-5171 6400 Newberry Rd Ste 210 1505 SW Archer Rd Springhill Fax: (352) 284-3611 Gainesville, FL 32605 Gainesville, FL 32610 4037 NW 86th Ter Fl 2 00 Yrs/130 Yrs (352) 331-3583 (352) 265-5470 Gainesville, FL 32606 M-F 9:00 AM - 5:00 PM Fax: (352) 331-3669 Fax: (352) 733-9372 (352) 265-6200 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-0281 Summers, Marlene CNM M-F 5:00 AM - 9:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1187305 Woodington, Tara APRN Nurse Practitioner Adult Gender: Female Health Rhoden, Gena CNM Florida Woman Care LLC Provider ID: 1162118 Provider ID: 1125592 6400 W Newberry Rd Ste 207 Gender: Female Digennaro, Danielle APRN Gender: Female Gainesville, FL 32605 UF Health Pediatric Specialties UF Health Womens Center (352) 371-2011 1699 SW 16th Ave Gerold L. Provider ID: 1731288 Medical Pla Fax: (352) 686-3611 Schiebler CMS Center Gender: Female 2000 SW Archer Rd 4th Fl 00 Yrs/130 Yrs Gainesville, FL 32608 UF Health Medical Specialties Gainesville, FL 32608 M-F 9:00 AM - 6:00 PM (352) 334-0206 2000 SW Archer Rd 3rd Fl (352) 265-8200 Fax: (352) 334-4041 Hematology/Oncology Fax: (352) 265-8202 Nurse Practitioner 00 Yrs/21 Yrs Gainesville, FL 32608 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM (352) 265-8199 M-F 8:00 AM - 5:00 PM Krauser, Jeanne APRN Fax: (352) 627-4268 Provider ID: 1184325 Nurse Practitioner Acute 00 Yrs/130 Yrs Rhoden, Gena CNM Gender: Female Care M-F 8:00 AM - 5:00 PM Provider ID: 1125592 UF Health Neurosurgery - Gender: Female Shands Hos Alvarez-Lazo, Marcela APRN Nurse Practitioner Family UF Health Womens Center 1600 SW Archer Rd Provider ID: 1626139 Medicine Springhill Gainesville, FL 32610 Gender: Female 4037 NW 86th Terr 2nd Fl (352) 265-0535 UF Health Shands Hospital Beers, Melody APRN Gainesville, FL 32606 Fax: (352) 265-0328 1600 SW Archer Rd Provider ID: 1538038 (352) 265-6200 00 Yrs/18 Yrs Gainesville, FL 32610 Gender: Female Fax: (352) 265-0281 M-F 8:00 AM - 5:00 PM (352) 265-0535 Endocrinology At Shands 00 Yrs/130 Yrs Fax: (352) 265-0328 Medical Pla M-F 8:00 AM - 5:00 PM Noah, Samantha APRN 00 Yrs/130 Yrs 2000 SW Archer Rd Provider ID: 1408897 M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 Rischar, Julie CNM Gender: Female (352) 265-0139 Provider ID: 1115062 North Florida Surgical Harris, Leslie APRN Fax: (352) 265-8215 Gender: Female Associates L Provider ID: 1330044 00 Yrs/130 Yrs Florida Woman Care LLC 1121 NW 64th Ter Ste A Gender: Female M-F 8:00 AM - 5:00 PM 6440 W Newberry Rd Ste 111 Gainesville, FL 32605 UF Health Pediatrics Tower Gainesville, FL 32605 (352) 331-3583 Square Beers, Melody APRN (352) 331-3332 Fax: (352) 331-3669 7046 SW Archer Rd Provider ID: 620343 Fax: (352) 331-3320 00 Yrs/130 Yrs Gainesville, FL 32608 Gender: Female 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 733-1770 Endocrinology At Shands North Florida Regional Fax: (352) 372-5164 Medical Pla M 8:30 AM - 7:30 PM 00 Yrs/21 Yrs 2000 SW Archer Rd TWTHF 8:30 AM - 5:00 PM M-F 8:00 AM - 6:00 PM Gainesville, FL 32608 (352) 265-0139 Fax: (352) 265-8215 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 235 Updated: 01/04/2019 Allied Providers Alachua Nurse Practitioner Family Wang, Li APRN Copeland, Sara APRN Slack, Ann APRN Medicine - cont. Provider ID: 1346028 Provider ID: 1330264 Gender: Female Provider ID: 1333770 Gender: Female Kay, Kristin APRN UF Health Internal Medicine Gender: Female UF Health Pediatric Specialties Provider ID: 1529877 Medical UF Health Pediatrics - Tioga Mag Gender: Female 2000 SW Archer Rd 4th Fl 133 SW 130th Way Ste C 4740 NW 39th Pl Ste B UF Health Family Medicine Gainesville, FL 32608 Newberry, FL 32669 Newberry, FL 32669 Hampton O (352) 265-0140 (352) 733-7337 (352) 265-8250 200 SW 62nd Blvd Ste D Fax: (352) 265-7092 Fax: (352) 627-4567 Fax: (352) 627-4415 Gainesville, FL 32607 18 Yrs/130 Yrs 00 Yrs/18 Yrs 00 Yrs/21 Yrs (352) 265-9475 Languages: Chinese M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 265-9476 M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs Harris, Leslie APRN Nurse Practitioner M-F 8:00 AM - 5:00 PM Wyckoff, Tameka APRN Provider ID: 1330044 Psychiatric Mental Health Provider ID: 1328446 Gender: Female Kennedy, Brenda ARNP Gender: Female UF Health Pediatrics Tower Hogan, Michaela APRN Provider ID: 1705794 UF Health Neurosurgery Square Provider ID: 1477386 Gender: Female Neuromedicin 7046 SW Archer Rd Gender: Female Meridian Behavoral 1505 SW Archer Rd Gainesville, FL 32608 UF Health Child Psychiatry Healthcare Gainesville, FL 32608 (352) 733-1770 Springhi 4300 SW 13th St (352) 392-9000 Fax: (352) 372-5164 4197 NW 86th Terr 3rd Fl Gainesville, FL 32608 Fax: (352) 392-8413 00 Yrs/21 Yrs Gainesville, FL 32606 (352) 374-5600 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM (352) 265-4357 Fax: (352) 224-2751 M-F 8:00 AM - 5:00 PM Fax: (352) 316-6270 18 Yrs/130 Yrs Lefave, Elizabeth APRN 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Nurse Practitioner OB/ M-F 8:00 AM - 5:00 PM GYN Provider ID: 1330267 Sansing, Rachelle APRN McMican, Kristina APRN Gender: Female Provider ID: 799916 Cosenza, Joy CNM UF Health Pediatric Specialties Gender: Female Provider ID: 1343128 Provider ID: 1365742 Mag

Gender: Female UF Psychiatry Springhill Gender: Female 4740 NW 39th Pl Ste B Center UF Health Womens Center UF Health Pediatrics - Tioga Newberry, FL 32669 4037 NW 86th Ter 3rd Fl Medical Pla 133 SW 130th Way Ste C (352) 265-8250 Gainesville, FL 32606 2000 SW Archer Rd Fl 4 Newberry, FL 32669 Fax: (352) 627-4415 (352) 265-4357 Gainesville, FL 32608 (352) 733-7337 00 Yrs/21 Yrs Fax: (352) 627-4295 (352) 265-8200 Fax: (352) 627-4567 MT 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-8202 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM 16 Yrs/130 Yrs Redfern, Ann APRN M-F 8:00 AM - 5:00 PM Provider ID: 1272972 Nutrition Peters, Erin APRN Gender: Female Nurse Practitioner UF Health Pediatric Specialties Provider ID: 544373 Agro, Nicole RD Pediatric 133 SW 130th Way Ste C Gender: Female Provider ID: 1364972 Newberry, FL 32669 UF Health Pediatric Specialties Gender: Female Boothby, Alison APRN (352) 265-8250 1699 SW 16th Ave Gerold L Shands At UF Schiebler CMS Center Provider ID: 1366826 Fax: (352) 627-4415 1600 SW Archer Rd Gainesville, FL 32608 Gender: Female 00 Yrs/21 Yrs Gainesville, FL 32608 (352) 334-0206 UF Health Pediatric Specialties M 8:00 AM - 5:00 PM (352) 265-0535 Fax: (352) 334-4041 1699 SW 16th Ave Gerold L Fax: (352) 265-0328 00 Yrs/21 Yrs Schiebler CMS Center 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gainesville, FL 32608 (352) 334-0206 M-F 8:00 AM - 5:00 PM Fax: (352) 334-4041 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 236 Updated: 01/04/2019 Allied Providers Alachua Nutrition - cont. Bowser, Ellen RD Cardel, Michelle RD Dow, Kelley RD Provider ID: 584003 Provider ID: 1324990 Provider ID: 714069 Amar, Shana RD Gender: Female Gender: Female Gender: Female Provider ID: 708442 Faculty Group Practice UF Health Pediatric Specialties Shands Nutrition Gender: Female 1600 SW Archer Rd 2000 SW Archer Rd Medical 2000 SW Archer Rd 4101 NW 89th Blvd Gainesville, FL 32610 Plaza Gainesville, FL 32608 Gainesville, FL 32608 (352) 265-0535 Gainesville, FL 32608 (352) 265-0400 (352) 265-2522 Fax: (352) 265-0328 (352) 737-7770 Fax: (352) 265-1071 Fax: (352) 379-1485 00 Yrs/130 Yrs Fax: (352) 265-0730 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish Bowser, Ellen RD M-F 8:00 AM - 6:00 PM Eliasson, ASA RD Amar, Shana RD Provider ID: 584003 Provider ID: 1441779 Provider ID: 708442 Gender: Female Carnegie, Debra RD Gender: Female Gender: Female UF Health Pediatric Provider ID: 1701301 Shands At UF Shands At UF Specialiteis Me Gender: Not Available 1600 SW Archer Rd 2000 SW Archer Rd 2000 SW Archer Rd Shands Nutrition Gainesville, FL 32610 Gainesville, FL 32608 Gainesville, FL 32608 2000 SW Archer Rd (352) 265-0535 (352) 265-0400 (352) 265-8250 Gainesville, FL 32608 Fax: (352) 265-0328 Fax: (352) 265-1071 Fax: (352) 265-0730 (352) 265-0400 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 265-1071 Languages: Swedish M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Aponick, Amy RD Bowser, Ellen RD Eliasson, ASA RD Provider ID: 584003 Provider ID: 708446 Carnegie, Debra RD Provider ID: 1441779 Gender: Female Gender: Female Provider ID: 1701301 Gender: Female UF Health Sleep Center 1600 SW Archer Rd Gender: Not Available Shands Nutrition 4740 NW 39th Pl Ste C Gainesville, FL 32608 UF Health Florida Recovery 2000 SW Archer Rd Gainesville, FL 32606 (352) 265-7912 Center Gainesville, FL 32608 (352) 273-5550 Fax: (352) 379-1485 3939 SW 13th St (352) 265-0400 Fax: (352) 273-5575 00 Yrs/130 Yrs Gainesville, FL 32608 Fax: (352) 265-1071 00 Yrs/130 Yrs Shands At The University of (352) 265-4372 00 Yrs/130 Yrs Florida M-F 9:00 AM - 5:00 PM Fax: (352) 627-4162 Languages: Swedish M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Brown, Michelle RD M-F 8:00 AM - 5:00 PM Aponick, Amy RD Provider ID: 1238151 Funk D, Patricia RD Provider ID: 708446 Gender: Female Carnegie, Debra RD Provider ID: 708535 Gender: Female Shands Nutrition Provider ID: 1701301 Gender: Female Diabetes Education & 2000 SW Archer Rd Gender: Not Available 1600 SW Archer Rd Nutrition Center Gainesville, FL 32608 UF Springhill Health Center Gainesville, FL 32608 2000 SW Archer Rd Rm 2108 (352) 265-0400 8491 NW 39th Ave (352) 379-2742 Gainesville, FL 32608 Fax: (352) 265-1071 Gainesville, FL 32606 Fax: (352) 379-1485 (352) 265-0139 00 Yrs/130 Yrs (352) 276-5404 00 Yrs/130 Yrs Fax: (352) 265-7090 Shands At The University of Fax: (352) 376-6270 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Florida 18 Yrs/130 Yrs Shands At The University of M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Funk D, Patricia RD Florida Provider ID: 708535 M-F 8:00 AM - 5:00 PM Dati, Alexandra RD Gender: Female Provider ID: 1227947 Shands At UF Gender: Female 2000 SW Archer Rd Shands Nutrition Gainesville, FL 32608 2000 SW Archer Rd (352) 265-0400 Gainesville, FL 32608 Fax: (352) 265-1071 (352) 265-0400 00 Yrs/130 Yrs Fax: (352) 265-1071 M-F 9:00 AM - 9:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 237 Updated: 01/04/2019 Allied Providers Alachua Nutrition - cont. Kisilewicz, Katherine RD Romano, Kristen RD Sheridan, Kelly RD Provider ID: 708569 Provider ID: 708637 Hillan, Jennifer RD Gender: Female Provider ID: 1482111 Gender: Female Provider ID: 584011 Shands At UF Gender: Female Shands At UF Gender: Female 2000 SW Archer Rd Shands At UF 2000 SW Archer Rd Faculty Group Practice Gainesville, FL 32608 1600 SW Archer Rd Gainesville, FL 32608 1600 SW Archer Rd (352) 265-0400 Gainesville, FL 32610 (352) 265-0400 Gainesville, FL 32610 Fax: (352) 265-1071 (352) 265-0400 Fax: (352) 265-1071 (352) 265-0535 00 Yrs/130 Yrs Fax: (352) 265-1071 00 Yrs/130 Yrs Fax: (352) 265-0328 M-F 9:00 AM - 9:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 9:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Levitt, Jamie RD Stahmer, Hannah RD Provider ID: 1322792 Romano, Kristen RD Hillan, Jennifer RD Gender: Female Provider ID: 1105507 Provider ID: 584011 Shands Nutrition Provider ID: 1482111 Gender: Female Gender: Female 2000 SW Archer Rd Gender: Female UF Health Pediatric Faculty Group Practice Gainesville, FL 32608 Shands Nutrition Specialities 1600 SW Archer Rd Ste 1901 (352) 265-0400 2000 SW Archer Rd 2000 SW Archer Rd Gainesville, FL 32610 Fax: (352) 265-1071 Gainesville, FL 32608 Gainesville, FL 32608 (352) 265-0535 00 Yrs/130 Yrs (352) 265-0400 (352) 265-8250 Fax: (352) 265-0344 M-F 8:00 AM - 5:00 PM Fax: (352) 265-1071 Fax: (352) 265-3730 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM Mantay, Krista RD M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 1110916 Hillan, Jennifer RD Stahmer, Hannah RD Provider ID: 584011 Gender: Female Samakur, Saralakumari RD Shand Nutrition Gender: Female Provider ID: 1105507 2000 SW Archer Rd Provider ID: 708627 UF Health Pediatric Gender: Female Specialiteis Me Gainesville, FL 32608 Gender: Female

(352) 265-0400 Shands Nutrition UF Health Pediatric Specialties 2000 SW Archer Rd Ger Fax: (352) 265-1071 2409 SW Archer Rd Gainesville, FL 32608 1699 SW 16th Ave 00 Yrs/130 Yrs Gainesville, FL 32608 (352) 265-8250 Gainesville, FL 32608 Languages: Spanish (352) 265-6890 Fax: (352) 265-0730 (352) 334-0206 M-F 8:00 AM - 5:00 PM Fax: (352) 265-6891 00 Yrs/130 Yrs Fax: (352) 334-4041 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Marlowe, Belinda RD M-F 9:00 AM - 9:00 PM Hillan, Jennifer RD Provider ID: 708582 M-F 9:00 AM - 5:00 PM Provider ID: 584011 Gender: Female Sanders, Ryan RD Stewart, Daniel RD Gender: Female 2000 SW Archer Rd Provider ID: 1042381 Provider ID: 1171497 UF Health Sleep Center Gainesville, FL 32608 Gender: Male Gender: Male 4740 NW 39th Pl Ste C (352) 265-0400 Diabetes Education and Gainesville, FL 32606 Fax: (352) 265-1071 Nutrition Center UF Health Pediatric Specialties (352) 273-5550 00 Yrs/130 Yrs 2000 SW Archer Rd Rm 2108 2000 SW Archer Rd Medical Plaza Fax: (352) 273-5575 M-F 9:00 AM - 9:00 PM Gainesville, FL 32608 Gainesville, FL 32608 00 Yrs/130 Yrs (352) 265-8548 (352) 265-9900 M-F 9:00 AM - 5:00 PM McGuinness, Anna RD Fax: (352) 265-8425 Fax: (352) 265-0730 Provider ID: 1701332 00 Yrs/130 Yrs 00 Yrs/21 Yrs Kisilewicz, Katherine RD Gender: Female M-F 8:00 AM - 5:00 PM Provider ID: 708569 UF Health Pediatric Specialties M 8:8 AM - 5:00 PM Gender: Female 2000 SW Archer Rd Sheridan, Kelly RD TWTHF 8:00 AM - 5:00 PM 4101 NW 89th Blvd Gainesville, FL 32608 Provider ID: 708637 Gainesville, FL 32608 (352) 265-8250 Gender: Female (352) 265-7912 Fax: (352) 265-0730 200 SW 62nd Blvd Fax: (352) 379-1485 00 Yrs/130 Yrs Gainesville, FL 32608 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 379-2742 M-F 9:00 AM - 5:00 PM Fax: (352) 379-1485 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 238 Updated: 01/04/2019 Allied Providers Alachua Nutrition - cont. Gaona, Julie CNM Nelly, Cindy CNM Stringer, Ronnie APRN Provider ID: 753510 Provider ID: 937223 Tan, Michael RD Gender: Female Gender: Female Provider ID: 1176420 Provider ID: 1701354 6440 W Newberry Rd Ste 508 6440 W Newberry Rd Ste 508 Gender: Female Gender: Male Gainesville, FL 32605 Gainesville, FL 32605 Florida Woman Care LLC Diabetes Education Nutrition (352) 332-7222 (352) 332-7222 6400 W Newberry Rd Ste 207 Center Fax: (352) 332-7330 Fax: (352) 332-7330 Gainesville, FL 32605 2000 SW Archer Rd Rm 2108 16 Yrs/64 Yrs 16 Yrs/130 Yrs (352) 371-2011 Gainesville, FL 32608 Plantation General Hospital Plantation General Hospital Fax: (352) 384-3611 (352) 265-8548 Languages: Spanish M-TH 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 265-8425 M-F 9:00 AM - 5:00 PM F 8:00 AM - 12:00 PM North Florida Regional 00 Yrs/130 Yrs M 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Kalivoda, Carole APRN Smith, Erin CNM TWTH 8:00 AM - 5:00 PM Provider ID: 933635 F 8:00 AM - 12:00 PM Tannen, Sarah RD Provider ID: 1149947 Gender: Female Provider ID: 1309334 Gender: Female 6440 W Newberry Rd Ste 508 Sutherland, Padmaksi CNM Gender: Female UF Health Womens Center Gainesville, FL 32605 UF Health Internal Medicine Medical Pla (352) 332-7222 Provider ID: 899767 Medical 2000 SW Archer Rd 4th Fl Fax: (352) 332-7330 Gender: Female 2000 SW Archer Rd 4th Fl Gainesville, FL 32608 16 Yrs/130 Yrs Westside Samaritans Clinic Gainesville, FL 32608 (352) 265-8200 Plantation General Hospital 6440 W Newberry Rd Ste 204 (352) 265-0140 Fax: (352) 265-8202 Languages: Spanish Gainesville, FL 32605 Fax: (352) 265-7092 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (352) 872-5171 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 505-5604 M-F 8:00 AM - 5:00 PM Stringer, Ronnie CNM 12 Yrs/130 Yrs Kalivoda, Carole APRN North Florida Regional Wourms, Amy RD Provider ID: 1006880 M 9:00 AM - 6:00 PM Provider ID: 1406312 Provider ID: 1149947 Gender: Female TWTH 8:00 AM - 5:00 PM Gender: Female Gender: Female Westside Samaritans Clinic F 8:00 AM - 12:00 PM Shands Nutrition UF Health Womens Center 6440 W Newberry Rd Ste 204 2000 SW Archer Rd Springhill Gainesville, FL 32605 Webb, Melissa APRN Gainesville, FL 32608 4037 NW 86th Ter 2nd Fl (352) 872-5171 Provider ID: 1737305 (352) 265-0400 Gainesville, FL 32606 Fax: (352) 505-5604 Gender: Female Fax: (352) 265-1071 (352) 265-6200 12 Yrs/130 Yrs Florida Woman Care, LLC/ 00 Yrs/130 Yrs Fax: (352) 265-0281 M 9:00 AM - 6:00 PM North Flori M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs TWTH 8:00 AM - 5:00 PM 724 NW 43rd St M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM Gainesville, FL 32607 Obstetrics/Gynecology (352) 332-7222 McAfee, Monique CNM Stringer, Ronnie APRN Fax: (352) 332-7330 Bennett, Christina CNM Provider ID: 1176420 00 Yrs/130 Yrs Provider ID: 1135272 Gender: Female M-F 8:30 AM - 5:00 PM Provider ID: 1709468 Gender: Female Florida Woman Care LLC Gender: Female Florida Woman Care, LLC 1201 NW 64th Ter Occupational Therapy Florida Woman Care LLC 6440 W Newberry Rd Ste 508 Gainesville, FL 32605 6440 W Newberry Ste 508 Gainesville, FL 32605 (352) 371-2011 Arola, Shannon OT Gainesville, FL 32605 (352) 332-7222 Fax: (352) 384-3611 Provider ID: 1718075 (352) 332-7222 Fax: (352) 332-7330 00 Yrs/130 Yrs Gender: Female Fax: (352) 332-7330 12 Yrs/130 Yrs North Florida Regional Fundamental Therapy 00 Yrs/130 Yrs North Florida Regional M-F 9:00 AM - 5:00 PM Solutions M-F 8:30 AM - 5:00 PM Languages: Spanish 250 NW 76th Dr M-F 9:00 AM - 5:00 PM Gainesville, FL 32607 (352) 505-6363 Fax: (866) 215-3205 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM

www.wellcare.com/Florida | 239 Updated: 01/04/2019 Allied Providers Alachua Occupational Therapy - Hess, Linda OT Lutz, Julia OT Posten, Elle OT cont. Provider ID: 1284439 Provider ID: 1706157 Provider ID: 1106197 Gender: Female Gender: Female Gender: Female Billings, Holly OT Suwannee Bend Services Fundamental Therapy Suwannee Bend Services Provider ID: 1037261 22 SW 258th St Solutions 105 SW 140th Ct Ste 3 Gender: Female Newberry, FL 32669 250 NW 76th Dr Newberry, FL 32669 14540 NW SR 45 (352) 474-6111 Gainesville, FL 32607 (352) 333-3995 High Springs, FL 32643 Fax: (352) 474-6112 (352) 505-6363 Fax: (352) 333-3994 (352) 278-8151 00 Yrs/130 Yrs Fax: (866) 215-3205 00 Yrs/130 Yrs Fax: (386) 454-9359 M-F 8:30 AM - 5:30 PM 00 Yrs/18 Yrs M-TH 8:30 AM - 5:30 PM 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM F 1:00 AM - 5:30 PM M-F 8:00 AM - 5:00 PM Hess, Linda OT Provider ID: 1284439 Oman, Kristen OT Posten, Elle OT Brown, Cathi OT Gender: Female Provider ID: 1718082 Provider ID: 1106197 Provider ID: 1120065 Suwannee Bend Services Gender: Female Gender: Female Gender: Female 23352 W US Hwy 27 Fundamental Therapy Suwannee Bend Services Cathi Brown High Springs, FL 32643 Solutions 22 SW 258th St 9722 SW 153rd Ave (386) 454-0533 250 NW 76th Dr Newberry, FL 32669 Archer, FL 32618 Fax: (386) 454-5658 Gainesville, FL 32607 (352) 474-6111 (386) 365-2788 00 Yrs/130 Yrs (352) 505-6363 Fax: (352) 474-6112 Fax: (386) 961-9479 M-TH 8:30 AM - 5:30 PM Fax: (866) 215-3205 00 Yrs/130 Yrs 00 Yrs/130 Yrs F 8:30 AM - 12:00 PM 00 Yrs/18 Yrs M-F 8:30 AM - 5:30 PM MT 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM W 8:00 AM - 6:00 PM Holmes, Laura OT Posten, Elle OT Provider ID: 1706447 Patel, Mira OT Provider ID: 1106197 Brown, Taylor OT Gender: Female Provider ID: 1718030 Gender: Female Provider ID: 1697211 Einstein Therapy Center Gender: Female Suwannee Bend Services LLC Gender: Female Fundamental Fundamental Therapy 23352 W US Hwy 27 Fundamental Therapy 250 NW 76th Dr Solutions High Springs, FL 32643 Solutions Gainesville, FL 32607 250 NW 76th Dr (386) 454-0533 250 NW 76th Dr (352) 505-6363 Gainesville, FL 32607 Fax: (386) 454-5658 Gainesville, FL 32607 Fax: (866) 215-3205 (352) 505-6363 00 Yrs/130 Yrs (352) 505-6363 00 Yrs/21 Yrs Fax: (866) 215-3205 M-TH 8:30 AM - 5:30 PM Fax: (866) 215-3205 M-F 8:00 AM - 6:00 PM 00 Yrs/18 Yrs F 8:30 AM - 12:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Lemus, Jocelyn OT Roach, Kimberly OT Provider ID: 1706160 Pope, Haley OT Provider ID: 1718094 Hess, Linda OT Gender: Female Provider ID: 1718037 Gender: Female Provider ID: 1284439 Fundamental Therapy Gender: Female Fundamental Therapy Gender: Female Solutions Fundamental Therapy Solutions Suwannee Bend Services 250 NW 76th Dr Solutions 250 NW 76th Dr 105 SW 140th Ct Ste 3 Gainesville, FL 32607 250 NW 76th Dr Gainesville, FL 32607 Newberry, FL 32669 (352) 505-6363 Gainesville, FL 32607 (352) 505-6363 (352) 333-3995 Fax: (866) 215-3205 (352) 505-6363 Fax: (866) 215-3205 Fax: (352) 333-3994 00 Yrs/18 Yrs Fax: (866) 215-3205 00 Yrs/18 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM M-TH 8:30 AM - 5:30 PM M-F 8:00 AM - 6:00 PM F 1:00 AM - 5:30 PM

www.wellcare.com/Florida | 240 Updated: 01/04/2019 Allied Providers Alachua Occupational Therapy - Baker, Dawn APRN Gabriel, Abigail APRN Nash, Melissa APRN cont. Provider ID: 708449 Provider ID: 708536 Provider ID: 1603554 Gender: Female Gender: Female Gender: Female Tate, Anitha OT UF Health Pediatric UF Student Health Little Pine Pediatrics PLLC Provider ID: 1719073 Specialiteis Me 280 Fletcher Dr 15551 NW Hwy 441 Ste 40 Gender: Female 2000 SW Archer Rd 2000 SW Gainesville, FL 32611 Alachua, FL 32615 Fundamental Therapy Archer Rd (352) 392-1161 (386) 518-0102 Solutions Gainesville, FL 32608 Fax: (352) 392-9625 Fax: (386) 518-0116 250 NW 76th Dr (352) 265-8250 00 Yrs/130 Yrs 00 Yrs/21 Yrs Gainesville, FL 32607 Fax: (352) 265-0730 M 12:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM (352) 505-6363 00 Yrs/130 Yrs Fax: (866) 215-3205 M-F 9:00 AM - 5:00 PM Garrett, Sarah APRN Noegel, Erica APRN 00 Yrs/130 Yrs Provider ID: 1317855 Provider ID: 1048816 M-F 8:00 AM - 6:00 PM Dendinger, Amy APRN Gender: Female Gender: Female Provider ID: 1139308 Little Pine Pediatrics PLLC UF Health Pediatric Specialties Orthopaedic Surgery Gender: Female 15551 NW Hwy 441 Ste 40 Ger UF Health Pediatric Specialties Alachua, FL 32615 1699 SW 16th Ave Daly, Tarah PA 1699 SW 16th Ave (386) 518-0102 Gainesville, FL 32608 Provider ID: 1054992 Gainesville, FL 32608 Fax: (386) 518-0116 (352) 334-0206 Gender: Female (352) 334-0206 00 Yrs/18 Yrs Fax: (352) 334-4041 UF Health Shands Hospital Fax: (352) 334-4041 M-F 8:00 AM - 5:00 PM 00 Yrs/18 Yrs 1600 SW Archer Rd 00 Yrs/21 Yrs Languages: Spanish Gainesville, FL 32610 M-F 8:00 AM - 6:00 PM Hays, Stacia APRN M-F 9:00 AM - 5:00 PM (352) 265-0535 Provider ID: 1150860 Fax: (352) 265-0328 Duffield, Joanne APRN Gender: Female Patrick, Shannn APRN 00 Yrs/130 Yrs Archer Family Health Care Provider ID: 708606 M-F 9:00 AM - 5:00 PM Provider ID: 1011650 16939 SW 134th Ave University Gender: Female Gender: Female of Florida College Of Nursing UF Health Pediatric Specialties Daly, Tarah PA UF Health Surgical Specialist Archer, FL 32618 Ger Provider ID: 1054992 Shand (352) 495-2550 1699 SW 16th Ave Gender: Female 1600 SW Archer Rd Fax: (352) 495-3401 Gainesville, FL 32608 UF Orthocare After Hours Gainesville, FL 32610 00 Yrs/18 Yrs (352) 334-0206 Clinic (352) 265-5437 M-F 8:00 AM - 5:00 PM Fax: (352) 334-1325 3450 Hull Rd Fax: (352) 627-4173 00 Yrs/130 Yrs Gainesville, FL 32607 02 Yrs/130 Yrs He, Wei APRN M-F 9:00 AM - 5:00 PM (352) 273-7001 M-F 8:00 AM - 5:00 PM Provider ID: 290054 Fax: (352) 627-4418 Gender: Female Peters, Erin APRN 00 Yrs/130 Yrs Dulzaides, Michelle APRN UF Health Pediatric Specialties Provider ID: 549281 M-F 8:00 AM - 9:00 PM Provider ID: 708529 Ger Gender: Female Sat 9:00 AM - 5:00 PM Gender: Female 1699 SW 16th Ave UF Health Pediatric Specialties Sun 5:00 AM - 9:00 PM UF Health Pediatric Gainesville, FL 32608 1699 SW 16th Ave Gerold L Specialiteis Me (352) 334-0206 Schiebler CMS Center Pediatrics 2000 SW Archer Rd Fax: (352) 334-4041 Gainesville, FL 32608 Gainesville, FL 32608 00 Yrs/21 Yrs (352) 334-0206 Baggett, Tracy PA (352) 265-8250 Languages: Chinese Fax: (352) 334-4041 Provider ID: 1149784 Fax: (352) 265-0730 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Gender: Female 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM UF Health Pediatric Specialties M-F 9:00 AM - 5:00 PM Hickox, Malcolm PA Mag Provider ID: 1028074 4740 NW 39th Pl Ste B Gender: Male Gainesville, FL 32606 UF Student Health (352) 265-8250 280 Fletcher Dr Fax: (352) 627-4415 Gainesville, FL 32611 00 Yrs/21 Yrs (352) 392-1161 Languages: Spanish Fax: (352) 392-9625 MT 8:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 241 Updated: 01/04/2019 Allied Providers Alachua Pediatrics - cont. Schreier, Christopher APRN Physical Medicine & Rafanan, Jaime PA Rehabilitation Provider ID: 1695727 Poisson, Tiffany PA Provider ID: 799862 Gender: Female Provider ID: 1139323 Gender: Male Wilson, Derek PA UF Health Plastic Surgery and Gender: Female UF Health Pediatric Specialties Provider ID: 1048788 Aesth UF Health Pediatric Specialties Ger Gender: Male 4037 NW 86th Terr. 3rd Fl 1699 SW 16th Ave 1699 SW 16th Ave Select Specialty Hospital­ Gainesville, FL 32607 Gainesville, FL 32608 Gainesville, FL 32608 Gainesvil (352) 265-8402 (352) 334-0206 (352) 334-0206 1600 SW Archer Rd 5th Fl Fax: (352) 594-1793 Fax: (352) 334-4041 Fax: (352) 334-4041 Gainesville, FL 32610 00 Yrs/130 Yrs 00 Yrs/21 Yrs 00 Yrs/21 Yrs (352) 265-0055 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 265-4766 Sat 9:00 AM - 1:00 PM 02 Yrs/130 Yrs Tamayo, Melissa PA Schreier, Christopher APRN Provider ID: 1576664 Pratt, Katie APRN Wilson, Derek PA Gender: Female Provider ID: 1103224 Provider ID: 799865 Provider ID: 1048788 Harmony United Psychiatric Gender: Female Gender: Male Gender: Male Care UF Health Pediatrics Tower UF Health Pediatrics Tower UF Health Orthopaedics 912 NW 57th St Ste B Square Square Neuromedicin Gainesville, FL 32605 7046 SW Archer Rd 7046 SW Archer Rd 1505 SW Archer Rd (352) 431-3940 Gainesville, FL 32608 Gainesville, FL 32608 Gainesville, FL 32608 Fax: (352) 431-3173 (352) 733-1770 (352) 733-1770 (352) 265-7388 12 Yrs/130 Yrs Fax: (352) 372-5164 Fax: (352) 372-5164 Fax: (352) 273-7388 M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs 00 Yrs/21 Yrs 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Physician Assistant Endocrinology Reedy, Rachel PA Woodington, Tara APRN Wilson, Derek PA Provider ID: 1139330 Provider ID: 1048788 Dubon, Seydel PA Gender: Female Provider ID: 1162118 Gender: Male Provider ID: 1695709 UF Health Pediatric Specialties Gender: Female UF Othocare After Hours Gender: Female 1699 SW 16th Ave UF Health Pediatric Specialties 3450 Hull Rd UF Medical Specialties At Gainesville, FL 32608 1699 SW 16th Ave Gerold L. Gainesville, FL 32607 Medical P (352) 334-0206 Schiebler CMS Center (352) 273-7001 2000 SW Archer Rd Fax: (352) 334-4041 Gainesville, FL 32608 Fax: (352) 273-7293 Gainesville, FL 32607 00 Yrs/21 Yrs (352) 334-0206 02 Yrs/130 Yrs (352) 265-1234 M-F 8:00 AM - 6:00 PM Fax: (352) 334-4041 M-F 8:00 AM - 5:00 PM Fax: (352) 265-8215 00 Yrs/21 Yrs 00 Yrs/130 Yrs Ryngaert, Mary APRN M-F 8:00 AM - 6:00 PM Physician Assistant M-F 8:00 AM - 5:00 PM Provider ID: 708626 Gender: Female Yelkin, Robert PA Harkins, Kelly PA Physician Assistant UF Health Pediatric Specialties Provider ID: 1456346 Provider ID: 1478599 Orthopedics Ger Gender: Male Gender: Female 1699 SW 16th Ave High Springs Pediatrics UF Health Orthopedics and Murray, Allison PA Gainesville, FL 32608 14900 NW 140th St Sports Me Provider ID: 1636928 (352) 334-0206 Alachua, FL 32615 3450 Hull Rd Gender: Female Fax: (352) 334-4041 (386) 418-0004 Gainesville, FL 32607 UF Health Orthopaedics Haile 00 Yrs/130 Yrs Fax: (386) 418-0033 (352) 273-7001 Plant M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Fax: (352) 273-7293 2846 SW 87th Way M-F 9:00 AM - 5:00 PM 02 Yrs/130 Yrs Gainesville, FL 32608 Schreier, Christopher APRN M-F 8:00 AM - 5:00 PM (352) 273-7001 Provider ID: 799862 Fax: (352) 273-7388 Gender: Male 00 Yrs/130 Yrs 133 SW 130th Way Ste C M-F 8:00 AM - 5:00 PM Newberry, FL 32669 (352) 733-7337 Fax: (352) 627-4567 00 Yrs/21 Yrs

www.wellcare.com/Florida | 242 Updated: 01/04/2019 Allied Providers Alachua Physician Assistant Bone, Lindsey SLP Lee, Emily SLP Tyler, Bernadette SLP Orthopedics - cont. Provider ID: 1718052 Provider ID: 1719083 Provider ID: 1718033 Gender: Female Gender: Female Gender: Female Murray, Allison PA Fundamental Therapy Fundamental Therapy Fundamental Therapy Provider ID: 1636928 Solutions Solutions Solutions Gender: Female 250 NW 76th Dr 250 NW 76th Dr 250 NW 76th Dr UF Orthocare After Hours Gainesville, FL 32607 Gainesville, FL 32607 Gainesville, FL 32607 Clinic (352) 505-6363 (352) 505-6363 (352) 505-6363 3450 Hull Rd Fax: (866) 215-3205 Fax: (866) 215-3205 Fax: (866) 215-3205 Gainesville, FL 32607 00 Yrs/130 Yrs 00 Yrs/18 Yrs 00 Yrs/18 Yrs (352) 273-7001 M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Fax: (352) 273-7293 00 Yrs/130 Yrs Bruner, Brittney SLP Pierre-Jean, Elizabeth SLP Vanboven, Andrea SLP MTWTHFSun 5:00 AM - 9:00 Provider ID: 1041025 PM Provider ID: 1718077 Provider ID: 1049463 Gender: Female Sat 10:00 AM - 2:00 PM Gender: Female Gender: Female Fundamental Therapy Fundamental Therapy Fundamental Therapy Solutions Pulmonary Disease Solutions Solutions 250 NW 76th Dr 250 NW 76th Dr 250 NW 76th Dr Gainesville, FL 32607 Rhoden, Chad APRN Gainesville, FL 32607 Gainesville, FL 32607 (352) 505-6363 Provider ID: 1044799 (352) 505-6363 (352) 505-6363 Fax: (866) 215-3205 Gender: Male Fax: (866) 215-3205 Fax: (866) 215-3205 00 Yrs/21 Yrs UF Health Lung Transaplant 00 Yrs/18 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM Clinic M-F 8:00 AM - 6:00 PM Languages: Spanish 1600 SW Archer Rd M-F 8:00 AM - 6:00 PM Vincek Sullivan, Sara SLP Gainesville, FL 32610 Hines, Brittany SLP (352) 265-8940 Provider ID: 1718062 Roper, Sabrina SLP Provider ID: 1719072 Fax: (352) 265-8970 Gender: Female Provider ID: 1041021 Gender: Female 12 Yrs/130 Yrs Fundamental Therapy Gender: Female Fundamental Therapy M-F 8:00 AM - 5:00 PM Solutions Fundamental Therapy Solutions 250 NW 76th Dr Solutions 250 NW 76th Dr Speech & Language Gainesville, FL 32607 250 NW 76th Dr Gainesville, FL 32607 Pathology (352) 505-6363 Gainesville, FL 32607 (352) 505-6363 Fax: (866) 215-3205 (352) 505-6363 Fax: (866) 215-3205 Bartolotti, Jennifer SLP 00 Yrs/18 Yrs Fax: (866) 215-3205 00 Yrs/18 Yrs M-F 8:00 AM - 6:00 PM 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM Provider ID: 1718043 M-F 8:00 AM - 6:00 PM Gender: Female Ho Keselowsky, Virginia SLP Speech Therapy Fundamental Therapy Tomlinson, Amy SLP Solutions Provider ID: 1697096 Provider ID: 429971 Amerson, Emily SLP 250 NW 76th Dr Gender: Female Gender: Female Provider ID: 1040637 Gainesville, FL 32607 Fundamental Therapy Fundamental Therapy Gender: Female (352) 505-6363 Solutions Solutions Fundamental Therapy Fax: (866) 215-3205 250 NW 76th Dr 250 NW 76th Dr Solutions 00 Yrs/130 Yrs Gainesville, FL 32607 Gainesville, FL 32607 250 NW 76th Dr M-F 8:00 AM - 6:00 PM (352) 505-6363 (352) 505-6363 Gainesville, FL 32607 Fax: (866) 215-3205 Fax: (352) 505-6383 (352) 505-6363 00 Yrs/21 Yrs 00 Yrs/21 Yrs Fax: (352) 505-6383 M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM 00 Yrs/21 Yrs M-TH 7:30 AM - 6:00 PM

www.wellcare.com/Florida | 243 Updated: 01/04/2019 Allied Providers Alachua Speech Therapy - cont. Kramer, Erin SLP Sports Medicine Thoracic Surgery Provider ID: 1041040 Dyson, Rachel SLP Gender: Female Gleim, Stacey PA Reilly, Kevin PA Provider ID: 1040645 Fundamental Therapy Provider ID: 1022581 Provider ID: 1709668 Gender: Female Solutions Gender: Female Gender: Male Fundamental Therapy 250 NW 76th Dr UF Orthopedics and Sports UF Health Surgical Specialist Solutions Gainesville, FL 32607 Medicine Tcv 250 NW 76th Dr (352) 505-6363 3450 Hull Rd 1505 SW Archer Rd Gainesville, FL 32607 Fax: (352) 505-6383 Gainesville, FL 32607 Gainesville, FL 32608 (352) 505-6363 00 Yrs/21 Yrs (352) 273-7001 (352) 265-5470 Fax: (352) 505-6383 M-TH 7:30 AM - 6:00 PM Fax: (352) 273-7293 Fax: (352) 733-9372 00 Yrs/21 Yrs 02 Yrs/130 Yrs 00 Yrs/130 Yrs M-TH 7:30 AM - 6:00 PM Memminger, Jaqueline OT M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

Hart, Amy SLP Provider ID: 1041033 Walker, Katherine PA Urology Provider ID: 990566 Gender: Female Provider ID: 1022645 Gender: Female Fundamental Therapy Gender: Female Ramat, Shanna APRN Fundamental Therapy Solutions Shands At UF Provider ID: 1690578 Solutions 250 NW 76th Dr 1600 SW Archer Rd Gender: Female 250 NW 76th Dr Gainesville, FL 32607 Gainesville, FL 32610 North Florida Urology Gainesville, FL 32607 (352) 505-6363 (352) 265-0535 Associates PA (352) 505-6363 Fax: (352) 505-6383 Fax: (352) 265-0328 3426 NW 43rd St Ste B Fax: (352) 505-6383 00 Yrs/21 Yrs 02 Yrs/130 Yrs Gainesville, FL 32606 00 Yrs/21 Yrs M-TH 7:30 AM - 6:00 PM MTWTHFSatSun 12:00 AM ­ (352) 338-2089 M-TH 7:30 AM - 6:00 PM 11:59 PM Fax: (352) 338-1415 Quigley, Sharon OT 00 Yrs/21 Yrs Kaswinkel, Patricia SLP Provider ID: 1041038 Walker, Katherine PA M 1:00 AM - 5:00 PM Provider ID: 1039681 Gender: Female Provider ID: 1022645 T 9:00 AM - 5:00 PM Gender: Female Fundamental Therapy Gender: Female Patricia T Kaswinkel Ccc/SLP Solutions UF Orthopedics and Sports Stacy, Elizabeth PA 6121 NW 114th Pl 250 NW 76th Dr Medicine Provider ID: 1478284 Alachua, FL 32615 Gainesville, FL 32607 3450 Hull Rd Gender: Female (352) 222-3122 (352) 505-6363 Gainesville, FL 32607 Urology At Shands Medical Fax: (386) 462-1066 Fax: (352) 505-6383 (352) 273-7001 Plaza 00 Yrs/130 Yrs 00 Yrs/21 Yrs Fax: (352) 627-4418 2000 SW Archer Rd M-F 8:00 AM - 5:00 PM M-TH 7:30 AM - 6:00 PM 02 Yrs/130 Yrs Gainesville, FL 32608 M-F 8:00 AM - 5:00 PM (352) 265-8240 Knight, Maria SLP Russo, Sarah SLP 00 Yrs/130 Yrs Provider ID: 1040651 Provider ID: 1041019 Thoracic & Cardiovascular M-F 8:00 AM - 5:00 PM Gender: Female Gender: Female Surgery Fundamental Therapy Fundamental Therapy Vascular Neurology Solutions Solutions Hall, Aubrey APRN 250 NW 76th Dr 250 NW 76th Dr Provider ID: 1362263 Flaherty, Kathleen APRN Gainesville, FL 32607 Gainesville, FL 32607 Gender: Female (352) 505-6363 (352) 505-6363 North Florida Surgical Provider ID: 1735699 Fax: (352) 505-6383 Fax: (352) 505-6383 Associates L Gender: Female 00 Yrs/21 Yrs 00 Yrs/21 Yrs 6440 W Newberry Rd Ste 102 North Florida Surgical M-TH 7:30 AM - 6:00 PM M-TH 7:30 AM - 6:00 PM Gainesville, FL 32605 Associates (352) 333-5610 6400 W Newberry Rd Ste 210 Fax: (352) 333-5611 Gainesville, FL 32605 00 Yrs/130 Yrs (352) 331-3583 M-F 9:00 AM - 5:00 PM Fax: (352) 331-3669 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 244 Updated: 01/04/2019 Allied Providers Alachua Vascular Neurology - cont.

Haeseker, Cameron APRN Provider ID: 1436810 Gender: Female 6400 W Newberry Rd Ste 210 Gainesville, FL 32605 (352) 331-3583 Fax: (352) 331-3669 00 Yrs/130 Yrs

Haeseker, Cameron APRN

Provider ID: 1436810 Gender: Female North Florida Surgical Associates L 1121 NW 64th Ter Ste A Gainesville, FL 32605 (352) 331-3583 Fax: (352) 331-3669 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Vascular Surgery

Carroll, Jonathan PA Provider ID: 1214243 Gender: Male UF Health Surgical Specialists V 1505 SW Archer Rd Gainesville, FL 32610 (352) 265-9928 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 245 Updated: 01/04/2019 Allied Providers Baker Nurse Practitioner Family Brown, Jennifer APRN Medicine Provider ID: 936411 Gender: Female Crews, Marcheta APRN Childrens Medical Center 1419 S 6th St Provider ID: 1365534 Macclenny, FL 32063 Gender: Female (904) 653-1822 Baker County Health Fax: (904) 259-1225 Department 00 Yrs/21 Yrs 480 W Lowder St M-F 8:00 AM - 5:00 PM Macclenny, FL 32063 (904) 259-6291 Pulmonary Medicine 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Zaffine, Nicole APRN Provider ID: 1450487 Obstetrics/Gynecology Gender: Female St. Vincents Ambulatory Care, Adams, Melissa APRN Inc Provider ID: 1126173 159 N 3rd St Ste B Gender: Female Macclenny, FL 32063 North Florida OB/GYN (904) 449-7288 Associates PA Fax: (904) 203-2173 725 S 6th St 18 Yrs/130 Yrs Macclenny, FL 32063 M-F 8:00 AM - 5:00 PM (904) 264-9555 Fax: (904) 215-7960 00 Yrs/130 Yrs M 8:00 AM - 5:00 PM Pediatrics

Alexander, Jessica PA Provider ID: 936425 Gender: Female Childrens Medical Center 6704 E Mount Vernon St Glen Saint Mary, FL 32040 (904) 259-7420 Fax: (904) 259-8366 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

Alexander, Jessica PA Provider ID: 936431 Gender: Female Childrens Medical Center 1419 S 6th St Macclenny, FL 32063 (904) 653-1822 Fax: (904) 259-1225 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 246 Updated: 01/04/2019 Allied Providers Bradford Family Practice General Practice Pediatrics

Kirkland, David APRN Webster, Lynne APRN Perry, Casey APRN Provider ID: 1072422 Provider ID: 1018233 Provider ID: 936886 Gender: Male Gender: Female Gender: Female Shands Medical Group of Bradford County Health Dept North Florida Pediatrics Starke 1801 N Temple Ave 417 E Call St 1550 S Water St Starke, FL 32091 Starke, FL 32091 Starke, FL 32091 (904) 964-7732 (904) 368-0368 (904) 368-2480 Fax: (904) 964-3829 Fax: (904) 317-4949 Fax: (904) 964-1400 00 Yrs/130 Yrs 00 Yrs/21 Yrs 00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Phillips, Christina APRN Lynch, Judith PA Nurse Midwife Provider ID: 1120112 Provider ID: 910625 Gender: Female Summers, Marlene CNM Gender: Female Palms Medical Group Provider ID: 1187305 Pediatric Associates At Argyle 550 Georgia St Gender: Female 417 E Call St Starke, FL 32091 1801 N Temple Ave Starke, FL 32091 (904) 364-2900 Starke, FL 32091 (904) 368-0368 Fax: (904) 364-2901 (904) 964-7732 Fax: (904) 368-0378 00 Yrs/130 Yrs Fax: (352) 384-3611 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Spanish, Tagalog M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Nicula, Wanda APRN Provider ID: 997689 Nurse Practitioner Smith, Megan APRN Gender: Female Provider ID: 936892 Shands Medical Group of Perantoni, Anne APRN Gender: Female Starke Provider ID: 1450538 North Florida Pediatrics 1550 S Water St Gender: Female 417 E Call St Starke, FL 32091 Bradford County Health Dept Starke, FL 32091 (904) 368-2480 1801 N Temple Ave (904) 368-0368 Fax: (904) 964-1400 Starke, FL 32091 Fax: (904) 317-4949 05 Yrs/130 Yrs (904) 964-7732 00 Yrs/21 Yrs M-F 8:00 AM - 6:00 PM Fax: (904) 964-3829 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Owen, Andrew PA M-F 9:00 AM - 5:00 PM Provider ID: 1610271 Gender: Male Obstetrics/Gynecology Trenton Medical Group 550 Georgia St Stringer, Ronnie APRN Starke, FL 32091 Provider ID: 1176420 (904) 364-2900 Gender: Female Fax: (904) 364-2901 Florida Woman Care LLC 00 Yrs/130 Yrs 1801 N Temple Ave M-F 8:00 AM - 5:00 PM Starke, FL 32091 (352) 371-2011 Fax: (352) 384-3611 00 Yrs/130 Yrs North Florida Regional M 9:00 AM - 6:00 PM TWTH 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM

www.wellcare.com/Florida | 247 Updated: 01/04/2019 Allied Providers Citrus Audiology Schenk, Angela AUD Rentfro, Brent PA Nurse Practitioner Provider ID: TPV08689-02 Provider ID: 1150301 Baker, James AUD Gender: Female Gender: Male Dillenbeck Juers, Julie APRN Provider ID: TPV16962-01 Gardner Audiology Community Hospital Family Gender: Male 700 SE 5th Ter Ste 11 Practice Provider ID: 1558079 Gardner Audiology Crystal River, FL 34429 7945 S Suncoast Blvd Ste A Gender: Female 700 SE 5th Ter Ste 11 (352) 795-5377 Homosassa, FL 34446 Internal Medicine and Crystal River, FL 34429 Fax: (352) 795-8663 (352) 382-5000 Pediatrics W (352) 795-5377 21 Yrs/99 Yrs Fax: (352) 382-1940 6038 W Nordling Loop Fax: (352) 795-8663 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Crystal River, FL 34429 21 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM (352) 563-5070 M-F 9:00 AM - 5:00 PM Family Practice Fax: (352) 795-4322 Internal Medicine 00 Yrs/18 Yrs Conter, Joanne AUD Augustine, Reji APRN M-F 8:00 AM - 6:00 PM Provider ID: TPV07065-01 Provider ID: 1349743 Dowe, Joy APRN Gender: Female Gender: Male Provider ID: 1033600 Lamy, Cerilien APRN Gardner Audiology Community Hospital Practice Gender: Female Provider ID: 1553269 700 SE 5th Ter Ste 11 LLC Internal Medicine and Gender: Male Crystal River, FL 34429 7945 S Suncoast Blvd Ste A Pediatrics We Internal Medicine Pediatrics (352) 795-5377 Homosassa, FL 34446 6038 W Nordling Loop Welln Fax: (352) 795-8663 (352) 382-5000 Crystal River, FL 34429 6038 W Nordling Loop 21 Yrs/99 Yrs Fax: (352) 382-1940 (352) 563-5070 Crystal River, FL 34429 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 795-4322 (352) 563-5070 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (352) 795-4322 Gardner, Daniel AUD M-F 8:00 AM - 6:00 PM 12 Yrs/130 Yrs Provider ID: TPV07478-01 Frussinetty, Antoinette APRN Languages: French, Creole Gender: Male Hegarty, Jennifer APRN MTWFSatSun 8:00 AM - 6:00 Gardner Audiology Provider ID: 1648658 PM 2525 Hwy 44 W Gender: Female Provider ID: 1106546 TH 8:80 AM - 6:00 PM Inverness, FL 34453 Millennium Physican Group Gender: Female (352) 419-6565 216 S Seminole Ave Internal Medicine Pediatrics Obstetrics/Gynecology Fax: (352) 795-8663 Inverness, FL 34452 Well 21 Yrs/99 Yrs (352) 560-0333 6038 W Nordling Loop Dryden, Melanie APRN M-F 9:00 AM - 5:00 PM Fax: (352) 560-0337 Crystal River, FL 34429 00 Yrs/130 Yrs (352) 563-5070 Provider ID: 1235199 Gardner, Daniel AUD M-F 9:00 AM - 5:00 PM Fax: (352) 795-4322 Gender: Female Provider ID: TPV07478-02 00 Yrs/130 Yrs Citrus Specialty Group, Inc. Gender: Male Hylton, Michelle APRN MTWTHFSat 8:00 AM - 6:00 800 Medical Ct E Gardner Audiology PM Inverness, FL 34452 700 SE 5th Ter Ste 11 Provider ID: 1653380 (352) 726-7667 Crystal River, FL 34429 Gender: Female Koss Bradish, Donna APRN Fax: (352) 726-8193 (352) 795-5377 Langley Health Services 00 Yrs/130 Yrs Fax: (352) 795-8663 151 E Highland Blvd Ste 151 Provider ID: 1185441 M-TH 8:00 AM - 5:00 PM 21 Yrs/99 Yrs Inverness, FL 34452 Gender: Female F 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM (352) 419-7085 Internal Medicine Pediatrics 00 Yrs/130 Yrs Welln Duncan, Jacqueline APRN Schenk, Angela AUD M-F 8:00 AM - 5:00 PM 6038 W Nordling Loop Provider ID: TPV08689-01 Crystal River, FL 34429 Provider ID: 330167 Gender: Female (352) 563-5070 Gender: Female Gardner Audiology Fax: (352) 795-4322 6151 N Suncoast Blvd Ste 1C 2525 Hwy 44 W 21 Yrs/130 Yrs Crystal River, FL 34428 Inverness, FL 34453 MTWTHFSat 8:00 AM - 6:00 (352) 794-0878 (352) 419-6565 PM Fax: (352) 794-0877 Fax: (352) 795-8663 00 Yrs/130 Yrs 21 Yrs/99 Yrs M-F 8:30 AM - 4:30 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 248 Updated: 01/04/2019 Allied Providers Citrus Occupational Therapy Johnson, Pearl OT Ramsay, Sherrie OT Orthopaedic Surgery Provider ID: 1717801 Provider ID: 1101118 Baumstark, Sandra OT Gender: Female Gender: Female Grooms, John PA Provider ID: 1127064 Achievement Rehabilitation Achievement Rehabilitation Provider ID: 360849 Gender: Female Through Through Gender: Male OT 4 Kids Inc 130 Heights Ave 130 Heights Ave Citrus Orthopaedic Joint 335 NE 10th Ave Inverness, FL 34452 Inverness, FL 34452 Institute Crystal River, FL 34429 (352) 419-6570 (352) 419-6570 950 N Avalon Way (352) 795-5552 Fax: (888) 639-2521 Fax: (888) 639-2521 Lecanto, FL 34461 Fax: (352) 795-7751 00 Yrs/130 Yrs 00 Yrs/21 Yrs (352) 746-2663 00 Yrs/21 Yrs M-TH 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Fax: (352) 746-6907 M-F 9:00 AM - 6:00 PM F 8:00 AM - 1:00 PM 00 Yrs/130 Yrs Schutt, Rebecca OT Seven Rivers Regional Medical Curtis, Christiane OT Kirschenpfad, Lauren OT Provider ID: 1117655 Center Provider ID: 542821 Gender: Female M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 1339542 OT 4 Kids Inc OT 4 Kids Inc Gender: Female 335 NE 10th Ave Hofer, Dwight PA 297 N Broad St OT 4 Kids Inc Crystal River, FL 34429 Provider ID: 916231 Crystal River, FL 34429 335 NE 10th Ave (352) 795-5552 Gender: Male (352) 796-0069 Crystal River, FL 34429 Fax: (352) 795-7751 Nature Coast Orthopaedics Fax: (352) 796-9194 (352) 795-5552 00 Yrs/21 Yrs and Sport 00 Yrs/21 Yrs Fax: (352) 795-7751 M-F 9:00 AM - 6:00 PM 2155 W Mustang Blvd Languages: German 00 Yrs/21 Yrs Beverly Hills, FL 34465 M-TH 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Strom, Karen OT (352) 746-5707 Provider ID: 1251721 Fax: (352) 746-5944 Curtis, Christiane OT Lastinger, Karin OT Gender: Female 12 Yrs/130 Yrs Provider ID: 542821 Provider ID: 1093903 Achievement Rehabilitation M-F 8:00 AM - 5:00 PM Gender: Female Gender: Female Through OT 4 Kids Inc Central Florida Clinic For 130 Heights Ave Hofer, Dwight PA 335 NE 10th Ave Rehabili Inverness, FL 34452 Provider ID: 916231 Brooksville, FL 34429 255 SE 7th Ave Ste 2 (352) 419-6570 Gender: Male (352) 795-5552 Crystal River, FL 34429 Fax: (888) 639-2521 Nature Coast Orthopaedics Fax: (352) 795-7751 (352) 795-4114 00 Yrs/130 Yrs and Sport 00 Yrs/21 Yrs Fax: (352) 563-2438 M-F 8:00 AM - 5:00 PM 2236 Hwy 44 W Languages: German 00 Yrs/130 Yrs Inverness, FL 34453 M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM Yarchuk, Cheryl OT (352) 746-5707 Provider ID: 1443949 Fax: (352) 746-5944 Huecker, Gail OT Lastinger, Karin OT Gender: Female 12 Yrs/130 Yrs Provider ID: 1119705 Provider ID: 1441595 Miracle Mile Therapy Inc M-F 8:00 AM - 5:00 PM Gender: Female Gender: Female 2780 N Florida Ave Ste 1 OT 4 Kids Inc J and K Lastinger Hernando, FL 34442 Lemos, Kenneth PA 335 NE 10th Ave 5492 N Sierra Vista Dr (877) 773-7123 Provider ID: 1533217 Crystal River, FL 34429 Crystal River, FL 34428 Fax: (352) 419-6575 Gender: Male (352) 795-5552 (352) 219-7173 02 Yrs/130 Yrs Nature Coast Orthopaedics Fax: (352) 795-7751 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 520 SE 8th Ave 00 Yrs/21 Yrs MTWTHFSatSun 7:00 AM ­ Crystal River, FL 34429 M-F 9:00 AM - 6:00 PM 6:00 PM (352) 564-2663 12 Yrs/130 Yrs Messier, Jennifer OT M-F 8:00 AM - 5:00 PM Provider ID: 1119702 Gender: Female OT 4 Kids Inc 335 NE 10th Ave Crystal River, FL 34429 (352) 796-0069 Fax: (352) 796-9199 00 Yrs/21 Yrs M-F 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 249 Updated: 01/04/2019 Allied Providers Citrus Orthopaedic Surgery - Pediatrics Kupcho, Meredith PT Yox, Samantha PT cont. Provider ID: 1414937 Provider ID: 1107735 Hegarty, Jennifer APRN Gender: Female Gender: Female Lemos, Kenneth PA Rehab Partners Inc Achievement Rehabilitation Provider ID: 1533217 Provider ID: 1106546 1560 N Meadowcrest Blvd 130 Heights Ave Gender: Male Gender: Female Crystal River, FL 34429 Inverness, FL 34452 Nature Coast Orthopaedics Internal Medicine Pediatrics (352) 228-4088 (352) 419-6570 and Sport Well Fax: (352) 228-4006 Fax: (888) 639-2521 2155 W Mustang Blvd 6038 W Nordling Loop 00 Yrs/130 Yrs 00 Yrs/130 Yrs Beverly Hills, FL 34465 Crystal River, FL 34429 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM (352) 746-5707 (352) 563-5070 Fax: (352) 746-5944 Fax: (352) 795-4322 Navarro, Pedro PT Speech Therapy 12 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 1101120 M-F 8:00 AM - 5:00 PM MTWTHFSat 8:00 AM - 6:00 Gender: Male Andrews, Stephanie SLP PM Achievement Rehabilitation Newton, David PA 130 Heights Ave Provider ID: 1101121 Provider ID: 205875 Moore, Beth APRN Inverness, FL 34452 Gender: Female Gender: Male Provider ID: 1289479 (352) 419-6570 Achievement Rehabilitation Citrus Orthopeadic Joint Gender: Female Fax: (888) 639-2521 Through 950 N Avalon Way Internal Medicine Pediatrics 00 Yrs/21 Yrs 130 Heights Ave Lecanto, FL 34461 Well M-F 8:00 AM - 5:00 PM Inverness, FL 34452 (352) 746-2663 6038 W Nordling Loop (352) 419-6547 Fax: (352) 746-6907 Crystal River, FL 34429 Nelson, Caroline PT Fax: (888) 639-2521 00 Yrs/130 Yrs (352) 563-5070 Provider ID: 1092096 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Fax: (352) 795-4322 Gender: Female M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Central Florida Clinic For Olofsson, Brittany PA MTWTHFSat 8:00 AM - 6:00 Rehabili Brown, Madeline SLP Provider ID: 433818 PM 255 SE 7th Ave Ste 2 Provider ID: 1094384 Gender: Female Crystal River, FL 34429 Gender: Female Citrus Orthopeadic Joint Physical Therapy (352) 795-4114 Central Florida Clinic For 950 N Avalon Way Fax: (352) 563-2438 Rehabili Lecanto, FL 34461 Benthusen, Carli PT 00 Yrs/130 Yrs 255 SE 7th Ave Ste 2 (352) 746-2663 Provider ID: 1737843 M-F 8:00 AM - 5:00 PM Crystal River, FL 34429 Fax: (352) 746-6907 Gender: Female (352) 795-4114 00 Yrs/130 Yrs Achievement Rehabilitation Signoretti, Anthony PT Fax: (352) 563-2438 M-F 8:00 AM - 5:00 PM Through Provider ID: 1358742 00 Yrs/130 Yrs 130 Heights Ave Gender: Male M-F 8:00 AM - 5:00 PM Perry, Joseph PA Inverness, FL 34452 Rehab Partners, Inc Provider ID: 1304371 (352) 419-6570 1560 N Meadowcrest Blvd Fernandez, Heather SLP Gender: Male Fax: (888) 639-2521 Crystal River, FL 34429 Nature Coast Orthopaedics 00 Yrs/130 Yrs (352) 228-4088 Provider ID: 1094386 520 SE 8th Ave M-TH 8:00 AM - 6:00 PM Fax: (352) 228-4006 Gender: Female Crystal River, FL 34429 F 8:00 AM - 1:00 PM 00 Yrs/130 Yrs Central Florida Clinic For (352) 564-2663 M-F 7:30 AM - 5:30 PM Rehabili Fax: (352) 564-2615 Keen, Jordan PT 255 SE 7th Ave Ste 2 02 Yrs/130 Yrs Provider ID: 1085247 Wharton, Corey PT Crystal River, FL 34429 M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 1417998 (352) 795-4114 Achievement Rehabilitation Gender: Male Fax: (352) 563-2438 130 Heights Ave Citrus Orthopaedic and Joint 00 Yrs/130 Yrs Inverness, FL 34452 In M-F 8:00 AM - 5:00 PM (352) 419-6570 1560 N Meadowcrest Blvd Fax: (888) 639-2521 Crystal River, FL 34429 00 Yrs/130 Yrs (352) 228-4088 MTWF 8:00 AM - 5:00 PM Fax: (352) 228-4006 TH 8:00 AM - 6:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 250 Updated: 01/04/2019 Allied Providers Citrus Speech Therapy - cont. Urology

Gustafson Rairie, Kristina SLP Pulice, Frances PA Provider ID: 1155568 Provider ID: 1120628 Gender: Female Gender: Female 609 W Highland Blvd Achievement Rehabilitation Inverness, FL 34452 Through (352) 726-9707 130 Heights Ave 00 Yrs/130 Yrs Inverness, FL 34452 Languages: Arabic (352) 419-6570 Fax: (888) 639-2521 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Kanter, Karen SLP Provider ID: 1107300 Gender: Female Achievement Rehabilitation 130 Heights Ave Inverness, FL 34452 (352) 419-6570 Fax: (888) 639-2521 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Lanier, Samantha SLP Provider ID: 1172733 Gender: Female Achievement Rehabilitation Through 130 Heights Ave Inverness, FL 34452 (352) 419-6570 Fax: (888) 639-2521 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM

Seeley, Mary SLP Provider ID: 1246368 Gender: Female Achievement Rehabilitation Through 130 Heights Ave Inverness, FL 34452 (352) 419-6570 Fax: (888) 639-2521 00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM

www.wellcare.com/Florida | 251 Updated: 01/04/2019 Allied Providers Clay Advanced Registered Audiology Payne, Stacy AUD Gannaway, Margaret APRN Nurse Practioner Provider ID: 1476447 Corn, Lauren AUD Gender: Female Provider ID: 1536908 Gillander, Kristen APRN Provider ID: 1476427 Nemours Childrens Specialty Gender: Female Gender: Female Care First Coast Heart and Vascular Provider ID: 1574005 Nemours Childrens Specialty 1747 Baptist Clay Dr Center Gender: Female Care Orange Park, FL 32003 1679 Eagle Harbor Pkwy Ste B First Coast Heart and Vascular 1747 Baptist Clay Dr (904) 697-3088 Fleming Island, FL 32003 Center Orange Park, FL 32003 Fax: (904) 697-3060 (904) 375-8100 1679 Eagle Harbor Pkwy Ste B (904) 697-3088 00 Yrs/18 Yrs Fax: (904) 375-8101 Fleming Island, FL 32003 Fax: (904) 697-3060 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (904) 375-8100 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Fax: (903) 375-8101 M-F 8:00 AM - 5:00 PM Stack, Lauren AUD 00 Yrs/130 Yrs Provider ID: 1476458 Lehmann, Melanie APRN M-F 8:00 AM - 5:00 PM Courson, Heather AUD Gender: Female Nemours Childrens Specialty Provider ID: 753368 Grieve, Laura APRN Provider ID: 1476428 Care Gender: Female Provider ID: 1600148 Gender: Female 1747 Baptist Clay Dr St Vincents Ambulatory Care Gender: Female Nemours Childrens Specialty Orange Park, FL 32003 Inc First Coast Heart and Vascular Care (904) 697-3088 2300 Park Ave Ste 101 B Center 1747 Baptist Clay Dr Fax: (904) 697-3060 Orange Park, FL 32073 1679 Eagle Harbor Pkwy Ste B Orange Park, FL 32003 00 Yrs/18 Yrs (904) 264-0088 Fleming Island, FL 32003 (904) 697-3088 M-F 8:00 AM - 5:00 PM Fax: (904) 264-3302 (904) 375-8100 Fax: (904) 697-3060 18 Yrs/130 Yrs Fax: (904) 375-8101 00 Yrs/18 Yrs Cardiology M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Bentley, Sherita APRN Nadeau, Allen PA Mull, Anne AUD Provider ID: 1274181 Provider ID: 695639 Houser, Marcie APRN Provider ID: 1476438 Gender: Female Gender: Male Provider ID: 1591387 Gender: Female First Coast Cardiovascular Saint Vincent Cardiology Clay Gender: Female Nemours Childrens Specialty Institut Count First Coast Heart and Vascular Care 1681 Eagle Harbor Pkwy Ste B 1658 St Vincents Way Ste 300 Center 1747 Baptist Clay Dr Orange Park, FL 32003 Middleburg, FL 32068 1679 Eagle Harbor Pkwy Ste B Orange Park, FL 32003 (904) 644-0092 (904) 276-5100 Fleming Island, FL 32003 (904) 697-3088 Fax: (904) 644-0099 Fax: (904) 276-5393 (904) 375-8100 Fax: (904) 697-3060 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 375-8101 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Dalrymple, Karla PA Qazizada, Wagma PA Nazemi, Sharon AUD Provider ID: 905343 Provider ID: 691568 Mossor, Bridget APRN Gender: Female Gender: Female Provider ID: 1573955 Provider ID: 1476441 First Coast Cardiovascular First Coast Cardiovascular Gender: Female Gender: Female 1681 Eagle Harbor Pkwy Ste B Institut First Coast Heart and Vascular Nemours Childrens Specialty Orange Park, FL 32003 1681 Eagle Harbor Pkwy Ste B Center Care (904) 644-0092 Orange Park, FL 32003 1679 Eagle Harbor Pkwy Ste B 1747 Baptist Clay Dr Fax: (904) 644-0099 (904) 644-0092 Fleming Island, FL 32003 Orange Park, FL 32003 00 Yrs/130 Yrs Fax: (904) 644-0099 (904) 375-8100 (904) 697-3088 Languages: Spanish 18 Yrs/130 Yrs Fax: (904) 375-8108 Fax: (904) 697-3060 M-F 8:00 AM - 5:00 PM Orange Park Medical Center 00 Yrs/130 Yrs 00 Yrs/18 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 252 Updated: 01/04/2019 Allied Providers Clay Cardiology - cont. Dillingham, Adilen PA Lee, Jenifer PA Family Practice Provider ID: 1339539 Provider ID: 904484 Torrealba, Liliana PA Gender: Female Gender: Female Adams, Rebecca APRN Provider ID: 1265977 Park Avenue Dermatology Park Avenue Dermatology PA Gender: Female 1543 Kingsley Ave Ste 16 1677 Eagle Harbor Pkwy E Ste Provider ID: 1242181 First Coast Cardiovascular Orange Park, FL 32073 B Gender: Female Institut (904) 541-0315 Fleming Island, FL 32003 St Vincents Ambulatory Care 1681 Eagle Harbor Pkwy Ste B Fax: (904) 541-0316 (604) 541-0315 550 Wells Rd Ste 17 Fleming Island, FL 32003 00 Yrs/130 Yrs Fax: (604) 541-0316 Orange Park, FL 32073 (904) 644-0092 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (904) 269-2900 Fax: (904) 644-0099 M-F 8:00 AM - 5:00 PM Fax: (904) 269-1140 18 Yrs/130 Yrs Dillingham, Adilen PA 00 Yrs/130 Yrs Languages: Spanish Provider ID: 1339539 Robinson, Sean PA M-TH 8:00 AM - 10:00 PM M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 691735 F 8:00 AM - 4:30 PM Park Avenue Dermatology Gender: Male Dermatology 906 Park Ave Park Avenue Dermatology PA Amin, Shreya APRN Orange Park, FL 32073 906 Park Ave Provider ID: 1199908 Bernhart, Natalie PA (904) 541-0315 Orange Park, FL 32073 Gender: Female Provider ID: 1575005 Fax: (904) 541-0316 (904) 541-0315 Physicians Group Services, Gender: Female 00 Yrs/130 Yrs Fax: (904) 541-0316 PA/DBA F Park Avenue Dermatology PA M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 1409 Kingsley Ave Ste 6A 1543 Kingsley Ave Ste 16 Languages: Spanish Orange Park, FL 32073 Orange Park, FL 32073 Harrington, Julie PA M-F 8:00 AM - 5:00 PM (904) 264-7517 (904) 541-0315 Provider ID: 917648 Fax: (904) 264-0015 Fax: (904) 541-0316 Gender: Female Ear, Nose & Throat 02 Yrs/130 Yrs 00 Yrs/130 Yrs Park Avenue Dermatology M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 1677 Eagle Harbor Pkwy E Ste Patel, Lynn APRN B Provider ID: 1150437 Balester, Mark PA Bernhart, Natalie PA Orange Park, FL 32003 Gender: Female Provider ID: 480098 Provider ID: 1575005 (904) 341-0315 St Vincents Ambulatory Care Gender: Male Gender: Female Fax: (904) 341-0316 Inc Alberto Castiel MD Global Park Avenue Dermatology PA 00 Yrs/130 Yrs 2035 Pro Center Dr Ste A Family Ca 1677 Eagle Harbor Pkwy Ste C Languages: Spanish Orange Park, FL 32073 1677 Wells Rd Ste C Fleming Island, FL 32003 M-F 8:00 AM - 5:00 PM (904) 272-3200 Orange Park, FL 32073 (904) 541-0315 Fax: (904) 272-3211 (904) 215-8400 Fax: (904) 541-0316 Harrington, Julie PA 00 Yrs/130 Yrs Fax: (904) 215-8489 00 Yrs/130 Yrs Provider ID: 917648 Languages: French 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Gender: Female M-F 8:00 AM - 4:00 PM M-F 8:00 AM - 5:00 PM Park Avenue Dermatology Bernhart, Natalie PA 906 Park Ave Endocrinology, Diabetes, Blinder, Allison PA Provider ID: 1575005 Orange Park, FL 32073 Metabolism Provider ID: 1250123 Gender: Female (904) 541-0315 Gender: Female Park Avenue Dermatology PA Fax: (904) 541-0316 Barrie, Habibu ARNP Family Care Partners of 906 Park Ave 00 Yrs/130 Yrs Provider ID: 1576792 Northeast F Orange Park, FL 32003 Languages: Spanish Gender: Male 4565 US Hwy 17 Ste 106 (904) 541-0315 M-F 9:00 AM - 5:00 PM NE Florida Endocrine and Orange Park, FL 32003 Fax: (904) 541-0316 Diabetes (904) 269-4559 00 Yrs/130 Yrs Lee, Jenifer PA 1635 Eagle Harbor Pkwy Ste 5 Fax: (904) 269-4597 M-F 8:00 AM - 5:00 PM Provider ID: 904484 Fleming Island, FL 32003 00 Yrs/130 Yrs Gender: Female (904) 384-2240 M 8:00 AM - 5:00 PM Park Avenue Dermatology Fax: (904) 486-2314 TWTH 8:00 AM - 8:00 PM 906 Park Ave 18 Yrs/130 Yrs F 8:00 AM - 4:00 PM Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM (904) 541-0315 Fax: (904) 541-0316 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 253 Updated: 01/04/2019 Allied Providers Clay Family Practice - cont. Jarosz, David APRN Paredes, Maria PA Underkofler, Janet PA Provider ID: 240348 Provider ID: 1370285 Provider ID: 669191 Gall, Heather APRN Gender: Male Gender: Female Gender: Female Provider ID: 1256852 Family Medical and Dental St Vincents Healthcare Memorial Family Practice Gender: Female 100 Commercial Dr 1570 Island Ln Associates Family Care Partners of Keystone Heights, FL 32656 Orange Park, FL 32003 1594 Kingsley Ave Northeast F (352) 473-6595 (904) 264-1204 Orange Park, FL 32073 4565 US Hwy 17 Ste 106 Fax: (352) 473-6597 Fax: (904) 264-1227 (904) 264-8621 Orange Park, FL 32003 00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (904) 215-9418 (904) 269-4559 Languages: Spanish M-TH 8:00 AM - 7:00 PM 00 Yrs/130 Yrs Fax: (904) 269-4597 M-F 8:00 AM - 5:00 PM F 8:00 AM - 5:00 PM Orange Park Medical Center 00 Yrs/130 Yrs Languages: Spanish M-F 7:30 AM - 8:00 PM Kern, Sarah APRN Perez, Raquel APRN M-F 8:00 AM - 4:00 PM Provider ID: 1159558 Provider ID: 1582610 Gay, Debora APRN Gender: Female Gender: Female Underkofler, Janet PA Provider ID: 812729 Family Medical Centers Rural Health Care Provider ID: 669191 Gender: Female 1409 Kingsley Ave Ste 6A Incorporated Gender: Female First Coast Primary Care Inc Orange Park, FL 32073 1305 N Orange Ave Ste 120-123 Memorial Family Practice 705 Ferris St (904) 264-7517 Green Cove Springs, FL 32043 Associates Green Cove Springs, FL 32043 Fax: (904) 264-0015 (904) 284-5904 4689 US Hwy 17 Ste 14 (904) 284-4510 05 Yrs/130 Yrs Fax: (904) 284-5905 Orange Park, FL 32003 Fax: (904) 284-3293 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs (904) 264-8621 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (904) 215-9418 M-F 9:00 AM - 5:00 PM Leffelman, Gary APRN 00 Yrs/130 Yrs Perry, Peter PA Orange Park Medical Center Huggins, Shavondra APRN Provider ID: 1169917 Provider ID: 691562 Languages: Spanish Gender: Male Gender: Male M-F 9:00 AM - 5:00 PM Provider ID: 592699 Family Care Partners Argyle Physician Group Services PA Gender: Female 4565 US Hwy 17 Ste 106 1409 Kingsley Ave Ste 6A Underkofler, Janet PA St Vincents Ambulatory Care Orange Park, FL 32003 Orange Park, FL 32073 Provider ID: 669191 Inc (904) 269-4559 (904) 264-7517 Gender: Female 550 Wells Rd Ste 17 Fax: (904) 269-4597 Fax: (904) 264-0015 Memorial Family Practice Orange Park, FL 32073 00 Yrs/130 Yrs 00 Yrs/130 Yrs Associates (904) 269-2900 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 4711 US Hwy 17 Ste B1 Fax: (904) 269-1140 Orange Park, FL 32003 00 Yrs/130 Yrs Lloyd, Sharon APRN Simon, Kimberly APRN (904) 278-5048 M-F 7:00 AM - 5:30 PM Provider ID: 408912 Fax: (904) 215-9418 Gender: Female Provider ID: 659736 00 Yrs/130 Yrs Inman, Annie APRN First Coast Primary Care Inc Gender: Female Orange Park Medical Center Provider ID: 1487903 550 Wells Rd Ste 17 1305 N Orange Ave Ste 120 123 Languages: Spanish Gender: Female Orange Park, FL 32073 Green Cove Springs, FL 32043 M-F 8:00 AM - 4:00 PM St Vincents Ambulatory Care (904) 269-2900 (904) 284-5904 Wade, Heather APRN Inc Fax: (904) 269-1140 Fax: (904) 284-5905 Provider ID: 1302675 2300 Park Ave Ste 205 00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Female Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (904) 272-0384 Family Medical Center Fax: (904) 272-6748 Lloyd, Sharon APRN Sutherland, Mary PA 421 Kingsley Ave Ste 402 00 Yrs/130 Yrs Provider ID: 408912 Provider ID: 1509716 Orange Park, FL 32073 M-F 8:00 AM - 5:00 PM Gender: Female Gender: Female (904) 621-0643 First Coast Primary Care Inc Physicians Group Services PA Fax: (904) 621-0644 705 Ferris St 3839 County Rd 218 05 Yrs/130 Yrs Green Cove Springs, FL 32043 Middleburg, FL 32068 M-F 8:00 AM - 5:00 PM (904) 284-4510 (904) 282-5474 Fax: (904) 284-3293 Fax: (904) 282-5824 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Chinese M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 254 Updated: 01/04/2019 Allied Providers Clay Family Practice - cont. Watson, James PA Zaffino, Nicole APRN Interventional Cardiology Provider ID: 1592220 Provider ID: 1091294 Watson, James PA Gender: Male Gender: Female Spies, Melissa APRN Provider ID: 1592220 St Vincents Primary Care Borland Groover Clinic, PA Provider ID: 1551850 Gender: Male Wells Road 1658 St Vincents Way Ste 200 Gender: Female St Vincents Primary Care 550 Wells Rd Ste 17 Middleburg, FL 32068 Ashchi Heart and Vascular Branan Fie Orange Park, FL 32073 (904) 214-8100 Center 1545 Branan Field Rd Ste 1 (904) 269-2900 Fax: (904) 214-8109 1564 Kingsley Ave Ste 300 Middleburg, FL 32068 Fax: (904) 269-1140 18 Yrs/130 Yrs Orange Park, FL 32073 (904) 450-8575 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (904) 222-6656 Fax: (904) 291-3822 M-TH 8:00 AM - 10:00 PM Fax: (904) 222-6657 00 Yrs/130 Yrs F 8:00 AM - 5:00 PM General Practice 00 Yrs/130 Yrs MWTHF 7:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM T 8:00 AM - 5:00 PM Jadlocki, Kristina PA Gastroenterology Provider ID: 680123 Spies, Melissa APRN Watson, James PA Gender: Female Provider ID: 1551850 Provider ID: 1592220 Garcia, Iselis APRN First Coast Primary Care Inc Gender: Female Gender: Male Provider ID: 1553360 550 Wells Rd Ste 17 Ashchi Heart and Vascular St Vincents Primary Care Gender: Female Orange Park, FL 32073 Center Green Cove Borland Groover Clinic PA (904) 269-2900 3839 County Rd 218 705 Ferris St 1465 Kingsley Ave Ste 1101 Fax: (904) 269-1140 Middleburg, FL 32068 Green Cove Springs, FL 32043 Orange Park, FL 32073 00 Yrs/130 Yrs (904) 222-6656 (904) 284-4510 (904) 264-9797 M-F 8:30 AM - 5:00 PM Fax: (904) 222-6657 Fax: (904) 284-3293 Fax: (904) 264-4644 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Miner, Karen PA M-F 9:00 AM - 5:00 PM M-F 7:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 411012 Gender: Female Nephrology Watson, James PA Morales, Angelina APRN First Coast Primary Care Inc Provider ID: 1592220 550 Wells Rd Ste 17 Anderson, Cindy PA Gender: Male Provider ID: 1638770 Orange Park, FL 32073 Provider ID: 1093475 St Vincents Primary Care Gender: Female (904) 269-2900 Gender: Female Opim Borland Groover Clinic PA Fax: (904) 269-1140 Nephrology Associates of 2300 Park Ave Ste 205 1658 St Vincents Way Ste 200 02 Yrs/130 Yrs Northeast Orange Park, FL 32073 Middleburg, FL 32068 M-TH 8:00 AM - 10:00 PM 895 Kingsley Ave Ste 303 (904) 272-0384 (904) 214-8100 F 8:00 AM - 5:00 PM Orange Park, FL 32073 Fax: (904) 272-6748 Fax: (904) 214-8109 Sat 8:00 AM - 1:00 PM (904) 389-5333 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (904) 389-5332 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Infectious Disease 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Watson, James PA Raymer, Raychel PA Hiller, Ilana APRN Provider ID: 1592220 Provider ID: 1060215 Provider ID: 1692806 Preston, Sara APRN Gender: Male Gender: Female Gender: Female Provider ID: 930435 St Vincents Primary Care Park Borland Groover Clinic Mihaela Ionescu MD PA Gender: Female Avenu 1658 St Vincents Way Ste 200 2021 Kingsley Ave Ste 101 James D Baker III MD PA 2233 Park Ave Ste 403 Middleburg, FL 32068 Orange Park, FL 32073 1895 Kingsley Ave Ste 303 Orange Park, FL 32073 (904) 214-8100 (904) 272-3307 Orange Park, FL 32073 (904) 450-8870 Fax: (904) 214-8109 Fax: (904) 298-1922 (904) 389-5333 Fax: (904) 450-8879 18 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (904) 389-5332 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-TH 7:30 AM - 5:00 PM M-F 8:30 AM - 5:00 PM F 7:30 AM - 4:00 PM

www.wellcare.com/Florida | 255 Updated: 01/04/2019 Allied Providers Clay Neurology Nurse Practitioner C Roberts, Sandra APRN King, Roberta OT Provider ID: 411494 Provider ID: 967145 Emerson, Ashley APRN Barrozo, Patricia APRN Gender: Female Gender: Female North Florida OB/GYN Sensational Kids Therapy PLLC Provider ID: 1700179 Provider ID: 1514421 Associates PA 1851 Golden Eagle Way Ste 43 Gender: Male Gender: Female 1075 Oakleaf Plantation Pkwy Fleming Island, FL 32003 Nemours Childrens Specialty Mihaela Ionescu MD PA Ste 109 (904) 374-1414 Care, F 2021 Kingsley Ave Ste 101 Orange Park, FL 32065 Fax: (877) 736-3470 1747 Baptist Clay DR Orange Park, FL 32073 (904) 264-9555 00 Yrs/21 Yrs Fleming Island, FL 32003 (904) 272-3307 Fax: (904) 215-7960 M-F 8:00 AM - 7:00 PM (904) 697-3088 Fax: (904) 298-1922 12 Yrs/130 Yrs Fax: (904) 697-3060 18 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM Lynch, Danielle OT 00 Yrs/18 Yrs M-F 9:00 AM - 4:30 PM Provider ID: 1144298 M-F 8:00 AM - 5:00 PM C Roberts, Sandra APRN Gender: Female Nurse Practitioner Family Provider ID: 411494 Sensational Kids Therapy Neurosurgery Medicine Gender: Female 1851 Golden Eagle Way Ste 43 North Florida OB/GYN Orange Park, FL 32003 Hooks, Kristen APRN Bennett, Heather APRN Associates PA (904) 374-1414 Provider ID: 1352164 1680 Eagle Harbor Pkwy Ste A Fax: (877) 736-3470 Orange Park, FL 32003 Gender: Female Provider ID: 1651916 00 Yrs/21 Yrs (904) 264-9555 1658 St Vincents Way Ste 310 Gender: Female M-TH 3:30 AM - 7:00 PM Fax: (904) 215-7960 Middleburg, FL 32068 Family Medical Centers 12 Yrs/130 Yrs (904) 602-4450 3839 County Rd 218 Warren, Joan OT M-F 8:00 AM - 5:00 PM Fax: (904) 308-7938 Middleburg, FL 32068 Provider ID: 1100643 00 Yrs/130 Yrs Gender: Female (904) 282-5474 Guerard, Breana APRN M-F 8:30 AM - 4:30 PM Fax: (904) 282-5824 Functional Kids Therapy, LLC Provider ID: 934249 1232 Harbour Town Dr 05 Yrs/130 Yrs Gender: Female Nurse Midwife M-F 8:00 AM - 5:00 PM Orange Park, FL 32065 1560 Kingsley Ave Ste 4 (904) 838-0800 Orange Park, FL 32073 Amador, Brittney CNM Davis, Lauren ARNP Fax: (904) 291-2426 (904) 264-1628 Provider ID: 1533371 00 Yrs/21 Yrs Fax: (304) 264-8386 Provider ID: 1468806 Gender: Female Languages: Spanish 16 Yrs/130 Yrs Gender: Female St Vincents Ambulatory Care M-F 8:00 AM - 5:30 PM Florida Woman Care LLC Inc Orange Park Medical Center 1560 Kingsley Ave Ste 4 550 Wells Rd Ste 17 MTTH 8:30 AM - 5:00 PM Orthopaedic Surgery Orange Park, FL 32073 Orange Park, FL 32073 WF 8:30 AM - 2:00 PM Laipply Smith, Erin PA (904) 264-1628 (904) 269-2900 Occupational Therapy Fax: (904) 264-8386 Fax: (904) 269-1140 Provider ID: 1537721 12 Yrs/130 Yrs Gender: Female 00 Yrs/130 Yrs August, Amanda OT M-F 8:30 AM - 5:00 PM Hughston Orthopaedic M-F 8:00 AM - 5:00 PM Provider ID: 1056034 Sat 9:00 AM - 1:00 PM Southeast PC Amador, Brittney CNM Gender: Female 4689 US Hwy 17 Ste 11 and 12 Obstetrics/Gynecology Sensational Kids Therapy PLLC Fleming Island, FL 32003 1851 Golden Eagle Way Ste 43 Provider ID: 1468806 (904) 375-9753 Fleming Island, FL 32003 Gender: Female Adams, Melissa APRN Fax: (706) 494-3008 (904) 374-1414 Florida Woman Care LLC Provider ID: 1126173 00 Yrs/130 Yrs Fax: (877) 736-3470 1658 St Vincents Way Ste 130 Gender: Female Orange Park Medical Center 00 Yrs/18 Yrs Middleburg, FL 32068 1075 Oakleaf Plantation Pkwy M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 7:00 PM (904) 264-1628 Ste 109 Fax: (904) 264-8386 Orange Park, FL 32065 12 Yrs/130 Yrs (904) 264-9555 MTTH 8:30 AM - 5:00 PM Fax: (904) 215-7960 WF 8:00 AM - 2:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:30 PM

www.wellcare.com/Florida | 256 Updated: 01/04/2019 Allied Providers Clay Orthotics Shah, Chand PA Dahlman, Cari APRN Carraway, Heather PT Provider ID: 1499812 Provider ID: 326059 Terrill, James PA Gender: Female Provider ID: 1101110 Gender: Female Provider ID: 1598002 Nemours Childrens Specialty Gender: Female Sensational Kids Therapy PLLC Gender: Male Care F Middleburg Pediatrics 1851 Golden Eagle Way Ste 43 Nemours Childrens Specialty 1747 Baptist Clay Dr Ste 130 91 Branscomb Rd Ste 3 Fleming Isle, FL 32003 Care Florida Fleming Island, FL 32003 Green Cove Springs, FL 32043 (904) 374-1414 1747 Baptist Clay Dr (904) 697-3600 (904) 861-1034 Fax: (877) 736-3470 Fleming Island, FL 32003 Fax: (904) 697-3060 Fax: (904) 861-1037 00 Yrs/18 Yrs (904) 697-3088 00 Yrs/18 Yrs 00 Yrs/21 Yrs MTWTHFSat 8:00 AM - 7:00 Fax: (904) 697-3060 Languages: Gujarati Languages: Spanish PM 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Dyer, Jessica PT Stanley, Sarah APRN D'Amico, Cara APRN Provider ID: 523927 Otolaryngology Facial Provider ID: 1529530 Provider ID: 1109350 Gender: Female Plastic Surgery Gender: Female Gender: Female Sensational Kids Therapy PLLC Nemours Childrens Specialty Middleburg Pediatrics 1851 Golden Eagle Way Ste 43 Corcoran, Jennifer PA Care F 91 Branscomb Rd Ste 3 Fleming Island, FL 32003 Provider ID: 1630597 1747 Baptist Clay Dr Green Cove Springs, FL 32043 (904) 374-1414 Gender: Female Fleming Island, FL 32003 (904) 861-1034 Fax: (877) 736-3470 Nemours Childrens Specialty (904) 697-3088 Fax: (904) 861-1037 00 Yrs/21 Yrs Care Florida Fax: (904) 697-3060 00 Yrs/21 Yrs M-F 8:00 AM - 7:00 PM 1747 Baptist Clay Dr Ste 130 00 Yrs/18 Yrs Orange Park Medical Center Fleming Island, FL 32003 M-F 8:00 AM - 5:00 PM St Vincents Medical Center Harlow, Casey PT (904) 697-3600 Riverside Provider ID: 1578074 Fax: (904) 697-3060 Terrill, James PA M-F 8:00 AM - 5:00 PM Gender: Male 00 Yrs/18 Yrs Provider ID: 1598002 Coastal Physical Therapy M-F 8:00 AM - 5:00 PM Gender: Male Tate, Patricia Mary APRN 1564 Kingsley Ave Ste 200 Nemours Childrens Specialty Orange Park, FL 32073 Pediatric Orthopaedics Care Florida Provider ID: 969911 (904) 644-8911 1747 Baptist Clay Dr Gender: Female Fax: (904) 644-7120 Osterbur, Todd PA Fleming Island, FL 32003 Doctors Inlet Pediatrics and 18 Yrs/130 Yrs Provider ID: 1265480 (904) 697-3088 Primar M-F 9:00 AM - 5:00 PM Gender: Male Fax: (904) 697-3060 430 College Dr Ste 100-102 Nemours Childrens Specialty 00 Yrs/18 Yrs Middleburg, FL 32068 Lupo, Julia PT Care F M-F 8:00 AM - 5:00 PM (904) 298-1994 Provider ID: 1556901 1747 Baptist Clay Dr Fax: (904) 519-0007 Gender: Female Fleming Island, FL 32003 Pediatrics 00 Yrs/18 Yrs Coastal Physical Therapy (904) 697-3088 M-F 7:30 AM - 8:30 PM 1564 Kingsley Ave Ste 200 Fax: (904) 697-3060 Belanger, Ayumi PA Sat 8:00 AM - 2:00 PM Orange Park, FL 32073 00 Yrs/18 Yrs Provider ID: 1085146 (904) 644-8911 M-F 8:00 AM - 5:00 PM Gender: Female Physical Therapy Fax: (904) 644-7120 Middleburg Pediatrics 18 Yrs/130 Yrs Shah, Chand PA 91 Branscomb Rd Ste 3 Braun, Meghan PT M-W 8:00 AM - 5:00 PM Provider ID: 1469475 Green Cove Springs, FL 32043 Provider ID: 1119578 Gender: Female (904) 861-1034 Gender: Female Lupo, Julia PT Nemours Childrens Specialty Fax: (904) 861-1037 Sensational Kids Therapy PLLC Provider ID: 1556901 Care, F 00 Yrs/21 Yrs 1851 Golden Eagle Way Ste 43 Gender: Female 1747 Baptist Clay Dr Ste 130 M-F 8:00 AM - 5:00 PM Orange Park, FL 32003 Coastal Physical Therapy Fleming Island, FL 32003 (904) 374-1414 1821 Blanding Blvd Ste 2 (904) 697-3600 Fax: (877) 736-3470 Middleburg, FL 32068 Fax: (904) 697-3060 00 Yrs/21 Yrs (904) 644-8913 00 Yrs/18 Yrs M-F 8:30 AM - 7:00 PM Fax: (904) 339-9468 Languages: Gujarati 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM MT 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 257 Updated: 01/04/2019 Allied Providers Clay Physical Therapy - cont. Physician Assistant Pulmonary Disease Sauer, Kristie APRN

Nelsen, Jordan PT Osterbur, Todd PA Harrell, Lauren APRN Provider ID: 609774 Provider ID: 1077139 Provider ID: 1265480 Provider ID: 1098700 Gender: Female Gender: Female Gender: Male Gender: Female 2300 Park Ave Ste 101D Sensational Kids Therapy PLLC Nemours Childrens Specialty St Vincents Ambulatory Care I Orange Park, FL 32073 1851 Golden Eagle Way Care F 1658 St Vincents Way Ste 340 (904) 354-8200 Fleming Island, FL 32003 1747 Baptist Clay Dr Middleburg, FL 32068 Fax: (904) 354-1340 (904) 374-1414 Fleming Island, FL 32003 (904) 354-8200 00 Yrs/130 Yrs Fax: (877) 736-3470 (904) 697-3088 Fax: (904) 354-1340 M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (904) 697-3060 18 Yrs/110 Yrs M-F 9:00 AM - 6:00 PM 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Sauer, Kristie APRN M-F 8:00 AM - 5:00 PM Schneider, Cassandra PT Harrell, Lauren APRN Provider ID: 609774 Provider ID: 1171356 Shah, Chand PA Provider ID: 1098700 Gender: Female Gender: Female Provider ID: 1469475 Gender: Female St Vincents Ambulatory Care Sensational Kids Therapy PLLC Gender: Female St Vincents Ambulatory Care I Inc 1851 Golden Eagle Way Ste 43 Nemours Childrens Specialty 2300 Park Ave Ste 101-D 1658 St Vincents Way Ste 340 Fleming Isle, FL 32003 Care, F Orange Park, FL 32073 Middleburg, FL 32068 (904) 374-1414 1747 Baptist Clay Dr Ste 130 (904) 354-8200 (904) 354-8200 Fax: (877) 736-3470 Fleming Island, FL 32003 Fax: (904) 354-1340 Fax: (904) 354-1340 00 Yrs/18 Yrs (904) 697-3600 18 Yrs/110 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 7:00 PM Fax: (904) 697-3060 M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM 00 Yrs/18 Yrs Tasso, Kay PT Languages: Gujarati McArdle, Patricia APRN Pulmonary Medicine Provider ID: 1041844 M-F 8:00 AM - 5:00 PM Gender: Female Provider ID: 589739 Zaffine, Nicole APRN Sensational Kids Therapy PLLC Whitman, Judith PA Gender: Female Provider ID: 1450487 1851 Golden Eagle Way Ste 43 Provider ID: 162239 2300 Park Ave Ste 101D Gender: Female Fleming Island, FL 32003 Gender: Female Orange Park, FL 32073 St. Vincents Ambulatory Care, (904) 374-1414 Riverside Spine and Pain (904) 354-8200 Inc Fax: (877) 736-3470 Physicians Fax: (904) 354-1340 1658 St Vincents Way Ste 100 00 Yrs/21 Yrs 2349 Village Square Pkwy 00 Yrs/130 Yrs Middleburg, FL 32068 M-F 8:00 AM - 7:00 PM Fleming Island, FL 32003 Languages: Spanish (904) 354-8200 (904) 389-1010 M-F 8:30 AM - 5:00 PM Fax: (904) 354-1340 Trama, Patricia PT Fax: (904) 771-2191 18 Yrs/130 Yrs Provider ID: 916332 18 Yrs/130 Yrs McArdle, Patricia APRN M-F 8:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM Sensational Kids Therapy PLLC Provider ID: 589739 Zaffine, Nicole APRN Williams, Angela PA 2155 Old Moultrie Rd Ste 101 Gender: Female Provider ID: 1450487

Orange Park, FL 32003 Provider ID: 1404377 St Vincents Ambulatory Care Gender: Female (904) 374-1414 Gender: Female Inc St. Vincents Ambulatory Care, Fax: (877) 736-3470 Nemours Childrens Specialty 1658 St Vincents Way Ste 340 Inc

00 Yrs/21 Yrs Care Florida Middleburg, FL 32068 1658 St Vincents Way Ste 240

M-W 8:00 AM - 5:00 PM 1747 Baptist Clay Dr (904) 354-8200 Middleburg, FL 32068

Orange Park, FL 32003 Fax: (904) 354-1340 (904) 449-7288

(904) 697-3088 00 Yrs/130 Yrs Fax: (904) 214-8109

Fax: (904) 697-3060 Languages: Spanish 18 Yrs/130 Yrs

00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 258 Updated: 01/04/2019 Allied Providers Clay Pulmonary Medicine - Speech Therapy cont. Chefer, Miriam SLP Zaffine, Nicole APRN Provider ID: 1051355 Provider ID: 1450487 Gender: Female Gender: Female Sensational Kids Therapy PLLC St. Vincents Ambulatory Care, 1851 Golden Eagle Way Ste 43 Inc Fleming Island, FL 32003 1893 Kingsley Ave Ste C (904) 374-1414 Orange Park, FL 32073 Fax: (877) 736-3470 (904) 276-2041 00 Yrs/18 Yrs Fax: (904) 276-2106 M-TH 9:00 AM - 6:00 PM 18 Yrs/130 Yrs F 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM Crawford, Wendy SLP Zaffine, Nicole APRN Provider ID: 1041798 Provider ID: 1450487 Gender: Female Gender: Female Sensational Kids Therapy PLLC St. Vincents Ambulatory Care, 1851 Golden Eagle Way Ste 43 Inc Fleming Island, FL 32003 1893 Kingsley Ave Ste D (904) 374-1414 Orange Park, FL 32073 Fax: (877) 736-3470 (904) 276-2041 00 Yrs/21 Yrs Fax: (904) 276-2106 M-F 8:00 AM - 7:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Cummings, Megan SLP Provider ID: 1153542 Speech & Language Gender: Female Pathology Nemours Childrens Clinic, Fleming I Alleman, Grace SLP 1747 Baptist Clay Dr Provider ID: 1547855 Orange Park, FL 32003 Gender: Female (904) 697-3707 Nemours Childrens Specialty Fax: (904) 697-3511 Care F 00 Yrs/18 Yrs 1747 Baptist Clay Dr Ste 130 M-F 8:00 AM - 5:00 PM Fleming Island, FL 32003 (904) 697-3600 Thoracic & Cardiovascular Fax: (904) 697-3060 Surgery 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Acosta, Craig PA Provider ID: 479449 Hershberger, Robyn SLP Gender: Male Cardiothoracic Vascular Provider ID: 1500553 Surgical Gender: Female 1893 Kingsley Ave Ste A Nemours Childrens Specialty Orange Park, FL 32073 Care Florida (904) 592-4940 1747 Baptist Clay Dr Ste 130 Fax: (904) 400-6673 Fleming Island, FL 32003 00 Yrs/130 Yrs (904) 697-3600 M-F 9:00 AM - 5:00 PM Fax: (904) 697-3060 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 259 Updated: 01/04/2019 Allied Providers Columbia Audiology Kazmierski, Gregory APRN Certified Nurse Midwife Douglas, Caroline PA Provider ID: 1494201 Cook, Christine AUD Provider ID: 1014353 Russell, Deidre CNM Gender: Female Gender: Male Provider ID: 1355829 Surgical Group of Gainesville Provider ID: 1476422 The Cardiac and Vascular Gender: Female 733 SW State Rd 47 Gender: Female Institute Florida Woman Care LLC Lake City, FL 32025 Nemours Childrens Specialty 3239 NW York Dr 4447 NW American Ln Ste 101 (352) 331-1201 Care Lake City, FL 32055 Lake City, FL 32055 Fax: (352) 331-5273 164 NW Madison St (386) 752-0515 (386) 754-1744 00 Yrs/130 Yrs Lake City, FL 32055 Fax: (386) 752-3815 Fax: (352) 331-3320 M-F 9:00 AM - 5:00 PM (386) 758-1811 18 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (386) 758-5910 North Florida Regional M-F 9:00 AM - 5:00 PM Kalb, Aimee PA 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM Provider ID: 1491015 M-F 8:00 AM - 5:00 PM Ear, Nose & Throat Gender: Female Nackashi, Alexander PA Surgical Group of Gainesville Griffin, Debra AUD Provider ID: 1116966 Baird, Kimberly APRN 3140 NW Med Center Ln Ste Provider ID: TPV05403-02 Gender: Male Provider ID: 814146 140 Gender: Female The Cardiac and Vascular Gender: Female Lake City, FL 32055 Hearing Solutions Inc Institute Jacksonville ENT Surgery (352) 331-1201 183 NW Veterans St 3239 NW York Dr Center Fax: (352) 331-5273 Lake City, FL 32055 Lake City, FL 32055 789 W Duval St 00 Yrs/130 Yrs (386) 758-3222 (386) 752-0515 Lake City, FL 32055 M-F 9:00 AM - 5:00 PM Fax: (386) 758-3101 Fax: (386) 752-3815 (904) 419-2054 00 Yrs/99 Yrs 18 Yrs/130 Yrs Fax: (904) 419-2057 Kalb, Aimee PA M-F 9:00 AM - 5:00 PM North Florida Regional 00 Yrs/130 Yrs Provider ID: 1491015 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Gender: Female Cardiology Surgical Group of Gainesville Price, Robert APRN Condrey, Tara PA 733 SW State Rd 47 Coyle, Kathleen APRN Provider ID: 981708 Provider ID: 904962 Lake City, FL 32025 Provider ID: 951771 Gender: Male Gender: Female (352) 331-1201 Gender: Female The Cardiac and Vascular Jacksonville ENT Surgery Fax: (352) 331-5273 The Cardiac and Vascular Institute Center 00 Yrs/130 Yrs Institute 3239 NW York Dr 789 W Duval St M-F 9:00 AM - 5:00 PM 3239 NW York Dr Lake City, FL 32055 Lake City, FL 32055 Lake City, FL 32055 (386) 752-0515 (904) 419-2054 Lee, Katharine PA (386) 752-0515 Fax: (386) 752-3815 Fax: (904) 419-2057 Provider ID: 1508140 Fax: (386) 752-3815 18 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Female 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Spanish Surgical Group of Gainesville North Florida Regional M-F 9:00 AM - 5:00 PM 3140 NW Medical Center Ln Languages: French, Mandarin, Rivera, Angela PA Ste 140 Italian, German Provider ID: 1096742 General Surgery Lake City, FL 32055 M-F 8:00 AM - 5:00 PM Gender: Female (352) 331-1201 The Cardiac and Vascular Douglas, Caroline PA Fax: (352) 331-5273 Farnham, Genevieve APRN Institute Provider ID: 1494201 00 Yrs/130 Yrs 3239 NW York Dr Gender: Female M-F 9:00 AM - 5:00 PM Provider ID: 1069132 Lake City, FL 32055 Surgical Group of Gainesville Gender: Female (386) 752-0515 3140 NW Medical Center Ln Lee, Katharine PA The Cardiac and Vascular Fax: (386) 752-3815 Ste 140 Provider ID: 1508140 Institute 18 Yrs/130 Yrs Lake City, FL 32055 Gender: Female 3239 NW York Dr Lake City Medical Center (352) 331-1201 Surgical Group of Gainesville Lake City, FL 32055 M-F 8:00 AM - 5:00 PM Fax: (352) 331-5273 733 SW State Rd 47 (386) 752-0515 00 Yrs/130 Yrs Lake City, FL 32025 Fax: (386) 752-3815 M-F 9:00 AM - 5:00 PM (352) 331-1201 18 Yrs/130 Yrs Fax: (352) 331-5273 Lake City Medical Center 00 Yrs/130 Yrs North Florida Regional M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 260 Updated: 01/04/2019 Allied Providers Columbia Internal Medicine Summers, Marlene CNM Williams, Tammy APRN Lown, Kenneth APRN Provider ID: 1187305 Provider ID: 1493247 Scott, Jennifer APRN Gender: Female Provider ID: 1629725 Gender: Male Provider ID: 710765 3140 NW Med Center Ln Ste Gender: Female North Florida Pediatrics Gender: Female 180 Trenton Medical Center Inc 1859 SW Newland Way Lake Shore Primary Care Lake City, FL 32055 173 NW Albritton Ln Lake City, FL 32025 221 SW Stonegate Ter Ste 101 (352) 872-5171 Lake City, FL 32055 (386) 758-0003 Lake City, FL 32024 Fax: (386) 438-5426 (386) 755-4020 Fax: (386) 755-7940 (386) 758-1709 00 Yrs/130 Yrs Fax: (386) 752-9143 00 Yrs/18 Yrs Fax: (386) 719-7066 M-F 8:00 AM - 5:30 PM Nurse Practitioner 00 Yrs/130 Yrs 02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Sat-Sun 9:00 AM - 2:00 PM MW 8:00 AM - 5:00 PM TTH 8:00 AM - 6:30 PM Roberts, Shelia APRN Nurse Practitioner Melvin, Matthew APRN F 8:00 AM - 1:00 PM Provider ID: 1582660 Pediatric Gender: Female Provider ID: 935389 Licensed Mental Health Lake City Cancer Care, LLC Lawrence, Samantha APRN Gender: Male Counselor 289 SW Stonegate Ter Ste 103 Magnolia Pediatrics Lake City, FL 32024 Provider ID: 1649914 1140 SW B Norris Dr Ste 104 (386) 755-1655 Kuykendall, Janet LMHC Gender: Female Lake City, FL 32025 Fax: (386) 755-2330 Provider ID: 1404113 Magnolia Pediatrics LLC (386) 719-6500 05 Yrs/130 Yrs Gender: Female 1140 SW B Norris Dr Ste 104 Fax: (386) 719-6503 M-F 8:00 AM - 5:00 PM North Florida Family Lake City, FL 32025 00 Yrs/21 Yrs Counseling (386) 867-5561 M-F 8:00 AM - 5:00 PM 248 N Marion Ave Nurse Practitioner Family Fax: (386) 719-6503 Lake City, FL 32055 Medicine Tenney, Megan APRN 00 Yrs/21 Yrs (386) 365-0885 M-F 8:00 AM - 5:00 PM Fax: (386) 401-2366 Ellsberry, Tasha APRN Provider ID: 1151973 05 Yrs/130 Yrs Provider ID: 1365539 Pediatrics Gender: Female M-TH 10:00 AM - 6:00 PM Gender: Female North Florida Pediatrics PA F 10:00 AM - 12:00 PM North Florida Pediatrics Chase, Tyler PA 1859 SW Newland Way 1859 SW Newland Way Provider ID: 1407749 Lake City, FL 32025 Ray, Kathryn LMHC Lake City, FL 32025 Gender: Male (386) 758-0003

Provider ID: 1533367 (386) 758-0003 North Florida Pediatrics Fax: (386) 755-4432

Gender: Female Fax: (386) 628-5035 1859 SW Newland Way 00 Yrs/21 Yrs The Henry and Rilla White 00 Yrs/21 Yrs Lake City, FL 32025 M-F 8:00 AM - 6:00 PM Foundatio M-F 9:00 AM - 5:00 PM (386) 758-0003 Sat 9:00 AM - 2:00 PM 305 NW Christian Ct Fax: (386) 628-5035 Sun 2:00 AM - 2:00 PM Lake City, FL 32055 Perry, Shelley APRN 00 Yrs/18 Yrs (386) 752-7813 Provider ID: 1697744 Turner Cervantes, Stacey M-F 8:00 AM - 5:00 PM Fax: (386) 752-7836 Gender: Female APRN 18 Yrs/130 Yrs David G. Fanney, DO Family Dorosheff, Deena APRN Provider ID: 374876 Medici M-TH 8:00 AM - 12:00 PM Provider ID: 172725 Gender: Female 4241 NW American Ln Gender: Female Magnolia Pediatrics Nurse Midwife Lake City, FL 32055 Childrens Medical Center 1140 SW B Norris Dr Ste 104 (386) 752-2246 789 W Duval St Lake City, FL 32025 Rischar, Julie CNM Fax: (386) 758-7998 Lake City, FL 32055 (386) 719-6500 Provider ID: 1115062 15 Yrs/130 Yrs (386) 755-1546 Fax: (386) 719-6503 Gender: Female M-F 8:00 AM - 5:00 PM Fax: (386) 755-2283 00 Yrs/21 Yrs Florida Woman Care LLC M-F 8:00 AM - 5:00 PM 4447 NW American Ln Ste 101 00 Yrs/21 Yrs Lake City, FL 32055 M-F 8:00 AM - 5:00 PM (386) 754-1744 Fax: (352) 331-3320 12 Yrs/130 Yrs North Florida Regional M-F 8:30 AM - 5:00 PM

www.wellcare.com/Florida | 261 Updated: 01/04/2019 Allied Providers Columbia Speech & Language Pathology

Pittman, Marion SLP Provider ID: 1705797 Gender: Female Gc Therapy Options 2086 SW Main Blvd Ste 106 Lake City, FL 32025 (386) 362-3231 Fax: (888) 841-9040 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 262 Updated: 01/04/2019 Allied Providers Dixie Family Practice Tenney, Megan APRN

Baldwin Dufour, Toni APRN Provider ID: 1151973 Gender: Female Provider ID: 1324926 North Florida Pediatrics PA Gender: Female 149 NE 241st St Ste A North Florida Medical Centers Cross City, FL 32628 412 SW Hwy 351 (352) 498-3337 Cross City, FL 32628 Fax: (352) 498-3773 (352) 498-3349 00 Yrs/21 Yrs Fax: (352) 498-0716 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Speech Therapy

Davis, Paula APRN Zenner, Anthony SLP Provider ID: 665688 Provider ID: 1097147 Gender: Female Gender: Male Tri County Primary Care Zenner Zenner, PA 306 NE Hwy 351 521 NE 452nd St Cross City, FL 32628 Old Town, FL 32680 (352) 498-3372 (352) 542-7716 Fax: (352) 498-7119 Fax: (352) 542-8146 00 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM Languages: French, Sign Sat 9:00 AM - 3:00 PM M-F 8:00 AM - 5:30 PM

Nurse Midwife Zenner, Sandra SLP Provider ID: 1097148 Rex, Jennifer CNM Gender: Female Provider ID: 144334 Zenner and Zenner, PA Gender: Female 521 NE 452nd St UF Health Womens Center Old Town, FL 32680 Old Town (352) 542-7716 25827 SE 19th Hwy Fax: (352) 542-8146 Old Town, FL 32680 00 Yrs/21 Yrs (352) 542-0068 Languages: French, Sign Fax: (352) 543-1843 M-F 8:00 AM - 5:30 PM 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Pediatrics

Lown, Kenneth APRN Provider ID: 1493249 Gender: Male North Florida Pediatrics 148 NE 241st St Ste A Cross City, FL 32628 (352) 498-3337 Fax: (352) 498-3773 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 263 Updated: 01/04/2019 Allied Providers Gilchrist Family Practice

Hicks, Shelly APRN Provider ID: 1198208 Gender: Female Palms Medical Group 1830 N Main St Bell, FL 32619 (352) 463-1100 Fax: (352) 463-3924 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Hicks, Shelly APRN Provider ID: 1198208 Gender: Female Palms Medical Group 911 S Main St Trenton, FL 32693 (352) 463-2374 Fax: (352) 463-2726 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Miller, Vanessa APRN Provider ID: 1652718 Gender: Female Trenton Medical Center Inc 1830 N Main St Bell, FL 32619 (352) 463-1100 Fax: (352) 463-3924 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Physician Assistant

Taylor, Alixandria PA Provider ID: 1736255 Gender: Female Trenton Medical Center, Inc 911 S Main St Trenton, FL 32693 (352) 463-2374 Fax: (352) 463-2726 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 264 Updated: 01/04/2019 Allied Providers Hamilton Internal Medicine

Belote, Lori APRN Provider ID: 908822 Gender: Female Hamilton County Health Department 209 Central Ave SE Jasper, FL 32052 (386) 792-1414 Fax: (386) 792-2352 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Nurse Practitioner Family Medicine

Bridges, Betty ARNP Provider ID: 1347019 Gender: Female Hamilton Primary Care 1150 US Hwy 41 NW Ste 12 Jasper, FL 32052 (386) 792-7745 Fax: (386) 792-7745 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Pediatrics

Lown, Kenneth APRN Provider ID: 1493248 Gender: Male North Florida Pediatrics 1117 NW Hwy 41 Ste B Jasper, FL 32052 (386) 792-3864 Fax: (386) 792-1530 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Physical Therapy

Bristol, Teresa PT Provider ID: 1170765 Gender: Female Physical Therapy Works 1150 US Hwy 41 NW Ste 3 Jasper, FL 32052 (386) 792-1777 Fax: (386) 792-1779 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM

www.wellcare.com/Florida | 265 Updated: 01/04/2019 Allied Providers Lafayette Certified Nurse Midwife

Dean, Brooke CNM Provider ID: 1448523 Gender: Female Florida Woman Care LLC 140 SW Virginia Circle Mayo, FL 32066 (352) 371-2011 Fax: (352) 384-3611 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Family Practice

Driver, Marla APRN Provider ID: 765981 Gender: Female Dmh Family Medicine 117 SW Virginia Cir Mayo, FL 32066 (386) 294-2475 Fax: (386) 294-2478 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Jackson, Kimberly APRN

Provider ID: 773217 Gender: Female Dmh Family Medicine 117 SW Virginia Cir Mayo, FL 32066 (386) 294-2475 Fax: (386) 294-2478 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

Rye, Debbi APRN Provider ID: 1169556 Gender: Female North Florida Medical Centers Inc 710 W Main St Mayo, FL 32066 (386) 294-1226 Fax: (386) 294-4218 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 266 Updated: 01/04/2019 Allied Providers Levy Cardiology Rexroat, Gary PA Internal Medicine Nurse Practitioner Family Provider ID: 1537923 Medicine Munksgard, Jennifer APRN Gender: Male noon, Kevin APRN Gary E Rexroat Provider ID: 537470 Williams, Lauren APRN Provider ID: 1610275 1113 NW 23rd Ave Gender: Male Gender: Female Chiefland, FL 32626 412 W Noble Ave Provider ID: 1607740 Cardiovascular Health (352) 493-9500 Williston, FL 32696 Gender: Female Consultaints Fax: (352) 493-7070 (352) 528-0790 Family and After Hours LLC 410 N Main St Ste 11 00 Yrs/130 Yrs Fax: (352) 528-0721 1413 NW 23rd Ave Chiefland, FL 32626 M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs Chiefland, FL 32626 (352) 493-1414 Florida Hospital Ocala (352) 493-9393 Fax: (844) 965-9217 Webb, Michael PA Ocala Regional Medical Fax: (352) 493-9390 00 Yrs/130 Yrs Provider ID: 1245939 Center 00 Yrs/130 Yrs West Marion Community MT 9:00 AM - 4:00 PM Gender: Male M-F 8:00 AM - 5:00 PM Williston Rural Health and Hospital Family Practice Wellness M-F 8:00 AM - 5:00 PM Obstetrics/Gynecology 300A NW 1st Ave Nurse Practitioner Johnson, Lynsey APRN Williston, FL 32696 Williams, Lauren APRN Provider ID: 1693911 (352) 529-0966 Green, Sabrina APRN Gender: Female Fax: (352) 529-0967 Provider ID: 954642 Trenton Medical Center 00 Yrs/130 Yrs Provider ID: 1407818 Gender: Female 410 N Main St Bldg 1 and 2 M-F 8:00 AM - 5:00 PM Gender: Female A Womans Place Inc Chiefland, FL 32626 1415 NW 23rd Ave Williams, Barbara APRN North Florida Pediatrics (352) 493-7274 2220 N Young Blvd Chiefland, FL 32626 Fax: (352) 493-9290 Chiefland, FL 32626 (352) 493-9393 00 Yrs/130 Yrs Provider ID: 1162519 (352) 221-7337 Fax: (352) 493-9390 M-F 8:00 AM - 5:00 PM Gender: Female Fax: (352) 221-7344 18 Yrs/130 Yrs Chiefland Medical Center LLC M-F 8:00 AM - 4:00 PM Long, James PA 1113 NW 23rd Ave 00 Yrs/18 Yrs Provider ID: 896989 Chiefland, FL 32626 M-F 9:00 AM - 5:00 PM Occupational Therapy Gender: Male (352) 493-9500 Harmon, Martha APRN Williston Rural Health and Fax: (352) 493-7070 Hess, Linda OT Wellness 00 Yrs/130 Yrs Provider ID: 1284439

300 NW 1st Ave Ste A M-F 8:00 AM - 5:00 PM Provider ID: 1078019 Gender: Female

Williston, FL 32696 Sat 8:30 AM - 12:00 PM Gender: Female Suwannee Bend Services

(352) 529-0966 Chiefland Medical Center LLC 220 N Main St Ste 2

Fax: (352) 529-0967 Zak, Karen ARNP 1113 NW 23rd Ave Chiefland, FL 32626

00 Yrs/130 Yrs Provider ID: 1692773 Chiefland, FL 32626 (352) 490-7500

M-F 8:00 AM - 5:00 PM Gender: Female (352) 493-9500 Fax: (352) 490-7110

Trenton Medical Center Fax: (352) 493-7070 00 Yrs/130 Yrs Poisson, Tiffany PA 410 N Main St Ste IAND2 05 Yrs/130 Yrs M-TH 8:30 AM - 5:30 PM

Provider ID: 1449137 Chiefland, FL 32626 M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:00 PM Gender: Female (352) 493-7274 Sat 8:30 AM - 12:00 PM Whole Family Health Center Fax: (352) 493-9290 Posten, Elle OT Vera, Jose APRN Inc 00 Yrs/130 Yrs Provider ID: 1106197

981 37 Place M-F 8:00 AM - 5:00 PM Provider ID: 1441569 Gender: Female

Vero Beach, FL 32696 Gender: Male Suwannee Bend Services

(772) 257-5785 Diagnostic Medical Testing Inc 220 N Main St

Fax: (772) 257-5325 13891 SW 77th Pl Chiefland, FL 32626

00 Yrs/130 Yrs Cedar Key, FL 32625 (352) 490-7500

MT 8:30 AM - 5:00 PM (877) 202-1191 Fax: (352) 490-7110

Fax: (866) 323-3781 00 Yrs/130 Yrs

00 Yrs/130 Yrs M-TH 8:30 AM - 5:30 PM

Languages: Spanish F 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 267 Updated: 01/04/2019 Allied Providers Levy Pediatrics Tenney, Megan APRN

Forsythe, Heather APRN Provider ID: 1151973 Gender: Female Provider ID: 1341540 North Florida Pediatrics PA Gender: Female 2220 N Young Blvd Williston Pediatrics PA Chiefland, FL 32626 223 N Main St (352) 221-7337 Williston, FL 32696 Fax: (352) 221-7344 (352) 529-0477 00 Yrs/21 Yrs Fax: (352) 529-0406 M-F 8:30 AM - 5:00 PM 00 Yrs/21 Yrs M-TH 8:00 AM - 7:00 PM Rural Health Center F 8:80 AM - 7:00 PM Quinlan, James APRN Perry, Casey APRN Provider ID: 672788 Provider ID: 1551975 Gender: Male Gender: Female Williston Pediatrics North Florida Pediatrics 223 N Main St 2220 N Young Blvd Williston, FL 32696 Chiefland, FL 32626 (352) 529-0477 (352) 221-7337 Fax: (352) 529-0406 Fax: (352) 221-7344 00 Yrs/21 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM M-W 8:00 AM - 5:00 PM

Quinlan, James APRN Provider ID: 672788 Gender: Male Williston Pediatrics 223 N Main St Williston, FL 32696 (352) 529-0477 Fax: (352) 529-0406 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM

Smith, Megan APRN Provider ID: 1551980 Gender: Female North Florida Pediatrics 2220 N Young Blvd Chiefland, FL 32626 (352) 221-7337 Fax: (352) 221-7344 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 268 Updated: 01/04/2019 Allied Providers Madison Nurse Practitioner Family Garrett, Sarah APRN Latimer, Richard PT Nash, Brittany PT Medicine Provider ID: 1317855 Provider ID: 489013 Provider ID: 1504355 Gender: Female Gender: Male Gender: Female Thompson, Lacie APRN Little Pine Pediatrics Tallahassee Orthopedic and Tallahassee Orthopedic and 194 NE Hancock Ave Sports P Sports P Provider ID: 1450526 Madison, FL 32340 257 SW Dade St 257 SW Dade St Gender: Female (850) 253-2275 Madison, FL 32340 Madison, FL 32340

Madison Medical Center Fax: (850) 253-2280 (850) 973-3316 (850) 973-3316

235 SW Dade St Ste A 00 Yrs/18 Yrs Fax: (850) 973-1261 Fax: (850) 973-1261

Madison, FL 32340 M-F 8:00 AM - 5:00 PM 02 Yrs/130 Yrs 00 Yrs/130 Yrs

(850) 973-1402 Languages: Spanish M-TH 8:00 AM - 5:30 PM

Fax: (850) 972-1450 Nash, Melissa APRN M-W 8:00 AM - 5:00 PM F 8:00 AM - 3:00 PM Provider ID: 1603554 TH 9:00 AM - 3:30 PM 00 Yrs/130 Yrs Searcy, Kristin PT M-F 8:00 AM - 5:00 PM Gender: Female F 8:00 AM - 3:00 PM Little Pine Pediatrics PLLC Provider ID: 1344448 Orthopaedic Surgery 194 NE Hancock Ave Maphis, Jennifer PT Gender: Female Madison, FL 32340 Provider ID: 372265 Tallahassee Orthopedic Franklin, James PA (855) 577-5437 Gender: Female Sports Phys Provider ID: 324571 Fax: (855) 815-8083 Tallahassee Orthopedic and 257 SW Dade St Gender: Male 00 Yrs/21 Yrs Sports P Madison, FL 32340 Tallahassee Orthopedic Clinic M-F 8:00 AM - 5:00 PM 257 SW Dade St (850) 973-3316 235 SW Dade St Ste 1 Madison, FL 32340 Fax: (850) 973-1261 Madison, FL 32340 Physical Therapy (850) 973-3316 00 Yrs/130 Yrs (850) 973-2557 Fax: (850) 973-1261 M-W 8:00 AM - 5:00 PM Fax: (232) 924-6163 Bailey, Julian PT 02 Yrs/130 Yrs TH 9:00 AM - 3:30 PM 00 Yrs/130 Yrs Provider ID: 1241606 Languages: Spanish F 8:00 AM - 3:00 PM M 8:00 AM - 5:00 PM Gender: Male M-W 8:00 AM - 5:00 PM Tallahassee Orthopedic TH 9:00 AM - 3:30 PM Shivar, Lindsay PT Pediatrics Sports Phys F 8:00 AM - 3:00 PM Provider ID: 1147732 257 SW Dade St Gender: Female Berry, Linda APRN Madison, FL 32340 Maxwell, Melissa PT Tallhassee Orthopedic and Provider ID: 1208651 (850) 973-3316 Provider ID: 693499 Sports Ph Gender: Female Fax: (850) 973-1261 Gender: Female 257 SW Dade St Little Pine Pediatrics PLLC 00 Yrs/130 Yrs Tallahassee Orthopedic and Madison, FL 32340

194 NE Hancock Ave M-W 8:00 AM - 5:00 PM Sports P (850) 973-3316

Madison, FL 32340 TH 9:00 AM - 3:30 PM 257 SW Dade St Fax: (850) 973-1261

(850) 253-2275 F 8:00 AM - 3:00 PM Madison, FL 32340 05 Yrs/130 Yrs

Fax: (850) 838-2140 (850) 973-3316 M-W 8:00 AM - 5:00 PM

00 Yrs/21 Yrs Knisley, Kent PT Fax: (850) 973-1261 TH 9:00 AM - 3:30 PM

MT 8:00 AM - 6:00 PM Provider ID: 1366918 02 Yrs/130 Yrs F 8:00 AM - 3:00 PM WTHF 8:00 AM - 5:00 PM Gender: Male MWTH 8:00 AM - 5:00 PM Tallahassee Orthopedic T 8:00 AM - 1:00 PM Valenzuela, Tina PT Culpepper, Angela APRN Sports Phys Provider ID: 1697173 257 SW Dade St Mick, Joshua PT Gender: Female Madison, FL 32340 Provider ID: 1647063 Tallahassee Orthopedic Provider ID: 589059 Sports PT Gender: Female (850) 973-3316 Gender: Male Fax: (850) 973-1261 Tallahassee Orthopedic and 257 SW Dade St Little Pne Pediatrics Madison, FL 32340 194 NE Hancock Ave 00 Yrs/130 Yrs Sports M-W 8:00 AM - 5:00 PM 257 SW Dade St (850) 973-3316 Madison, FL 32340 Fax: (850) 973-1261 (850) 253-2275 TH 9:00 AM - 3:30 PM Madison, FL 32340 00 Yrs/130 Yrs Fax: (850) 838-2140 F 8:00 AM - 3:00 PM (850) 973-3316 M 8:30 AM - 4:00 PM 00 Yrs/21 Yrs Fax: (850) 973-1261 TWTH 7:30 AM - 4:30 PM Languages: Creole 00 Yrs/130 Yrs F 8:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM M-W 8:00 AM - 5:00 PM TH 8:00 AM - 4:00 PM F 8:00 AM - 3:00 PM

www.wellcare.com/Florida | 269 Updated: 01/04/2019 Allied Providers Marion Audiology Companion, Eddice PA Hronek, Brittany PA McDonald Graber, Dianne Provider ID: 1169264 APRN Mitchell, Thomas AUD Gender: Female Provider ID: 1476311 Provider ID: 1169269 Provider ID: TPV08466-01 Cardiovascular Institute of Gender: Female Gender: Female Gender: Male Central UF Health Cardiology Ocala Cardiovascular Institute of HearUSA 4600 SW 46th Ct Bldg 200 Heath Br Central 2775 NW 49th Ave Ste 206 Ste 250 4730 SW 49th St 4600 SW 46th Ct Bldg 200 Ocala, FL 34482 Ocala, FL 34474 Ocala, FL 34474 Ste 250 (352) 300-1350 (352) 622-4251 (352) 854-0681 Ocala, FL 34474 Fax: (352) 369-0940 Fax: (352) 873-3920 Fax: (352) 854-8031 (352) 622-4251 21 Yrs/99 Yrs 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (352) 873-3920 M-F 9:00 AM - 5:00 PM Ocala Regional Medical M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Center M-F 8:00 AM - 5:00 PM Walden, Ernest AUD M-F 8:00 AM - 5:00 PM Kletter, Zofia APRN Provider ID: TPV06616-01 Provider ID: 1120105 Morgan, Matthew APRN Gender: Male Cretul, Stephanie APRN Gender: Female Hear Now LLC Marion Heart Center, PA Provider ID: 1169276 1111 NE 25th Ave Ste 204 Provider ID: 1119147 1040 SW 2nd Ave Gender: Male Ocala, FL 34470 Gender: Female Ocala, FL 34471 Cardiovascular Institute of (352) 671-3277 Stephanie M Cretul (352) 732-3005 Central Fax: (352) 671-8164 125 SW 11th St Fax: (352) 873-3050 2105 SW 20th Pl 21 Yrs/99 Yrs Ocala, FL 34471 18 Yrs/130 Yrs Ocala, FL 34471 M-F 9:00 AM - 5:00 PM (352) 354-9000 M-TH 8:00 AM - 5:00 PM (352) 622-4251 Fax: (352) 620-0255 Fax: (352) 873-3920 Cardiology 00 Yrs/130 Yrs Lenhoff, Pamela APRN 18 Yrs/130 Yrs M-F 8:30 AM - 4:30 PM Provider ID: 1509767 Ocala Regional Medical Alexander, Myriam APRN Gender: Female Center Depaolo, Sheila PA Florida Cardiology Associates M-F 8:00 AM - 5:00 PM Provider ID: 1239376 Provider ID: 904429 of Oc Morgan, Matthew APRN Gender: Female Gender: Female 1920 SW 20th Pl Flordia Cardiology Associates Institute of Cardiovascular Ocala, FL 34471 of Oc Excelle (352) 291-0019 Provider ID: 1169276 40 SW 12th St Ste 201B 4730 SW 49th Rd Fax: (352) 291-0097 Gender: Male Ocala, FL 34471 Ocala, FL 34474 12 Yrs/130 Yrs Cardiovascular Institute of (352) 291-0019 (352) 854-0681 M-F 9:00 AM - 5:00 PM Central Fax: (352) 291-0097 Fax: (352) 854-8031 4600 SW 46th Ct Bldg 200

00 Yrs/130 Yrs 00 Yrs/130 Yrs Lenhoff, Pamela APRN Ste 250

Ocala Regional Medical M-F 8:00 AM - 5:00 PM Provider ID: 1509767 Ocala, FL 34474 Center Gender: Female (352) 622-4251 M-F 8:00 AM - 5:00 PM Grow, Cindy APRN Florida Cardiology Associates Fax: (352) 873-3920 Provider ID: 1233466 of Oc 18 Yrs/130 Yrs Boynton, Bridget ARNP Gender: Female 40 SW 12th St Ste 201B Ocala Regional Medical Patient Centered Health Care Ocala, FL 34471 Center

Provider ID: 1163995 and We (352) 291-0019 M-F 8:00 AM - 4:30 PM 3515 SE 17th St Ste 100 Fax: (352) 291-0097 Gender: Female Owens, Theresa APRN Ocala, FL 34471 12 Yrs/130 Yrs Cardiovascular Institute of Central (352) 821-0188 M-F 8:00 AM - 5:00 PM Provider ID: 1169251

2105 SW 20th Pl Fax: (321) 249-0505 Gender: Female

Ocala, FL 34471 16 Yrs/130 Yrs Cardiovascular Institute of Central (352) 622-4251 M-F 8:00 AM - 5:00 PM 2111 SW 20th Pl Fax: (352) 622-0102 Ocala, FL 34471 18 Yrs/130 Yrs (352) 622-4251 M-F 8:00 AM - 5:00 PM Fax: (352) 622-0102 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 270 Updated: 01/04/2019 Allied Providers Marion Cardiology - cont. Tran, Tri PA Short, Stephanie CNM Klingbeil, Stacey PA Provider ID: 1182440 Rockafellow, Guy APRN Gender: Male Provider ID: 1404245 Provider ID: 1091296 Solanki Cardiology, LLC Gender: Female Gender: Female Provider ID: 1724181 3515 SE 17th St Ste 100 Florida Woman Care LLC Midstate Skin Institute LLC Gender: Male Ocala, FL 34471 2801 SE 1st Ave Ste 101 7550 SW 61st Ave Ste 1 Florida Cardiology Associates (352) 245-7788 Ocala, FL 34471 Ocala, FL 34476 of Oc Fax: (352) 245-5474 (352) 690-6300 (352) 512-0092 1920 SW 20th Pl Ste 100 18 Yrs/130 Yrs Fax: (352) 690-6802 Fax: (352) 512-0093 Ocala, FL 34471 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs (352) 291-0019 M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (352) 291-0097 Cardiovascular Surgery 12 Yrs/130 Yrs Dermatology Klingbeil, Stacey PA M 8:00 AM - 5:00 PM Moore, Ronald PA Provider ID: 1421720 Clark, Scott PA Provider ID: 1091296 Rockafellow, Guy APRN Gender: Male Provider ID: 171177 Gender: Female Munroe Hma Hmpn LLC Gender: Male Midstate Skin Institute, LLC Provider ID: 1724181 1511 SW 1st Ave Leavitt Medical Associates of 1630 SE 18th St Ste 400 Gender: Male Ocala, FL 34471 Flori Ocala, FL 34471 Florida Cardiology Associates (352) 369-0288 1918 SE 17th St 300 (352) 512-0092 of Oc Fax: (352) 867-1053 Ocala, FL 34471 Fax: (352) 512-0093 40 SW 12th St Ste 201B 00 Yrs/130 Yrs (352) 620-2420 00 Yrs/130 Yrs Ocala, FL 34471 Ocala Regional Medical Fax: (352) 620-2935 M-F 8:00 AM - 5:00 PM (352) 291-0019 Center 00 Yrs/130 Yrs Fax: (352) 291-0097 Languages: Spanish M-F 8:00 AM - 5:00 PM Schmeltz, Suzy PA 12 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM Provider ID: 1465857 M-F 8:00 AM - 5:00 PM Hintz, Bobbi ARNP Gender: Female Certified Nurse Midwife Provider ID: 1533401 Michael J Freeman MD PA Shannon, Bridget APRN Gender: Female 2750 SE 17th St Camargo, Katie CNM Water's Edge Dermatology Ocala, FL 34471 Provider ID: 1169255 Provider ID: 1178562 2910 SE 3rd Ct Ste A (352) 732-7779 Gender: Female Gender: Female Ocala, FL 34471 Fax: (352) 732-2664 Cardiovascular Institute of Mid Wives of Ocala (352) 732-0339 00 Yrs/130 Yrs Central 1307 S Pine Ave Fax: (352) 732-3715 M-TH 8:00 AM - 5:00 PM 2105 SW 20th Pl Ocala, FL 34471 00 Yrs/130 Yrs Ocala, FL 34471 (352) 368-2238 M-F 8:00 AM - 5:00 PM Singleton, Melissa PA (352) 622-4251 Fax: (352) 368-5042 Provider ID: 1176425 Fax: (352) 873-3920 12 Yrs/130 Yrs Keel, Katherine ARNP Gender: Female 18 Yrs/130 Yrs Florida Hospital Ocala Provider ID: 1046420 Midstate Skin Institute, LLC Ocala Regional Medical M-F 8:00 AM - 5:00 PM Gender: Female 7550 SW 61st Ave Ste 1 Center Midstate Skin Institute LLC Ocala, FL 34476 M-F 8:00 AM - 5:00 PM Gibby, Nancy CNM 1630 SE 18th St Ste 400 (352) 732-7337 Provider ID: 1528050 Ocala, FL 34471 Fax: (352) 512-0093 Struve-Doerflein, Linda APRN Gender: Female (352) 512-0092 00 Yrs/130 Yrs Heart of Florida Health Fax: (352) 512-0093 M-F 8:00 AM - 5:00 PM Provider ID: 1321513 Center 00 Yrs/130 Yrs Gender: Female 1025 SW 1st Ave M-F 8:00 AM - 5:00 PM Solanki Cardiology LLC Ocala, FL 34471 3515 SE 17th St Ste 100 (352) 732-6599 Ocala, FL 34471 00 Yrs/130 Yrs (352) 245-7788 M-F 8:00 AM - 5:00 PM Fax: (352) 245-5474 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 271 Updated: 01/04/2019 Allied Providers Marion Family Practice Brewer Reed, Allison APRN Ciccone, Caterina APRN Ciccone, Caterina APRN

Boyd, Jeffrey PA Provider ID: 546759 Provider ID: 1360069 Provider ID: 1360069 Provider ID: 930347 Gender: Female Gender: Female Gender: Female Gender: Male Ocala Health Primary Care Ocala Health Primary Care Ocala Health Primary Care Weirsdale Family Health LLC LLC LLC Center Inc 2415 SE 17th St 1111 NE 25th Ave Ste 302 8150 SW Hwy 200 Ste 400 16400 S Hwy 25 Ocala, FL 34471 Ocala, FL 34470 Ocala, FL 34481 Weirsdale, FL 32195 (352) 732-5365 (352) 622-2221 (352) 861-1667 (352) 821-9797 Fax: (352) 690-6607 Fax: (352) 622-4193 Fax: (855) 285-9106 Fax: (352) 821-0553 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Ocala Regional Medical Center Carameros, Jeffrey APRN Ciccone, Caterina APRN Cleophat, Armelle APRN M-TH 8:00 AM - 5:00 PM Provider ID: 1179878 F 8:00 AM - 3:00 PM Provider ID: 1174985 Provider ID: 1360069 Gender: Female Gender: Male Gender: Female Armelle G Cleophat PHD Brewer Reed, Allison APRN Rainbow River Medical Ocala Health Primary Care ARNP-Bc 20312 Robinson Rd LLC 10120 SW 45th Ave Provider ID: 546759 Dunnellon, FL 34431 1800 SE 17th St Ste 100 Ocala, FL 34476 Gender: Female (352) 489-0126 Ocala, FL 34471 (352) 342-9790 Family Care Specialists Fax: (352) 489-0129 (352) 351-4999 Fax: (352) 559-0587 1111 NE 25th Ave Ste 302 00 Yrs/130 Yrs Fax: (352) 351-8106 00 Yrs/130 Yrs Ocala, FL 34470 M-TH 8:00 AM - 4:00 PM 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM (352) 622-2221 F 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Sat-Sun 11:30 AM - 2:30 PM Fax: (352) 622-4193 00 Yrs/130 Yrs Carpiz Turkdogan, Charmaine Ciccone, Caterina APRN Donahue, Debora APRN M-F 9:00 AM - 5:00 PM APRN Provider ID: 1360069 Provider ID: 1642248 Gender: Female Provider ID: 981127 Brewer Reed, Allison APRN Gender: Female Ocala Health Primary Care Gender: Female UF Health Pain Medicine LLC 202 SW 17th St Ste A Provider ID: 546759 Ocala Heat 2415 SE 17th St Ocala, FL 34471 Gender: Female 4730 SW 49th Rd Ocala, FL 34471 (352) 629-5939 Family Care Specialists Ocala, FL 34474 (352) 732-5365 Fax: (352) 629-7833 4850 SE 110th St (352) 355-1380 Fax: (352) 690-6607 12 Yrs/130 Yrs Belleview, FL 34420 Fax: (352) 627-4668 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM (352) 233-2360 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 233-2363 M-TH 8:00 AM - 5:00 PM Donahue, Debora APRN 00 Yrs/130 Yrs Ciccone, Caterina APRN Provider ID: 981127 M-F 9:00 AM - 5:00 PM Ciccone, Caterina APRN Provider ID: 1360069 Gender: Female Gender: Female 2100 SE 17th St Ste 901 Brewer Reed, Allison APRN Provider ID: 1360069 Ocala Health Primary Care Ocala, FL 34471 Gender: Female LLC (352) 629-5939 Provider ID: 546759 Family Care Specialists 4850 SE 110th St Fax: (352) 629-7833 Gender: Female 10696 SE US Hwy 441 Belleview, FL 34420 12 Yrs/130 Yrs Ocala Health Primary Care Belleview, FL 34420 (352) 233-2360 10696 SE US Hwy 441 (352) 245-1111 Fax: (352) 233-2363 Belleview, FL 34420 Fax: (352) 245-1435 00 Yrs/130 Yrs (352) 245-1111 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 245-1435 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 7:30 AM - 5:00 PM

www.wellcare.com/Florida | 272 Updated: 01/04/2019 Allied Providers Marion Family Practice - cont. Riddle, Tracy APRN Baby Joseph, Rose APRN noon, Kevin APRN Provider ID: 1138360 Provider ID: 537470 Endsley, Barbara APRN Gender: Female Provider ID: 1717835 Gender: Male Express Care of Belleview Gender: Female 10435 SE 170th Pl Provider ID: 929068 10762 SE US Hwy 441 Family Internal Medicine of Summerfield, FL 34491 Gender: Female Belleview, FL 34420 Ocala (352) 854-4582 Weirsdale Family Health (352) 347-5225 11740 SW 97th Ter Fax: (352) 245-1162 Center Inc Fax: (352) 347-1073 Ocala, FL 34481 12 Yrs/130 Yrs 16400 S Hwy 25 00 Yrs/130 Yrs (352) 854-9991 Florida Hospital Ocala Weirsdale, FL 32195 M-F 7:00 AM - 7:00 PM Fax: (352) 854-3055 Ocala Regional Medical (352) 821-9797 Sat-Sun 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Center Fax: (352) 821-0553 M-F 9:00 AM - 5:00 PM West Marion Community 00 Yrs/130 Yrs Russell, Jillian APRN Hospital M-TH 8:00 AM - 5:00 PM Baby Joseph, Rose APRN M-F 8:00 AM - 5:00 PM F 8:00 AM - 12:30 PM Provider ID: 1432603 Interventional Cardiology Gender: Female Provider ID: 1717836 Hylton, Michelle APRN Ocala Health Primary Care, Gender: Female Atkinson, Lynette ARNP LLC Family Internal Medicine of Provider ID: 1653380 2415 SE 17th St Ocala L Gender: Female Ocala, FL 34471 1623 SW 1st Ave Provider ID: 1184323 Langley Health Services (352) 732-5365 Ocala, FL 34471 Gender: Female 7205 SE Maricamp Rd Fax: (352) 732-5372 (352) 732-9844 Heart and Vascular Ocala, FL 34472 00 Yrs/130 Yrs Fax: (352) 732-6787 2101 SW 20th Pl (352) 680-7000 M-F 8:00 AM - 5:00 PM 18 Yrs/110 Yrs Ocala, FL 34471 00 Yrs/130 Yrs MTWF 8:00 AM - 5:00 PM (352) 622-7008 M-F 8:00 AM - 5:00 PM Hematology & Oncology TH 0:80 AM - 5:00 PM Fax: (352) 622-4072 18 Yrs/130 Yrs Kalfs, Leamarie APRN Morgan, Amy APRN Depaolo, Sheila PA M-F 9:00 AM - 4:30 PM Provider ID: 1449108 Provider ID: 904429 Gender: Female Provider ID: 1585112 Gender: Female Licensed Mental Health Infectious Diseases Assoicates Gender: Female Institute of Cardiovascular Counselor of N Central Florida Cancer Blood Excelle 3306 SW 26th Ave Ste 104 Center 4730 SW 49th Rd Gibson, Jackie LMHC Ocala, FL 34471 2494 SW 19th Ave Rd Ocala, FL 34474 Provider ID: 1309381 (352) 622-2020 Ocala, FL 34471 (352) 854-0681 Gender: Female Fax: (352) 622-2025 (352) 671-4422 Fax: (352) 854-8031 Ocala Consulting and 12 Yrs/130 Yrs Fax: (352) 671-4423 00 Yrs/130 Yrs Prevention LLC M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 2100 SE 17th St Ste 701 M-F 8:00 AM - 5:00 PM Ocala, FL 34471 Ramasco, Yasmin APRN Fisher, Leanora APRN (352) 622-4488 Internal Medicine Provider ID: 1178586 Fax: (352) 622-4485 Provider ID: 1198173 Gender: Female 05 Yrs/130 Yrs Gender: Female Baby Joseph, Rose APRN Eladio J Dieguez MD PA M-TH 9:00 AM - 7:00 PM Heart of Florida Center 5345 SW College Rd Ste 401 F 9:00 AM - 5:00 PM 1025 SW 1st Ave Provider ID: 1717833 Ocala, FL 34474 Ocala, FL 34471 Gender: Female (352) 873-2300 Ross, Carl LMHC (352) 732-6599 Family Internal Medicine of Fax: (352) 873-8424 Provider ID: 1057989 Fax: (352) 732-4816 Ocala 12 Yrs/130 Yrs Gender: Male 00 Yrs/130 Yrs 4840 S US Hwy 41 M-TH 8:00 AM - 5:00 PM South Marion Counseling and Hypnosi Languages: Spanish Dunnellon, FL 34432 F 80:00 AM - 5:00 PM 7014 E Hwy 25 Ste A M-F 8:00 AM - 5:00 PM (352) 732-9844 Fax: (352) 489-1904 Belleview, FL 34420 18 Yrs/130 Yrs (352) 897-0839 M-F 9:00 AM - 5:00 PM Fax: (352) 693-5784 00 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM F 9:00 AM - 4:00 PM

www.wellcare.com/Florida | 273 Updated: 01/04/2019 Allied Providers Marion Nephrology Hogan, Renee APRN Nurse Practitioner Pediatric Pulmonology Provider ID: 1136760 Brown, Robyn APRN Gender: Female Hall, Joy APRN Leinbach, Mary Alice APRN Provider ID: 1111514 Ocala Kidney Group Inc Provider ID: 1172793 Gender: Female 2980 SE 3rd Ct Gender: Female Provider ID: 954504 Ocala Kidney Group Inc Ocala, FL 34471 Advanced Wound Ostomy Gender: Female 2980 SE 3rd Ct (352) 622-4231 and Continenc Orlando Pediatric Pulmonary Ocala, FL 34471 Fax: (352) 622-0518 2220 SW 146th Ave Rd And Sle (352) 622-4231 18 Yrs/130 Yrs Ocala, FL 34481 2930 SE 3rd Ct Bldg 1 Fax: (352) 622-0518 Languages: Spanish (352) 897-0063 Ocala, FL 34471 18 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM Fax: (866) 502-8021 (407) 898-2767 Languages: Spanish F 8:00 AM - 3:00 PM 18 Yrs/130 Yrs Fax: (407) 898-9443 M-TH 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs F 8:00 AM - 3:00 PM Hogan, Renee APRN M-F 8:30 AM - 5:00 PM Provider ID: 1136760 Park, Hyosun ARNP Brown, Robyn APRN Gender: Female Provider ID: 1575026 Pediatrics Provider ID: 1111514 Ocala Kidney Group Inc Gender: Female Gender: Female 8613 SW 103rd St Rd Florid Pain and Rehabilitation Arami, Brittany APRN Ocala Kidney Group Inc Ocala, FL 34481 1910 SW 18th Ct Ste 200 Provider ID: 1556937 8613 SW 103rd St Rd (352) 622-4231 Ocala, FL 34471 Gender: Female Ocala, FL 34481 Fax: (352) 671-7859 (352) 629-7011 Premier Pediatrics LLC (352) 622-4231 18 Yrs/130 Yrs Fax: (866) 592-7773 14141 E Hwy 40 Ste B Fax: (352) 622-0513 Languages: Spanish 00 Yrs/130 Yrs Silver Springs, FL 34488 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Languages: Korean (352) 625-2727 Languages: Spanish M-F 8:30 AM - 5:00 PM Fax: (352) 625-2728 M-F 8:00 AM - 5:00 PM Neurosurgery 00 Yrs/21 Yrs Obstetrics/Gynecology M-F 8:00 AM - 5:00 PM Chitumalla, Jessica APRN Marques, Priscila PA Provider ID: 1272032 Mader, Meghan APRN Arami, Brittany APRN Provider ID: 1232974 Gender: Female Provider ID: 1308782 Provider ID: 1556937 Gender: Female Ocala Health Surgical Group Gender: Female Gender: Female Ocala Kidney Group LLC Florida Woman Care LLC Premier Pediatrics LLC 2980 SE 3rd Ct 1725 SE 28th Loop 2801 SE 1st Ave Ste 101 5388 S US Hwy 41 Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34471 Dunnellon, FL 34432 (352) 622-4231 (352) 629-1743 (352) 690-6300 (352) 522-1862 Fax: (352) 622-0513 Fax: (352) 629-1748 Fax: (352) 690-6802 Fax: (352) 522-1863 00 Yrs/130 Yrs 00 Yrs/130 Yrs 16 Yrs/130 Yrs 00 Yrs/21 Yrs M-TH 8:00 AM - 5:00 PM Ocala Regional Medical M-TH 8:30 AM - 5:00 PM M-F 8:00 AM - 5:00 PM F 8:00 AM - 3:00 PM Center F 8:30 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Arami, Brittany APRN Chitumalla, Jessica APRN Sanders, Brittnie APRN Provider ID: 1556937 Marques, Priscila PA Gender: Female Provider ID: 1232974 Provider ID: 1272032 Provider ID: 506345 Premier Pediatrics LLC Gender: Female Gender: Female Gender: Female 7960 SW 60th Ave Ste 100 Ocala Kidney Group Inc Ocala Health Surgical Group, Florida Woman Care LLC Ocala, FL 34476 LLC 8613 SW 103rd St Rd 2801 SE 1st Ave Ste 101 (352) 671-6741 1500 SE Magnolia Ext Ste 204 Ocala, FL 34481 Ocala, FL 34471 Fax: (352) 671-6742 Ocala, FL 34471 (352) 622-4231 (352) 690-6300 00 Yrs/21 Yrs (352) 351-1022 00 Yrs/130 Yrs Fax: (352) 690-6802 M-TH 7:00 AM - 7:00 PM Fax: (352) 351-1372 M-F 8:00 AM - 5:00 PM 12 Yrs/130 Yrs FSat 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Ocala Regional Medical Center M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 274 Updated: 01/04/2019 Allied Providers Marion Pediatrics - cont. Burnette, Jessica APRN Dean, Jennifer APRN Eunus, Vladlena APRN Provider ID: 1308922 Provider ID: 1238061 Arami, Brittany APRN Provider ID: 1104903 Gender: Female Gender: Female Provider ID: 1556937 Gender: Female Premier Pediatrics LLC Premier Pediatrics LLC Gender: Female Sunshine Pediatrics of Ocala 11223 N Williams St Ste 1 5388 S US Hwy 41 Premier Pediatrics LLC PA Dunnellon, FL 34432 Dunnellon, FL 34432 7960 SW 60th Ave Ste 200 1900 SW 20th Pl (352) 522-1862 (352) 522-1862 Ocala, FL 34476 Ocala, FL 34471 Fax: (352) 522-1863 Fax: (352) 522-1863 (352) 671-6741 (352) 840-5437 00 Yrs/21 Yrs 00 Yrs/18 Yrs Fax: (352) 671-6742 Fax: (352) 237-1094 Languages: Spanish, Russian, M-F 8:00 AM - 5:00 PM 00 Yrs/21 Yrs 00 Yrs/21 Yrs Bengali M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Eunus, Vladlena APRN Provider ID: 1238063 Brown, Jessica APRN Casey, Allyson APRN Dean, Jennifer APRN Gender: Female Provider ID: 1227282 Provider ID: 1226669 Provider ID: 1308922 Premier Pediatrics LLC Gender: Female Gender: Female Gender: Female 14141 E Hwy 40 Unit B Premier Pediatrics LLC Kids Health Alliance PA Premier Pediatrics LLC Silver Springs, FL 34488 11223 N Williams St Ste 1 2650 NW 2nd St Ste 100 14141 E Hwy 40 Ste B (352) 625-2727 Dunnellon, FL 34432 Ocala, FL 34475 Silver Springs, FL 34488 Fax: (352) 625-2728 (352) 522-1862 (352) 237-5400 (352) 625-2727 00 Yrs/18 Yrs Fax: (352) 522-1863 Fax: (866) 423-8644 Fax: (352) 625-2728 M-F 7:00 AM - 3:45 PM 00 Yrs/130 Yrs 00 Yrs/21 Yrs 00 Yrs/21 Yrs M-W 1:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM Languages: Spanish, Russian, Eunus, Vladlena APRN Bengali Provider ID: 1238065 Brown, Jessica APRN Casey, Allyson APRN M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 1227282 Provider ID: 1648278 Premier Pediatrics LLC Gender: Female Gender: Female Dean, Jennifer APRN 7960 SW 60th Ave Ste 100 Premier Pediatrics LLC Premier Pediatrics LLC Provider ID: 1308922 Ocala, FL 34476 7960 SW 60th Ave Ste 100 5388 S US Hwy 41 Gender: Female (352) 671-6741 Ocala, FL 34476 Dunnellon, FL 34432 Premier Pediatrics LLC Fax: (352) 671-6742 (352) 671-6741 (352) 522-1862 7960 SW 60th Ave Ste 100 00 Yrs/18 Yrs Fax: (352) 671-6742 Fax: (352) 522-1863 Ocala, FL 34476 M-F 7:00 AM - 7:00 PM 00 Yrs/130 Yrs 00 Yrs/21 Yrs (352) 671-6741 Sat 8:00 AM - 5:00 PM M-F 8:00 AM - 7:00 PM M-F 8:00 AM - 6:00 PM Fax: (352) 671-6742 00 Yrs/21 Yrs Forsythe, Heather APRN Brown, Jessica APRN Conner, Donald APRN Languages: Spanish, Russian, Provider ID: 1231281 Provider ID: 1163605 Bengali Provider ID: 1107727 Gender: Female Gender: Male M-F 7:00 AM - 7:00 PM Gender: Female Premier Pediatrics LLC Kids Health Alliance PA Sat 8:00 AM - 5:00 PM Premier Pediatrics LLC 5388 S US Hwy 41 2650 NW 2nd St Ste 100 7960 SW 60th Ave Ste 100 Dunnellon, FL 34432 Ocala, FL 34475 Dean, Jennifer APRN Ocala, FL 34476 (352) 522-1862 (352) 237-5400 Provider ID: 1308922 (352) 671-6741 Fax: (352) 522-1863 Fax: (866) 423-8644 Gender: Female Fax: (352) 671-6742 00 Yrs/130 Yrs 00 Yrs/18 Yrs Premier Pediatrics LLC 00 Yrs/21 Yrs M-W 1:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM 7960 SW 60th Ave Ste 200 M-F 7:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM Ocala, FL 34476 Sat 8:00 AM - 5:00 PM (352) 671-6741 Conner, Donald APRN Fax: (352) 671-6742 Provider ID: 1648280 00 Yrs/21 Yrs Gender: Male Languages: Spanish, Russian, Premier Pediatrics LLC Bengali 5388 S US Hwy 41 M-F 9:00 AM - 5:00 PM Dunnellon, FL 34432 (352) 522-1862 Fax: (352) 522-1863 00 Yrs/18 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 275 Updated: 01/04/2019 Allied Providers Marion Pediatrics - cont. Haulk James, Tiffany APRN Molina, Holli APRN Ramat, Shanna APRN Provider ID: 1593212 Provider ID: 1467457 Forsythe, Heather APRN Provider ID: 1185469 Gender: Female Gender: Female Gender: Female Trinity Pediatrics Inc Premier Pediatrics LLC Provider ID: 1107728 Premier Pediatrics, LLC 2131 SW 22nd Pl Ste 202 5388 S US Hwy 41 Gender: Female 14141 E Hwy 40 Ste B Ocala, FL 34471 Dunnellon, FL 34432 Premier Pediatrics LLC Silver Springs, FL 34488 (352) 369-3700 (352) 522-1862 5388 S US Hwy 41 (352) 625-2727 Fax: (352) 369-3931 Fax: (352) 522-1863 Dunnellon, FL 34432 Fax: (352) 625-2728 00 Yrs/18 Yrs 00 Yrs/21 Yrs (352) 522-1862 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM Fax: (352) 522-1863 Languages: Spanish, Russian F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs MT 8:00 AM - 5:00 PM Morgan, Amy APRN M-F 9:00 AM - 5:00 PM Provider ID: 1522728 Ramat, Shanna APRN Haulk James, Tiffany APRN Gender: Female Provider ID: 1467457 Forsythe, Heather APRN Premier Pediatrics LLC Gender: Female Provider ID: 1185469 14141 E Hwy 40 Ste B Premier Pediatrics LLC Provider ID: 1107729 Gender: Female Silver Springs, FL 34488 7960 SW 60th Ave Ste 200 Gender: Female Premier Pediatrics, LLC (352) 625-2727 Ocala, FL 34476 Premier Pediatrics, LLC 7960 SW 60th Ave Fax: (352) 625-2728 (352) 671-6741 14141 E Hwy 40 Ste B Ocala, FL 34476 00 Yrs/21 Yrs Fax: (352) 671-6742 Silver Springs, FL 34488 (352) 671-6741 MTWF 8:00 AM - 5:00 PM 00 Yrs/21 Yrs (352) 671-6741 Fax: (352) 671-6742 TH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (352) 671-6742 00 Yrs/18 Yrs 00 Yrs/21 Yrs Languages: Spanish, Russian Morgan, Amy APRN Riddle, Tracy APRN M-F 9:00 AM - 5:00 PM M-F 7:00 AM - 7:00 PM Provider ID: 1522728 Provider ID: 1493202 Sat 8:00 AM - 5:00 PM Gender: Female Gender: Female Goiran, Francis PA Premier Pediatrics LLC Premier Pediatrics LLC Provider ID: 942639 Marks De Martino, Elizabeth 5388 S US Hwy 41 14141 E Hwy 40 Gender: Male APRN Dunnellon, FL 34432 Silver Spgs, FL 34488 Langley Health Services Provider ID: 1225565 (352) 522-1862 (352) 625-2727 7205 SE Maricamp Rd Gender: Female Fax: (352) 522-1863 Fax: (352) 625-2728 Ocala, FL 34472 Heart of Florida Health Care 00 Yrs/21 Yrs 00 Yrs/21 Yrs (352) 680-0324 Center M-F 8:00 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM Fax: (352) 793-8050 1025 SW 1st Ave 1025 SE 1st 00 Yrs/130 Yrs Ave Morgan, Amy APRN Riddle, Tracy APRN M-F 8:00 AM - 5:00 PM Ocala, FL 34471 Provider ID: 1522728 Provider ID: 1493202 (352) 732-6599 Gender: Female Gender: Female Haulk James, Tiffany APRN Fax: (352) 732-4816 Premier Pediatrics LLC Premier Pediatrics LLC 00 Yrs/130 Yrs 7960 SW 60th Ave 5388 S US Hwy 41 Provider ID: 1185469 Languages: Spanish Ocala, FL 34476 Dunnellon, FL 34432 Gender: Female M-F 8:00 AM - 5:00 PM (352) 671-6741 (352) 522-1862 Premier Pediatrics, LLC Fax: (352) 671-6742 Fax: (352) 522-1863 Marks De Martino, Elizabeth 11223 N Williams St Ste I 00 Yrs/21 Yrs 00 Yrs/21 Yrs APRN Dunnellon, FL 34432 M-TH 8:00 AM - 8:00 PM M-TH 8:00 AM - 5:00 PM

(352) 522-1862 Provider ID: 1225565 FSat 8:00 AM - 5:00 PM Fax: (352) 522-1863 Gender: Female Riddle, Tracy APRN 00 Yrs/18 Yrs Heart of Florida Health Ramat, Shanna APRN Provider ID: 1493202 Center Inc Languages: Spanish, Russian Provider ID: 1467457 Gender: Female 19204 E Pennsylvania Ave M-W 8:00 AM - 5:00 PM Gender: Female Premier Pediatrics LLC Dunnellon, FL 34432 Premier Pediatrics LLC 7960 SW 60th Ave Ste 200 (352) 732-6599 14141 East Hwy 40 Ste B Ocala, FL 34476 00 Yrs/130 Yrs Silver Springs, FL 34488 (352) 671-6741 Languages: Spanish (352) 625-2727 Fax: (352) 671-6742 M-F 8:00 AM - 5:00 PM Fax: (352) 625-2728 00 Yrs/21 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM M-W 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 276 Updated: 01/04/2019 Allied Providers Marion Pediatrics - cont. Smith, Sondra APRN Vidal, Lisandra APRN Pangan Zayas, Antonette PT Provider ID: 1707657 Provider ID: 1313352 Smith, Sondra APRN Gender: Female Gender: Female Provider ID: 1513062 Provider ID: 1513105 Premier Pediatrics LLC Premier Pediatrics, LLC Gender: Female Gender: Female 14141 E Hwy 40 Ste B 7960 SW 60th Ave Ste 100 Sandalwood Rehabiliation Premier Pediatrics LLC Silver Springs, FL 34488 Ocala, FL 34476 And Ergono 14141 E Hwy 40 Ste B (352) 625-2727 (352) 671-6741 7651 SW Hwy 200 Ste 206 Silver Springs, FL 34488 Fax: (352) 625-2728 Fax: (352) 671-6742 Ocala, FL 34476 (352) 625-2727 00 Yrs/21 Yrs 00 Yrs/18 Yrs (352) 484-1743 Fax: (352) 625-2728 M-W 8:00 AM - 5:00 PM M-F 7:00 AM - 7:00 PM Fax: (352) 484-1097 00 Yrs/21 Yrs Sat 8:00 AM - 5:00 PM 00 Yrs/130 Yrs M-W 8:00 AM - 5:00 PM Smith, Sondra APRN M-F 9:00 AM - 5:00 PM Provider ID: 1707657 Physical Therapy Smith, Sondra APRN Gender: Female Sarker, Mahin PT Provider ID: 1513105 Premier Pediatrics LLC Howard, Bruce PT Provider ID: 1107718 Gender: Female 5388 S US Hwy 41 Provider ID: 1178612 Gender: Male Premier Pediatrics LLC Dunnellon, FL 34432 Gender: Male Divine Therapy and Wellness 5388 S US Hwy (352) 522-1862 Howard Physical Therapy LLC Dunnellon, FL 34432 Fax: (352) 522-1863 Clinic, PA 3300 SW 34th Ave Ste 124B (352) 522-1862 00 Yrs/21 Yrs 2340 NE 2nd St Ste 500 Ocala, FL 34474 Fax: (352) 522-1863 M-TH 8:00 AM - 5:00 PM Ocala, FL 34470 (352) 562-7772 00 Yrs/21 Yrs F 9:00 AM - 5:00 PM (352) 622-1881 Fax: (321) 400-1422 M-F 8:00 AM - 5:00 PM Fax: (352) 622-1944 00 Yrs/130 Yrs Smith, Sondra APRN 00 Yrs/130 Yrs M-F 10:00 AM - 3:00 PM Smith, Sondra APRN Provider ID: 1707657 M-F 8:00 AM - 5:00 PM Sat 7:00 AM - 4:00 PM Provider ID: 1513105 Gender: Female Gender: Female Premier Pediatrics LLC Lee, Louis PT Speech & Language Premier Pediatrics LLC 7960 SW 60th Ave Ste 200 Provider ID: 1476958 Pathology 7960 SW 60th Ave Ste 100 Ocala, FL 34476 Gender: Male Ocala, FL 34476 (352) 671-6741 Advanced Physical Therapy of Waters, Katrina SLP (352) 671-6741 Fax: (352) 671-6742 Centra Provider ID: 1593211 Fax: (352) 671-6742 00 Yrs/21 Yrs 3845 SE Lake Weir Ave Gender: Female 00 Yrs/21 Yrs M-F 8:00 AM - 5:00 PM Ocala, FL 34480 Protherapy SLP Services Inc M-TH 7:00 AM - 7:00 PM (352) 693-3378 521 NE 25th Ave FSat 8:00 AM - 5:00 PM Vidal, Lisandra APRN Fax: (888) 758-9645 Ocala, FL 34470 Provider ID: 1313347 00 Yrs/130 Yrs (352) 401-7916 Smith, Sondra APRN Gender: Female M-F 8:00 AM - 5:00 PM Fax: (352) 368-7607 Provider ID: 1513105 Premier Pediatrics LLC 00 Yrs/21 Yrs Gender: Female 5388 S US Hwy 41 Mody, Kamal PT M-TH 8:00 AM - 5:00 PM Premier Pediatrics LLC Dunnellon, FL 34432 Provider ID: 1140020 7960 SW 60th Ave Ste 200 (352) 522-1862 Gender: Male Speech Therapy Ocala, FL 34476 Fax: (352) 522-1863 Sandalwood Rehabilitation (352) 671-6741 00 Yrs/18 Yrs And Ergon Branson, Page SLP Fax: (352) 671-6742 M-F 8:00 AM - 5:00 PM 7651 SW Hwy 200 Ste 206 Provider ID: 1193479 00 Yrs/21 Yrs Ocala, FL 34476 Gender: Female M-F 8:00 AM - 5:00 PM Vidal, Lisandra APRN (352) 484-1743 Protherapy SLP Services Inc Provider ID: 1313350 Fax: (352) 484-1097 521 NE 25th Ave Smith, Sondra APRN Gender: Female 00 Yrs/130 Yrs Ocala, FL 34470 Provider ID: 1707657 Premier Pediatrics, LLC Languages: Gujarati (352) 401-7916 Gender: Female 14141 E Hwy 40 Ste B M-F 8:00 AM - 6:00 PM Fax: (352) 368-7607 Family Health Care Silver Springs, FL 34488 Sat 8:00 AM - 2:00 PM 00 Yrs/21 Yrs 11392 E Hwy 316 (352) 625-2727 M-TH 8:30 AM - 5:00 PM Fort MC Coy, FL 32134 Fax: (352) 625-2728 F 8:30 AM - 3:00 PM (352) 236-0440 00 Yrs/18 Yrs Fax: (352) 236-0717 M-F 1:00 AM - 7:00 PM 00 Yrs/21 Yrs Sat 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM

www.wellcare.com/Florida | 277 Updated: 01/04/2019 Allied Providers Marion Speech Therapy - cont. Peavy, Julia SLP Donigan Saadeh, MacKenzie Urology Provider ID: 1208666 PA Brant, Mary SLP Gender: Female Provider ID: 1730747 Cortez, Leticia PA Provider ID: 1208567 Protherapy SLP Services Inc Gender: Female Provider ID: 1490950 Gender: Female 521 NE 25th Ave Ocala Health Heart and Lung Gender: Female Protherapy SLP Services, Inc. Ocala, FL 34470 Surgery Advanced Urology Institute 521 NE 25th Ave (352) 401-7916 1500 SE Magnolia Ext Ste 203 1901 SE 18th Ave Ste 300 Ocala, FL 34470 Fax: (352) 368-7607 Ocala, FL 34471 Ocala, FL 34471 (352) 401-7916 00 Yrs/21 Yrs (352) 629-1378 (352) 351-1313 Fax: (352) 368-7607 M-TH 8:30 AM - 5:00 PM Fax: (352) 629-1406 Fax: (352) 351-1285 00 Yrs/21 Yrs F 8:30 AM - 3:00 PM 00 Yrs/130 Yrs 16 Yrs/130 Yrs M-TH 8:30 AM - 5:30 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM F 8:30 AM - 3:00 PM Rainey, Ann SLP Provider ID: 1208667 Walker, Jay PA Ramat, Shanna APRN Douglass, Amy SLP Gender: Female Provider ID: 1129473 Provider ID: 1690578 Provider ID: 1209069 Protherapy SLP Services Inc Gender: Male Gender: Female Gender: Female 521 NE 25th Ave Ocala Health Neurosurgical North Florida Urology Protherapy SLP Services Inc Ocala, FL 34470 Group Associates PA 521 NE 25th Ave (352) 401-7916 1740 SE 18th St Ste 1201 3200 SW 34th Ave Ste 202 Ocala, FL 34470 Fax: (352) 368-7607 Ocala, FL 34471 Ocala, FL 34474 (352) 401-7916 00 Yrs/21 Yrs (352) 629-1743 (352) 451-1650 Fax: (352) 368-7607 M-TH 8:30 AM - 5:00 PM Fax: (352) 629-1748 Fax: (352) 451-1651 00 Yrs/21 Yrs F 8:30 AM - 3:00 PM 16 Yrs/130 Yrs 00 Yrs/21 Yrs M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Wisser, Lisa SLP Kostowicz, Samantha SLP Provider ID: 1208566 Walker, Jay PA Vascular Neurology Gender: Female Provider ID: 1129473 Provider ID: 1208662 Protherapy SLP Services Inc. Gender: Male Flaherty, Kathleen APRN Gender: Female 521 NE 25th Ave Ocala Health Vascular Surgery Protherapy SLP Services Inc Ocala, FL 34470 1500 SE Magnolia Ext Ste 203 Provider ID: 1735699 521 NE 25th Ave (352) 401-7916 Ocala, FL 34471 Gender: Female Ocala, FL 34470 Fax: (352) 368-7607 (352) 351-1883 North Florida Surgical (352) 401-7916 00 Yrs/21 Yrs Fax: (352) 351-1643 Associates L Fax: (352) 368-7607 M-TH 8:30 AM - 5:00 PM 16 Yrs/130 Yrs 1511 SW 1st Ave 00 Yrs/21 Yrs F 8:30 AM - 3:00 PM M-F 9:00 AM - 5:00 PM Ocala, FL 34471 (352) 629-1743 M-TH 8:30 AM - 5:00 PM Thoracic Surgery F 8:30 AM - 3:00 PM Thoracic & Cardiovascular Fax: (352) 629-1748 Surgery 00 Yrs/130 Yrs Merchant, Jean SLP Moore, Ronald PA M-F 9:00 AM - 5:00 PM Provider ID: 1208665 Donigan Saadeh, MacKenzie Provider ID: 1421720 Gender: Female PA Gender: Male Wound, Ostomy and Protherapy SLP Services Inc Provider ID: 1730747 Munroe Hma Hmpn LLC Continence Care 521 NE 25th Ave Gender: Female 1511 SW 1st Ave Ocala, FL 34470 1511 SW 1st Ave Ocala, FL 34471 Hall, Joy APRN (352) 401-7916 Ocala, FL 34471 (352) 369-0288 Provider ID: 1172793 Fax: (352) 368-7607 (352) 629-1378 Fax: (352) 867-1053 Gender: Female 00 Yrs/21 Yrs Fax: (352) 629-1406 00 Yrs/130 Yrs Advanced Wound Ostomy M-TH 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Ocala Regional Medical and Continenc Center F 8:30 AM - 3:00 PM M-F 8:00 AM - 5:00 PM 2220 SW 146th Ave Rd Languages: Spanish Ocala, FL 34481 M-F 8:00 AM - 4:30 PM (352) 897-0063 Fax: (866) 502-8021 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 278 Updated: 01/04/2019 Allied Providers Putnam Cardiology Lenas, Anita APRN Spies, Melissa APRN Loughlin, Amy CNM Provider ID: 175016 Provider ID: 1551850 Provider ID: 1117456 Clausen, Curtis APRN Gender: Female Gender: Female Gender: Female Birth and Beyond PA Ashchi Heart and Vascular Florida Woman Care Provider ID: 1168799 1326 SR 100 Center 700 Zeagler Dr 3 Gender: Male Grandin, FL 32138 6100 St Johns Ave Ste A Palatka, FL 32177 First Coast Cardiovascular (386) 659-2104 Palatka, FL 32177 (386) 530-5459 Institut Fax: (386) 659-2196 (904) 222-6656 Fax: (904) 810-1023 205 Zeagler Dr Ste 101 00 Yrs/130 Yrs Fax: (904) 222-6657 12 Yrs/130 Yrs Palatka, FL 32177 M-F 8:30 AM - 5:30 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (386) 325-2836 M-F 9:00 AM - 5:00 PM Fax: (386) 325-2736 Murphy, Mary APRN Pediatrics 16 Yrs/130 Yrs Provider ID: 1211550 Nurse Practitioner M-F 8:00 AM - 5:00 PM Gender: Female Jamo, Patricia APRN Azalea Health Green, Dollicia APRN Provider ID: 1191442 Family Practice 306 Union Ave Provider ID: 1364846 Gender: Female Crescent City, FL 32112 Gender: Female Acute Care Pediatrics PA Boyd, Nancy APRN (386) 698-1232 Birth and Beyond PA 1301 Reid St Provider ID: 149767 Fax: (386) 698-4154 1326 SR 100 Palatka, FL 32177 Gender: Female 00 Yrs/130 Yrs Grandin, FL 32138 (386) 328-5437 Family Medical and Dental M-F 8:00 AM - 5:00 PM (386) 659-2104 Fax: (386) 447-7348 Centers Fax: (386) 659-2196 00 Yrs/18 Yrs 1302 River St Nicula, Gayle APRN 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Palatka, FL 32177 Provider ID: 1072451 MTTH 8:00 AM - 5:30 PM (904) 829-2782 Gender: Female W 8:00 AM - 4:30 PM Lown, Kenneth APRN Fax: (386) 325-1086 Family Physicians of Melrose F 8:00 AM - 1:00 PM Provider ID: 728208 00 Yrs/130 Yrs 300 SR 26 Ste 104 Gender: Male M-F 8:00 AM - 5:00 PM Melrose, FL 32666 Nurse Practitioner Family 1302 River St (352) 475-5332 Medicine Palatka, FL 32177 Jarosz, David APRN Fax: (352) 475-5337 (386) 328-8371 Provider ID: 240348 05 Yrs/130 Yrs French, Crista ARNP Fax: (386) 328-1519 Gender: Male MT 8:00 AM - 6:00 PM Provider ID: 1514401 00 Yrs/18 Yrs Family Medical and Dental Gender: Female M-F 8:00 AM - 5:00 PM Centers Interventional Cardiology Ansaarie Cardiac Endovascular 1302 River St Center Neal, Andrew APRN Palatka, FL 32177 Luncan, Gina APRN 215 S US Hwy 17 Provider ID: 1191435 (386) 328-0108 Provider ID: 1643574 East Palatka, FL 32131 Gender: Male Fax: (386) 325-6419 Gender: Female (386) 232-9203 Acute Care Pediatrics PA 00 Yrs/130 Yrs First Coast Cardiovascular Fax: (386) 222-3064 1301 Reid St Languages: Spanish Institut 00 Yrs/130 Yrs Palatka, FL 32177 M-F 8:00 AM - 5:00 PM 205 Zeagler Dr Ste 101 M-TH 8:00 AM - 5:00 PM (386) 328-5437 Palatka, FL 32177 Fax: (386) 447-7348 Kirkland, David APRN (386) 325-2836 Obstetrics/Gynecology 00 Yrs/18 Yrs Provider ID: 1072442 Fax: (386) 325-2736 Languages: Spanish Gender: Male 00 Yrs/130 Yrs Arnett, Elizabeth APRN M-F 9:00 AM - 5:00 PM Family Physicians of Melrose M-F 9:00 AM - 5:00 PM Provider ID: 1465619 300 SR 26 Ste 104 Gender: Female Melrose, FL 32666 700 Zeagler Dr Ste 3 (352) 475-5332 Palatka, FL 32177 Fax: (352) 475-5337 (386) 530-5459 00 Yrs/130 Yrs Fax: (904) 810-1023 MT 8:00 AM - 6:00 PM 12 Yrs/130 Yrs

www.wellcare.com/Florida | 279 Updated: 01/04/2019 Allied Providers Putnam Urology

Ramat, Shanna APRN Provider ID: 1690578 Gender: Female North Florida Urology Associates PA 800 Zeagler Dr Ste 430 Palatka, FL 32177 (386) 328-2990 Fax: (386) 530-2067 00 Yrs/21 Yrs M 1:00 AM - 5:00 PM T 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 280 Updated: 01/04/2019 Allied Providers Suwannee Audiology McIntosh, Kristin APRN Nurse Practitioner Tenney, Megan APRN Pediatric Griffin, Debra AUD Provider ID: 1691490 Provider ID: 1151973 Provider ID: TPV05403-01 Gender: Female Fleischman, Catherine APRN Gender: Female Gender: Female Trenton Medical Center North Florida Pediatrics, PA Hearing Solutions Inc 103 US Hwy 27 SW Provider ID: 1366911 1101 Ohio Ave S 10820 Marvin Jones Blvd Branford, FL 32008 Gender: Female Live Oak, FL 32064 Dowling Park, FL 32060 (386) 935-3090 North Florida Pediatrics (386) 792-3864 (386) 330-2904 Fax: (386) 935-3198 1101 S Ohio Ave Fax: (386) 792-1530 Fax: (386) 330-2905 00 Yrs/130 Yrs Live Oak, FL 32064 00 Yrs/21 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM (386) 339-1060 M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (386) 755-7940 Nurse Midwife 00 Yrs/18 Yrs Yelken, Robert PA Griffin, Debra AUD M-F 9:00 AM - 5:00 PM Provider ID: 936376 Provider ID: TPV05403-03 Fennell, Angela CNM Gender: Male Gender: Female Provider ID: 1073286 Occupational Therapy Childrens Medical Center Hearing Solutions Inc Gender: Female 1002 11th St SW 205 Houston Ave NW Lake City Birth Swartz, Stacie OT Live Oak, FL 32064 Live Oak, FL 32064 5113 256th St Provider ID: 1641207 (386) 364-8050 (386) 330-2904 O Brien, FL 32071 Gender: Female Fax: (386) 364-7068 Fax: (386) 330-2905 (386) 288-0698 13750 86th Ter 00 Yrs/21 Yrs 00 Yrs/99 Yrs Fax: (800) 853-5087 Live Oak, FL 32060 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs (386) 208-4329 M-F 9:00 AM - 5:00 PM Fax: (386) 364-1433 Speech Therapy Family Practice 00 Yrs/21 Yrs Nurse Practitioner M-F 3:30 AM - 6:00 PM Marler, Gina SLP Blizzard, Susan APRN Provider ID: 1042361 Provider ID: 1654020 Green, Sabrina APRN Pediatrics Gender: Female Gender: Female Gc Therapy Options PLLC Trenton Medical Center Provider ID: 1407818 Lown, Kenneth APRN 112 Irvin Ave SW 211 Ranchera St NW Gender: Female Provider ID: 1493250 Live Oak, FL 32064 Live Oak, FL 32064 North Florida Pediatrics Gender: Male (386) 362-3231 (386) 364-1751 1101 S Ohio Ave North Florida Pediatrics Fax: (888) 841-9040 Fax: (386) 364-1761 Live Oak, FL 32064 1101 Ohio Ave S 00 Yrs/21 Yrs 00 Yrs/130 Yrs (386) 339-1060 Live Oak, FL 32064 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Fax: (386) 339-1067 (386) 339-1060 00 Yrs/18 Yrs Fax: (386) 339-1067 Chauncey, Amber APRN M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1549416 Nurse Practitioner Family Gender: Female Medicine Perry, Casey APRN Shands Medical Group of Live Provider ID: 1099972 Oak Acebron, Lilia APRN Gender: Female 1426 Canyon Ave NE Unit B Provider ID: 1607025 North Florida Pediatrics Live Oak, FL 32064 Gender: Female 1101 Ohio Ave S (386) 208-0537 Palms Medical Group Live Oak, FL 32064 Fax: (386) 208-0571 103 US Hwy 27 SW (386) 339-1060 00 Yrs/130 Yrs Branford, FL 32008 Fax: (386) 339-1067 M-F 8:00 AM - 5:00 PM (386) 935-3090 00 Yrs/21 Yrs Fax: (386) 935-3198 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 281 Updated: 01/04/2019 Allied Providers Taylor Family Practice Franklin, James PA Culpepper, Angela APRN Provider ID: 324571 Bishop, Brittany APRN Gender: Male Provider ID: 589059 Provider ID: 1176180 Tallahassee Orthopedic Clinic Gender: Female Gender: Female 333 N Byron Butler Pkwy Little Pne Pediatrics Little Pine Pediatrics PLLC Perry, FL 32347 1702 S Jefferson St 1702 S Jefferson St (850) 584-0649 Perry, FL 32348 Perry, FL 32348 00 Yrs/130 Yrs (855) 577-5437 (855) 577-5437 M-F 9:00 AM - 5:00 PM Fax: (850) 838-2140 Fax: (850) 838-2140 00 Yrs/21 Yrs Norton Johnson, Tiffany PA 00 Yrs/21 Yrs Languages: Creole MT 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM WTHF 8:00 AM - 5:00 PM Provider ID: 796454 Sat 9:00 AM - 12:00 PM Gender: Female Garrett, Sarah APRN Tallahassee Orthopedic Clinic Provider ID: 1317855 Internal Medicine 333 N Byron Butler Pkwy Gender: Female Perry, FL 32347 Little Pine Pediatrics Turner, Dannette APRN (850) 584-0649 1702 S Jefferson St Fax: (850) 584-7037 Perry, FL 32348 Provider ID: 1235202 00 Yrs/130 Yrs (855) 577-5437 Gender: Female M-F 9:00 AM - 5:00 PM Fax: (850) 838-2140 Florida Department of 00 Yrs/18 Yrs Health- Taylo Parker, Brian PA M-F 8:00 AM - 5:00 PM 1215 N Peacock Ave Provider ID: 217160 Perry, FL 32347 Gender: Male Nash, Melissa APRN (850) 584-5087 Tallahassee Orthopedic Clinic Provider ID: 1603554 Fax: (850) 584-8653 333 N Byron Butler Pkwy Gender: Female 00 Yrs/130 Yrs Perry, FL 32347 Little Pine Pediatrics PLLC M-F 8:00 AM - 5:00 PM (850) 584-0649 1702 S Jefferson St 00 Yrs/130 Yrs Perry, FL 32348 Orthopaedic Surgery Tallahassee Memorial Hosptial (855) 577-5437 M-F 9:00 AM - 5:00 PM Fax: (855) 815-8083 Carnes, Lindsay PA 00 Yrs/21 Yrs Provider ID: 1586110 Roney, Shannon PA M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 319468 Tallahassee Orthopedic Clinic Gender: Female Urology 333 N Byron Butler Pkwy Tallahassee Orthopedic Clinic Perry, FL 32347 333 N Byron Butler Pkwy Lamendola, Gregory PA (850) 584-0241 Perry, FL 32347 Provider ID: 1145316 Fax: (850) 584-7037 (850) 584-0649 Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs Advanced Urology Institute, M-TH 8:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM LLC F 8:00 AM - 1:00 PM 333 N Byron Butler Pkwy Pediatrics Perry, FL 32347 Domack, Alan PA (850) 309-0400 Provider ID: 1508194 Berry, Linda APRN Fax: (850) 942-2562 Gender: Male Provider ID: 1208651 00 Yrs/130 Yrs Tallahassee Orthopedic Clinic Gender: Female Capital Regional Medical 333 N Byron Butler Pkwy Little Pine Pediatrics PLLC Center Perry, FL 32347 1702 S Jefferson St Languages: Chinese, (850) 584-0241 Perry, FL 32348 Vietnamese Fax: (850) 584-7037 (855) 577-5437 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (850) 838-2140 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 282 Updated: 01/04/2019 Allied Providers Union Family Practice

Webster, Lynne APRN Provider ID: 1023575 Gender: Female Union County Health Dept 495 E Main St Lake Butler, FL 32054 (386) 496-3211 Fax: (386) 496-1599 00 Yrs/130 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM Nurse Midwife

Summers, Marlene CNM Provider ID: 1187305 Gender: Female 495 E Main St Lake Butler, FL 32054 (386) 496-3211 Fax: (352) 384-3611 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 283 Updated: 01/04/2019 Pharmacy Alachua Retail CVS CVS CVS Provider ID: TPV1093819971-0 Provider ID: TPV1285738153-0 Provider ID: TPV1407951239-0 Able Pharmacy 4354 NW 23rd Ave 3904 NW 13th St 101 SW 34th St Provider ID: TPV1336569946-0 Gainesville, FL 32606 Gainesville, FL 32609 Gainesville, FL 32607 5001 NW 34th Blvd Ste B (352) 376-4565 (352) 338-0554 (352) 378-2393 Gainesville, FL 32605 Fax: (352) 376-1424 Fax: (352) 373-8842 Fax: (352) 373-9650 (352) 519-5795 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (352) 519-5796 M-F 7:00 AM - 10:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat-Sun 8:00 AM - 8:00 PM Sat-Sun 10:00 AM - 5:00 PM Sat-Sun 10:00 AM - 5:00 PM Languages: Spanish M-F 9:00 AM - 6:00 PM CVS CVS CVS Sat 9:00 AM - 2:00 PM Provider ID: TPV1114021193-0 Provider ID: TPV1306365010-0 Provider ID: TPV1457455313-0 901 N Main St 250 NW 13th St 4145 NW 53rd Ave Azalea Health Gainesville, FL 32601 Gainsville, FL 32601 Gainesville, FL 32653 Provider ID: TPV1528204419-0 (352) 376-1278 (352) 372-1546 (352) 371-9329 22066 SE 71st Ave Fax: (352) 376-3747 Fax: (352) 559-8154 Fax: (352) 371-0361 Hawthorne, FL 32640 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs (352) 481-5640 M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 9:00 PM Fax: (352) 481-5641 Sat-Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sat-Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Sun 11:00 AM - 5:00 PM Languages: Spanish CVS CVS M-F 8:00 AM - 5:00 PM Provider ID: TPV1184728057-0 CVS Provider ID: TPV1700980612-0 2303 SW 75th St Provider ID: TPV1306868922-0 14355 W Newberry Rd Barnes Healthcare Services Gainesville, FL 32607 3970 SW Archer Rd Jonesville, FL 32669 Provider ID: TPV1053392928-0 (352) 332-7115 Gainesville, FL 32608 (352) 331-4669 1700 NW 80th Blvd Fax: (352) 332-8356 (352) 377-0939 Fax: (352) 331-4208 Gainesville, FL 32606 00 Yrs/99 Yrs Fax: (352) 519-3213 00 Yrs/99 Yrs (352) 333-2525 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Fax: (888) 276-7948 Sat 10:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM Sat-Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM Languages: Spanish Sun 11:00 AM - 5:00 PM CVS M-F 8:00 AM - 5:00 PM CVS Provider ID: TPV1851498349-0 Provider ID: TPV1194829051-0 CVS 15174 NW US Hwy 441 Caring Pharmacy Provider ID: TPV1689070286-0 6025 SE US Hwy 301 Provider ID: TPV1376602425-0 Alachua, FL 32615 19214 NW US Hwy 441 Hawthorne, FL 32640 19225 NW US Hwy 441 (386) 462-1323 High Springs, FL 32643 (352) 481-3105 High Springs, FL 32643 Fax: (386) 462-1635 (386) 454-1586 Fax: (352) 481-4192 (386) 454-3334 00 Yrs/99 Yrs Fax: (386) 454-1184 00 Yrs/99 Yrs Fax: (386) 454-7756 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat-Sun 10:00 AM - 5:00 PM Sat-Sun 10:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM Languages: Hindi CVS M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM CVS Sun 10:00 AM - 6:00 PM Provider ID: TPV1942530472-0 Sat 10:00 AM - 2:00 PM Provider ID: TPV1225132111-0 7430 SW Archer Rd Crescent Healthcare Inc 3404 SW Archer Rd CVS Gainesville, FL 32608 Provider ID: TPV1740699586-0 Gainesville, FL 32608 Provider ID: TPV1396067161-0 (352) 374-2047 3300 SW Archer Rd Ste C (352) 373-2507 1521 NW 13th St Fax: (352) 372-9151 Gainesville, FL 32608 Fax: (352) 377-9452 Gainesville, FL 32601 00 Yrs/99 Yrs (352) 373-8389 00 Yrs/99 Yrs (352) 378-6460 M-F 9:00 AM - 9:00 PM Fax: (352) 373-8959 M-F 8:00 AM - 9:00 PM Fax: (352) 378-6461 Sat-Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM Sat-Sun 10:00 AM - 5:00 PM

www.wellcare.com/Florida | 284 Updated: 01/04/2019 Pharmacy Alachua Retail - cont. Shands South Campus Univ of Florida Student Westlab Pharmacy Inc Pharmacy Health Pharmacy Provider ID: TPV1235174400-0 CVS Provider ID: TPV1700112000-0 Provider ID: TPV1780724773-0 4410 W Newberry Rd Ste A5 Provider ID: TPV1982983888-0 1515 SW Archer Rd Rm 1010 280 Fletcher Dr Gainesville, FL 32606 1621 SW 13th St Gainesville, FL 32608 Gainesville, FL 32611 (352) 373-8111 Gainesville, FL 32608 (352) 733-0890 (352) 392-1760 Fax: (352) 373-8009 (352) 336-3383 Fax: (352) 733-1291 Fax: (352) 846-1521 00 Yrs/99 Yrs Fax: (352) 336-3382 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Sat 12:00 AM - 4:00 PM Sat 9:00 AM - 12:00 PM Sat-Sun 10:00 AM - 6:00 PM Southeastern Community Vineyard Pharmacy Winn-Dixie Pharmacy Genoa-QOL Healthcare Pharmacy Provider ID: TPV1407258031-0 Provider ID: TPV1356362651-0 Provider ID: TPV1578628343-0 Provider ID: TPV1376616698-0 6500 SW Archer Rd Ste H 1080 NW Santa Fe Blvd 4300 SW 13th St Rm 27 4343 W Newberry Rd Ste 9 Gainesville, FL 32608 High Springs, FL 32643 Gainesville, FL 32608 Gainesville, FL 32607 (352) 505-3387 (386) 454-4259 (352) 264-9995 (352) 224-2450 Fax: (352) 519-5999 Fax: (386) 454-4264 Fax: (352) 264-9983 Fax: (352) 224-2451 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 8:00 PM M-F 8:30 AM - 5:00 PM M-TH 8:00 AM - 5:00 PM Sat 10:00 AM - 2:00 PM Sat-Sun 9:00 AM - 6:00 PM F 9:00 AM - 5:00 PM Hometown Pharmacy Alachua Walmart Pharmacy Winn-Dixie Pharmacy UF Health Pharmacy Medical Provider ID: TPV1215119946-0 Provider ID: TPV1467473777-0 Provider ID: TPV1568599249-0 Pla 1800 NE 12th Ave 300 SW 16th Ave 15560 NW US Hwy 441 Provider ID: TPV1114969995-0 Gainesville, FL 32641 Gainesville, FL 32601 Alachua, FL 32615 2000 SW Archer Rd Rm 1520 (352) 372-3191 (352) 379-0110 (386) 418-1444 Gainesville, FL 32608 Fax: (352) 372-3157 Fax: (352) 380-9777 Fax: (386) 418-1440 (352) 265-8270 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (352) 265-8276 M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Languages: Spanish Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Hometown Pharmacy Walmart Pharmacy Wises Parkwood Pharmacy Newberry UF Health Pharmacy Shands Provider ID: TPV1326065798-0 Hospital Provider ID: TPV1871664888-0 3570 SW Archer Rd Provider ID: TPV1366583817-0 24220 W Newberry Rd Provider ID: TPV1659314938-0 Gainesville, FL 32608 3601 SW 2nd Ave Ste A Newberry, FL 32669 1600 SW Archer Rd (352) 371-3869 Gainesville, FL 32667 (352) 472-9001 Gainesville, FL 32608 Fax: (352) 371-4028 (352) 373-3547 Fax: (352) 472-8776 (352) 265-0405 00 Yrs/99 Yrs Fax: (352) 373-3512 Fax: (352) 265-0133 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs Languages: Russian 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM MTWTHFSat 9:00 AM - 6:00 M-F 9:00 AM - 7:00 PM M-F 7:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Walmart Pharmacy Wises Pharmacy UF Health Pharmacy Springhill SAMS CLUB Provider ID: TPV1780601096-0 Provider ID: TPV1942340864-0 Provider ID: TPV1518321892-0 5700 NW 23rd Ter 708 SW 4th Ave 4001 SW 30th Pl Provider ID: TPV1396804373-0 Gainesville, FL 32653 Gainesville, FL 32601 Gainesville, FL 32608 4197 NW 86th Terr Ste 1131 (352) 378-0759 (352) 376-8286 (352) 339-7937 Gainesville, FL 32606 Fax: (352) 378-0760 Fax: (352) 375-8686 Fax: (352) 339-7922 (352) 733-0090 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (352) 733-0098 M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM M-F 9:00 AM - 4:00 PM Sun 10:00 AM - 6:00 PM

www.wellcare.com/Florida | 285 Updated: 01/04/2019 Pharmacy Baker Retail

CVS Provider ID: TPV1073617957-0 121 W Macclenny Ave Macclenny, FL 32063 (904) 259-6380 Fax: (904) 259-7294 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Macclenny Pharmacy Provider ID: TPV1346550209-0 1254 S 6th St Ste D-1 Macclenny, FL 32063 (904) 259-1116 Fax: (904) 259-1118 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Northeast Florida State Hospital Provider ID: TPV1629227442-0 7487 S SR 121 Macclenny, FL 32063 (904) 259-6211 Fax: (904) 259-6709 00 Yrs/99 Yrs M-F 8:00 AM - 4:00 PM

Walmart Pharmacy Provider ID: TPV1215954680-0 9218 S State Rd 228 Macclenny, FL 32063 (904) 259-3860 Fax: (904) 259-3867 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 11:00 AM - 5:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1013938315-0 1436 S 6th St Macclenny, FL 32063 (904) 259-5868 Fax: (904) 259-5275 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 8:00 AM - 7:00 PM Sun 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 286 Updated: 01/04/2019 Pharmacy Bradford Retail

CVS Provider ID: TPV1639273519-0 209 S Temple Ave Starke, FL 32091 (904) 964-7979 Fax: (904) 964-2482 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Madison Street Pharmacy Provider ID: TPV1043356215-0 395 W Madison St Starke, FL 32091 (904) 964-7774 Fax: (904) 964-7807 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM

Walmart Pharmacy Provider ID: TPV1508883984-0 14500 US Hwy 301 S Starke, FL 32091 (904) 964-3290 Fax: (904) 964-3292 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1215958517-0 470 W Madison St Starke, FL 32091 (904) 964-8823 Fax: (904) 964-5315 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM

www.wellcare.com/Florida | 287 Updated: 01/04/2019 Pharmacy Citrus Retail CVS G R Healthmart Pharmacy Walmart Pharmacy Provider ID: TPV1366546285-0 Provider ID: TPV1174775365-0 Provider ID: TPV1407190036-0 B W Rexall Drug of Inverness 3506 N Lecanto Hwy 3791 N Lecanto Hwy 1936 N Lecanto Hwy Beverly Hills, FL 34465 Beverly Hills, FL 34465 Lecanto, FL 34461 Provider ID: TPV1801908736-0 (352) 746-7878 (352) 527-3111 (352) 228-6003 214 US Hwy 41 S Fax: (352) 746-9765 Fax: (352) 527-2629 Fax: (352) 228-6004 Inverness, FL 34450 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs (352) 726-1021 M-F 9:00 AM - 9:00 PM Languages: Spanish, Hindi MTWTHFSat 9:00 AM - 9:30 Fax: (352) 726-0164 Sat 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM PM 00 Yrs/99 Yrs Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM Sun 9:00 AM - 5:30 PM Languages: Spanish G R Healthmart Pharmacy 3 Walmart Pharmacy M-F 9:00 AM - 6:00 PM CVS Provider ID: TPV1649690413-0 Sat 9:00 AM - 12:00 PM Provider ID: TPV1619205572-0 Provider ID: TPV1699792069-0 700 W Norvell Bryant Hwy 946 E Norvell Bryant Hwy 3826 S Suncoast Blvd Brashears Pharmacy Hernando, FL 34442 Hernando, FL 34442 Homosassa, FL 34448 Provider ID: TPV1679779185-0 (352) 249-3143 (352) 419-8949 (352) 628-4334 471 N Dacie PT Fax: (352) 249-3146 Fax: (855) 829-8663 Fax: (352) 628-3805 Lecanto, FL 34461 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs (352) 746-3420 M-F 9:00 AM - 8:00 PM Languages: Hindi M-F 9:00 AM - 9:00 PM Fax: (352) 746-6741 Sat-Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM CVS Gastroenterology Associates Sat 8:00 AM - 1:00 PM Provider ID: TPV1902900897-0 Walmart Pharmacy 602 W Main St Provider ID: TPV1962429332-0 Brashears Vital Care Pharmacy Inverness, FL 34450 Provider ID: TPV1366651531-0 2461 E Gulf To Lake Hwy Provider ID: TPV1710912662-0 (352) 726-9030 6410 W Gulf To Lake Hwy Inverness, FL 34453 206 W Dampier St Fax: (352) 726-5073 Crystal River, FL 34429 (352) 637-2400 Inverness, FL 34450 00 Yrs/99 Yrs (352) 563-2450 Fax: (352) 637-2424 (352) 637-2079 M-F 8:00 AM - 12:00 PM Fax: (352) 563-2512 00 Yrs/99 Yrs Fax: (352) 637-7118 Sat-Sun 8:00 AM - 8:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 4:00 PM Sat 9:00 AM - 7:00 PM Languages: Spanish CVS Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Provider ID: TPV1942304852-0 Rainbow Discount Drugs Provider ID: TPV1548772080-0 Sat 8:00 AM - 1:00 PM 3959 S Suncoast Blvd Winn-Dixie 10479 N Florida Ave Homosassa, FL 34448 Provider ID: TPV1750701017-0 Citrus Springs, FL 34434 Citrus Discount Pharmacy (352) 628-2479 1651 SE US Hwy 19 Provider ID: TPV1942604376-0 (352) 897-4615 Fax: (352) 628-0107 Crystal River, FL 34429 791 NE 5th St Fax: (352) 897-4065 00 Yrs/99 Yrs (352) 794-0005 Crystal River, FL 34429 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Fax: (352) 794-0112 (352) 228-8929 M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Fax: (352) 228-4964 Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Rite Choice Pharmacy Sat 8:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM G R Health Mart Pharmacy 2 Provider ID: TPV1992180897-0 Sun 10:00 AM - 5:00 PM Sat 10:00 AM - 3:00 PM Provider ID: TPV1003104779-0 3952 S. Suncoast Blvd 5691 S Suncoast Blvd Homosassa, FL 34448 Winn-Dixie Pharmacy CVS Homosassa, FL 34446 (352) 765-4743 Provider ID: TPV1003837303-0 Provider ID: TPV1093819989-0 (352) 628-0096 Fax: (352) 765-4703 3565 N Lecanto Hwy 327 NE US Hwy 19 Fax: (855) 274-7393 00 Yrs/99 Yrs Beverly Hills, FL 34465 Crystal River, FL 34429 00 Yrs/99 Yrs Languages: Arabic (352) 746-0096 (352) 795-7262 Languages: Spanish, Hindi M-F 9:00 AM - 6:00 PM Fax: (352) 746-7336 Fax: (352) 564-2885 M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 2:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 8:00 PM Sat 8:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM

www.wellcare.com/Florida | 288 Updated: 01/04/2019 Pharmacy Citrus Retail - cont.

Winn-Dixie Pharmacy Provider ID: TPV1063684686-0 333 Highland Ave Space 600 Inverness, FL 34452 (352) 726-7993 Fax: (352) 726-8061 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 9:00 AM - 6:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1194746404-0 3729 S Suncoast Blvd Homosassa Springs, FL 34448 (352) 628-2188 Fax: (352) 628-0532 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 3:00 PM

www.wellcare.com/Florida | 289 Updated: 01/04/2019 Pharmacy Clay Retail Care 1st Pharmacy CVS Medplus Pharmacy Provider ID: TPV1174981096-0 Provider ID: TPV1831293786-0 Provider ID: TPV1275950065-0 Atkinson Hospital Pharmacy 1101 Blanding Blvd Ste 122 2672 Blanding Blvd 1545 Branan Field Rd Ste 12 Provider ID: TPV1265500672-0 Orange Park, FL 32065 Middleburg, FL 32068 Middleburg, FL 32068 1994-A Kingsley Ave (904) 644-8038 (904) 282-3828 (904) 214-3105 Orange Park, FL 32073 Fax: (904) 644-8671 Fax: (904) 291-9798 Fax: (904) 214-3791 (904) 298-0873 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (904) 272-9680 Languages: Spanish, Hindi M-F 9:00 AM - 9:00 PM Languages: Hindi 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat-Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Languages: Spanish Sat 10:00 AM - 1:00 PM Sat 8:00 AM - 12:00 PM M-F 9:00 AM - 6:00 PM CVS CVS Provider ID: TPV1912001991-0 North Florida Pharmacy Med Atkinsons Healthcare Provider ID: TPV1285738138-0 1551 County Rd 220 Shoppe Provider ID: TPV1073512430-0 120 W Walker Dr Fleming Island, FL 32003 Provider ID: TPV1568525186-0 100 Old Orange Park Rd Keystone Heights, FL 32656 (904) 215-1056 405 S Lawrence Blvd Orange Park, FL 32073 (352) 473-7122 Fax: (904) 215-9307 Keystone Heights, FL 32656 (904) 264-7578 Fax: (352) 473-6452 00 Yrs/99 Yrs (352) 478-2027 Fax: (904) 269-8079 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Fax: (352) 478-2059 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM Sat-Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Languages: Spanish Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 10:00 PM Sun 10:00 AM - 6:00 PM CVS Sat 9:00 AM - 1:00 PM Sat-Sun 8:00 AM - 8:00 PM Provider ID: TPV1922102870-0 CVS 800 N Orange Ave Orange Park Pharmacy Azalea Health Provider ID: TPV1467474015-0 Green Cove Springs, FL 32043 Provider ID: TPV1649513482-0 Provider ID: TPV1306928197-0 1490 County Rd 220 (904) 284-5653 1992 Kingsley Ave 100 Commercial Dr Fleming Island, FL 32003 Fax: (904) 284-4837 Orange Park, FL 32073 Keystone Heights, FL 32656 (904) 278-9438 00 Yrs/99 Yrs (904) 579-3027 (352) 473-7243 Fax: (904) 579-2533 M-F 9:00 AM - 9:00 PM Fax: (904) 579-4551 Fax: (352) 473-9149 00 Yrs/99 Yrs Sat-Sun 10:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Languages: Arabic Languages: Spanish Sat 9:00 AM - 5:00 PM Dennings Pharmacy M-F 8:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM Provider ID: TPV1861991895-0 Sat 9:00 AM - 4:00 PM 2620 Blanding Blvd Ste 2 Azalea Health CVS Middleburg, FL 32068 Orange Park Pharmacy LTC Provider ID: TPV1518394477-0 Provider ID: TPV1619071503-0 (904) 406-9379 Provider ID: TPV1699227025-0 1305 N Orange Ave Ste 120 1952 Park Ave Fax: (904) 406-9157 1992 Kingsley Ave Ste B Green Cove Springs, FL 32043 Orange Park, FL 32073 00 Yrs/99 Yrs Orange Park, FL 32073 (904) 284-5776 (904) 264-0202 M-F 9:00 AM - 5:00 PM (904) 579-3027 Fax: (904) 284-5889 Fax: (904) 264-9240 Fax: (904) 579-4551 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fleming Island Pharmacy LLC 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Sat-Sun 10:00 AM - 5:00 PM Provider ID: TPV1760882245-0 Rxpert 1 LLC 2349 Village Sq Pkwy Ste 106 Bioworx Provider ID: TPV1922025600-0 CVS Fleming Island, FL 32003 Provider ID: TPV1578736344-0 2177 Kingsley Ave Ste 1 Provider ID: TPV1730283656-0 (904) 644-8233 3516 Enterprise Way Ste 7 Orange Park, FL 32073 906 Blanding Blvd Fax: (904) 458-4444 Green Cove Springs, FL 32043 (904) 272-1690 Orange Park, FL 32065 00 Yrs/99 Yrs (904) 531-3030 Fax: (904) 272-1691 (904) 213-4444 Languages: Spanish, Hindi Fax: (904) 531-3060 00 Yrs/99 Yrs Fax: (904) 213-4500 M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM Genoa-QOL Healthcare Sat 9:00 AM - 6:00 PM Provider ID: TPV1275059313-0 Sun 10:00 AM - 6:00 PM 3292 County Rd 220 Ste P Middleburg, FL 32068 (904) 301-4622 Fax: (904) 301-4623 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 290 Updated: 01/04/2019 Pharmacy Clay Retail - cont. Walmart Pharmacy Winn-Dixie Pharmacy Provider ID: TPV1689691057-0 Provider ID: TPV1962423251-0 Stay Well Pharmacy 899 Blanding Blvd 2851 Henley Rd Provider ID: TPV1750632717-0 Orange Park, FL 32065 Green Cove Springs, FL 32043 2747 Blanding Blvd Ste 104 (904) 272-7801 (904) 899-6902 Middleburg, FL 32068 Fax: (904) 272-7804 Fax: (904) 291-3288 (904) 214-3747 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (904) 406-9472 M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM Sat 8:00 AM - 7:00 PM Languages: Hindi Sun 10:00 AM - 6:00 PM Sun 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM Winn-Dixie Pharmacy Provider ID: TPV1144241456-0 Topcare Pharmacy LLC 2720 Blanding Blvd Provider ID: TPV1699078055-0 Middleburg, FL 32068 430 College Dr Ste 116 (904) 282-3070 Middleburg, FL 32068 Fax: (904) 282-0222 (754) 802-1990 00 Yrs/99 Yrs Fax: (904) 375-1641 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 8:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM Sun 9:00 AM - 6:00 PM

Walmart Pharmacy Winn-Dixie Pharmacy Provider ID: TPV1033136437-0 Provider ID: TPV1205858842-0 1505 County Rd 220 3260 Hwy 17 Fleming Island, FL 32003 Green Cove Springs, FL 32043 (904) 278-5988 (904) 284-2002 Fax: (904) 278-6817 Fax: (904) 529-8851 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sat-Sun 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Winn-Dixie Pharmacy Walmart Pharmacy Provider ID: TPV1467473843-0 Provider ID: TPV1205926276-0 1545 County Rd 220 1580 Branan Field Rd Orange Park, FL 32003 Middleburg, FL 32068 (904) 264-5766 (904) 214-9115 Fax: (904) 264-7587 Fax: (904) 214-9118 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 7:00 PM Sun 11:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Winn-Dixie Pharmacy Walmart Pharmacy Provider ID: TPV1831110139-0 Provider ID: TPV1588906887-0 1339 Blanding Blvd 2570 County Rd 220 Orange Park, FL 32065 Middleburg, FL 32068 (904) 272-2095 (904) 406-6016 Fax: (904) 272-0310 Fax: (904) 406-6017 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM M-F 8:00 AM - 7:00 PM Sat-Sun 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 4:00 PM

www.wellcare.com/Florida | 291 Updated: 01/04/2019 Pharmacy Columbia Retail CVS North Florida Pharmacy Med Provider ID: TPV1740384692-0 Shoppe Baya Pharmacy 283 SW Baya Dr Provider ID: TPV1790795581-0 Provider ID: TPV1275510208-0 Lake City, FL 32025 347 SW Main Blvd Ste 102 1465 W US Hwy 90 Ste 110 (386) 755-2770 Lake City, FL 32025 Lake City, FL 32055 Fax: (386) 755-4261 (386) 758-6770 (386) 755-2233 00 Yrs/99 Yrs Fax: (386) 758-9413 Fax: (386) 752-6721 M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Languages: Spanish Sun 10:00 AM - 6:00 PM Walmart Pharmacy M-F 8:00 AM - 6:00 PM Provider ID: TPV1215954524-0 Sat 8:00 AM - 1:00 PM CVS 2767 W US Hwy 90 Provider ID: TPV1902900889-0 Lake City, FL 32055 Baya Pharmacy 2233 W US Hwy 90 (386) 755-0463 Provider ID: TPV1578540530-0 Lake City, FL 32055 Fax: (386) 755-0465 780 SE Baya Dr (386) 752-8090 00 Yrs/99 Yrs Lake City, FL 32025 Fax: (386) 755-4116 M-F 9:00 AM - 9:00 PM (386) 755-6677 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM Fax: (386) 755-4133 M-F 9:00 AM - 9:00 PM Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Sat-Sun 10:00 AM - 6:00 PM Languages: Spanish Winn-Dixie Pharmacy M-F 8:00 AM - 6:00 PM Genoa-QOL Healthcare Provider ID: TPV1497776793-0 Sat 8:00 AM - 1:00 PM Provider ID: TPV1801261904-0 800 S Marion St 439 SW Michigan St Rm 12 Lake City, FL 32025 Baya Pharmacy LTC Lake City, FL 32025 (386) 755-0997 Provider ID: TPV1053550020-0 (386) 319-4050 Fax: (386) 755-3192 1465 US 90 W Ste 115 Fax: (386) 961-8822 00 Yrs/99 Yrs Lake City, FL 32055 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM (386) 243-8358 Languages: Spanish Sat-Sun 9:00 AM - 6:00 PM Fax: (386) 243-8015 M-F 8:30 AM - 5:00 PM 00 Yrs/99 Yrs Languages: Spanish North Florida Pcy Med M-F 8:00 AM - 5:00 PM Shoppe Provider ID: TPV1194734038-0 Cancer Care of North Florida 3718 W US Hwy 90 Lake City, FL 32055 Provider ID: TPV1396132213-0 (386) 755-9300 289 SW Stonegate Ter Ste 103 Fax: (386) 755-9371 Lake City, FL 32024 00 Yrs/99 Yrs (386) 628-9233 Fax: (386) 628-9231 North Florida Pharmacy Med 00 Yrs/99 Yrs Shoppe Languages: Spanish, German Provider ID: TPV1043414782-0 M-F 9:00 AM - 5:00 PM 7729 SW US Hwy 27 Fort White, FL 32038 Cheek and Scott Pharmacy (386) 497-2580 Provider ID: TPV1114009875-0 Fax: (386) 497-4227 161 SW Stonegate Ter Ste 105 00 Yrs/99 Yrs Lake City, FL 32024 M-F 8:00 AM - 6:00 PM (386) 754-5377 Sat 9:00 AM - 1:00 PM Fax: (386) 487-0309 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 1:00 PM

www.wellcare.com/Florida | 292 Updated: 01/04/2019 Pharmacy Dixie Retail

Cheek Pharmacy Inc Provider ID: TPV1760483572-0 16734 SE Hwy 19 Cross City, FL 32628 (352) 498-3342 Fax: (352) 498-4111 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Hometown Pharmacy - Old Town Provider ID: TPV1568874626-0 26064 SE Hwy 19 Old Town, FL 32680 (352) 542-9301 Fax: (352) 542-9562 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM

Steinhatchee Drugs Provider ID: TPV1255877312-0 102 9th St SE Steinhatchee, FL 32359 (352) 498-0680 Fax: (352) 498-0682 00 Yrs/99 Yrs Languages: Spanish, Hindi M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 293 Updated: 01/04/2019 Pharmacy Gilchrist Retail

Best Drugs of Trenton Provider ID: TPV1336574375-0 405 SE 1st Ave Trenton, FL 32693 (352) 463-2240 Fax: (352) 463-1645 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM Palms Pharmacy of Bell Provider ID: TPV1700801396-0 1830 N Main St Bell, FL 32619 (352) 463-0400 Fax: (352) 463-9062 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 5:00 PM Palms Pharmacy of Trenton Provider ID: TPV1639363591-0 911 S Main St Trenton, FL 32693 (352) 463-4511 Fax: (352) 463-4521 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM

www.wellcare.com/Florida | 294 Updated: 01/04/2019 Pharmacy Hamilton Retail

Cheek and Scott Pharmacy Provider ID: TPV1275085243-0 1150 US Hwy 41 NW Ste 13 Jasper, FL 32052 (386) 638-0101 Fax: (386) 638-0102 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

CVS Provider ID: TPV1114021078-0 100 2nd Ave SE Jasper, FL 32052 (386) 792-2551 Fax: (386) 792-3577 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 5:00 PM

www.wellcare.com/Florida | 295 Updated: 01/04/2019 Pharmacy Lafayette Retail

N Florida Pharmacy Med Shoppe Provider ID: TPV1487674271-0 229 W Main St Mayo, FL 32066 (386) 294-3777 Fax: (386) 294-3772 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM North Florida Pharmacy Med Shoppe Provider ID: TPV1316958069-0 305 US Hwy 27 SW Branford, FL 32008 (386) 935-6905 Fax: (386) 935-6865 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Palms Pharmacy of Branford Provider ID: TPV1942676168-0 103 US Hwy 27 SW Branford, FL 32008 (386) 454-0690 Fax: (386) 454-0698 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM

www.wellcare.com/Florida | 296 Updated: 01/04/2019 Pharmacy Levy Retail Walmart Pharmacy Provider ID: TPV1326065707-0 Bronson Pharmacy 2201 N Young Blvd Provider ID: TPV1205229408-0 Chiefland, FL 32626 830 E Hathaway Ave (352) 493-0775 Bronson, FL 32621 Fax: (352) 493-1384 (352) 486-9033 00 Yrs/99 Yrs Fax: (352) 486-9061 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 7:00 PM Languages: Spanish Sun 10:00 AM - 6:00 PM M-F 8:00 AM - 7:00 PM Winn-Dixie Pharmacy CVS Provider ID: TPV1447271747-0 Provider ID: TPV1184728073-0 2202 N Young Blvd Ste 303 2137 N Young Blvd Chiefland, FL 32626 Chiefland, FL 32626 (352) 493-7447 (352) 493-2592 Fax: (352) 490-7711 Fax: (352) 493-9353 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM Sat-Sun 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Winn-Dixie Pharmacy Provider ID: TPV1578584884-0 CVS 727 W Noble Ave Provider ID: TPV1588768444-0 Williston, FL 32696 435 E Noble Ave (904) 528-5302 Williston, FL 32696 Fax: (352) 529-0806 (352) 528-4146 00 Yrs/99 Yrs Fax: (352) 528-3224 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat-Sun 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM Sat 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM North Florida Pharmacy Med Shoppe Provider ID: TPV1659382158-0 1100 N Young Blvd Chiefland, FL 32626 (352) 490-7700 Fax: (352) 490-7704 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Sunshine Drugs Provider ID: TPV1912227398-0 219 S Main St Williston, FL 32696 (352) 529-6966 Fax: (352) 529-6968 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM

www.wellcare.com/Florida | 297 Updated: 01/04/2019 Pharmacy Madison Retail

CVS Provider ID: TPV1861595514-0 407 E Base St Madison, FL 32340 (850) 973-3019 Fax: (850) 973-2714 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM

Jays Pharmacy of Madison Provider ID: TPV1194231928-0 683 E Base St Madison, FL 32340 (850) 253-2599 Fax: (850) 253-2627 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM North Florida Pharmacy Med Shoppe Provider ID: TPV1306032073-0 139 SW Macon St Madison, FL 32340 (850) 973-8120 Fax: (850) 973-8122 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1881615250-0 1219 W Base St Madison, FL 32340 (850) 973-2719 Fax: (850) 973-2987 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 8:00 AM - 7:00 PM Sun 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 298 Updated: 01/04/2019 Pharmacy Marion Retail Classic Pharmacy CVS CVS Provider ID: TPV1598203903-0 Provider ID: TPV1285738260-0 Provider ID: TPV1568566545-0 17th Street Discount 1907 SE 58th Ave 10255 SW 86th Cir 6042 SW Hwy 200 Pharmacy Ocala, FL 34480 Ocala, FL 34481 Ocala, FL 34476 Provider ID: TPV1346410537-0 (352) 694-2830 (352) 873-6093 (352) 873-0984 2506 SE 17th St Ste B Fax: (352) 694-2831 Fax: (352) 873-6796 Fax: (352) 854-2816 Ocala, FL 34471 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs (352) 351-3330 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM M-F 8:00 AM - 11:00 PM Fax: (352) 351-3390 Sat-Sun 9:00 AM - 8:00 PM Sat 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Cornerstone Pharmacy Sun 10:00 AM - 8:00 PM Provider ID: TPV1235574013-0 CVS Avenue Pharmacy 2509 NE 14th St Provider ID: TPV1376648121-0 CVS Provider ID: TPV1205177607-0 Ocala, FL 34470 15843 E Hwy 40 Provider ID: TPV1689771172-0 202 SW 17th St (352) 690-7770 Silver Springs, FL 34488 1720 W Hwy 326 Ocala, FL 34471 Fax: (352) 690-7772 (352) 625-6300 Ocala, FL 34475 (352) 624-2779 00 Yrs/99 Yrs Fax: (352) 625-5452 (352) 351-5888 Fax: (352) 624-2879 M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Fax: (352) 622-5004 00 Yrs/99 Yrs Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs Languages: Hindi, Arabic Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 6:00 PM CVS Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Provider ID: TPV1043314925-0 Sun 10:00 AM - 6:00 PM 1607 S Pine Ave CVS Belleview Community Ocala, FL 34471 Provider ID: TPV1447354337-0 CVS Pharmacy (352) 369-0031 5800 SE Abshier Blvd Provider ID: TPV1710081617-0 Provider ID: TPV1447250857-0 Fax: (352) 369-0092 Belleview, FL 34420 11582 N Williams St Ste 506 10762 S US Hwy 441 00 Yrs/99 Yrs (352) 245-2470 Dunnellon, FL 34432 Belleview, FL 34420 M-F 9:00 AM - 9:00 PM Fax: (352) 245-9344 (352) 489-9023 (352) 347-4064 Sat-Sun 10:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (352) 489-1580 Fax: (352) 347-6832 M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs CVS Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 8:00 PM Languages: Spanish Provider ID: TPV1053415927-0 Sun 10:00 AM - 6:00 PM Sat-Sun 10:00 AM - 5:00 PM M-F 7:00 AM - 7:00 PM 7563 SE Maricamp Rd Sat 9:00 AM - 5:00 PM Ocala, FL 34472 CVS CVS (352) 687-4242 Provider ID: TPV1558383190-0 Provider ID: TPV1710081625-0 Benzer Pharmacy Fax: (352) 687-4249 2000 SW College Rd 17817 SE 109th Ave Provider ID: TPV1275876773-0 00 Yrs/99 Yrs Ocala, FL 34471 Summerfield, FL 34491 1426 S Pine Ave M-F 9:00 AM - 9:00 PM (352) 629-1515 (352) 347-6616 Ocala, FL 34471 Sat 9:00 AM - 6:00 PM Fax: (352) 414-7622 Fax: (352) 347-6366 (352) 622-3454 Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (352) 622-3453 M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs CVS Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Provider ID: TPV1285738161-0 Sun 11:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sat 10:00 AM - 3:00 PM 2449 E Silver Springs Blvd Ocala, FL 34470 CVS CVS Bittings Apothecary Med Equi (352) 401-9492 Provider ID: TPV1568566479-0 Provider ID: TPV1780788604-0 Sup Fax: (352) 401-9621 Provider ID: TPV1528164779-0 1719 SE Lake Weir Ave 2401 SW 27th Ave 00 Yrs/99 Yrs 619 SE 17th St Ocala, FL 34471 Ocala, FL 34471 M-F 8:00 AM - 9:00 PM Ocala, FL 34471 (352) 629-8745 (352) 237-6206 Sat-Sun 10:00 AM - 6:00 PM (352) 732-3666 Fax: (352) 629-1865 Fax: (352) 237-9571 Fax: (352) 732-1107 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 6:00 PM Sat-Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 8:00 PM Sat 9:00 AM - 12:00 PM Sun 10:00 AM - 7:00 PM

www.wellcare.com/Florida | 299 Updated: 01/04/2019 Pharmacy Marion Retail - cont. Golden Hills Pharmacy SAMS CLUB Walmart Pharmacy Provider ID: TPV1982028551-0 Provider ID: TPV1942227343-0 Provider ID: TPV1093163297-0 CVS 6998 N US Hwy 27 Ste 104 3921 SW College Rd 7855 SW Hwy 200 Provider ID: TPV1780789511-0 Ocala, FL 34482 Ocala, FL 34474 Ocala, FL 34476 3501 N US Hwy 441 (352) 351-3784 (352) 237-9611 (352) 512-6627 Ocala, FL 34475 Fax: (352) 351-1060 Fax: (352) 237-9380 Fax: (352) 512-6626 (352) 622-3083 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (352) 622-3674 M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 12:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 7:00 PM M-F 9:00 AM - 8:00 PM Sun 10:00 AM - 6:00 PM Sat-Sun 10:00 AM - 6:00 PM Grandmas Country Pharmacy Sunshine Drugs Provider ID: TPV1215226774-0 Walmart Pharmacy Dunnellon Discount Drugs Provider ID: TPV1689657454-0 9309 SE Maricamp Rd Provider ID: TPV1104843598-0 Provider ID: TPV1972865921-0 11386 E Hwy 316 Ocala, FL 34472 17861 S US Hwy 441 11150 N Williams St Ste 101-B Fort MC Coy, FL 32134 (352) 680-9500 Summerfield, FL 34491 Dunnellon, FL 34432 (352) 236-0407 Fax: (352) 680-9700 (352) 307-4410 (352) 489-4960 Fax: (352) 236-6343 00 Yrs/99 Yrs Fax: (352) 307-4413 Fax: (352) 489-4962 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 9:00 PM Languages: Spanish, Hindi M-F 8:00 AM - 5:00 PM Sunshine Drugs Sat 9:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM Provider ID: TPV1881993483-0 Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Integrated Medical Supplies, 5909 SE Abshier Blvd Inc Belleview, FL 34420 Walmart Pharmacy Eastern Pharmacy Inc Provider ID: TPV1134116338-0 (352) 245-3961 Provider ID: TPV1164869152-0 Provider ID: TPV1306289210-0 202 S Magnolia Ave Ste 1 Fax: (352) 245-7035 34 Bahia Ave 2046 W Silver Springs Blvd Ocala, FL 34471 00 Yrs/99 Yrs Ocala, FL 34472 Ocala, FL 34475 (352) 351-1536 M-F 9:00 AM - 6:00 PM (352) 537-3102 (352) 622-9909 Fax: (352) 351-5325 Sat 9:00 AM - 1:00 PM Fax: (352) 687-8031 Fax: (352) 622-9998 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sunshine Drugs of Ocala M-F 9:00 AM - 9:00 PM Languages: French, Arabic Provider ID: TPV1568466266-0 Sat 9:00 AM - 7:00 PM Ocala Pharmacy LLC M-F 10:00 AM - 6:00 PM 3450 NE Jacksonville Rd Sun 10:00 AM - 6:00 PM Sat 10:00 AM - 5:00 PM Provider ID: TPV1275870818-0 8602 SW Hwy 200 Ste A & B Ocala, FL 34479 (352) 732-4655 Walmart Pharmacy Florida Cancer Affiliates Ocala, FL 34481 Provider ID: TPV1306863519-0 Provider ID: TPV1356300958-0 (352) 509-7890 Fax: (352) 732-0407 00 Yrs/99 Yrs 11012 N Williams St 433 SW 10th St Fax: (352) 509-7899 Dunnellon, FL 34432 Ocala, FL 34471 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 12:00 PM (352) 489-4241 (352) 732-4032 Languages: Vietnamese Fax: (352) 489-4248 Fax: (352) 732-2698 M-F 9:00 AM - 6:00 PM Urology Care of Central 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM Florida PA M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Provider ID: TPV1306878145-0 Reddick Discount Pharmacy Walmart Pharmacy Genoa-QOL Healthcare Provider ID: TPV1255677498-0 2301 SE 3rd Ave Ste 100A Ocala, FL 34471 Provider ID: TPV1588681969-0 Provider ID: TPV1245679216-0 15320 NW Gainesville Rd 4980 E Silver Springs Blvd 5664 SW 60th Ave Ste 2A Reddick, FL 32686 (352) 351-0029 Fax: (352) 840-9977 Ocala, FL 34470 Ocala, FL 34474 (352) 591-1116 (352) 236-1411 (352) 502-4999 Fax: (352) 591-3003 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Fax: (352) 236-1759 Fax: (352) 237-6337 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM M-TH 7:30 AM - 6:30 PM Sat 9:00 AM - 7:00 PM F 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM

www.wellcare.com/Florida | 300 Updated: 01/04/2019 Pharmacy Marion Retail - cont. Winn-Dixie Pharmacy Provider ID: TPV1467874875-0 Walmart Pharmacy 7131 N US Hwy 441 Provider ID: TPV1861419178-0 Ocala, FL 34475 2600 SW 19th Ave Rd (352) 351-2477 Ocala, FL 34471 Fax: (352) 351-4700 (352) 237-7103 00 Yrs/99 Yrs Fax: (352) 237-8112 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM Sun 10:00 AM - 4:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM Winn-Dixie Pharmacy Provider ID: TPV1518988815-0 Walmart Pharmacy 15912 E Hwy 40 Provider ID: TPV1952328254-0 Silver Springs, FL 34488 9570 SW Hwy 200 (352) 625-2866 Ocala, FL 34481 Fax: (352) 625-2330 (352) 291-8629 00 Yrs/99 Yrs Fax: (352) 291-8670 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs Sat-Sun 9:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Winn-Dixie Pharmacy Sun 10:00 AM - 6:00 PM Provider ID: TPV1528089828-0 2640 NE 14th St WINN DIXIE Ocala, FL 34470 Provider ID: TPV1366463663-0 (352) 622-6099 184 Marion Oaks Blvd Fax: (352) 622-7120 Ocala, FL 34473 00 Yrs/99 Yrs (352) 347-3115 M-F 8:00 AM - 8:00 PM Fax: (352) 347-1329 Sat-Sun 9:00 AM - 6:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 9:00 AM - 6:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1063834489-0 11310 SE Hwy 301 Belleview, FL 34420 (352) 245-6522 Fax: (352) 245-5801 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sun 9:00 AM - 3:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1437170743-0 10051 S US 41 Dunnellon, FL 34432 (352) 465-2002 Fax: (352) 465-2003 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 301 Updated: 01/04/2019 Pharmacy Putnam Retail Community Pharmacy Walmart Pharmacy Provider ID: TPV1053330043-0 Provider ID: TPV1497772701-0 A-1 Pharmacy 897 N Summit St 1024 S State Rd 19 Provider ID: TPV1881964435-0 Crescent City, FL 32112 Palatka, FL 32177 815 South Moody Rd (386) 698-2666 (386) 328-2786 Palatka, FL 32177 Fax: (386) 698-1779 Fax: (386) 328-2788 (386) 385-3987 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (386) 530-2130 Languages: Spanish M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM Sun 10:00 AM - 6:00 PM Sat 10:00 AM - 2:00 PM CVS Winn-Dixie Pharmacy Angels Pharmacy Provider ID: TPV1205931045-0 Provider ID: TPV1033130331-0 Provider ID: TPV1750753935-0 238 S US Hwy 17 901 Hwy 19 S 610 Zeagler Dr East Palatka, FL 32131 Palatka, FL 32177 Palatka, FL 32177 (386) 328-6713 (386) 328-6239 (386) 325-9300 Fax: (386) 329-5254 Fax: (386) 328-7717 Fax: (386) 325-9301 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 8:00 PM Languages: Hindi Sat 9:00 AM - 6:00 PM Sat 8:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 9:00 AM - 6:00 PM

Azalea Health CVS Winn-Dixie Pharmacy Provider ID: TPV1316020472-0 Provider ID: TPV1477657328-0 Provider ID: TPV1336160704-0 1302 River St 201 S State Rd 19 1115 N Summit St Palatka, FL 32177 Palatka, FL 32177 Crescent City, FL 32112 (386) 328-0558 (386) 325-7576 (386) 698-4922 Fax: (386) 328-9443 Fax: (386) 325-8195 Fax: (386) 698-4903 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 7:00 PM M-TH 8:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sat 8:00 AM - 5:00 PM F 8:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 9:00 AM - 3:00 PM Azalea Health CVS Provider ID: TPV1497838551-0 Provider ID: TPV1609971431-0 1213 State Rd 20 1141 State Rd 20 Interlachen, FL 32148 Interlachen, FL 32148 (386) 684-2407 (386) 684-4991 Fax: (386) 684-4701 Fax: (386) 684-3029 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Azalea Health Provider ID: TPV1689756470-0 First Choice Pharmacy 306 Union Ave Provider ID: TPV1306291679-0 Crescent City, FL 32112 3208 Crill Ave Unit 2 (386) 698-2368 Palatka, FL 32177 Fax: (386) 698-4343 (386) 219-1988 00 Yrs/99 Yrs Fax: (386) 385-3140 Languages: Spanish 00 Yrs/99 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM Sat 10:00 AM - 1:00 PM

www.wellcare.com/Florida | 302 Updated: 01/04/2019 Pharmacy Suwannee Retail

Cheek Scott Drugs, Inc Provider ID: TPV1407941123-0 1520 Ohio Ave S Live Oak, FL 32064 (386) 362-2591 Fax: (386) 208-1588 00 Yrs/99 Yrs Languages: Spanish M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM

CVS Provider ID: TPV1205930161-0 1005 Ohio Ave S Live Oak, FL 32064 (386) 362-5183 Fax: (386) 362-4887 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 8:00 PM Sun 10:00 AM - 6:00 PM The Village Pharmacy Provider ID: TPV1407933377-0 10820 Marvin Jones Blvd Live Oak, FL 32060 (386) 658-5860 Fax: (386) 658-5864 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM

Walmart Pharmacy Provider ID: TPV1972520278-0 6868 US Hwy 129 Live Oak, FL 32060 (386) 330-2399 Fax: (386) 330-2487 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1730100041-0 911 Pinewood St Live Oak, FL 32064 (386) 362-6350 Fax: (386) 362-6321 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat 8:00 AM - 7:00 PM Sun 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 303 Updated: 01/04/2019 Pharmacy Taylor Retail

CVS Provider ID: TPV1730283680-0 105 W Hampton Springs Ave Perry, FL 32347 (850) 584-5847 Fax: (850) 584-8954 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat-Sun 10:00 AM - 6:00 PM Jays Pharmacy Provider ID: TPV1104273127-0 828 S Jefferson St Perry, FL 32347 (850) 584-7800 Fax: (850) 584-7803 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM

Walmart Pharmacy Provider ID: TPV1144247446-0 1900 S Jefferson St Perry, FL 32348 (850) 223-4189 Fax: (850) 223-4191 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

Winn-Dixie Pharmacy Provider ID: TPV1548281850-0 2057 S Byron Bulter Pkwy Perry, FL 32348 (850) 584-5616 Fax: (850) 584-5628 00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM Sat-Sun 9:00 AM - 6:00 PM

www.wellcare.com/Florida | 304 Updated: 01/04/2019 Pharmacy Union Retail

CVS Provider ID: TPV1396849253-0 900 E Main St Lake Butler, FL 32054 (386) 496-1685 Fax: (386) 496-0753 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Kirby and Company Pharmacy LLC Provider ID: TPV1982764114-0 625 W Main St Lake Butler, FL 32054 (386) 496-8099 Fax: (386) 496-3796 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM

www.wellcare.com/Florida | 305 ALTERNATE LANGUAGES INDEX You can find a provider who speaks a different language in this index. First look for the language you need. Then check the specialty and provider name. Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable otro idioma. Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre del proveedor. You can find a provider who speaks a different language in this index. First look for the language you need. Then check the specialty and provider name. American Pediatrics Neurology Obstetrics/Gynecology Aboushaar, Mohammad MD Wang, Yue MD Antony, Thomas MD Assi, Gabriella MD Nurse Practitioner Family Medicine Arabic Pulmonary Disease Wang, Li APRN Ataya, Ali MD Allergy & Immunology Obstetrics/Gynecology Alibrahim, Ayman MD Retail Brazzel, Richard MD Avenue Pharmacy Colon & Rectal Surgery Pediatric Cardiology Eastern Pharmacy Inc Rizk, Bassam MD Chang, Philip MD Orange Park Pharmacy Gastroenterology Rite Choice Pharmacy Pediatrics Alakrad, Eyad MD He, Wei APRN Urology General Surgery Pulice, Frances PA Plastic & Reconstructive Surgery Farha, Fawzi MD Chim, Harvey MD Griffin, Reginald MD Bengali Urology Mustafa, Moiz MD Gastroenterology Lamendola, Gregory PA Rizk, Bassam MD Faisal, Mohammad MD Creole Internal Medicine Pediatrics Alquadan, Kawther MD Dean, Jennifer APRN Community Mental Health Center Alsamarah, Ali MD Eunus, Shahab MD Childrens Home Society of Florida Ataya, Ali MD Bosnian Family Practice Interventional Cardiology Bosque-Perez, Monique DO Nephrology Al-Saghir, Youssef MD Cadet, Jean-Felert MD Bihorac, Azra MD Khatib, Yazan MD Medical Oncology Bulgarian Nephrology Cartwright, Thomas MD Alquadan, Kawther MD Behavioral Health Counseling Neurology Damron, Heather LMHC Neurology Pierre, Christine MD Babi, Marc-Alain MD Gastroenterology Neurosurgery Draganov, Peter MD Pain Management Kaplan, Barry MD Andrawis, Ashraf MD Chinese Nurse Practitioner Sourial, Sourial DO Clinical Neurophysiology Lamy, Cerilien APRN Pediatric Pulmonology Wang, Yue MD Pediatric Allergy & Immunology Ezmigna, Dima MD Family Practice Schrum, Jacob MD Pediatric Surgery Sutherland, Mary PA Pediatrics Mustafa, Moiz MD Culpepper, Angela APRN

www.wellcare.com/Florida | 306 ALTERNATE LANGUAGES INDEX Creole - cont. Gastroenterology Thoracic Surgery Psychiatry Draganov, Peter MD Laudito, Antonio MD Czaykowsky, Guy MD Wallis, Barrett MD German Substance Abuse General Surgery Ambulatory Surgery Center Childrens Home Society of Florida Farha, Fawzi MD Citrus Regional Surgery Center LP Faroese Rizk, Bassam MD Cardiology Infectious Disease General Surgery Burkart, Thomas MD Stanciu, Sebastian MD Fatemi, Amir MD Coyle, Kathleen APRN Griffin, Reginald MD Interventional Cardiology Gastroenterology Khatib, Yazan MD Internal Medicine Martensson, Johannes MD Shahmohammadi, Abbas MD Neurology Muehlbauer, Marcus MD Babi, Marc-Alain MD Nephrology Internal Medicine Hatamizadeh, Parta MD Nurse Practitioner Muehlbauer, Marcus MD Lamy, Cerilien APRN Obstetrics/Gynecology Obstetrics/Gynecology Agrios, Anthony MD Obstetrics/Gynecology Agrios, Anthony MD Iobst, Joseph MD Tchuisse, Lucien-Maximin MD Iobst, Joseph MD Yarian, Susan MD Pulmonary Disease Ophthalmology Mehrad, Borna MD Clark, Alan MD Occupational Therapy Shahmohammadi, Abbas MD Gupta, Sunil MD Curtis, Christiane OT Kesen, Muge MD Filipino Retail Myers, John MD Cancer Care of North Florida Congenital Cardiac Surgery Shuler, Magdalena MD Gutierrez Reyes, Karl MD Greek Pediatric Pulmonology Pediatrics Light, Michael MD Gastroenterology Ribay, MA Teresita MD Agnone, Louis MD Pediatrics French Abella, Eleanor MD General Surgery Rossidis, Georgios MD Cardiology Gulzar, Tariq MD Coyle, Kathleen APRN Physical Medicine & Rehabilitation Obstetrics/Gynecology Van Roy, Daniel MD Ansoanuur, Frieda MD Agrios, Anthony MD Iobst, Joseph MD Colon & Rectal Surgery Psychiatry Yarian, Susan MD Rizk, Bassam MD Czaykowsky, Guy MD Dermatopathology Mohammed, Adil MD Thoracic & Cardiovascular Surgery Arnaoutakis, George MD Schmits, Kristen MD Psychology Gujarati Ear, Nose & Throat Laplante, Marie-Claude PHD Patel, Lynn APRN Retail Hematology Ruggiero, Joseph MD Eastern Pharmacy Inc Doshi, Ketankumar MD Family Practice Speech Therapy Internal Medicine Dolven, Craig DO Zenner, Anthony SLP Wayangankar, Siddharth MD Nelson, Danielle MD Zenner, Sandra SLP Interventional Cardiology Wayangankar, Siddharth MD

www.wellcare.com/Florida | 307 ALTERNATE LANGUAGES INDEX Gujarati - cont. Parekh, Hiral MD Jays Pharmacy Medplus Pharmacy Medical Oncology Nephrology Stay Well Pharmacy Doshi, Ketankumar MD Koratala, Abhilash MD Steinhatchee Drugs Pediatric Orthopaedics Ophthalmology Thoracic Surgery Shah, Chand PA Gupta, Sunil MD Khanna, Sohit MD Physical Therapy Kesen, Muge MD Mody, Kamal PT Myers, John MD Italian Shuler, Magdalena MD Cardiology Physician Assistant Coyle, Kathleen APRN Shah, Chand PA Pediatric Cardiology Chandran, Arun MD Genetic Counseling Pulmonary Disease Gupta, Dipankar MD Zori, Roberto MD Sriram, Peruvemba MD Pediatric Psychiatry Internal Medicine Hindi Nallapula, Kishan MD Thoburn, Robert MD Cardiology Pediatrics Pediatrics Aggarwal, Monica MD Gupta, Dipankar MD Scaccabarrozzi, Luis MD Attanti, Srinivas MD Hiremath, Uday MD Kannam, Hari MD Tilak, Suwarna MD Rheumatology Kolaventy, Ravindra MD Thoburn, Robert MD Vedre, Ameeth MD Physical Medicine & Rehabilitation Sharma, Anuj DO Kannada Gastroenterology Herman, Michael DO Physical Therapy Cardiology Attanti, Srinivas MD Kesari, Anand MD Rebound Rehabilitative Services Inc Reddi, Lakshmipathi MD Psychiatry Gastroenterology Reddy, Vishnu MD Mhatre, Umesh MD Kumar, Thimmiah MD Mohammed, Adil MD General Surgery Interventional Cardiology Nallapula, Kishan MD Griffin, Reginald MD Attanti, Srinivas MD Ravindra, Rajani MD Hematology Pediatric Psychiatry Pulmonary Disease Doshi, Ketankumar MD Nallapula, Kishan MD Parekh, Hiral MD Hamdani, Irram MD Sriram, Peruvemba MD Korean Hematology & Oncology Ear, Nose & Throat Balaraman, Rama MD Radiation Oncology Kaleem, Tasneem MD Ahn, Andrew MD Internal Medicine Kuruvilla, Anand MD Geriatric Medicine Bhaskar, Girish MD Kim, So MD Koratala, Abhilash MD Retail Angels Pharmacy Rana, Anjana MD Internal Medicine Avenue Pharmacy Wayangankar, Siddharth MD Kim, So MD Care 1st Pharmacy Interventional Cardiology Caring Pharmacy Neurology Attanti, Srinivas MD Dunnellon Discount Drugs Kim, Lance DO Bansal, Manish MD Fleming Island Pharmacy LLC Youn, Teddy MD Wayangankar, Siddharth MD G R Health Mart Pharmacy 2 Nurse Practitioner G R Healthmart Pharmacy Medical Oncology Park, Hyosun ARNP Doshi, Ketankumar MD G R Healthmart Pharmacy 3

www.wellcare.com/Florida | 308 ALTERNATE LANGUAGES INDEX Malayalam Machucca, Tiago MD Speech Therapy Pulmonary Disease Punjabi Zenner, Anthony SLP Sriram, Peruvemba MD Zenner, Sandra SLP Gastroenterology Mandarin Butt, Mujtaba MD Spanish Cardiology Internal Medicine Allergy & Immunology Coyle, Kathleen APRN Ahmad, Aftab MD Rodenas, Mario MD Pediatric Cardiology Pediatric Cardiology Ambulatory Surgery Center Chang, Philip MD Gupta, Dipankar MD Citrus Regional Surgery Center LP Mid Florida Endoscopy and Surgery Plastic & Reconstructive Surgery Pediatrics Center Chim, Harvey MD Gupta, Dipankar MD Surgery Center of Ocala LLC Marathi Pulmonary Disease Behavioral Health Counseling Hamdani, Irram MD Internal Medicine Oibo, Mercy LMHC Wayangankar, Siddharth MD Thoracic Surgery Cardiac Electrophysiology Khanna, Sohit MD Interventional Cardiology Goel, Satish MD Wayangankar, Siddharth MD Romanian Cardiology Norwegian Infectious Disease Dalrymple, Karla PA Stanciu, Sebastian MD Delfin, Luis MD Gastroenterology Goel, Satish MD Martensson, Johannes MD Russian Gonzalez, Javier MD Persian - Farsi Behavioral Health Counseling Qazizada, Wagma PA Damron, Heather LMHC Stark, Stephen MD Adolescent Medicine Torrealba, Liliana PA Wallizada, Abdul MD Gastroenterology Trigo, Gisela MD Draganov, Peter MD Nephrology Vedre, Ameeth MD Barakzoy, Ahmad MD General Surgery Cardiovascular Surgery Ayzengart, Alexander MD Pediatrics Moore, Ronald PA Wallizada, Abdul MD Hematology & Oncology Chiropractic Patterson, Daniel MD Polish Plante, Amber DC Stanley, Cheryl DC Family Practice Pediatrics Stanley, Lauri DC Bosque-Perez, Monique DO Dean, Jennifer APRN Eunus, Shahab MD Clinical Neurophysiology Portuguese Haulk James, Tiffany APRN Ventura, Julio MD Mercado Quinones, Alfredo MD Internal Medicine Community Mental Health Center Maggard, Reuben MD Psychiatry Childrens Home Society of Florida Mohammed, Adil MD Nephrology Ocala Consulting and Prevention Maggard, Reuben MD Retail LLC Hometown Pharmacy Newberry Prosthodontics Dermatology Dasilva, Margarete DDS Sign Harrington, Julie PA Motaparthi, Kiran MD Thoracic Surgery Licensed Professional Counselor Ramos-Caro, Francisco MD Laudito, Antonio MD Ellis, Mary LPC Robinson, Sean PA

www.wellcare.com/Florida | 309 ALTERNATE LANGUAGES INDEX Spanish - cont. General Surgery Medical Oncology Dermatopathology Nelson, Miles MD Berger, Maury MD Motaparthi, Kiran MD Salzman, Christopher MD Cartwright, Thomas MD Diagnostic and Treatment Center Swaminathan, Krishna MD Myrick, Samuel MD PET Services of Florida Genetic Counseling Nephrology Diagnostic Imaging Santolaya, Joaquin MD Brown, Robyn APRN Hogan, Renee APRN Belleview Imaging Center Geriatric Medicine Maggard, Reuben MD Clinical PET of Ocala Leey-Casella, Julio MD Clinical PET of Ocala LLC Ong, Rebecca MD Gainesville Open MRI Center Inc Gynecological Oncology Rogers, Timothy MD LCM Imaging Inc Cardenas-Goicoechea, Segundo Vaghela, Maheshkumar MD MD Ocala Health Imaging Services LLC Ventrapragada, Sailaja MD Ripley, Daylene MD Durable Medical Equipment Neurology Gynecology Culpepperharrell Inc DBA Your Nazariolopez, Bernadette MD Home Medi Zapata, Elaine APRN Ventura, Julio MD Medco Inc Hematology Neurosurgery Oxylife Respiratory Services LLC Berger, Maury MD Blatt, Jason MD Ear, Nose & Throat Hospice Kaplan, Barry MD Condrey, Tara PA Hospice of Citrus County Inc Rothschild, Cheslovas MD Endocrinology, Diabetes, Hospice and Palliative Care Nurse Practitioner Metabolism Center For Comprehensive Vera, Jose APRN Leey-Casella, Julio MD Palliative Nutrition Singh Ospina, Naykky MD Hospital Cardel, Michelle RD Family Practice Johns Hopkins All Childrens Mantay, Krista RD Hospital Inc Alois, Marika MD Obstetrics/Gynecology Bosque-Perez, Monique DO Infectious Disease Agrios, Anthony MD Cadet, Jean-Felert MD Gonzalez, Arnoldo MD Antony, Thomas MD Clevinger, Sidney MD Stanciu, Sebastian MD Botha, Tracey MD Crespo, Juan MD Brazzel, Richard MD Internal Medicine Gonzalez, Maria MD Cardenas-Goicoechea, Segundo Jarosz, David APRN Amaris, Manuel MD MD Nelson, Danielle MD Bednarzyk, Paul MD Carroccio, Sheyna MD Ramasco, Yasmin APRN Gadkowski, Lara MD Chamberlain, Kelly MD Rivera, Maria Josefina MD Gonzalez, Arnoldo MD Delker, Jill MD Underkofler, Janet PA Maggard, Reuben MD Gaona, Julie CNM Vastey, Myriame MD Mitta, Walter MD Harris, Karen MD Webster, Lynne APRN Rodenas, Mario MD Iobst, Joseph MD Yu, Tae DO Interventional Cardiology Marichal, Eduardo MD Gastroenterology Bansal, Manish MD Marquez Guerra, Eric MD Agnone, Louis MD McAfee, Monique CNM Licensed Social Worker Amaris, Manuel MD Smith, Erin CNM Logsdon, Irene LCSW Wallis, Barrett MD Tchuisse, Lucien-Maximin MD Maternal Fetal Medicine Werner, Erin MD General Practice Fareeduddin, Rizwana MD Yarian, Susan MD Webster, Lynne APRN

www.wellcare.com/Florida | 310 ALTERNATE LANGUAGES INDEX Spanish - cont. Shorr, Jack OD Odunlami, Adebayo MD Occupational Therapy Walton, Sean OD Phillips, Christina APRN Ribay, MA Teresita MD Warren, Joan OT Oral & Maxillofacial Surgery Scaccabarrozzi, Luis MD Graper, Charles MD Ophthalmology Velez-Borras, Jose MD Baumann, Jeffrey MD Orthopaedic Surgery Physical Medicine & Rehabilitation Bedoya, Eduardo MD Deen, Justin MD Varela-Batista, Lourdes MD Bovee, Courtney MD Mejia, Hector MD Charles, Keith MD Valenzuela, Richard MD Physical Therapy Clark, Alan MD Latimer, Richard PT Orthotics & Prosthetics Goldey, Stacia MD Maphis, Jennifer PT Grabow, Harry MD O and P Clinical Technologies Inc Podiatry Jeroudi, Abdallah MD Pediatric Allergy & Immunology McGowan, Michele DPM Kesen, Muge MD Schrum, Jacob MD Maizel, Raoul MD Samera, Scott DPM Pediatric Cardiology Panzo, Gregory MD Psychiatry Chandran, Arun MD Ross, Joseph MD Camacho-Duran, Angela MD Chang, Philip MD Staman, Jonathan MD Carr, Brent MD English, Robert MD Thomas, Benjamin MD Czaykowsky, Guy MD Ettedgui, Jose MD Wilker, Shawn MD De Carvalho, Marcus MD Kuebler, Brandon MD Khokhar, Ubaid MD Optometry Lacey, Stephanie DO Martinez, Ramon MD Anderson, Paul OD Moon, Thomas MD Pumariega, Andres MD Arnao, Jose OD Neagu, Daniela MD Cevallos, Michelle OD Psychology Pediatric Hematology/Oncology Chai, Sook OD Bittar, Krystal PsyD Castillo Caro, Paul MD Chiaramonti, Alycia OD Olsen, Brian PHD Day, Paul OD Pediatric Pulmonology Pulmonary Disease Deputy, Gerald OD Catanzaro, Tina DO McArdle, Patricia APRN Funderburk, Paul OD Light, Michael MD Pelaez, Andres MD Furman, Adam OD Penugonda, Madhuri MD Gorman, Neil OD Rehabilitation Facility Pediatrics Grey, Maritza OD Advanced Physical Therapy of Helman, Lori OD Anderson, Luis MD Central Flo Huynh, An Tam OD Baggett, Tracy PA Respiratory Therapy Jones, Brian OD Castillo Caro, Paul MD Diagnostic Medical Testing Inc Kreifels, Kacie OD Dahlman, Cari APRN Lappano, Alfred OD Dean, Jennifer APRN Retail Lennon, John OD Eunus, Shahab MD Able Pharmacy Meer, Henry OD Gaines, Casady MD Atkinson Hospital Pharmacy Merlino, Brian OD Gulzar, Tariq MD Atkinsons Healthcare Muse, James OD Haulk James, Tiffany APRN Azalea Health Ness, David OD Irizarry Padilla, Jadira MD B W Rexall Drug of Inverness Nguyen, Quyen OD Marks De Martino, Elizabeth APRN Barnes Healthcare Services Patel, Kim OD Mercado Quinones, Alfredo MD Baya Pharmacy Patel, Margi OD Milla-Orellana, Paulino MD Baya Pharmacy LTC Pieschke, Glenn OD Mora, Maria MD Belleview Community Pharmacy Robinson, Marc OD Neal, Andrew APRN Brashears Vital Care Pharmacy Noegel, Erica APRN Bronson Pharmacy

www.wellcare.com/Florida | 311 ALTERNATE LANGUAGES INDEX Spanish - cont. Urgent Care Center Pulmonary Disease Retail - cont. Shands Solantic Joint Venture LLC Sriram, Peruvemba MD Cancer Care of North Florida Solantic of Orlando LLC Care 1st Pharmacy Telugu Urology Cheek Scott Drugs, Inc Cardiology Cunningham, David MD Community Pharmacy Kannam, Hari MD Dersch, Mark MD Dunnellon Discount Drugs Kolaventy, Ravindra MD Fleming Island Pharmacy LLC Desautel, Michael MD G R Health Mart Pharmacy 2 Rao, Dinesh MD Dermatology Motaparthi, Kiran MD G R Healthmart Pharmacy Seneriz, Manuel MD Taub, Harvey MD Genoa-QOL Healthcare Dermatopathology Thompson, John MD Grandmas Country Pharmacy Motaparthi, Kiran MD Madison Street Pharmacy Swahili Palms Pharmacy of Bell Gastroenterology Pediatric Cardiology Reddy, Vishnu MD Palms Pharmacy of Branford Chandran, Arun MD Shands South Campus Pharmacy Internal Medicine Steinhatchee Drugs Swedish Koratala, Abhilash MD UF Health Pharmacy Medical Pla Gastroenterology Interventional Cardiology Westlab Pharmacy Inc Martensson, Johannes MD Yelamanchi, Vishnu MD Skilled Nursing Facility Nutrition Nephrology Ayers Health and Rehab Center Eliasson, ASA RD Koratala, Abhilash MD Cross City Rehab and Health Care Center Tagalog Neurology Diamond Ridge Health & Rehab Nagaraja, Nandakumar MD Center Gastroenterology Hawthorne Health Rehab of Ocala Agito, Markus Angelo MD Pediatric Psychiatry Nallapula, Kishan MD Madison Nursing Center Pediatrics New Horizon Rehabilitation Center Abella, Eleanor MD Psychiatry Palatka Health Care Center-Pcs Phillips, Christina APRN Nallapula, Kishan MD Parklands Care Center Rendon, Orlando MD Solaris Healthcare Lake City Pulmonary Disease Podiatry Bapatla, Amruth MD Sleep Diagnostic Studies Samera, Scott DPM Florida Sleep Solutions Inc Thai Tamil Speech & Language Pathology Cardiology Pierre-Jean, Elizabeth SLP Hematology & Oncology Van Roy, Daniel MD Balaraman, Rama MD Sports Medicine Pediatric Rheumatology Valenzuela, Richard MD Neurosurgery Thatayatikom, Akaluck MD Sriharan, Sivasupiramaniam MD Substance Abuse Turkish Ophthalmology Childrens Home Society of Florida Nephrology Iyer, Siva MD Thoracic Surgery Bihorac, Azra MD Pediatric Hematology/Oncology Laudito, Antonio MD Urdu Manning, Eddie MD Gururangan, Sridharan MD Cardiology Moore, Ronald PA Pediatrics Vedre, Ameeth MD Gururangan, Sridharan MD

www.wellcare.com/Florida | 312 ALTERNATE LANGUAGES INDEX Urdu - cont. Yoruba Gastroenterology Family Practice Butt, Mujtaba MD Oduntan, Omobola MD HIV/AIDS Infectious Disease Mirza, Haris MD Olaoye, Adetoun MD Infectious Disease Internal Medicine Mirza, Haris MD Olaoye, Adetoun MD Internal Medicine Ahmad, Aftab MD Taqi, Mohammad MD Nephrology Barakzoy, Ahmad MD Pediatric Psychiatry Rahmani, Mariam MD Psychiatry Mohammed, Adil MD Pulmonary Disease Hamdani, Irram MD Radiation Oncology Kaleem, Tasneem MD Vietnamese Optometry Cevallos, Michelle OD Chai, Sook OD Chiaramonti, Alycia OD Gorman, Neil OD Grey, Maritza OD Huynh, An Tam OD Meer, Henry OD Nguyen, Quyen OD Robinson, Marc OD Walton, Sean OD Physical Medicine & Rehabilitation Pham, Bao DO Psychology Huynh, Ann PsyD Retail Ocala Pharmacy LLC Urology Lamendola, Gregory PA

www.wellcare.com/Florida | 313 Specialty Provider At-A-Glance You can find a specific kind of provider in this index. First look for the type of care you need. Then check the county and page number. You can go to that page to get the provider's information. Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo específico de proveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el condado y el número de página. Consulte esa página para obtener la información del proveedor. You can find a specific kind of provider in this index. First look for the type of care you need. Then check the county and page number. You can go to that page to get the provider's information. A Marion 200 Child Neurology Putnam 203 Addiction Psychiatry Alachua 32 Taylor 206 Alachua 176 Clay 105 Marion 137 Adolescent Medicine Behavioral Health Facility Alachua 176 Clay 104 Chiropractic Madison 199 Alachua 32 Advance Registered Nurse Marion 200 Baker 90 Practitioner Psychiatrist Taylor 206 Bradford 190 Bradford 92 Marion 200 Birthing Center Citrus 97 Putnam 203 Marion 223 Clay 105 Columbia 123 C Advanced Registered Nurse Gilchrist 131 Practioner Cardiac Electrophysiology Marion 137, 138 Clay 252 Alachua 26 Clinical Neurophysiology Clay 104 Allergy & Immunology Alachua 176 Marion 135 Alachua 26 Clay 192 Putnam 157 Citrus 95 Marion 200 Clay 104 Cardiology Colon & Rectal Surgery Marion 135 Alachua Alachua 32 26, 27, 28, 29, 30, 31, 32, 229, 230 Ambulatory Surgery Center Bradford 92 Bradford 92 Alachua 208 Clay 106 Citrus 95, 96, 97 Citrus 213 Marion 138 Columbia 217 Clay 104, 105, 252, 253 Marion 223 Columbia 122, 123, 260 Community Mental Health Center Dixie 130 Alachua 177 Audiology Levy 267 Baker 189 Alachua 229 Marion 135, 136, 137, 270, 271 Bradford 190 Citrus 248 Putnam 157, 279 Citrus 191 Clay 252 Taylor 161 Columbia 194 Columbia 260 Gilchrist 196 Cardiovascular Surgery Marion 270 Levy 198 Alachua 32 Suwannee 281 Marion 200, 201 Marion 137, 271 B Putnam 203 Certified Nurse Midwife Suwannee 205 Behavioral Health Counseling Alachua 230, 231 Taylor 206 Alachua 176 Columbia 260 Congenital Cardiac Surgery Clay 192 Lafayette 266 Alachua 32, 33 Columbia 194 Marion 271

www.wellcare.com/Florida | 314 Specialty Provider At-A-Glance C - cont. Columbia 124 Durable Medical Equipment Madison 134 Convenient Care Clinic Alachua 208 Marion 139, 140, 141 Alachua 208 All 210 Suwannee 160 Baker 211 Clay 215 Clay 215 Columbia 217 Gastroenterology & Hepatology Gilchrist 219 Alachua 41 Critical Access Hospital Marion 224 Bradford 166 General Practice Putnam 226 Madison 171 Alachua 41, 233 Taylor 228 Suwannee 174 Baker 90 Bradford 247 D E Clay 11, 107, 255 Ear, Nose & Throat Dermatology Columbia 124 Alachua 35, 36, 232 Alachua 33, 34, 231 Hamilton 132 Clay 106, 253 Clay 106, 253 Taylor 161 Columbia 124, 260 Columbia 123 Union 163 Madison 134 Endocrinology, Diabetes, Marion 138, 139, 271 Metabolism General Surgery Taylor 161 Alachua 36, 37 Alachua 41, 42, 43, 44, 233 Clay 253 Bradford 93 Dermatopathology Columbia 124 Citrus 98 Alachua 34, 35 Clay 107, 108 F Diagnostic and Treatment Center Columbia 124, 125, 260 Citrus 213 Family Practice Marion 141 Marion 223 Alachua 1, 2, 3, 37, 38, 232, 233 Putnam 157 Baker 6 Suwannee 160 Diagnostic Imaging Bradford 7, 92, 247 Taylor 161 Alachua 208 Citrus 8, 97, 248 Genetic Counseling Citrus 213 Clay 10, 11, 106, 253, 254, 255 Clay 215 Alachua 44 Columbia 124 Marion 141 Columbia 217 Dixie 14, 263 Marion 223 Gilchrist 15, 131, 264 Geriatric Medicine Putnam 226 Hamilton 132 Alachua 44, 45 Dialysis Lafayette 17, 266 Geriatric Psychiatry Alachua 208 Levy 18, 133, 267 Alachua 177 Clay 215 Marion 20, 21, 139, 272, 273 Columbia 217 Putnam 23, 157, 279 Gynecological Oncology Madison 222 Suwannee 24, 281 Alachua 45, 234 Marion 223, 224 Taylor 25, 282 Marion 142 Putnam 226 Union 283 Gynecology Taylor 228 G Alachua 234 Clay 108 Dietician Gastroenterology Marion 142 Alachua 231, 232 Alachua 38, 39, 40, 41 H Distinct Part Unit Rehab Baker 90 Alachua 177 Bradford 93 Hand Surgery Citrus 97, 98 Alachua 45 Clay 106, 107, 255 Clay 108

www.wellcare.com/Florida | 315 Specialty Provider At-A-Glance H - cont. Marion 172 Taylor 206 Putnam 173 Hand Surgery - cont. Licensed Mental Health Counselor Taylor 175 Madison 134 Alachua 234 I Columbia 261 Hearing Aid Supplier Marion 273 Alachua 208 Infectious Disease Citrus 213 Alachua 46, 47, 48 Licensed Professional Counselor Clay 215 Clay 108, 255 Marion 201 Putnam 226 Marion 143 Licensed Social Worker Hematology Infusion Therapy Citrus 191 Alachua 45, 46 Alachua 208 Columbia 125 M Internal Medicine Marion 142 Maternal Fetal Medicine Alachua 3, 48, 49, 50, 51, 52 Alachua 53 Hematology & Oncology Baker 90 Marion 145 Alachua 46 Bradford 93 Citrus 99 Citrus 99, 248 Medical Genetics Clay 108 Clay 108, 109 Alachua 53 Marion 142, 143, 273 Columbia 125, 261 Medical Oncology Hamilton 132, 265 HIV/AIDS Alachua 53, 54 Levy 267 Marion 143 Citrus 99 Marion 21, 143, 144, 273 Columbia 125, 126 Home Health Care Putnam 157 Marion 145, 146 Alachua 208 Taylor 161, 282 All 210 Mental Health Counselor Interventional Cardiology Citrus 213 Alachua 234 Alachua 52 Clay 215 Bradford 93 N Suwannee 227 Citrus 99 Neonatal Perinatal Medicine Hospice Clay 109, 255 Alachua 54, 55 Alachua 208 Columbia 125 Citrus 213, 214 Marion 145, 273 Nephrology Clay 215 Putnam 157, 158, 279 Alachua 55, 56, 57 Columbia 217 Baker 90 L Levy 221 Clay 110, 255 Marion 224 Laboratory Pathology Testing Columbia 126 Putnam 226 All 210 Marion 146, 147, 274 Putnam 158 Hospice and Palliative Care Licensed Clinical Social Worker Alachua 46 Alachua 177 Neurodevelopmental Disabilities Marion 143 Citrus 191 Alachua 57 Clay 192 Hospital Neurology Marion 201 Alachua 164 Alachua 57, 58, 59, 60, 61, 234 Putnam 203 Baker 165 Citrus 99 Taylor 206 Citrus 167 Clay 110, 111, 256 Clay 168 Licensed Marriage and Family Marion 148 Columbia 169 Therapist Neuromuscular Medicine Levy 170 Alachua 177 Clay 192 Alachua 61

www.wellcare.com/Florida | 316 Specialty Provider At-A-Glance N - cont. Madison 269 Putnam 158 Putnam 279 Taylor 161 Neuropsychology Suwannee 281 Clay 192 Optician Alachua 68 Neuroradiology Nurse Practitioner OB/GYN Alachua 61, 62 Alachua 236 Citrus 100 Clay 113 Putnam 158 Nurse Practitioner Pediatric Marion 149 Alachua 236 Neurosurgery Alachua 62, 63, 234 Columbia 261 Optometry Clay 111, 256 Suwannee 281 Alachua 68, 69 Bradford 93 Marion 148, 274 Nurse Practitioner Psychiatric Mental Health Citrus 100, 101 Nuclear Cardiology Alachua 236 Clay 113, 114, 115, 116 Marion 148 Columbia 127 Nutrition Dixie 130 Nuclear Medicine Alachua 209, 236, 237, 238, 239 Clay 111 Madison 134 O Marion 149, 150, 151, 152 Nurse Midwife Putnam 159 Alachua 234, 235 Obstetrics Suwannee 160 Bradford 247 Alachua 63 Taylor 161 Clay 256 Clay 111 Oral & Maxillofacial Surgery Columbia 261 Obstetrics/Gynecology Dixie 263 Alachua 69, 70 Alachua 63, 64, 65, 66, 67, 239 Columbia 127 Suwannee 281 Baker 90, 246 Union 283 Bradford 247 Orthopaedic Surgery Alachua 70, 71, 72, 241 Nurse Practitioner Citrus 99, 248 Alachua 235 Clay 111, 112, 113, 256 Bradford 93 Bradford 247 Columbia 126 Citrus 101, 249, 250 Citrus 248 Hamilton 132 Clay 116, 256 Clay 256 Levy 267 Columbia 127 Columbia 261 Marion 148, 149, 274 Madison 134, 269 Levy 267 Putnam 158, 279 Marion 152 Marion 274 Suwannee 160 Putnam 159 Putnam 279 Union 163 Taylor 161, 162, 282 Suwannee 281 Occupational Therapy Orthotics Clay 257 Nurse Practitioner Acute Care Alachua 239, 240, 241 Alachua 235 Citrus 249 Madison 222 Clay 256 Orthotics & Prosthetics Nurse Practitioner Adult Health Levy 267 Alachua 235 Alachua 209 Marion 224 Citrus 214 Nurse Practitioner Family Medicine Suwannee 281 Clay 215 Alachua 235, 236 Ophthalmology Columbia 217 Baker 246 Alachua 67, 68 Levy 221 Clay 256 Citrus 100 Marion 224 Columbia 261 Clay 113 Hamilton 265 Otolaryngology Facial Plastic Columbia 126 Surgery Levy 267 Marion 149 Clay 257

www.wellcare.com/Florida | 317 Specialty Provider At-A-Glance P Citrus 191 Marion 154 Clay 192, 193 Pain Management Physical Therapy Columbia 194 Baker 90 Alachua 209 Madison 199 Bradford 93 Citrus 250 Marion 201 Clay 116 Clay 215, 257, 258 Putnam 203 Columbia 127 Hamilton 265 Taylor 206 Marion 152 Madison 269 Marion 224, 277 Pediatric Allergy & Immunology Pediatric Pulmonology Alachua 77 Alachua 72 Physician Assistant Clay 118 Clay 116, 117 Alachua 242 Marion 153, 274 Clay 258 Pediatric Cardiology Suwannee 160 Alachua 72, 73 Gilchrist 264 Pediatric Rheumatology Clay 117 Physician Assistant Endocrinology Alachua 77 Columbia 127, 128 Alachua 242 Marion 152 Pediatric Surgery Physician Assistant Orthopedics Alachua 77 Pediatric Dermatology Alachua 242, 243 Alachua 73, 74 Marion 153 Plastic & Reconstructive Surgery Pediatric Urology Pediatric Ear, Nose & Throat Alachua 81, 82 Marion 153 Alachua 74 Columbia 128 Clay 117 Pediatrics Podiatry Columbia 128 Alachua 3, 4, 5, 78, 79, 80, 241, 242 Alachua 82 Baker 6, 246 Pediatric Endocrinology Baker 90 Bradford 7, 93, 247 Alachua 74, 75 Citrus 102 Citrus 8, 9, 101, 250 Clay 117 Clay 118, 119 Clay 11, 12, 118, 257 Columbia 128 Pediatric Gastroenterology Columbia 13, 128, 261 Levy 133 Alachua 75 Dixie 14, 263 Marion 154 Marion 152 Gilchrist 15 Hamilton 16, 265 Pediatric Hematology/Oncology Prosthodontics Alachua 76 Levy 18, 19, 133, 268 Alachua 82 Madison 134, 269 Psych Hospital Pediatric Infectious Disease Marion Alachua 178 Alachua 76 21, 22, 153, 154, 274, 275, 276, 277 Citrus 191 Putnam 23, 279 Pediatric Nephrology Marion 201 Alachua 76 Suwannee 24, 281 Taylor 162, 282 Psychiatry Pediatric Ophthalmology Alachua 179, 180, 181 Periodontics Clay 117 Bradford 190 Alachua 80 Citrus 191 Pediatric Orthopaedics Clay 118, 257 Physical Medicine & Rehabilitation Clay 193 Alachua 80, 81, 242 Columbia 194 Pediatric Orthopedic Surgery Bradford 93 Dixie 195 Clay 118 Citrus 102 Gilchrist 196 Clay 118 Hamilton 197 Pediatric Psychiatry Alachua 177, 178 Columbia 128 Levy 198

www.wellcare.com/Florida | 318 Specialty Provider At-A-Glance P - cont. Marion 225 Respiratory Therapy Psychiatry - cont. Levy 221 Sleep Medicine Madison 199 Alachua 85 Marion 201, 202 Retail Alachua 284, 285 Putnam 203, 204 Speech & Language Pathology Baker 286 Alachua 243 Taylor 206 Bradford 287 Clay 259 Union 207 Citrus 288, 289 Columbia 262 Psychology Clay 290, 291 Marion 277 Alachua Columbia 292 Speech Therapy 181, 182, 183, 184, 185, 186, 187, 188 Dixie 293 Alachua 243, 244 Columbia 194 Gilchrist 294 Citrus 250, 251 Marion 202 Hamilton 295 Clay 259 Lafayette 296 Pulmonary Disease Dixie 263 Levy 297 Alachua 82, 83, 243 Marion 277, 278 Madison 298 Baker 91 Suwannee 281 Clay 119, 120, 258 Marion 299, 300, 301 Marion 154 Putnam 302 Sports Medicine Putnam 159 Suwannee 303 Alachua 85, 244 Taylor 304 Clay 121 Pulmonary Medicine Union 305 Columbia 128 Baker 246 Marion 155 Clay 258, 259 Rheumatology Alachua 84, 85 Substance Abuse R Clay 120 Alachua 188 Radiation Oncology Putnam 159 Bradford 190 Citrus 191 Alachua 83, 84 Rural Health Center Columbia 194 Clay 120 Columbia 13 Gilchrist 196 Columbia 128 Levy 268 Marion 155 Levy 198 Putnam 159 S Marion 202 Putnam 204 Skilled Nursing Facility Radiology - Interventional & Suwannee 205 Alachua 209 Vascular Taylor 206 Alachua 84 Baker 211 Putnam 159 Citrus 214 T Clay 216 Thoracic & Cardiovascular Surgery Rehabilitation Facility Columbia 217 Alachua 85, 86, 244 Alachua 209 Dixie 218 Clay 259 Bradford 212 Gilchrist 219 Marion 155, 278 Citrus 214 Lafayette 220 Clay 216 Levy 221 Thoracic Surgery Columbia 217 Madison 222 Alachua 86, 244 Levy 221 Marion 225 Marion 155, 278 Marion 224, 225 Putnam 226 Transplant Hepatology Putnam 226 Suwannee 227 Suwannee 227 Alachua 86 Sleep Diagnostic Studies Reproductive Endocrinology Alachua 209 Alachua 84

www.wellcare.com/Florida | 319 Specialty Provider At-A-Glance U Urgent Care Center Alachua 209 Citrus 214 Clay 216 Levy 221 Marion 225 Urology Alachua 87, 88, 244 Bradford 94 Citrus 102, 251 Clay 121 Columbia 128 Marion 156, 278 Putnam 159, 280 Taylor 162, 282 V Vascular Neurology Alachua 244, 245 Marion 278 Vascular Surgery Alachua 88, 89, 245 Citrus 102, 103 Clay 121 Columbia 129 W Wound, Ostomy and Continence Care Marion 278

www.wellcare.com/Florida | 320 EXTENDED HOURS INDEX You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check the county and page number. You can go to that page to get the provider’s office hours. En este índice, usted puede encontrar un proveedor con horario más prolongado de atención en el consultorio. Primero busque el nombre del proveedor, y luego verifique el condado y el número de página. Consulte esa página para obtener el horario de atención del proveedor. You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check the county and page number. You can go to that page to get the provider’s office hours. Alachua Ramphal, Reuben MD 47 Ear, Nose & Throat Allergy & Immunology Antonelli, Patrick MD 35 Internal Medicine Rodenas, Mario MD 26 Coticchia, James MD 35 Ali, Azka MD 48 Ali, Rozina DO 48 Behavioral Health Counseling Endocrinology, Diabetes, Beasley, David LMHC 176 Metabolism Alquadan, Kawther MD 48 Camp, Genevieve LMHC 176 Leey-Casella, Julio MD 37 Amaris, Manuel MD 48 Damron, Heather LMHC 176 Singh Ospina, Naykky MD 37 Doonan, Bently MD 49 Hincapie Echeverri, Jacobo MD 49 Certified Nurse Midwife Family Practice Hughes, Natalie MD 49 Camargo, Katie CNM 230 Carpiz Turkdogan, Charmaine Leon, Carlos MD 50 Russell, Deidre CNM 231 APRN 232 Lin, Christine MD 50 Chacko, Lisa MD 37 Muehlbauer, Marcus MD 50 Chiropractic Nelson, Danielle MD 2, 38 Barnhill, Robert DC 32 Olaoye, Adetoun MD 50 Perrin, Karen APRN 233 Rodenas, Mario MD 51 Graham, Lauri DC 32 Toromanovski, Todor MD 3 Restieri, Lawrence DC 32 Womer, Karl MD 51 Sutton, Kevin DC 32 Gastroenterology Licensed Mental Health Counselor Amaris, Manuel MD 38 Jones, Desiree LMHC 234 Community Mental Health Center Muehlbauer, Marcus MD 40 Orlando, Dina LMHC 234 Fundamental Therapy Solutions Zori, Andreas MD 41 177 Medical Oncology General Surgery Spiguel, Andre MD 54 Convenient Care Clinic Ayzengart, Alexander MD 42 Minuteclinic LLC 208 Walters, Michael MD 44 Neonatal Perinatal Medicine Sullivan, Sandra MD 55 Dermatology Geriatric Medicine Vonhilsheimer, George MD 34 Hincapie Echeverri, Jacobo MD 44 Nephrology Ali, Rozina DO 55 Diagnostic Imaging Leey-Casella, Julio MD 45 Gainesville Open MRI Center Inc Alquadan, Kawther MD 55 Hospice 208 Hatamizadeh, Parta MD 55 Haven Hospice 208 Womer, Karl MD 57 Dietician Hospice of Citrus County Inc 208 Agro, Nicole RD 231 Neurology Hospice and Palliative Care Jerath, Nivedita MD 59 Distinct Part Unit Rehab Hincapie Echeverri, Jacobo MD 46 Wagle Shukla, Aparna MD 61 Shands Rehab Hospital 177 Hospital Nurse Midwife Durable Medical Equipment North Florida Regional 164 Prieto, Natalia CNM 234 Ahp Home Care Alliance of Shands At The University of Florida Rischar, Julie CNM 235 Gainesville 208 164 Summers, Marlene CNM 235 Lincare Inc 208 Infectious Disease Nurse Practitioner Olaoye, Adetoun MD 47 Noah, Samantha APRN 235

www.wellcare.com/Florida | 321 EXTENDED HOURS INDEX Alachua - cont. Parker, Donna MD 4 Optometry Pietra, Biagio MD 79 Nurse Practitioner - cont. Arnao, Jose OD 68 Poisson, Tiffany PA 242 Woodington, Tara APRN 235 Atkins, Brian OD 68 Reedy, Rachel PA 242 Barber, Jon OD 68 Nurse Practitioner Acute Care Sanders, Sandy MD 4 Beckwitt, Julie-Ann OD 68 Harris, Leslie APRN 235 Scaccabarrozzi, Luis MD 4 Caputi, Lori OD 68 Schreier, Christopher APRN 242 Nurse Practitioner Family Medicine Chiaramonti, Alycia OD 68 Seguias, Luis MD 4, 79 McMican, Kristina APRN 236 Funderburk, Paul OD 68 St Martin, Dacelin MD 4 Gorman, Neil OD 69 Nurse Practitioner Pediatric Tuli, Sanjeev MD 5 Grey, Maritza OD 69 Copeland, Sara APRN 236 Woodington, Tara APRN 242 Harris, Leslie APRN 236 Ho, Thanh OD 69 Huynh, An Tam OD 69 Physical Medicine & Rehabilitation Nutrition Kesavalu, Sheela OD 69 Ansoanuur, Frieda MD 80 Amar, Shana RD 237 Nguyen, Joseph OD 69 Montes Chinea, Nataly MD 80 Cardel, Michelle RD 237 Robinson, Marc OD 69 Vincent, Kevin MD 80 Dow, Kelley RD 237 Williams, Gary OD 69 Wilson, Derek PA 242 Funk D, Patricia RD 237 Kisilewicz, Katherine RD 238 Oral & Maxillofacial Surgery Physician Assistant Orthopedics Marlowe, Belinda RD 238 Schlott, Benjamin MD 70 Murray, Allison PA 243 Samakur, Saralakumari RD 238 Orthopaedic Surgery Psych Hospital Sheridan, Kelly RD 238 Chan, Chung MD 70, 71 UF Health Shands Psychiatric Talbot, Erin MD 209 Daly, Tarah PA 241 Hospital 178 Hagan, Jennifer MD 71 Obstetrics/Gynecology Psychology Molinari, William MD 71 Cotter, Michael MD 64 Kerkhoff, Thomas PHD 184 Reb, Christopher DO 72 Deen, Juline MD 64 Lewis, Carol PHD 185 Sadasivan, Kalia MD 72 Scogin, Kristen MD 66 Moffett, Kristin PHD 185 Wright, Thomas MD 72 Stewart, David MD 66 Olsen, Brian PHD 186 Stringer, Ronnie APRN 239 Pediatric Hematology/Oncology Winkleman, Wendy PHD 188 Stringer, Ronnie CNM 239 Sayour, Elias MD 76 Sutherland, Padmaksi CNM 239 Pulmonary Disease Lin, Christine MD 83 Walsh, Ashley MD 66 Pediatric Nephrology Patterson, Larry MD 76 Rehabilitation Facility Occupational Therapy Acg Therapy Center Inc 209 Arola, Shannon OT 239 Pediatric Rheumatology Lake Area Physical Therapy 209 Brown, Cathi OT 240 Thatayatikom, Akaluck MD 77 Brown, Taylor OT 240 Pediatrics Retail Holmes, Laura OT 240 Ahmed, Nasir MD 78 Able Pharmacy 284 Lemus, Jocelyn OT 240 Beebe, Stephen MD 78 Caring Pharmacy 284 Lutz, Julia OT 240 Coleman, Rachel MD 3 CVS 284, 285 Oman, Kristen OT 240 Dendinger, Amy APRN 241 Hometown Pharmacy Alachua 285 Patel, Mira OT 240 Emerick Jr, Ronald DO 78 Hometown Pharmacy Newberry Pope, Haley OT 240 Fitzgerald, Melissa MD 78 285 Roach, Kimberly OT 240 Kachru, Ruchita MD 3 UF Health Pharmacy Shands Tate, Anitha OT 241 Kirkconnell, Stephanie MD 4 Hospital 285 Massias, Michelle MD 4 Univ of Florida Student Health Optician Pharmacy 285 Eye Doctors Optical Outlets PA 68 Moroshanley, Ana MD 4 Vineyard Pharmacy 285 Four-H Optical Company Inc 68 Numssen, Valerie MD 4

www.wellcare.com/Florida | 322 EXTENDED HOURS INDEX Alachua - cont. Transplant Hepatology Optometry Retail - cont. Zori, Andreas MD 86 Schlofman, Arthur OD 93 Walmart Pharmacy 285 Schlofman, Michael OD 93 Urgent Care Center Westlab Pharmacy Inc 285 Williams, Gary OD 93 Quick Care Med Pl 209 Winn-Dixie Pharmacy 285 Shands Solantic Joint Venture LLC Wises Parkwood Pharmacy 285 Orthopaedic Surgery 209 Ottey, Deron MD 93 Wises Pharmacy 285 Solantic of Orlando LLC 209 Pediatrics Rheumatology Santelices, Pamela MD 7 Mejia Otero, Carolina MD 85 Urology Bayne, Christopher MD 87 Smith, Maria MD 7 Skilled Nursing Facility Bird, Vincent MD 87 Park Meadows Health and Rehab Rehabilitation Facility Lake Area Physical Therapy 212 Center 209 Baker Physical Therapy and Rehabilitation Parklands Care Center 209 Chiropractic Clin 212 Signature Healthcare of Gainesville Cardozo, James DC 90 209 Retail Community Mental Health Center CVS 287 Speech & Language Pathology River Region Human Services Inc Madison Street Pharmacy 287 Bartolotti, Jennifer SLP 243 189 Bone, Lindsey SLP 243 Walmart Pharmacy 287 Bruner, Brittney SLP 243 Convenient Care Clinic Winn-Dixie Pharmacy 287 Minuteclinic LLC 211 Hines, Brittany SLP 243 Citrus Ho Keselowsky, Virginia SLP 243 Hospital Ambulatory Surgery Center Lee, Emily SLP 243 Ed Fraser Memorial Hospital 165 Citrus Endoscopy & Srg Center 213 Pierre-Jean, Elizabeth SLP 243 Retail Roper, Sabrina SLP 243 Family Practice CVS 286 Tomlinson, Amy SLP 243 Toromanovski, Todor MD 8 Macclenny Pharmacy 286 Tyler, Bernadette SLP 243 Walmart Pharmacy 286 Hospice Vanboven, Andrea SLP 243 Winn-Dixie Pharmacy 286 Hospice of Citrus County Inc 213 Vincek Sullivan, Sara SLP 243 Skilled Nursing Facility Hospital Speech Therapy Macclenny Nursing and Rehab Citrus Memorial Health Fo 167 Amerson, Emily SLP 243 Center 211 Seven Rivers Regional Medical Dyson, Rachel SLP 244 Center 167 Hart, Amy SLP 244 Bradford Knight, Maria SLP 244 Internal Medicine Chiropractic Kramer, Erin SLP 244 Dowe, Joy APRN 248 Slaughter, Martin DC 92 Memminger, Jaqueline OT 244 Hegarty, Jennifer APRN 248 Quigley, Sharon OT 244 Critical Access Hospital Koss Bradish, Donna APRN 248 Russo, Sarah SLP 244 Starke Hma 166 Licensed Clinical Social Worker Sports Medicine Family Practice Keefe Cecere, Laurie LCSW 191 Walker, Katherine PA 244 Innocent-Simon, Joelle DO 92 Martin, Deborah LCSW 191 Kirkland, David APRN 247 Rowell, Timothy LCSW 191 Thoracic & Cardiovascular Surgery McBride, Kevin MD 92 Arnaoutakis, George MD 85 Licensed Social Worker Nicula, Wanda APRN 247 Logsdon, Irene LCSW 191 Thoracic Surgery Obstetrics/Gynecology Manning, Eddie MD 86 Nurse Practitioner Stringer, Ronnie APRN 247 Dillenbeck Juers, Julie APRN 248

www.wellcare.com/Florida | 323 EXTENDED HOURS INDEX Citrus - cont. Citrus Discount Pharmacy 288 Watson, James PA 255 CVS 288 Nurse Practitioner - cont. General Practice G R Health Mart Pharmacy 2 288 Lamy, Cerilien APRN 248 Miner, Karen PA 255 G R Healthmart Pharmacy 288 Occupational Therapy G R Healthmart Pharmacy 3 288 Home Health Care Baumstark, Sandra OT 249 Rite Choice Pharmacy 288 Doctors Choice Jacksonville LLC Curtis, Christiane OT 249 Walmart Pharmacy 288 215 Huecker, Gail OT 249 Winn-Dixie 288 Hospice Johnson, Pearl OT 249 Winn-Dixie Pharmacy 288, 289 Haven Hospice 215 Lastinger, Karin OT 249 Skilled Nursing Facility Messier, Jennifer OT 249 Hospital Citrus County Operations LLC 214 Ramsay, Sherrie OT 249 Baptist Emergency Center Clay 168 Citrus Health and Rehabilitation Schutt, Rebecca OT 249 Orange Park Medical Center 168 Center 214 St Vincents Medical Center Clay Optician Citrus Hills Nh LLC 214 County 168 Eye Doctors Optical Outlets PA Cypress Cove Care Center Pcs 214 100 Diamond Ridge Health & Rehab Licensed Clinical Social Worker Optimart Inc 100 Center 214 Brooks, Christan LCSW 192 Optometry Urgent Care Center Nurse Practitioner Family Medicine Caputi, Lori OD 100 Quick Care Med Pl 214 Davis, Lauren ARNP 256 Caruso, Mark OD 100 Clay Chiaramonti, Alycia OD 100 Obstetrics/Gynecology Morphet, Michael DO 112 Day, Paul OD 100 Behavioral Health Counseling Furman, Adam OD 100 Arendt, Suzanne LMHC 192 Occupational Therapy Gorman, Neil OD 100 Gydish, Kimberly LMHC 192 August, Amanda OT 256 Herriott, Michael OD 100 King, Roberta OT 256 Cardiology Lappano, Alfred OD 101 Lynch, Danielle OT 256 Martin, Lilla MD 105 Merlino, Brian OD 101 Optician Chiropractic Pediatrics Kenneth L Groleau 113 Paulk, Michael DC 105 Hegarty, Jennifer APRN 250 Schertell, Keith DC 105 Optometry Howard, Marcy MD 8 Abshire, Kyle OD 113 Moore, Beth APRN 250 Convenient Care Clinic Allen, Margaret OD 113 Shammas, Lilia MD 101 Minuteclinic LLC 215 Anguas, Edwin OD 114 Tinio, Anna Katrina MD 9 Diagnostic Imaging Armanious Hendy, Mary OD 114 Physical Therapy LCM Imaging Inc 215 Bowman, Christina OD 114 Benthusen, Carli PT 250 Cone, Paul OD 114 Dialysis Keen, Jordan PT 250 Hodges, Jacob OD 114 Ara-Orange Park LLC 215 Hodges, Virginia OD 114 Podiatry Middleburg Dialysis LLC 215 Hoffman, James OD 114 Fox, Jennifer DPM 102 Family Practice Hossenlopp, Craig OD 114 Rehabilitation Facility Afshar, Ali MD 10 Houser, Frank OD 115 Superior Therapy Services Inc 214 Blinder, Allison PA 253 Kawa, Samantha OD 115 Channaveeraiah, Naganna MD 10 Larson, Karen OD 115 Retail El Hassan, David MD 10 Lyons, Audrey OD 115 B W Rexall Drug of Inverness 288 Gall, Heather APRN 254 Parrish, Gregory OD 115 Brashears Pharmacy 288 Moshiree, Banafsheh MD 106 Poole, Erica OD 115 Brashears Vital Care Pharmacy 288 Paredes, Maria PA 254 Smith, William OD 115

www.wellcare.com/Florida | 324 EXTENDED HOURS INDEX Clay - cont. Mercado Quinones, Alfredo MD 13 Skilled Nursing Facility Santelices, Pamela MD 13 Optometry - cont. Heartland Health Care Orange Park Santelices, Samuel MD 13 Stephens, Amy OD 115 216 Smith, Maria MD 13 Ung, Jessy OD 115 Life Care Center of Orange Park Tenney, Megan APRN 261 Villa, Carlos OD 116 216 Wagner, Ellen OD 116 Signature Healthcare of Orange Psychiatry Weinstein, Harry OD 116 Park 216 Mhatre, Umesh MD 194 Pediatrics Speech Therapy Psychology Moshiree, Massoud MD 12 Chefer, Miriam SLP 259 Cohen, Jonathan PHD 194 Tate, Patricia Mary APRN 257 Crawford, Wendy SLP 259 Tilak, Suwarna MD 12 Rehabilitation Facility Urgent Care Center Heartland Rehabilitations Services Physical Therapy Care Spot Urgent Care 216 of Florida 217 Braun, Meghan PT 257 Columbia Carraway, Heather PT 257 Retail Baya Pharmacy 292 Dyer, Jessica PT 257 Behavioral Health Counseling Cheek and Scott Pharmacy 292 Nelsen, Jordan PT 258 Brody, Barry LMHC 194 CVS 292 Schneider, Cassandra PT 258 Chiropractic North Florida Pcy Med Shoppe Tasso, Kay PT 258 Harrison, Kevin DC 123 292 Psychiatry Morse, David DC 123 North Florida Pharmacy Med Carvajal, Jonathan MD 193 Shoppe 292 Durable Medical Equipment Walmart Pharmacy 292 Rehabilitation Facility Baya Pharmacy 217 Winn-Dixie Pharmacy 292 Heartland Rehabilitations Services North Florida Medical Sales and of Florida 216 Rentals 217 Rural Health Center Lake Area Physical Therapy 216 Santelices, Samuel MD 13 Hospice Physical Therapy and Rehabilitation Haven Hospice 217 Clin 216 Skilled Nursing Facility Hospice of Citrus County Inc 217 Solaris Healthcare Lake City 217 Therapyworks of Jacksonville Inc 216 Hospital Dixie Lake City Medical Center 169 Retail Family Practice Lake Shore Hma 169 Atkinson Hospital Pharmacy 290 Brandt, John MD 14 Atkinsons Healthcare 290 Internal Medicine Davis, Paula APRN 263 Care 1st Pharmacy 290 Scott, Jennifer APRN 261 Retail CVS 290 Licensed Mental Health Counselor Cheek Pharmacy Inc 293 Fleming Island Pharmacy LLC 290 Kuykendall, Janet LMHC 261 Hometown Pharmacy - Old Town Medplus Pharmacy 290 293 North Florida Pharmacy Med Optometry Shoppe 290 Bailey, Patricia OD 127 Skilled Nursing Facility Orange Park Pharmacy 290 Kershner, Jesse OD 127 Cross City Rehab and Health Care Rxpert 1 LLC 290 Owens, Julie OD 127 Center 218 Stay Well Pharmacy 291 Robinson, Marc OD 127 Gilchrist Walmart Pharmacy 291 Williams, Gary OD 127 Winn-Dixie Pharmacy 291 Pediatrics Pediatrics Valletta, Mary MD 15 Gulzar, Tariq MD 13 Lown, Kenneth APRN 261

www.wellcare.com/Florida | 325 EXTENDED HOURS INDEX Gilchrist - cont. Rehabilitation Facility Cardiology Retail Heartland Rehabilitations Services Aggarwal, Monica MD 135 Best Drugs of Trenton 294 of Florida 221 Aranda, Juan MD 135 Skilled Nursing Facility Retail Chiropractic Ayers Health and Rehab Center 219 Bronson Pharmacy 297 Hartley, Kaycie DC 138 CVS 297 Mammana, Thomas DC 138 Hamilton North Florida Pharmacy Med Plante, Amber DC 138 Physical Therapy Shoppe 297 Stanley, Cheryl DC 138 Bristol, Teresa PT 265 Sunshine Drugs 297 Stanley, Lauri DC 138 Walmart Pharmacy 297 Swinson, Douglas DC 138 Retail CVS 295 Winn-Dixie Pharmacy 297 Taylor, Jeanna DC 138 Walker, Jonathan DC 138 Skilled Nursing Facility Lafayette Wilemon, Travis DC 138 Williston Care Center 221 Retail Community Mental Health Center Urgent Care Center N Florida Pharmacy Med Shoppe Duval Metro Treatment Center Quick Care Med Pl 221 296 200 North Florida Pharmacy Med Madison Ocala Consulting and Prevention Shoppe 296 LLC 200 Behavioral Health Facility Perspectives II LLC 200 Skilled Nursing Facility The Florida United Methodist The Centers 200 Lafayette Nursing and Children's 199 Rehabilitation Cen 220 Diagnostic Imaging Critical Access Hospital Ocala Health Imaging Services LLC Levy Madison County Memorial 223 Hospital 171 Family Practice Dialysis Burkett, Elizabeth DO 18 Dialysis Ocala Region Kidney Ctrs Home Chapman, Christine DO 18 Four Freedoms Dialysis 222 Ellis, Matthew MD 18 Dialys Div 223 Ivey, James MD 18 Pediatrics Ocala West Home Training 224 Berry, Linda APRN 269 Lumb, Pratibha MD 133 Silver Springs Shores 224 Dunbar, Levette MD 134 Toromanovski, Todor MD 18 Family Practice Williams, Barbara APRN 267 Retail Cleophat, Armelle APRN 272 CVS 298 Ice, Shirley MD 139 Hospice North Florida Pharmacy Med Haven Hospice 221 Lewin, Pamela MD 139 Shoppe 298 Hospice of Citrus County Inc 221 Riddle, Tracy APRN 273 Winn-Dixie Pharmacy 298 Rockower, Robert DO 21 Hospital RGH Williston 170 Skilled Nursing Facility Hospice Lake Park of Madison Nursing and Hospice of Marion County Inc 224 Nurse Practitioner Rehabil 222 Hospital Harmon, Martha APRN 267 Madison Nursing Center 222 Florida Hospital Ocala 172 Pediatrics Marion Ocala Regional Medical Center 172 Forsythe, Heather APRN 268 West Marion Community Hospital Advance Registered Nurse Gaines, Casady MD 18 Practitioner Psychiatrist 172 St Martin, Dacelin MD 19 Gatlin, Debra APRN 200 Internal Medicine Goodrow, Tina APRN 200 Barroso, Luis DO 143

www.wellcare.com/Florida | 326 EXTENDED HOURS INDEX Marion - cont. Mercado Quinones, Alfredo MD Skilled Nursing Facility 154 Internal Medicine - cont. Hawthorne Health Rehab of Ocala Morgan, Amy APRN 276 Decker, Gary MD 143 225 Odunlami, Adebayo MD 21 Hanley, Allison MD 144 New Horizon Rehabilitation Center Poole, Millie MD 154 225 Licensed Clinical Social Worker Sandu, Mamatha MD 21 Oakhurst Rehabilitation and Martinsen, Emily LCSW 201 Shrinath, Madhukar MD 21 Nursing Cent 225 Smith, Sondra APRN 277 Licensed Mental Health Counselor Palm Garden of Ocala 225 Gibson, Jackie LMHC 273 Vidal, Lisandra APRN 277 Substance Abuse Physical Therapy Licensed Professional Counselor Perspectives II LLC 202 Mody, Kamal PT 277 Ellis, Mary LPC 201 The Centers 202 Sarker, Mahin PT 277 Optician Urgent Care Center Psych Hospital Eye Doctors Optical Outlets PA Express Care of Ocala Inc 225 The Centers 201 149 Medone PLLC 225 Quick Care Med Pl 225 Optometry Psychiatry Shands Solantic Joint Venture LLC Anderson, Paul OD 149 Abraham, Joy MD 201 225 Atkins, Brian OD 150 Demosthene, Antoine MD 201 Nanjundasamy, Anaimalai MD 202 Beckwitt, Julie-Ann OD 150 Urology Sayers Erfourth, Sharmayn DO 202 Caputi, Lori OD 150 Dersch, Mark MD 156 Cevallos, Michelle OD 150 Psychology Putnam Chai, Sook OD 150 Winkleman, Wendy PHD 202 Chiaramonti, Alycia OD 150 Family Practice Retail Gorman, Neil OD 150 Eichler, Derek MD 157 17th Street Discount Pharmacy 299 Ho, Thanh OD 150 Kirkland, David APRN 279 Avenue Pharmacy 299 Huynh, An Tam OD 150 McBride, Kevin MD 157 Belleview Community Pharmacy Kesavalu, Sheela OD 151 Nicula, Gayle APRN 279 Konynenbelt, Jessie OD 151 299 Hospice Meer, Henry OD 151 Benzer Pharmacy 299 Haven Hospice 226 Nguyen, Joseph OD 151 Bittings Apothecary Med Equi Sup 299 Hospice of Citrus County Inc 226 Nguyen, Quyen OD 151 Cornerstone Pharmacy 299 Parrish, Gregory OD 151 Hospital CVS 299, 300 Robinson, Marc OD 152 Putnam Community Hospital 173 Dunnellon Discount Drugs 300 Walton, Sean OD 152 Eastern Pharmacy Inc 300 Psychiatry Pediatrics Genoa-QOL Healthcare 300 Poulos, Peter MD 204 Arami, Brittany APRN 274 Golden Hills Pharmacy 300 Retail Brown, Jessica APRN 275 Ocala Pharmacy LLC 300 A-1 Pharmacy 302 Burnette, Jessica APRN 275 Reddick Discount Pharmacy 300 Azalea Health 302 Casey, Allyson APRN 275 SAMS CLUB 300 Community Pharmacy 302 Conner, Donald APRN 275 Sunshine Drugs 300 CVS 302 Dean, Jennifer APRN 275 Sunshine Drugs of Ocala 300 First Choice Pharmacy 302 Eunus, Shahab MD 21, 153 Walmart Pharmacy 300, 301 Walmart Pharmacy 302 Eunus, Vladlena APRN 275 WINN DIXIE 301 Winn-Dixie Pharmacy 302 Forsythe, Heather APRN 275 Winn-Dixie Pharmacy 301 Haulk James, Tiffany APRN 276 Skilled Nursing Facility Crestwood Nursing Center Inc 226

www.wellcare.com/Florida | 327 EXTENDED HOURS INDEX Putnam - cont. Union Skilled Nursing Facility - cont. Retail Lakewood Nursing Center Inc 226 CVS 305 Palatka Health Care Center-Pcs 226 Kirby and Company Pharmacy LLC 305 Suwannee Critical Access Hospital Live Oak Hma 174 Occupational Therapy Swartz, Stacie OT 281 Rehabilitation Facility Heartland Rehabilitations Services of Florida 227 Retail Cheek Scott Drugs, Inc 303 CVS 303 Walmart Pharmacy 303 Winn-Dixie Pharmacy 303 Skilled Nursing Facility Surrey Place Care Center 227 Taylor Behavioral Health Counseling Haswell, Dawna LCSW 206 Taylor County Recovery Center Inc 206 Family Practice Bishop, Brittany APRN 282 Hospital Doctors Memorial Hospital Inc 175 Licensed Marriage and Family Therapist Scott, Nita LMFT 206 Pediatrics Dunbar, Levette MD 162 Retail CVS 304 Jays Pharmacy 304 Walmart Pharmacy 304 Winn-Dixie Pharmacy 304 Substance Abuse Taylor County Recovery Center Inc 206

www.wellcare.com/Florida | 328 PROVIDER INDEX Numerics Alexander, Myriam APRN 270 Apalachee Center Inc 206 17th Street Discount Pharmacy 299 Ali, Azka MD 48 Aponick, Amy RD 231, 237 Ali, Rozina DO 48, 55 Aprameya, Sriramulu MD 10 A A1 Imaging 215, 223 Alibrahim, Ayman MD 95 Apria Healthcare LLC 208, 217, 224 A-1 Pharmacy 302 Allegra, Carmen MD 53 Arami, Brittany APRN 274, 275 Abboud, Lucien MD 92, 93 Alleman, Grace SLP 259 Aranda, Juan MD 135 Abella, Eleanor MD 93 Allen, Margaret OD 113 Ara-Orange Park LLC 215 Abernethy, John MD 1, 23 Allmon, Jon MD 121 Arcila, Marisol MD 93, 116, 118 Able Pharmacy 284 Alnabki, Ziad MD 157 Ardnas Health Care Services of Aboushaar, Mohammad MD 11 Alois, Marika MD 1, 37 Jacksonvi 215 Abraham, Joy MD 201 Alquadan, Kawther MD 48, 55 Arendt, Suzanne LMHC 192 Abshire, Kyle OD 113 Al-Saghir, Youssef MD 109 Armanious Hendy, Mary OD 114 Abu-Hasan, Mutasim MD 77 Alsamarah, Ali MD 48 Armstrong, Melissa MD 57 Abusaada, Khalid MD 143 Alvarado Hernandez, Luis MD 148 Arnao, Jose OD 68 Abusara, Ashraf MD 145 Alvarez, Edgar MD 6 Arnaoutakis, George MD 85, 86 Acebron, Lilia APRN 281 Alvarez-Lazo, Marcela APRN 235 Arnaoutakis, Konstantinos MD 42, 88 Acevedo, Celso MD 135 Amador, Brittney CNM 256 Arnett, Elizabeth APRN 279 Acg Therapy Center Inc 209 Amar, Shana RD 237 Arola, Shannon OT 239 Acharya, Ratna MD 3 Amaris, Manuel MD 38, 48 Ashkanazi, Glenn PHD 181 Achtchi, Ahsan DO 109 Amdur, Robert MD 83 Assi, Gabriella MD 6 Acosta, Craig PA 259 Amerson, Emily SLP 243 Ataya, Ali MD 49, 82 Adams, Melissa APRN 246, 256 Amin, Shreya APRN 253 Atkins, Brian OD 68, 150 Adams, Rebecca APRN 253 Amole, Jacques APRN 203 Atkinson Hospital Pharmacy 290 Advanced Physical Therapy of Anderson, Cindy PA 255 Atkinson, Lynette ARNP 273 Central Flo 224, 225 Anderson, Colin MD 70 Afshar, Ali MD 10 Anderson, Luis MD 23 Atkinsons Healthcare 290 Agarwal, Swati MD 67 Anderson, Paul OD 149 Atkinson-Staten, Sharma APRN 229 Agbunag, Melody MD 199, 206 Anderson, Russell MD Attanti, Srinivas MD 95, 99 Aggarwal, Monica MD 26, 135 26, 48, 49, 52, 92, 93 August, Amanda OT 256 Agito, Markus Angelo MD 38 Anderson, Stacie LCSW 192 Augustine, Reji APRN 248 Agnone, Louis MD 38 Andrade, Edgard MD 137, 200 Avati Nanjundappa, Ravi MD 104 Agrios, Anthony MD 63, 126 Andrawis, Ashraf MD 90, 116 Avenue Pharmacy 299 Agro, Nicole RD 231, 236 Andreoli, Steven MD 117 Avila, Jorge MD 177 Ahmad, Aftab MD 108 Andreoni, Kenneth MD 41, 42 Avizinis, Julie PA 234 Ahmad, Osman MD 75, 78, 152, 153 Andrews, Stephanie SLP 250 Awojulu, Adetokunbo MD 24 Ahmed, Mustafa MD 26 Angels Pharmacy 302 Ayers Health and Rehab Center 219 Ahmed, Naeem DO 139 Anguas, Edwin OD 114 Ayuso, Andres MD 111 Ahmed, Nasir MD 78 Anim, Tanya MD 1 Ayzengart, Alexander MD 42 Ahn, Andrew MD 124 Ansaarie, Imraan MD 157 Azalea Health 284, 290, 302 Ahp Home Care Alliance of Ansari, Mohammad MD 95 Ansoanuur, Frieda MD 80 Gainesville 208 B Antar, Mohamed MD 121 Ajufo, Sylvester MD 21 B W Rexall Drug of Inverness 288 Anthony, Kayla LMHC 234 Akl, Ahmed MD 120 Babi, Marc-Alain MD 57 Anton, Steve PHD 181 Al Hourani, Lubna MD 85 Baby Joseph, Rose APRN 273 Antonelli, Patrick MD 35 Alakrad, Eyad MD 160 Bachus, Robert MD Antony, Thomas MD 99 Al-Awady, Murshid MD 10 179, 190, 194, 195, 196, 197, 198, 207 Anwar, Ghulam MD 139 Alexander, Jessica PA 246 Back, Martin MD 88 Aouthmany, Mouhammad MD 33

www.wellcare.com/Florida | 329 PROVIDER INDEX B - cont. Bedard, Mark DO 12 Bosque-Perez, Monique DO 6 Baggett, Tracy PA 241 Bednarzyk, Paul MD 108 Botha, Tracey MD 63 Bahari-Kashani, Jessica MD 120 Bedoya, Eduardo MD 126 Bovee, Courtney MD 149 Bailey, Julian PT 269 Beebe, Stephen MD 78 Bowers IV, Thomas DMD 69 Bailey, Patricia OD 127, 160 Beers, Melody APRN 235 Bowers, Dawn PHD 182 Baird, Karl MD 159 Beidas, Sary MD 109 Bowman, Christina OD 114 Baird, Kimberly APRN 260 Beigel, Karen APRN 232 Bowser, Ellen RD 237 Baker, Dawn APRN 241 Belanger, Ayumi PA 257 Boyd, Jeffrey PA 272 Baker, James AUD 248 Belleview Community Pharmacy Boyd, Nancy APRN 279 Balaraman, Rama MD 142 299 Boynton, Bridget ARNP 270 Balasubramanian, Ram MD 95 Belleview Imaging Center 223 Braeutigam, Kent DO 10 Baldwin Dufour, Toni APRN 263 Belote, Lori APRN 265 Brandt, John MD 14 Baldwin, Paul MD 116 Bender, Bradley MD 46 Branson, Page SLP 277 Balester, Mark PA 253 Bennett, Christina CNM 239 Brant, Mary SLP 278 Bamzai, Arjun MD 7 Bennett, Heather APRN 256 Brantly, Mark MD 82 Banks, Judith MD 78 Benthusen, Carli PT 250 Brashears Pharmacy 288 Bansal, Manish MD 109 Bentley, Sherita APRN 252 Brashears Vital Care Pharmacy 288 Bapatla, Amruth MD 154 Benzer Pharmacy 299 Braun, Meghan PT 257 Baptist Emergency Center Clay 168 Berceli, Scott MD 88 Bray, Stefania MD 1 Barabas, Matthew PA 234 Berger, Maury MD 142, 145 Brazzel, Richard MD 63 Barakzoy, Ahmad MD 110 Bernhart, Natalie PA 253 Brewer Reed, Allison APRN 272 Barb, Diana MD 36 Bernier, Angelina MD 74 Bridges, Betty ARNP 265 Barb, Ilie MD 26, 122 Berry, Linda APRN 269, 282 Brient, Bruce MD 42 Barber, Jon OD 68 Best Drugs of Trenton 294 Bright, Philippa MD 1 Barish, Robert MD 139 Bhaskar, Girish MD 161 Bristol, Teresa PT 265 Barker, Paige MD 3, 46 Bhaskar, Harish MD 119 Brody, Barry LMHC 194 Barmore, Ryan MD 57 Bihorac, Azra MD 55 Bronson Pharmacy 297 Barnes Healthcare of Florida LLC Billings, Holly OT 240 Brooks, Brian PA 233 208 Bioworx 290 Brooks, Christan LCSW 192 Barnes Healthcare Services 284 Bird, Vincent MD 87 Broome, Frank OD 127 Barnhill, Robert DC 32 Bishop, Brittany APRN 282 Brown, Brandon MD 33 Barrie, Habibu ARNP 253 Bittar, Krystal PsyD 182 Brown, Cathi OT 240 Barroso, Luis DO 143 Bittings Apothecary Med Equi Sup Brown, James DO 20 Barrozo, Patricia APRN 256 299 Brown, Jennifer APRN 246 Bartolotti, Jennifer SLP 243 Bittl, John MD 135 Brown, Jessica APRN 275 Basheer, Hiba MD 36, 49 Bizri, Ahmad MD 179, 201 Brown, Joni APRN 200 Bateh, Mousa DPM 118 Black, Angela MD 117, 128 Brown, Madeline SLP 250 Battula, Narendra MD 42 Blakemore, Laurel MD 70 Brown, Michelle RD 231, 237 Bauer, Russell PHD 182 Blatt, Jason MD 62 Brown, Randy MD 46 Baumann, Jeffrey MD 149 Bledsoe, Alexa RD 231 Brown, Robyn APRN 274 Baumstark, Sandra OT 249 Bleecker, Linda APRN 191, 201 Brown, Tananarieve APRN 203 Bavry, Anthony MD 27, 92 Blinder, Allison PA 253 Brown, Taylor OT 240 Baya Pharmacy 217, 292 Blizzard, Susan APRN 281 Brown, Thomas MD 139 Baya Pharmacy LTC 292 Bokhari, Hassan MD 201 Bruner, Brittney SLP 243 Bayne, Christopher MD 87 Bond, Ronnie MD 110 Bryant, Tony MD 162 Beasley, David LMHC 176 Bone, Lindsey SLP 243 Bubb, Michael MD 84 Becker, Dawn MD 46, 49 Boothby, Alison APRN 236 Buchanan Jr, George MD 63 Beckwitt, Julie-Ann OD 68, 150 Borom, Andrew MD 161 Buie, Linda LMFT 177

www.wellcare.com/Florida | 330 PROVIDER INDEX B - cont. Carroll, Robert MD 53 Childrens Home Society of Florida Burkart, Thomas MD 27, 92 Carstens, Stephanie MD 33 177, 188, 190, 196 Burkett, Elizabeth DO 18 Carter, Carolyn MD 3 Chim, Harvey MD 81 Burks, David MD 57 Cartwright, Thomas MD 99, 143, 145 Chique Figueroa, Juan MD 110 Burnette, Jeffrey MD 116 Caruso, Mark OD 100 Chisholm, Sian MD 106 Burnette, Jessica APRN 275 Carvajal, Jonathan MD 193 Chitumall, Venkat MD 146 Bush, Leslie Had 213 Cascio, Erika PsyD 182, 183 Chitumalla, Jessica APRN 274 Butt, Mujtaba MD 106 Cascio, Matthew DO 46 Choi, Calvin MD 27 Byrne, Barry MD 72 Casey, Allyson APRN 275 Choi, Joon DO 3 Byun, Sharon MD 63 Cassidy, Richard MD 120 Choung, Walter MD 101 C Castagno, Jacqueline MD 45 Christman, Gregory MD 84 C Roberts, Sandra APRN 256 Castaldo, Eric MD 42 Chua, Ian MD 20 Caban, Angel MD 141 Castiel, Alberto MD 10 Chung, Sooyoung MD 137 Cabrera, Roniel MD 38, 39 Castillo Caro, Paul MD 76, 78 Chuquilin Arista, Miguel MD 57 Cadet, Jean-Felert MD 124 Castillo Melendez, Romeo MD 3 Cibula, Jean MD 57, 58 Camacho-Duran, Angela MD 179 Catanzaro, Tina DO 118 Ciccone, Caterina APRN 272 Camargo, Katie CNM 230, 271 Cauthen, Ashley MD 138 Citrus County Operations LLC 214 Camelot Community Care Inc Center For Comprehensive Citrus Discount Pharmacy 288 176, 200 Palliative 143 Citrus Endoscopy & Srg Center 213 Camp, Genevieve LMHC 176 Cevallos, Michelle OD 150 Citrus Health and Rehabilitation Camps, Joseph MD 162 Chacko, Lisa MD 37 Center 214 Canaan, Antonio MD 203 Chafin, James MD 117 Citrus Hills Nh LLC 214 Canales, Muna MD 55 Chai, Sook OD 150 Citrus Memorial Health Fo 167 Cancer Care of North Florida 292 Chamberlain, Kelly MD 64 Citrus Regional Surgery Center LP Cappleman, Sarah MD 148 Chan, Albert MD 75, 152 213 Caputi, Lori OD 68, 100, 150 Chan, Chung MD 70, 71, 152 Clare Salzler, Michael MD 36 Caputo, Christopher DO 27, 122 Chandran, Arun MD 72 Clark, Alan MD 149 Carameros, Jeffrey APRN 272 Chandrupatla, Sreekanth MD 97 Clark, John DPM 118 Cardel, Michelle RD 237 Chaney, William DC 97 Clark, Scott PA 271 Cardenas-Goicoechea, Segundo Chang, Ku MD 1 Clark, Virginia MD 39 MD 45, 63, 142, 148 Chang, Philip MD 72 Classic Pharmacy 299 Cardozo, James DC 90 Channaveeraiah, Naganna MD 10 Clausen, Curtis APRN 279 Care 1st Pharmacy 290 Chapman, Christine DO 1, 18 Clay County Dialysis 215 Care Spot Urgent Care 216 Charles, Keith MD 149 Cleophat, Armelle APRN 272 Caring Pharmacy 284 Chase, Tyler PA 261 Clevinger, Sidney MD 18, 20 Carlson, Aaron MD 57 Chauncey, Amber APRN 281 Clifford, Lisa PHD 183 Carlton, Claire RD 231 Cheek and Scott Pharmacy Clinical PET of Ocala 223 Carmain, Torr MD 98 292, 295 Clinical PET of Ocala LLC 223 Carnegie, Debra RD 237 Cheek Pharmacy Inc 293 Close, Julia MD 45 Carnes, Lindsay PA 282 Cheek Scott Drugs, Inc 303 Coady-Fariborzian, Loretta MD 81 Carpiz Turkdogan, Charmaine Chefer, Miriam SLP 259 Cohen, Joel DO 104 APRN 232, 272 Chen, Karen MD 33 Cohen, Jonathan PHD 194 Carr, Brent MD 179 Cheong, Josepha MD 177, 179 Cole, Reaves OD 127 Carr, Sharron APRN 232 Cherabuddi, Kartikeya MD 47 Coleman, John DPM 90 Carraway, Heather PT 257 Chheda, Neil MD 35 Coleman, Rachel MD 3 Carroccio, Sheyna MD 64 Chiaramonti, Alycia OD 68, 100, 150 Collier, Angela MD 111, 112 Carroll, Jonathan PA 245 Chidgey, Larry MD 71 Collins, Dennis MD 39 Collins, William MD 35

www.wellcare.com/Florida | 331 PROVIDER INDEX C - cont. CVS Demosthene, Antoine MD 201 Colon, Carlos MD 11, 107 284, 285, 286, 287, 288, 290, 292, Denard Jr, Antony MD 152 Columbia County Dialysis 217 295, 297, 298, 299, 300, 302, 303, Dendinger, Amy APRN 241 Community Pharmacy 302 304, 305 Dennings Pharmacy 290 Companion, Eddice PA 270 Cypress Cove Care Center Pcs 214 Dennis, Michael MD 87 Condrey, Tara PA 260 Czaykowsky, Guy MD 203 Depaolo, Sheila PA 270, 273 Cone, Paul OD 114 D Deputy, Gerald OD 159 Conner, Donald APRN 275 Dagan, Roi MD 83 Dersch, Mark MD 156 Conter, Joanne AUD 248 Dahlman, Cari APRN 257 Desai, Pareshkumar MD 102 Conti, Charles MD 27 Dahm, Philipp MD 87 Desautel, Michael MD 102 Cook, Christine AUD 260 Dajani, Omar MD 104 Deshmukh, Abhijit MD 120 Cook, James MD 58 Daley, Matthew PHD 183 Deturris, Stanley MD 42 Cook, Jean MD 64, 126 D'Alli, Richard MD 179 Diagnostic Medical Testing Inc 221 Cook, Kristen Anne ARNP 230 Dalrymple, Karla PA 252 Diagnostic Outpatient Centers of Cooper, Michol MD 42, 88 Daly, Tarah PA 241 Ocala 223 Copeland, Sara APRN 236 D'Amico, Cara APRN 257 Diamond Ridge Health & Rehab Corcoran, Jennifer PA 257 Damron, Heather LMHC 176 Center 214 Corn, Lauren AUD 252 Dang, Long MD 54 Diaz Barrientos, Joseph MD Cornerstone Pharmacy 299 Dang, Nam MD 54 41, 124, 132 Cortez, Leticia PA 278 D'Angelo, Nicholas MD 10 Dibu, George MD 27, 49 Cosenza, Joy CNM 231, 236 Dasilva, Margarete DDS 82 Dickson, Miriam MD 193 Coticchia, James MD 35 Dati, Alexandra RD 231, 237 Digennaro, Danielle APRN 235 Cotter, Michael MD 64 Davis, James Had 226 Dillenbeck Juers, Julie APRN 248 Courson, Heather AUD 252 Davis, John MD 64 Dillingham, Adilen PA 253 Co-Vu, Jennifer MD 72 Davis, Lauren ARNP 256 Dillon, Elizabeth APRN 232 Cox, Joseph MD 62 Davis, Paula APRN 263 Dillon, Michael MD 27, 122 Coyle, Kathleen APRN 229, 260 Day, Paul OD 100 Dion, Dawn AUD 229 Crawford, Wendy SLP 259 Dayton, Kristin MD 74, 78 DO, Thi MD 110 Crescent Healthcare Inc 284 De Carvalho, Marcus MD 193 Doctors Choice Jacksonville LLC Crespo, Juan MD 20 De Jonghbeyer, Mariana MD 139 215 Crestwood Nursing Center Inc 226 De LA Hunt, Michael MD 192 Doctors Imaging Group LLC Cretul, Stephanie APRN 270 Dean, Brooke CNM 266 208, 226 Crews, Marcheta APRN 246 Dean, Jennifer APRN 275 Doctors Memorial Hospital Inc 175 Crispen, Paul MD 87 Decker, Gary MD 143 Dolven, Craig DO 10 Cross City Rehab and Health Care Decker, Robert MD 71 Dolwick, Melvin DMD 69 Center 218 Dede, Duane PHD 183 Domack, Alan PA 282 Croushore, Elmer MD 88, 129 Deeb, Wissam MD 58 Donahue, Debora APRN 272 Cuellar, Trajan MD 42, 81 Deegan, Brian MD 120 Donigan Saadeh, MacKenzie PA Cuervo Pardo, Lyda MD 26, 49 Deegan, George LCSW 203 278 Culpepper, Angela APRN 269, 282 Deen, Juline MD 64 Doonan, Bently MD 49 Culpepperharrell Inc DBA Your Deen, Justin MD 71 Dorosheff, Deena APRN 261 Home Medi 226 Dekosky, Steven MD 58 Dorsey, Nicholas MD 37 Cummings, David MD 157 Del Carpio Tenorio, Cristian MD Doshi, Daven MD 123, 139 Cummings, Megan SLP 259 135 Doshi, Ketankumar MD 142, 146 Cunningham, David MD 156 Delfin, Luis MD 95 Douglas, Caroline PA 233, 260 Curtis, Christiane OT 249 Delker, Jill MD 64 Douglass, Amy SLP 278 Dell, Paul MD 71 Dow, Kelley RD 237 Demarco, Patrick MD 104 Dowe, Joy APRN 248

www.wellcare.com/Florida | 332 PROVIDER INDEX D - cont. Emerson, Ashley APRN 256 Fischer, Stephen MD 144 Downey, James MD 12 Empower Physical Therapy LLC 224 Fisher, Jennifer PHD 183 Draganov, Peter MD 39 Endoscopy Center of Ocala Inc Fisher, Leanora APRN 273 Driscoll, Daniel MD 53 223 Fitzgerald, Melissa MD 78 Driver, Marla APRN 266 Endsley, Barbara APRN 273 Flaherty, Kathleen APRN 244, 278 Dryden, Melanie APRN 248 English, Robert MD 117, 127 Flechas, M. AUD 229 Dubon, Seydel PA 242 Epstein, Angel APRN 203 Fleischman, Catherine APRN 281 Duff, Jennifer MD 46 Ernst, Emily DPM 118 Fleming Island Pharmacy LLC 290 Duff, William MD 64 Esprit, Don MD 55 Flink, Herman MD 155 Duffield, Joanne APRN 241 Estel, Christopher MD Florida Cancer Affiliates 300 Dulzaides, Michelle APRN 241 27, 52, 122, 125 Florida Hospital Ocala 172 Dumont-Driscoll, Marilyn MD 78 Estores, David MD 39 Florida O and P Services Inc 215 Dunbar, Levette MD 134, 162 Ettedgui, Jose MD 117 Florida Sleep Solutions Inc 225 Duncan, Jacqueline APRN 248 Eunus, Shahab MD 21, 153 Foda, Mohamed MD 65 Dunn, Grace MD 1, 7, 15, 18 Eunus, Vladlena APRN 275 Foote, Kelly MD 62 Dunnellon Discount Drugs 300 Express Care of Ocala Inc 225 Ford, Michael MD 161 Durable Medical Equipment 210 Eye Doctors Optical Outlets PA Forsmark, Christopher MD 40 Durning, Patricia PHD 183 68, 100, 149 Forsythe, Heather APRN Duval Metro Treatment Center Ezmigna, Dima MD 77 268, 275, 276 200 Fort, John MD 76 F Dyer, Jessica PT 257 Four Freedoms Dialysis 222 Faisal, Mohammad MD 93, 124 Dyson, Rachel SLP 244 Four-H Optical Company Inc 68 Falkowski, Stephen DO 18 Dziegielewski, Peter MD 35 Fox, Jennifer DPM 102 Families First of Florida LLC 200 Fox, William MD 62 E Family Life Care Inc Franklin, James PA 269, 282 E Wingo P Colchiski Ptr 149 208, 213, 215, 227 Frans, Noreen AUD 229 Earley, Brian DO 20 Fareeduddin, Rizwana MD 53 Frazier, John DC 131, 137 Eason, Carl MD 90 Farha, Fawzi MD 93, 107 Frazier, Sarah MD 177, 179 Eastern Pharmacy Inc 300 Farmer, Kevin MD 71 Freburg-Hoffmeister, Danielle DDS Ed Fraser Memorial Hospital 165 Farnham, Genevieve APRN 69, 70 Edelenbos, Eric DO 90, 112 230, 260 French, Crista ARNP 279 Edwards, Christopher DO 104, 109 Farooq, Aamer MD 108 Friedman, William MD 62 Edwards, Michael DO 10 Fatemi, Amir MD 107 Frussinetty, Antoinette APRN 248 Edwards, Newton MD 84 Fazal, Zulfiqar MD 152 Fudge, Elizabeth MD 74 Egerman, Robert MD Fedele, David PHD 183 Fudge, James MD 73 53, 64, 145, 148 Feezor, Robert MD 42 Fundamental Therapy Solutions Eichler, Derek MD 157 Feibelman, Richard MD 159 177 Eisenschenk, Stephan MD 58 Feldman, Robert MD 135 Funderburk, Paul OD 68 El Hassan, David MD 10 Feller, David MD 1 Funk D, Patricia RD 237 El Kinge, Nizar MD 25 Fennell, Angela CNM 281 Furman, Adam OD 100 El Mallah, Mai MD 77 Fernandez, Heather SLP 250 Fusco, Frank MD 20 Elder, Melissa MD 77 Fernandez, Marc MD 98 Eliasson, ASA RD 237 Ferrell, Valerie OD 134 G Ellis, Mary LPC 201 Fetchero III, John DO 10 G R Health Mart Pharmacy 2 288 Ellis, Matthew MD 18 Fialko, Ira DO 8 G R Healthmart Pharmacy 288 Ellsberry, Tasha APRN 261 Firpi-Morell, Roberto MD 39 G R Healthmart Pharmacy 3 288 Elswick, Danielle CNM 231 First Choice Pharmacy 302 Gabel, Mark LCSW 192 Emerick Jr, Ronald DO 78 Fischer, Lauren APRN 231 Gabriel, Abigail APRN 241

www.wellcare.com/Florida | 333 PROVIDER INDEX G - cont. Golden Heart Home Health Care Gustafson Rairie, Kristina SLP 251 Gadkowski, Lara MD 47, 49 215 Gutierrez Reyes, Karl MD 32, 33 Gaines, Casady MD 18 Golden Hills Pharmacy 300 Gyang, Tirisham MD 58 Gainesville Home Dialysis 208 Goldey, Stacia MD 149 Gydish, Kimberly LMHC 192 Gainesville Open MRI Center Inc Goldstein, Scott DPM 154 H 208 Gomez Manjarres, Diana MD 82 Haberman, Rex MD 35, 36 Gainesville Sleep Lab LLC 209 Gomez, Ana MD 202 Haeseker, Cameron APRN 245 Gall, Heather APRN 254 Gomez, Francisco MD 143, 144 Hagan, Jennifer MD 71 Gamewell, Brooke APRN 232 Gonzalez Rosa, Esther MD 18 Hahn, Paulette MD 84 Gan, Run DC 1 Gonzalez, Arnoldo MD 47, 49 Hall, Aubrey APRN 244 Gannaway, Margaret APRN 252 Gonzalez, Javier MD 135 Hall, Joy APRN 274, 278 Gaona, Julie CNM 239 Gonzalez, Maria MD 24 Hall, Karen MD 1 Garber, Matthew MD 128 Goodrow, Tina APRN 200 Haller, Michael MD 74 Garcia, Iselis APRN 255 Gorman, Neil OD 69, 100, 150 Hamburger, Robert DO 28, 49 Gardner, Daniel AUD 248 Gould, Mark MD 116 Hamdani, Irram MD 119 Garlington, Wendy MD 143, 144 Governale, Karyn MD 1 Hamilton County Health Garrett, Sarah APRN 241, 269, 282 Grabow, Harry MD 100, 149 Department 132 Garrett, Tiffani MD 55, 126 Graham Hooker, Suzanne MD 23 Hamilton, Laurie APRN 203 Gastroenterology Associates 288 Graham, Lauri DC 32 Han, Richard MD 136 Gatla, Nandita MD 120 Grajales, Olga MD 8, 20 Hancock-Smith, Anyaliese PHD 183 Gatlin, Debra APRN 200 Grandmas Country Pharmacy 300 Hanger Clinic 209, 214, 215, 217, 224 Gator Custom Mobility Inc 208 Grant, Maria MD 37 Hanley, Allison MD 144 Gavin, Sharon MD 38 Grant-Kels, Jane MD 33 Hansen, Lucia MD 1 Gay, Debora APRN 254 Graper, Charles MD 70, 127 Hardeman, John DDS 70 Gehret, Richard MD 12 Gray-Lingis, Katherine AUD 229 Hare, Nina DO 8, 20 Gelinas, William DO 98, 102 Green, Dollicia APRN 279 Harkins, Kelly PA 242 Genc, Mehmet PHD 53, 65, 145, 148 Green, Preston MD 27 Harlow, Casey PT 257 Genoa-QOL Healthcare Green, Sabrina APRN 267, 281 Harmon, Martha APRN 267 285, 290, 292, 300 Greenberg, Robert MD 82 Harrell, Lauren APRN 258 Gessner, Ira MD 73 Greenhut, Steven DPM 119 Harrington, Julie PA 253 Ghaffar, Umar MD 1 Gregg, Anthony MD 53, 145 Harris, Karen MD 65 Ghosh, Suman MD 32 Grey, Maritza OD 69 Harris, Leslie APRN 235, 236 Giammittorio, Stephanie DO Grieve, Laura APRN 252 Harrison, Kevin DC 123 85, 155 Griffin, Debra AUD 260, 281 Hart, Amy SLP 244 Gibby, Nancy CNM 271 Griffin, Reginald MD 141 Hartlage, Gregory MD 161 Gibson, Jackie LMHC 273 Grooms, Ann MD 3 Hartley, Kaycie DC 138 Gill, Isaac PA 233 Grooms, John PA 249 Harwick, John MD 36 Gill, Stephen MD 10 Grow, Cindy APRN 270 Hasan, Reham MD 117 Gillander, Kristen APRN 252 Guenther, Robert PHD 183 Haswell, Dawna LCSW 206 Ginory, Laura MD 177, 178, 179 Guerard, Breana APRN 256 Hatamizadeh, Parta MD 55 Gleim, Stacey PA 244 Guevara, Carlo MD 70 Hatfield, Ann MD 65 Glover, Sarah DO 40 Gulzar, Tariq MD 7, 13, 16, 18, 24 Haulk James, Tiffany APRN 276 Goel, Ramil MD 26, 27, 49 Gummadi, Siva MD 135, 136 Haven Hospice Goel, Satish MD 104 Gupta, Dipankar MD 73, 78 208, 215, 217, 221, 226 Goh, Benjamin DO 11 Gupta, Nirupama MD 76 Hawthorne Health Rehab of Ocala Goiran, Francis PA 276 Gupta, Sunil MD 67 225 Goldberg, Elizabeth APRN 232 Gupte, Asmita MD 47 Hayden, Lukas MD 118 Goldberg, Lawrence MD 107 Gururangan, Sridharan MD 76, 78

www.wellcare.com/Florida | 334 PROVIDER INDEX H - cont. Ho, Thanh OD 69, 150 Hyler II, David MD 158 Hayes, Kevin DO 104 Hoang, Bao-Thuy MD 155 Hylton, Michelle APRN 248, 273 Hayne, Walter MD 107 Hodges, Jacob OD 114 I Hays, Stacia APRN 241 Hodges, Virginia OD 114 Ibrahim, Hisham MD 56 He, Wei APRN 241 Hofer, Dwight PA 249 Ibrahim, Moraf MD 104, 157 Healthworks Rehabilitation of Lake Hoffman, James OD 114 Ice, Shirley MD 139 City 217, 227 Hogan, Michaela APRN 236 Ihnatsenka, Volha MD 1 Heartland Health Care Orange Park Hogan, Renee APRN 274 Illovsky, Michael MD 109 216 Hoh, Brian MD 62 Imperi, Gregory MD 28, 92, 122 Heartland Rehabilitations Services Hoh, Daniel MD 58, 59 Indelicato, Daniel MD 83 of Florida 216, 217, 221, 226, 227 Holmes, Laura OT 240 Inglese, Marc MD 134 Heaton, Shelley PHD 183, 184 Home Health Care 210 Inman, Annie APRN 254 Heenk, Kristine APRN 179 Home Respiratory Solutions Inc Innocent-Simon, Joelle DO 92 Hegarty, Jennifer APRN 248, 250 219, 224, 228 Integrated Medical Supplies, Inc Heldermon, Coy MD 54 Hometown Pharmacy - Old Town 300 Hella, Maria MD 58 293 Inverness Medical Imaging 213 Heller, Scott MD 58, 61 Hometown Pharmacy Alachua 285 Iobst, Joseph MD 65, 126 Hellstern, Paul MD 97 Hometown Pharmacy Newberry Iovine, Nicole MD 47 Helman, Lori OD 150 285 Iqbal, Atif MD 32 Henry, Bruce MD 199 Homosassa Open MRI, Inc 213 Irizarry Padilla, Jadira MD 21, 153 Henry, Joshua MD 121 Hooks, Kristen APRN 256 Islam, Shehla MD 47 Hensley, Scott DC 97 Hoover, Dennis MD 153 Ivey, James MD 15, 18 Herman, Daniel MD 85 Horn, Biljana MD 76, 78, 79 Iyer, Mala MD 179 Herman, Michael DO 107 Horn, Erich MD 67 Iyer, Siva MD 67 Hernandez Mendez, Francisco MD Horne, Patrick APRN 232 Iyer, UMA MD 125 23 Hospice of Citrus County Inc Herrero, Nicholas MD 106 208, 213, 217, 221, 226 J Herriott, Michael OD 100 Hospice of Marion County Inc 224 J Hill Pedorthics 224 Hershberger, Robyn SLP 259 Hossenlopp, Craig OD 114 Jackson, Darwin MD 65 Hess, Christopher MD 58 Houser, Frank OD 115 Jackson, Jeffrey DPM 119 Hess, Linda OT 240, 267 Houser, Marcie APRN 252 Jackson, Kimberly APRN 266 Hickox, Malcolm PA 241 Hovda, Margaret MD 119 Jacob, Jessen MD 28, 49 Hicks, Shelly APRN 264 Howard, Bruce PT 277 Jacobsen, Laura MD 74 Hiemenz, John MD 54 Howard, Marcy MD 8, 21 Jadlocki, Kristina PA 255 Hill, Melanie OD 134 Hph Hospice 214 Jaffee, Michael MD 59, 179 Hillan, Jennifer RD 238 Hronek, Brittany PA 270 Jaggears, Floyd MD 134 Hill-Antoine, Tiffany MD 11 Hsu, Stephen MD 144, 146 Jamo, Patricia APRN 279 Hiller, Ilana APRN 255 Huber, Thomas MD 88, 89 Janelle, Jennifer MD 47, 50 Hilliard, Justin MD 62 Huecker, Gail OT 249 Jani, Manish MD 61, 158 Hincapie Echeverri, Jacobo MD Huggins, Shavondra APRN 254 Janicke, David PHD 184 44, 46, 49 Hughes, Natalie MD 49 Jansen, Michael MD 28, 122 Hines, Brittany SLP 243 Hughes, Steven MD 42, 43 Jantz, Michael MD 82 Hintz, Bobbi ARNP 271 Hunt, Dona MD 7 Jarosz, David APRN 254, 279 Hipp, Timothy MD 42 Hutchinson, Hank MD 162 Jawaid, Salmaan MD 40, 50 Hiremath, Uday MD 8, 101 Hutchinson, Lakennya APRN 232 Jayachandra, Paul MD 158 Hirsch, Eric MD 101 Huynh, An Tam OD 69, 150 Jays Pharmacy 304 Ho Keselowsky, Virginia SLP 243 Huynh, Ann PsyD 184 Jays Pharmacy of Madison 298 Ho, Jason MD 73 Hyder, Douglas MD 59 Jeng, Eric MD 86

www.wellcare.com/Florida | 335 PROVIDER INDEX J - cont. Kaye, Frederic MD 46 Kirkconnell, Stephanie MD 4 Jerath, Nivedita MD 59 Kazmierski, Gregory APRN 230, 260 Kirkland, David APRN 247, 279 Jeroudi, Abdallah MD 113, 126, 158 Kazory, Amir MD 56 Kirschenpfad, Lauren OT 249 Johns Hopkins All Childrens Keefe Cecere, Laurie LCSW 191 Kisilewicz, Katherine RD 238 Hospital Inc 167 Keel, Katherine ARNP 271 Klammer, Veronica DO 118 Johnson, Douglas MD 120 Keeley, Ellen MD 52 Kletter, Zofia APRN 270 Johnson, Lynsey APRN 267 Keen, Christopher MD 101 Klingbeil, Stacey PA 271 Johnson, Mark MD 43 Keen, Jordan PT 250 Klodell, Charles MD 32, 43 Johnson, Pearl OT 249 Keener, Melinda MD 128 Knight, Maria SLP 244 Johnson, Thomas MD 135 Keller, Gerald DO 2 Knisley, Kent PT 269 Jolley, Christopher MD 75 Kelly, Maria MD 4 Koka, Vijaya MD 136 Jollu, Chayapathy MD 154 Kennedy, Brenda ARNP 236 Kolaventy, Ravindra MD 136 Jones, Brian OD 151 Kenneth L Groleau 113 Konda, Sailesh MD 33 Jones, Dennie MD 50, 54 Kerensky, Richard MD 28, 50, 52 Koneru, Jayanth MD 136 Jones, Desiree LMHC 234 Kerkhoff, Thomas PHD 184 Konynenbelt, Jessie OD 151 Jones, Jennifer MD 2 Kern, Sarah APRN 254 Koons, Jay MD 28 Jones, Kurt MD 148 Kero, Niloufer MD 99 Koratala, Abhilash MD 50, 56 Jones, Mitul MD 2 Kershner, Jesse OD 127, 160 Koss Bradish, Donna APRN 248 Jones, Takaya MD 11 Kesari, Anand MD 139 Kostowicz, Samantha SLP 278 Jordan, Kirsten APRN 234 Kesavalu, Sheela OD 69, 151 Koti, Ravi MD 99, 142 Josephson, Gary MD 117 Kesen, Muge MD 67, 100 Kovalchuk, Oleksandr MD 146 Joshi-Guske, Priti MD 40 Khan, Nilofer MD 21, 144 Kramer, Erin SLP 244 Juraszek, Amy MD 117, 127 Khan, Waseem MD 125 Krauser, Jeanne APRN 235 Justice, Jeb MD 36 Khanna, Sohit MD 86 Kreifels, Kacie OD 101, 151 K Khatib, Yazan MD 109, 158 Kreinest, Richard MD 65 Kachru, Ruchita MD 3 Khodr, Bilal MD 13 Krishnamurthy, Karthik DO 106 Kahn, Asuncion LCSW 203 Khokar, Abid MD 82, 83 Kuebler, Brandon MD 117, 127 Kairalla, Anna APRN 232 Khokhar, Ubaid MD 193 Kuehn, Stephen MD 90 Kalb, Aimee PA 233, 260 Khuddus, Matheen MD 28, 92, 122 Kumar, Thimmiah MD 139 Kaleem, Tasneem MD 120 Khuddus, Nausheen MD 67 Kupcho, Meredith PT 250 Kalfs, Leamarie APRN 273 Kidambi, Vasudevan MD 20 Kuriakose, Kevin MD 153 Kalivoda, Carole APRN 239 Kidspot Therapy PLLC 224, 225 Kuritzky, Louis MD 2 Kalman, Arthur DO 118 Kim, Inwha MD 108 Kuruvilla, Anand MD 159 Kang, Peter MD 32 Kim, Jun Ho MD 105 Kuykendall, Janet LMHC 261 Kim, Lance DO 148 Kannam, Hari MD 95 L Kim, So MD 3, 44 Kanter, Gary MD 179 Lacey, Stephanie DO 127 Kima, Marie MD 47 Kanter, Karen SLP 251 Lafayette Nursing and Kimberly, James MD 107 Kaplan, Barry MD 148 Rehabilitation Cen 220 King, Edward MD 156 Karavadia, Saumilkumar MD 156 Laibstain, Sarah MD 14 King, Libby CNM 234 Kariyawasam, Vidhu MD 47, 50 Laipply Smith, Erin PA 256 King, Lisa PsyD 184 Karuppiah, Saravanan MD 148 Lake Area Physical Therapy King, Roberta OT 256 Kaswinkel, Patricia SLP 244 209, 212, 216 Kinimaka, Chamonix MD 11 Katz, Adam MD 81 Lake City Medical Center 169 Kinnard, Jeffery DC 97 Kaushal, Shalesh MD 161 Lake Park of Madison Nursing and Kinson, Michael MD 65 Kaveti, Punita MD 105, 109 Rehabil 222 Kirby and Company Pharmacy LLC Kawa, Samantha OD 115 Lake Shore Hma 169 305 Kay, Kristin APRN 236 Lakewood Nursing Center Inc 226 Kirby, Amy PA 232

www.wellcare.com/Florida | 336 PROVIDER INDEX L - cont. Leyngold, Mark MD 81 Mader, Meghan APRN 274 Lakshminarayanan, Suresh MD 146 Life Care Center of Orange Park Madhok, Dinesh MD 107 Lambrou, Jr, Fred MD 113 216 Madison County Memorial Lamendola, Gregory PA 282 Light, Michael MD 77 Hospital 171 Lamy, Cerilien APRN 248 Lightsey, Judith MD 155 Madison Nursing Center 222 Lang, Scott MD 38 Lim, Annie MD 109 Madison Street Pharmacy 287 Lanier, Samantha SLP 251 Lim, Crystal PHD 185 Maggard, Reuben MD 109, 110 Laplante, Marie-Claude PHD 184 Limacher, Marian MD 28 Main Site Alachua Chd 65 Lappano, Alfred OD 101 Lin, Christine MD 50, 83 Main, John DO 148 Large, Shannon APRN 232 Lincare Inc 208 Maizel, Raoul MD 149 Larson, Karen OD 115 Lindo, Hersell MD 149 Malaty, Irene MD 59 Larson, Shawn MD 77 Ling, Stella MD 120 Malaty, John MD 2 Lastinger, Karin OT 249 Live Oak Hma 174 Malik, Aleem MD 124 Latif, Shariq MD 116 Livecchi, Thomas MD 67 Mammana, Thomas DC 138 Latimer, Richard PT 269 Livingston, Jeffrey MD 53 Mandel, David MD 118 Lattin, Daniel MD 117 Lloyd, Sharon APRN 254 Mann, Wesley MD 84, 159 Laudito, Antonio MD 155 Locay, Harold MD 146 Manning, Eddie MD 86 Lauzardo, Michael MD 83 Locke, Jessica APRN 232 Mantay, Krista RD 238 Lawrence, Martha DDS 70 Lockney, Natalie MD 83 Maphis, Jennifer PT 269 Lawrence, Samantha APRN 261 Lodolo, Mauro MD 32 Maraganore, Demetrius MD 59 LCM Imaging Inc 215 Logan, Aniruddha DO 2 Maraist, Michael MD 59 Leder, Henry MD 113 Logan, Sarah MD 113 Mariano, Erin MD 152, 155 Lee, Arthur MD 28, 92, 122 Logsdon, Irene LCSW 191 Marichal, Eduardo MD 65 Lee, Emily SLP 243 Lomonaco, Mayra MD 50 Marion Surgery Center LLC 223 Lee, Jenifer PA 253 Lonadier, Sonja DC 138 Markham, Merry MD 46 Lee, Katharine PA 233, 260 Long, James PA 267 Marks De Martino, Elizabeth APRN Lee, Louis PT 277 Lorica, Cherish MD 153 276 Leey-Casella, Julio MD 37, 45 Lossius, Michele MD 79 Marler, Gina SLP 281 Lefave, Elizabeth APRN 236 Loughlin, Amy CNM 279 Marlowe, Belinda RD 238 Leffelman, Gary APRN 254 Lown, Kenneth APRN Marques, Priscila PA 274 Lehmann, Melanie APRN 252 261, 263, 265, 279, 281 Marquez Guerra, Eric MD Leinbach, Mary Alice APRN 274 Loyd, Amy DO 33 126, 132, 160 Lemos, Kenneth PA 249, 250 Lumb, Pratibha MD 133 Marrero, Mary LCSW 203 Lemus, Jocelyn OT 240 Luncan, Gina APRN 279 Martensson, Johannes MD 98 Lenas, Anita APRN 279 Lupo, Julia PT 257 Martin, Deborah LCSW 191 Lenhoff, Pamela APRN 270 Lupoli, Thomas DO 104 Martin, Lilla MD 105 Lennon, John OD 159 Lutz, Julia OT 240 Martin, Tomas MD 86 Lentz, Ashley MD 81 Lynch, Danielle OT 256 Martinez, Alfonso MD 41 Leon, Carlos MD 50 Lynch, Judith PA 247 Martinez, Ramon MD 203 Leonard, Sharon MD 116 Lyons, Audrey OD 115, 161 Martinsen, Emily LCSW 201 Letlow, Kristin AUD 229 Marty Vigo, Harry MD 108 M Levette, Dunbar MD 79 Mas, Olga MD 4 M and M Rehab Inc 209, 217, 224 Levitt, Jamie RD 238 Mason, James MD 87 Macclenny Nursing and Rehab Levy, Shellie Anne PHD 184, 185 Massias, Michelle MD 4 Center 211 Lew, Judy MD 76 Massini, John MD 84 Macclenny Pharmacy 286 Lewin, Pamela MD 139 Massoomi, Mohammad MD 29 Machucca, Tiago MD 86, 155 Lewis, Carol PHD 185 Mast, Bruce MD 81, 82 Maciel, Carolina MD 59 Lewis, Dennis MD 124, 160 Matejka, Theodore APRN 203

www.wellcare.com/Florida | 337 PROVIDER INDEX M - cont. Messier, Jennifer OT 249 Moroshanley, Ana MD 4 Mathew, Thomas MD 139, 140 Mhatre, Umesh MD 194 Morphet, Michael DO 90, 112 Mathur, Siddharth MD 98 Mick, Joshua PT 269 Morse, David DC 123 Matthews, Stephanie AUD 229 Mid Florida Endoscopy and Surgery Moses, Viju MD 50, 85 Matthias, Robert MD 45 Center 223 Moshiree, Banafsheh MD 106 Matysik, Thomas DPM 102 Mid Florida Prosthetics and Moshiree, Massoud MD 12 Maxwell, Melissa PT 269 Orthotics 209, 217 Mossor, Bridget APRN 252 May, William MD 54 Middleburg Dialysis LLC 215 Motamarry, Isaac MD 43 Mayberry, Kohl DO 179 Mikkilineni, Hima MD 136 Motaparthi, Kiran MD 33, 34 Mayhugh Drugs Inc 215 Miles, William MD 29 Mott-Young, Adrienne MD 79 Mayo, Shawyntee MD 127, 128 Milla-Orellana, Paulino MD 13 Moy, M. MD 87 McAfee, Monique CNM 239 Miller, Jennifer MD 74 Mozingo, David MD 43 McArdle, Patricia APRN 258 Miller, Jessica MD 11 Muehlbauer, Marcus MD 40, 50 McBride, Kevin MD 92, 157 Miller, Stephen DPM 102, 154 Mueller, Aino DO 11 McCauley, Richard MD 90, 112 Miller, Vanessa APRN 264 Mull, Anne AUD 252 McClain Tuttle, Emily AUD 229 Mills, David MD 68 Munipalli, Bala MD 11 McClary, Robert MD 140 Millstone, Stuart MD 91, 119 Munksgard, Jennifer APRN 230, 267 McCoskey, Eugene DO 119 Miner, Karen PA 255 Munoz Pena, Juan MD 37, 50 McDonald Graber, Dianne APRN Minesinger, James OD 115, 130 Murad, Gregory MD 62 270 Minuteclinic LLC 208, 211, 215 Murphy, Mary APRN 279 McFarland, Nikolaus MD 59 Mirza, Haris MD 143 Murray, Allison PA 242, 243 McGargill, Shawn MD 80 Mitchell, Christina MD 33, 139 Murray, Erin APRN 232 McGowan, Michele DPM 154 Mitchell, Thomas AUD 270 Murray, Peter MD 108, 118 McGuinness, Anna RD 238 Mitta, Walter MD 144 Murthy, Srinivasa MD 20 McIntosh, Kristin APRN 281 Moawad, Nashat MD 63 Muse, James OD 101, 151 McMican, Kristina APRN 236 Modica, Renee MD 77 Mustafa, Moiz MD 43, 77, 141, 153 McNamara, Joseph PHD 185 Mody, Kamal PT 277 Myers, John MD 68 McTiernan, Michael MD 2 Mody, Tejal MD 111 Myers, Scott MD 71 Medco Inc 215 Moffett, Kristin PHD 185 Myrick, Samuel MD 146 Medone PLLC 225 Moguillansky, Diego MD 73 N Medplus Pharmacy 290 Mohammed, Adil MD 180, 202 N Florida Pharmacy Med Shoppe Meekins, Jacqueline APRN 234 Molina, Holli APRN 276 296 Meer, Henry OD 151 Molinari, William MD 71 Nackashi, Alexander PA 230, 260 Mehrad, Borna MD 83 Montanez-Wiscovich, Marjorie MD Nackashi, John MD 79 Mehta, Hiren MD 83 33 Nadeau, Allen PA 252 Mejia Otero, Carolina MD 85 Montes Chinea, Nataly MD 80 Nadeau, Stephen MD 59, 60 Mejia, Hector MD 134 Montoya, Vernon MD 125, 126 Nagaraja, Nandakumar MD 60 Melvin, Matthew APRN 261 Moon, Thomas MD 117 Nallapula, Kishan MD 178, 180, 194 Memminger, Jaqueline OT 244 Moore, Beth APRN 250 Nanjundasamy, Anaimalai MD 202 Mendenhall, Nancy MD 84 Moore, Christopher MD 121 Narayan, Perinchery MD 87, 156, 159 Mercado Quinones, Alfredo MD Moore, Frederick MD 43 Nardandrea Jr, John MD 20 7, 13, 14, 24, 153, 154 Moore, Ronald PA 271, 278 Nash, Brittany PT 269 Mercado, Elvira MD 2 Mora, Maria MD 12 Nash, Melissa APRN 241, 269, 282 Merchant, Jean SLP 278 Morales, Angelina APRN 255 Navarro, Pedro PT 250 Meridian Behavioral Healthcare Moreb, Jan MD 45 Nazarian, Skon MD 61, 62, 158 177, 188, 190, 194, 196, 198, 205 Morelli, Giuseppe MD 40 Nazariolopez, Bernadette MD 60 Merlino, Brian OD 101 Morgan, Amy APRN 273, 276 Nazemi, Sharon AUD 252 Messcher, Daniel MD 24 Morgan, Matthew APRN 270

www.wellcare.com/Florida | 338 PROVIDER INDEX N - cont. Numssen, Valerie MD 4 Oraedu, Christian MD 138, 141 Neagu, Daniela MD 117, 128 Nwakoby, Izuchukwu MD 147 Orange Park Medical Center 168 Neal, Andrew APRN 279 Nwokolo, Felix MD 191, 201, 202 Orange Park Pharmacy 290 Neal, Kevin MD 118 Orange Park Pharmacy LTC 290 O Nelly, Cindy CNM 239 Ordinario, Eric DO 94, 128 O and P Clinical Technologies Inc Nelsen, Jordan PT 258 Orlando, Dina LMHC 234 209 Nelson, Caroline PT 250 Orlova, Yulia MD 60 Oakhurst Rehabilitation and Nelson, Danielle MD 2, 38 O'Shea, Tina MD 66 Nursing Cent 225 Nelson, David MD 40 Osian, Omeni MD 155 Ocala Consulting and Prevention Nelson, Donoffa DO 8, 20 Osterbur, Todd PA 257, 258 LLC 200 Nelson, Melanie PHD 185, 186 Ottey, Deron MD 93 Ocala Endoscopy ASC 223 Nelson, Miles MD 161 Otto, Brandon MD 87, 88 Ocala Health Imaging Services LLC Nerella, Nishant MD 96 Otto, James MD 103 223 Nesbit, Susan APRN 233 Owen, Andrew PA 247 Ocala Pharmacy LLC 300 Ness, David OD 151 Owens, Julie OD 127, 160 Ocala Region Kidney Ctrs Home Neu, Josef MD 54 Owens, Theresa APRN 270 Dialys Div 223 Neville, Leaha DPM 82 Oxamendi, Marsha LCSW 206 Ocala Regional Kidney Center New Horizon Rehabilitation Center Oxylife Respiratory Services LLC North 223 225 224 Ocala Regional Kidney Center-East New River Community Health Care 224 P Center 163 Ocala Regional Kidney Center Pacariem, Emilia MD 142 Neway III, William DO 116 -West 224 Padilla, Cheree MD 38 Newton, David PA 250 Ocala Regional Medical Center 172 Palatka Dialysis 226 Nguyen, Joseph OD 69, 151 Ocala West Home Training 224 Palatka Health Care Center-Pcs 226 Nguyen, Kim MD 79 Odocha, Innocent MD 38 Palm Garden of Ocala 225 Nguyen, Quyen OD 151 Odunlami, Adebayo MD 21 Palms Pharmacy of Bell 294 Nicula, Gayle APRN 279 Oduntan, Olusola MD Palms Pharmacy of Branford 296 Nicula, Wanda APRN 247 43, 86, 141, 155 Palms Pharmacy of Trenton 294 Noah, Samantha APRN 235 Oduntan, Omobola MD 2 Pangan Zayas, Antonette PT 277 Nobles, Kristin APRN 233 OH, Esther DDS 70 Panna, Mark MD 26, 29 Noegel, Erica APRN 241 Oibo, Mercy LMHC 200 Panzo, Gregory MD 149 noon, Kevin APRN 267, 273 Okun, Michael MD 60 Papierniak, Eric DO 51 Norkin, Maxim MD 46 Okunieff, Paul MD 84 Papierniak, Nancy DO 2 North Florida Medical Sales and Olabige, Olutayo MD 56, 126 Paredes, Maria PA 254 Rentals 217 Olaoye, Adetoun MD 47, 50 Parekh, Hiral MD 45, 54 North Florida Pcy Med Shoppe Olejeme, Henry MD 140 Parghi, Anjan MD 11 292 Oliva, Arlene MD 24 Park Meadows Health and Rehab North Florida Pharmacy Med Olivia, Arlene MD 16, 133 Center 209 Shoppe 290, 292, 296, 297, 298 Olofsson, Brittany PA 250 Park, Hyosun ARNP 274 North Florida Regional 164 Oloufa, Ashraf MD 180 Parker, Brian PA 282 North Florida Surgery Center 217 Olsen, Brian PHD 186 Parker, Donna MD 4 Northeast Florida State Hospital O'Malley, Matthew MD 36 Parklands Care Center 209 286 O'Malley, Padraic MD 87 Parrish, Gregory OD 115, 151 Norton Johnson, Tiffany PA 282 Oman, Kristen OT 240 Partin, Stephanie AUD 229 Nosler, Michael MD 40 O'Meara, James MD 29, 122 Parvataneni, Hari MD 71 Nousari, Carlos MD 33 Ong, Rebecca MD 147 Pasupuleti, Suman MD 96 Novak, Donald MD 75 Optimart Inc 100 Patel, Bhavana DO 60 Novak, Maureen MD 4

www.wellcare.com/Florida | 339 PROVIDER INDEX P - cont. Phillips, Melinda APRN 235 Q Patel, Jigar MD 145 Physical Therapy and Rehabilitation Qamar, Humeraa MD 21 Patel, Kim OD 151 Clin 212, 216 Qazizada, Wagma PA 252 Patel, Lynn APRN 253 Physicians Imaging Lake City LLC Quest Diagnostics 210 Patel, Margi OD 151 217 Quick Care Med Pl Patel, Mira OT 240 Pickens, Brian MD 43, 124 209, 214, 221, 225 Patel, Parth MD 98 Pickens, Norman MD 43 Quigley, Carmel MD 143 Patneau, Kathleen LMFT 192 Pidgeon, Lana MD 24 Quigley, Sharon OT 244 Patrick, Shannn APRN 241 Pierre, Christine MD 110 Quillen, David MD 2 Patterson, Daniel MD 142 Pierre, Venette DO 162 Quinlan, James APRN 268 Patterson, Jay MD 104 Pierre-Jean, Elizabeth SLP 243 R Patterson, Larry MD 76 Pieschke, Glenn OD 151 Rafanan, Jaime PA 242 Paulk, Michael DC 105 Pietra, Biagio MD 73, 79, 152, 154 Rahman, Maryam MD 62 Pauly, Daniel MD 29 Pitkethly, Olivia LMHC 176 Rahmani, Mariam MD 178 Payne Murphy, Jessica PHD 186 Pitkin, Thea AUD 229 Rainbow Discount Drugs 288 Payne, Stacy AUD 252 Pittman, Marion SLP 262 Rainey, Ann SLP 278 Payne-Murphy, Jessica PHD 186 Pizarro, Jade MD 112 Rajasekhar, Anita MD 46 Peavy, Julia SLP 278 Plante, Amber DC 138 Rajashekar, Harsha DO 152 Pediatric Physical Therapy-Kids On Poisson, Tiffany PA 242, 267 Ram, Anil MD 98 The M 209 Pondicherry-Harish, Roja MD Ramasco, Yasmin APRN 273 Pelaez, Andres MD 83 30, 52, 122, 125 Ramat, Shanna APRN Penn, Chester DPM 119 Poole, Erica OD 115 244, 276, 278, 280 Pennie, Michelle MD 34 Poole, Millie MD 154 Ramirez-Zamora, Adolfo MD 60 Penugonda, Madhuri MD 153 Pope, Haley OT 240 Ramos, Miguel MD 140 Pepin, Andrea MD 18 Posten, Elle OT 240, 267 Ramos, Salvador DO 141 Pepine, Carl MD 29 Potu, Ranganatha MD 96, 99 Ramos-Caro, Francisco MD 34 Perantoni, Anne APRN 247 Poulos, Peter MD 204 Ramphal, Reuben MD 47 Pereira, Deidre PHD 186 Powers, Robert DO 108 Ramsay, Sherrie OT 249 Perez, Raquel APRN 254 Prabhakaran, Sreekala MD 77, 160 Rana, Anjana MD 132 Perlstein, William PHD 186 Prashad, Rakesh MD 99, 145 Rao, Dinesh MD 156 Perri, Michael PHD 186 Pratt, Katie APRN 242 Rao, Nikhil MD 180 Perrin, Karen APRN 233 Presnell, Emily APRN 234 Rao, Srisha MD 136 Perry Dialysis 228 Preston, Sara APRN 255 Ravindra, Ankem MD 122 Perry, Casey APRN 247, 268, 281 Price, Catherine PHD 187 Ravindra, Rajani MD 194 Perry, Joseph PA 250 Price, James MD 20 Ray, Kathryn LMHC 261 Perry, Peter PA 254 Price, Robert APRN 230, 260 Raybon, Cindie MD 23 Perry, Shelley APRN 261 Prieto, Natalia CNM 234 Raymer, Raychel PA 255 Perspectives II LLC 200, 202 Pritchyk, Kenneth DPM 102 Razi, James MD 24 PET Services of Florida 213, 223 Proia, Richard MD 86 Read, Jason MD 121 Peters, Erin APRN 236, 241 Pubbi, Dinesh MD 105 Reams, Robert MD 72 Petersen, John MD 29 Pulice, Frances PA 251 Reb, Christopher DO 72 Peterson, Michael DO 11 Pulido Sierra, Luis MD 71, 152 Rebound Rehabilitative Services Inc Petrella, Andrew MD 101 Pumarejo, Raymond MD 120 215 Petty, Jason Had 213 Pumariega, Andres MD 180 Reddi, Lakshmipathi MD 98, 140 Pham, Angela MD 40, 41 Pushur, Sushil MD 201 Reddick Discount Pharmacy 300 Pham, Bao DO 118 Putnam Community Hospital 173 Reddy, Chandan MD 62, 63 Phillips, Christina APRN 247 Reddy, Raju MD 83 Phillips, Jason MD 111

www.wellcare.com/Florida | 340 PROVIDER INDEX R - cont. Rodriguez, Iris MD 157 Samakur, Saralakumari RD 238 Reddy, Vishnu MD 140 Rodriguez, Sanjuana PA 231 Samera, Scott DPM 128 Redfern, Ann APRN 236 Rodriguez-Roman, Laura MD 180 Samnani, Imran MD 51 Reedy, Rachel PA 242 Rogers, Douglas DO 18 Samraj, George MD 2 Reeves, Westley MD 85 Rogers, Timothy MD 147 SAMS CLUB 285, 300 Reilly, Kevin PA 244 Roig, Juan MD 55 Sanders, Brittnie APRN 274 Reisfield, Gary MD 176 Romano, Kristen RD 231, 238 Sanders, Ryan RD 238 Relan, Manish MD 159 Romero, Alfred MD 157 Sanders, Sandy MD 4 Rendon, Orlando MD 7 Romero, Regilda Anne PHD 187 Sandesara, Bhanuprasad MD 45, 51 Rentfro, Brent PA 248 Romrell, Janet PA 233 Sandu, Mamatha MD 21 Resolutions Health Alliance PA 194 Roney, Shannon PA 282 Sansing, Rachelle APRN 236 Restieri, Lawrence DC 32 Roper, Sabrina SLP 243 Santelices, Pamela MD Rex, Jennifer CNM 235, 263 Rose, Cary MD 104, 157 7, 13, 14, 16, 18, 24 Rexroat, Gary PA 267 Rose, Jeffrey MD 43, 44 Santelices, Samuel MD 7, 13, 14, 24 RGH Williston 170 Rosenthal, Cameron MD 79 Santoian, Edward MD 136 Rhoden, Chad APRN 243 Ross, Carl LMHC 273 Santolaya, Joaquin MD 44, 141 Rhoden, Gena CNM 235 Ross, Francisco AUD 229 Santos, Alfonso MD 56 Riascos, Julio MD 191, 201, 202 Ross, Joseph MD 100, 149 Sarantos, Katheryn MD 4 Ribay, MA Teresita MD 21 Rossidis, Georgios MD 141 Sarantos, Panagiotis MD 44 Richards, Jasmine APRN 204 Rossidis, Heather PA 230 Sarduy, Tiffany PA 232 Riddle, Tracy APRN 273, 276 Rossilli, Christopher PsyD 192 Sarker, Mahin PT 277 Rifkin, Kerry MD 121 Rothschild, Cheslovas MD 111 Sarosi, George MD 44 Riggs, Charles MD 54 Roussos-Ross, Dikea MD 66 Sasseen, Brett MD 105, 157 Riley, Tracy LCSW 192 Rowan, Nikki MD 112 Sattari, Maryam MD 51 Ripley, Daylene MD 45 Rowell, Timothy LCSW 191 Sauer, Kristie APRN 258 Rischar, Julie CNM 235, 261 Roychowdhury, Abhijit MD 107 Sauer, Shiree MD 12 Rite Choice Pharmacy 288 Rubin, Daniel MD 38 Sauls, Pamela MD 161 River Region Human Services Inc Ruggiero, Joseph MD 106 Sawhney, Raja MD 36 189 Rumalla, Ashwin MD 140 Sayers Erfourth, Sharmayn DO 202 Rivera, Angela PA 230, 260 Rumalla, Prabhakar MD 140 Sayour, Elias MD 76 Rivera, Maria Josefina MD 23 Ruprecht, Axel DDS 70 Sayre, Jerry MD 2 Rivera-Nieves, Desiree MD 75, 152 Russell, Deidre CNM 231, 260 Scaccabarrozzi, Luis MD 4 Rivero, Abel MD 99 Russell, Jillian APRN 273 Scali, Salvatore MD 89 Rivers, Brittany LMHC 234 Russo, Sarah SLP 244 Schain, Denise MD 47, 48 Rivkees, Scott MD 75 Rxpert 1 LLC 290 Schare, Rachel MD 12 Rizk, Bassam MD 92, 93, 106, 108 Ryan, Stephanie MD 4 Schatz, Desmond MD 75 Roach, Kimberly OT 240 Ryan-Poirier, Kathleen MD 76 Schenk, Angela AUD 248 Roark, Steven MD 30, 122 Rye, Debbi APRN 266 Schertell, Keith DC 105 Robbins, Gregory Had 208 Rye, Karen APRN 180 Schlofman, Arthur OD 93 Roberts, Shelia APRN 261 Ryngaert, Mary APRN 242 Schlofman, Michael OD 93 Robins, Douglas MD 34 Schlott, Benjamin MD 70 S Robinson, Christopher DO 60 Schmeltz, Suzy PA 271 Sacher, Mark DO 152 Robinson, Marc OD 69, 127, 152, 160 Schmidt, Lisa APRN 203 Sadasivan, Kalia MD 72 Robinson, Sean PA 253 Schmidt, Palma APRN 233 Salahuddin, Muhammad MD 110 Rockafellow, Guy APRN 271 Schmieder, George DO 106 Salameh, Jamal MD 90, 110 Rockower, Robert DO 21 Schmit, Bradley MD 44, 124 Salvucci, Thomas DO 122, 125 Rodenas, Mario MD 26, 51 Schmits, Kristen MD 35 Salzman, Christopher MD 157 Rodriguez, Angelina MD 8 Schneider, Cassandra PT 258

www.wellcare.com/Florida | 341 PROVIDER INDEX S - cont. Shaw, Christiana MD 44 Smith, Megan APRN 247, 268 Schneider, Susan MD 45, 46 Sheridan, Kelly RD 238 Smith, Sondra APRN 277 Schoch, Jennifer MD 34, 73, 74 Sherr, Gregory MD 63 Smith, William OD 115 Schoen, Jeffrey DPM 119 Shiff, Natalie MD 77, 79 Smock, Andrew MD 30, 123 Schoeppel, Sonja MD 120 Shih, Renata MD 73 Sobel, Eric MD 85 Schramm, Anne PA 234 Shinde, Trupti MD 98 Sobel, Rose MD 99 Schramm, Heather MD 8 Shivar, Lindsay PT 269 Sofi, Abdul MD 161 Schreier, Christopher APRN 242 Shoemaker, Lawrence MD 76, 79 Solanki, Kalpesh DO 137 Schrepfer, Thomas MD 36, 74 Shorr, Jack OD 152 Solantic of Orlando LLC 209 Schrum, Jacob MD 116 Short, Stephanie CNM 271 Solaris Healthcare Lake City 217 Schueler III, Arthur DO 11 Shrinath, Madhukar MD 21 Soldevila-Pico, Consuelo MD 41 Schulman, Jeffrey MD 66 Shriner, Richard MD 180, 181 Soler, Alejandro MD 124 Schutt, Rebecca OT 249 Shrode, Charles MD 51 Sonlife Prosthetics & Orthotics Inc Scogin, Kristen MD 66, 126 Shuhaiber, Hans MD 60 214 Scola, Jere DPM 82 Shukla, Ashutosh MD 56 Sourial, Sourial DO 90, 93 Scott, Jennifer APRN 261 Shuler, Magdalena MD 68 Southeastern Community Scott, Nita LMFT 206 Shychuk, Elahe MD 79 Pharmacy 285 Scott, Randall DO 11 Siddiqi, Siraj MD 57 Southern Cardiac Nuclear Imaging Seals, Albert MD 105 Siddiqui, Dabir MD 140 LLC 208, 215 Searcy, Kristin PT 269 Signature Healthcare of Gainesville Spearman, Dan MD 12 Searle, Thomas MD 158 209 Sphinx Wellness Inc 225 Seek, Melvin MD 147 Signature Healthcare of Orange Spies, Melissa APRN 255, 279 Seeley, Mary SLP 251 Park 216 Spiguel, Andre MD 54 Seguias, Luis MD 4, 79 Signoretti, Anthony PT 250 Spiguel, Lisa MD 44 Selman, David MD 3 Silver Springs Shores 224 Sprague, Richard MD 90, 107 Seneriz, Manuel MD 102 Silver, Natalie MD 36 Sriharan, Sivasupiramaniam MD 63 Seven Rivers Regional Medical Silverman, Richard Had 215 Srihari, Ashok MD 37 Center 167 Silverstein, Burton MD 30, 92, 123 Sriram, Peruvemba MD 83 Sevigny, Gina MD 34 Silverstein, Janet MD 75 St Martin, Dacelin MD 4, 8, 19 Sexton, Shenara MD 34 Silvian, Monica MD 3 St Vincents Medical Center Clay Shadiack, Anthony DO 97 Simon, Kimberly APRN 254 County 168 Shah, Ankit MD 68 Simpson, Heather LCSW 177 Stack, Lauren AUD 252 Shah, Arjav MD 113 Sims, Shireen MD 66 Stacpoole, Peter MD 37 Shah, Chand PA 257, 258 Singh Ospina, Naykky MD 37 Stacy, Elizabeth PA 244 Shahmohammadi, Abbas MD 51, 83 Singh, Premranjan MD 136 Stahmer, Hannah RD 238 Shammas, Lilia MD 101 Singh, Sunil MD 105, 109 Stalvey, Carolyn MD 51 Shands At The University of Florida Singleton, Melissa PA 271 Staman, Jonathan MD 126 164 Slack, Ann APRN 236 Stanciu, Sebastian MD 108 Shands Rehab Hospital 177 Sladky, John MD 32, 80 Stanley, Beena MD 99 Shands Solantic Joint Venture LLC Slaughter, Martin DC 92 Stanley, Cheryl DC 138 209, 225 Slayton, William MD 76 Stanley, Lauri DC 138 Shands South Campus Pharmacy Sma Behavioral Healthcare Stanley, Sarah APRN 257 285 203, 204 Stanton, Robert MD 72 Shannon, Bridget APRN 271 Smith, Erin CNM 239 Stark, Stephen MD 96 Shapiro, Michael MD 178 Smith, Glenn PHD 187 Starke Hma 166 Shapovalov, Denys MD 111 Smith, James MD 51 Staudinger, Christopher MD 125 Sharma, Anuj DO 102, 154 Smith, Maria MD 7, 13, 14, 16, 18, 24 Stay Well Pharmacy 291 Sharma, Nalini MD 90 Smith, Marie APRN 203 Steinhatchee Drugs 293

www.wellcare.com/Florida | 342 PROVIDER INDEX S - cont. Talarico, Irene APRN 203 Toromanovski, Todor MD 3, 8, 18 Stephens, Amy OD 115, 161 Talbot, Erin MD 209 Torrealba, Liliana PA 253 Stephens, William MD 134 Tamayo, Melissa PA 242 Torres, Abel MD 34, 51 Stern, Mori MD 4 Tan, Michael RD 239 Torres, Bryan DC 97 Sternat, Meghan PA 231 Tannen, Sarah RD 231, 239 Torres, Jorge MD 34 Stewart, Daniel RD 238 Tantravahi, Jogiraju MD 56 Torres, Vilma MD 26, 30, 135, 137 Stewart, David MD 66 Taqi, Mohammad MD 51 Towry, James DO 139 Stewart, George MD 135 Tasso, Kay PT 258 Trama, Patricia PT 258 Stillword, Joseph MD 157 Tate, Anitha OT 241 Tran, Jean MD 162 Stinson, Wade MD 86 Tate, Patricia Mary APRN 257 Tran, Tri PA 271 Stockwell, James MD 134 Taub, Harvey MD 156 Tri-County Orthotic Prosthetic Stringer, Ronnie APRN 239, 247 Taylor County Recovery Center Inc Institute 221 Stringer, Ronnie CNM 239 206 Triggs, William MD 60 Stringer, Thomas MD 88 Taylor, Alixandria PA 264 Trigo, Gisela MD 96, 97 Strom, Karen OT 249 Taylor, Dale MD 38 Tucker, Duane MD 34 Struve-Doerflein, Linda APRN 271 Taylor, Jeanna DC 138 Tuli, Sagun MD 148 Stunja, Laura DO 118 TC Medical Supply LLC 208, 224 Tuli, Sanjeev MD 5 Su, Li-Ming MD 88 Tchuisse, Lucien-Maximin MD 158 Tulli, Mark MD 31, 92, 123 Subbarayan, Sreevidya MD 37 Teitelbaum, Kimberly APRN 181 Tung, Puneet DO 80 Subramanian, Natrajan MD 30, 123 Tenney, Megan APRN Tunsupon, Pichapong MD 83 Subramony, S. MD 60 261, 263, 268, 281 Turley, Melissa PA 233 Sugar Mill Diagnostic Imaging LLC Tepedino, Kelly MD 123 Turner Cervantes, Stacey APRN 261 213 Terrill, James PA 257 Turner, Dannette APRN 282 Sugar, Jerome MD 124 Thatayatikom, Akaluck MD 77 Tyler, Bernadette SLP 243 Sukumaran, Sukesh MD 77 Thatayatikom, Sthorn MD 72 U Sullivan, Sandra MD 55 The Centers 191, 200, 201, 202 UF Health Pharmacy Medical Pla Suman, Amitabh MD 41 The Chrysalis Center Inc 201 285 Summers, Marlene CNM The Florida United Methodist UF Health Pharmacy Shands 235, 247, 261, 283 Children's 199 Hospital 285 Suncoast Endoscopy Center 213 The Ocala Birth Center LLC 223 UF Health Pharmacy Springhill 285 Sunshine Drugs 297, 300 The Village Pharmacy 303 UF Health Shands Psychiatric Sunshine Drugs of Ocala 300 Therapyworks of Jacksonville Inc Hospital 178 Superior Therapy Services Inc 214 216 Ulmer, Dana AUD 229 Surgery Center of Ocala LLC 223 Thoburn, Robert MD 51, 85 Underkofler, Janet PA 254 Surgical Center of North Florida Thomas, Benjamin MD 113, 158 Ung, Jessy OD 115 LLC 208 Thomas, Bruce MD 131 Univ of Florida Student Health Surrey Place Care Center 227 Thompson, John MD 156 Pharmacy 285 Sutherland, Mary PA 254 Thompson, Lacie APRN 269 Upadhyay, Kiran MD 80 Sutherland, Padmaksi CNM 239 Thompson, Lindsay MD 80 Urban, Joyce LMHC 200 Sutton, Jill MD 181 Thompson, Mark DO 128 Urban, Paul MD 137 Sutton, Kevin DC 32 Tilak, Suwarna MD 12 Urology Care of Central Florida PA Swaminathan, Krishna MD 141 Tinio, Anna Katrina MD 9 300 Swartz, Stacie OT 281 TLC Rehab Inc 214 Swinson, Douglas DC 138 Tocco, Anthony DPM 133 V Vaghela, Maheshkumar MD 147 T Tomlinson, Amy SLP 243 Taffe, Jonathan MD 3 Tondreault, Jamie RD 231 Vaidya, Trinetra MD 140 Tafish, Islam MD 111 Tong, Ann MD 30, 123 Valenzuela, Richard MD 127, 128 Topcare Pharmacy LLC 291 Valenzuela, Tina PT 269

www.wellcare.com/Florida | 343 PROVIDER INDEX V - cont. Walmart Pharmacy Wicklund, Meredith MD 61 Valletta, Mary MD 5, 7, 15, 19, 24 285, 286, 287, 288, 291, 292, 297, Wiens, Brenda PHD 187 Van Eldik, Richard MD 140, 141 300, 301, 302, 303, 304 Wiggs, Pamela APRN 233 Van Roy, Daniel MD 31, 123 Walsh, Ashley MD 66 Wilemon, Travis DC 138 Vanboven, Andrea SLP 243 Walsh, James MD 104 Wilker, Shawn MD 149 Vander Griend, Robert MD 72 Walters, Michael MD 44 Williams, Angela PA 258 Vanga, Subba MD 97, 137 Walton, Sean OD 152 Williams, Barbara APRN 267 Vankayala, Hema MD 108 Wang, Gary MD 48 Williams, Charles MD 80 Varela-Batista, Lourdes MD 154 Wang, Li APRN 236 Williams, Gary OD 69, 93, 127 Vassallo, John MD 158 Wang, Yue MD 61, 176 Williams, Lauren APRN 267 Vastey, Myriame MD 157 Wangia, Michael MD 34 Williams, Tammy APRN 261 Vasudevan, Anju MD 143, 146 Warren, Charles DO 11 Williamson, John PHD 187 Vaysberg, Mikhail MD 36 Warren, Joan OT 256 Williston Care Center 221 Vedre, Ameeth MD 105 Washam, Matthew MD 76 Wilson, Christina MD 61 Velez-Borras, Jose MD 22 Wasiak, Marta MD 178 Wilson, Crystal MD 203 Ventrapragada, Sailaja MD 147 Waters, Katrina SLP 277 Wilson, Derek PA 242 Ventura, Julio MD 111, 192 Waters, Lynn DO 6 Winchester, David MD 31, 130 Vera, Jose APRN 267 Watson, James PA 255 Wingard, John MD 54 Vernon, Natasha APRN 190 Waxenberg, Lori PHD 187 Wingo, Charles MD 57 Vidal, Lisandra APRN 277 Wayangankar, Siddharth MD 51, 52 Winkleman, Wendy PHD 188, 202 Villa, Carlos OD 116 Weaver, Sarah MD 111 WINN DIXIE 301 Villages Endoscopy Center LLC 223 Webb, Melissa APRN 239 Winn-Dixie 288 Vincek Sullivan, Sara SLP 243 Webb, Michael PA 267 Winn-Dixie Pharmacy Vincent, Kevin MD 80 Weber Lebrun, Emily MD 66 285, 286, 287, 288, 289, 291, 292, 297, Vineyard Pharmacy 285 Webster, Lynne APRN 247, 283 298, 301, 302, 303, 304 Vitarbo, Elizabeth MD 111 Weiner, Brian MD 41, 51 Wises Parkwood Pharmacy 285 Vlasak, Richard MD 72 Weiner, Irving MD 56 Wises Pharmacy 285 Von Mering, Gregory MD 137 Weinstein, David MD 75 Wisser, Lisa SLP 278 Von Tobel, Travis MD 116 Weinstein, Harry OD 116 Wittstruck, Sarah MD 3, 7, 15, 19, 24 Vonhilsheimer, George MD 34 Weisbrod, Neal MD 61 Wohl, Ronald APRN 233 Vu, Hoang DO 127, 128 Weiss, Michael MD 55 Wokhlu, Anita MD 31 Vyapaka, Jagannadha MD 141 Weizenecker, Richard MD 124, 125 Wolfe, Angela APRN 233 Vyas, Himeshkumar MD 73 Wells, Kenneth Co 222 Wolford, Thomas MD 105 Vyas, Priyanka MD 5 Welty, Katherine MD 8 Womer, Karl MD 51, 57 Werbel, Brian MD 31, 123 Woodington, Tara APRN 235, 242 W Werner, Erin MD 66, 67 Woodmansee, Whitney MD 37, 52 Wade, Heather APRN 254 Wessel, Timothy MD 31 Woods, Elizabeth APRN 204 Wagle Shukla, Aparna MD 60, 61 West Hernando Diag And MRI Wourms, Amy RD 232, 239 Wagner, Ellen OD 116 Center 213 Wright, Ashleigh MD 52 Wagner, Mary MD 77 West Marion Community Hospital Wright, Douglas OD 161 Walden, Ernest AUD 270 172 Wright, Thomas MD 72 Walker, Addie MD 35 Westlab Pharmacy Inc 285 Wyckoff, Erich MD 67 Walker, Dennis MD 97 Wever Pinzon, James MD 31 Wyckoff, Tameka APRN 236 Walker, Jay PA 278 Weyer, Deborah MD 11 Wymer, James MD 61 Walker, Jonathan DC 138 Wharton, Corey PT 250 Wyzan, Daniel MD 120 Walker, Katherine PA 244 White, Cecil DMD 80 Wallis, Barrett MD 98 X Whitman, Judith PA 258 Wallizada, Abdul MD 12, 104 Xiang, Kun MD 144, 148 Whyatt, Timothy DPM 82, 154

www.wellcare.com/Florida | 344 PROVIDER INDEX Y Yarchuk, Cheryl OT 249 Yarian, Susan MD 158 Yataco, Jose MD 120 Yelamanchi, Vishnu MD 145 Yelken, Robert PA 281 Yelkin, Robert PA 242 Yeung, Anamaria MD 84 Yeung, Lawrence MD 88 Youn, Teddy MD 61 Yousef, Ejaz MD 117 Yox, Samantha PT 250 Yu, Tae DO 17 Yurko, Jennifer LCSW 177 Z Zaffine, Nicole APRN 246, 258, 259 Zaffino, Nicole APRN 255 Zaidi, Zareen MD 3 Zak, Karen ARNP 267 Zapata, Elaine APRN 234 Zaremski, Jason MD 81 Zenner, Anthony SLP 263 Zenner, Sandra SLP 263 Zentko, Suzanne MD 31, 32, 123 Zhou, Yili MD 148 Zimmermann, Ellen MD 41, 52 Zingariello, Carla DO 32 Zirgibel, Brian MD 162 Zori, Andreas MD 41, 86 Zori, Roberto MD 44 Zuberi, Omer MD 109 Zumberg, Marc MD 46

www.wellcare.com/Florida | 345 Discrimination Is Against the Law Staywell Kids complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Staywell Kids does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Staywell Kids: • Provides free aids and services to people with disabilities to communicate effectively with us, such as: – Qualified sign language interpreters

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If you need these services, contact Staywell Kids at 1-866-698-5437 (TTY: 711), Monday–Friday from 7 a.m. to 7 p.m., for help or you can ask Member Services to put you in touch with a Civil Rights Coordinator who works for Staywell Kids. If you believe that Staywell Kids has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Staywell Kids, Grievance Department, P.O. Box 31384, Tampa, FL 33631-3384; Telephone: 1-866-530-9491; TTY number: 711; Fax: 1-866-388-1769; [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, a Staywell Kids Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Ave SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

CAD_08797E Internal Approved 12182017 ©WellCare 2017 FL7WHKINS08797E_1400 ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-698-5437 (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-698-5437 (TTY: 711).

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