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2020 Florida Provider Directory
Directorio de proveedores de Florida
Anyè Founisè Florida
This directory has been updated for July, 2020.
Pinellas
Operated by WellCare
33453864
CAD_56458M State Approved 01082019
©WellCare 2020 FL0WMNDIR56458M_0052
33453864
TABLE OF CONTENTS
Provider Directory Introduction ......................................................................................................................................................................................................... I How to Read Our Provider Listings.......................................................................................................................................................... II Icon Guide ............................................................................................................................................................................................................ II
List of Plan Providers
Primary Care Physicians
Pasco ..................................................................................................................................................................................................................1
Pinellas ............................................................................................................................................................................................................ 10
Specialty Physicians
Pasco .............................................................................................................................................................................................................. 29
Pinellas ...........................................................................................................................................................................................................89
Hospitals
Pasco ............................................................................................................................................................................................................235
Pinellas .........................................................................................................................................................................................................236
Behavioral Health
Pasco ............................................................................................................................................................................................................238
Pinellas ........................................................................................................................................................................................................ 248
Ancillary Providers
All ...................................................................................................................................................................................................................270
Pasco .............................................................................................................................................................................................................271
Pinellas ........................................................................................................................................................................................................ 280
Allied Providers
Pasco ........................................................................................................................................................................................................... 298
Pinellas ..........................................................................................................................................................................................................318
Pharmacy
Pasco ........................................................................................................................................................................................................... 369
Pinellas .........................................................................................................................................................................................................375
Indexes Alternate Languages Index ...................................................................................................................................................................... 387 Specialty Providers At-A-Glance........................................................................................................................................................... 401 Extended Hours Index ...............................................................................................................................................................................406 Provider Index................................................................................................................................................................................................. 416
FL0WMNDIR56458M_0052
33453866
Here is your Children’s Medical Services Health Plan 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. Children's Medical Services Health Plan 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
Telehealth Services let you visit with a provider by video so you can get care closer to home. You can receive services from a provider who doesn’t have an office nearby. Telehealth works a lot like a normal office visit.
• Telehealth providers are Practitioners licensed within their scope of practice to perform the service.
• Telehealth services are provided using interactive telecommunications equipment that includes, at a minimum audio and video equipment permitting two-way, real time, interactive communication between you and the provider.
• Your information will be kept private.
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 1-866-799-5321. TTY users can call 711. You can reach us Monday–Friday, 8 a.m. to 7 p.m.
The Children’s Medical Services Health Plan has partnered with WellCare of Florida, Inc. (WellCare) to provide managed care services to our members. WellCare is a licensed Florida health plan.
As always, we wish you and your child good health.
www.wellcare.com/Florida I
28052297
How to Read Our Provider Listings
{
Provider name
Practice name
Provider gender
Provider address and phone number
Smith, Joe, MD
Provider ID: 111111
Your Family Medical Center
Male/Female
123 Main Street Anytown, FL 12345 (555) 555-5555
00 Yrs/99 Yrs
Sunshine Hospital
Language: Spanish
Cultural Competence Training Complete/Incomplete
9:00 am-5:00 pm
PCMH: YES/NO. Level 1, 2, 3
Telehealth
Indicates provider is board certified
Indicates provider has wheelchair access
Indicates provider is not accepting new patients
Accessible by Public Transportation
Ages of patients seen by provider
Hospital the provider is associated with
Language spoken by provider or staff
Indicates whether or not provider has completed Cultural Competence Training
Hours of operation
Takes part in the PCMH* Model
Participates in Telehealth
Icon Guide
Indicates provider is board certified
Indicates provider has wheelchair access
Indicates provider is not accepting new patients
Accessible by Public Transportation
*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of healthcare 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
28052297
Este es su directorio de proveedores de Children’s Medical Services Health Plan. 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. Children’s Medical Services Health Plan 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
Los Servicios de Telehealth le permiten visitar a un proveedor por video para que pueda recibir atención médica más cerca de su hogar. Puede recibir servicios de un proveedor que no tenga una oficina cercana. Telehealth funciona de manera muy parecida a una visita normal a la oficina.
•
Los proveedores de Telehealth son profesionales con licencia dentro de su ámbito de práctica para realizar el servicio.
• Los servicios de Telehealth se brindan con equipos de telecomunicaciones interactivos que incluyen, como mínimo, equipos de audio y video que permiten la comunicación interactiva bidireccional en tiempo real entre usted y el proveedor.
• Se mantendrá la confidencialidad de su información.
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 es 1-866-799-5321. Los usuarios de TTY pueden llamar al 711. Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 7 p.m.
El Children’s Medical Services Health Plan se ha asociado con WellCare of Florida, Inc. (WellCare) para proporcionar servicios de cuidado administrado a nuestros miembros. WellCare es un plan de salud licenciado en Florida.
Como siempre, les deseamos a usted y a su hijo buena salud.
www.wellcare.com/Florida III
28052297
Cómo leer nuestros listados de proveedores
{
Nombre del proveedor
Nombre de la práctica
Sexo del proveedor
Dirección y número de teléfono del proveedor
Smith, Joe, MD Provider ID: 111111
Your Family Medical Center
Male/Female
123 Main Street Anytown, FL 12345 (555) 555-5555
00 Yrs/99 Yrs
Sunshine Hospital
Language: Spanish
Cultural Competence Training Complete/Incomplete
9:00 am-5:00 pm
PCMH: YES/NO. Level 1, 2, 3
Telehealth
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
Accesible en transporte público
Edades de los pacientes vistos por el proveedor
Hospital con el que está asociado el proveedor
Idioma que habla el proveedor o personal
Indica si el proveedor completó o no la capacitación de competencia cultural
Horario de atención
Participa en el modelo PCMH*
Participate en Telehealth
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
Accesible en transporte público
*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
28052297
.
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés
Acupuntura Acupuncture
Psiquiatría.deadicciones
. Addiction.Psychiatry
Medicina.paraadolescentes
. Adolescent.Medicine
Servicios.deacompañante.paraadultos
. Adult.Companion.Services.
Cuidado.diurno.paraadultos
. Adult.Day.Care
Hogar.de.cuidado.sustituto.para.adultos
Adult.Foster.Care.Home
Cuidado.médico.diurno.para.adultos
Adult.Medical.Day.Care
Cuidado.residencialpara.adultos
Adult.Residential.Care.Home
Administración.decasos.enfocadosen.adultos
. Adult.Targeted.Case.Management.
Centro.para.tratarel.SIDA
. AIDS.Center
Alergias.e.inmunología Allergy.&.Immunology
Centro.de.cirugía.ambulatoria
Ambulatory.Surgery.Center
Servicios.de.vida.asistida
Assisted.Living.Services
Audiología Audiology
Asesoramiento.en.salud.del.comportamiento
Behavioral.Health.Counseling
Centro.de.salud.del.comportamiento
Behavioral.Health.Facility
Centro.de.maternidad Birthing.Center
Laboratorio.de.cateterismo.cardíaco
Cardiac.Cath.Laboratory
Español Inglés
Electrofisiología.cardíaca
Cardiac.Electrophysiology
Monitoreo.cardíaco Cardiac.Monitoring
Cardiología Cardiology
Cirugía.cardiovascular Cardiovascular.Surgery
Cirugía.cardiovascular Cardiovascular.Surgery
Servicios.de.administración.de.casos
Case.Management.Services
Pediatría.de.abuso.infantil
Child.Abuse.Pediatrics
Centro.de.desarrollo.para.niños
Child.Development.Center
Administración.de.casos.enfocados.en.niños
Children.Targeted.Case.Management
Niños.con.necesidades.especiales.de.cuidado.de.la.salud
Children.With.Special.Healthcare.Needs
Quiropráctica Chiropractic
Servicios.de.tareas.domésticas.y.limpieza.del.hogar
Chore/Housekeeping.Services
Clínica Clinic
Neurofisiología.clínica
Clinical.Neurophysiology
Cirugía.de.colon.y.recto
Colon.&.Rectal.Surgery
Centro.de.salud.comunitario
Community.Health.Center
Centro.de.salud.mental.comunitario
Community.Mental.Health.Center
Junta.de.servicios.a.la.comunidad
Community.Service.Board
www.wellcare.com/Florida V
28052297
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés
Cirugía.cardíaca.congénita
Congenital.Cardiac.Surgery
Servicios.de.suministros.médicos.descartables
Consumable.Medical.Supply.Services
Clínica.de.cuidado.conveniente
Convenient.Care.Clinic
Hospital.de.acceso.crítico
Critical.Access.Hospital
Odontología Dentistry
Dermatología Dermatology
Dermatopatología Dermatopathology
Centro.designadopara.el.sida
. Designated.Aids.Center
Educación.sobre.la.diabetes
Diabetes.Education
Centro.de.diagnóstico.y.tratamiento
Diagnostic.And.Treatment.Center
Centro.de.diagnóstico Diagnostic.Center
Diagnóstico.por.imágenes
Diagnostic.Imaging
Diálisis Dialysis
Equipo.médico.duradero
Durable.Medical.Equipment
Otorrinolaringología Ear,.Nose.&.Throat
Endocrinología,.diabetes,.metabolismo
Endocrinology,.Diabetes,.Metabolism
Endodoncia Endodontics
Servicios.de.adaptaciones.de.accesibilidad.al.entorno
Environmental.Accessibility.Adaptation.Services
Servicios.especiales.de.EPSDT
EPSDT.Special.Services
Servicios.de.acompañante
Escort.Services
Español Inglés
Planificación.familiar Family.Planning
Medicina.familiar Family.Practice
Servicios.de.capacitación.familiar
Family.Training.Services
Centro.de.salud.con.calificación.federal
Federally.Qualified.Health.Center
Servicios.de.evaluación/reducción.de.riesgos.financieros
Financial.Risk.Assessment/Risk.Reduction.Services
Centro.de.aptitud.física
Fitness.Center
Gastroenterología Gastroenterology
Gastroenterología.y.hepatología
Gastroenterology.&.Hepatology
Medicina.general General.Practice
Cirugía.general General.Surgery
Asesoramiento.genético
Genetic.Counseling
Medicina.geriátrica Geriatric.Medicine
Psiquiatría.geriátrica Geriatric.Psychiatry
Oncología.ginecológica
Gynecological.Oncology
Ginecología Gynecology
Cirugía.de.la.mano Hand.Surgery
Oncología.de.cabeza.y.cuello
Head.&.Neck.Oncology
Cirugía.de.cabeza.y.cuello
Head.&.Neck.Surgery
Control.de.la.seguridad.de.la.salud
Health.Safety.Monitoring
Proveedor.de.audífonos
Hearing.Aid.Supplier
Terapia.y.especialista.en.audífonos
Hearing.Aid.Therapy.&.Specialist
Hematología Hematology
www.wellcare.com/Florida VI
28052297
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés
Hematología.y.oncología
Hematology.&.Oncology
VIH/SIDA HIV/AIDS
Comidas.entregadas.a.domicilio
Home-Delivered.Meals
Cuidado.de.la.salud.en.el.hogar
Home.Healthcare
Hospicio Hospice
Cuidado.de.hospicio.y.paliativo
Hospice.&.Palliative.Care
Hospital Hospital
Servicios.de.limpieza.del.hogar.y.tareas.domésticas
Housekeeping/.Chore.Services
Medicina.hiperbárica Hyperbaric.Medicine
Enfermedades.infecciosas
Infectious.Disease
Terapia.de.infusión Infusion.Therapy
Medicina.interna Internal.Medicine
Pruebas.de.laboratorio.de.patología
Laboratory.Pathology.Testing
Agencia.licenciada.de.servicios.de.cuidado.en.el.hogar
Licensed.Home.CareService.Agency
.
Litotripsia Lithotripsy
Imágenes.por.resonancia.magnética
Magnetic.ResonanceImaging
.
Mamografía Mammography
Masoterapia Massage.Therapy
Medicina.maternofetal
Maternal.Fetal.Medicine
Genética.médica Medical.Genetics
Oncología.médica Medical.Oncology
Administración.de.medicamentos
Medication.Administration
Español Inglés
Diagnóstico.con.equipos.portátiles
Mobile.Diagnostic
MRI,.equipos.abiertos MRI.Open
Medicina.perinatal.neonatal
Neonatal.Perinatal.Medicine
Nefrología Nephrology
Neurooncología Neuro.Oncology
Discapacidades.del.desarrollo.neurológico
Neurodevelopmental.Disabilities
Neurodiagnóstico Neurodiagnostic
Neurología Neurology
Neurología/otología Neurology/Otology
Medicina.neuromuscular
Neuromuscular.Medicine
Neurooncología Neuro-Oncology
Neuropsicología Neuropsychology
Neurorradiología Neuroradiology
Neurocirugía Neurosurgery
Servicios.de.transporte.sin.carácter.de.emergencia
Non-Emergency.Transportation
Cardiología.nuclear Nuclear.Cardiology
Medicina.nuclear Nuclear.Medicine
Radiología.nuclear Nuclear.Radiology
Enfermeras.parteras Nurse.Midwife
Nutrición Nutrition
Obstetricia Obstetrics
Obstetricia/.Ginecología
Obstetrics/.Gynecology
Medicina.ocupacional Occupational.Medicine
Terapia.ocupacional Occupational.Therapy
Oftalmología Ophthalmology
www.wellcare.com/Florida VII
28052297
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés
Óptico Optician
Optometría Optometry
Cirugía.oral.y.maxilofacial
Oral.&.Maxillofacial.Surgery
Ortodoncia Orthodontics
Cirugía.ortopédica Orthopaedic.Surgery
Ortésica Orthotics
Ortopedia.y.prostética
Orthotics.&.Prosthetics
Establecimiento.quirúrgico.para.pacientes.ambulatorios
Outpatient.Surgical.Facility
Tratamiento.del.dolor
Pain.Management
Apoyo.para.el.tratamiento.del.dolor
Pain.Management.Support
Alergias.e.inmunología.pediátricas
Pediatric.Allergy.&.Immunology
Medicina.pediátrica.del.comportamiento
Pediatric.Behavioral.Medicine
Monitoreo.cardíaco.pediátrico
Pediatric.Cardiac.Monitoring
Cardiología.pediátrica Pediatric.Cardiology
Cirugía.cardiovascular.pediátrica
Pediatric.CardiovascularSurgery
.
Dermatología.pediátrica
Pediatric.Dermatology
Otorrinolaringología.pediátrica
Pediatric.Ear,.Nose.&.Throat
Endocrinología.pediátrica
Pediatric.Endocrinology
Gastroenterología.pediátrica
Pediatric.Gastroenterology
Genética.pediátrica Pediatric.Genetics
Español Inglés
Hematología/.oncología.pediátricas
Pediatric.Hematology/.Oncology
Enfermedades.infecciosas.pediátricas
Pediatric.Infectious.Disease
Nefrología.pediátrica Pediatric.Nephrology
Neurología.pediátrica Pediatric.Neurology
Neurocirugía.pediátrica
Pediatric.Neurosurgery
Oncología.pediátrica Pediatric.Oncology
Oftalmología.pediátrica
Pediatric.Ophthalmology
Ortopedia.pediátrica Pediatric.Orthopaedics
Cirugía.ortopédica.pediátrica
Pediatric.Orthopedic.Surgery
Psiquiatría.pediátrica Pediatric.Psychiatry
Neumonología.pediátrica
Pediatric.Pulmonology
Medicina.de.rehabilitación.pediátrica
Pediatric.Rehabilitation.Medicine
Reumatología.pediátrica
Pediatric.Rheumatology
Medicina.deportiva.pediátrica
Pediatric.Sports.Medicine
Cirugía.pediátrica Pediatric.Surgery
Hepatología.pediátrica.y.trasplante
Pediatric.Transplant.Hepatology
Urología.pediátrica Pediatric.Urology
Pediatría Pediatrics
Comportamiento.y.desarrollo.pediátrico
Pediatrics.Behavioral.&.Developmental
Pedodoncia Pedodontics
Periodoncia Periodontics
www.wellcare.com/Florida VIII
28052297
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*Español Inglés
Servicios.de.cuidado.personal
Personal.Care.Services
Servicios.personales.de.respuesta.de.emergencias
Personal.EmergencyResponse.System
.
Farmacia Pharmacy
Medicina.física.y.rehabilitación
Physical.Medicine.&.Rehabilitation
Terapia.física Physical.Therapy
Laboratorio.de.fisiología
Physiological.Lab
Cirugía.plástica.y.reconstructiva
Plastic.&.Reconstructive.Surgery
Podiatría Podiatry
Medicina.preventiva Preventive.Medicine
Centro.de.cuidado.primario
Primary.Care.Center
Aparatos.protésicos Prosthetics
Prostodoncia Prosthodontics
Psiquiatría Psychiatry
Psicología Psychology
Medicina.psicosomática
Psychosomatic.Medicine
Enfermedad.pulmonar
Pulmonary.Disease
Oncología.radioterápica
Radiation.Oncology
Radioterapia Radiation.Therapy
Centro.de.radioterapia
Radiation.Therapy.Center
Radiología.intervencional.y.vascular
Radiology.-.Interventional.&.Vascular
Español Inglés
Centro.de.rehabilitación
Rehabilitation.Facility
Medicina.de.rehabilitación
Rehabilitation.Medicine
Terapia.de.rehabilitación
Rehabilitation.Therapy
Endocrinología.reproductiva
Reproductive.Endocrinology
Terapia.respiratoria Respiratory.Therapy
Servicios.de.cuidado.de.relevo
Respite.Care.Services
Reumatología Rheumatology
Centro.de.salud.rural Rural.Health.Center
Cuidado.autodirigido Self-Directed.Care
Centro.de.enfermería.especializada
Skilled.Nursing.Facility
Estudios.de.diagnóstico.del.sueño
Sleep.Diagnostic.Studies
Medicina.del.sueño Sleep.Medicine
Cuidado.diurno.social
Social.Day.Care
Terapia.del.habla Speech.Therapy
Medicina.para.lesiones.de.médula.espinal
Spinal.Cord.Injury.Medicine
Medicina.deportiva Sports.Medicine
Cuidado.subagudo Sub-Acute.Care
Abuso.de.sustancias Substance.Abuse
Oncología.quirúrgica Surgical.Oncology
Monitoreo.telecardíaco
Tele-Cardiac.Monitoring
Cirugía.torácica.y.cardiovascular
Thoracic.&.Cardiovascular.Surgery
Cirugía.torácica Thoracic.Surgery
www.wellcare.com/Florida IX
28052297
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés
Tórax/sistema.vascular
Thoracic/Vascular
Hepatología.de.trasplante
Transplant.Hepatology
Centro.de.cuidado.
urgente
Urgent.Care.Center
Urología Urology
Español Inglés
Oncología.urológica Urology.Oncology
Urología/ginecología Urology/Gynecology
Laboratorio.vascular Vascular.Lab
Medicina.vascular Vascular.Medicine
Cirugía.vascular Vascular.Surgery
www.wellcare.com/Florida X
* 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.
28052297
Men anyè pwofesyonèl swen medikal Children’s Medical Services Health Plan 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. Children’s Medical Services Health Plan 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 yo 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
Sèvis Telehealth yo kite w vizite yon founisè pa videyo yon fason pou w ka jwenn swen pi pre lakay. Ou ka resevwa sèvis nan men yon founisè ki pa gen yon biwo tou pre. Telehealth fonksyone anpil tankou yon vizit biwo nòmal.
•
Founisè Telehealth yo se Pratrisyen lisansye nan domèn pratik yo pou yo ofri sèvis la.
• Yo ofri sèvis Telehealth yo ak ekipman entèraktif ki gen ladann, omwen yon ekipman odyo ak videyo ki pèmèt yon kominikasyon ale-retou, an tan reyèl, entèraktif ant oumenm ak founisè a.
• Enfòmasyon w ap rete prive.
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 se 1-866-799-5321. Moun ki itilize TTY kapab rele 711. Ou ka kontakte nou lendi jiska vandredi, depi 8 a.m. jiska 7 p.m.
Children’s Medical Services Health Plan fè yon patenarya ak WellCare Florida, Inc. (WellCare) pou ofri sèvis swen administre pou manm nou yo. WellCare se yon plan sante lisansye Florida.
Kòm abitid, nou swete ou menm ak pitit ou bòn sante.
www.wellcare.com/Florida XI
28052297
Kijan pou Li Anyè Pwofesyonèl Swen Medikal nou an
{
Non pwofesyonèl la
Non klinik la
Sèks pwofsyonèl swen sante
Pwofesyonèl la adrès ak nimewo telefòn
Smith, Joe, MD Provider ID: 111111
Your Family Medical Center
Male/Female
123 Main Street Anytown, FL 12345 (555) 555-5555
00 Yrs/99 Yrs
Sunshine Hospital
Language: Spanish
Cultural Competence Training Complete/Incomplete
9:00 am-5:00 pm
PCMH: YES/NO. Level 1, 2, 3
Telehealth
Li fè konnen si pwofesyonèl la sètifye
Li fè konnen si klinik la gen aksè pou chèz-woulant
Aksesib nan Transpò Piblik
Li fè konnen si pwofesyonèl la pap aksepte nouvo malad
Laj malad pwofesyonèl swen medikal la wè yo
Lopital kote pwofesyonèl swen medikal la gen afilyasyon
Lang pwofesyonèl la oswa pèsonèl la pale
Endike si wi oswa non founisè a te Fè Fòmasyon sou Konpetans Kiltirèl la
Lè klinik la ouvri pou travay
Patisipe nan Modèl PCMH*
Patisipe nan Telehealth
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
Aksesib nan Transpò Piblik
*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
28052297
Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*
Kreyòl Ayisyen Angle
Akiponkti Acupuncture
Sikyatri.pou.Akoutimans
Addiction.Psychiatry
Lamedsin.Adolesan Adolescent.Medicine
Sèvis.Konpay.pou.Adilt
Adult.Companion.Services
Gadri.Adilt Adult.Day.Care
Fanmi.Plasman.pou.Adilt
Adult.Foster.Care.Home
Swen.Medikal.Lajounen.pou.Adilt
Adult.Medical.Day.Care
Kay.Plasman.pou.Adilt
Adult.Residential.Care.Home
Jesyon.dosye.ki.vize Adult.Targeted.Case.Management
Sant.pou.Moun.ki.gen.SIDA
AIDS.Center
Alèji.ak.Iminoloji Allergy.&..Immunology
Sant.Operasyon.san.Pasyan.an.pa.Entène
Ambulatory.Surgery.Center
Sèvis.pou.Viv.avèk.Asistans
Assisted.Living.Services
Odyoloji Audiology
Konsèy.sou.Sante.Konpòtmantal
Behavioral.Health.Counseling
Sant.Sante.Konpòtmantal
Behavioral.Health.Facility
Sant.Akouchman Birthing.Center
Laboratwa.Kateteris.Kadyak
Cardiac.Cath.Laboratory
Elektwo-Fizyoloji.Kadyak
Cardiac.Electrophysiology
Siveyans.Kadyak Cardiac.Monitoring
Kreyòl Ayisyen Angle
Kadyoloji Cardiology
Operasyon.Kadyo-Vaskilè
Cardiovascular.Surgery
Operasyon.Kadyo-Vaskilè
Cardiovascular.Surgery
Sèvis.Jesyon.Dosye Case.Management.Services
Pedyatri.pou.Abi..sou.Timoun
Child.Abuse.Pediatrics
Sant.Devlopman.Timoun
Child.Development.Center
Jesyon.dosye.ki.Vize.pou.Timoun
Children.Targeted.Case.Management
Timoun.ki.Bezwen.Swen.Sante.Espesyal
Children.With.SpecialHealthcare.Needs
.
Kiwopratik Chiropractic
Sèvis.pou.Travay.nan.Kay/Pwòpte.nan.Kay
Chore/HousekeepingServices
.
Klinik Clinic
Newo-Fizyoloji..Klinik
Clinical.Neurophysiology
Operasyon.Kolon.ak.Rektòm
Colon.&.Rectal.Surgery
Sant.Sante..Kominotè
Community.Health.Center
Sant.Sante.Mantal.Kominotè
Community.Mental.Health.Center
Konsèy.Sèvis.Kominotè
Community.Service.Board
Operasyon.Kè.nan.Moman.Akouchman
Congenital.Cardiac.Surgery
Sèvis.Materyèl..Medikal.pou..Renouvle.Souvan
Consumable.Medical.Supply.Services
www.wellcare.com/Florida XIII
28052297
Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*
Kreyòl Ayisyen Angle Kreyòl Ayisyen Angle
www.wellcare.com/Florida XIV
Klinik.Swen.Sante.Pratik
Convenient..Care.Clinic
Lopital.ki.Gen.Aksè.Enpòtan
Critical.Access.Hospital
Dantistri Dentistry
Dèmatoloji Dermatology
Dèmato-Patoloji Dermatopathology
Sant.Èd.ki.Deziyen Designated.Aids.Center
Edikasyon.sou.Dyabèt Diabetes.Education
Sant.pou.Dyagnostik.ak.Tretman
Diagnostic.And.Treatment.Center
Sant.Dyagnostik Diagnostic.Center
Imajri.Dyagnostik Diagnostic.Imaging
Dyaliz Dialysis
Ekipman.Medikal.Dirab
Durable.Medical.Equipment
Zòrèy,.Nen.ak.Gòj Ear,.Nose.&.Throat
Lamedsin.Espò.Timoun
Endocrinology,.Diabetes,..Metabolism
Andodonti Endodontics
Sèvis.Adaptasyon.Aksesibilite.nan.Anviwònman
Environmental.Accessibility.Adaptation.Services
Sèvis.Espesyal..EPSDT
EPSDT.Special.Services
Sèvis.Akonpayman Escort.Services
Planing.Familyal Family.Planning
Pratik.pou.Lafanmi Family.Practice
Sèvis.Fòmasyon.Fanmi
Family.Training.Services
Sant.Sante.ki.Gen.Kalifikasyon.Federal
Federally.Qualified.Health.Center
Sèvis.Evalyasyon/.Rediksyon.Risk.Finansye
Financial.Risk.Assessment/Risk.Reduction.Services
Sant.pou..Antrènman.an
Fitness.Center
Gastwo-antewoloji Gastroenterology
Gastwo-Antewoloji.ak.Epatoloji
Gastroenterology..&.Hepatology
Pratik.Jeneral General.Practice
Chiriji.Jeneral General.Surgery
Konsèy.Jenetik Genetic.Counseling
Lamedsin.Jeryatrik Geriatric.Medicine
Sikyatri.Timoun Geriatric.Psychiatry
Onkoloji.Jinekolojik Gynecological.Oncology
Jinekoloji Gynecology
Chiriji.Men Hand.Surgery
Onkoloji.Men.ak.Kou Head.&.Neck.Oncology
Chiriji.Men.ak.Kou Head.&.Neck.Surgery
Kontwòl.Sekirite.Kadyak
Health.Safety.Monitoring
Founisè.Pwotèz.Oditif Hearing.Aid.Supplier
Terapi.ak.Espesyalis.Pwotèz.Oditif
Hearing.Aid.Therapy.&.Specialist
Ematoloji Hematology
Ematoloji.ak..Onkoloji
VIH/SIDA HIV/AIDS
Repa.ki.Distribiye.nan.Kay
Home-Delivered.Meals
Swen.Sante.nan.Kay Home.Healthcare
Enstitisyon.ki.Ofri.Swen.pou.Soulajman
Hospice
28052297
Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*
Kreyòl Ayisyen Angle
www.wellcare.com/Florida XV
Ospis.Swen.Palyatif Hospice.&.Palliative.Care
Lopital Hospital
Sèvis.pou.Pwòpte.nan.Kay/Travay.nan.Kay
Housekeeping/.ChoreServices
.
Lamedsin.Ipèbarik Hyperbaric.Medicine
Maladi.Enfektye Infectious.Disease
Terapi.Enjeksyon Infusion.Therapy
Lamedsin.Entèn Internal.Medicine
Tès.Patoloji.Laboratwa
Laboratory..Pathology.Testing
Ajans.Sèvis.Swen.Adomisil.ki.gen.Lisans
Licensed.Home.Care.Service.Agency
Litotripsi Lithotripsy
Imajri.avèk.Rezonans.Mayetik
Magnetic.Resonance.Imaging
Mamografi Mammography
Terapi.nan.Masaj Massage.Therapy
Lamedsin.Fetis.Matènèl
Maternal.Fetal.Medicine
Jenetik.Medikal Medical.Genetics
Onkoloji.Medikal Medical.Oncology
Administrasyon.Medikaman
Medication.Administration
Dyagnostik.Mobil Mobile.Diagnostic
MRI.Ouvè MRI.Open
Lamedsin.pou.Tibebe.Apre.Akouchman
Neonatal.Perinatal.Medicine
Nefwoloji Nephrology
Newo-Onkoloji Neuro.Oncology
Andikap.Newo-.Devlòpmantal
NeurodevelopmentalDisabilities
.
Newo-Dyagnostik Neurodiagnostic
Kreyòl Ayisyen Angle
Newoloji Neurology
Newoloji/Otoloji Neurology/Otology
Lamedsin.Newo-Miskilè
Neuromuscular.Medicine
Newo-Onkoloji Neuro-Oncology
Newo-Sikoloji Neuropsychology
Newo-Radyoloji Neuroradiology
Newo-Chiriji Neurosurgery
Sèvis.Transpò.ki.pa.pou.Ijans
Non-Emergency.Transportation
Kadyoloji.Nikleyè Nuclear.Cardiology
Lamedsin.Nikleyè Nuclear.Medicine
Radyoloji.Nikleyè Nuclear.Radiology
Fanmsaj.Enfimyè Nurse.Midwife
Nitrisyon Nutrition
Obstetrik Obstetrics
Obstetrik/Jinekoloji Obstetrics/.Gynecology
Lamedsin.Travay Occupational.Medicine
Ègoterapi Occupational..Therapy
Oftalmoloji Ophthalmology
Optisyen Optician
Optometri Optometry
Operasyon.nanBouch,.nan.Maksilyè.ak.nan.Figi
. Oral.&.Maxillofacial.Surgery
Òtodonti Orthodontics
Operasyon.Òtopedik Orthopaedic.Surgery
Òtetik Orthotics
Òtetik.ak.Pwostetik Orthotics.&.Prosthetics
28052297
Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*
Kreyòl Ayisyen Angle
www.wellcare.com/Florida XVI
Sant.Chirijikal.pou.Pasyan.ki.pa.Entène
Outpatient.Surgical.Facility
Kontwòl.Doulè Pain.Management
Sipò.pou.Kontwole.Doulè
Pain.Management.Support
Alèji.ak.Iminoloji.Timoun
Pediatric.Allergy.&.Immunology
Lamedsin.KonpòtmantalTimoun
Pediatric.Behavioral.Medicine.
Kontwòl.Kadyak.Timoun
Pediatric.Cardiac.Monitoring
Kadyoloji.Timoun Pediatric.Cardiology
Operasyon.Kadyo-.Vaskilè.Timoun
Pediatric..Cardiovascular.Surgery
Dèmatoloji.Timoun Pediatric..Dermatology
Zòrèy,.Nen.ak.Gòj.Timoun
Pediatric.Ear,.Nose.&.Throat
Andokrinoloji.Timoun Pediatric.Endocrinology
Gastwo-Antewoloji.Timoun
Pediatric.Gastroenterology
Jenetik.Timoun Pediatric.Genetics
Ematoloji/Onkoloji.Timoun
Pediatric.Hematology/Oncology
.
Maladi.Kontajye.Timoun
Pediatric.Infectious.Disease
Nefwoloji.Timoun Pediatric.Nephrology
Newoloji.Timoun Pediatric.Neurology
Newo-Chiriji..Timoun
Pediatric.Neurosurgery
Onkoloji.Timoun Pediatric.Oncology
Oftalmoloji.Timoun Pediatric.Ophthalmology
Òtopedik.Timoun Pediatric.Orthopaedics
Kreyòl Ayisyen Angle
Pediatric.Orthopedic.Surgery
Chiriji.Òtopedik.Timoun
Sikyatri.Timoun Pediatric.Psychiatry
Nemoloji.Timoun Pediatric.Pulmonology
Lamedsin.Reyabilitasyon.Timoun
Pediatric..Rehabilitation..Medicine
Rimatoloji.Timoun Pediatric.Rheumatology
Lamedsin.Espò.Timoun
Pediatric.Sports.Medicine
Chiriji.Timoun Pediatric.Surgery
Epatoloji.Transplantasyon.Timoun
Pediatric.Transplant.Hepatology
Iwoloji.Timoun Pediatric.Urology
Pedyatri Pediatrics
Konpòtman.ak.Devlopman.Timoun
Pediatrics.Behavioral.&.Developmental
Pedodonti Pedodontics
Pawodonti Periodontics
Sèvis.Swen.Pèsonèl Personal.Care.Services
Sistèm.Repons.pou.Ijans.Pèsonèl
Personal.Emergency.Response.System
Famasi Pharmacy
Lamedsin.ak.Reyabilitasyon.Fizik
Physical.Medicine.&.Rehabilitation
Terapi.Fizik Physical.Therapy
Laboratwa.Fizyolojik Physiological.Lab
Chiriji.Plastik.ak.Rekonstwiktif
Plastic.&.Reconstructive.Surgery
Podoloji Podiatry
Lamedsin.pou.Prekosyon
Preventive.Medicine
28052297
Kreyòl Ayisyen
Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*
Angle
Sant.Swen.Sante.Prensipal
Primary.Care.Center
Pwotèz Prosthetics
Pwostodonti Prosthodontics
Sikyatri Psychiatry
Sikoloji Psychology
Lamedsin.Siko-.Somatik
Psychosomatic.Medicine
Maladi.Poumon Pulmonary.Disease
Radyo-Onkoloji Radiation.Oncology
Radyoterapi Radiation.Therapy
Sant.Radyoterapi Radiation.Therapy.Center
Radyoloji.-.Entèvansyon.ak.Vaskilè
Radiology.-.Interventional.&.Vascular
Sant.Reyabilitasyon Rehabilitation..Facility
Medikaman.pou.Reyabilitasyon
Rehabilitation.Medicine
Terapi..Reyabilitasyon
Rehabilitation.Therapy
Andokrinoloji.Repwodiktif
Reproductive.Endocrinology
Terapi.Respiratwa Respiratory.Therapy
Sèvis.Swen.pou.Pran.Repo
Respite.Care..Services
Rimatoloji Rheumatology
Sant.Sante.Riral Rural.Health.Center
Swen.Endepandan Self-Directed.Care
Kreyòl Ayisyen Angle
Kay.Retrèt.Kalifye Skilled.Nursing.Facility
Etid.Dyagnostik.Somèy
Sleep.Diagnostic.Studies
Lamedsin.Somèy Sleep.Medicine
Gadri.Sosyal Social.Day.Care
Òtofoni Speech.Therapy
Lamedsin.Chòk.nan.Mwal.Epinyè
Spinal.Cord.Injury.Medicine
Lamedsin.Espò Sports.Medicine
Swen.Kontini Sub-Acute.Care
Abi.Dwòg/Alkòl Substance.Abuse
Onkoloji.Chirijikal Surgical.Oncology
Tele-Kontwòl..Kadyak
Tele-Cardiac.Monitoring
Chiriji.Torasik.ak.Kadyo-Vaskilè
Thoracic.&.Cardiovascular.Surgery
Chiriji.Torasik Thoracic.Surgery
Torasik/Vaskilè Thoracic/Vascular
Epatoloji.Transplantasyon
Transplant.Hepatology
Sant.Swen.Ijan Urgent.Care.Center
Iwoloji Urology
Onkoloji.Iwoloji Urology.Oncology
Iwoloji/Jinekoloji Urology/Gynecology
Laboratwa.Vaskilè Vascular.Lab
Lamedsin.Vaskilè Vascular.Medicine
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
33453864
Primary Care Providers
Pasco
Family Practice Boucher, Jennifer MD
Provider ID: 1654842 Gender: Female Adventhealth Medical Group Family M 30000 County Line Rd Wesley Chapel, FL 33543-6707 (813) 907-8430 Fax: (813) 907-8435 00 YRS/130 YRS Languages: Spanish Mon - Wed, Fri 10:00 to 4:30 Thu 10:00 to 6:30 PCMH: No
Chintakayala, Durga MD
Provider ID: 343837 Gender: Male Tendercare Pediatrics 27432 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6916 (813) 973-9900 Fax: (813) 973-9982 00 YRS/18 YRS Languages: Hindi, Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Dasouza, Wilma MD
Provider ID: 1127118 Gender: Female 38724 Mudcat Grant Blvd Dade City, FL 33523 (352) 518-2000 Fax: (352) 567-5193 00 YRS/130 YRS Wed 7:00 to 4:00 PCMH: No
Dawood, Sally MD
Provider ID: 1758671 Gender: Male Adventhealth Medical Group Primary 2700 Healing Way, Ste 112 Wesley Chapel, FL 33543-5453 (813) 929-5330 Fax: (813) 929-5332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Greenfield, Adam DO
Provider ID: 1279613 Gender: Male Asg Doctors Inc 2208 Duck Slough Blvd, Ste A New Port Richey, FL 34655-5072 (727) 375-5885 Fax: (727) 375-5841 00 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 9:00 to 6:00 PCMH: No
Greenfield, Adam DO
Provider ID: 653542 Gender: Male Asg Doctors Inc 10806 Us Highway 19, Ste 102a Port Richey, FL 34668-2582 (727) 861-7043 Fax: (727) 861-7382 00 YRS/130 YRS Adventhealth Carrollwood Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 6:00 PCMH: No
John, Tobin MD
Provider ID: 1469450 Gender: Male Fhz Community Care Family Practice 38240 Daughtery Rd Zephyrhills, FL 33540-1367 (813) 788-3582 Fax: (813) 780-6707 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Albritton, Danielle DO
Provider ID: 1654058 Gender: Female Adventhealth Medical Group Primary 13933 17th St, Ste 101 Dade City, FL 33525-4604 (352) 567-6763 Fax: (352) 567-2146 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 Sat 90:0 to to 3:0 PCMH: No
Bishop, Jerry MD
Provider ID: 2165539 Gender: Male Adventhealth Medical Group Primary 13933 17th St, Ste 101 Dade City, FL 33525-4604 (352) 567-6763 Fax: (352) 567-2146 18 YRS/130 YRS Mon - Fri 7:30 to 7:00 Sat 9:00 to 2:30 PCMH: No
Blackstone, Harry DO
Provider ID: 2085525 Gender: Male Zephyrhills Family Practice And Ger 7213 Green Slope Dr Zephyrhills, FL 33541-1306 (813) 715-0165 Fax: (855) 547-5415 05 YRS/130 YRS Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 1
33453864
Primary Care Providers
Pasco
Family Practice - cont.
Kay, Richard MD
Provider ID: 1311457 Gender: Male Adventhealth Medical Group Family M 2700 Healing Way, Ste 100 Wesley Chapel, FL 33543-5453 (813) 994-0611 Fax: (813) 994-0085 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lindsay, Samantha MD
Provider ID: 683563 Gender: Female Family First Wellness 16541 PT Village Dr, Ste 211 Lutz, FL 33558 (813) 920-8300 Fax: (813) 920-8334 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lura, Glenn MD
Provider ID: 1700434 Gender: Male Adventhealth Medical Group Primary 11103 Trinity Blvd Trinity, FL 34655-4538 (727) 312-3355 Fax: (727) 312-3356 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Manalo, Ronald MD
Provider ID: 1553407 Gender: Male Florida Family Practice And Urgent 2412 Cypress Glen Dr, Ste 102 Wesley Chapel, FL 33544-4603 (813) 812-4133 Fax: (813) 528-8730 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Mankodi, Kshemal MD
Provider ID: 213352 Gender: Male Chapel Primary Care 28959 Wesley Chapel Blvd Wesley Chapel, FL 33543 (813) 994-4749 Fax: (813) 994-0474 00 YRS/130 YRS St Josephs Hospital Adventhealth Zephyrhills Adventhealth Tampa Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Marrero, Ailis MD
Provider ID: 1159447 Gender: Female Adventhealth Medical Group Family M 7040 Land O Lks Blvd, Unit 103 Land O Lakes, FL 34638-3201 (813) 803-7907 Fax: (813) 528-8960 05 YRS/130 YRS Adventhealth Wesley Chapel Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Morrison III, John MD
Provider ID: 1350653 Gender: Male Adventhealth Medical Group Family M 2700 Healing Way, Ste 100 Wesley Chapel, FL 33543-5453 (813) 994-0611 Fax: (813) 994-0085 16 YRS/130 YRS Adventhealth Wesley Chapel Mon - Fri 9:00 to 5:00 PCMH: No
Nystrom, Joseph MD
Provider ID: 2070532 Gender: Male Zephyrhills Family Practice And Ger 7213 Green Slope Dr Zephyrhills, FL 33541-1306 (813) 715-0165 Fax: (855) 547-5415 05 YRS/130 YRS Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 12:00 PCMH: No
Renelus, Deborah MD
Provider ID: 1354752 Gender: Female Adventhealth Medical Group Primary 11103 Trinity Blvd New Port Richey, FL 34655-4538 (727) 312-3355 Fax: (727) 312-3356 05 YRS/130 YRS Mon - Sat 8:00 to 5:00 PCMH: No
Sheils, Martha DO
Provider ID: 2112951 Gender: Female Adventhealth Medical Group Family M 2700 Healing Way, Ste 100 Wesley Chapel, FL 33543-5453 (813) 994-0611 Fax: (813) 994-0085 12 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 2
33453864
Primary Care Providers
Pasco
Family Practice - cont.
Talton Williamson, Stephanie MD
Provider ID: 1090190 Gender: Female Tgmc Fcc Wesley Chapel 2324 Oak Myrtle Ln Wesley Chapel, FL 33544 (813) 844-8300 Fax: (813) 844-1119 18 YRS/130 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Thompson, Elisa MD
Provider ID: 1313476 Gender: Female Adventhealth Medical Group Multispe 18923 Sr 54 Lutz, FL 33558-5268 (813) 803-7150 Fax: (813) 803-7167 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
General Practice
Crespo Velazquez, Rafael MD
Provider ID: 1518387 Gender: Male Wesley Chapel Medical Clinic 5819 Argerian Dr Wesley Chapel, FL 33545-4159 (813) 994-0800 Fax: (813) 994-0866 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Internal Medicine
Bhambore, Mahesh MD
Provider ID: 451589 Gender: Male Sunstate Medical Clinic 21762 State Road 54 Lutz, FL 33549 (813) 949-2999 Fax: (813) 949-4999 18 YRS/130 YRS St Josephs Hospital Adventhealth North Pinellas Tampa General Hospital Languages: Hindi, Marathi Mon, Wed, Fri 8:00 to 5:00 Tue, Thu 10:00 to 7:00 PCMH: No
Cappiello, Angelo MD
Provider ID: 1513418 Gender: Male Cappiello Medical Clinic Pa 4915 Mile Stretch Dr Holiday, FL 34690-4334 (727) 937-3280 Fax: (727) 943-0301 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Languages: Italian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Chambers, Nelly MD
Provider ID: 275973 Gender: Female Adventhealth Medical Group Primary 2700 Healing Way, Ste 112 Wesley Chapel, FL 33543-5453 (813) 929-5330 Fax: (844) 971-5487 12 YRS/130 YRS St Josephs Hospital Adventhealth Wesley Chapel Languages: Arabic, French, Spanish Mon 10:00 to 7:00 Tue - Thu 7:00 to 4:00 Fri 7:00 to 12:00 PCMH: No
Fajardo, Rebeca MD
Provider ID: 2008933 Gender: Female Wesley Chapel Primary Care Associat 2607 Windguard Cir Wesley Chapel, FL 33544-7352 (813) 907-6767 Fax: (813) 907-1911 18 YRS/130 YRS Northside Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Faltas, Wael MD
Provider ID: 1456345 Gender: Male Epsaltos Healthcare Pa 7657 Cita Ln, Unit 101 New Port Richey, FL 34653-6221 (727) 233-1118 Fax: (727) 372-8338 18 YRS/130 YRS Morton Plant Hospital Languages: Arabic, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Hasan, Syed MD
Provider ID: 161765 Gender: Male West Coast Med Associates 5824 Sr 54, Ste 101 New Port Richey, FL 34653 (727) 845-1933 Fax: (727) 845-7307 18 YRS/130 YRS Morton Plant North Bay Hosp Mease Hospital Dunedin Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 3
33453864
Primary Care Providers
Pasco
Internal Medicine - cont.
Kashlan, Ghiath MD Provider ID: 937313 Gender: Male 17921 Hunting Bow Cir, Ste 101 Lutz, FL 33558-5379 (727) 372-7371 Fax: (727) 372-4985 05 YRS/130 YRS Tue 8:00 to 5:00 Thu 2:00 to 6:00 PCMH: No
Mehta, Shital DO
Provider ID: 410850 Gender: Male 2800 Windguard Cir, Ste 102 Wesley Chapel, FL 33543 (813) 345-8515 Fax: (813) 345-8517 21 YRS/130 YRS St Josephs Hospital Adventhealth Carrollwood Adventhealth Tampa Languages: Hindi, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Shah, Manish MD Provider ID: 222320 Gender: Male Wesley Chapel Im And Pediatrics Pa 2038 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33543 (813) 929-3622 Fax: (813) 929-3620 02 YRS/12 YRS Adventhealth Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Walsh, Thomas DO Provider ID: 2012564 Gender: Male Can Community Health. Inc. 4747 Us Highway 19 New Prt Rchy, FL 34652-4945 (727) 312-2040 Fax: (888) 806-9655 18 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
Pediatrics
Alberdi, Taylor MD Provider ID: 2032769 Gender: Female North Pinellas Children's Medical 10537 State Road 54, Ste A New Port Richey, FL 34655-2293 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Alvarez, Alfred MD
Provider ID: 222765 Gender: Male N Pinellas Childrens Medical Center 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: Yes, Level 3
Updated for: July, 2020.
www.wellcare.com/Florida 4
Arroyo, Fernando MD Provider ID: 924294 Gender: Male Pediatric Associates Of Tampa Bay 10710 State Road 54, Ste 108 New Port Richey, FL 34655 (727) 376-4040 Fax: (727) 376-8824 00 YRS/18 YRS Mease Hospital Dunedin Mease Countryside Hospital Mon - Thu 8:00 to 8:00 Fri 8:00 to 5:00 Sun 8:00 to 12:00 PCMH: No
Athanasatos, Antigone DO
Provider ID: 2067272 Gender: Female North Pinellas Childrens Medical Ce 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/18 YRS Mon - Wed 8:00 to 8:00 Thu - Fri 8:00 to 5:00 Sat - Sun 8:00 to 12:00 PCMH: No
Aungst, Cary MD
Provider ID: 939645 Gender: Female East Lake Pediatrics 2137 Little Rd Trinity, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
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Primary Care Providers
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Pediatrics - cont.
Awad, Reda MD
Provider ID: 1790278 Gender: Female Gm Ramappa Md Faap Pa 12136 Cobble Stone Dr Hudson, FL 34667-2432 (727) 863-5474 Fax: (727) 868-0312 00 YRS/21 YRS Languages: Arabic Mon - Fri 9:00 to 5:00 PCMH: No
Baade, Melody MD
Provider ID: 1574136 Gender: Female Pediatric Health Care Alliance Pa 1850 Crossings Blvd, Unit 100 Odessa, FL 33556-6106 (813) 475-7100 Fax: (813) 475-7119 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Bekman, William DO
Provider ID: 1471650 Gender: Male Gm Ramappa Md Faap Pa 12136 Cobblestone Dr Hudson, FL 34667-2432 (727) 863-5474 Fax: (727) 868-0312 00 YRS/21 YRS Medical Center Of Trinity Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 5
Boles, Elia MD
Provider ID: 2151350 Gender: Male Gm Ramappa Md Faap Pa 12136 Cobble Stone Dr Hudson, FL 34667-2432 (727) 863-5474 Fax: (727) 686-0312 00 YRS/21 YRS Languages: Arabic Mon - Fri 8:00 to 5:00 PCMH: No
Booth, Christine MD
Provider ID: 1095311 Gender: Female North Pinellas Childrens Medical C t 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Medical Center Of Trinity Mease Countryside Hospital Mon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 12:00 PCMH: No
Desai, Rupal MD
Provider ID: 401354 Gender: Male A To Z Pediatrics 4804 Rowan Rd New Port Richey, FL 34653-5609 (727) 375-5242 Fax: (727) 375-5198 00 YRS/18 YRS Adventhealth North Pinellas Medical Center Of Trinity Johns Hopkins All Childrens Hospital Inc Languages: Gujarati, Hindi Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Dondero, Aldo MD
Provider ID: 219194 Gender: Male Pediatrics At River's Edge Inc 6352 River Rd New Prt Rchy, FL 34652-2241 (727) 844-3551 Fax: (727) 847-0427 00 YRS/21 YRS Medical Center Of Trinity Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Dubey, Rita MD
Provider ID: 357890 Gender: Female 2236 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6430 (813) 973-2500 Fax: (813) 973-4438 00 YRS/21 YRS St Josephs Hospital Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Dwyer, James MD
Provider ID: 199491 Gender: Male N Pinellas Childrens Medical Center 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: Yes, Level 3
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Primary Care Providers
Pasco
Pediatrics - cont.
Ejaz, Mariam MD Provider ID: 1569660 Gender: Female Pediatric Health Care Alliance. Pa 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Languages: Hindi, Spanish, Urdu Mon - Fri 6:00 to 9:30 Sat 8:00 to 11:30 PCMH: No
Ejaz, Mariam MD
Provider ID: 1966759 Gender: Female Pediatric Health Care Alliance. Pa 1812 Health Care Dr Trinity, FL 34655-5362 (813) 731-0944 Fax: (727) 372-3301 00 YRS/21 YRS Languages: Hindi, Spanish, Urdu Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Farooqi, Sonia MD Provider ID: 2204134 Gender: Female North Pinellas Childrens Medic 10537 State Road 54 New Port Richey, FL 34655-2293 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 6
Farooqi, Sonia MD Provider ID: 2204135 Gender: Female North Pinellas Childrens Medic 23026 State Road 54 Lutz, FL 33549-6968 (813) 751-3131 Fax: (813) 948-1774 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Geddes, Carol MD
Provider ID: 1731755 Gender: Female Pediatric Partners Of Zephyrhills P 6712 Dairy Rd Zephyrhills, FL 33542-6637 (813) 782-6064 Fax: (813) 782-0984 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gellady, Andrew MD Provider ID: 27122 Gender: Male 4738 Grand Blvd, Ste C New Port Richey, FL 34652-5170 (727) 807-7800 Fax: (727) 807-7878 00 YRS/18 YRS Medical Center Of Trinity Mon - Fri 9:00 to 5:00 PCMH: No
Gomez-Luengas, Alexander MD
Provider ID: 925014 Gender: Male Pediatric Associates Of Tampa Bay I 10710 State Road 54, Ste 108 New Port Richey, FL 34655-2263 (727) 376-4040 Fax: (727) 376-8824 00 YRS/18 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 Sun 9:00 to 12:00 PCMH: No
Griffen, Michael DO Provider ID: 1352163 Gender: Male Sun Country Pediatrics PLLC 20646 Wilderness Lake Blvd Land O Lakes, FL 34637-7861 (352) 678-5246 Fax: (352) 835-7900 00 YRS/21 YRS Bayfront Health Spring Hill Bayfront Health Brooksville Mon, Wed 8:00 to 8:00 Tue, Thu - Fri 8:00 to 5:00 Sat 8:00 to 1:00 PCMH: No
Grover, Alpana MD
Provider ID: 475034 Gender: Female N Pinellas Childrens Medical Center 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: Yes, Level 3
Hartlage, Kiersten MD Provider ID: 1792321 Gender: Female Pediatric Health Care Alliance. Pa 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Tampa General Hospital Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
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Pediatrics - cont.
Hasell, Douglass MD Provider ID: 555790 Gender: Male 2044 Trinity Oaks Blvd, Ste 235 New Port Richey, FL 34655-4403 (727) 375-5437 Fax: (727) 375-0502 00 YRS/18 YRS Adventhealth North Pinellas Medical Center Of Trinity Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Hernandez, Sheridan MD
Provider ID: 220078 Gender: Female 2044 Trinity Oaks Blvd, Ste 235 New Port Richey, FL 34655-4403 (727) 375-5437 Fax: (727) 375-0502 00 YRS/21 YRS Adventhealth North Pinellas Medical Center Of Trinity Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon, Fri 9:00 to 5:00 Tue 9:00 to 1:00 Thu 1:00 to 5:00 PCMH: No
Herrygers, Canaan MD Provider ID: 2018636 Gender: Female Pediatric Health Care Alliance. Pa 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Lakewood Ranch Medical Center Manatee Memorial Hosp Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 Sat 8:00 to 11:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 7
Hughes, Natasha MD Provider ID: 1097099 Gender: Female North Pinellas Childrens Medical Ce 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/21 YRS Mon - Wed 8:00 to 8:00 Thu - Fri 8:00 to 5:00 Sat - Sun 8:00 to 12:00 PCMH: Yes, Level 3
Jimenez, Jose MD
Provider ID: 1797542 Gender: Male Small World Pediatrics. Pa 2527 Windguard Cir, Ste 102 Wesley Chapel, FL 33544-7347 (813) 907-8001 Fax: (813) 907-5744 00 YRS/18 YRS St Josephs Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Jordan, Michael MD Provider ID: 413368 Gender: Male East Lake Pediatrics Pa 2137 Little Rd Trinity, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Morton Plant Hospital Mease Hospital Dunedin Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Lin, Kathryn MD Provider ID: 6852 Gender: Female Pediatric Partners Of Zephyrhills P 6712 Dairy Rd Zephyrhills, FL 33542-6637 (813) 782-6064 Fax: (813) 782-0984 00 YRS/18 YRS Adventhealth Dade City Adventhealth Zephyrhills Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Lokesh, Haravu MD
Provider ID: 26979 Gender: Male A To Z Pediatrics 4804 Rowan Rd New Port Richey, FL 34653 (727) 375-5242 Fax: (727) 375-5198 00 YRS/18 YRS Adventhealth North Pinellas Medical Center Of Trinity Johns Hopkins All Childrens Hospital Inc Languages: Arabic, Hindi, Urdu Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Mitchell, Paul MD
Provider ID: 201338 Gender: Male N Pinellas Childrens Medical Center 10537 Sr 54 New Port Richey, FL 34655 (727) 376-8404 Fax: (727) 674-2181 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: Yes, Level 3
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Pediatrics - cont.
Panicker, Usha MD Provider ID: 1179959 Gender: Female Dr Panicker And Associates LLC 5411 Grand Blvd, Ste 102 New Port Richey, FL 34652-4010 (727) 849-2535 Fax: (727) 849-7157 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Tue, Thu - Fri 9:00 to 5:00 Wed 9:00 to 2:00 PCMH: No
Partridge, Paige MD
Provider ID: 2201935 Gender: Female Pediatric Health Care Alliance 1854 Oak Grove Blvd Lutz, FL 33559-8605 (813) 948-6133 Fax: (813) 948-3460 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Jaydeep MD Provider ID: 228318 Gender: Male Pediatric Health Care Alliance 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Bayfront Medical Center Adventhealth Tampa Languages: Gujarati Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 8
Perez, Maribelis MD Provider ID: 717619 Gender: Female Premier Community Healthcare G 14027 5th St Dade City, FL 33525-4302 (352) 518-2000 Fax: (352) 567-0218 00 YRS/18 YRS Languages: Spanish Mon 7:00 to 7:00 Tue - Fri 7:00 to 4:00 PCMH: No
Pham, Thuy MD
Provider ID: 13225 Gender: Female 2044 Trinity Oaks Blvd, Ste 235 New Port Richey, FL 34655-4403 (727) 375-5437 Fax: (727) 375-0502 00 YRS/18 YRS Adventhealth North Pinellas Mease Countryside Hospital Languages: French, Vietnamese Mon, Wed, Fri 8:00 to 5:00 Tue, Thu 8:00 to 6:00 PCMH: No
Rash, Trudi MD Provider ID: 1969748 Gender: Female East Lake Pediatrics Pa 2137 Little Rd New Port Richey, FL 34655 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Scaccabarrozzi, Luis MD
Provider ID: 2076270 Gender: Male Munchkins Pediatrics LLC 13540 17th St Dade City, FL 33525-5244 (352) 437-3107 Fax: (855) 869-7878 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Shah, Manish MD
Provider ID: 222320 Gender: Male Wesley Chapel Im And Pediatrics Pa 2038 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33543 (813) 929-3622 Fax: (813) 929-3620 02 YRS/12 YRS Adventhealth Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Siddiqi, Reshma MD Provider ID: 1274182 Gender: Female Pediatric Partners Of Zephyrhills P 6712 Dairy Rd Zephyrhills, FL 33542-6637 (813) 782-6064 Fax: (813) 782-0984 00 YRS/18 YRS Mon - Fri 8:00 to 10:00 PCMH: No
Silva, Nancy MD
Provider ID: 1797585 Gender: Female Small World Pediatrics. P.a. 2527 Windguard Cir, Ste 102 Wesley Chapel, FL 33544-7347 (813) 907-8001 Fax: (813) 907-5744 00 YRS/18 YRS St Josephs Hospital Languages: Portuguese, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
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Primary Care Providers
Pasco
Pediatrics - cont.
Smith, Elizabeth MD Provider ID: 2202819 Gender: Female Pediatric Partners Of Zephyrhills 6712 Dairy Rd Zephyrhills, FL 33542-6637 (813) 782-6064 Fax: (813) 782-0984 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Spagnolo-Hye, Carol DO
Provider ID: 643886 Gender: Female Abrakidabra Kids Clinic 8736 Us Highway 19 Port Richey, FL 34668-5348 (727) 478-8876 Fax: (877) 487-5705 00 YRS/21 YRS Medical Center Of Trinity Bayfront Health Spring Hill Mon - Fri 8:30 to 5:00 PCMH: No
Stevens, Kesha MD Provider ID: 1634831 Gender: Female Premier Community Healthcare Group 14027 5th St Dade City, FL 33525-4302 (352) 518-2000 Fax: (352) 567-0218 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 9
Tan, Ignatius MD Provider ID: 1574021 Gender: Male Pediatric Health Care Alliance Pa 1850 Crossings Blvd, Unit 100 Odessa, FL 33556-6106 (813) 475-7100 Fax: (813) 475-7119 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Valencia-Serafini, Maria DO
Provider ID: 1600331 Gender: Female Premier Community Healthcare Group 14027 5th St Dade City, FL 33525-4302 (352) 518-2000 Fax: (352) 567-0218 00 YRS/21 YRS Languages: Spanish Mon 7:00 to 7:00 Tue - Fri 7:00 to 4:00 PCMH: No
Vindhya, Naveena MD
Provider ID: 1978862 Gender: Female All Pediatric Care 21750 State Road 54 Lutz, FL 33549-6921 (813) 949-0909 Fax: (813) 949-1555 00 YRS/21 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Wilkins, Beena MD Provider ID: 1573965 Gender: Female Pediatric Health Care Alliance Pa 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Languages: Malayalam, Spanish Mon - Fri 6:00 to 9:30 Sat 8:00 to 11:30 PCMH: No
33453864
Primary Care Providers
Pinellas
Family Practice
Anderson, Wayne MD Provider ID: 228913 Gender: Male Morton Plant Mease Primary Care Inc 807 N Myrtle Ave Clearwater, FL 33755-4254 (727) 467-2400 Fax: (727) 467-2483 00 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Anthony, Shari MD
Provider ID: 1281289 Gender: Female Bayfront Health Medical Group 8730 4th St N Saint Petersburg, FL 33702 (727) 577-9700 Fax: (727) 576-4091 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Avila, Camila MD
Provider ID: 1834670 Gender: Female Bayfront Hma Physician Manage -ment L 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 533-7420 Fax: (727) 553-7419 18 YRS/130 YRS Languages: French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 10
Avila, Camila MD Provider ID: 2149394 Gender: Female Bayfront Primary Care Associates 2200 16th St N St Petersburg, FL 33704-3106 (727) 893-6201 Fax: (727) 893-6202 18 YRS/130 YRS Languages: French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Baab, Holly MD
Provider ID: 541200 Gender: Female Bayfront Family Medicine Center 700 6th St S, Fl 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Baker, Gregory MD Provider ID: 1477613 Gender: Male Adventhealth Medical Group Primary 4140 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 953-9041 Fax: (727) 953-9043 05 YRS/130 YRS Mon - Sun 8:00 to 5:00 PCMH: No
Baker, Ryan MD
Provider ID: 2149153 Gender: Male Bayshore Health And Wellness LLC 2299 9th Ave N, Ste 1a Saint Petersburg, FL 33713-6851 (727) 897-5100 Fax: (727) 897-5656 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Barasch, Marc DO Provider ID: 197836 Gender: Male Marc S Barasch Do 1751 66th St N Saint Petersburg, FL 33710-5537 (727) 302-9622 Fax: (727) 302-9711 00 YRS/130 YRS Mon, Wed 8:30 to 6:00 Tue, Thu 7:30 to 2:00 Fri 8:30 to 4:30 Sat 7:30 to 11:00 PCMH: No
Befeler, Carley MD
Provider ID: 1419318 Gender: Female Bayfront Health St. Petersburg 700 6th St S, 3rd Flr Saint Petersburg, FL 33701 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Brownlee, Harrison MD Provider ID: 1214228 Gender: Male Bayfront Family Health Center 700 6th St S, 3rd Floor Saint Petersburg, FL 33701 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 8:00 to 4:30 PCMH: No
33453864
Primary Care Providers
Pinellas
Family Practice - cont.
Broyles, Jennifer MD Provider ID: 1576468 Gender: Female Largo Physician Group LLC 6450 38th Ave N, Ste 400 St Petersburg, FL 33710-1653 (727) 545-4444 Fax: (727) 545-5855 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Burns, Craig DO
Provider ID: 1354650 Gender: Male Adventhealth Medical Group Multispe 4705 Alt 19, Ste B Palm Harbor, FL 34683-1440 (727) 935-6477 Fax: (727) 935-6478 00 YRS/130 YRS Mon - Sat 8:00 to 5:00 PCMH: No
Carlson, Tim MD Provider ID: 1228770 Gender: Male Greater Tampa Bay Physician Network 1615 Pasadena Ave S, Ste 430 Saint Petersburg, FL 33707 (727) 397-0606 Fax: (727) 397-6161 00 YRS/130 YRS Palms Of Pasadena Hosp Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 11
Confident, Leonard MD Provider ID: 789284 Gender: Male Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Bayfront Medical Center Languages: Creole, French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
De Silva, Niyomi MD
Provider ID: 1071657 Gender: Female Largo Physician Group LLC 6450 38th Ave N, Ste 400 St Petersburg, FL 33710-1653 (727) 545-4444 Fax: (727) 545-5855 00 YRS/130 YRS St Petersburg General Hosp Mon - Fri 7:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Degan, William MD Provider ID: 1961299 Gender: Male Bayfront Primary Care Associates 8730 4th St N St Petersburg, FL 33702-3106 (727) 577-9700 Fax: (727) 576-4091 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Del Santo, Patrick DO Provider ID: 2112518 Gender: Male Bayfront Primary Care Associates 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 553-7420 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Dilella, Vincent DO
Provider ID: 203039 Gender: Male Vincent J Dilella 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 05 YRS/130 YRS St Josephs Hospital Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Donatelli Jr, Anthony MD
Provider ID: 1517573 Gender: Male Adventhealth Medical Group Primary 34637 Us Highway 19 N Palm Harbor, FL 34684-2152 (727) 786-1673 Fax: (727) 785-0284 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Drake, Katie DO
Provider ID: 1797004 Gender: Female Community Health Centers Of Pinella 1721 Main St Dunedin, FL 34698-6402 (727) 824-8181 Fax: (727) 824-8134 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Family Practice - cont.
Faulkner, Kim MD Provider ID: 1350230 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 824-8181 Fax: (727) 541-7984 18 YRS/130 YRS Mon - Fri 7:30 to 8:00 Sat 8:00 to 4:30 PCMH: No
Faulkner, Kim MD
Provider ID: 1350232 Gender: Female 1344 22nd Street South Saint Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS PCMH: No
Faulkner, Kim MD Provider ID: 1350234 Gender: Female Community Health Centers At St Pete 612 Mlk St N Saint Petersburg, FL 33705 (727) 824-8181 Fax: (727) 209-0309 18 YRS/130 YRS Mon - Fri 7:30 to 8:00 Sat 8:00 to 4:30 PCMH: No
Faulkner, Kim MD
Provider ID: 1350237 Gender: Female 1344 22nd Street South Saint Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 12
Fountain, Lorna MD Provider ID: 396732 Gender: Female Bayfront Family Medicine Center 700 6th St S, Fl 3 St Petersburg, FL 33701 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Gross, Andrew DO
Provider ID: 524639 Gender: Male Vincent J Dilella Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 05 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mon - Thu 8:00 to 4:30 Fri 8:00 to 12:00 PCMH: No
Hanai, Hisham MD Provider ID: 1824666 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Languages: Arabic, French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Hutter, George MD Provider ID: 2146588 Gender: Male Bayfront Family Health Center 700 6th St S, Fl 3 St Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Johnsen, Luke DO
Provider ID: 1637824 Gender: Male Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Kay, Walter DO Provider ID: 1559096 Gender: Male Kay Primary Care Inc 2724 Park Dr Clearwater, FL 33763-1020 (727) 796-2444 Fax: (727) 796-7653 18 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Knapp-Baker, Paula DO
Provider ID: 1487393 Gender: Female Adventhealth Medical Group Primary 4140 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 953-9041 Fax: (727) 953-9043 12 YRS/130 YRS Mon - Sun 8:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Family Practice - cont.
Levine, Larry DO
Provider ID: 205270 Gender: Male Vincent J Dilellia Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 12 YRS/130 YRS Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Levine, Gary DO
Provider ID: 658413 Gender: Male Vincent J Dilellia Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 12 YRS/130 YRS Medical Center Of Trinity Memorial Hospital Of Tampa Tampa Community Hospital Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Lewis, Paul MD
Provider ID: 175983 Gender: Male Turley Family Health Center 807 N Myrtle Ave Clearwater, FL 33755-4254 (727) 467-2400 Fax: (727) 467-2483 00 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 13
Lewis-Serag, Maha MD
Provider ID: 195167 Gender: Female 3190 N Mcmln Bth Rd, Ste 203 Clearwater, FL 33761-2013 (727) 723-1910 Fax: (727) 723-1920 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Languages: Arabic Mon - Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 2:00 PCMH: No
Lungren, Hillary DO
Provider ID: 1238124 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 544-2284 Fax: (727) 541-7984 00 YRS/130 YRS Mon, Thu - Fri 8:00 to 5:00 Tue - Wed 8:00 to 8:00 Sat 8:00 to 4:00 PCMH: No
Parrish, David MD
Provider ID: 13136 Gender: Male Bayfront Family Medicine Center 700 6th St S, Fl 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Parrish, David MD
Provider ID: 2121465 Gender: Male Bayfront Family Health Center (Fami 700 6th St S, # 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Reyes, Manuel MD
Provider ID: 174190 Gender: Male Turley Family Health Center 807 N Myrtle Ave Clearwater, FL 33755-4254 (727) 467-2400 Fax: (727) 467-2483 00 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Rodriguez, Carlos MD
Provider ID: 613074 Gender: Male Bayfront Family Medicine Center 700 6th St S, Fl 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS St Anthonys Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Family Practice - cont.
Sardo, Margo DO Provider ID: 1421721 Gender: Female Palms Primary Care 1615 Pasadena Ave S, Ste 430 South Pasadena, FL 33707 (727) 397-0606 Fax: (727) 397-6161 18 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No Telemedicine Presenting and Receiving Site
Serag, Sherif MD
Provider ID: 195161 Gender: Male 3190 N Mcmln Bth Rd, Ste 203 Clearwater, FL 33761 (727) 723-1910 Fax: (727) 723-1920 18 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Arabic Mon - Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 2:00 PCMH: No
Serag, Sherif MD Provider ID: 22761 Gender: Male St Mary's Family Practice Center 1152 62nd Ave S St Petersburg, FL 33705-5620 (727) 866-6306 Fax: (727) 864-9614 12 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Arabic Mon - Fri 8:30 to 5:00 PCMH: No
Thompson, Justin MD Provider ID: 2012595 Gender: Male Bayfront Health Medical Group 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 553-7420 Fax: (727) 553-7419 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Natalie MD
Provider ID: 1335703 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 824-8181 Fax: (727) 471-7892 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wilson, Shacara MD Provider ID: 2171348 Gender: Female Bayfront Family Health Center 700 6th St S, Fl 3 St Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7430 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 4:30 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1125728 Gender: Female Bayfront Family Health Center 700 6th St S, Flr 3 Saint Petersburg, FL 33701 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1125728 Gender: Female Bayfront Health Medical Group 603 7th St S, Ste 440 Saint Petersburg, FL 33701-4719 (727) 893-6333 Fax: (727) 553-7787 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
General Practice
Yazdani, Noushin DO Provider ID: 1798538 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 820-1040 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Internal Medicine
Al-Andary, Hazem MD Provider ID: 587880 Gender: Male Physicians Group Alliance Of South 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 14
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Primary Care Providers
Pinellas
Internal Medicine - cont.
Al-Andary, Hazem MD Provider ID: 587881 Gender: Male Physicians Group Alliance Of South 5500 Dr Mlk Jr St N Saint Petersburg, FL 33703-1204 (727) 525-5500 Fax: (727) 727-2574 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Arkhipenko, Tatiana MD
Provider ID: 655568 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Russian Mon - Fri 8:00 to 5:00 PCMH: No
Azzi, Nadine MD Provider ID: 1308792 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Bakhda, Rima MD Provider ID: 1866653 Gender: Male Optumcare Florida LLC 1559 Indian Rocks Rd S Largo, FL 33770-4542 (727) 239-0526 Fax: (727) 239-0568 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Berkey, Peter MD
Provider ID: 1776781 Gender: Male Can Community Health. Inc. 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 498-4969 Fax: (941) 256-2117 18 YRS/130 YRS Mon - Thu 8:30 to 5:30 Fri 8:30 to 12:30 PCMH: No
Briley, Denver DO Provider ID: 2090912 Gender: Male Sunshine Family Medical Center 3955 58th St N St Petersburg, FL 33709-6003 (727) 347-2557 Fax: (727) 345-8972 00 YRS/130 YRS Mon - Fri 9:00 to 6:00 PCMH: No
Iyyunni, Ujwala MD Provider ID: 1094866 Gender: Female Sai Medical Center 8999 Us Highway 19 N Pinellas Park, FL 33781 (727) 576-9999 Fax: (727) 576-5606 12 YRS/130 YRS St Petersburg General Hosp Northside Hospital St Anthonys Hospital Languages: Hindi, Marathi, Telugu Mon - Fri 8:30 to 5:00 PCMH: No
Iyyunni, Ujwala MD
Provider ID: 1094868 Gender: Female Sai Medical Center 3831 16th St N Saint Petersburg, FL 33703 (727) 527-2139 Fax: (727) 522-2832 12 YRS/130 YRS St Petersburg General Hosp Northside Hospital St Anthonys Hospital Languages: Hindi, Marathi, Telugu Wed 2:00 to 5:00 PCMH: No
Karkare, Rajendra MD Provider ID: 224694 Gender: Male Rajendra A Karkare Md Pa 10700 Johnson Blvd, Ste C Seminole, FL 33772-4821 (727) 392-8500 Fax: (727) 392-8204 18 YRS/130 YRS Bayfront Medical Center Northside Hospital Largo Medical Center Languages: Hindi, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 15
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Primary Care Providers
Pinellas
Internal Medicine - cont.
Kaszuba, Robert MD Provider ID: 801738 Gender: Male Robert Kazsuba 1803 Briar Creek Blvd Safety Harbor, FL 34695-4696 (727) 216-0505 Fax: (727) 789-8261 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Polish Mon 8:00 to 4:30 Tue, Thu 8:30 to 6:00 Wed 8:30 to 4:30 Fri 8:00 to 4:00 PCMH: No
Korbaj, Rabee MD
Provider ID: 409036 Gender: Male Professional Hlth Care Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Languages: Arabic, Chinese, French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 16
Kundra, Anita MD Provider ID: 152952 Gender: Female Bay Area Medical Center Pa 2595 Tampa Rd, Ste S And T Palm Harbor, FL 34684-3152 (727) 781-4299 Fax: (727) 781-5387 12 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mease Countryside Hospital Languages: Hindi Mon - Fri 8:30 to 5:00 PCMH: No
Kurtsikidze, Nino MD
Provider ID: 518658 Gender: Female Professional Health Care Of Pinella 5500 Dr Mlk Jr St N Saint Petersburg, FL 33703 (727) 525-5500 Fax: (727) 522-2574 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Languages: Russian Mon - Fri 8:00 to 6:00 PCMH: No
Kurtsikidze, Nino MD Provider ID: 518807 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Languages: Russian Mon - Fri 8:00 to 5:00 PCMH: No
Kutty, Mohan MD Provider ID: 2005769 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Languages: Hindi, Indonesian Mon - Fri 8:00 to 5:00 PCMH: No
Lay, Christopher MD
Provider ID: 1800175 Gender: Male Adventhealth Medical Group Multispe 4705 Alt 19, Ste B Palm Harbor, FL 34683-1424 (727) 935-6477 Fax: (727) 935-6478 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth North Pinellas Mon - Fri 8:00 to 5:00 PCMH: No
Minnix, William MD Provider ID: 525092 Gender: Male Palms Internal Medicine 1615 Pasadena Ave S, Ste 430 St Petersburg, FL 33707-4521 (727) 397-0606 Fax: (727) 397-6161 12 YRS/130 YRS Palms Of Pasadena Hosp Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
33453864
Primary Care Providers
Pinellas
Internal Medicine - cont.
Neifeld, Kenneth MD Provider ID: 2008982 Gender: Male All Care Medical Consultants. P.a. 8900 Park Blvd Seminole, FL 33777-4119 (727) 767-0965 Fax: (727) 548-1360 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nirmalan, Nadarajah MD
Provider ID: 1094870 Gender: Male Sai Medical Center LLC 3831 16th St N Saint Petersburg, FL 33703 (727) 527-2139 Fax: (727) 522-2832 12 YRS/130 YRS St Petersburg General Hosp Languages: Tamil Mon - Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 1:00 PCMH: No
Nirmalan, Nadarajah MD
Provider ID: 1094871 Gender: Male Sai Medical Center LLC 8999 Us Highway 19 N Pinellas Park, FL 33781 (727) 576-9999 Fax: (727) 576-5606 12 YRS/130 YRS Languages: Tamil Wed 2:00 to 5:00 PCMH: No
Nowacki, Mark MD Provider ID: 8201 Gender: Male Mark Nowacki Md 7011 1st Ave S Saint Petersburg, FL 33707-1203 (727) 347-4158 Fax: (727) 345-2260 12 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Polish Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Smeet MD
Provider ID: 1866624 Gender: Male Ohm Medicine LLC 1559 Indian Rocks Rd S Largo, FL 33770-4542 (727) 239-0526 Fax: (727) 239-0568 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Kirti MD Provider ID: 223903 Gender: Male Intermed LLC 1258 West Bay Dr, Ste A Largo, FL 33770-2277 (727) 585-5431 Fax: (727) 585-1543 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Peachey, Auxi MD Provider ID: 2037056 Gender: Female Community Health Centers Of Pinella 247 S Huey Ave Tarpon Springs, FL 34689-4205 (727) 824-8181 Fax: (727) 939-4679 12 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Peachey, Auxi MD
Provider ID: 2037056 Gender: Female Community Health Centers Of Pinella 1344 22nd St S Saint Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 823-7429 12 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Perard Bastien, Daihla MD Provider ID: 2088835 Gender: Female Bayfront Health Medical Group 8730 4th St N St Petersburg, FL 33702-3106 (727) 577-9700 Fax: (727) 576-4091 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 17
33453864
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Pinellas
Internal Medicine - cont.
Perez-Arce, Jose MD
Provider ID: 194240 Gender: Male Jose A Perez Arce Md 12685 Starkey Rd, Ste 1 Largo, FL 33773-1421 (727) 535-9901 Fax: (727) 535-8760 12 YRS/130 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Quigley, Cheryl MD
Provider ID: 1983527 Gender: Female Bayfront Primary Care Associates 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 553-7420 Fax: (727) 553-7419 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rao, Kavita MD Provider ID: 1211535 Gender: Female Gulf Coast Internist. LLC 4957 38th Ave N, Ste C Saint Petersburg, FL 33710-2174 (727) 525-0900 Fax: (727) 525-9500 18 YRS/130 YRS Languages: Hindi, Indonesian, Malayalam, Tamil Mon - Fri 9:00 to 5:00 PCMH: No
Roever, Cynthia MD Provider ID: 643662 Gender: Female Adventhealth Medical Group Primary 34637 Us Highway 19 N, 34637 Us Hwy North Palm Harbor, FL 34684-2152 (727) 786-1673 Fax: (727) 785-0284 16 YRS/130 YRS Adventhealth North Pinellas Mon - Fri 8:00 to 5:00 PCMH: No
Rudnick, Judith MD Provider ID: 2183418 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Languages: French Mon - Fri 8:00 to 5:00 PCMH: No
Saba, Fadi MD
Provider ID: 199819 Gender: Male Professional Hlth Care Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Morton Plant Hospital Bayfront Medical Center St Petersburg General Hosp Languages: Arabic, French Mon - Fri 8:00 to 5:00 PCMH: No
Schlau, Aron MD Provider ID: 6358 Gender: Male Coastal Medical Services Mgmt LLC 651 E Tarpon Ave Tarpon Springs, FL 34689 (727) 938-9556 Fax: (727) 938-8759 16 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Schlau, Aron MD Provider ID: 6358 Gender: Male Palm Harbor Medical Associates 3820 Tampa Rd, Ste 202 Palm Harbor, FL 34684-3609 (727) 785-4540 Fax: (727) 784-9724 16 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Scutaru, Irina MD
Provider ID: 716810 Gender: Female Bayfront Physician Speciality Serv 603 7th St S, Ste 400 Saint Petersburg, FL 33701-4818 (727) 533-7420 Fax: (727) 553-7419 18 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 18
33453864
Primary Care Providers
Pinellas
Internal Medicine - cont.
Seltzer, Steven DO Provider ID: 1996260 Gender: Male Bayfront Primary Care Associates 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 553-7420 Fax: (727) 553-7419 18 YRS/130 YRS Mon - Thu 8:00 to 5:00 PCMH: No
Shah, Nilamben MD Provider ID: 1336075 Gender: Female Sunrise Medical Clinic 5750 5th Ave N St Petersburg, FL 33710-7104 (727) 388-2625 Fax: (727) 828-9233 18 YRS/130 YRS Bayfront Medical Center Palms Of Pasadena Hosp St Anthonys Hospital Languages: Gujarati, Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Shastri, Milind MD
Provider ID: 28550 Gender: Male Your Care Clinics LLC 5800 49th St N, Ste S208 Saint Petersburg, FL 33709-2146 (727) 528-8997 Fax: (727) 521-4949 18 YRS/130 YRS St Petersburg General Hosp Northside Hospital Languages: Gujarati, Hindi Mon - Fri 8:30 to 5:00 PCMH: No
Shastri, Milind MD Provider ID: 917560 Gender: Male Your Care Clinics LLC 10225 Ulmerton Rd, Ste 9a Largo, FL 33771-3526 (727) 528-8997 Fax: (727) 521-4949 18 YRS/130 YRS St Petersburg General Hosp Northside Hospital Mon - Fri 8:30 to 5:00 PCMH: No
Tirupathi, Sreelatha MD Provider ID: 225046 Gender: Female All Florida Family Care Inc 3301 66th St N, Suite A St Petersburg, FL 33710 (727) 344-6200 Fax: (727) 344-6222 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vega, Vilma MD
Provider ID: 2093509 Gender: Female AIDS Healthcare Foundation- Tampa B 3135 State Road 580, Ste 1 Safety Harbor, FL 34695-4917 (727) 725-9931 Fax: (727) 725-8826 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:30 to 5:30 PCMH: No
Walsh, Thomas DO Provider ID: 2012564 Gender: Male Can Community Health. Inc. 2349 Sunset Point Rd Clearwater, FL 33765-1456 (727) 216-6193 Fax: (877) 868-0981 18 YRS/130 YRS Mon 9:00 to 5:00 Tue - Thu 8:30 to 5:00 Fri 9:00 to 12:00 PCMH: No
Yamani, Mohammad MD Provider ID: 1242875 Gender: Male All Care Medical Consultants Pa 8900 Park Blvd Seminole, FL 33777 (727) 545-4545 Fax: (727) 548-1360 21 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Yamani, Mohammad MD
Provider ID: 1242877 Gender: Male All Care Medical Consultants 1745 S Highland Ave Clearwater, FL 33756-1852 (727) 587-0377 Fax: (727) 587-0527 21 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Yamani, Mohammad MD Provider ID: 1242881 Gender: Male All Care Medical Consultants 1115 Florida Ave Palm Harbor, FL 34683-4312 (727) 259-2300 Fax: (727) 259-2305 21 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 19
33453864
Primary Care Providers
Pinellas
Internal Medicine - cont.
Ycaza, Luis DO
Provider ID: 1880131 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatrics
Acker Lense, Beverly MD
Provider ID: 1009138 Gender: Female St Petersburg Pediatrics 2137 16th St N Saint Petersburg, FL 33704-3923 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Bayfront Medical Center Mon - Fri 8:00 to 7:00 PCMH: No
Arroyo, Fernando MD
Provider ID: 923982 Gender: Male Arroyo Palm Harbor Pediatrics 2595 Tampa Rd, Ste W Palm Harbor, FL 34684-3137 (727) 785-3092 Fax: (727) 786-1714 00 YRS/18 YRS Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 20
Arvelo-Velez, Beatriz MD
Provider ID: 609938 Gender: Female North Pinellas Children's Medical C 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/18 YRS Languages: Spanish Mon - Wed, Sat - Sun 7:00 to 9:00 Thu - Fri 7:00 to 5:00 PCMH: Yes, Level 3
Aungst, Cary MD
Provider ID: 1169549 Gender: Female East Lake Pediatrics 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3478 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Aungst, Cary MD
Provider ID: 940804 Gender: Female East Lake Pediatrics 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 772-1452 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Tue 9:00 to 6:00 Wed - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Banks, Elizabeth MD
Provider ID: 1226373 Gender: Female Stephen G Nelson Md Pa 7855 38th Ave N, Ste 200 Saint Petersburg, FL 33710 (727) 525-2161 Fax: (727) 527-1968 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Banks, Elizabeth MD
Provider ID: 1226377 Gender: Female Stephen G Nelson Md Pa 5601 Mlk St N Saint Petersburg, FL 33703 (727) 525-2161 Fax: (727) 527-1968 00 YRS/21 YRS Bayfront Medical Center Mon, Wed - Thu 8:00 to 6:00 Tue 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No
Banks, Elizabeth MD
Provider ID: 1226379 Gender: Female Stephen G Nelson Md Pa 8787 Bryan Dairy Rd, Ste 350 Seminole, FL 33777 (727) 525-2161 Fax: (727) 398-2911 00 YRS/21 YRS Mon, Wed - Thu 8:00 to 6:00 Tue 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No
Beetler, June DO
Provider ID: 1087255 Gender: Female St Petersburg Pediatrics 7050 Seminole Blvd Seminole, FL 33772 (727) 392-8033 Fax: (727) 526-4346 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Berio Alvarez, Marta MD Provider ID: 163246 Gender: Female St Petersburg Pediatrics 12170 Seminole Blvd Largo, FL 33778 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 7:00 PCMH: No
Berio Alvarez, Marta MD
Provider ID: 189668 Gender: Female St Petersburg Pediatrics 2701 54th Ave S Saint Petersburg, FL 33712 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Berio Alvarez, Marta MD Provider ID: 199773 Gender: Female St Petersburg Pediatrics 4105 49th St N Saint Petersburg, FL 33709 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 21
Bharucha, Corrie MD Provider ID: 1218002 Gender: Female Stephen G Nelson Md Pa 8787 Bryan Dairy Rd, Ste 350 Seminole, FL 33777 (727) 525-2161 Fax: (727) 398-2911 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 6:00 Sat - Sun 9:00 to 12:00 PCMH: No
Bharucha, Corrie MD
Provider ID: 681566 Gender: Female Stephen G Nelson Md Pa 5601 Mlk St N Saint Petersburg, FL 33703-1205 (727) 525-2161 Fax: (727) 527-1968 00 YRS/21 YRS Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 Sat - Sun 9:00 to 12:00 PCMH: No
Bharucha, Corrie MD Provider ID: 716997 Gender: Female Stephen G Nelson Md Pa 7855 38th Ave N, Ste 200 Saint Petersburg, FL 33710-1134 (727) 525-2161 Fax: (727) 527-1968 00 YRS/21 YRS Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Black, Janet MD Provider ID: 222677 Gender: Female N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Mon - Fri 7:00 to 5:00 Sat 8:00 to 2:00 Sun 8:00 to 12:00 PCMH: Yes, Level 3
Booth, Christine MD
Provider ID: 1095308 Gender: Female North Pinellas Childrens Medical Ct 31860 Us Highway 19 N Palm Harbor, FL 34684 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mon - Fri 7:00 to 8:00 Sat - Sun 8:00 to 12:00 PCMH: No
Brinn, Melissa MD Provider ID: 1145926 Gender: Female Pediatric Physician Services Inc 601 5th St S, Dept 7835 Saint Petersburg, FL 33701 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Cano, Carlos MD Provider ID: 14591 Gender: Male Suncoast Pediatric 1395 West Bay Dr Largo, FL 33770-2205 (727) 584-6802 Fax: (727) 586-6278 00 YRS/18 YRS Morton Plant Hospital Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:30 Sat 8:00 to 11:00 PCMH: No
Cavanaugh, Lara MD
Provider ID: 212894 Gender: Female N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Mon - Fri 7:00 to 5:00 Sat 8:00 to 2:00 Sun 8:00 to 12:00 PCMH: Yes, Level 3
Chavez, Heinz MD Provider ID: 334686 Gender: Male 601 5th St S, Ste 502 Saint Petersburg, FL 33701-4634 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: German, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 22
Crews, Jacquelyn MD Provider ID: 1551937 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 504 Saint Petersburg, FL 33701-4804 (727) 767-8917 Fax: (727) 767-8270 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Davis, James MD
Provider ID: 1456271 Gender: Male St Petersburg Pediat 4105 49th St N Saint Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
Dawkins, Rachel MD Provider ID: 998334 Gender: Female Pediatric Physician Services Inc 601 5th St S, Dept 7835 Saint Petersburg, FL 33701-4804 (727) 767-8917 Fax: (727) 767-8482 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Drummond, Alrick MD
Provider ID: 1702553 Gender: Female St Petersburg Pediatrics 4105 49th St N Saint Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
Ellis, Lynne MD Provider ID: 232469 Gender: Female Lynne M Ellis Md Pa 1111 7th Ave N, Ste 103 Saint Petersburg, FL 33705-1348 (727) 822-5393 Fax: (727) 895-3313 00 YRS/21 YRS Bayfront Medical Center St Petersburg General Hosp Mon - Fri 7:00 to 5:00 PCMH: No
Gadea, Shayne MD
Provider ID: 1574027 Gender: Female Pediatric Health Care Alliance Pa 12951 Walsingham Rd Largo, FL 33774-3538 (727) 391-0158 Fax: (727) 392-5192 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 6:00 Wed 8:00 to 12:00 Fri 8:00 to 5:00 PCMH: No
Garrigan, Erin MD Provider ID: 2021404 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 4105 49th St N St Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Hagan, Teri MD Provider ID: 1654749 Gender: Female Penninsula Pediatrics 13131 66th St Largo, FL 33773-1812 (727) 228-7000 Fax: (727) 223-3614 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No
Halbert, Douglas MD Provider ID: 1551845 Gender: Male Mariano D Cibran Md Corp DBA St Pe 12170 Seminole Blvd Largo, FL 33778-2833 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Hicks, Mary MD
Provider ID: 950440 Gender: Female Raj K Pai Md Pa 2370 Drew St, Ste B Clearwater, FL 33765-3318 (727) 461-1543 Fax: (727) 449-0594 00 YRS/21 YRS Morton Plant Hospital Languages: Hindi Mon - Fri 8:30 to 5:00 Sat 9:00 to 11:30 PCMH: Yes, Level 3
Hidalgo, Carlos MD Provider ID: 192391 Gender: Male Tarpon Springs Pediatrics LLC 1007 E Boyer St Tarpon Springs, FL 34689-5501 (727) 772-5982 Fax: (727) 772-0693 00 YRS/18 YRS Adventhealth North Pinellas Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 6:00 PCMH: No
Hughes, Natasha MD Provider ID: 1097101 Gender: Female North Pinellas Childrens Medical Ce 31860 Us Highway 19 N Palm Harbor, FL 34684 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mon - Wed 8:00 to 8:00 Thu - Fri 8:00 to 5:00 Sat - Sun 8:00 to 12:00 PCMH: No
Jackson-Curtis, Danuta MD
Provider ID: 202336 Gender: Female Better Health Medical & Rehab 28960 Us Highway 19 N, Ste 115 Clearwater, FL 33761-2403 (727) 771-8282 Fax: (727) 771-8788 00 YRS/21 YRS Adventhealth North Pinellas Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Languages: Polish Mon, Wed 11:30 to 7:00 Tue 12:00 to 4:00 Thu - Fri 9:00 to 4:00 PCMH: No
Jones, Emily MD Provider ID: 1821478 Gender: Female Raj K Pai Md Pa Clearwater Pediatri 2370 Drew St, Ste B Clearwater, FL 33765-3318 (727) 461-1543 Fax: (727) 449-0594 00 YRS/21 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Jordan, Michael MD
Provider ID: 1169544 Gender: Male East Lake Pediatrics Pa 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3478 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Jordan, Michael MD
Provider ID: 267061 Gender: Male East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 772-1452 Fax: (727) 372-6808 00 YRS/18 YRS Morton Plant Hospital Mease Hospital Dunedin Mease Countryside Hospital Mon - Tue 9:00 to 6:00 Wed - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Updated for: July, 2020.
www.wellcare.com/Florida 23
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Primary Care Providers
Pinellas
Pediatrics - cont.
Karges, Stephen MD Provider ID: 1824651 Gender: Male All Star Pediatrics. Inc 5571 4th St N Saint Petersburg, FL 33703-2251 (727) 525-7852 Fax: (727) 527-0548 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 11:00 PCMH: No
Kharbanda, Monica MD
Provider ID: 302646 Gender: Female Countryside Pediatric Care Pa 1840 Mease Dr, Ste 405 Safety Harbor, FL 34695-6606 (727) 599-0893 Fax: (727) 674-2965 00 YRS/21 YRS St Josephs Hospital Mease Countryside Hospital Languages: Hindi, Punjabi Mon - Fri 8:00 to 5:00 PCMH: No
Kickish, Robert MD Provider ID: 1910468 Gender: Male Community Health Centers At Jrc 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Thu 7:30 to 8:00 Tue - Wed 7:30 to 7:00 Fri 7:30 to 5:00 Sat 8:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 24
Kim, Jennifer MD Provider ID: 1218003 Gender: Female Stephen G Nelson Md Pa 8787 Bryan Dairy Rd, Ste 350 Seminole, FL 33777 (727) 525-2161 Fax: (727) 398-2911 00 YRS/18 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Kim, Jennifer MD
Provider ID: 799757 Gender: Female Stephen G Nelson Md Pa 5601 Dr Mlk Jr St N St Petersburg, FL 33703-1205 (727) 525-2161 Fax: (727) 527-1968 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Mon, Thu 8:30 to 6:00 Tue 8:30 to 5:30 Wed 8:30 to 6:30 Fri 8:30 to 4:30 Sat 9:30 to 11:30 PCMH: No
Kim, Jennifer MD Provider ID: 799765 Gender: Female Stephen G Nelson Md Pa 7855 38th Ave N, Ste 200 St Petersburg, FL 33710-1134 (727) 525-2161 Fax: (727) 527-1968 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Mon 8:00 to 4:00 Tue - Wed 8:30 to 12:00 Thu 9:00 to 4:00 Fri 8:30 to 4:00 PCMH: No
Klein, Jay MD Provider ID: 475077 Gender: Male N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Mon - Fri 7:00 to 5:00 Sat 8:00 to 2:00 Sun 8:00 to 12:00 PCMH: Yes, Level 3
Kubarek, Seema MD
Provider ID: 1821499 Gender: Female Raj K Pai Md Pa Clearwater Pediatri 2370 Drew St, Ste B Clearwater, FL 33765-3318 (727) 461-1543 Fax: (727) 449-0594 00 YRS/21 YRS Morton Plant Hospital Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Lopez-Mccormack, Celia MD
Provider ID: 1218004 Gender: Female Stephen G Nelson Md Pa 8787 Bryan Dairy Rd, Ste 350 Seminole, FL 33777 (727) 525-2161 Fax: (727) 398-2911 00 YRS/21 YRS Languages: Spanish Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Lopez-Mccormack, Celia MD
Provider ID: 18027 Gender: Female Stephen G Nelson Md Pa 5601 Dr Mlk Jr St North Saint Petersburg, FL 33703-1205 (727) 525-2161 Fax: (727) 527-1968 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Mak, Sheila DO
Provider ID: 1053852 Gender: Female Clearwater Pediatric Group 2370 Drew St, Ste B Clearwater, FL 33765-3318 (727) 461-1543 Fax: (727) 449-0594 00 YRS/21 YRS Morton Plant Hospital Mon - Fri 8:30 to 5:00 Sat 8:30 to 12:00 PCMH: Yes, Level 3
Mak, Sheila DO
Provider ID: 1053852 Gender: Female Raj K Pai Md Pa 2370 Dreww Street, Unit B Clearwater, FL 33765 (727) 461-1543 00 YRS/21 YRS Morton Plant Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 25
Mcneely, Kathryn MD
Provider ID: 1141166 Gender: Female Kathryn Mcneely Md 1105 S Fort Harrison Ave Clearwater, FL 33756 (727) 461-3163 Fax: (727) 461-4037 00 YRS/21 YRS Mon - Sun 7:30 to 4:00 PCMH: No
Meyer, Ernesto MD
Provider ID: 19037 Gender: Male Partners In Pediatrics 401 Corbett St, Ste 210 Belleair, FL 33756-7302 (727) 446-1161 Fax: (727) 446-8212 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: German, Portuguese, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Meyer, Laura MD
Provider ID: 925434 Gender: Female Partners In Pediatrics 401 Corbett St, Ste 210 Belleair, FL 33756-7302 (727) 446-1161 Fax: (727) 446-8212 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Moore, Steven MD
Provider ID: 1212749 Gender: Male Peninsula Pediatrics Of West Florid 13131 66th St Largo, FL 33773-1812 (727) 228-7000 Fax: (727) 223-3614 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No
Pai, Rajendra MD
Provider ID: 151521 Gender: Male Clearwater Pediatric Care 2370 Drew St, Unit B Clearwater, FL 33765-3318 (727) 461-1543 Fax: (727) 449-0594 00 YRS/21 YRS Adventhealth Dade City Morton Plant Hospital Mease Hospital Dunedin Languages: Hindi, Kannada, Urdu Mon - Fri 8:30 to 5:00 Sat 8:30 to 12:00 PCMH: Yes, Level 3
Pantages, Efstratios MD
Provider ID: 475039 Gender: Male N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mon - Fri 7:00 to 5:00 Sat 8:00 to 2:00 Sun 8:00 to 12:00 PCMH: Yes, Level 3
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Primary Care Providers
Pinellas
Pediatrics - cont.
Petitfils, Lisa MD Provider ID: 1043418 Gender: Female Lynne M Ellis Md Pa 1111 7th Ave N, Ste 103 Saint Petersburg, FL 33705-1348 (727) 822-5393 Fax: (727) 895-3313 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Mon - Tue, Fri 8:00 to 5:00 Wed 8:30 to 12:00 Thu 8:30 to 5:00 Sat 8:00 to 12:30 PCMH: No
Porcelli, Monica MD
Provider ID: 1799637 Gender: Female Tarpon Springs Pediatrics 1007 E Boyer St Tarpon Springs, FL 34689-5501 (727) 772-5982 Fax: (727) 772-0693 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rash, Trudi MD Provider ID: 1969747 Gender: Female East Lake Pediatrics Pa 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3478 (727) 372-6760 Fax: (372) 737-2808 00 YRS/18 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 26
Rash, Trudi MD Provider ID: 1969749 Gender: Female East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 372-6760 Fax: (372) 737-2808 00 YRS/18 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Razman, Dolores MD
Provider ID: 475044 Gender: Female N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon - Wed 9:00 to 8:30 Thu - Fri 9:00 to 5:00 PCMH: Yes, Level 3
Reilly Hays, Elizabeth MD Provider ID: 816861 Gender: Female St Petersburg Pediatrics Seville 2701 54th Ave S Saint Petersburg, FL 33712 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Reilly Hays, Elizabeth MD Provider ID: 816870 Gender: Female 2137 16th St N Saint Petersburg, FL 33704 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Richardson, Athena MD
Provider ID: 1569642 Gender: Female Pediatric Health Care Alliance. Pa 6671 13th Ave N, Ste 1d St Petersburg, FL 33710-5411 (727) 381-1147 Fax: (727) 345-2489 00 YRS/21 YRS Mon, Wed - Fri 8:00 to 6:00 Tue 8:00 to 12:00 Sat 9:00 to 1:00 PCMH: No
Rommel, Duane MD Provider ID: 475065 Gender: Male N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mease Hospital Dunedin Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Languages: Spanish Mon - Wed 9:00 to 8:30 Thu - Fri 9:00 to 5:00 PCMH: Yes, Level 3
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Sawka, Jennifer MD Provider ID: 475067 Gender: Female N Pinellas Childrens Medical Center 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Mease Countryside Hospital Mon - Fri 7:00 to 5:00 Sat 8:00 to 2:00 Sun 8:00 to 12:00 PCMH: Yes, Level 3
Smith, Christine MD
Provider ID: 1498600 Gender: Female Mariano D Cibran Md Corp DBA St Pet 2137 16th St N St Petersburg, FL 33704-3923 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Sorci, Mary DO Provider ID: 1990847 Gender: Female Suncoast Pediatrics 1395 West Bay Dr Largo, FL 33770-2205 (727) 584-6802 Fax: (727) 586-6278 00 YRS/18 YRS Mon - Thu 7:30 to 5:00 Fri 7:30 to 4:00 Sat 8:00 to 12:00 PCMH: No
Sterling, Fran DO Provider ID: 14595 Gender: Female Suncoast Pediatrics 1395 West Bay Dr Largo, FL 33770-2205 (727) 584-6802 Fax: (727) 586-6278 00 YRS/18 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:30 Sat 8:00 to 11:00 PCMH: No
Szafranski, Christy MD
Provider ID: 816735 Gender: Female St Petersburg Pediatrics Southside 1012 4th St S Saint Petersburg, FL 33701 (727) 894-2231 Fax: (727) 895-8602 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Szafranski, Christy MD
Provider ID: 816749 Gender: Female St Petersburg Pediatrics Northside 2137 16th St N Saint Petersburg, FL 33704 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Szafranski, Christy MD Provider ID: 816771 Gender: Female St Petersburg Pediatrics Pinellas P 7500 Park Blvd N, Ste A Pinellas Park, FL 33781-3701 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Tran, Thien MD Provider ID: 213546 Gender: Female St Petersburg Pediatrics Seville 2701 54th Ave S Saint Petersburg, FL 33712-4777 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Voltarel, Stephen MD
Provider ID: 1569639 Gender: Male Pediatric Health Care Alliance Pa 6671 13th Ave N, Ste 1d St Petersburg, FL 33710-5411 (727) 381-1147 Fax: (727) 345-2489 00 YRS/21 YRS Mon - Wed 8:00 to 6:00 Thu 8:00 to 12:00 Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 27
33453864
Primary Care Providers
Pinellas
Pediatrics - cont.
Weber, Charlene MD
Provider ID: 199432 Gender: Female North Pinellas Pediatrics 31860 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 787-6335 Fax: (727) 489-2519 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: Yes, Level 3
Weinberger, Alyssa MD
Provider ID: 1218006 Gender: Female Stephen G Nelson Md Pa 8787 Bryan Dairy Rd, Ste 350 Seminole, FL 33777 (727) 525-2161 Fax: (727) 398-2911 00 YRS/18 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Weinberger, Alyssa MD
Provider ID: 240906 Gender: Female Stephen G Nelson Md Pa 5601 Dr Mlk Jr St N St Petersburg, FL 33703-1205 (727) 525-2161 Fax: (727) 527-1968 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: French, German, Portuguese, Spanish Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 28
Zhao, Wenying MD
Provider ID: 189671 Gender: Female St Petersburg Pediatrics 2701 54th Ave S Saint Petersburg, FL 33712 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Chinese Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Zhao, Wenying MD
Provider ID: 25304 Gender: Female St Petersburg Pediatrics 7500 Park Blvd N, Ste A Pinellas Park, FL 33781-3701 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Chinese Mon - Fri 8:00 to 7:00 PCMH: No
Zhao, Wenying MD
Provider ID: 25306 Gender: Female St Petersburg Pediatrics 1012 4th St S St Petersburg, FL 33701-5220 (727) 822-1896 Fax: (727) 895-8602 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Chinese Mon - Fri 8:30 to 5:00 PCMH: No
Zhao, Wenying MD
Provider ID: 25307 Gender: Female St Petersburg Pediatrics 7050 Seminole Blvd Seminole, FL 33772 (727) 392-8033 Fax: (727) 939-9578 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Chinese Mon - Fri 8:00 to 7:00 PCMH: No
33453864
Specialty Physicians
Pasco
Allergy & Immunology
Chamarthy, Latha MD Provider ID: 28023 Gender: Female Advanced Allergy And Asthma Care 1823 Health Care Dr New Port Richey, FL 34655-5363 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Adventhealth North Pinellas Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Tamil, Telugu Mon - Fri 9:00 to 5:00 PCMH: No
Iqbal, Shahid MD
Provider ID: 152741 Gender: Male Shahid A Iqbal Md Pa DBA Florida Al 6719 Gall Blvd, Ste 208 Zephyrhills, FL 33542-2569 (813) 876-0502 Fax: (813) 872-6503 00 YRS/130 YRS Adventhealth Dade City Lakeland Reg Medical Ctr Languages: Urdu Mon - Fri 9:00 to 5:00 PCMH: No
Salim, Nauman MD
Provider ID: 1143565 Gender: Male Sunshine Medicine Associates Inc 8109 State Rd 54 New Port Richey, FL 34655 (813) 252-2375 Fax: (813) 324-5680 00 YRS/130 YRS Gulf Coast Medical Center Healthpark Medical Ctr Morton Plant Hospital Languages: Hindi, Punjabi, Urdu Mon - Thu 8:00 to 5:30 PCMH: No
Sanka, Madhurima DO Provider ID: 449909 Gender: Female Advanced Allergy & Asthma Care 1823 Health Care Dr, Bldg 5 New Port Richey, FL 34655-5363 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Languages: Spanish Mon, Wed 10:00 to 6:00 Sat 9:00 to 12:00 PCMH: No
Shetty, Ranjith MD
Provider ID: 6835 Gender: Male 5307 Main St, Ste 201 New Port Richey, FL 34652 (727) 841-8876 Fax: (727) 843-8508 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Tue, Thu 8:00 to 5:00 Wed 8:00 to 12:00 PCMH: No
Soto-Aguilar, Maria MD
Provider ID: 1189838 Gender: Female 14153 Yosemite Dr, Ste 201 Hudson, FL 34667-8066 (727) 697-2150 Fax: (727) 863-4757 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Cardiac Electrophysiology
Annoni-Suau, Luis MD Provider ID: 13504 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 862-2182 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Jimenez, Raul MD
Provider ID: 245768 Gender: Male Interventional Cardiac Consultants 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Jimenez, Raul MD
Provider ID: 245768 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 862-3202 Fax: (727) 376-7799 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 29
33453864
Specialty Physicians
Pasco
Cardiac Electrophysiology - cont.
Kelesidis, Iosif MD Provider ID: 1441489 Gender: Male Premier Heart And Vascular Center P 38035 Medical Center Ave Zephyrhills, FL 33540 (813) 788-1400 Fax: (813) 788-7691 16 YRS/130 YRS Languages: Greek Mon - Fri 8:30 to 4:30 PCMH: No
Yamamura, Kenneth MD Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Yamamura, Kenneth MD
Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Cardiology
Akel, Rami MD Provider ID: 525676 Gender: Male Florida Cardiology Associates LLC 3543 Little Rd, Ste A New Port Richey, FL 34655 (727) 848-6400 Fax: (727) 848-6200 12 YRS/130 YRS Medical Center Of Trinity Languages: Romanian Mon - Fri 8:30 to 5:00 PCMH: No
Ali, Rias MD Provider ID: 226121 Gender: Male Holiday Heart And Vascular 4740 Mile Stretch Dr Holiday, FL 34690-4331 (727) 943-5200 Fax: (727) 943-5201 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Crmc At Bayonet Point Mon - Fri 8:30 to 4:30 PCMH: No
Annoni-Suau, Luis MD
Provider ID: 13504 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 862-2182 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Bayron, Carlos MD Provider ID: 1437 Gender: Male 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Bayron, Carlos MD Provider ID: 1437 Gender: Male 2035 Little Rd Trinity, FL 34655-4421 (727) 848-3381 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish PCMH: No
Caballero, Jaime MD
Provider ID: 1272014 Gender: Male Premier Heart And Vascular Center P 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Mon - Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 30
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Chadda, Nader MD Provider ID: 1354394 Gender: Male 14100 Fivay Rd, Ste 150 Hudson, FL 34667-7194 (727) 859-7670 Fax: (727) 491-5180 18 YRS/130 YRS Morton Plant North Bay Hosp Oak Hill Hospital Mon, Fri 8:30 to 12:00 PCMH: No
Chadda, Nader MD
Provider ID: 1354394 Gender: Male 2650 Narnia Way, Ste 101 Land O Lakes, FL 34638-7271 (727) 859-7670 Fax: (813) 925-9640 18 YRS/130 YRS Morton Plant North Bay Hosp Oak Hill Hospital Mon 8:30 to 5:00 PCMH: No
Chadda, Nader MD Provider ID: 1354394 Gender: Male 4738 Grand Blvd, Ste E New Port Richey, FL 34652-5170 (727) 859-7670 Fax: (727) 491-5180 18 YRS/130 YRS Morton Plant North Bay Hosp Oak Hill Hospital Tue 2:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 31
Chalavarya, Gopal MD Provider ID: 185990 Gender: Male Florida Cardiology Group 7614 Jacque Rd, Ste C Hudson, FL 34667-7195 (727) 863-2489 Fax: (727) 863-4766 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant North Bay Hosp Morton Plant Hospital Languages: Hindi, Spanish Mon - Fri 9:00 to 4:30 PCMH: No
Chauhan, Ketul MD
Provider ID: 522583 Gender: Male 2477 Bruce B Downs Blvd Wesley Chapel, FL 33544 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi PCMH: No
Chauhan, Ketul MD Provider ID: 522583 Gender: Male 7050 Gall Blvd Zephyrhills, FL 33541-1347 (813) 788-0411 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi PCMH: No
Chauhan, Ketul MD Provider ID: 522583 Gender: Male Premier Heart Vascular Center 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-1580 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Di Martino, Peter MD
Provider ID: 714654 Gender: Male Florida Cardiology Group LLC 4738 Grand Blvd, Ste E New Port Richey, FL 34652-5170 (727) 862-8383 Fax: (727) 863-4766 18 YRS/130 YRS Medical Center Of Trinity Languages: Italian, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Di Martino, Peter MD Provider ID: 714654 Gender: Male Florida Cardiology Group LLC 7614 Jacque Rd, Ste C Hudson, FL 34667-7195 (727) 863-2489 Fax: (727) 863-4766 18 YRS/130 YRS Medical Center Of Trinity Languages: Italian, Spanish Mon, Thu 1:00 to 4:00 PCMH: No
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Feliz De LA Cruz, Victor MD
Provider ID: 810957 Gender: Male Vasco M Marques Md Pa 2136 Ashley Oaks Cir, Ste 101 Wesley Chapel, FL 33544-6902 (813) 975-2800 Fax: (813) 977-7631 18 YRS/130 YRS Adventhealth Wesley Chapel Adventhealth Tampa Tampa Community Hospital Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Goldman, Stephen MD
Provider ID: 163403 Gender: Male S Goldman Md And C Pitarys Md 6633 Forest Ave, Ste 302 New Port Richey, FL 34653-2612 (727) 849-8771 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Hindi, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Goldman, Stephen MD Provider ID: 163403 Gender: Male S Goldman Md- C Pitarys. Md Pl 14100 Fivay Rd, Ste 110 Hudson, FL 34667-7159 (727) 861-5040 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Hindi, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Gupta, Sunil MD Provider ID: 152315 Gender: Male Premier Heart Vascular Center 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi Mon - Thu 9:00 to 4:30 Fri 9:00 to 5:00 PCMH: No
Jacob, Binu MD
Provider ID: 569165 Gender: Male 2649 Windguard Cir, Ste 102 Wesley Chapel, FL 33544-7358 (813) 788-0439 16 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills St Petersburg Endoscopy Center PCMH: No
Jacob, Binu MD Provider ID: 569165 Gender: Male Pasco Cardiology Assoc 37852 Medical Arts Ct, Unt A Zephyrhills, FL 33541-4325 (813) 788-0439 Fax: (813) 788-6194 16 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills St Petersburg Endoscopy Center Mon - Fri 8:00 to 5:00 PCMH: No
Javeed, Najam MD Provider ID: 28865 Gender: Male 4740 Mile Stretch Dr Holiday, FL 34690-4331 (727) 943-5200 Fax: (727) 943-5201 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Hindi, Urdu Mon - Fri 9:00 to 5:00 PCMH: No
Jimenez, Raul MD
Provider ID: 245768 Gender: Male Interventional Cardiac Consultants 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Jimenez, Raul MD Provider ID: 245768 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 862-3202 Fax: (727) 376-7799 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 32
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Khadim, Ghazanfar MD Provider ID: 456632 Gender: Male Aung Tun Md Pa 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City South Florida Baptist Hospital Languages: Burmese, Chinese, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Khamare, Chetan MD
Provider ID: 728394 Gender: Male Premier Heart And Vascular Center P 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-7691 00 YRS/130 YRS Languages: Hindi, Spanish Mon - Thu 9:00 to 4:30 Fri 9:00 to 5:00 PCMH: No
Khan, Wali MD Provider ID: 4192 Gender: Male Bay Area Medical Clinic Pa 37914 Daughtery Rd, Ste 3 Zephyrhills, FL 33541-1316 (813) 780-9900 Fax: (813) 780-9901 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Languages: Urdu Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 33
Kunhardt, Rene MD Provider ID: 170974 Gender: Male 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Crmc At Bayonet Point Languages: Spanish PCMH: No
Kunhardt, Rene MD
Provider ID: 170974 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 848-3381 Fax: (727) 849-2623 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Crmc At Bayonet Point Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Marques, Vasco MD Provider ID: 168322 Gender: Male 2136 Ashley Oaks Cir, Ste 101 Wesley Chapel, FL 33544-6902 (813) 975-2800 Fax: (813) 977-7631 18 YRS/130 YRS St Josephs Hospital Adventhealth Wesley Chapel Adventhealth Tampa Languages: French, Italian, Portuguese, Spanish PCMH: No
Marques, Vasco MD
Provider ID: 168322 Gender: Male 2600 Bruce B Downs Blvd Wesley Chapel, FL 33544-9207 (813) 929-5000 18 YRS/130 YRS St Josephs Hospital Adventhealth Wesley Chapel Adventhealth Tampa Languages: French, Italian, Portuguese, Spanish PCMH: No
Musunuru, Sambasiva MD
Provider ID: 1500 Gender: Male Bayonet PT Hudson Card Associ-ates 14100 Fivay Rd, Ste 160 Hudson, FL 34667-7194 (727) 862-1080 Fax: (727) 863-3093 21 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 8:30 to 5:00 PCMH: No
Nareddy, Jogi MD
Provider ID: 1501 Gender: Male Bayonet PT Hudson Card Associ-ates 14100 Fivay Rd, Ste 160 Hudson, FL 34667-7194 (727) 862-1080 Fax: (727) 863-3093 21 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Parekh, Dipakkumar MD Provider ID: 9427 Gender: Male Dipak Parekh Md 11915 Oak Trail Way Port Richey, FL 34668-1064 (727) 863-7995 Fax: (727) 868-4359 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Hindi Mon - Fri 9:00 to 4:30 PCMH: No
Patel, Bhasker MD
Provider ID: 1623 Gender: Male Cardiovascular Clinic. Inc 2154 Duck Slough Blvd, Ste 102 Trinity, FL 34655-5073 (727) 376-6699 Fax: (727) 372-5522 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Darshan MD Provider ID: 590587 Gender: Male 14100 Fivay Rd, Ste 120 Hudson, FL 34667-7159 (727) 819-2338 Fax: (727) 819-2481 18 YRS/130 YRS Languages: Gujarati, Spanish PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 34
Patel, Darshan MD Provider ID: 590587 Gender: Male Florida Cardiology Group 7614 Jacque Rd, Ste C Hudson, FL 34667 (727) 863-2489 Fax: (727) 863-4766 18 YRS/130 YRS Languages: Gujarati, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Darshan MD
Provider ID: 590587 Gender: Male Florida Cardiology Group LLC 4738 Grand Blvd, Ste E New Port Richey, FL 34652-5170 (727) 862-8383 Fax: (727) 863-4766 18 YRS/130 YRS Languages: Gujarati, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Pitarys, Christos MD Provider ID: 169440 Gender: Male 6600 Madison St New Port Richey, FL 34652-1971 (727) 842-8468 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish PCMH: No
Pitarys, Christos MD Provider ID: 169440 Gender: Male S Goldman/C Pitarys Md Pl 14100 Fivay Rd, Ste 110 Hudson, FL 34667 (727) 861-5040 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Pitarys, Christos MD
Provider ID: 169440 Gender: Male S Goldman/C Pitarys Md Pl 6633 Forest Ave, Ste 302 New Port Richey, FL 34652-4036 (727) 849-8771 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Rahim, Abdur MD Provider ID: 724525 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 848-3381 Fax: (727) 849-2623 18 YRS/130 YRS Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Ramireddy, Kesavulu MD Provider ID: 25027 Gender: Male 14000 Fivay Rd Hudson, FL 34667-7103 (727) 819-2929 21 YRS/130 YRS Crmc At Bayonet Point PCMH: No
Ramireddy, Kesavulu MD
Provider ID: 25027 Gender: Male Bayonet PT Hudson Card Associ-ates 14100 Fivay Rd, Ste 160 Hudson, FL 34667-7194 (727) 862-1080 Fax: (727) 863-3093 21 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Ramireddy, Kesavulu MD
Provider ID: 25027 Gender: Male Keshave Ramireddy Pl 13740 Office Park Ct, Ste C Hudson, FL 34667-7145 (727) 862-1080 Fax: (727) 863-3093 21 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 35
Rao, Ramanath MD Provider ID: 1262 Gender: Male Pasco Cardiology Assoc 37852 Medical Arts Ct, Unit A Zephyrhills, FL 33541-4325 (813) 788-0439 Fax: (813) 788-6194 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Tampa General Hospital Languages: Hindi, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Raxwal, Vinod MD
Provider ID: 1029471 Gender: Male 14100 Fivay Rd, Ste 130 Hudson, FL 34667-7159 (727) 857-4871 Fax: (727) 857-4894 18 YRS/130 YRS Adventhealth North Pinellas Languages: Hindi, Punjabi, Russian Mon - Fri 8:00 to 5:00 PCMH: No
Raxwal, Vinod MD Provider ID: 1029471 Gender: Male 6325 State Road 54 New Port Richey, FL 34653-6037 (727) 203-3802 Fax: (727) 807-3391 18 YRS/130 YRS Adventhealth North Pinellas Languages: Hindi, Punjabi, Russian Mon - Fri 9:00 to 5:00 PCMH: No
Roca, Jose MD Provider ID: 174747 Gender: Male Jose R Roca Md 2154 Duck Slough Blvd, Ste 102 New Port Richey, FL 34655-5073 (727) 939-1737 Fax: (727) 372-5522 12 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 4:30 PCMH: No
Sawar, Asad MD
Provider ID: 521080 Gender: Male 2136 Ashley Oaks Cir, Ste 101 Wesley Chapel, FL 33544-6902 (813) 975-2800 Fax: (813) 977-7631 18 YRS/130 YRS Adventhealth Wesley Chapel Adventhealth Tampa Tampa Community Hospital Languages: Hindi Tue 8:30 to 5:00 PCMH: No
Sharma, Nagaraja MD Provider ID: 245811 Gender: Male Florida Cardiology Group LLC 7614 Jacque Rd, Ste C Hudson, FL 34667-7195 (352) 596-4422 Fax: (727) 863-4766 18 YRS/130 YRS Oak Hill Hospital Morton Plant Hospital Bayfront Health Spring Hill Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Cardiology - cont.
Sivasankaran, Satish MD
Provider ID: 505320 Gender: Male Pasco Cardiology Center Inc 14153 Yosemite Dr, Ste 202 Hudson, FL 34667-6575 (727) 868-5404 Fax: (727) 863-1787 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: French, Hindi, Malay-alam, Tamil Mon - Fri 8:00 to 5:00 PCMH: No
Sivasankaran, Satish MD
Provider ID: 505320 Gender: Male Pasco Cardiology Center Inc 3633 Little Rd, Ste 101 Trinity, FL 34655-1815 (727) 372-5952 Fax: (727) 863-1787 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: French, Hindi, Malay-alam, Tamil Mon - Fri 8:00 to 5:00 PCMH: No
Tun, Aung MD Provider ID: 19694 Gender: Male 6833 Medical View Ln Zephyrhills, FL 33542 (813) 780-6687 Fax: (813) 788-6554 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City Languages: Burmese Mon - Fri 8:00 to 5:00 PCMH: No
Win, Moethu MD Provider ID: 1117447 Gender: Male Aung Tun. Md. P.a Associates 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 00 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Yamamura, Kenneth MD
Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 14100 Fivay Rd, Ste 310 Hudson, FL 34667-7160 (727) 862-3202 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Yamamura, Kenneth MD Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Zaki, Khaja MD
Provider ID: 1502 Gender: Male Bayonet PT Hudson Card Associ-ates 14100 Fivay Rd, Ste 160 Hudson, FL 34667-7194 (727) 862-1080 Fax: (727) 863-3093 21 YRS/130 YRS Crmc At Bayonet Point Languages: German, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Chiropractic
Bell, Roger DC Provider ID: TPV11095-01 Gender: Male Roger H Bell Dc 11329 Little Rd New Port Richey, FL 34654 (727) 863-1912 Fax: (727) 869-2214 00 YRS/99 YRS Mon - Tue, Thu 8:30 to 6:30 Fri 8:30 to 2:00 PCMH: No
Blanco, Allisha DC
Provider ID: TPV17395-01 Gender: Female Grand Chiropractic Pa 6145 Grand Blvd New Port Richey, FL 34652 (727) 849-5077 Fax: (727) 849-7901 00 YRS/99 YRS Mon, Wed - Thu 8:00 to 6:00 Tue 2:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 36
33453864
Specialty Physicians
Pasco
Chiropractic - cont.
Conner, Kevin DC Provider ID: TPV10915-01 Gender: Male Congress Chiropractic Clinic 7534 Congress St New Port Richey, FL 34653 (727) 847-3852 Fax: (727) 849-9900 00 YRS/99 YRS Mon, Wed - Thu 8:45 to 6:00 Tue 2:00 to 6:00 PCMH: No
Cox, Paul DC
Provider ID: TPV11250-01 Gender: Male Cox Chiropractic 5300 Main St New Port Richey, FL 34652 (727) 844-5700 Fax: (727) 844-0400 00 YRS/99 YRS Mon, Wed - Thu 9:00 to 6:00 Fri 9:00 to 1:00 PCMH: No
Dahmer, Brian DC Provider ID: TPV11390-02 Gender: Male Family Chiropractic Center For Wellness Inc 9206 State Rd 52 Hudson, FL 34669 (727) 862-8571 Fax: (727) 862-8573 00 YRS/99 YRS Thu 7:30 to 6:00 PCMH: No
Horne, Leslie DC Provider ID: TPV17481-01 Gender: Female Land Olakes Chiropractic 2414 Raden Dr Land O'lakes, FL 34639 (813) 948-2225 Fax: (813) 949-7029 00 YRS/99 YRS Mon 9:00 to 12:00 Tue, Fri 11:00 to 6:00 PCMH: No
Patel, Anish DC Provider ID: TPV11392-01 Gender: Male Family Chiropractic Center For Wellness. Inc 9206 State Rd 52 Hudson, FL 34669 (727) 862-8571 Fax: (727) 862-8573 00 YRS/99 YRS Languages: French Mon - Fri 7:30 to 6:00 PCMH: No
Shontz, Michael DC Provider ID: TPV10334-01 Gender: Male Randolph C Harding Dc Pa 2326 Us Hwy 19 N Holiday, FL 34691 (727) 937-4191 Fax: (727) 942-4331 02 YRS/99 YRS Mon - Fri 8:00 to 6:00 Sat 8:00 to 12:00 PCMH: No
Tinari, Dominick DC Provider ID: TPV11155-03 Gender: Male Tinari Chiropractic 19439 Shumard Oak Dr, Ste 101 Spring Hill, FL 34638 (813) 875-7900 Fax: (813) 875-7930 00 YRS/99 YRS Languages: Spanish Tue, Thu 9:00 to 6:00 PCMH: No
Williams, Gregory DC
Provider ID: TPV10169-02 Gender: Male Medical & Chiropractic Clinic Inc 5346 8th St Zephyrhills, FL 33542 (813) 782-1316 Fax: (813) 237-3792 00 YRS/99 YRS Tue, Thu 9:00 to 7:00 Sat 9:00 to 1:00 PCMH: No
Willis, Steven DC Provider ID: TPV11411-02 Gender: Male Access Healthcare Physicians 7633 Cita Lane New Port Richey, FL 34653 (727) 372-1005 Fax: (727) 372-1009 00 YRS/99 YRS Tue, Thu 8:00 to 7:00 Sat 8:00 to 1:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 37
33453864
Specialty Physicians
Pasco
Dermatology
Brant, George DO
Provider ID: 2107203 Gender: Male Central Florida Dermatology Inst 5450 Land O Lakes Blvd Land O Lakes, FL 34639-3413 (352) 514-8525 Fax: (813) 563-6353 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
By, Charya MD
Provider ID: 1174547 Gender: Female 27612 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6954 (813) 991-1457 Fax: (813) 907-2706 00 YRS/130 YRS PCMH: No
Hamill, John MD
Provider ID: 279872 Gender: Male Gulf Coast Dermatology Pa 7547 Jacque Rd Hudson, FL 34667-7163 (727) 888-4038 Fax: (727) 861-1951 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Mcmeekin, Thomas MD Provider ID: 1979724 Gender: Male Academic Alliance In Dermatology 2412 Cypress Glen Dr, Ste 102 Wesley Chapel, FL 33544-4603 (813) 341-1480 Fax: (813) 528-8730 00 YRS/130 YRS Languages: German Mon - Fri 8:00 to 5:00 PCMH: No
Nappi, Florence MD Provider ID: 1707636 Gender: Female Florida Medical Clinic 2352 Bruce Downs Blvd, Ste 202 Wesley Chapel, FL 33544-9203 (813) 780-8085 Fax: (813) 355-5042 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nappi, Florence MD
Provider ID: 1707636 Gender: Female Florida Medical Clinic 38135 Market Sq Zephyrhills, FL 33542-7505 (813) 780-8085 Fax: (813) 355-5042 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Perez, Aivlys MD Provider ID: 1450808 Gender: Female Advanced Dermatology 8209 State Rd 54 New Port Richey, FL 34655-3016 (727) 569-1055 Fax: (727) 569-1505 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Proper, Steven MD
Provider ID: 164836 Gender: Male 19455 Shumard Oak Dr Land O Lakes, FL 34638-7257 (813) 868-5200 Fax: (813) 868-5220 12 YRS/130 YRS PCMH: No
Proper, Steven MD Provider ID: 164836 Gender: Male Advanced Dermatology Cosmetic Surg 27612 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6954 (813) 991-1457 Fax: (813) 907-2706 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Proper, Steven MD
Provider ID: 164836 Gender: Male Center For Dermatology And Skin 13908 Lakeshore Blvd, Ste 240 Hudson, FL 34667-1481 (727) 868-1312 Fax: (727) 863-7929 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Romagnolo, Stephen MD Provider ID: 916158 Gender: Male Leavitt Medical Associates Of Flori 8209 State Road 54 New Port Richey, FL 34655-3016 (727) 569-1055 Fax: (727) 569-1505 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Sable, David MD
Provider ID: 703023 Gender: Male Academic Alliance In Dermatology 13910 Fivay Rd, Ste 5 Hudson, FL 34667-7130 (727) 259-7930 Fax: (727) 935-0505 00 YRS/130 YRS Memorial Hospital Of Tampa Languages: Spanish Wed 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 38
33453864
Specialty Physicians
Pasco
Dermatology - cont.
Torres Bonilla, Gisela MD Provider ID: 1562433 Gender: Female Academic Alliance In Dermatology 2412 Cypress Glen Dr, Ste 102 Wesley Chapel, FL 33544 (727) 710-4949 Fax: (813) 341-3291 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Vasiloudes, Panos MD
Provider ID: 209502 Gender: Male Academic Alliance In Dermatology. I 2412 Cypress Glen Drive, Ste 102 Wesley Chapel, FL 33544 (813) 341-1480 Fax: (813) 528-8730 00 YRS/130 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Community Hospital Languages: German, Greek, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Dermatopathology
Eng, William MD Provider ID: 678339 Gender: Male Robert Norman Do Pa 38034 Medical Center Ave Zephyrhills, FL 33540-1383 (813) 880-7546 Fax: (813) 249-5210 00 YRS/130 YRS Languages: Spanish Mon, Wed, Fri 8:30 to 5:00 Tue, Thu 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 39
Ear. Nose & Throat
Agnello, Peter MD Provider ID: 179019 Gender: Male Select Physicians Alliance. Pl 26853 Foggy Creek Rd, Bldg 21. Ste 101 Wesley Chapel, FL 33544-6777 (813) 879-8045 Fax: (813) 978-3667 00 YRS/130 YRS Adventhealth Carrollwood Tampa Bay Surgery Center Adventhealth Tampa Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Brown, Teddy MD
Provider ID: 1861929 Gender: Male Select Physicians Alliance. Pl 1818 Short Branch Dr, Ste 103 Trinity, FL 34655-4425 (352) 688-0800 Fax: (352) 688-0468 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Di Pasquale, Paul DO Provider ID: 909024 Gender: Male Vitale Institute Pl 27516 Cashford Cir, Ste 101 Wesley Chapel, FL 33544-6910 (813) 406-4400 Fax: (813) 929-6633 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital New Tampa Surgery Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Dolgin, Sanford MD Provider ID: 232989 Gender: Male Select Physicians Alliance. Pl 1818 Short Branch Dr, Ste 103 New Port Richey, FL 34655-4425 (352) 688-0800 Fax: (352) 688-0468 00 YRS/130 YRS St Josephs Hospital Bayfront Health Spring Hill Tampa Bay Surgery Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Donnelly, Kevin MD
Provider ID: 9332 Gender: Male Select Physicians Alliance. Pl 1818 Short Branch Dr, Ste 103 New Port Richey, FL 34655-4425 (352) 688-0800 Fax: (352) 688-0468 00 YRS/130 YRS Bayfront Health Spring Hill Tampa Bay Surgery Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Hall, Kathryn MD Provider ID: 1877424 Gender: Female Florida ENT Allergy 26853 Foggy Creek Rd, Bldg 21 Ste101 Wesley Chapel, FL 33544-6777 (813) 879-8045 Fax: (813) 978-3667 00 YRS/130 YRS Usf Endoscopy & Surgery Ctr Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Ear. Nose & Throat - cont.
Musy, Pierre MD Provider ID: 1196802 Gender: Male Select Physicians Alliance 26853 Foggy Creek Rd, Ste 101 Wesley Chapel, FL 33544-6777 (813) 879-8045 Fax: (813) 978-3667 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nofsinger, Yoon MD
Provider ID: 491193 Gender: Male Select Physicians Alliance. Pl 26853 Foggy Creek Rd, Ste 101 Wesley Chapel, FL 33544-6777 (813) 879-8045 Fax: (813) 978-3667 00 YRS/130 YRS Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Sakellarides, Michael MD Provider ID: 191584 Gender: Male 5341 Grand Blvd, Ste 104 New Port Richey, FL 34652-4004 (727) 848-7818 Fax: (727) 848-0050 05 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Languages: Greek Mon - Fri 9:00 to 5:00 PCMH: No
Scotch, Brett DO Provider ID: 552439 Gender: Male Select Physicians Alliance. Pl 1818 Short Branch Dr, Ste 103 Trinity, FL 34655-4425 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Scotch, Brett DO
Provider ID: 552439 Gender: Male Select Physicians Alliance. Pl 27406 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Seper, Janet MD Provider ID: 1522722 Gender: Female Select Physicians Alliance. Pl 27406 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Endocrinology. Diabetes.
Metabolism
Chatha, Sheena MD Provider ID: 1842771 Gender: Female Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543-5453 (813) 933-3324 Fax: (813) 932-4357 18 YRS/130 YRS Languages: Punjabi Mon - Fri 8:00 to 5:00 PCMH: No
Gilling, Lucia MD
Provider ID: 217121 Gender: Female Lucia Gilling 2252 Twelve Oaks Way, Ste 101 Wesley Chapel, FL 33544-6972 (813) 915-6811 Fax: (813) 907-0494 18 YRS/130 YRS Adventhealth Tampa Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Palacio Ramirez, Carlos MD Provider ID: 1247730 Gender: Male 2100 Via Bella Blvd, Ste 102 Land O Lakes, FL 34639-5429 (813) 779-8953 Fax: (813) 355-5081 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 40
33453864
Specialty Physicians
Pasco
Endocrinology. Diabetes.
Metabolism - cont.
Palacio Ramirez, Carlos MD Provider ID: 1247730 Gender: Male 2100 Via Bella Blvd, Suite 103 Land O Lakes, FL 34639-5429 (813) 779-8953 Fax: (813) 355-5081 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Palacio Ramirez, Carlos MD
Provider ID: 1247730 Gender: Male Florida Medical Clinic Pa 2100 Via Bella Blvd, Ste 205 Land O Lakes, FL 34639-5429 (813) 779-8953 Fax: (813) 355-5081 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Qureshi, Ambreen MD
Provider ID: 1199911 Gender: Female Thyroid Endocrinology And Diabetes 2106 Ashley Oaks Cir, Suite 101 Wesley Chapel, FL 33544 (813) 649-8919 18 YRS/130 YRS PCMH: No
Endodontics
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-20 Gender: Female Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Koscso, Kevin DMD
Provider ID: TPVP120838-13 Gender: Male Great Expressions Dental Centers 2091 Collier Pkwy Land O Lakes, FL 34639 (813) 948-6290 Fax: (813) 948-6424 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Family Practice
Dasouza, Wilma MD Provider ID: 1202369 Gender: Female Premier Community Healthcare Group. 11611 Denton Ave Hudson, FL 34667-5420 (352) 518-2000 Fax: (352) 567-0218 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Molinares Sosa, Alexandra MD
Provider ID: 2185971 Gender: Female Adventhealth Medical Group Primary 38240 Daughtery Rd Zephyrhills, FL 33540-1367 (813) 788-3582 Fax: (813) 780-6707 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Petrilli, John MD
Provider ID: 1347187 Gender: Male Premier Community Healthcare 14027 5th St Dade City, FL 33525-4302 (352) 518-2000 Fax: (352) 567-0218 00 YRS/130 YRS Mon - Fri 7:00 to 4:00 PCMH: No
Valez Gaetan, Jelexza MD Provider ID: 1163933 Gender: Female Conviva Care Center Land O'lakes 21507 Vlg Lks Shopping Ctr Dr Land O Lakes, FL 34639 (813) 949-4224 Fax: (813) 949-2809 55 YRS/100 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Gastroenterology
Ahmed, Saeed MD Provider ID: 1537499 Gender: Male 2407 Cypress Ridge Blvd, Ste A Wesley Chapel, FL 33544-6312 (813) 991-7575 Fax: (813) 991-0161 18 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish, Urdu PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 41
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Pasco
Gastroenterology - cont.
Ahmed, Saeed MD Provider ID: 1537499 Gender: Male Digestive Disease Associates Of Cen 2050 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6415 (813) 994-4800 Fax: (813) 994-4888 18 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish, Urdu Mon - Fri 8:30 to 5:00 PCMH: No
Freedland, Curtis DO
Provider ID: 2014 Gender: Male Sms DBA As Gulf Coast Medical Cente 3000 Starkey Road New Port Richey, FL 34655 (727) 375-1004 Fax: (727) 869-0732 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Hindi, Italian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Freedland, Curtis DO Provider ID: 2014 Gender: Male West Fl Medical Specialists 10820 State Road 54, Ste 201 New Port Richey, FL 34655-2291 (727) 846-7031 Fax: (727) 846-7132 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Hindi, Italian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 42
Freedland, Curtis DO Provider ID: 2014 Gender: Male West Fl Medical Specialists 7515 State Road 52, Ste 105 Hudson, FL 34667-6757 (727) 846-7031 Fax: (727) 846-7132 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Hindi, Italian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Ghanekar, Dilip MD
Provider ID: 148355 Gender: Male 10820 State Road 54, Ste 201 Trinity, FL 34655-2291 (727) 846-7031 Fax: (727) 846-7132 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Hindi, Italian, Spanish PCMH: No
Ghanekar, Dilip MD Provider ID: 148355 Gender: Male West Florida Medical Specialists 7515 State Road 52, Ste 105 Hudson, FL 34667-6757 (727) 846-7031 Fax: (727) 846-7132 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Hindi, Italian, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Kaif, Mohamed MD Provider ID: 1244686 Gender: Male Frontier Gastroenterology And Hepat 8109 State Road 54 Trinity, FL 34655-3000 (727) 232-2462 Fax: (866) 224-5731 14 YRS/130 YRS Languages: Hindi, Spanish, Urdu Mon - Fri 8:00 to 5:00 PCMH: No
Narula, Rajan DO
Provider ID: 1537706 Gender: Male Digestive Disease Associates Of Cen 2050 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6415 (813) 994-4800 Fax: (813) 994-4888 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Languages: Spanish, Urdu Mon - Fri 8:30 to 5:00 PCMH: No
Patel, Satish MD Provider ID: 223 Gender: Male Satish Patel Md Pa 5340 Gulf Dr, Ste 105 New Port Richey, FL 34652-3922 (727) 849-0222 Fax: (727) 847-7685 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Mon - Fri 8:00 to 5:00 PCMH: No
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Pasco
Gastroenterology - cont.
Patel, Jigneshkumar MD
Provider ID: 625531 Gender: Male Bay Area Gastroenterology Asso -ciate 1818 Short Branch Dr, Ste 102 Trinity, FL 34655 (727) 372-4500 Fax: (727) 372-3500 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Jigneshkumar MD
Provider ID: 625531 Gender: Male Bay Area Gastroenterology Asso -ciate 7545 Medical Drive Hudson, FL 34667 (727) 372-4500 Fax: (727) 372-3500 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Staffetti, Joseph MD
Provider ID: 1564 Gender: Male 14104 Yosemite Dr Hudson, FL 34667-6554 (727) 869-5040 Fax: (727) 869-5085 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Italian, Spanish PCMH: No
Staffetti, Joseph MD
Provider ID: 1564 Gender: Male West Fl Med Specialists 7515 State Road 52, Ste 105 Hudson, FL 34667-6757 (727) 846-7031 Fax: (727) 846-7132 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Italian, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Staffetti, Joseph MD
Provider ID: 1564 Gender: Male West Fl Medical Specialists 10820 State Road 54, Suite 201 New Port Richey, FL 34655 (727) 846-7031 Fax: (727) 846-7132 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Languages: German, Italian, Spanish Mon - Tue 9:00 to 4:00 Wed 1:30 to 5:00 Thu 3:00 to 5:00 Fri 2:00 to 3:00 PCMH: No
Vangara, Sreenivasa MD
Provider ID: 22749 Gender: Male 5515 Gulf Dr, Ste B New Port Richey, FL 34652-4033 (727) 848-3995 Fax: (727) 843-9400 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
General Practice
Guerrero, Nestor MD Provider ID: 1964380 Gender: Male Aung Tun Md Pa 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 12 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
General Surgery
Ache, Robyn DO Provider ID: 2140255 Gender: Female Nautilus Health Care Group LLC 9332 State Road 54, Ste 302 Trinity, FL 34655-1810 (727) 834-4450 Fax: (727) 816-2151 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ferris, Vijay MD Provider ID: 1360090 Gender: Male Adventhealth Medical Group Surgical 38056 Daughtery Rd Zephyrhills, FL 33540-1375 (813) 779-2900 Fax: (813) 782-5732 16 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Wesley Chapel Adventhealth Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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General Surgery - cont.
Ferris, Vijay MD Provider ID: 1360090 Gender: Male Fhpg Wc Specialty Center 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543-5453 (813) 779-2900 Fax: (813) 779-2901 16 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Wesley Chapel Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Ferris, Vijay MD
Provider ID: 1360090 Gender: Male Fhpg Wc Surgical Associates Of Pasc 27415 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6973 (813) 782-5801 Fax: (813) 782-5732 16 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Wesley Chapel Adventhealth Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Figueredo, Nicole MD Provider ID: 1477652 Gender: Female Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543-5453 (813) 933-3324 Fax: (813) 932-4357 18 YRS/130 YRS Adventhealth Carrollwood Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 44
Figueredo, Nicole MD Provider ID: 1477652 Gender: Female Fhpg Wc Specialty Center 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543-5453 (813) 779-2900 Fax: (813) 779-2901 18 YRS/130 YRS Adventhealth Carrollwood Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Fridley II, Donald DO
Provider ID: 2125144 Gender: Male Surgical Associates Of Bayonet Poin 14100 Fivay Rd, Ste 340 Hudson, FL 34667-7181 (727) 819-9107 Fax: (727) 819-9138 18 YRS/130 YRS Medical Center Of Trinity Mon - Wed, Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Kalaskar, Sudhir MD Provider ID: 2070588 Gender: Male Adventhealth Medical Group General 13933 17th St, Ste 200 Dade City, FL 33525-4604 (352) 437-5971 Fax: (352) 437-5974 18 YRS/130 YRS Mon - Sun 8:00 to 5:00 PCMH: No
Kotak, Rajesh MD Provider ID: 805332 Gender: Male Adventhealth Surgical Specialists A 8607 Easthaven Ct, Ste 102 New Port Richey, FL 34655 (727) 934-6797 Fax: (727) 942-6502 00 YRS/130 YRS Adventhealth North Pinellas Languages: Gujarati, Hindi Fri 8:00 to 5:00 PCMH: No
Mcnamee, Hugar DO
Provider ID: 375192 Gender: Male Fhz Multi Specialty Practice 102 27415 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6973 (813) 782-5801 Fax: (813) 782-5732 12 YRS/130 YRS Adventhealth Orlando Mon - Fri 8:00 to 5:00 PCMH: No
Mcnamee, Hugar DO Provider ID: 375192 Gender: Male Adventhealth Medical Group Surgical 38056 Daughtery Rd Zephyrhills, FL 33540-1375 (813) 779-2900 Fax: (813) 782-5732 12 YRS/130 YRS Adventhealth Orlando Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
General Surgery - cont.
Mikhail, Peter MD Provider ID: 1502433 Gender: Male Brain And Spine Neuroscience Instit 7657 Cita Ln, Fl 3 New Port Richey, FL 34653-6221 (727) 312-4844 Fax: (940) 764-5410 00 YRS/130 YRS Orlando Health Orlando Regional Medical Mon - Fri 9:00 to 5:00 PCMH: No
Shelton, Tiffani DO
Provider ID: 1573950 Gender: Female 8142 Bellarus Way, Suite 101 New Port Richey, FL 34655 (727) 274-1330 12 YRS/130 YRS PCMH: No
Siva, Thushy MD Provider ID: 2076754 Gender: Female Adventhealth Medical Group General 13933 17th St, Ste 200 Dade City, FL 33525-4604 (352) 437-5971 Fax: (352) 437-5974 00 YRS/130 YRS Languages: Tamil Mon - Fri 8:00 to 5:00 PCMH: No
Thatimatla, Naga MD Provider ID: 1600761 Gender: Male Adventhealth Medical Group General 13933 17th St, Ste 200 Dade City, FL 33525-4604 (352) 437-5971 Fax: (352) 437-5974 18 YRS/130 YRS Languages: Hindi, Tamil, Telugu Mon - Fri 8:00 to 5:00 PCMH: No
Wright, Alene MD
Provider ID: 606673 Gender: Female Community Hospital Family Practice 9332 Sr 54, Ste 400 New Port Richey, FL 34655 (727) 372-4779 Fax: (727) 372-4559 00 YRS/130 YRS Medical Center Of Trinity Languages: German, Spanish Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Geriatric Medicine
Blackstone, Harry DO Provider ID: 2085525 Gender: Male Zephyrhills Family Practice And Ger 7213 Green Slope Dr Zephyrhills, FL 33541-1306 (813) 715-0165 Fax: (855) 547-5415 05 YRS/130 YRS Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 12:00 PCMH: No
Hematology
Dutt, Ramana MD Provider ID: 148556 Gender: Male 7463 State Road 52 Hudson, FL 34667-6714 (727) 862-9026 Fax: (727) 862-5886 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Bayfront Health Brooksville Mon - Fri 9:00 to 5:00 PCMH: No
Gupta, Eva MD
Provider ID: 1424359 Gender: Female Florida Cancer Specialists Pl 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS St Josephs Hospital Adventhealth Carrollwood Memorial Hospital Of Tampa Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Shilen MD Provider ID: 1061996 Gender: Male Florida Cancer Specialists 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Bayfront Health Brooksville Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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33453864
Specialty Physicians
Pasco
Hematology & Oncology
Updated for: July, 2020.
www.wellcare.com/Florida 46
Ayub, Jorge MD Provider ID: 1397 Gender: Male 14000 Fivay Rd, Ste 310 Hudson, FL 34667-7103 (727) 819-2929 18 YRS/130 YRS Medical Center Of Trinity Oak Hill Hospital Crmc At Bayonet Point Languages: Portuguese, Spanish PCMH: No
Ayub, Jorge MD
Provider ID: 1397 Gender: Male Florida Cancer Institute Pa 7651 Medical Dr Hudson, FL 34667-6594 (727) 868-9208 Fax: (727) 868-6420 18 YRS/130 YRS Medical Center Of Trinity Oak Hill Hospital Crmc At Bayonet Point Languages: Portuguese, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Dandamudi, Uday MD Provider ID: 731328 Gender: Male Florida Cancer Specialists 8763 River Crossing Blvd New Port Richey, FL 34655-1112 (727) 842-8411 Fax: (727) 847-2923 18 YRS/130 YRS Languages: Hindi, Telugu Mon - Fri 8:30 to 5:00 PCMH: No
Dandamudi, Uday MD Provider ID: 731328 Gender: Male Florida Cancer Specialists Pl 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS Languages: Hindi, Telugu Mon - Fri 8:00 to 5:00 PCMH: No
Gupta, Sneh MD
Provider ID: 2687 Gender: Female 5340 Gulf Dr, Ste 105 New Port Richey, FL 34652 (727) 844-3351 Fax: (727) 847-7685 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Mon - Thu 9:00 to 5:30 Fri 9:00 to 4:00 PCMH: No
Kulkarni, Gajanan MD Provider ID: 10680 Gender: Male Florida Cancer Specialists Pl 5802 State Road 54 New Port Richey, FL 34652-6050 (727) 842-2795 Fax: (727) 842-8676 00 YRS/130 YRS Medical Center Of Trinity Oak Hill Hospital Bayfront Health Spring Hill Mon - Fri 9:00 to 5:00 PCMH: No
Kumar, Kapisthalam MD Provider ID: 10674 Gender: Male Florida Cancer Specialists Pl 5802 State Road 54 New Prt Rchy, FL 34652-6050 (727) 842-2795 Fax: (727) 842-8676 00 YRS/130 YRS Medical Center Of Trinity Oak Hill Hospital Bayfront Health Spring Hill Mon - Fri 9:00 to 5:00 PCMH: No
Sennabaum, Joseph MD
Provider ID: 3522 Gender: Male Florida Cancer Specialists 7651 Medical Dr Hudson, FL 34667-6594 (727) 868-9208 Fax: (727) 868-6420 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Hospice And Palliative Care
Breznau, Candace MD Provider ID: 2197884 Gender: Female Chapters Health Palliative Care In 6801 Rowan Rd, Ste 103 New Port Richey, FL 34653-2952 (813) 871-8200 Fax: (813) 357-5501 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Hospice And Palliative Care - cont.
Chapters Health Palliative Care
Inc Provider ID: 2196322 Chapters Health Adult Palliative Ca 6801 Rowan Rd New Port Richey, FL 34653-2952 (813) 871-8200 Fax: (813) 357-5501 00 YRS/130 YRS Mon - Sun 7:00 to 7:00 PCMH: No
Danly, Diane MD
Provider ID: 2198893 Gender: Female Chapters Health Palliative Care LLC 6801 Rowan Rd New Prt Rchy, FL 34653-2952 (813) 871-8200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gulfside Hospice Pasco Palliative
Care
Provider ID: 1509638 Pasco Palliative Care Center At Ze 5760 Dean Dairy Rd Zephyrhills, FL 33541-0751 (813) 377-1265 Fax: (813) 377-1266 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gulfside Hospice Pasco Palliative
Care Provider ID: 1509638 Pasco Palliative Care. LLC 2061 Collier Pkwy Land O Lakes, FL 34639-5202 (813) 501-8201 Fax: (813) 501-8250 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gulfside Hospice Pasco Palliative
Care Provider ID: 1509638 Pasco Palliative Care. LLC West Cli 6117 Trouble Creek Rd New Port Richey, FL 34653-5240 (727) 845-5707 Fax: (727) 845-1459 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gulfside Hospice Pasco Palliative
Care
Provider ID: 1509638 Pasco Palliative Care. LLC West Cli 6630 Kentucky Ave New Port Richey, FL 34653 (727) 367-3658 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Samlal, Ravi DO Provider ID: 2197958 Gender: Male Chapters Health Palliative Care Adu 6801 Rowan Rd New Prt Rchy, FL 34653-2952 (813) 871-8200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hyperbaric Medicine
Jain, Surbhi MD Provider ID: 802251 Gender: Female Suncoast Advanced Surgery 2038 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6413 (352) 397-4505 Fax: (352) 340-5921 00 YRS/130 YRS Adventhealth Carrollwood Adventhealth Tampa Tue 9:00 to 5:00 PCMH: No
Infectious Disease
Busciglio, Lindell MD Provider ID: 151921 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Memorial Hospital Of Tampa PCMH: No
Cancio, Margarita MD
Provider ID: 151923 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Languages: Spanish PCMH: No
Carrington, Moise MD Provider ID: 608164 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS PCMH: No
Haridas, Manju MD
Provider ID: 1571186 Gender: Female Margarita R Cancio Md Pa 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
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Pasco
Infectious Disease - cont.
Khan, Nadeem MD
Provider ID: 228433 Gender: Male 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Memorial Hospital Of Tampa Languages: Hindi, Spanish, Urdu PCMH: No
Mai, Jane MD
Provider ID: 1107294 Gender: Female Infectious Disease Associates Of Ta 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Mayer, Cynthia DO
Provider ID: 10312 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS Tampa General Hospital Memorial Hospital Of Tampa Tampa Community Hospital PCMH: No
Mohmand, Asad MD
Provider ID: 1261859 Gender: Male Margarita R. Cancio. Md. Pa D/B/A I 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Noel, Pamela MD
Provider ID: 786420 Gender: Female 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS PCMH: No
Pandya, Shuchi MD
Provider ID: 1546865 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Languages: Gujarati, Hindi, Spanish PCMH: No
Patel, Yagneshvari MD
Provider ID: 457906 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS Adventhealth Carrollwood Tampa Community Hospital PCMH: No
Torres Velazco, Jeniffer MD Provider ID: 1104339 Gender: Female Infectious Disease Associates Of Ta 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Ubillos, Scott MD
Provider ID: 162128 Gender: Male 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Memorial Hospital Of Tampa PCMH: No
Internal Medicine
Ahmed, Saeed MD Provider ID: 1537499 Gender: Male 2407 Cypress Ridge Blvd, Ste A Wesley Chapel, FL 33544-6312 (813) 991-7575 Fax: (813) 991-0161 18 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish, Urdu PCMH: No
Updated for: July, 2020.
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Internal Medicine - cont.
Ahmed, Saeed MD Provider ID: 1537499 Gender: Male Digestive Disease Associates Of Cen 2050 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6415 (813) 994-4800 Fax: (813) 994-4888 18 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish, Urdu Mon - Fri 8:30 to 5:00 PCMH: No
Carvallo, Alejandro MD
Provider ID: 126 Gender: Male 2352 Bruce Downs Blvd, Ste 203 Wesley Chapel, FL 33544-9203 (813) 994-3389 Fax: (813) 355-5051 18 YRS/130 YRS Languages: Spanish PCMH: No
Chauhan, Ketul MD Provider ID: 522583 Gender: Male 2477 Bruce B Downs Blvd Wesley Chapel, FL 33544 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 49
Chauhan, Ketul MD Provider ID: 522583 Gender: Male 7050 Gall Blvd Zephyrhills, FL 33541-1347 (813) 788-0411 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi PCMH: No
Chauhan, Ketul MD
Provider ID: 522583 Gender: Male Premier Heart Vascular Center 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-1580 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Adventhealth Carrollwood Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Di Martino, Peter MD Provider ID: 714654 Gender: Male Florida Cardiology Group LLC 4738 Grand Blvd, Ste E New Port Richey, FL 34652-5170 (727) 862-8383 Fax: (727) 863-4766 18 YRS/130 YRS Medical Center Of Trinity Languages: Italian, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Di Martino, Peter MD Provider ID: 714654 Gender: Male Florida Cardiology Group LLC 7614 Jacque Rd, Ste C Hudson, FL 34667-7195 (727) 863-2489 Fax: (727) 863-4766 18 YRS/130 YRS Medical Center Of Trinity Languages: Italian, Spanish Mon, Thu 1:00 to 4:00 PCMH: No
Harris, Meghan MD
Provider ID: 1231603 Gender: Female Infectious Disease Associates Of Ta 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Khadim, Ghazanfar MD Provider ID: 456632 Gender: Male Aung Tun Md Pa 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City South Florida Baptist Hospital Languages: Burmese, Chinese, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Internal Medicine - cont.
Khan, Sohail MD Provider ID: 283988 Gender: Male 2352 Bruce Downs Blvd, Ste 203 Wesley Chapel, FL 33544-9203 (813) 994-3389 Fax: (813) 355-5051 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Tampa PCMH: No
Mohmand, Asad MD
Provider ID: 1261859 Gender: Male Margarita R. Cancio. Md. Pa D/B/A I 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Muthalakuzhy, George MD Provider ID: 1634420 Gender: Male Hypertension Kidney And Stone Cente 5720 Gall Blvd, Ste 5 Zephyrhills, FL 33542 00 YRS/130 YRS St Josephs Hospital Morton Plant Hospital PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 50
Narula, Rajan DO Provider ID: 1537706 Gender: Male Digestive Disease Associates Of Cen 2050 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6415 (813) 994-4800 Fax: (813) 994-4888 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Languages: Spanish, Urdu Mon - Fri 8:30 to 5:00 PCMH: No
Pandya, Shuchi MD
Provider ID: 1546865 Gender: Female 5504 Gateway Blvd, Ste 102 Zephyrhills, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS Languages: Gujarati, Hindi, Spanish PCMH: No
Pitarys, Christos MD Provider ID: 169440 Gender: Male 6600 Madison St New Port Richey, FL 34652-1971 (727) 842-8468 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish PCMH: No
Pitarys, Christos MD Provider ID: 169440 Gender: Male S Goldman/C Pitarys Md Pl 14100 Fivay Rd, Ste 110 Hudson, FL 34667 (727) 861-5040 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Pitarys, Christos MD
Provider ID: 169440 Gender: Male S Goldman/C Pitarys Md Pl 6633 Forest Ave, Ste 302 New Port Richey, FL 34652-4036 (727) 849-8771 Fax: (727) 842-4962 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Greek, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Sanchez-Ponce, Rafael MD Provider ID: 405952 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Internal Medicine - cont.
Sikes, David MD
Provider ID: 716912 Gender: Male 38135 Market Sq, Fl Medical Zephyrhills, FL 33542-7505 (813) 715-1934 Fax: (813) 355-5059 18 YRS/130 YRS Florida Medical Center A Campus Of North Languages: Spanish PCMH: No
Win, Moethu MD
Provider ID: 1117447 Gender: Male Aung Tun. Md. P.a Associates 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 00 YRS/130 YRS Adventhealth Zephyrhills Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Interventional Cardiology
Cambier, Patrick MD
Provider ID: 1554954 Gender: Male Interventional Cardiac Consult-antsp 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 849-2623 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Marmagkiolis, Konstantinos MD
Provider ID: 1240927 Gender: Male Premier Heart And Vascular Center P 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Omar, Sabry MD
Provider ID: 2208311 Gender: Male Aung Tun Md Pa 6833 Medical View Ln Zephyrhills, FL 33542-6614 (813) 780-6687 Fax: (813) 788-6554 18 YRS/130 YRS Languages: Arabic Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Aalok MD
Provider ID: 1783887 Gender: Male Premier Heart And Vascular Center 2477 Bruce B Downs Blvd Wesley Chapel, FL 33544-9213 (813) 788-1400 Fax: (813) 788-7691 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Aalok MD
Provider ID: 1783887 Gender: Male Premier Heart And Vascular Center 37223 Medical Dr Dade City, FL 33525-5246 (813) 788-1400 Fax: (813) 788-7691 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Aalok MD
Provider ID: 1783887 Gender: Male Premier Heart And Vascular Center 38035 Medical Center Ave Zephyrhills, FL 33540-1384 (813) 788-1400 Fax: (813) 788-7691 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Raxwal, Vinod MD
Provider ID: 1029471 Gender: Male 14100 Fivay Rd, Ste 130 Hudson, FL 34667-7159 (727) 857-4871 Fax: (727) 857-4894 18 YRS/130 YRS Adventhealth North Pinellas Languages: Hindi, Punjabi, Russian Mon - Fri 8:00 to 5:00 PCMH: No
Raxwal, Vinod MD
Provider ID: 1029471 Gender: Male 6325 State Road 54 New Port Richey, FL 34653-6037 (727) 203-3802 Fax: (727) 807-3391 18 YRS/130 YRS Adventhealth North Pinellas Languages: Hindi, Punjabi, Russian Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 51
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Specialty Physicians
Pasco
Interventional Cardiology - cont.
Sanchez-Ponce, Rafael MD Provider ID: 405952 Gender: Male Interventional Cardiac Consultants 2035 Little Rd Trinity, FL 34655-4421 (727) 842-9486 Fax: (727) 849-2623 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Soma, Vikas MD
Provider ID: 1031058 Gender: Male Premier Heart And Vascular Center P 27424 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Mon - Fri 8:30 to 4:00 PCMH: No
Soma, Vikas MD Provider ID: 1031058 Gender: Male Premier Heart And Vascular Center P 38035 Medical Center Ave Zephyrhills, FL 33540-1304 (813) 788-1400 Fax: (813) 788-7691 18 YRS/130 YRS Mon - Fri 8:30 to 4:00 PCMH: No
Maternal Fetal Medicine
Baacke, Keri MD Provider ID: 1344794 Gender: Female Pediatrix Medical Group Of Florida. 27509 Cashford Cir Wesley Chapel, FL 33544 (727) 322-4830 Fax: (855) 527-5510 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Fines-Dailey, Verlee MD Provider ID: 1068805 Gender: Female Pediatrix Medical Group 27509 Cashford Cir Wesley Chapel, FL 33544-6911 (727) 322-4830 Fax: (727) 374-9950 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nirgudkar, Pranita MD Provider ID: 1352153 Gender: Female Pediatrix Medical Group Of Florida 27509 Cashford Cir Wesley Chapel, FL 33544 (727) 322-4830 Fax: (855) 527-5510 00 YRS/130 YRS Languages: Hindi, Marathi Mon - Fri 9:00 to 5:00 PCMH: No
Stirling, Kari MD
Provider ID: 1178576 Gender: Female Pediatrix Medicala Group Of Florida27509 Cashford Cir Wesley Chapel, FL 33544 (813) 973-1978 Fax: (813) 971-6985 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Medical Oncology
Barakat, Ayman MD Provider ID: 1126047 Gender: Male Florida Cancer Specialists P L 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Dutt, Ramana MD
Provider ID: 148556 Gender: Male 7463 State Road 52 Hudson, FL 34667-6714 (727) 862-9026 Fax: (727) 862-5886 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Bayfront Health Brooksville Mon - Fri 9:00 to 5:00 PCMH: No
Gupta, Eva MD Provider ID: 1424359 Gender: Female Florida Cancer Specialists Pl 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS St Josephs Hospital Adventhealth Carrollwood Memorial Hospital Of Tampa Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 52
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Specialty Physicians
Pasco
Medical Oncology - cont.
Patel, Shilen MD
Provider ID: 1061996 Gender: Male Florida Cancer Specialists 26823 Tanic Drive Wesley Chapel, FL 33544 (813) 279-7107 Fax: (813) 973-1090 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Bayfront Health Brooksville Mon - Fri 8:00 to 5:00 PCMH: No
Wright, Gail MD
Provider ID: 226665 Gender: Female Florida Cancer Institute New Hope 7651 Medical Dr, Ste 330 Hudson, FL 34667-6594 (727) 868-9208 Fax: (727) 868-6420 18 YRS/130 YRS Medical Center Of Trinity Oak Hill Hospital Bayfront Health Spring Hill Mon - Fri 9:00 to 5:00 PCMH: No
Nephrology
Acharya, Muralidhar MD Provider ID: 9599 Gender: Male Renal Hypertension Center 14134 Nephron Ln Hudson, FL 34667-6504 (727) 863-5418 Fax: (727) 869-8626 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 53
Aldana Campos, Martin MD
Provider ID: 2117153 Gender: Male Florida Kidney Physicians LLC 2106 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6417 (813) 910-0030 Fax: (813) 971-6473 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Badillo, Linda MD
Provider ID: 9597 Gender: Female 7421 Ridge Rd, Ste 105 Port Richey, FL 34668-6935 (727) 846-8401 Fax: (727) 844-0100 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish PCMH: No
Badillo, Linda MD
Provider ID: 9597 Gender: Female 9330 State Road 54 Trinity, FL 34655-1808 (727) 848-1733 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish PCMH: No
Badillo, Linda MD
Provider ID: 9597 Gender: Female Renal Hypertension Center 14134 Nephron Ln Hudson, FL 34667-6504 (727) 863-5418 Fax: (727) 869-8626 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Badillo, Linda MD
Provider ID: 9597 Gender: Female Renal Hypertension Center 4113 Little Rd, Ste 101 New Port Richey, FL 34655-1716 (727) 376-3725 Fax: (727) 376-3742 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Carvallo, Alejandro MD
Provider ID: 126 Gender: Male 2352 Bruce Downs Blvd, Ste 203 Wesley Chapel, FL 33544-9203 (813) 994-3389 Fax: (813) 355-5051 18 YRS/130 YRS Languages: Spanish PCMH: No
33453864
Specialty Physicians
Pasco
Nephrology - cont.
D'cunha, Prakas MD Provider ID: 245342 Gender: Male 14134 Nephron Ln Hudson, FL 34667-6504 (727) 862-3551 Fax: (727) 869-8626 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Hindi PCMH: No
D'cunha, Prakas MD
Provider ID: 245342 Gender: Male Renal Hypertension Center 4113 Little Rd, Ste 101 New Port Richey, FL 34655-1716 (727) 376-3725 Fax: (727) 376-3742 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Hariachar, Srinivas MD Provider ID: 222906 Gender: Male Renal Hypertension Center 14134 Nephron Ln Hudson, FL 34667-6504 (727) 863-5418 Fax: (727) 869-8626 18 YRS/130 YRS Oak Hill Hospital Morton Plant Hospital Bayfront Health Spring Hill Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 54
Khan, Sohail MD Provider ID: 283988 Gender: Male 2352 Bruce Downs Blvd, Ste 203 Wesley Chapel, FL 33544-9203 (813) 994-3389 Fax: (813) 355-5051 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Tampa PCMH: No
Mathew, Ajay DO
Provider ID: 1352386 Gender: Male Florida Medical Clinic Pa 2352 Bruce Downs Blvd, Ste 203 Wesley Chapel, FL 33544-9203 (813) 994-3389 Fax: (813) 355-5051 18 YRS/110 YRS Adventhealth Zephyrhills Adventhealth Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Motiwala, Shaheen MD Provider ID: 1442803 Gender: Female Florida Kidney Physicians. LLC 2106 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6417 (813) 910-0030 Fax: (813) 971-6473 00 YRS/130 YRS St Josephs Hospital Adventhealth Wesley Chapel Languages: Urdu Mon - Fri 8:00 to 5:00 PCMH: No
Muthalakuzhy, George MD Provider ID: 1634420 Gender: Male Hypertension Kidney And Stone Cente 5720 Gall Blvd, Ste 5 Zephyrhills, FL 33542 00 YRS/130 YRS St Josephs Hospital Morton Plant Hospital PCMH: No
Numrungroad, Visal MD
Provider ID: 229491 Gender: Male 14153 Yosemite Dr, Ste 102b Hudson, FL 34667-8060 (727) 848-1274 Fax: (727) 849-6409 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Languages: Cantonese, Chinese, Mandarin, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Qi, Quanle MD Provider ID: 284417 Gender: Male Gulf Coast Nephrology Associates 4738 Grand Blvd, Ste D New Port Richey, FL 34652-5170 (727) 848-1274 Fax: (727) 849-6409 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Solaris Healthcare Bayonet Point Languages: Chinese Mon - Fri 8:30 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Nephrology - cont.
Read, Sonia MD
Provider ID: 1124 Gender: Female 5411 Grand Blvd, Ste 106 New Port Richey, FL 34652-4010 (727) 845-1652 Fax: (727) 845-1642 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Reddy, Mahathi MD
Provider ID: 518972 Gender: Female Renal Hypertension 4113 Little Rd, Ste 101 New Port Richey, FL 34655 (727) 376-3725 Fax: (727) 376-3742 18 YRS/130 YRS Lakewood Ranch Medical Center Manatee Memorial Hosp Languages: Hindi, Telugu Mon - Fri 9:00 to 5:00 PCMH: No
Reddy, Purushottam MD
Provider ID: 9594 Gender: Male Renal Hypertension Center 14134 Nephron Ln Hudson, FL 34667-6504 (727) 863-5418 Fax: (727) 869-8626 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant North Bay Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Neurology
Chari, Ganesh MD
Provider ID: 12 Gender: Male 7543 Medical Dr Hudson, FL 34667-6502 (352) 686-8818 Fax: (352) 686-9856 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Bayfront Health Brooksville Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Gu, Qin MD
Provider ID: 288695 Gender: Male David W Malka Md Pa 2595 Tampa Rd, Ste J Palm Harbor, FL 34684-3131 (727) 442-6463 Fax: (727) 781-7273 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Chinese, Mandarin Mon - Fri 8:00 to 5:00 PCMH: No
Gu, Qin MD
Provider ID: 288695 Gender: Male David W Malka Md Pa 7539 Medical Dr Hudson, FL 34667-6502 (727) 869-2115 Fax: (727) 863-6167 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Chinese, Mandarin Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 55
Kiss, Alexander MD
Provider ID: 1349717 Gender: Male Pasco Hernando Hma Physician Manage 6751 Gall Blvd Zephyrhills, FL 33542 (813) 602-8805 Fax: (813) 602-8533 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kiss, Alexander MD
Provider ID: 4553 Gender: Male Bayfront Health 6751 Gall Blvd Zephyrhills, FL 33542 (813) 602-8805 Fax: (813) 602-8533 16 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City Mon - Fri 8:00 to 5:00 PCMH: No
Malik, Samia MD
Provider ID: 1738210 Gender: Female 8109 State Road 54 Trinity, FL 34655-3000 (813) 252-2375 Fax: (813) 324-5680 00 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
33453864
Specialty Physicians
Pasco
Neurology - cont.
Malka, David MD
Provider ID: 214810 Gender: Male David W Malka Md Pa 7539 Medical Dr Hudson, FL 34667-6502 (727) 869-2115 Fax: (727) 863-6167 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Malka, David MD
Provider ID: 214810 Gender: Male David W Malka Md Pa 8140 Picton Way, Ste 103 New Port Richey, FL 34655 (727) 841-7993 Fax: (727) 862-1135 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital PCMH: No
Shah, Siddharth MD
Provider ID: 11185 Gender: Male Siddharth H Shah Md Pa 4762 Rowan Rd New Port Richey, FL 34653-5601 (727) 848-0800 Fax: (727) 843-8157 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Hindi Mon - Wed, Fri 8:30 to 5:00 PCMH: No
Shah, Rakesh MD Provider ID: 193347 Gender: Male Siddharth H Shah Md Pa 4762 Rowan Rd New Port Richey, FL 34653-5601 (727) 848-0800 Fax: (727) 843-8157 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Languages: Gujarati, Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Subramanian, Thondikulam MD
Provider ID: 219838 Gender: Male David W Malka Md Pa 8140 Picton Way, Ste 103 New Port Richey, FL 34655 (727) 841-7993 Fax: (725) 841-7963 00 YRS/130 YRS Bayfront Health Spring Hill Bayfront Health Brooksville Crmc At Bayonet Point Mon - Fri 9:00 to 5:00 PCMH: No
Subramanian, Thondikulam MD
Provider ID: 219838 Gender: Male David W Malka Md Pa 7539 Medical Dr Hudson, FL 34667-6502 (727) 869-2115 Fax: (727) 863-6167 00 YRS/130 YRS Bayfront Health Spring Hill Bayfront Health Brooksville Crmc At Bayonet Point Mon - Fri 9:00 to 5:00 PCMH: No
Umamaheswaran, Indira MD
Provider ID: 348276 Gender: Female David W Malka Md 5622 Marine Pkwy New Port Richey, FL 34652-4333 (727) 841-7993 Fax: (727) 841-7963 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Umamaheswaran, Indira MD
Provider ID: 348276 Gender: Female David W Malka Md Pa 7539 Medical Dr Hudson, FL 34667-6502 (727) 869-2115 Fax: (727) 863-6167 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Young III, John MD
Provider ID: 2152110 Gender: Male Behavioral Health Of Trinity 9332 State Road 54, Ste 400 New Port Richey, FL 34655-1810 (727) 372-4779 Fax: (727) 372-4559 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 56
33453864
Specialty Physicians
Pasco
Nuclear Medicine
Morton Plant Mease Diagnostic
Cardiology Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 6633 Forest Ave, Ste 300 New Port Richey, FL 34653-2612 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Obstetrics
Gooden, Natasha MD Provider ID: 979313 Gender: Female Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 971-4555 Fax: (813) 907-7608 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Greenberg, Steven MD Provider ID: 18767 Gender: Male 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 971-4555 Fax: (813) 907-7608 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Irani, Jennifer MD Provider ID: 969460 Gender: Female Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 973-0398 Fax: (813) 907-7608 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Irani, Jennifer MD
Provider ID: 969460 Gender: Female Womens Care Florida LLC 3743 Maryweather Ln Wesley Chapel, FL 33544-7718 (813) 973-0398 Fax: (813) 907-7608 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Jones, Galen MD
Provider ID: 18768 Gender: Male Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 876-0914 Fax: (813) 876-9198 12 YRS/130 YRS Adventhealth Carrollwood Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Miller, Tracey MD Provider ID: 984992 Gender: Female Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 876-0914 Fax: (813) 876-9198 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Newton, William MD
Provider ID: 18766 Gender: Male Womens Care Florida 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 876-0914 Fax: (813) 876-9198 12 YRS/130 YRS St Josephs Hospital Adventhealth Carrollwood Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Nolan, Christy DO Provider ID: 973534 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 57
33453864
Specialty Physicians
Pasco
Obstetrics - cont.
Von Thron, James MD Provider ID: 18759 Gender: Male Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544 (813) 971-4545 Fax: (813) 876-9198 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Watson, Jennifer DO Provider ID: 618275 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Wilkerson, Wallace MD Provider ID: 18758 Gender: Male Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 876-0914 Fax: (813) 876-9198 12 YRS/130 YRS Adventhealth Tampa Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Obstetrics/Gynecology
Ashby, Gem MD Provider ID: 1847042 Gender: Female Florida Woman Care LLC Gentle Han 2391 Oak Myrtle Ln Wesley Chapel, FL 33544-6328 (813) 803-2219 Fax: (813) 994-5539 12 YRS/130 YRS Arnold Palmer Hospital For Children Orlando Health Orlando Regional Medical Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No
Bardach, Reut MD
Provider ID: 1523561 Gender: Male Orange Blossom Women's Group PLLC 2043 Little Rd Trinity, FL 34655-4421 (727) 846-7000 Fax: (877) 260-1182 12 YRS/130 YRS Mon - Fri 7:00 to 5:30 PCMH: No
Bowen, Jennifer DO Provider ID: 1713275 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 58
Brinkman Mosiman, Lesley MD
Provider ID: 2002874 Gender: Female Women's Care Florida. LLC 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Medical Center Of Trinity Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Buck, Jenny MD
Provider ID: 1994153 Gender: Female Womens Care Florida LLC 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Medical Center Of Trinity Mon - Fri 8:00 to 5:00 PCMH: No
Buck, Jenny MD Provider ID: 1994153 Gender: Female Womens Care Florida LLC 9332 State Road 54, Ste 406 Trinity, FL 34655-1810 (727) 376-3798 Fax: (727) 375-0698 12 YRS/130 YRS Medical Center Of Trinity Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Obstetrics/Gynecology - cont.
Caselnova, Petra MD Provider ID: 1865195 Gender: Female Adventhealth Medical Group Multispe 18923 State Road 54 Lutz, FL 33558-5268 (813) 803-7150 Fax: (813) 803-7167 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Caselnova, Petra MD
Provider ID: 1865195 Gender: Female Adventhealth Medical Group Obstetri 2700 Healing Way, Ste 304 Wesley Chapel, FL 33543-5453 (813) 929-5341 Fax: (813) 929-5393 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Colon Rivera, Malieri MD
Provider ID: 1635173 Gender: Female Community Hospital Family Practice 9332 State Road 54, Ste 406 Trinity, FL 34655-1810 (727) 376-3798 Fax: (727) 375-0698 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Ferlita, John MD Provider ID: 149055 Gender: Male Adventhealth Medical Group Urogynec 6719 Gall Blvd, Ste 208 Zephyrhills, FL 33542-2569 (813) 782-7318 Fax: (813) 788-5067 16 YRS/130 YRS Adventhealth Dade City Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Funai, Edmund MD
Provider ID: 1724241 Gender: Male Citrus Specialty Group Inc 9332 State Road 54, Ste 400 Trinity, FL 34655-1810 (727) 375-7295 Fax: (727) 375-7194 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Funai, Edmund MD
Provider ID: 1724241 Gender: Male Citrus Specialty Group Inc 9332 State Road 54, Ste 407 New Port Richey, FL 34655-1810 (727) 375-7295 Fax: (727) 375-7194 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Goldman, Joshua MD Provider ID: 1647616 Gender: Male Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 4:00 PCMH: No
Gomez, Christina DO Provider ID: 1593175 Gender: Female Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543-5453 (813) 933-3324 Fax: (813) 932-4357 16 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Graham, Melinda MD
Provider ID: 2142884 Gender: Female Orange Blossom Womens Group 2043 Little Rd Trinity, FL 34655-4421 (727) 846-7000 Fax: (877) 260-1182 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hoche, Nay MD Provider ID: 1202835 Gender: Male Obstetrics Gynecology Of Trinity 9332 State Road 54, Ste 406 New Port Richey, FL 34655 (727) 376-3798 Fax: (727) 375-0698 00 YRS/130 YRS Medical Center Of Trinity Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 59
33453864
Specialty Physicians
Pasco
Obstetrics/Gynecology - cont.
Hoche, Nay MD Provider ID: 1226663 Gender: Female Obstetrics And Gycecology Of Trinit 9332 State Road 54, Ste 406 Trinity, FL 34655-1810 (727) 376-3798 Fax: (727) 375-0698 00 YRS/130 YRS Medical Center Of Trinity Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Imudia, Anthony MD
Provider ID: 789831 Gender: Male Usf Physicians Group 2718 Windguard Cir, Ste 101 Wesley Chapel, FL 33544 (813) 259-0692 Fax: (813) 259-0882 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Marks, Becca DO Provider ID: 1308340 Gender: Female 14751 State Road 52, Unit A105 Hudson, FL 34669-4060 (352) 686-8888 Fax: (352) 684-6888 12 YRS/130 YRS PCMH: No
Mcendree, Terri MD Provider ID: 1501975 Gender: Female Adventhealth Medical Group Multispe 18923 State Road 54 Lutz, FL 33558-5268 (813) 803-7150 Fax: (813) 803-7167 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mcendree, Terri MD
Provider ID: 1501975 Gender: Female Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543-5453 (813) 929-5341 Fax: (813) 929-5393 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Melek, Seham MD Provider ID: 2108587 Gender: Female Brooksville Hma Physician Managemen 14751 State Road 52, Unit A105 Hudson, FL 34669-4060 (352) 606-2739 Fax: (352) 684-6888 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Moorhead, Lauren MD Provider ID: 984426 Gender: Female Womens Care Florida LLC 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 60
Paniello, Santo MD Provider ID: 724034 Gender: Male 2352 Bruce Downs Blvd, Ste 301 Wesley Chapel, FL 33544-9203 (813) 991-7416 Fax: (813) 355-5097 18 YRS/130 YRS Adventhealth Tampa PCMH: No
Paniello, Santo MD
Provider ID: 724034 Gender: Male 36819 Eiland Blvd, Ste 1 Zephyrhills, FL 33542-0600 (813) 780-8274 Fax: (813) 355-5097 18 YRS/130 YRS Adventhealth Tampa PCMH: No
Perez, Hugo MD Provider ID: 11031 Gender: Male Florida Woman Care LLC 8605 Easthaven Ct, Ste 102 New Port Richey, FL 34655 (727) 836-9750 Fax: (727) 836-9752 12 YRS/130 YRS Medical Center Of Trinity Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Obstetrics/Gynecology - cont.
Ramappa, Renuka MD Provider ID: 27161 Gender: Female 5321 Grand Blvd New Prt Rchy, FL 34652-4014 (727) 863-5975 Fax: (727) 849-4076 12 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Hindi Tue 1:00 to 4:00 Wed - Thu 9:00 to 4:30 PCMH: No
Salem, Areej MD
Provider ID: 1553302 Gender: Female Areej Salem LLC 2306 Ashley Oaks Cir, Ste 101 Wesley Chapel, FL 33544-6435 (813) 994-0264 12 YRS/130 YRS Languages: Arabic, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Shelden, Sarah DO Provider ID: 1142168 Gender: Female Women's Care Florida LLC 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 61
Smith, Robert MD Provider ID: 16356 Gender: Male 6600 Madison St, Fl 2 New Port Richey, FL 34652-1971 (727) 842-8468 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point PCMH: No
Smith, Robert MD
Provider ID: 16356 Gender: Male Womens Care Center Of Pasco Pa 9332 State Road 54, Ste 202 Trinity, FL 34655-1810 (727) 849-1659 Fax: (727) 842-3627 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Torres, Wanda MD Provider ID: 643377 Gender: Female Florida Woman Care LLC 2044 Trinity Oaks Blvd, Ste 215 New Port Richey, FL 34655 (727) 376-0060 Fax: (727) 375-7308 00 YRS/130 YRS Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Umstead, Thomas MD Provider ID: 8878 Gender: Male 1812 Health Care Dr, Bldg 6 New Port Richey, FL 34655-5362 (727) 376-2229 Fax: (727) 376-5456 00 YRS/130 YRS Adventhealth North Pinellas Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Villa, Maria MD
Provider ID: 1800947 Gender: Female Adventhealth Medical Group Obstetri 7050 Gall Blvd Zephyrhills, FL 33541-1347 (813) 782-8761 Fax: (813) 783-6038 16 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Walter, Andrew MD Provider ID: 1988628 Gender: Male Womens Care Florida LLC 2102 Trinity Oaks Blvd Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS St Josephs Hospital Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Obstetrics/Gynecology - cont.
Washington, Gina MD
Provider ID: 1997901 Gender: Female Womens Care Florida LLC 2102 Trinity Oaks Blvd, Ste 171 Trinity, FL 34655-4409 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Weiss, Michael MD
Provider ID: 1366842 Gender: Male Adventhealth Medical Group Obstetri 7050 Gall Blvd Zephyrhills, FL 33541-1347 (813) 782-8761 Fax: (813) 783-6038 12 YRS/130 YRS Adventhealth Zephyrhills Mon - Fri 9:00 to 5:00 PCMH: No
Weiss, Michael MD
Provider ID: 1366842 Gender: Male Fhz Dade City Primary Care 37740 Meridian Ave Dade City, FL 33525-4221 (813) 782-8761 Fax: (813) 783-6038 12 YRS/130 YRS Adventhealth Zephyrhills Mon - Fri 9:00 to 5:00 PCMH: No
Williams, Annette MD
Provider ID: 476687 Gender: Female Adventhealth Medical Group Obstetri 37740 Meridian Ave Dade City, FL 33525-4221 (352) 437-5970 Fax: (352) 437-5998 00 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Sebring Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Annette MD
Provider ID: 476687 Gender: Female Adventhealth Medical Group Obstetri 7050 Gall Blvd Zephyrhills, FL 33541-1347 (813) 782-8761 Fax: (813) 779-6295 00 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Sebring Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Witkowski, Kristen MD
Provider ID: 2070762 Gender: Female Florida Woman Care LLC Gentle Han 2391 Oak Myrtle Ln Wesley Chapel, FL 33544-6328 (813) 803-2219 Fax: (813) 994-5539 12 YRS/130 YRS Arnold Palmer Hospital For Children Orlando Health Orlando Regional Medical Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No
Ophthalmology
Dunn, Evan MD
Provider ID: TPV1972879484-01 Gender: Male Seashore Retina LLC 26851 Tanic Dr, Ste 102 Wesley Chapel, FL 33544 (813) 973-3333 Fax: (813) 973-3888 01 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 8:00 to 5:00 PCMH: No
El-Jabali, Fayssal DO
Provider ID: TPV1629199096-06 Gender: Male Bay Area Retina Specialists LLC 2055 Little Rd Trinity, FL 34655 (727) 862-3090 Fax: (727) 862-3023 10 YRS/99 YRS Florida Hospital Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Hamilton, Richard MD
Provider ID: TPV1568412823-02 Gender: Male Vitreous And Retina Consultants 6719 Gall Blvd, Ste 206 Zephyrhills, FL 33542 (863) 297-5400 Fax: (863) 293-9780 18 YRS/99 YRS South Lake Hospital Languages: Korean Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 62
33453864
Specialty Physicians
Pasco
Ophthalmology - cont.
Handza, Jason DO Provider ID: TPV1083603146-01 Gender: Male Gulf Coast Retina Specialists PLLC 10730 Us Hwy 19, Ste 7 Port Richey, FL 34668 (727) 862-3090 Fax: (727) 862-3023 10 YRS/99 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Handza, Jason DO
Provider ID: TPV1083603146-02 Gender: Male Gulf Coast Retina Specialists PLLC 10730 Us Hwy 19, Ste 7 Port Richey, FL 34668 (727) 862-3090 Fax: (727) 862-3023 10 YRS/99 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Hauber, Frederick MD Provider ID: TPV1881654101-01 Gender: Male F A Hauber Md Pa 5347 Main St, Ste 100 New Port Richey, FL 34652 (727) 847-4448 Fax: (727) 845-1572 10 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Thu 8:30 to 3:00 Fri 8:30 to 12:00 PCMH: No
Linsey, Kyle DO Provider ID: TPV1194164517-02 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Linsey, Kyle DO
Provider ID: TPV1194164517-04 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Linsey, Kyle DO Provider ID: TPV1194164517-06 Gender: Male Larry M Perich Do Pa 2621 Windguard Cir Wesley Chapel, FL 33544 (727) 860-8060 Fax: (727) 372-7866 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 8:00 to 4:00 PCMH: No
Moinfar, Nader MD Provider ID: TPV1740206028-03 Gender: Male Florida Retina Consultants 35788 Sr 54, Ste 102 Zephyrhills, FL 33541 (877) 245-2020 Fax: (863) 802-4587 18 YRS/99 YRS Winter Haven Hospital Languages: French Mon - Fri 8:00 to 5:00 PCMH: No
Montzka, Dan MD
Provider ID: TPV1841290293-02 Gender: Male Gulf Coast Retina Center LLC 2055 Little Rd Trinity, FL 34655 (727) 862-3090 Fax: (727) 862-3023 06 YRS/99 YRS Mease Countryside Hospital Mon, Fri 7:30 to 4:30 Tue - Thu 8:00 to 5:00 PCMH: No
Montzka, Dan MD Provider ID: TPV1841290293-03 Gender: Male Gulf Coast Retina Center LLC 2055 Little Rd Trinity, FL 34655 (727) 862-3090 Fax: (727) 862-3023 06 YRS/99 YRS Mease Countryside Hospital Mease Dunedin Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 63
33453864
Specialty Physicians
Pasco
Ophthalmology - cont.
Perich, Tanya DO Provider ID: TPV1750661666-02 Gender: Female Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 01 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Perich, Tanya DO
Provider ID: TPV1750661666-04 Gender: Female Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 01 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Perich, Larry DO Provider ID: TPV1891724019-02 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 07 YRS/99 YRS Florida Hospital Tampa Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 64
Perich, Larry DO Provider ID: TPV1891724019-04 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 07 YRS/99 YRS Florida Hospital Tampa Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Perich, Larry DO
Provider ID: TPV1891724019-06 Gender: Male Larry M Perich Do Pa 2621 Windguard Cir Wesley Chapel, FL 33544 (727) 860-8060 Fax: (727) 372-7866 07 YRS/99 YRS Florida Hospital Tampa Mon - Fri 8:00 to 4:00 PCMH: No
Rowan, Carey MD Provider ID: TPV1114981875-01 Gender: Male Rowan Eye Center Inc 5305 Grand Blvd New Port Richey, FL 34652 (727) 847-0889 Fax: (727) 846-8458 18 YRS/99 YRS Medical Center Of Trinity Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Rowan, Carey MD Provider ID: TPV1114981875-02 Gender: Male Rowan Eye Center Inc 5305 Grand Blvd New Port Richey, FL 34652 (727) 847-0889 Fax: (727) 846-8458 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Tarabishy, Ahmad MD
Provider ID: TPV1770629933-01 Gender: Male Seashore Retina LLC 26851 Tanic Dr, Ste 102 Wesley Chapel, FL 33544 (813) 973-3333 Fax: (813) 973-3888 18 YRS/99 YRS Florida Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Tarabishy, Ahmad MD Provider ID: TPV1770629933-06 Gender: Male Seashore Retina LLC 26851 Tanic Dr, Ste 102 Wesley Chapel, FL 33544 (813) 973-3333 Fax: (813) 973-3888 18 YRS/99 YRS Florida Hospital Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Ophthalmology - cont.
Urban. Jr, Robert MD
Provider ID: TPV1669440947-01 Gender: Male Robert C Urban Jr Md LLC 4439 Rowan Rd New Port Richey, FL 34653 (727) 807-7090 Fax: (727) 807-7076 18 YRS/99 YRS Regional Medical Center Bayonet Point Languages: Spanish Mon - Thu 8:30 to 4:30 Fri 8:30 to 12:00 PCMH: No
Urban. Jr, Robert MD
Provider ID: TPV1669440947-03 Gender: Male Robert C Urban Jr Md LLC 4439 Rowan Rd New Port Richey, FL 34653 (727) 807-7090 Fax: (727) 807-7076 18 YRS/99 YRS Bayfront Medical Center Languages: Spanish Mon - Thu 8:30 to 4:30 Fri 8:30 to 12:00 PCMH: No
Williams, Dennis MD
Provider ID: TPV1386698116-03 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 04 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Dennis MD
Provider ID: TPV1386698116-04 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 04 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Dennis MD
Provider ID: TPV1386698116-06 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 04 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Williams, Dennis MD
Provider ID: TPV1386698116-07 Gender: Male Larry M Perich Do Pa 2621 Windguard Cir Wesley Chapel, FL 33544 (727) 860-8060 Fax: (727) 372-7866 04 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 8:00 to 4:00 PCMH: No
Optician
Eye Doctors Optical Outlets Pa
Provider ID: TPV1114461746-01 6844 Gall Blvd Zephyrhills, FL 33542 (813) 603-3479 Fax: (813) 333-7990 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Eye Doctors Optical Outlets Pa
Provider ID: TPV1447441787-02 8605 Us Hwy 19 Port Richey, FL 34668 (727) 848-2978 Fax: (727) 213-9018 00 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Eyecare Optics LLC
Provider ID: TPV1700265972-01 4156 Rowan Rd New Port Richey, FL 34653 (727) 376-8055 Fax: (727) 376-8425 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Eyesavers Optical Inc
Provider ID: TPV1003837212-01 4126 Us Highway 19 New Port Richey, FL 34652 (727) 846-0823 Fax: (727) 842-2010 00 YRS/99 YRS Mon - Fri 9:00 to 3:00 Sat 9:00 to 11:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 65
33453864
Specialty Physicians
Pasco
Optician - cont.
Optimart Inc
Provider ID: TPV1124235049-01 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 868-0819 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Optimart Inc
Provider ID: TPV1609083484-01 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 782-1902 00 YRS/99 YRS Mon 8:00 to 6:00 Tue - Sat 8:00 to 5:00 PCMH: No
Visionworks Inc
Provider ID: TPV1104103274-01 9644 Scenic Dr Port Richey, FL 34668 (727) 848-3018 Fax: (727) 847-3463 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
Optometry
Alcantara, Marielle OD Provider ID: TPV1336590033-05 Gender: Female Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 66
Alcantara, Marielle OD
Provider ID: TPV1336590033-09 Gender: Female Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Anderson, Clinton OD
Provider ID: TPV1326034349-10 Gender: Male Lutz Anderson Inc 29154 Chapel Park Dr Wesley Chapel, FL 33543 (813) 949-7274 Fax: (813) 994-1457 05 YRS/99 YRS Tue - Thu, Sat 9:30 to 6:00 Fri 8:30 to 4:00 PCMH: No
Argiropoulos-Dhima, Margaret
OD
Provider ID: TPV1730141581-01 Gender: Female Margaret A Dhima Pa 3002 Starkey Blvd New Port Richey, FL 34655 (727) 264-7363 Fax: (727) 807-3695 04 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Argiropoulos-Dhima, Margaret
OD
Provider ID: TPV1730141581-02 Gender: Female Margaret A Dhima Pa 3002 Starkey Blvd New Port Richey, FL 34655 (727) 264-7363 Fax: (727) 807-3695 04 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Austin, Bradley OD
Provider ID: TPV1235544750-02 Gender: Male Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Austin, Bradley OD
Provider ID: TPV1235544750-03 Gender: Male Elevate Your Existence LLC 28150 Willet Way Wesley Chapel, FL 33543 (813) 907-2844 Fax: (813) 920-6619 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Beiler, Mark OD
Provider ID: TPV1205858115-02 Gender: Male Eye Doctors Optical Outlets Pa 8605 Us Hwy 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 12 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Beiler, Mark OD
Provider ID: TPV1205858115-03 Gender: Male Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 12 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
33453864
Specialty Physicians
Pasco
Optometry - cont.
Birnbaum, Suzanne OD Provider ID: TPV1417140054-04 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Causey, Michael OD Provider ID: TPV1033103999-01 Gender: Male Michael J Causey Od Pa 9948 Grove Dr New Port Richey, FL 34654 (727) 868-9898 Fax: (727) 862-4436 05 YRS/99 YRS Tue - Fri 9:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Causey, Matthew OD Provider ID: TPV1710479738-01 Gender: Male Michael J Causey Od Pa 9948 Grove Dr New Port Richey, FL 34654 (727) 868-9898 Fax: (727) 862-4436 06 YRS/99 YRS Tue - Fri 9:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Ciccarello, Jimmie OD Provider ID: TPV1144264110-01 Gender: Male Eye Doctors Optical Outlets Pa 8605 Us Hwy 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Ciccarello, Jimmie OD Provider ID: TPV1144264110-07 Gender: Male Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Day, Paul OD
Provider ID: TPV1265634224-01 Gender: Male Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Day, Paul OD Provider ID: TPV1265634224-04 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Day, Paul OD Provider ID: TPV1265634224-11 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Furman, Adam OD Provider ID: TPV1336541465-01 Gender: Male Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 06 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Furman, Adam OD Provider ID: TPV1336541465-05 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 06 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Havens, Alicia OD Provider ID: TPV1437566155-01 Gender: Female Rowan Eye Center Inc 5305 Grand Blvd New Port Richey, FL 34652 (727) 847-0889 Fax: (727) 846-8458 09 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Hernandez, Madeline OD Provider ID: TPV1710907944-19 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 07 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 67
33453864
Specialty Physicians
Pasco
Optometry - cont.
Herriott, Michael OD
Provider ID: TPV1942588926-08 Gender: Male Eye Doctors Optical Outlets Pa 6844 Gall Blvd Zephyrhills, FL 33542 (813) 603-3479 Fax: (813) 333-7990 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Hetherington, Mark OD
Provider ID: TPV1437258944-02 Gender: Male Riverview Optical Inc 33913 State Rd 54, Ste 102 Wesley Chapel, FL 33543 (813) 996-2020 Fax: (813) 994-1457 00 YRS/99 YRS Mon - Fri 10:00 to 6:00 PCMH: No
Huggett, Edward OD
Provider ID: TPV1760415905-01 Gender: Male Seashore Retina LLC 26851 Tanic Dr, Ste 102 Wesley Chapel, FL 33544 (813) 973-3333 Fax: (813) 973-3888 18 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 68
Jones, Douglas OD
Provider ID: TPV1063587327-05 Gender: Male Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Jones, Douglas OD
Provider ID: TPV1063587327-09 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Jones, Douglas OD
Provider ID: TPV1063587327-10 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Kudryk, John OD
Provider ID: TPV1376500975-01 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Kudryk, John OD
Provider ID: TPV1376500975-02 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 05 YRS/99 YRS Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Lappano, Alfred OD
Provider ID: TPV1194727669-01 Gender: Male Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
33453864
Specialty Physicians
Pasco
Optometry - cont.
Lappano, Alfred OD Provider ID: TPV1194727669-05 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Lappano, Alfred OD
Provider ID: TPV1194727669-11 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Luu, Jessica OD Provider ID: TPV1619364775-05 Gender: Female Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Luu, Jessica OD Provider ID: TPV1619364775-06 Gender: Female Elevate Your Existence LLC 28150 Willet Way Wesley Chapel, FL 33543 (813) 907-2844 Fax: (813) 920-6619 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Merlino, Brian OD
Provider ID: TPV1841418555-01 Gender: Male Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Merlino, Brian OD Provider ID: TPV1841418555-05 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Merlino, Brian OD Provider ID: TPV1841418555-11 Gender: Male Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Miller, Matthew OD
Provider ID: TPV1669603130-02 Gender: Male Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Matthew OD
Provider ID: TPV1669603130-04 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 05 YRS/99 YRS Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 69
33453864
Specialty Physicians
Pasco
Optometry - cont.
Miller, Matthew OD Provider ID: TPV1669603130-05 Gender: Male Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 05 YRS/99 YRS Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Miller, Matthew OD
Provider ID: TPV1669603130-06 Gender: Male Larry M Perich Do Pa 2621 Windguard Cir Wesley Chapel, FL 33544 (727) 860-8060 Fax: (727) 372-7866 05 YRS/99 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Murphy, Kenneth OD Provider ID: TPV1700870854-03 Gender: Male Kenneth Robert Murphy 4126 Us Highway 19 New Port Richey, FL 34652 (727) 846-0823 Fax: (727) 842-2010 06 YRS/99 YRS Mon - Fri 9:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 70
Murphy, Kenneth OD Provider ID: TPV1700870854-04 Gender: Male Kenneth Robert Murphy 4156 Rowan Rd New Port Richey, FL 34653 (727) 376-8055 Fax: (727) 376-8425 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Murphy, Kenneth OD
Provider ID: TPV1700870854-06 Gender: Male Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Parsons, Nicole OD Provider ID: TPV1053388215-02 Gender: Female Linsey Parsons Od Pa 8936 Us Hwy 19 Port Richey, FL 34668 (727) 844-3400 Fax: (727) 848-6641 05 YRS/99 YRS Mon 9:00 to 8:00 Tue - Wed, Fri 9:00 to 6:00 Thu 9:00 to 7:00 Sat 8:00 to 3:00 PCMH: No
Parsons, Brent OD Provider ID: TPV1275501199-02 Gender: Male Linsey Parsons Od Pa 8936 Us Hwy 19 Port Richey, FL 34668 (727) 844-3400 Fax: (727) 848-6641 05 YRS/99 YRS Mon 9:00 to 8:00 Tue - Wed, Fri 9:00 to 6:00 Thu 9:00 to 7:00 Sat 8:00 to 3:00 PCMH: No
Passaro, Vincent OD
Provider ID: TPV1750425948-01 Gender: Male Passaro Eye Care 6847 State Rd 54 New Port Richey, FL 34653 (727) 848-2020 Fax: (727) 847-3937 05 YRS/99 YRS Languages: Spanish Mon, Wed 8:30 to 4:00 Tue, Thu 9:00 to 5:00 Fri 1:00 to 5:00 PCMH: No
Passaro, Vincent OD Provider ID: TPV1750425948-02 Gender: Male Passaro Eye Care 13712 Little Rd Hudson, FL 34667 (727) 848-2020 Fax: (727) 847-3937 05 YRS/99 YRS Tue, Thu 8:30 to 4:00 PCMH: No
33453864
Specialty Physicians
Pasco
Optometry - cont.
Patel, Anisha OD Provider ID: TPV1467979476-02 Gender: Female Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Payne, Tessa OD
Provider ID: TPV1518198027-02 Gender: Female Larry M Perich Do Pa 2020 Seven Springs Blvd New Port Richey, FL 34655 (727) 372-1311 Fax: (727) 372-1972 01 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Payne, Tessa OD Provider ID: TPV1518198027-04 Gender: Female Larry M Perich Do Pa 6905 Medical View Ln Zephyrhills, FL 33542 (813) 788-2020 Fax: (813) 788-2044 01 YRS/99 YRS Languages: Spanish Mon - Thu 7:30 to 3:00 Fri 7:00 to 3:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 71
Payne, Tessa OD Provider ID: TPV1518198027-06 Gender: Female Larry M Perich Do Pa 2621 Windguard Cir Wesley Chapel, FL 33544 (727) 860-8060 Fax: (727) 372-7866 01 YRS/99 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Pham, Nhathy OD
Provider ID: TPV1417338823-02 Gender: Female Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 08 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Pham, Nhathy OD Provider ID: TPV1417338823-03 Gender: Female Elevate Your Existence LLC 28150 Willet Way Wesley Chapel, FL 33543 (813) 907-2844 Fax: (813) 920-6619 08 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Regal, Sarah OD Provider ID: TPV1851943088-01 Gender: Female Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Regal, Sarah OD
Provider ID: TPV1851943088-05 Gender: Female Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Scamard, David OD Provider ID: TPV1790900694-09 Gender: Male Eye Doctors Optical Outlets Pa 6844 Gall Blvd Zephyrhills, FL 33542 (813) 603-3479 Fax: (813) 333-7990 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Schoneck, Katie OD
Provider ID: TPV1720153992-03 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Hwy 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
33453864
Specialty Physicians
Pasco
Optometry - cont.
Schoneck, Katie OD
Provider ID: TPV1720153992-06 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Smith, Kevin OD
Provider ID: TPV1518945179-02 Gender: Male Dr Kevin L Smith Od And Associ -ates Inc 5488 Land O Lakes Blvd Land O Lakes, FL 34639 (813) 803-4515 Fax: (813) 803-4513 05 YRS/99 YRS Tue, Thu 9:00 to 5:00 Wed, Fri 10:00 to 4:00 Sat 9:00 to 12:00 PCMH: No
Smith, Kevin OD
Provider ID: TPV1518945179-06 Gender: Male Dr Kevin L Smith Od And Associ -ates Inc 5488 Land O' Lakes Blvd Land O Lakes, FL 34639 (813) 803-4515 Fax: (813) 803-4513 05 YRS/99 YRS Tue, Thu 9:00 to 5:00 Wed, Fri 10:00 to 4:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 72
Sterling, Peggy OD Provider ID: TPV1427105410-05 Gender: Female Peggy J Sterling Od 33913 State Rd 54, Suite 102 Wesley Chapel, FL 33544 (813) 996-2020 Fax: (813) 994-1457 05 YRS/99 YRS Mon - Fri 10:00 to 6:00 PCMH: No
Thai, Pauline OD
Provider ID: TPV1871808097-07 Gender: Female Vision Specialty Associates Pa 10041 Us Highway 19, Ste A Port Richey, FL 34668 (727) 868-0780 Fax: (727) 857-4365 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Thai, Pauline OD Provider ID: TPV1871808097-11 Gender: Female Vision Specialty Associates Pa 7400 Gall Blvd Zephyrhills, FL 33541 (813) 782-4546 Fax: (813) 702-4054 05 YRS/99 YRS Mon 8:00 to 6:00 Tue - Fri 8:00 to 5:00 PCMH: No
Tran-Lockwood, Julie OD
Provider ID: TPV1639377104-01 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Hwy 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Tran-Lockwood, Julie OD Provider ID: TPV1639377104-05 Gender: Female Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 05 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Tyler, Eric OD
Provider ID: TPV1285652826-08 Gender: Male Eye Doctors Optical Outlets Pa 8605 Us Highway 19 Port Richey, FL 34668 (727) 848-2977 Fax: (727) 213-9018 00 YRS/99 YRS Mon - Sat 10:00 to 7:00 PCMH: No
Williams, John OD Provider ID: TPV1205977295-01 Gender: Male Rowan Eye Center Inc 5305 Grand Blvd New Port Richey, FL 34652 (727) 847-0889 Fax: (727) 846-8458 05 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Woolwine, Joshua OD
Provider ID: TPV1215389754-03 Gender: Male Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
33453864
Specialty Physicians
Pasco
Optometry - cont.
Woolwine, Joshua OD Provider ID: TPV1215389754-04 Gender: Male Elevate Your Existence LLC 9644 Scenic Dr Port Richey, FL 34668 (727) 845-0082 Fax: (727) 877-2251 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Woolwine, Joshua OD
Provider ID: TPV1215389754-05 Gender: Male Elevate Your Existence LLC 28150 Willet Way Wesley Chapel, FL 33543 (813) 907-2844 Fax: (813) 920-6619 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 3:00 Sun 12:00 to 4:00 PCMH: No
Oral & Maxillofacial Surgery
Aves, Renato DDS Provider ID: TPV18163-02 Gender: Male Tampa Bay Institute Of Oral Surgery & Dental Implants 19445 Shumard Oak Dr Ste 101 Land O Lakes, FL 34638 (813) 909-2354 Fax: (813) 948-1324 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:30 PCMH: No
Caribas-Mendible, Alejandro DDS
Provider ID: TPVP110697-04 Gender: Male Tampa Bay Institute Of Oral Surgery & Dental Implants 19445 Shumard Oak Dr Ste 101 Land O Lakes, FL 34638 (813) 909-2354 Fax: (813) 948-1324 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:30 PCMH: No
Chuong, Robert DMD
Provider ID: 17804 Gender: Male 8804 Hawbuck St Trinity, FL 34655-5360 (727) 894-1442 Fax: (727) 823-0466 00 YRS/130 YRS Bayfront Medical Center Fri 8:00 to 4:00 PCMH: No
Elmohd, Tarik DMD Provider ID: TPVP186046-03 Gender: Male Tampa Bay Institute Of Oral Surgery & Dental Implants 19445 Shumard Oak Dr Ste 101 Land O Lakes, FL 34638 (813) 909-2354 Fax: (813) 948-1324 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:30 PCMH: No
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-19 Gender: Male Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Orthodontics
Angeloni, Mark DMD Provider ID: TPVP173408-08 Gender: Male Florida Orthodontic Associates 5312 Sr 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 7:30 to 5:00 PCMH: No
Brockway, Chelsea DDS
Provider ID: TPVP159206-06 Gender: Female Florida Orthodontics Associates 2234 Native Woods Ln Ste 102 Wesley Chapel, FL 33544 (813) 929-6700 Fax: (813) 884-8723 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 73
33453864
Specialty Physicians
Pasco
Orthodontics - cont.
Cetta, Christopher DMD Provider ID: TPVP122269-07 Gender: Male Blue Wave Ortho Partners PLLC 2234 Native Woods Ln Ste 102 Wesley Chapel, FL 33544 (813) 968-2483 Fax: (813) 444-5696 00 YRS/99 YRS Languages: Spanish Tue, Thu 8:00 to 5:00 PCMH: No
Guloy, Robertzon DMD
Provider ID: TPVP139338-16 Gender: Male Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Hasan, Shadiya DMD Provider ID: TPVP178415-19 Gender: Female Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 74
Mcdowell, Ernest DMD Provider ID: TPVP104348-09 Gender: Male Florida Orthodontic Associates 5312 Sr 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 7:30 to 5:00 PCMH: No
Segovia, Flor DDS
Provider ID: TPVP103099-20 Gender: Female Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Orthopaedic Surgery
Cooper, Seth MD Provider ID: 1490832 Gender: Male Florida Medical Clinic Pa 2352 Bruce B Downs Blvd, Ste 102 Wesley Chapel, FL 33544-9203 (813) 979-0440 Fax: (813) 355-5054 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cooper, Seth MD Provider ID: 1490832 Gender: Male Florida Medical Clinic Pa 38135 Market Sq Zephyrhills, FL 33542-7505 (813) 979-0440 Fax: (813) 355-5054 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Knight, Randolph MD
Provider ID: 188914 Gender: Male 38022 Medical Center Ave Zephyrhills, FL 33540-1383 (813) 782-5543 Fax: (813) 788-9342 00 YRS/130 YRS Adventhealth Zephyrhills Memorial Hospital Of Tampa Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Nalley, Charles MD Provider ID: 1537064 Gender: Male Florida Medical Clinic Pa 2352 Bruce Downs Blvd, Ste 102 Wesley Chapel, FL 33544-9203 (813) 979-0440 Fax: (813) 355-5054 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nalley, Charles MD
Provider ID: 1537064 Gender: Male Florida Medical Clinic Pa 38135 Market Sq Zypherhills, FL 33542 (813) 979-0440 Fax: (813) 355-5054 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Pain Management
Bhalani, Maulik MD Provider ID: 1131646 Gender: Male Advanced Pain Management Inc 2553 Windguard Cir Wesley Chapel, FL 33544-7351 (813) 388-2948 Fax: (813) 388-6827 18 YRS/130 YRS Languages: Hindi, Punjabi, Spanish Mon - Fri 7:30 to 5:00 PCMH: No
Bhalani, Maulik MD
Provider ID: 1131646 Gender: Male Advanced Pain Management Inc 38011 Arbor Ridge Dr Zephyrhills, FL 33540-1301 (813) 388-2948 Fax: (813) 388-6827 18 YRS/130 YRS Languages: Hindi, Punjabi, Spanish Mon - Fri 7:30 to 4:30 PCMH: No
De LA Garza, Miguel MD
Provider ID: 361281 Gender: Male Comprehensive Pain Mgmt 5413 George St, Ste 1 New Port Richey, FL 34652-4101 (727) 846-7618 Fax: (727) 849-7090 18 YRS/130 YRS Tampa Bay Surgery Center Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Murphy, Shawn DO Provider ID: 2059972 Gender: Male Advanced Pain Management Inc 2553 Windguard Cir Wesley Chapel, FL 33544-7351 (813) 388-2948 Fax: (813) 388-6827 00 YRS/130 YRS Mon - Fri 7:30 to 4:30 PCMH: No
Pediatric Cardiology
Ballal, Natraj MD Provider ID: 22700 Gender: Male Bay Pediatric Cardiology 2318 Greenbranch Dr, Building# 2 Wesley Chapel, FL 33544 (813) 874-1662 Fax: (813) 879-5064 00 YRS/18 YRS St Josephs Hospital Adventhealth North Pinellas Brandon Regional Hospital Languages: Arabic, Hindi, Spanish Mon 1:00 to 5:00 PCMH: No
Crawford, Marguerite MD
Provider ID: 314170 Gender: Female 4443 Rowan Rd New Port Richey, FL 34653-6198 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Pediatric Ear. Nose & Throat
Andrews, Thomas MD Provider ID: 1771243 Gender: Male Pediatric Otolaryngology Head And N 14111 State Road 54 Odessa, FL 33556-3663 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Cressman, Wade MD
Provider ID: 1773237 Gender: Male Pediatric Otolaryngology Head And N 14111 State Road 54 Odessa, FL 33556-3663 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Nalin MD Provider ID: 271692 Gender: Male Florida Pediatric Associates LLC 26853 Foggy Creek Rd, Bldg 21 Wesley Chapel, FL 33544-6777 (813) 972-3353 Fax: (813) 978-3667 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc New Tampa Surgery Center Tampa Bay Surgery Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 75
33453864
Specialty Physicians
Pasco
Pediatric Ear. Nose & Throat - cont.
Trowbridge, Rose MD Provider ID: 1773205 Gender: Female Pediatric Ear Nose Throat Specia 14111 State Road 54 Odessa, FL 33556-3663 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wasylik, Kathleen MD
Provider ID: 1773229 Gender: Female Pediatric Otolaryngology Head And N 14111 State Road 54 Odessa, FL 33556-3663 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Gastroenterology
Cuenca, Rosa MD Provider ID: 4495 Gender: Female Thiru S Arasu Md 2734 Winguard Circle, Ste 102 Wesley Chapel, FL 33544 (813) 870-4438 Fax: (813) 870-4153 00 YRS/21 YRS St Josephs Hospital Citrus Surgical Center Adventhealth Tampa Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wilsey, Michael MD Provider ID: 200955 Gender: Male 5640 Main St New Prt Rchy, FL 34652-2637 (727) 822-4300 Fax: (727) 822-9515 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Pediatric Infectious Disease
Gellady, Andrew MD Provider ID: 27122 Gender: Male 4738 Grand Blvd, Ste C New Port Richey, FL 34652-5170 (727) 807-7800 Fax: (727) 807-7878 00 YRS/18 YRS Medical Center Of Trinity Mon - Fri 9:00 to 5:00 PCMH: No
Pediatric Orthopaedics
Benfanti, Paul MD
Provider ID: 587667 Gender: Male Childrens Orthopaedic And Scoli-osis 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 879-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Tue, Thu 1:00 to 4:00 PCMH: No Telemedicine Presenting and Receiving Site
Warnick, Drew MD
Provider ID: 557201 Gender: Male Childrens Orthopaedic And Scoli -osis 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 879-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Orthopedic Surgery
Bland, Daniel MD Provider ID: 1500475 Gender: Male Childrens Orthopaedic Scoliosis Sur 4443 Rowan Rd New Port Richey, FL 34653-6198 (727) 893-2663 Fax: (727) 568-6836 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Pulmonology
Demissie, Seifu MD Provider ID: 1837063 Gender: Male Orlando Pediatric Pulmonary And Sle 3539 Little Rd Trinity, FL 34655-1811 (407) 898-2767 Fax: (407) 898-9443 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 76
33453864
Specialty Physicians
Pasco
Pediatric Urology
Kolligian, Mark MD
Provider ID: 164682 Gender: Male New Port Richey At All Childrens S 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 874-7500 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Polsky, Ethan MD
Provider ID: 341141 Gender: Male New Port Richey At All Childrens S 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 874-7500 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Pediatrics
Arango, Jan MD Provider ID: 2040692 Gender: Female East Lake Pediatrics Pa 2137 Little Rd Trinity, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 77
Egli, Graciela MD
Provider ID: 2192233 Gender: Female Pediatric Associates Of Tampa Bay. 10710 State Road 54, Ste 108 Trinity, FL 34655-2263 (727) 376-4040 Fax: (727) 376-8824 00 YRS/21 YRS Languages: Spanish, Tagalog Mon - Fri 8:00 to 8:30 Sat 8:00 to 12:00 Sun 9:00 to 12:00 PCMH: No
Gaud, Rosa MD Provider ID: 924301 Gender: Female Pediatric Associates Of Tampa Bay 10710 State Road 54, Ste 108 New Port Richey, FL 34655-2263 (727) 376-4040 Fax: (727) 376-8824 00 YRS/18 YRS Languages: Spanish Mon - Thu 8:00 to 8:00 Fri 8:00 to 5:00 Sun 8:00 to 12:00 PCMH: No
Kharia, Neelam MD
Provider ID: 2201304 Gender: Female Pediatric Associates Of Tampa Bay. 10710 State Road 54, Ste 108 Trinity, FL 34655-2263 (727) 376-4040 Fax: (727) 376-8824 00 YRS/21 YRS Languages: Hindi, Punjabi Mon - Thu 8:00 to 8:30 Fri 8:00 to 5:00 Sat 8:00 to 12:00 Sun 9:00 to 12:00 PCMH: No
Pineiro, Alisha DO
Provider ID: 971867 Gender: Female Pediatric Associates Of Tampa Bay 10710 State Road 54, Ste 108 Trinity, FL 34655-2263 (727) 376-4040 Fax: (727) 376-8824 00 YRS/18 YRS Mon - Thu 8:00 to 8:00 Fri 8:00 to 5:00 Sun 8:00 to 12:00 PCMH: No
Raguthu, Lalitha MD
Provider ID: 624904 Gender: Female Tendercare Pediatrics 27432 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6916 (813) 973-9900 Fax: (813) 973-9982 00 YRS/18 YRS Mon - Fri 9:00 to 4:00 PCMH: No
Sara, Kousalya MD Provider ID: 1573935 Gender: Female Adventhealth Pediatrics At Wesley C 2700 Healing Way, Ste 303 Wesley Chapel, FL 33543 (813) 929-5380 Fax: (813) 929-5991 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sara, Kousalya MD
Provider ID: 1573938 Gender: Female Adventhealth Medical Group Pediatri 6747 Gall Blvd, Ste 2 Zephyrhills, FL 33542-2522 (352) 437-5003 Fax: (352) 437-3985 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Pedodontics
Adibi, Farnaz DMD Provider ID: TPVP133168-20 Gender: Female Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Bezerra, Francisco DDS
Provider ID: TPVP15242-01 Gender: Male Dr Bee Pediatric Dentistry 2242 Ashley Oaks Cir Wesley Chapel, FL 33544 (813) 991-5300 Fax: (888) 520-4252 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Bezerra, Francisco DDS Provider ID: TPVP15242-03 Gender: Male Dr Bee Pediatric Dentistry 6935 Land O Lakes Blvd Land O Lakes, FL 34638 (813) 530-3300 Fax: (855) 820-1235 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 78
Blankenship, Susan DMD Provider ID: TPVP44348-02 Gender: Female Florida Pediatric Dental Associates 5312 State Rd 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Cataldo, Dorothy DMD
Provider ID: TPVP186113-03 Gender: Female Great Expressions Dental Centers 7950 Gall Blvd Zephyrhills, FL 33541 (813) 715-1271 Fax: (813) 715-1402 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 3:00 PCMH: No
Chuong, Christopher DDS Provider ID: TPVP119979-01 Gender: Male No Sugar Bugs Club Childrens Dentistry 8804 Hawbuck St Trinity, FL 34655 (727) 478-3210 Fax: (727) 255-5402 00 YRS/99 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No
Cummings, Marloin DDS Provider ID: TPVP16800-03 Florida Pediatric Dental Associates 5312 State Rd 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Fernandez, Danielle DMD
Provider ID: TPVP168064-07 Gender: Female Dr Bee Pediatric Dentistry 6935 Land O Lakes Blvd Land O Lakes, FL 34638 (813) 530-3300 Fax: (855) 820-1235 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Hoang, Tranchau DMD Provider ID: TPVP176482-01 Gender: Female No Sugar Bugs Club Childrens Dentistry 8804 Hawbuck St Trinity, FL 34655 (727) 478-3210 Fax: (727) 255-5402 00 YRS/99 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 1:00 PCMH: No
33453864
Specialty Physicians
Pasco
Pedodontics - cont.
Iyer, Priyanka DDS Provider ID: TPVP159376-64 Gender: Female Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Jafarnia, Bahareh DDS
Provider ID: TPVP45042-04 Gender: Female Great Expressions Dental Centers 1748 Bruce B Downs Blvd Ste 125 Wesley Chapel, FL 33543 (813) 907-1151 Fax: (813) 364-0138 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Lapresti, Lisa DMD Provider ID: TPVP25207-02 Gender: Female Sea Of Smiles Inc 3737 Maryweather Ln Ste 101 Wesley Chapel, FL 33544 (813) 528-8717 Fax: (813) 528-8728 00 YRS/99 YRS Mon - Thu 8:00 to 4:30 PCMH: No
Mcilwain, Michael DMD Provider ID: TPVP134243-02 Gender: Male Mcilwain Family Dentistry -Hospital Only/Referral Only 26908 Foggy Creek Rd Ste 101 Wesley Chapel, FL 33544 (813) 991-9893 Fax: (813) 994-8666 00 YRS/99 YRS Languages: Spanish Mon - Thu 7:00 to 5:30 PCMH: No
Mcnair, Jonathan DDS
Provider ID: TPVP185536-01 Gender: Male Florida Pediatric Dental Associates 5312 State Rd 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Monteleone, Chelsea DDS Provider ID: TPVP168448-02 Gender: Female Great Expressions Dental Centers 1748 Bruce B Downs Blvd Ste 125 Wesley Chapel, FL 33543 (813) 907-1151 Fax: (813) 364-0138 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Montgomery, Nancy DMD Provider ID: TPVP134209-19 Gender: Female Children And Teen Dental Group Of Florida 5245 Us Hwy 19 New Port Richey, FL 34652 (727) 847-3113 Fax: (727) 847-2904 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Montgomery, Nancy DMD
Provider ID: TPVP134209-20 Gender: Female Children And Teen Dental Group Of Florida 6606 Forest Ave New Port Richey, FL 34653 (727) 849-2454 Fax: (727) 847-2386 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:30 PCMH: No
Navarro, Jose DMD Provider ID: TPVP172253-09 Gender: Male Blue Wave Ortho Partners PLLC 2234 Native Woods Ln Ste 102 Wesley Chapel, FL 33544 (813) 968-2483 Fax: (813) 444-5696 00 YRS/99 YRS Languages: Spanish Tue, Thu 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 79
33453864
Specialty Physicians
Pasco
Pedodontics - cont.
Nensey, Zara DDS Provider ID: TPVP157378-01 Gender: Female Dr Bee Pediatric Dentistry 2242 Ashley Oaks Cir Wesley Chapel, FL 33544 (813) 991-5300 Fax: (888) 520-4252 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Nensey, Zara DDS
Provider ID: TPVP157378-02 Gender: Female Dr Bee Pediatric Dentistry 6935 Land O Lakes Blvd Land O Lakes, FL 34638 (813) 530-3300 Fax: (855) 820-1235 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Rosen, David DMD Provider ID: TPVP102277-03 Gender: Male Great Expressions Dental Centers 1748 Bruce B Downs Blvd Ste 125 Wesley Chapel, FL 33543 (813) 907-1151 Fax: (813) 364-0138 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Rosen, David DMD Provider ID: TPVP102277-10 Gender: Male Great Expressions Dental Centers 7950 Gall Blvd Zephyrhills, FL 33541 (813) 715-1271 Fax: (813) 715-1402 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 3:00 PCMH: No
Vales, Ana-Marai DMD
Provider ID: TPVP132108-03 Gender: Female Florida Pediatric Dental Associates 5312 State Rd 54 New Port Richey, FL 34652 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Periodontics
Barzyk, Jeffrey DMD Provider ID: TPVP42849-24 Gender: Male Greenberg Dental & Orthodontics 3338 Us Hwy 19 Holiday, FL 34691 (727) 359-0371 Fax: (727) 359-0374 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 8:00 to 4:00 Wed - Thu 11:00 to 7:00 PCMH: No
Physical Medicine & Rehabilitation
Alfonso Rivera, Mayra MD Provider ID: 2156750 Gender: Female Windsor Woods Health And Rehab 13719 Dallas Dr Hudson, FL 34667-7133 (727) 862-6795 Fax: (224) 236-4900 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Bhalani, Maulik MD
Provider ID: 1131646 Gender: Male Advanced Pain Management Inc 2553 Windguard Cir Wesley Chapel, FL 33544-7351 (813) 388-2948 Fax: (813) 388-6827 18 YRS/130 YRS Languages: Hindi, Punjabi, Spanish Mon - Fri 7:30 to 5:00 PCMH: No
Bhalani, Maulik MD Provider ID: 1131646 Gender: Male Advanced Pain Management Inc 38011 Arbor Ridge Dr Zephyrhills, FL 33540-1301 (813) 388-2948 Fax: (813) 388-6827 18 YRS/130 YRS Languages: Hindi, Punjabi, Spanish Mon - Fri 7:30 to 4:30 PCMH: No
Murphy, Shawn DO
Provider ID: 2059972 Gender: Male Advanced Pain Management Inc 2553 Windguard Cir Wesley Chapel, FL 33544-7351 (813) 388-2948 Fax: (813) 388-6827 00 YRS/130 YRS Mon - Fri 7:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 80
33453864
Specialty Physicians
Pasco
Physical Medicine & Rehabilitation -
cont.
Patel, Arpit DO Provider ID: 1217416 Gender: Male 2553 Windguard Cir, Ste 101 Wesley Chapel, FL 33544-7351 (813) 388-2948 Fax: (813) 388-6827 18 YRS/130 YRS PCMH: No
Patel, Arpit DO
Provider ID: 1217416 Gender: Male Advanced Pain Management Inc 38011 Arbor Ridge Dr Zephyrhills, FL 33540 (813) 395-5127 Fax: (813) 355-3085 18 YRS/130 YRS Mon - Fri 7:30 to 4:30 PCMH: No
Syed, Asma MD Provider ID: 244713 Gender: Female Mid Florida Physical Medicine Pa 5808 Old Pasco Rd Wesley Chapel, FL 33544-4011 (813) 907-0033 Fax: (813) 991-7920 00 YRS/130 YRS Adventhealth Wesley Chapel Adventhealth Connerton Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 81
Plastic & Reconstructive Surgery
Di Pasquale, Paul DO Provider ID: 909024 Gender: Male Vitale Institute Pl 27516 Cashford Cir, Ste 101 Wesley Chapel, FL 33544-6910 (813) 406-4400 Fax: (813) 929-6633 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital New Tampa Surgery Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Hall, Kathryn MD
Provider ID: 1877424 Gender: Female Florida ENT Allergy 26853 Foggy Creek Rd, Bldg 21 Ste101 Wesley Chapel, FL 33544-6777 (813) 879-8045 Fax: (813) 978-3667 00 YRS/130 YRS Usf Endoscopy & Surgery Ctr Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Monica MD
Provider ID: 1324963 Gender: Female Advanced Hand And Plastic Surgery C 2318 Greenbranch Dr, Ste 101-102 Bldg 2 Wesley Chapel, FL 33544-6797 (813) 866-4626 Fax: (813) 972-8866 00 YRS/130 YRS Mon - Fri 8:30 to 4:30 PCMH: No
Roach, John DO Provider ID: 367379 Gender: Male Sundari Plastics LLC 17723 Hunting Bow Cir, Ste 101 Lutz, FL 33558-5371 (813) 528-8744 Fax: (813) 528-8791 00 YRS/130 YRS Crmc At Bayonet Point Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Scotch, Brett DO Provider ID: 552439 Gender: Male Select Physicians Alliance. Pl 1818 Short Branch Dr, Ste 103 Trinity, FL 34655-4425 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Scotch, Brett DO Provider ID: 552439 Gender: Male Select Physicians Alliance. Pl 27406 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Adventhealth Zephyrhills Tampa General Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Podiatry
Afesllari, Endri DPM
Provider ID: 1868524 Gender: Male Robert J Valins. Dpm Pa 6326 Fort King Rd Zephyrhills, FL 33542-2531 (813) 788-3600 Fax: (813) 788-7010 18 YRS/130 YRS Languages: Albanian, Italian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Barrett, Brendan DPM Provider ID: 1320116 Gender: Male New Tampa Foot And Ankle 26827 Foggy Creek Rd, Ste 104 Wesley Chapel, FL 33544-6768 (813) 973-3535 Fax: (813) 907-2963 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Beltran-Walshe, Maria DPM
Provider ID: 1426116 Gender: Female Robert J Valins. D.p.m. P.a/Total 2649 Windguard Circle, Unit 101 Wesley Chapel, FL 33544 (813) 788-3600 Fax: (813) 788-7010 02 YRS/130 YRS Mon - Fri 9:00 to 4:00 PCMH: No
Beltran-Walshe, Maria DPM Provider ID: 1426116 Gender: Female Robert J Valins. D.p.m. P.a/Total 6326 Fort King Rd Zephyrhills, FL 33542 (813) 788-3600 Fax: (813) 788-7010 02 YRS/130 YRS Mon, Wed - Fri 9:00 to 5:00 Tue 8:00 to 4:00 PCMH: No
Bratton, Edward DPM Provider ID: 285934 Gender: Male Edward E Bratton Dpm 10746 Firebrick Ct New Port Richey, FL 34655-5031 (727) 455-5613 Fax: (727) 372-1402 02 YRS/130 YRS Mon - Fri 9:00 to 4:00 PCMH: No
Brennan, Bret DPM Provider ID: 1439356 Gender: Male Advanced Podiatypa DBA Healthy Fe 27658 Cashford Circle, Ste 102 Wesley Chapel, FL 33544 (813) 388-9801 Fax: (813) 762-1312 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Brennan, Todd DPM
Provider ID: 930791 Gender: Male Healthy Feet Podiatry 27658 Cashford Circle, Ste 102 Wesley Chapel, FL 33544 (813) 388-9801 Fax: (813) 762-1312 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Calise, Domenick MD Provider ID: 1439720 Gender: Male Robert J Valins 6326 Fort King Rd Zephyrhills, FL 33542 (813) 788-3600 Fax: (813) 788-7010 00 YRS/130 YRS Mon, Wed 9:00 to 5:00 Tue 8:00 to 3:00 Fri 9:00 to 3:00 PCMH: No
Calise, Domenick MD Provider ID: 1439720 Gender: Male Total Foot And Ankle Of Tampa Bay 2649 Windguard Cir, Ste 101 Wesley Chapel, FL 33544-7358 (813) 788-3600 Fax: (813) 788-7010 00 YRS/130 YRS Tue, Fri 8:00 to 3:00 Thu 8:00 to 4:00 PCMH: No
Cruz Jr, Jairo DPM
Provider ID: 2186163 Gender: Male Rajnish Manohar DBA Gentle Food Car 38192 Medical Center Ave Zephyrhills, FL 33540-1380 (813) 782-3233 Fax: (813) 782-5332 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Donate, Guillermo DPM
Provider ID: 209183 Gender: Male 2621 Windguard Cir, Ste 102 Wesley Chapel, FL 33544 (813) 994-0213 Fax: (813) 994-0105 00 YRS/130 YRS Languages: Spanish Mon 8:30 to 12:00 Tue - Wed 8:30 to 6:00 Thu - Fri 4:30 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 82
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Specialty Physicians
Pasco
Podiatry - cont.
Kales, Lawrence DPM Provider ID: 18227 Gender: Male 7117 State Road 52 Hudson, FL 34667-6708 (727) 868-2128 Fax: (727) 868-7491 05 YRS/130 YRS Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Kreplick, Alexis DPM
Provider ID: 1816192 Gender: Female Lawrence J Kales Dpm Pa 7117 State Road 52 Hudson, FL 34667-6708 (727) 868-2128 Fax: (727) 868-7491 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lam, Loan DPM Provider ID: 2038405 Gender: Female Hyper Healing. LLC 2412 Cypress Glen Dr, Ste 101 Wesley Chapel, FL 33544-4603 (803) 768-4348 Fax: (803) 932-9618 00 YRS/150 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Levin, Stephen DPM
Provider ID: 454716 Gender: Male Stephen F Levin Dpm Pa 26827 Foggy Creek Rd, Ste 104 Wesley Chapel, FL 33544-6768 (813) 973-3535 Fax: (813) 907-2963 00 YRS/130 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Nguyen, Thanh Binh DPM Provider ID: 1352215 Gender: Male Healthy Feet Podiatry 27658 Cashford Cir, Ste 102 Wesley Chapel, FL 33544 (813) 388-9801 Fax: (813) 762-1312 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sklencar, Britni DPM
Provider ID: 2200356 Gender: Female Leo Krawetz Dpm 27658 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6959 (813) 388-9801 Fax: (813) 527-9036 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Valins, Robert DPM Provider ID: 535 Gender: Male 2649 Windguard Cir, Ste 101 Wesley Chapel, FL 33544-7358 (813) 788-3600 Fax: (813) 788-7010 00 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Tampa Bay Surgery Center Languages: French, Italian, Spanish PCMH: No
Valins, Robert DPM Provider ID: 535 Gender: Male Robert J Valins Dpm Pa 6326 Fort King Rd Zephyrhills, FL 33542-2531 (813) 788-3600 Fax: (813) 788-7010 00 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Tampa Bay Surgery Center Languages: French, Italian, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Zafar, Omair DPM
Provider ID: 1043145 Gender: Male The Foot And Leg Specialty Center 6543 Madison St New Port Richey, FL 34652-1926 (727) 842-9504 Fax: (727) 842-9505 00 YRS/130 YRS Morton Plant North Bay Hosp Mon - Thu 8:00 to 4:30 Fri 7:30 to 3:00 PCMH: No
Pulmonary Disease
Chakola, Paul MD Provider ID: 13226 Gender: Male Adventhealth Medical Group Pulmonol 38152 Medical Center Ave Zephyrhills, FL 33540-1380 (813) 782-4560 Fax: (813) 788-9202 18 YRS/130 YRS Adventhealth Dade City Adventhealth Zephyrhills Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 83
33453864
Specialty Physicians
Pasco
Pulmonary Disease - cont.
Kumar, Alok MD Provider ID: 27199 Gender: Male Comprehensive Medical Care 5453 Gulf Dr, Ste 3 New Prt Rchy, FL 34652-3903 (727) 847-2214 Fax: (727) 846-0923 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Crmc At Bayonet Point Languages: Hindi Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:30 PCMH: No
Martinez, Rafael MD
Provider ID: 205497 Gender: Male Pulmonary And Sleep Of Tampa Bay 2329 Crestover Ln, Ste 101 Wesley Chapel, FL 33544-6792 (813) 490-9495 Fax: (813) 874-0099 00 YRS/130 YRS Brandon Regional Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Martinez, Rafael MD Provider ID: 205497 Gender: Male Pulmonary And Sleep Of Tampa Bay 2329 Crestover Ln, Ste 102 Wesley Chapel, FL 33544-6792 (813) 490-9495 Fax: (813) 874-0099 00 YRS/130 YRS Brandon Regional Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 84
Patel, Mukesh MD Provider ID: 222 Gender: Male 14000 Fivay Rd Hudson, FL 34667-7103 (727) 819-2929 18 YRS/130 YRS Medical Center Of Trinity Languages: Gujarati, Hindi PCMH: No
Quefatieh, Amir MD
Provider ID: 340332 Gender: Male Adventhealth Medical Group Pulmonol 2700 Healing Way, Ste 308 Wesley Chapel, FL 33543-5453 (813) 788-0705 Fax: (813) 788-2567 16 YRS/130 YRS Adventhealth Zephyrhills Languages: Arabic Mon - Fri 9:00 to 5:00 PCMH: No
Quefatieh, Amir MD Provider ID: 340332 Gender: Male Adventhealth Medical Group Pulmonol 6748 Gall Blvd Zephyrhills, FL 33542-2544 (813) 788-0705 Fax: (813) 788-2567 16 YRS/130 YRS Adventhealth Zephyrhills Languages: Arabic Mon - Fri 8:00 to 5:00 PCMH: No
Shah, Sailesh DO Provider ID: 400974 Gender: Male 2740 Windguard Cir, Suite 101 Wesley Chapel, FL 33544 (813) 284-2220 Fax: (813) 377-1718 12 YRS/130 YRS Languages: Gujarati Mon - Fri 8:00 to 5:00 PCMH: No
Vydyula, Ravikanth MD
Provider ID: 1207462 Gender: Male Florida Medical Clinic Pa 2100 Via Bella Blvd, Ste 207 Land O Lakes, FL 34639-5429 (813) 528-4960 Fax: (813) 355-5088 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Zanchi, Dragos MD
Provider ID: 271941 Gender: Male Pulmonary And Sleep Of Tampa Bay 2329 Crestover Ln, Ste 102 Wesley Chapel, FL 33544-6792 (813) 490-9495 Fax: (813) 874-0099 16 YRS/130 YRS Brandon Regional Hospital South Florida Baptist Hospital Columbia South Bay Hospital Languages: French, German, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Pulmonary Disease - cont.
Zanchi, Dragos MD Provider ID: 271941 Gender: Male Pulmonary And Sleep Of Tampa Bay 2329 Crestover Ln, Ste 101 Wesley Chapel, FL 33544-6792 (813) 490-9495 Fax: (813) 874-0099 16 YRS/130 YRS Brandon Regional Hospital South Florida Baptist Hospital Columbia South Bay Hospital Languages: French, German, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Radiation Oncology
Bishay, Sawsan MD
Provider ID: 10410 Gender: Female Florida Cancer Institute Pa 38010 Medical Center Ave Zephyrhills, FL 33540-1383 (813) 783-1676 Fax: (813) 783-1929 18 YRS/130 YRS Oak Hill Hospital Bayfront Health Spring Hill Adventhealth Wesley Chapel Languages: Arabic Tue, Thu 8:00 to 5:00 PCMH: No
Calkins, Alison MD
Provider ID: 2204298 Gender: Female Tampa Bay Radiation Oncology Pa 2309 Crestover Ln Wesley Chapel, FL 33544-6789 (813) 633-2733 Fax: (813) 634-8606 16 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Gandle, Larry MD Provider ID: 3515 Gender: Male Florida Cancer Institute Pa 38010 Medical Center Ave Zephyrhills, FL 33540-1383 (813) 783-1676 Fax: (813) 783-1929 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City Tampa General Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Griffin, Vivian MD
Provider ID: 275486 Gender: Female Florida Cancer Specialists 8763 River Crossing Blvd New Port Richey, FL 34655-1112 (727) 842-8411 Fax: (727) 847-2923 18 YRS/130 YRS Morton Plant North Bay Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Sokol, Gerald MD
Provider ID: 1398 Gender: Male 14000 Fivay Rd, Ste 310 Hudson, FL 34667-7103 (727) 819-2929 18 YRS/130 YRS Medical Center Of Trinity Tampa General Hospital Crmc At Bayonet Point Languages: Spanish PCMH: No
Sokol, Gerald MD Provider ID: 1398 Gender: Male Florida Cancer Institute Pa 7651 Medical Dr Hudson, FL 34667-6594 (727) 868-9208 Fax: (727) 868-6420 18 YRS/130 YRS Medical Center Of Trinity Tampa General Hospital Crmc At Bayonet Point Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Reproductive Endocrinology
Imudia, Anthony MD
Provider ID: 789831 Gender: Male Usf Physicians Group 2718 Windguard Cir, Ste 101 Wesley Chapel, FL 33544 (813) 259-0692 Fax: (813) 259-0882 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mayer, James MD
Provider ID: 7168 Gender: Male Usf Physicicans Group 2718 Windguard Cir, Ste 101 Wesley Chapel, FL 33544 (813) 259-0692 Fax: (813) 259-0882 16 YRS/130 YRS St Josephs Hospital Tampa General Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 85
33453864
Specialty Physicians
Pasco
Rheumatology
Sikes, David MD
Provider ID: 716912 Gender: Male 38135 Market Sq, Fl Medical Zephyrhills, FL 33542-7505 (813) 715-1934 Fax: (813) 355-5059 18 YRS/130 YRS Florida Medical Center A Campus Of North Languages: Spanish PCMH: No
Soto Aguilar, Maria MD
Provider ID: 2093550 Gender: Female American Arthritis And Rheumato -logy 14153 Yosemite Dr, Ste 201 Hudson, FL 34667-8066 (727) 397-2150 Fax: (727) 863-4757 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Soto-Aguilar, Maria MD
Provider ID: 1189838 Gender: Female 14153 Yosemite Dr, Ste 201 Hudson, FL 34667-8066 (727) 697-2150 Fax: (727) 863-4757 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Sleep Medicine
Comprehensive Medical Care Provider ID: 316284 5453 Gulf Dr, Ste 3 New Port Richey, FL 34652-3903 (727) 847-2214 Fax: (727) 846-0923 18 YRS/130 YRS Mon - Fri 8:30 to 6:30 PCMH: No
Thoracic & Cardiovascular Surgery
Desantis, Marshall MD Provider ID: 5632 Gender: Male Bayonet PT Cardiac Surg Associates 14100 Fivay Rd, Ste 300 Hudson, FL 34667-7160 (727) 869-7497 Fax: (727) 869-7156 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mon - Thu 10:00 to 4:00 PCMH: No
Hakki, Abdul MD
Provider ID: 6236 Gender: Male Cvt Surgical Specialists 36739 State Road 52, Ste 103a Dade City, FL 33525-5101 (352) 437-4840 Fax: (352) 437-4828 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Languages: Arabic, Kurdish Mon - Fri 9:00 to 4:00 PCMH: No
Mikhail, Peter MD Provider ID: 1502433 Gender: Male Brain And Spine Neuroscience Instit 7657 Cita Ln, Fl 3 New Port Richey, FL 34653-6221 (727) 312-4844 Fax: (940) 764-5410 00 YRS/130 YRS Orlando Health Orlando Regional Medical Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 86
Rattehalli, Narayana MD Provider ID: 10723 Gender: Male Gulf To Bay Cardio/Thor Surgery 14100 Fivay Rd, Ste 320 Hudson, FL 34667-7194 (727) 861-2822 Fax: (727) 861-2782 00 YRS/130 YRS Oak Hill Hospital Crmc At Bayonet Point Mon - Fri 8:00 to 5:00 PCMH: No
Rattehalli, Narayana MD
Provider ID: 10723 Gender: Male 14000 Fivay Rd, Ste 310 Hudson, FL 34667-7103 (727) 861-2822 00 YRS/130 YRS Oak Hill Hospital Crmc At Bayonet Point PCMH: No
Swanson, Rozales MD Provider ID: 1520880 Gender: Male Adventhealth Cardiovascular Surgery 38056 Daughtery Rd Zephyrhills, FL 33540 (813) 910-0027 Fax: (813) 971-1286 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wahl, Michael MD
Provider ID: 213900 Gender: Male 13910 Lakeshore Blvd, Ste 140 Hudson, FL 34667-1770 (727) 869-9300 Fax: (727) 869-0636 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pasco
Thoracic Surgery
Astra, Louis MD Provider ID: 314839 Gender: Male Adventhealth Medical Group Surgical 8607 Easthaven Ct, Ste 102 New Port Richey, FL 34655-5217 (727) 934-6797 Fax: (727) 942-6503 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Mumtaz, Hamid MD
Provider ID: 2111293 Gender: Male Adventhealth Medical Group Multispe 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543-5453 (813) 779-1209 Fax: (813) 779-1216 12 YRS/130 YRS Adventhealth Wesley Chapel Mon - Fri 8:00 to 5:00 PCMH: No
Ninan, Mathew MD Provider ID: 2137989 Gender: Male West Florida Cardiology Network.llc 9332 State Road 54, Ste 405 Trinity, FL 34655-1810 (727) 375-8264 Fax: (727) 375-8270 00 YRS/130 YRS Medical Center Of Trinity Mon - Fri 8:00 to 5:00 PCMH: No
Urology
Bassel, Yaser MD Provider ID: 1498646 Gender: Male Advanced Urology Institute 2148 Duck Slough Blvd, Ste 102 New Port Richey, FL 34655-5068 (727) 375-1975 Fax: (727) 375-1927 18 YRS/110 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Cheema, Pavitar MD
Provider ID: 1868901 Gender: Male Adventhealth Medical Group Urology 6748 Gall Blvd Zephyrhills, FL 33542-2511 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Adventhealth Zephyrhills Adventhealth Dade City Mon - Fri 8:00 to 5:00 PCMH: No
Dipiazza, David MD
Provider ID: 1498649 Gender: Male Urology Specialists Of West Florida 2148 Duck Slough Blvd, Ste 102 New Port Richey, FL 34655-5068 (727) 375-1975 Fax: (727) 375-1927 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Highshaw, Ralph MD Provider ID: 1356558 Gender: Male Adventhealth Medical Group Multispe 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543-5453 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Highshaw, Ralph MD
Provider ID: 1356558 Gender: Male Adventhealth Medical Group Urology 6748 Gall Blvd, Fl Hosp Zephyrhills, FL 33542-2511 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Highshaw, Ralph MD Provider ID: 1356558 Gender: Male Fhz Multi Specialty Practice 27415 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6973 (813) 929-5300 Fax: (813) 929-5323 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Kirkpatrick, Gina DO
Provider ID: 1487392 Gender: Female Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543-5453 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Adventhealth Wesley Chapel Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 87
33453864
Specialty Physicians
Pasco
Urology - cont.
Kirkpatrick, Gina DO Provider ID: 1487392 Gender: Female Fhpg Wc Specialty Center 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543-5453 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Adventhealth Wesley Chapel Mon - Fri 8:00 to 5:00 PCMH: No
Lewis, Bertram MD
Provider ID: 529993 Gender: Male Adventhealth Medical Group Multispe 2700 Healing Way, Ste 305 & 310 Wesley Chapel, FL 33543-5453 (813) 779-1209 Fax: (813) 779-1216 00 YRS/130 YRS Adventhealth Zephyrhills Mon - Fri 8:00 to 5:00 PCMH: No
Lewis, Bertram MD
Provider ID: 529993 Gender: Male Adventhealth Medical Group Urology 6748 Gall Blvd Zephyrhills, FL 33542 (813) 779-1209 Fax: (813) 779-1216 00 YRS/130 YRS Adventhealth Zephyrhills Mon - Wed 8:00 to 5:00 Thu - Fri 8:00 to 5:30 PCMH: No
Lewis, Bertram MD Provider ID: 529993 Gender: Male Fhz Multi Specialty Practice 27415 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6973 (813) 779-1209 Fax: (813) 779-1216 00 YRS/130 YRS Adventhealth Zephyrhills Mon - Fri 9:00 to 5:00 PCMH: No
Lustig, David MD
Provider ID: 1498914 Gender: Male Bayfront Health Medical Group Urolo 13933 17th St, Ste 201 Dade City, FL 33525-4604 (352) 437-4505 Fax: (352) 437-4709 16 YRS/130 YRS Adventhealth Dade City Mon - Fri 8:00 to 5:00 PCMH: No
Vascular Surgery
Bunnell, Avianne MD Provider ID: 2060743 Gender: Female The Vein Vascualr Institute Of Ta 6633 Forest Ave, Ste 302 New Port Richey, FL 34653-2612 (813) 348-9088 Fax: (813) 348-9310 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Zuzga, Mark MD
Provider ID: 306655 Gender: Male 8101 Rd, Ste 54 New Port Richey, FL 34655-3000 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Fri 1:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 88
33453864
Specialty Physicians
Pinellas
Adolescent Medicine
Meyer, Laura MD
Provider ID: 925434 Gender: Female Partners In Pediatrics 401 Corbett St, Ste 210 Belleair, FL 33756-7302 (727) 446-1161 Fax: (727) 446-8212 00 YRS/21 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Reyes, Manuel MD
Provider ID: 174190 Gender: Male Turley Family Health Center 807 N Myrtle Ave Clearwater, FL 33755-4254 (727) 467-2400 Fax: (727) 467-2483 00 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Allergy & Immunology
Ballow, Mark MD Provider ID: 787027 Gender: Male Usf Physicians Group 601 5th St S Saint Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 853-2 00 YRS/130 YRS Mon - Sat 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 89
Chamarthy, Latha MD
Provider ID: 28023 Gender: Female Advance Allergy Asthma & Immun-ology 6233 66th St N Pinellas Park, FL 33781-5025 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Adventhealth North Pinellas Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Tamil, Telugu Mon - Fri 9:00 to 5:00 PCMH: No
Chamarthy, Latha MD
Provider ID: 28023 Gender: Female Advanced Allergy And Asthma Care 2323 Curlew Rd, Ste 6d Dunedin, FL 34698-9307 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Adventhealth North Pinellas Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Tamil, Telugu Mon - Fri 9:00 to 5:00 PCMH: No
Chernin, Leah DO
Provider ID: 2039425 Gender: Female S.g Weiss M.d. Inc 3251 N Mcmln Bth Rd, Ste 300 Clearwater, FL 33761-2022 (727) 791-3337 Fax: (727) 725-2577 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gubernick, Samuel DO
Provider ID: 1385 Gender: Male Gubernick Allergy Asthma & Imm 13145 66th St Largo, FL 33773 (727) 530-0700 Fax: (727) 530-0777 00 YRS/18 YRS Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Crmc At Bayonet Point Mon, Thu 8:30 to 7:00 Tue 8:30 to 3:00 Wed 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No
Kim, Dennis MD
Provider ID: 918180 Gender: Male Dennis H Kim Md LLC 34041 Us Highway 19 N, Ste D Palm Harbor, FL 34684-2648 (727) 787-6744 Fax: (727) 786-3561 00 YRS/130 YRS Northside Hospital St Petersburg General Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Kornfeld, Stephen MD
Provider ID: 205620 Gender: Male S J Kornfeld. Md Inc 34041 Us Highway 19 N, Ste D Palm Harbor, FL 34684-2648 (727) 787-6744 Fax: (727) 786-3561 00 YRS/130 YRS Adventhealth North Pinellas Johns Hopkins All Childrens Hospital Inc Mease Countryside Hospital Languages: French Mon 9:00 to 5:30 Tue - Wed 9:00 to 5:00 Thu 9:00 to 6:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Allergy & Immunology - cont.
Kubiak, Catherine MD Provider ID: 1109355 Gender: Female Gubernick Allergy. Asthma And Immun 13145 66th St Largo, FL 33773 (727) 530-0700 Fax: (727) 530-0777 00 YRS/18 YRS Mon, Thu 8:30 to 7:00 Tue - Wed, Fri 8:30 to 5:00 PCMH: No
Leiding, Jennifer MD
Provider ID: 691185 Gender: Female The University Of South Florida 601 5th St S, 3rd Fl St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Mangat, Mona MD Provider ID: 266967 Gender: Female Bay Area Allergy & Asthma 4965 Central Ave Saint Petersburg, FL 33710-8239 (727) 327-5719 Fax: (727) 322-6146 00 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 1:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 90
Mangat, Mona MD Provider ID: 266967 Gender: Female Bay Area Allergy And Asthma 4200 4th St N, Ste 3 Saint Petersburg, FL 33703-4735 (727) 327-5719 Fax: (727) 322-6146 00 YRS/130 YRS Mon 9:00 to 6:00 Tue - Wed 9:00 to 5:00 Thu 8:30 to 6:30 Fri 9:00 to 1:00 PCMH: No
Phillips, Joel MD
Provider ID: 1430 Gender: Male 708 Druid Rd E Clearwater, FL 33756-3914 (727) 446-1097 Fax: (727) 441-2195 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Mease Hospital Dunedin Mon - Tue, Thu - Fri 9:00 to 5:00 PCMH: No
Sanka, Madhurima DO Provider ID: 449909 Gender: Female Advanced Allergy & Asthma Care 6233 66th St N Pinellas Park, FL 33781-5025 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Languages: Spanish Tue 8:30 to 4:00 Thu 7:00 to 6:00 PCMH: No
Tang, Nathan MD Provider ID: 192127 Gender: Male Usf Physicians Group 601 5th St S, Ste 304 Saint Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Hospital Languages: Thai Mon - Fri 8:00 to 5:00 PCMH: No
Tang, Nathan MD
Provider ID: 408836 Gender: Male Allery Asthma Associates Pa 333 Dr Mlk Jr St N Saint Petersburg, FL 33701 (727) 825-0111 Fax: (727) 825-0011 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc St Anthonys Hospital Languages: Thai Mon - Fri 8:00 to 5:00 PCMH: No
Walter, Jolan MD Provider ID: 1192628 Gender: Female Usf Physicians Group 601 5th St S, 3rd Fl Saint Petersburg, FL 33701 (800) 456-4543 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Hungarian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Allergy & Immunology - cont.
Weiss, Steven MD Provider ID: 2039571 Gender: Male S.g Weiss M.d. Inc 3251 N Mcmln Bth Rd, Ste 300 Clearwater, FL 33761-2022 (727) 791-3337 Fax: (727) 725-2577 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Westermannclark, Emma MD
Provider ID: 1801608 Gender: Female University Medical Service Associat 601 5th St S St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 553-1295 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cardiac Electrophysiology
Gandhi, Malay MD
Provider ID: 818220 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Indian Rocks Northside Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Gandhi, Malay MD Provider ID: 818220 Gender: Male 5398 Park St N Saint Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Indian Rocks Northside Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Gandhi, Malay MD
Provider ID: 818220 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Indian Rocks Northside Hospital Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Masvidal, Daniel MD Provider ID: 1962336 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7197 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 91
Masvidal, Daniel MD Provider ID: 1962336 Gender: Male Bayfront Cardiovascular Associates 701 6th St S St Petersburg, FL 33701-4814 (727) 893-6234 Fax: (727) 893-6811 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shah, Shalin MD
Provider ID: 294821 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center St Anthonys Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Shah, Shalin MD
Provider ID: 294821 Gender: Male 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center St Anthonys Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Cardiac Electrophysiology - cont.
Yamamura, Kenneth MD
Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 3251 Mcmullen Booth Road, Suite 100 Clearwater, FL 33761 (727) 862-3202 Fax: (727) 781-0413 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Cardiology
Abbott, Norman MD
Provider ID: 1324977 Gender: Male Adventhealth Medical Group Cardiolo 4705 Alt 19, Ste B Palm Harbor, FL 34683-1424 (727) 787-4875 Fax: (727) 786-9623 16 YRS/130 YRS Adventhealth North Pinellas Mon - Fri 8:00 to 5:00 PCMH: No
Ahiable, Lilian MD Provider ID: 1955049 Gender: Female West Florida Cardiology Network. Ll 1615 Pasadena Ave S, Ste 300 S Pasadena, FL 33707-4567 (727) 490-3030 Fax: (866) 200-9885 00 YRS/130 YRS Steward Sebastian River Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 92
Avery, Samantha DO
Provider ID: 1168865 Gender: Female The Heart Institue 1615 Pasadena Ave S, Ste 300 Saint Petersburg, FL 33707 (727) 490-3030 Fax: (866) 200-9885 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bayron, Carlos MD
Provider ID: 1437 Gender: Male 253 N Mcmullen Booth Rd 200d Clearwater, FL 33761 (727) 842-9486 Fax: (727) 375-1060 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Spanish PCMH: No
Bhatia, Vikas MD
Provider ID: 1163666 Gender: Male Bay Area Heart Center 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Blanco, George MD
Provider ID: 1707806 Gender: Male Bayfront Hma Physician Manage-ment L 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Boyle, Andrew MD
Provider ID: 2140836 Gender: Male Fact Surgery 1301 2nd Ave SW, Ste 302 Largo, FL 33770-3120 (727) 587-7111 Fax: (728) 518-0166 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Boyle, Andrew MD
Provider ID: 2140836 Gender: Male West Florida Cariology Network LLC 1345 West Bay Dr, Ste 301 Largo, FL 33770-2264 (727) 587-7111 Fax: (727) 518-0166 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Codolosa, Jose MD
Provider ID: 1095322 Gender: Male Bay Area Heart Center 1301 2nd Ave SW, Ste 301 Largo, FL 33770 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Cardiology - cont.
Codolosa, Jose MD Provider ID: 1095322 Gender: Male Bay Area Heart Center 5398 Park St N Saint Petersburg, FL 33709 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Codolosa, Jose MD
Provider ID: 1095322 Gender: Male Bay Area Heart Center 1201 7th Ave N Saint Petersburg, FL 33705 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Garner, Kevin MD Provider ID: 617876 Gender: Male Sc Physicians LLC 620 10th St N, Ste 2a Saint Petersburg, FL 33705-1407 (727) 824-8243 Fax: (727) 824-8233 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 93
Giannoni Delgado, Miguel MD Provider ID: 1241595 Gender: Female Bay Area Heart Center Pa 5398 Park St N Saint Petersburg, FL 33709 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jacob, Jasmine MD
Provider ID: 1328307 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 2a Saint Petersburg, FL 33705 (727) 824-8243 Fax: (727) 824-8233 18 YRS/130 YRS Languages: Malayalam Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Johnson, Alexander MD Provider ID: 311721 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Kethireddy, Ravi MD Provider ID: 746 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital Palms Of Pasadena Hosp Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Kethireddy, Ravi MD
Provider ID: 746 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital Palms Of Pasadena Hosp Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Kethireddy, Ravi MD Provider ID: 746 Gender: Male Bay Area Heart Center Pa 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital Palms Of Pasadena Hosp Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Cardiology - cont.
Klein, Jesse DO Provider ID: 515734 Gender: Male West Florida Cariodogy Network LLC 1345 West Bay Dr, Ste 101 Largo, FL 33770-2276 (727) 581-3550 Fax: (727) 586-6190 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mease Countryside Hospital Mon - Fri 8:30 to 5:00 PCMH: No
Klein, Jesse DO
Provider ID: 515734 Gender: Male West Florida Cariodogy Network LLC 6006 49th St N, Ste 200 Saint Petersburg, FL 33709-2149 (727) 490-2100 Fax: (727) 544-7389 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mease Countryside Hospital PCMH: No
Kohl, David MD Provider ID: 6261 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 94
Kohl, David MD Provider ID: 6261 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Kohl, David MD
Provider ID: 6261 Gender: Male 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Korabathina, Ravikiran MD Provider ID: 605103 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7197 18 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Law, Trevor MD Provider ID: 173885 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 2a St Petersburg, FL 33705-1407 (727) 824-8243 Fax: (727) 824-8233 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Law, Trevor MD
Provider ID: 173885 Gender: Male St Petersburg Suncoast Med 701 6th St S St Petersburg, FL 33701-4814 (727) 217-3900 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Levine, Jason MD Provider ID: 423733 Gender: Male Suncoast Medicl Clinic LLC 620 10th St N, Ste 2a Saint Petersburg, FL 33705-1407 (727) 824-8243 Fax: (727) 824-8233 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 4:30 PCMH: No
33453864
Specialty Physicians
Pinellas
Cardiology - cont.
Malone Sr, Michael DO Provider ID: 1543756 Gender: Male Bayfront Cardiovascula 601 7th St S, Ste 205 Saint Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 00 YRS/130 YRS Fawcett Memorial Hospital Memorial Hospital Of Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Moss, Brian DO
Provider ID: 460974 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Moss, Brian DO Provider ID: 460974 Gender: Male 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Moss, Brian DO
Provider ID: 460974 Gender: Male Bay Area Heart Center Pa 1200 7th Avenue North Saint Petersburg, FL 33705 (727) 825-1086 18 YRS/130 YRS Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 95
Patel, Akash MD Provider ID: 1791902 Gender: Male Bay Area Heart Center Pa 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Akash MD
Provider ID: 1791902 Gender: Male Bay Area Heart Center Pa 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Darshan MD Provider ID: 590587 Gender: Male Florida Cardiology Group LLC 2595 Tampa Rd, Ste U Palm Harbor, FL 34684 (727) 789-3131 Fax: (727) 781-6288 18 YRS/130 YRS Languages: Gujarati, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Post, James MD
Provider ID: 8338 Gender: Male West Florida Cardiology Network Ll 1615 Pasadena Ave S, Ste 300 St Petersburg, FL 33707-4567 (727) 490-3030 Fax: (866) 200-9885 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Post, James MD Provider ID: 8338 Gender: Male West Florida Cardiology Network Ll 6006 49th St N, Ste 200 St Petersburg, FL 33709-2149 (727) 490-2100 Fax: (855) 222-3965 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Ramos, Geraldo MD
Provider ID: 515398 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 2a Saint Petersburg, FL 33705-1407 (727) 824-8243 Fax: (727) 824-8233 18 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Reddy, Mohan MD Provider ID: 659702 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Hindi, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
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Pinellas
Cardiology - cont.
Reddy, Mohan MD Provider ID: 659702 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Hindi, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Reddy, Mohan MD
Provider ID: 659702 Gender: Male 5398 Park St N Saint Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Hindi, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Rosenthal, Andrew MD Provider ID: 1646896 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 18 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 96
Saiyad, Saleemuddin MD Provider ID: 1217578 Gender: Male 2196 Main St, Ste H Dunedin, FL 34698-5694 (813) 818-0100 Fax: (813) 818-0144 18 YRS/130 YRS Mease Countryside Hospital Tampa Community Hospital Languages: Spanish PCMH: No
Saiyad, Saleemuddin MD
Provider ID: 1217578 Gender: Male Care Cardiology And Vein Center 34760 Us Highway 19 N Palm Harbor, FL 34684-2120 (813) 818-0100 Fax: (813) 818-0144 18 YRS/130 YRS Mease Countryside Hospital Tampa Community Hospital Languages: Spanish Fri 8:00 to 5:00 PCMH: No
Salazar, Manuel MD Provider ID: 27239 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital St Petersburg General Hosp Languages: Creole, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Salazar, Manuel MD Provider ID: 27239 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital St Petersburg General Hosp Languages: Creole, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Salazar, Manuel MD
Provider ID: 27239 Gender: Male 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Morton Plant Hospital Northside Hospital St Petersburg General Hosp Languages: Creole, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Sanchez, Robert MD Provider ID: 1611 Gender: Male 1615 Pasadena Ave S, Ste 300 South Pasadena, FL 33707-4516 (727) 490-3030 Fax: (727) 345-5972 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
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Pinellas
Cardiology - cont.
Sanchez, Robert MD Provider ID: 1611 Gender: Male 6000 49th St N, # 100 Saint Petersburg, FL 33709-2114 (727) 521-4411 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish PCMH: No
Sanchez, Robert MD
Provider ID: 1611 Gender: Male West Florida Cardiology Network. Ll 6006 49th St N, Ste 200 St Petersburg, FL 33709-2149 (727) 490-2100 Fax: (727) 544-7389 18 YRS/130 YRS Northside Hospital St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Schuyler, Gregg MD Provider ID: 1709652 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 Saint Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 893-6112 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Sheppard, Robert MD Provider ID: 12429 Gender: Male Cardiology Consultants 1615 Pasadena Ave S, Ste 300 St Petersburg, FL 33707-4567 (727) 490-3030 Fax: (727) 345-5972 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Sheppard, Robert MD
Provider ID: 12429 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 200 St Petersburg, FL 33709-2149 (727) 490-2100 Fax: (855) 222-3965 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Srivastava, Amit MD Provider ID: 448067 Gender: Male 1201 7th Ave N Saint Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Srivastava, Amit MD
Provider ID: 448067 Gender: Male 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Srivastava, Amit MD
Provider ID: 448067 Gender: Male 5398 Park St N Saint Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 18 YRS/130 YRS Northside Hospital St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Steinhoff, Jeff MD Provider ID: 241098 Gender: Male 201 14th St SW Largo, FL 33770-3199 (727) 588-5200 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Largo Medical Center PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 97
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Pinellas
Cardiology - cont.
Steinhoff, Jeff MD Provider ID: 241098 Gender: Male West Florida Cariodogy Network LLC 1345 West Bay Dr, Ste 101 Largo, FL 33770-2276 (727) 581-3550 Fax: (727) 586-6190 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Tas, Amber DO
Provider ID: 613653 Gender: Female Bay Area Heart Center 1301 2nd Ave SW, Ste 301 Largo, FL 33770 (727) 544-1441 Fax: (727) 545-8263 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Turner, Angela DO Provider ID: 1276748 Gender: Female Bayfront Cardiovascular Associates 601 7th Street S, Ste 205 Saint Petersburg, FL 33701 (727) 893-6234 Fax: (727) 553-7197 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Walsh, Ronald DO Provider ID: 17265 Gender: Male West Florida Cardiology Network LLC 1345 West Bay Dr, Ste 101 Largo, FL 33770-2276 (727) 581-3550 Fax: (727) 586-6190 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Indian Rocks Mease Hospital Dunedin Mon - Fri 8:30 to 5:00 PCMH: No
Walsh, John MD
Provider ID: 9370 Gender: Male Cardiology Consultants 1615 Pasadena Ave S, Ste 300 South Pasadena, FL 33707-4516 (727) 490-2100 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Walsh, John MD Provider ID: 9370 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 200 St Petersburg, FL 33709 (727) 490-2100 Fax: (855) 222-3965 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Wassmer, Peter MD Provider ID: 1600363 Gender: Male Bayfront Cardiovascular Assoicates 601 7th St S, Ste 205 Saint Petersburg, FL 33701 (727) 893-6234 Fax: (727) 553-7197 18 YRS/130 YRS Bayfront Medical Center Languages: Filipino, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Wilson, Christopher DO
Provider ID: 716273 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 200 St Petersburg, FL 33709-2149 (727) 490-2100 Fax: (855) 222-3965 18 YRS/130 YRS Northside Hospital St Anthonys Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Woods, Andrea MD Provider ID: 192598 Gender: Female 620 10th St N, Ste 2a Saint Petersburg, FL 33705-1407 (727) 824-8243 Fax: (727) 824-8233 16 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 98
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Pinellas
Cardiology - cont.
Yamamura, Kenneth MD Provider ID: 151860 Gender: Male Interventional Cardiac Consultants 3251 Mcmullen Booth Road, Suite 100 Clearwater, FL 33761 (727) 862-3202 Fax: (727) 781-0413 18 YRS/130 YRS Medical Center Of Trinity Crmc At Bayonet Point Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Cardiovascular Surgery
Ceithaml, Eric MD
Provider ID: 2101058 Gender: Male Pediatric Physician Services. Inc. 601 Fifth St N St Petersburg, FL 33701 (727) 767-6666 Fax: (727) 767-8606 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Mavroudis, Constantine MD
Provider ID: 2015069 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 607 St Petersburg, FL 33701-4804 (727) 767-6666 Fax: (727) 767-2880 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Schmittner, John MD Provider ID: 2048670 Gender: Male Baycare Medical Group Inc 1840 Mease Dr, Ste 200 Safety Harbor, FL 34695-6604 (727) 462-3701 Fax: (727) 298-6278 18 YRS/130 YRS Morton Plant North Bay Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Schmittner, John MD
Provider ID: 2048670 Gender: Male Baycare Medical Group Inc 455 Pinellas St, Ste 250 Clearwater, FL 33756-3367 (727) 462-3701 Fax: (727) 298-6278 18 YRS/130 YRS Morton Plant North Bay Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Vricella, Luca MD
Provider ID: 1639074 Gender: Male Johns Hopkins All Childrens Hospita 601 5th St S, Ste 607 St Petersburg, FL 33701-4804 (727) 767-6666 Fax: (727) 767-2880 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Child Neurology
Andrews, Ena MD Provider ID: 335367 Gender: Female Pediatric Neurology Associates 625 6th Ave S, Ste 405 St Petersburg, FL 33701-4665 (727) 498-8994 Fax: (727) 498-8982 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Bennett, Harvey MD
Provider ID: 1971285 Gender: Male Pediatric Physican Services. Inc 625 6th Ave S, Ste 510 St Petersburg, FL 33701-4662 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Casadonte, Joseph MD
Provider ID: 17777 Gender: Male Florida Pediatric Associates LLC 625 6th Ave S, Ste 405 St Petersburg, FL 33701-4665 (727) 498-8994 Fax: (727) 498-8982 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 99
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Pinellas
Child Neurology - cont.
Chillag, Kipp DO Provider ID: 1961181 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Geller, Thomas MD Provider ID: 1639073 Gender: Male All Childrens Specialty Physicians 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gonzalez Abella, Beatriz MD
Provider ID: 1289506 Gender: Female Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gonzalez Abella, Beatriz MD
Provider ID: 1289506 Gender: Female Usf Physicians Group 880 6th St S, Ste 460 Saint Petersburg, FL 33701 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Huszar, Peter MD Provider ID: 1025245 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 511 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Inglese, Christopher MD
Provider ID: 1799750 Gender: Male Pediatric Physician Services. Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Iyadurai, Stanley MD
Provider ID: 2050600 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 510 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Jayakody, Himali MD Provider ID: 1028050 Gender: Female Pediatric Physician Services Inc 601 5th St S, Dept 7855 St Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kanoff, Richard DO Provider ID: 2176157 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 510 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Kevill, John MD
Provider ID: 2104812 Gender: Male Pediatric Physician Services. Inc. 601 Fifth St N St Petersburg, FL 33701 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Mahfooz, Naeem MD Provider ID: 1971289 Gender: Male Pediatric Physican Services. Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 100
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Pinellas
Child Neurology - cont.
Maria, Bernard MD Provider ID: 1831461 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 511 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Micic, Vesna MD
Provider ID: 2085480 Gender: Female Pediatric Physician Services. Inc 601 5th St S, Ste 510 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Morgan, Bethanie MD Provider ID: 1831456 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nwaubani, Arthur MD Provider ID: 1834537 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Thodeson, Drew MD
Provider ID: 2004062 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Vazquez Diaz, Antonio MD Provider ID: 797090 Gender: Male Florida Pediatric Associates LLC 625 6th Ave S, Ste 405 Saint Petersburg, FL 33701-4665 (727) 498-8994 Fax: (727) 498-8982 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Vernier, Eric MD Provider ID: 1549848 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Chiropractic
Bhathal, Amanpreet DC Provider ID: 2182106 Gender: Male Advanced Medical Of Florida 1857 Gulf To Bay Blvd Clearwater, FL 33765-3415 (727) 408-5222 Fax: (727) 408-5252 18 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:00 to 4:00 PCMH: No
Bhathal, Amanpreet DC Provider ID: 2182106 Gender: Male Advanced Medical Of Florida 7895 Seminole Blvd Seminole, FL 33772-4891 (727) 202-6963 Fax: (727) 498-8960 18 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:00 to 4:00 PCMH: No
Chiro Alliance Corporation
Provider ID: 554852 2323 Curlew Rd, Ste 2c Dunedin, FL 34698-9331 (727) 787-8387 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 101
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Pinellas
Chiropractic - cont.
Crandall, Charles DC Provider ID: TPV10690-01 Gender: Male Charles F Crandall Dc 1501 Lakeview Rd Clearwater, FL 33756 (727) 447-6779 Fax: (727) 462-2634 00 YRS/99 YRS Mon, Wed, Fri 9:00 to 7:00 Tue, Thu 9:00 to 2:00 PCMH: No
Farkas, Frank DC
Provider ID: TPV10346-01 Gender: Male Farkas Chiropractic Clinic 3200 4th St N Saint Petersburg, FL 33704 (727) 823-3151 Fax: (727) 821-2419 00 YRS/99 YRS Mon 8:00 to 12:00 Wed 8:00 to 6:00 Fri 8:00 to 10:00 PCMH: No
Goodman, Jamie DC Provider ID: TPV10864-02 Gender: Male Goodman Chiropractic 2206 Curlew Rd Palm Harbor, FL 34683 (727) 772-7788 Fax: (727) 772-0400 00 YRS/99 YRS Mon, Wed - Thu 8:00 to 6:00 Tue, Fri 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 102
Gottschalk, Amanda DC Provider ID: 2004140 Gender: Female Community Health Centers Of Pinella 247 S Huey Ave Tarpon Springs, FL 34689-4205 (727) 824-8181 Fax: (727) 939-4679 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Grimmel, Stanley DC Provider ID: TPV11182-02 Gender: Male St Pete Spinal Care 5670 54th Ave N, Ste A2 Saint Petersburg, FL 33709 (727) 344-2225 Fax: (727) 344-2220 00 YRS/99 YRS Mon, Wed, Fri 9:00 to 5:30 PCMH: No
Hayes, Christopher DC Provider ID: TPV17508-01 Gender: Male Hayes Family Chiropractic 516 Patricia Ave Dunedin, FL 34698 (727) 736-1000 Fax: (727) 736-3556 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 6:00 PCMH: No
Hollstrom, Gregory DC
Provider ID: TPV10353-01 Gender: Male Hollstrom & Associates 11444 Seminole Blvd Largo, FL 33778 (727) 393-6100 Fax: (727) 393-5461 00 YRS/99 YRS Mon - Thu 9:00 to 2:00 PCMH: No
Horton-Bender, Kimberly DC Provider ID: TPV10338-01 Gender: Female Bender Chiropractic Center Pa 321 Indian Rocks Rd N, Ste C Belleair Bluffs, FL 33770 (727) 559-7881 Fax: (727) 559-7981 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 6:00 Tue, Thu, Sat 8:00 to 1:00 PCMH: No
Jennings, John DC
Provider ID: TPV10355-02 Gender: Male St Petersburg Chiropractic Clinic 4144 5th Ave N Saint Petersburg, FL 33713 (727) 822-3694 Fax: (727) 823-7716 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 6:00 PCMH: No
Jones, Roderick DC Provider ID: TPV10359-01 Gender: Male Community Care Chiropractic. Inc 12574 Indian Rocks Rd S Largo, FL 33774 (727) 596-3601 Fax: (727) 596-3602 00 YRS/99 YRS Mon, Wed, Fri 9:00 to 5:00 Tue, Thu 9:00 to 4:00 PCMH: No
Krippendorf, Donald DC
Provider ID: TPV10362-01 Gender: Male Florida Chiropractic Institute 4641 Park St N Saint Petersburg, FL 33709 (727) 544-7878 Fax: (727) 546-9253 00 YRS/99 YRS Mon - Wed, Fri 8:30 to 6:00 Thu 8:30 to 12:00 PCMH: No
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Pinellas
Chiropractic - cont.
Leverone, Andrew DC Provider ID: TPV11299-01 Gender: Male Healthworks 3950 3rd St N, Ste C Saint Petersburg, FL 33703 (727) 823-4663 Fax: (727) 822-2329 00 YRS/99 YRS Mon, Wed 7:00 to 11:00 Tue, Thu - Fri 3:00 to 7:00 Sat 8:00 to 2:00 PCMH: No
Marcell, Mike DC
Provider ID: TPV10709-01 Gender: Male Complete Family Chiropractic Health Care Inc 1244 S Pinellas Ave Tarpon Springs, FL 34689 (727) 937-2086 Fax: (727) 939-2554 00 YRS/99 YRS Mon, Wed - Thu 8:00 to 6:00 Tue 9:00 to 6:00 Fri 9:00 to 5:00 PCMH: No
Mcpherson, Michael DC Provider ID: TPV19087-01 Gender: Male Pinellas Spine And Joint Inc 4831 34th St S Saint Petersburg, FL 33711 (727) 475-2608 Fax: (888) 788-8345 00 YRS/99 YRS Mon - Fri 9:30 to 6:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 103
Melilli, Steven DC Provider ID: TPV10373-01 Gender: Male Melilli Chiropractic And Rehab Center 2655 State Rd 580, Ste 204 Clearwater, FL 33761 (727) 723-9685 Fax: (727) 723-1925 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 7:00 Tue 8:00 to 1:00 Sat 9:00 to 11:00 PCMH: No
Preston, David DC
Provider ID: TPV17930-01 Gender: Male Bay Area Wellness Center 3600 1st Ave N Saint Petersburg, FL 33713 (727) 327-4522 Fax: (727) 327-8069 00 YRS/99 YRS Mon, Wed, Fri 8:30 to 8:00 Thu 1:30 to 7:00 PCMH: No
Price-Mccarthy, Staci DC Provider ID: TPV10689-01 Gender: Female Staci L Price Dc Pa 1539 S Highland Ave Clearwater, FL 33756 (727) 585-8644 Fax: (727) 449-1981 00 YRS/99 YRS Languages: Spanish Mon 8:30 to 6:00 Wed 9:00 to 7:00 Fri 7:30 to 6:00 PCMH: No
Price-Mccarthy, Staci DC Provider ID: TPV10689-02 Gender: Female Staci L Price Dc Pa 2909 4th St N Saint Petersburg, FL 33704 (727) 585-8644 Fax: (727) 824-8855 00 YRS/99 YRS Languages: Spanish Tue, Thu 10:00 to 6:00 PCMH: No
Raveling, Paul DC
Provider ID: TPV10379-01 Gender: Male Raveling Chiropractic Center 1116 Belcher Rd Dunedin, FL 34698 (727) 733-0433 Fax: (727) 738-6187 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 6:00 Tue 9:00 to 4:00 PCMH: No
Rebori, Brian DC Provider ID: TPV11156-01 Gender: Male Hollstrom & Associates 11444 Seminole Blvd Largo, FL 33778 (727) 393-6100 Fax: (727) 393-5461 00 YRS/99 YRS Mon - Fri 9:00 to 6:30 PCMH: No
Schoeffel-Hayes, Diane DC
Provider ID: TPV17509-01 Gender: Female Hayes Family Chiropractic 516 Patricia Ave Dunedin, FL 34698 (727) 736-1000 Fax: (727) 736-3556 00 YRS/99 YRS Mon, Wed, Fri 8:00 to 6:00 PCMH: No
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Pinellas
Chiropractic - cont.
Stafford, Damon DC Provider ID: TPV17433-01 Gender: Male Professional Healthcare Of Pinellas Inc 1839 Central Ave Saint Petersburg, FL 33713 (727) 322-1054 Fax: (727) 821-7213 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Thorpe, Lorraine DC
Provider ID: TPV10935-01 Gender: Female Thorpe Chiropractic & Rehab Center 5144 Central Ave Saint Petersburg, FL 33707 (727) 328-8442 Fax: (727) 328-1042 00 YRS/99 YRS Mon, Thu 7:30 to 6:00 Tue 2:00 to 6:00 Wed 8:30 to 6:00 Fri 7:00 to 12:00 PCMH: No
Colon & Rectal Surgery
Santiago, Lourdes MD Provider ID: 712549 Gender: Female Lourdes T Santiago Md Pa 1305 S Fort Harrison Ave, Bldg A Clearwater, FL 33756-3301 (727) 483-9188 Fax: (727) 412-8432 18 YRS/130 YRS Adventhealth North Pinellas Mon - Fri 9:00 to 5:00 PCMH: No
Williams, James MD Provider ID: 2123419 Gender: Male Tampa General Hospital Cancer Care 601 7th St S, Ste 510 Saint Petersburg, FL 33701-4736 (727) 828-6330 Fax: (727) 828-6331 18 YRS/130 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Dermatology
Albergo, Robert MD Provider ID: 2554 Gender: Male 4132 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 786-5100 Fax: (727) 789-8344 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Mease Hospital Dunedin Mon - Fri 9:00 to 5:00 PCMH: No
Albergo, Robert MD
Provider ID: 971936 Gender: Male Advanced Dermatology And Cosmetic S 4132 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 786-5100 Fax: (727) 789-8344 00 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 104
Armstrong, Frank DO Provider ID: 221341 Gender: Male 2329 Sunset Point Rd, Ste 201 Clearwater, FL 33765-1438 (813) 922-3703 Fax: (727) 260-5145 00 YRS/130 YRS St Petersburg General Hosp Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Armstrong, Frank DO
Provider ID: 221341 Gender: Male 5200 Seminole Blvd Saint Petersburg, FL 33708-3378 (727) 392-3376 Fax: (727) 897-5263 00 YRS/130 YRS St Petersburg General Hosp Languages: Spanish Mon - Thu 8:30 to 5:00 Fri 8:30 to 2:30 PCMH: No
Armstrong, Frank DO Provider ID: 221341 Gender: Male Armstrong Dermatology & Skin Cancer 9170 Oakhurst Rd, Ste 1 Seminole, FL 33776-2112 (727) 517-3376 Fax: (727) 517-3370 00 YRS/130 YRS St Petersburg General Hosp Languages: Spanish Mon - Thu 8:30 to 4:30 Fri 8:30 to 2:30 PCMH: No
33453864
Specialty Physicians
Pinellas
Dermatology - cont.
Belongie, Iriana MD
Provider ID: 755816 Gender: Female Academic Alliance In Dermatology I 3165 N Mcmln Bth Rd, Bldg B Clearwater, FL 33761-2020 (727) 258-9143 Fax: (727) 823-7043 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Tampa Community Hospital Languages: Spanish Thu 8:00 to 5:00 PCMH: No
Bondar, George DO
Provider ID: 635581 Gender: Male Armstrong Dermatology Skin Cancer 9170 Oakhurst Rd, Ste 1 Seminole, FL 33776-2112 (727) 517-3376 Fax: (727) 517-3370 00 YRS/130 YRS Tampa General Hospital Mease Hospital Dunedin Mon - Thu 8:30 to 4:30 Fri 8:30 to 2:30 PCMH: No
Caban, Francis MD
Provider ID: 196601 Gender: Male Caban Skin Institute 1450 Court St Clearwater, FL 33756-6160 (813) 210-9686 Fax: (813) 582-7173 00 YRS/130 YRS Brandon Regional Hospital Languages: Spanish Mon - Fri 8:30 to 4:30 Sat 8:30 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 105
Connors, James MD
Provider ID: 224430 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Suite 3a Saint Petersburg, FL 33705 (727) 824-7102 Fax: (727) 824-7125 00 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Dorton, David DO
Provider ID: 1114683 Gender: Male Family Care At Walsingham 13540 Walsingham Rd, Ste D Largo, FL 33774 (727) 593-5492 Fax: (727) 593-5440 00 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Largo Medical Center Indian Rocks Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Esguerra, David DO
Provider ID: 1162092 Gender: Male Family Care At Walsingham 13540 Walsingham Rd, Ste D Largo, FL 33774 (727) 593-5492 Fax: (727) 593-5440 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Garcia-Cardona, Maria MD
Provider ID: 720279 Gender: Female 1801 N Belcher Rd, Ste B Clearwater, FL 33765-1452 (727) 669-3676 Fax: (727) 669-3669 00 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Wed 8:00 to 4:30 Sat 9:00 to 1:00 PCMH: No
Garcia-Cardona, Maria MD
Provider ID: 720279 Gender: Female Leavitt Medical Associates Of Flori 8250 Bryan Dairy Rd, Ste 250 Largo, FL 33777-1360 (727) 393-5300 Fax: (727) 393-5301 00 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Hamill, John MD
Provider ID: 279872 Gender: Male 34918 Us Highway 19 N Palm Harbor, FL 34684-1920 (727) 772-7360 Fax: (727) 773-9308 12 YRS/130 YRS PCMH: No
Kelleher, Margaret MD
Provider ID: 617632 Gender: Female 6110 Mlk St N Saint Petersburg, FL 33703-1142 (727) 821-3600 Fax: (727) 821-3611 02 YRS/130 YRS St Anthonys Hospital Mon - Fri 8:30 to 4:30 PCMH: No
33453864
Specialty Physicians
Pinellas
Dermatology - cont.
Lam, David MD Provider ID: 757529 Gender: Male Academic Alliance In Dermatology I 3165 N Mcmullen Booth Rd, Bldg B Clearwater, FL 33761-2020 (727) 258-9143 Fax: (727) 823-7043 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lam, David MD
Provider ID: 757529 Gender: Male Academic Alliance In Dermatology I 1201 S Myrtle Ave Clearwater, FL 33756-3424 (727) 442-1917 Fax: (727) 446-3490 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lam, David MD Provider ID: 757529 Gender: Male Academic Alliance In Dermatology I 646 Virginia St, Ste 201 Dunedin, FL 34698 (727) 270-7291 Fax: (727) 446-3490 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 106
Lam, David MD Provider ID: 757529 Gender: Male Academic Alliance In Dermatology. I 1005 E Boyer St Tarpon Springs, FL 34689-5501 (727) 934-7638 Fax: (727) 944-4052 00 YRS/130 YRS Adventhealth North Pinellas Morton Plant Hospital Johns Hopkins All Childrens Hospital Inc Mon, Wed, Fri 7:00 to 5:00 PCMH: No
Levitt, Stephan MD
Provider ID: 1278588 Gender: Male Leavitt Medical Associates Of Flori 6450 38th Ave N, Ste 420 Saint Petersburg, FL 33710-1653 (727) 344-6851 Fax: (727) 345-4716 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Richard DO Provider ID: 1098704 Gender: Male Family Care At Walsingham 13540 Walsingham Rd, Ste D Largo, FL 33774 (727) 593-5492 Fax: (727) 593-4415 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Proper, Steven MD Provider ID: 164836 Gender: Male Advanced Dermatology & Cosmetic Sur 8250 Bryan Dairy Rd, Ste 250 Seminole, FL 33777 (727) 393-5300 Fax: (727) 393-5301 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Witfill, Kristin MD
Provider ID: 1109332 Gender: Female Family Care At Walsingham 13540 Walsingham Rd, Ste D Largo, FL 33774 (727) 593-5492 Fax: (727) 593-5440 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Zook, Matthew MD Provider ID: 759269 Gender: Male Academic Alliance In Dermatology 1201 S Myrtle Ave Clearwater, FL 33756-3424 (727) 442-1917 Fax: (727) 446-3490 00 YRS/130 YRS Tampa General Hospital Mon - Tue, Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Dermatology - cont.
Zook, Matthew MD Provider ID: 759269 Gender: Male Academic Alliance In Dermatology 3165 N Mcmullen Booth Rd, Bldg B Clearwater, FL 33761-2020 (727) 258-9143 Fax: (727) 823-7043 00 YRS/130 YRS Tampa General Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Zook, Matthew MD
Provider ID: 759269 Gender: Male Academic Alliance In Dermatology 3950 3rd St N, Ste A Saint Petersburg, FL 33703-6123 (727) 821-0612 Fax: (727) 822-5507 00 YRS/130 YRS Tampa General Hospital Thu 8:00 to 5:00 PCMH: No
Dermatopathology
Belongie, Iriana MD Provider ID: 755816 Gender: Female Academic Alliance In Dermatology I 3165 N Mcmln Bth Rd, Bldg B Clearwater, FL 33761-2020 (727) 258-9143 Fax: (727) 823-7043 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Tampa Community Hospital Languages: Spanish Thu 8:00 to 5:00 PCMH: No
Ear. Nose & Throat
Basler, Keith MD Provider ID: 1707637 Gender: Male Select Physicians Alliance. Pl 1301 2nd Ave SW Largo, FL 33770 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Thu 8:00 to 5:00 PCMH: No
Basler, Keith MD
Provider ID: 1707637 Gender: Male Select Physicians Alliance. Pl 3131 N. Mcmullen Booth Rd Clearwater, FL 33761-2008 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Berrios, Jose MD Provider ID: 2978 Gender: Male Gulfcoast ENT Associates 800 Tarpon Woods Blvd, Ste D Palm Harbor, FL 34685-2011 (727) 942-4005 Fax: (727) 934-1773 00 YRS/130 YRS Adventhealth North Pinellas Palms Of Pasadena Hosp Languages: French, Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 107
Gilroy, Patricia MD Provider ID: 245323 Gender: Female St Pete Ear Nose And Throat Ctr LLC 2299 9th Ave N, Ste 3b St Petersburg, FL 33713-6852 (727) 321-3344 Fax: (727) 321-3236 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Physicians Surgery Mon - Thu 8:00 to 4:30 Fri 8:00 to 1:30 PCMH: No
Goldfarb, Glen MD
Provider ID: 194385 Gender: Male Suncoast Medical 620 10th St N, Ste 3d St Petersburg, FL 33705-1407 (727) 824-8375 Fax: (727) 824-7140 18 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Jaquish, Shelley MD Provider ID: 1571413 Gender: Female Select Physicians Alliance 6827 1st Ave S, Ste 100 Saint Petersburg, FL 33707-1242 (813) 879-8045 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Ear. Nose & Throat - cont.
Jaquish, Shelley MD Provider ID: 1571413 Gender: Female Select Physicians Alliance 900 Carillon Pkwy, Ste 300 Saint Petersburg, FL 33716-1118 (813) 879-8045 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Leto, Christopher MD
Provider ID: 2022351 Gender: Male Select Physicians Alliance P L 1301 2nd Ave SW Largo, FL 33770-3120 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Leto, Christopher MD Provider ID: 2022351 Gender: Male Select Physicians Alliance P L 3131 N Mcmullen Booth Rd Clearwater, FL 33761-2008 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Leto, Christopher MD
Provider ID: 2022351 Gender: Male Select Physicians Alliance P L 6827 1st Ave S, Ste 100 St Petersburg, FL 33707-1242 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lynskey, Elisa MD Provider ID: 1932366 Gender: Female Florida ENT Allergy 6827 1st Ave S, Ste 100 St Petersburg, FL 33707-1242 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lynskey, Elisa MD
Provider ID: 1932366 Gender: Female Florida ENT Allergy 900 Carillon Pkwy, Ste 300 Saint Petersburg, FL 33716-1118 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Malone, Alexander MD
Provider ID: 1932442 Gender: Female Florida ENT And Allergy 1301 2nd Ave SW Largo, FL 33770-3120 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Malone, Alexander MD Provider ID: 1932442 Gender: Female Florida ENT And Allergy 3131 N Mcmullen Booth Rd Clearwater, FL 33761-2008 (813) 879-8045 Fax: (813) 960-3299 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Requena, Ricardo DO Provider ID: 1573887 Gender: Male Select Physicians Alliance. Pl 1301 2nd Ave SW Largo, FL 33770-3120 (727) 584-7706 Fax: (727) 586-6018 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Requena, Ricardo DO
Provider ID: 1573887 Gender: Male Select Physicians Alliance. Pl 6827 1st Ave S, Ste 100 Saint Petersburg, FL 33707-1242 (727) 341-0551 Fax: (727) 341-0332 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Requena, Ricardo DO Provider ID: 1573887 Gender: Male Select Physicians Alliance. Pl 900 Carillon Pkwy, Ste 300 Saint Petersburg, FL 33716-1118 (727) 341-0551 Fax: (727) 341-0332 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Saeks, Jeffrey MD Provider ID: 1563527 Gender: Male Select Physicians Alliance. Pl 1301 2nd Ave SW Largo, FL 33770 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 108
33453864
Specialty Physicians
Pinellas
Ear. Nose & Throat - cont.
Saeks, Jeffrey MD Provider ID: 1563527 Gender: Male Select Physicians Alliance. Pl 6827 1st Ave S Saint Petersburg, FL 33707-1242 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vincent, Daniel MD
Provider ID: 320569 Gender: Male Select Physicians Alliance. Pl 900 Carillon Pkwy, Ste 300 Saint Petersburg, FL 33716-1118 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Tampa Bay Surgery Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Endocrinology. Diabetes.
Metabolism
Blanchard, Richard MD Provider ID: 175718 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 3e Saint Petersburg, FL 33705-1407 (727) 824-8251 Fax: (727) 824-8271 18 YRS/130 YRS Mon, Thu - Fri 8:30 to 5:00 Tue 8:00 to 5:00 Wed 8:30 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 109
Budharaju, Venkata MD
Provider ID: 802124 Gender: Male Florida Endocrinology Diabetes Cent 2323 Curlew Rd, Ste 6d Dunedin, FL 34698-9307 (727) 653-9913 Fax: (727) 803-6852 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Budharaju, Venkata MD
Provider ID: 802124 Gender: Male Florida Endocrinology Diabetes Cent 6229 66th St N Pinellas Park, FL 33781-5025 (727) 623-9913 Fax: (727) 803-6852 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Nair, Govindan MD
Provider ID: 716 Gender: Male 4820 5th Ave N St Petersburg, FL 33713-7218 (727) 321-6768 Fax: (727) 327-8741 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Parbhoo, Arvind MD
Provider ID: 213120 Gender: Male 4820 5th Ave N Saint Petersburg, FL 33713-7218 (727) 528-1138 Fax: (727) 528-2295 18 YRS/130 YRS Bayfront Medical Center Palms Of Pasadena Hosp St Anthonys Hospital Languages: Gujarati PCMH: No
Parbhoo, Arvind MD
Provider ID: 213120 Gender: Male 6409 Dr Mlk Jr Street N Saint Petersburg, FL 33702 (727) 528-1138 Fax: (727) 528-2295 18 YRS/130 YRS Bayfront Medical Center Palms Of Pasadena Hosp St Anthonys Hospital Languages: Gujarati Mon, Fri 9:00 to 12:00 Tue, Thu 9:00 to 3:00 PCMH: No
Reddy, Ashwini MD
Provider ID: 2204522 Gender: Female Adventhealth Medical Group Diabetes 34661 Us Highway 19 N Palm Harbor, FL 34684-2152 (727) 787-1350 Fax: (727) 754-8987 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Endocrinology. Diabetes.
Metabolism - cont.
Santana Hernandez, Omar MD
Provider ID: 1990718 Gender: Male Baycare Medical Group Inc 620 10th St N St Petersburg, FL 33705-1407 (727) 824-8251 Fax: (727) 824-8271 18 YRS/130 YRS St Josephs Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Endodontics
Gittess, Robert DDS Provider ID: TPVP42923-04 Gender: Male Tyrone Square Mall Dental Pa 6747 Tyrone Square Saint Petersburg, FL 33710 (727) 345-6100 Fax: (727) 345-0793 00 YRS/99 YRS Languages: Spanish Mon - Fri 10:00 to 5:00 PCMH: No
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-07 Gender: Female Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 110
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-08 Gender: Female Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-10 Gender: Female Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-11 Gender: Female Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-14 Gender: Female Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Hernandez Moreno, Rosa DMD
Provider ID: TPVP175180-22 Gender: Female Greenberg Dental & Orthodontics Pa 12963 Walsingham Rd Largo, FL 33774 (727) 265-3307 Fax: (727) 233-4977 00 YRS/99 YRS Languages: Spanish Mon - Tue 8:00 to 4:00 Wed - Thu 11:00 to 7:00 Fri 7:00 to 3:00 PCMH: No
Koscso, Kevin DMD Provider ID: TPVP120838-06 Gender: Male Great Expressions Dental Centers 400 Carillon Pkwy Ste 120 St Petersburg, FL 33716 (727) 299-0728 Fax: (727) 209-1365 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 4:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Endodontics - cont.
Koscso, Kevin DMD Provider ID: TPVP120838-08 Gender: Male Great Expressions Dental Centers 5002 73rd Ave North Pinellas Park, FL 33781 (727) 544-7733 Fax: (727) 544-3869 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Family Practice
Armstrong, John DO
Provider ID: 1097177 Gender: Male V.j. Dilella. Do. LLC 703 Virginia St Dunedin, FL 34698 (727) 734-4000 Fax: (727) 738-5037 05 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Bonaparte, Katina MD Provider ID: 1340859 Gender: Female Chc At Clearwater Subspecialty: HRSA FQHC 707 Druid Rd E Clearwater, FL 33756 (727) 461-1439 Fax: (727) 461-1692 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 111
Bonaparte, Katina MD Provider ID: 1340859 Gender: Female Chc At Dunedin Subspecialty: HRSA FQHC 1721 Main St Dunedin, FL 34698 (727) 824-8181 Fax: (727) 736-1735 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chase, Stacy DO
Provider ID: 711516 Gender: Female Largo Physcian Group LLC 6450 38th Ave N, Ste 400 Saint Petersburg, FL 33710-1653 (727) 545-4444 Fax: (727) 545-5855 00 YRS/130 YRS Languages: Vietnamese Mon - Fri 7:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Faulkner, Kim MD Provider ID: 1350239 Gender: Female Subspecialty: HRSA FQHC 1344 22nd Street South Saint Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS PCMH: No
Faulkner, Kim MD Provider ID: 1350239 Gender: Female Community Health Centers At Largo Subspecialty: HRSA FQHC 12420 130th Ave N Largo, FL 33774 (727) 824-8181 Fax: (727) 587-7739 18 YRS/130 YRS Mon - Fri 7:30 to 8:00 Sat 8:00 to 4:30 PCMH: No
Folkens, Eric MD
Provider ID: 1861284 Gender: Male Metro Treatment Of Florida LP 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fountain, Lorna MD Provider ID: 396732 Gender: Female Bayfront Hma Medical Center LLC Subspecialty: HRSA FQHC 701 6th Street South Saint Petersburg, FL 33701 (727) 893-6116 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Family Practice - cont.
Franco, Nazrah MD Provider ID: 1707793 Gender: Female Bayfront Medical Center 8730 4th St N Saint Petersburg, FL 33702-3106 (727) 577-9700 Fax: (727) 576-4091 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Franco, Nazrah MD Provider ID: 1707793 Gender: Female Bayfront Primary Downtown 470 2nd St S St Petersburg, FL 33701-4330 (727) 893-6060 Fax: (727) 893-6061 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Franco, Nazrah MD
Provider ID: 1707793 Gender: Female Bayfront Health Medical Group 603 7th St S, Ste 400 Saint Petersburg, FL 33701 (727) 553-7420 Fax: (727) 553-7419 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Franco, Nazrah MD Provider ID: 1707793 Gender: Female Bayfront Medical Center 701 6th St S Saint Petersburg, FL 33701-4814 (727) 823-1234 Fax: (727) 893-6811 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Kovtunova, Svetlana MD Provider ID: 2006325 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Lee, Kenneth DO Provider ID: 1852387 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (757) 547-5200 Fax: (727) 940-6073 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lehmann, Joan MD
Provider ID: 1848784 Gender: Female Metro Treatment Of Florida. LP 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Levoy, Craig MD Provider ID: 1564406 Gender: Male Bayfront Hma Medical Center LLC 470 2nd St S Saint Petersburg, FL 33701-4330 (727) 893-6060 Fax: (727) 893-6061 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Levoy, Craig MD
Provider ID: 1564406 Gender: Male Bayfront Hma Physician Manage-ment L 603 7th St S, Ste 400 Saint Petersburg, FL 33701-4734 (727) 553-7420 Fax: (727) 823-4153 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Linton, Candice MD Provider ID: 2139038 Gender: Female Nautilus Health Care Group LLC 7000 4th St N St Petersburg, FL 33702-5903 (727) 528-9824 Fax: (727) 525-9516 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Liu, Liyu DO Provider ID: 1998614 Gender: Female Bayfront Convenient Care -Northeas 7000 4th St N St Petersburg, FL 33702-5903 (727) 525-3627 Fax: (727) 520-1440 00 YRS/130 YRS Languages: Chinese Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 112
33453864
Specialty Physicians
Pinellas
Family Practice - cont.
Liu, Liyu DO Provider ID: 1998614 Gender: Female Bayfront Hma Convenient Care LLC Db 13163 66th St Largo, FL 33773-1812 (727) 531-2273 Fax: (727) 535-8930 00 YRS/130 YRS Languages: Chinese Mon - Fri 8:00 to 7:00 Sat 9:00 to 3:00 PCMH: No
Liu, Liyu DO
Provider ID: 1998614 Gender: Female Bayfront Hma Convenient Care LLC Db 4200 54th Ave S St Petersburg, FL 33711-4744 (727) 864-8248 Fax: (727) 864-8323 00 YRS/130 YRS Languages: Chinese Mon - Fri 8:00 to 5:00 PCMH: No
Lowell, Anna DO Provider ID: 1712970 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon 8:00 to 8:00 Tue - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 113
Moreland, Clyde MD Provider ID: 1852012 Gender: Male Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Tampa General Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Occhino, Frederick DO
Provider ID: 1848829 Gender: Male Metro Treatment Of Florida. LP 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Lena MD Provider ID: 2139068 Gender: Female Nautilus Health Care Group 3231 Mcmullen Booth Rd Safety Harbor, FL 34695-6607 (727) 781-3111 Fax: (727) 781-3113 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shariff, Sohail MD
Provider ID: 1858733 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Park Ave Tarpon Springs, FL 34689 (727) 547-5200 Fax: (727) 940-6073 00 YRS/130 YRS Mon - Fri 5:30 to 1:30 Sat - Sun 6:00 to 9:00 PCMH: No
Shariff, Sohail MD Provider ID: 1858733 Gender: Male Metro Treatment Of Florida LP 8800 49th St North, Ste 106 Pinellas Park, FL 33782 (727) 544-0044 Fax: (727) 545-0125 00 YRS/130 YRS Mon - Fri 5:00 to 6:00 Sat - Sun 5:30 to 9:30 PCMH: No
Shariff, Sohail MD
Provider ID: 1858733 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689 (727) 888-4752 Fax: (727) 940-6073 00 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Stamoolis, Christina MD Provider ID: 676877 Gender: Female Largo Family Care 13540 Walsingham Rd, Ste D Largo, FL 33774-3546 (727) 593-5492 Fax: (727) 593-5440 00 YRS/130 YRS Largo Medical Center Languages: Greek Mon - Fri 8:00 to 7:00 PCMH: No Telemedicine Presenting and Receiving Site
33453864
Specialty Physicians
Pinellas
Family Practice - cont.
Wallace, Robert MD Provider ID: 1108108 Gender: Male Love The Golden Rule Inc 3000 1st Ave N Saint Petersburg, FL 33713-8607 (727) 826-0700 Fax: (727) 954-6994 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1150459 Gender: Female Bayfront Hma Physician Magement. Ll 603 7th St South, Ste 440 Saint Petersburg, FL 33701 (727) 893-6333 Fax: (727) 553-7787 00 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1150459 Gender: Female Bayfront Medical Center 701 6th St South Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1522737 Gender: Female Bayfront Health Medical Group 700 6th St S, Fl 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gastroenterology
Goyal, Anoop MD Provider ID: 213241 Gender: Male Digestive Deasease And Cancer Insti 34653 Us 19 N Palm Harbor, FL 34684-2152 (727) 771-6135 Fax: (727) 771-2514 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin North Pinellas Surgery Center Mon - Fri 8:30 to 5:00 PCMH: No
Humphreys, Kevin MD
Provider ID: 1805803 Gender: Male Advanced Gastroenterology Asso-ciate 34041 Us 19 N, Ste A Palm Harbor, FL 34684-2648 (727) 786-0017 Fax: (727) 786-7521 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Iyunni, Venkata MD Provider ID: 9138 Gender: Male 6217 66th St North Pinellas Park, FL 33781 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Languages: Hindi, Marathi, Punjabi, Spanish PCMH: No
Iyunni, Venkata MD
Provider ID: 9138 Gender: Male I.v.s Nath. M.d. F.r.c.p. Pa 6217 66th St N Pinellas Park, FL 33781-5025 (727) 546-1680 Fax: (727) 548-0965 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Languages: Hindi, Marathi, Punjabi, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Kozlov, Nicholas MD Provider ID: 217776 Gender: Male St Anthony Hosp 1200 7th Ave N St Petersburg, FL 33705-1300 (727) 217-3901 18 YRS/130 YRS Bayfront Medical Center Millenia Surgery Center St Petersburg Endoscopy Center PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 114
33453864
Specialty Physicians
Pinellas
Gastroenterology - cont.
Kozlov, Nicholas MD
Provider ID: 217776 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 3b Saint Petersburg, FL 33705-1407 (727) 824-7116 Fax: (727) 824-7177 18 YRS/130 YRS Bayfront Medical Center Millenia Surgery Center St Petersburg Endoscopy Center Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Sperber, Harry MD
Provider ID: 1544 Gender: Male Suncoast Medical Clinic LLC 701 6th St S Saint Petersburg, FL 33701 (727) 823-1234 18 YRS/130 YRS Bayfront Medical Center Millenia Surgery Center St Petersburg Endoscopy Center Mon - Fri 9:00 to 5:00 PCMH: No
Sperber, Harry MD
Provider ID: 1544 Gender: Male Suncoast Medicl Clinic LLC 620 10th St N, Ste 3b Saint Petersburg, FL 33705-1407 (727) 824-7116 Fax: (727) 824-7177 18 YRS/130 YRS Bayfront Medical Center Millenia Surgery Center St Petersburg Endoscopy Center Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Strickland, Amy MD Provider ID: 713485 Gender: Female 620 10th St N, Ste 3b Saint Petersburg, FL 33705-1407 (727) 824-7116 Fax: (727) 824-7177 18 YRS/130 YRS Millenia Surgery Center St Petersburg Endoscopy Center PCMH: No
General Practice
Freeman, Barbara MD
Provider ID: 1791085 Gender: Female Kg Health Partners Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ise, Charlene MD
Provider ID: 2138573 Gender: Female Nautilus Health Care Group LLC 7000 4th St N St Petersburg, FL 33702-5903 (727) 528-9824 Fax: (727) 525-9516 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lusancarez, Jose MD
Provider ID: 2013034 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 115
Lusancarez, Jose MD
Provider ID: 2013034 Gender: Male Metro Treatment Of Florida LP 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5353 (407) 351-7080 Fax: (407) 351-7080 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Philippe, Bernard MD Provider ID: 1186020 Gender: Male Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8723 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Philippe, Bernard MD
Provider ID: 1186020 Gender: Male Professional Health Care Of Pinella 5500 Dr Mlk Saint Petersburg, FL 33703-1204 (727) 525-5500 Fax: (727) 522-2574 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Walker, Robert MD
Provider ID: 1858231 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
General Surgery
Berry, David MD Provider ID: 626560 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6605 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Mon 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Berry, David MD
Provider ID: 626560 Gender: Male 646 Virginia St, Ste 201 Dunedin, FL 34698-6612 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Wed 9:00 to 5:00 PCMH: No
Bowers, William MD Provider ID: 693011 Gender: Male Gulf Coast Vein Center P A 4900 95th Ave N Pinellas Park, FL 33782-3544 (727) 623-9999 Fax: (727) 350-5848 18 YRS/130 YRS St Anthonys Physicians Surgery St Petersburg General Hosp Mon - Fri 8:30 to 5:00 PCMH: No
Caldeira, Christiano MD
Provider ID: 2110102 Gender: Male Comprehensive Cardiac Surgical Serv 1345 West Bay Dr, Ste 301 Largo, FL 33770-2264 (727) 587-7111 Fax: (727) 518-0166 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 116
Chandler, Nicole MD Provider ID: 461033 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Chandler, Nicole MD
Provider ID: 461033 Gender: Female 601 5th St S, Ste 306 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Clarke, John MD Provider ID: 1176273 Gender: Male Palms Surgical Associates 1615 Pasadena Ave S, Ste 330 Saint Petersburg, FL 33707 (727) 345-2929 Fax: (727) 345-0340 00 YRS/130 YRS Languages: French Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Collins, Paul MD Provider ID: 115 Gender: Male Bay Surgical Specialist 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Physicians Surgery Mon - Fri 9:00 to 5:00 PCMH: No
Collins, Paul MD
Provider ID: 115 Gender: Male Bay Surgical Specialists Pa 2191 9th Ave N, Ste 270 Saint Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Physicians Surgery Mon - Fri 8:00 to 5:00 PCMH: No
Couch, Matthew MD Provider ID: 556731 Gender: Male Pinellas Surgical Associates 4801 49th St N St Petersburg, FL 33709-3859 (727) 526-3468 Fax: (727) 522-3369 18 YRS/130 YRS St Anthonys Physicians Surgery Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
General Surgery - cont.
Danielson, Paul MD Provider ID: 460250 Gender: Male 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Pediatric Surgery Centers Llc Mon - Fri 9:00 to 5:00 PCMH: No
Danielson, Paul MD
Provider ID: 460250 Gender: Male 601 5th St S, Ste 302 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Pediatric Surgery Centers Llc Mon - Fri 9:00 to 5:00 PCMH: No
Davidson, Robert MD Provider ID: 215087 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6602 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Mon, Wed 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 117
Davidson, Robert MD Provider ID: 215087 Gender: Male 3280 N Mcmln Bth Rd, Ste 110 Clearwater, FL 33761-2046 (727) 787-3000 Fax: (727) 787-3008 00 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital PCMH: No
Davidson, Robert MD
Provider ID: 215087 Gender: Male 601 Main St Dunedin, FL 34698-5848 (727) 733-1111 00 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital PCMH: No
Dematteis, Ralph MD Provider ID: 1799530 Gender: Male Professional Health Care Of Pinella 5500 Dr Martin Luther King Jr St N Saint Petersburg, FL 33703-1204 (727) 210-8391 Fax: (727) 522-2574 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gozdanovic, Suzanne MD
Provider ID: 1204849 Gender: Female Pinellas Surgical Associates. Inc 4801 49th St N Saint Petersburg, FL 33709-3859 (727) 526-3468 Fax: (727) 522-3369 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gunn, Jinny MD Provider ID: 2038068 Gender: Female Bay Surgical Specialists 1201 5th Ave N, Ste 308 St Petersburg, FL 33705-1425 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gunn, Jinny MD
Provider ID: 2038068 Gender: Female Bay Surgical Specialists 2191 9th Ave N, Ste 270 St Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gunn, Jinny MD Provider ID: 2038068 Gender: Female Bay Surgical Specialists 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Huguet, Kevin MD
Provider ID: 424635 Gender: Male 1200 7th Ave N Saint Petersburg, FL 33705-1300 (727) 825-1100 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery Northside Hospital PCMH: No
33453864
Specialty Physicians
Pinellas
General Surgery - cont.
Huguet, Kevin MD Provider ID: 424635 Gender: Male Bay Surgical Specialists Pa 2191 9th Ave N, Ste 270 Saint Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery Northside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Huguet, Kevin MD
Provider ID: 424635 Gender: Male Collins & Hart Md Facs Pa 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery Northside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Ilie, Ramona MD Provider ID: 2156869 Gender: Female Pinellas Surgical Associates. Inc. 4801 49th St N St Petersburg, FL 33709-3859 (727) 528-0595 Fax: (727) 522-3369 18 YRS/130 YRS St Petersburg General Hosp Northside Hospital Palms Of Pasadena Hosp Mon - Thu 9:00 to 4:30 Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 118
Johnson, Jeffery MD Provider ID: 525985 Gender: Male 603 7th St S, Ste 500 Saint Petersburg, FL 33701-4734 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Wed 8:30 to 12:00 PCMH: No
Koler, Amy MD
Provider ID: 1014020 Gender: Female Bayfront Hma Physician Manage-ment 603 7th St S, Ste 500 Saint Petersburg, FL 33701-4734 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Wed 8:30 to 12:00 PCMH: No
Kotak, Rajesh MD Provider ID: 805332 Gender: Male Adventhealth Medical Group Surgical 1501 S Pinellas Ave, Ste T Tarpon Springs, FL 34689-1952 (727) 934-6797 Fax: (727) 942-6503 00 YRS/130 YRS Adventhealth North Pinellas Languages: Gujarati, Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Mcguire, Margaret MD Provider ID: 1149215 Gender: Female Pediatric Physician Services 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Murphy, Eugene MD
Provider ID: 507201 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 3e Saint Petersburg, FL 33705-1407 (727) 824-8209 Fax: (727) 824-7154 18 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Osman-Mohamed, Hussein MD
Provider ID: 1096327 Gender: Male Transplant Surgical Specialists At 1301 2nd Ave SW, Ste 315 Largo, FL 33770-3120 (727) 587-7120 Fax: (727) 585-6850 18 YRS/130 YRS Largo Medical Center Languages: Arabic Mon, Wed - Fri 9:00 to 5:00 Tue 7:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
33453864
Specialty Physicians
Pinellas
General Surgery - cont.
Price, Nicholas MD
Provider ID: 1028027 Gender: Male Bayfront Hma Physician Manage -ment L 603 7th St S, Ste 500 Saint Petersburg, FL 33701-4734 (727) 553-7450 Fax: (727) 553-7158 18 YRS/130 YRS St Josephs Hospital Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Reintgen, Douglas MD Provider ID: 7221 Gender: Male Usf Physicians Group 1501 S Pinellas Ave, Ste T Tarpon Springs, FL 34689-1952 (727) 934-6797 Fax: (727) 942-6503 02 YRS/130 YRS Lakeland Reg Medical Ctr Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Roth, Robert MD
Provider ID: 191604 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6602 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS St Josephs Hospital Mease Hospital Dunedin Mease Countryside Hospital Tue - Wed 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 119
Roth, Robert MD Provider ID: 191604 Gender: Male 3280 N Mcmln Bth Rd, Ste 110 Clearwater, FL 33761-2046 (727) 787-3000 Fax: (727) 787-3008 00 YRS/130 YRS St Josephs Hospital Mease Hospital Dunedin Mease Countryside Hospital PCMH: No
Roth, Robert MD
Provider ID: 191604 Gender: Male 3890 Tampa Rd, Ste 201 Palm Harbor, FL 34684-3677 (727) 781-3111 Fax: (727) 781-3113 00 YRS/130 YRS St Josephs Hospital Mease Hospital Dunedin Mease Countryside Hospital PCMH: No
Roth, Robert MD Provider ID: 191604 Gender: Male 646 Virginia St Dunedin, FL 34698-6612 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS St Josephs Hospital Mease Hospital Dunedin Mease Countryside Hospital Tue 1:30 to 4:30 PCMH: No
Schmidt, Rick MD
Provider ID: 626501 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6602 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Tue, Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Schmidt, Rick MD Provider ID: 626501 Gender: Male 646 Virginia St, Ste 201 Dunedin, FL 34698-6612 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Thu 1:30 to 4:30 PCMH: No
Shapiro, David MD
Provider ID: 636467 Gender: Male David H Shapiro Md Pa 561 S Duncan Ave Clearwater, FL 33756 (727) 724-4279 Fax: (727) 723-2950 18 YRS/130 YRS PCMH: No
Shawchuck, Kay MD Provider ID: 1576742 Gender: Female Great Tampa Bay Physician Specialis 6450 38th Ave N, Ste 440 Saint Petersburg, FL 33710-1653 (727) 551-2033 Fax: (727) 864-1447 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Small, Theodore MD
Provider ID: 665219 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6602 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Tue, Thu 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
General Surgery - cont.
Small, Theodore MD Provider ID: 665219 Gender: Male 3280 N Mcmln Bth Rd, Ste 110 Clearwater, FL 33761-2046 (727) 787-3000 Fax: (727) 787-3008 00 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital PCMH: No
St Julien, Jamii MD
Provider ID: 1480858 Gender: Male Bay Surgical Specialists Pa 2191 9th Ave N, Ste 270 Saint Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
St Julien, Jamii MD Provider ID: 1480858 Gender: Male Bay Surgical Specialists Pa 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Tue 8:00 to 12:00 Fri 1:00 to 5:00 PCMH: No
Walford, Nebbie MD Provider ID: 558061 Gender: Female Pediatric Physician Services 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Walford, Nebbie MD
Provider ID: 558061 Gender: Female Pediatric Physician Services Inc 601 5th St S, 3rd Fl Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 4:00 PCMH: No
Yang, Chun MD Provider ID: 2038107 Gender: Male Bay Surgical Specialists 1201 5th Ave N, Ste 308 St Petersburg, FL 33705-1425 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Languages: Chinese, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Yang, Chun MD Provider ID: 2038107 Gender: Male Bay Surgical Specialists 2191 9th Ave N, Ste 270 St Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Languages: Chinese, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Yang, Chun MD
Provider ID: 2038107 Gender: Male Bay Surgical Specialists 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Languages: Chinese, Spanish Tue 8:00 to 5:00 Thu - Fri 8:00 to 12:00 PCMH: No
Gynecological Oncology
English, Diane MD Provider ID: 2123421 Gender: Female Tampa General Hospital Cancer Care 601 7th St S, Ste 510 Saint Petersburg, FL 33701-4736 (727) 828-6330 Fax: (727) 828-6631 18 YRS/130 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 120
33453864
Specialty Physicians
Pinellas
Gynecology
Fosnot, Susan DO Provider ID: 315009 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Fosnot, Susan DO
Provider ID: 315009 Gender: Female Womens Care Florida 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Fosnot, Susan DO Provider ID: 315009 Gender: Female Womens Care Florida 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Indermaur, Megan MD Provider ID: 947980 Gender: Female Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Hematology
Iyer, Ananth MD Provider ID: 909742 Gender: Male Florida Cancer Specialists 1417 S Belcher Rd, Ste A Clearwater, FL 33764-2824 (727) 522-0558 Fax: (727) 521-3605 00 YRS/130 YRS Largo Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Iyer, Ananth MD
Provider ID: 909742 Gender: Male Florida Cancer Specialists 5767 49th St N Saint Petersburg, FL 33709-2107 (727) 522-0558 Fax: (727) 525-1239 00 YRS/130 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 121
Kamath, Geetha MD Provider ID: 1189 Gender: Female Florida Cancer Specialists 1417 S Belcher Rd, Ste A Clearwater, FL 33764-2824 (727) 443-4299 Fax: (727) 443-0255 00 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Hindi, Kannada Mon - Fri 8:30 to 5:00 PCMH: No
Kamath, Geetha MD
Provider ID: 1189 Gender: Female Florida Cancer Specialists 5767 49th St N St Petersburg, FL 33709-2107 (727) 522-0558 Fax: (727) 525-1239 00 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Hindi, Kannada Mon - Fri 8:30 to 5:00 PCMH: No
Knipe, Richard MD Provider ID: 10735 Gender: Male 1200 7th Ave N Saint Petersburg, FL 33705-1300 (727) 825-1100 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, Chinese, French, Polish PCMH: No
33453864
Specialty Physicians
Pinellas
Hematology - cont.
Knipe, Richard MD
Provider ID: 10735 Gender: Male Florida Cancer Specialists 1201 5th Ave N, Ste 505 St Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, Chinese, French, Polish Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Hematology & Oncology
Alemar, Jose MD Provider ID: 314386 Gender: Male Florida Cancer Specialists 100 Highland Ave N Largo, FL 33770-2542 (727) 683-2900 Fax: (727) 683-2901 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Alemar, Jose MD
Provider ID: 314386 Gender: Male Florida Cancer Specialists 3280 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2046 (727) 216-1141 Fax: (727) 785-4146 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Alemar, Jose MD
Provider ID: 314386 Gender: Male Florida Cancer Specialists 400 Pinellas St, Ste 300 Clearwater, FL 33756-3314 (727) 447-8100 Fax: (727) 442-2528 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Alemar, Jose MD
Provider ID: 314386 Gender: Male Florida Cancer Specialists Pl 1301 2nd Ave SW, Ste 290 Largo, FL 33770-3120 (727) 940-9580 Fax: (727) 940-9579 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Ball, Jennifer DO
Provider ID: 167966 Gender: Female Florida Cancer Specialists 3280 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2046 (727) 216-1141 Fax: (727) 785-4146 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Bayraktar, Soley MD
Provider ID: 1962642 Gender: Female Baycare Medical Group Inc 1840 Mease Dr, Ste 409 Safety Harbor, FL 34695-6606 (727) 443-8450 Fax: (727) 533-5911 18 YRS/130 YRS Languages: Turkish Mon - Fri 8:00 to 5:00 PCMH: No
Bergier, Gregoire MD
Provider ID: 215903 Gender: Male Florida Cancer Specialists Pl 100 Highland Ave N Largo, FL 33770-2542 (727) 683-2900 Fax: (727) 683-2901 18 YRS/130 YRS Languages: French, German, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Betensky, Marisol MD
Provider ID: 1317859 Gender: Female Pediatric Physician Services Inc. 601 5th St S, Ste 302 Saint Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Byun, Sung MD Provider ID: 1162087 Gender: Male 201 14th St SW Largo, FL 33770 (727) 588-5200 18 YRS/130 YRS PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 122
33453864
Specialty Physicians
Pinellas
Hematology & Oncology - cont.
Chamberlain, Kerry DO Provider ID: 10298 Gender: Male Florida Cancer Specialists 1301 2nd Ave SW, Ste 290 Largo, FL 33770-3120 (727) 940-9580 Fax: (727) 940-9579 00 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Chamberlain, Kerry DO
Provider ID: 10298 Gender: Male Florida Cancer Specialists 8787 Bryan Dairy Rd, Ste 210 Largo, FL 33777-1253 (727) 397-9641 Fax: (727) 393-4194 00 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Diaz, Michael MD Provider ID: 336778 Gender: Male Florida Cancer Specialists 1201 5th Ave N, Ste 505 Saint Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: French, Portuguese, Spanish, Vietnamese Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Updated for: July, 2020.
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Diaz, Michael MD Provider ID: 336778 Gender: Male Florida Cancer Specialists 1615 Pasadena Ave S, Ste 400 St Petersburg, FL 33707-4567 (727) 341-1316 Fax: (727) 345-4000 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: French, Portuguese, Spanish, Vietnamese Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Ho, Vu MD
Provider ID: 241295 Gender: Male Florida Cancer Specialists. P.l. 1201 5th Ave N, Ste 505 St Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Languages: Chinese, Polish, Spanish, Vietnamese Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Jooma, Nurruddin MD Provider ID: 463986 Gender: Male Florida Cancer Specialists 1301 2nd Ave SW, Ste 290 Largo, FL 33770-3120 (727) 940-9580 Fax: (727) 940-9579 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Mease Countryside Hospital Languages: Hindi, Urdu Mon - Fri 9:00 to 5:00 PCMH: No
Luong, Don MD Provider ID: 462569 Gender: Male Florida Cancer Specialists 1301 2nd Ave SW, Ste 290 Largo, FL 33770-3120 (727) 940-9580 Fax: (727) 940-9579 18 YRS/130 YRS Morton Plant Hospital Mease Countryside Hospital Largo Medical Center Languages: Spanish, Vietnamese Mon - Fri 9:00 to 5:00 PCMH: No
Mace, Joseph MD
Provider ID: 206095 Gender: Male 1200 7th Ave N Saint Petersburg, FL 33705-1300 (727) 825-1100 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, French, Polish, Portuguese PCMH: No
Mace, Joseph MD Provider ID: 206095 Gender: Male Florida Cancer Specialists 1201 5th Ave N, Ste 505 St Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, French, Polish, Portuguese Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
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Hematology & Oncology - cont.
Nakhl, Fadi MD Provider ID: 2195628 Gender: Male Baycare Medical Group Inc 1840 Mease Dr, Ste 409 Safety Harbor, FL 34695-6606 (727) 443-8450 Fax: (727) 533-5911 18 YRS/130 YRS Languages: Arabic, French Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Hitesh MD
Provider ID: 3499 Gender: Male 3280 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761 (727) 216-1141 Fax: (727) 796-1590 00 YRS/130 YRS Mease Hospital Dunedin Largo Medical Center Mease Countryside Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Hitesh MD
Provider ID: 3499 Gender: Male Florida Cancer Specialists 400 Pinellas St, Ste 300 Clearwater, FL 33756-3314 (727) 447-8100 Fax: (727) 442-2528 00 YRS/130 YRS Mease Hospital Dunedin Largo Medical Center Mease Countryside Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Rocha, Rafael MD Provider ID: 2208323 Gender: Male Baycare Medical Group Inc 1840 Mease Dr, Ste 409 Safety Harbor, FL 34695-6606 (727) 443-8450 Fax: (727) 533-5911 18 YRS/130 YRS Languages: Portuguese, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Shaker, Ahmad MD
Provider ID: 1647225 Gender: Male Sc Physicians Group LLC 620 10th St N, Ste 2e St Petersburg, FL 33705-1407 (727) 824-8206 Fax: (727) 824-7110 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wurtz, Kenneth MD Provider ID: 1603491 Gender: Male 603 7th St S, Ste 560 Saint Petersburg, FL 33701-4732 (727) 820-7714 Fax: (727) 202-6455 18 YRS/130 YRS PCMH: No
Ziegler, Lane DO
Provider ID: 5511 Gender: Male Florida Cancer Specialists 100 Highland Ave N Largo, FL 33770-2542 (727) 683-2900 Fax: (727) 683-2901 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Hiv/Aids
Dumois, Juan MD Provider ID: 17774 Gender: Male 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Dumois, Juan MD
Provider ID: 17774 Gender: Male 601 5th St S, Ste 504 Saint Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Hospice And Palliative Care
Morelli, Anthony MD
Provider ID: 1834542 Gender: Male Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4147 Fax: (727) 767-8408 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Hospice And Palliative Care - cont.
Parks, Ashley MD
Provider ID: 2050066 Gender: Female Baycare Medical Group Inc 3231 Mcmullen Booth Rd Safety Harbor, FL 34695-6607 (727) 725-6905 Fax: (727) 266-4911 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Parks, Ashley MD
Provider ID: 2050066 Gender: Female Baycare Medical Group Inc 1200 7th Ave N St Petersburg, FL 33705-1300 (727) 820-7737 Fax: (727) 825-1223 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Infectious Disease
Asare, Kingsley DO
Provider ID: 925751 Gender: Male 9555 Seminole Blvd, Ste 100 Seminole, FL 33772-2524 (727) 729-9000 Fax: (866) 614-2548 00 YRS/130 YRS Largo Medical Center Mon - Thu 10:00 to 6:00 Fri 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
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Balcacer-Estevez, Nery MD
Provider ID: 575889 Gender: Female Advanced Bay Area Medical Asso-ciate 1700 66th St N, Ste 510 Saint Petersburg, FL 33710-5512 (727) 384-2479 Fax: (727) 345-2300 18 YRS/130 YRS St Petersburg General Hosp Northside Hospital Largo Medical Center Languages: Spanish Mon - Thu 8:30 to 4:30 Fri 8:30 to 4:00 PCMH: No
Balcacer-Estevez, Nery MD
Provider ID: 575889 Gender: Female Advanced Bay Area Medical Asso-ciate 8207 113th St Seminole, FL 33772-4128 (727) 397-3991 Fax: (727) 345-2300 18 YRS/130 YRS St Petersburg General Hosp Northside Hospital Largo Medical Center Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Berkey, Peter MD
Provider ID: 1776781 Gender: Male Can Community Health. Inc. 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 498-4969 Fax: (941) 256-2117 18 YRS/130 YRS Mon - Thu 8:30 to 5:30 Fri 8:30 to 12:30 PCMH: No
Cancel, Jeanette MD
Provider ID: 1289475 Gender: Female AIDS Healthcare Foundation Inc. 3135 State Road 580, Ste 1 Safety Harbor, FL 34695 (727) 725-9931 Fax: (727) 725-8826 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ganga, Roopa MD
Provider ID: 401296 Gender: Female Consultant In Infections Diseases 5670 54th Ave N, Ste A-1 Kenneth City, FL 33709-2067 (727) 548-0260 Fax: (727) 548-0270 00 YRS/130 YRS Mease Countryside Hospital Mon - Fri 9:00 to 4:00 PCMH: No
Kalra, Lalit MD
Provider ID: 727510 Gender: Male Consultants In Infectious Diseases. 5670 54th Ave N, Ste A-1 Saint Petersburg, FL 33709-2067 (727) 548-0260 Fax: (727) 548-0270 16 YRS/130 YRS St Petersburg General Hosp Mon - Fri 9:00 to 4:00 PCMH: No
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Infectious Disease - cont.
Levenson, Jeffrey MD
Provider ID: 1029210 Gender: Male Advanced Bay Area Medical Asso-ciate 1700 66th St N, Ste 510 Saint Petersburg, FL 33710-5512 (727) 384-2479 Fax: (727) 345-2300 12 YRS/130 YRS Northside Hospital St Petersburg General Hosp Largo Medical Center Languages: Arabic, French, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Levenson, Jeffrey MD
Provider ID: 1029210 Gender: Male Advanced Bay Area Medical Asso-ciate 8207 113th St Seminole, FL 33772-4128 (727) 397-3991 Fax: (727) 345-2300 12 YRS/130 YRS Northside Hospital St Petersburg General Hosp Largo Medical Center Languages: Arabic, French, Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Parayath, Krishnan MD
Provider ID: 203306 Gender: Male Consultants In Infectious Diseases. 5670 54th Ave N, Ste A1 Kenneth City, FL 33709-2004 (727) 548-0260 Fax: (727) 548-0270 18 YRS/130 YRS Mease Countryside Hospital Mon - Fri 9:00 to 4:00 PCMH: No
Sarai, Abey MD Provider ID: 209284 Gender: Female Consultants In Infectious Diseases 5670 54th Ave N, Ste A-1 St Petersburg, FL 33709-2068 (727) 548-0260 Fax: (727) 548-0270 16 YRS/130 YRS Northside Hospital Mease Countryside Hospital Mon - Fri 9:30 to 5:00 PCMH: No
Vega, Vilma MD
Provider ID: 2093509 Gender: Female AIDS Healthcare Foundation- Tampa B 3135 State Road 580, Ste 1 Safety Harbor, FL 34695-4917 (727) 725-9931 Fax: (727) 725-8826 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:30 to 5:30 PCMH: No
Walsh, Douglas DO Provider ID: 1258892 Gender: Male Can Community Health Inc 3251 3rd Ave N, #125 Saint Petersburg, FL 33713 (727) 321-3854 Fax: (727) 327-7670 18 YRS/130 YRS Mon - Thu 8:30 to 5:30 Fri 8:30 to 12:30 PCMH: No
Internal Medicine
Abdelrahman, Layal MD Provider ID: 1169211 Gender: Female Community Hospital Family Practice 1301 2nd Ave SW, Ste 315 Largo, FL 33770-3120 (727) 587-7120 Fax: (727) 585-6850 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Ahiable, Lilian MD
Provider ID: 1955049 Gender: Female West Florida Cardiology Network. Ll 1615 Pasadena Ave S, Ste 300 S Pasadena, FL 33707-4567 (727) 490-3030 Fax: (866) 200-9885 00 YRS/130 YRS Steward Sebastian River Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Alkurdi, Basem MD Provider ID: 1352220 Gender: Male Transplant Surgical Specialists At 1301 2nd Ave SW, Ste 315 Largo, FL 33770 (727) 587-7120 Fax: (727) 585-6850 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
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Internal Medicine - cont.
Avery, Samantha DO Provider ID: 1168865 Gender: Female The Heart Institue 1615 Pasadena Ave S, Ste 300 Saint Petersburg, FL 33707 (727) 490-3030 Fax: (866) 200-9885 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Barroso, Luis DO
Provider ID: 1707660 Gender: Male Bay Area Treatment Center 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Languages: Spanish Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Barroso, Luis DO Provider ID: 1707660 Gender: Male St Petersburg Metro Treatment Cente 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Languages: Spanish Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Updated for: July, 2020.
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Cadogan, Kerry Ann MD Provider ID: 1647644 Gender: Female Professional Healthcare Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Conteh, Abib MD
Provider ID: 2202621 Gender: Male St. Petersburg Metro Treatment Cen 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (407) 351-7080 Fax: (407) 351-6930 18 YRS/130 YRS Mon - Fri 5:30 to 1:30 PCMH: No
Decker, Gary MD Provider ID: 1706340 Gender: Male Duval Treatment Center 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Decker, Gary MD
Provider ID: 1706340 Gender: Male Mid Florida Metro Treatment Center 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Mon - Fri 5:00 to 6:00 Sat - Sun 5:30 to 9:30 PCMH: No
Diedriech, Linda MD Provider ID: 1811610 Gender: Female Adventhealth Medical Group Multispe 4705 Alt 19, Ste B Palm Harbor, FL 34683-1424 (727) 935-6477 Fax: (727) 935-6478 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gelber, Jeffrey MD
Provider ID: 1818782 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 820-1040 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gelber, Jeffrey MD Provider ID: 1818782 Gender: Male St. Petersburg Primary Care Associa 780 4th Ave S St Petersburg, FL 33701-4412 (727) 502-0052 Fax: (727) 502-0057 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Hanley, Allison MD
Provider ID: 1706332 Gender: Female Daytona Methadone Treatment Center 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
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Pinellas
Internal Medicine - cont.
Hanley, Allison MD Provider ID: 1706332 Gender: Female Mid Florida Metro Treatment Center 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Mon - Fri 5:00 to 6:00 Sat - Sun 5:30 to 9:30 PCMH: No
Humphreys, Kevin MD
Provider ID: 1805803 Gender: Male Advanced Gastroenterology Asso-ciate 34041 Us 19 N, Ste A Palm Harbor, FL 34684-2648 (727) 786-0017 Fax: (727) 786-7521 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Malone Sr, Michael DO Provider ID: 1543756 Gender: Male Bayfront Cardiovascula 601 7th St S, Ste 205 Saint Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 00 YRS/130 YRS Fawcett Memorial Hospital Memorial Hospital Of Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Martinez, Ricardo MD Provider ID: 1852214 Gender: Male Metro Treatment Of Florida. LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 12 YRS/130 YRS PCMH: No
Masvidal, Daniel MD
Provider ID: 1962336 Gender: Male Bayfront Cardiovascular Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7197 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Masvidal, Daniel MD Provider ID: 1962336 Gender: Male Bayfront Cardiovascular Associates 701 6th St S St Petersburg, FL 33701-4814 (727) 893-6234 Fax: (727) 893-6811 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Menczelesz, Gabor MD
Provider ID: 1852223 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 12 YRS/130 YRS PCMH: No
Mikulic, Lucas MD Provider ID: 1551823 Gender: Male Bay Area Chest Physicians 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 443-0611 Fax: (727) 461-5493 18 YRS/110 YRS Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Romero, Joseph DO
Provider ID: 969930 Gender: Male 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 442-9332 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Salmanullah, Muhammad MD
Provider ID: 1818799 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sanchez-Ponce, Rafael MD Provider ID: 405952 Gender: Male 3253 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2043 (727) 784-6992 Fax: (727) 842-9486 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish PCMH: No
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Specialty Physicians
Pinellas
Internal Medicine - cont.
Sanchez-Ponce, Rafael MD Provider ID: 405952 Gender: Male Interventional Cardiac Consultants 3251 N Mcmln Bth Rd, Ste 100 Clearwater, FL 33761-2022 (727) 784-6992 Fax: (727) 781-0413 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Shetye, Bharti MD
Provider ID: 1730713 Gender: Female Sun Coast Bariatrics 1609 Pasadena Ave S, Ste 2e S Pasadena, FL 33707-4560 (727) 289-7137 Fax: (727) 498-6418 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Steinhoff, Jeff MD Provider ID: 241098 Gender: Male 201 14th St SW Largo, FL 33770-3199 (727) 588-5200 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Largo Medical Center PCMH: No
Steinhoff, Jeff MD Provider ID: 241098 Gender: Male West Florida Cariodogy Network LLC 1345 West Bay Dr, Ste 101 Largo, FL 33770-2276 (727) 581-3550 Fax: (727) 586-6190 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Turner, Angela DO
Provider ID: 1276748 Gender: Female Bayfront Cardiovascular Associates 601 7th Street S, Ste 205 Saint Petersburg, FL 33701 (727) 893-6234 Fax: (727) 553-7197 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Interventional Cardiology
Krolick, Merrill DO Provider ID: 752966 Gender: Male West Florida Cariodogy Network LLC 1345 West Bay Dr, Ste 101 Largo, FL 33770-2276 (727) 581-3550 Fax: (727) 586-6190 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 129
Sanchez-Ponce, Rafael MD Provider ID: 405952 Gender: Male 3253 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2043 (727) 784-6992 Fax: (727) 842-9486 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish PCMH: No
Sanchez-Ponce, Rafael MD
Provider ID: 405952 Gender: Male Interventional Cardiac Consultants 3251 N Mcmln Bth Rd, Ste 100 Clearwater, FL 33761-2022 (727) 784-6992 Fax: (727) 781-0413 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Skorczewski, James DO Provider ID: 1595065 Gender: Male Bay Area Heart Center 1201 7th Ave N St Petersburg, FL 33705-1310 (727) 544-1441 Fax: (727) 545-8263 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Interventional Cardiology - cont.
Skorczewski, James DO
Provider ID: 1595065 Gender: Male Bay Area Heart Center 1301 2nd Ave SW, Ste 301 Largo, FL 33770-3120 (727) 544-1441 Fax: (727) 545-8263 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Skorczewski, James DO
Provider ID: 1595065 Gender: Male Bay Area Heart Center 5398 Park St N St Petersburg, FL 33709-1041 (727) 544-1441 Fax: (727) 545-8263 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Maternal Fetal Medicine
Apostolakis Kyrus, Katherine MD
Provider ID: 1812388 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Baacke, Keri MD
Provider ID: 1344794 Gender: Female Pediatrix Medical Grp 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759-4255 (561) 844-9858 Fax: (855) 527-5510 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Cruz Ithier, Mayra MD
Provider ID: 1812365 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Cruz Ithier, Mayra MD Provider ID: 1812365 Gender: Female West Coast Neonatology D/B/A All Ch 625 6th Ave S, Ste 340 St Petersburg, FL 33701-4619 (727) 767-7903 Fax: (727) 767-7905 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Cruz Ithier, Mayra MD
Provider ID: 1824722 Gender: Female Bayfront Family Health Center - Ob 700 6th St S, Fl 2 St Petersburg, FL 33701-4815 (727) 893-6828 Fax: (727) 893-6978 12 YRS/130 YRS Brandon Regional Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Cruz Ithier, Mayra MD
Provider ID: 1824722 Gender: Female Bayfront Medical Center 701 6th St S Saint Petersburg, FL 33701-4814 (727) 893-6197 Fax: (727) 893-6811 12 YRS/130 YRS Brandon Regional Hospital Mon - Fri 7:30 to 4:30 PCMH: No
Fines-Dailey, Verlee MD Provider ID: 1068805 Gender: Female Pediatrix Medical Group 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759-4255 (727) 724-1949 Fax: (855) 527-5510 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Fines-Dailey, Verlee MD Provider ID: 1068805 Gender: Female Pediatrix Medical Group 3231 Mcmullen Booth Rd Safety Harbor, FL 34695-1098 (727) 725-6111 Fax: (813) 971-6985 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Pinellas
Maternal Fetal Medicine - cont.
Fry, Alland MD Provider ID: 310079 Gender: Male Pediatrix Medical Group Of Florida 27509 Cashford Cir Clearwater, FL 33759 (727) 322-4830 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fry, Alland MD
Provider ID: 310079 Gender: Male Pediatrix Medical Group Of Florida 3231 Mcmullen Booth Rd Safety Harbor, FL 34695-6607 (727) 725-6111 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fry, Alland MD Provider ID: 310079 Gender: Male Pediatrix Medicalgroup 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759-4255 (727) 724-1949 Fax: (855) 527-5510 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Kalter, Craig MD
Provider ID: 6302 Gender: Male Pediatrix Medical Group Of Florida 27509 Cashford Cir Clearwater, FL 33759 (727) 322-4830 12 YRS/130 YRS Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 131
Kalter, Craig MD Provider ID: 6302 Gender: Male Pediatrix Medical Group Of Florida 5741 Bee Ridge Rd, Ste 540 Sarasota, FL 34233-5061 (813) 971-6909 Fax: (813) 971-6985 12 YRS/130 YRS Adventhealth Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Prieto, Jose MD
Provider ID: 1812360 Gender: Male West Coast Neonatology D/B/A All Ch 625 6th Ave S, Ste 340 St Petersburg, FL 33701-4619 (727) 767-7903 Fax: (727) 767-7905 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Raimer, Karen MD Provider ID: 1812359 Gender: Female West Coast Neonatology D/B/A All Ch 625 6th Ave S, Ste 340 St Petersburg, FL 33701-4619 (727) 767-7903 Fax: (727) 767-7905 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Samuel, Amber MD Provider ID: 1812376 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Sloan, Chris MD
Provider ID: 1099110 Gender: Male 2454 N Mcmln Bth Rd, Ste 401 Clearwater, FL 33759-1365 (813) 971-6909 Fax: (813) 971-6985 12 YRS/130 YRS Brandon Regional Hospital Adventhealth Carrollwood Adventhealth Tampa PCMH: No
Sloan, Chris MD Provider ID: 1099110 Gender: Male Pediatrix Medical Group 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759-4255 (727) 724-1949 Fax: (855) 527-5510 12 YRS/130 YRS Brandon Regional Hospital Adventhealth Carrollwood Adventhealth Tampa Mon - Fri 8:30 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Maternal Fetal Medicine - cont.
Stanley Christian, Heather MD
Provider ID: 1812381 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Stirling, Kari MD
Provider ID: 1178576 Gender: Female Pediatrix Medical Group 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759 (727) 724-1949 Fax: (855) 527-5510 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Stirling, Kari MD Provider ID: 1178576 Gender: Female Pediatrix Medicala Group Of Florida 3231 Mcmukken Booth Rd Safety Harbor, FL 34695 (813) 971-6909 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Tolaymat, Lama MD Provider ID: 1812378 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Tonismae, Tiffany MD
Provider ID: 1955939 Gender: Female West Coast Neonatology Inc 625 6th Ave S, Ste 340 St Petersburg, FL 33701-4619 (727) 767-7903 Fax: (727) 767-7905 12 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Medical Genetics
Gillis, Lisa MD Provider ID: 2004080 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 502 St Petersburg, FL 33701-4804 (727) 767-8491 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Medical Oncology
Byun, Sung MD Provider ID: 1162087 Gender: Male 201 14th St SW Largo, FL 33770 (727) 588-5200 18 YRS/130 YRS PCMH: No
Iyer, Ananth MD
Provider ID: 909742 Gender: Male Florida Cancer Specialists 1417 S Belcher Rd, Ste A Clearwater, FL 33764-2824 (727) 522-0558 Fax: (727) 521-3605 00 YRS/130 YRS Largo Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Iyer, Ananth MD Provider ID: 909742 Gender: Male Florida Cancer Specialists 5767 49th St N Saint Petersburg, FL 33709-2107 (727) 522-0558 Fax: (727) 525-1239 00 YRS/130 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Jones, David MD
Provider ID: 21604 Gender: Male Suncoast Medicl Clinic LLC 620 10th St N, Suite 2e Saint Petersburg, FL 33705 (727) 824-8206 Fax: (727) 824-7110 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
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Medical Oncology - cont.
Kamath, Geetha MD Provider ID: 1189 Gender: Female Florida Cancer Specialists 1417 S Belcher Rd, Ste A Clearwater, FL 33764-2824 (727) 443-4299 Fax: (727) 443-0255 00 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Hindi, Kannada Mon - Fri 8:30 to 5:00 PCMH: No
Kamath, Geetha MD
Provider ID: 1189 Gender: Female Florida Cancer Specialists 5767 49th St N St Petersburg, FL 33709-2107 (727) 522-0558 Fax: (727) 525-1239 00 YRS/130 YRS Mease Hospital Dunedin Bayfront Medical Center Northside Hospital Languages: Hindi, Kannada Mon - Fri 8:30 to 5:00 PCMH: No
Knipe, Richard MD Provider ID: 10735 Gender: Male 1200 7th Ave N Saint Petersburg, FL 33705-1300 (727) 825-1100 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, Chinese, French, Polish PCMH: No
Knipe, Richard MD Provider ID: 10735 Gender: Male Florida Cancer Specialists 1201 5th Ave N, Ste 505 St Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Arabic, Chinese, French, Polish Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Miranda, Edgar MD
Provider ID: 221136 Gender: Male 3280 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2046 (727) 216-1141 Fax: (727) 785-4146 18 YRS/120 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Peterson, John MD Provider ID: 1266 Gender: Male 1200 7th Ave N Saint Petersburg, FL 33705-1300 (727) 825-1100 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish PCMH: No
Peterson, John MD Provider ID: 1266 Gender: Male Florida Cancer Specialists 1201 5th Ave N, Ste 505 St Petersburg, FL 33705-1455 (727) 821-0017 Fax: (727) 822-7473 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Peterson, John MD
Provider ID: 1266 Gender: Male Florida Cancer Specialists 1615 Pasadena Ave S, Ste 400 St Petersburg, FL 33707-4567 (727) 341-1316 Fax: (727) 345-4000 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Palms Of Pasadena Hosp Languages: Spanish Mon - Fri 8:00 to 5:00 Sat 8:00 to 10:00 PCMH: No
Raiker, Anilkumar MD Provider ID: 1620 Gender: Male Pinellas Cancer Center 6499 38th Ave N, Ste G1 St Petersburg, FL 33710-1658 (727) 381-3761 Fax: (727) 347-9348 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Languages: Hindi Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
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Neonatal Perinatal Medicine
Aron, Jamie DO Provider ID: 1578835 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Berg, Marie MD Provider ID: 1578841 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Brooks, Sandra MD Provider ID: 165689 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Brooks, Sandra MD Provider ID: 165689 Gender: Female Westcoast Neonatology 880 6th St S, Ste 470 St Petersburg, FL 33701-4825 (727) 767-4257 Fax: (727) 892-4391 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chang, Lilly MD Provider ID: 1874293 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Dibartolomeo, Mara DO Provider ID: 1578837 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 898-7451 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Driver, Kelly MD Provider ID: 1874292 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Escoto, Danilo MD
Provider ID: 1647788 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Fares, Iman MD Provider ID: 1033331 Gender: Female West Coast Neonatology 601 5th St S, Ste 5 Saint Petersburg, FL 33701-4804 (727) 767-4313 Fax: (727) 767-4971 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Germain, Aaron MD Provider ID: 1647796 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Guevara, Candice DO Provider ID: 1826827 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Jensen, Preceousa DO
Provider ID: 1647794 Gender: Female 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Neonatal Perinatal Medicine - cont.
Karber, Bianca MD Provider ID: 1578860 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Komis, Andrea MD
Provider ID: 1578833 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Machry, Joana MD Provider ID: 1647784 Gender: Female 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Mckay, Victor MD
Provider ID: 1647776 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Napolitano, Anthony MD Provider ID: 1647778 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Napolitano, Anthony MD
Provider ID: 1874291 Gender: Male West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nghiem, Nicole MD Provider ID: 1829870 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nwokeji, Peter-Paul MD
Provider ID: 1647790 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Jignesh MD Provider ID: 1647803 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 898-7451 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Shakeel, Fauzia MD
Provider ID: 1647773 Gender: Female 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 898-7451 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Stone, Stacey MD Provider ID: 1647781 Gender: Female 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Tan, Noel MD
Provider ID: 1647805 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
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Pinellas
Neonatal Perinatal Medicine - cont.
Teper, Jordan MD Provider ID: 1794865 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Teper, Jordan MD
Provider ID: 1812374 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Theophilopoulos, Constantine
MD Provider ID: 1647809 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Volodka, Karina MD
Provider ID: 1647792 Gender: Female 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
West Cst Neonatology Inc Provider ID: 17622 6500 38th Ave N Saint Petersburg, FL 33710 (727) 767-4313 Fax: (813) 892-4391 00 YRS/03 YRS Mon - Fri 9:00 to 5:00 PCMH: No
West Cst Neonatology Inc Provider ID: 17622 All Childrens Hospital 801 6th St S St Petersburg, FL 33701-4825 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Winner Mendizabal, Oscar MD
Provider ID: 1647800 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 898-7451 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Nephrology
Abdelrahman, Layal MD
Provider ID: 1169211 Gender: Female Community Hospital Family Practice 1301 2nd Ave SW, Ste 315 Largo, FL 33770-3120 (727) 587-7120 Fax: (727) 585-6850 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
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Awwad, Abraham DO Provider ID: 407982 Gender: Male Abraham I Awwad Do LLC 5631 1st Ave S Saint Petersburg, FL 33707 (727) 322-0245 Fax: (727) 323-0994 21 YRS/130 YRS St Petersburg General Hosp St Anthonys Hospital Largo Medical Center Mon - Fri 9:00 to 5:30 PCMH: No
Brucculeri, Michael MD
Provider ID: 378998 Gender: Male Renal Hypertension Center 1055 S Fort Harrison Ave Clearwater, FL 33756-3905 (727) 461-5477 Fax: (727) 447-3793 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Dutch, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Brucculeri, Michael MD Provider ID: 378998 Gender: Male Renal Hypertension Center 29296 Us Highway 19 N, Ste 3 Clearwater, FL 33761-2189 (727) 712-0807 Fax: (727) 797-6973 18 YRS/130 YRS Medical Center Of Trinity Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Dutch, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
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Pinellas
Nephrology - cont.
Campbell, Dana MD Provider ID: 1437511 Gender: Male D A Campbell Md Pa 2725 Park Dr, Ste 5 Clearwater, FL 33763-1023 (727) 734-2485 Fax: (888) 972-3760 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Campbell, Dana MD
Provider ID: 1437511 Gender: Male D A Campbell Md Pa 401 Corbett St, Ste 250 Belleair, FL 33756-7310 (727) 734-2485 Fax: (888) 972-3760 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
D'cunha, Prakas MD Provider ID: 245342 Gender: Male Renal Hypertension Center 29296 Us Highway 19 N, Ste 3 Clearwater, FL 33761-2189 (727) 712-0807 Fax: (727) 447-3793 18 YRS/130 YRS Adventhealth North Pinellas Morton Plant North Bay Hosp Mease Hospital Dunedin Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Dessani, Nehal MD Provider ID: 720300 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 3d Saint Petersburg, FL 33705-1407 (727) 824-8274 Fax: (727) 824-8293 18 YRS/130 YRS St Anthonys Hospital Languages: Gujarati, Spanish Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Dewberry, Frederick MD
Provider ID: 212046 Gender: Male Nephrology Consultants Of Pinellas 617 Lakeview Rd, Ste C Clearwater, FL 33756-3338 (727) 441-3724 Fax: (727) 442-2594 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Echeverri, Diego MD Provider ID: 1431469 Gender: Male So Florida Nephrology Assoc Pa 1500 N University Dr, Ste 100 Coral Springs, FL 33071-6071 (954) 739-2511 Fax: (954) 739-9239 18 YRS/130 YRS Languages: Creole, French, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Fabelo, Edward MD Provider ID: 396799 Gender: Male Suncoast Medical Clinic 620 10th St N, Suite 3d Saint Petersburg, FL 33705-1407 (727) 824-8274 Fax: (727) 824-8293 18 YRS/130 YRS Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Gupta, Ashwani MD
Provider ID: 1236380 Gender: Male Renal Hypertension Center 635 4th St N, 200 Saint Petersburg, FL 33701 (727) 201-4968 Fax: (727) 201-4971 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ham, Michael MD Provider ID: 696407 Gender: Male Nephrology Consultants Of Pinellas. 617 Lakeview Rd, Ste C Clearwater, FL 33756-3338 (727) 441-3724 Fax: (727) 442-2594 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
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Pinellas
Nephrology - cont.
Lustig, Alan MD Provider ID: 122 Gender: Male 1201 5th Ave N, Ste 302 St Petersburg, FL 33705-1425 (727) 821-2388 Fax: (727) 821-6887 21 YRS/130 YRS Gulf Coast Medical Center Bayfront Medical Center Northside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Matcha, Mrinalini MD Provider ID: 511340 Gender: Female Renal Hypertension Center 635 4th St N, Ste 200 Saint Petersburg, FL 33701-2319 (727) 201-4968 Fax: (727) 201-4971 18 YRS/130 YRS Largo Medical Center Indian Rocks Bayfront Medical Center Northside Hospital Languages: Telugu Mon - Fri 9:00 to 5:00 PCMH: No
Needham, Gerald DO
Provider ID: 176058 Gender: Male 1305 S Fort Harrison Ave, Bldg 11 Clearwater, FL 33756 Fax: (727) 441-8272 18 YRS/130 YRS Largo Medical Center Indian Rocks Morton Plant Hospital Largo Medical Center PCMH: No
Needham, Gerald DO Provider ID: 176058 Gender: Male Bay Area Nephrology 1305 S Fort Harrison Ave, Bldg H Clearwater, FL 33756-3301 (727) 441-0104 Fax: (727) 441-8272 18 YRS/130 YRS Largo Medical Center Indian Rocks Morton Plant Hospital Largo Medical Center Mon - Fri 8:00 to 4:00 PCMH: No
Niaz, Nabila MD Provider ID: 278559 Gender: Female 7910 Us Highway 19 N Pinellas Park, FL 33781-1712 (727) 544-5916 Fax: (727) 546-4216 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Urdu PCMH: No
Niaz, Nabila MD
Provider ID: 278559 Gender: Female Florida Cancer Specialists 1201 5th Ave N, Ste 302 Saint Petersburg, FL 33705-1455 (727) 821-2388 Fax: (727) 821-0087 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Urdu Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Bhagwat MD Provider ID: 451334 Gender: Male West Coast Nephrology 5781 49th St N Saint Petersburg, FL 33709-2107 (727) 527-2400 Fax: (727) 527-3009 12 YRS/130 YRS Northside Hospital St Petersburg General Hosp Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Pudur, Sudhindra MD Provider ID: 511347 Gender: Male Renal Hypertension Center 635 4th St N, Ste 200 Saint Petersburg, FL 33701-2319 (727) 201-4968 Fax: (727) 201-4971 18 YRS/130 YRS Largo Medical Center Indian Rocks Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Rizzo, Gerald MD
Provider ID: 121 Gender: Male 1201 5th Ave N, Ste 302 St Petersburg, FL 33705-1425 (727) 821-2388 Fax: (727) 821-6887 21 YRS/130 YRS Gulf Coast Medical Center Bayfront Medical Center Northside Hospital Mon - Fri 8:30 to 5:30 PCMH: No
Updated for: July, 2020.
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Nephrology - cont.
Rizzo, Gerald MD Provider ID: 121 Gender: Male 7910 Us Highway 19 N Pinellas Park, FL 33781-1712 (727) 544-5916 Fax: (727) 546-4216 21 YRS/130 YRS Gulf Coast Medical Center Bayfront Medical Center Northside Hospital PCMH: No
Shetye, Kedar MD
Provider ID: 376848 Gender: Male 12505 Starkey Rd, Ste B Largo, FL 33773-2617 (727) 531-8227 Fax: (727) 539-0706 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Largo Medical Center Indian Rocks PCMH: No
Shetye, Kedar MD Provider ID: 376848 Gender: Male Renal Hypertension Center 1301 2nd Ave SW, Ste 303 Largo, FL 33770-3120 (727) 595-2704 Fax: (727) 596-6976 18 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Largo Medical Center Indian Rocks Mon - Fri 9:00 to 5:00 PCMH: No
Siedlecki, Michael MD Provider ID: 263 Gender: Male 1201 5th Ave N, Ste 302 St Petersburg, FL 33705-1425 (727) 821-2388 Fax: (727) 821-6887 18 YRS/130 YRS Gulf Coast Medical Center Bayfront Medical Center Northside Hospital Languages: Polish Mon - Fri 9:00 to 5:00 PCMH: No
Sotolongo, Ignacio MD
Provider ID: 507176 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Suite 3d Saint Petersburg, FL 33705-1407 (727) 824-8274 Fax: (727) 824-8293 18 YRS/130 YRS Northside Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 2:00 PCMH: No
Neuro Psychiatrist Md
Wojas, Justyna MD Provider ID: 1362036 Gender: Female Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Neurology
Avallone, Jennifer DO Provider ID: 1531382 Gender: Female Acsp Child Neurology 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Bell, Daniel MD
Provider ID: 1628453 Gender: Male Central Neurology Pl 2201 Central Ave, Ste 200 St Petersburg, FL 33713-8844 (727) 914-0200 Fax: (727) 201-8905 18 YRS/130 YRS Mon - Fri 9:00 to 4:30 PCMH: No
Diaz, Christina MD Provider ID: 1600379 Gender: Female Central Neurology P.l. 2201 Central Ave, Ste 200 St Petersburg, FL 33713-8844 (727) 914-0200 Fax: (727) 201-8905 18 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 9:00 to 4:30 PCMH: No
Herrema, Heather DO
Provider ID: 1600381 Gender: Female Central Neurology Pl 2201 Central Ave, Ste 200 St Petersburg, FL 33713-8844 (727) 914-0200 Fax: (727) 201-8905 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Neurology - cont.
Hulley, William DO Provider ID: 120 Gender: Male William C Hulley Do Pa 670 Clwtr Lrg Rd N, Suite E Largo, FL 33770 (727) 446-8226 Fax: (727) 446-8216 16 YRS/130 YRS Largo Medical Center Indian Rocks Morton Plant Hospital Largo Medical Center Mon - Thu 8:00 to 4:30 Fri 8:00 to 2:00 PCMH: No
Okonkwo-Onuigbo, Obi MD
Provider ID: 194572 Gender: Male Florida Neurology Clinics Pa 1258 West Bay Dr, Ste H Largo, FL 33770-2245 (727) 584-3313 Fax: (727) 584-3315 18 YRS/130 YRS St Petersburg General Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Oppenheim, Lean MD Provider ID: 1641553 Gender: Female Baycare Medical Group 1201 5th Ave N, Ste 202 Saint Petersburg, FL 33705-1410 (727) 820-7701 Fax: (727) 820-7700 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Patel, Harish MD Provider ID: 1054 Gender: Male West Coast Neurology Pa 6449 38th Ave N, Ste B3 Saint Petersburg, FL 33710 (727) 528-2272 Fax: (727) 528-1437 05 YRS/130 YRS Northside Hospital St Petersburg General Hosp Largo Medical Center Languages: Gujarati, Hindi, Urdu Mon - Fri 8:30 to 5:00 PCMH: No
Pirmohamed, Fermina MD
Provider ID: 1350622 Gender: Female 2191 9th Ave N, Ste 105 Saint Petersburg, FL 33713-7147 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS PCMH: No
Pirmohamed, Fermina MD
Provider ID: 1350622 Gender: Female Pinellas Medical Associates 5880 49th St N, Ste 104 Saint Petersburg, FL 33709 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Scott, Gregory MD Provider ID: 1600804 Gender: Male Central Neurology Pl 2201 Central Ave, Ste 200 St Petersburg, FL 33713 (727) 914-0200 Fax: (727) 201-8905 18 YRS/130 YRS Bayfront Medical Center Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:30 PCMH: No
Shah, Rakesh MD
Provider ID: 1728505 Gender: Male Kg Health Partner Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 18 YRS/130 YRS Languages: Gujarati, Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Umamaheswaran, Indira MD
Provider ID: 348276 Gender: Female David W Malka Md 2595 Tampa Rd, Ste J Palm Harbor, FL 34684-3131 (727) 442-6463 Fax: (727) 781-7273 00 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Oak Hill Hospital Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Neurology - cont.
Vasquez, Alberto MD Provider ID: 1611400 Gender: Male Central Neurology 2201 Central Ave, Ste 200 St Petersburg, FL 33713-8844 (727) 914-0200 Fax: (727) 201-8905 18 YRS/130 YRS Bayfront Medical Center Languages: Tagalog Mon - Fri 9:00 to 4:30 PCMH: No
Ziemba, Kristine MD
Provider ID: 1600384 Gender: Female Central Neurology Pl 2201 Central Ave, Ste 200 St Petersburg, FL 33713-8844 (727) 914-0200 Fax: (727) 210-8905 18 YRS/130 YRS Bayfront Medical Center Mon - Thu 8:00 to 5:00 Fri 8:30 to 4:00 PCMH: No
Neuroradiology
Deveikis, John MD Provider ID: 1799555 Gender: Male Johns Hopkins All Children's Hospit 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-3318 Fax: (727) 767-8002 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Neurosurgery
Belzberg, Allan MD Provider ID: 1428761 Gender: Female Pediatric Physician Services 601 5th St S, Ste 511 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/130 YRS Mon - Wed, Fri 8:00 to 5:00 Thu 8:0 to to 0:0 PCMH: No
Fox, Benjamin MD
Provider ID: 1962511 Gender: Male Baycare Medical Group Inc 400 Pinellas St, Ste 325 Clearwater, FL 33756-3320 (727) 298-6121 Fax: (727) 298-6151 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jallo, George MD Provider ID: 1141513 Gender: Male Pediatric Physician Services 601 5th St S, Ste 511 Saint Petersburg, FL 33701 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nuclear Medicine
Morton Plant Mease Diagnostic
Cardiology Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 1840 Mease Dr, Ste 200 Safety Harbor, FL 34695-6604 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morton Plant Mease Diagnostic
Cardiology
Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 455 Pinellas St, Ste 330 Clearwater, FL 33756-3369 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morton Plant Mease Diagnostic
Cardiology Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 646 Virginia St, Ste 200 Dunedin, FL 34698-6612 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Obstetrics
Biss, Kimberly MD Provider ID: 324526 Gender: Female 701 6th St S Saint Petersburg, FL 33701-4814 (727) 823-1234 12 YRS/130 YRS Bayfront Medical Center PCMH: No
Biss, Kimberly MD
Provider ID: 324526 Gender: Female Tampa Bay Womens Healthcare 625 6th Ave S, Ste 350 St Petersburg, FL 33701-4619 (727) 456-0080 Fax: (727) 456-0089 12 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Dadisman, Katherine DO
Provider ID: 203233 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Dadisman, Katherine DO
Provider ID: 203233 Gender: Female Womens Care Florida 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
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Diner, Beth MD Provider ID: 620419 Gender: Female Womens Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 456-0750 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Diner, Beth MD
Provider ID: 620419 Gender: Female Womens Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701-4734 (727) 954-7121 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Gallagher, James MD Provider ID: 194135 Gender: Male James Gallagher Md LLC 1840 Mease Dr, Ste 400 Safety Harbor, FL 34695 (727) 786-8678 Fax: (727) 786-6229 14 YRS/95 YRS Mease Countryside Hospital Languages: Chinese, Spanish Mon - Thu 7:30 to 7:00 Fri 7:30 to 1:00 Sat 8:00 to 2:00 PCMH: No
Gilby, Jennifer MD Provider ID: 297918 Gender: Female Womens Care Florida 1600 Mlk St N Saint Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Gilby, Jennifer MD
Provider ID: 297918 Gender: Female Womens Care Florida 3055 5th Ave N, Ste A Saint Petersburg, FL 33713-6738 (727) 323-3838 Fax: (727) 456-0751 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Gilby, Jennifer MD Provider ID: 297918 Gender: Female Womens Care Florida 600 8th St S Saint Petersburg, FL 33701-4730 (727) 954-6519 Fax: (727) 954-6524 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
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Obstetrics - cont.
Kant, Krista MD Provider ID: 1835498 Gender: Female Womens Care Florida LLP 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 789-4299 Fax: (727) 787-0293 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Kant, Krista MD
Provider ID: 1835498 Gender: Female Womens Care Florida LLP 508 Jeffords St, Ste C Clearwater, FL 33756-3839 (727) 461-2757 Fax: (727) 447-0314 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Kant, Krista MD Provider ID: 1835498 Gender: Female Womens Care Florida LLP 900 Carillon Pkwy, Ste 302 Saint Petersburg, FL 33716-1119 (727) 456-0145 Fax: (727) 456-0153 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Mcneill Jr, Thomas MD Provider ID: 632140 Gender: Male Womens Care Florida 700 Central Ave, Ste 400 Saint Petersburg, FL 33701-3600 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Nolan, Christy DO
Provider ID: 973534 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Reyes, Carlos MD Provider ID: 496244 Gender: Male 700 Central Ave, Ste 400 St Petersburg, FL 33701-3600 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Reyes, Alexandria DO Provider ID: 961589 Gender: Female Womens Care Florida LLC 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Reyes, Alexandria DO
Provider ID: 961589 Gender: Female Womens Care Florida LLC 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Reyes, Alexandria DO Provider ID: 961589 Gender: Female Womens Care Florida LLC 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
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Pinellas
Obstetrics - cont.
Ritter, Brooke DO Provider ID: 463524 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Ritter, Brooke DO
Provider ID: 463524 Gender: Female Womens Care Florida 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Ritter, Brooke DO Provider ID: 463524 Gender: Female Womens Care Florida 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Taneja, Amy MD Provider ID: 924184 Gender: Female Womens Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 954-7121 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Taneja, Amy MD
Provider ID: 924184 Gender: Female Womens Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701-4734 (727) 456-6200 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Tijerino, Linda MD Provider ID: 246625 Gender: Female Bay Obstetrics Gynecology 603 7th St S, Ste 300 St Petersburg, FL 33701-4734 (727) 954-7121 Fax: (727) 954-7122 12 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Tijerino, Linda MD Provider ID: 246625 Gender: Female Womens Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 954-7121 Fax: (727) 954-7122 12 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Watson, Jennifer DO
Provider ID: 618275 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Obstetrics/Gynecology
Acosta Jr, Romeo MD Provider ID: 1352 Gender: Male 6500 38th Ave N Saint Petersburg, FL 33710-1629 (727) 384-1414 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish PCMH: No
Updated for: July, 2020.
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Obstetrics/Gynecology - cont.
Acosta Jr, Romeo MD Provider ID: 1352 Gender: Male Gulfcoast Ob/Gyn Pa 2325 Ulmerton Rd, Ste 1 Clearwater, FL 33762-3362 (727) 540-0670 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon 8:30 to 5:00 Tue, Thu - Fri 8:30 to 12:00 PCMH: No
Acosta Jr, Romeo MD Provider ID: 1352 Gender: Male Gulfcoast Ob/Gyn Pa 6700 Crosswinds Dr N, Ste 200a St Petersburg, FL 33710-5473 (727) 344-4651 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon, Wed, Fri 8:30 to 5:00 Tue, Thu 8:30 to 7:00 PCMH: No
Acosta Jr, Romeo MD Provider ID: 1352 Gender: Male Gulfcoast Ob/Gyn Pa 9677 Seminole Blvd Seminole, FL 33772-2526 (727) 319-2303 Fax: (727) 398-3087 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon - Wed, Fri 8:30 to 5:00 Thu 8:30 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 145
Benson, Beth MD Provider ID: 1419327 Gender: Male Womens Care Florida LLC 625 6th Ave S, Ste 350 Saint Petersburg, FL 33701 (727) 456-0080 Fax: (727) 456-0089 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Benson, Beth MD
Provider ID: 193152 Gender: Female Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:30 to 5:00 PCMH: No
Benson, Beth MD Provider ID: 2116815 Gender: Female Florida Woman Care LLC 10011 Seminole Blvd, Ste A Seminole, FL 33772-2539 (727) 393-2800 Fax: (727) 456-1588 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Betancourt, Fernando MD
Provider ID: 799746 Gender: Male Womens OBGYN Center Of Coun -tryside 28960 Us 19 N, Ste 110 Clearwater, FL 33761-2403 (727) 785-2525 Fax: (727) 785-7712 12 YRS/130 YRS Lee Memorial Hospital Languages: Spanish Mon - Fri 8:30 to 5:30 PCMH: No
Bowen, Jennifer DO Provider ID: 1713275 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Buck, Jenny MD
Provider ID: 1994153 Gender: Female Womens Care Florida LLC 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Medical Center Of Trinity Mon - Fri 8:00 to 5:00 PCMH: No
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Pinellas
Obstetrics/Gynecology - cont.
Calderon, Guillermo MD Provider ID: 27552 Gender: Male 6500 38th Ave N Saint Petersburg, FL 33710-1629 (727) 384-1414 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish PCMH: No
Calderon, Guillermo MD
Provider ID: 27552 Gender: Male Gulf Coast Ob/Gyn Pa 2325 Ulmerton Rd, Ste 1 Clearwater, FL 33762 (727) 540-0670 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon 8:30 to 5:00 Tue, Thu - Fri 8:30 to 12:00 PCMH: No
Calderon, Guillermo MD Provider ID: 27552 Gender: Male Gulf Coast Ob/Gyn Pa 9677 Seminole Blvd Seminole, FL 33772-2526 (727) 319-2303 Fax: (727) 398-3087 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon - Wed, Fri 8:30 to 5:00 Thu 8:30 to 12:00 PCMH: No
Updated for: July, 2020.
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Calderon, Guillermo MD Provider ID: 27552 Gender: Male Gulfcoast Ob/Gyn Pa 6700 Crosswinds Dr N, Ste 200a St Petersburg, FL 33710-5473 (727) 344-4651 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon, Wed, Fri 8:30 to 5:00 Tue, Thu 8:30 to 7:00 PCMH: No
Connor, Diana MD
Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Connor, Diana MD Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Connor, Diana MD Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 401 Corbett St, Ste 400 Belleair, FL 33756-7312 (727) 462-2229 Fax: (727) 447-5610 00 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Connor, Diana MD
Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 461-2757 Fax: (727) 447-0314 00 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Connor, Diana MD Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 00 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Connor, Diana MD
Provider ID: 1559690 Gender: Female Women's Care Florida. LLC 900 Carillon Pkwy, Ste 302 St Petersburg, FL 33716-1119 (727) 461-2757 Fax: (727) 456-0153 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Pinellas
Obstetrics/Gynecology - cont.
Cruz Ithier, Mayra MD Provider ID: 1824722 Gender: Female Bayfront Family Health Center - Ob 700 6th St S, Fl 2 St Petersburg, FL 33701-4815 (727) 893-6828 Fax: (727) 893-6978 12 YRS/130 YRS Brandon Regional Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Cruz Ithier, Mayra MD
Provider ID: 1824722 Gender: Female Bayfront Medical Center 701 6th St S Saint Petersburg, FL 33701-4814 (727) 893-6197 Fax: (727) 893-6811 12 YRS/130 YRS Brandon Regional Hospital Mon - Fri 7:30 to 4:30 PCMH: No
Cuadros, Lorraine MD Provider ID: 2137392 Gender: Female Florida Woman Care. LLC / A Place F 10011 Seminole Blvd, Ste A Seminole, FL 33772-2539 (727) 393-2800 Fax: (727) 393-2801 12 YRS/130 YRS Languages: Spanish Mon - Thu 9:00 to 4:00 Fri 9:00 to 1:00 PCMH: No
Updated for: July, 2020.
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Desper, David MD Provider ID: 1463 Gender: Male Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 12 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Devanesan, Sheila MD
Provider ID: 1780298 Gender: Female West Coast Noeonatology 5959 Central Ave, Ste 103 St Petersburg, FL 33710-8502 (727) 767-1278 Fax: (727) 767-1285 12 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:00 to 5:00 PCMH: No
Feldbaum, Victor MD Provider ID: 1418158 Gender: Male Bayfront Medical Center 700 6th St S, Fl 2 Saint Petersburg, FL 33701 (727) 893-6198 Fax: (727) 893-6978 12 YRS/130 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Fernandes, Jacqueline MD
Provider ID: 1862690 Gender: Female Womens Care Florida LLC 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 789-4299 Fax: (727) 787-0293 00 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
Fernandes, Jacqueline MD
Provider ID: 1862690 Gender: Female Womens Care Florida LLC 508 Jeffords St, Ste C Clearwater, FL 33756-3839 (727) 461-2757 Fax: (727) 447-0314 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fernandes, Jacqueline MD
Provider ID: 1862690 Gender: Female Womens Care Florida LLC 900 Carillon Pkwy, Ste 302 St Petersburg, FL 33716-1119 (727) 456-0145 Fax: (727) 456-0153 00 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
Fonticiella, Yissa MD Provider ID: 1791887 Gender: Female Johns Hopkins All Children's Ob/Gyn 5959 Central Ave, Ste 103 St Petersburg, FL 33710-8502 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Fudge, Marilyn MD Provider ID: 212954 Gender: Female Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Gabriel, Amy MD
Provider ID: 326268 Gender: Female Community Health Centers Of Pinella 707 Druid Rd E Clearwater, FL 33756-3951 (727) 461-1439 Fax: (727) 461-1692 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gabriel, Amy MD Provider ID: 326268 Gender: Female Community Hlth Cntrs At Pinellas Pk 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 824-8137 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Gabriel, Amy MD Provider ID: 326268 Gender: Female Community Hlth Cntrs At Pinellas Pk 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 286-6225 Fax: (727) 286-6224 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gabriel, Amy MD
Provider ID: 326268 Gender: Female Community Hlth Cntrs At Pinellas Pk 701 6th St S Saint Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 209-5619 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gabriel, Amy MD Provider ID: 326268 Gender: Female Community Hlth Cntrs At Pinellas Pk 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 544-2284 Fax: (727) 548-0960 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Goldman, Joshua MD
Provider ID: 1647616 Gender: Male Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Guichard, Raphael MD Provider ID: 617835 Gender: Male Bayfront Ob Gyn Residency 701 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7295 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Harrison, Jenna DO
Provider ID: 1978301 Gender: Female Women's Care Florida. Llc. 1600 Mlk St N St Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Harrison, Jenna DO Provider ID: 1978301 Gender: Female Women's Care Florida. Llc. 3055 5th Ave N, Ste A St Petersburg, FL 33713-6738 (727) 323-3838 Fax: (727) 456-0751 12 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
Harrison, Jenna DO
Provider ID: 1978301 Gender: Female Women's Care Florida. Llc. 600 8th St S, Ste A St Petersburg, FL 33701-4730 (727) 954-6519 Fax: (727) 954-6524 12 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
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Obstetrics/Gynecology - cont.
Icely, Suzanne MD Provider ID: 1553273 Gender: Female Westcoast Neonatology Inc 5959 Central Ave, Ste 103 Saint Petersburg, FL 33701 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Igel, Gustave MD
Provider ID: 1119108 Gender: Male Florida Woman Care. LLC 600 Lakeview Rd, Ste 2d Clearwater, FL 33756-3355 (727) 461-7611 Fax: (727) 461-2860 12 YRS/130 YRS Languages: Faroese, Greek, Polish, Spanish Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Indermaur, Megan MD Provider ID: 947980 Gender: Female Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Jackson, Darwin MD
Provider ID: 901783 Gender: Male Womens OBGYN Center Of Coun-tryside 28960 Us 19 N, Ste 110 Clearwater, FL 33761 (727) 785-2525 Fax: (727) 447-3797 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Javate, Emanuel MD
Provider ID: 277823 Gender: Male Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 12 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Mon - Fri 8:30 to 5:00 PCMH: No
Javate, Emanuel MD Provider ID: 477319 Gender: Male Gulfcoast Ob/Gyn Pa 2325 Ulmerton Rd, Ste 1 Clearwater, FL 33762-3362 (727) 540-0670 Fax: (727) 540-0640 12 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon 8:30 to 5:00 Tue, Thu - Fri 8:30 to 12:00 PCMH: No
Javate, Emanuel MD Provider ID: 477319 Gender: Male Gulfcoast Ob/Gyn Pa 6700 Crosswinds Dr N, Ste 200a St Petersburg, FL 33710-5473 (727) 344-4651 Fax: (727) 347-6224 12 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon, Wed, Fri 8:30 to 5:00 Tue, Thu 8:30 to 7:00 PCMH: No
Javate, Emanuel MD
Provider ID: 477319 Gender: Male Gulfcoast Ob/Gyn Pa 9677 Seminole Blvd Seminole, FL 33772-2526 (727) 318-2303 Fax: (727) 398-3087 12 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Petersburg General Hosp Languages: Spanish Mon - Wed, Fri 8:30 to 5:00 Thu 8:30 to 12:00 PCMH: No
Jean Baptiste, Stephanie DO
Provider ID: 1340765 Gender: Female Bayfront Health St. Petersburg 700 6th St S Saint Petersburg, FL 33701 (727) 893-6198 Fax: (727) 893-6978 00 YRS/130 YRS Mon - Fri 8:00 to 4:30 PCMH: No
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Obstetrics/Gynecology - cont.
Jean Baptiste, Stephanie DO Provider ID: 1340765 Gender: Female Bayfront Medical Center Inc Db 700 6th St S, # 2 Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7761 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jimenezdiaz, Solimar MD
Provider ID: 1770415 Gender: Female Johns Hopkins All Children's Ob/Gyn 6450 38th Ave N, Ste 200 St Petersburg, FL 33710-1649 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jones, Malcolm MD Provider ID: 818460 Gender: Male Women's Ob/Gyn Center Of Countrysid 28960 Us 19 N, Ste 110 Clearwater, FL 33761 (727) 785-2525 Fax: (727) 785-7712 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Jones, Malcolm MD Provider ID: 859408 Gender: Male All Women's Health Center. Inc. 4131 Central Ave Saint Petersburg, FL 33713-8229 (727) 327-3300 Fax: (727) 321-8433 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 8:30 to 2:30 PCMH: No
Keltner, Marshall MD Provider ID: 1538968 Gender: Male Breath Of Life Inc 1900 E Bay Dr Largo, FL 33771-2218 (727) 216-1420 Fax: (727) 216-1418 00 YRS/130 YRS Mon - Wed, Fri 8:30 to 5:00 Thu 9:00 to 5:00 PCMH: No
Kinder, Michael MD
Provider ID: 1505104 Gender: Male Community Health Centers At Pinella 701 6th St S St Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 209-5619 16 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Kinder, Michael MD Provider ID: 1505104 Gender: Male Community Health Centers At Pinella 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 461-7327 16 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Kinder, Michael MD Provider ID: 1505104 Gender: Male Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 548-0960 16 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Kinder, Michael MD Provider ID: 1505104 Gender: Male Johnnie Ruth Clark 1344 22nd St S St Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 824-8150 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lapolla, James MD
Provider ID: 12200 Gender: Male Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 00 YRS/130 YRS Bayfront Medical Center Palms Of Pasadena Hosp St Anthonys Hospital Thu 1:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 150
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Pinellas
Obstetrics/Gynecology - cont.
Lapolla, James MD Provider ID: 12200 Gender: Male Women's Care Florida LLC 600 8th St S, Ste B Saint Petersburg, FL 33701-4730 (727) 821-9688 Fax: (727) 821-9678 00 YRS/130 YRS Bayfront Medical Center Palms Of Pasadena Hosp St Anthonys Hospital Mon - Fri 8:30 to 5:00 PCMH: No
Lerner, Saul MD
Provider ID: 1830155 Gender: Male Womens Care Florida LLC 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 789-4299 Fax: (727) 787-0293 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Thu 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Lerner, Saul MD Provider ID: 1830155 Gender: Male Womens Care Florida LLC 508 Jeffords St, Ste C Clearwater, FL 33756-3839 (727) 461-2757 Fax: (727) 447-0314 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 151
Lerner, Saul MD Provider ID: 1830155 Gender: Male Womens Care Florida LLC 900 Carillon Pkwy, Ste 302 St Petersburg, FL 33716-1119 (727) 456-0145 Fax: (727) 456-0153 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Thu 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Lipton, Alexis MD
Provider ID: 1201951 Gender: Female Florida Woman Care LLC 10011 Seminole Blvd, Ste A Seminole, FL 33772 (727) 393-2800 Fax: (727) 456-1588 00 YRS/130 YRS Morton Plant Hospital Mon - Thu 9:00 to 4:00 Fri 9:00 to 12:00 PCMH: No
Logeswaran, Prashanti MD
Provider ID: 1326768 Gender: Female Women's Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701-4734 (727) 456-6200 Fax: (727) 954-7122 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Long, Ashley DO Provider ID: 1649729 Gender: Female Womens Care Florida LLC 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Long, Ashley DO
Provider ID: 1649729 Gender: Female Womens Care Florida LLC 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Long, Ashley DO Provider ID: 1649729 Gender: Female Womens Care Florida LLC 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Long, Molly MD
Provider ID: 440864 Gender: Female Womens Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 456-0750 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Long, Molly MD
Provider ID: 440864 Gender: Female Womens Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701-4734 (727) 954-7121 Fax: (727) 954-7122 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Marcelli, Susan MD
Provider ID: 1862274 Gender: Female Women's Care Florida. LLC 508 Jeffords St, Ste C Clearwater, FL 33756-3839 (727) 461-2757 Fax: (727) 447-0314 00 YRS/130 YRS Morton Plant Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Marcelli, Susan MD
Provider ID: 1862274 Gender: Female Womens Care Florida LLC 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 789-4299 Fax: (727) 787-0293 00 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 152
Marcelli, Susan MD
Provider ID: 1862274 Gender: Female Womens Care Florida LLC 900 Carillon Pkwy, Ste 302 St Petersburg, FL 33716-1119 (727) 456-0145 Fax: (727) 456-0153 00 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Marsalisi, Frank MD
Provider ID: 12202 Gender: Male Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Marsalisi, Frank MD
Provider ID: 151634 Gender: Male Bayfront Physician Specialty Srvice 700 6th St S, Fl 2 Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Thu 8:30 to 4:00 Fri 8:30 to 5:00 PCMH: No
Mccance, Georgette MD
Provider ID: 1862733 Gender: Female Women's Care Florida. LLC 508 Jeffords St, Ste C Clearwater, FL 33756-3839 (727) 461-2757 Fax: (727) 447-0314 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mccance, Georgette MD
Provider ID: 1862733 Gender: Female Womens Care Florida LLC 4150 Woodlands Pkwy, Ste A Palm Harbor, FL 34685-3495 (727) 789-4299 Fax: (727) 787-0293 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mccance, Georgette MD
Provider ID: 1862733 Gender: Female Womens Care Florida LLC 900 Carillon Pkwy, Ste 302 St Petersburg, FL 33716-1119 (727) 456-0145 Fax: (727) 456-0153 12 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Mcneill, Thomas MD Provider ID: 175393 Gender: Male Bayfront Family Health Ctr 700 Central Ave, Ste 400 Saint Petersburg, FL 33701-3600 (727) 895-1300 Fax: (727) 823-3494 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Michael, Jenny MD
Provider ID: 1101114 Gender: Female Bafround Family Health Center 700 6th St S Saint Petersburg, FL 33701 (727) 893-6198 Fax: (727) 893-6978 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Michael, Jenny MD Provider ID: 1777993 Gender: Female Westcoast Neonatology Ach Ob/Gyn Sp 5959 Central Ave St Petersburg, FL 33710-8502 (727) 767-1278 Fax: (727) 767-1285 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 153
Miller, Sarah DO Provider ID: 1157109 Gender: Female Women's Care Florida LLC 1600 Mlk St N Saint Petersburg, FL 33704 (727) 323-3838 Fax: (727) 456-0751 12 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:30 PCMH: No
Miller, Sarah DO
Provider ID: 1157109 Gender: Female Women's Care Florida LLC 3055 5th Ave N, Ste A Saint Petersburg, FL 33713 (727) 201-8820 Fax: (727) 201-0801 12 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:30 PCMH: No
Moorhead, Lauren MD Provider ID: 984426 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Nguyen, Tammy MD Provider ID: 1848741 Gender: Female West Coast Neonatology. Inc. 5959 Central Ave, Ste 103 St Petersburg, FL 33710-8502 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nutter, Jonathan MD
Provider ID: 1349370 Gender: Male Community Health Centers At Clearwa 707 E Druid Rd E Clearwater, FL 33756 (727) 824-8181 Fax: (727) 461-7327 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nutter, Jonathan MD Provider ID: 1349370 Gender: Male Community Health Centers Of Pinella 1344 22nd St S Saint Petersburg, FL 33712 (727) 824-8181 Fax: (727) 824-8137 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Nutter, Jonathan MD
Provider ID: 1349370 Gender: Male Community Health Centers Of Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 824-8181 Fax: (727) 548-0960 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Anjana MD
Provider ID: 1849494 Gender: Female Women's Care Florida. LLC 2665 State Road 580 Clearwater, FL 33761-3166 (727) 725-5121 Fax: (727) 725-5417 12 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Mon - Thu 9:00 to 4:30 Fri 9:00 to 3:30 PCMH: No
Perez, Hugo MD
Provider ID: 11031 Gender: Male All Femcare Ob Gyn Center 28960 Us Highway 19 N, Ste 109 Clearwater, FL 33761-2403 (727) 785-7686 Fax: (727) 785-9669 12 YRS/130 YRS Medical Center Of Trinity Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 154
Perez, Rafael MD
Provider ID: 1335738 Gender: Male Gulfcoast Ob/Gyn Pa 2325 Ulmerton Rd, Ste 1 Clearwater, FL 33762-3362 (305) 665-2060 00 YRS/130 YRS Mon 8:30 to 5:00 Tue, Thu - Fri 8:30 to 12:00 PCMH: No
Perez, Rafael MD
Provider ID: 1335738 Gender: Male Gulfcoast Ob/Gyn Pa 9677 Seminole Blvd Seminole, FL 33772-2526 (305) 665-2060 00 YRS/130 YRS Mon - Wed, Fri 8:30 to 5:00 Thu 8:30 to 12:00 PCMH: No
Pile, Nadia MD
Provider ID: 1713249 Gender: Female Women's Care Florida LLC 1600 Mlk St N St Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pile, Nadia MD
Provider ID: 1713249 Gender: Female Women's Care Florida LLC 3055 5th Ave N, Ste A St Petersburg, FL 33713-6738 (727) 201-8800 Fax: (727) 201-8801 12 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
Pimentel Alvarez, Maria MD
Provider ID: 1849498 Gender: Female Women's Care Florida. LLC 2665 State Road 580 Clearwater, FL 33761-3166 (727) 725-5121 Fax: (727) 725-5417 12 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Languages: Spanish Mon - Thu 9:00 to 4:30 Fri 9:00 to 3:30 PCMH: No
Politz, Laura MD
Provider ID: 1874282 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Prieto, Jose MD
Provider ID: 12208 Gender: Male 701 6th St S Saint Petersburg, FL 33701-4814 (727) 893-6198 12 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Bayfront Medical Center PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Prieto, Jose MD
Provider ID: 12208 Gender: Male Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 12 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Raimer, Karen MD
Provider ID: 12210 Gender: Female 701 6th St S Saint Petersburg, FL 33701-4814 (727) 893-6198 00 YRS/130 YRS Bayfront Medical Center PCMH: No
Raimer, Karen MD
Provider ID: 12210 Gender: Female Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 155
Reyes, Carlos MD
Provider ID: 636959 Gender: Male Bayfront Family Health Center 700 6th St S Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7295 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Ruiz Robles, Ivelisse MD
Provider ID: 1543746 Gender: Female Florida Woman Care LLC 1010 Jeffords St Clearwater, FL 33756-4024 (727) 446-9100 Fax: (727) 446-9900 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Ruiz Robles, Ivelisse MD
Provider ID: 1543746 Gender: Female Florida Woman Care LLC 3190 N Mcmln Bth Rd, Ste 200 Clearwater, FL 33761-2013 (727) 447-7786 Fax: (727) 447-5978 00 YRS/130 YRS Languages: Spanish Mon, Wed 8:30 to 6:30 Tue, Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Sanchez, Mark MD
Provider ID: 175405 Gender: Male Bayfront Health St. Petersburg - Ba 701 6th St S St Petersburg, FL 33701-4814 (727) 893-6197 Fax: (727) 893-6811 00 YRS/130 YRS Tampa General Hospital Bayfront Medical Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Sanchez, Mark MD
Provider ID: 175405 Gender: Male Bayfront Family Health Center 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 893-6978 00 YRS/130 YRS Tampa General Hospital Bayfront Medical Center Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Schneider, Erica DO
Provider ID: 711629 Gender: Female Community Health Centers At Clearwa 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 286-6225 Fax: (727) 286-6224 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Schneider, Erica DO Provider ID: 711629 Gender: Female Community Health Centers At Clearwa 701 6th St S Saint Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 209-5619 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schneider, Erica DO
Provider ID: 711629 Gender: Female Community Health Centers At Clearwa 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 443-7230 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schneider, Erica DO Provider ID: 711629 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 471-7893 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 156
Schneider, Erica DO Provider ID: 711629 Gender: Female Johnnie Ruth Clarke Health Center 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 824-8137 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schwartz, Rachelle DO
Provider ID: 1797746 Gender: Female Johns Hopkins All Children's Perina 625 6th Ave S, Ste 340 St Petersburg, FL 33701-4619 (727) 767-7903 Fax: (727) 767-7905 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schwartz, Rachelle DO Provider ID: 729088 Gender: Female Bayfront Hma Medical Center. LLC 700 6th St S St Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Shamas, Christina MD Provider ID: 615185 Gender: Female Florida Woman Care 6700 Crosswinds Dr N, Ste 200a Saint Petersburg, FL 33710 (727) 344-4651 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Mon, Wed, Fri 8:30 to 5:00 Tue, Thu 8:30 to 7:00 PCMH: No
Shamas, Christina MD
Provider ID: 615185 Gender: Female Gulfcoast Ob Gyn Pa 2325 Ulmerton Rd, Ste 1 Clearwater, FL 33762-3362 (727) 540-0670 Fax: (727) 347-6224 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Mon 8:30 to 5:00 Tue, Thu - Fri 8:30 to 12:00 PCMH: No
Shamas, Christina MD Provider ID: 615185 Gender: Female Gulfcoast Ob Gyn Pa 9677 Seminole Blvd Seminole, FL 33772-2526 (727) 319-2303 Fax: (727) 398-3087 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp St Anthonys Hospital Mon - Wed, Fri 8:30 to 5:00 Thu 8:30 to 12:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Obstetrics/Gynecology - cont.
Shelden, Sarah DO Provider ID: 1142168 Gender: Female Women's Care Florida LLC 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Sloan, Chris MD
Provider ID: 1099110 Gender: Male 2454 N Mcmln Bth Rd, Ste 401 Clearwater, FL 33759-1365 (813) 971-6909 Fax: (813) 971-6985 12 YRS/130 YRS Brandon Regional Hospital Adventhealth Carrollwood Adventhealth Tampa PCMH: No
Sloan, Chris MD Provider ID: 1099110 Gender: Male Pediatrix Medical Group 2963 Gulf To Bay Blvd, Ste 210 Clearwater, FL 33759-4255 (727) 724-1949 Fax: (855) 527-5510 12 YRS/130 YRS Brandon Regional Hospital Adventhealth Carrollwood Adventhealth Tampa Mon - Fri 8:30 to 5:00 PCMH: No
St John, Patricia MD Provider ID: 2046162 Gender: Female Florida Woman Care. LLC 3190 N Mcmullen Booth Rd, Ste 200 Clearwater, FL 33761-2013 (727) 447-7786 Fax: (727) 447-5978 12 YRS/130 YRS Memorial Regional Hospital Good Samaritan Med Ctr Languages: Spanish Mon, Thu 8:30 to 6:30 Tue - Wed 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Taylor, Tara MD
Provider ID: 1349365 Gender: Female West Coast Neonatology Inc 5959 Central Ave, Ste 103 Saint Petersburg, FL 33710-1649 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Umstead, Thomas MD Provider ID: 8878 Gender: Male 1395 S Pinellas Ave Tarpon Springs, FL 34689-3790 (727) 942-5000 00 YRS/130 YRS Adventhealth North Pinellas Languages: Spanish PCMH: No
Wouters, Anna MD
Provider ID: 1324889 Gender: Female Women's Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 456-0750 Fax: (727) 954-7122 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 157
Wouters, Anna MD Provider ID: 1324889 Gender: Female Women's Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701 (727) 954-7121 Fax: (727) 954-7122 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ophthalmology
Adams, Maria DO Provider ID: TPV1225411622-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Morton Plant Mease-North Bay Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Adams, Maria DO Provider ID: TPV1225411622-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Morton Plant Mease-North Bay Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Adams, Maria DO Provider ID: TPV1225411622-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Morton Plant Mease-North Bay Hospital Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Berger, Todd MD
Provider ID: TPV1205836418-02 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 18 YRS/99 YRS Northside Hospital Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Berger, Todd MD Provider ID: TPV1205836418-05 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 18 YRS/99 YRS Northside Hospital Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Cope, Winston MD Provider ID: TPV1063609485-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Cope, Winston MD
Provider ID: TPV1063609485-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Desai, Neel MD Provider ID: TPV1609957786-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Morton Plant Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Desai, Neel MD Provider ID: TPV1609957786-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Morton Plant Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Desai, Neel MD
Provider ID: TPV1609957786-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Morton Plant Hospital Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Diakonis, Vasilios MD
Provider ID: TPV1902234172-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 158
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Diakonis, Vasilios MD Provider ID: TPV1902234172-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Diakonis, Vasilios MD
Provider ID: TPV1902234172-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
El-Jabali, Fayssal DO Provider ID: TPV1629199096-07 Gender: Male Bay Area Retina Specialists LLC 3001 Eastland Blvd, Ste 1 Clearwater, FL 33761 (727) 862-3090 Fax: (727) 862-3023 10 YRS/99 YRS Florida Hospital Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 159
El-Jabali, Fayssal DO Provider ID: TPV1629199096-15 Gender: Male Eye Associates Of Manatee LLP 1601 38th Ave N St Petersburg, FL 33713 (727) 822-4287 Fax: (727) 822-1086 10 YRS/99 YRS Florida Hospital Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Elliott, Joshua MD
Provider ID: TPV1720296742-01 Gender: Male Hess Pediatric Ophthalmology Specialist 601 5th St S, Ste 601 St Petersburg, FL 33701 (727) 767-4393 Fax: (727) 767-8668 00 YRS/99 YRS All Childrens Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Goldberg, Lawrence MD Provider ID: TPV1114931599-01 Gender: Male Lawrence R Goldberg Md Pa 4957 38th Ave N, Ste D St Petersburg, FL 33710 (727) 521-4669 Fax: (721) 527-8568 18 YRS/99 YRS Saint Petersburg General Hospital No Hospital Privileges-Covering Arrangem Mon - Fri 9:00 to 5:00 PCMH: No
Golen, Jeffrey MD Provider ID: TPV1952628075-03 Gender: Male Robson Eye Institute LLC 601 S Belcher Rd Clearwater, FL 33764 (727) 266-2393 Fax: (727) 266-2330 00 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 8:30 to 5:00 PCMH: No
Grabow, Harry MD
Provider ID: TPV1356344188-05 Gender: Male Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 05 YRS/99 YRS Sarasota Memorial Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Hairston, Richard MD Provider ID: TPV1871591065-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Morton Plant Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Hairston, Richard MD Provider ID: TPV1871591065-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Morton Plant Hospital Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Hess, Jeffrey MD
Provider ID: TPV1356368203-01 Gender: Male Hess Pediatric Ophthalmology Specialist 601 5th St S, Ste 601 St Petersburg, FL 33701 (727) 767-4393 Fax: (727) 767-8668 00 YRS/99 YRS All Childrens Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Hess, Derek MD Provider ID: TPV1992726657-01 Gender: Male Hess Pediatric Ophthalmology Specialist 601 5th St S, Ste 601 St Petersburg, FL 33701 (727) 767-4393 Fax: (727) 767-8668 00 YRS/99 YRS All Childrens Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Ho, Janie MD Provider ID: TPV1710961487-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Ho, Janie MD
Provider ID: TPV1710961487-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Ho, Janie MD Provider ID: TPV1710961487-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Johnson, Sandra MD Provider ID: TPV1730198714-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Johnson, Sandra MD
Provider ID: TPV1730198714-02 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Kasper, Jeffrey MD Provider ID: TPV1912907122-04 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 18 YRS/99 YRS Northside Hospital Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 160
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Kasper, Jeffrey MD Provider ID: TPV1912907122-06 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 18 YRS/99 YRS Northside Hospital Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Kirsch, Leonard MD
Provider ID: TPV1669479325-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Morton Plant Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Kirsch, Leonard MD Provider ID: TPV1669479325-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Morton Plant Hospital Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 161
Kirsch, Leonard MD Provider ID: TPV1669479325-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Morton Plant Hospital Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Landy, Jennifer MD
Provider ID: TPV1386609329-01 Gender: Female Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Memorial Hospital Of Tampa Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Levy-Clarke, Grace MD
Provider ID: TPV1437342847-01 Gender: Female Tampa Bay Uveitis Center LLC 5800 49th St N, Ste S 108 St Petersburg, FL 33709 (855) 798-8393 Fax: (888) 539-6488 06 YRS/99 YRS Northside Hospital And Heart Insti-tute Mon - Thu 9:00 to 3:00 Fri 8:00 to 5:00 PCMH: No
Lopez, Michael MD Provider ID: TPV1205192135-01 Gender: Male Hess Pediatric Ophthalmology Specialist 601 5th St S, Ste 601 St Petersburg, FL 33701 (727) 767-4393 Fax: (727) 767-8668 00 YRS/99 YRS All Childrens Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Mohadjer, Yasaman MD
Provider ID: TPV1841231297-01 Gender: Female The Eye Physicians Of Pinellas Pa 1225 W Bay Dr Largo, FL 33770 (727) 581-8706 Fax: (727) 586-3743 05 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mohadjer, Yasaman MD Provider ID: TPV1841231297-02 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Mohadjer, Yasaman MD Provider ID: TPV1841231297-03 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Mohadjer, Yasaman MD Provider ID: TPV1841231297-04 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Montzka, Dan MD
Provider ID: TPV1841290293-01 Gender: Male Gulf Coast Retina Center LLC 3001 Eastland Blvd, Ste 1 Clearwater, FL 33761 (727) 726-1492 Fax: (727) 726-3560 06 YRS/99 YRS Mease Countryside Hospital Mon, Fri 7:30 to 4:30 Tue - Thu 8:00 to 5:00 PCMH: No
Oberlander, Mark MD Provider ID: TPV1245292176-01 Gender: Male Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Oppenheim, Seth MD Provider ID: TPV1073587952-09 Gender: Male Eye Associates Of Manatee LLP 1601 38th Ave N St Petersburg, FL 33713 (727) 822-4287 Fax: (727) 822-1086 10 YRS/99 YRS Largo Medical Center Belleair Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Orlick, Martin MD
Provider ID: TPV1003816018-01 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 00 YRS/99 YRS Northside Hospital And Heart Insti-tute Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Patel, Nandesh MD
Provider ID: TPV1821292228-01 Gender: Male Orlick Berger Kasper Md Pa 5800 49th St N, Ste 109 St Petersburg, FL 33709 (727) 522-1115 Fax: (727) 522-0018 00 YRS/99 YRS Northside Hospital And Heart Insti -tute Languages: Spanish, Hindi, Punjabi Mon - Fri 7:30 to 5:30 PCMH: No
Rathi, Siddarth MD Provider ID: TPV1063770469-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Rathi, Siddarth MD
Provider ID: TPV1063770469-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 162
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Rathi, Siddarth MD Provider ID: TPV1063770469-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Roland, Samantha MD
Provider ID: TPV1780817411-01 Gender: Female Hess Pediatric Ophthalmology Specialist 601 5th St S, Ste 601 St Petersburg, FL 33701 (727) 767-4393 Fax: (727) 767-8668 00 YRS/99 YRS All Childrens Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Ross, Joseph MD Provider ID: TPV1780602482-04 Gender: Male Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 12 YRS/99 YRS Citrus Memorial Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 163
Schwartz, Jeffrey MD Provider ID: TPV1700884350-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Schwartz, Jeffrey MD
Provider ID: TPV1700884350-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Schwartz, Jeffrey MD Provider ID: TPV1700884350-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Vergara, Isaac MD Provider ID: TPV1255306635-04 Gender: Male Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 05 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 9:00 to 5:00 PCMH: No
Warner, Michael MD
Provider ID: TPV1265458293-03 Gender: Male Robson Eye Institute LLC 601 S Belcher Rd Clearwater, FL 33764 (727) 266-2393 Fax: (727) 266-2330 18 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 8:30 to 5:00 PCMH: No
Weinstock, Robert MD Provider ID: TPV1376541664-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Ophthalmology - cont.
Weinstock, Robert MD Provider ID: TPV1376541664-03 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Weinstock, Robert MD
Provider ID: TPV1376541664-04 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Weinstock, Stephen MD Provider ID: TPV1841297686-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Weinstock, Stephen MD Provider ID: TPV1841297686-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Largo Medical Center Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Williams, Jory MD
Provider ID: TPV1073587861-02 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Memorial Hospital Of Tampa Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Williams, Dennis MD Provider ID: TPV1386698116-01 Gender: Male Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 04 YRS/99 YRS No Hospital Privileges-Covering Arrangem Mon - Fri 9:00 to 5:00 PCMH: No
Williams-Wallace, Nancy MD Provider ID: TPV1184650970-01 Gender: Female Florida Pediatric Associates LLC 36422 Us 19 N Palm Harbor, FL 34684 (727) 772-7712 Fax: (727) 772-6891 00 YRS/99 YRS St Josephs Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Williams-Wallace, Nancy MD
Provider ID: TPV1184650970-08 Gender: Female Florida Pediatric Associates LLC 36422 Us 19 N Palm Harbor, FL 34684 (727) 772-7712 Fax: (727) 772-6891 00 YRS/99 YRS St Josephs Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Optician
Eye Doctors Optical Outlets Pa Provider ID: TPV1184174278-01 11290 Park Blvd, Ste B Seminole, FL 33772 (727) 547-4856 Fax: (727) 201-0861 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 4:00 PCMH: No
Eye Doctors Optical Outlets Pa
Provider ID: TPV1184815086-01 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 369-8827 00 YRS/99 YRS Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 164
33453864
Specialty Physicians
Pinellas
Optician - cont.
Eye Doctors Optical Outlets Pa Provider ID: TPV1215358833-01 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Eye Doctors Optical Outlets Pa
Provider ID: TPV1497047344-01 39310 Us Hwy 19 N Tarpon Springs, FL 34689 (727) 756-1220 Fax: (727) 608-4456 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 8:00 to 3:00 PCMH: No
Eye Doctors Optical Outlets Pa Provider ID: TPV1700077781-01 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Eye Doctors Optical Outlets Pa
Provider ID: TPV1720278104-01 3665 E Bay Dr, Ste 192 Largo, FL 33771 (727) 538-2775 Fax: (727) 213-6703 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 165
Eye Institute Optical LLC Provider ID: TPV1346695913-01 148 13th St SW Largo, FL 33770 (727) 584-5748 Fax: (727) 586-3743 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Eye Institute Optical LLC
Provider ID: TPV1346695913-02 955 54th Ave N St Petersburg, FL 33703 (727) 525-4700 Fax: (727) 525-7331 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Optimart Inc Provider ID: TPV1174730352-01 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 00 YRS/99 YRS Mon - Thu, Sat 9:00 to 5:00 Fri 9:00 to 6:00 PCMH: No
Optimart Inc
Provider ID: TPV1922215136-01 10755 Park Blvd Seminole, FL 33772 (727) 392-0907 Fax: (727) 592-2569 00 YRS/99 YRS Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Optimart St Petersburg Provider ID: TPV1598986598-01 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Park Avenue Ophthalmics LLC
Provider ID: TPV1629272265-01 601 S Belcher Rd Clearwater, FL 33764 (727) 266-2393 Fax: (727) 266-2330 00 YRS/99 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Visionworks Inc Provider ID: TPV1184900235-01 912 S Missouri Ave Clearwater, FL 33756 (727) 443-6493 Fax: (727) 447-0051 00 YRS/99 YRS Mon - Thu 9:00 to 8:00 Fri - Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
Visionworks Inc
Provider ID: TPV1730466707-01 11212 Park Blvd Seminole, FL 33772 (727) 397-8994 Fax: (727) 393-2882 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Optician - cont.
Visionworks Inc
Provider ID: TPV1821375148-01 3301 4th St N St Petersburg, FL 33704 (727) 821-9540 Fax: (727) 823-1487 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
Visionworks Inc
Provider ID: TPV1881971109-01 30715 Us Hwy 19 Palm Harbor, FL 34684 (727) 786-7288 Fax: (727) 786-8258 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
Visionworks Inc
Provider ID: TPV1972880292-01 2143 Tyrone Blvd St Petersburg, FL 33710 (727) 345-4446 Fax: (727) 345-8945 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 12:00 to 5:00 PCMH: No
Optometry
Adler, Shepard OD
Provider ID: TPV1366403974-02 Gender: Male Professional Eyecare Consultants Pa 33330 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-0443 Fax: (727) 786-3524 05 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Adler, Shepard OD
Provider ID: TPV1366403974-03 Gender: Male Professional Eyecare Consultants Pa 2000 66th St N St Petersburg, FL 33710 (727) 347-3937 Fax: (727) 347-3937 05 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Adler, Shepard OD
Provider ID: TPV1366403974-04 Gender: Male Dr Barry Case LLC 11212 Park Blvd Seminole, FL 33772 (727) 393-1501 Fax: (727) 393-2882 05 YRS/99 YRS Mon 9:00 to 5:00 Tue 11:00 to 6:00 Wed - Fri 10:00 to 5:00 Sat 10:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 166
Alcantara, Marielle OD
Provider ID: TPV1336590033-07 Gender: Female Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Alcantara, Marielle OD
Provider ID: TPV1336590033-12 Gender: Female Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Anderson, Nicholas OD
Provider ID: TPV1689909442-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 06 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Optometry - cont.
Anderson, Nicholas OD Provider ID: TPV1689909442-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 06 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Anderson, Nicholas OD
Provider ID: TPV1689909442-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 06 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Anderson, Nicholas OD Provider ID: TPV1689909442-06 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 06 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Atkins, Brian OD Provider ID: TPV1184637001-04 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Barreiro, Francis OD
Provider ID: TPV1184611410-01 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 07 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Barreiro, Francis OD Provider ID: TPV1184611410-02 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 07 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Beckwitt, Julie-Ann OD Provider ID: TPV1437262953-04 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Beckwitt, Julie-Ann OD
Provider ID: TPV1437262953-06 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Birnbaum, Suzanne OD Provider ID: TPV1417140054-01 Gender: Female Eye Doctors Optical Outlets Pa 27001 Us Hwy 19 N, Ste 2037 Clearwater, FL 33761 (727) 669-8486 Fax: (727) 213-6341 05 YRS/99 YRS Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 167
33453864
Specialty Physicians
Pinellas
Optometry - cont.
Birnbaum, Suzanne OD Provider ID: TPV1417140054-02 Gender: Female Eye Doctors Optical Outlets Pa 39310 Us Hwy 19 N Tarpon Springs, FL 34689 (727) 756-1220 Fax: (727) 608-4456 05 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 8:00 to 3:00 PCMH: No
Branin, Leslie OD
Provider ID: TPV1457416380-01 Gender: Female Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Branin, Leslie OD Provider ID: TPV1457416380-02 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 168
Campbell, Christopher OD Provider ID: TPV1144311366-01 Gender: Male Professional Eyecare Consultants Pa 2000 66th St N St Petersburg, FL 33710 (727) 347-3937 Fax: (727) 347-3937 05 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Case, Barry OD
Provider ID: TPV1730521055-01 Gender: Male Dr Barry Case LLC 11212 Park Blvd Seminole, FL 33772 (727) 393-1501 Fax: (727) 393-2882 09 YRS/99 YRS Mon 9:00 to 5:00 Tue 11:00 to 6:00 Wed - Fri 10:00 to 5:00 Sat 10:00 to 2:00 PCMH: No
Cothran, Nora OD Provider ID: TPV1467882050-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Cothran, Nora OD Provider ID: TPV1467882050-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Cothran, Nora OD
Provider ID: TPV1467882050-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
D'alesio, Michael OD Provider ID: TPV1902007016-01 Gender: Male Eye Doctors Optical Outlets Pa 27001 Us Hwy 19 N, Ste 2037 Clearwater, FL 33761 (727) 669-8486 Fax: (727) 213-6341 04 YRS/99 YRS Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
D'alesio, Michael OD
Provider ID: TPV1902007016-04 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 04 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
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Day, Paul OD Provider ID: TPV1265634224-07 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Day, Paul OD Provider ID: TPV1265634224-08 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Day, Paul OD
Provider ID: TPV1265634224-14 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Day, Paul OD Provider ID: TPV1265634224-15 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Diaczyk, Andrew OD Provider ID: TPV1902953433-01 Gender: Male Andrew Diaczyk 4887 34th St S St Petersburg, FL 33711 (727) 864-4047 Fax: (727) 864-0060 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Dickson, Allison OD
Provider ID: TPV1528547031-01 Gender: Female Robson Eye Institute LLC 601 S Belcher Rd Clearwater, FL 33764 (727) 266-2393 Fax: (727) 266-2330 08 YRS/99 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Ferris, Anthony OD Provider ID: TPV1457547366-15 Gender: Male Eye Doctors Optical Outlets Pa 27001 Us Hwy 19 N, Ste 2037 Clearwater, FL 33761 (727) 669-8486 Fax: (727) 213-6341 04 YRS/99 YRS Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Ferris, Anthony OD Provider ID: TPV1457547366-16 Gender: Male Eye Doctors Optical Outlets Pa 3665 East Bay Dr, Ste 200 Largo, FL 33771 (727) 538-2775 Fax: (727) 213-6703 04 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Ferris, Anthony OD Provider ID: TPV1457547366-17 Gender: Male Eye Doctors Optical Outlets Pa 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 04 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Flanagan, Thomas OD
Provider ID: TPV1265495212-02 Gender: Male Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 169
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Flanagan, Deborah OD Provider ID: TPV1982669453-01 Gender: Female Deborah C Flanagan Od Pa 4940 Central Ave St Petersburg, FL 33707 (727) 321-6600 Fax: (727) 321-8300 03 YRS/99 YRS Mon, Wed - Fri 8:00 to 5:30 Tue 8:00 to 6:30 Sat 9:00 to 1:00 PCMH: No
Furman, Adam OD
Provider ID: TPV1336541465-03 Gender: Male Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 06 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Furman, Adam OD Provider ID: TPV1336541465-08 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 170
Furman, Adam OD Provider ID: TPV1336541465-09 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 06 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Furman, Adam OD
Provider ID: TPV1336541465-11 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 06 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Furman, Megan OD Provider ID: TPV1548707334-01 Gender: Female Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 06 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Geary, Daniel OD Provider ID: TPV1770969073-01 Gender: Male Daniel Geary 3301 4th St N Saint Petersburg, FL 33704 (727) 821-9331 Fax: (727) 823-1487 05 YRS/99 YRS Mon, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 4:00 PCMH: No
Geary, Amanda OD
Provider ID: TPV1780069591-01 Gender: Female Southeast Eye Institute Pa 6585 126th Ave, Unit D1 Largo, FL 33773 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Geary, Amanda OD Provider ID: TPV1780069591-02 Gender: Female Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
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Optometry - cont.
Geary, Amanda OD Provider ID: TPV1780069591-03 Gender: Female Southeast Eye Institute Pa 1915 34th St N St Petersburg, FL 33713 (727) 485-8147 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Gruszka, Melinda OD
Provider ID: TPV1194050203-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Gruszka, Melinda OD Provider ID: TPV1194050203-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 171
Gruszka, Melinda OD Provider ID: TPV1194050203-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Gruszka, Melinda OD
Provider ID: TPV1194050203-06 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Gruszka, Melinda OD Provider ID: TPV1194050203-07 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Gruszka, Melinda OD
Provider ID: TPV1194050203-08 Gender: Female The Eye Physicians Of Pinellas Pa 955 54th Avenue North St Petersburg, FL 33703 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Hernandez, Richard OD Provider ID: TPV1952302648-02 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Herriott, Michael OD
Provider ID: TPV1942588926-06 Gender: Male Eye Doctors Optical Outlets Pa 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Herriott, Michael OD Provider ID: TPV1942588926-07 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
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Ho, Thanh OD Provider ID: TPV1336404342-04 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Ho, Thanh OD
Provider ID: TPV1336404342-05 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Hossenlopp, Craig OD Provider ID: TPV1346618311-06 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 172
Hossenlopp, Craig OD Provider ID: TPV1346618311-07 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Huynh, An Tam OD
Provider ID: TPV1275941874-05 Gender: Female Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ingham, Richard OD Provider ID: TPV1952464786-01 Gender: Male Eye Doctors Optical Outlets Pa 39310 Us Hwy 19 N Tarpon Springs, FL 34689 (727) 756-1220 Fax: (727) 608-4456 05 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 8:00 to 3:00 PCMH: No
Ingham, Richard OD Provider ID: TPV1952464786-04 Gender: Male Eye Doctors Optical Outlets Pa 39310 Us Hwy 19 N Tarpon Springs, FL 34689 (727) 756-1220 Fax: (727) 608-4456 05 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 8:00 to 3:00 PCMH: No
Johnson, Douglas OD
Provider ID: TPV1114925773-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Johnson, Douglas OD Provider ID: TPV1114925773-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
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Optometry - cont.
Johnson, Douglas OD Provider ID: TPV1114925773-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Jones, Douglas OD
Provider ID: TPV1063587327-07 Gender: Male Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Jones, Douglas OD Provider ID: TPV1063587327-13 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Jones, Douglas OD Provider ID: TPV1063587327-14 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Krumbholz, Gerald OD
Provider ID: TPV1982631701-02 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Kuplicki, Dane OD
Provider ID: TPV1821527276-04 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Laplume, Jeffery OD Provider ID: TPV1093745887-01 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 04 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Lappano, Alfred OD
Provider ID: TPV1194727669-03 Gender: Male Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Lappano, Alfred OD
Provider ID: TPV1194727669-08 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 173
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Lappano, Alfred OD Provider ID: TPV1194727669-09 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Lappano, Alfred OD Provider ID: TPV1194727669-14 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Lappano, Alfred OD
Provider ID: TPV1194727669-15 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Lewenson, Robert OD Provider ID: TPV1235181769-13 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Mann, Clare OD
Provider ID: TPV1659424927-01 Gender: Female Professional Eyecare Consultants Pa 33330 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-0443 Fax: (727) 786-3524 06 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Mann, Clare OD Provider ID: TPV1659424927-02 Gender: Female Professional Eyecare Consultants Pa 2000 66th St N St Petersburg, FL 33710 (727) 347-3937 Fax: (727) 347-3937 06 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Mann, Clare OD Provider ID: TPV1659424927-11 Gender: Female Professional Eyecare Consultants Pa 33330 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-0443 Fax: (727) 786-3524 06 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Mann, Clare OD Provider ID: TPV1659424927-12 Gender: Female Professional Eyecare Consultants Pa 2000 66th St N St Petersburg, FL 33710 (727) 347-3937 Fax: (727) 347-3937 06 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Marrotte, Jill OD
Provider ID: TPV1992911150-01 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 18 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 174
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Mason, John OD Provider ID: TPV1467481812-01 Gender: Male John H Mason Pa 5712 5th Ave N St Petersburg, FL 33710 (727) 344-0800 Fax: (727) 381-9190 05 YRS/99 YRS Mon, Wed 10:00 to 6:00 Tue, Fri 9:00 to 5:00 Thu 10:00 to 5:00 Sat 8:30 to 11:00 PCMH: No
Mcknight, Jaclyn OD
Provider ID: TPV1285171272-01 Gender: Female Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Mcknight, Jaclyn OD Provider ID: TPV1285171272-04 Gender: Female Eye Doctors Optical Outlets Pa 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 175
Merlino, Brian OD Provider ID: TPV1841418555-03 Gender: Male Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Merlino, Brian OD
Provider ID: TPV1841418555-06 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Merlino, Brian OD Provider ID: TPV1841418555-07 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Merlino, Brian OD Provider ID: TPV1841418555-12 Gender: Male Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Merlino, Brian OD
Provider ID: TPV1841418555-13 Gender: Male Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Morrison, Caryn OD Provider ID: TPV1881601631-12 Gender: Female Eye Doctors Optical Outlets Pa 3665 East Bay Dr, Ste 200 Largo, FL 33771 (727) 538-2775 Fax: (727) 213-6703 05 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
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Optometry - cont.
Muse, James OD Provider ID: TPV1710964077-04 Gender: Male Crystal River Eye Center LLC 1250 Belcher Rd Largo, FL 33771 (727) 535-2300 Fax: (727) 535-2330 16 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Musumeci, Salvatore OD Provider ID: TPV1003814088-01 Gender: Male Southeast Eye Institute Pa 6585 126th Ave, Unit D1 Largo, FL 33773 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Musumeci, Salvatore OD Provider ID: TPV1003814088-03 Gender: Male Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Musumeci, Salvatore OD Provider ID: TPV1003814088-04 Gender: Male Southeast Eye Institute Pa 1915 34th St N St Petersburg, FL 33713 (727) 485-8147 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Musumeci, Salvatore OD Provider ID: TPV1003814088-05 Gender: Male Southeast Eye Institute Pa 1915 34th St N St Petersburg, FL 33713 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Nguyen, Thu OD Provider ID: TPV1154841278-04 Gender: Female Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 04 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Panchal, Priti OD Provider ID: TPV1912213240-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Panchal, Priti OD Provider ID: TPV1912213240-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Panchal, Priti OD Provider ID: TPV1912213240-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 176
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Parrish, Gregory OD Provider ID: TPV1598759458-15 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Parrish, Gregory OD
Provider ID: TPV1598759458-27 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Patel, Gopita OD Provider ID: TPV1891167433-05 Gender: Female Robson Eye Institute LLC 601 S Belcher Rd Clearwater, FL 33764 (727) 266-2393 Fax: (727) 266-2330 18 YRS/99 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 177
Pham, Tony OD Provider ID: TPV1861948556-01 Gender: Male Dr Barry Case LLC 11212 Park Blvd Seminole, FL 33772 (727) 393-1501 Fax: (727) 393-2882 05 YRS/99 YRS Mon 9:00 to 5:00 Tue 11:00 to 6:00 Wed - Fri 10:00 to 5:00 Sat 10:00 to 2:00 PCMH: No
Plante, Parker OD
Provider ID: TPV1528055043-01 Gender: Male Eye Doctors Optical Outlets Pa 3665 East Bay Dr, Ste 192 Largo, FL 33771 (727) 538-2775 Fax: (727) 213-6703 05 YRS/99 YRS Languages: Spanish, Vietnamese Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Plante, Parker OD Provider ID: TPV1528055043-03 Gender: Male Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Plante, Parker OD Provider ID: TPV1528055043-04 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Plante, Parker OD
Provider ID: TPV1528055043-05 Gender: Male Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Regal, Sarah OD Provider ID: TPV1851943088-02 Gender: Female Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
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Optometry - cont.
Regal, Sarah OD
Provider ID: TPV1851943088-03 Gender: Female Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Regal, Sarah OD
Provider ID: TPV1851943088-08 Gender: Female Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Regal, Sarah OD
Provider ID: TPV1851943088-09 Gender: Female Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Rego, Robert OD
Provider ID: TPV1851675524-06 Gender: Male Eye Associates Of Manatee LLP 1601 38th Ave N St Petersburg, FL 33713 (727) 822-4287 Fax: (727) 822-1086 05 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Roehm, Kirsti OD
Provider ID: 1972306 Gender: Female Baycare Medical Group Inc 620 10th St N St Petersburg, FL 33705-1407 (727) 824-7134 Fax: (727) 824-8329 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rophie, Alan OD
Provider ID: TPV1124039730-01 Gender: Male Professional Eyecare Consultants Pa 33330 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-0443 Fax: (727) 786-3524 07 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Rosenfeld, Jay OD
Provider ID: TPV1114924040-01 Gender: Male Jay Rosenfeld Od Pa 2541 Countryside Blvd, Ste 1 Clearwater, FL 33761 (727) 799-4500 Fax: (727) 724-1633 05 YRS/99 YRS Mon - Tue 8:00 to 5:00 Wed 8:00 to 6:00 Thu - Fri 8:00 to 4:00 Sat 8:00 to 12:00 PCMH: No
Ryczek, Dennis OD
Provider ID: TPV1447243852-01 Gender: Male Ryczek Eye Associates Pa 5412 Central Ave St Petersburg, FL 33707 (727) 327-8855 Fax: (727) 323-0720 05 YRS/99 YRS Mon, Wed 9:00 to 5:00 Tue 9:00 to 5:30 Thu 9:00 to 6:00 Fri 8:00 to 12:00 PCMH: No
Sabin, David OD
Provider ID: TPV1952408429-05 Gender: Male Eye Doctors Optical Outlets Pa 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 178
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Optometry - cont.
Sabin, David OD Provider ID: TPV1952408429-06 Gender: Male Eye Doctors Optical Outlets Pa 6927 4th St N St Petersburg, FL 33702 (727) 210-8672 Fax: (727) 214-2594 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Sabin, David OD Provider ID: TPV1952408429-07 Gender: Male Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Sacksteder, Ryan OD Provider ID: TPV1265780555-01 Gender: Male The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Sacksteder, Ryan OD Provider ID: TPV1265780555-02 Gender: Male The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Sacksteder, Ryan OD
Provider ID: TPV1265780555-03 Gender: Male The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 05 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Salta, Mark OD
Provider ID: TPV1295737989-01 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Sarno, Nevin OD Provider ID: TPV1922045384-01 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Schoneck, Katie OD Provider ID: TPV1720153992-05 Gender: Female Eye Doctors Optical Outlets Pa 3740 Park Blvd Pinellas Park, FL 33781 (727) 547-4856 Fax: (727) 474-9835 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00 PCMH: No
Sims, Rebecca OD Provider ID: TPV1396708376-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 00 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 179
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Optometry - cont.
Sims, Rebecca OD Provider ID: TPV1396708376-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 00 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Smith, Mary OD
Provider ID: TPV1558369108-01 Gender: Female The Eye Physicians Of Pinellas Pa 3165 Mcmullen Booth Rd, Bldg A Ste 1 Clearwater, FL 33761 (727) 581-8706 Fax: (727) 588-2447 12 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Smith, Mary OD Provider ID: TPV1558369108-02 Gender: Female The Eye Physicians Of Pinellas Pa 6133 Central Ave St Petersburg, FL 33710 (727) 581-8706 Fax: (727) 588-2447 12 YRS/99 YRS Languages: French, Romanian Mon - Fri 8:00 to 5:00 PCMH: No
Smith, Mary OD Provider ID: TPV1558369108-03 Gender: Female The Eye Physicians Of Pinellas Pa 148 13th St SW, Ste 200 Largo, FL 33770 (727) 581-8706 Fax: (727) 588-2447 12 YRS/99 YRS Languages: French, Romanian Mon - Fri 9:00 to 5:00 PCMH: No
Stanley, Jennifer OD
Provider ID: TPV1730181207-01 Gender: Female Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Thai, Pauline OD Provider ID: TPV1871808097-09 Gender: Female Vision Specialty Associates Pa 35170 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-5333 Fax: (727) 789-5428 05 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30 Sat 9:00 to 2:00 PCMH: No
Thai, Pauline OD Provider ID: TPV1871808097-14 Gender: Female Vision Specialty Associates Pa 4359 35th St N Saint Petersburg, FL 33714 (727) 525-3959 Fax: (727) 527-9695 05 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 2:00 PCMH: No
Thai, Pauline OD
Provider ID: TPV1871808097-15 Gender: Female Vision Specialty Associates Pa 10755 Park Blvd Seminole, FL 33772 (833) 209-7114 Fax: (727) 592-2569 05 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 9:30 to 5:30 Tue 9:30 to 6:30 PCMH: No
Tran, Baotram OD Provider ID: TPV1295920643-01 Gender: Female Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 180
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Specialty Physicians
Pinellas
Optometry - cont.
Tran, Baotram OD Provider ID: TPV1295920643-02 Gender: Female Professional Eyecare Consultants Pa 33330 Us Hwy 19 N Palm Harbor, FL 34684 (727) 789-0443 Fax: (727) 786-3524 05 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Tran, Baotram OD
Provider ID: TPV1295920643-03 Gender: Female Professional Eyecare Consultants Pa 2000 66th St N St Petersburg, FL 33710 (727) 347-3937 Fax: (727) 347-3937 05 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 7:00 Fri 9:00 to 5:00 Sat 9:00 to 4:00 PCMH: No
Tran, Baotram OD Provider ID: TPV1295920643-07 Gender: Female Eye Doctors Optical Outlets Pa 6901 22nd Ave N, Ste 760 St Petersburg, FL 33710 (727) 343-3006 Fax: (727) 474-9835 05 YRS/99 YRS Languages: Spanish Mon - Sat 10:00 to 9:00 Sun 12:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 181
Vandenberg, Joseph OD Provider ID: TPV1265099170-08 Gender: Male Eye Associates Of Manatee LLP 1601 38th Ave N St Petersburg, FL 33713 (727) 822-4287 Fax: (727) 822-1086 06 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wachter, John OD
Provider ID: TPV1770551129-01 Gender: Male Southeast Eye Institute Pa 6585 126th Ave, Unit D1 Largo, FL 33773 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wachter, John OD Provider ID: TPV1770551129-02 Gender: Male Southeast Eye Institute Pa 6585 126th Ave, Unit D1 Largo, FL 33773 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wachter, John OD
Provider ID: TPV1770551129-03 Gender: Male Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wachter, John OD Provider ID: TPV1770551129-04 Gender: Male Southeast Eye Institute Pa 1915 34th St N St Petersburg, FL 33713 (727) 485-8147 Fax: (727) 546-9661 10 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wilcoxon, Dennis OD
Provider ID: TPV1932105178-04 Gender: Male Myeyedr Optometry Of Florida LLC 2643 Gulf To Bay Blvd, Ste 1520 Clearwater, FL 33759 (727) 799-3937 Fax: (727) 210-1189 05 YRS/99 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 Wed 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Wilcoxon, Dennis OD Provider ID: TPV1932105178-05 Gender: Male Myeyedr Optometry Of Florida LLC 36021 Us Hwy 19 N Palm Harbor, FL 34684 (727) 772-1000 Fax: (727) 771-0770 05 YRS/99 YRS Mon, Wed - Fri 9:00 to 6:00 Tue 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Optometry - cont.
Wilcoxon, Dennis OD Provider ID: TPV1932105178-06 Gender: Male Myeyedr Optometry Of Florida LLC 10785 102nd Ave Seminole, FL 33778 (727) 209-3937 Fax: (727) 394-7393 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 5:00 PCMH: No
Wilcoxon, Dennis OD
Provider ID: TPV1932105178-07 Gender: Male Myeyedr Optometry Of Florida LLC 1450 66th St N St Petersburg, FL 33710 (727) 381-3937 Fax: (727) 345-6956 05 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 5:00 PCMH: No
Williams, John OD Provider ID: TPV1205977295-03 Gender: Male Ideal Eye Care LLC 912 South Missouri Ave, Ste 611 Clearwater, FL 33756 (727) 443-7642 Fax: (727) 447-0051 05 YRS/99 YRS Mon, Wed - Fri 9:00 to 6:00 Tue 10:00 to 7:00 Sat 9:00 to 2:00 PCMH: No
Wolf, Julie OD Provider ID: TPV1144309956-08 Gender: Female Southeast Eye Institute Pa 9375 66th St N Pinellas Park, FL 33782 (727) 541-4469 Fax: (727) 546-9661 12 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wolf, Julie OD
Provider ID: TPV1144309956-09 Gender: Female Southeast Eye Institute Pa 1915 34th St N St Petersburg, FL 33713 (727) 485-8147 Fax: (727) 546-9661 12 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 182
Oral & Maxillofacial Surgery
Chuong, Robert DMD Provider ID: 17804 Gender: Male 2140 16th St N St Petersburg, FL 33704-3924 (727) 894-1442 Fax: (727) 823-0466 00 YRS/130 YRS Bayfront Medical Center Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-07 Gender: Male Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-08 Gender: Male Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-10 Gender: Male Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Oral & Maxillofacial Surgery - cont.
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-11 Gender: Male Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Guerra-Andrade, Andres DMD
Provider ID: TPVP137248-14 Gender: Male Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Lawson, Scott DDS
Provider ID: TPVP43467-42 Gender: Male Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Lawson, Scott DDS
Provider ID: TPVP43467-54 Gender: Male Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Lawson, Scott DDS
Provider ID: TPVP43467-55 Gender: Male Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Lawson, Scott DDS
Provider ID: TPVP43467-60 Gender: Male Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Orthodontics
Angeloni, Mark DMD
Provider ID: TPVP173408-01 Gender: Male Florida Orthodontic Associates LLC 1433 Ct St Clearwater, FL 33756 (727) 205-1643 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Angeloni, Mark DMD
Provider ID: TPVP173408-02 Gender: Male Florida Orthodontic Associates LLC 5885 Central Ave Saint Petersburg, FL 33710 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Angeloni, Mark DMD
Provider ID: TPVP173408-04 Gender: Male Florida Orthodontic Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 183
33453864
Specialty Physicians
Pinellas
Orthodontics - cont.
Angeloni, Mark DMD Provider ID: TPVP173408-10 Gender: Male Florida Orthodontic Associates PLLC 35036 Us Hwy 19 Palm Harbor, FL 34684 (727) 446-4699 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Brockway, Chelsea DDS
Provider ID: TPVP159206-01 Gender: Female Florida Orthodontic Associates LLC 5885 Central Ave Saint Petersburg, FL 33710 (727) 442-4070 Fax: (727) 442-0150 00 YRS/99 YRS Languages: Spanish Mon, Wed 7:30 to 5:00 PCMH: No
Brockway, Chelsea DDS Provider ID: TPVP159206-02 Gender: Female Florida Orthodontic Associates 8686 131st St N Seminole, FL 33776 (727) 442-4070 Fax: (727) 442-0510 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 184
Brockway, Chelsea DDS Provider ID: TPVP159206-04 Gender: Female Florida Orthodontic Associates LLC 1433 Ct St Clearwater, FL 33756 (727) 442-4070 Fax: (727) 442-0150 00 YRS/99 YRS Languages: Spanish Mon 8:00 to 5:00 Thu 7:30 to 5:00 Fri 11:00 to 5:00 PCMH: No
Guloy, Robertzon DMD
Provider ID: TPVP139338-04 Gender: Male Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Guloy, Robertzon DMD Provider ID: TPVP139338-05 Gender: Male Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Guloy, Robertzon DMD Provider ID: TPVP139338-07 Gender: Male Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Guloy, Robertzon DMD
Provider ID: TPVP139338-08 Gender: Male Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Guloy, Robertzon DMD Provider ID: TPVP139338-11 Gender: Male Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Orthodontics - cont.
Hasan, Shadiya DMD Provider ID: TPVP178415-07 Gender: Female Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Hasan, Shadiya DMD
Provider ID: TPVP178415-08 Gender: Female Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Hasan, Shadiya DMD Provider ID: TPVP178415-10 Gender: Female Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 185
Hasan, Shadiya DMD Provider ID: TPVP178415-11 Gender: Female Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Hasan, Shadiya DMD
Provider ID: TPVP178415-14 Gender: Female Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Mann, Nicholas DMD Provider ID: TPVP134710-04 Gender: Male Mann Orthodontics Pa 6026 Park Blvd Pinellas Park, FL 33781 (727) 392-7734 Fax: (813) 877-2337 00 YRS/99 YRS Mon - Thu 8:30 to 5:30 PCMH: No
Mcdowell, Ernest DMD Provider ID: TPVP104348-01 Gender: Male Florida Orthodontic Associates LLC 5885 Central Ave Saint Petersburg, FL 33710 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mcdowell, Ernest DMD
Provider ID: TPVP104348-02 Gender: Male Florida Orthodontic Associates LLC 1433 Ct St Clearwater, FL 33756 (727) 205-1643 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mcdowell, Ernest DMD Provider ID: TPVP104348-03 Gender: Male Florida Orthodontic Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mcdowell, Ernest DMD
Provider ID: TPVP104348-12 Gender: Male Florida Orthodontic Associates PLLC 35036 Us Hwy 19 Palm Harbor, FL 34684 (727) 446-4699 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Orthodontics - cont.
Nelson, Stephen DMD Provider ID: TPVP44404-03 Gender: Male Tyrone Square Mall Dental Pa 6747 Tyrone Square Saint Petersburg, FL 33710 (727) 345-6100 Fax: (727) 345-0793 00 YRS/99 YRS Languages: Spanish Mon - Fri 10:00 to 5:00 PCMH: No
Nelson, Stephen DMD
Provider ID: TPVP44404-22 Gender: Male Countryside Mall Dental Pa 27001 Us Hwy 19 N Ste 1031b Clearwater, FL 33761 (727) 669-1600 00 YRS/99 YRS Languages: Russian Mon - Sat 10:00 to 9:00 Sun 11:00 to 6:00 PCMH: No
Segovia, Flor DDS Provider ID: TPVP103099-08 Gender: Female Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Segovia, Flor DDS Provider ID: TPVP103099-09 Gender: Female Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Segovia, Flor DDS
Provider ID: TPVP103099-11 Gender: Female Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Segovia, Flor DDS Provider ID: TPVP103099-12 Gender: Female Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Segovia, Flor DDS Provider ID: TPVP103099-15 Gender: Female Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Orthopaedic Surgery
Becker, Edward MD Provider ID: 951374 Gender: Male Orthopaedic Medical Group Of Tampa 1201 5th Ave N St Petersburg, FL 33705-1400 (813) 684-2663 Fax: (863) 299-3598 00 YRS/130 YRS Memorial Hospital Of Tampa Brandon Regional Hospital Winter Haven Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Butler, Robert MD
Provider ID: 1232209 Gender: Male Orthopedic Medical Group Of Tampa B 1201 5th Ave N St Petersburg, FL 33705-1400 (813) 684-2663 Fax: (863) 299-3598 00 YRS/130 YRS Winter Haven Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Christ, Philip DO Provider ID: 829 Gender: Male 13787 Belcher Rd S, Ste 330 Largo, FL 33771-4065 (727) 535-9393 Fax: (727) 538-2308 21 YRS/130 YRS Largo Medical Center Indian Rocks St Petersburg General Hosp Largo Medical Center Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Harker, John DO
Provider ID: 8831 Gender: Male Clearwater Orthopedic And Sports Me 701 N Hercules Ave, Ste A Clearwater, FL 33765-2029 (727) 562-9317 Fax: (727) 562-9497 00 YRS/130 YRS Largo Medical Center Indian Rocks Mease Hospital Dunedin Morton Plant Hospital Languages: Spanish Mon, Wed 8:30 to 5:00 Tue, Thu 9:00 to 4:30 Fri 9:00 to 5:00 PCMH: No
Jester, Adam MD Provider ID: 1193406 Gender: Male Orthopeadic Medical Group 10033 Mlk Jr St N Saint Petersburg, FL 33716 (813) 684-2663 Fax: (813) 441-7161 00 YRS/130 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Menon, Sanjay MD Provider ID: 714949 Gender: Male Suncoast Medical Clinic Inc 620 10th St N, Suite 1d Saint Petersburg, FL 33705 (727) 824-7136 Fax: (727) 824-3171 18 YRS/130 YRS St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Mixa, Thomas MD
Provider ID: 8301 Gender: Male Thomas M Mixa Md Pa 1609 Pasadena Ave S, Ste 1a South Pasadena, FL 33707-4514 (727) 321-9644 Fax: (727) 321-8580 00 YRS/130 YRS St Anthonys Physicians Surgery St Petersburg General Hosp Northside Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Moreno, Anthony MD Provider ID: 21771 Gender: Male 1800 Mease Dr Safety Harbor, FL 34695-4659 (727) 669-5300 Fax: (727) 669-5366 00 YRS/18 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Greek, Italian, Spanish PCMH: No
Moreno, Anthony MD Provider ID: 21771 Gender: Male 3251 N Mcmln Bth Rd, Ste 301 Clearwater, FL 33761-2022 (813) 870-1206 Fax: (727) 669-5366 00 YRS/18 YRS Adventhealth North Pinellas Morton Plant Hospital Crmc At Bayonet Point Languages: Greek, Italian, Spanish PCMH: No
Neustadt, Jeffrey MD
Provider ID: 17808 Gender: Male Childrens Orthopaedic And Scoli -osis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Nienke, Thomas DO Provider ID: 1490823 Gender: Male Pinellas Medical Associatespa 5880 49th St N, Ste 104 St Petersburg, FL 33709-2142 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Siddiqi, Farhan MD Provider ID: 1238209 Gender: Female 1801 N Belcher Ave, Ste A Clearwater, FL 33765 (813) 553-7080 12 YRS/130 YRS Medical Center Of Trinity PCMH: No
Tedder, Jeffrey MD
Provider ID: 18193 Gender: Male 5015 4th St N St Petersburg, FL 33703-2901 (727) 522-8838 Fax: (727) 520-0292 05 YRS/130 YRS Northside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Tedder, Jeffrey MD Provider ID: 18193 Gender: Male 5015 W 4th St N Saint Petersburg, FL 33703 (727) 522-8838 Fax: (727) 520-0292 05 YRS/130 YRS Northside Hospital Mon - Thu 9:00 to 5:00 Fri 10:00 to 12:00 PCMH: No
Watson, Jeffrey MD
Provider ID: 707626 Gender: Male Orthopaedic Med Grp Of Tampa 10033 Mlk Jr St N Saint Petersburg, FL 33716 (813) 684-2663 Fax: (813) 441-7161 00 YRS/130 YRS Tampa Bay Surgery Center South Florida Baptist Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Pain Management
Godoy-Hung, Danya MD Provider ID: 279088 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 2d St Petersburg, FL 33705-1407 (727) 824-8383 Fax: (727) 824-8388 18 YRS/130 YRS St Anthonys Physicians Surgery St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Le, Thanh MD
Provider ID: 28238 Gender: Male Pain Relief Centers 6640 78th Ave N, Ste A Pinellas Park, FL 33781-2064 (727) 518-8660 Fax: (727) 518-8662 18 YRS/130 YRS Morton Plant Hospital Northside Hospital West Park Surgery Center. Llc Languages: Vietnamese Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No
Otero, John MD Provider ID: 1779827 Gender: Male Pain Relief Centers 6640 78th Ave N, Ste A Pinellas Park, FL 33781-2064 (727) 518-8660 Fax: (727) 518-8662 18 YRS/110 YRS PCMH: No
Rivera, Abraham MD Provider ID: 2201098 Gender: Male Charles K Friedman Do Pa 5767 49th St N St Petersburg, FL 33709-2106 (727) 350-0450 Fax: (727) 518-8662 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Allergy & Immunology
Ballow, Mark MD Provider ID: 787027 Gender: Male Usf Physicians Group 601 5th St S Saint Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 853-2 00 YRS/130 YRS Mon - Sat 8:00 to 5:00 PCMH: No
Leiding, Jennifer MD
Provider ID: 691185 Gender: Female The University Of South Florida 601 5th St S, 3rd Fl St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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cont.
Sher, Mandel MD Provider ID: 1639096 Gender: Male Florida Pediatrics Associates. LLC 11200 Seminole Blvd, Ste 310 Largo, FL 33778-3239 (727) 397-8557 Fax: (727) 397-4459 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sher, Mandel MD
Provider ID: 196325 Gender: Male Usf Physicians Group 601 5th St S, Ste 3 St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sriaroon, Panida MD Provider ID: 1961182 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 711 St Petersburg, FL 33701-4804 (727) 767-8727 Fax: (727) 767-8711 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Tang, Nathan MD Provider ID: 192127 Gender: Male Usf Physicians Group 601 5th St S, Ste 304 Saint Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Hospital Languages: Thai Mon - Fri 8:00 to 5:00 PCMH: No
Walter, Jolan MD
Provider ID: 1192628 Gender: Female Usf Physicians Group 601 5th St S, 3rd Fl Saint Petersburg, FL 33701 (800) 456-4543 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Hungarian Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Cardiology
Asante Korang, Alfred MD Provider ID: 1085232 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 711 Saint Petersburg, FL 33701 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Censoplano, Nina DO Provider ID: 2085445 Gender: Female Pediatric Physician Services. Inc 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 767-4343 Fax: (727) 767-6463 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Crawford, Marguerite MD
Provider ID: 314170 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Crawford, Marguerite MD Provider ID: 314170 Gender: Female 601 5th St S, Ste 206 Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Crawford, Marguerite MD
Provider ID: 314170 Gender: Female 900 Carillon Pkwy Saint Petersburg, FL 33716 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
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Pediatric Cardiology - cont.
Decker, Jamie MD Provider ID: 584686 Gender: Male Pediatric Cardiology 601 5th St S, Ste 206 Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-2880 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Freire, Grace MD
Provider ID: 298902 Gender: Female 601 5th St S, Ste 2 Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/130 YRS Languages: French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Gupta, Monesha MD Provider ID: 1274232 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 2 St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hardin, Joel MD
Provider ID: 1311775 Gender: Male Pediatrix Medical Group Of Florida. 601 5th St S, Ste 711 Saint Petersburg, FL 33701 (727) 322-4830 Fax: (855) 527-5510 00 YRS/21 YRS Mon - Sun 8:00 to 5:00 PCMH: No
Mauriello, Daniel MD Provider ID: 1027573 Gender: Male Pediatric Physician Services Inc 501 6th Ave S, Dept 70-7130 Saint Petersburg, FL 33701 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mauriello, Daniel MD
Provider ID: 1027573 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 206 Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Joelle MD Provider ID: 1557748 Gender: Female Pediatric Physician Services Inc 601 5th St S, # Occ St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Michelle MD
Provider ID: 569568 Gender: Female Pediatric Physician Services Inc 601 5th St S, 2nd Fl St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No
Ng, Benton MD Provider ID: 1179732 Gender: Male Acsp Pediatric Cardiology 601 5th St S, 2nd Fl Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Tue 8:30 to 5:00 PCMH: No
Nguyen, Thieu MD
Provider ID: 576135 Gender: Male Pediatric Physician Services. Inc 601 5th St S, 5th Floor Saint Petersburg, FL 33701-4804 (727) 767-3333 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Ramey, Jeremy MD Provider ID: 840879 Gender: Male 601 5th St S, Ste 2 St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Sambatakos, Peter MD
Provider ID: 1531421 Gender: Male Pediatric Physician Services 601 5th St S, Ste 2 St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Pediatric Cardiovascular Surgery
Quintessenza, James MD Provider ID: 2113662 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 607 Saint Petersburg, FL 33701-4804 (727) 767-6666 Fax: (727) 767-2880 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Ear. Nose & Throat
Andrews, Thomas MD Provider ID: 1771243 Gender: Male Pediatric Otolaryngology Head And N 1700 N Mcmln Bth Rd, Ste B1 Clearwater, FL 33759-2100 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Andrews, Thomas MD
Provider ID: 1771243 Gender: Male Pediatric Otolaryngology Head And N 601 5th St S, Ste 701 St Petersburg, FL 33701-4804 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Cressman, Wade MD Provider ID: 1773237 Gender: Male Pediatric Otolaryngology Head And N 1700 N Mcmln Bth Rd, Ste B1 Clearwater, FL 33759-2100 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Cressman, Wade MD
Provider ID: 1773237 Gender: Male Pediatric Otolaryngology Head And N 601 5th St S, Ste 701 St Petersburg, FL 33701-4804 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS St Josephs Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Trowbridge, Rose MD
Provider ID: 1773205 Gender: Female Pediatric Ear Nose Throat Specia 1700 N Mcmln Bth Rd, Ste B1 Clearwater, FL 33759-2100 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Trowbridge, Rose MD
Provider ID: 1773205 Gender: Female Pediatric Ear Nose Throat Specias 601 5th St S, Ste 701 St Petersburg, FL 33701-4804 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wasylik, Kathleen MD Provider ID: 1773229 Gender: Female Pediatric Otolaryngology Head Nec 601 5th St S, Ste 701 St Petersburg, FL 33701-4804 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wasylik, Kathleen MD
Provider ID: 1773229 Gender: Female Pediatric Otolaryngology Head & Nec 1700 N Mcmln Bth Rd, Ste B1 Clearwater, FL 33759-2100 (727) 329-5400 Fax: (727) 329-5401 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Pediatric Endocrinology
Canas, Jose MD Provider ID: 1831454 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 504 St Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Canas, Jose MD
Provider ID: 230697 Gender: Male Nemours Clinic 601 5th St S, Ste 502 Saint Petersburg, FL 33701 (904) 697-3600 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Gan, Mary Joyce MD Provider ID: 1531433 Gender: Female Pediatric Physician Services 601 5th St S, Ste 502 Saint Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Jackman, Suzanne MD Provider ID: 713871 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 304 Saint Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No
Nambam, Bimota MD
Provider ID: 2104808 Gender: Female Pediatric Physician Services. Inc. 601 Fifth St N St Petersburg, FL 33701 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Reynolds, Danielle MD Provider ID: 1172732 Gender: Female Pediatric Physician Services 601 5th St S, Ste 502 Saint Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shah, Shuchi MD
Provider ID: 1638773 Gender: Female All Childrens Specialty Physicians 601 5th St S, Ste 502 St Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Gastroenterology
Condino, Adria DO Provider ID: 429785 Gender: Female 1840 Mease Dr, Ste 204 Safety Harbor, FL 34695-6604 (727) 822-4300 Fax: (727) 456-1399 00 YRS/130 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Pediatric Surgery Centers Llc Mon - Fri 9:00 to 5:00 PCMH: No
Condino, Adria DO Provider ID: 429785 Gender: Female 2901 58th Ave N Saint Petersburg, FL 33714-1326 (727) 822-4300 Fax: (727) 456-1399 00 YRS/130 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Pediatric Surgery Centers Llc PCMH: No
Dhana, Leila MD Provider ID: 207634 Gender: Female 1840 Mease Dr, Ste 204 Safety Harbor, FL 34695-6604 (727) 791-7504 Fax: (727) 791-6409 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Dhana, Leila MD Provider ID: 207634 Gender: Female 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Dhana, Leila MD
Provider ID: 207634 Gender: Female 801 6th St S Saint Petersburg, FL 33701-4839 (727) 822-4300 Fax: (727) 822-9515 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 4:30 PCMH: No
Ignacio, Joseph MD Provider ID: 197151 Gender: Male 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 822-1399 00 YRS/130 YRS St Josephs Hospital Memorial Regional Hospital Brandon Regional Hospital Languages: Creole, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Irizarry, Karina MD Provider ID: 469781 Gender: Female 480 7th Ave S Saint Petersburg, FL 33701-4839 (727) 822-4300 Fax: (727) 822-1399 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Irizarry, Karina MD
Provider ID: 469781 Gender: Female 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (813) 987-2911 Fax: (727) 456-1399 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Kaiser, Greg MD Provider ID: 19532 Gender: Male 1840 Mease Dr, Ste 204 Safety Harbor, FL 34695-6604 (727) 791-7504 Fax: (727) 791-6409 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Kaiser, Greg MD Provider ID: 19532 Gender: Male Ped Gastroen Hepatol Nutrition 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 822-9515 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Kaiser, Greg MD
Provider ID: 19532 Gender: Male Ped Gastroen Hepatol Nutrition 601 5th St South, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 822-9515 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Karjoo, Sara MD Provider ID: 910740 Gender: Female 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 7:30 to 5:00 PCMH: No
Updated for: July, 2020.
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Mcclenathan, Daniel MD
Provider ID: 1347 Gender: Male 1840 Mease Dr, Ste 204 Safety Harbor, FL 34695-6604 (727) 791-7504 Fax: (727) 791-6409 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Mcclenathan, Daniel MD
Provider ID: 1347 Gender: Male 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Mcclenathan, Daniel MD
Provider ID: 1347 Gender: Male Ped Gastroen Hepatol & Nutrition 801 6th St S Saint Petersburg, FL 33701-4839 (727) 822-4300 Fax: (727) 822-9515 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Mcclenathan, Daniel MD
Provider ID: 2104810 Gender: Male Pediatric Physician Services. Inc. 601 Fifth Street North St Petersburg, FL 33701 (727) 822-4300 Fax: (727) 456-1399 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Wilsey, Michael MD
Provider ID: 200955 Gender: Male 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/130 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Wilsey, Michael MD
Provider ID: 2104809 Gender: Male Pediatric Physician Services. Inc. 601 Fifth Street North St Petersburg, FL 33701 (727) 822-4300 Fax: (727) 456-1399 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Genetics
Crenshaw, Melissa MD Provider ID: 330746 Gender: Female Pediatric Physician Services Geneti 601 5th St S, 5th Fl St Petersburg, FL 33701-4634 (727) 767-8491 Fax: (727) 767-8270 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Pediatric Hematology/Oncology
Beaupin, Lynda MD
Provider ID: 1701026 Gender: Female Acsp Hematology/Oncology 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chellapandian, Deepakbabu MD
Provider ID: 1518571 Gender: Male Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-7472 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Pediatric Hematology/Oncology -
cont.
Goldenberg, Neil MD Provider ID: 783540 Gender: Male 601 5th St S, 3rd Fl Saint Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: French Mon - Fri 8:30 to 5:00 PCMH: No
Jerome Clay, E. MD
Provider ID: 1552005 Gender: Female Acsp Hematology/Oncology 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Metts, Jonathan MD Provider ID: 1366780 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 302 Saint Petersburg, FL 33701 (727) 767-6856 Fax: (727) 767-7472 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Metts, Jonathan MD Provider ID: 1366780 Gender: Male Pediatric Physician Services Inc 777 4th St S, 2nd Flr Saint Petersburg, FL 33701 (727) 767-3053 Fax: (727) 767-4970 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Moore, Colin MD
Provider ID: 907719 Gender: Male Pediatric Physician Services 601 5th St S, Fl 5 Box 6941 Saint Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Oshrine, Benjamin MD Provider ID: 1000126 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 3 Saint Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Reed, Damon MD Provider ID: 451168 Gender: Male All Children's Specialty Physicians 601 5th St S, 3rd Fl St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Shaw, Peter MD
Provider ID: 1551999 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 302 Saint Petersburg, FL 33701-4804 (727) 767-7324 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:30 to 4:00 PCMH: No
Stapleton, Stacie MD Provider ID: 401213 Gender: Female 601 5th St S, Ste 302 Saint Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatric Hematology/Oncology -
cont.
Stapleton, Stacie MD Provider ID: 401213 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Sunkersett, Gauri DO
Provider ID: 1515897 Gender: Female Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/18 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Infectious Disease
Berman, David DO Provider ID: 173540 Gender: Male 601 5th St S, Ste 504 Saint Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 196
Cucchiaro, Giovanni MD Provider ID: 1831453 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 504 St Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lujan Zilbermann, Jorge MD
Provider ID: 1831447 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 504 St Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Messina, Allison MD Provider ID: 346501 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 767-4160 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Messina, Allison MD Provider ID: 346501 Gender: Female Pediatric Physician Services 601 5th St S, 5th Fl St Petersburg, FL 33701-4804 (727) 767-4160 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No
Rodriguez, Carina MD
Provider ID: 343712 Gender: Female Usf Physicicans Group 601 5th St S Saint Petersburg, FL 33701 (813) 259-8800 Fax: (813) 259-8805 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Thomas, Matthew MD Provider ID: 1358710 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 504 Saint Petersburg, FL 33701 (727) 767-4160 Fax: (727) 767-8270 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatric Nephrology
Ayestaran Cassani, Frank MD
Provider ID: 1109909 Gender: Male 601 5th St S, 3rd Fl Saint Petersburg, FL 33701 (727) 767-4181 Fax: (727) 767-8379 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Rodriguez, Jessica MD
Provider ID: 1447132 Gender: Female Usf Physicians Group 601 5th Street South, 3rd Floor Saint Petersburg, FL 33701 (727) 767-4181 Fax: (727) 767-4219 00 YRS/21 YRS Mon - Fri, Sun 8:00 to 5:00 PCMH: No
Pediatric Neurosurgery
Carey, Carolyn MD Provider ID: 173532 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 Fax: (727) 767-8030 00 YRS/21 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 197
Rodriguez, Luis MD
Provider ID: 309778 Gender: Male 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 Fax: (727) 767-8030 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: German, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Rodriguez, Luis MD
Provider ID: 309778 Gender: Male 601 5th St S, Ste 511 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: German, Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Rodriguez, Luis MD
Provider ID: 309778 Gender: Male Pediatric Physician Services Inc 880 6th St S, Ste 310 St Petersburg, FL 33701-4824 (727) 502-8181 Fax: (727) 502-8030 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: German, Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Tuite, Gerald MD
Provider ID: 17798 Gender: Male 601 5th St S, Ste 511 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/130 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Tuite, Gerald MD Provider ID: 17798 Gender: Male Pediatric Physician Services Inc 880 6th St S, Ste 310 St Petersburg, FL 33701-4825 (727) 502-8181 Fax: (727) 502-8030 00 YRS/130 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Tuite, Gerald MD
Provider ID: 17798 Gender: Male 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 Fax: (727) 767-8030 00 YRS/130 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatric Orthopaedics
Benfanti, Paul MD
Provider ID: 587667 Gender: Male Childrens Orthopaedic And Scoli-osis 3850 Tampa Rd Palm Harbor, FL 34684-3670 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Tue, Thu 9:00 to 12:00 PCMH: No Telemedicine Presenting and Receiving Site
Benfanti, Paul MD
Provider ID: 587667 Gender: Male Childrens Orthopaedic And Scoli-osis 625 6th Ave S, Ste 450 Saint Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Hahn, Gregory MD
Provider ID: 26988 Gender: Male Childrens Orthopaedic & Scoliosis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Neustadt, Jeffrey MD
Provider ID: 17808 Gender: Male Childrens Orthopaedic And Scoli-osis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Warnick, Drew MD
Provider ID: 557201 Gender: Male Childrens Orthopaedic And Scoli -osis 3850 Tampa Rd Palm Harbor, FL 34684-3670 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Warnick, Drew MD
Provider ID: 557201 Gender: Male Childrens Orthopaedic And Scoli -osis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Orthopedic Surgery
Bland, Daniel MD Provider ID: 1500475 Gender: Male Childrens Orthopaedic Scoliosis Sur 3850 Tampa Rd Palm Harbor, FL 34684-3670 (727) 893-2663 Fax: (727) 568-6836 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 198
33453864
Specialty Physicians
Pinellas
Pediatric Orthopedic Surgery - cont.
Bland, Daniel MD Provider ID: 1500475 Gender: Male Childrens Orthopaedic Scoliosis Sur 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Phillips, Lee MD
Provider ID: 1100601 Gender: Male Children's Orthopaedic Scoliosis S 625 6th Ave S, Ste 450 Saint Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Wilson, Thomas MD Provider ID: 1647672 Gender: Male Childrens Orthopaedic Scoliosis Su 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (251) 533-3852 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Pulmonology
Green, Deanna MD Provider ID: 1172718 Gender: Female Pediatric Physician Services Inc 501 6th St S Saint Petersburg, FL 33701 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Green, Deanna MD
Provider ID: 1172718 Gender: Female Pediatric Pulmonary Assoc 601 5th St S, Ste 708 Dept 7598 Saint Petersburg, FL 33701 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Kriseman, Anthony MD Provider ID: 17783 Gender: Male Outpatient Care Center 601 5th St S, Ste 708 Saint Petersburg, FL 33701-4804 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Mon - Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 199
Mckinley, Scott DO Provider ID: 1241861 Gender: Male Pediatric Physician Services 601 5th St S, 708 Dept 3012 Saint Petersburg, FL 33701 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ortiz, Luis MD
Provider ID: 1778225 Gender: Male Pediatric Physician Services. Inc 501 6th St S St Petersburg, FL 33701-4630 (727) 767-3679 Fax: (727) 767-8429 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Ortiz, Luis MD Provider ID: 1778225 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 5 St Petersburg, FL 33701-4804 (727) 767-4458 Fax: (727) 767-4458 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Robinson, Carolyn MD
Provider ID: 1169969 Gender: Female Pediatric Physician Services. Inc 601 5th St S, Ste 708 Saint Petersburg, FL 33701 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatric Pulmonology - cont.
Rosenberg, David MD Provider ID: 1424 Gender: Male Pediatric Pulmonary Specialists Pa 3253 Mcmullen Booth Rd Safety Harbor, FL 34695 (813) 870-1995 Fax: (813) 875-1889 00 YRS/130 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Lakeland Reg Medical Ctr Mon - Thu 9:00 to 5:00 PCMH: No
Pediatric Rehabilitation Medicine
Chinarian, James MD Provider ID: 1558080 Gender: Male Pediatric Physician Services 880 6th St S, Ste 310 Saint Petersburg, FL 33701-4824 (727) 767-8590 Fax: (727) 767-4319 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Chinarian, James MD
Provider ID: 2021522 Gender: Male Because You Can LLC 3775 Central Ave, Ste B St Petersburg, FL 33713-8338 (813) 966-2414 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Pediatric Rheumatology
Milojevic, Diana MD Provider ID: 1549975 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 504 St Petersburg, FL 33701-4804 (727) 767-7438 Fax: (727) 767-8270 00 YRS/21 YRS Mon - Wed, Fri 8:00 to 5:00 Thu 9:00 to 5:00 PCMH: No
Nickeson, Robert MD
Provider ID: 219518 Gender: Male Pediatric Physician Services Inc 601 5th St S, 5th Fl Saint Petersburg, FL 33701-4804 (727) 767-7438 Fax: (727) 767-8270 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: French Mon - Fri 8:30 to 5:00 PCMH: No
Santiago, Laisa MD Provider ID: 848123 Gender: Female 601 5th St S, Dept 7795 St Petersburg, FL 33701-4804 (727) 767-7438 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Schlefman, Amanda DO Provider ID: 1795235 Gender: Female Pediatric Physician Services 601 5th St S, Ste 504 St Petersburg, FL 33701-4804 (727) 767-7438 Fax: (727) 767-8270 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sher, Mandel MD
Provider ID: 196325 Gender: Male Usf Physicians Group 601 5th St S, Ste 3 St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Szymanski, Ann MD Provider ID: 1996076 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 504 St Petersburg, FL 33701 (727) 767-7438 Fax: (727) 767-8270 00 YRS/01 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Sports Medicine
Irani, Sarah MD Provider ID: 1169967 Gender: Female Pediatric Physician Services. Inc 601 5th St S, Ste 202 St Petersburg, FL 33701-4804 (727) 767-7678 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 200
33453864
Specialty Physicians
Pinellas
Pediatric Surgery
Chandler, Nicole MD Provider ID: 461033 Gender: Female 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Chandler, Nicole MD Provider ID: 461033 Gender: Female 601 5th St S, Ste 306 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Danielson, Paul MD
Provider ID: 460250 Gender: Male 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 898-7451 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Pediatric Surgery Centers Llc Mon - Fri 9:00 to 5:00 PCMH: No
Danielson, Paul MD Provider ID: 460250 Gender: Male 601 5th St S, Ste 302 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Pediatric Surgery Centers Llc Mon - Fri 9:00 to 5:00 PCMH: No
Gonzalez, Raquel MD Provider ID: 1523280 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Kays, David MD
Provider ID: 1182428 Gender: Male Pediatric Physician Services. Inc 601 5th St S, 3rd Fl Saint Petersburg, FL 33701-4800 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Rideout, Drew MD Provider ID: 916252 Gender: Male Outpatient Care Center 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Tampa General Hospital Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Smithers, Charles MD Provider ID: 1842823 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Snyder, Christopher MD
Provider ID: 1654763 Gender: Male Pediatric Physician Services Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 201
33453864
Specialty Physicians
Pinellas
Pediatric Surgery - cont.
Thatch, Keith MD
Provider ID: 1585880 Gender: Male Acsp Pediatric Surgical Network 601 5th St S, Ste 306 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Walford, Nebbie MD Provider ID: 558061 Gender: Female Pediatric Physician Services 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Walford, Nebbie MD
Provider ID: 558061 Gender: Female Pediatric Physician Services Inc 601 5th St S, 3rd Fl Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 4:00 PCMH: No
Pediatric Urology
Ballesteros, Natalia MD
Provider ID: 1989795 Gender: Female Children's Urology Group 601 5th St S, Ste 602 St Petersburg, FL 33701-4804 (813) 874-7500 Fax: (813) 872-0955 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Corbyons, Katherine MD
Provider ID: 1245948 Gender: Female Children's Urology Group. Pl 601 5th St S, Ste #602 Saint Petersburg, FL 33701-4804 (727) 456-1055 Fax: (813) 877-1397 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Kolligian, Mark MD
Provider ID: 164682 Gender: Male Palm Harbor At All Childrens Speci 3850 Tampa Rd, Entrance A Palm Harbor, FL 34684-3670 (813) 874-7500 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 202
Kolligian, Mark MD
Provider ID: 164682 Gender: Male St Petersburg At All Childrens Hos 601 5th St S, Ste 602 Saint Petersburg, FL 33701-4804 (727) 456-1055 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Polsky, Ethan MD
Provider ID: 341141 Gender: Male Palm Harbor At All Childrens Speci 3850 Tampa Rd, Entrance A Palm Harbor, FL 34684-3670 (813) 874-7500 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
Polsky, Ethan MD
Provider ID: 341141 Gender: Male St Petersburg At All Childrens Ho 601 5th St S, Ste 602 Saint Petersburg, FL 33701-4804 (727) 456-1055 Fax: (813) 877-1397 00 YRS/18 YRS St Josephs Hospital Johns Hopkins All Childrens Hospital Inc Tampa Bay Surgery Center Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatrics
Ahmad, Akif MD Provider ID: 1476866 Gender: Male Johnnie Ruth Clarke Health Center 1344 22nd St S Saint Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 824-8150 16 YRS/130 YRS Mon, Thu 7:30 to 8:00 Tue - Wed 7:30 to 7:00 Fri 7:30 to 5:00 Sat 8:00 to 4:00 PCMH: No
Arango, Jan MD
Provider ID: 2040690 Gender: Female East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Arango, Jan MD Provider ID: 2040691 Gender: Female East Lake Pediatrics Pa 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3478 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 203
Berg, Marie MD Provider ID: 1536796 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Berio Alvarez, Marta MD
Provider ID: 817466 Gender: Female St Petersburg Pediatrics Largo 3475 E Bay Dr Largo, FL 33771 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Chernin, Leah DO Provider ID: 2039425 Gender: Female S.g Weiss M.d. Inc 3251 N Mcmln Bth Rd, Ste 300 Clearwater, FL 33761-2022 (727) 791-3337 Fax: (727) 725-2577 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cibran, Mariano MD Provider ID: 817006 Gender: Male St Petersburg Pediatrics Pinellas P 7500 Park Blvd N, Ste A Pinellas Park, FL 33781-3714 (727) 822-1896 Fax: (727) 547-7961 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Cibran, Mariano MD
Provider ID: 817028 Gender: Male St Petersburg Pediatrics Largo Mall 12170 Seminole Blvd Largo, FL 33778 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Cibran, Mariano MD Provider ID: 817057 Gender: Male St Petersburg Pediatrics Largo 3475 East Bay Dr Largo, FL 33771 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatrics - cont.
Cibran, Mariano MD Provider ID: 817063 Gender: Male St Petersburg Pediatrics Disston 4105 49th St N Saint Petersburg, FL 33709 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Petersburg General Hosp Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Colon, Yaritza MD
Provider ID: 187621 Gender: Female Community Health Ctrs Of Pinellas 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 544-2284 Fax: (727) 541-7984 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Conde, Nicole DO Provider ID: 1354376 Gender: Female Community Health Centers Of Pinella 1344 22nd St S Saint Petersburg, FL 33712 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 204
Conde, Nicole DO Provider ID: 1354377 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 544-2284 Fax: (727) 541-7984 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO
Provider ID: 1354380 Gender: Female Community Health Centers At Bayfron 701 6th St S Saint Petersburg, FL 33701 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO Provider ID: 1354382 Gender: Female Community Health Centers At Largo 12420 130th Ave Largo, FL 33774 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO Provider ID: 1354383 Gender: Female Community Health Centers At Clearwa 707 Druid Rd E Clearwater, FL 33756 (727) 461-1439 Fax: (727) 461-1692 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO
Provider ID: 1354383 Gender: Female 612 Mlk Jr St N Saint Petersburg, FL 33705 (727) 824-8181 Fax: (727) 209-0309 00 YRS/21 YRS PCMH: No
Conde, Nicole DO Provider ID: 1354383 Gender: Female 12420 130th Ave N Largo, FL 33774 (727) 824-8181 Fax: (727) 587-7739 00 YRS/21 YRS PCMH: No
Conde, Nicole DO
Provider ID: 1354383 Gender: Female 1344 22nd St S Saint Petersburg, FL 33712 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS PCMH: No
33453864
Specialty Physicians
Pinellas
Pediatrics - cont.
Conde, Nicole DO Provider ID: 1354383 Gender: Female 1721 Main St Dunedin, FL 34698 (727) 824-8181 Fax: (727) 736-1735 00 YRS/21 YRS PCMH: No
Conde, Nicole DO
Provider ID: 1354383 Gender: Female 247 S Huey Ave Tarpon Springs, FL 34689 (727) 824-8181 Fax: (727) 939-4679 00 YRS/21 YRS PCMH: No
Conde, Nicole DO Provider ID: 1354383 Gender: Female 5523 Roosevelt Blvd Clearwater, FL 33760-3425 (727) 824-8181 Fax: (727) 286-6624 00 YRS/21 YRS PCMH: No
Conde, Nicole DO
Provider ID: 1354384 Gender: Female Community Health Centers At Suncoas 5523 Roosevelt Blvd Clearwater, FL 33760 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 205
Conde, Nicole DO Provider ID: 1354386 Gender: Female Community Health Centers At St Pete 612 Dr. Martin Luther King Jr St N Saint Petersburg, FL 33705 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO
Provider ID: 1354388 Gender: Female Community Health Centers At Tarpon 247 S Huey Ave Tarpon Springs, FL 34689 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Conde, Nicole DO Provider ID: 1354390 Gender: Female Community Health Centers At Dunedin 1721 Main St Tarpon Springs, FL 34689 (727) 824-8181 Fax: (727) 823-7429 00 YRS/21 YRS Mon, Fri 8:00 to 6:00 Tue - Thu 8:00 to 8:00 Sat 8:00 to 4:30 PCMH: No
Dayan, Joseph MD Provider ID: 1189397 Gender: Male Pediatric Physician Services 501 6th Ave S, Dept 6365 Saint Petersburg, FL 33701-4804 (727) 767-8049 Fax: (727) 767-4805 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Dhanireddy, Jennifer MD
Provider ID: 1834506 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Diego, Alejandro MD Provider ID: 1278584 Gender: Male Westcoast Neonatology 601 5th St S, Occ 5th Floor Saint Petersburg, FL 33701 (727) 767-4313 Fax: (727) 767-4391 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Driver, Kelly DO
Provider ID: 1538961 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Pediatrics - cont.
Ellitt, Richard MD Provider ID: 1971287 Gender: Male Pediatric Physican Services. Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-3679 Fax: (727) 767-8426 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1135290 Gender: Female Chc At St. Petersburg 612 Mlk St N Saint Petersburg, FL 33705 (727) 824-8181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1135292 Gender: Female Community Health Centers Of Pinella 247 S Huey Ave Tarpon Springs, FL 34689 (727) 824-8181 Fax: (727) 939-4679 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 206
Elvambuena, Glivery Mary MD
Provider ID: 1135293 Gender: Female Community Health Centers Of Pinella 12420 130th Ave N Largo, FL 33774 (727) 824-8181 Fax: (727) 587-7739 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1135294 Gender: Female Community Health Centers Of Pinella 7550 43rd St N Pinellas Park, FL 33781 (727) 824-8181 Fax: (727) 541-7984 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1135295 Gender: Female Community Health Centers Of Pinella 1344 22nd St S Saint Petersburg, FL 33712 (727) 824-8181 Fax: (727) 824-8150 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1135297 Gender: Female Community Health Centers Of Pinella 701 6th St S Saint Petersburg, FL 33701 (727) 824-8181 Fax: (727) 209-5619 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD Provider ID: 1136238 Gender: Female Chc At Suncoast 707 Druid Rd E Clearwater, FL 33760 (727) 461-1439 Fax: (727) 461-1692 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 1160700 Gender: Female Chc At Dunedin 1721 Main St Dunedin, FL 34698 (727) 824-8181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Elvambuena, Glivery Mary MD
Provider ID: 990586 Gender: Female Community Health Centers Of Pinella 707 Druid Rd E Clearwater, FL 33756-3951 (727) 461-1439 Fax: (727) 461-1692 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Pediatrics - cont.
Faulkner, Kim MD Provider ID: 1350239 Gender: Female Subspecialty: HRSA FQHC 1344 22nd Street South Saint Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS PCMH: No
Faulkner, Kim MD
Provider ID: 1350239 Gender: Female Community Health Centers At Largo Subspecialty: HRSA FQHC 12420 130th Ave N Largo, FL 33774 (727) 824-8181 Fax: (727) 587-7739 18 YRS/130 YRS Mon - Fri 7:30 to 8:00 Sat 8:00 to 4:30 PCMH: No
Faulkner, Kim MD Provider ID: 1350241 Gender: Female Community Health Centers Johnnie Ru 1344 22nd St S Saint Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS Mon - Fri 7:30 to 8:00 Sat 8:00 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 207
Gaud, Rosa MD Provider ID: 924305 Gender: Female Pediatric Associates Of Tampa Bay 2595 Tampa Rd, Ste W Palm Harbor, FL 34684 (727) 785-3092 Fax: (727) 786-1714 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gomez Rayon, Jorge MD
Provider ID: 1647811 Gender: Male 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Grindy, Anna MD Provider ID: 2004123 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Hill, Taryn MD
Provider ID: 1251758 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 504 Saint Petersburg, FL 33701 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Hoang, Jessie MD Provider ID: 1232197 Gender: Female Pediatric Physician Services 501 6th Ave S, Dept 6245 Saint Petersburg, FL 33701-4634 (941) 917-7490 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No
Hornbeck, Elizabeth MD
Provider ID: 1970330 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 7050 Seminole Blvd Seminole, FL 33772-5931 (727) 392-8033 Fax: (727) 392-9578 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Hunter, Ebony MD Provider ID: 1815301 Gender: Female Pediatric Physician Services 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Pediatrics - cont.
Kelley, Sarah MD Provider ID: 1076560 Gender: Female Community Health Centers At Bayfron 701 6th St S Saint Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 893-6435 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 8:00 Wed, Fri 8:00 to 5:00 Sat 8:00 to 4:30 PCMH: No
Kelley, Sarah MD
Provider ID: 1076822 Gender: Female Chc At St. Petersburg 612 Dr Mlk Jr St N Saint Petersburg, FL 33705-1403 (727) 824-8181 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 8:00 Wed, Fri 8:00 to 5:00 Sat 8:00 to 4:30 PCMH: No
Kelley, Sarah MD Provider ID: 1160703 Gender: Female Chc At Dunedin 1721 Main St Dunedin, FL 34698 (727) 824-8181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 208
Kelley, Sarah MD Provider ID: 712794 Gender: Female Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 544-2284 Fax: (727) 541-7984 00 YRS/21 YRS Mon - Wed 8:00 to 8:00 Thu - Fri 8:00 to 5:00 Sat 8:00 to 4:00 PCMH: No
Kelley, Sarah MD
Provider ID: 727390 Gender: Female 1344 22nd St S Saint Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 823-7429 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 8:00 Wed, Fri 8:00 to 5:00 Sat 8:00 to 4:30 PCMH: No
Kelley, Sarah MD Provider ID: 727405 Gender: Female 707 Druid Rd E Clearwater, FL 33756-3913 (727) 461-1439 Fax: (727) 461-1692 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 8:00 Wed, Fri 8:00 to 5:00 Sat 8:00 to 4:30 PCMH: No
Kelley, Sarah MD Provider ID: 727412 Gender: Female 247 S Huey Ave Tarpon Springs, FL 34689-4205 (727) 824-8181 Fax: (727) 944-3828 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 8:00 Wed, Fri 8:00 to 5:00 Sat 8:00 to 4:30 PCMH: No
Kitterman, Christopher DO
Provider ID: 1335096 Gender: Male Community Health Centers At Pinella 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 443-7230 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Kitterman, Christopher DO Provider ID: 1335110 Gender: Male Community Health Centers At Pinella 247 S Huey Ave Tarpon Springs, FL 34689-4205 (727) 824-8181 Fax: (727) 939-4679 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Kitterman, Christopher DO
Provider ID: 1335121 Gender: Male Community Health Centers At Pinella 5523 Roosevelt Blvd Clearwater, FL 33760-3425 (727) 824-8181 Fax: (727) 286-6225 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
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Pediatrics - cont.
Kitterman, Christopher DO Provider ID: 1335126 Gender: Male Community Health Centers At Pinella 612 Mlk St N Saint Petersburg, FL 33705-1403 (727) 824-8181 Fax: (727) 209-0309 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Kitterman, Christopher DO
Provider ID: 1335128 Gender: Male Community Health Centers At Pinella 1721 Main St Dunedin, FL 34698-6402 (727) 824-8181 Fax: (727) 736-1735 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Lam, Yim MD Provider ID: 1073738 Gender: Male Johnnie Ruth Clark 1344 22nd St S Saint Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 823-7429 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lam, Yim MD
Provider ID: 1073739 Gender: Male Chc At Clearwater 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 443-7230 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 209
Lam, Yim MD Provider ID: 1073740 Gender: Male 707 Druid Rd E Clearwater, FL 33756 (727) 824-8181 Fax: (727) 443-7230 00 YRS/18 YRS PCMH: No
Lam, Yim MD
Provider ID: 1073740 Gender: Male Community Health Centers At Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 471-7893 00 YRS/18 YRS Sat 8:00 to 4:00 PCMH: No
Lam, Yim MD Provider ID: 1073742 Gender: Male Community Health Centers At Suncoas 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 824-8181 Fax: (727) 286-6225 00 YRS/18 YRS Sat 8:00 to 4:00 PCMH: No
Lam, Yim MD
Provider ID: 1073743 Gender: Male Chc At Largo 12420 130th Ave N Largo, FL 33774-1919 (727) 824-8181 Fax: (727) 587-7739 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lam, Yim MD Provider ID: 1073744 Gender: Male Community Health Centers At Bayfron 701 6th St S Saint Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 893-6435 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lam, Yim MD
Provider ID: 1135282 Gender: Male Chc At St. Petersburg 612 Mlk St N Saint Petersburg, FL 33705 (727) 824-8181 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lopez Dominguez, Maria MD
Provider ID: 975991 Gender: Female 12170 Seminole Blvd Largo, FL 33778-2833 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Languages: Spanish Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Lopez Molina, Norma MD
Provider ID: 1074137 Gender: Female Chc At Largo 12420 130th Ave N Largo, FL 33774-1919 (727) 824-8181 Fax: (727) 587-7739 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Pediatrics - cont.
Lopez Molina, Norma MD
Provider ID: 1076563 Gender: Female Community Health Centers At Bayfron 701 6th St S Saint Petersburg, FL 33701-4814 (727) 824-8181 Fax: (727) 893-6435 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lopez Molina, Norma MD
Provider ID: 1076829 Gender: Female Chc At St. Petersburg 612 Dr Mlk Jr St N Saint Petersburg, FL 33705-1403 (727) 824-8181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lopez Molina, Norma MD
Provider ID: 1160706 Gender: Female Chc At Dunedin 1721 Main St Dunedin, FL 34698 (727) 824-8181 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lopez-Molina, Norma MD
Provider ID: 809074 Gender: Female Chc At Tarpon Springs 247 S Huey Ave Tarpon Springs, FL 34689-4205 (727) 944-3828 Fax: (727) 939-4679 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 210
Lopez-Molina, Norma MD
Provider ID: 809076 Gender: Female Chc At Pinellas Park 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 541-7984 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Lopez-Molina, Norma MD
Provider ID: 809078 Gender: Female 247 S Huey Ave Tarpon Springs, FL 34689 (727) 944-3828 Fax: (727) 939-4679 00 YRS/21 YRS Languages: Spanish Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 7:00 PCMH: No
Lopez-Molina, Norma MD
Provider ID: 809079 Gender: Female Johnnie Ruth Clarke 1344 22nd St S Saint Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 895-3762 00 YRS/21 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Maniscalco Dhanireddy, Jennifer
MD
Provider ID: 1796333 Gender: Female Pediatric Physician Services. Inc 501 6th Ave S, Dept 6580070205 St Petersburg, FL 33701-4634 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Mccrave, Carla MD
Provider ID: 1779266 Gender: Female Florida Pediatric Associates 1033 Mlk St N St Petersburg, FL 33701-1547 (727) 865-4288 Fax: (727) 346-1040 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Millette, Kinjal MD
Provider ID: 1775097 Gender: Female Community Health Centers Of Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (813) 259-8725 Fax: (813) 259-8792 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
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Pediatrics - cont.
Miranda, Elinor MD Provider ID: 2118138 Gender: Female Largo Physician Group. LLC 13540 Walsingham Rd Largo, FL 33774-3546 (727) 593-5492 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Ng, Benton MD Provider ID: 1179732 Gender: Male Acsp Pediatric Cardiology 601 5th St S, 2nd Fl Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Tue 8:30 to 5:00 PCMH: No
Nghiem, Nicole MD
Provider ID: 1790744 Gender: Female All Children's Specialty Physicians 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4243 Fax: (727) 767-8612 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nickel, Noura MD Provider ID: 1958995 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Ortiz, Daniel MD Provider ID: 1805333 Gender: Male Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-8884 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pargas, Anet MD
Provider ID: 1502435 Gender: Female Community Health Centers At Clearwa 707 Druid Rd E Clearwater, FL 33756-3951 (727) 461-1439 Fax: (727) 461-1692 00 YRS/18 YRS Languages: Spanish Mon - Fri 7:30 to 8:00 PCMH: No
Patterson, Jebhar MD Provider ID: 1549836 Gender: Male St Petersburg Pediatrics 2137 16th St N St Petersburg, FL 33704-3923 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Pavan, Mary MD Provider ID: 1186178 Gender: Female Usf Physicians Group 480 7th Ave S Saint Petersburg, FL 33701 (727) 767-4403 Fax: (727) 767-4715 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pavan, Mary MD Provider ID: 1186178 Gender: Female Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Reese, Jasmine MD
Provider ID: 1310501 Gender: Female Pediatric Physician Services Inc. 601 5th St S, Ste 504 Saint Petersburg, FL 33701 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 211
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Reilly Hays, Elizabeth MD Provider ID: 816849 Gender: Female St Petersburg Pediatrics Pinellas P 7500 Park Blvd N, Ste A Pinellas Park, FL 33781-3701 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Sando, Jane MD
Provider ID: 1217397 Gender: Female Pediatric Physician Services Inc 601 5th St S, Dept 7835 Saint Petersburg, FL 33701-4804 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shah, Ashish MD Provider ID: 1270919 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 2 Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Smith, Michelle MD Provider ID: 1208488 Gender: Female Pediatric Physician Services 501 6th Ave S Saint Petersburg, FL 33701-4630 (727) 767-4429 Fax: (727) 767-4889 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sriaroon, Panida MD
Provider ID: 1961182 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 711 St Petersburg, FL 33701-4804 (727) 767-8727 Fax: (727) 767-8711 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Sriaroon, Panida MD Provider ID: 523903 Gender: Female Usf Physicians Group 601 5th St S, 3rd Fl St Petersburg, FL 33701 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Languages: Thai Mon - Fri 8:00 to 5:00 PCMH: No
Swan, Tricia MD Provider ID: 1274233 Gender: Female Pediactric Physician Services Inc 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Theodoro, Mariana MD
Provider ID: 1959004 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Walker, Travis MD Provider ID: 1578864 Gender: Male Westcoast Neonatology Inc 501 6th Ave S, Dept St Petersburg, FL 33701-4634 (727) 898-7451 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Woodard, Alyssa MD
Provider ID: 1996052 Gender: Female Pediatric Physician Services Inc 501 6th Ave S St Petersburg, FL 33701 (727) 767-4243 Fax: (727) 767-8612 00 YRS/01 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 212
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Pedodontics
Adibi, Farnaz DMD Provider ID: TPVP133168-07 Gender: Female Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Adibi, Farnaz DMD
Provider ID: TPVP133168-08 Gender: Female Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Adibi, Farnaz DMD Provider ID: TPVP133168-10 Gender: Female Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 213
Adibi, Farnaz DMD Provider ID: TPVP133168-11 Gender: Female Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Adibi, Farnaz DMD
Provider ID: TPVP133168-14 Gender: Female Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Blake, Richard DDS Provider ID: TPVP43663-01 Gender: Male Richard W Blake Dds Pa 2701 Park Dr Ste 1 Clearwater, FL 33763 (727) 796-2187 Fax: (727) 791-7660 00 YRS/99 YRS Languages: Spanish Tue - Fri 7:30 to 3:00 PCMH: No
Blankenship, Susan DMD Provider ID: TPVP44348-01 Gender: Female Susan D Blankenship Dmd 35036 Us Hwy 19 N Palm Harbor, FL 34684 (727) 446-4699 Fax: (727) 771-6804 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 PCMH: No
Blankenship, Susan DMD
Provider ID: TPVP44348-04 Gender: Female Florida Pediatric Dental Associates 1433 Ct St Clearwater, FL 33756 (727) 442-6098 Fax: (727) 442-0510 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Blankenship, Susan DMD Provider ID: TPVP44348-05 Gender: Female Florida Pediatric Dental Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
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Pedodontics - cont.
Bui, Loananh DDS Provider ID: TPVP120562-24 Gender: Female Great Expressions Dental Centers 400 Carillon Pkwy Ste 120 St Petersburg, FL 33716 (727) 299-0728 Fax: (727) 209-1365 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 4:00 PCMH: No
Cataldo, Dorothy DMD
Provider ID: TPVP186113-01 Gender: Female Great Expressions Dental Centers 400 Carillon Pkwy Ste 120 St Petersburg, FL 33716 (727) 299-0728 Fax: (727) 209-1365 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 4:00 PCMH: No
Chuong, Christopher DDS Provider ID: TPVP119979-04 Gender: Male No Sugar Bugs Club Childrens Dentistry 3165 Mcmullen Booth Rd Clearwater, FL 33761 (727) 478-3210 Fax: (727) 255-5402 00 YRS/99 YRS Mon - Thu 8:00 to 4:00 Fri 8:00 to 1:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 214
Cummings, Marloin DDS Provider ID: TPVP16800-05 Florida Pediatric Dental Associates 1433 Ct St Clearwater, FL 33756 (727) 442-6098 Fax: (727) 442-0510 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Cummings, Marloin DDS
Provider ID: TPVP16800-06 Florida Pediatric Dental Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Cummings, Marloin DDS Provider ID: TPVP16800-07 Florida Pediatric Dental Associates PLLC 5885 Central Ave Ste B Saint Petersburg, FL 33710 (727) 325-6485 Fax: (727) 873-6913 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Dawoud, Mark DMD
Provider ID: TPVP130496-18 Gender: Male Harp Family Dentistry 31067 Us Hwy 19n Palm Harbor, FL 34684 (727) 304-5483 Fax: (727) 260-4098 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 PCMH: No
Edwards, Jenny DMD Provider ID: TPVP149782-04 Gender: Female Tyrone Square Mall Dental Pa 6747 Tyrone Square Saint Petersburg, FL 33710 (727) 345-6100 Fax: (727) 345-0793 00 YRS/99 YRS Languages: Spanish Mon - Fri 10:00 to 5:00 PCMH: No
Iyer, Priyanka DDS
Provider ID: TPVP159376-52 Gender: Female Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Iyer, Priyanka DDS Provider ID: TPVP159376-53 Gender: Female Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
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Pinellas
Pedodontics - cont.
Iyer, Priyanka DDS Provider ID: TPVP159376-55 Gender: Female Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Iyer, Priyanka DDS
Provider ID: TPVP159376-56 Gender: Female Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Iyer, Priyanka DDS Provider ID: TPVP159376-59 Gender: Female Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 215
Iyer, Priyanka DDS Provider ID: TPVP159376-65 Gender: Female Greenberg Dental & Orthodontics Pa 12963 Walsingham Rd Largo, FL 33774 (727) 265-3307 Fax: (727) 233-4977 00 YRS/99 YRS Languages: Spanish Mon - Tue 8:00 to 4:00 Wed - Thu 11:00 to 7:00 Fri 7:00 to 3:00 PCMH: No
Kwon, Mi Ae DMD
Provider ID: TPVP148132-10 Gender: Female Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Kwon, Mia DMD Provider ID: TPVP148132-12 Gender: Female Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 968-2483 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon, Wed 7:30 to 5:00 PCMH: No
Lee, Sara DMD Provider ID: TPVP156988-07 Gender: Male Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Lee, Sara DMD
Provider ID: TPVP156988-08 Gender: Male Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Lee, Sara DMD Provider ID: TPVP156988-10 Gender: Male Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
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Pinellas
Pedodontics - cont.
Lee, Sara DMD Provider ID: TPVP156988-11 Gender: Male Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Lee, Sara DMD
Provider ID: TPVP156988-14 Gender: Male Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Lynn, Casey DMD Provider ID: TPVP166347-11 Gender: Female Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Mcnair, Jonathan DDS Provider ID: TPVP185536-03 Gender: Male Florida Pediatric Dental Associates 1433 Ct St Clearwater, FL 33756 (727) 442-6098 Fax: (727) 442-0510 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mcnair, Jonathan DDS
Provider ID: TPVP185536-04 Gender: Male Florida Pediatric Dental Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Mcnair, Jonathan DDS Provider ID: TPVP185536-05 Gender: Male Florida Pediatric Dental Associates PLLC 5885 Central Ave Ste B Saint Petersburg, FL 33710 (727) 325-6485 Fax: (727) 873-6913 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Montgomery, Nancy DMD Provider ID: TPVP134209-17 Gender: Female Children And Teen Dental Group Of Florida 2707 Tampa Rd Palm Harbor, FL 34684 (727) 785-6521 Fax: (727) 785-6237 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:30 Fri 8:00 to 5:00 PCMH: No
Navarro, Jose DMD
Provider ID: TPVP172253-13 Gender: Male Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Navarro, Jose DMD Provider ID: TPVP172253-17 Gender: Male Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 968-2483 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon, Wed 7:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 216
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Pinellas
Pedodontics - cont.
Rosen, David DMD Provider ID: TPVP102277-05 Gender: Male Great Expressions Dental Centers 400 Carillon Pkwy Ste 120 St Petersburg, FL 33716 (727) 299-0728 Fax: (727) 209-1365 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 4:00 PCMH: No
Sierra, Frank DMD
Provider ID: TPVP128803-13 Gender: Male Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 968-2483 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon, Wed 7:30 to 5:00 PCMH: No
Sierra, Frank DMD Provider ID: TPVP128803-15 Gender: Male Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 217
Sirage, Mohamed DMD Provider ID: TPVP125300-12 Gender: Male Tyrone Square Mall Dental Pa 6747 Tyrone Square Saint Petersburg, FL 33710 (727) 345-6100 Fax: (727) 345-0793 00 YRS/99 YRS Languages: Spanish Mon - Fri 10:00 to 5:00 PCMH: No
Sirage, Mohamed DMD
Provider ID: TPVP125300-27 Gender: Male Countryside Mall Dental Pa 27001 Us Hwy 19 N Ste 1031b Clearwater, FL 33761 (727) 669-1600 00 YRS/99 YRS Languages: Russian Mon - Sat 10:00 to 9:00 Sun 11:00 to 6:00 PCMH: No
Theogene, Dorothy DDS
Provider ID: TPVP134951-19 Gender: Female Smile Design 4300 4th St N Saint Petersburg, FL 33703 (727) 526-7500 Fax: (727) 245-8658 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:00 PCMH: No
Theogene, Dorothy DDS
Provider ID: TPVP134951-39 Gender: Female Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Vales, Ana-Marai DMD Provider ID: TPVP132108-04 Gender: Female Florida Pediatric Dental Associates 1433 Ct St Clearwater, FL 33756 (727) 442-6098 Fax: (727) 442-0510 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Vales, Ana-Marai DMD
Provider ID: TPVP132108-05 Gender: Female Florida Pediatric Dental Associates 8686 131st St N Seminole, FL 33776 (727) 205-0036 Fax: (727) 205-1644 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Vales, Ana-Marai DMD Provider ID: TPVP132108-09 Gender: Female Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
Weil, Matt DDS
Provider ID: TPVP166278-17 Gender: Male Kids Smiles Dental PLLC 5885 Central Ave Saint Petersburg, FL 33710 (813) 889-0780 Fax: (813) 968-3957 00 YRS/99 YRS Languages: Spanish Mon - Thu 9:00 to 5:00 PCMH: No
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Specialty Physicians
Pinellas
Periodontics
Barzyk, Jeffrey DMD Provider ID: TPVP42849-11 Gender: Male Greenberg Dental & Orthodontics 36091 Us Hwy 19 North Palm Harbor, FL 34684 (727) 330-2765 Fax: (727) 474-0215 00 YRS/99 YRS Languages: Spanish Mon, Wed - Fri 7:00 to 3:00 Tue 8:00 to 4:00 Sat 7:00 to 2:00 PCMH: No
Barzyk, Jeffrey DMD
Provider ID: TPVP42849-12 Gender: Male Greenberg Dental & Orthodontics 10472 Roosevelt Blvd North Saint Petersburg, FL 33716 (727) 399-6938 Fax: (727) 914-6982 00 YRS/99 YRS Languages: Spanish Mon - Tue, Fri 7:00 to 3:00 Wed 11:00 to 7:00 Thu 8:00 to 4:00 PCMH: No
Barzyk, Jeffrey DMD Provider ID: TPVP42849-14 Gender: Male Greenberg Dental & Orthodontics Pa 2950 34th St Saint Petersburg, FL 33711 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Barzyk, Jeffrey DMD Provider ID: TPVP42849-15 Gender: Male Greenberg Dental & Orthodontics 2045 Gulf To Bay Blvd Ste B Clearwater, FL 33765 (727) 474-0211 Fax: (727) 265-3386 00 YRS/99 YRS Languages: Spanish Mon - Tue 10:00 to 6:00 Wed - Fri 7:30 to 3:30 PCMH: No
Barzyk, Jeffrey DMD
Provider ID: TPVP42849-18 Gender: Male Greenberg Dental & Orthodontics 3711 49th St North Saint Petersburg, FL 33710 (727) 547-3603 Fax: (727) 551-4906 00 YRS/99 YRS Languages: Spanish Mon - Tue 11:00 to 7:00 Wed - Fri 7:00 to 3:00 PCMH: No
Nielsen, Pamela DDS Provider ID: TPVP39479-09 Gender: Female Tyrone Square Mall Dental Pa 6747 Tyrone Square Saint Petersburg, FL 33710 (727) 345-6100 Fax: (727) 345-0793 00 YRS/99 YRS Languages: Spanish Mon - Fri 10:00 to 5:00 PCMH: No
Physical Medicine & Rehabilitation
Alfonso Rivera, Mayra MD Provider ID: 2156750 Gender: Female Westminster Suncoast 1095 Pinellas Point Dr S Saint Petersburg, FL 33705-6154 (727) 867-1131 Fax: (224) 236-4900 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Batlle, Luis MD
Provider ID: 2174792 Gender: Male Advanced Medical Of Florida 1857 Gulf To Bay Blvd Clearwater, FL 33765-3415 (727) 408-5222 Fax: (727) 408-5252 18 YRS/130 YRS Mon - Thu 8:30 to 7:00 Fri 9:00 to 4:00 PCMH: No
Beaupin, Bernard MD Provider ID: 2153595 Gender: Male Abbey Rehab And Nursing Center 7101 Mlk St N Saint Petersburg, FL 33702-5819 (727) 527-7231 Fax: (224) 236-4900 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Coleman, Michael MD
Provider ID: 1723977 Gender: Male Professional Hlth Care Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 218
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Physical Medicine & Rehabilitation -
cont.
Creed, Kevin MD Provider ID: 535869 Gender: Male Pinellas Physiatry Associates Pa 4400 140th Ave N, Ste 110 Clearwater, FL 33762-3863 (727) 327-2600 Fax: (727) 327-2644 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Davila Rivera, Alfredo MD
Provider ID: 2153446 Gender: Male Largo Health And Rehab Center 9035 Bryan Dairy Rd Largo, FL 33777-1104 (727) 395-9619 Fax: (224) 236-4900 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Eichenbaum, Annette DO
Provider ID: 748722 Gender: Female Pinellas Physiatry Associates Pa 4400 140th Ave N, Ste 110 Clearwater, FL 33762-3863 (727) 327-2600 Fax: (727) 327-2644 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 219
Gupta, Amitabh MD Provider ID: 304583 Gender: Male 5800 49th St N, Ste S-205 St Petersburg, FL 33709 (727) 526-8000 Fax: (727) 521-2600 12 YRS/130 YRS Northside Hospital Largo Medical Center Languages: Gujarati, Hindi Mon, Fri 9:00 to 5:00 PCMH: No
Gupta, Amitabh MD
Provider ID: 304583 Gender: Male 7895 Seminole Blvd, Ste 101 Seminole, FL 33772 (727) 526-8000 Fax: (727) 521-2600 12 YRS/130 YRS Northside Hospital Largo Medical Center Languages: Gujarati, Hindi Tue - Thu 9:00 to 5:00 PCMH: No
Hart, Dennis MD Provider ID: 926260 Gender: Male Pediatric Physician Services Inc 880 6th St S, Ste 310 Saint Petersburg, FL 33701-4824 (727) 767-4356 Fax: (727) 767-4319 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Le, Thanh MD Provider ID: 28238 Gender: Male Pain Relief Centers 6640 78th Ave N, Ste A Pinellas Park, FL 33781-2064 (727) 518-8660 Fax: (727) 518-8662 18 YRS/130 YRS Morton Plant Hospital Northside Hospital West Park Surgery Center. Llc Languages: Vietnamese Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No
Reilly, Thomas MD
Provider ID: 2094629 Gender: Male Pain Relief Centers 10875 Park Blvd, Ste C Seminole, FL 33772-5456 (727) 350-0453 Fax: (727) 350-0455 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Reiskind, Marc MD Provider ID: 711 Gender: Male Pinellas Physiatry Associates Pa 4400 140th Ave N, Ste 100 Clearwater, FL 33762-3863 (727) 327-2600 Fax: (727) 327-2644 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Plastic & Reconstructive Surgery
Lo, Percy MD
Provider ID: 2057718 Gender: Male Allure Aesthetic And Plastic Surger 6255 Central Ave Saint Petersburg, FL 33710-8431 (727) 344-6000 Fax: (727) 344-7732 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Newman, Christopher DO
Provider ID: 584108 Gender: Male Florida Plastic Reconstructive Su 240 1st Ave S, Fl 2nd Saint Petersburg, FL 33701-4316 (727) 897-5444 Fax: (800) 971-3437 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Rottgers, Stephen MD
Provider ID: 1120191 Gender: Male Pediatric Physician Services Inc 601 5th St S, Dept 70 7895 Saint Petersburg, FL 33701 (727) 767-4920 Fax: (727) 767-4923 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Podiatry
Abady, Robert DPM
Provider ID: 266991 Gender: Male Florida Coast Foot And Ankle Center 1001 37th St N, Ste F Saint Petersburg, FL 33713-6010 (727) 384-3338 Fax: (727) 347-3668 00 YRS/130 YRS Tampa General Hospital Languages: Spanish Mon - Tue 8:30 to 5:00 Wed - Thu 9:00 to 12:00 PCMH: No
Beaton, William DPM
Provider ID: 152677 Gender: Male Beaton Podiatry Center 6707 38th Ave N Saint Petersburg, FL 33710-1515 (727) 896-4615 Fax: (727) 256-3855 00 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Mon - Fri 8:30 to 5:30 PCMH: No
Bohnert, Shannon DPM
Provider ID: 1426157 Gender: Male Kg Health Partners. Inc 13600 Icot Blvd, Bldg B Clearwater, FL 33760-3703 (727) 796-6900 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Delellis, Salvatore DPM
Provider ID: 920852 Gender: Male Sal L Delellis Dpm Pa 1264 S Pinellas Ave Tarpon Springs, FL 34689-3720 (727) 937-6398 Fax: (727) 937-6568 00 YRS/130 YRS Adventhealth North Pinellas Mon - Tue 8:00 to 5:00 Wed, Fri 8:00 to 12:00 Thu 8:00 to 6:00 PCMH: No
Donovan, Patrick DPM
Provider ID: 1860713 Gender: Male Orthopaedic Medical Group Of Tampa 10033 Mlk Jr St N St Petersburg, FL 33716-3830 (813) 684-2663 Fax: (813) 343-6098 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Edwards, Elizabeth DPM
Provider ID: 1431220 Gender: Female Foot And Ankle Physicians Pa 2350 Sunset Point Rd, Ste A Clearwater, FL 33765-1443 (727) 796-0565 Fax: (727) 796-7464 00 YRS/18 YRS Mon - Fri 8:30 to 4:30 PCMH: No
Ezeude, Ngozi DPM
Provider ID: 1160733 Gender: Female Kg Health Partners 701 Enterprise Rd E, Ste 910 Safety Harbor, FL 34695 (727) 726-6900 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 220
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Pinellas
Podiatry - cont.
Faragalla, Wassem DPM Provider ID: 1440981 Gender: Male Community Health Solutions Of Ameri 13600 Icot Blvd, Bldg B Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fine, David DPM
Provider ID: 574859 Gender: Male Adventhealth Medical Group Surgical 1501 S Pinellas Ave, Ste T Tarpon Springs, FL 34689-1952 (727) 753-0148 Fax: (727) 785-4005 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Graeser, Timothy DPM Provider ID: 1773896 Gender: Male Kg Health Partners 13600 Icot Blvd, Ste 390 Clearwater, FL 33760-3703 (727) 796-6900 Fax: (404) 237-9562 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Graeser, Timothy DPM
Provider ID: 1775248 Gender: Male Kg Health Partners 13600 Icot Blvd Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 221
Isenberg, Mark DPM Provider ID: 941260 Gender: Male 450 Hickorynut Ave Oldsmar, FL 34677-2017 (727) 639-1973 Fax: (866) 258-9993 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Johnson, Megan DPM
Provider ID: 1431445 Gender: Female Community Health Solutions Of Ameri 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 498-3942 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Klein, Ian DPM Provider ID: 4933 Gender: Male Total Foot Care Pa 7331 Dr Mlk Jr St N St Petersburg, FL 33702-5201 (727) 527-1249 Fax: (727) 521-1240 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Kussel, Ferdinand DPM Provider ID: 759404 Gender: Male 2378 Sunset Point Rd Clearwater, FL 33765-1430 (727) 797-5007 Fax: (727) 725-9737 00 YRS/130 YRS St Petersburg General Hosp Largo Medical Center Languages: Spanish Mon, Wed 8:00 to 4:00 Tue 8:00 to 12:00 Thu - Fri 8:30 to 5:00 PCMH: No
Liaros, Demetrios DPM
Provider ID: 232626 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 2b Saint Petersburg, FL 33705-1407 (727) 824-8227 Fax: (727) 824-8381 00 YRS/130 YRS St Anthonys Physicians Surgery Mon - Fri 9:00 to 5:00 PCMH: No
Marsh, Naomi DPM Provider ID: 174221 Gender: Female Kussel And Associates 2378 Sunset Point Rd Clearwater, FL 33765-1430 (727) 797-5007 Fax: (727) 725-9737 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:30 PCMH: No
33453864
Specialty Physicians
Pinellas
Podiatry - cont.
May, Jonathan DPM Provider ID: 724357 Gender: Male Jonathan B May Dpm Pa 502 Pasadena Ave S Saint Petersburg, FL 33707-2126 (727) 343-9400 Fax: (727) 209-0399 00 YRS/130 YRS Northside Hospital Mon, Fri 9:00 to 5:00 PCMH: No
May, Jonathan DPM
Provider ID: 724357 Gender: Male Jonathan B May Dpm Pa 5748 54th Ave N Saint Petersburg, FL 33709 (727) 343-9400 Fax: (727) 209-0399 00 YRS/130 YRS Northside Hospital Wed - Fri 9:00 to 5:00 PCMH: No
Metnick, Robert DPM Provider ID: 1450811 Gender: Male Kg Health Partners. Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Parise, Daniel DPM Provider ID: 1737146 Gender: Male Kg Health Partners 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 18 YRS/130 YRS Mon - Tue, Thu 8:00 to 5:00 Wed 8:00 to 6:00 Fri 8:00 to 2:00 PCMH: No
Parsons, Lisa DPM Provider ID: 1436805 Gender: Female Kg Health Partners Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Patel, Kinna DPM
Provider ID: 1464301 Gender: Female Kg Health Partners Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Roberts, Eric DPM Provider ID: 1857741 Gender: Male Tampa Bay Foot And Ankle 2191 9th Ave N, # 150 St Petersburg, FL 33713-7146 (727) 954-5525 Fax: (888) 229-0143 12 YRS/130 YRS Languages: Spanish Mon - Wed 9:00 to 5:00 PCMH: No
Roever, Christopher DPM Provider ID: 1054397 Gender: Male Sal L Delellis Dpm Pa 1264 S Pinellas Ave Tarpon Springs, FL 34689-3720 (727) 937-6398 Fax: (727) 937-6568 00 YRS/130 YRS Adventhealth North Pinellas Mon - Tue 8:00 to 4:00 Wed, Fri 8:00 to 12:00 Thu 8:00 to 5:00 PCMH: No
Selsor, Michele DPM Provider ID: 1977387 Gender: Female Michele L Selsor. Inc 4104 5th Ave N St Petersburg, FL 33713-6304 (727) 321-9488 Fax: (727) 327-5646 00 YRS/130 YRS Mon, Wed, Fri 9:00 to 5:00 PCMH: No
Sica, Carissa DPM
Provider ID: 555742 Gender: Female Kg Health Partners Inc 13600 Icot Blvd, Bldg A Clearwater, FL 33760 (727) 796-6900 Fax: (727) 669-8417 05 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Sica, Carissa DPM Provider ID: 555742 Gender: Female Kg Health Partners Inc 701 Enterprise Rd E, Ste 910 Safety Harbor, FL 34695-5342 (727) 796-6900 Fax: (727) 669-8417 05 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 222
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Pinellas
Podiatry - cont.
Siddiqui, Anwar DPM Provider ID: 1738521 Gender: Male Kg Health Partners 13600 Icot Blvd # A, Bldg A Clearwater, FL 33760-3703 (727) 796-6900 Fax: (727) 669-8417 05 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Strickland, Joseph DPM
Provider ID: 152675 Gender: Male Joseph H Strickland Dpm 9371 Us Hwy 19 N, Ste B Pinellas Park, FL 33782-5418 (727) 579-0441 Fax: (727) 576-8955 00 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery Northside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Westerfield, Matthew DPM Provider ID: 1160734 Gender: Male Kg Health Partners Inc 701 Enterprise Rd E, Ste 910 Safety Harbor, FL 34695-5342 (727) 796-6900 Fax: (727) 669-8417 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Zelna, Heather DPM Provider ID: 1559727 Gender: Female Coastal Foot And Ankle Specialist 6450 38th Ave N, Ste 310 Saint Petersburg, FL 33710-1649 (727) 347-8872 Fax: (727) 343-6670 00 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No
Zelna, Brendon DPM
Provider ID: 1574023 Gender: Male Coastal Foot Ankle Special 6450 38th Ave N, Ste 310 Saint Petersburg, FL 33710-1649 (727) 347-8872 Fax: (727) 343-6670 00 YRS/130 YRS Northside Hospital St Petersburg General Hosp St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Prosthetics
Barr Prosthetics & Orthotics
Provider ID: 245980 1180 Ponce De Leon Blvd, Ste 101 Clearwater, FL 33756-1014 (727) 447-2650 Fax: (717) 447-2353 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Prosthodontics
Dinse, William DMD Provider ID: TPVP179694-01 Gender: Male Great Expressions Dental Centers 35176 Us Hwy 19 North Palm Harbor, FL 34684 (727) 723-1400 Fax: (727) 726-3611 00 YRS/99 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Dinse, William DMD
Provider ID: TPVP179694-04 Gender: Male Great Expressions Dental Centers 400 Carillon Pkwy Ste 120 St Petersburg, FL 33716 (727) 299-0728 Fax: (727) 209-1365 00 YRS/99 YRS Languages: Spanish Mon - Thu 8:00 to 5:00 Fri 7:00 to 4:00 PCMH: No
Pulmonary Disease
Agrawal, Rajesh MD Provider ID: 12552 Gender: Male American Lung & Sleep Disorder 6223 66th St N Pinellas Park, FL 33781-5025 (727) 528-4900 Fax: (727) 528-8628 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Languages: Hindi Mon 1:00 to 4:00 Tue - Thu 1:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 223
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Pulmonary Disease - cont.
Ali, Mohamed MD Provider ID: 471647 Gender: Male Pasadena Center For Asthma Lung Dis 5454 Central Ave, Ste A Saint Petersburg, FL 33707-6129 (727) 347-5242 Fax: (727) 347-2402 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Amin, Devendra MD
Provider ID: 932292 Gender: Male Bay Area Chest Physicians Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 443-0611 Fax: (727) 461-5493 18 YRS/130 YRS Morton Plant Hospital Mease Countryside Hospital Largo Medical Center Languages: Spanish Mon - Fri 8:30 to 4:00 PCMH: No
Bhaskar, Varun MD Provider ID: 9904 Gender: Male Varun Bhaskar Md 2855 Alt 19, Ste P Palm Harbor, FL 34683-1926 (727) 772-0949 Fax: (727) 789-5936 18 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital Mease Countryside Hospital Mon, Wed 2:00 to 4:00 Tue, Fri 9:00 to 5:00 Thu 11:00 to 5:00 PCMH: No
Castro, Alfonso MD Provider ID: 801412 Gender: Male Bay Area Chest Physicians Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 442-9332 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Cerreta, Kenneth MD
Provider ID: 1551824 Gender: Male Bay Area Chest Physicians 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 442-9332 18 YRS/130 YRS Mon - Fri 9:00 to 4:00 PCMH: No
Eckardt, Shea MD Provider ID: 567621 Gender: Male Bay Area Chest Physicians 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3398 (727) 443-0611 Fax: (727) 461-5493 18 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 5:00 PCMH: No
Gavi, Eli MD Provider ID: 462615 Gender: Male Bay Area Chest Physicians Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 442-9332 18 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Kanaan, Rana MD
Provider ID: 2188997 Gender: Female Pasadena Center For Asthma And Lung 5454 Central Ave, Ste A St Petersburg, FL 33707-6129 (727) 347-5242 Fax: (727) 347-2402 18 YRS/130 YRS Palms Of Pasadena Hosp Largo Medical Center Languages: Arabic, French Mon - Thu 9:00 to 5:00 Fri 9:00 to 2:00 PCMH: No
Kataya, Abdo MD Provider ID: 2020867 Gender: Male Baycare Medical Group Inc 1840 Mease Dr, Ste 307 Safety Harbor, FL 34695-6605 (727) 725-6128 Fax: (727) 725-6168 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Pulmonary Disease - cont.
Kundra, Navnit MD
Provider ID: 949768 Gender: Male 2595 Tampa Rd, Ste S And T Palm Harbor, FL 34684-3152 (727) 781-4299 Fax: (727) 781-5387 12 YRS/130 YRS Mease Hospital Dunedin Mease Countryside Hospital Mon - Thu 9:00 to 5:00 PCMH: No
Lopez Molina, Michael MD
Provider ID: 1998212 Gender: Male Baycare Medical Group Inc 430 Morton Plant St Clearwater, FL 33756-3398 (727) 447-0668 Fax: (727) 442-9332 18 YRS/130 YRS Morton Plant Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Lutchmedial, Sanjiva MD
Provider ID: 1780247 Gender: Male Bay Area Chest Physicians. Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 443-0611 Fax: (727) 461-5493 18 YRS/130 YRS Morton Plant Hospital Mease Hospital Dunedin Mon - Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 225
Mikulic, Lucas MD
Provider ID: 1551823 Gender: Male Bay Area Chest Physicians 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 443-0611 Fax: (727) 461-5493 18 YRS/110 YRS Languages: Spanish Mon - Fri 8:30 to 4:30 PCMH: No
Mittal, Ashok MD
Provider ID: 22746 Gender: Male Advanced Lung & Sleep Disorders 6185 54th Ave N St Petersburg, FL 33709-1807 (727) 545-1199 Fax: (727) 545-9988 16 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Languages: Hindi Mon - Fri 8:00 to 5:00 PCMH: No
Mosburg, Jeramy DO
Provider ID: 1202837 Gender: Male Bay Area Chest Physicians. P.a. 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 443-0611 Fax: (727) 461-5493 18 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Newan, Michael MD
Provider ID: 188582 Gender: Male 1075 9th Ave N Saint Petersburg, FL 33705-1255 (727) 895-5864 Fax: (727) 896-9598 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Anthonys Hospital Languages: Vietnamese Mon - Thu 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Orlando, Daniel MD
Provider ID: 245315 Gender: Male Bay Area Chest Physicians Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 461-5493 00 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Pansuriya, Vinubhai MD
Provider ID: 413361 Gender: Male Lung & Sleep Care Inc 2180 9th Ave N Saint Petersburg, FL 33713-7134 (727) 522-3600 Fax: (727) 522-4499 18 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Languages: Gujarati Mon - Fri 8:00 to 5:00 PCMH: No
33453864
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Pinellas
Pulmonary Disease - cont.
Sarafian, Berc MD Provider ID: 508950 Gender: Male Berc Sarafian Md Pa 1518 S Missouri Ave Clearwater, FL 33756 (727) 584-1344 Fax: (727) 584-7855 00 YRS/130 YRS Northside Hospital Largo Medical Center Mon - Thu 9:00 to 2:00 PCMH: No
Yeager, Michael MD
Provider ID: 1972325 Gender: Male Baycare Medical Group Inc 1840 Mease Dr, Ste 307 Safety Harbor, FL 34695-6605 (727) 725-6128 Fax: (727) 725-6168 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Radiation Oncology
Altoos, Taghrid MD Provider ID: 1016655 Gender: Male 300 Pinellas St, # 47 Clearwater, FL 33756-3804 (727) 462-7220 18 YRS/130 YRS Morton Plant Hospital PCMH: No
Altoos, Taghrid MD
Provider ID: 1016655 Gender: Male Pinellas Radiation Oncology Associa 3155 N Mcmullen Booth Rd Clearwater, FL 33761-2008 (727) 669-9018 Fax: (727) 669-4308 18 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 226
Bloom, David MD
Provider ID: 1150424 Gender: Male St. Anthony's Cancer Center 1201 5th Ave N, Ste 204 Saint Petersburg, FL 33705-1410 (727) 825-1253 Fax: (727) 344-6163 00 YRS/130 YRS St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Bloom, David MD
Provider ID: 1150424 Gender: Male Wellspring Cancer Center 6600 66th St N Pinellas Park, FL 33781-5040 (727) 343-0600 Fax: (727) 344-6163 00 YRS/130 YRS St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Cotman, Henry MD
Provider ID: 19381 Gender: Male Henry Earl Cotman Md Pa 6449 38th Ave N, Ste C3 St Petersburg, FL 33710-1643 (727) 344-5000 Fax: (727) 344-5005 02 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Bayfront Medical Center Northside Hospital Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No
Franzese, Frank MD
Provider ID: 451606 Gender: Male Well Spring Cancer Center LLC 1201 5th Ave N, Ste 130 Saint Petersburg, FL 33705-1408 (727) 825-1253 Fax: (727) 344-6163 12 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Sun 9:00 to 5:00 PCMH: No
Franzese, Frank MD
Provider ID: 451606 Gender: Male Well Spring Cancer Center LLC 6600 66th St N Pinellas Park, FL 33781-5032 (727) 343-0600 Fax: (727) 344-6163 12 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Gauwitz, Michael MD
Provider ID: 3236 Gender: Male Pinellas Rad Oncology Associates 300 Pinellas St Clearwater, FL 33756-3804 (727) 462-7220 Fax: (727) 461-8051 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Morton Plant Hospital Mon - Fri 8:00 to 6:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Radiation Oncology - cont.
Gauwitz, Michael MD Provider ID: 3236 Gender: Male Premier Radiation Oncology Associat 3155 N Mcmullen Booth Rd Clearwater, FL 33761-2008 (727) 669-9018 Fax: (727) 797-6047 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Morton Plant Hospital Mon - Fri 7:00 to 7:00 PCMH: No
Miercort, Craig MD
Provider ID: 274984 Gender: Male 1201 5th Ave N, Ste 130 Saint Petersburg, FL 33705-1408 (727) 825-1253 Fax: (727) 344-6163 18 YRS/130 YRS Brandon Regional Hospital Largo Medical Center St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Miercort, Craig MD Provider ID: 274984 Gender: Male Wellspring Cancer Center 6600 66th St N Pinellas Park, FL 33781-5040 (727) 343-0600 Fax: (727) 344-6163 18 YRS/130 YRS Brandon Regional Hospital Largo Medical Center St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Miller, Robert MD Provider ID: 451602 Gender: Male Well Spring Cancer Center LLC 1201 5th Ave N, Ste 130 Saint Petersburg, FL 33705-1408 (727) 825-1253 Fax: (727) 344-6163 16 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Sun 9:00 to 5:00 PCMH: No
Miller, Robert MD
Provider ID: 451602 Gender: Male Well Spring Cancer Center LLC 6600 66th St N Pinellas Park, FL 33781-5032 (727) 343-0600 Fax: (727) 344-6163 16 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Mon - Fri 9:00 to 5:00 PCMH: No
Shah, Hiral MD Provider ID: 387433 Gender: Male Pinellas Rad Oncology Associates 300 Pinellas St Clearwater, FL 33756 (727) 462-7220 Fax: (727) 669-4308 18 YRS/130 YRS Morton Plant Hospital Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Shah, Hiral MD Provider ID: 387433 Gender: Male Pinellas Rad Oncology Associates 3155 N Mcmullen Booth Rd Clearwater, FL 33761-2008 (727) 669-9018 Fax: (727) 669-4308 18 YRS/130 YRS Morton Plant Hospital Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Tralins, Kevin MD
Provider ID: 186700 Gender: Male Bardmoor Cancer Center 8787 Bryan Dairy Rd, Ste 120 Seminole, FL 33777-1252 (727) 320-0200 Fax: (727) 394-8934 18 YRS/130 YRS Morton Plant Hospital Largo Medical Center Mease Countryside Hospital Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Radiation Therapy
Solc, Zucel MD Provider ID: 9343 Gender: Male Well Cpring Cancer Center LLC 1201 5th Ave N Saint Petersburg, FL 33705-1400 (727) 343-0600 Fax: (727) 344-6163 18 YRS/130 YRS Morton Plant North Bay Hosp Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Sun 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Pinellas
Radiation Therapy - cont.
Solc, Zucel MD Provider ID: 9343 Gender: Male Well Cpring Cancer Center LLC 701 6th St S Saint Petersburg, FL 33701-4814 (727) 343-0600 Fax: (727) 343-6163 18 YRS/130 YRS Morton Plant North Bay Hosp Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Sun 9:00 to 5:00 PCMH: No
Solc, Zucel MD
Provider ID: 9343 Gender: Male Well Spring Cancer Center LLC 6600 66th St N Pinellas Park, FL 33781-5032 (727) 343-0600 Fax: (727) 344-6163 18 YRS/130 YRS Morton Plant North Bay Hosp Bayfront Medical Center St Petersburg General Hosp Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
West, John MD Provider ID: 212947 Gender: Male Tampa Bay Oncology Center Inc 1835 Indian Rocks Rd S Largo, FL 33774-1030 (727) 586-2273 Fax: (727) 584-5966 18 YRS/130 YRS Largo Medical Center Indian Rocks Largo Medical Center Mon - Fri 8:00 to 4:30 PCMH: No
Radiology - Interventional &
Vascular
Bittles, Mark MD Provider ID: 1245950 Gender: Male Pediatric Physician Services Inc 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-8497 Fax: (727) 767-8520 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rheumatology
Gonzalez Paoli, Julio MD
Provider ID: 713544 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 2e St Petersburg, FL 33705-1407 (727) 824-8325 Fax: (727) 824-8347 18 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Levin, Robert MD
Provider ID: 2092905 Gender: Male American Arthritis And Rheumato-logy 1831 N Belcher Rd, Ste D2 Clearwater, FL 33765-1450 (727) 734-6631 Fax: (727) 736-0548 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lugo Ruiz, Sonialy MD
Provider ID: 1264757 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 2e St Petersburg, FL 33705 (727) 824-8325 Fax: (727) 824-8347 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lugo Ruiz, Sonialy MD
Provider ID: 1264757 Gender: Female Suncoast Medical Clinic LLC 6711 38th Ave N Saint Petersburg, FL 33710 (727) 344-3200 Fax: (727) 347-6871 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Samuel, Abie DO Provider ID: 1058647 Gender: Female Sc Physicians LLC 620 10th St N, Ste 2e St Petersburg, FL 33705-1407 (727) 824-8325 Fax: (727) 824-8347 18 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Sankoorikal, Antony MD
Provider ID: 27525 Gender: Male Countryside Arthritis Center 1264 S Pinellas Ave Tarpon Spgs, FL 34689-3720 (727) 797-7410 Fax: (727) 797-7411 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mease Countryside Hospital Wed 1:00 to 4:00 PCMH: No
Updated for: July, 2020.
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Pinellas
Rheumatology - cont.
Sankoorikal, Antony MD Provider ID: 27525 Gender: Male Countryside Arthritis Center 2655 State Road 580, Ste 201 Clearwater, FL 33761-3167 (727) 797-7410 Fax: (727) 797-7411 18 YRS/130 YRS Adventhealth North Pinellas Mease Hospital Dunedin Mease Countryside Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Torres, Arnaldo MD
Provider ID: 15162 Gender: Male Suncoast Medical Clinic 6711 38th Ave N Saint Petersburg, FL 33710-1536 (727) 344-3200 Fax: (727) 347-6871 00 YRS/130 YRS Bayfront Medical Center St Petersburg General Hosp Northside Hospital Languages: Spanish Mon - Thu 9:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Zito, Susan DO
Provider ID: 2093276 Gender: Female American Arthritis And Rheumato -logy 13425 Belcher Rd S Largo, FL 33771-4009 (727) 223-9610 Fax: (727) 303-3193 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sleep Medicine
Gavi, Eli MD Provider ID: 462615 Gender: Male Bay Area Chest Physicians Pa 430 Morton Plant St, Ste 405 Clearwater, FL 33756-3394 (727) 447-0668 Fax: (727) 442-9332 18 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Hopkins, Bobbi MD Provider ID: 940821 Gender: Female 601 5th St S, Ste 510 Saint Petersburg, FL 33701 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS PCMH: No
Ortiz, Luis MD Provider ID: 1778225 Gender: Male Pediatric Physician Services. Inc 501 6th St S St Petersburg, FL 33701-4630 (727) 767-3679 Fax: (727) 767-8429 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Ortiz, Luis MD Provider ID: 1778225 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 5 St Petersburg, FL 33701-4804 (727) 767-4458 Fax: (727) 767-4458 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Zetoony, Michelle DO
Provider ID: 1875482 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 708 St Petersburg, FL 33701-4804 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Sports Medicine
Iftikhar, Altamash DO Provider ID: 1647105 Gender: Male Largo Physician Group LLC 13540 Walsingham Rd, Ste D Largo, FL 33774-3546 (727) 593-5492 Fax: (727) 593-5440 00 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
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Pinellas
Sports Medicine - cont.
Mularoni, Philip MD Provider ID: 1174545 Gender: Male Pediatric Physician Services Inc 501 6th Ave S Saint Petersburg, FL 33701-4804 (727) 767-7280 Fax: (727) 767-8800 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rodriguez, Carlos MD
Provider ID: 694939 Gender: Male Ach Sport Medicine Clinic- Dr. Carl 601 5th St S, Ste 2 St Petersburg, FL 33701-4804 (727) 767-7272 Fax: (727) 767-8420 00 YRS/130 YRS St Anthonys Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Thompson, Justin MD Provider ID: 2012595 Gender: Male Bayfront Health Medical Group 603 7th St S, Ste 400 St Petersburg, FL 33701-4734 (727) 553-7420 Fax: (727) 553-7419 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wojnowich, Katherine MD Provider ID: 1125728 Gender: Female Bayfront Family Health Center 700 6th St S, Flr 3 Saint Petersburg, FL 33701 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1125728 Gender: Female Bayfront Health Medical Group 603 7th St S, Ste 440 Saint Petersburg, FL 33701-4719 (727) 893-6333 Fax: (727) 553-7787 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1150459 Gender: Female Bayfront Hma Physician Magement. Ll 603 7th St South, Ste 440 Saint Petersburg, FL 33701 (727) 893-6333 Fax: (727) 553-7787 00 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1150459 Gender: Female Bayfront Medical Center 701 6th St South Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Wojnowich, Katherine MD
Provider ID: 1522737 Gender: Female Bayfront Health Medical Group 700 6th St S, Fl 3 Saint Petersburg, FL 33701-4815 (727) 893-6116 Fax: (727) 553-7340 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Thoracic & Cardiovascular Surgery
Angell, William MD
Provider ID: 12950 Gender: Male Angell And Ordiway Mds Pa 800 Tarpon Wds Blvd, Ste D Palm Harbor, FL 34685 (813) 871-5151 Fax: (813) 877-2674 18 YRS/130 YRS Tampa General Hospital Memorial Hospital Of Tampa Mon - Fri 9:00 to 5:00 PCMH: No
Bott, Jeffrey MD
Provider ID: 2167806 Gender: Male Baycare Medical Group Inc 455 Pinellas St, Ste 320 Clearwater, FL 33756-3369 (727) 446-2273 Fax: (727) 441-4966 18 YRS/130 YRS Languages: French, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Thoracic & Cardiovascular Surgery -
cont.
Bryan, Foster MD Provider ID: 605545 Gender: Male West Florida Cardiology Network LLC 1345 West Bay Dr, Ste 304 Largo, FL 33770-2264 (727) 587-7100 Fax: (727) 585-3290 18 YRS/130 YRS Bayfront Medical Center Northside Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Bryan, Foster MD
Provider ID: 605545 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 200 Saint Petersburg, FL 33709 (727) 490-2100 Fax: (727) 544-7389 18 YRS/130 YRS Bayfront Medical Center Northside Hospital Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Bryan, Foster MD Provider ID: 605545 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 310 St Petersburg, FL 33709-2149 (727) 527-9779 Fax: (727) 522-0415 18 YRS/130 YRS Bayfront Medical Center Northside Hospital Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 231
Caldeira, Christiano MD Provider ID: 2110102 Gender: Male Comprehensive Cardiac Surgical Serv 1345 West Bay Dr, Ste 301 Largo, FL 33770-2264 (727) 587-7111 Fax: (727) 518-0166 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Caldeira, Christiano MD
Provider ID: 2119329 Gender: Male Comprehensive Cardiac Surgical Serv 1345 West Bay Dr, Ste 301 Largo, FL 33770-2264 (727) 587-7111 Fax: (727) 518-0166 18 YRS/130 YRS Largo Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Hakki, Abdul MD Provider ID: 6236 Gender: Male 10333 Seminole Blvd, Ste 8 Largo, FL 33778-4204 (727) 394-8100 Fax: (727) 394-8906 18 YRS/130 YRS Bayfront Medical Center Northside Hospital St Petersburg General Hosp Languages: Arabic, Kurdish Mon - Thu ap:pt to on:ly Fri ap:pt to om:ly PCMH: No
Ordiway, Lester MD Provider ID: 12525 Gender: Male Angell And Ordiway Mds Pa 800 Tarpon Woods Blvd, Ste D Palm Harbor, FL 34685 (813) 871-5151 Fax: (813) 877-2674 18 YRS/130 YRS Adventhealth North Pinellas Tampa General Hospital Tampa Community Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Stamou, Sotiris MD
Provider ID: 2145951 Gender: Male Bayfront Cardiothoracic Associates 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 553-7450 Fax: (727) 553-7451 18 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Teekell-Taylor, Leah MD Provider ID: 358811 Gender: Female 10033 Mlk St N, Ste 300 Saint Petersburg, FL 33716-3830 (727) 498-8898 Fax: (727) 800-6959 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Thoracic Surgery
Astra, Louis MD
Provider ID: 314839 Gender: Male Adventhealth Medical Group Surgical 1501 S Pinellas Ave, Ste 102 Ste T Tarpon Springs, FL 34689-1955 (727) 753-0007 Fax: (727) 753-0008 18 YRS/130 YRS Medical Center Of Trinity Adventhealth North Pinellas Morton Plant Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Vinson, Mary DO
Provider ID: 1821776 Gender: Female Florida Health Sciences Center 601 7th St S, Ste 510 Saint Petersburg, FL 33701-4736 (727) 828-6330 Fax: (727) 828-6331 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Urology
Arnold, Paul MD Provider ID: 1498645 Gender: Male Advanced Urology Institute 35095 Us Highway 19 N, Ste 202 Palm Harbor, FL 34684-1971 (727) 771-0600 Fax: (727) 781-9666 18 YRS/110 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 232
Barkley, Craig MD
Provider ID: 1500341 Gender: Male 300 Pinellas St Clearwater, FL 33756-3804 (727) 462-7000 18 YRS/110 YRS PCMH: No
Barkley, Craig MD
Provider ID: 1500341 Gender: Male Advanced Urology Institute 430 Morton Plant St, Ste 206 Clearwater, FL 33756-3396 (727) 441-1508 Fax: (727) 443-7780 18 YRS/110 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Diner, Eric MD
Provider ID: 360559 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Suite 3d Saint Petersburg, FL 33705 (727) 824-7146 Fax: (727) 824-7119 00 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Hale, Brian MD
Provider ID: 1498650 Gender: Male Urology Specialists Of West Florida 35095 Us Hwy 19 N, Ste 202 Palm Harbor, FL 34684-1971 (727) 771-0600 Fax: (877) 331-6099 00 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Heron, Sean MD
Provider ID: 1504368 Gender: Male Advanced Urology Institute 5747 38th Ave N St Petersburg, FL 33710-1925 (727) 381-8667 Fax: (727) 345-1951 18 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 1:00 PCMH: No
Hubsher, Chad MD
Provider ID: 1504369 Gender: Male Advanced Urology Institute LLC 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6605 (727) 785-6011 Fax: (877) 331-6124 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Jacob, David MD
Provider ID: 1504370 Gender: Male Advanced Urology Institute 35095 Us Highway 19 N, Ste 202 Palm Harbor, FL 34684-1971 (727) 771-0600 Fax: (727) 781-9666 18 YRS/130 YRS Languages: French Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Kapadia, Ketan MD
Provider ID: 1504371 Gender: Male Advanced Urology Institute 5747 38th Ave N St Petersburg, FL 33710-1925 (727) 381-8667 Fax: (727) 345-1951 18 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
33453864
Specialty Physicians
Pinellas
Urology - cont.
Klavans, Mitchell MD Provider ID: 1504372 Gender: Male Advanced Urology Institute LLC 430 Morton Plant St, Ste 206 Clearwater, FL 33756-3398 (727) 441-1508 Fax: (727) 443-7780 18 YRS/130 YRS Tue - Fri 9:00 to 5:00 PCMH: No
Klein, Lonnie MD
Provider ID: 1504373 Gender: Male Advanced Urology Institute LLC 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6605 (727) 785-6011 Fax: (877) 331-6124 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Mccanse, Webb MD Provider ID: 1504374 Gender: Male Advanced Urology Institute LLC 8787 Bryan Dairy Rd, Ste 280 Largo, FL 33777-1251 (727) 441-1508 Fax: (727) 443-7780 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Modh, Rishi MD Provider ID: 1504375 Gender: Male 1401 Pasadena Ave S, # A South Pasadena, FL 33707-3715 (727) 347-3116 Fax: (727) 345-6853 18 YRS/130 YRS Languages: Gujarati PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 233
Modh, Rishi MD Provider ID: 1504375 Gender: Male Advanced Urology Institute LLC 5747 38th Av N St Petersburg, FL 33710-1925 (727) 381-8667 Fax: (727) 345-1951 18 YRS/130 YRS Languages: Gujarati Mon - Fri 9:00 to 5:00 PCMH: No
Richman, Martin MD
Provider ID: 1504377 Gender: Male Advanced Urology Institute LLC 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6602 (727) 785-6011 Fax: (877) 331-6124 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Shah, Jaimin MD Provider ID: 1641923 Gender: Male Sc Physicians LLC 620 10th St N, Ste 3d Saint Petersburg, FL 33705-1407 (727) 824-7146 Fax: (727) 824-7119 18 YRS/130 YRS Languages: Gujarati Mon - Fri 9:00 to 5:00 PCMH: No
Sherman, Christopher MD
Provider ID: 1504378 Gender: Male Advanced Urology Institute LLC 430 Morton Plant St, Ste 206 Clearwater, FL 33756-3396 (727) 441-1508 Fax: (727) 443-7780 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Szell, Nicole DO Provider ID: 1494317 Gender: Female Advanced Urology Institute LLC 430 Morton Plant St, Ste 206 Clearwater, FL 33756-3396 (727) 441-1508 Fax: (727) 443-7780 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Szostak, Michael MD
Provider ID: 1504380 Gender: Male 3231 Mcmullen Booth Rd Safety Harbor, FL 34695-6607 (727) 725-6111 Fax: (727) 725-6181 18 YRS/130 YRS PCMH: No
Szostak, Michael MD Provider ID: 1504380 Gender: Male Advanced Urology Institute LLC 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6605 (727) 785-6011 Fax: (877) 331-6124 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Thomer, Marguerite MD
Provider ID: 1004953 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 3d Saint Petersburg, FL 33705-1407 (727) 824-7146 Fax: (727) 824-7119 18 YRS/130 YRS Bayfront Medical Center St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Specialty Physicians
Pinellas
Urology - cont.
Vyas, Paulas MD Provider ID: 1847425 Gender: Male Advanced Urology Institute 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6605 (727) 785-6011 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Zachary, James MD
Provider ID: 1504381 Gender: Male Advanced Urology Institute 1840 Mease Dr, Ste 300 Safety Harbor, FL 34695-6605 (727) 785-6011 Fax: (877) 331-6124 16 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Zhou, Shaw MD Provider ID: 1504382 Gender: Male Advanced Urology Institute 1401 Pasadena Ave S S Pasadena, FL 33707-3715 (727) 381-8667 Fax: (727) 345-1951 18 YRS/130 YRS Languages: Chinese Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
Zhou, Shaw MD Provider ID: 1504382 Gender: Male Advanced Urology Institute 5747 38th Ave N St Petersburg, FL 33710-1925 (727) 381-8667 Fax: (727) 345-1951 18 YRS/130 YRS Languages: Chinese Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
Vascular Surgery
Almond, Brett MD Provider ID: 607495 Gender: Male 1615 Pasadena Ave S, Ste 480 Saint Petersburg, FL 33707-4567 (727) 345-2929 Fax: (727) 345-0340 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Almond, Brett MD
Provider ID: 607495 Gender: Male Bay Surgical Specialists Pa 2191 9th Ave N, Ste 270 Saint Petersburg, FL 33713 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Almond, Brett MD Provider ID: 607495 Gender: Male Bay Surgical Specialists Pa 960 7th Ave N Saint Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Matthew, Jeff MD Provider ID: 2143411 Gender: Male Pinellas Vascular LLC 5880 49th St N, Ste 206 Saint Petersburg, FL 33709-2147 (727) 998-3467 Fax: (727) 289-2831 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Murphy, Eugene MD
Provider ID: 507201 Gender: Male Suncoast Medical Clinic LLC 620 10th St N, Ste 3e Saint Petersburg, FL 33705-1407 (727) 824-8209 Fax: (727) 824-7154 18 YRS/130 YRS Bayfront Medical Center St Anthonys Physicians Surgery St Anthonys Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:00 PCMH: No
Zuzga, Mark MD Provider ID: 306655 Gender: Male 430 Morton Plant St, Ste 301 Clearwater, FL 33756-3395 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Fri 1:00 to 4:30 PCMH: No
Zuzga, Mark MD Provider ID: 306655 Gender: Male 1840 Mease Dr, Ste 301 Safety Harbor, FL 34695-6602 (727) 712-3233 Fax: (727) 712-1853 00 YRS/130 YRS Mon, Wed 9:00 to 5:00 Fri 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 234
33453864
Hospitals
Pasco
Hospital
Adventhealth Dade City Provider ID: 162950 13100 Fort King Rd Dade City, FL 33525-5294 (352) 521-1100 Fax: (813) 615-8250 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Adventhealth Wesley Chapel
Provider ID: 705709 2600 Bruce B Downs Blvd Wesley Chapel, FL 33544 (813) 929-5000 Fax: (813) 615-8250 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Adventhealth Zephyrhills Provider ID: 304499 7050 Gall Blvd Zephyrhills, FL 33541-1399 (813) 788-0411 Fax: (813) 615-8250 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Crmc At Bayonet Point
Provider ID: 20482 14000 Fivay Rd Hudson, FL 34667-7103 (727) 863-2411 Fax: (855) 520-9793 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Johns Hopkins All Childrens
Hospital Inc Provider ID: 20032 4443 Rowan Rd New Port Richey, FL 34653-6198 (727) 846-9900 Fax: (727) 846-5419 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00
Medical Center Of Trinity Provider ID: 20948 5637 Marine Pkwy New Port Richey, FL 34652-4316 (727) 834-5700 Fax: (727) 834-5963 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Medical Center Of Trinity
Provider ID: 20948 9330 State Road 54 Trinity, FL 34655-1808 (727) 834-4000 Fax: (855) 658-4736 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Mitchell Rehabilitation Hospital
Provider ID: 2207135 6600 Madison St New Prt Rchy, FL 34652-1971 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Morton Plant North Bay Hosp
Provider ID: 20138 6600 Madison St New Prt Rchy, FL 34652-1971 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Morton Plant North Bay Hospital
Recovery
Provider ID: 2207089 21808 State Road 54 Lutz, FL 33549-6923 (813) 428-6100 02 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 235
33453864
Hospitals
Pinellas
Hospital
Adventhealth North Pinellas
Provider ID: 20195 1395 S Pinellas Ave Tarpon Springs, FL 34689-3790 (727) 938-1935 Fax: (813) 615-8250 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Baycare Alliant Hospital
Provider ID: 523841 601 Main St Dunedin, FL 34698 (727) 736-9999 Fax: (727) 736-9998 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Bayfront Medical Center
Provider ID: 20012 Subspecialty: Surgical Services, Cardiac Catherization Services, Cardiac Surgery Program, Diagnostic Radiology, Critical Care Services Icu, Mammography, Occu -pational Therapy Fac Service, Outpatient Infusion/Chemo, Physical Therapy Fac Service, Speech Therapy Facility Serv 701 6th St S St Petersburg, FL 33701-4891 (727) 823-1234 Mon - Sun 12:00 to 12:00
Healthsouth Hospitals
Provider ID: 149691 Subspecialty: Physical Therapy Fac Service 901 Clearwater Largo Rd N Largo, FL 33770-4126 (727) 586-2999 Fax: (727) 588-3404 00 YRS/130 YRS
Updated for: July, 2020.
www.wellcare.com/Florida 236
Johns Hopkins All Childrens
Hospital Inc Provider ID: 20032 3850 Tampa Rd, Bldg A Ste 200 Palm Harbor, FL 34684 (727) 789-0200 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00
Johns Hopkins All Childrens
Hospital Inc
Provider ID: 20032 501 6th St S Saint Petersburg, FL 33701-4630 (727) 898-7451 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00
Johns Hopkins All Childrens
Hospital Inc
Provider ID: 20032 900 Carillon Pkwy Saint Petersburg, FL 33716-1115 (727) 571-1210 Fax: (727) 573-1958 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00
Largo Medical Center
Provider ID: 20211 201 14th St SW Largo, FL 33770-3199 (727) 586-1411 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Largo Medical Center Indian
Rocks
Provider ID: 20159 2025 Indian Rocks Rd S Largo, FL 33774-1035 (727) 581-9474 Mon - Sun 12:00 to 12:00
Mease Countryside Hospital
Provider ID: 20917 3231 Mcmullen Booth Rd Safety Harbor, FL 34695 (727) 725-6111 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Mease Hospital Dunedin
Provider ID: 20928 601 Main St Dunedin, FL 34698-5848 (727) 733-1111 Fax: (727) 734-6887 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Morton Plant Hospital
Provider ID: 21478 300 Pinellas St Clearwater, FL 33756-3892 (727) 462-7000 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Northside Hospital
Provider ID: 20019 6000 49th St N St Petersburg, FL 33709-2145 (727) 521-4411 Fax: (727) 521-5007 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Palms Of Pasadena Hosp
Provider ID: 20845 1501 Pasadena Ave S St Petersburg, FL 33707-3798 (727) 381-1000 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
33453864
Hospitals
Pinellas
Hospital - cont.
St Anthonys Hospital Provider ID: 20194 1200 7th Ave N St Petersburg, FL 33701-1388 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
St Petersburg General Hosp
Provider ID: 21074 6500 38th Ave N St Petersburg, FL 33710-1629 (727) 384-1414 Fax: (855) 632-9192 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 237
33453864
Behavioral Health
Pasco
Advance Registered Nurse
Practitioner Psychiatrist
Botz, Jeanne APRN Provider ID: 1069672 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Davis, Don APRN
Provider ID: 1069693 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vangaasbeek, Debra APRN Provider ID: 1069798 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 816-1932 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Behavioral Health Counseling
Bielitz, Robert LMHC Provider ID: 1304386 Gender: Male Lifespan Services Inc 7702 Massachusetts Ave New Port Richey, FL 34653-5609 (727) 847-0069 Fax: (727) 849-3780 00 YRS/130 YRS Mon - Sun 9:00 to 8:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 238
Bjorkman, Tara LMHC Provider ID: 286499 Gender: Female 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 846-9496 Fax: (727) 849-8410 12 YRS/130 YRS Languages: Korean Mon - Thu 8:00 to 7:00 Fri 8:00 to 12:00 PCMH: No
Breen, Ariel LMHC
Provider ID: 731116 Gender: Female Ariel Breen 12110 Beagle Rd Hudson, FL 34667-6013 (727) 455-8121 05 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Buck, Jennifer LMHC Provider ID: 1069677 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Caldwell, Wendy LMHC
Provider ID: 1069680 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Corradini, Frank LCSW
Provider ID: 194543 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 6536 Stadium Dr, Ste F Zephyrhills, FL 33542-7590 (813) 783-2135 Fax: (813) 783-2135 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Crosby, Courtney LMHC Provider ID: 1184498 Gender: Female Lifespan Services Inc 7702 Massachusetts Ave New Port Richey, FL 34653-5609 (727) 847-0069 Fax: (727) 849-3780 00 YRS/130 YRS Mon - Sun 9:00 to 8:00 PCMH: No
Dillon, Elizabeth LMHC
Provider ID: 1069694 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pasco
Behavioral Health Counseling - cont.
Dubovsky, Ladislaus LMHC
Provider ID: 665147 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 10854 Telford St New Port Richey, FL 34654-3123 (727) 505-4880 Fax: (727) 856-9656 00 YRS/130 YRS Languages: German Mon - Fri 8:00 to 5:00 PCMH: No
Edwards, Stephen LMHC
Provider ID: 753957 Gender: Male Christian Counseling Center Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 2017 Riegler Rd Land O Lakes, FL 34639-5328 (813) 416-0597 Fax: (813) 948-8414 00 YRS/130 YRS Tue 8:00 to 9:00 Wed 8:00 to 6:00 Sat 8:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 239
Elliott, Alice LMHC Provider ID: 1069697 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Erickson, Shannon LCSW
Provider ID: 278890 Gender: Female A Center For Individual Fami 8022 Old County Road 54 New Port Richey, FL 34653-6409 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon, Fri 10:00 to 3:00 Thu 9:00 to 8:00 Sat 8:00 to 5:00 PCMH: No
Evanko, Robert LMHC Provider ID: 1069700 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fagan, Denise LMHC
Provider ID: 1069704 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fogleman, Ruthann LMHC Provider ID: 1085149 Gender: Female Ruthann Fogleman 8022 Old County Road 54 New Port Richey, FL 34653 (727) 784-8244 Fax: (727) 264-8802 00 YRS/130 YRS Mon - Sun 8:00 to 8:00 PCMH: No
Fox, Matthew LMHC
Provider ID: 1069717 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gadouas, Cassandra LMHC Provider ID: 1189835 Gender: Female Cassandras Counseling 5207 Marine Pkwy New Port Richey, FL 34652-4234 (727) 505-0959 Fax: (727) 863-1343 00 YRS/130 YRS Tue, Thu 9:00 to 7:00 Wed 9:00 to 3:00 Fri 9:00 to 5:00 Sat 3:00 to 5:00 PCMH: No
Gonzalez, Gina LMHC
Provider ID: 1069723 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pasco
Behavioral Health Counseling - cont.
Greenan, Lilith LMHC
Provider ID: 1069727 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hamilton, Mary LMHC
Provider ID: 1069731 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kaly, Tracey LMHC
Provider ID: 1069745 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nikla, Richard LMHC
Provider ID: 817735 Gender: Male Richard Nikla Lmhc DBA West Co 5462 Grand Blvd, Ste 104 New Port Richey, FL 34652-4002 (941) 780-6939 Fax: (941) 953-1399 00 YRS/130 YRS Tue - Thu 9:00 to 8:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 240
Plummer, Miyosia LMHC
Provider ID: 1069764 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Romanchak, Maria LMHC
Provider ID: 1069770 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shelton, Scott LMHC
Provider ID: 1069772 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Smith, Erica LMHC
Provider ID: 1069779 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sparrowhawk, Paloma LMHC
Provider ID: 532014 Gender: Female Paloma Sparrowhawk Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 5328 Trouble Creek Rd New Port Richey, FL 34652 (813) 610-9815 Fax: (813) 973-8589 12 YRS/130 YRS Mon - Thu 11:00 to 8:00 Fri 10:00 to 3:00 PCMH: No
Stemble, Kelly LMHC
Provider ID: 1138372 Gender: Female Kelly D Stemble 8022 Old County Road 54 New Port Richey, FL 34653 (937) 935-5236 Fax: (727) 264-8802 05 YRS/130 YRS Tue - Thu 10:00 to 7:00 Fri 2:00 to 5:00 Sat 10:00 to 2:00 PCMH: No
Thomas, Kristina LMHC
Provider ID: 1069780 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pasco
Behavioral Health Counseling - cont.
Toscani, Joy LMHC
Provider ID: 1069791 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Tranum, Megan LMHC
Provider ID: 1248341 Gender: Female True North Behavioral Health Servic 3848 Flatiron Loop, Ste 101 Wesley Chapel, FL 33544 (813) 319-3910 Fax: (813) 498-2671 00 YRS/130 YRS Tue - Thu 3:00 to 9:00 PCMH: No
Trese, Michael LMHC
Provider ID: 1069793 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Visalli, Alyssa LMHC
Provider ID: 1136437 Gender: Female Lifespan Services Inc 7702 Massachusetts Ave New Port Richey, FL 34653-3024 (727) 847-0069 Fax: (727) 849-3780 00 YRS/18 YRS Mon - Sun 9:00 to 8:00 PCMH: No
Behavioral Health Facility
Mitchell Rehabilitation Hospital
Provider ID: 2207135 Bay Care Health System 6600 Madison St New Prt Rchy, FL 34652-1971 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Morton Plant North Bay Hosp
Provider ID: 20138 6600 Madison St New Prt Rchy, FL 34652-1971 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Morton Plant North Bay Hospital Recovery
Provider ID: 2207089 Bay Care Health System 21808 State Road 54 Lutz, FL 33549-6923 (813) 428-6100 02 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Sequelcare Of Florida LLC
Provider ID: 479208 Subspecialty: Inpatient Services, Outpatient Services, Substance Abuse Treatment Ctr, State Inpa-tient Psych Program 9550 Us Highway 19, Ste 202 203 And 214 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (727) 494-7610 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Community Mental Health Center
Impower Inc
Provider ID: 270420 3848 Flatiron Loop, Unit 101 Wesley Chapel, FL 33544-7825 (407) 215-0095 Fax: (407) 261-0523 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Operation Par Inc
Provider ID: 28534 Operation Par Inc Maps 7720 Washington St, Ste 103 Port Richey, FL 34668-6540 (727) 816-1200 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Childrens Treatment Cent 8132 King Helie Blvd New Port Richey, FL 34653-1435 (766) 762-1743 Fax: (727) 834-3969 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Community Recovery Cente 6040 Indiana Ave New Port Richey, FL 34653-3214 (866) 762-1743 Fax: (727) 841-4478 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 241
33453864
Behavioral Health
Pasco
Community Mental Health Center -
cont.
The Harbor Bhci Provider ID: 21158 The Harbor Doris Cook 14527 7th St Dade City, FL 33523-3102 (866) 762-1743 Fax: (352) 521-1477 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Magnolia Plaza 7809 Massachusetts Ave New Port Richey, FL 34653-3028 (866) 762-1743 Fax: (727) 841-4354 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Multipurpose Treat-ment C 8002 King Helie Blvd New Prt Rchy, FL 34653-1435 (866) 762-1743 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 4821 Us Hwy 19, Ste 4 New Port Richey, FL 34652-4259 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:00 to 2:00 Tue 8:00 to 6:00 Wed 8:00 to 7:00 Thu 8:00 to 3:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primiary Integration Sit 2087 Little Rd Trinity, FL 34655-4421 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:30 to 3:30 Tue - Thu 10:00 to 6:30 PCMH: No
Licensed Clinical Social Worker
Aletkin, Michelle LCSW Provider ID: 1069739 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Baskin, Robyn LCSW
Provider ID: 2076634 Gender: Female Caring Community Counseling LLC 7340 Little Rd, Ste 102 New Port Richey, FL 34654-5532 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cortes-Ramirez, Luz LCSW Provider ID: 1196805 Gender: Female Lifespan Services Inc 7702 Massachusetts Ave New Port Richey, FL 34653-5609 (727) 847-0069 Fax: (727) 849-3780 05 YRS/130 YRS Mon - Sun 9:00 to 8:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 242
Durdan, Judith LCSW Provider ID: 2188069 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fanelli, Christine LCSW
Provider ID: 1069707 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Foltz, Diana LCSW Provider ID: 1069710 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gonatos, Jennifer LCSW
Provider ID: 1069721 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pasco
Licensed Clinical Social Worker -
cont.
Hagen, Katie LCSW
Provider ID: 2021464 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hubbard, Brittani LCSW
Provider ID: 2182091 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jordan, Cassandra LCSW
Provider ID: 1422903 Gender: Female Metropolitan Charities. Inc. 4747 Us Highway 19 New Prt Rchy, FL 34652-4945 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 Sat 10:00 to 4:00 PCMH: No
Klaus, Jennifer LCSW
Provider ID: 1826042 Gender: Female East Lake Pediatrics Pa 2137 Little Rd Trinity, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 243
Misiaszek-Boser, Joann LCSW
Provider ID: 1028400 Gender: Female Partnership For Children And Famili 10939 Kenmore Dr New Port Richey, FL 34654-6039 (813) 310-3295 Fax: (727) 236-6742 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Redmond, Carolyn LCSW
Provider ID: 1541459 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Shirina, Sarah LCSW
Provider ID: 1069776 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Taylor, Symone D'auri LCSW Provider ID: 1824810 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Prt Rchy, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Thaxton, Alyssa LCSW
Provider ID: 1868393 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Treanor, Hilary LCSW
Provider ID: 1069792 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vagedes, Marie LCSW
Provider ID: 1126080 Gender: Female The Solution Counseling Center 8022 Old County Road 54 New Port Richey, FL 34653 (727) 784-8244 Fax: (727) 264-8802 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Waye, Janet LCSW Provider ID: 1069805 Gender: Female 4821 Us Highway 19, Ste 4 New Port Richey, FL 34652-4259 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS PCMH: No
33453864
Behavioral Health
Pasco
Licensed Clinical Social Worker -
cont.
Waye, Janet LCSW Provider ID: 1069805 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Zigouris, Mary Ann LCSW
Provider ID: 1069808 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Licensed Marriage And Family
Therapist
Bolen, Brian LMHC Provider ID: 1750997 Gender: Male Nu Hope Counseling PLLC 4651 Wandering Way Wesley Chapel, FL 33544-8500 (813) 907-0285 Fax: (813) 406-5158 00 YRS/130 YRS Mon - Fri 10:00 to 7:00 Sat 10:00 to 6:00 PCMH: No
Jaramillo, Kate LMFT Provider ID: 1034643 Gender: Female Kate Jaramillo 8022 Old County Road 54 New Port Richey, FL 34653 (727) 687-8982 Fax: (727) 819-0385 00 YRS/130 YRS Mon - Fri 2:00 to 8:00 PCMH: No
May, William LMFT
Provider ID: 1069761 Gender: Male Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rosenbluth, Laura LMFT Provider ID: 2183173 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vanden, Vera LMFT
Provider ID: 1069662 Gender: Female Baycare Behavioral Health 14541 7th St Dade City, FL 33523-3102 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vanden, Vera LMFT Provider ID: 1069662 Gender: Female Baycare Behavioral Health 15299 Cortez Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vanden, Vera LMFT
Provider ID: 1069662 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Licensed Professional Counselor
Slickers, Albert LPC Provider ID: 1278414 Gender: Male Acas Counseling. LLC 2718 Letap Ct, Ste 101 Land O Lakes, FL 34638-7266 (813) 452-4073 Fax: (813) 475-4794 05 YRS/130 YRS Tue - Fri 5:00 to 9:00 Sat 1:00 to 6:00 PCMH: No
Licensed Social Worker
Reedimes, Susan LCSW Provider ID: 1839054 Gender: Female Lifespan Services 7702 Massachusetts Ave New Port Richey, FL 34653-3024 (727) 847-0069 Fax: (727) 849-3780 00 YRS/130 YRS Mon, Thu 4:00 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 244
33453864
Behavioral Health
Pasco
Pediatric Psychiatry
Ali, Muhammad MD Provider ID: 1566246 Gender: Male Vista Behavioral Health PLLC 2718 Letap Ct, Unit 101 Land O Lakes, FL 34638-7266 (813) 452-4073 Fax: (813) 475-4794 02 YRS/130 YRS Languages: Hindi Mon - Fri 8:00 to 8:00 PCMH: No
White-Green, Latamia MD
Provider ID: 1069807 Gender: Female 14527 7th St Dade City, FL 33523-3102 (352) 521-1474 Fax: (352) 521-1477 00 YRS/130 YRS PCMH: No
White-Green, Latamia MD
Provider ID: 1069807 Gender: Female Baycare Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (813) 872-7582 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Vashaun MD
Provider ID: 1239758 Gender: Male Impower 3848 Flatiron Loop, Unit 101 Wesley Chapel, FL 33544-7825 (321) 639-1224 Fax: (321) 639-1194 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Psychiatry
Ali, Muhammad MD Provider ID: 1566246 Gender: Male Vista Behavioral Health PLLC 2718 Letap Ct, Unit 101 Land O Lakes, FL 34638-7266 (813) 452-4073 Fax: (813) 475-4794 02 YRS/130 YRS Languages: Hindi Mon - Fri 8:00 to 8:00 PCMH: No
Arora, Pradeep MD
Provider ID: 1651108 Gender: Male Sequelcare Of Florida 9550 Us Highway 19 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (727) 494-7610 02 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Bruzzichesi, Jessica PA
Provider ID: 1774884 Gender: Female Sequelcare Of Florida 9550 Us Hwy 19 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (757) 494-7610 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cannon, Fay MD
Provider ID: 957933 Gender: Male Baycare Behavioral Health DBA The H 14527 7th St Dade City, FL 33523-3102 (352) 521-1474 Fax: (352) 521-1477 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Cannon, Fay MD
Provider ID: 957933 Gender: Male Baycare Behavioral Health DBA The H 8002 King Helie Blvd New Port Richey, FL 34653-1435 (727) 841-4430 Fax: (727) 841-4443 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chang, San MD
Provider ID: 2181836 Gender: Male Baycrae Behavioral Health 8002 King Helie Blvd New Port Richey, FL 34653-1435 (866) 762-1743 Fax: (727) 816-1222 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Davis, Stephanie PA
Provider ID: 1605497 Gender: Female Sequelcare Of Florida LLC 9550 Us Highway 19 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (757) 494-7610 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 245
33453864
Behavioral Health
Pasco
Psychiatry - cont.
Dhillon, Amarjeet MD
Provider ID: 28592 Gender: Male Amarjeet S Dhillon Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 4807 Us Highway 19, Ste 204 New Port Richey, FL 34652-4260 (727) 847-7464 Fax: (727) 847-0692 05 YRS/130 YRS Adventhealth North Pinellas Medical Center Of Trinity Morton Plant North Bay Hosp Languages: Hindi Mon - Fri 9:30 to 5:00 PCMH: No
Eisner, Adrienne MD Provider ID: 2180156 Gender: Female Baycare Behavioral Health Inc 8002 King Helie Blvd New Port Richey, FL 34653-1435 (866) 762-1743 Fax: (727) 816-1222 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 246
Harris, David DO Provider ID: 2180509 Gender: Male Baycare Behavioral Health Inc 8002 King Helie Blvd New Port Richey, FL 34653-1435 (866) 762-1743 Fax: (727) 816-1222 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Higgins, Cynthia MD
Provider ID: 1749147 Gender: Female Solace Behavioral Health. LLC 4800 Rowan Rd New Prt Rchy, FL 34653 (727) 483-5912 Fax: (727) 376-3652 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Parks, Alicia APRN Provider ID: 1295838 Gender: Female Gulf Coast Jewish Family And Commun 3142 Darlington Rd Holiday, FL 34691-3109 (727) 450-7269 Fax: (727) 479-1248 05 YRS/130 YRS Mon 9:00 to 5:00 PCMH: No
Patel, Shodhan MD
Provider ID: 1422901 Gender: Male Solace Behavioral Health 4800 Rowan Rd New Port Richey, FL 34653-5609 (727) 483-5912 Fax: (727) 376-3652 00 YRS/130 YRS Languages: Gujarati Mon - Fri 8:30 to 7:00 PCMH: No Telemedicine Presenting and Receiving Site
Shah, Meena MD Provider ID: 1476956 Gender: Female Sequelcare Of Florida. LLC 9550 Us Highway 19 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (757) 494-7610 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Werblin, Joshua MD
Provider ID: 2089884 Gender: Male Solace Behavioral Health LLC 4800 Rowan Rd New Port Richey, FL 34653-5609 (727) 483-5912 Fax: (727) 376-3652 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Kevin PA Provider ID: 1610258 Gender: Male Sequelcare Of Florida LLC 9550 Us Highway 19, Ste 202 Port Richey, FL 34668-4664 (727) 494-7609 Fax: (727) 494-7610 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Young III, John MD
Provider ID: 2152110 Gender: Male Behavioral Health Of Trinity 9332 State Road 54, Ste 400 New Port Richey, FL 34655-1810 (727) 372-4779 Fax: (727) 372-4559 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
33453864
Behavioral Health
Pasco
Psychiatry - cont.
Zoueva, Svetlana NULL
Provider ID: TPVABH1030-02 Gender: Female Baycare Behavioral Health 7809 Massachusetts Ave New Port Richey, FL 34653 (727) 841-4200 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Substance Abuse
Impower Inc Provider ID: 270420 3848 Flatiron Loop, Unit 101 Wesley Chapel, FL 33544-7825 (407) 215-0095 Fax: (407) 261-0523 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
North Tampa Behav Health
Provider ID: 914392 29910 Sr 56 Wesley Chapel, FL 33543 (813) 922-3300 Fax: (813) 994-4249 18 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc
Provider ID: 28534 Operation Par Inc Maps 7720 Washington St, Ste 103 Port Richey, FL 34668-6540 (727) 816-1200 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 247
The Harbor Bhci
Provider ID: 21158 The Harbor Childrens Treatment Cent 8132 King Helie Blvd New Port Richey, FL 34653-1435 (766) 762-1743 Fax: (727) 834-3969 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Community Recovery Cente 6040 Indiana Ave New Port Richey, FL 34653-3214 (866) 762-1743 Fax: (727) 841-4478 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Doris Cook 14527 7th St Dade City, FL 33523-3102 (866) 762-1743 Fax: (352) 521-1477 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Magnolia Plaza 7809 Massachusetts Ave New Port Richey, FL 34653-3028 (866) 762-1743 Fax: (727) 841-4354 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Multipurpose Treat-ment C 8002 King Helie Blvd New Prt Rchy, FL 34653-1435 (866) 762-1743 Fax: (727) 841-4436 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Primary Integration Site 4821 Us Hwy 19, Ste 4 New Port Richey, FL 34652-4259 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:00 to 2:00 Tue 8:00 to 6:00 Wed 8:00 to 7:00 Thu 8:00 to 3:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primiary Integration Sit 2087 Little Rd Trinity, FL 34655-4421 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:30 to 3:30 Tue - Thu 10:00 to 6:30 PCMH: No
33453864
Behavioral Health
Pinellas
Advance Registered Nurse
Practitioner Psychiatrist
Lotito, Jillian APRN Provider ID: 1029479 Gender: Female Directions For Mental Health Inc Db 1437 S Belcher Rd Clearwater, FL 33764-2928 (727) 524-4464 Fax: (727) 524-4474 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Behavioral Health Counseling
Arredondo, Andra LCSW Provider ID: 949933 Gender: Female St Pete Behavioral Health Center 433 4th St N Saint Petersburg, FL 33701-2803 (727) 895-8499 Fax: (727) 895-8497 16 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 10:00 to 2:00 PCMH: No
Barnes, Wanda LMHC
Provider ID: 930121 Gender: Female 3840 5th Ave N Saint Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon - Fri 10:00 to 7:00 Sat 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 248
Bishop, Harold LCSW Provider ID: 28107 Gender: Male 1905 Tyrone Blvd N St Petersburg, FL 33710-4841 (727) 347-3284 Fax: (747) 347-4472 18 YRS/130 YRS Mon - Tue, Thu - Fri 9:00 to 6:00 PCMH: No
Bishop, Harold LCSW Provider ID: 28107 Gender: Male Individual 1591 Main St Dunedin, FL 34698-4651 (727) 347-3284 Fax: (727) 347-4472 18 YRS/130 YRS Wed 9:00 to 6:00 PCMH: No
Bulla, Angela LCSW Provider ID: 803118 Gender: Female Angela Brown Bulla Lcsw 51 S Main Ave, Ste 304 Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon, Thu 8:00 to 7:00 Wed 8:00 to 2:00 Fri 8:00 to 5:00 Sat 1:00 to 5:00 PCMH: No
Bunton, Miriam LCSW Provider ID: 751512 Gender: Female 710 94th Ave, Ste 305 Saint Petersburg, FL 33702 (727) 744-4489 05 YRS/130 YRS Languages: Spanish PCMH: No
Carini, Andrew LCSW Provider ID: 937746 Gender: Male Suncoast Counseling LLC 51 S Main Ave, Ste 304 Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon - Wed, Fri 8:00 to 9:00 Thu 9:00 to 9:00 PCMH: No
Christova, Albena LMHC
Provider ID: 950069 Gender: Female St Pete Behavioral Health Center In 433 4th St N Saint Petersburg, FL 33701-2803 (727) 895-8499 Fax: (727) 895-8497 16 YRS/130 YRS Languages: Bulgarian, German, Macedonian, Polish Mon - Fri 8:30 to 5:00 Sat 10:00 to 2:00 PCMH: No
Clare, John LMHC Provider ID: 1217571 Gender: Male John J. Clare. Lmhc. Cap. Ceap 12360 66th St, Ste H5 Largo, FL 33773-3434 (727) 399-6021 Fax: (727) 240-1047 12 YRS/130 YRS Mon, Wed 4:00 to 9:00 Sat 9:00 to 6:00 PCMH: No
33453864
Behavioral Health
Pinellas
Behavioral Health Counseling - cont.
Clark, Louisa LMHC
Provider ID: 540858 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 430 Athens St Tarpon Springs, FL 34689-3104 (727) 709-8964 Fax: (727) 937-7330 00 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Dann, Kelly LCSW
Provider ID: 922185 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 18 YRS/100 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 249
Davenport, Glenda LCSW
Provider ID: 359531 Gender: Female Glenda Davenport 905 E Mlk Dr, Ste 290 Tarpon Springs, FL 34689-4810 (727) 560-8225 Fax: (727) 942-0252 00 YRS/130 YRS Mon - Wed, Fri 11:00 to 7:00 PCMH: No
Davidson, Wayne LMHC
Provider ID: 807237 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 40347 Us Highway 19 N, Ste 103 Tarpon Springs, FL 34689-4841 (813) 979-0535 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Erickson, Shannon LCSW Provider ID: 278890 Gender: Female The Solution Counseling Center 51 S Main Ave, Ste 304 Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Wed 9:00 to 9:00 PCMH: No
Fine, Frank LMHC Provider ID: 783620 Gender: Male Orlando Counseling Center 737 Main St Safety Harbor, FL 34695-3502 (407) 588-6235 00 YRS/130 YRS Mon - Sun 8:00 to 8:00 PCMH: No
Fogleman, Ruthann LMHC
Provider ID: 1085149 Gender: Female Ruthann Fogleman 2270 Drew St, Ste C Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon - Sun 8:00 to 8:00 PCMH: No
French, Trish LCSW Provider ID: 970476 Gender: Female Trish French Msw Cap Lcsw Inc 51 S Main Ave, Ste 304 Clearwater, FL 33765-3937 (727) 784-8244 Fax: (727) 287-9302 15 YRS/90 YRS Mon - Fri 9:00 to 7:00 PCMH: No
Fuller, Mary LMHC
Provider ID: 965256 Gender: Female 40347 Us Highway 19 N, Ste 103 Tarpon Springs, FL 34689-4841 (727) 330-8932 Fax: (727) 772-8212 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
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Behavioral Health Counseling - cont.
Graff, Sara LCSW
Provider ID: 318176 Gender: Female Access Community Services 1436 Bay Harbor Dr Palm Harbor, FL 34685 (727) 479-6041 Fax: (866) 496-4382 00 YRS/130 YRS Mon - Fri 9:00 to 4:00 PCMH: No
Hall, Sandra LMHC
Provider ID: 282772 Gender: Female Sandra S Hall Lmhc Cap Crc Pa Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 10825 Seminole Blvd, Unit 2a Largo, FL 33778-3315 (727) 623-0974 Fax: (727) 623-0975 05 YRS/130 YRS Mon - Fri 10:00 to 6:00 PCMH: No
Ingram, Jennifer LMHC
Provider ID: 499629 Gender: Female Subspecialty: Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Eating Disorders, Expert Witness Testimony, Separation/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1301 Seminole Blvd, Ste 103 Largo, FL 33770-8118 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Mon 9:00 to 7:00 Tue, Thu - Fri 9:00 to 2:00 Sat 9:00 to 4:00 PCMH: No
Ingram, Jennifer LMHC
Provider ID: 499629 Gender: Female Richard D Morris LLC DBA Famil Subspecialty: Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Eating Disorders, Expert Witness Testimony, Separation/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 2555 Enterprise Rd, Ste 111 Clearwater, FL 33763-1150 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Tue 9:00 to 1:00 Thu 9:00 to 2:00 PCMH: No
Kerwin, Joan LMHC
Provider ID: 789621 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 275 4th St N St Petersburg, FL 33701-3205 (727) 271-1783 Fax: (727) 823-8082 05 YRS/130 YRS Mon - Thu 9:00 to 8:00 Fri 9:00 to 8:30 PCMH: No
Knop, Karen LCSW
Provider ID: 929780 Gender: Female 1210 66th St N St Petersburg, FL 33710-6226 (727) 518-6444 Fax: (727) 581-2678 17 YRS/100 YRS Mon, Wed 9:00 to 7:00 PCMH: No
Lambert, John LCSW Provider ID: 801620 Gender: Male John F Lambert 820 Jasmine Way Larkin Center Clearwater, FL 33756 (727) 492-4926 Fax: (727) 442-4810 00 YRS/130 YRS Mon - Fri 7:30 to 9:00 Sat - Sun 9:00 to 7:00 PCMH: No
Updated for: July, 2020.
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Lewis, Deborah LMHC
Provider ID: 27995 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 5100 78th Ave N, Ste 7 Pinellas Park, FL 33781-2407 (727) 586-0636 Fax: (727) 546-9586 00 YRS/130 YRS Mon 12:30 to 6:30 Tue 8:30 to 2:30 Wed 8:30 to 3:30 Thu 8:30 to 6:30 PCMH: No
Mack, Teresa LMHC Provider ID: 1091324 Gender: Female Building Blocks Therapy PLLC 801 West Bay Dr, Ste 413 Largo, FL 33770 (727) 709-7751 00 YRS/130 YRS Mon - Fri 9:00 to 7:00 PCMH: No
Updated for: July, 2020.
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Mason, Andrea LMHC
Provider ID: 787655 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 7850 Ulmerton Rd, Ste 4 Largo, FL 33771-4015 (727) 542-3635 Fax: (727) 213-9035 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Morris, Richard LMHC
Provider ID: 454186 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 2555 Enterprise Rd, Bldg 9 Ste 11-1 Clearwater, FL 33763 (727) 213-5379 00 YRS/130 YRS PCMH: No
O'neil, Susan LMHC Provider ID: 1041422 Gender: Female Susan J Oneil 5771 Roosevelt Blvd, Ste 300 Clearwater, FL 33760-3415 (727) 687-7452 Fax: (727) 507-8822 00 YRS/18 YRS Mon - Thu 9:00 to 7:00 Fri 9:00 to 4:00 Sat 9:00 to 12:00 PCMH: No
Pierce, Tyne LMHC
Provider ID: 950243 Gender: Female Tyne Pierce 51 S Main Ave, Ste 304 Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 05 YRS/130 YRS Mon, Sat 8:00 to 5:00 Tue - Fri 8:00 to 8:00 PCMH: No
Santiago, Karmivis LMHC Provider ID: 461212 Gender: Female Karmivis Santiago Lmhc 3900 Belle Oak Blvd, Ste 105 Largo, FL 33771-2758 (727) 480-0107 Fax: (727) 499-7555 00 YRS/130 YRS Languages: Spanish Mon - Thu 9:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
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Sharman, Carole LMHC Provider ID: 418380 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1135 Pasadena Ave South, Suite 302 Saint Petersburg, FL 33707 (727) 341-0097 06 YRS/120 YRS PCMH: No
Sisco, Kelly LCSW
Provider ID: 806500 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1301 Seminole Blvd, Ste A-103 Largo, FL 33770-8173 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Stemble, Kelly LMHC
Provider ID: 1138372 Gender: Female Kelly Stemble 2270 Drew St, Ste C Clearwater, FL 33765 (727) 784-8244 Fax: (727) 264-8802 05 YRS/130 YRS Mon - Fri 8:00 to 10:00 PCMH: No
Williamson, Blake LMHC
Provider ID: 1130687 Gender: Male Blake Healing For You PLLC 1501 5th Ave N Saint Petersburg, FL 33705-2008 (727) 896-8686 Fax: (727) 898-9596 05 YRS/130 YRS Mon - Thu 9:00 to 1:00 Fri 10:00 to 12:00 PCMH: No
Williamson, Blake LMHC Provider ID: 1130687 Gender: Male Blake Healing For You. PLLC 3530 1st Ave N, Ste 217 Saint Petersburg, FL 33713-8444 (760) 641-4408 Fax: (727) 954-7190 05 YRS/130 YRS Mon - Thu 1:00 to 5:00 PCMH: No
Wilson, Donna LCSW Provider ID: 805600 Gender: Female 710 94th Ave North, Ste 305 Saint Petersburg, FL 33702 (727) 269-5816 00 YRS/130 YRS PCMH: No
Wingert, Frank LCSW Provider ID: 948360 Gender: Male St Pete Behavioral Health Center In 433 4th St N Saint Petersburg, FL 33701 (727) 895-8499 Fax: (727) 895-8497 16 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 10:00 to 2:00 PCMH: No
Behavioral Health Facility
Adoption Related Svs - Pinellas. Inc
Provider ID: 469754 Subspecialty: Outpatient Services 3941 68th Ave N Pinellas Park, FL 33781 (727) 657-7761 Fax: (727) 865-5178 00 YRS/130 YRS Languages: German, Spanish, Viet -namese Mon - Fri 9:00 to 5:00 PCMH: No
Baycare Life Management
Provider ID: 2032903 3251 N Mcmln Bth Rd, Ste 100 Clearwater, FL 33761-2022 (727) 725-6026 Fax: (727) 725-6056 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Baycare Life Management
Provider ID: 214328 1106 Druid Rd S, Ste 201 Clearwater, FL 33756 (800) 878-5470 Fax: (727) 266-4972 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 2:00 PCMH: No
Updated for: July, 2020.
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Camelot Community Care Inc
Provider ID: 274915 Subspecialty: Inpatient Services, Outpatient Services, Substance Abuse Treatment Ctr, State Inpa -tient Psych Program 4910 Creekside Dr Clearwater, FL 33760-4034 (727) 593-0003 Fax: (727) 596-1713 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Gulf Coast Jewish Family And Community S
Provider ID: 348545 Subspecialty: Inpatient Services, Outpatient Services, Substance Abuse Treatment Ctr, State Inpa -tient Psych Program 14041 Icot Blvd Clearwater, FL 33760 (727) 450-7269 Fax: (727) 479-1248 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Mease Countryside Hospital
Provider ID: 20917 3231 Mcmullen Booth Rd Safety Harbor, FL 34695 (727) 725-6111 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Morton Plant Hospital
Provider ID: 21478 300 Pinellas St Clearwater, FL 33756-3892 (727) 462-7000 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Sequelcare Of Florida LLC
Provider ID: 479208 Subspecialty: Inpatient Services, Outpatient Services, Substance Abuse Treatment Ctr, State Inpa-tient Psych Program 3491 Gandy Blvd N, Ste 201 Pinellas Park, FL 33781-2654 (727) 547-0607 Fax: (727) 547-6752 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
St Anthonys Hospital Provider ID: 20194 1200 7th Ave N St Petersburg, FL 33701-1388 (727) 843-4500 Fax: (813) 635-7970 00 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Community Mental Health Center
Agency For Community Treat-ment Services
Provider ID: 927325 Agency For Community Treatment Serv 3575 Keystone Rd Tarpon Springs, FL 34688-7815 (813) 522-0489 Fax: (727) 942-4181 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Baycare Life Management
Provider ID: 2032903 3251 N Mcmln Bth Rd, Ste 100 Clearwater, FL 33761-2022 (727) 725-6026 Fax: (727) 725-6056 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Baycare Life Management Provider ID: 214328 1106 Druid Rd S, Ste 201 Clearwater, FL 33756 (800) 878-5470 Fax: (727) 266-4972 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 2:00 PCMH: No
Carlton Manor Inc
Provider ID: 801129 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 45 Westwood Ter N St Petersburg, FL 33710-8325 (727) 343-3662 Fax: (727) 347-1649 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Directions For Living
Provider ID: 271921 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 7:00 PCMH: No
Updated for: July, 2020.
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cont.
Directions For Living
Provider ID: 271921 8823 115th Ave Largo, FL 33773-4922 (727) 524-4464 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Duval Metro Treatment Center
Provider ID: 1338129 Metro Treatment Center 8800 49th St N, Ste 106 Pinellas Park, FL 33782 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Duval Metro Treatment Center
Provider ID: 1338129 St Petersburg Metro Treatment 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Morning Light Counseling Options
Provider ID: 2114576 Morning Light Wellness Center 5450 1st Ave N, Ste A Saint Petersburg, FL 33710-8000 (727) 273-0490 Fax: (727) 273-0506 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Operation Par Inc Provider ID: 28534 Operation Par Inc Detox 6150 150th Ave N Clearwater, FL 33760-2138 (727) 538-7243 Fax: (727) 507-4023 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc
Provider ID: 28534 Operation Par Inc Enhanced Outpatie 2000 4th St S Saint Petersburg, FL 33705-2718 (727) 893-5444 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc Provider ID: 28534 13800 66th St Largo, FL 33771-4909 (727) 538-7245 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc Provider ID: 28534 Operation Par Inc Academy 6720 54th Ave N Saint Petersburg, FL 33709-1402 (727) 547-4508 Fax: (727) 547-4517 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Updated for: July, 2020.
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Personal Enrichment Through Mental Healt Provider ID: 20823 1614 Palm Way Largo, FL 33771-3926 (727) 545-6477 Fax: (727) 507-4722 05 YRS/64 YRS Languages: Spanish Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Personal Enrichment Through Mental Healt
Provider ID: 20823 Personal Enrichment Through Mental 11254 58th St N Pinellas Park, FL 33782-2213 (727) 545-6477 Fax: (727) 545-6464 05 YRS/64 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No Telemedicine Presenting and Receiving Site
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Community Mental Health Center -
cont.
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1001 16th St S St Petersburg, FL 33705-2231 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 2188 58th St N Clearwater, FL 33760-3112 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon, Fri 8:00 to 5:00 Tue - Thu 8:00 to 8:00 PCMH: No
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 4010 Central Ave St Petersburg, FL 33711-1239 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon, Fri 8:00 to 5:00 Tue - Thu 8:00 to 8:00 Sat 9:00 to 2:00 PCMH: No
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 4024 Central Ave Saint Petersburg, FL 33711-1239 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 928 22nd Ave S Saint Petersburg, FL 33705-2934 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pinellas
Community Mental Health Center -
cont.
Suncoast Center Inc
Provider ID: 275293 Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 940 22nd Ave S St Petersburg, FL 33705-2934 (727) 327-7656 00 YRS/100 YRS Languages: French, Punjabi, Russian, Spanish Mon - Fri 8:00 to 5:00 PCMH: No
The Chrysalis Center Inc Provider ID: 303776 970 Lake Carillon Dr, Ste 300 Saint Petersburg, FL 33716-1130 (813) 443-4827 Fax: (954) 587-0080 00 YRS/130 YRS Mon - Fri 9:00 to 5:30 PCMH: No Telemedicine Presenting and Receiving Site
The Harbor Bhci
Provider ID: 21158 The Harbor Primary Integration Site 31860 Us Hwy 19 N Palm Harbor, FL 34684-3712 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:00 to 2:00 Tue 9:00 to 8:00 Wed 8:00 to 1:00 Thu 9:00 to 6:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 560 Jackson St N, Ste 302 Saint Petersburg, FL 33705-1449 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 8787 Bryan Dairy Rd, Ste 275 Largo, FL 33777-1260 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor 900 Carillon Pkwy, Ste 305 St Petersburg, FL 33716-1120 (727) 849-4062 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Doris Cook 900 Carillon Pkwy, Ste 308 St Petersburg, FL 33716-1120 (727) 849-4062 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 2461 Enterprise Rd, Ste C Clearwater, FL 33763-1726 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Licensed Clinical Social Worker
Acheson, Kimberly LCSW Provider ID: 1145215 Gender: Female Kimberly Acheson 8950 Dr. Mlk Jr. St. N, Suite 102 Saint Petersburg, FL 33702 (813) 727-0264 Fax: (813) 792-5272 02 YRS/130 YRS Mon - Thu 3:30 to 5:30 PCMH: No
Ali, Kimberly LCSW Provider ID: 2143446 Gender: Female Solutions 4 Life LLC 6739 1st Ave S Saint Petersburg, FL 33707-1307 (727) 341-7000 Fax: (727) 255-5084 12 YRS/130 YRS Mon - Thu 10:00 to 7:00 Fri 10:00 to 2:00 PCMH: No
Almeida, Brandice LCSW Provider ID: 1822352 Gender: Female Sustainable Family Services LLC 8487 9th St N St Petersburg, FL 33702-3503 (727) 318-3224 Fax: (727) 577-4929 00 YRS/130 YRS Mon - Fri 9:00 to 7:00 PCMH: No
Updated for: July, 2020.
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cont.
Benovic, Elisabeth LCSW Provider ID: 1995579 Gender: Female Restored Through Grace LLC 2332 Clubside Ct, Apt 1422 Palm Harbor, FL 34683-1782 (305) 934-7638 00 YRS/21 YRS Mon, Fri 4:00 to 7:00 Tue, Thu 3:30 to 7:00 Sat 8:00 to 3:30 PCMH: No
Bloom, Jennifer LCSW
Provider ID: 1580251 Gender: Female Community Family Solutions Inc 3831 Tyrone Blvd N, Ste 101 Saint Petersburg, FL 33709-4114 (727) 201-2501 Fax: (727) 499-6987 05 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Durdan, Judith LCSW Provider ID: 2188069 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Durdan, Judith LCSW
Provider ID: 2188069 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
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Hagen, Katie LCSW Provider ID: 2021464 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hagen, Katie LCSW
Provider ID: 2021464 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hubbard, Brittani LCSW Provider ID: 2182091 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hubbard, Brittani LCSW
Provider ID: 2182091 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jadlowski, Janice LCSW Provider ID: 1059384 Gender: Female Baycare Life Management 1106 Druid Rd S, Ste 201 Clearwater, FL 33756 (866) 762-1743 Fax: (727) 816-1222 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 2:00 PCMH: No
Jordan, Cassandra LCSW
Provider ID: 1422903 Gender: Female Metropolitan Charities. Inc. 3251 3rd Ave N St Petersburg, FL 33713 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 Sat 10:00 to 4:00 PCMH: No
Klaus, Jennifer LCSW Provider ID: 1826042 Gender: Female East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Klaus, Jennifer LCSW
Provider ID: 1826042 Gender: Female East Lake Pediatrics Pa 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3478 (727) 372-6760 Fax: (727) 372-6808 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pinellas
Licensed Clinical Social Worker -
cont.
Malone, Jacqueline LCSW Provider ID: 2207999 Gender: Female The University Of South Florida 100 5th Ave S, Ste 300 St Petersburg, FL 33701-5010 (727) 873-4848 Fax: (727) 873-4817 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pelaez, Vianey LCSW
Provider ID: 2143712 Gender: Female Vianey Pelaez 51 S Main Ave, Ste 304 Clearwater, FL 33765-3937 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Redmond, Carolyn LCSW
Provider ID: 1541459 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Redmond, Carolyn LCSW
Provider ID: 1541459 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Russell, Nancy LCSW Provider ID: 2028356 Gender: Female Coaching 4 Kids. LLC 6737 1st Ave S Saint Petersburg, FL 33707-1307 (727) 341-1000 02 YRS/130 YRS Tue - Wed 12:00 to 9:00 PCMH: No
Schleich, Eric LCSW
Provider ID: 2195313 Gender: Male Hope And Healing Of Pinellas LLC 5800 49th St N, Ste 102 St Petersburg, FL 33709-2141 (352) 507-8075 00 YRS/130 YRS Mon, Wed, Fri 2:00 to 7:00 PCMH: No
Taylor, Symone D'auri LCSW
Provider ID: 1824810 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Thaxton, Alyssa LCSW Provider ID: 1868393 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Thaxton, Alyssa LCSW Provider ID: 1868393 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vagedes, Marie LCSW
Provider ID: 1059913 Gender: Female Baycare Life Management 51 S Main Ave, Ste 304 Clearwater, FL 33765 (727) 316-5740 Fax: (727) 287-9302 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vagedes, Marie LCSW
Provider ID: 1126080 Gender: Female The Solution Counseling Center 2270 Drew St, Ste C Clearwater, FL 33765 (727) 784-8244 Fax: (727) 287-9302 12 YRS/130 YRS Fri 1:30 to 5:30 Sat 9:00 to 5:00 PCMH: No
Wheeler, Cynthia LCSW
Provider ID: 1195278 Gender: Female Good Caws LLC 7130 Seminole Blvd, Ste 100 Seminole, FL 33772-5935 (727) 240-7488 Fax: (727) 800-6137 00 YRS/130 YRS Mon 3:00 to 7:00 Tue - Wed 5:00 to 7:00 Thu - Fri 9:30 to 7:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 258
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Licensed Marriage And Family
Therapist
Davis, Emily LMFT Provider ID: 1751638 Gender: Male Caring Community Counseling 3840 5th Ave N Saint Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Rosenbluth, Laura LMFT
Provider ID: 2183173 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 494-7625 Fax: (727) 494-7629 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rosenbluth, Laura LMFT
Provider ID: 2183173 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Skane, Marina LMFT Provider ID: 1460494 Gender: Female Life With Hope LLC 3607 Alt 19, Ste B Palm Harbor, FL 34683-1412 (727) 600-8081 Fax: (727) 865-5150 00 YRS/130 YRS Mon - Fri 11:00 to 6:00 PCMH: No
Welch, Matthew LMFT Provider ID: 1544140 Gender: Male Cooperative Coaching Concepts LLC 3607 Alt 19, Ste B Palm Harbor, FL 34683-1412 (727) 505-2155 Fax: (727) 796-0158 00 YRS/130 YRS Mon - Thu 10:00 to 7:00 Sun 9:00 to 6:00 PCMH: No
Licensed Professional Counselor
Montsho, Yvette LMHC Provider ID: 1775813 Gender: Female Caring Community Counseling 3840 5th Ave N St Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Neuropsychology
Clement, Veronica PHD
Provider ID: 968627 Gender: Female Suncoast Medical Clinic LLC 1201 5th Ave N, Ste 204 Saint Petersburg, FL 33705-1400 (727) 824-3189 Fax: (727) 824-7101 18 YRS/130 YRS St Anthonys Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Psychiatry
Agazzi, Heather PHD Provider ID: 1361959 Gender: Female Usf Physicicans Group 880 6th St S, Ste 460 Saint Petersburg, FL 33701 (813) 974-8900 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Draeger, John MD
Provider ID: 1189756 Gender: Male John H Draeger Md 10225 Ulmerton Rd, Ste 8b Saint Petersburg, FL 33771 (727) 584-0221 Fax: (727) 585-6287 00 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Mayer, Robert MD
Provider ID: 1339538 Gender: Male Adoption Related Services Of Pinell 3941 68th Ave N Pinellas Park, FL 33781 (727) 657-7761 Fax: (727) 865-5178 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Mayer, Robert MD Provider ID: 28454 Gender: Male 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 03 YRS/130 YRS Morton Plant Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 259
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Pediatrics Behavioral And
Developmental
Psychiatry - cont.
Shulkin, Joel MD Provider ID: 2004129 Gender: Male Pediatric Physician Services I 880 6th St S, Ste 410 St Petersburg, FL 33701-4825 (727) 767-8035 Fax: (727) 767-4765 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Psych Hospital
Windmoor Healthcare Inc
Provider ID: 1427 11300 Us 19 N Clearwater, FL 33764-7451 (727) 541-2646 Fax: (727) 541-4402 18 YRS/130 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Psychiatry
Ackerman, Bernadette APRN
Provider ID: 1472804 Gender: Female Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 Fax: (727) 524-4491 21 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
Agustines, Rachel MD Provider ID: 222757 Gender: Female Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 03 YRS/130 YRS Mease Hospital Dunedin Languages: Spanish Tue - Fri 9:00 to 4:30 PCMH: No
Agustines, Rachel MD
Provider ID: 222757 Gender: Female Florida Behavioral Medicine 1210 66th St N Saint Petersburg, FL 33710-6226 (727) 518-6444 Fax: (727) 581-2678 03 YRS/130 YRS Mease Hospital Dunedin Languages: Spanish Tue - Fri 8:30 to 5:00 PCMH: No
Arora, Pradeep MD
Provider ID: 1651108 Gender: Male Sequelcare Of Florida 3491 Gandy Blvd, Ste 201 Pinellas Park, FL 33781 (727) 547-0607 Fax: (727) 547-6752 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bedi, Bharminder MD Provider ID: 1053272 Gender: Male Hector Corzo Md Pa 7955 66th St N, Ste D Pinellas Park, FL 33781-2161 (727) 541-3362 Fax: (727) 544-4015 18 YRS/130 YRS Languages: Hindi Wed 11:00 to 3:00 PCMH: No
Bhatt, Ashish MD
Provider ID: 1576556 Gender: Male Community And Family Solutions Inc 3831 Tyrone Blvd N, Ste 101 St Petersburg, FL 33709-4114 (727) 201-2501 Fax: (727) 499-6987 05 YRS/130 YRS Mon, Wed 8:30 to 6:00 Tue, Thu - Fri 8:30 to 5:00 PCMH: No
Bojkovic, Michael MD
Provider ID: 2192127 Gender: Male Webmed Network LLC 8787 Bryan Dairy Rd, Ste 310 Largo, FL 33777-1255 (888) 536-9854 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Brandon, Mariko MD
Provider ID: 1531430 Gender: Male Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 Fax: (727) 524-4491 18 YRS/130 YRS Mon - Fri 8:00 to 7:00 Sat 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 260
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Psychiatry - cont.
Brooks, Aaron APRN
Provider ID: 1094867 Gender: Male Suncoast Center Inc 4024 Central Ave Saint Petersburg, FL 33711 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 1056033 Gender: Female Camelot Community Care 4910 Creekside Dr, Ste D Clearwater, FL 33760-4034 (727) 593-0003 Fax: (727) 595-0735 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chamberlain, Andrea MD Provider ID: 1638787 Gender: Female Psychamerica Behavioral Services Ll 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 415-4462 Fax: (727) 581-2678 00 YRS/130 YRS Wed 9:00 to 1:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 1638787 Gender: Female Psychamerica Behavioral Services Ll 1210 66th St N St Petersburg, FL 33710-6226 (727) 518-6444 Fax: (727) 581-2678 00 YRS/130 YRS Wed 9:00 to 1:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 1638787 Gender: Female Psychamerica Behavioral Services Ll 4399 35th St N, Ste 300 St Petersburg, FL 33714-3722 (727) 415-4462 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 1638787 Gender: Female Psychamerica Behavioral Services Ll 9355 113th St, Unit 3500 Seminole, FL 33775-6820 (727) 415-4462 Fax: (727) 362-9210 00 YRS/130 YRS Mon - Sun 9:00 to 4:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 922188 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 415-4462 Fax: (727) 518-1267 00 YRS/130 YRS Tue 9:00 to 1:00 PCMH: No
Chamberlain, Andrea MD
Provider ID: 922188 Gender: Female Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1210 66th St N Saint Petersburg, FL 33710-6226 (727) 518-6444 Fax: (727) 581-2678 00 YRS/130 YRS Tue 2:00 to 5:00 PCMH: No
Corzo, Hector MD
Provider ID: 164669 Gender: Male Hector Corzo Md Pa 7955 66th St N, Ste D Pinellas Park, FL 33781-2161 (727) 541-3362 Fax: (727) 544-4015 00 YRS/130 YRS Northside Hospital St Petersburg General Hosp Largo Medical Center Languages: Spanish Mon - Thu 9:00 to 5:00 Fri 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 261
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Psychiatry - cont.
Dempsey, Donna APRN
Provider ID: 958604 Gender: Female St Pete Behavioral Health Center In 433 4th St N Saint Petersburg, FL 33701-2803 (727) 895-8499 Fax: (727) 895-8497 18 YRS/130 YRS Languages: American Sign Language, Spanish Wed, Fri 12:00 to 5:00 PCMH: No
Desai, Sangita MD
Provider ID: 301679 Gender: Female Directions For Mental Health Inc Db 1437 S Belcher Rd Clearwater, FL 33764-2928 (727) 524-4464 Fax: (727) 524-4474 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Dewan, Naakesh MD
Provider ID: 1059354 Gender: Male Baycare Life Management 1106 Druid Rd S, Ste 201 Clearwater, FL 33756-3807 (866) 762-1743 Fax: (727) 816-1222 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 262
Dougherty, Phyllis APRN
Provider ID: 1352401 Gender: Female Family Enrichment Services 3941 68th Ave N Pinellas Park, FL 33781-6136 (727) 657-7761 Fax: (727) 865-5178 02 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 8:00 PCMH: No
Draeger, John MD
Provider ID: 1189756 Gender: Male John H Draeger Md 10225 Ulmerton Rd, Ste 8b Saint Petersburg, FL 33771 (727) 584-0221 Fax: (727) 585-6287 00 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Feldman, Alan MD
Provider ID: 207569 Gender: Male Alan D Feildman Md Pa Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 10333 Seminole Blvd, Ste 3 Largo, FL 33778-4204 (727) 392-0199 Fax: (727) 392-1399 18 YRS/130 YRS Mon, Wed, Fri 2:00 to 8:00 PCMH: No
Feldman, Alan MD
Provider ID: 207569 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 11300 Us Highway 19 N Clearwater, FL 33764-7451 (727) 541-2646 18 YRS/130 YRS PCMH: No
Harrop, Daniel MD
Provider ID: 2177159 Gender: Male Webmed Network LLC 8787 Bryan Dairy Rd Largo, FL 33777-1251 (888) 536-9854 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Iglesias, Nieves MD
Provider ID: 2009454 Gender: Female Suncoast Center Inc 4024 Central Ave St Petersburg, FL 33711-1239 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 7:00 PCMH: No
33453864
Behavioral Health
Pinellas
Psychiatry - cont.
Jeffery, Thomas APRN
Provider ID: 1277377 Gender: Male Directions For Living 1437 S Belcher Rd Clearwater, FL 33764 (727) 524-4464 Fax: (727) 524-4474 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kawliche, Boris MD
Provider ID: 940709 Gender: Male 3840 5th Ave N Saint Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Languages: French, Romanian Thu 9:00 to 7:00 PCMH: No
Kunins, Craig MD Provider ID: 1057689 Gender: Male Operation Par Inc 6720 54th Ave N Saint Petersburg, FL 33709-1402 (727) 547-4508 Fax: (727) 547-4517 00 YRS/18 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Kunins, Craig MD
Provider ID: 2063055 Gender: Male Caring Community Counseling Ll 5030 78th Ave N, Ste 9 Pinellas Park, FL 33781-2406 (727) 367-2273 Fax: (727) 800-6929 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 263
Lauren, Rebecca APRN Provider ID: 2144057 Gender: Female Rebecca Lauren Aprn LLC 5512 18th St NE Saint Petersburg, FL 33703-1731 (813) 453-7931 Fax: (727) 499-0954 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lefler, Linda MD
Provider ID: 1095018 Gender: Female Suncoast Center Inc 4024 Central Ave Saint Petersburg, FL 33733 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lefler, Linda MD Provider ID: 1095018 Gender: Female 928 22nd Ave S Saint Petersburg, FL 33705 (727) 327-7656 Fax: (727) 327-2110 00 YRS/130 YRS PCMH: No
Lefler, Linda MD
Provider ID: 1095018 Gender: Female Suncoast Center Inc 1001 16th St S Saint Petersburg, FL 33705 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lefler, Linda MD Provider ID: 1095018 Gender: Female Suncoast Center Inc 2188 58th St N Clearwater, FL 33760 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lefler, Linda MD
Provider ID: 1095018 Gender: Female Suncoast Center Inc 2960 Roosevelt Blvd Clearwater, FL 33760 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lefler, Linda MD Provider ID: 1095018 Gender: Female Suncoast Center Inc 4010 Central Ave Saint Petersburg, FL 33711 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mayer, Robert MD
Provider ID: 1339538 Gender: Male Adoption Related Services Of Pinell 3941 68th Ave N Pinellas Park, FL 33781 (727) 657-7761 Fax: (727) 865-5178 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
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Pinellas
Psychiatry - cont.
Mayer, Robert MD
Provider ID: 28454 Gender: Male 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 03 YRS/130 YRS Morton Plant Hospital Mon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Mclaughlin, Darlene APRN
Provider ID: 1169319 Gender: Female Darlene Mclaughlin Arnp LLC 1452 Durling Dr S Saint Petersburg, FL 33707-3712 (727) 777-3390 Fax: (727) 489-2400 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Medlin, Brian DO
Provider ID: 1856227 Gender: Male Metro Treatment Of Florida LP 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Newman, Jaclyn MD
Provider ID: 1169568 Gender: Female Florida Behavioral Institute 1100 Clearwater Largo Rd N Largo, FL 33770 (423) 439-6283 Fax: (727) 518-2675 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 264
Newman, Jaclyn MD
Provider ID: 1476970 Gender: Female Geri Care Mental Health LLC 1760 Clearwater Largo Rd, Apt 7101 Clearwater, FL 33756-3055 (423) 737-5917 18 YRS/130 YRS Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Nickolakis, Irene MD
Provider ID: 206571 Gender: Female Tarpon Psychiatric Center Pa Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1501 S Pinellas Ave, Ste K Tarpon Springs, FL 34689-1951 (727) 938-0714 Fax: (727) 938-9513 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Nwokolo, Felix MD
Provider ID: 2009463 Gender: Male Suncoast Center Inc 4010 Central Ave St Petersburg, FL 33711-1239 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No
O'neil, Diana APRN
Provider ID: 1479582 Gender: Female Suncoast Center Inc 4024 Central Ave Saint Petersburg, FL 33711-1239 (727) 327-7656 Fax: (727) 322-2110 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Pabon, Hernan MD
Provider ID: 1058131 Gender: Male Gulf Coast Jewish Family And Commun 14041 Icot Blvd Clearwater, FL 33760-3702 (727) 479-1897 Fax: (727) 479-1248 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Parks, Alicia APRN
Provider ID: 1295838 Gender: Female Gulf Coast Jewish Family And Commun 14041 Icot Blvd Clearwater, FL 33760-3702 (727) 450-7269 Fax: (727) 479-1248 05 YRS/130 YRS Wed 9:00 to 5:00 PCMH: No
33453864
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Psychiatry - cont.
Patel, Ashok MD
Provider ID: 28895 Gender: Male Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 16 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital St Anthonys Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Ashok MD
Provider ID: 28895 Gender: Male Florida Behavioral Medicine 1210 66th St N Saint Petersburg, FL 33710-6226 (727) 518-6444 Fax: (727) 581-2678 16 YRS/130 YRS Mease Hospital Dunedin Morton Plant Hospital St Anthonys Hospital Languages: Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Patel, Harshadkumar MD
Provider ID: 1774488 Gender: Male Florida Behavioral Medicine 1100 Clearwater Largo Rd N Clearwater, FL 33770-4131 (727) 518-6444 Fax: (813) 443-8135 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Randall, Gerald DO Provider ID: 1765510 Gender: Male Florida Behavioral Institute P 1210 66th 80 N St Petersburg, FL 33710 (727) 518-6444 Fax: (727) 518-2675 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Randall, Gerald DO
Provider ID: 1765510 Gender: Male Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2675 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Rodriguez, Mauro MD
Provider ID: 1837359 Gender: Male Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 00 YRS/130 YRS Languages: Spanish Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
Sanderbeck, Tracey APRN
Provider ID: 1331297 Gender: Female Suncoast Center Inc 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Wed, Fri 8:00 to 5:00 Thu :80 to 5:00 PCMH: No
Sayers Erfourth, Sharmayn DO
Provider ID: 1709430 Gender: Female Bay Area Treatment Center 8800 49th St N, Ste 106 Pinellas Park, FL 33782-5332 (727) 544-0044 Fax: (727) 545-0125 18 YRS/130 YRS Mon - Fri 5:00 to 6:00 Sat - Sun 5:30 to 9:30 PCMH: No
Sayers Erfourth, Sharmayn DO
Provider ID: 1709430 Gender: Female St Petersburg Metro Treatment Cente 1919 N Pinellas Ave Tarpon Springs, FL 34689-5780 (727) 547-5200 Fax: (727) 940-6073 18 YRS/130 YRS Mon - Fri 5:00 to 1:30 Sat - Sun 5:30 to 9:30 PCMH: No
Shah, Meena MD
Provider ID: 1476956 Gender: Female Sequelcare Of Florida LLC 3491 Gandy Blvd N, Ste 201 Pinellas Park, FL 33781-2654 (727) 547-0607 Fax: (727) 547-6752 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 265
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Psychiatry - cont.
Shah, Nihal MD
Provider ID: 224636 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 18 YRS/130 YRS Mease Hospital Dunedin Largo Medical Center Languages: Gujarati, Hindi Mon - Fri 9:00 to 5:00 PCMH: No
Simko, Mark MD
Provider ID: 125743 Gender: Male Baycare Life Management 1106 Druid Rd S, Ste 201 Clearwater, FL 33756-3807 (727) 584-6266 Fax: (727) 266-4972 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Smith, Richard DO
Provider ID: 1169561 Gender: Male Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo, FL 33770 (813) 585-7406 Fax: (727) 581-2675 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 266
Smith, Richard DO Provider ID: 1169561 Gender: Male Florida Behavioral Medicine 1210 66th St N Saint Petersburg, FL 33710 (727) 518-6444 Fax: (727) 581-2675 00 YRS/130 YRS Mon 12:00 to 5:00 Tue 10:00 to 5:00 Wed - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Trbovic, Sinisa MD
Provider ID: 2178491 Gender: Male Webmed Network LLC 8787 Bryan Dairy Rd Largo, FL 33777-1251 (888) 536-9854 18 YRS/130 YRS Languages: Serbian Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Villalba, Jorge MD Provider ID: 2063692 Gender: Male Florida Sheriffs Youth Ranches. Inc 3180 Enterprise Rd E Safety Harbor, FL 34695-5205 (727) 724-4761 Fax: (727) 799-9243 00 YRS/130 YRS Mon - Fri 8:00 to 5:30 PCMH: No
Ward, Marilyn MD
Provider ID: 1706357 Gender: Female Mental Health Resource Center Inc 626 Lakeview Rd, Ste B Clearwater, FL 33756 (727) 449-8331 Fax: (727) 446-1810 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Weller, Conrado MD Provider ID: 1056497 Gender: Male Directions For Mental Health Inc Db 1437 S Belcher Rd Clearwater, FL 33764-2928 (727) 524-4464 Fax: (727) 524-4474 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Kevin PA
Provider ID: 1610258 Gender: Male Sequelcare Of Florida LLC 3491 Gandy Blvd N, Ste 201 Pinellas Park, FL 33781-2654 (727) 547-0607 Fax: (727) 547-6752 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Winchester, Blaine APRN Provider ID: 1485104 Gender: Female Suncoast Center Inc 4024 Central Ave Saint Petersburg, FL 33711-1239 (727) 327-7656 Fax: (727) 322-2110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wojas, Justyna MD
Provider ID: 1362036 Gender: Female Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Behavioral Health
Pinellas
Psychiatry - cont.
Zaidi, Syed MD
Provider ID: 510940 Gender: Male Syed K Zaidi Md Pa Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Behavioral Analysis, Compre-hensive Assessment, Bi-Lingual, Court Ordered Mental Eval, Co-Occuring Disorders, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Personality Disorders, Post-Trau-matic Stress Syndrome, Separa- tion/Grief/Loss, Serious Mental Illness, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child), Severe/Persistent Mentally Ill, Trauma-Focused Treatment 2831 4th St N Saint Petersburg, FL 33704 (941) 206-5200 Fax: (941) 206-6416 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Psychology
Cohen, Benjamin PHD
Provider ID: 328173 Gender: Male Benjamin N Cohen Phd Pa Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 905 E M L King Dr, Ste 211 Tarpon Springs, FL 34689-4827 (727) 271-3112 Fax: (727) 942-3703 00 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Gimon, Alexander PHD
Provider ID: 900515 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 10225 Ulmerton Rd, Ste 12b Largo, FL 33771-3538 (727) 584-1551 Fax: (727) 581-5107 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 8:00 Sat 9:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 267
Hemsath, Randolph PSYD
Provider ID: 684382 Gender: Male Boley Centers Inc 647 34th Ave S St Petersburg, FL 33705-3730 (727) 824-5745 Fax: (727) 895-7225 12 YRS/130 YRS Languages: German Mon - Sun 12:00 to 12:00 PCMH: No
Hemsath, Randolph PSYD
Provider ID: 684382 Gender: Male 445 31st St N Saint Petersburg, FL 33713-7605 (727) 824-5745 Fax: (727) 895-7225 12 YRS/130 YRS Languages: German PCMH: No
Horng, Betty PHD Provider ID: 1361985 Gender: Female Usf Physicicans Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Howes, Jeanne PSYD
Provider ID: 1408229 Gender: Female Youth And Family Therapeutic Servic 2323 Curlew Rd, Ste 7a Dunedin, FL 34698-9332 (727) 785-3535 Fax: (727) 785-9800 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 PCMH: No
33453864
Behavioral Health
Pinellas
Psychology - cont.
Lunden, Judy PSYD Provider ID: 1148683 Gender: Female Lunden Psychological Services Inc 9160 Oakhurst Rd, Ste 3b Seminole, FL 33776 (727) 240-1922 Fax: (727) 240-1928 18 YRS/130 YRS Mon - Thu 9:00 to 8:00 Fri 9:00 to 3:00 PCMH: No Telemedicine Presenting and Receiving Site
Rahman, Omar PHD
Provider ID: 1362008 Gender: Male Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Saible, Shivani PHD Provider ID: 1578051 Gender: Female Florida Behavioral Institute P 1100 Clearwater Largo Rd N Largo, FL 33770-4131 (727) 518-6444 Fax: (727) 581-2678 05 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Saible, Shivani PHD
Provider ID: 1578051 Gender: Female Florida Behavioral Institute P 1210 66th St N St Petersburg, FL 33710-6226 (727) 565-2424 Fax: (727) 565-2424 05 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Stokes, Melvin PHD
Provider ID: 28121 Gender: Male Subspecialty: Adoption/Attach-ment Issues, Adolescent/Children Issues, Bi-Lingual, Court Ordered Mental Eval, Domestic Abuse (Adult), Domestic Abuse (Child), Dual Diagnosis-Mh/Dev Disable, Eating Disorders, Expert Witness Testimony, Geriatric/Aging Issues, Gender/Sexual Issues, Post-Trau-matic Stress Syndrome, Separa-tion/Grief/Loss, Sexual/Physical Abuse (Adult), Sexual/Physical Abuse (Child) 1250 10th St N St Petersburg, FL 33705-1004 (727) 823-7955 Fax: (866) 575-0034 12 YRS/130 YRS Mon - Fri 11:00 to 5:00 PCMH: No
Substance Abuse
Agency For Community Treat-ment Services
Provider ID: 927325 Agency For Community Treatment Serv 3575 Keystone Rd Tarpon Springs, FL 34688-7815 (813) 522-0489 Fax: (727) 942-4181 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Directions For Living
Provider ID: 271921 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 00 YRS/130 YRS Languages: Spanish Mon - Fri 8:00 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 268
Directions For Living Provider ID: 271921 8823 115th Ave Largo, FL 33773-4922 (727) 524-4464 00 YRS/130 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 PCMH: No
Operation Par Inc
Provider ID: 28534 13800 66th St Largo, FL 33771-4909 (727) 538-7245 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc Provider ID: 28534 Operation Par Inc Academy 6720 54th Ave N Saint Petersburg, FL 33709-1402 (727) 547-4508 Fax: (727) 547-4517 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
Operation Par Inc
Provider ID: 28534 Operation Par Inc Detox 6150 150th Ave N Clearwater, FL 33760-2138 (727) 538-7243 Fax: (727) 507-4023 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
33453864
Behavioral Health
Pinellas
Substance Abuse - cont.
Operation Par Inc Provider ID: 28534 Operation Par Inc Enhanced Outpatie 2000 4th St S Saint Petersburg, FL 33705-2718 (727) 893-5444 00 YRS/130 YRS Languages: Spanish Mon - Sun 12:00 to 12:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor Primary Integration Site 2461 Enterprise Rd, Ste C Clearwater, FL 33763-1726 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Thu 8:00 to 6:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 31860 Us Hwy 19 N Palm Harbor, FL 34684-3712 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Fri 8:00 to 2:00 Tue 9:00 to 8:00 Wed 8:00 to 1:00 Thu 9:00 to 6:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 560 Jackson St N, Ste 302 Saint Petersburg, FL 33705-1449 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon, Wed 9:00 to 6:00 Tue, Thu 8:00 to 5:00 Fri 8:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 269
The Harbor Bhci Provider ID: 21158 The Harbor Primary Integration Site 8787 Bryan Dairy Rd, Ste 275 Largo, FL 33777-1260 (727) 849-4063 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
The Harbor Bhci
Provider ID: 21158 The Harbor 900 Carillon Pkwy, Ste 305 St Petersburg, FL 33716-1120 (727) 849-4062 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
The Harbor Bhci Provider ID: 21158 The Harbor Doris Cook 900 Carillon Pkwy, Ste 308 St Petersburg, FL 33716-1120 (727) 849-4062 Fax: (727) 816-1726 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Ancillary Providers
All
Durable Medical Equipment
Durable Medical Equipment For Additional Providers And Loca -tions Please Call: (866) 334-7927
Home Health Care
Home Health Care For Additional Providers And Loca -tions Please Call: (866) 334-7927
Laboratory Pathology Testing
Quest Diagnostics For Additional Providers And Loca -tions Please Call: (888) 277-8772
Non-Emergency Transportation
Medical Transportation Manage-ment To Schedule A Ride To An Appoint-ment. Please Call: (866) 334-7927
Updated for: July, 2020.
www.wellcare.com/Florida 270
33453864
Ancillary Providers
Pasco
Ambulatory Surgery Center
Baycare Surgery Center
Provider ID: 364601 2020 Trinity Oaks Blvd Trinity, FL 34655-4402 (727) 372-4055 Fax: (727) 372-4066 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Bayonet Point Surgery & Endo -scopy Ctr
Provider ID: 271463 Hca 14104 Yosemite Dr Port Richey, FL 34667 (727) 869-5040 Fax: (727) 869-5041 00 YRS/130 YRS Mon - Fri 6:30 to 5:00
New Port Richey Surgical Ctr
Provider ID: 20082 New Port Richey Surgery Center Ltd 9332 Sr 54, Ste 100 New Port Richey, FL 34655 (727) 848-0446 Fax: (727) 842-3166 Mon - Fri 8:00 to 5:00
New Tampa Surgery Center
Provider ID: 361481 2407 Cypress Ridge Blvd Wesley Chapel, FL 33543 (813) 991-7575 Fax: (813) 991-0161 00 YRS/130 YRS New Tampa Surgery Center Mon - Fri 8:00 to 5:00
Pediatric Surgery Center LLC Odessa Provider ID: 451091 14111 State Road 54 Odessa, FL 33556 (813) 343-5690 Fax: (813) 792-1845 00 YRS/130 YRS Pediatric Surgery Center Llc Odessa Mon 7:30 to 4:30 Tue - Fri 7:30 to 6:00
Suncoast Specialty Surgery Center
Provider ID: 409634 4519 Us Highway 19 New Port Richey, FL 34652 (727) 853-1851 Fax: (727) 853-1855 00 YRS/130 YRS Suncoast Specialty Surgery Center Mon - Fri 9:00 to 5:00
Convenient Care Clinic
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 22829 Sr 54 Land O Lakes, FL 34639-5227 (813) 915-5459 Fax: (813) 345-8172 02 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 7420 Sr 54 New Port Richey, FL 34653-6110 (813) 915-5459 Fax: (727) 264-8581 02 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Minuteclinic LLC Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 10925 State Road 54 New Port Richey, FL 34655-2277 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC
Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 1929 Bruce B Downs Blvd Wesley Chapel, FL 33544-9202 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Diagnostic Imaging
Baycare Outpatient Imaging Center Provider ID: 1025767 2102 Trinity Oaks Blvd Trinity, FL 34655-4409 (727) 372-4001 Fax: (727) 372-4065 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
Excel Medical Imaging
Provider ID: 189582 5626 Gulf Dr New Port Richey, FL 34652-4020 (727) 841-8212 Fax: (727) 841-9589 00 YRS/130 YRS Mon - Fri 8:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 271
33453864
Ancillary Providers
Pasco
Diagnostic Imaging - cont.
Morton Plant Mease Diagnostic Cardiology Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 6633 Forest Ave, Ste 300 New Port Richey, FL 34653-2612 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Radiology Associates Of West Pasco
Provider ID: 9855 2115 Little Rd New Port Richey, FL 34655-4410 (727) 844-7008 Fax: (727) 842-5150 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Radiology Associates Of West Pasco Provider ID: 9855 5539 Marine Pkwy, Ste 7 New Prt Rchy, FL 34652-4396 (727) 847-5122 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 Sat 8:00 to 1:00
Radiology Associates Of West Pasco
Provider ID: 9855 7412 Community Ct Hudson, FL 34667-7101 (727) 868-9553 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
Updated for: July, 2020.
www.wellcare.com/Florida 272
Radiology Associates Of West Pasco Provider ID: 9855 Radiology Assoc Of West Pasco 7525 Sr 52 Hudson, FL 34667 (727) 847-5122 Fax: (727) 842-5150 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Rose Radiology Centers Inc
Provider ID: 210006 Rose Radiology 6900 Gall Blvd Zephyrhills, FL 33542-2513 (813) 783-6736 Fax: (813) 788-4299 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Rose Radiology Centers Inc Provider ID: 210006 Rose Radiology - Trinity 2144 Duck Slough Blvd, Ste 102 New Port Richey, FL 34655 (727) 786-4989 Fax: (727) 772-7938 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Rose Radiology Centers Inc
Provider ID: 210006 Rose Radiology - Wesley Chapel 27662 Cashford Cir Wesley Chapel, FL 33544-6912 (813) 788-2500 Fax: (813) 788-4922 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Tower Imaging Inc Provider ID: 2000 7525 State Road 52 Hudson, FL 34667-6716 (813) 874-3177 Fax: (813) 253-2299 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 8:00 to 12:00
Tower Imaging Inc Provider ID: 2000 Tower Radiology Center Parsons 2115 Little Rd, Ste 100 Trinity, FL 34655-4410 (727) 847-5122 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Tower Imaging Inc
Provider ID: 2000 Tower Radiology Center Parsons 5539 Marine Pkwy New Port Richey, FL 34652-4329 (727) 847-5122 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Tower Imaging Inc Provider ID: 2000 Tower Radiology Center Wesley Chape 2324 Oak Myrtle Ln Wesley Chapel, FL 33544-6319 (813) 751-0422 Fax: (813) 751-0423 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
West Hernando Diag And MRI Ctr
Provider ID: 9686 Pasco Imaging & Open MRI 7615 Jacque Rd Hudson, FL 34667-7132 (727) 697-0100 Fax: (727) 697-1240 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
33453864
Ancillary Providers
Pasco
Dialysis
Gulf Coast Kidney Ctrnpr Provider ID: 19562 Gulf Coast Kidney Center Npr 9332 State Road 54, Ste 306 Trinity, FL 34655-1810 (727) 848-1274 Fax: (305) 654-7540 18 YRS/130 YRS Mon - Fri 6:00 to 4:00
Gulf Coast Kidney Ctrnpr
Provider ID: 19562 Gulf Coast Kidney Center Trinity 14153 Yosemite Dr, Ste 102 New Port Richey, FL 34655 (727) 862-0603 Fax: (305) 654-7540 18 YRS/130 YRS Mon, Wed, Fri 6:00 to 3:30
Land O Lakes Dialysis Provider ID: 1713427 2100 Via Bella Blvd, Ste 104 Land O Lakes, FL 34639 (813) 948-9157 Fax: (813) 949-9071 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
New Port Richey Kidney Ctr Provider ID: 186557 Total Renal Care Inc 7421 Ridge Rd Port Richey, FL 34668-6933 (727) 846-8401 Fax: (727) 844-0100 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Trc Bayonet Point Dialysis
Provider ID: 186552 Total Renal Care Inc 14144 Nephron Ln Hudson, FL 34667-6504 (727) 863-5459 Fax: (727) 862-0723 00 YRS/130 YRS Mon - Sat 6:30 to 4:00
Wesley Chapel Dialysis. LLC Provider ID: 558247 Wesley Chapel Dialysis 2255 Green Hedges Way Wesley Chapel, FL 33544-8183 (813) 973-0153 Fax: (813) 973-0673 18 YRS/130 YRS Mon - Fri 7:00 to 4:00
Durable Medical Equipment
Apria Healthcare LLC Provider ID: 1245926 16550 Scheer Blvd, Ste 3 Hudson, FL 34667 (727) 868-2617 Fax: (888) 492-0010 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
Dose Of Diamond LLC
Provider ID: 1551877 3d Wellness Specialty Pharmacy 30124 Sr 54 Wesley Chapel, FL 33543-4520 (813) 428-6000 Fax: (813) 527-6256 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Hanger Clinic Provider ID: 134894 Hanger Prosthetics & Orthotics Inc 8827 Hawbuck St New Port Richey, FL 34655 (727) 375-8196 Fax: (727) 375-9358 Mon - Fri 9:00 to 5:00
Home Oxygen Medical Equip-ment Of Hernand
Provider ID: 1131638 Home Oxygen Medical Equipment Of He 18735 Sakera Rd Hudson, FL 34667 (727) 861-5542 Fax: (727) 861-5545 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Mobility Solutions Inc Provider ID: 1549447 7135 State Road 54 New Port Richey, FL 34653-6104 (727) 375-2102 Fax: (727) 375-2113 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
St Joseph Pharmacy And Medical Supplies
Provider ID: 1858588 St Joseph Pharmacy And Medical Supp 35780 State Road 54, Ste 101 Zephyrhills, FL 33541-2242 (813) 782-4854 Fax: (813) 782-4856 00 YRS/130 YRS Mon - Fri 8:00 to 4:00
Hearing Aid Supplier
Antonucci, Iris HAD Provider ID: TPV05578-01 Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Aponte, Dawn HAD
Provider ID: TPV16563-03 Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 273
33453864
Ancillary Providers
Pasco
Hearing Aid Supplier - cont.
Aponte, Dawn HAD Provider ID: TPV16563-04 Hearusa 8725 Little Rd. New Port Richey, FL 34654 (855) 252-5322 Fax: (727) 849-2608 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Ferrone, Damian HAD
Provider ID: TPV08799-04 Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Ferrone, Damian HAD Provider ID: TPV08799-05 Hearusa 7894 Gall Blvd. Zephyrhills, FL 33541 (855) 252-5322 Fax: (813) 788-9242 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-07 Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-10 Hearusa 7894 Gall Blvd. Zephyrhills, FL 33541 (855) 252-5322 Fax: (813) 788-9242 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-12 Hearusa 8725 Little Rd. New Port Richey, FL 34654 (855) 252-5322 Fax: (727) 849-2608 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Home Health Care
Allday Home Health Corp
Provider ID: 1472655 Subspecialty: Adult Companion, Attendant Nursing Care, Respite Care, Homemaker, Intermittent & Skilled Nurse, Medication Adminis-tration, Medication Management, Occupational Therapy (Inst), Personal Care, Personal Care, Physical Therapy (Inst), Speech (Institutional) 25344 Wesley Chapel Blvd, Ste 108 Lutz, FL 33559-7202 (727) 578-8850 Fax: (813) 319-2882 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Community Aging And Retire-ment Services
Provider ID: 315987 Community Aging And Retirement Serv 12417 Clock Tower Parkway Hudson, FL 34667-2411 (727) 862-9291 Fax: (727) 862-6013 40 YRS/130 YRS Mon - Fri 8:40 to 4:30
Harmony Home Health LLC Provider ID: 1371543 Utopia Home Care Subspecialty: Adult Companion, Respite Care, Homemaker, Personal Care, Personal Care 8351 State Road 54, Ste 105 New Port Richey, FL 34655-3005 (727) 841-9050 Fax: (727) 375-0462 40 YRS/130 YRS Mon - Fri 9:00 to 5:00
Horizon Homecare LLC Provider ID: 1449638 Subspecialty: Adult Companion, Attendant Nursing Care, Caregiver Participant Training, Respite Care, Homemaker, Intermittent & Skilled Nurse, Medication Administration, Medication Management, Nutrition & Risk Assessment, Occupational Therapy (Inst), Personal Care, Personal Care, Physical Therapy (Inst), Speech (Institutional) 2445 Country Place Blvd, Bldg C Ste 101 New Port Richey, FL 34655 (352) 684-3550 Fax: (352) 684-8991 18 YRS/130 YRS Mon - Fri 8:30 to 5:00
Imperium Healthcare Inc
Provider ID: 1118607 Subspecialty: Personal Care, Personal Care 6611 Us Highway 19, Ste 207 New Port Richey, FL 34652-1732 (727) 807-6942 Fax: (727) 807-6943 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 274
33453864
Ancillary Providers
Pasco
Home Health Care - cont.
Mederi Caretenders
Provider ID: 1405608 Mederi Caretend 7330 Little Rd, Ste 101 New Port Richey, FL 34654-5525 (727) 844-3615 Fax: (727) 849-4892 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
Medicor Healthcare Inc Provider ID: 1123280 33853 State Road 54, Ste 101 Zephyrhills, FL 33543 (800) 250-4468 Fax: (866) 930-8001 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Olson Healthcare LLC
Provider ID: 1860977 Brightstar Care Of Tampa And Sun Ci 2653 Bruce B Downs Blvd, Ste 102 Wesley Chapel, FL 33544-9206 (813) 870-6700 Fax: (813) 858-8550 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
Senior Helpers Of Spring Hill
Provider ID: 1421724 Subspecialty: Adult Companion, Respite Care, Homemaker, Personal Care, Personal Care 2647 Narnia Way, Unit 101 Land O Lakes, FL 34638-7270 (352) 835-7191 Fax: (352) 835-7194 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Visiting Nurse Association Of Florida In Provider ID: 1349606 Visiting Nurse Association Of Flori 8147 Copernicus Way New Port Richey, FL 34655 (800) 318-0399 Fax: (866) 227-6562 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 Sat - Sun 8:00 to 4:30
Hospice
Gulfside Hospice And Pasco Palli-ative Ca
Provider ID: 1067156 Gulfside Hospice And Pasco Palliati 2061 Collier Pkwy Land O Lakes, FL 34639-5202 (727) 845-5707 Fax: (727) 484-7951 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Hph Hospice
Provider ID: 21043 Hernando Pasco Hospice 12107 Majestic Blvd Hudson, FL 34667-2455 (727) 863-7971 Fax: (727) 868-9261 00 YRS/130 YRS Mon - Fri 12:00 to 12:00
Hph Hospice Provider ID: 21043 Hernando Pasco Hospice 37439 Clinton Ave Dade City, FL 33525-5906 (352) 567-6837 Fax: (352) 567-1898 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Hph Hospice Provider ID: 21043 Hernando Pasco Hospice 37445 Clinton Ave Dade City, FL 33525-5906 (813) 780-6797 Fax: (352) 521-4078 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Hph Hospice
Provider ID: 21043 Hernando Pasco Hospice 6807 Rowan Rd New Port Richey, FL 34653-2952 (727) 848-7160 Fax: (727) 849-9630 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Laboratory Pathology Testing
Labcorp
Provider ID: TPV1443872-01 5124 Us Highway 19 New Port Richey, FL 34652 (727) 841-9500 Fax: (727) 845-6140
Labcorp
Provider ID: TPV1443874-01 11031 Us Hwy 19. Suite 106 Port Richey, FL 34668 (727) 862-2858 Fax: (727) 862-3200
Labcorp
Provider ID: TPV1443876-01 1724 Bruce B Downs Blvd Ste Q2 Wesley Chapel, FL 33544 (813) 907-0861 Fax: (813) 907-0474
Labcorp
Provider ID: TPV1443877-01 7352 Gall Blvd. Unit 16 Zephyrhills, FL 33541 (813) 782-1928 Fax: (813) 715-9631
Updated for: July, 2020.
www.wellcare.com/Florida 275
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Pasco
Laboratory Pathology Testing - cont.
Labcorp At Walgreens Provider ID: TPV1443873-01 5432 Little Rd New Port Richey, FL 34655 (352) 888-7447 Fax: (727) 375-2709
Labcorp At Walgreens
Provider ID: TPV1443875-01 1841 Little Road Trinity, FL 34655 (727) 497-7977 Fax: (727) 372-1187
Mammography
Tower Imaging Inc Provider ID: 2000 7525 State Road 52 Hudson, FL 34667-6716 (813) 874-3177 Fax: (813) 253-2299 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 8:00 to 12:00
Tower Imaging Inc
Provider ID: 2000 Tower Radiology Center Parsons 2115 Little Rd, Ste 100 Trinity, FL 34655-4410 (727) 847-5122 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Tower Imaging Inc Provider ID: 2000 Tower Radiology Center Parsons 5539 Marine Pkwy New Port Richey, FL 34652-4329 (727) 847-5122 Fax: (727) 846-8549 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Tower Imaging Inc Provider ID: 2000 Tower Radiology Center Wesley Chape 2324 Oak Myrtle Ln Wesley Chapel, FL 33544-6319 (813) 751-0422 Fax: (813) 751-0423 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Occupational Therapy
Welch And Mcloy Therapy Services Pa Provider ID: 1087189 38051 Pasco Ave Dade City, FL 33525-4234 (352) 567-7721 Fax: (727) 847-3107 00 YRS/130 YRS Mon - Fri 8:00 to 6:00
Welch And Mcloy Therapy Services Pa
Provider ID: 1087189 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/130 YRS Mon - Fri 8:00 to 6:00
Orthotics & Prosthetics
Advanced Orthopedics And Pros-thetics Inc
Provider ID: 1068171 Advanced Orthopedics And Pros -thetic 5402 Crafts St New Port Richey, FL 34652-3963 (727) 849-5462 Fax: (727) 849-9438 40 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00
Hanger Clinic Provider ID: 134894 Hanger Prosthetics & Orthotics Inc 8827 Hawbuck St New Port Richey, FL 34655 (727) 375-8196 Fax: (727) 375-9358 Mon - Fri 9:00 to 5:00
Zephyrhills Brace&limb Provider ID: 171438 Zephyrhills Brace And Limb 6417 Gall Blvd Zephyrhills, FL 33542-2570 (813) 788-6879 Fax: (813) 783-1477 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Physical Therapy
Integrated Therapy Alliance Provider ID: 1039970 Integrated Therapy Alliance Inc Subspecialty: Early Steps 5807 Argerian Dr, Ste 101 Wesley Chapel, FL 33545-4151 (813) 973-9068 Fax: (866) 542-4710 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Rehabilitation Facility
Cora Health Services Inc Provider ID: 1049894 Cora Rehabilitation Clinics 3442 Us Highway 19 Holiday, FL 34691-1850 (727) 841-8160 Fax: (727) 841-8164 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 276
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Pasco
Rehabilitation Facility - cont.
Cora Health Services Inc Provider ID: 1085999 Cora Rehabilitation Clinics 27227 State Road 56 Wesley Chapel, FL 33544-8832 (813) 977-5255 Fax: (813) 977-5205 05 YRS/130 YRS Mon - Fri 8:00 to 5:00
Ewing And Thomas Inc Provider ID: 162388 Subspecialty: Physical Therapy 5311 Grand Blvd New Prt Rchy, FL 34652-4014 (727) 848-3962 Fax: (727) 848-7028 02 YRS/130 YRS Mon - Sat 8:00 to 5:00
Speech Within Reach Therapy Services
Provider ID: 1581971 Speech Within Reach Therapy Service 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 7:00 to 7:00
The Back To Wellness Center LLC
Provider ID: 1058637 The Back To Wellness Center 27454 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 973-4747 Fax: (813) 973-3799 00 YRS/130 YRS Mon, Wed 9:00 to 6:00 Tue 9:00 to 1:00 Thu 3:00 to 6:30 Fri 9:00 to 3:30
Respiratory Therapy
Diagnostic Medical Testing Inc Provider ID: 1456298 2435 Us Hwy 19, Ste 300 Holiday, FL 34691-3909 (877) 202-1191 Fax: (866) 323-3781 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Skilled Nursing Facility
Bear Creek Nursing Center
Provider ID: 14773 Subspecialty: Respite Care, Occu-pational Therapy, Physical Therapy, Respiratory Therapy 8041 State Route 52 Hudson, FL 34667 (727) 863-5488 Fax: (727) 862-9558 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Chc Of Bayonet Point Provider ID: 419953 8132 Hudson Ave Hudson, FL 34667-8571 (727) 863-3100 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Consulate Health Care Of New Port Richey
Provider ID: 371344 Subspecialty: Respite Care, Occu-pational Therapy, Physical Therapy, Respiratory Therapy 8417 Old County Road 54 New Port Richey, FL 34653-6418 (727) 376-1585 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Heather Hill Nursing Home-Pcs Provider ID: 14784 Subspecialty: Occupational Therapy, Physical Therapy 6630 Kentucky Ave New Port Richey, FL 34653-2712 (727) 849-6939 Fax: (727) 843-0262 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Heritage Park Health And Rehabil-itation
Provider ID: 322525 37135 Coleman Ave Dade City, FL 33525 (352) 567-8615 Fax: (352) 567-1737 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Life Care Center Of New Port Richey Provider ID: 230951 7400 Trouble Creek Rd New Prt Rchy, FL 34653-5642 (727) 375-2999 Fax: (727) 569-1667 60 YRS/130 YRS Mon - Sun 12:00 to 12:00
Madison Pointe Care Center
Provider ID: 167326 6020 Indiana Ave New Port Richey, FL 34653 (727) 849-7555 Fax: (727) 847-0898 50 YRS/110 YRS Mon - Sun 12:00 to 12:00
Orchard Ridge Rehab & Nursing Provider ID: 179352 Orchard Ridge Rehab & Nursing Ctr 4927 Voorhees Rd New Prt Rchy, FL 34653-5542 (727) 848-3578 Fax: (727) 842-1514 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 277
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Pasco
Skilled Nursing Facility - cont.
Royal Oak Nursing Ctr-Pcs Provider ID: 14795 Subspecialty: Occupational Therapy, Physical Therapy 37300 Royal Oak Ln Dade City, FL 33525-5230 (352) 567-3122 Fax: (352) 567-2250 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Solaris Healthcare Bayonet Point
Provider ID: 163466 Subspecialty: Occupational Therapy, Physical Therapy 7210 Beacon Woods Dr Hudson, FL 34667-1974 (727) 863-1521 Fax: (727) 863-7951 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Southern Pines Healthcare Center
Provider ID: 628699 Us Managed Care Services LLC Subspecialty: Occupational Therapy, Physical Therapy 6140 Congress St New Port Richey, FL 34653 (727) 842-8402 Fax: (727) 841-8060 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Trinity Regional Rehab Center
Provider ID: 506833 2144 Welbilt Blvd Trinity, FL 34655-5186 (727) 859-4100 Fax: (757) 859-4150 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Windsor Woods Rehab And Health Center
Provider ID: 653309 Subspecialty: Occupational Therapy, Physical Therapy, Respir-atory Therapy 13719 Dallas Dr Hudson, FL 34667-7133 (727) 862-6795 Fax: (727) 863-8721 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Sleep Diagnostic Studies
Florida Apnea Diagnostics LLC
Provider ID: 783536 Florida Apnea Diagnostics LLC 2664 Cypress Rdg Blvd, Ste 101 Wesley Chapel, FL 33544-6325 (813) 279-5012 Fax: (813) 907-8931 12 YRS/130 YRS Mon - Fri 8:00 to 5:00
Sleep Associates Of Florida
Provider ID: 204211 4508 Mayflower Dr New Port Richey, FL 34652 (727) 849-2500 Fax: (727) 410-8810 12 YRS/130 YRS Mon - Fri 9:00 to 5:30
Sleep Associates Of Florida
Provider ID: 204211 Sleep Associates Of Florida LLC 35780 Sr 54, Ste 102 Zephyrhills, FL 33541-2242 (813) 780-1100 Fax: (813) 569-0105 12 YRS/130 YRS Mon - Fri 9:00 to 5:30
Urgent Care Center
After Hours Pediatrics Practices Inc Provider ID: 216599 After Hours Pediatrics Practices In 5400 Little Rd New Port Richey, FL 34655-1103 (727) 203-8969 Fax: (727) 203-8973 00 YRS/00 YRS Mon - Fri 5:00 to 11:00 Sat - Sun 1:00 to 11:00
Baycare Urgent Care LLC
Provider ID: 1594387 4821 Us Highway 19, Ste 5 New Port Richey, FL 34652-4259 (727) 851-9650 Fax: (727) 266-4936 00 YRS/130 YRS Mon - Sat 8:00 to 8:00 Sun 12:00 to 6:00
Care One Of Florida LLC
Provider ID: 348667 Care One Of Florida 10435 Us Highway 19 Port Richey, FL 34668-3133 (727) 378-4477 Fax: (727) 378-7755 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Doctors Urgent Care Provider ID: 984858 2404 Us Highway 19 Holiday, FL 34691-3943 (727) 945-0100 Fax: (727) 945-0133 00 YRS/130 YRS Mon - Fri 9:00 to 7:00 Sat - Sun 10:00 to 4:00
Updated for: July, 2020.
www.wellcare.com/Florida 278
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Pasco
Urgent Care Center - cont.
Doctors Walk In Clinics
Provider ID: 324 Doctors Walkin Clinics 8849 State Road 52 Hudson, FL 34667-6742 (727) 863-7150 Fax: (727) 863-7248 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 5:30
Florida Hospital Centra Care University Provider ID: 355950 Ah Centra Care Wesley Chapel 1127 Bruce B Downs Blvd Wesley Chapel, FL 33544-9208 (813) 973-2889 Fax: (813) 907-2173 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 5:00
Gulf View Medical And Urgent Care Inc Provider ID: 698218 Gulf View Medical And Urgent Care 6329 State Road 54 New Port Richey, FL 34653-6037 (727) 844-5555 Fax: (727) 844-5550 00 YRS/130 YRS Mon - Wed, Fri 8:00 to 5:00 Thu 8:00 to 6:00 Sat 8:00 to 4:00
Wee Care Clinic Inc Provider ID: 1129155 38184 Medical Center Ave Zephyrhills, FL 33540-1380 (813) 715-2812 Fax: (813) 715-2814 00 YRS/21 YRS Mon - Fri 3:00 to 9:00
Updated for: July, 2020.
www.wellcare.com/Florida 279
Your Family Walk In Clinic LLC
Provider ID: 1038633 Your Family Walk In Clinic 17929 Hunting Bow Cir Lutz, FL 33558-5378 (813) 792-8555 Fax: (813) 792-0555 00 YRS/130 YRS Mon - Sun 8:00 to 8:00
33453864
Ancillary Providers
Pinellas
Ambulatory Surgery Center
Bardmoor Surgery Center Provider ID: 178868 Bardmoor Outpatient Center 8787 Bryan Dairy Rd, Ste 300 Largo, FL 33777-1251 (727) 394-5900 Fax: (727) 394-5170 00 YRS/130 YRS Mon - Fri 6:00 to 6:00
Bayfront Ambulatory Surgical Center LLC
Provider ID: 1580244 Bayfront Ambulatory Surgical Center 603 7th St S Saint Petersburg, FL 33701-4719 (727) 553-7906 Fax: (727) 553-7880 00 YRS/130 YRS Tue, Thu - Fri 6:00 to 5:00
Bayfront Same Day Surgery Ctr Provider ID: 21041 Bayfront Medical Center 603 7th Ave S St Petersburg, FL 33701 (727) 893-6118 Fax: (727) 893-6985 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Belleair Surgi-Center-Hca Columbia
Provider ID: 6875 Belleair Surgery Center Ltd 1130 Ponce De Leon Blvd Clearwater, FL 33756-1041 (727) 581-4800 Fax: (727) 585-8057 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
C-Med Ambulatory Surgery Center Provider ID: 216142 The Clearwater Orthopaedic Asc 2238 Drew St Clearwater, FL 33765-3305 (727) 724-5653 Fax: (727) 797-5214 00 YRS/130 YRS Mon - Fri 7:00 to 5:00
Carillon Surgery Center LLC
Provider ID: 535485 900 Carillon Pkwy Saint Petersburg, FL 33716-1115 (727) 561-2710 Fax: (727) 561-2770 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Countryside Surgery Center
Provider ID: 6876 Countryside Surgery Center Ltd 3291 N Mcmullen Booth Rd Clearwater, FL 33761-2010 (727) 725-5800 Fax: (727) 797-4002 00 YRS/130 YRS Mon - Fri 6:00 to 5:00
E Street Endoscopy LLC
Provider ID: 1096338 Westcoast Endoscopy Center 616 E St Clearwater, FL 33756 (727) 447-0888 Fax: (727) 447-0993 12 YRS/130 YRS Mon - Fri 6:30 to 5:00
Largo Surgery LLC DBA West Bay Surgery C
Provider ID: 1070471 West Bay Surgery 1401 West Bay Dr Largo, FL 33770-2207 (727) 585-9500 Fax: (727) 584-1938 02 YRS/130 YRS Mon - Fri 6:00 to 5:00 Sat 7:00 to 2:00
North Pinellas Surgery Center
Provider ID: 200768 North Pinellas Surgery Center LLC 2323 Curlew Rd, Ste 5 Dunedin, FL 34698-9307 (727) 771-8333 Fax: (727) 771-8844 00 YRS/130 YRS North Pinellas Surgery Center Mon - Fri 8:00 to 5:00
St Anthonys Physicians Surgery
Provider ID: 449634 705 16th St N Saint Petersburg, FL 33705 (727) 550-4500 Fax: (727) 550-4501 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
St Petersburg Endoscopy Center
Provider ID: 332374 St Petersburg Endscopy Center. LLC 560 Jackson St N, Ste 200 Saint Petersburg, FL 33705-1449 (727) 820-7500 Fax: (727) 820-6333 00 YRS/130 YRS Millenia Surgery Center Mon - Fri 7:00 to 4:00
West Park Surgery Center. LLC Provider ID: 303502 6640 78th Ave N, Ste B Pinellas Park, FL 33781 (727) 287-0650 Fax: (727) 549-0610 00 YRS/130 YRS Mon - Fri 6:30 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 280
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Ancillary Providers
Pinellas
Birthing Center
Breath Of Life Birth Cnter Provider ID: 673946 Breath Of Life Birth Center. LLC 1900 E Bay Dr Largo, FL 33771 (727) 216-1420 Fax: (727) 216-1418 12 YRS/130 YRS Mon - Fri 9:00 to 5:00
Countryside Birthing Place Inc
Provider ID: 196845 3060 Jones Ln Clearwater, FL 33759-1603 (727) 796-7502 Fax: (727) 796-7072 12 YRS/130 YRS Mon - Sun 9:00 to 8:00
Convenient Care Clinic
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 900 49th St N Saint Petersburg, FL 33710-6625 (813) 915-5459 Fax: (727) 201-4147 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 1477 Main St Dunedin, FL 34698-6243 (813) 915-5459 Fax: (727) 221-5232 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Updated for: July, 2020.
www.wellcare.com/Florida 281
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 1801 Gulf To Bay Blvd Clearwater, FL 33765-3413 (813) 915-5459 Fax: (727) 223-9347 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 33670 Us Hwy 19 N Palm Harbor, FL 34684-2640 (813) 915-5459 Fax: (727) 221-5235 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 3851 4th St N Saint Petersburg, FL 33703-6114 (813) 915-5459 Fax: (727) 317-2004 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 6560 Ulmerton Rd Largo, FL 33771-4940 (813) 915-5459 Fax: (727) 303-3360 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Fh Express Care At Walgreens
Provider ID: 1470087 Adventhealth Express Care At Walgre 710 Welch Causeway Madeira Beach, FL 33708-2814 (813) 915-5459 Fax: (727) 202-8366 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30
Minuteclinic LLC
Provider ID: 1129577 15129 Madeira Way Saint Petersburg, FL 33708-1920 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC
Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 1000 E Tarpon Ave Tarpon Springs, FL 34689-5438 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
33453864
Ancillary Providers
Pinellas
Convenient Care Clinic - cont.
Minuteclinic LLC Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 2175 Main St Dunedin, FL 34698-5606 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC
Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 30387 Us Highway 19 N Clearwater, FL 33761-1053 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 3501 54th Ave S St Petersburg, FL 33711-4541 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC
Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 3771 Tampa Rd Oldsmar, FL 34677-3004 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 8001 9th St N Saint Petersburg, FL 33702-4109 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Minuteclinic LLC
Provider ID: 1129577 Minuteclinic In Cvs/Pharmacy 8905 Bryan Dairy Rd Largo, FL 33777-1102 (866) 389-2727 Fax: (401) 216-3854 00 YRS/130 YRS Mon - Fri 8:30 to 7:30 Sat 9:00 to 5:30 Sun 10:00 to 5:30
Diagnostic Imaging
Baycare Outpatient Imaging
Provider ID: 269736 900 Carillon Pkwy St Petersburg, FL 33716-1115 (727) 561-2300 Fax: (727) 820-7600 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Baycare Outpatient Imaging
Provider ID: 811905 620 10th St N St Petersburg, FL 33705-1407 (727) 502-4200 Fax: (727) 734-6462 00 YRS/130 YRS Mon - Fri 6:30 to 5:00
Baycare Outpatient Imaging Center Provider ID: 1025767 8787 Bryan Dairy Rd Largo, FL 33777-1251 (727) 394-5900 Fax: (727) 394-5170 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Carlisle Imaging Center
Provider ID: 226985 400 Pinellas St, Ste 101 Clearwater, FL 33756-3312 (727) 462-7514 Fax: (727) 462-7613 00 YRS/130 YRS Mon - Fri 6:00 to 11:00
Elite Imaging LLC DBA Akumin
Provider ID: 1848046 Elite Imaging. LLC DBA Akumin 3451 66th St, Nb St Petersburg, FL 33710-1568 (727) 347-7674 Fax: (727) 781-1310 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Elite Imaging LLC DBA Akumin
Provider ID: 1848067 Elite Imaging. LLC DBA Akumin 501 S Lincoln Ave Clearwater, FL 33756-5945 (727) 446-6780 Fax: (727) 781-1310 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Elite Imaging LLC DBA Akumin
Provider ID: 1850770 Elite Imaging. LLC DBA Akumin 36463 Us Highway 19 N Palm Harbor, FL 34684-1329 (727) 771-2795 Fax: (727) 781-1310 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 282
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Diagnostic Imaging - cont.
Gateway Radiology Consultants
Provider ID: 7514 4800 Park Blvd N Pinellas Park, FL 33781-3534 (727) 525-2121 Fax: (727) 526-5876 02 YRS/130 YRS Mon - Thu 7:00 to 7:00 Fri 7:00 to 5:00 Sat 9:00 to 2:00
Gateway Radiology Consultants
Provider ID: 7514 2100 1st Ave S Saint Petersburg, FL 33712-1212 (727) 525-2121 Fax: (727) 526-5872 02 YRS/130 YRS Mon - Fri 7:00 to 5:00
Med Specialist Imaging
Provider ID: 437920 1064 Keene Rd Dunedin, FL 34698 (727) 733-9202 Fax: (727) 733-9233 00 YRS/130 YRS Mon - Fri 8:30 to 5:00
Morton Plant Mease Diagnostic Cardiology
Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 1840 Mease Dr, Ste 200 Safety Harbor, FL 34695-6604 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 283
Morton Plant Mease Diagnostic Cardiology
Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 455 Pinellas St, Ste 330 Clearwater, FL 33756-3369 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Morton Plant Mease Diagnostic Cardiology
Provider ID: 814346 Morton Plant Mease Diagnostic Cardi 646 Virginia St, Ste 200 Dunedin, FL 34698-6612 (727) 724-8611 Fax: (727) 724-0425 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
MRI Associates Of St Pete Provider ID: 28667 750 94th Ave N, Ste 206 Saint Petersburg, FL 33702-2453 (727) 577-2220 Fax: (727) 577-7230 05 YRS/130 YRS Mon - Fri 6:00 to 10:00 Sat 8:00 to 4:00
National Imaging Specialists
Provider ID: 528937 Vymed Diagnostic Imaging Tampa LLC 6600 66th St N, Ste B Pinellas Park, FL 33781-5040 (727) 544-1001 Fax: (727) 471-2197 18 YRS/130 YRS Mon - Fri 8:00 to 5:00
Open MRI Of Pinellas Inc
Provider ID: 315970 9555 Seminole Blvd, Ste 101 Seminole, FL 33772-2522 (727) 398-5999 Fax: (727) 398-1990 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 Sat 9:00 to 2:00
Palm Harbor MRI
Provider ID: 28665 32615 Us Highway 19 N, Ste 4 Palm Harbor, FL 34684-3176 (727) 787-6900 Fax: (727) 785-4003 00 YRS/130 YRS Mon - Fri 6:00 to 10:00 Sat 8:00 to 4:00
Pet Ct Center
Provider ID: 328511 1201 5th Ave N, Ste 100 St Petersburg, FL 33705 (727) 820-7600 Fax: (727) 820-7613 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Rose Radiology Centers Inc
Provider ID: 210006 Advanced Diagnostics 4551 4th Street North Saint Petersburg, FL 33703 (813) 876-7200 Fax: (813) 876-7300 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Rose Radiology Centers Inc
Provider ID: 210006 Rose Radiology - Largo 13787 Belcher Rd S, Suite 300 Largo, FL 33771-4065 (727) 531-5444 Fax: (727) 531-1122 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
33453864
Ancillary Providers
Pinellas
Diagnostic Imaging - cont.
Rose Radiology Centers Inc Provider ID: 210006 Rose Radiology Boot Ranch 4133 Woodlands Pkwy Palm Harbor, FL 34685-3462 (727) 781-3888 Fax: (727) 781-3881 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Simonmed Imaging Florida LLC
Provider ID: 2162356 840 Mlk St N, Ste 100 St Petersburg, FL 33705-1214 (727) 440-8250 Fax: (407) 865-6090 05 YRS/130 YRS Mon - Fri 8:00 to 5:00
Susan Cheek Needler Breast Center Provider ID: 672943 400 Pinellas St, Ste 100 Clearwater, FL 33756-3312 (727) 298-6670 Fax: (727) 298-6699 00 YRS/130 YRS Mon - Fri 7:00 to 7:00
Tower Imaging Inc
Provider ID: 2000 Tower Radiology Center Oldsmar 3870 Tampa Rd Oldsmar, FL 34677-3133 (813) 369-7827 Fax: (813) 814-1615 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Dialysis
Bay Breeze Dialysis Provider ID: 186506 Total Renal Care Inc 11550 Ulmerton Rd Largo, FL 33778-1602 (727) 584-4047 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 284
Bma Of Clearwater Provider ID: 164597 Bma Of Florida Inc 2565 Enterprise Rd Clearwater, FL 33763-1102 (813) 796-9122 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Fmc Belleair Dialysis Center
Provider ID: 569517 617 Lakeview Rd, Ste B Clearwater, FL 33756 (727) 441-8590 Fax: (727) 441-8805 18 YRS/130 YRS Mon, Wed, Fri 6:00 to 4:30
Fmc Belleair Home Therapies
Provider ID: 649752 617 Lakeview Rd, Ste C Clearwater, FL 33756 (727) 441-2913 Fax: (727) 441-4291 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Fmc Clearwater Beach
Provider ID: 315576 Fmc Clearwater Beach 1057 S Fort Harrison Ave Clearwater, FL 33756 (727) 441-1608 Fax: (727) 441-1283 00 YRS/130 YRS Mon, Wed, Fri 6:30 to 7:00 Tue, Thu, Sat 6:30 to 3:00
Fmc Pinellas Park
Provider ID: 582278 7910 Us Highway 19 N Pinellas Park, FL 33781-1712 (727) 544-5916 Fax: (727) 546-4216 18 YRS/130 YRS Mon - Sat 6:00 to 5:00
Fresenius Kidney Care Seminole
Provider ID: 1706159 6450 Seminole Blvd Seminole, FL 33772-6339 (727) 393-5551 Fax: (727) 398-1971 18 YRS/130 YRS Mon - Sat 5:45 to 14:30
Fresenius Kidney Care St Peters -burg
Provider ID: 1445801 446 4th St S Saint Petersburg, FL 33701-4603 (727) 896-5500 Fax: (727) 898-5317 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Gulf Breeze Dialysis Center
Provider ID: 179907 1519 Main St Dunedin, FL 34698-4650 (727) 738-4425 Fax: (727) 736-3353 18 YRS/130 YRS Mon - Sat 6:00 to 4:30
Gulf Breeze Dialysis Center
Provider ID: 179907 Total Renal Care Inc 1121 Overcash Dr Dunedin, FL 34698-5522 (727) 738-4425 Fax: (727) 736-3353 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Pinellas West Shore Dialysis
Provider ID: 555706 3451 66th St N, Ste A Saint Petersburg, FL 33710-1568 (727) 345-8389 Fax: (727) 345-8410 18 YRS/130 YRS Mon, Wed, Fri 8:00 to 10:00
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Ancillary Providers
Pinellas
Dialysis - cont.
Rai - 9th Street North - St Peters-burg
Provider ID: 332961 1101 9th St N Saint Petersburg, FL 33701-1515 (727) 895-1472 Fax: (727) 882-0268 18 YRS/130 YRS Mon - Sat 6:00 to 4:00
Rai Starkey Largo
Provider ID: 315572 Rai Care Centers Of Florida 12505 Starkey Rd, Ste B Largo, FL 33773-2617 (727) 531-8227 Fax: (727) 539-0706 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Rai-Us 19 N-Clearwater/Palm Harbor
Provider ID: 315567 29296 Us Highway 19 N, Ste 1 Clearwater, FL 33761-2104 (727) 723-8123 Fax: (727) 772-8027 00 YRS/130 YRS Mon - Fri 9:00 to 9:00
Renviva Dialysis Center Of Clear-water Ll
Provider ID: 1497061 Renviva Dialysis Center Of Clearwat 401 Corbett St, Ste 250 Belleair, FL 33756-7310 (727) 281-4490 Fax: (866) 352-4339 16 YRS/130 YRS Mon - Fri 8:00 to 6:00
St Petersburg Dialysis
Provider ID: 332557 Dva Renal Healthcare Inc 1117 Arlington Ave N Saint Petersburg, FL 33705 (727) 896-9026 Fax: (727) 896-7269 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
St Petersburg Kidney Care LLC
Provider ID: 1482354 American Renal Associates LLC 800 3rd Ave S, Webb Plaza Saint Petersburg, FL 33701-4010 (727) 821-3201 Fax: (727) 821-3210 00 YRS/130 YRS Mon - Sat 6:00 to 6:00
St Petersburg Kidney Care South LLC
Provider ID: 1482353 St. Petersburg Kidney Center South 4050 34th St S Saint Petersburg, FL 33711-4350 (727) 867-1279 Fax: (727) 867-1280 00 YRS/130 YRS Mon - Sat 6:00 to 6:00
St Petersburg South Dialysis
Provider ID: 357275 Dva Renal Healthcare Inc 2850 34th St S Saint Petersburg, FL 33711 (727) 864-4050 Fax: (727) 864-0013 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Tarpon Springs Dialysis LLC
Provider ID: 1593714 41747 Us Highway 19 North Tarpon Springs, FL 34689-4166 (727) 934-8774 Fax: (727) 934-8768 00 YRS/130 YRS Mon - Sat 6:00 to 6:00
Durable Medical Equipment
Alliance Oxygen And Medical Equipment
Provider ID: 1131182 Alliance Oxygen And Medical Equipme 2840 Scherer Dr N, Ste 425 Saint Petersburg, FL 33716-1041 (727) 449-9119 Fax: (727) 449-0764 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Austin Respiratory Equipment Inc
Provider ID: 1126166 Austin Respiratory Equipment. Inc 1676 N Belcher Rd Clearwater, FL 33765-1311 (727) 467-0606 Fax: (727) 447-3899 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 Sat 10:00 to 1:00
Baycare Home Care Inc
Provider ID: 1610290 8452 118th Ave N Largo, FL 33773-5007 (727) 394-6575 Fax: (727) 394-6540 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Custom Mobility Inc Provider ID: 163569 7199 Bryan Dairy Rd Largo, FL 33777 (727) 539-8119 Fax: (855) 834-7315 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
Updated for: July, 2020.
www.wellcare.com/Florida 285
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Ancillary Providers
Pinellas
Durable Medical Equipment - cont.
Hanger Clinic
Provider ID: 134894 Hanger Prosthetics & Orthotics East 625 6th Ave S, Unit 130 Saint Petersburg, FL 33701 (727) 803-2555 Fax: (727) 823-2060 Mon - Fri 8:00 to 5:00
Hanger Clinic
Provider ID: 134894 Hanger Prosthetics & Orthotics Inc 1840 Mease Dr, Ste 403 A Safety Harbor, FL 34695-6606 (727) 726-2095 Fax: (727) 726-2602 Mon - Fri 9:00 to 5:00
Health Aid Company Inc
Provider ID: 1628467 1280 Missouri Ave Largo, FL 33770 (727) 586-2995 Fax: (727) 588-0899 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Lincare Inc Provider ID: 378045 4825 140th Ave N Clearwater, FL 33762 (727) 523-8232 00 YRS/130 YRS Mon 9:00 to 5:00
Lincare Inc
Provider ID: 378045 Lincare Pharmacy Servicesx 3985 Gateway Centre Blvd, Ste 200 Pinellas Park, FL 33782-6127 (727) 523-8232 Fax: (800) 388-2971 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
My Dme Doc LLC Provider ID: 1984919 12225 28th St N, Ste 1a Saint Petersburg, FL 33716-1860 (866) 726-9363 Fax: (888) 788-5796 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
National Seating And Mobility Inc
Provider ID: 1964197 7219 Bryan Dairy Rd Largo, FL 33777-1505 (727) 541-1140 Fax: (727) 541-1154 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
O2 Solutions LLC
Provider ID: 1562507 1441 Savannah Ave, Ste B Tarpon Springs, FL 34689-6738 (727) 934-3979 Fax: (727) 934-3783 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 Sat 10:00 to 8:00
Option Care Inc
Provider ID: 671908 2880 Scherer Dr N, Ste 850 Saint Petersburg, FL 33716-1025 (800) 396-2933 Fax: (727) 592-0050 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Optum Womens And Childrens Health LLC Provider ID: 450547 4500 140th Ave N, Ste 120 Clearwater, FL 33762 (800) 999-2106 Fax: (954) 318-5862 00 YRS/130 YRS Mon - Fri 8:30 to 4:30
Wrightway Consulting Inc
Provider ID: 1816457 2909 47th Ave N Saint Petersburg, FL 33714-3131 (727) 577-7544 Fax: (727) 520-8130 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Hearing Aid Supplier
Acevedo, Raymond HAD
Provider ID: TPV25336-01 Hearusa 5020 East Bay Drive, Suite 800 Clearwater, FL 33764 (855) 252-5322 Fax: (727) 531-7893 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Anderson, Ian HAD
Provider ID: TPV25072-01 Hearusa 1430 66th St North St. Petersburg, FL 33710 (855) 252-5322 Fax: (727) 343-0606 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Cubbedge, Julie HAD
Provider ID: TPV25078-02 Hearusa 1430 66th Street N The Shoppes At Royal St. Petersburg, FL 33710 (727) 343-3019 Fax: (727) 345-3738 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Cubbedge, Julie HAD
Provider ID: TPV25078-04 Hearusa 30545 Us Highway 19 N Palm Harbor, FL 34684 (727) 781-1760 Fax: (727) 786-8477 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 286
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Ancillary Providers
Pinellas
Hearing Aid Supplier - cont.
Elsworth, Thomas HAD Provider ID: TPV05591-01 Hearusa 33385 U.s. Highway 19n, Suite A2 Palm Harbor, FL 34684 (855) 252-5322 Fax: (727) 786-8477 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Green, Zachary HAD
Provider ID: TPV25668-01 Hearusa 752 N Belcher Road Clearwater, FL 33765 (855) 252-5322 Fax: (727) 442-7637 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Mckinney, Rosemary HAD Provider ID: TPV17751-01 Hearusa 1430 66th St North St. Petersburg, FL 33710 (855) 252-5322 Fax: (727) 343-0606 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Mckinney, Rosemary HAD
Provider ID: TPV17751-02 Hearusa 752 N Belcher Road Clearwater, FL 33765 (855) 252-5322 Fax: (727) 442-7637 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-03 Hearusa 1430 66th St North St. Petersburg, FL 33710 (855) 252-5322 Fax: (727) 343-0606 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-04 Hearusa 33385 U.s. Highway 19n, Suite A2 Palm Harbor, FL 34684 (855) 252-5322 Fax: (727) 786-8477 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD
Provider ID: TPV25670-06 Hearusa 5020 East Bay Drive, Suite 800 Clearwater, FL 33764 (855) 252-5322 Fax: (727) 531-7893 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Rafols, Madison HAD Provider ID: TPV25670-09 Hearusa 752 N Belcher Road Clearwater, FL 33765 (855) 252-5322 Fax: (727) 442-7637 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Sancic, Margery HAD
Provider ID: TPV17783-01 Hearusa 1430 66th St North St. Petersburg, FL 33710 (727) 343-3019 Fax: (727) 345-3738 21 YRS/99 YRS Mon - Fri 9:00 to 5:00
Home Health Care
Abundant Life Home Health Agency LLC Provider ID: 1645366 Abundant Life Home Health Agency Ll 28050 Us Highway 19 N, Ste 205 Clearwater, FL 33761-2627 (727) 286-8916 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Access Home Health Care Inc DBA Preferre
Provider ID: 1310432 Preferred Touch Home Care Inc 447 3rd Ave N, Ste 205 Saint Petersburg, FL 33701-3245 (813) 925-1000 Fax: (813) 925-8333 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Always Dependable Inc Provider ID: 1762984 3356 49th St N St Petersburg, FL 33710-2146 (727) 544-2927 Fax: (727) 544-7548 18 YRS/130 YRS Mon - Fri 7:30 to 4:30
Bayfront Hma Home Health LLC
Provider ID: 1419926 Bayfront Home Health Services 603 7th St S, Ste 430 Saint Petersburg, FL 33701 (727) 350-5875 Fax: (727) 803-6837 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
Best Care Providers Inc Provider ID: 1123734 1201 S Highland Ave, Ste 2 Clearwater, FL 33756-4359 (727) 223-5969 Fax: (727) 223-5970 00 YRS/130 YRS Mon - Fri, Sun 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 287
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Ancillary Providers
Pinellas
Home Health Care - cont.
Brightstar Of Pinellas County Provider ID: 1426126 Subspecialty: Adult Companion, Attendant Nursing Care, Respite Care, Homemaker, Intermittent & Skilled Nurse, Medication Adminis-tration, Medication Management, Personal Care, Personal Care 13923 Icot Blvd, Ste 807 Clearwater, FL 33760-3747 (727) 828-6030 Fax: (727) 828-6032 00 YRS/130 YRS Mon - Fri 8:30 to 4:30
Carringtons Caring Angels LLC Provider ID: 2028404 3110 1st Ave N, Ste 2i Saint Petersburg, FL 33713-8637 (727) 498-8834 Fax: (727) 683-9459 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Easy Living Inc.
Provider ID: 1141541 Easy Living Inc Subspecialty: Adult Companion, Respite Care, Homemaker, Medica -tion Management, Personal Care, Personal Care 1180 Pnc De Leon Blvd, Ste 701 Clearwater, FL 33756-1031 (727) 447-5845 Fax: (727) 443-5258 18 YRS/130 YRS Mon - Fri 8:30 to 5:00
Empath Home Health LLC Provider ID: 2028641 Empath Home Health 5771 Roosevelt Blvd Clearwater, FL 33760-3407 (727) 523-3369 Fax: (727) 523-3363 00 YRS/150 YRS Mon - Fri 8:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 288
Family First Homecare LLC Provider ID: 1159479 36326 Us Highway 19 N Palm Harbor, FL 34684-1328 (727) 500-2273 Fax: (727) 500-2274 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Fusion Healthcare
Provider ID: 1266999 Subspecialty: Adult Companion 13923 Icot Blvd, Ste 815 Clearwater, FL 33760-3767 (727) 328-8308 Fax: (727) 328-8338 18 YRS/110 YRS Mon - Fri 8:00 to 5:00
Generations At Home Provider ID: 1643487 1 Beach Dr SE, Ste 302 Saint Petersburg, FL 33701-3963 (727) 940-3414 Fax: (727) 940-3415 00 YRS/130 YRS Mon - Fri, Sun 12:00 to 12:00
Harmony Home Health LLC Provider ID: 1371543 Subspecialty: Adult Companion, Respite Care, Homemaker, Personal Care, Personal Care 1099 N Mcmullen Booth Rd Clearwater, FL 33759-3400 (727) 723-7532 Fax: (727) 797-4733 40 YRS/130 YRS Mon - Sun 12:00 to 12:00
Harmony Home Health LLC Provider ID: 1371543 Utopia Home Care Subspecialty: Adult Companion, Respite Care, Homemaker, Personal Care, Personal Care 13787 Belcher Rd S, Ste 220 Largo, FL 33771-4065 (727) 723-7532 Fax: (727) 797-4733 40 YRS/130 YRS Mon - Sun 12:00 to 12:00
Harmony Home Health LLC
Provider ID: 1371543 Utopia Home Care Subspecialty: Adult Companion, Respite Care, Homemaker, Personal Care, Personal Care 3491 Gandy Blvd N, Ste 209 Pinellas Park, FL 33781-2623 (727) 821-3332 Fax: (727) 214-9044 40 YRS/130 YRS Mon - Fri 9:00 to 5:00
Home Care Now Provider ID: 1611282 29750 Us Highway 19 N, Ste 301 Clearwater, FL 33761-1510 (727) 330-7844 Fax: (727) 470-9594 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Home Instead Senior Care
Provider ID: 1607803 14202 62nd St N Clearwater, FL 33760-2717 (727) 799-1400 Fax: (727) 799-3958 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
33453864
Ancillary Providers
Pinellas
Home Health Care - cont.
Instruments For Hope LLC Provider ID: 2118613 Instruments For Hope 2600 E Bay Dr, Ste 210 Largo, FL 33771-2487 (727) 204-4781 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Maxim Healthcare Services Inc Provider ID: 1217370 26750 Us Highway 19 N, Ste 400 Clearwater, FL 33761-3459 (727) 524-2727 Fax: (727) 530-4673 00 YRS/130 YRS Mon - Fri 8:00 to 6:00
Optum Womens And Childrens Health LLC Provider ID: 24963 25400 Us 19 N, Ste 204 Clearwater, FL 33763-2144 (800) 207-0918 Fax: (727) 532-0333 12 YRS/130 YRS Mon - Fri 9:00 to 5:00
Optum Womens And Childrens Health LLC Provider ID: 450547 4500 140th Ave N, Ste 120 Clearwater, FL 33762 (800) 999-2106 Fax: (954) 318-5862 00 YRS/130 YRS Mon - Fri 8:30 to 4:30
Quality Home Care Of Tampa Bay
Provider ID: 1637739 120 State St E, Ste 105 Oldsmar, FL 34677-3647 (813) 336-4477 Fax: (813) 336-4171 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Sonas Home Health Care Provider ID: 1576814 3060 Alt Us19, B 15 Palm Harbor, FL 34683-1929 (727) 223-4367 Fax: (727) 369-6453 00 YRS/130 YRS Mon - Fri 8:00 to 4:30
Trelaine House Of Love Inc
Provider ID: 1855176 Subspecialty: Respite Care 1789 26th Ave S St Petersburg, FL 33712-3631 (727) 742-4924 Fax: (727) 864-1034 00 YRS/21 YRS Mon - Sun 12:00 to 12:00
Hospice
Hospice Of The Fl Suncoast Inc Provider ID: 12448 5771 Roosevelt Blvd Clearwater, FL 33760-3407 (727) 586-4432 Fax: (813) 584-9136 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Infusion Therapy
Option Care Inc Provider ID: 671908 2880 Scherer Dr N, Ste 850 Saint Petersburg, FL 33716-1025 (800) 396-2933 Fax: (727) 592-0050 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Laboratory Pathology Testing
Labcorp Provider ID: TPV1443879-01 2981b W Bay Dr Belleair Bluffs, FL 33770 (727) 586-2686 Fax: (727) 584-2317
Updated for: July, 2020.
www.wellcare.com/Florida 289
Labcorp Provider ID: TPV1443880-01 1822 N Belcher Rd 101 & 102 Clearwater, FL 33765 (727) 442-3671 Fax: (727) 442-3820
Labcorp
Provider ID: TPV1443881-01 29245 Us Hwy 19 North Clearwater, FL 33761 (727) 785-1419 Fax: (727) 785-1714
Labcorp Provider ID: TPV1443882-01 10500 Ulmerton Rd St#746 Largo, FL 33771 (727) 501-0002 Fax: (727) 501-0004
Labcorp
Provider ID: TPV1443883-01 11370 66th St Ste 125 Largo, FL 33773 (727) 545-0076 Fax: (727) 545-0938
Labcorp Provider ID: TPV1443884-01 501 Dr Mlk Jr St.so. Ste B Saint Petersburg, FL 33705 (727) 821-5801 Fax: (727) 823-6124
Labcorp
Provider ID: TPV1443885-01 5653 Park St N Ste 2 Saint Petersburg, FL 33709 (727) 547-9677 Fax: (727) 547-8937
33453864
Ancillary Providers
Pinellas
Mammography
Tower Imaging Inc Provider ID: 2000 Tower Radiology Center Oldsmar 3870 Tampa Rd Oldsmar, FL 34677-3133 (813) 369-7827 Fax: (813) 814-1615 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Mobile Diagnostic
Radiance Radiology
Provider ID: 841008 Radiance Diaology Inc 37566 Us Highway 19 N Palm Harbor, FL 34684-1019 (727) 934-5500 Fax: (727) 934-5507 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Symphony Diagnostic Services No1 LLC DBA
Provider ID: 1030591 13773 Icot Blvd, Ste 502 Clearwater, FL 33760-3711 (800) 940-0389 Fax: (727) 442-7851 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Ultra Healthcare Services Provider ID: 3667 21913 Us Highway 19 N Clearwater, FL 33765 (800) 557-8787 Fax: (727) 669-8589 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Orthotics & Prosthetics
Clearwater Limb & Brace Provider ID: 186747 Clearwater Brace & Limb 516 Lakeview Rd, Villa 1 Clearwater, FL 33756 (727) 446-9485 Fax: (727) 449-9393 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Florida Brace & Limb Inc
Provider ID: 25524 2445 Tampa Rd, Ste H Palm Harbor, FL 34683-5849 (727) 786-0880 Fax: (727) 786-0882 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Florida Brace & Limb Inc
Provider ID: 25524 6219 66th St N Pinellas Park, FL 33781 (727) 548-1808 Fax: (727) 548-1945 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Hanger Clinic Provider ID: 134894 Hanger Prosthetics & Orthotics East 625 6th Ave S, Unit 130 Saint Petersburg, FL 33701 (727) 803-2555 Fax: (727) 823-2060 Mon - Fri 8:00 to 5:00
Hanger Clinic Provider ID: 134894 Hanger Prosthetics & Orthotics Inc 1840 Mease Dr, Ste 403 A Safety Harbor, FL 34695-6606 (727) 726-2095 Fax: (727) 726-2602 Mon - Fri 9:00 to 5:00
Orthotic And Prosthetic Center Of St Pet Provider ID: 165372 Orthotic And Prosthetic Centers Inc 3611 5th Ave N St Petersburg, FL 33713-7503 (727) 327-3332 Fax: (727) 327-7304 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
St Petersburg Limb & Brace
Provider ID: 9041 1001 37th St N, Ste B Saint Petersburg, FL 33713 (727) 321-3900 Fax: (727) 323-9516 00 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 4:00
Superior Medical Equipment Plus LLC
Provider ID: 962061 821 Clearwater Largo Rd N Largo, FL 33770 (727) 461-5278 Fax: (727) 447-2950 00 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00
Westcoast Brace & Limb Provider ID: 550 3343 Tampa Rd Palm Harbor, FL 34684-3426 (727) 785-0100 Fax: (727) 785-7773 00 YRS/130 YRS
Updated for: July, 2020.
www.wellcare.com/Florida 290
33453864
Ancillary Providers
Pinellas
Rehabilitation Facility
Cora Health Services Inc
Provider ID: 1047727 Cora Rehabilitation Clinics 5165 34th St South Saint Petersburg, FL 33711-4515 (727) 867-0737 Fax: (727) 867-0738 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Cora Health Services Inc
Provider ID: 1049894 Cora Rehabilitation Clinics 4110 34th St S Saint Petersburg, FL 33711-4367 (727) 867-0737 Fax: (727) 867-0738 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Cora Health Services Inc
Provider ID: 1049894 Cora Rehabilitation Clinics 1944 N Hercules Ave, Ste C Clearwater, FL 33763 (727) 797-8100 Fax: (727) 797-8110 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Cora Health Services Inc
Provider ID: 1049894 Cora Rehabilitation Clinics 2130 E Bay Dr Largo, FL 33771-2323 (727) 587-0582 Fax: (727) 587-0583 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Cora Health Services Inc
Provider ID: 1050624 Cora Rehabilitation Clinics 9355 4th St N Saint Petersburg, FL 33702-3133 (727) 579-7974 Fax: (727) 579-7944 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Cora Rehabilitation Clinics Seminole Provider ID: 1086066 Cora Rehabilitation Clinics Seminol 11224 Park Blvd Seminole, FL 33772 (727) 394-0949 Fax: (727) 394-7031 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Rehabilitation Therapy
Heart 4 Kids Therapy LLC Provider ID: 1787079 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00
Lamperts Home Therapy Inc.
Provider ID: 565161 Lamperts Therapy Group Subspecialty: Early Steps 8254 118th Ave, Ste 100 Largo, FL 33773 (727) 541-5304 Fax: (727) 546-8527 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Skilled Nursing Facility
Advanced Care Center Provider ID: 1221075 401 Fairwood Ave Clearwater, FL 33759-3134 (727) 797-6480 Fax: (727) 726-4134 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Alhambra Health & Rehab Center
Provider ID: 247138 7501 38th Ave N St Petersburg, FL 33710-1230 (727) 345-9307 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 291
Alpine Health Rehabilitation Center
Provider ID: 654372 Subspecialty: Occupational Therapy, Physical Therapy, Respir-atory Therapy 3456 21st Ave S Saint Petersburg, FL 33711-3213 (727) 327-1988 Fax: (727) 327-7794 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Apollo Health And Rehabilitation Center
Provider ID: 201233 Apollo Health And Rehabiliation Cen 1000 24th St N St Petersburg, FL 33713-6838 (727) 323-4711 Fax: (727) 321-5963 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Bardmoor Oaks Healthcare And Rehabilitat
Provider ID: 720882 9035 Bryan Dairy Rd Largo, FL 33777-1104 (727) 395-9619 Fax: (727) 392-7203 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Bay Pointe Nursing Pavilion
Provider ID: 4378 4201 31st St S Saint Petersburg, FL 33712-4051 (727) 867-1104 Fax: (727) 864-4627 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
33453864
Ancillary Providers
Pinellas
Skilled Nursing Facility - cont.
Bay Tree Care And Rehabilitation Center Provider ID: 179340 Bay Tree Care And Rehabilitation Ce 2600 Highlands Blvd N Palm Harbor, FL 34684-2114 (727) 785-5671 Fax: (727) 787-5486 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Bayside Care Center
Provider ID: 206841 811 Jackson St N Saint Petersburg, FL 33705-1238 (727) 209-1717 Fax: (727) 821-2453 50 YRS/110 YRS Mon - Sun 12:00 to 12:00
Baywood Nursing Center Provider ID: 461290 2000 17th Ave S Saint Petersburg, FL 33712 (727) 821-3544 Fax: (727) 821-0414 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Boca Ciega Center
Provider ID: 3454 Subspecialty: Occupational Therapy, Physical Therapy 1414 59th St S Gulfport, FL 33707-3352 (727) 344-4608 Fax: (727) 345-0189 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 292
Bon Secours Maria Manor Nursing Care Cen Provider ID: 1043636 Bon Secour Maria Manor 10300 4th St N Saint Petersburg, FL 33716-3810 (727) 568-1025 Fax: (727) 568-1089 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Carrington Place Of St Pete
Provider ID: 511425 10501 Roosevelt Blvd N Saint Petersburg, FL 33716-3816 (727) 577-3800 Fax: (727) 578-5255 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Clearwater Center Provider ID: 923150 Subspecialty: Occupational Therapy 1270 Turner St Clearwater, FL 33756-5921 (727) 443-7639 Fax: (727) 447-4852 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Concordia Manor
Provider ID: 193699 321 13th Ave N Saint Petersburg, FL 33701-1123 (727) 822-3030 Fax: (727) 823-3522 19 YRS/130 YRS Mon - Sun 12:00 to 12:00
Consulate Health Care Of Safety Harbor Provider ID: 419808 Subspecialty: Respite Care, Occu-pational Therapy, Physical Therapy, Respiratory Therapy 1410 Dr M L King Jr St Safety Harbor, FL 34695-3303 (727) 726-1181 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Consulate Health Care Of St Petersburg Provider ID: 419055 Subspecialty: Respite Care, Occu -pational Therapy, Physical Therapy, Respiratory Therapy 9393 Park Blvd Seminole, FL 33777-4140 (727) 391-2200 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Countryside Healthcare Ctr Provider ID: 167552 3825 Countryside Blvd N Palm Harbor, FL 34684-4928 (727) 784-2848 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
East Bay Nc LLC
Provider ID: 167665 4470 E Bay Dr Clearwater, FL 33764-5772 (727) 530-7100 Fax: (727) 539-0824 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Egret Cove Provider ID: 627684 550 62nd St S Saint Petersburg, FL 33707-1533 (727) 347-6151 Fax: (727) 347-5683 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Gateway Care Center
Provider ID: 1799998 8600 Us Highway 19 N Pinellas Park, FL 33782 (727) 541-7515 Fax: (727) 545-9473 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
33453864
Ancillary Providers
Pinellas
Skilled Nursing Facility - cont.
Glen Oaks Health And Rehabilita-tion Cent
Provider ID: 687490 Subspecialty: Occupational Therapy, Physical Therapy 1100 N Pine St Clearwater, FL 33756-4104 (727) 442-7106 Fax: (727) 442-7100 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Golfview Healthcare Center
Provider ID: 628789 Us Managed Care Services LLC Subspecialty: Occupational Therapy, Physical Therapy 3636 10th Ave N Saint Petersburg, FL 33713 (727) 323-3611 Fax: (727) 327-5802 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Gulf Shore Care Center
Provider ID: 669321 6767 86th Ave N Pinellas Park, FL 33782-4597 (727) 258-6600 Fax: (727) 548-6644 50 YRS/110 YRS Mon - Sun 12:00 to 12:00
Gulfport Rehabilitation Center
Provider ID: 929300 Subspecialty: Occupational Therapy, Physical Therapy 1430 Pasadena Ave S South Pasadena, FL 33707 (727) 344-8525 Fax: (727) 350-0356 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 293
Harbourwood Care Center
Provider ID: 377685 Sgc Harbourwood LLC 549 Sky Harbor Dr, Bldg 31 Clearwater, FL 33759 (727) 724-6800 Fax: (727) 724-6848 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Highland Pines Rehab Center
Provider ID: 240982 Subspecialty: Occupational Therapy, Physical Therapy 1111 S Highland Ave Clearwater, FL 33756-4432 (727) 446-0581 Fax: (727) 442-9425 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Kensington Gardens Rehab And Nursing Ctr
Provider ID: 1705093 2055 Palmetto St Clearwater, FL 33765-2118 (727) 461-6613 Fax: (727) 442-2839 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Lakeside Oaks Care Center
Provider ID: 193127 Subspecialty: Respite Care, Occu-pational Therapy, Physical Therapy, Respiratory Therapy 1061 Virginia St Dunedin, FL 34698-7326 (727) 733-4189 Fax: (727) 734-7551 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Laurellwood Care Center
Provider ID: 465319 3127 57th Ave N Saint Petersburg, FL 33714 (727) 527-2171 Fax: (727) 522-5929 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Lexington Health & Rehab Ctrs
Provider ID: 201528 Subspecialty: Respite Care, Occu- pational Therapy, Physical Therapy, Respiratory Therapy 6300 46th Ave N St Petersburg, FL 33709-3104 (727) 544-1444 Fax: (727) 545-4089 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Manorcare Health Services Dunedin 533
Provider ID: 171298 870 Patricia Ave Dunedin, FL 34698-6097 (727) 734-8861 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Manorcare Health Services Palm Harbor
Provider ID: 171273 2851 Tampa Rd Palm Harbor, FL 34684-3337 (727) 787-4777 Fax: (727) 784-3256 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Mease Continuing Care Provider ID: 550638 Subspecialty: Occupational Therapy, Physical Therapy 910 New York Ave Dunedin, FL 34698 (727) 738-3500 Fax: (727) 733-5179 55 YRS/100 YRS Mon - Sun 12:00 to 12:00
Morton Plant Rehab Ctr Provider ID: 187988 Baycare Health Systems 400 Corbett St Clearwater, FL 33756-3392 (727) 462-7600 Fax: (727) 298-6064 00 YRS/130 YRS Mon - Fri 12:00 to 12:00
33453864
Ancillary Providers
Pinellas
Skilled Nursing Facility - cont.
North Rehabilitation Center
Provider ID: 175883 1301 16th St N St Petersburg, FL 33705-1034 (727) 898-5119 Fax: (727) 894-7896 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Oak Manor Healthcare & Rehab Ctr
Provider ID: 217145 Mccfl Network Subspecialty: Occupational Therapy, Physical Therapy 3500 Oak Manor Ln Largo, FL 33774-1211 (727) 581-9427 Fax: (727) 581-5786 40 YRS/130 YRS Mon - Sun 12:00 to 12:00
Palm Garden Of Clearwater
Provider ID: 199544 3480 N Mcmullen Booth Rd Clearwater, FL 33761-1421 (727) 786-6697 Fax: (727) 781-0516 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Palm Garden Of Largo
Provider ID: 688126 10500 Starkey Rd Largo, FL 33777 (727) 397-8166 Fax: (727) 319-3704 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Palm Garden Of Pinellas- Nhc
Provider ID: 26699 200 16th Ave SE Largo, FL 33771-4400 (727) 585-9377 Fax: (727) 218-1349 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Peninsula Care & Rehab Center Provider ID: 460056 Subspecialty: Occupational Therapy, Physical Therapy 900 Beckett Way Tarpon Springs, FL 34689 (727) 934-0876 Fax: (727) 942-6790 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Personacare At St Petersburg Provider ID: 165863 Vencor Inc 7101 9th St N St Petersburg, FL 33702-5819 (727) 527-7231 Fax: (727) 522-2486 18 YRS/130 YRS Mon - Fri 9:00 to 5:00
Pinellas Point Nursing And Rehab Center Provider ID: 167832 Sovereign Healthcare 5601 31st St S St Petersburg, FL 33712-4605 (727) 867-6955 Fax: (727) 867-1824 02 YRS/130 YRS Mon - Fri, Sun 12:00 to 12:00
Sabal Palms Health Care Center
Provider ID: 930709 499 Alternate Keene Rd Largo, FL 33771-1652 (727) 586-4211 Fax: (727) 581-1098 00 YRS/21 YRS Mon - Sun 12:00 to 12:00
Shore Acres Care Center
Provider ID: 28482 United Health Management 4500 Indianapolis St NE St Petersburg, FL 33703-4317 (727) 527-5801 Fax: (727) 522-4178 50 YRS/110 YRS Mon - Sun 12:00 to 12:00
South Heritage Health Rehab Center Provider ID: 655694 718 Lakeview Ave S Saint Petersburg, FL 33705-3004 (727) 894-5125 Fax: (727) 896-7274 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
St Mark Village
Provider ID: 1222633 2655 Nebraska Ave Palm Harbor, FL 34684-2630 (727) 785-2580 Fax: (727) 786-6835 60 YRS/130 YRS Mon - Sun 12:00 to 12:00
St Petersburg Nursing And Rehab
Provider ID: 284772 Subspecialty: Occupational Therapy, Physical Therapy 521 69th Ave St Petersburg, FL 33702 (727) 526-7000 Fax: (727) 527-7270 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
St Petersburg Nursing And Rehab-ilitation
Provider ID: 1246528 St Petersburg Nursing And Rehabilit 521 Atwood Ave N Saint Petersburg, FL 33702 (727) 526-7000 Fax: (727) 527-7270 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 294
33453864
Ancillary Providers
Pinellas
Skilled Nursing Facility - cont.
Stratford Court Of Palm Harbor
Provider ID: 971019 Subspecialty: Occupational Therapy, Physical Therapy 45 Katherine Blvd Palm Harbor, FL 34684-3661 (727) 787-1500 Fax: (727) 786-3269 40 YRS/130 YRS Mon - Sun 12:00 to 12:00
Sunset Point Rehab & Nursing C
Provider ID: 179360 Harborside Healthcare 1980 Sunset Point Rd Clearwater, FL 33765-1132 (727) 443-1588 Fax: (727) 442-5916 00 YRS/130 YRS Mon - Fri, Sun 12:00 to 12:00
Tarpon Bayou Ctr
Provider ID: 21249 Subspecialty: Occupational Therapy, Physical Therapy 515 Chesapeake Dr Tarpon Spgs, FL 34689-2515 (727) 934-4629 Fax: (727) 938-6513 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
The Abbey Rehabilitation And Nursing
Provider ID: 627635 7101 Mlk St N Saint Petersburg, FL 33702 (727) 527-7321 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 295
The Care Center At Pinellas Park
Provider ID: 230793 8701 49th St N Pinellas Park, FL 33782-5331 (727) 546-4661 Fax: (727) 545-8783 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
The Health And Rehabilitation Centre At Provider ID: 722740 1820 Shore Dr S Saint Petersburg, FL 33707-4601 (727) 384-9300 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
The Springs At Boca Ciega Bay
Provider ID: 302938 Subspecialty: Occupational Therapy, Physical Therapy 1255 Pasadena Ave S South Pasadena, FL 33707-6203 (727) 381-3974 Fax: (272) 343-9221 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
West Bay Rehab & Nursing Ctr Provider ID: 179363 Harborside Healthcare 3865 Tampa Rd Oldsmar, FL 34677-3008 (813) 855-4661 Fax: (813) 854-2129 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Westminster Suncoast
Provider ID: 486280 Subspecialty: Occupational Therapy, Physical Therapy 6909 Dr Mlk St South Saint Petersburg, FL 33705 (727) 867-1131 Fax: (727) 864-0154 00 YRS/130 YRS Mon - Sun 12:00 to 12:00
Wrights Healthcare & Rehab Ctr Provider ID: 228076 Mccfl Network Subspecialty: Occupational Therapy, Physical Therapy, Respir-atory Therapy 11300 110th Ave Seminole, FL 33778-3711 (727) 391-9986 Fax: (727) 456-5555 18 YRS/130 YRS Mon - Sun 12:00 to 12:00
Sleep Diagnostic Studies
Largo Medical Ctr-Sleep Ctr Provider ID: 164927 201 14th St SW Largo, FL 33770-3133 (727) 588-5200 Fax: (727) 588-5907 00 YRS/130 YRS
Urgent Care Center
Afc Urgent Care
Provider ID: 1601814 7101 Us Highway 19 N Pinellas Park, FL 33781-4607 (727) 201-8585 Fax: (727) 201-8656 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 5:00
Afc Urgent Care
Provider ID: 718656 1500 N Mcmln Bth Rd, Ste A1 - A2 Clearwater, FL 33759 (727) 266-1266 Fax: (727) 266-1276 18 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00
33453864
Ancillary Providers
Pinellas
Urgent Care Center - cont.
After Hours Pediatrics Practices Inc
Provider ID: 216599 After Hours Pediatrics Practices In 3450 E Lake Rd Palm Harbor, FL 34685-2411 (727) 789-8887 Fax: (727) 771-2998 00 YRS/00 YRS Mon - Fri 5:00 to 11:00 Sat - Sun 1:00 to 11:00
Baycare Urgent Care LLC
Provider ID: 1594387 13670 Walsingham Rd Largo, FL 33774 (727) 593-9848 Fax: (727) 596-4532 00 YRS/130 YRS Mon - Sat 8:00 to 8:00 Sun 12:00 to 6:00
Baycare Urgent Care LLC
Provider ID: 1594387 1599 66th St N St Petersburg, FL 33710-5536 (727) 317-3388 Fax: (727) 333-6107 00 YRS/130 YRS Mon - Sat 8:00 to 8:00 Sun 12:00 to 6:00
Baycare Urgent Care LLC
Provider ID: 1594387 2331 4th St N St Petersburg, FL 33704-2801 (727) 914-8566 Fax: (727) 533-6991 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sun 12:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 296
Baycare Urgent Care LLC
Provider ID: 1594387 3351 N Mcmullen Booth Rd Clearwater, FL 33761-2014 (727) 314-4774 Fax: (727) 333-6052 00 YRS/130 YRS Mon - Sat 8:00 to 8:00 Sun 12:00 to 6:00
Baycare Urgent Care LLC
Provider ID: 1594387 6455 Gulf Blvd St Pete Beach, FL 33706-2140 (727) 220-1133 Fax: (727) 333-6139 00 YRS/130 YRS Mon - Fri 9:00 to 5:00
Baycare Urgent Care LLC
Provider ID: 1594387 6455 Gulf Blvd St St Pete Beach, FL 33706 (727) 220-1133 Fax: (727) 333-6139 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Baycare Urgent Care LLC
Provider ID: 1594387 711 S Belcher Rd Clearwater, FL 33764-6326 (727) 314-4848 Fax: (727) 333-6053 00 YRS/130 YRS Mon - Sat 8:00 to 8:00 Sun 12:00 to 6:00
Baycare Urgent Care LLC
Provider ID: 1594387 900 Carillon Pkwy, Ste 106 St Petersburg, FL 33716-1117 (727) 561-2670 Fax: (727) 333-6231 00 YRS/130 YRS Mon - Fri 8:00 to 6:00
Bayfront Hma Convenient Care LLC
Provider ID: 1310880 13163 66th St Largo, FL 33773 (727) 531-2273 Fax: (727) 535-8930 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Bayfront Hma Convenient Care LLC
Provider ID: 1310880 7000 4th St N Saint Petersburg, FL 33702 (727) 526-6327 Fax: (727) 520-1440 00 YRS/130 YRS Mon - Fri 8:00 to 5:00
Doctors Urgent Care
Provider ID: 984858 34621 Us Highway 19 N Palm Harbor, FL 34684-2152 (727) 953-9888 Fax: (727) 945-0133 00 YRS/130 YRS Mon - Fri 9:00 to 4:00 Sat - Sun 10:00 to 4:00
Doctors Walk In Clinics
Provider ID: 324 Doctors Walkin Clinics 10500 Ulmerton Rd, Ste 202 Largo, FL 33771-3544 (727) 518-2273 Fax: (727) 585-6320 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 5:30
Doctors Walk In Clinics
Provider ID: 324 Doctors Walkin Clinics 26812 Us Highway 19 N Clearwater, FL 33761-3405 (727) 799-2727 Fax: (727) 210-0810 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 5:30
33453864
Ancillary Providers
Pinellas
Urgent Care Center - cont.
Evening Pediatrics Inc Provider ID: 714238 12190 Seminole Blvd, Ste A Largo, FL 33778-2833 (727) 586-6483 Fax: (727) 525-1015 00 YRS/21 YRS Mon - Fri 6:00 to 11:00 Sat - Sun 11:00 to 11:00
Evening Pediatrics Inc Provider ID: 714238 4040 49th St N Saint Petersburg, FL 33709-5734 (727) 526-6483 Fax: (727) 525-1015 00 YRS/21 YRS Mon - Thu 6:00 to 11:00 Fri 6:00 to 1:00 Sat - Sun 11:00 to 11:00
Evening Pediatrics Inc Provider ID: 714238 Evening Pediatrics Inc Your Kids Ur 370 34th St S St Petersburg, FL 33711-1328 (727) 800-6483 Fax: (727) 525-1015 00 YRS/21 YRS Mon - Fri 6:00 to 11:00 Sat - Sun 11:00 to 11:00
Sandbay Urgent Care LLC
Provider ID: 726227 2086 Gulf To Bay Blvd Clearwater, FL 33765-3714 (727) 462-0100 Fax: (727) 462-0177 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 297
Signature Urgent Care Provider ID: 1148691 120 2nd St S Saint Petersburg, FL 33701-4491 (727) 851-9993 Fax: (727) 851-9992 00 YRS/130 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 4:00
33453864
Allied Providers
Pasco
Advanced Practice Midwife
Stevens, Sara CNM Provider ID: 2137303 Gender: Female Orange Blossom Women's Group 2043 Little Rd Trinity, FL 34655-4421 (727) 846-7000 Fax: (877) 260-1182 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Advanced Registered Nurse
Practioner
Alexander, Sandra APRN Provider ID: 1332876 Gender: Female Florida Woman Care LLC 8145 Cerebellum Way, Ste 101 Trinity, FL 34655 (727) 845-4999 Fax: (866) 777-2195 12 YRS/130 YRS Mon, Thu 9:00 to 12:00 Wed 9:00 to 5:00 PCMH: No
Alexander, Sandra APRN
Provider ID: 1332876 Gender: Female Florida Woman Care LLC 8145 Cerebellum Way, Ste 102 Trinity, FL 34655 (727) 845-4999 Fax: (866) 777-2195 12 YRS/130 YRS Mon, Thu 9:00 to 12:00 Wed 9:00 to 5:00 PCMH: No
Allergy & Immunology
Olivero, Karen PA Provider ID: 1573922 Gender: Female Florida Medical Clinic Pa 2352 Bruce B Downs Blvd, Suite 303 Wesley Chapel, FL 33544 18 YRS/130 YRS PCMH: No
Swertfeger, Melissa APRN
Provider ID: 2059988 Gender: Female Advanced Allergy Asthma Care 1823 Health Care Dr New Port Richey, FL 34655-5363 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Audiology
Slawson, Kyra AUD Provider ID: TPV17513-02 Gender: Female Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Slawson, Kyra AUD
Provider ID: TPV17513-03 Gender: Female Hearusa 8725 Little Rd. New Port Richey, FL 34654 (855) 252-5322 Fax: (727) 849-2608 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Smith, Brandie AUD Provider ID: TPV25480-03 Gender: Female Hearusa 5139 Us Highway 19 New Pt. Richey, FL 34652 (855) 252-5322 Fax: (727) 848-2830 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Vecchio, Christine AUD
Provider ID: TPV09045-02 Gender: Female Hearusa 7894 Gall Blvd. Zephyrhills, FL 33541 (855) 252-5322 Fax: (813) 788-9242 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Certified Nurse Midwife
Barlow, Giovanna APRN Provider ID: 2149437 Gender: Female Florida Woman Care. Llc/Suncoast Wo 2044 Trinity Oaks Blvd, Ste 215 Trinity, FL 34655-4406 (727) 230-9508 Fax: (727) 375-7308 12 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Chenault, Shelley CNM
Provider ID: 908578 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655 (727) 376-7734 Fax: (737) 408-5336 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 298
33453864
Allied Providers
Pasco
Certified Nurse Midwife - cont.
Cox, Brooke APRN Provider ID: 2156129 Gender: Female Florida Woman Care. LLC / Ladies An 8145 Cerebellum Way, Ste 102 Trinity, FL 34655-1788 (727) 845-4999 Fax: (866) 777-2195 05 YRS/130 YRS Mon 9:00 to 6:00 Tue, Thu 9:00 to 8:00 Wed 9:00 to 5:00 PCMH: No
Tinny, Jacqueline CNM
Provider ID: 421354 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655-4409 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Dermatology
Breen, James PA
Provider ID: 916666 Gender: Male Advanced Dermatology Cosmetic Surge 8209 State Road 54 New Port Richey, FL 34655-3019 (727) 569-1055 Fax: (727) 569-1505 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chawk, Beverly APRN Provider ID: 1310200 Gender: Female Advanced Dermatology And Cosmetic S 13908 Lakeshore Blvd, Ste 240 Hudson, FL 34667 (727) 863-1312 Fax: (727) 863-7929 00 YRS/130 YRS Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 89:00 to 5:00 PCMH: No
Goff, Michelle PA
Provider ID: 917670 Gender: Female 27612 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6954 (813) 991-1457 Fax: (813) 907-2706 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Jennings, Diana APRN
Provider ID: 1561817 Gender: Female Florida Medical Clinic Pa 2352 Bruce B Downs Blvd, Ste 202 Wesley Chapel, FL 33544-9203 (813) 780-8085 Fax: (813) 355-5041 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jennings, Diana APRN
Provider ID: 1561817 Gender: Female Florida Medical Clinic Pa 38051 Market Sq Zephyrhills, FL 33542-7504 (813) 780-8085 Fax: (813) 355-5042 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shulstad, Raymond APRN Provider ID: 905860 Gender: Male 27612 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6954 (813) 991-1457 Fax: (813) 907-2706 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Endocrinology. Diabetes.
Metabolism
Gonzalez, Joanna PA Provider ID: 1040551 Gender: Female Lucia Gilling Md Pa 2252 Twelve Oaks Way, Ste 101 Wesley Chapel, FL 33544-6972 (813) 915-6811 Fax: (813) 907-0494 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Family Practice
Evans, Patricia APRN
Provider ID: 1641202 Gender: Female Metropolitan Charities 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7629 Fax: (727) 339-3908 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 299
33453864
Allied Providers
Pasco
Family Practice - cont.
Mccrimmon, Barrie APRN Provider ID: 1346332 Gender: Female Pasco Hernando Hma Physician Manage 13933 17th St, Ste 101 Dade City, FL 33525 (352) 567-6763 Fax: (352) 567-2146 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Olton, Robert PA
Provider ID: 966384 Gender: Male 14027 5th St Dade City, FL 33525-4302 (352) 518-2000 Fax: (352) 567-0218 00 YRS/130 YRS Mon - Tue, Thu - Fri 7:30 to 5:30 Wed 7:30 to 1:00 PCMH: No
General Surgery
Johnson, Skyler PA Provider ID: 920432 Gender: Female West Florida Trauma Network LLC 7529 Medical Dr Hudson, FL 34667-6502 (727) 862-6524 Fax: (727) 862-6439 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Sprehe, Stacey PA Provider ID: 1160755 Gender: Female Bayonet Point Trauma Group 7529 Medical Dr Hudson, FL 34667 (727) 862-6524 Fax: (727) 862-6439 00 YRS/130 YRS Crmc At Bayonet Point Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No Telemedicine Presenting and Receiving Site
Infant And Toddler Development
Specialists
Bickerton, Janel RN Provider ID: 1796048 Gender: Female Janel Bickerton Rn. Inc. Subspecialty: Early Steps 9853 Riverchase Dr New Port Richey, FL 34655-5733 (727) 809-4584 00 YRS/03 YRS Mon - Sun 9:00 to 5:00 PCMH: No
Infectious Disease
Bush, Jennifer APRN Provider ID: 708923 Gender: Female 5504 Gateway Blvd, Ste 102 Wesley Chapel, FL 33544-1900 (813) 251-8444 Fax: (813) 254-6414 18 YRS/130 YRS PCMH: No
Licensed Mental Health Counselor
Best, Matthew LMHC Provider ID: 1637820 Gender: Male Metropolitan Charities Inc 4747 Us Highway 19 New Prt Rchy, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bolen, Brian LMHC
Provider ID: 1750997 Gender: Male Nu Hope Counseling PLLC 4651 Wandering Way Wesley Chapel, FL 33544-8500 (813) 907-0285 Fax: (813) 406-5158 00 YRS/130 YRS Mon - Fri 10:00 to 7:00 Sat 10:00 to 6:00 PCMH: No
Foster, Sheryl LMHC Provider ID: 2188925 Gender: Female Sheryl Foster Lmhc LLC 1819 Short Branch Dr, Ste 103 New Prt Rchy, FL 34655-4423 (727) 430-0999 00 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Freeman, Jill LMHC
Provider ID: 1470314 Gender: Female Freeman Counseling LLC 7747 Mitchell Blvd, Ste B New Port Richey, FL 34655-4725 (727) 286-0740 Fax: (727) 279-4644 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 300
33453864
Allied Providers
Pasco
Licensed Mental Health Counselor -
cont.
Hektoen, Margaret LMHC Provider ID: 2165111 Gender: Female Margaret Hoktoen 2250 Mountain Ash Way New Port Richey, FL 34655-4137 (727) 247-7712 Fax: (305) 675-9200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mccormick, Kelly LMHC
Provider ID: 1838203 Gender: Female Lifespan Services. Inc 7702 Massachusetts Ave New Port Richey, FL 34653-3024 (727) 847-0069 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Petroshius Crocker, Samantha
LMHC Provider ID: 2144146 Gender: Female Samantha Petroshius Crocker 8022 Old County Road 54 New Port Richey, FL 34653-6409 (727) 784-8244 Fax: (727) 264-8802 00 YRS/130 YRS Mon 8:00 to 9:00 Tue - Fri 8:00 to 5:00 PCMH: No
Simmons, Shnai LMHC Provider ID: 2044678 Gender: Female Community Victory Family Service 7747 Mitchell Blvd, Ste B New Port Richey, FL 34655-4725 (800) 715-3606 Fax: (813) 906-0206 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Taylor III, Gregg LMHC Provider ID: 2015102 Gender: Male Counseling Resource Center Of Tampa 7511 Little Rd, Ste B New Port Richey, FL 34654-5531 (727) 432-0748 Fax: (727) 339-3310 02 YRS/130 YRS Mon, Wed 8:00 to 7:00 Tue, Thu 8:00 to 6:00 Fri 8:00 to 12:00 PCMH: No
Nephrology
Barrera, Marilyn APRN
Provider ID: 2126433 Gender: Female Florida Kidney Physicians LLC 2106 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6417 (813) 910-0030 Fax: (813) 971-6473 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rudic, Valerija APRN Provider ID: 2124930 Gender: Female Florida Kidney Physicians LLC 2106 Ashley Oaks Cir, Ste 102 Wesley Chapel, FL 33544-6417 (813) 910-0030 Fax: (813) 971-6473 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Midwife
Jacobs, Skyler APRN Provider ID: 1868222 Gender: Female Florida Medical Clinic Pa 2352 Bruce Downs Blvd, Ste 301 Wesley Chapel, FL 33544-9203 (813) 991-7416 Fax: (813) 355-5097 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner
Boynton, Abigail APRN
Provider ID: 1574034 Gender: Female Pediatric Health Care Alliance Pa 4446 E Fletcher Ave, Ste A Tampa, FL 33613-4942 (813) 971-6700 Fax: (813) 977-1352 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 Sat 8:00 to 11:30 Sun 9:00 to 11:00 PCMH: No
Buccinna, Dana APRN
Provider ID: 1823931 Gender: Female Adventhealth Medical Group Multispe 18923 State Road 54 Lutz, FL 33558-5268 (813) 803-7150 Fax: (813) 803-7167 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 301
33453864
Allied Providers
Pasco
Nurse Practitioner - cont.
Buccinna, Dana APRN Provider ID: 1823931 Gender: Female Adventhealth Medical Group Obstetri 2700 Healing Way, Ste 304 Wesley Chapel, FL 33543-5453 (813) 929-5341 Fax: (813) 929-5393 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pelt, Robleda APRN
Provider ID: 1559662 Gender: Female Select Physicians Alliance 27406 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 994-8900 Fax: (855) 388-5350 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Peterson, Bonnie APRN Provider ID: 2102259 Gender: Female Can Community Health. Inc. 4747 Us Highway 19 New Prt Rchy, FL 34652-4945 (727) 312-2040 Fax: (888) 806-9655 18 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
Roque, Mark APRN Provider ID: 1842443 Gender: Male Adventhealth Medical Group Primary 13933 17th St, Ste 101 Dade City, FL 33525-4604 (352) 567-6763 Fax: (352) 567-2146 02 YRS/130 YRS Mon - Thu 7:30 to 7:00 Fri 9:00 to 2:30 PCMH: No
Roque, Mark APRN
Provider ID: 1842443 Gender: Male Adventhealth Medical Group Primary 38240 Daughtery Rd Zephyrhills, FL 33540-1367 (813) 788-3582 Fax: (813) 780-6707 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Roque, Mark APRN Provider ID: 1842443 Gender: Male Adventhealth Primary Care At St Leo 33701 State Road 52, Dechantal Hall. Rm 125 Saint Leo, FL 33574 (352) 588-8347 Fax: (352) 588-8305 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vera, Jose APRN Provider ID: 1441569 Gender: Male Diagnostic Medical Testing Inc 2435 Us Hwy 19, Ste 300 Holiday, FL 34691-3909 (877) 202-1191 Fax: (866) 323-3781 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Williams, Stephanie APRN
Provider ID: 2002717 Gender: Female Adventhealth Medical Group Primary 38240 Daughtery Rd Zephyrhills, FL 33540-1367 (813) 788-3582 Fax: (813) 780-6707 18 YRS/130 YRS Adventhealth Zephyrhills Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Acute Care
Kasumova, Iryna APRN Provider ID: 2159729 Gender: Female Nautilus Health Care Group LLC 9332 State Road 54, Ste 302 Trinity, FL 34655-1810 (727) 834-4450 Fax: (727) 816-2151 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 302
33453864
Allied Providers
Pasco
Nurse Practitioner Adult Health
Sanders, Jacob APRN Provider ID: 1547015 Gender: Male Adventhealth Medical Group Primary 38240 Daughtery Rd Zephyrhills, FL 33540-1367 (813) 788-3582 Fax: (813) 780-6707 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Endocrinology
Sikes, Kjersti APRN Provider ID: 1464445 Gender: Female Florida Medical Clinic Pa 2100 Via Bella Blvd, Ste 200 Land O Lakes, FL 34639-5429 (813) 948-8157 Fax: (813) 949-9071 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sikes, Kjersti APRN
Provider ID: 1464445 Gender: Female Florida Medical Clinic Pa 2352 Bruce B Downs Blvd, Ste 304 Wesley Chapel, FL 33544-9203 (813) 973-1304 Fax: (813) 355-5024 18 YRS/130 YRS Mon - Tue, Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Family Medicine
Demetriou, Panagiota APRN Provider ID: 1557820 Gender: Female Qvita Health And Wellness LLC 2734 Windguard Cir, Ste 101 Wesley Chapel, FL 33544-7362 (813) 501-4130 Fax: (813) 501-4537 00 YRS/130 YRS Mon 8:30 to 6:00 Tue - Thu 8:30 to 5:00 Fri 8:30 to 4:00 PCMH: No
Deschamps, Shauna APRN Provider ID: 2076316 Gender: Female Munchkins Pediatrics LLC 13540 17th St Dade City, FL 33525-5244 (352) 437-3107 Fax: (855) 869-7878 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 22829 State Road 54 Land O Lakes, FL 34639 (813) 915-5459 Fax: (813) 345-8172 02 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 7420 State Road 54 New Port Richey, FL 34653 (813) 915-5459 Fax: (727) 264-8581 02 YRS/130 YRS Mon - Fri 8:30 to 7:00 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN
Provider ID: 1573870 Gender: Female Adventhealth Medical Group Primary 33701 State Road 52, De Chantal Hall Rm 125 Saint Leo, FL 33574 (352) 588-8347 Fax: (352) 588-8305 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mckendree, Roland APRN Provider ID: 2070720 Gender: Male Zephyrhills Family Practice And Ger 7213 Green Slope Dr Zephyrhills, FL 33541-1306 (813) 715-0165 Fax: (855) 547-5415 05 YRS/130 YRS Mon - Tue, Thu - Fri 8:00 to 5:00 Wed 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 303
33453864
Allied Providers
Pasco
Nurse Practitioner Pediatric
Ferroir, Erin APRN Provider ID: 1574041 Gender: Female Pediatric Health Care Alliance Pa 5259 Village Market Wesley Chapel, FL 33544-8401 (813) 973-0333 Fax: (813) 973-2313 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Goddard, Melissa APRN
Provider ID: 2181583 Gender: Female A To Z Pediatrics 4804 Rowan Rd New Port Richey, FL 34653-5609 (727) 375-5242 Fax: (727) 375-5198 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Iacono, David APRN Provider ID: 1855055 Gender: Male Pediatric Health Care Alliance Pa 1812 Health Care Dr Trinity, FL 34655-5362 (813) 731-0944 Fax: (727) 372-3301 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Psychiatric
Mental Health
Huntzinger, Jill APRN Provider ID: 2185884 Gender: Female Sequelcare Of Florida LLC 9550 Us Highway 19, Ste 202 Port Richey, FL 34668-4648 (727) 494-7609 Fax: (727) 494-7610 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Obstetrics
Abraham, Andria APRN Provider ID: 985710 Gender: Female Womens Care Florida 3743 Maryweather Ln Wesley Chapel, FL 33544-7718 (813) 286-0033 Fax: (813) 282-1806 12 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:30 PCMH: No
Abraham, Andria APRN
Provider ID: 985710 Gender: Female Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 973-0398 Fax: (813) 907-7608 12 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Chenault, Shelley CNM Provider ID: 908578 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655 (727) 376-7734 Fax: (737) 408-5336 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Moore, Patricia APRN
Provider ID: 984997 Gender: Female Womens Care Florida LLC 2324 Cypress Cv Wesley Chapel, FL 33544-6787 (813) 876-0914 Fax: (813) 876-9198 12 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Moore, Patricia APRN Provider ID: 984997 Gender: Female Womens Care Florida LLC 3743 Maryweather Ln Wesley Chapel, FL 33544-7718 (813) 973-9728 Fax: (813) 907-7608 12 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 7:30 to 4:00 PCMH: No
Tinny, Jacqueline CNM
Provider ID: 421354 Gender: Female Womens Care Florida 2102 Trinity Oaks Blvd, Ste 171 New Port Richey, FL 34655-4409 (727) 376-7734 Fax: (737) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 304
33453864
Allied Providers
Pasco
Obstetrics/Gynecology
Bennett, Krista APRN Provider ID: 2142867 Gender: Female Orange Blossom Womens Group 2043 Little Rd Trinity, FL 34655-4421 (727) 846-7000 Fax: (877) 260-1182 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Blanchard, Chanel APRN Provider ID: 2139964 Gender: Female Florida Woman Care. Llc/Suncoast Wo 2044 Trinity Oaks Blvd, Ste 215 Trinity, FL 34655-4406 (727) 376-0060 Fax: (727) 375-7308 12 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 3:00 PCMH: No
Koster, Judith PA
Provider ID: 1653439 Gender: Female Orange Blossom Womens Group 2043 Little Rd Trinity, FL 34655-4421 (727) 846-7000 Fax: (727) 440-8211 12 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Ray, Tanya APRN Provider ID: 1324967 Gender: Female Florida Woman Care LLC 8145 Cerebellum Way, Ste 101 Trinity, FL 34655 (727) 845-4999 Fax: (866) 777-2195 12 YRS/130 YRS Mon 1:00 to 6:00 Tue, Thu 10:00 to 8:00 PCMH: No
Ray, Tanya APRN Provider ID: 1324967 Gender: Female Florida Woman Care LLC 8145 Cerebellum Way, Ste 102 Trinity, FL 34655 (727) 845-4999 Fax: (866) 777-2195 12 YRS/130 YRS Mon 1:00 to 6:00 Tue, Thu 10:00 to 8:00 PCMH: No
Turner, Joan CNM
Provider ID: 1629729 Gender: Female Florida Medical Clinic 2352 Bruce Downs Blvd, Ste 301 Wesley Chapel, FL 33544-9203 (813) 991-7416 Fax: (813) 355-5097 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Williams, Michelle CNM Provider ID: 1364928 Gender: Female Florida's Women Acre. LLC 2044 Trinity Oaks Blvd, Ste 215 Trinity, FL 34655 (727) 376-0060 Fax: (727) 375-7308 00 YRS/130 YRS Mon - Thu 9:00 to 5:00 Fri 9:00 to 12:30 PCMH: No
Occupational Therapy
Beck, Sandra OT Provider ID: 1038445 Gender: Female All Kids Therapy Services. Inc 3407 Clover Blossom Cir Land O Lakes, FL 34638-7994 (813) 245-3098 Fax: (813) 926-5607 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Boling, Shannon OT Provider ID: 2024419 Gender: Female Speech Within Reach 1726 Davenport Dr New Prt Rchy, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Butler, Stephanie OT
Provider ID: 2089956 Gender: Female Bayside Pediatric Therapy 4142 Rowan Rd New Port Richey, FL 34653-6116 (727) 637-3967 Fax: (813) 703-1256 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cassela, Lan OT Provider ID: 1736629 Gender: Female Ginger Fitness And Rehabilitation 27553 Cashford Cir, Ste 101 Wesley Chapel, FL 33544-6911 (813) 631-9700 Fax: (813) 631-9770 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 305
33453864
Allied Providers
Pasco
Occupational Therapy - cont.
Cassela, Lan OT Provider ID: 1736629 Gender: Female Ginger Fitness And Rehabilitation 8726 Old County Rd 54 New Port Richey, FL 34653-6421 (813) 631-9700 Fax: (813) 631-9770 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Coffey, Savannah OT Provider ID: 2007791 Gender: Female Bayside Speech Therapy Inc 4130 Rowan Rd New Port Richey, FL 34653-6122 (727) 637-3967 Fax: (813) 703-1256 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Coffey, Savannah OT Provider ID: 2007791 Gender: Female Bayside Speech Therapy Inc 4142 Rowan Rd New Port Richey, FL 34653-6116 (727) 637-3967 Fax: (813) 703-1256 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fitzgerald, Jennifer OT Provider ID: 1178591 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669 (727) 741-3405 Fax: (727) 213-6246 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Irons, Kristy OT Provider ID: 1691538 Gender: Female Early Intervention Solutions LLC Subspecialty: Early Steps 1528 Land O Lakes Blvd, Ste 102 Lutz, FL 33549-2903 (813) 335-1173 Fax: (813) 996-9691 00 YRS/18 YRS Mon - Fri 9:00 to 6:30 PCMH: No
Kirst, Maegan OT Provider ID: 2204495 Gender: Female Early Intervention Solutions. LLC 1528 Land O Lakes Blvd, Ste 102 Lutz, FL 33549-2903 (813) 335-1173 Fax: (813) 996-9691 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lamke, Kimberly OT Provider ID: 1043176 Gender: Female Communication Corner And More! Inc 2241 Green Hedges Way, Ste 101 Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (813) 200-9608 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 PCMH: No
Mcleod Reyes, Grace OT Provider ID: 1598184 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Partain, Kelly OT Provider ID: 1788903 Gender: Female Partain Therapy. Inc. Subspecialty: Early Steps 6719 Gall Blvd, Ste 103 Zephyrhills, FL 33542-2568 (813) 714-5815 Fax: (813) 779-2429 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Peterson, Jennifer OT Provider ID: 1962944 Gender: Female Creative Speech Solutions And Thera Subspecialty: Early Steps 11513 Belle Haven Dr New Port Richey, FL 34654-4437 (727) 741-3405 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Samples, Katharine OT Provider ID: 1606622 Gender: Female Bayside Speech Therapy Inc 8225 State Rd 54 New Port Richey, FL 34655-3016 (813) 944-9594 Fax: (813) 703-1256 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Shockley, Michelle OT Provider ID: 2025397 Gender: Female Speech Within Reach Therapy Service 1726 Davenport Dr New Prt Rchy, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 306
33453864
Allied Providers
Pasco
Occupational Therapy - cont.
Smith, Kaitlyn OT Provider ID: 2024325 Gender: Female Speech Within Reach Therapy Service 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Tietz, Carol OT
Provider ID: 1791116 Gender: Female Carol Tietz. Otr/L Pa 8726 Old County Road 54 New Port Richey, FL 34653-6421 (352) 683-7117 Fax: (727) 845-1811 00 YRS/21 YRS Mon - Thu 8:00 to 6:30 PCMH: No
Tretter, Michelle OT Provider ID: 1906795 Gender: Female Creative Speech Solutions And Thera Subspecialty: Early Steps 11513 Belle Haven Dr New Port Richey, FL 34654-4437 (727) 741-3405 Fax: (727) 213-6246 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Westerfield, Susan OT
Provider ID: 1794311 Gender: Female Ability Tree Learning Center LLC 6215 Stone Rd Port Richey, FL 34668-4847 (727) 605-3060 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Madonna OT Provider ID: 1820566 Gender: Female Trinity Pediatric Therapy Subspecialty: Early Steps 10636 Garda Dr Trinity, FL 34655-7048 (727) 687-6950 Fax: (727) 361-9975 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Theresa OT
Provider ID: 1986919 Gender: Female Welch And Mcloy Therapy Service 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Orthopaedic Surgery
Feldman, Benjamin PA Provider ID: 1418136 Gender: Male Florida Medical Clinic Pa 38135 Market Sq Zephyrhills, FL 33542 (813) 778-0444 Fax: (813) 355-5017 12 YRS/130 YRS Brandon Regional Hospital Tampa General Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 307
Taliaferro, Robert PA Provider ID: 1549860 Gender: Male Florida Medical Clinic Pa 2352 Bruce Downs Blvd, Ste 102 Wesley Chapel, FL 33544-9203 (813) 979-0440 Fax: (813) 355-5054 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Taliaferro, Robert PA
Provider ID: 1549860 Gender: Male Florida Medical Clinic Pa 38107 Market Sq Zephyrhills, FL 33542-7505 (813) 979-0440 Fax: (813) 355-5054 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pain Management
Eskander, Peter APRN Provider ID: 2183006 Gender: Male Trinity Pain Management. Pl 8115 State Road 54 New Port Richey, FL 34655-3000 (727) 376-6111 Fax: (727) 376-6199 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Tresso, Jennifer APRN
Provider ID: 2185067 Gender: Female Advanced Pain Management Inc 2553 Windguard Cir Wesley Chapel, FL 33544-7351 (813) 388-2949 Fax: (813) 388-6827 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pasco
Pain Management - cont.
Tresso, Jennifer APRN Provider ID: 2185067 Gender: Female Advanced Pain Management Inc 38011 Arbor Ridge Dr Zephyrhills, FL 33540-1301 (813) 395-5127 Fax: (813) 355-3085 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Gastroenterology
Sarnaik, Shawn PA
Provider ID: 919473 Gender: Female 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 987-2911 Fax: (813) 987-2853 00 YRS/130 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Stryjewski, Kelly APRN
Provider ID: 2060663 Gender: Female Pediatric Gastroenterology. Hepatol 6331 State Rd 54 New Port Richey, FL 34653-6037 (727) 895-3702 Fax: (727) 896-3828 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Orthopaedics
Thompson, Cody PA
Provider ID: 973391 Gender: Male Childrens Orthopaedic And Scoli-osis 4443 Rowan Rd New Port Richey, FL 34653-6198 (813) 879-2663 Fax: (813) 872-0286 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Tue, Thu 1:00 to 4:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatrics
Jones, Carmela APRN Provider ID: 1462042 Gender: Female A To Z Pediatrics 4804 Rowan Rd New Port Richey, FL 34653-5609 (727) 375-5242 00 YRS/18 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Leal, Jennifer APRN Provider ID: 449348 Gender: Female East Lake Pediatrics Pa 2137 Little Rd New Port Richey, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mease Countryside Hospital Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Updated for: July, 2020.
www.wellcare.com/Florida 308
Mccormack, Leah APRN
Provider ID: 817631 Gender: Female East Lake Pediatrics 2137 Little Rd Trinity, FL 34655-4410 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: Yes, Level 2
Riddle, Heather APRN
Provider ID: 978727 Gender: Female Abbrakidabra Kids Clinic 8736 Us Highway 19 Port Richey, FL 34668 (727) 478-8876 Fax: (877) 487-5705 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rodriguez, Rosemarie APRN
Provider ID: 1268347 Gender: Female East Lake Pediatrics Pa 2137 Little Rd Trinity, FL 34655 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Rodriguez, Rosemarie APRN
Provider ID: 1268347 Gender: Female East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34655 (727) 772-1452 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
33453864
Allied Providers
Pasco
Pediatrics - cont.
Savino, Tarah PA Provider ID: 801424 Gender: Female A To Z Pediatrics 4804 Rowan Rd New Port Richey, FL 34653-5609 (727) 375-5242 Fax: (727) 375-5198 00 YRS/18 YRS Mon - Fri 8:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Physical Medicine & Rehabilitation
Francis, Mandy APRN
Provider ID: 2097207 Gender: Female New Tampa Interventional Pain 2014 Ashley Oaks Cir Wesley Chapel, FL 33544-6400 (813) 999-3030 Fax: (813) 333-0953 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kozich, Alexis APRN
Provider ID: 2137295 Gender: Female Advanced Pain Management Inc 38011 Arbor Ridge Dr Zephyrhills, FL 33540-1301 (813) 395-5127 Fax: (813) 355-3085 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 309
Physical Therapy
Atchley, Tara PT Provider ID: 1783826 Gender: Female Tara Atchley P.a. 13704 Bee Tree Ct Hudson, FL 34669-1377 (813) 546-8453 Fax: (727) 245-8793 00 YRS/21 YRS Mon 9:00 to 11:00 Tue, Thu 9:00 to 12:00 Wed 9:00 to 10:00 PCMH: No
Conklin, Kim PT
Provider ID: 1984456 Gender: Female Welch And Mcloy Therapy Service 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Guida, Meghan PT
Provider ID: 1044640 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way, Ste 101 Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (813) 200-9608 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 PCMH: No
Le, Hoang PT Provider ID: 360454 Gender: Female 8726 Old Country Rd 54 New Port Richey, FL 34653 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Le, Hoang PT
Provider ID: 360454 Gender: Female Ginger Fitness And Rehab 27553 Cashford Cir, Ste 101 Wesley Chapel, FL 33544-6974 (813) 631-9700 Fax: (813) 631-9770 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lim, Eric PT
Provider ID: 1757524 Gender: Male Ginger Fitness And Rehabilitation 27553 Cashford Cir, Ste 102 Wesley Chapel, FL 33544-6911 (813) 631-9700 Fax: (813) 631-9770 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lim, Eric PT
Provider ID: 1757524 Gender: Male Ginger Fitness And Rehabilitation 8726 Old County Road 54 New Port Richey, FL 34653-6421 (813) 631-9700 Fax: (813) 631-9700 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lontoc, Dino PT
Provider ID: 1085166 Gender: Male Skilled Rehab Inc 1900 Highland Oaks Blvd Lutz, FL 33559-7323 (813) 994-0003 Fax: (813) 994-0302 12 YRS/130 YRS Mon, Wed, Fri 8:30 to 6:00 Tue, Thu 8:30 to 3:00 PCMH: No
33453864
Allied Providers
Pasco
Physical Therapy - cont.
Lontoc, Dino PT Provider ID: 1085166 Gender: Male Skilled Rehab Inc 7008 Jason Dr, Ste 1 Zephyrhills, FL 33541-1201 (813) 782-4341 Fax: (813) 994-0302 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lontoc, Maria PT
Provider ID: 348223 Gender: Female Skilled Rehab Inc 1900 Highland Oaks Blvd Lutz, FL 33559-7323 (813) 949-0003 Fax: (813) 994-0302 12 YRS/130 YRS Mon, Wed, Fri 8:30 to 6:00 Tue, Thu 8:30 to 3:00 PCMH: No
Lontoc, Maria PT Provider ID: 348223 Gender: Female Skilled Rehab Inc 7008 Jason Dr, Ste 1 Zephyrhills, FL 33541-1201 (813) 782-4341 Fax: (813) 994-0302 12 YRS/130 YRS Tue, Thu - Fri 8:30 to 5:00 Wed 8:30 to 3:00 PCMH: No
Mathew, Merryn PT
Provider ID: 1736625 Gender: Female Ginger Fitness And Rehabilitation 27553 Cashford Cir, Ste 101 Wesley Chapel, FL 33544-6911 (813) 631-9700 Fax: (813) 631-9770 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Spiegel, Justin PT Provider ID: 1124803 Gender: Male The Back To Wellness Center 27454 Cashford Cir Wesley Chapel, FL 33544-8199 (813) 973-4747 Fax: (813) 973-3799 00 YRS/130 YRS Mon - Wed 9:00 to 6:00 Thu 3:00 to 6:30 Fri 9:00 to 3:00 PCMH: No
Westervelt, Lindley PT
Provider ID: 1223776 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 741-3405 Fax: (727) 213-6246 00 YRS/18 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Physician Assistant Psychiatric
Mental Health
Lewis, Susan PA Provider ID: 1967828 Gender: Female Metropolitan Charities Inc 4747 Us Highway 19 New Port Richey, FL 34652-4945 (727) 494-7625 Fax: (727) 494-7629 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 310
Physician Assistant Urology
Jones, Julia PA Provider ID: 1820773 Gender: Female Adventhealth Medical Group Urology 6748 Gall Blvd Zephyrhills, FL 33542-2511 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jones, Julia PA
Provider ID: 1820773 Gender: Female Adventhealth Medical Group Urology 7040 Land O Lks Blvd, Unit 103 Land O Lakes, FL 34638-3201 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jones, Julia PA Provider ID: 1820773 Gender: Female Adventhealth Multispecialty At Wesl 2700 Healing Way, Ste 310 Wesley Chapel, FL 33543 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pasco
Physician Assistant Urology - cont.
Jones, Julia PA Provider ID: 1820773 Gender: Female Adventhealth Urology At Inspira-tion 2700 Healing Way, Ste 305 Wesley Chapel, FL 33543 (813) 779-1209 Fax: (813) 779-1216 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Speech & Language Pathology
Allen, Shanna SLP Provider ID: 2178572 Gender: Female Kernaghan And Moore Speech And 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Allen, Shanna SLP
Provider ID: 2178572 Gender: Female Kernaghan And Moore Speech And Lan 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 311
Barr, Erin SLP Provider ID: 1551800 Gender: Female Kernaghan And Moore Speech And Lang 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Barr, Erin SLP
Provider ID: 1551800 Gender: Female Kernaghan And Moore Speech And Lang 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Blankinship, Louellen SLP Provider ID: 1340768 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669 (727) 741-3405 Fax: (727) 231-6246 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Cater, Kathleen SLP
Provider ID: 1551815 Gender: Female Creative Speech Solutions And Thera 8348 Little Rd, Ste 349 New Port Richey, FL 34654-4919 (727) 741-3405 Fax: (727) 213-6246 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
D Amico, Nancy SLP Provider ID: 1799531 Gender: Female Nancy D Amico Subspecialty: Early Steps 6213 Rockross Ave New Port Richey, FL 34655-3717 (727) 505-2312 Fax: (727) 938-7092 00 YRS/21 YRS Mon - Sun 7:00 to 7:00 PCMH: No
English, Jenna SLP
Provider ID: 2197961 Gender: Female Communication Corner And More!. Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (844) 495-7168 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Filer, Kate SLP Provider ID: 2036209 Gender: Female Speech Within Reach Therapy Service 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Finnegan, Rachel SLP
Provider ID: 1843716 Gender: Female Kernaghan And Moorespeech And 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pasco
Speech & Language Pathology -
cont.
Fleming, Tara SLP Provider ID: 2024443 Gender: Female Speech Within Reach Therapy Service 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Franco Swain, Desiree SLP
Provider ID: 2092354 Gender: Female Kernaghan And Moore 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Holbrook, Erica SLP Provider ID: 1816350 Gender: Female Kernaghan And Moore Speech And Lang 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 312
Holbrook, Erica SLP Provider ID: 1816350 Gender: Female Kernaghan And Moore Speech And Lang 6245 State Road 54 New Prt Rchy, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Thu 8:00 to 6:00 Fri 8:00 to 5:00 PCMH: No
Hood, Ashley SLP
Provider ID: 1522715 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Kaczur, Ashley SLP Provider ID: 1581799 Gender: Female Communication Corner And More 17718 Hunting Bow Cir Lutz, FL 33558-5322 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Kaczur, Ashley SLP
Provider ID: 1581799 Gender: Female Communication Corner And More 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Kallam, Lindsay SLP Provider ID: 2095752 Gender: Female Bayside Pediatric Therapy 4142 Rowan Rd New Port Richey, FL 34653-6116 (727) 637-3967 Fax: (813) 703-1256 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kallam, Lindsay SLP
Provider ID: 2095752 Gender: Female Bayside Speech Therapy Inc 4130 Rowan Rd New Port Richey, FL 34653-6122 (727) 637-3967 Fax: (813) 703-1256 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Leeson, Lindsey SLP Provider ID: 1831604 Gender: Female Lindsey R. Leeson. M.s. Ccc-Slp. P 6719 Gall Blvd, Ste 103 Zephyrhills, FL 33542-2568 (352) 467-0088 Fax: (352) 583-0580 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Mason, Erniesha SLP
Provider ID: 1563521 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 PCMH: No
33453864
Allied Providers
Pasco
Speech & Language Pathology -
cont.
Mcloy, Richard SLP Provider ID: 1992570 Gender: Male Welch And Mcloy Therapy Service 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Miseroy, Milvia SLP
Provider ID: 1580304 Gender: Female Communication Corner And More Inc 17718 Hunting Bow Cir Lutz, FL 33558-5322 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Thu 8:00 to 7:00 Fri 7:00 to 4:30 PCMH: No
Miseroy, Milvia SLP Provider ID: 1580304 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Thu 8:00 to 7:00 Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 313
Montgomery, Daniel SLP Provider ID: 1989317 Gender: Male Welch And Mcloy Therapy Services 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mundy, Lauren SLP
Provider ID: 1843744 Gender: Female Kernaghan And Moore Speech And Lang 6245 State Road 54 New Prt Rchy, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Neville, Sara SLP Provider ID: 2024504 Gender: Female Speech Within Reach Therapy Service 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Oakes, Chelsea SLP
Provider ID: 1815491 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Oakes, Chelsea SLP Provider ID: 1815491 Gender: Female Kernaghan And Moore 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Perkins, Melissa SLP
Provider ID: 2197165 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Peters, Julianna SLP Provider ID: 2095337 Gender: Female Kernaghan And Moore Speech And Lan 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Peters, Julianna SLP
Provider ID: 2095337 Gender: Female Kernaghan And Moorespeech And 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pasco
Speech & Language Pathology -
cont.
Pizon Moore, Angela SLP Provider ID: 1551947 Gender: Female Communication Corner And More Inc 17718 Hunting Bow Cir Lutz, FL 33558-5322 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Pizon Moore, Angela SLP
Provider ID: 1551947 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (844) 495-7168 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Richardson, Jocelyn SLP Provider ID: 1984775 Gender: Female Welch And Mcloy Therapy Service 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rose-Le, Kathleen SLP Provider ID: 1797718 Gender: Female Kathleen Rose-Le 3531 Jackson Dr Holiday, FL 34691-3332 (727) 992-8255 Fax: (727) 943-9429 00 YRS/130 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Stephenson, Shannon SLP
Provider ID: 1487498 Gender: Female Speech Within Reach Therapy Service Subspecialty: Early Steps 1726 Davenport Dr New Port Richey, FL 34655-4228 (727) 493-2393 Fax: (844) 714-2504 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Sturgill, Kristi SLP Provider ID: 1835417 Gender: Female Kid Konnection Therapy Services. Pl Subspecialty: Early Steps 3516 Albritton St New Prt Rchy, FL 34655-2140 (727) 755-4371 Fax: (413) 653-4160 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 Sat 8:00 to 12:00 PCMH: No
Taylor, Brittany SLP
Provider ID: 1818969 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Taylor, Brittany SLP Provider ID: 1818969 Gender: Female Kernaghan And Moore 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Yates, Nicole SLP
Provider ID: 1607063 Gender: Female Bayside Speech Therapy Inc 8225 State Road 54 New Port Richey, FL 34655-3016 (727) 267-3995 Fax: (813) 703-1256 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Speech Therapy
Beer, Jamie SLP Provider ID: 1047521 Gender: Female Leap Into Language Inc 3916 Sorrel Vine Dr Wesley Chapel, FL 33544-7328 (813) 545-0977 Fax: (866) 431-1912 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Breedlove, Megan SLP
Provider ID: 1044288 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way, Ste 101 Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (813) 200-9608 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 314
33453864
Allied Providers
Pasco
Speech Therapy - cont.
Cannon Brooks, Mara SLP Provider ID: 1983529 Gender: Female Welch And Mcloy Therapy Service 6926 Hills Dr New Port Richey, FL 34653-2710 (727) 848-6747 Fax: (727) 847-3107 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cichra, Deborah SLP
Provider ID: 1037966 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 741-3405 Fax: (727) 213-6246 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Danner, Erin SLP Provider ID: 1038426 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 741-3405 Fax: (727) 213-6246 00 YRS/21 YRS Mon - Sat 8:00 to 8:00 PCMH: No
Fitzpatrick, Laura SLP
Provider ID: 1038376 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3543 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 315
Fitzpatrick, Laura SLP Provider ID: 1038376 Gender: Female Kernaghan And Moore 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Gillham, Nicole SLP
Provider ID: 1038005 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 731-3405 Fax: (727) 213-6246 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Holmberg, Kirsten SLP Provider ID: 1983107 Gender: Female Keenaghan Moore Sppech And Language 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ivanov, Maria SLP
Provider ID: 1038372 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Ivanov, Maria SLP Provider ID: 1038372 Gender: Female Kernaghan And Moore 7657 Cita Ln New Port Richey, FL 34653-6221 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Kernaghan, Kelly SLP
Provider ID: 606632 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Kernaghan, Kelly SLP Provider ID: 606632 Gender: Female Kernaghan And Moore 7657 Cita Ln New Port Richey, FL 34653-6221 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Knobloch, Jacquelyn SLP
Provider ID: 1037943 Gender: Female Creative Speech Solutions And Thera 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 741-3405 Fax: (727) 213-6246 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
33453864
Allied Providers
Pasco
Speech Therapy - cont.
Lama, Colleen SLP Provider ID: 1371125 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (813) 200-9608 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Moore, Amanda SLP
Provider ID: 589712 Gender: Female Kernaghan And Moore 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Moore, Amanda SLP Provider ID: 589712 Gender: Female Kernaghan And Moore 7657 Cita Ln New Port Richey, FL 34653-6221 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Porreca, Tina SLP Provider ID: 1048076 Gender: Female Speech Connection 3152 Little Rd, Ste 185 New Port Richey, FL 34655-1864 (727) 631-2466 00 YRS/21 YRS Mon - Fri 9:00 to 6:00 PCMH: No
Pursino, Heather SLP Provider ID: 1274185 Gender: Female Kernaghan Moore Speech And Languag 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Pursino, Heather SLP
Provider ID: 1274185 Gender: Female Kernaghan Moore Speech And Languag 7657 Cita Ln New Port Richey, FL 34653-6221 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Schroeder, Jordan SLP Provider ID: 2065131 Gender: Male Bayside Speech Therapy Inc 4130 Rowan Rd New Port Richey, FL 34653-6122 (727) 637-3967 Fax: (813) 703-1256 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Schroeder, Jordan SLP Provider ID: 2065131 Gender: Male Bayside Speech Therapy Inc 4142 Rowan Rd New Port Richey, FL 34653-6116 (727) 637-3967 Fax: (813) 703-1256 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 316
Tager, Madisen SLP Provider ID: 1140006 Gender: Female 6245 State Road 54 New Port Richey, FL 34653-6006 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS PCMH: No
Tager, Madisen SLP
Provider ID: 1140006 Gender: Female Kernaghan And Moore Speech And Lang 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Vought, Jill SLP Provider ID: 1050156 Gender: Female Communication Corner And More Inc 2241 Green Hedges Way, Ste 101 Wesley Chapel, FL 33544-6966 (813) 973-1033 Fax: (813) 200-9608 00 YRS/130 YRS Mon - Fri 7:30 to 7:00 PCMH: No
Willis, Kathleen SLP
Provider ID: 1276715 Gender: Female Kernaghan Moore Speech And Languag 5741 Gall Blvd Zephyrhills, FL 33542-3453 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
33453864
Allied Providers
Pasco
Speech Therapy - cont.
Willis, Kathleen SLP Provider ID: 1276715 Gender: Female Kernaghan Moore Speech And Languag 7657 Cita Ln New Port Richey, FL 34653-6221 (727) 376-1111 Fax: (727) 376-1113 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Yankeloff, Kristina SLP
Provider ID: 1238205 Gender: Female Creative Speech Solutions & Therapy 12413 White Bluff Rd Hudson, FL 34669-5016 (727) 741-3405 Fax: (727) 213-6246 00 YRS/21 YRS Mon - Fri 8:00 to 8:00 PCMH: No
Urology
Borissov, Boris APRN Provider ID: 1561799 Gender: Male Florida Medical Clinic Pa 36819 Eiland Blvd, Unit 1 Zephyrhills, FL 33542-0600 (813) 979-7733 Fax: (813) 355-5061 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 317
33453864
Allied Providers
Pinellas
Advanced Practice Midwife
Spengler, Laci CNM Provider ID: 2035582 Gender: Female Breath Of Life Women's Health Servi 1900 E Bay Dr Largo, FL 33771-2218 (727) 216-1420 Fax: (727) 216-1418 00 YRS/130 YRS Mon - Thu 8:30 to 5:00 PCMH: No
Advanced Registered Nurse
Practioner
Alexander, Sandra APRN
Provider ID: 1332876 Gender: Female Florida Woman Care LLC 2595 Tampa Rd, Ste G Palm Harbor, FL 34684 (727) 845-4999 Fax: (866) 777-2195 12 YRS/130 YRS Mon 1:30 to 5:00 Tue 9:00 to 6:00 Thu 1:30 to 6:00 PCMH: No
Fondren, Katherine APRN
Provider ID: 1541322 Gender: Female Adventhealth Medical Group Surgical 1501 S Pinellas Ave, Ste T Tarpon Springs, FL 34689-1952 (727) 934-6797 Fax: (727) 942-6503 18 YRS/130 YRS Adventhealth North Pinellas Mon - Fri 8:00 to 5:00 PCMH: No
Fuhr, Alison APRN Provider ID: 1776693 Gender: Female Caring Community Counseling 3840 5th Ave N St Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon, Sat 10:00 to 2:00 Tue 9:30 to 5:00 Fri 10:00 to 5:00 PCMH: No
Walker, Michelle APRN
Provider ID: 1483813 Gender: Female Acsp Radiology 501 6th Ave S, Dept 6580071400 Saint Petersburg, FL 33701 (727) 767-3318 Fax: (727) 767-8002 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Allergy & Immunology
Nieves Munoz, Daime APRN Provider ID: 1858469 Gender: Female Usf Physicians Group 601 5th St S St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Swertfeger, Melissa APRN
Provider ID: 2059988 Gender: Female Advanced Allergy Asthma Care 2323 Curlew Rd, Ste 6d Dunedin, FL 34698-9307 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Swertfeger, Melissa APRN Provider ID: 2059988 Gender: Female Advanced Allergy Asthma Care 6233 66th St N Pinellas Park, FL 33781-5025 (727) 544-8100 Fax: (727) 544-8200 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Audiology
Conter, Rachel AUD Provider ID: TPV17909-02 Gender: Female Gardner Audiology 970 Lake Carillon Drive, Suite 300 Saint Petersburg, FL 33716 (855) 252-5322 Fax: (813) 265-3355 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gardner, Daniel AUD
Provider ID: TPV07478-03 Gender: Male Gardner Audiology 970 Lake Carillon Drive, Suite 300 Saint Petersburg, FL 33716 (855) 252-5322 Fax: (813) 265-3355 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Oldfield, Christopher AUD Provider ID: TPV17173-01 Gender: Male Hearusa 1430 66th St North St. Petersburg, FL 33710 (855) 252-5322 Fax: (727) 343-0606 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 318
33453864
Allied Providers
Pinellas
Audiology - cont.
Smith, Brandie AUD Provider ID: TPV25480-02 Gender: Female Hearusa 5020 East Bay Drive, Suite 800 Clearwater, FL 33764 (855) 252-5322 Fax: (727) 531-7893 21 YRS/99 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Cardiology
Perry, Alyssa PA
Provider ID: 1160747 Gender: Female The Heart Institute 560 Jackson St N, Ste 100 Saint Petersburg, FL 33705 (727) 329-1600 Fax: (727) 329-1694 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Perry, Alyssa PA
Provider ID: 1160747 Gender: Female West Florida Cardiology Network LLC 1615 Pasadena Ave S, Ste 300 Saint Petersburg, FL 33707-4567 (727) 490-3030 Fax: (866) 200-9885 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Simpson, Rebecca PA
Provider ID: 1998488 Gender: Female Bayfront Cardiovascular Associates 601 7th St S, Ste 495 Saint Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7197 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Vander Heuvel, Kimberly APRN
Provider ID: 1131624 Gender: Female The Heart Institute 6006 49th St N, Ste 200 Saint Petersburg, FL 33709 (727) 490-2100 Fax: (855) 222-3965 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Certified Nurse Anesthetist
Edison, Laura CRNA Provider ID: 1783153 Gender: Female Pediatric Physician Services I 501 6th Ave S Saint Petersburg, FL 33701-4634 (727) 767-3583 Fax: (727) 767-8429 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Certified Nurse Midwife
Bagg, Jenny CNM
Provider ID: 1528009 Gender: Female Johnnie Ruth Clarke Health Center 1344 22nd St S St Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 824-8150 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chenault, Shelley CNM
Provider ID: 908578 Gender: Female Womens Care Florida LLC 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 319
Estess, Erica APRN
Provider ID: 1174989 Gender: Female Women's Care Florida. LLC 1600 Mlk St N Saint Petersburg, FL 33704 (727) 323-3838 Fax: (727) 456-0751 12 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Estess, Erica APRN
Provider ID: 1174989 Gender: Female Women's Care Florida. LLC 3055 5th Avneue North, Ste A Saint Petersburg, FL 33713 (727) 201-8800 Fax: (727) 201-8801 12 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Griner, Kimberly CNM
Provider ID: 1093011 Gender: Female Women's Care Florida LLC 700 Central Ave, Ste 400 Saint Petersburg, FL 33701 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Johnson, Amy CNM
Provider ID: 1780831 Gender: Female West Coast Neonatology D/B/A All Ch 5959 Central Ave, Ste 103 St Petersburg, FL 33710-8502 (727) 767-1278 Fax: (727) 767-1285 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Certified Nurse Midwife - cont.
Kepto, Joyce CNM Provider ID: 947085 Gender: Female Womens Care Florida 1600 Mlk St N Saint Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kepto, Joyce CNM Provider ID: 947085 Gender: Female Womens Care Florida 600 8th St S Saint Petersburg, FL 33701-4730 (727) 954-7121 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Mcguire, Sarah CNM Provider ID: 1849051 Gender: Female Women's Care Florida. LLC - 8000 Pr 1600 Mlk St N St Petersburg, FL 33704-4204 (727) 456-0750 Fax: (727) 456-0751 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mcguire, Sarah CNM
Provider ID: 1849051 Gender: Female Women's Care Florida. Llc. 3055 5th Ave N, Ste A St Petersburg, FL 33713-6738 (727) 201-8800 Fax: (727) 201-8801 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Plumley, Elizabeth CNM Provider ID: 1508147 Gender: Female Community Health Centers Of Pinella 1344 22nd St S St Petersburg, FL 33712-2744 (727) 821-6701 Fax: (727) 824-8150 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Plumley, Elizabeth CNM Provider ID: 1508147 Gender: Female Community Health Centers Of Pinella 701 6th St S St Petersburg, FL 33756-3951 (727) 824-8181 Fax: (727) 461-5619 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Plumley, Elizabeth CNM Provider ID: 1508147 Gender: Female Community Health Centers Of Pinella 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 461-7327 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Plumley, Elizabeth CNM
Provider ID: 1508147 Gender: Female Community Health Centers Of Pinella 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 548-0960 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Reese, Robyn CNM Provider ID: 1870931 Gender: Female Florida Woman Care. LLC 600 Lakeview Rd, Ste 2d Clearwater, FL 33756-3355 (727) 461-7611 Fax: (727) 461-2860 12 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 3:00 PCMH: No
Salazar, Susan CNM Provider ID: 1536915 Gender: Female Women's Care Florida LLC 3055 5th Ave N, Ste B St Petersburg, FL 33713-6738 (727) 201-8800 Fax: (727) 201-8801 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Salazar, Susan CNM Provider ID: 1536915 Gender: Female Womens Care Florida LLC 1600 Dr Martin Luther King Jr St N St Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Tinny, Jacqueline CNM
Provider ID: 421354 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 320
33453864
Allied Providers
Pinellas
Certified Nurse Midwife - cont.
Weingarten, Darlean CNM Provider ID: 685027 Gender: Female Womens Care Florida 700 Central Ave, Ste 400 Saint Petersburg, FL 33701-3600 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Child Neurology
Blevins, Alisha APRN
Provider ID: 2015067 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Hall, Gerald APRN
Provider ID: 1803705 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 510 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Mon - Sun 12:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 321
Hartley, Sandra APRN
Provider ID: 1996082 Gender: Female Pediatric Physician Services Inc 601 5th St S St Petersburg, FL 33701 (727) 767-8181 Fax: (727) 767-2590 00 YRS/01 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nazario, Margaret PA
Provider ID: 763928 Gender: Female Florida Pediatric Associates LLC 625 6th Ave S, Ste 405 Saint Petersburg, FL 33701-4665 (727) 498-8994 Fax: (727) 498-8982 00 YRS/21 YRS Mon, Thu - Fri 8:30 to 5:00 Tue 8:30 to 7:00 Wed 8:30 to 12:00 PCMH: No
Sadlowski, Yolanta PA
Provider ID: 269545 Gender: Female Florida Pediatric Associates LLC 625 6th Ave S, Ste 405 Saint Petersburg, FL 33701-4665 (727) 498-8994 Fax: (727) 498-8982 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Zakrzewski, Paula APRN
Provider ID: 1971291 Gender: Female Pediatric Physican Services. Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Dermatology
Beach, Caitlin PA
Provider ID: 1498602 Gender: Female Levitt Medical Associates Of Florid 8250 Bryan Dairy Rd, Ste 250 Seminole, FL 33777-1360 (727) 393-5300 Fax: (727) 393-5301 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Beach, Caitlin PA
Provider ID: 1498602 Gender: Female Levitt Medical Associates Of Florid 900 Carillon Pkwy, Ste 404 Saint Petersburg, FL 33716-1121 (727) 572-1333 Fax: (727) 572-1331 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Chawk, Beverly APRN
Provider ID: 1310200 Gender: Female Advanced Dermatology And Cosmetic S 1840 Mease Dr, Ste 313 Safety Harbor, FL 34695 (727) 259-7566 Fax: (727) 259-7567 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Dermatology - cont.
Crews, Jennifer PA Provider ID: 1998525 Gender: Female Florida Dermatology And Skin Cancer 2329 Sunset Point Rd, Ste 201 Clearwater, FL 33765-1438 (727) 441-3376 Fax: (727) 517-3370 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Crews, Jennifer PA
Provider ID: 1998525 Gender: Female Florida Dermatology And Skin Cancer 5200 Seminole Blvd St Petersburg, FL 33708-3356 (727) 392-3376 Fax: (727) 897-5263 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:30 PCMH: No
Crews, Jennifer PA Provider ID: 1998525 Gender: Female Florida Dermatology And Skin Cancer 9170 Oakhurst Rd, Ste 1 Seminole, FL 33776-2112 (727) 517-3376 Fax: (727) 517-3370 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 322
Duquette, Tara PA Provider ID: 984981 Gender: Female Advanced Dermatology And Cosmetic S 4132 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 786-5100 Fax: (727) 789-8344 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kyle, Allison APRN
Provider ID: 1344827 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 3a Saint Petersburg, FL 33705-1407 (727) 824-7102 Fax: (727) 824-7125 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Moreno Cabasos, Maria APRN Provider ID: 2023202 Gender: Female Caban Skin Institute 1450 Court St Clearwater, FL 33756-6160 (813) 210-9686 Fax: (813) 582-7173 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Odonnell, Jacquelyn PA
Provider ID: 1465850 Gender: Female Caban Skin Institute 1450 Court St Clearwater, FL 33756-6160 (813) 210-9686 Fax: (813) 582-7173 05 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Raulerson, Nichol PA Provider ID: 698992 Gender: Female Suncoast Medical Clinic LLC 620 10th St N Saint Petersburg, FL 33705 (727) 824-7105 Fax: (727) 824-7125 05 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rodriguez, Alex PA
Provider ID: 1223013 Gender: Male Advanced Dermatology And Cosmetic S 1801 N Belcher Rd, Ste B Clearwater, FL 33765 (727) 669-3676 Fax: (727) 669-3669 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Saron, Whitnie APRN Provider ID: 797947 Gender: Female 5200 Seminole Blvd Saint Petersburg, FL 33708 (727) 392-3376 Fax: (727) 897-5263 02 YRS/130 YRS Mon - Thu 8:30 to 4:30 Fri 8:00 to 2:00 PCMH: No
Saron, Whitnie APRN Provider ID: 797947 Gender: Female 9170 Oakhurst Rd, Ste 1 Seminole, FL 33776-2112 (727) 517-3376 Fax: (727) 517-3370 02 YRS/130 YRS PCMH: No
33453864
Allied Providers
Pinellas
Dermatology - cont.
Shaner, Timothy PA Provider ID: 1024735 Gender: Male Advanced Dermatology And Cosmetic S 4132 Woodlands Pkwy Palm Harbor, FL 34685-3949 (727) 786-5100 Fax: (727) 789-8344 00 YRS/130 YRS Steward Melbourne Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Strauss, Lawrence PA Provider ID: 926093 Gender: Male Leavitt Medical Associates Of Flori 26344 Us Highway 19n Clearwater, FL 33761 (727) 669-3676 Fax: (727) 669-3669 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Warta, Steven PA Provider ID: 1024093 Gender: Male Advanced Dermatology And Cosmetic S 4132 Woodlands Pkwy Palm Harbor, FL 34685-3494 (727) 786-5100 Fax: (727) 789-8344 00 YRS/130 YRS Steward Melbourne Hospital Mon - Fri 8:00 to 5:00 PCMH: No
Woods, Casey PA Provider ID: 2163159 Gender: Female Florida Dermatology And Skin C 6110 Mlk Jr St N St Petersburg, FL 33703-1142 (727) 821-3600 Fax: (727) 821-3611 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Family Practice
Bartuseck, Michael APRN Provider ID: 1779343 Gender: Male Community Health Centers Of Pinella 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 824-8166 00 YRS/130 YRS Mon 7:30 to 8:00 Tue - Wed 7:30 to 7:00 Thu 8:00 to 8:00 Fri 7:30 to 5:00 Sat 8:00 to 4:00 PCMH: No
Dupuis, Elisa APRN
Provider ID: 1877470 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 16 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 323
Evans, Patricia APRN Provider ID: 1641202 Gender: Female Metropolitan Charities 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 220-0550 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Evans, Patricia APRN
Provider ID: 1641202 Gender: Female Metropolitan Charities 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gainer, Marcia APRN Provider ID: 2050441 Gender: Female Community Health Centers Of Pi 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 823-7429 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gainer, Marcia APRN
Provider ID: 2050441 Gender: Female Community Health Centers Of Pi 247 S Huey St Tarpon Springs, FL 34689-4205 (727) 824-8181 Fax: (727) 939-4679 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Family Practice - cont.
Harrison, James APRN Provider ID: 1778247 Gender: Male Community Health Centers Of Pinella 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 824-8166 00 YRS/130 YRS Mon, Thu 7:30 to 8:00 Tue - Wed 7:30 to 7:00 Fri 7:30 to 5:00 Sat 8:00 to 4:30 PCMH: No
Hendren, Beatrice APRN
Provider ID: 916320 Gender: Female 7500 Park Blvd N Pinellas Park, FL 33781-3271 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Kelly, Christopher PA Provider ID: 473472 Gender: Male Vj Diella Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 00 YRS/130 YRS Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 324
Moreno, Keyshla APRN Provider ID: 1774858 Gender: Female Community Health Centers Of Pinella 707 Druid Rd E Clearwater, FL 33756-3913 (727) 824-8181 Fax: (727) 443-7230 18 YRS/130 YRS Mon - Wed 7:30 to 8:30 Thu - Fri 7:30 to 5:00 PCMH: No
Owens, Henry PA
Provider ID: 1071940 Gender: Male Community Health Centers Of Pinella Subspecialty: HRSA FQHC 12420 130th Ave N Largo, FL 33774-1919 (727) 587-7729 Fax: (727) 587-7739 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Owens, Henry PA Provider ID: 1071940 Gender: Male Community Health Centers Of Pinella Subspecialty: HRSA FQHC 1721 Main St Dunedin, FL 34698-6402 (727) 824-8181 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Owens, Henry PA Provider ID: 1071940 Gender: Male Community Health Centers Of Pinella Subspecialty: HRSA FQHC 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 443-7230 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Reed, Shawn APRN
Provider ID: 472240 Gender: Male Vj Diella Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 00 YRS/18 YRS Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Schirripa, Jane APRN Provider ID: 551153 Gender: Female Vj Diella Do LLC 703 Virginia St Dunedin, FL 34698-6615 (727) 734-4000 Fax: (727) 738-5037 00 YRS/18 YRS Mon - Tue, Thu 8:00 to 4:30 Wed, Fri 8:00 to 12:00 PCMH: No
Trussel, Tanya APRN
Provider ID: 1958537 Gender: Female A Rejuvenated Healthcare 3641 Tyrone Blvd N, Ste 3 St Petersburg, FL 33710 (727) 767-0168 Fax: (727) 245-8605 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Family Practice - cont.
Walker, Sharla APRN
Provider ID: 1779525 Gender: Female Community Health Centers Of Pinella 1344 22nd St S St Petersburg, FL 33712-2744 (727) 824-8181 Fax: (727) 824-8166 00 YRS/21 YRS Mon, Thu 7:30 to 8:00 Tue - Wed 7:30 to 7:00 Fri 7:30 to 5:00 Sat 8:00 to 4:30 PCMH: No
General Practice
Hudson, Tamika APRN
Provider ID: 1365547 Gender: Female Transplant Surgical Specialists At 1301 2nd Ave SW, Ste 315 Largo, FL 33770 (727) 587-7120 Fax: (727) 585-6850 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
General Surgery
Anderson, Lenka APRN Provider ID: 1439815 Gender: Female Transplant Surgical Specialists At 1301 2nd Ave SW, Ste 315 Largo, FL 33770 (727) 584-7706 Fax: (727) 586-6018 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 325
Briscoe, Sarah PA
Provider ID: 1418104 Gender: Female Bayfront Hma Physician Manage-ment L 603 7th St S, Ste 500 Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Carlee, Christina APRN
Provider ID: 1418094 Gender: Female Bayfront Health Medical Grouptrauma 603 7th St S, Ste 500 Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Connor, Amanda PA
Provider ID: 1062556 Gender: Female 601 5th St S, Ste 306 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Fikry, Driss PA
Provider ID: 1419316 Gender: Male Bayfront Hma Physician Manage-ment L 603 7th St S, Ste 500 Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7150 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Gutierrez, Anna PA
Provider ID: 1433649 Gender: Female Bayfront Hma Physician Manage-ment L 603 7th St S, Ste 500 Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 8:00 to 5:00 PCMH: No
Lapierre, Lindsay PA
Provider ID: 1432625 Gender: Female Bayfront Hma Physician Manage-ment L 603 7th St S, Ste 500 Saint Petersburg, FL 33701-4734 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mazzaferro, Lisa APRN
Provider ID: 1419311 Gender: Female Bayfront Health St Petersburg Traum 603 7th St S, Ste 500 Saint Petersburg, FL 33701 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Bayfront Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
General Surgery - cont.
Obermeier, Drew PA
Provider ID: 2173784 Gender: Male Bay Surgical Specialists. LLC 2191 9th Ave N, Ste 270 St Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/110 YRS Northside Hospital Palms Of Pasadena Hosp St Anthonys Hospital Tue 8:00 to 12:00 Fri 1:00 to 5:00 PCMH: No
Parker, Jill PA
Provider ID: 1207698 Gender: Female Community Hospital Family Practice 1615 Pasadena Ave S, Ste 330 Saint Petersburg, FL 33707 (727) 345-2929 Fax: (727) 345-0340 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Parker, Jill PA
Provider ID: 1229365 Gender: Female Palms Surgical Associates 1615 Pasadena Ave S, Ste 330 Saint Petersburg, FL 33707 (727) 345-2929 Fax: (727) 345-0340 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pettenger, Brittany PA Provider ID: 2119007 Gender: Female Bay Surgical Specialists. LLC 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shepard, Ashleigh PA
Provider ID: 1483826 Gender: Female Acsp Emergency Medicine 501 6th Ave S, Dept 6500000408 Saint Petersburg, FL 33701 (727) 767-8480 Fax: (727) 767-8420 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Geriatric Medicine
Bellamy, Marilyn APRN
Provider ID: 1440990 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hematology & Oncology
Bremm, Jessica APRN
Provider ID: 1223774 Gender: Female Florida Cancer Specialists Pl 8787 Bryan Dairy Rd, Ste 210 Seminole, FL 33777-1206 (727) 397-9641 Fax: (727) 393-4194 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 326
Buckley, Breea PA
Provider ID: 1362278 Gender: Female Florida Cancer Specialists Pl 400 Pinellas St, Ste 300 Clearwater, FL 33756 (727) 447-8100 Fax: (727) 442-2528 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Grimm, Rebecca APRN
Provider ID: 2195493 Gender: Female Baycare Medical Group Inc 620 10th St N, Ste 2e Saint Petersburg, FL 33705-1407 (727) 824-8206 Fax: (727) 824-7110 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hart, Katelyn APRN
Provider ID: 1362274 Gender: Female Florida Cancer Specialists Pl 400 Pinellas St, Ste 300 Clearwater, FL 33756-3314 (727) 447-8100 Fax: (727) 442-2528 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Sanchez, Wendy APRN
Provider ID: 1021463 Gender: Female Florida Cancer Specialists 8787 Bryan Dairy Rd, Ste 210 Seminole, FL 33777-1253 (727) 397-9641 Fax: (727) 393-4194 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Hematology & Oncology - cont.
Waters, Madeline APRN Provider ID: 1366777 Gender: Female Florida Cancer Specialists 8787 Bryan Dairy Rd, Ste 210 Largo, FL 33777-1206 (727) 397-9641 Fax: (727) 393-4194 18 YRS/110 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Infant And Toddler Development
Specialists
Cregan, Rae RN Provider ID: 1800527 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schinella, Kerry RN Provider ID: 1785358 Gender: Female Kerry Schinella Subspecialty: Early Steps 1476 Buckeye Ln Palm Harbor, FL 34683-6504 (727) 543-1588 Fax: (727) 475-9068 00 YRS/03 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Infectious Disease
Burke, Christina PA
Provider ID: 1072561 Gender: Female Can Community Health Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 216-6193 Fax: (941) 951-1795 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Burke, Christina PA
Provider ID: 1072561 Gender: Female Can Community Health Inc 3251 3rd Ave N, Ste 125 Saint Petersburg, FL 33713-8549 (941) 888-2144 Fax: (941) 256-2119 18 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:30 to 12:00 PCMH: No
Icaza, Elisa APRN
Provider ID: 324262 Gender: Female Advanced Bay Area Medical Asso-ciate 1700 66th St N, Ste 510 Saint Petersburg, FL 33710-5512 (727) 384-2479 Fax: (727) 345-2300 12 YRS/130 YRS St Petersburg General Hosp Northside Hospital Largo Medical Center Mon - Fri 8:30 to 5:00 PCMH: No
Icaza, Elisa APRN
Provider ID: 324262 Gender: Female Advanced Bay Area Medical Asso -ciate 8207 113th St Seminole, FL 33772-4128 (727) 397-3991 Fax: (727) 345-2300 12 YRS/130 YRS St Petersburg General Hosp Northside Hospital Largo Medical Center Mon - Fri 8:30 to 4:30 PCMH: No
Internal Medicine
Amato, Frank APRN Provider ID: 1241626 Gender: Male Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Amato, Frank APRN
Provider ID: 1241626 Gender: Male Professional Health Care Of Pinella 8133 54th Ave N Saint Petersburg, FL 33709 (727) 541-4458 Fax: (727) 546-6663 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 327
33453864
Allied Providers
Pinellas
Internal Medicine - cont.
Burke, Christina PA Provider ID: 1072561 Gender: Female Can Community Health Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 216-6193 Fax: (941) 951-1795 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Burke, Christina PA
Provider ID: 1072561 Gender: Female Can Community Health Inc 3251 3rd Ave N, Ste 125 Saint Petersburg, FL 33713-8549 (941) 888-2144 Fax: (941) 256-2119 18 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:30 to 12:00 PCMH: No
Clark, Masharia APRN Provider ID: 388020 Gender: Female Professional Healthcare Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 328
Davis, Bonnie APRN Provider ID: 708833 Gender: Female Largo Physician Group. LLC 1345 West Bay Dr, Ste 301 Largo, FL 33770-2264 (727) 581-6984 Fax: (727) 584-7648 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Green, Angela Theresa APRN
Provider ID: 2097561 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Harang, Jacqueline APRN Provider ID: 1832434 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 822-9158 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hernandez, Patricia APRN
Provider ID: 1160786 Gender: Female Professional Health Care Of Pinella 5500 Mlk Jr St N Saint Petersburg, FL 33702 (727) 525-5500 Fax: (727) 522-5574 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hernandez, Patricia APRN
Provider ID: 1160786 Gender: Female Professional Hlth Care Of Pinellas 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Murphy, Lelila APRN
Provider ID: 1075321 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Murphy, Lelila APRN Provider ID: 1075321 Gender: Female Professional Health Care Of Pinella 5500 9th St N Saint Petersburg, FL 33703 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Papak, Crystal APRN
Provider ID: 1450420 Gender: Female American Family And Geriatric Care 5880 49th St N, Ste 101n Saint Petersburg, FL 33709-2142 (727) 527-8788 Fax: (727) 527-8828 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
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Allied Providers
Pinellas
Internal Medicine - cont.
Patel, Urvi APRN
Provider ID: 1549938 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Reyes, Steven PA
Provider ID: 907739 Gender: Male Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rolston, Scott APRN
Provider ID: 1079114 Gender: Male Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shears Mccloud, Regina APRN
Provider ID: 1561853 Gender: Female Professional Health Care Of Pi 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Tiwari, Diana APRN Provider ID: 1559718 Gender: Female Professional Health Care Of Pi 1839 Central Ave St Petersburg, FL 33713 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Licensed Mental Health Counselor
Anderson, Demetria LMHC
Provider ID: 1500488 Gender: Female Richard D Morris LLC DBA Famil 1301 Seminole Blvd, Ste 103 Largo, FL 33770-8118 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Anderson, Demetria LMHC
Provider ID: 1500488 Gender: Female Richard D Morris LLC DBA Famil 2555 Enterprise Rd, Bldg 9 Ste 11 Clearwater, FL 33763-1160 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Best, Matthew LMHC
Provider ID: 1637820 Gender: Male Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 329
Best, Matthew LMHC
Provider ID: 1637820 Gender: Male Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Dennis, Jamelle LMHC
Provider ID: 1751728 Gender: Female Caring Community Counseling Llc-A 7340 Little Rd., Suite 102 New Port Richey, FL 34654 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon - Fri 9:00 to 7:00 PCMH: No
Diaz, Charisse LMHC
Provider ID: 1509808 Gender: Female Charisse Diaz 2708 Alternate 19 N, Ste 507-6 Palm Harbor, FL 34683 (813) 601-0595 18 YRS/130 YRS Mon - Sat 8:00 to 7:00 PCMH: No
Dixon-Taliaferro, Cara LMHC
Provider ID: 1648283 Gender: Female Pinnacle ADHD Counseling LLC 200 Central Ave, Ste 3g St Petersburg, FL 33701-4552 (941) 465-0686 Fax: (727) 623-4283 00 YRS/130 YRS Mon - Thu 9:00 to 7:00 Fri 8:00 to 1:00 PCMH: No
33453864
Allied Providers
Pinellas
Licensed Mental Health Counselor -
cont.
Ellingham, Patricia LMHC Provider ID: 1450540 Gender: Female Ellingham Counseling 9365 Us Hwy 19 N, Ste B Pinellas Park, FL 33782-5400 (727) 421-0595 Fax: (727) 712-0010 12 YRS/130 YRS Mon - Fri 6:00 to 9:00 PCMH: No
Freeman, Jill LMHC Provider ID: 1470314 Gender: Female Freeman Counseling LLC 2625 Keystone Road, Suite A-4 Tarpon Springs, FL 34688 (727) 286-0740 Fax: (727) 279-4644 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Freeman, Jill LMHC Provider ID: 1470314 Gender: Female Freeman Counseling LLC 807 Alt 19, Ste 507-12 Palm Harbor, FL 34683 (727) 286-0740 Fax: (727) 279-4644 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gallagher, Jennifer LMHC
Provider ID: 1544119 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 330
Grooms, Janis LMHC Provider ID: 1817740 Gender: Female Judy Lunden Psychological 9160 Oakhurst Rd, Ste 3b Seminole, FL 33776-2157 (727) 240-1922 Fax: (727) 240-1928 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hannon, Kathleen LMHC
Provider ID: 2013376 Gender: Female Breaking Free Services. LLC 1501 S Pinellas Ave, Ste P Tarpon Springs, FL 34689-1952 (727) 547-3692 Fax: (727) 279-3219 00 YRS/130 YRS Mon - Fri 10:00 to 6:00 PCMH: No
Ignatz, Rochelle LMHC Provider ID: 2143462 Gender: Female Rochelle Ignatz 51 S Main Ave, Ste 304 Clearwater, FL 33765-3937 (727) 784-8244 Fax: (727) 287-9302 02 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Linger, Shari LMHC
Provider ID: 2013337 Gender: Female Breaking Free Services. LLC 1501 S Pinellas Ave, Ste P Tarpon Springs, FL 34689-1952 (727) 547-3692 Fax: (727) 279-3219 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Mortimer, Dolores LMHC Provider ID: 2022668 Gender: Female House Of Mercy And Encourage -ment Fo 2030 Main St Dunedin, FL 34698-5524 (727) 786-7951 00 YRS/130 YRS Tue - Thu 10:00 to 7:00 Fri 10:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Nembhard, Kayla LMHC
Provider ID: 2207987 Gender: Female The University Of South Florida 100 5th Ave S, Ste 300 St Petersburg, FL 33701-5010 (727) 873-4876 Fax: (727) 873-4817 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Norris, Lesley LMHC
Provider ID: 2165227 Gender: Female Lesley Norris 51 S Main Ave, Ste 304 Clearwater, FL 33765-3937 (763) 639-4637 00 YRS/130 YRS Mon, Wed, Fri 9:00 to 8:00 PCMH: No
O'neil, Susan LMHC
Provider ID: 1537140 Gender: Female Family And Adolescent Counseling SE 1301 Seminole Blvd, Ste 103 Largo, FL 33770-8118 (727) 213-5379 Fax: (727) 213-5370 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Licensed Mental Health Counselor -
cont.
O'neil, Susan LMHC Provider ID: 1537140 Gender: Female Richard D Morris LLC DBA Famil 2555 Enterprise Rd, Bldg 9 Ste 11 Clearwater, FL 33763 (727) 213-5379 Fax: (727) 213-5370 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
O'neil, Susan LMHC Provider ID: 2020888 Gender: Female House Of Mercy And Encourage-ment Fo 2030 Main St Dunedin, FL 34698-5524 (727) 786-7951 00 YRS/130 YRS Tue - Thu 10:00 to 7:00 Fri 10:00 to 6:00 Sat 9:00 to 1:00 PCMH: No
Paolillo, Jennifer LMHC Provider ID: 1437425 Gender: Female Jennifer Paolillo Lmhc 2430 Estancia Blvd, Ste 100a Clearwater, FL 33761-2644 (727) 648-3019 Fax: (855) 770-9968 00 YRS/130 YRS Mon - Thu 7:00 to 9:00 Fri 7:00 to 5:00 PCMH: No
Petroshius Crocker, Samantha
LMHC Provider ID: 2144146 Gender: Female Samantha Petroshius-Crocker 51 S Main Ave, Ste 304 Clearwater, FL 33765-3937 (727) 784-8244 Fax: (727) 287-9302 00 YRS/130 YRS Mon 8:00 to 9:00 Tue - Fri 8:00 to 5:00 PCMH: No
Petry, Harold LMHC Provider ID: 1422865 Gender: Male Metropolitan Charities. Inc 3251 3rd Ave N St Petersburg, FL 33713 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Tue - Wed 9:00 to 5:00 Thu 9:30 to 5:00 PCMH: No
Silva, Mylene LMHC
Provider ID: 1575035 Gender: Female Community Family Solutions Inc 3831 Tyrone Blvd N, Ste 101 Saint Petersburg, FL 33709-4114 (727) 201-2501 Fax: (727) 499-6987 05 YRS/130 YRS Mon, Wed 8:30 to 6:00 Tue, Thu - Fri 8:30 to 5:00 PCMH: No
Snell, Chelsy LMHC Provider ID: 1434503 Gender: Female Caring Community Counseling 3840 5th Ave N St Petersburg, FL 33713-7521 (727) 367-2273 Fax: (727) 800-6929 00 YRS/130 YRS Mon 9:00 to 5:00 Tue, Wed, Thu, Fri, Sat, Sun 9:00 to 7:00 PCMH: No
Wood, Melissa LMHC Provider ID: 1842319 Gender: Female Melissa Wood. Inc 12229 92nd St Largo, FL 33773-2526 (727) 439-8950 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Yancey, Linda LMHC
Provider ID: 1498917 Gender: Female Linda J Yancey Lmhc 4625 E Bay Dr, Ste 301 Clearwater, FL 33764-5747 (727) 748-6490 00 YRS/130 YRS Mon, Thu 9:00 to 8:00 Tue 8:00 to 9:00 Wed, Fri 7:00 to 9:00 PCMH: No
Yancey, Linda LMHC Provider ID: 1498917 Gender: Female Richard D Morris LLC DBA Famil 1301 Seminole Blvd, Ste 103 Largo, FL 33770-8118 (727) 213-5379 Fax: (727) 213-5370 00 YRS/130 YRS Mon - Thu 9:00 to 8:00 Sat 9:00 to 4:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 331
33453864
Allied Providers
Pinellas
Neonatal Perinatal Medicine
Hayes, Cynthia APRN Provider ID: 1578872 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Meiron, Mary APRN
Provider ID: 654085 Gender: Female West Coast Neonatology 601 5th St S, Fl 5 Saint Petersburg, FL 33701-4804 (727) 767-4313 Fax: (727) 767-4971 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morgan, Vanessa APRN Provider ID: 1578870 Gender: Male Westcoast Neonatology Inc 501 6th Ave S, Dept St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wood, Christy APRN
Provider ID: 1578831 Gender: Female Westcoast Neonatology Inc 501 6th Ave S, Dept 6590070301 St Petersburg, FL 33701-4634 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Neonatology
Cosgrove Golka, Heather APRN
Provider ID: 1799540 Gender: Female Johns Hopkins All Children's Hospit 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kelly, Erin APRN
Provider ID: 1799561 Gender: Female Johns Hopkins All Children's Hospit 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kelly, Carolyn APRN Provider ID: 2101060 Gender: Female Pediatric Physician Services. Inc. 601 Fifth St N St Petersburg, FL 33701 (727) 767-2936 Fax: (727) 767-2832 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lassiter, Kristel APRN Provider ID: 1826868 Gender: Female West Coast Neonatology Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Shannon, Jane APRN
Provider ID: 2128106 Gender: Female Pediatric Physician Services I 601 5th St S Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-2590 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nephrology
Kessler Posgai, Dorothy APRN
Provider ID: 797253 Gender: Female 1840 Mease Dr Safety Harbor, FL 34695-6602 (727) 441-3724 Fax: (727) 442-2594 18 YRS/130 YRS Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 332
33453864
Allied Providers
Pinellas
Nephrology - cont.
Kessler Posgai, Dorothy APRN
Provider ID: 797253 Gender: Female 617 Lakeview Rd, Ste C Clearwater, FL 33756-3338 (727) 441-3724 Fax: (727) 442-2594 18 YRS/130 YRS Largo Medical Center Mon - Fri 9:00 to 5:00 PCMH: No
Wical, Jessica APRN
Provider ID: 1093511 Gender: Female Suncoast Medical Clinic LLC 620 10th St N, Ste 3d Saint Petersburg, FL 33705-1407 (727) 824-8274 Fax: (727) 824-8293 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Neurology
Petti, Erin APRN
Provider ID: 1030319 Gender: Female Pediatric Physicians Services Inc 601 5th St S, Ste 510 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Neurosurgery
Staples, Stephanie APRN Provider ID: 726547 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 5 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Nurse Midwife
Badura, Tonia CNM
Provider ID: 1642236 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Badura, Tonia CNM
Provider ID: 1642236 Gender: Female Womens Care Florida 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Badura, Tonia CNM
Provider ID: 1642236 Gender: Female Womens Care Florida 7601 Seminole Blvd Seminole, FL 33772-4868 (813) 286-0033 Fax: (727) 399-8377 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 333
Landis-Nussbaum, Debbie CNM
Provider ID: 27327 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Landis-Nussbaum, Debbie CNM
Provider ID: 27327 Gender: Female Womens Care Florida 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mccullough, Cynthia CNM
Provider ID: 1204967 Gender: Female Breath Of Life Inc 1900 E Bay Dr Largo, FL 33771-2218 (727) 216-1420 Fax: (727) 216-1418 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Morrow, Casey APRN
Provider ID: 1541292 Gender: Female Breath Of Life Inc 1900 E Bay Dr Largo, FL 33771-2218 (727) 216-1420 Fax: (727) 216-1418 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Midwife - cont.
Moss, Lisa APRN Provider ID: 1068964 Gender: Female Womens Care Florida LLC 1301 2nd Ave Sq Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Moss, Lisa APRN
Provider ID: 1068964 Gender: Female Womens Care Florida LLC 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Moss, Lisa APRN Provider ID: 1068964 Gender: Female Womens Care Florida LLC 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Nurse Practitioner
Albaugh, Jessica APRN Provider ID: 2147763 Gender: Female Pediatric Gastroenterology. He 2901 58th Ave N Saint Petersburg, FL 33714-1326 (727) 822-4300 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Bacon, Nickole APRN
Provider ID: 1583539 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Bacon, Nickole APRN Provider ID: 1583539 Gender: Female Professional Health Care Of Pinella 8133 54th Ave N St Petersburg, FL 33709-1001 (727) 820-1040 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Caseber, Kelly APRN
Provider ID: 2137194 Gender: Female Pediatric Gastroenterology Hepathol 2901 58th Ave N Saint Petersburg, FL 33714-1326 (727) 822-4300 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 334
Cross, Vicki APRN Provider ID: 2000531 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Darville, Kristina APRN
Provider ID: 1483843 Gender: Female Acsp Critical Care Medicine 501 6th Ave S, Dept 6580070302 Saint Petersburg, FL 33701 (727) 767-4343 Fax: (727) 767-8526 00 YRS/130 YRS Mon - Fri 12:00 to 12:00 PCMH: No
De LA Noval, Barbara APRN Provider ID: 1824628 Gender: Female Community Health Centers Of Pi 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 541-7984 00 YRS/130 YRS Mon, Fri 7:30 to 5:00 Tue - Wed 7:30 to 8:00 Thu 8:00 to 8:00 Sat 8:00 to 4:00 PCMH: No
Fivecoat, Tifani APRN
Provider ID: 1769908 Gender: Female Pediatric Physician Services 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Practitioner - cont.
Frascatore, Haylie APRN Provider ID: 1995336 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Jaynes, Krystle APRN Provider ID: 2005133 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 820-1061 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Katinic, Josip APRN
Provider ID: 1536829 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 200 St Petersburg, FL 33709-2149 (727) 490-2100 Fax: (407) 846-0072 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Langen, Kimberly APRN Provider ID: 1549976 Gender: Female Mariano D Cibran Md Corp DBA St Pe 7500 Park Blvd N, Ste A Pinellas Park, FL 33781-3714 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Louderback, Pam APRN Provider ID: 2150122 Gender: Female Nautilus Health Care Group LLC 7000 4th St N St Petersburg, FL 33702-5903 (727) 528-9824 Fax: (727) 525-9516 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Louis-Jean, Chrissy APRN
Provider ID: 1772207 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Marcino, Kathryn APRN Provider ID: 1866968 Gender: Female Bay Area Allergy And Asthma 4200 4th St N, Ste 3 St Petersburg, FL 33703-4735 (727) 327-5719 Fax: (727) 322-6146 00 YRS/130 YRS Mon 9:00 to 6:00 Tue - Wed 9:00 to 5:00 Thu 8:30 to 6:30 Fri 9:00 to 1:00 PCMH: No
Marcino, Kathryn APRN Provider ID: 1866968 Gender: Female Bay Area Allergy And Asthma 4965 Central Ave St Petersburg, FL 33710-8239 (727) 327-5719 Fax: (727) 322-6146 00 YRS/130 YRS Mon 9:00 to 6:00 Tue - Wed 9:00 to 2:00 Thu 12:00 to 6:00 Fri 9:00 to 1:00 PCMH: No
Mervine, Jana APRN
Provider ID: 2134466 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 2137 16th St N Saint Petersburg, FL 33704-3923 (727) 528-6900 Fax: (727) 526-4346 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 335
33453864
Allied Providers
Pinellas
Nurse Practitioner - cont.
Mervine, Jana APRN Provider ID: 2134467 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 535-9700 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Michalski, Patricia APRN
Provider ID: 1834525 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4739 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Ngwa, Linda APRN Provider ID: 1601270 Gender: Female Pain Relief Centers 6640 78th Ave N, Ste A Pinellas Park, FL 33781-2064 (727) 518-8660 Fax: (727) 578-8662 18 YRS/110 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 336
Otis, Mishya APRN Provider ID: 2002123 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon, Wed 9:00 to 5:00 Tue 11:00 to 7:00 Fri 8:30 to 4:30 Sat 9:00 to 2:00 PCMH: No
Potts, Ashlee APRN
Provider ID: 1604342 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Riles, Roxene APRN Provider ID: 2110545 Gender: Female Sunshine Family Medical Center 3955 58th St N St Petersburg, FL 33709-6003 (727) 347-2557 Fax: (727) 345-8972 00 YRS/130 YRS Mon - Thu 8:30 to 6:00 Fri 8:30 to 12:00 PCMH: No
Rourk, Latoya APRN Provider ID: 2032734 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Tue - Thu 8:30 to 6:00 Fri - Sat 9:00 to 2:00 PCMH: No
Scheck, Eric APRN
Provider ID: 1814276 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 820-1040 Fax: (727) 821-7213 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schreyer, Stephanie APRN Provider ID: 1790275 Gender: Female Pediatric Physician Services. Inc 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sherbuk, Christine APRN
Provider ID: 2134342 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 2137 16th St N St Petersburg, FL 33704-3923 (727) 528-6900 Fax: (727) 526-4346 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Practitioner - cont.
Sherbuk, Christine APRN Provider ID: 2134348 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 526-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Sinni, Karen APRN
Provider ID: 2031931 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 821-7213 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Spicochi, Amanda APRN Provider ID: 2042977 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 4105 49th St N Saint Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Stratton, John APRN Provider ID: 2034459 Gender: Male Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 820-1040 Fax: (727) 821-7213 00 YRS/130 YRS Mon 8:00 to 5:0 Tue - Fri 8:00 to 5:00 PCMH: No
Tesar, Leigh APRN
Provider ID: 1998954 Gender: Female Professional Health Care Of Pinella 1839 Central Ave St Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wawro, Agata APRN Provider ID: 1770237 Gender: Female Planned Parenthood Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon, Wed 9:00 to 5:00 Tue 11:00 to 7:00 Fri 8:30 to 4:30 Sat 9:00 to 2:00 PCMH: No
Williams, Beth APRN Provider ID: 1797902 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Community
Health
Foster, Maurice APRN
Provider ID: 2079081 Gender: Male Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 Fax: (727) 538-7272 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nurse Practitioner Family Medicine
Aleyas, Cirly APRN Provider ID: 1437418 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 337
33453864
Allied Providers
Pinellas
Nurse Practitioner Family Medicine -
cont.
Huttie, Jennifer APRN
Provider ID: 1868651 Gender: Female Bayfront Hma Physician Manage -ment L 603 7th St S, Ste 500 St Petersburg, FL 33701-4734 (727) 893-6254 Fax: (727) 553-7158 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Huttie, Jennifer APRN Provider ID: 1868651 Gender: Female Bayfront Hma Physician Manage -ment L 701 6th St S St Petersburg, FL 33701-4814 (727) 823-1234 Fax: (727) 893-6811 00 YRS/130 YRS Mon - Sun 8:00 to 8:00 PCMH: No
Lockett, Tiffany APRN
Provider ID: 1580235 Gender: Female Professional Health Care Of Pinella 1839 Central Ave Saint Petersburg, FL 33713-8900 (727) 322-1054 Fax: (727) 322-2725 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 338
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 1477 Main St Dunedin, FL 34698 (813) 915-5459 Fax: (727) 221-5232 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 1801 Gulf To Bay Blvd Clearwater, FL 33765 (813) 915-5459 Fax: (727) 223-9347 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 33670 Us Hwy 19 N Palm Harbor, FL 34684 (813) 915-5459 Fax: (727) 221-5235 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 3851 4th St N Saint Petersburg, FL 33703 (813) 915-5459 Fax: (727) 317-2004 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 6560 Ulmerton Rd Largo, FL 33771 (813) 915-5459 Fax: (727) 303-3360 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 710 Welch Cswy Madeira Beach, FL 33708 (813) 915-5459 Fax: (727) 202-8366 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Practitioner Family Medicine -
cont.
Mathews, Jessica APRN Provider ID: 1573870 Gender: Female Adventhealth Express Care At Walgre 900 49th St N Saint Petersburg, FL 33710 (813) 915-5459 Fax: (727) 201-4147 02 YRS/130 YRS Mon - Fri 8:30 to 6:30 Sat 9:30 to 5:00 Sun 9:30 to 4:30 PCMH: No
Odonohoe, Catharine APRN
Provider ID: 1811783 Gender: Female Your Care Clinics. LLC 10225 Ulmerton Rd, Ste 9a Largo, FL 33771-3526 (727) 588-7600 Fax: (727) 303-3348 18 YRS/130 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Sleppy, Cynthia APRN Provider ID: 1647024 Gender: Female Metropolitan Charities Inc D/B/A Me 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 339
Nurse Practitioner Neonatal
Bower, Brittany APRN Provider ID: 1795310 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Bowers, Brittany APRN
Provider ID: 1812397 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Lewis, Lory APRN Provider ID: 1848618 Gender: Female West Coast Neonatology. Inc. 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lopez, Melissa APRN Provider ID: 1848750 Gender: Female West Coast Neonatology. Inc. 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/03 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Malone, Glaysa APRN
Provider ID: 1794048 Gender: Female West Coast Neonatology 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-4313 Fax: (727) 767-4391 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Malone, Glaysa APRN Provider ID: 1812395 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Practitioner Neonatal - cont.
Polhamus, Lisa APRN
Provider ID: 1812393 Gender: Female West Coast Neonatology D/B/A All Ch 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Nurse Practitioner Pediatric
Bowermaster, Sarah APRN
Provider ID: 1483714 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 7050 Seminole Blvd Seminole, FL 33772-5931 (727) 392-8033 Fax: (727) 392-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Christopher Hines, Joanne APRN
Provider ID: 1853183 Gender: Female Pediatric Physician Services. Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 340
Horton, Krista APRN
Provider ID: 1571394 Gender: Female Mariano Cibran. Md Corp DBA St Pete 4105 49th St N St Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
Kennedy, Bridget APRN
Provider ID: 1528042 Gender: Female Pediatric Physician Services 601 5th St S, Ste 708 St Petersburg, FL 33701-4804 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mciltrot, Kimberly APRN
Provider ID: 1533210 Gender: Female Pediatric Physician Services 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Richardson, Taylor APRN
Provider ID: 1549977 Gender: Female Mariano D Cibran Md Corp DBA St Pet 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 7:00 to 12:00 PCMH: No
Rondolino Fick, Cristina APRN
Provider ID: 1834584 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Schuhmann, Cynthia APRN
Provider ID: 1574139 Gender: Female Pediatric Health Care Alliance Pa 12951 Walsingham Rd Largo, FL 33774-3538 (727) 391-0158 Fax: (727) 392-5192 00 YRS/21 YRS Mon - Tue, Thu 8:00 to 6:00 Wed 8:00 to 12:00 Fri 8:00 to 5:00 PCMH: No
Wolf, Richard APRN
Provider ID: 1767102 Gender: Male Mariano D Cibran. Md Corp DBA St Pe 4105 49th St N St Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Bayfront Medical Center Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Nurse Practitioner Psychiatric
Mental Health
Beck, Cassandra APRN Provider ID: 2076654 Gender: Female Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 Fax: (727) 538-7272 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Huntzinger, Jill APRN
Provider ID: 2185884 Gender: Female Sequelcare Of Florida LLC 3491 Gandy Blvd N, Ste 201 Pinellas Park, FL 33781-2654 (727) 547-0607 Fax: (727) 547-6752 00 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 0:50 PCMH: No
Novak, Renee APRN Provider ID: 2076685 Gender: Female Directions For Living 1437 S Belcher Rd Clearwater, FL 33764-2829 (727) 524-4464 Fax: (727) 538-7272 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Williams, Chiara APRN
Provider ID: 2008531 Gender: Female Suncoast Center Inc 4010 Central Ave St Petersburg, FL 33711-1239 (727) 327-7656 Fax: (727) 322-2110 18 YRS/130 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Obstetrics
Chenault, Shelley CNM Provider ID: 908578 Gender: Female Womens Care Florida LLC 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Griner, Kimberly CNM
Provider ID: 1093011 Gender: Female Women's Care Florida LLC 700 Central Ave, Ste 400 Saint Petersburg, FL 33701 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kepto, Joyce CNM Provider ID: 947085 Gender: Female Womens Care Florida 1600 Mlk St N Saint Petersburg, FL 33704-4204 (727) 323-3838 Fax: (727) 456-0751 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kepto, Joyce CNM
Provider ID: 947085 Gender: Female Womens Care Florida 600 8th St S Saint Petersburg, FL 33701-4730 (727) 954-7121 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Moss, Lisa APRN Provider ID: 1068964 Gender: Female Womens Care Florida LLC 1301 2nd Ave Sq Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Moss, Lisa APRN
Provider ID: 1068964 Gender: Female Womens Care Florida LLC 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Moss, Lisa APRN Provider ID: 1068964 Gender: Female Womens Care Florida LLC 7601 Seminole Blvd Seminole, FL 33772-4868 (727) 399-9922 Fax: (727) 399-8377 12 YRS/130 YRS Morton Plant Hospital Mon - Fri 8:30 to 4:30 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 341
33453864
Allied Providers
Pinellas
Obstetrics - cont.
Tinny, Jacqueline CNM Provider ID: 421354 Gender: Female Womens Care Florida 1840 Mease Dr, Ste 110 Safety Harbor, FL 34695-6603 (727) 376-7734 Fax: (727) 408-5336 12 YRS/130 YRS Mease Countryside Hospital Mon - Thu 8:00 to 5:00 Fri 8:00 to 3:00 PCMH: No
Weingarten, Darlean CNM
Provider ID: 685027 Gender: Female Womens Care Florida 700 Central Ave, Ste 400 Saint Petersburg, FL 33701-3600 (727) 895-1300 Fax: (727) 823-3494 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Obstetrics/Gynecology
Bainbridge, Megan CNP
Provider ID: 1197989 Gender: Female Planned Parenthood 8950 Mlk St N, Ste 102 Saint Petersburg, FL 33702-3001 (727) 898-8199 Fax: (727) 898-9710 05 YRS/130 YRS Mon 9:00 to 4:30 Tue 10:00 to 6:00 Wed, Fri 9:00 to 3:00 Thu 11:00 to 6:00 Sat 9:00 to 2:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 342
Burke, Elizabeth APRN Provider ID: 1127119 Gender: Female Bayfront Health Medical Group 603 7th St S, Ste 101 Saint Petersburg, FL 33701 (727) 347-8039 Fax: (727) 341-2359 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Burke, Elizabeth APRN Provider ID: 28285 Gender: Female Bayfront Family Health Center 700 6th St S, Fl 2 Saint Petersburg, FL 33701-4815 (727) 893-6198 Fax: (727) 553-7741 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Earle, Kelli CNM
Provider ID: 2200649 Gender: Female Westcoast Neonatology 5959 Central Ave, Ste 103 Saint Petersburg, FL 33710-8502 (727) 767-6060 Fax: (727) 767-1285 12 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Landis-Nussbaum, Debbie CNM
Provider ID: 27327 Gender: Female Womens Care Florida 34041 Us 19 N, Ste C Palm Harbor, FL 34684 (727) 281-9649 Fax: (727) 953-6528 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Landis-Nussbaum, Debbie CNM
Provider ID: 27327 Gender: Female Womens Care Florida 1301 2nd Ave SW Largo, FL 33770 (727) 462-2229 Fax: (727) 447-5610 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lentz, Taylor PA
Provider ID: 2142203 Gender: Female Florida Woman Care. Llc/ Gulfcoast 6700 Crosswinds Dr N, Ste 200a St Petersburg, FL 33710-5473 (727) 344-4651 Fax: (727) 347-6224 12 YRS/35 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Musheza, Mariza APRN
Provider ID: 2107723 Gender: Female Florida Woman Care.llc/ A Place For 10011 Seminole Blvd, Ste A Seminole, FL 33772-2539 (727) 393-2800 Fax: (727) 456-1588 14 YRS/130 YRS Mon - Thu 9:00 to 4:00 Fri 9:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Obstetrics/Gynecology - cont.
Rudolph, Connie CNM Provider ID: 1276723 Gender: Female Women's Care Florida. LLC 625 6th Ave S, Ste 350 Saint Petersburg, FL 33701-4619 (727) 456-0080 Fax: (727) 456-0089 12 YRS/130 YRS Bayfront Medical Center Mon 8:00 to 5:00 Tue - Wed 8:00 to 6:00 Thu :80 to 5:00 Fri 8:00 to 4:00 PCMH: No
Tarte, Michelle PA
Provider ID: 1448179 Gender: Female Planned Parenthood Of Southwest And 33 6th St So, Ste 110 Saint Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-7910 18 YRS/110 YRS Mon, Wed 9:00 to 5:00 Tue 11:00 to 7:00 Fri 8:30 to 4:30 Sat 9:00 to 2:00 PCMH: No
Turpin, Sharon CNM Provider ID: 216143 Gender: Female Commuinity Health Centers At Pinell 2960 Roosevelt Blvd Clearwater, FL 33760-1952 (727) 286-6225 Fax: (727) 286-6224 13 YRS/59 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Turpin, Sharon CNM Provider ID: 216143 Gender: Female Commuinity Health Centers At Pinell 7550 43rd St N Pinellas Park, FL 33781-3601 (727) 824-8181 Fax: (727) 548-0960 13 YRS/59 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Turpin, Sharon CNM Provider ID: 216143 Gender: Female Johnnie Ruth Clarke Health Center 1344 22nd St S St Petersburg, FL 33712 (727) 821-6701 Fax: (727) 824-8137 13 YRS/59 YRS Mon - Fri 9:00 to 5:00 PCMH: No
White, Dawn APRN Provider ID: 1634237 Gender: Female Planned Parenthhod Of Southwest And 33 6th St S, Ste 110 St Petersburg, FL 33701-4163 (727) 898-8199 Fax: (727) 898-9710 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wilkinson, Donna APRN
Provider ID: 965475 Gender: Female Womens Care Florida 3268 66th St N Saint Petersburg, FL 33710-1511 (727) 954-7121 Fax: (727) 954-7122 12 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Wilkinson, Donna APRN Provider ID: 965475 Gender: Female Womens Care Florida 603 7th St S, Ste 300 Saint Petersburg, FL 33701-4734 (727) 954-7121 Fax: (727) 954-7122 12 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 4:00 PCMH: No
Occupational Therapy
Anischko, Lauren OT Provider ID: 1836612 Gender: Female I.t.s. For Kids. Inc Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Burns, James OT
Provider ID: 2189613 Gender: Male West Coast Therapy Specialists 4707 140th Ave N, Ste 313 Clearwater, FL 33762-3841 (727) 223-8978 Fax: (727) 303-3952 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Chalker, Jessica OT Provider ID: 1835658 Gender: Female Helping Hands Therapy. Inc 4062 49th Ave S Saint Petersburg, FL 33711-4618 (727) 647-0672 Fax: (727) 865-1665 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 343
33453864
Allied Providers
Pinellas
Occupational Therapy - cont.
Clay, Patricia OT
Provider ID: 1837449 Gender: Female I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Clay, Patricia OT
Provider ID: 2042090 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Dawson, Kristin OT
Provider ID: 1820028 Gender: Female Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Forbes, Jennifer OT
Provider ID: 1835642 Gender: Female Heping Hands Therapy Inc 4062 49th Ave S St Petersburg, FL 33711-4618 (727) 365-6725 Fax: (727) 865-1665 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 344
Graffeo, Michael OT
Provider ID: 1838133 Gender: Male I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Griffith, Leah OT
Provider ID: 1838118 Gender: Female I.t.s. For Kids. Inc Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Hamlin Pacheco, Kathryn OT
Provider ID: 1820687 Gender: Female Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Hamlin Pacheco, Kathryn OT
Provider ID: 2069099 Gender: Female Stepping Stones Assessment And Ther 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hill, Morgan OT
Provider ID: 1836503 Gender: Female I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9102 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Holmes, Nilsa OT Provider ID: 1793091 Gender: Female Helping Hands Therapy. Inc 4062 49th Ave S Saint Petersburg, FL 33711-4618 (727) 647-0672 Fax: (727) 865-1665 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Jensen, Summer OT Provider ID: 1053486 Gender: Female Educated Play Inc 8673 15th Way N Saint Petersburg, FL 33702-2815 (727) 423-0060 Fax: (727) 369-8803 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Occupational Therapy - cont.
Kotolski, Amanda OT Provider ID: 357364 Gender: Female Ak Therapy Inc 6061 Bhia Del Mar Blvd, Ste 207 Saint Petersburg, FL 33715-3338 (727) 637-6137 Fax: (727) 388-9640 00 YRS/21 YRS Mon - Thu 8:30 to 5:00 Fri 8:30 to 12:00 PCMH: No
Littlewood, Christine OT Provider ID: 1837346 Gender: Female Helping Hands Therapy Inc 4062 49th Ave S St Petersburg, FL 33711-4618 (727) 365-6725 Fax: (727) 865-1665 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Lybarger, Hannah OT Provider ID: 2161251 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Meidenbauer, Jillian OT
Provider ID: 1836427 Gender: Female I T S For Kids Inc Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 345
Minner, Kevin OT Provider ID: 2152673 Gender: Male Decker Therapy Services LLC 9887 4th St N, Ste 253 Saint Petersburg, FL 33702-2451 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morig, Meredith OT
Provider ID: 1843655 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nicolaus, Marnie OT Provider ID: 2161232 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Oconnor, Rachel OT
Provider ID: 1855007 Gender: Female Healing The Generations Inc Subspecialty: Early Steps 14141 46th St N, Ste 1202 Clearwater, FL 33762-3860 (727) 535-6746 Fax: (727) 536-6006 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Perry, Amy OT Provider ID: 1821575 Gender: Female Pediatric Therapy Works. Inc. 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/18 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Potter, Lidu OT
Provider ID: 1843829 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Powers, Susan OT Provider ID: 1803280 Gender: Female Helping Hands Therapy. Inc 4062 49th Ave S Saint Petersburg, FL 33711-4618 (727) 647-0672 Fax: (727) 865-1665 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Rickrode, Stephanie OT
Provider ID: 1848337 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Occupational Therapy - cont.
Sams, Kathleen OT Provider ID: 2144437 Gender: Female Unlimited Pediatric Therapy LLC Subspecialty: Early Steps 7010 15th St N Saint Petersburg, FL 33702-5738 (440) 539-3807 Fax: (727) 216-2175 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Schutz, Andrea OT
Provider ID: 1821803 Gender: Female Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/18 YRS Mon - Fri 9:00 to 6:00 PCMH: No
Schutz Cabrera, Grisel OT
Provider ID: 1843993 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Skonieczka, Carly OT
Provider ID: 2161245 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Solomon, Rebecca OT
Provider ID: 1836460 Gender: Female I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Stevenson, Victoria OT
Provider ID: 1819045 Gender: Female Pediatric Therapy Works. Inc. 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Taylor, Helen OT
Provider ID: 1823828 Gender: Female Children's Therapy Associates. Inc. Subspecialty: Early Steps 4105 5th Ave N St Petersburg, FL 33713-6303 (727) 321-1191 Fax: (941) 756-6003 00 YRS/18 YRS Mon 8:00 to 5:30 Tue - Fri 8:00 to 5:00 PCMH: No
Velett, Kristen OT
Provider ID: 1983430 Gender: Female Its For Kids Inc 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Wrassmann, Emma OT Provider ID: 1848331 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Orthopaedic Surgery
Bidwell, Justin PA
Provider ID: 225728 Gender: Male 5880 49th St N, Ste 104 Saint Petersburg, FL 33709-2142 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ferraro, Amber PA
Provider ID: 1637799 Gender: Female Pinellas Medical Associates Pa 2191 9th Ave N, Ste 105 St Petersburg, FL 33713-7147 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Ferraro, Amber PA
Provider ID: 1637799 Gender: Female Pinellas Medical Associates Pa 5880 49th St N, Ste 104 St Petersburg, FL 33709-2142 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 346
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Allied Providers
Pinellas
Orthopaedic Surgery - cont.
Gilbert, Warren PA Provider ID: 1045832 Gender: Male Suncoast Physicians Inc 620 10th St N, Ste 1d Saint Petersburg, FL 33705-1407 (727) 824-7136 Fax: (727) 824-3171 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hill, Chelsea PA
Provider ID: 1862233 Gender: Female Orthopaedic Medical Group Of Tampa 10033 Mlk Jr St N St Petersburg, FL 33716-3830 (813) 684-2663 Fax: (813) 441-7161 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kupstas, Hilary PA Provider ID: 1786934 Gender: Female Children's Orthopaedic And Socliosi 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Mixa, Martha PA Provider ID: 568831 Gender: Female Thomas M Mixa Md Pa 1609 Pasadena Ave S, Ste 1a South Pasadena, FL 33707-4514 (727) 321-9644 Fax: (727) 321-8580 12 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Poor, Savannah PA
Provider ID: 2012355 Gender: Female Children's Orthopaedic & Scoliosis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Smith, Edward PA Provider ID: 1085350 Gender: Male Orthopaedic Medical Group Of Tampa 10033 Mlk Jr St N Saint Petersburg, FL 33716 (813) 684-2663 Fax: (813) 441-7161 00 YRS/130 YRS Memorial Hospital Of Tampa Mon - Fri 8:00 to 5:00 PCMH: No
Stubblefield, Leah PA Provider ID: 516242 Gender: Female Pinellas Medical Associates Pa 5880 49th St N, Ste 104 St Petersburg, FL 33709 (727) 528-6100 Fax: (727) 528-7895 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pain Management
Spieker, Janet APRN Provider ID: 452554 Gender: Female Suncoast Medicl Clinic LLC 620 10th St N, Ste 2d St Petersburg, FL 33705-1407 (727) 824-8383 Fax: (727) 824-8388 18 YRS/110 YRS Mon - Thu 8:00 to 4:30 Fri 8:00 to 2:00 PCMH: No
Pediatric Allergy & Immunology
Duff, Carla APRN Provider ID: 655044 Gender: Female The University Of South Florida 601 5th St S Saint Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 347
33453864
Allied Providers
Pinellas
Pediatric Allergy & Immunology -
cont.
Garcia, Homero APRN Provider ID: 2085481 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 711 Saint Petersburg, FL 33701-4804 (727) 767-8727 Fax: (727) 767-8711 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Nieves Munoz, Daime APRN
Provider ID: 1858469 Gender: Female Usf Physicians Group 601 5th St S St Petersburg, FL 33701-4804 (727) 767-4150 Fax: (727) 767-8532 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Cardiology
Hogan, Courtney APRN Provider ID: 1531380 Gender: Female Pediatric Physician Services 601 5th St S, Ste 2 St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morgan, John PA Provider ID: 1871645 Gender: Male Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Oshrine, Kathleen APRN
Provider ID: 1312672 Gender: Female Pediatrix Medical Group Of Florida. 840 Mlk St N, Ste 100 Saint Petersburg, FL 33705-1214 (727) 322-4831 Fax: (855) 527-5510 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Pavlock, Amanda APRN Provider ID: 1356296 Gender: Female Pediatrix Medical Gorup Of Florida 3253 N Mcmln Bth Rd, Ste 100 Clearwater, FL 33761 (727) 322-4831 Fax: (855) 527-5510 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Pavlock, Amanda APRN
Provider ID: 1356296 Gender: Female Pediatrix Medical Group Of Florida 625 6th Ave S, Ste 120 Saint Petersburg, FL 33705 (727) 767-4200 Fax: (727) 374-9940 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Reeger, Laura APRN Provider ID: 1834571 Gender: Female Pediatric Physician Services I 601 5th St S, 2nd Floor St Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Wilson, Heather APRN
Provider ID: 764776 Gender: Female Pediatric Physician Services 601 5th St S, 2nd Fl Saint Petersburg, FL 33701-4804 (727) 767-3333 Fax: (727) 767-8990 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Pediatric Endocrinology
Lewis, Kevin APRN Provider ID: 1531260 Gender: Male Pediatric Physician Services 601 5th St S, Ste 502 St Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Sanborn, Megan APRN
Provider ID: 1638775 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 502 St Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 348
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Allied Providers
Pinellas
Pediatric Endocrinology - cont.
White, Denielle APRN
Provider ID: 2113661 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 502 Saint Petersburg, FL 33701-4804 (727) 767-3636 Fax: (727) 767-3638 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Gastroenterology
Gursky, Beverly APRN
Provider ID: 722439 Gender: Female Pediatric Gastroenterology Hepatolo 601 5th St S, Ste 605 St Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 767-4071 00 YRS/21 YRS Mon - Tue 7:00 to 5:30 Wed - Thu 7:00 to 7:30 Fri 7:00 to 5:00 PCMH: No
Johnson, Michele APRN
Provider ID: 924783 Gender: Female 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4848 (727) 822-4300 Fax: (727) 456-1399 00 YRS/18 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Mccoy, Andrea APRN
Provider ID: 915554 Gender: Female 601 5th St S, Ste 605 Saint Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/18 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Sherman, Shanna APRN
Provider ID: 925774 Gender: Female 601 5th St S, Ste 605 St Petersburg, FL 33701-4804 (727) 822-4300 Fax: (727) 456-1399 00 YRS/18 YRS Mon - Fri 7:30 to 5:00 PCMH: No
Pediatric Hematology/Oncology
Berger, Rebecca APRN
Provider ID: 1877709 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 511 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Brown, Taylor APRN
Provider ID: 1877742 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4741 Fax: (727) 767-2596 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 349
Duren, Melinda APRN
Provider ID: 1531258 Gender: Female Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gann, Carrie APRN
Provider ID: 1842830 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Haase, Melanie APRN
Provider ID: 1877771 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4741 Fax: (727) 767-2596 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon, Wed - Fri 8:00 to 5:00 Tue 8:0 to to 0:0 PCMH: No
33453864
Allied Providers
Pinellas
Pediatric Hematology/Oncology -
cont.
Hauk, Charles PA Provider ID: 1223746 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 302 Saint Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Horner, Kelsey APRN
Provider ID: 1310502 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 302 Saint Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lanham, Fallon PA Provider ID: 1996066 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 302 St Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/01 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 350
Lukas, Claudia PA Provider ID: 997313 Gender: Female Pediatric Physicians Services Inc 601 5th St S, Ste 3 Saint Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Mills, Katie APRN
Provider ID: 1877549 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pacetti, Lauren PA Provider ID: 1553263 Gender: Female Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Simpson, Hillary APRN Provider ID: 2101061 Gender: Female Pediatric Physician Services. Inc. 601 5th St S, Ste 302 Saint Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Vaughn, Gretchen APRN
Provider ID: 1996072 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 302 St Petersburg, FL 33701 (727) 767-4176 Fax: (727) 767-4379 00 YRS/01 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Woods, Jennifer APRN Provider ID: 1638772 Gender: Female Pediatric Physican Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Pediatric Neurosurgery
Blanco, Elissa APRN Provider ID: 1877724 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 511 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lynn, Brandon APRN
Provider ID: 1778768 Gender: Male Pediatric Physician Services. Inc 501 6th St S St Petersburg, FL 33701-4630 (727) 767-3679 Fax: (727) 767-8429 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Lynn, Brandon APRN Provider ID: 1778768 Gender: Male Pediatric Physician Services. Inc 601 5th St S, Ste 5 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8821 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Young, Carrie APRN Provider ID: 783757 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 5 Saint Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Zakrzewski, Paula APRN
Provider ID: 1877703 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 511 St Petersburg, FL 33701-4804 (727) 767-8181 Fax: (727) 767-8030 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Oncology
Torres, Theresa APRN Provider ID: 2085443 Gender: Female Pediatric Physician Services. Inc 601 5th St S Saint Petersburg, FL 33701-4804 (727) 767-6856 Fax: (727) 767-7472 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Orthopaedics
Bryk, Jessica APRN
Provider ID: 1591408 Gender: Female Childrens Orthopaedic And Scoli -osis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Carney, Jacquelyn PA
Provider ID: 1074572 Gender: Female Cossa 625 6th Ave S, Ste 450 Saint Petersburg, FL 33701-4662 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 9:00 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Hunter, Lara PA
Provider ID: 1063089 Gender: Female 625 6th Ave S, Ste 450 Saint Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/130 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 351
33453864
Allied Providers
Pinellas
Pediatric Orthopaedics - cont.
Kupstas, Hilary PA Provider ID: 1786934 Gender: Female Children's Orthopaedic And Socliosi 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Poor, Savannah PA
Provider ID: 2012355 Gender: Female Children's Orthopaedic & Scoliosis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Thompson, Cody PA
Provider ID: 973391 Gender: Male Childrens Orthopaedic And Scoli-osis 625 6th Ave S, Ste 450 Saint Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Williams, Lauren PA Provider ID: 1504170 Gender: Female Children's Orthopaedic Scoliosis S 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Orthopedic Surgery
Semelsberger, Cara PA Provider ID: 1500470 Gender: Female Children's Orthopaedic Scoliosis S 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Pediatric Pulmonology
Bologna, Maria APRN Provider ID: 1067858 Gender: Female Pediatric Physician Services Inc 601 5th St S, Ste 708 Saint Petersburg, FL 33701-4804 (727) 767-4146 Fax: (727) 767-4218 00 YRS/18 YRS Mon - Fri 8:30 to 4:00 PCMH: No
Kennedy, Bridget APRN Provider ID: 1528042 Gender: Female Pediatric Physician Services 601 5th St S, Ste 708 St Petersburg, FL 33701-4804 (727) 767-4146 Fax: (727) 767-4218 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Pediatric Rheumatology
Brothers, Mary APRN Provider ID: 753164 Gender: Female Pediatric Physician Services. Inc 601 5th St S St Petersburg, FL 33701-4804 (727) 767-7272 Fax: (727) 767-8270 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No
Pediatric Surgery
Benson, Matthew PA Provider ID: 786411 Gender: Male 601 5th St S, 3rd Fl St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:30 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 352
33453864
Allied Providers
Pinellas
Pediatric Surgery - cont.
Buchanan, Vivian PA Provider ID: 1871643 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Connor, Amanda PA
Provider ID: 1062556 Gender: Female 601 5th St S, Ste 306 Saint Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Grant, Kelsey APRN Provider ID: 1871639 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8420 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 353
Kainec, Paul PA Provider ID: 1871634 Gender: Male Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Layfield, Mary PA
Provider ID: 1871641 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Lefkowitz Webb, Sara APRN
Provider ID: 1871642 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Mciltrot, Kimberly APRN Provider ID: 1533210 Gender: Female Pediatric Physician Services 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Mon - Fri 8:00 to 4:30 PCMH: No
Pelaez, Rachael APRN
Provider ID: 1877566 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Portella, Steven APRN Provider ID: 2021412 Gender: Male Pediatric Physician Services Inc 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Pediatric Surgery - cont.
Rausch, Kelly PA
Provider ID: 1871640 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Wroe, Tiffany APRN
Provider ID: 1877700 Gender: Female Pediatric Physician Services I 601 5th St S, Ste 306 St Petersburg, FL 33701-4804 (727) 767-4170 Fax: (727) 767-4346 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Zaharis Molina, Alissa APRN
Provider ID: 1871644 Gender: Female Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Sun 12:00 to 12:00 PCMH: No
Pediatrics
Bielicki, Lois APRN
Provider ID: 1223183 Gender: Female St Petersburg Pediatrics 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 392-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
Dougherty, Aimee APRN
Provider ID: 1328341 Gender: Female Usf Physicians Group 140 7th Ave S Saint Petersburg, FL 33701-5016 (727) 873-4422 Fax: (727) 873-4193 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Freed, Heather APRN
Provider ID: 816978 Gender: Female Petersburg Pediatrics Pinellas 7500 Park Blvd N Pinellas Park, FL 33781 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 7:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 354
Freed, Heather APRN
Provider ID: 816978 Gender: Female St Petersburg Pediatrics 1012 4th St S St Petersburg, FL 33701 (727) 894-2231 Fax: (727) 895-8602 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:30 PCMH: No
Freed, Heather APRN
Provider ID: 816978 Gender: Female St Petersburg Pediatrics 2701 54th Ave S St Petersburg, FL 33712 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 7:00 PCMH: No
Freed, Heather APRN
Provider ID: 816978 Gender: Female St Petersburg Pediatrics 4105 49th St N St Petersburg, FL 33709 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Pediatrics - cont.
Freed, Heather APRN Provider ID: 816978 Gender: Female St Petersburg Pediatrics 7050 Seminole Blvd Seminole, FL 33772-5931 (727) 392-8033 Fax: (727) 939-9578 00 YRS/18 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 7:00 PCMH: No
Hoyos, Amanda PA Provider ID: 1500320 Gender: Female Mariano D Cibran Md Corp DBA St Pet 6675 38th Ave N Saint Petersburg, FL 33710-1594 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kennel Besselieu, Allison APRN Provider ID: 1187418 Gender: Female Usf Physicians Group 601 7th St S, Ste 425 St Petersburg, FL 33701-4708 (727) 767-8230 Fax: (727) 767-7786 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 355
Kober, Terry PA Provider ID: 1235197 Gender: Female Mariano D Cibran. Md Corp DBA St Pe 4105 49th St N Saint Petersburg, FL 33709 (727) 528-6900 00 YRS/21 YRS Mon - Wed, Fri 9:00 to 6:00 Thu 9:00 to 2:00 Sat 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN
Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 2137 16th St N Saint Petersburg, FL 33704-3923 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 2701 54th Ave S Saint Petersburg, FL 33712-4776 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN
Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 4105 49th St N Saint Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat - Sun 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 7050 Seminole Blvd Seminole, FL 33772-5931 (727) 392-8033 Fax: (727) 392-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Lawrence, Samantha APRN
Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 7500 Park Blvd N Pinellas Park, FL 33781-3271 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
33453864
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Pinellas
Pediatrics - cont.
Lawrence, Samantha APRN Provider ID: 1100604 Gender: Female 2115 Central Ave Saint Petersburg, FL 33713-8815 (727) 526-9135 Fax: (727) 526-4346 00 YRS/18 YRS PCMH: No
Lawrence, Samantha APRN
Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 1012 4th St S Saint Petersburg, FL 33701-5220 (727) 894-2231 Fax: (727) 895-8602 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lawrence, Samantha APRN Provider ID: 1100604 Gender: Female St Petersburg Pediatrics Pinellas P 12190 Seminole Blvd, Ste A Largo, FL 33778-2833 (727) 586-6483 Fax: (727) 525-1015 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Leal, Jennifer APRN Provider ID: 449348 Gender: Female East Lake Pediatrics Pa 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685 (727) 772-1452 Fax: (727) 372-6808 00 YRS/18 YRS Mease Countryside Hospital Mon - Fri 8:00 to 6:00 PCMH: Yes, Level 2
Mallett, Lesley APRN
Provider ID: 916979 Gender: Female Peninsula Pediatrics 13131 66th St Largo, FL 33773-1812 (727) 228-7000 Fax: (727) 223-3614 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 Sat 8:00 to 12:00 PCMH: No
Mccormack, Leah APRN
Provider ID: 817631 Gender: Female East Lake Pediatrics 4150 Woodlands Pkwy, Ste B Palm Harbor, FL 34685-3495 (727) 772-1452 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: Yes, Level 2
Mchugh, Sara APRN
Provider ID: 916586 Gender: Female 7050 Seminole Blvd Seminole, FL 33772-5931 (727) 392-8033 Fax: (727) 392-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Migliore, Heidi APRN Provider ID: 486487 Gender: Female St Petersburg Pediatrics Seminole 7050 Seminole Blvd Seminole, FL 33772 (727) 392-8033 Fax: (727) 939-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Migliore, Heidi APRN
Provider ID: 486487 Gender: Female St Petersburg Pediatrics Disston 4105 49th St N Saint Petersburg, FL 33709-5711 (727) 528-6900 Fax: (727) 526-0753 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Migliore, Heidi APRN
Provider ID: 486487 Gender: Female St Petersburg Pediatrics Largo 3475 E Bay Dr Largo, FL 33771-5905 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Migliore, Heidi APRN
Provider ID: 486487 Gender: Female St Petersburg Pediatrics Largo Mall 12170 Seminole Blvd Largo, FL 33778-2833 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Mon - Sat 8:30 to 5:30 PCMH: No
Migliore, Heidi APRN Provider ID: 486487 Gender: Female St Petersburg Pediatrics Pinellas P 7500 Park Blvd N Pinellas Park, FL 33781-3701 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 356
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Pinellas
Pediatrics - cont.
Migliore, Heidi APRN Provider ID: 486487 Gender: Female St Petersburg Pediatrics Seville 2701 54th Ave S Saint Petersburg, FL 33712-4777 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Moore, Christine APRN
Provider ID: 1234887 Gender: Female Pediatric Physician Services Inc 601 5th St S, Dept 7835 Saint Petersburg, FL 33701 (727) 767-8917 Fax: (727) 767-8482 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Owens, Henry PA Provider ID: 1071940 Gender: Male Community Health Centers Of Pinella Subspecialty: HRSA FQHC 707 Druid Rd E Clearwater, FL 33756-3951 (727) 824-8181 Fax: (727) 443-7230 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 357
Rodriguez, Rosemarie APRN Provider ID: 1268347 Gender: Female East Lake Pediatrics Pa 4156 Woodlands Pkwy, Ste B Palm Harbor, FL 34685 (727) 372-6760 Fax: (727) 372-6808 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rowe, Amanda APRN
Provider ID: 2137363 Gender: Female Better Health Medical Center 28960 Us Highway 19 N, Ste 115 Clearwater, FL 33761-2403 (727) 771-8282 Fax: (727) 771-8788 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Shine, Leetoria APRN Provider ID: 547577 Gender: Female St Petersburg Pediatrics 1012 4th St S Saint Petersburg, FL 33701 Fax: (727) 895-8602 00 YRS/18 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Shine, Leetoria APRN
Provider ID: 547577 Gender: Female St Petersburg Pediatrics 12170 Seminole Blvd Largo, FL 33778 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Shine, Leetoria APRN Provider ID: 547577 Gender: Female St Petersburg Pediatrics 2137 16th St N Saint Petersburg, FL 33704 (727) 822-1896 Fax: (727) 821-0932 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Shine, Leetoria APRN
Provider ID: 547577 Gender: Female St Petersburg Pediatrics 2701 54th Ave S Saint Petersburg, FL 33712 (727) 867-5788 Fax: (727) 867-3255 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Shine, Leetoria APRN Provider ID: 547577 Gender: Female St Petersburg Pediatrics 3475 E Bay Dr Largo, FL 33771 (727) 535-9700 Fax: (727) 539-7301 00 YRS/18 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Shine, Leetoria APRN
Provider ID: 547577 Gender: Female St Petersburg Pediatrics 7050 Seminole Blvd Seminole, FL 33772 (727) 392-8033 Fax: (727) 939-9578 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 PCMH: No
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Pinellas
Pediatrics - cont.
Shine, Leetoria APRN Provider ID: 547577 Gender: Female St Petersburg Pediatrics 7500 Park Blvd Pinellas Park, FL 33781 (727) 544-5437 Fax: (727) 547-7961 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Wesnofske, Casandra APRN
Provider ID: 916152 Gender: Female 12170 Seminole Blvd Largo, FL 33778-2399 (727) 586-5355 Fax: (727) 586-6997 00 YRS/18 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 12:00 PCMH: No
Physical Therapy
Byrne, Margaret PT
Provider ID: 1779546 Gender: Female Childrens Therapy Associates Inc Subspecialty: Early Steps 4105 5th Ave N St Petersburg, FL 33713-6303 (727) 321-1191 Fax: (941) 756-6003 00 YRS/18 YRS Mon 8:00 to 5:30 Tue - Fri 8:00 to 5:00 PCMH: No
Duvall, Stephen PT Provider ID: 2188409 Gender: Male West Coast Therapy Specialists LLC 4707 140th Ave N, Ste 312 Clearwater, FL 33762-3841 (727) 223-8978 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Farese, Patricia PT
Provider ID: 1044753 Gender: Female Farese Physical Therapy Center Inc 7005 4th St N, Ste 4 Saint Petersburg, FL 33702-5901 (727) 209-4545 Fax: (727) 209-4546 00 YRS/130 YRS Mon, Wed - Thu 7:00 to 6:00 Tue, Fri 7:00 to 12:00 PCMH: No
Galbraith, Dana PT Provider ID: 1842424 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hanna, Alyssa PT
Provider ID: 2051436 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmullen Booth Rd Safety Harbor, FL 34695-9995 (727) 485-4660 Fax: (727) 789-9204 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Katz, Dina PT Provider ID: 1865636 Gender: Female Healing The Generations Inc Subspecialty: Early Steps 14141 46th St N, Ste 1202 Clearwater, FL 33762-3860 (727) 535-6746 Fax: (727) 536-6006 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Keyes, Darla PT
Provider ID: 1039929 Gender: Female Step Ahead Physical Therapy Llc. 2825 Seabreeze Dr S Gulfport, FL 33707-3931 (727) 215-3590 Fax: (727) 347-5426 00 YRS/21 YRS Mon - Fri 7:00 to 5:00 PCMH: No
Kochey, Alison PT Provider ID: 2037373 Gender: Female Educated Play Inc Subspecialty: Early Steps 8673 15th Way N St Petersburg, FL 33702-2815 (727) 423-0060 Fax: (727) 369-8803 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Kraynak, Jodi PT
Provider ID: 2161182 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 358
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Allied Providers
Pinellas
Physical Therapy - cont.
Lee, Lauri PT Provider ID: 1058929 Gender: Female Educated Play Inc 8673 15th Way N Saint Petersburg, FL 33702-2815 (727) 423-0060 Fax: (727) 369-8803 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Lester, Lawrence PT Provider ID: 1039199 Gender: Male International Health Clinic 2878 Roosevelt Blvd Clearwater, FL 33760-1923 (727) 507-8555 Fax: (727) 532-0091 00 YRS/130 YRS Mon, Wed - Fri 9:00 to 5:00 PCMH: No
Magerkurth, Alyssa PT
Provider ID: 1821651 Gender: Female Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Mccormack, Maire PT Provider ID: 19184 Gender: Female Educated Play Inc 8673 15th Way N Saint Petersburg, FL 33702-2815 (727) 423-0060 Fax: (727) 369-8803 00 YRS/18 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 359
Ramker, Joan PT Provider ID: 1843776 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Reuter, Brett PT
Provider ID: 2182053 Gender: Male Advanced Medical Of Florida 1857 Gulf To Bay Blvd Clearwater, FL 33765-3415 (727) 408-5222 Fax: (727) 408-5252 18 YRS/130 YRS Mon - Thu 8:30 to 7:00 Fri 9:00 to 4:00 PCMH: No
Schumann, David PT
Provider ID: 1647069 Gender: Male Alexander Spine Center 10720 Park Blvd, Ste A Seminole, FL 33772-5461 (727) 397-3000 Fax: (727) 397-3004 00 YRS/130 YRS Mon, Wed 9:00 to 7:00 Tue 2:00 to 6:00 Thu 9:00 to 6:00 Fri 9:00 to 12:30 PCMH: No
Shivers, Karen PT
Provider ID: 1777784 Gender: Female Shivers Enterprises. Inc 3550 Deer Run S Palm Harbor, FL 34684-3551 (727) 480-2809 Fax: (727) 333-7667 00 YRS/21 YRS Mon - Fri 8:00 to 7:00 PCMH: No
Snider, Cindy PT Provider ID: 2190463 Gender: Female West Coast Therapy Specialists 4707 140th Ave N, Ste 313 Clearwater, FL 33762-3841 (718) 313-0438 Fax: (718) 303-0763 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Taliaferro, Ashley PT Provider ID: 1757065 Gender: Female Beach Baby Pediatric Therapy. LLC 5042 42nd St S St Petersburg, FL 33711-4720 (727) 871-2784 Fax: (727) 537-9389 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Van Der Merwe, Marijcke PT
Provider ID: 1843939 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Verdebout, Nadine PT
Provider ID: 1855430 Gender: Female Healing The Generations. Inc Subspecialty: Early Steps 14141 46th St N, Ste 1202 Clearwater, FL 33762-3860 (727) 535-6746 Fax: (727) 536-6006 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
33453864
Allied Providers
Pinellas
Physical Therapy - cont.
Woodward, Kristin PT
Provider ID: 2190488 Gender: Female West Coast Therapy Specialists 4707 140th Ave N, Ste 313 Clearwater, FL 33762-3841 (727) 223-8978 Fax: (727) 303-3952 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Physician Assistant
Adams, Lauren PA Provider ID: 1536899 Gender: Female Pediatric Physician Services 601 5th St S, Ste 302 St Petersburg, FL 33701-4804 (727) 767-4176 Fax: (727) 767-4379 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Flack, Rachel PA
Provider ID: 1564349 Gender: Female Childrens Orthopaedic Scoliosis Sur 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/18 YRS Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Updated for: July, 2020.
www.wellcare.com/Florida 360
Herlan, Paul PA
Provider ID: 1877541 Gender: Male Pediatric Physician Services I 601 5th St S, Ste 607 St Petersburg, FL 33701-4804 (727) 767-6666 Fax: (727) 767-8606 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Melton, Chandler PA
Provider ID: 1818518 Gender: Female Children's Orthopaedic Scoliosis 625 6th Ave S, Ste 450 St Petersburg, FL 33701-4629 (727) 898-2663 Fax: (727) 568-6836 00 YRS/21 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:30 to 5:00 PCMH: No Telemedicine Presenting and Receiving Site
Mills, Jaime PA
Provider ID: 1828916 Gender: Female Pediatric Physician Services Inc 501 6th Ave S St Petersburg, FL 33701-4634 (727) 276-7827 Fax: (727) 767-4889 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morgan, Nicole PA
Provider ID: 1499892 Gender: Female Adventhealth Medical Group Primary 34637 Us Hwy 19 North Palm Harbor, FL 34684-2152 (727) 786-1673 Fax: (727) 785-0284 18 YRS/130 YRS Adventhealth North Pinellas Mon - Fri 9:00 to 5:00 PCMH: No
Nguyen, Kimmy PA
Provider ID: 1549980 Gender: Female Select Physicians Alliance. Pl 1301 2nd Ave SW Largo, FL 33770-3120 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Nguyen, Kimmy PA
Provider ID: 1549980 Gender: Female Select Physicians Alliance. Pl 6827 1st Ave S, Ste 100 Saint Petersburg, FL 33707-1242 (727) 341-0551 Fax: (727) 341-0332 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Odonnell, James PA
Provider ID: 2004039 Gender: Male Pediatric Physician Services I 501 6th Ave S St Petersburg, FL 33701-4634 (727) 767-8480 Fax: (727) 767-8420 00 YRS/21 YRS Mon - Sun 12:00 to 12:00 PCMH: No
33453864
Allied Providers
Pinellas
Physician Assistant - cont.
Schultheis, Marisol PA
Provider ID: 2048944 Gender: Female Bay Surgical Specialists 1201 5th Ave N, Ste 308 St Petersburg, FL 33705-1425 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schultheis, Marisol PA
Provider ID: 2048944 Gender: Female Bay Surgical Specialists 2191 9th Ave N, Ste 270 St Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Schultheis, Marisol PA
Provider ID: 2048944 Gender: Female Bay Surgical Specialists 960 7th Ave N St Petersburg, FL 33705-1347 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon, Fri 8:00 to 12:00 Wed 1:00 to 5:00 PCMH: No
Terry, Johnny PA
Provider ID: 2139462 Gender: Male Bayfront Health St. Petersburg - Ba 701 6th St S St Petersburg, FL 33701-4814 (727) 823-1234 Fax: (727) 893-6811 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Terry, Johnny PA Provider ID: 2139462 Gender: Male Bayfront Hma Physician Managem 601 7th St S, Ste 205 St Petersburg, FL 33701-4708 (727) 893-6234 Fax: (727) 553-7798 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Physician Assistant Psychiatric
Mental Health
Lewis, Susan PA
Provider ID: 1967828 Gender: Female Metropolitan Charities Inc 2349 Sunset Point Rd, Ste 405 Clearwater, FL 33765-1439 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Lewis, Susan PA
Provider ID: 1967828 Gender: Female Metropolitan Charities Inc 3251 3rd Ave N St Petersburg, FL 33713-8506 (727) 321-3854 Fax: (727) 327-7670 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Plastic & Reconstructive Surgery
Pringle, Aleshia APRN Provider ID: 811939 Gender: Female Pediatric Physicians Inc 601 5th St S, Ste 3 Saint Petersburg, FL 33701-4804 (727) 767-3916 Fax: (727) 767-8917 00 YRS/130 YRS Johns Hopkins All Childrens Hospital Inc Mon - Fri 8:00 to 5:00 PCMH: No
Pulmonary Disease
Williams, Sheena APRN Provider ID: 2129171 Gender: Female American Lung And Sleep Disorder Co 6223 66th St N Pinellas Park, FL 33781-5025 (727) 528-4900 Fax: (727) 528-8628 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Reproductive Endocrinology
Ziesman, Krista APRN
Provider ID: 1279600 Gender: Female Usf Physicians Group 603 7th St S, Ste 400 Saint Petersburg, FL 33701 (813) 259-0692 Fax: (813) 259-0882 18 YRS/130 YRS Tampa General Hospital Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 361
33453864
Allied Providers
Pinellas
Speech & Language Pathology
Adams, Donald SLP Provider ID: 2108612 Gender: Male Educated Play Inc Subspecialty: Early Steps 8673 15th Way N St Petersburg, FL 33702-2815 (727) 423-0060 Fax: (727) 369-8803 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Anacki, Heather SLP
Provider ID: 1823879 Gender: Female Children's Therapy Associates. Inc Subspecialty: Early Steps 4105 5th Ave N St Petersburg, FL 33713-6303 (727) 321-1191 Fax: (941) 756-6003 00 YRS/18 YRS Mon 8:00 to 5:30 Tue - Fri 8:00 to 5:00 PCMH: No
Bell, Emily SLP Provider ID: 1843640 Gender: Female Decker Therapy Services LLC 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bell, Emily SLP Provider ID: 1843640 Gender: Female Decker Therapy Services LLC 9887 4th St. N, Suite 253 Saint Petersburg, FL 33702 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Thu 9:00 to 5:00 PCMH: No
Besonen, Katherine SLP Provider ID: 2160653 Gender: Female Speak Easy Pediatrics LLC 2230 6th Ave N Saint Petersburg, FL 33713-7010 (614) 940-4428 Fax: (727) 232-9660 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bienkowski, John SLP Provider ID: 1966741 Gender: Male Integrative Therapy Services Inc 7236 15th Ct NE St Petersburg, FL 33702-4604 (727) 526-5432 Fax: (727) 526-5432 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Bird, Jessica SLP
Provider ID: 1842073 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Brady, Cheyenne SLP Provider ID: 1836407 Gender: Female I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Brady, Cheyenne SLP
Provider ID: 1853214 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Brawner, Krissy SLP Provider ID: 1843210 Gender: Female Its For Kids Inc Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Brenner, Diana SLP
Provider ID: 2161178 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 362
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Allied Providers
Pinellas
Speech & Language Pathology -
cont.
Carrier Dzwonek, Elizabeth SLP Provider ID: 1799618 Gender: Female Decker Therapy Services LLC 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Carrier Dzwonek, Elizabeth SLP Provider ID: 1799618 Gender: Female Decker Therapy Services LLC 9887 4th St. N, Suite 253 Saint Petersburg, FL 33702 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Thu 9:00 to 5:00 PCMH: No
Chain, Karen SLP Provider ID: 1778044 Gender: Female Decker Therapy Services 9887 4th St. N, Suite 253 Saint Petersburg, FL 33702 (813) 380-8230 Fax: (913) 991-9504 00 YRS/21 YRS Mon - Thu 9:00 to 5:00 PCMH: No
Chain, Karen SLP
Provider ID: 1778044 Gender: Female Decker Therapy Services 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 363
Creech Medlock, Kailey SLP Provider ID: 1441066 Gender: Female Blossom Therapies Of Florida 502 State St E Oldsmar, FL 34677 (727) 310-4134 Fax: (888) 972-8643 00 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Crotty, Jennifer SLP
Provider ID: 1818682 Gender: Female Jennifer Crotty Speech Language Pat Subspecialty: Early Steps 1396 Ventnor Ave Tarpon Springs, FL 34689-2731 (727) 432-0465 Fax: (727) 937-1182 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Dalrymple, Maria SLP Provider ID: 1803411 Gender: Female Maria E Dalrymple 2729 State Road 580, Ste C Clearwater, FL 33761-3358 (727) 510-6062 Fax: (727) 669-5023 00 YRS/18 YRS Mon - Thu 10:00 to 6:00 Fri 10:00 to 4:00 PCMH: No
Demich, Kailyn SLP
Provider ID: 2042122 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Demich, Kailyn SLP Provider ID: 2175714 Gender: Female Speak Easy Pediatrics 2230 6th Ave N Saint Petersburg, FL 33713-7010 (614) 940-4428 Fax: (727) 232-9660 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ferreira, Jennifer SLP Provider ID: 2023816 Gender: Female Because You Can LLC 3775 Central Ave, Ste B Saint Petersburg, FL 33713-8338 (813) 966-2414 00 YRS/130 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Garner, Miriam SLP Provider ID: 1792372 Gender: Female Lets Speak Hablemos LLC Subspecialty: Early Steps 3240 Melton St N St Petersburg, FL 33704-1815 (919) 591-1237 Fax: (888) 593-7636 00 YRS/18 YRS Mon - Sun 7:00 to 7:00 PCMH: No
Garrick, Jenna SLP
Provider ID: 2052749 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Speech & Language Pathology -
cont.
Giuliano, Lynne SLP Provider ID: 1956934 Gender: Female Lynne Giuliano Ms Cc Slp Subspecialty: Early Steps 1068 23rd Ave N Saint Petersburg, FL 33704-3228 (727) 822-6806 Fax: (727) 822-6806 00 YRS/21 YRS Mon, Wed 9:00 to 3:00 Tue 9:00 to 1:00 PCMH: No
Gonzalez, Amber SLP
Provider ID: 1842078 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Gurd, Melissa SLP Provider ID: 2105424 Gender: Female Because You Can LLC 3775 Central Ave Saint Petersburg, FL 33713-8338 (727) 954-5635 Fax: (727) 526-4346 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 364
Hawkins, Courtney SLP Provider ID: 2147478 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Hollis, Susan SLP
Provider ID: 1817077 Gender: Female Decker Therapy Services LLC 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Hough, Karen SLP Provider ID: 1841420 Gender: Female Karen S Hough Subspecialty: Early Steps 1862 Castle Woods Dr Clearwater, FL 33759-1808 (727) 709-2071 Fax: (727) 797-5659 00 YRS/21 YRS Mon - Wed 8:00 to 5:00 PCMH: No
Irizarry Figueroa, Eliany SLP
Provider ID: 2008848 Gender: Female Its For Kids Inc 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 593-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Kornicki, Rachel SLP Provider ID: 2161153 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Lopez, Dhyana SLP
Provider ID: 1818514 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Lopez, Dhyana SLP Provider ID: 1824569 Gender: Female Pediatric Therapy Works. Inc. Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Miele, Alexandra SLP Provider ID: 2143739 Gender: Female Unlimited Pediatric Therapy LLC Subspecialty: Early Steps 7010 15th St N Saint Petersburg, FL 33702-5738 (440) 539-3807 Fax: (727) 216-2175 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Speech & Language Pathology -
cont.
Miele, Alexandra SLP Provider ID: 2174824 Gender: Female Speak Easy Pediatrics LLC 2230 6th Ave N Saint Petersburg, FL 33713-7010 (614) 940-4428 Fax: (727) 329-6603 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Morgan, Alyson SLP
Provider ID: 1838161 Gender: Female I T S For Kids Inc Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Nigara, Andrea SLP Provider ID: 1780070 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Nigara, Andrea SLP Provider ID: 1847594 Gender: Female The Andrea Effect 214 Harbor View Ln Largo, FL 33770-4007 (727) 580-8946 Fax: (727) 213-6233 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 365
Perry, William SLP Provider ID: 1821718 Gender: Male Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:30 to 5:30 PCMH: No
Prescott, Kelsi SLP
Provider ID: 2161258 Gender: Female Heart 4 Kids Therapy LLC 31840 Us Highway 19 N Palm Harbor, FL 34684-3713 (727) 202-9200 Fax: (727) 350-9665 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Recuero Litwin, Tania SLP Provider ID: 2133299 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/03 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Rojas Lacotts, Maria SLP
Provider ID: 2021462 Gender: Female Because You Can LLC 3775 Central Ave, Ste B St Petersburg, FL 33713-8338 (813) 966-2414 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Ruth, Theresa SLP Provider ID: 1820627 Gender: Female Pediatric Therapy Works Inc Subspecialty: Early Steps 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/21 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Slemp, Kelli SLP Provider ID: 2144480 Gender: Female Unlimited Pediatric Therapy LLC Subspecialty: Early Steps 7010 15th St N Saint Petersburg, FL 33702-5738 (440) 539-3807 Fax: (727) 216-2175 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Smith, Shayna SLP Provider ID: 1446722 Gender: Female Decker Therapy Services .llc 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Smith, Shayna SLP Provider ID: 1446722 Gender: Female Decker Therapy Services .llc 9887 4th St. N, Suite 253 Saint Petersburg, FL 33702 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Thu 9:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Speech & Language Pathology -
cont.
Smith, Kristin SLP Provider ID: 1800182 Gender: Female Wee Achieve Therapy. Inc. 12910 98th Ave Seminole, FL 33776-1711 (727) 643-6148 Fax: (727) 954-3260 00 YRS/21 YRS Mon - Thu 8:00 to 5:30 Fri 8:00 to 4:00 PCMH: No
Smith, Maryann SLP
Provider ID: 1843943 Gender: Female Joyful Motion 2150 Alt 19, Ste A Palm Harbor, FL 34683-5363 (727) 773-2687 Fax: (727) 773-2742 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Spangler, Danielle SLP Provider ID: 1836430 Gender: Female I.t.s. For Kids. Inc. Subspecialty: Early Steps 4902 Creekside Dr, Ste A Clearwater, FL 33760-4033 (727) 592-9100 Fax: (727) 592-9109 00 YRS/21 YRS Mon - Thu 8:00 to 6:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 366
Stratton, Lisa SLP Provider ID: 1819312 Gender: Female Pediatric Therapy Works. Inc. 2753 State Road 580, Ste 111 Clearwater, FL 33761-3351 (727) 724-5437 Fax: (813) 435-2125 00 YRS/18 YRS Mon - Fri 8:30 to 6:00 PCMH: No
Svetec, Carly SLP
Provider ID: 1699733 Gender: Female Therachoice Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Wallace, Davina SLP Provider ID: 2075460 Gender: Female Pamela Rowe Ma Ccc Slp LLC 3530 1st Ave N, Ste 120 St Petersburg, FL 33713-8441 (407) 271-4911 Fax: (321) 284-8005 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Wiech, Natalia SLP
Provider ID: 1818515 Gender: Female Therachoice. Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 8:00 to 6:00 PCMH: No
Speech Therapy
Bowers, Janaya SLP Provider ID: 1120103 Gender: Female Stepping Stones Assessment And Ther 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/18 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Cummings, Kristin SLP
Provider ID: 1040556 Gender: Female Therachoice Inc 111 2nd Ave NE, Ste 900 Saint Petersburg, FL 33701-3474 (813) 690-1327 Fax: (727) 213-6233 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
Diaz, Elanda SLP Provider ID: 1040543 Gender: Female Therachoice Inc 111 2nd Ave NE, Ste 900 Saint Petersburg, FL 33701-3474 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
Le, Sharon SLP
Provider ID: 1040554 Gender: Female Therachoice Inc 111 2nd Ave NE, Ste 900 Saint Petersburg, FL 33701-3474 (813) 690-1327 Fax: (727) 213-6233 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
33453864
Allied Providers
Pinellas
Speech Therapy - cont.
Magers, Deborah SLP
Provider ID: 1231418 Gender: Female Decker Therapy Services LLC 3000 Gulf To Bay Blvd, Suite 309 Clearwater, FL 33759 (813) 380-8230 Fax: (813) 997-9504 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Magers, Deborah SLP Provider ID: 1231418 Gender: Female Decker Therapy Services LLC 9887 4th St. N, Suite 253 Saint Petersburg, FL 33704 (813) 380-8230 Fax: (813) 991-9504 00 YRS/21 YRS Mon - Thu 9:00 to 5:00 PCMH: No
Mason, Karen SLP
Provider ID: 1060185 Gender: Female Mason Speech Therapy 1631 Golf View Dr Belleair, FL 33756-1539 (727) 307-1801 Fax: (727) 215-1465 02 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Mcginley, Fotini SLP
Provider ID: 1041166 Gender: Male Toula Mcginley Inc Subspecialty: Early Steps 7375 Conch Blvd Seminole, FL 33777 (727) 251-7790 00 YRS/18 YRS Mon - Fri 7:00 to 5:00 PCMH: No
Miller, Julia SLP
Provider ID: 1048827 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmullen Booth Rd Safety Harbor, FL 34695-9995 (727) 485-4660 Fax: (727) 789-9204 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Porreca, Tina SLP
Provider ID: 1048076 Gender: Female Speech Connection 926 16th St N, Ste 3 Saint Petersburg, FL 33705-1211 (727) 631-2466 00 YRS/21 YRS Tue, Thu 10:00 to 7:00 PCMH: No
Smith, Erin SLP
Provider ID: 1791828 Gender: Female Therachoice Inc 501 66th St N St Petersburg, FL 33710-6939 (727) 452-1710 Fax: (727) 213-6233 00 YRS/21 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Steffel, Christine SLP
Provider ID: 1048825 Gender: Female Stepping Stones Assessment And Ther Subspecialty: Early Steps 1703 N Mcmln Bth Rd, Unit 1440 Safety Harbor, FL 34695-9653 (727) 485-4660 Fax: (727) 789-9204 00 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Stokes, Sarianna SLP Provider ID: 1040566 Gender: Female Therachoice Inc 111 2nd Ave NE, Ste 900 Saint Petersburg, FL 33701-3474 (813) 690-1327 Fax: (727) 213-6233 00 YRS/130 YRS Mon - Thu 8:00 to 7:00 Fri 8:00 to 5:00 PCMH: No
Thoracic & Cardiovascular Surgery
Bowersock, Angela PA Provider ID: 1168755 Gender: Female Bayfront Health Medical Group 601 7th St S, Ste 530 Saint Petersburg, FL 33701 (727) 553-7450 Fax: (727) 553-7451 18 YRS/130 YRS Mon - Fri 8:00 to 4:00 PCMH: No
Gennara, Thomas PA
Provider ID: 790697 Gender: Male 6006 49th St N, Ste 310 Saint Petersburg, FL 33709 (813) 571-9988 Fax: (813) 571-9922 18 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Gifford, Jason PA Provider ID: 1485183 Gender: Male West Florida Cardiology Network LLC 6006 49th St N, Ste 310 Saint Petersburg, FL 33709-2149 (727) 527-9779 Fax: (727) 522-0415 00 YRS/130 YRS Mon - Thu 8:00 to 5:00 Fri 9:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 367
33453864
Allied Providers
Pinellas
Thoracic & Cardiovascular Surgery -
cont.
Gurney, Stephanie PA Provider ID: 1755019 Gender: Female Johns Hopkins All Childrens Hospita 601 5th St S, Ste 202 Saint Petersburg, FL 33701-4804 (727) 767-6666 Fax: (727) 767-8606 00 YRS/21 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Leek, Joshua PA
Provider ID: 1245940 Gender: Male Cardiac Surgical Associates 6006 49th St N, Ste 310 Saint Petersburg, FL 33709 (727) 527-9779 Fax: (727) 522-0415 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Leek, Joshua PA Provider ID: 1245940 Gender: Male Cardiac Surgical Associates Of Larg 1345 West Bay Dr, Ste 304 Largo, FL 33770 (727) 587-7100 Fax: (727) 585-3290 00 YRS/130 YRS Mon - Fri 9:00 to 5:00 PCMH: No
Urology
Bryan, Chad PA Provider ID: 1498938 Gender: Male Advanced Urology Institute 430 Morton Plant St, Ste 206 Clearwater, FL 33756-3396 (727) 441-1508 Fax: (727) 443-7780 18 YRS/130 YRS Mon - Fri 8:30 to 4:30 PCMH: No
Vascular Surgery
Morningstar, Tracy PA Provider ID: 1349671 Gender: Female Bay Surgical Specialists Pa 2191 9th Ave N, Ste 270 Saint Petersburg, FL 33713-7149 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon - Fri 8:00 to 5:00 PCMH: No
Morningstar, Tracy PA Provider ID: 1349671 Gender: Female Bay Surgical Specialists Pa 900 Carillon Pkwy, Ste 301 Saint Petersburg, FL 33716 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Fri 8:00 to 12:00 PCMH: No
Morningstar, Tracy PA Provider ID: 1349671 Gender: Female Bay Surgical Specialists Pa 960 7th Ave N Saint Petersburg, FL 33705 (727) 821-8101 Fax: (727) 825-1357 18 YRS/130 YRS Mon, Fri 8:00 to 12:00 Wed 1:00 to 5:00 PCMH: No
Updated for: July, 2020.
www.wellcare.com/Florida 368
33453864
Pharmacy
Pasco
Retail
1st Choice Pharmacy
2208 Us Highway 19 Holiday, FL 34691 (727) 934-1300 Fax: (727) 674-1885 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
3d Wellness Specialty Phcy
30124 State Road 54 Wesley Chapel, FL 33543 (813) 428-6000 Fax: (813) 527-6256 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Ab Specialty Pharmacy Inc
2311 Seven Springs Blvd New Port Richey, FL 34655 (727) 375-9520 Fax: (727) 375-9552 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 5:00
American Care Of North Florida Inc
5307 Main St New Port Richey, FL 34652 (727) 900-7788 Fax: (727) 264-0464 00 YRS/99 YRS Languages: Spanish Mon - Sat 8:00 to 9:00
Aum Pharmacy
2646 Narnia Way Unit 101 Land O Lakes, FL 34638 (813) 388-6875 Fax: (813) 388-6871 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 369
Be Well Pharmacy
5429 Little Rd New Port Richey, FL 34655 (727) 372-5600 Fax: (727) 372-5603 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Benzer Pharmacy
2653 Bruce B Downs Blvd #115 Wesley Chapel, FL 33544 (813) 991-9200 Fax: (813) 435-2454 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Benzer Pharmacy
3535 Us Highway 19 New Port Richey, FL 34652 (727) 848-8400 Fax: (813) 435-2454 00 YRS/99 YRS Mon - Fri 9:00 to 5:30 Sat 10:00 to 1:00
Benzer Pharmacy
34490 Cortez Blvd Ridge Manor, FL 33523 (352) 437-6851 Fax: (352) 437-6852 00 YRS/99 YRS Mon - Fri 8:30 to 5:00
Benzer Pharmacy
38160 Medical Center Ave Zephyrhills, FL 33540 (813) 388-2908 Fax: (813) 388-2911 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Blake Pharmacy
5628 Trouble Creek Rd New Port Richey, FL 34652 (727) 846-7600 Fax: (727) 846-8866 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00
CVS Pharmacy
36440 State Road 54 Zephyrhills, FL 33541 (813) 782-9515 Fax: (813) 788-0532 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
7325 State Road 54 New Port Richey, FL 34653 (727) 376-7415 Fax: (727) 376-7356 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
2513 Us Highway 19 Holiday, FL 34691 (727) 937-5193 Fax: (727) 942-6310 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
12015 Little Rd Hudson, FL 34667 (727) 862-3573 Fax: (727) 862-5185 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
33453864
Pharmacy
Pasco
Retail - cont.
CVS Pharmacy 30050 County Line Rd Wesley Chapel, FL 33543 (813) 907-1423 Fax: (813) 994-6367 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00
CVS Pharmacy 13839 Little Rd Hudson, FL 34667 (727) 868-9420 Fax: (727) 863-5175 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy 37943 Eiland Blvd Zephyrhills, FL 33542 (813) 788-0224 Fax: (813) 788-0955 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
CVS Pharmacy
5606 Post Oak Blvd Wesley Chapel, FL 33544 (813) 973-3786 Fax: (813) 991-5832 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 12804 Us Highway 301 Dade City, FL 33525 (352) 567-5656 Fax: (352) 567-9615 00 YRS/99 YRS Mon - Sun 8:00 to 9:00
CVS Pharmacy 11938 Us Highway 19 Port Richey, FL 34668 (727) 868-9408 Fax: (727) 862-5351 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 11500 Ridge Rd New Port Richey, FL 34654 (727) 856-1334 Fax: (727) 856-1458 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy 7071 Mitchell Blvd New Port Richey, FL 34655 (727) 376-8181 Fax: (727) 372-6408 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy
7120 Ridge Rd Port Richey, FL 34668 (727) 848-3442 Fax: (727) 843-8092 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 1929 Bruce B Downs Blvd Wesley Chapel, FL 33544 (813) 991-1293 Fax: (813) 991-5761 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
CVS Pharmacy 10925 State Road 54 New Port Richey, FL 34655 (727) 372-9030 Fax: (727) 372-9386 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 34502 Sr 54 Zephyrhills, FL 33541 (813) 782-1865 Fax: (813) 782-6827 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 5432 Us Highway 19 New Port Richey, FL 34652 (727) 843-8645 Fax: (727) 843-8655 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
3511 Us Highway 19 New Port Richey, FL 34652 (727) 841-8205 Fax: (727) 841-8271 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 1201 County Rd 581 Wesley Chapel, FL 33544 (813) 907-6682 Fax: (813) 528-4690 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 370
33453864
Pharmacy
Pasco
Retail - cont.
CVS Pharmacy
2900 Little Rd Trinity, FL 34655 (727) 376-5466 Fax: (727) 264-5113 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
Doctors Choice Pharmacy
7239 State Rd 52 Bayonet Point, FL 34667 (727) 697-1090 Fax: (727) 697-1074 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00
Drug Store Healthmart 7535 Medical Dr Unit 1 Hudson, FL 34667 (727) 869-3784 Fax: (727) 869-3783 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Eckerds Pharmacy
9035 Little Rd New Port Richey, FL 34654 (727) 877-6603 Fax: (727) 877-6605 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:30
Elfers Pharmacy Healthmart
6113 State Road 54 New Port Richey, FL 34653 (727) 849-6000 Fax: (727) 849-6007 00 YRS/99 YRS Mon - Fri 8:30 to 6:00 Sat 10:00 to 2:00
Updated for: July, 2020.
www.wellcare.com/Florida 371
Embassy Pharmacy
9320 Us Hwy 19 N Port Richey, FL 34668 (727) 842-3400 Fax: (727) 842-3800 00 YRS/99 YRS Languages: Spanish, German, Arabic Mon - Fri 8:30 to 5:00 Sat 9:00 to 2:00
Fl Med Clinic Phcy Of Wiregrass
2352 Bruce B Downs Blvd Wesley Chapel, FL 33543 (813) 751-3377 Fax: (813) 377-1672 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 6:00
Florida Medical Clinic
38045 Market Sq Zephyrhills, FL 33542 (813) 715-0354 Fax: (813) 779-8049 00 YRS/99 YRS Mon - Fri 8:00 to 6:00
Florida Pharmacy 5445 James St New Port Richey, FL 34652 (727) 848-8300 Fax: (727) 848-8330 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Florida Pharmacy 5445 James St New Port Richey, FL 34652 (727) 848-8300 Fax: (727) 848-8330 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Genoa Healthcare LLC
8002 King Helie Blvd Ste Pharm New Port Richey, FL 34653 (727) 645-4457 Fax: (727) 815-1950 00 YRS/99 YRS Mon - Fri 8:00 to 5:00
Graceland Phcy And Medical Supply
21625 Vlg Lk Shopping Ctr Dr Land O Lakes, FL 34639 (813) 467-8400 Fax: (813) 441-7150 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Hudson Pharmacy
8117 State Road 52 Hudson, FL 34667 (727) 378-5882 Fax: (727) 378-5883 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 5:00
Jacks Pharmacy
7813 Mitchell Blvd Ste 113 Trinity, FL 34655 (727) 375-9999 Fax: (727) 375-9920 00 YRS/99 YRS Mon - Fri 10:00 to 6:00
Js Pharmacy
6416 Ridge Rd Port Richey, FL 34668 (727) 847-2211 Fax: (800) 507-0829 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
33453864
Pharmacy
Pasco
Retail - cont.
Land O Lakes Pharmacy
7040 Land O Lakes Blvd Unit 10 Land O Lakes, FL 34638 (813) 803-7303 Fax: (813) 803-7305 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:30 to 6:00 Sat 10:00 to 12:00
Lily Care Pharmacy
8811 State Road 52 Ste 11 Hudson, FL 34667 (727) 233-9908 Fax: (727) 233-9910 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:00 to 6:00
Little Road Pharmacy
4211 Little Rd Unit 4 New Port Richey, FL 34655 (727) 372-5222 Fax: (727) 372-5225 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Magnolia Pharmacy
12525 Curley St San Antonio, FL 33576 (352) 588-3330 Fax: (352) 588-3337 00 YRS/99 YRS Mon - Fri 9:00 to 5:30 Sat 9:00 to 12:00
Marine Pharmacy
5016 Us Hwy 19 New Port Richey, FL 34652 (727) 418-6900 Fax: (727) 807-5470 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Maxcare Pharmacy
6624 Us Highway 19 New Port Richey, FL 34652 (727) 807-7050 Fax: (727) 807-6050 00 YRS/99 YRS Languages: Arabic Mon - Fri 10:00 to 6:00
Medicine Shoppe Pharmacy
10720 State Road 54 Ste 103 New Port Richey, FL 34655 (727) 375-2502 Fax: (727) 375-2508 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Medicine Shoppe Pharmacy
4539 Grand Blvd New Port Richey, FL 34652 (727) 845-5550 Fax: (727) 848-3346 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Medilink Pharmacy
11618 Us Highway 19 Port Richey, FL 34668 (727) 819-8200 Fax: (727) 819-9100 00 YRS/99 YRS Languages: Hindi, Vietnamese Mon - Fri 9:00 to 5:00
Medilink Pharmacy
5812 State Road 54 New Port Richey, FL 34652 (727) 846-1300 Fax: (727) 846-1310 00 YRS/99 YRS Languages: Hindi, Vietnamese Mon - Fri 9:00 to 6:00
Nimoh Phcy & Compounding LLC
12878 Us Highway 301 Dade City, FL 33525 (352) 437-5985 Fax: (352) 437-5986 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Updated for: July, 2020.
www.wellcare.com/Florida 372
Rays Pharmacy
1936 Us Highway 19 N Holiday, FL 34691 (727) 945-8200 Fax: (727) 945-8600 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Ricx Pharmacy
10618 Devco Dr Port Richey, FL 34668 (727) 863-4034 Fax: (727) 863-5690 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Rowan Discount Pharmacy
4140 Rowan Rd New Port Richey, FL 34653 (727) 372-1070 Fax: (727) 372-1357 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Royal Pharmacy 5335 Main St New Port Richey, FL 34652 (727) 845-8000 Fax: (727) 845-8008 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00 Sat 10:00 to 12:00
Rx Care Pharmacy
38008 North Ave Zephyrhills, FL 33542 (813) 780-7216 Fax: (813) 780-6888 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
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Rx Care Pharmacy & Kwik Mart 14306 7th St Dade City, FL 33523 (352) 567-2238 Fax: (352) 567-2259 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Rx Discount Pharmacy
12620 Us Highway 301 Dade City, FL 33525 (352) 521-0155 Fax: (352) 521-0675 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Sams Club Pharmacy 27727 State Road 56 Wesley Chapel, FL 33544 (813) 929-7095 Fax: (813) 929-7097 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00
Sams Club Pharmacy
4330 Us Highway 19 New Port Richey, FL 34652 (727) 815-1483 Fax: (727) 815-9574 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00
Save N Care Pharmacy 13850 Little Rd Hudson, FL 34667 (727) 863-5200 Fax: (727) 863-5225 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Updated for: July, 2020.
www.wellcare.com/Florida 373
South Lake Pharmacy 38101 5th Ave Zephyrhills, FL 33542 (813) 395-5667 Fax: (813) 715-2478 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00
St Josephs Pharmacy
35780 State Road 54 Ste 101 Zephyrhills, FL 33541 (813) 782-4854 Fax: (813) 569-0105 00 YRS/99 YRS Languages: Spanish Mon - Sun 8:00 to 4:00
Starcare Pharmacy 7200 Ridge Rd Ste #106 Port Richey, FL 34668 (727) 312-4888 Fax: (727) 312-4889 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Staywell Pharmacy
10112 Us High Way 19 Port Richey, FL 34668 (727) 378-4548 Fax: (727) 378-4533 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Summergate Pharmacy 27432 Cashford Cir Ste 101 Wesley Chapel, FL 33544 (813) 667-6100 Fax: (813) 667-6200 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00
Suntrust Pharmacy 6237 Ridge Rd Port Richey, FL 34668 (727) 914-5900 Fax: (727) 835-7831 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Trust Pharmacy
9340 Little Rd New Port Richey, FL 34654 (727) 233-6400 Fax: (727) 378-6709 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Walmart Pharmacy 8745 State Road 54 New Port Richey, FL 34655 (727) 376-5545 Fax: (727) 376-0827 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
12610 Us Highway 19 Hudson, FL 34667 (727) 861-0050 Fax: (727) 861-0052 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 7631 Gall Blvd Zephyrhills, FL 33541 (813) 782-4110 Fax: (813) 788-5293 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
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Walmart Pharmacy 8701 Us Highway 19 Port Richey, FL 34668 (727) 846-1093 Fax: (727) 849-7950 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
12650 Us Highway 301 Dade City, FL 33525 (352) 567-1771 Fax: (352) 567-1773 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 8745 Little Rd New Port Richey, FL 34654 (727) 264-5224 Fax: (727) 264-5223 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
28500 State Road 54 Wesley Chapel, FL 33543 (813) 262-6844 Fax: (813) 262-2182 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Winn-Dixie Pharmacy 27301 Wesley Chapel Blvd Wesley Chapel, FL 33544 (813) 994-6630 Fax: (813) 994-8510 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 374
Winn-Dixie Pharmacy 14134 Us Highway 19 Hudson, FL 34667 (727) 869-3114 Fax: (727) 861-2412 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 6:00
Winn-Dixie Pharmacy
12120 Moon Lake Rd New Port Richey, FL 34654 (727) 856-3588 Fax: (727) 856-2705 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 9:00 to 6:00
Winn-Dixie Pharmacy 1640 Us Highway 19 Holiday, FL 34691 (727) 938-3731 Fax: (727) 943-8256 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 8:00 to 6:00 Sun 9:00 to 5:00
Winn-Dixie Pharmacy
6400 Massachusetts New Port Richey, FL 34653 (727) 841-8645 Fax: (727) 842-7916 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00
Wisdom Pharmacy 4932 Moog Road Holiday, FL 34690 (727) 935-7039 Fax: (727) 935-1032 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 5:00 Sat 9:00 to 1:00
Xtra Discount Drugs 6953 Gall Blvd Zephyrhills, FL 33542 (813) 788-7885 Fax: (813) 788-0950 00 YRS/99 YRS Mon - Sat 9:00 to 6:00
Z Orange Pharmacy
7268 Sr 54 New Port Richey, FL 34653 (727) 312-3155 Fax: (727) 312-3166 00 YRS/99 YRS Languages: German, Arabic Mon - Fri 9:00 to 6:30 Sat 10:00 to 2:00
Zephyrhills Community Pharmacy
6242 Gall Blvd Zephyrhills, FL 33542 (813) 395-6161 Fax: (866) 991-4552 00 YRS/99 YRS Languages: Hindi Mon - Fri 8:00 to 8:00 Sat 9:00 to 4:00 Sun 10:00 to 3:00
Zephyrhills Pharmacy
36600 State Road 54 Zephyrhills, FL 33541 (813) 815-7000 Fax: (813) 563-0019 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
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1st Choice Pharmacy 4105 49th St N Ste B St Petersburg, FL 33709 (727) 954-8877 Fax: (727) 329-8872 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 5:00
1st Choice Pharmacy
4105 49th St N Ste B St Petersburg, FL 33709 (727) 954-8877 Fax: (727) 329-8872 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Ahf Pharmacy 3400 26th Ave S St Petersburg, FL 33711 (727) 321-1135 Fax: (888) 877-7293 00 YRS/99 YRS Mon - Tue, Thu - Sat 10:00 to 6:00 Wed 11:00 to 6:00
Ahf Pharmacy - Safety Harbor
3135 State Road 580 Ste 1 Safety Harbor, FL 34695 (727) 259-2000 Fax: (888) 877-7293 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00
Alexander Pharmacy 6540 Park Blvd Pinellas Park, FL 33781 (727) 623-0962 Fax: (727) 329-8711 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Updated for: July, 2020.
www.wellcare.com/Florida 375
All Childrens Outpatient Phcy 501 6th Ave S Saint Petersburg, FL 33701 (727) 767-8933 Fax: (727) 767-8818 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sun 1:00 to 11:00
Amen Pharmacy
521 Dr M L K Jr St North Saint Petersburg, FL 33701 (727) 209-0619 Fax: (727) 209-0625 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:30
Anclote Pharmacy 1933 N Pinellas Ave Tarpon Springs, FL 34689 (727) 944-5800 Fax: (727) 944-5844 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Apex Care Pharmacy
7601 Dr Mlk Jr St N Saint Petersburg, FL 33702 (727) 800-9118 Fax: (727) 810-8339 00 YRS/99 YRS Mon - Fri 8:00 to 7:00 Sat 9:00 to 2:00
Baileys Pharmacy 3065 34th Street N Ste B Saint Petersburg, FL 33713 (727) 256-1410 Fax: (727) 256-1417 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 9:00 to 5:00
Bay Dermat & Cosmetic Surgery 7500 Gulf Blvd St Pete Beach, FL 33706 (727) 258-0625 Fax: (727) 360-1680 00 YRS/99 YRS Mon - Fri 8:00 to 5:00
Bay Life Pharmacy
1235 S Missouri Ave Clearwater, FL 33756 (727) 581-5400 Fax: (727) 581-5411 00 YRS/99 YRS Mon - Fri 9:30 to 5:30
Bay Life Pharmacy 1235 S Missouri Ave Clearwater, FL 33756 (727) 581-5400 Fax: (727) 581-5411 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Bay Life Pharmacy II
5665 Park Street North St Petersburg, FL 33709 (727) 216-6374 Fax: (727) 400-6948 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:30 to 5:30
Bay Life Pharmacy III 3350 East Bay Dr Largo, FL 33771 (727) 614-9933 Fax: (727) 614-9934 00 YRS/99 YRS Mon - Fri 9:30 to 5:30 Sat 10:00 to 1:00
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Bay Life Pharmacy III
3350 E Bay Dr Largo, FL 33771 (727) 614-9933 Fax: (727) 614-9934 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Baycare Homecare
8452 118th Ave Largo, FL 33773 (727) 394-6585 Fax: (727) 394-6540 00 YRS/99 YRS Languages: Hindi Mon - Fri 8:00 to 5:00 Sat 9:00 to 5:00
Baydoun Pharmacy
4749 34th St S Saint Petersburg, FL 33711 (727) 329-8868 Fax: (727) 329-8662 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 7:00 Sat 9:00 to 3:00
Bayview Pharmacy
11270 4th St N Ste 206 Saint Petersburg, FL 33716 (727) 317-5825 Fax: (727) 255-5484 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Benzer Pharmacy
6280 66th St N Pinellas Park, FL 33781 (727) 544-4203 Fax: (813) 435-2454 00 YRS/99 YRS Mon - Fri 9:00 to 5:30 Sat 9:00 to 12:00
Updated for: July, 2020.
www.wellcare.com/Florida 376
CVS Pharmacy
3771 Tampa Rd Oldsmar, FL 34677 (813) 855-5781 Fax: (813) 854-2820 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
2747 Gulf To Bay Blvd Clearwater, FL 33759 (727) 431-0232 Fax: (727) 431-0980 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
CVS Pharmacy
2390 E Bay Dr Largo, FL 33771 (727) 585-4774 Fax: (727) 586-4213 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
4000 E Bay Dr Clearwater, FL 33764 (727) 532-4157 Fax: (727) 538-5679 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
1000 E Tarpon Ave Tarpon Springs, FL 34689 (727) 937-4203 Fax: (727) 942-7687 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat - Sun 8:00 to 8:00
CVS Pharmacy
2200 34th St N Saint Petersburg, FL 33713 (727) 328-7644 Fax: (727) 323-8065 00 YRS/99 YRS Mon - Sun 8:00 to 9:00
CVS Pharmacy
8151 Martin Luther King St N Saint Petersburg, FL 33702 (727) 576-3826 Fax: (727) 828-6088 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 7:00 Tue - Wed 8:00 to 6:00 Sat 9:00 to 5:00 Sun 11:00 to 5:00
CVS Pharmacy
1298 County Road 1 Dunedin, FL 34698 (727) 736-5686 Fax: (727) 734-5593 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00
CVS Pharmacy
845 4th St N Saint Petersburg, FL 33701 (727) 821-1172 Fax: (727) 821-0883 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
13998 Walsingham Rd Largo, FL 33774 (727) 595-2521 Fax: (727) 596-8046 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
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CVS Pharmacy 8905 Bryan Dairy Rd Largo, FL 33777 (727) 393-7542 Fax: (727) 319-9254 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
3426 Central Ave Saint Petersburg, FL 33711 (727) 321-1257 Fax: (727) 327-3823 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 7101 Park Blvd N Pinellas Park, FL 33781 (727) 544-1200 Fax: (727) 544-1044 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy
2100 66th St N Saint Petersburg, FL 33710 (727) 345-3599 Fax: (727) 384-6763 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 23682 Us Highway 19 N Clearwater, FL 33765 (727) 799-0910 Fax: (727) 725-9231 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 377
CVS Pharmacy 2528 N Mcmullen Booth Rd Clearwater, FL 33761 (727) 797-5803 Fax: (727) 796-9602 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
4450 Park St N Saint Petersburg, FL 33709 (727) 541-3930 Fax: (727) 828-6101 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
CVS Pharmacy 7400 49th St N Pinellas Park, FL 33781 (727) 544-1491 Fax: (727) 541-6123 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
7405 Starkey Rd Largo, FL 33777 (727) 391-9728 Fax: (727) 399-2095 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy 5801 Central Ave Saint Petersburg, FL 33710 (727) 343-8116 Fax: (727) 347-1284 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy 7850 131st St Seminole, FL 33776 (727) 398-4489 Fax: (727) 391-1468 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy
51 Missouri Ave N Largo, FL 33770 (727) 518-2951 Fax: (727) 518-8461 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy 5400 4th St N Saint Petersburg, FL 33703 (727) 525-2184 Fax: (727) 522-6801 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
CVS Pharmacy
3765 Ulmerton Rd Clearwater, FL 33762 (727) 573-3383 Fax: (727) 572-5716 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00
CVS Pharmacy 975 Tampa Rd Palm Harbor, FL 34683 (727) 772-8119 Fax: (727) 772-7748 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
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CVS Pharmacy
8001 9th St N Saint Petersburg, FL 33702 (727) 577-6888 Fax: (727) 576-6226 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
CVS Pharmacy
467 Mandalay Ave Clearwater Beach, FL 33767 (727) 447-6429 Fax: (727) 441-1619 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 5:00
CVS Pharmacy
4260 6th St S Saint Petersburg, FL 33705 (727) 896-3119 Fax: (727) 823-2250 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 10:00 to 6:00 Sun 10:00 to 5:00
CVS Pharmacy
5345 66th St N Saint Petersburg, FL 33709 (727) 548-5768 Fax: (727) 548-5761 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
2390 Belcher Rd S Largo, FL 33771 (727) 533-0731 Fax: (727) 533-8632 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 378
CVS Pharmacy
294 37th Ave N Saint Petersburg, FL 33704 (727) 896-3166 Fax: (727) 823-0341 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat - Sun 8:00 to 6:00
CVS Pharmacy
3501 54th Ave S Saint Petersburg, FL 33711 (727) 864-1546 Fax: (727) 864-9800 00 YRS/99 YRS Mon - Sun 8:00 to 9:00
CVS Pharmacy
30387 Us Highway 19 N Clearwater, FL 33761 (727) 781-2955 Fax: (727) 781-2965 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
CVS Pharmacy
301 3rd St S Saint Petersburg, FL 33701 (727) 822-7115 Fax: (727) 820-9877 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
2200 Gulf To Bay Blvd Clearwater, FL 33765 (727) 791-3548 Fax: (727) 791-0669 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
10200 Seminole Blvd Seminole, FL 33778 (727) 395-0139 Fax: (727) 395-9829 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
15129 Madeira Way Madeira Beach, FL 33708 (727) 397-5535 Fax: (727) 398-1049 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
6820 Gulfport Blvd S Saint Petersburg, FL 33707 (727) 345-9103 Fax: (727) 347-1844 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
700 E Lake Rd Palm Harbor, FL 34685 (727) 785-6838 Fax: (727) 787-3134 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
2175 Main St Dunedin, FL 34698 (727) 733-6241 Fax: (727) 736-8396 00 YRS/99 YRS Mon - Fri 8:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
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CVS Pharmacy
10195 66th St N Pinellas Park, FL 33782 (727) 541-4681 Fax: (727) 545-4301 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
7150 Us 19 N Pinellas Park, FL 33781 (727) 803-0023 Fax: (727) 324-2704 00 YRS/99 YRS Mon, Thu - Fri 10:00 to 7:00 Tue - Wed 8:00 to 6:00 Sat - Sun 11:00 to 5:00
CVS Pharmacy
5405 49th St N Saint Petersburg, FL 33709 (727) 527-8285 Fax: (727) 527-8345 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
4685 Gulf Blvd Saint Pete Beach, FL 33706 (727) 360-0818 Fax: (727) 367-1049 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
CVS Pharmacy
1 S Missouri Ave Clearwater, FL 33756 (727) 446-6037 Fax: (727) 461-7627 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 6:00 Sun 10:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 379
CVS Pharmacy
10500 Ulmerton Rd Largo, FL 33771 (727) 581-4424 Fax: (727) 431-3508 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
CVS Pharmacy
900 E Lake Rd Palm Harbor, FL 34685 (727) 784-5771 Fax: (727) 431-3528 00 YRS/99 YRS Mon, Thu - Fri 9:00 to 8:00 Tue - Wed 8:00 to 7:00 Sat - Sun 9:00 to 6:00
CVS Pharmacy
1899 N Highland Ave Clearwater, FL 33755 (727) 441-4585 Fax: (727) 449-1377 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat - Sun 10:00 to 6:00
Can Comm Health Phcy Of Clear-water
2349 Sunset Point Rd Suite 404 Clearwater, FL 33765 (727) 498-4974 Fax: (727) 456-8072 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:30 to 5:30
Care Plus Pharmacy
33915 Us Highway 19 N Palm Harbor, FL 34684 (727) 784-6200 Fax: (727) 784-6210 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Carepoint Pharmacy
10753 Park Blvd Seminole, FL 33772 (855) 237-9112 Fax: (855) 237-9113 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:30 to 5:00
Community Health Ctrs Of Pinellas
1344 22nd St S Saint Petersburg, FL 33712 (727) 824-8131 Fax: (727) 894-2734 00 YRS/99 YRS Mon - Fri 8:00 to 5:00
Comprehensive Ht Oncology
5000 Park St Suite 1025 St Petersburg, FL 33709 (727) 954-8213 Fax: (727) 623-9317 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:00
Curant Health Florida
11001 Roosevelt Blvd N Ste 140 Saint Petersburg, FL 33716 (866) 448-8040 Fax: (866) 461-8411 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:30 to 5:30
Curlew Pharmacy 30226 Us Highway 19 N Clearwater, FL 33761 (727) 773-1600 Fax: (727) 773-1700 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
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Retail - cont.
Curlew Pharmacy 30226 Us 19 N Clearwater, FL 33761 (727) 773-1600 Fax: (727) 773-1700 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
Danang Pharmacy
5944 34th St N Ste 1 Saint Petersburg, FL 33714 (727) 623-9854 Fax: (727) 623-9856 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Dedicated Senior Healthcare 855 S. Highland Ave Clearwater, FL 33756 (727) 219-1833 Fax: (727) 219-1833 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00
Dedicated Senior Healthcare
901 22nd Ave South Saint Petersburg, FL 33705 (727) 310-0925 Fax: (727) 310-0925 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00
Dedicated Senior Med Ctr Largo
7050 Ulmerton Rd Largo, FL 33771 (305) 628-6117 Fax: (305) 363-5989 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 4:00
Updated for: July, 2020.
www.wellcare.com/Florida 380
Edwards Pharmacy 12071 Indian Rocks Rd Largo, FL 33774 (727) 724-4171 Fax: (813) 435-2454 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 5:30 Sat 9:00 to 12:00
Empath Health Pharmacy
11701 Belcher Rd S Ste 128 Largo, FL 33773 (727) 523-2515 Fax: (727) 523-2536 00 YRS/99 YRS Languages: Spanish Mon - Sun 12:00 to 12:00
Empath Health Pharmacy 3050 1st Ave S St Petersburg, FL 33712 (727) 209-3500 Fax: (727) 209-3501 00 YRS/99 YRS Mon - Fri 8:00 to 5:00
Florida Coast Foot And Ankle
1001 37th St N Ste F Saint Petersburg, FL 33713 (727) 384-3338 Fax: (727) 347-3668 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Fmc Pharmacy Services 11001 Danka Way N Ste 2 Saint Petersburg, FL 33716 (800) 947-3131 Fax: (877) 801-8789 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:00 to 5:00
Fusion Pharmaceuticals 28821 Us Highway 19 N Clearwater, FL 33761 (813) 540-0066 Fax: (813) 510-5350 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 Sat 10:00 to 12:00
G And H Pharmacy
8091 66th St N Pinellas Park, FL 33781 (727) 209-9999 Fax: (727) 209-9977 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Genoa-Qol Healthcare 4024 Central Ave Saint Petersburg, FL 33711 (727) 327-7262 Fax: (727) 323-8624 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:30 to 5:30
Genoa-Qol Healthcare
1437 S Belcher Rd Clearwater, FL 33764 (727) 533-9073 Fax: (727) 531-8500 00 YRS/99 YRS Languages: Spanish Mon - Fri 8:30 to 5:00
Good Samaritan Pharmacy 33130 Us Highway 19 N Palm Harbor, FL 34684 (727) 785-2640 Fax: (727) 784-0701 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 10:00 to 1:00
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Guardian Pharmacy 9402 International Ct N Saint Petersburg, FL 33716 (727) 577-0000 Fax: (727) 577-5100 00 YRS/99 YRS Mon - Sun 7:30 to 11:00
Gulfport Pharmacy 5004 Gulfport Blvd S Gulfport, FL 33707 (727) 223-1075 Fax: (727) 388-8217 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 5:00
Healthmed Pharmacy
1839 Central Ave Fl 1 Saint Petersburg, FL 33713 (727) 894-3001 Fax: (727) 894-3000 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00
Highland Pharmacy Inc 1224 S Highland Ave Clearwater, FL 33756 (727) 446-2331 Fax: (727) 446-9400 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Inspire Pharmacy
2019 Gulf To Bay Blvd Clearwater, FL 33765 (727) 441-6900 Fax: (727) 279-4000 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 9:00 to 2:00
J&k Care Pharmacy 756 N Belcher Rd Clearwater, FL 33765 (727) 447-6622 Fax: (727) 446-2288 00 YRS/99 YRS Languages: German, Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 1:00
Joint Scripts 612 Druid Rd E Ste C Clearwater, FL 33756 (727) 756-4008 Fax: (727) 316-5016 00 YRS/99 YRS Mon - Thu 8:00 to 5:00 Fri 8:00 to 2:00
King Phcy & Compounding LLC
31201 Us Hwy 19 N Ste 1 Palm Harbor, FL 34684 (727) 772-6868 Fax: (727) 279-4851 00 YRS/99 YRS Mon - Thu 9:00 to 6:00 Fri 9:30 to 6:00
Lake Seminole Pharmacy 9117 Park Blvd N Seminole, FL 33777 (727) 592-4588 Fax: (727) 592-4541 00 YRS/99 YRS Mon - Fri 10:00 to 6:00
Lakeland Community Pharmacy 1206 Pasadena Ave S South Pasadena, FL 33707 (727) 347-5151 Fax: (727) 345-5153 00 YRS/99 YRS Mon, Wed - Fri 12:00 to 5:00 Tue 12:00 to 5:30
Lincourt Assisted Living. Inc 501 Lincoln Ave Ste 10 Clearwater, FL 33756 (727) 479-3048 Fax: (727) 479-3047 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Lincourt Pharmacy 501 S Lincoln Ave Suite 10 Clearwater, FL 33756 (727) 447-4248 Fax: (727) 445-9604 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Mail Meds Clinical Pharmacy
3251 3rd Ave N St Petersburg, FL 33713 (800) 939-2022 Fax: (855) 523-0910 00 YRS/99 YRS Languages: Chinese, German, Hindi, Arabic Mon - Fri 9:00 to 5:30
Main Street Pharmacy 531 Main St Ste K Safety Harbor, FL 34695 (727) 330-7530 Fax: (727) 286-8932 00 YRS/99 YRS Mon - Sat 9:00 to 5:30
Medicine Shoppe Pharmacy
938 Patricia Ave Dunedin, FL 34698 (727) 733-0404 Fax: (727) 733-0594 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 3:00
Updated for: July, 2020.
www.wellcare.com/Florida 381
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Medicine Shoppe Pharmacy
1555 E Bay Dr Ste K Largo, FL 33771 (727) 501-0188 Fax: (727) 501-0185 00 YRS/99 YRS Languages: Italian Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Medicine Shoppe Pharmacy
6401 Dr M L K Jr St N Saint Petersburg, FL 33702 (727) 527-5778 Fax: (727) 526-6990 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Michaels Pharmacy
11987 Seminole Blvd Largo, FL 33778 (727) 585-2000 Fax: (727) 585-2099 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00
Mp Pharmacy
28813 Us Highway 19 N Clearwater, FL 33761 (727) 240-0271 Fax: (727) 683-9467 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Np Pharmacy
7644 Park Blvd Pinellas Park, FL 33781 (727) 685-0268 Fax: (727) 685-0481 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Updated for: July, 2020.
www.wellcare.com/Florida 382
Option Care
2880 Scherer Dr N Ste 850 Saint Petersburg, FL 33716 (800) 396-2933 Fax: (727) 592-0050 00 YRS/99 YRS Mon - Fri 8:30 to 6:00
Palm Harbor Pharmacy
2595 Tampa Rd. Ste E Palm Harbor, FL 34684 (727) 787-2273 Fax: (727) 787-0044 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Pharmaco Med Shop
2640 Bayshore Blvd Dunedin, FL 34698 (727) 754-9497 Fax: (727) 281-4444 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 9:00 to 12:00
Pharmacy Express & Medical Supply
28805 Us Hwy 19 N Clearwater, FL 33761 (407) 273-0021 Fax: (407) 273-0024 00 YRS/99 YRS Mon - Fri 8:00 to 6:00 Sat 10:00 to 2:00
Pharmacy Innovations
4000 Park St N St Petersburg, FL 33709 (727) 381-9799 Fax: (727) 347-2050 00 YRS/99 YRS Mon - Fri 10:00 to 6:00
Pharmalabs
10901 Roosevelt Blvd N # 1200c Saint Petersburg, FL 33716 (727) 498-1228 Fax: (888) 247-0840 00 YRS/99 YRS Languages: French, German, Hindi, Hebrew Mon - Thu 9:00 to 6:00 Fri 9:00 to 5:00
Pharmerica
2200 Tall Pines Dr # Suite118 Largo, FL 33771 (727) 524-9333 Fax: (800) 330-2049 00 YRS/99 YRS Mon - Sun 12:00 to 12:00
Prime Rx Pharmacy
4860 48th Ave N Saint Petersburg, FL 33714 (727) 522-3222 Fax: (727) 522-7111 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:30 to 6:00 Sat 9:30 to 1:00
Publix Super Markets
Publix Pharmacy 300 Pinellas Clearwater, FL 33756 (727) 462-3311 Fax: (727) 333-6073 00 YRS/99 YRS Mon - Fri 8:00 to 7:00
Publix Super Markets
Publix Pharmacy 1840 Mease Dr Ste 100 Safety Harbor, FL 34695 (727) 499-0085 Fax: (727) 499-0142 00 YRS/99 YRS Mon - Fri 8:00 to 7:00
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Publix Super Markets Publix Pharmacy 620 10th St N Ste 101 Saint Petersburg, FL 33705 (727) 502-4144 Fax: (727) 502-4143 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat - Sun 9:00 to 1:00
Quick Pharmacy
6578 Central Ave Saint Petersburg, FL 33707 (727) 258-4892 Fax: (727) 458-4892 00 YRS/99 YRS Languages: Spanish, Hindi Mon - Fri 10:00 to 5:00
Sams Club Pharmacy 1725 34th St N Saint Petersburg, FL 33713 (727) 369-0518 Fax: (727) 369-0512 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00
Sams Club Pharmacy
2575 Gulf To Bay Blvd Clearwater, FL 33765 (727) 712-1363 Fax: (727) 712-1394 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00
Sams Club Pharmacy 7001 Park Blvd N Pinellas Park, FL 33781 (727) 547-6411 Fax: (727) 547-6663 00 YRS/99 YRS Mon - Fri 9:00 to 7:00 Sat 9:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 383
Scotts Rx 2215 N Hercules Ave Clearwater, FL 33763 (727) 733-4100 Fax: (727) 733-8426 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Scripts Pharmacy
4910 34th St S Saint Petersburg, FL 33711 (727) 867-4900 Fax: (727) 867-4999 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Shepherd Pharmacy 7191 66th St N Pinellas Park, FL 33781 (727) 873-7444 Fax: (727) 592-2945 00 YRS/99 YRS Mon - Fri 9:00 to 6:00
Shields Pharmacy
2196 Main St Ste A Dunedin, FL 34698 (727) 648-2680 Fax: (727) 648-2695 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Southcare Pharmacy 6499 38th Ave N Ste A1 Saint Petersburg, FL 33710 (727) 344-3902 Fax: (727) 343-1356 00 YRS/99 YRS Mon - Fri 9:00 to 5:00 Sat 9:00 to 12:00
Southcare Pharmacy Inc 6499 38th Ave N (A-1) Saint Petersburg, FL 33710 (727) 344-3902 Fax: (727) 344-1356 00 YRS/99 YRS Mon - Fri 9:00 to 5:30 Sat 9:00 to 12:00
St Luke Pharmacy
2019 Gulf To Bay Blvd Clearwater, FL 33765 (727) 754-7851 Fax: (727) 754-7852 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:00
St Marks Pharmacy 4954 Ridgemoor Blvd Palm Harbor, FL 34685 (727) 772-7070 Fax: (727) 772-7010 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 7:00
St Mary Pharmacy
1290 W Bay Dr Largo, FL 33770 (727) 585-1333 Fax: (727) 585-1344 00 YRS/99 YRS Languages: French, Arabic Mon - Fri 9:00 to 6:30 Sat 10:00 to 3:30
St Mary Pharmacy II 30606 Us Highway 19 N Palm Harbor, FL 34684 (727) 773-9000 Fax: (727) 773-9001 00 YRS/99 YRS Languages: Arabic Mon - Fri 9:00 to 6:30 Sat 10:00 to 2:00
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St Petersburg Pharmacy 6399 38th Ave N Ste A-5 St Petersburg, FL 33710 (727) 201-9500 Fax: (727) 851-6602 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Sun Pharmacy
3320 Scherer Dr N Ste A Saint Petersburg, FL 33716 (888) 228-5230 Fax: (727) 391-8480 00 YRS/99 YRS Mon - Fri 7:00 to 12:00 Sat 7:00 to 10:00
Sunlife Pharmacy 3420 Tampa Road Palm Harbor, FL 34684 (727) 491-8300 Fax: (727) 491-8400 00 YRS/99 YRS Languages: Hindi Mon - Fri 10:00 to 6:00 Sat 10:00 to 1:00
Tampa Road Pharmacy
3705 Tampa Rd Ste 19 Oldsmar, FL 34677 (813) 925-9666 Fax: (813) 925-9664 00 YRS/99 YRS Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Tarpon Discount Drugs 742 S Pinellas Ave Tarpon Springs, FL 34689 (727) 934-3400 Fax: (727) 934-3440 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Updated for: July, 2020.
www.wellcare.com/Florida 384
The Green Cross Pharmacy 701 6th St South #1-5040 Saint Petersburg, FL 33701 (727) 893-6334 Fax: (727) 893-6337 00 YRS/99 YRS Languages: Spanish Mon - Fri 9:00 to 6:00
Trust Pharmacy
36515 Us Highway 19 N Palm Harbor, FL 34684 (727) 781-7400 Fax: (727) 781-7433 00 YRS/99 YRS Languages: Spanish, Arabic Mon - Fri 9:00 to 6:30 Sat 10:00 to 2:00
Trust Pharmacy 36515 Us Highway 19 N Palm Harbor, FL 34684 (727) 781-7400 Fax: (727) 781-7433 00 YRS/99 YRS Languages: French, Arabic Mon - Fri 9:00 to 6:00 Sat 10:00 to 2:00
Urban Specialty Pharmacy
1617 34th St South Ste A St Petersburg, FL 33711 (727) 327-9881 Fax: (727) 327-9884 00 YRS/99 YRS Languages: Hindi Mon - Fri 9:00 to 5:00
V & T Pharmacy 5051 66th St N Ste A St Petersburg, FL 33709 (727) 258-7288 Fax: (727) 258-7244 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:30 to 6:00
Vistacare Pharmacy II 7599 Park Blvd N Ste 100 Pinellas Park, FL 33781 (727) 914-5227 Fax: (727) 914-5228 00 YRS/99 YRS Languages: Vietnamese Mon - Fri 9:00 to 6:00 Sat 9:00 to 1:00
Walmart Pharmacy
2677 Roosevelt Blvd Largo, FL 33760 (727) 431-4914 Fax: (727) 431-3912 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 7500 66th St N Pinellas Park, FL 33781 (727) 202-3120 Fax: (727) 202-3104 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
8001 Us Highway 19 N Pinellas Park, FL 33781 (727) 578-5020 Fax: (727) 578-6463 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 3400 E Lake Rd Palm Harbor, FL 34685 (727) 431-1419 Fax: (727) 431-1418 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
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Walmart Pharmacy 201 34th St N Saint Petersburg, FL 33713 (727) 803-9607 Fax: (727) 803-4962 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
2171 Gulf To Bay Blvd Bldg 10 Clearwater, FL 33765 (727) 431-5904 Fax: (727) 431-4901 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 13817 Walsingham Rd Largo, FL 33774 (727) 593-0316 Fax: (727) 593-0583 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
3501 34th St S Saint Petersburg, FL 33711 (727) 906-4030 Fax: (727) 906-4060 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 35404 Us Highway 19 N Palm Harbor, FL 34684 (727) 784-8897 Fax: (727) 784-6492 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Updated for: July, 2020.
www.wellcare.com/Florida 385
Walmart Pharmacy 3801 Tampa Rd Oldsmar, FL 34677 (813) 854-2391 Fax: (813) 854-3533 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
6900 Us Highway 19 N Pinellas Park, FL 33781 (727) 527-2769 Fax: (727) 527-5032 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 41232 Us Highway 19 N Tarpon Springs, FL 34689 (727) 940-9295 Fax: (727) 940-9290 00 YRS/99 YRS Mon - Fri 9:00 to 8:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
6850 Gulfport Blvd S South Pasadena, FL 33707 (727) 202-3877 Fax: (727) 202-3871 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 9020 Ulmerton Rd Largo, FL 33771 (727) 431-5023 Fax: (727) 431-5017 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 2102 Main St Dunedin, FL 34698 (727) 431-0278 Fax: (727) 431-0155 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
10237 Bay Pines Blvd Saint Petersburg, FL 33708 (727) 345-8319 Fax: (727) 347-1762 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 990 Missouri Ave N Largo, FL 33770 (727) 581-9922 Fax: (727) 586-2264 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy
23106 Us Highway 19 N Clearwater, FL 33765 (727) 724-3403 Fax: (727) 791-7126 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Walmart Pharmacy 1803 N Highland Ave Clearwater, FL 33755 (727) 441-6819 Fax: (727) 443-4327 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
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Winn-Dixie Pharmacy 1049 62nd Ave N Saint Petersburg, FL 33702 (727) 525-0700 Fax: (727) 525-0901 00 YRS/99 YRS Mon - Fri 8:00 to 8:00 Sat 9:00 to 7:00 Sun 10:00 to 6:00
Winn-Dixie Pharmacy
7491 4th St N Saint Petersburg, FL 33702 (727) 528-2123 Fax: (727) 528-2132 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 5:00 Sun 10:00 to 4:00
Winn-Dixie Pharmacy 2139 34th North Saint Petersburg, FL 33713 (727) 323-2911 Fax: (727) 323-7163 00 YRS/99 YRS Mon - Fri 9:00 to 9:00 Sat 9:00 to 6:00 Sun 10:00 to 5:00
Wize Pharmacy
1153 Main St Ste 102 Dunedin, FL 34698 (727) 953-9880 Fax: (727) 953-9882 00 YRS/99 YRS Mon - Fri 9:00 to 5:00
Updated for: July, 2020.
www.wellcare.com/Florida 386
33453864
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.
Ou ka jwenn yon founisè ki pale yon lang diferan nan endèks sa a. Tou dabò chache lang ou bezwen an. Ansuit tcheke espesyalite ak non founisè a.
Afrikaans Physical Therapy
Van Der Merwe, Marijcke PT .359
Speech & Language Pathology
Crotty, Jennifer SLP .................... 363
Albanian Podiatry
Afesllari, Endri DPM ...................... 82
American Sign Language Psychiatry
Dempsey, Donna APRN ...........262
Arabic Dermatology
Moreno Cabasos, Maria APRN ............................................................. 322
Family Practice
Hanai, Hisham MD ..........................12
Lewis-Serag, Maha MD .................13
Serag, Sherif MD ............................. 14
General Surgery
Fikry, Driss PA ................................ 325
Osman-Mohamed, Hussein MD ............................................................... 118
Hematology & Oncology
Mace, Joseph MD ......................... 123
Nakhl, Fadi MD .............................. 124
Hematology
Knipe, Richard MD ....................... 122
Infectious Disease
Levenson, Jeffrey MD ................ 126
Internal Medicine
Chambers, Nelly MD ......................3
Faltas, Wael MD ................................3
Korbaj, Rabee MD .......................... 16
Saba, Fadi MD .................................. 18
Interventional Cardiology
Omar, Sabry MD ............................. 51
Medical Oncology
Knipe, Richard MD ....................... 133
Obstetrics/Gynecology
Salem, Areej MD ............................. 61
Pediatric Cardiology
Ballal, Natraj MD ............................ 75
Pediatrics
Awad, Reda MD ................................5
Boles, Elia MD .....................................5
Lokesh, Haravu MD .........................7
Pulmonary Disease
Kanaan, Rana MD .........................224
Quefatieh, Amir MD .................... 84
Radiation Oncology
Bishay, Sawsan MD ....................... 85
Retail
1st Choice Pharmacy .................. 375
Bay Life Pharmacy III .................376
Bay Life Pharmacy ...................... 375
Baydoun Pharmacy ....................376
Be Well Pharmacy .......................369
Care Plus Pharmacy ....................379
Embassy Pharmacy ...................... 371
Inspire Pharmacy ..........................381
J&k Care Pharmacy ......................381
Mail Meds Clinical Pharmacy ..381
Maxcare Pharmacy ..................... 372
Michaels Pharmacy ....................382
Save N Care Pharmacy ............. 373
Shields Pharmacy ........................383
St Luke Pharmacy .......................383
St Marks Pharmacy .....................383
St Mary Pharmacy II ...................383
St Mary Pharmacy .......................383
Starcare Pharmacy ...................... 373
Trust Pharmacy ............................384
Wisdom Pharmacy ..................... 374
Z Orange Pharmacy ................... 374
Thoracic & Cardiovascular Surgery
Hakki, Abdul MD ........................... 231
Bulgarian Behavioral Health Counseling
Christova, Albena LMHC .........248
Burmese Cardiology
Khadim, Ghazanfar MD ...............33
Tun, Aung MD ................................. 36
Dermatology
Moreno Cabasos, Maria APRN ............................................................. 322
Internal Medicine
Khadim, Ghazanfar MD .............. 49
www.wellcare.com/Florida 387
33453864
Alternate Languages Index
Cantonese Nephrology
Numrungroad, Visal MD ............ 54
Chinese Cardiology
Khadim, Ghazanfar MD ...............33
Family Practice
Liu, Liyu DO ..................................... 113
General Surgery
Yang, Chun MD .............................120
Hematology & Oncology
Ho, Vu MD ....................................... 123
Hematology
Knipe, Richard MD ....................... 122
Internal Medicine
Khadim, Ghazanfar MD .............. 49
Korbaj, Rabee MD .......................... 16
Medical Oncology
Knipe, Richard MD ....................... 133
Nephrology
Numrungroad, Visal MD ............ 54
Qi, Quanle MD ............................... 54
Neurology
Gu, Qin MD ...................................... 55
Obstetrics
Gallagher, James MD ................... 142
Pediatrics
Zhao, Wenying MD ...................... 28
Physical Therapy
Lester, Lawrence PT ...................359
Retail
Mail Meds Clinical Pharmacy ..381
Thoracic & Cardiovascular Surgery
Gurney, Stephanie PA ...............368
Urology
Zhou, Shaw MD ........................... 234
Creole Cardiology
Salazar, Manuel MD .....................96
Diagnostic Imaging
Rose Radiology Centers Inc ...284
Family Practice
Confident, Leonard MD ................11
Home Health Care
Sonas Home Health Care ........289
Nephrology
Echeverri, Diego MD ................... 137
Pediatric Gastroenterology
Ignacio, Joseph MD ..................... 193
Skilled Nursing Facility
Advanced Care Center .............291
East Bay Nc LLC ...........................292
Heather Hill Nursing Home-Pcs ............................................................. 277
St Petersburg Nursing And Rehabilitation ................................294
Urgent Care Center
Florida Hospital Centra Care University ........................................279
Croatian Nephrology
Rudic, Valerija APRN ...................301
Dutch Nephrology
Brucculeri, Michael MD ............. 136
Physical Therapy
Van Der Merwe, Marijcke PT .359
Faroese Obstetrics/Gynecology
Igel, Gustave MD ..........................149
FilipinoCardiology
Wassmer, Peter MD .....................98
French Allergy & Immunology
Kornfeld, Stephen MD ................89
Cardiology
Marques, Vasco MD ......................33
Sivasankaran, Satish MD ............. 36
Chiropractic
Patel, Anish DC ................................37
Community Mental Health Center
Suncoast Center Inc ..................256
Ear. Nose & Throat
Berrios, Jose MD ...........................107
Family Practice
Avila, Camila MD ............................ 10
Confident, Leonard MD ................11
Hanai, Hisham MD ..........................12
General Surgery
Clarke, John MD ............................. 116
Fikry, Driss PA ................................ 325
Hematology & Oncology
Bergier, Gregoire MD ................. 122
Diaz, Michael MD ......................... 123
Mace, Joseph MD ......................... 123
Nakhl, Fadi MD .............................. 124
Hematology
Knipe, Richard MD ....................... 122
www.wellcare.com/Florida 388
33453864
Alternate Languages Index
French - cont. Home Health Care
Sonas Home Health Care ........289
Infectious Disease
Levenson, Jeffrey MD ................ 126
Internal Medicine
Amato, Frank APRN .................... 327
Chambers, Nelly MD ......................3
Korbaj, Rabee MD .......................... 16
Rudnick, Judith MD ........................ 18
Saba, Fadi MD .................................. 18
Medical Oncology
Knipe, Richard MD ....................... 133
Nephrology
Echeverri, Diego MD ................... 137
Ophthalmology
Adams, Maria DO .........................158
Cope, Winston MD .....................158
Desai, Neel MD .............................158
Diakonis, Vasilios MD ................. 159
Hairston, Richard MD .................160
Ho, Janie MD ...................................160
Johnson, Sandra MD ...................160
Kirsch, Leonard MD ...................... 161
Mohadjer, Yasaman MD ........... 162
Moinfar, Nader MD ...................... 63
Rathi, Siddarth MD ...................... 163
Schwartz, Jeffrey MD ................. 163
Weinstock, Robert MD .............164
Weinstock, Stephen MD ..........164
Williams, Jory MD .........................164
Optometry
Anderson, Nicholas OD ............ 167
Barreiro, Francis OD .................... 167
Cothran, Nora OD .......................168
Gruszka, Melinda OD .................. 171
Johnson, Douglas OD ................. 173
Laplume, Jeffery OD ................... 173
Marrotte, Jill OD ........................... 174
Panchal, Priti OD ........................... 176
Sacksteder, Ryan OD .................. 179
www.wellcare.com/Florida 389
Sims, Rebecca OD .......................180
Smith, Mary OD ............................180
Pediatric Cardiology
Freire, Grace MD ..........................190
Pediatric Hematology/Oncology
Goldenberg, Neil MD ................. 195
Pediatric Rheumatology
Nickeson, Robert MD .............. 200
Pediatrics
Pham, Thuy MD ................................8
Weinberger, Alyssa MD ............. 28
Physical Therapy
Le, Hoang PT .................................309
Physician Assistant
Schultheis, Marisol PA ................361
Podiatry
Valins, Robert DPM ...................... 83
Psychiatry
Kawliche, Boris MD .....................263
Pulmonary Disease
Kanaan, Rana MD .........................224
Zanchi, Dragos MD ....................... 85
Retail
Pharmalabs .....................................382
St Mary Pharmacy .......................383
Trust Pharmacy ............................384
Skilled Nursing Facility
Heather Hill Nursing Home-Pcs ............................................................. 277
St Petersburg Nursing And Rehabilitation ................................294
Thoracic & Cardiovascular Surgery
Bott, Jeffrey MD ..........................230
Urology
Jacob, David MD .......................... 232
German Behavioral Health Counseling
Christova, Albena LMHC .........248
Dubovsky, Ladislaus LMHC ....239
Behavioral Health Facility
Adoption Related Svs - Pinellas. Inc ....................................................... 252
Cardiology
Zaki, Khaja MD ................................ 36
Dermatology
Mcmeekin, Thomas MD ............. 38
Vasiloudes, Panos MD ................. 39
Gastroenterology
Freedland, Curtis DO ................... 42
Staffetti, Joseph MD .................... 43
General Surgery
Wright, Alene MD ......................... 45
Hematology & Oncology
Bergier, Gregoire MD ................. 122
Pediatric Neurosurgery
Rodriguez, Luis MD ..................... 197
Pediatrics
Chavez, Heinz MD ........................ 22
Meyer, Ernesto MD ...................... 25
Weinberger, Alyssa MD ............. 28
Psychology
Hemsath, Randolph PSYD .......267
Pulmonary Disease
Zanchi, Dragos MD ....................... 85
Retail
Embassy Pharmacy ...................... 371
J&k Care Pharmacy ......................381
Mail Meds Clinical Pharmacy ..381
Pharmalabs .....................................382
Z Orange Pharmacy ................... 374
33453864
Alternate Languages Index
German - cont. Skilled Nursing Facility
Advanced Care Center .............291
Greek Cardiac Electrophysiology
Kelesidis, Iosif MD ......................... 30
Cardiology
Goldman, Stephen MD ...............32
Pitarys, Christos MD .................... 34
Dermatology
Vasiloudes, Panos MD ................. 39
Diagnostic Imaging
Carlisle Imaging Center ............282
Ear. Nose & Throat
Sakellarides, Michael MD ........... 40
Family Practice
Stamoolis, Christina MD ............ 113
Internal Medicine
Pitarys, Christos MD .................... 50
Nurse Practitioner Family Medicine
Demetriou, Panagiota APRN ..303
Obstetrics/Gynecology
Igel, Gustave MD ..........................149
Orthopaedic Surgery
Moreno, Anthony MD ...............187
Gujarati Cardiology
Patel, Darshan MD ........................ 95
Diagnostic Imaging
Gateway Radiology Consultants .............................................................283
www.wellcare.com/Florida 390
Endocrinology. Diabetes. Meta-bolism
Parbhoo, Arvind MD ...................109
General Surgery
Kotak, Rajesh MD .......................... 118
Infectious Disease
Pandya, Shuchi MD ...................... 48
Internal Medicine
Pandya, Shuchi MD ...................... 50
Shah, Nilamben MD ...................... 19
Shastri, Milind MD ......................... 19
Nephrology
Dessani, Nehal MD ...................... 137
Neurology
Patel, Harish MD ...........................140
Shah, Rakesh MD ..........................140
Pediatrics
Desai, Rupal MD ................................5
Patel, Jaydeep MD ...........................8
Physical Medicine & Rehabilita-tion
Gupta, Amitabh MD ...................219
Psychiatry
Patel, Shodhan MD .....................246
Shah, Nihal MD .............................266
Pulmonary Disease
Pansuriya, Vinubhai MD ........... 225
Patel, Mukesh MD ......................... 84
Shah, Sailesh DO ........................... 84
Urology
Modh, Rishi MD ........................... 233
Shah, Jaimin MD ........................... 233
Hebrew Retail
Pharmalabs .....................................382
Hindi Allergy & Immunology
Salim, Nauman MD ....................... 29
Ambulatory Surgery Center
St Petersburg Endoscopy Center .............................................................280
Cardiac Electrophysiology
Gandhi, Malay MD ......................... 91
Shah, Shalin MD .............................. 91
Cardiology
Chalavarya, Gopal MD ..................31
Chauhan, Ketul MD ........................31
Goldman, Stephen MD ...............32
Gupta, Sunil MD .............................32
Javeed, Najam MD .........................32
Kethireddy, Ravi MD .................... 93
Khamare, Chetan MD ...................33
Parekh, Dipakkumar MD ............ 34
Rahim, Abdur MD .......................... 34
Rao, Ramanath MD ........................35
Raxwal, Vinod MD .........................35
Reddy, Mohan MD .......................96
Sawar, Asad MD ..............................35
Sharma, Nagaraja MD ...................35
Sivasankaran, Satish MD ............. 36
Diagnostic Imaging
Excel Medical Imaging ............... 271
Gateway Radiology Consultants .............................................................283
Family Practice
Chintakayala, Durga MD ................ 1
Mankodi, Kshemal MD ...................2
Gastroenterology
Freedland, Curtis DO ................... 42
Ghanekar, Dilip MD ...................... 42
Iyunni, Venkata MD ...................... 114
Kaif, Mohamed MD ...................... 42
Patel, Jigneshkumar MD ............. 43
Vangara, Sreenivasa MD ............ 43
33453864
Alternate Languages Index
Hindi - cont. General Surgery
Kotak, Rajesh MD .......................... 118
Thatimatla, Naga MD .................. 45
Hematology & Oncology
Dandamudi, Uday MD ................ 46
Jooma, Nurruddin MD ............... 123
Patel, Hitesh MD ........................... 124
Hematology
Gupta, Eva MD ............................... 45
Kamath, Geetha MD .................... 121
Infectious Disease
Khan, Nadeem MD ....................... 48
Pandya, Shuchi MD ...................... 48
Internal Medicine
Bhambore, Mahesh MD ................3
Chauhan, Ketul MD ...................... 49
Iyyunni, Ujwala MD ....................... 15
Karkare, Rajendra MD ................... 15
Kundra, Anita MD ........................... 16
Kutty, Mohan MD .......................... 16
Mehta, Shital DO ..............................4
Pandya, Shuchi MD ...................... 50
Patel, Kirti MD ...................................17
Rao, Kavita MD ................................ 18
Shah, Nilamben MD ...................... 19
Shastri, Milind MD ......................... 19
Interventional Cardiology
Raxwal, Vinod MD ......................... 51
Maternal Fetal Medicine
Nirgudkar, Pranita MD ................ 52
Medical Oncology
Gupta, Eva MD ............................... 52
Kamath, Geetha MD ................... 133
Raiker, Anilkumar MD ................. 133
Nephrology
D'cunha, Prakas MD ..................... 137
Reddy, Mahathi MD ..................... 55
Neurology
Chari, Ganesh MD ......................... 55
Patel, Harish MD ...........................140
Shah, Rakesh MD ..........................140
Shah, Siddharth MD ..................... 56
Obstetrics/Gynecology
Ramappa, Renuka MD .................. 61
Ophthalmology
Berger, Todd MD ..........................158
Kasper, Jeffrey MD ....................... 161
Orlick, Martin MD ........................ 162
Patel, Nandesh MD ..................... 162
Pain Management
Bhalani, Maulik MD ....................... 75
Pediatric Cardiology
Ballal, Natraj MD ............................ 75
Pediatric Psychiatry
Ali, Muhammad MD ...................245
Pediatrics
Desai, Rupal MD ................................5
Ejaz, Mariam MD ...............................6
Hicks, Mary MD ...............................23
Kharbanda, Monica MD ............. 24
Kharia, Neelam MD ...................... 77
Lokesh, Haravu MD .........................7
Pai, Rajendra MD ........................... 25
Savino, Tarah PA ..........................309
Physical Medicine & Rehabilita-tion
Bhalani, Maulik MD .......................80
Gupta, Amitabh MD ...................219
Psychiatry
Ali, Muhammad MD ...................245
Bedi, Bharminder MD ................260
Dhillon, Amarjeet MD ...............246
Patel, Ashok MD ..........................265
Shah, Nihal MD .............................266
Pulmonary Disease
Agrawal, Rajesh MD ................... 223
Kumar, Alok MD ............................. 84
Mittal, Ashok MD ........................ 225
Patel, Mukesh MD ......................... 84
Retail
Ab Specialty Pharmacy Inc .....369
Anclote Pharmacy ...................... 375
Aum Pharmacy .............................369
Baileys Pharmacy ......................... 375
Bay Life Pharmacy II ................... 375
Baycare Homecare .....................376
Blake Pharmacy ............................369
Curlew Pharmacy ........................380
Edwards Pharmacy .....................380
Florida Pharmacy .......................... 371
Gulfport Pharmacy ......................381
Hudson Pharmacy ........................ 371
Js Pharmacy ..................................... 371
Mail Meds Clinical Pharmacy ..381
Medilink Pharmacy ..................... 372
Pharmalabs .....................................382
Prime Rx Pharmacy .....................382
Quick Pharmacy ...........................383
Rowan Discount Pharmacy .... 372
Royal Pharmacy ........................... 372
Rx Care Pharmacy ....................... 372
Rx Discount Pharmacy .............. 373
St Petersburg Pharmacy ..........384
Summergate Pharmacy ............ 373
Sunlife Pharmacy .........................384
Urban Specialty Pharmacy .....384
Zephyrhills Community Pharmacy ........................................ 374
Hungarian Allergy & Immunology
Walter, Jolan MD ...........................90
Diagnostic Imaging
Gateway Radiology Consultants .............................................................283
Pediatric Allergy & Immunology
Walter, Jolan MD ..........................189
www.wellcare.com/Florida 391
33453864
Alternate Languages Index
Indonesian Internal Medicine
Kutty, Mohan MD .......................... 16
Rao, Kavita MD ................................ 18
Italian Cardiology
Di Martino, Peter MD ....................31
Marques, Vasco MD ......................33
Gastroenterology
Freedland, Curtis DO ................... 42
Ghanekar, Dilip MD ...................... 42
Staffetti, Joseph MD .................... 43
Internal Medicine
Cappiello, Angelo MD ....................3
Di Martino, Peter MD .................. 49
Orthopaedic Surgery
Moreno, Anthony MD ...............187
Podiatry
Afesllari, Endri DPM ...................... 82
Valins, Robert DPM ...................... 83
Retail
Medicine Shoppe Pharmacy ..382
Kannada Hematology
Kamath, Geetha MD .................... 121
Medical Oncology
Kamath, Geetha MD ................... 133
Pediatrics
Pai, Rajendra MD ........................... 25
Korean Behavioral Health Counseling
Bjorkman, Tara LMHC ...............238
Ophthalmology
Hamilton, Richard MD ................ 62
Kurdish Thoracic & Cardiovascular Surgery
Hakki, Abdul MD ........................... 231
Macedonian Behavioral Health Counseling
Christova, Albena LMHC .........248
Malayalam Cardiology
Jacob, Jasmine MD ........................ 93
Sivasankaran, Satish MD ............. 36
Durable Medical Equipment
St Joseph Pharmacy And Medical Supplies ........................................... 273
Internal Medicine
Rao, Kavita MD ................................ 18
Pediatrics
Wilkins, Beena MD ...........................9
Mandarin Nephrology
Numrungroad, Visal MD ............ 54
Neurology
Gu, Qin MD ...................................... 55
Marathi Gastroenterology
Iyunni, Venkata MD ...................... 114
Internal Medicine
Bhambore, Mahesh MD ................3
Iyyunni, Ujwala MD ....................... 15
Maternal Fetal Medicine
Nirgudkar, Pranita MD ................ 52
Polish Behavioral Health Counseling
Christova, Albena LMHC .........248
Child Neurology
Sadlowski, Yolanta PA ............... 321
Hematology & Oncology
Ho, Vu MD ....................................... 123
Mace, Joseph MD ......................... 123
Hematology
Knipe, Richard MD ....................... 122
Internal Medicine
Kaszuba, Robert MD ..................... 16
Nowacki, Mark MD ........................17
Medical Oncology
Knipe, Richard MD ....................... 133
Nephrology
Siedlecki, Michael MD ................ 139
Obstetrics/Gynecology
Igel, Gustave MD ..........................149
Pediatrics
Jackson-Curtis, Danuta MD .......23
Skilled Nursing Facility
Bear Creek Nursing Center .... 277
Portuguese Cardiology
Marques, Vasco MD ......................33
Hematology & Oncology
Ayub, Jorge MD .............................. 46
Diaz, Michael MD ......................... 123
Mace, Joseph MD ......................... 123
Rocha, Rafael MD ......................... 124
Licensed Mental Health Coun-selor
Silva, Mylene LMHC .................... 331
www.wellcare.com/Florida 392
33453864
Alternate Languages Index
Portuguese - cont. Obstetrics/Gynecology
Ray, Tanya APRN .........................305
Pediatrics
Meyer, Ernesto MD ...................... 25
Silva, Nancy MD ................................8
Weinberger, Alyssa MD ............. 28
Punjabi Allergy & Immunology
Salim, Nauman MD ....................... 29
Ambulatory Surgery Center
St Petersburg Endoscopy Center .............................................................280
Cardiology
Raxwal, Vinod MD .........................35
Community Mental Health Center
Suncoast Center Inc ..................256
Diagnostic Imaging
Gateway Radiology Consultants .............................................................283
Endocrinology. Diabetes. Meta-bolism
Chatha, Sheena MD ..................... 40
Gastroenterology
Iyunni, Venkata MD ...................... 114
Interventional Cardiology
Raxwal, Vinod MD ......................... 51
Ophthalmology
Berger, Todd MD ..........................158
Kasper, Jeffrey MD ....................... 161
Orlick, Martin MD ........................ 162
Patel, Nandesh MD ..................... 162
Pain Management
Bhalani, Maulik MD ....................... 75
Pediatrics
Kharbanda, Monica MD ............. 24
Kharia, Neelam MD ...................... 77
Physical Medicine & Rehabilita-tion
Bhalani, Maulik MD .......................80
Romanian Cardiology
Akel, Rami MD ................................ 30
Ophthalmology
Adams, Maria DO .........................158
Cope, Winston MD .....................158
Desai, Neel MD .............................158
Diakonis, Vasilios MD ................. 159
Hairston, Richard MD .................160
Ho, Janie MD ...................................160
Johnson, Sandra MD ...................160
Kirsch, Leonard MD ...................... 161
Mohadjer, Yasaman MD ........... 162
Rathi, Siddarth MD ...................... 163
Schwartz, Jeffrey MD ................. 163
Weinstock, Robert MD .............164
Weinstock, Stephen MD ..........164
Williams, Jory MD .........................164
Optometry
Anderson, Nicholas OD ............ 167
Barreiro, Francis OD .................... 167
Cothran, Nora OD .......................168
Gruszka, Melinda OD .................. 171
Johnson, Douglas OD ................. 173
Laplume, Jeffery OD ................... 173
Marrotte, Jill OD ........................... 174
Panchal, Priti OD ........................... 176
Sacksteder, Ryan OD .................. 179
Sims, Rebecca OD .......................180
Smith, Mary OD ............................180
Psychiatry
Kawliche, Boris MD .....................263
Russian Cardiology
Raxwal, Vinod MD .........................35
Community Mental Health Center
Suncoast Center Inc ..................256
Home Health Care
Access Home Health Care Inc DBA Preferre .................................287
Internal Medicine
Amato, Frank APRN .................... 327
Arkhipenko, Tatiana MD ............. 15
Kurtsikidze, Nino MD ................... 16
Interventional Cardiology
Raxwal, Vinod MD ......................... 51
Nurse Practitioner Acute Care
Kasumova, Iryna APRN .............302
Orthodontics
Nelson, Stephen DMD ...............186
Pedodontics
Sirage, Mohamed DMD ............. 217
Serbian Psychiatry
Trbovic, Sinisa MD ......................266
Shanghanese Speech & Language Pathology
Rose-Le, Kathleen SLP ............... 314
Spanish Adolescent Medicine
Meyer, Laura MD ...........................89
Reyes, Manuel MD ........................89
Allergy & Immunology
Sanka, Madhurima DO ................90
Soto-Aguilar, Maria MD ............. 29
www.wellcare.com/Florida 393
33453864
Alternate Languages Index
Spanish - cont. Ambulatory Surgery Center
North Pinellas Surgery Center .............................................................280
Behavioral Health Counseling
Breen, Ariel LMHC ......................238
Bunton, Miriam LCSW ..............248
Santiago, Karmivis LMHC ......... 251
Behavioral Health Facility
Adoption Related Svs - Pinellas. Inc ....................................................... 252
Gulf Coast Jewish Family And Community S ................................ 253
Sequelcare Of Florida LLC ...... 253
Birthing Center
Countryside Birthing Place Inc ..............................................................281
Cardiac Electrophysiology
Annoni-Suau, Luis MD ................ 29
Jimenez, Raul MD .......................... 29
Cardiology
Annoni-Suau, Luis MD ................ 30
Bayron, Carlos MD ........................ 92
Chalavarya, Gopal MD ..................31
Codolosa, Jose MD ....................... 93
Di Martino, Peter MD ....................31
Feliz De LA Cruz, Victor MD .....32
Goldman, Stephen MD ...............32
Jimenez, Raul MD ...........................32
Khadim, Ghazanfar MD ...............33
Khamare, Chetan MD ...................33
Kunhardt, Rene MD .......................33
Marques, Vasco MD ......................33
Patel, Bhasker MD ......................... 34
Patel, Darshan MD ........................ 95
Pitarys, Christos MD .................... 34
Rao, Ramanath MD ........................35
Reddy, Mohan MD .......................96
Roca, Jose MD ..................................35
Rosenthal, Andrew MD ..............96
Saiyad, Saleemuddin MD ...........96
Salazar, Manuel MD .....................96
Sanchez, Robert MD .................... 97
Wassmer, Peter MD .....................98
Wilson, Christopher DO ............98
Win, Moethu MD .......................... 36
Zaki, Khaja MD ................................ 36
Child Neurology
Sadlowski, Yolanta PA ............... 321
Chiropractic
Price-Mccarthy, Staci DC ......... 103
Tinari, Dominick DC ......................37
Community Mental Health Center
Directions For Living ..................254
Impower Inc ...................................241
Operation Par Inc .......................254
Personal Enrichment Through Mental Healt .................................254
Suncoast Center Inc ..................256
Dermatology
Armstrong, Frank DO .................104
Belongie, Iriana MD .....................105
Caban, Francis MD .......................105
Garcia-Cardona, Maria MD .....105
Jennings, Diana APRN ................299
Moreno Cabasos, Maria APRN ............................................................. 322
Odonnell, Jacquelyn PA ........... 322
Romagnolo, Stephen MD .......... 38
Sable, David MD ............................ 38
Shulstad, Raymond APRN .......299
Torres Bonilla, Gisela MD .......... 39
Vasiloudes, Panos MD ................. 39
Dermatopathology
Belongie, Iriana MD .....................107
Eng, William MD ............................ 39
Diagnostic Imaging
Baycare Outpatient Imaging Center ..............................................282
Carlisle Imaging Center ............282
MRI Associates Of St Pete .....283
Rose Radiology Centers Inc ...284
Susan Cheek Needler Breast Center ..............................................284
Tower Imaging Inc ......................284
Durable Medical Equipment
Health Aid Company Inc .........286
Mobility Solutions Inc ............... 273
O2 Solutions LLC ........................286
Ear. Nose & Throat
Agnello, Peter MD ........................ 39
Berrios, Jose MD ...........................107
Di Pasquale, Paul DO ................... 39
Dolgin, Sanford MD ..................... 39
Donnelly, Kevin MD ..................... 39
Requena, Ricardo DO .................108
Scotch, Brett DO .......................... 40
Vincent, Daniel MD .....................109
Endocrinology. Diabetes. Meta-bolism
Gilling, Lucia MD ............................ 40
Santana Hernandez, Omar MD ...............................................................110
Endodontics
Gittess, Robert DDS .....................110
Hernandez Moreno, Rosa DMD ...............................................................110
Koscso, Kevin DMD ....................... 111
Family Practice
Avila, Camila MD ............................ 10
Boucher, Jennifer MD ...................... 1
Chintakayala, Durga MD ................ 1
Confident, Leonard MD ................11
Del Santo, Patrick DO ....................11
Greenfield, Adam DO ..................... 1
Hanai, Hisham MD ..........................12
Johnsen, Luke DO ...........................12
Olton, Robert PA ........................300
Parrish, David MD ............................13
Reyes, Manuel MD ..........................13
Rodriguez, Carlos MD ...................13
Sheils, Martha DO ............................2
Valez Gaetan, Jelexza MD .......... 41
Walker, Sharla APRN .................. 325
www.wellcare.com/Florida 394
33453864
Alternate Languages Index
Spanish - cont. Wilson, Shacara MD ...................... 14
Wojnowich, Katherine MD ....... 114
Gastroenterology
Ahmed, Saeed MD ....................... 42
Freedland, Curtis DO ................... 42
Ghanekar, Dilip MD ...................... 42
Iyunni, Venkata MD ...................... 114
Kaif, Mohamed MD ...................... 42
Narula, Rajan DO ........................... 42
Staffetti, Joseph MD .................... 43
General Practice
Crespo Velazquez, Rafael MD ...3
Guerrero, Nestor MD ................. 43
General Surgery
Figueredo, Nicole MD ................. 44
Fikry, Driss PA ................................ 325
Reintgen, Douglas MD ................ 119
Wright, Alene MD ......................... 45
Yang, Chun MD .............................120
Hearing Aid Supplier
Cubbedge, Julie HAD .................286
Hematology & Oncology
Ayub, Jorge MD .............................. 46
Bergier, Gregoire MD ................. 122
Diaz, Michael MD ......................... 123
Ho, Vu MD ....................................... 123
Luong, Don MD ............................. 123
Rocha, Rafael MD ......................... 124
Hiv/Aids
Dumois, Juan MD .......................... 124
Home Health Care
Access Home Health Care Inc DBA Preferre .................................287
Always Dependable Inc ...........287
Best Care Providers Inc ............287
Community Aging And Retirement Services ...................274
Easy Living Inc. ..............................288
Family First Homecare LLC .....288
www.wellcare.com/Florida 395
Fusion Healthcare .......................288
Home Instead Senior Care .....288
Horizon Homecare LLC ...........274
Medicor Healthcare Inc ........... 275
Optum Womens And Childrens Health LLC ......................................289
Quality Home Care Of Tampa Bay ......................................................289
Senior Helpers Of Spring Hill 275
Sonas Home Health Care ........289
Hospice
Gulfside Hospice And Pasco Palliative Ca .................................... 275
Hospital
Johns Hopkins All Childrens Hospital Inc ....................................236
Infectious Disease
Balcacer-Estevez, Nery MD ..... 125
Bush, Jennifer APRN ...................300
Cancio, Margarita MD ................. 47
Khan, Nadeem MD ....................... 48
Levenson, Jeffrey MD ................ 126
Pandya, Shuchi MD ...................... 48
Vega, Vilma MD ............................ 126
Internal Medicine
Ahmed, Saeed MD ....................... 49
Amato, Frank APRN .................... 327
Barroso, Luis DO ........................... 127
Cappiello, Angelo MD ....................3
Carvallo, Alejandro MD .............. 49
Chambers, Nelly MD ......................3
Di Martino, Peter MD .................. 49
Fajardo, Rebeca MD ........................3
Faltas, Wael MD ................................3
Karkare, Rajendra MD ................... 15
Khadim, Ghazanfar MD .............. 49
Korbaj, Rabee MD .......................... 16
Mehta, Shital DO ..............................4
Mikulic, Lucas MD ........................128
Narula, Rajan DO ........................... 50
Pandya, Shuchi MD ...................... 50
Peachey, Auxi MD ...........................17
Perez-Arce, Jose MD ..................... 18
Pitarys, Christos MD .................... 50
Sanchez-Ponce, Rafael MD ..... 129
Schlau, Aron MD ............................ 18
Sikes, David MD .............................. 51
Vega, Vilma MD .............................. 19
Win, Moethu MD ........................... 51
Interventional Cardiology
Sanchez-Ponce, Rafael MD ..... 129
Licensed Clinical Social Worker
Taylor, Symone D'auri LCSW 258
Licensed Mental Health Coun-selor
Silva, Mylene LMHC .................... 331
Mammography
Tower Imaging Inc ......................290
Medical Oncology
Miranda, Edgar MD ...................... 133
Peterson, John MD ...................... 133
Mobile Diagnostic
Radiance Radiology ....................290
Nephrology
Aldana Campos, Martin MD .....53
Badillo, Linda MD ...........................53
Brucculeri, Michael MD ............. 136
Carvallo, Alejandro MD ...............53
Dessani, Nehal MD ...................... 137
Echeverri, Diego MD ................... 137
Fabelo, Edward MD ..................... 137
Numrungroad, Visal MD ............ 54
Read, Sonia MD .............................. 55
Neurology
Diaz, Christina MD ....................... 139
Okonkwo-Onuigbo, Obi MD .140
Nurse Midwife
Badura, Tonia CNM .................... 333
Nurse Practitioner Pediatric
Horton, Krista APRN ..................340
33453864
Alternate Languages Index
Spanish - cont. Nurse Practitioner
De LA Noval, Barbara APRN ... 334
Roque, Mark APRN .....................302
Vera, Jose APRN ...........................302
Obstetrics
Diner, Beth MD ............................. 142
Gallagher, James MD ................... 142
Kant, Krista MD ............................. 143
Mcneill Jr, Thomas MD .............. 143
Reyes, Alexandria DO ................ 143
Reyes, Carlos MD ......................... 143
Tijerino, Linda MD ....................... 144
Obstetrics/Gynecology
Acosta Jr, Romeo MD ................ 145
Betancourt, Fernando MD ....... 145
Brinkman Mosiman, Lesley MD 58
Calderon, Guillermo MD ..........146
Cuadros, Lorraine MD ................ 147
Ferlita, John MD ............................. 59
Gomez, Christina DO .................. 59
Igel, Gustave MD ..........................149
Javate, Emanuel MD ....................149
Lerner, Saul MD .............................. 151
Mccance, Georgette MD ......... 152
Mcneill, Thomas MD ................... 153
Perez, Hugo MD ............................ 154
Pimentel Alvarez, Maria MD ... 154
Ray, Tanya APRN .........................305
Ruiz Robles, Ivelisse MD ............ 155
Salem, Areej MD ............................. 61
Sanchez, Mark MD ....................... 155
St John, Patricia MD .................... 157
Tarte, Michelle PA ...................... 343
Torres, Wanda MD ........................ 61
Umstead, Thomas MD ............... 157
Villa, Maria MD ................................ 61
Wilkinson, Donna APRN .......... 343
Williams, Annette MD ................ 62
Occupational Therapy
Schutz Cabrera, Grisel OT ......346
www.wellcare.com/Florida 396
Ophthalmology
Berger, Todd MD ..........................158
Hauber, Frederick MD ................. 63
Kasper, Jeffrey MD ....................... 161
Landy, Jennifer MD ....................... 161
Linsey, Kyle DO .............................. 63
Oberlander, Mark MD ................ 162
Orlick, Martin MD ........................ 162
Patel, Nandesh MD ..................... 162
Perich, Larry DO ............................ 64
Perich, Tanya DO .......................... 64
Rowan, Carey MD ......................... 64
Urban. Jr, Robert MD ................... 65
Williams, Dennis MD .................... 65
Optometry
Adler, Shepard OD ......................166
Alcantara, Marielle OD ..............166
Birnbaum, Suzanne OD .............168
Campbell, Christopher OD .....168
Day, Paul OD ..................................169
Ferris, Anthony OD .....................169
Flanagan, Thomas OD ................169
Furman, Adam OD .......................170
Geary, Amanda OD ...................... 171
Havens, Alicia OD ......................... 67
Ingham, Richard OD .................... 172
Jones, Douglas OD ....................... 173
Kudryk, John OD ............................68
Kuplicki, Dane OD ........................ 173
Lappano, Alfred OD ................... 174
Mann, Clare OD ............................ 174
Mcknight, Jaclyn OD ................... 175
Merlino, Brian OD ........................ 175
Miller, Matthew OD ..................... 70
Morrison, Caryn OD ................... 175
Musumeci, Salvatore OD ......... 176
Passaro, Vincent OD .................... 70
Patel, Anisha OD ..............................71
Payne, Tessa OD ..............................71
Plante, Parker OD ......................... 177
Regal, Sarah OD ............................178
Rophie, Alan OD ...........................178
Thai, Pauline OD ...........................180
Tran, Baotram OD ......................... 181
Wachter, John OD ........................ 181
Williams, John OD ......................... 72
Wolf, Julie OD ................................182
Oral & Maxillofacial Surgery
Aves, Renato DDS ..........................73
Caribas-Mendible, Alejandro DDS .......................................................73
Elmohd, Tarik DMD .......................73
Guerra-Andrade, Andres DMD .............................................................. 183
Lawson, Scott DDS ..................... 183
Orthodontics
Angeloni, Mark DMD .................. 183
Brockway, Chelsea DDS ............184
Cetta, Christopher DMD ........... 74
Guloy, Robertzon DMD ............184
Hasan, Shadiya DMD ..................185
Mcdowell, Ernest DMD .............185
Nelson, Stephen DMD ...............186
Segovia, Flor DDS .........................186
Orthopaedic Surgery
Harker, John DO ...........................187
Knight, Randolph MD .................. 74
Mixa, Thomas MD ........................187
Moreno, Anthony MD ...............187
Neustadt, Jeffrey MD .................187
Orthotics & Prosthetics
Florida Brace & Limb Inc ..........290
Pain Management
Bhalani, Maulik MD ....................... 75
De LA Garza, Miguel MD ........... 75
Rivera, Abraham MD ...................188
Pediatric Cardiology
Ballal, Natraj MD ............................ 75
Freire, Grace MD ..........................190
Pediatric Endocrinology
Canas, Jose MD .............................. 192
Pediatric Gastroenterology
Cuenca, Rosa MD .......................... 76
Ignacio, Joseph MD ..................... 193
33453864
Alternate Languages Index
Spanish - cont. Irizarry, Karina MD ....................... 193
Pediatric Hematology/Oncology
Reed, Damon MD ......................... 195
Sunkersett, Gauri DO .................196
Pediatric Infectious Disease
Rodriguez, Carina MD ................196
Pediatric Nephrology
Ayestaran Cassani, Frank MD .197
Pediatric Neurosurgery
Rodriguez, Luis MD ..................... 197
Tuite, Gerald MD .......................... 197
Pediatric Orthopaedics
Benfanti, Paul MD ........................198
Carney, Jacquelyn PA ................. 351
Hahn, Gregory MD ......................198
Neustadt, Jeffrey MD .................198
Warnick, Drew MD ......................198
Pediatric Surgery
Gonzalez, Raquel MD .................201
Pediatric Urology
Ballesteros, Natalia MD ............202
Pediatrics
Arroyo, Fernando MD ................. 20
Arvelo-Velez, Beatriz MD .......... 20
Berg, Marie MD ............................203
Berio Alvarez, Marta MD .............21
Bharucha, Corrie MD .....................21
Cano, Carlos MD ........................... 22
Chavez, Heinz MD ........................ 22
Colon, Yaritza MD ......................204
Dondero, Aldo MD ..........................5
Egli, Graciela MD ........................... 77
Ejaz, Mariam MD ...............................6
Gaud, Rosa MD .............................. 77
Gomez-Luengas, Alexander MD 6
Hernandez, Sheridan MD .............7
Hidalgo, Carlos MD .......................23
Lin, Kathryn MD ................................7
www.wellcare.com/Florida 397
Lopez Dominguez, Maria MD 209
Lopez-Mccormack, Celia MD . 25
Lopez-Molina, Norma MD .......210
Meyer, Ernesto MD ...................... 25
Meyer, Laura MD ........................... 25
Moore, Christine APRN ............ 357
Pargas, Anet MD ............................ 211
Perez, Maribelis MD ........................8
Rommel, Duane MD ..................... 26
Savino, Tarah PA ..........................309
Silva, Nancy MD ................................8
Szafranski, Christy MD ................ 27
Valencia-Serafini, Maria DO ........9
Weinberger, Alyssa MD ............. 28
Wilkins, Beena MD ...........................9
Pedodontics
Adibi, Farnaz DMD ....................... 213
Bezerra, Francisco DDS .............. 78
Blake, Richard DDS ...................... 213
Blankenship, Susan DMD .......... 213
Bui, Loananh DDS .........................214
Cataldo, Dorothy DMD .............214
Cummings, Marloin DDS ...........214
Dawoud, Mark DMD ...................214
Edwards, Jenny DMD ..................214
Fernandez, Danielle DMD ......... 78
Iyer, Priyanka DDS ........................ 215
Jafarnia, Bahareh DDS .................. 79
Kwon, Mi Ae DMD ....................... 215
Kwon, Mia DMD ........................... 215
Lee, Sara DMD ...............................216
Lynn, Casey DMD .........................216
Mcilwain, Michael DMD ............. 79
Mcnair, Jonathan DDS ................216
Monteleone, Chelsea DDS ....... 79
Montgomery, Nancy DMD ......216
Navarro, Jose DMD .....................216
Nensey, Zara DDS .........................80
Rosen, David DMD ...................... 217
Sierra, Frank DMD ........................ 217
Sirage, Mohamed DMD ............. 217
Theogene, Dorothy DDS .......... 217
Vales, Ana-Marai DMD .............. 217
Weil, Matt DDS ............................. 217
Periodontics
Barzyk, Jeffrey DMD ...................218
Nielsen, Pamela DDS ..................218
Physical Medicine & Rehabilita-tion
Bhalani, Maulik MD .......................80
Physical Therapy
Le, Hoang PT .................................309
Lester, Lawrence PT ...................359
Magerkurth, Alyssa PT ..............359
Physician Assistant
Schultheis, Marisol PA ................361
Plastic & Reconstructive Surgery
Di Pasquale, Paul DO .................... 81
Scotch, Brett DO ........................... 81
Podiatry
Abady, Robert DPM ...................220
Afesllari, Endri DPM ...................... 82
Donate, Guillermo DPM ............ 82
Kussel, Ferdinand DPM .............. 221
Marsh, Naomi DPM ..................... 221
Roberts, Eric DPM ....................... 222
Siddiqui, Anwar DPM ................. 223
Valins, Robert DPM ...................... 83
Prosthodontics
Dinse, William DMD ................... 223
Psychiatry
Agustines, Rachel MD ...............260
Corzo, Hector MD .......................261
Dempsey, Donna APRN ...........262
Iglesias, Nieves MD .....................262
Rodriguez, Mauro MD ..............265
Psychology
Gimon, Alexander PHD ............267
Pulmonary Disease
Amin, Devendra MD ..................224
Castro, Alfonso MD ...................224
Lopez Molina, Michael MD .... 225
Martinez, Rafael MD .................... 84
33453864
Alternate Languages Index
Spanish - cont. Mikulic, Lucas MD ....................... 225
Zanchi, Dragos MD ....................... 85
Radiation Oncology
Calkins, Alison MD ........................ 85
Cotman, Henry MD ....................226
Sokol, Gerald MD .......................... 85
Tralins, Kevin MD ........................ 227
Radiation Therapy
Solc, Zucel MD .............................228
Rehabilitation Facility
Ewing And Thomas Inc ............. 277
Respiratory Therapy
Diagnostic Medical Testing Inc ............................................................. 277
Retail
1st Choice Pharmacy .................. 375
Ab Specialty Pharmacy Inc .....369
Ahf Pharmacy - Safety Harbor ............................................................. 375
Amen Pharmacy .......................... 375
American Care Of North Florida Inc .......................................................369
Anclote Pharmacy ...................... 375
Baileys Pharmacy ......................... 375
Bay Life Pharmacy III .................376
Bay Life Pharmacy ...................... 375
Baydoun Pharmacy ....................376
Can Comm Health Phcy Of Clearwater ......................................379
Carepoint Pharmacy ..................379
Comprehensive Ht Oncology 379
Curant Health Florida ................379
Dedicated Senior Healthcare 380
Dedicated Senior Med Ctr Largo .............................................................380
Doctors Choice Pharmacy ...... 371
Eckerds Pharmacy ........................ 371
Embassy Pharmacy ...................... 371
Empath Health Pharmacy .......380
Fl Med Clinic Phcy Of Wiregrass .............................................................. 371
www.wellcare.com/Florida 398
Fmc Pharmacy Services ............380
Fusion Pharmaceuticals ............380
Genoa-Qol Healthcare ............380
Healthmed Pharmacy ................381
Hudson Pharmacy ........................ 371
Inspire Pharmacy ..........................381
Js Pharmacy ..................................... 371
Land O Lakes Pharmacy ........... 372
Lincourt Assisted Living. Inc ...381
Lincourt Pharmacy ......................381
Pharmaco Med Shop .................382
Quick Pharmacy ...........................383
Rays Pharmacy .............................. 372
Royal Pharmacy ........................... 372
Rx Care Pharmacy & Kwik Mart ............................................................. 373
Rx Care Pharmacy ....................... 372
Rx Discount Pharmacy .............. 373
Save N Care Pharmacy ............. 373
Shields Pharmacy ........................383
South Lake Pharmacy ............... 373
St Josephs Pharmacy ................. 373
Summergate Pharmacy ............ 373
Tarpon Discount Drugs ............384
The Green Cross Pharmacy ...384
Trust Pharmacy ............................384
Rheumatology
Sikes, David MD .............................86
Soto-Aguilar, Maria MD .............86
Torres, Arnaldo MD ...................229
Skilled Nursing Facility
Advanced Care Center .............291
Apollo Health And Rehabilitation Center .................291
Bardmoor Oaks Healthcare And Rehabilitat .......................................291
Bay Pointe Nursing Pavilion ....291
Bear Creek Nursing Center .... 277
Bon Secours Maria Manor Nursing Care Cen ........................292
Carrington Place Of St Pete ..292
Chc Of Bayonet Point .............. 277
Consulate Health Care Of New Port Richey ..................................... 277
Consulate Health Care Of Safety Harbor ...............................292
Consulate Health Care Of St Petersburg ......................................292
Countryside Healthcare Ctr ..292
East Bay Nc LLC ...........................292
Glen Oaks Health And Rehabilitation Cent ....................293
Heather Hill Nursing Home-Pcs ............................................................. 277
Heritage Park Health And Rehabilitation ................................ 277
Lexington Health & Rehab Ctrs .............................................................293
Madison Pointe Care Center .277
Mease Continuing Care ...........293
Oak Manor Healthcare & Rehab Ctr ......................................................294
Palm Garden Of Clearwater ..294
Palm Garden Of Pinellas- Nhc .............................................................294
Royal Oak Nursing Ctr-Pcs .....278
Solaris Healthcare Bayonet Point .............................................................278
South Heritage Health Rehab Center ..............................................294
St Petersburg Nursing And Rehabilitation ................................294
The Health And Rehabilitation Centre At ........................................295
The Springs At Boca Ciega Bay .............................................................295
Trinity Regional Rehab Center .............................................................278
Westminster Suncoast .............295
Windsor Woods Rehab And Health Center ...............................278
Wrights Healthcare & Rehab Ctr .............................................................295
Sleep Diagnostic Studies
Sleep Associates Of Florida ...278
Speech & Language Pathology
Miseroy, Milvia SLP ..................... 313
Perkins, Melissa SLP ..................... 313
Rojas Lacotts, Maria SLP ..........365
33453864
Alternate Languages Index
Spanish - cont. Sports Medicine
Wojnowich, Katherine MD .....230
Substance Abuse
Directions For Living ..................268
Impower Inc ..................................247
Operation Par Inc .......................269
Thoracic & Cardiovascular Surgery
Bott, Jeffrey MD ..........................230
Urgent Care Center
Doctors Walk In Clinics ............296
Florida Hospital Centra Care University ........................................279
Sandbay Urgent Care LLC .......297
Tagalog Neurology
Vasquez, Alberto MD .................. 141
Pediatrics
Egli, Graciela MD ........................... 77
Physical Therapy
Lontoc, Dino PT ............................310
Lontoc, Maria PT ..........................310
Tamil Allergy & Immunology
Chamarthy, Latha MD .................89
Cardiology
Sivasankaran, Satish MD ............. 36
General Surgery
Siva, Thushy MD ............................ 45
Thatimatla, Naga MD .................. 45
Internal Medicine
Nirmalan, Nadarajah MD .............17
Rao, Kavita MD ................................ 18
Telugu Allergy & Immunology
Chamarthy, Latha MD .................89
General Surgery
Thatimatla, Naga MD .................. 45
Hematology & Oncology
Dandamudi, Uday MD ................ 46
Internal Medicine
Iyyunni, Ujwala MD ....................... 15
Nephrology
Matcha, Mrinalini MD ................. 138
Reddy, Mahathi MD ..................... 55
Thai Allergy & Immunology
Tang, Nathan MD ..........................90
Pediatric Allergy & Immunology
Tang, Nathan MD .........................189
Pediatrics
Sriaroon, Panida MD ................... 212
Turkish Hematology & Oncology
Bayraktar, Soley MD ................... 122
UkrainianNurse Practitioner Acute Care
Kasumova, Iryna APRN .............302
Urdu Allergy & Immunology
Iqbal, Shahid MD ........................... 29
Salim, Nauman MD ....................... 29
Ambulatory Surgery Center
St Petersburg Endoscopy Center .............................................................280
Cardiology
Javeed, Najam MD .........................32
www.wellcare.com/Florida 399
Khan, Wali MD .................................33
Gastroenterology
Ahmed, Saeed MD ....................... 42
Kaif, Mohamed MD ...................... 42
Narula, Rajan DO ........................... 42
Hematology & Oncology
Jooma, Nurruddin MD ............... 123
Infectious Disease
Khan, Nadeem MD ....................... 48
Internal Medicine
Ahmed, Saeed MD ....................... 49
Narula, Rajan DO ........................... 50
Nephrology
Motiwala, Shaheen MD .............. 54
Niaz, Nabila MD ............................ 138
Neurology
Patel, Harish MD ...........................140
Pediatrics
Ejaz, Mariam MD ...............................6
Lokesh, Haravu MD .........................7
Pai, Rajendra MD ........................... 25
VietnameseBehavioral Health Facility
Adoption Related Svs - Pinellas. Inc ....................................................... 252
Family Practice
Chase, Stacy DO ............................. 111
Hendren, Beatrice APRN ......... 324
Hematology & Oncology
Diaz, Michael MD ......................... 123
Ho, Vu MD ....................................... 123
Luong, Don MD ............................. 123
Home Health Care
Access Home Health Care Inc DBA Preferre .................................287
33453864
Alternate Languages Index
Vietnamese - cont. Optometry
Birnbaum, Suzanne OD .............168
Ferris, Anthony OD .....................169
Ingham, Richard OD .................... 172
Morrison, Caryn OD ................... 175
Plante, Parker OD ......................... 177
Pain Management
Le, Thanh MD .................................188
Pediatrics
Mchugh, Sara APRN ...................356
Pham, Thuy MD ................................8
Physical Medicine & Rehabilita-tion
Le, Thanh MD .................................219
Physical Therapy
Le, Hoang PT .................................309
Pulmonary Disease
Newan, Michael MD .................. 225
Retail
Alexander Pharmacy .................. 375
Danang Pharmacy .......................380
Lily Care Pharmacy ..................... 372
Medilink Pharmacy ..................... 372
Np Pharmacy .................................382
V & T Pharmacy ...........................384
Vistacare Pharmacy II ................384
Skilled Nursing Facility
East Bay Nc LLC ...........................292
Urgent Care Center
Sandbay Urgent Care LLC .......297
www.wellcare.com/Florida 400
33453864
Specialty Providers 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.
Ou ka jwenn yon kalite founisè espesyal nan endèks sa a. Tou dabò chache kalite swen w bezwen an. Ansuit tcheke konte ak nimewo paj la. Ou ka ale sou paj sa a pou jwenn enfòmasyon founisè a.
A Adolescent Medicine
Pinellas ................................................89
Advance Registered Nurse Prac-titioner Psychiatrist
Pasco .................................................238
Pinellas ..............................................248
Advanced Practice Midwife
Pasco .................................................298
Pinellas ...............................................318
Advanced Registered Nurse Practioner
Pasco .................................................298
Pinellas ...............................................318
Allergy & Immunology
Pasco .................................................298
Pinellas ...............................................318
Ambulatory Surgery Center
Pasco .................................................. 271
Pinellas ..............................................280
Audiology
Pasco .................................................298
Pinellas ...............................................319
B Behavioral Health Counseling
Pasco ..................................................241
Pinellas .............................................. 252
Behavioral Health Facility
Pasco ..................................................241
Pinellas .............................................. 253
Birthing Center
Pinellas ...............................................281
C Cardiac Electrophysiology
Pasco ................................................... 30
Pinellas ................................................ 92
Cardiology
Pasco ................................................... 36
Pinellas ...............................................319
Cardiovascular Surgery
Pinellas ................................................99
Certified Nurse Anesthetist
Pinellas ...............................................319
Certified Nurse Midwife
Pasco .................................................299
Pinellas ............................................... 321
Child Neurology
Pinellas ............................................... 321
Chiropractic
Pasco ....................................................37
Pinellas ...............................................104
Colon & Rectal Surgery
Pinellas ...............................................104
Community Mental Health Center
Pasco .................................................242
Pinellas ..............................................256
Convenient Care Clinic
Pasco .................................................. 271
Pinellas ..............................................282
DDermatology
Pasco .................................................299
Pinellas .............................................. 323
Dermatopathology
Pasco ................................................... 39
Pinellas ...............................................107
Diagnostic Imaging
Pasco ................................................. 272
Pinellas ..............................................284
Dialysis
Pasco ................................................. 273
Pinellas ..............................................285
Durable Medical Equipment
All ........................................................270
Pasco ................................................. 273
Pinellas ..............................................286
E Ear. Nose & Throat
Pasco ................................................... 40
Pinellas ...............................................109
Endocrinology. Diabetes. Meta-bolism
Pasco .................................................299
www.wellcare.com/Florida 401
33453864
Specialty Providers At-A-Glance
E - cont. Pinellas ................................................110
Endodontics
Pasco .................................................... 41
Pinellas ................................................. 111
F Family Practice
Pasco .................................................300
Pinellas .............................................. 325
G Gastroenterology
Pasco ................................................... 43
Pinellas ................................................ 115
General Practice
Pasco ................................................... 43
Pinellas .............................................. 325
General Surgery
Pasco .................................................300
Pinellas ..............................................326
Geriatric Medicine
Pasco ................................................... 45
Pinellas ..............................................326
Gynecological Oncology
Pinellas ...............................................120
Gynecology
Pinellas ................................................ 121
H Hearing Aid Supplier
Pasco .................................................274
Pinellas ..............................................287
Hematology & Oncology
Pasco ................................................... 46
Pinellas .............................................. 327
Hematology
Pasco ................................................... 45
www.wellcare.com/Florida 402
Pinellas ............................................... 122
Hiv/Aids
Pinellas ............................................... 124
Home Health Care
All ........................................................270
Pasco ................................................. 275
Pinellas ..............................................289
Hospice And Palliative Care
Pasco ................................................... 47
Pinellas ............................................... 125
Hospice
Pasco ................................................. 275
Pinellas ..............................................289
Hospital
Pasco ................................................. 235
Pinellas .............................................. 237
Hyperbaric Medicine
Pasco ................................................... 47
I Infant And Toddler Develop-ment Specialists
Pasco .................................................300
Pinellas .............................................. 327
Infectious Disease
Pasco .................................................300
Pinellas .............................................. 327
Infusion Therapy
Pinellas ..............................................289
Internal Medicine
Pasco .................................................... 51
Pinellas ..............................................329
Interventional Cardiology
Pasco ................................................... 52
Pinellas ............................................... 130
L Laboratory Pathology Testing
All ........................................................270
Pasco .................................................276
Pinellas ..............................................289
Licensed Clinical Social Worker
Pasco .................................................244
Pinellas ..............................................258
Licensed Marriage And Family Therapist
Pasco .................................................244
Pinellas ..............................................259
Licensed Mental Health Coun-selor
Pasco ..................................................301
Pinellas ............................................... 331
Licensed Professional Counselor
Pasco .................................................244
Pinellas ..............................................259
Licensed Social Worker
Pasco .................................................244
M Mammography
Pasco .................................................276
Pinellas ..............................................290
Maternal Fetal Medicine
Pasco ................................................... 52
Pinellas ............................................... 132
Medical Genetics
Pinellas ............................................... 132
Medical Oncology
Pasco ....................................................53
Pinellas ............................................... 133
Mobile Diagnostic
Pinellas ..............................................290
33453864
Specialty Providers At-A-Glance
N Neonatal Perinatal Medicine
Pinellas .............................................. 332
Neonatology
Pinellas .............................................. 332
Nephrology
Pasco ..................................................301
Pinellas .............................................. 333
Neuro Psychiatrist Md
Pinellas ............................................... 139
Neurology
Pasco ................................................... 56
Pinellas .............................................. 333
Neuropsychology
Pinellas ..............................................259
Neuroradiology
Pinellas ................................................ 141
Neurosurgery
Pinellas .............................................. 333
Non-Emergency Transportation
All ........................................................270
Nuclear Medicine
Pasco ................................................... 57
Pinellas ................................................ 141
Nurse Midwife
Pasco ..................................................301
Pinellas .............................................. 334
Nurse Practitioner Acute Care
Pasco .................................................302
Nurse Practitioner Adult Health
Pasco .................................................303
Nurse Practitioner Community Health
Pinellas .............................................. 337
Nurse Practitioner Endocrino-logy
Pasco .................................................303
Nurse Practitioner Family Medicine
Pasco .................................................303
Pinellas .............................................. 339
Nurse Practitioner Neonatal
Pinellas ..............................................340
Nurse Practitioner Pediatric
Pasco .................................................304
Pinellas ..............................................340
Nurse Practitioner Psychiatric Mental Health
Pasco .................................................304
Pinellas ............................................... 341
Nurse Practitioner
Pasco .................................................302
Pinellas .............................................. 337
O Obstetrics
Pasco .................................................304
Pinellas .............................................. 342
Obstetrics/Gynecology
Pasco .................................................305
Pinellas .............................................. 343
Occupational Therapy
Pasco .................................................307
Pinellas ..............................................346
Ophthalmology
Pasco ................................................... 65
Pinellas ...............................................164
Optician
Pasco ...................................................66
Pinellas ...............................................166
Optometry
Pasco ....................................................73
Pinellas ...............................................182
Oral & Maxillofacial Surgery
Pasco ....................................................73
Pinellas ............................................... 183
Orthodontics
Pasco ................................................... 74
Pinellas ...............................................186
Orthopaedic Surgery
Pasco .................................................307
Pinellas .............................................. 347
Orthotics & Prosthetics
Pasco .................................................276
Pinellas ..............................................290
P Pain Management
Pasco .................................................308
Pinellas .............................................. 347
Pediatric Allergy & Immunology
Pinellas ..............................................348
Pediatric Cardiology
Pasco ................................................... 75
Pinellas ..............................................348
Pediatric Cardiovascular Surgery
Pinellas ................................................ 191
Pediatric Ear. Nose & Throat
Pasco ................................................... 76
Pinellas ................................................ 191
Pediatric Endocrinology
Pinellas ..............................................349
Pediatric Gastroenterology
Pasco .................................................308
Pinellas ..............................................349
www.wellcare.com/Florida 403
33453864
Specialty Providers At-A-Glance
P - cont. Pediatric Genetics
Pinellas ...............................................194
Pediatric Hematology/Oncology
Pinellas ..............................................350
Pediatric Infectious Disease
Pasco ................................................... 76
Pinellas ...............................................196
Pediatric Nephrology
Pinellas ............................................... 197
Pediatric Neurosurgery
Pinellas ............................................... 351
Pediatric Oncology
Pinellas ............................................... 351
Pediatric Orthopaedics
Pasco .................................................308
Pinellas .............................................. 352
Pediatric Orthopedic Surgery
Pasco ................................................... 76
Pinellas .............................................. 352
Pediatric Psychiatry
Pasco .................................................245
Pinellas ..............................................259
Pediatric Pulmonology
Pasco ................................................... 76
Pinellas .............................................. 352
Pediatric Rehabilitation Medicine
Pinellas ............................................. 200
Pediatric Rheumatology
Pinellas .............................................. 352
Pediatric Sports Medicine
Pinellas ............................................. 200
Pediatric Surgery
Pinellas .............................................. 354
Pediatric Urology
Pasco ................................................... 77
Pinellas ..............................................202
Pediatrics Behavioral And Devel-opmental
Pinellas ..............................................260
Pediatrics
Pasco .................................................309
Pinellas ..............................................358
Pedodontics
Pasco ...................................................80
Pinellas ............................................... 217
Periodontics
Pasco ...................................................80
Pinellas ...............................................218
Physical Medicine & Rehabilita-tion
Pasco .................................................309
Pinellas ...............................................219
Physical Therapy
Pasco ..................................................310
Pinellas ..............................................360
Physician Assistant Psychiatric Mental Health
Pasco ..................................................310
Pinellas ...............................................361
Physician Assistant Urology
Pasco ................................................... 311
Physician Assistant
Pinellas ...............................................361
Plastic & Reconstructive Surgery
Pasco .................................................... 81
Pinellas ...............................................361
Podiatry
Pasco ................................................... 83
Pinellas .............................................. 223
Prosthetics
Pinellas .............................................. 223
Prosthodontics
Pinellas .............................................. 223
Psych Hospital
Pinellas ..............................................260
Psychiatry
Pasco .................................................247
Pinellas ..............................................267
Psychology
Pinellas ..............................................268
Pulmonary Disease
Pasco ................................................... 85
Pinellas ...............................................361
R Radiation Oncology
Pasco ................................................... 85
Pinellas .............................................. 227
Radiation Therapy
Pinellas ..............................................228
Radiology - Interventional & Vascular
Pinellas ..............................................228
Rehabilitation Facility
Pasco ................................................. 277
Pinellas ...............................................291
Rehabilitation Therapy
Pinellas ...............................................291
Reproductive Endocrinology
Pasco ................................................... 85
Pinellas ...............................................361
www.wellcare.com/Florida 404
33453864
Specialty Providers At-A-Glance
R - cont. Respiratory Therapy
Pasco ................................................. 277
Retail
Pasco ................................................. 374
Pinellas ..............................................386
Rheumatology
Pasco ...................................................86
Pinellas ..............................................229
S Skilled Nursing Facility
Pasco .................................................278
Pinellas ..............................................295
Sleep Diagnostic Studies
Pasco .................................................278
Pinellas ..............................................295
Sleep Medicine
Pasco ...................................................86
Pinellas ..............................................229
Speech & Language Pathology
Pasco .................................................. 314
Pinellas ..............................................366
Speech Therapy
Pasco .................................................. 317
Pinellas ..............................................367
Sports Medicine
Pinellas ..............................................230
Substance Abuse
Pasco .................................................247
Pinellas ..............................................269
T Thoracic & Cardiovascular Surgery
Pasco ...................................................86
Pinellas ..............................................368
www.wellcare.com/Florida 405
Thoracic Surgery
Pasco ................................................... 87
Pinellas .............................................. 232
U Urgent Care Center
Pasco .................................................279
Pinellas ..............................................297
Urology
Pasco .................................................. 317
Pinellas ..............................................368
VVascular Surgery
Pasco ...................................................88
Pinellas ..............................................368
33453864
Indexes
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.
Indice de horarios extendidos: 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.
Ou ka jwenn yon founisè ki gen lè travay ki pi long nan endèks sa a. Tou dabò chache non founisè a. Ansuit tcheke konte ak nimewo paj la. Ou ka ale sou paj sa a pou jwenn lè founisè a travay.
Pasco
Allergy & Immunology
Sanka, Madhurima DO ................. 29
Ambulatory Surgery Center
Pediatric Surgery Center LLC Odessa ................................................ 271
Behavioral Health Counseling
Bielitz, Robert LMHC ..................238
Bjorkman, Tara LMHC .................238
Crosby, Courtney LMHC ..........238
Edwards, Stephen LMHC ..........239
Erickson, Shannon LCSW ..........239
Fogleman, Ruthann LMHC ........239
Gadouas, Cassandra LMHC .....239
Nikla, Richard LMHC ...................240
Sparrowhawk, Paloma LMHC .240
Stemble, Kelly LMHC ..................240
Tranum, Megan LMHC ................241
Visalli, Alyssa LMHC ......................241
Behavioral Health Facility
Mitchell Rehabilitation Hospital .................................................................241
Morton Plant North Bay Hosp 241
Morton Plant North Bay Hospital Recovery ............................................241
Certified Nurse Midwife
Cox, Brooke APRN .......................299
www.wellcare.com/Florida 406
Chiropractic
Bell, Roger DC .................................. 36
Blanco, Allisha DC ........................... 36
Conner, Kevin DC ............................37
Cox, Paul DC ......................................37
Dahmer, Brian DC ............................37
Horne, Leslie DC ..............................37
Patel, Anish DC .................................37
Shontz, Michael DC ........................37
Tinari, Dominick DC ........................37
Williams, Gregory DC ....................37
Willis, Steven DC .............................37
Community Mental Health Center
Operation Par Inc ..........................241
The Harbor Bhci ............................242
Convenient Care Clinic
Fh Express Care At Walgreens 271
Minuteclinic LLC ............................ 271
Diagnostic Imaging
Excel Medical Imaging ................. 271
Radiology Associates Of West Pasco .................................................. 272
Tower Imaging Inc ........................ 272
Dialysis
Trc Bayonet Point Dialysis ....... 273
Endodontics
Hernandez Moreno, Rosa DMD 41
Family Practice
Albritton, Danielle DO ..................... 1
Bishop, Jerry MD ................................. 1
Boucher, Jennifer MD ....................... 1
Greenfield, Adam DO ...................... 1
Renelus, Deborah MD .....................2
General Surgery
Kalaskar, Sudhir MD ....................... 44
Home Health Care
Visiting Nurse Association Of Florida In ........................................... 275
Hospice And Palliative Care
Chapters Health Palliative Care Inc .......................................................... 47
Hospice
Gulfside Hospice And Pasco Palliative Ca ..................................... 275
Hph Hospice ................................... 275
Hospital
Adventhealth Dade City ........... 235
Adventhealth Wesley Chapel 235
Adventhealth Zephyrhills ......... 235
Crmc At Bayonet Point ............. 235
33453864
Extended Hours Index
Pasco - cont. Mitchell Rehabilitation Hospital ................................................................ 235
Morton Plant North Bay Hosp 235
Morton Plant North Bay Hospital Recovery ........................................... 235
Infant And Toddler Develop-ment Specialists
Bickerton, Janel RN ......................300
Internal Medicine
Bhambore, Mahesh MD ..................3
Chambers, Nelly MD ........................3
Kashlan, Ghiath MD ..........................4
Licensed Clinical Social Worker
Cortes-Ramirez, Luz LCSW ......242
Jordan, Cassandra LCSW ........... 243
Misiaszek-Boser, Joann LCSW 243
Licensed Marriage And Family Therapist
Bolen, Brian LMHC .......................244
Jaramillo, Kate LMFT ....................244
Licensed Mental Health Coun-selor
Bolen, Brian LMHC .......................300
Foster, Sheryl LMHC ...................300
Petroshius Crocker, Samantha LMHC ..................................................301
Taylor III, Gregg LMHC ...............301
Licensed Professional Counselor
Slickers, Albert LPC ......................244
Licensed Social Worker
Reedimes, Susan LCSW .............244
www.wellcare.com/Florida 407
Mammography
Tower Imaging Inc ........................276
Nurse Practitioner Family Medicine
Demetriou, Panagiota APRN ...303
Mathews, Jessica APRN ..............303
Nurse Practitioner Pediatric
Ferroir, Erin APRN .........................304
Nurse Practitioner
Boynton, Abigail APRN ...............301
Roque, Mark APRN ......................302
Obstetrics/Gynecology
Ashby, Gem MD .............................. 58
Goldman, Joshua MD .................... 59
Ray, Tanya APRN ...........................305
Witkowski, Kristen MD ................ 62
Occupational Therapy
Beck, Sandra OT ............................305
Boling, Shannon OT .....................305
Fitzgerald, Jennifer OT ...............306
Irons, Kristy OT ..............................306
Lamke, Kimberly OT ....................306
Samples, Katharine OT ...............306
Tietz, Carol OT ..............................307
Welch And Mcloy Therapy Services Pa .......................................276
Ophthalmology
Linsey, Kyle DO ............................... 63
Perich, Larry DO .............................. 64
Perich, Tanya DO ............................ 64
Williams, Dennis MD ..................... 65
Optician
Eye Doctors Optical Outlets Pa .................................................................. 65
Eyesavers Optical Inc ................... 65
Optimart Inc .....................................66
Visionworks Inc ...............................66
Optometry
Alcantara, Marielle OD .................66
Anderson, Clinton OD .................66
Austin, Bradley OD ........................66
Beiler, Mark OD ...............................66
Birnbaum, Suzanne OD ................ 67
Causey, Matthew OD ................... 67
Causey, Michael OD ...................... 67
Ciccarello, Jimmie OD .................. 67
Day, Paul OD ..................................... 67
Furman, Adam OD ......................... 67
Hernandez, Madeline OD ........... 67
Herriott, Michael OD ....................68
Hetherington, Mark OD ..............68
Jones, Douglas OD .........................68
Kudryk, John OD .............................68
Lappano, Alfred OD ......................69
Luu, Jessica OD ................................69
Merlino, Brian OD ...........................69
Miller, Matthew OD ...................... 70
Murphy, Kenneth OD ................... 70
Parsons, Brent OD .......................... 70
Parsons, Nicole OD ........................ 70
Payne, Tessa OD ...............................71
Pham, Nhathy OD ............................71
Regal, Sarah OD .................................71
Scamard, David OD .........................71
Schoneck, Katie OD ...................... 72
Smith, Kevin OD .............................. 72
Sterling, Peggy OD ......................... 72
Thai, Pauline OD .............................. 72
Tran-Lockwood, Julie OD ........... 72
Tyler, Eric OD ................................... 72
Woolwine, Joshua OD ...................73
Oral & Maxillofacial Surgery
Guerra-Andrade, Andres DMD .73
Orthodontics
Guloy, Robertzon DMD .............. 74
Hasan, Shadiya DMD ..................... 74
33453864
Extended Hours Index
Pasco - cont. Segovia, Flor DDS ........................... 74
Pediatric Psychiatry
Ali, Muhammad MD ....................245
Pediatrics
Alvarez, Alfred MD ...........................4
Arroyo, Fernando MD .....................4
Athanasatos, Antigone DO ...........4
Baade, Melody MD ...........................5
Bekman, William DO ........................5
Booth, Christine MD ........................5
Desai, Rupal MD .................................5
Dwyer, James MD ..............................5
Egli, Graciela MD ............................. 77
Ejaz, Mariam MD ................................6
Gaud, Rosa MD ................................ 77
Gomez-Luengas, Alexander MD 6
Griffen, Michael DO .........................6
Grover, Alpana MD ...........................6
Herrygers, Canaan MD ....................7
Hughes, Natasha MD .......................7
Jones, Carmela APRN ..................308
Kharia, Neelam MD ........................ 77
Lokesh, Haravu MD ..........................7
Mitchell, Paul MD ..............................7
Perez, Maribelis MD .........................8
Pham, Thuy MD ..................................8
Pineiro, Alisha DO .......................... 77
Savino, Tarah PA ...........................309
Tan, Ignatius MD ................................9
Valencia-Serafini, Maria DO .........9
Wilkins, Beena MD ............................9
Pedodontics
Adibi, Farnaz DMD ......................... 78
Iyer, Priyanka DDS .......................... 79
Periodontics
Barzyk, Jeffrey DMD ......................80
www.wellcare.com/Florida 408
Physical Therapy
Guida, Meghan PT ........................309
Lontoc, Dino PT ............................309
Lontoc, Maria PT ............................310
Spiegel, Justin PT ............................310
Westervelt, Lindley PT ................310
Podiatry
Donate, Guillermo DPM .............. 82
Psychiatry
Ali, Muhammad MD ....................245
Patel, Shodhan MD ......................246
Rehabilitation Facility
Ewing And Thomas Inc .............. 277
Speech Within Reach Therapy Services ............................................. 277
The Back To Wellness Center LLC ................................................................ 277
Retail
1st Choice Pharmacy ...................369
American Care Of North Florida Inc ........................................................369
Aum Pharmacy ...............................369
Be Well Pharmacy ........................369
Benzer Pharmacy ..........................369
Blake Pharmacy ..............................369
CVS Pharmacy ................................. 371
Doctors Choice Pharmacy ........ 371
Drug Store Healthmart ............... 371
Eckerds Pharmacy ......................... 371
Elfers Pharmacy Healthmart ..... 371
Embassy Pharmacy ........................ 371
Fl Med Clinic Phcy Of Wiregrass ................................................................. 371
Florida Medical Clinic .................. 371
Florida Pharmacy ........................... 371
Graceland Phcy And Medical Supply ................................................. 371
Jacks Pharmacy ............................... 371
Js Pharmacy ...................................... 371
Land O Lakes Pharmacy ............ 372
Lily Care Pharmacy ...................... 372
Little Road Pharmacy .................. 372
Magnolia Pharmacy ..................... 372
Marine Pharmacy .......................... 372
Maxcare Pharmacy ....................... 372
Medicine Shoppe Pharmacy ... 372
Medilink Pharmacy ....................... 372
Nimoh Phcy & Compounding LLC ................................................................ 372
Rays Pharmacy ............................... 372
Ricx Pharmacy ................................ 372
Rowan Discount Pharmacy ...... 372
Royal Pharmacy ............................. 372
Rx Care Pharmacy & Kwik Mart ................................................................ 373
Rx Care Pharmacy ........................ 372
Rx Discount Pharmacy ............... 373
Sams Club Pharmacy ................... 373
Save N Care Pharmacy ............... 373
South Lake Pharmacy ................. 373
St Josephs Pharmacy ................... 373
Starcare Pharmacy ....................... 373
Staywell Pharmacy ....................... 373
Summergate Pharmacy .............. 373
Suntrust Pharmacy ....................... 373
Trust Pharmacy .............................. 373
Walmart Pharmacy ...................... 374
Winn-Dixie Pharmacy ................. 374
Wisdom Pharmacy ....................... 374
Xtra Discount Drugs .................... 374
Z Orange Pharmacy ..................... 374
Zephyrhills Community Pharmacy ................................................................ 374
Zephyrhills Pharmacy ................. 374
Skilled Nursing Facility
Bear Creek Nursing Center ...... 277
Chc Of Bayonet Point ................ 277
Consulate Health Care Of New Port Richey ...................................... 277
Heather Hill Nursing Home-Pcs ................................................................ 277
Heritage Park Health And Rehabilitation ................................. 277
33453864
Extended Hours Index
Pasco - cont. Life Care Center Of New Port Richey ................................................. 277
Madison Pointe Care Center .. 277
Orchard Ridge Rehab & Nursing ................................................................ 277
Royal Oak Nursing Ctr-Pcs .......278
Solaris Healthcare Bayonet Point ................................................................278
Southern Pines Healthcare Center ................................................................278
Trinity Regional Rehab Center 278
Windsor Woods Rehab And Health Center .................................278
Sleep Medicine
Comprehensive Medical Care ..86
Speech & Language Pathology
Allen, Shanna SLP ............................ 311
Barr, Erin SLP ..................................... 311
Blankinship, Louellen SLP ............ 311
D Amico, Nancy SLP ..................... 311
Finnegan, Rachel SLP ..................... 311
Holbrook, Erica SLP ...................... 312
Hood, Ashley SLP .......................... 312
Kaczur, Ashley SLP ........................ 312
Leeson, Lindsey SLP ..................... 312
Mason, Erniesha SLP ..................... 312
Miseroy, Milvia SLP ....................... 313
Oakes, Chelsea SLP ....................... 313
Pizon Moore, Angela SLP ........... 314
Stephenson, Shannon SLP ......... 314
Sturgill, Kristi SLP ........................... 314
Taylor, Brittany SLP ...................... 314
Yates, Nicole SLP ........................... 314
Speech Therapy
Beer, Jamie SLP ................................ 314
Breedlove, Megan SLP ................. 314
Cichra, Deborah SLP ..................... 315
Danner, Erin SLP ............................. 315
Fitzpatrick, Laura SLP ................... 315
Gillham, Nicole SLP ....................... 315
Ivanov, Maria SLP ........................... 315
Kernaghan, Kelly SLP .................... 315
Knobloch, Jacquelyn SLP ............ 315
Moore, Amanda SLP .....................316
Porreca, Tina SLP ...........................316
Pursino, Heather SLP ....................316
Schroeder, Jordan SLP .................316
Tager, Madisen SLP .......................316
Vought, Jill SLP ................................316
Willis, Kathleen SLP ...................... 317
Yankeloff, Kristina SLP ................ 317
Substance Abuse
North Tampa Behav Health ....247
Operation Par Inc .........................247
The Harbor Bhci ............................247
Urgent Care Center
After Hours Pediatrics Practices Inc ........................................................278
Baycare Urgent Care LLC ..........278
Doctors Urgent Care ..................278
Doctors Walk In Clinics .............279
Florida Hospital Centra Care University .........................................279
Gulf View Medical And Urgent Care Inc .............................................279
Wee Care Clinic Inc .....................279
Your Family Walk In Clinic LLC ................................................................279
Pinellas
Advanced Registered Nurse Practioner
Alexander, Sandra APRN ............318
Fuhr, Alison APRN .........................318
Allergy & Immunology
Ballow, Mark MD .............................89
Gubernick, Samuel DO ................89
Kornfeld, Stephen MD .................89
Kubiak, Catherine MD ..................90
www.wellcare.com/Florida 409
Mangat, Mona MD .........................90
Sanka, Madhurima DO .................90
Ambulatory Surgery Center
Bardmoor Surgery Center ........280
Largo Surgery LLC DBA West Bay Surgery C ..........................................280
Behavioral Health Counseling
Arredondo, Andra LCSW ..........248
Barnes, Wanda LMHC .................248
Bishop, Harold LCSW .................248
Bulla, Angela LCSW ......................248
Carini, Andrew LCSW .................248
Christova, Albena LMHC ...........248
Clare, John LMHC .........................248
Clark, Louisa LMHC ......................249
Davenport, Glenda LCSW ........249
Erickson, Shannon LCSW ..........249
Fine, Frank LMHC ..........................249
Fogleman, Ruthann LMHC ........249
French, Trish LCSW .....................249
Hall, Sandra LMHC .......................250
Ingram, Jennifer LMHC ...............250
Kerwin, Joan LMHC ......................250
Knop, Karen LCSW .......................250
Lambert, John LCSW ...................250
Lewis, Deborah LMHC ................ 251
Mack, Teresa LMHC ..................... 251
O'neil, Susan LMHC ...................... 251
Pierce, Tyne LMHC ....................... 251
Santiago, Karmivis LMHC ........... 251
Wingert, Frank LCSW ................. 252
Behavioral Health Facility
Baycare Life Management ....... 252
Mease Countryside Hospital .. 253
Morton Plant Hospital ............... 253
St Anthonys Hospital ................. 253
Birthing Center
Countryside Birthing Place Inc 281
33453864
Extended Hours Index
Pinellas - cont.
Child Neurology
Hall, Gerald APRN .......................... 321
Nazario, Margaret PA .................. 321
Chiropractic
Bhathal, Amanpreet DC ...............101
Crandall, Charles DC ....................102
Farkas, Frank DC .............................102
Goodman, Jamie DC .....................102
Hayes, Christopher DC ...............102
Horton-Bender, Kimberly DC ..102
Jennings, John DC ...........................102
Krippendorf, Donald DC ............102
Leverone, Andrew DC ................. 103
Marcell, Mike DC ........................... 103
Mcpherson, Michael DC ............. 103
Melilli, Steven DC .......................... 103
Preston, David DC ......................... 103
Price-Mccarthy, Staci DC ........... 103
Raveling, Paul DC ........................... 103
Rebori, Brian DC ............................. 103
Schoeffel-Hayes, Diane DC ...... 103
Thorpe, Lorraine DC ....................104
Community Mental Health Center
Baycare Life Management ....... 253
Directions For Living ................... 253
Duval Metro Treatment Center ................................................................254
Operation Par Inc .........................254
Personal Enrichment Through Mental Healt ...................................254
Suncoast Center Inc ....................255
The Harbor Bhci ............................256
Convenient Care Clinic
Fh Express Care At Walgreens 281
Minuteclinic LLC ...........................282
Dermatology
Caban, Francis MD ........................105
Garcia-Cardona, Maria MD .......105
Diagnostic Imaging
Gateway Radiology Consultants ................................................................283
MRI Associates Of St Pete .......283
Open MRI Of Pinellas Inc .........283
Palm Harbor MRI ...........................283
Susan Cheek Needler Breast Center ................................................284
Dialysis
Fmc Clearwater Beach ...............284
Fmc Pinellas Park ...........................284
Fresenius Kidney Care Seminole ................................................................284
Gulf Breeze Dialysis Center .....284
Rai - 9th Street North - St Petersburg ........................................285
Rai-Us 19 N-Clearwater/Palm Harbor ................................................285
Renviva Dialysis Center Of Clearwater Ll ...................................285
St Petersburg Kidney Care LLC ................................................................285
St Petersburg Kidney Care South LLC .......................................................285
Tarpon Springs Dialysis LLC .....285
Durable Medical Equipment
Austin Respiratory Equipment Inc ................................................................285
Health Aid Company Inc ...........286
O2 Solutions LLC ..........................286
Endodontics
Hernandez Moreno, Rosa DMD ..................................................................110
Family Practice
Baker, Gregory MD ......................... 10
Barasch, Marc DO ............................ 10
Bartuseck, Michael APRN .......... 323
Burns, Craig DO ..................................11
Faulkner, Kim MD ............................. 111
Harrison, James APRN ................. 324
Hendren, Beatrice APRN ........... 324
Knapp-Baker, Paula DO ..................12
Liu, Liyu DO ....................................... 113
Lowell, Anna DO ............................. 113
Lungren, Hillary DO .........................13
Moreno, Keyshla APRN .............. 324
Shariff, Sohail MD ........................... 113
Stamoolis, Christina MD .............. 113
Walker, Sharla APRN ................... 325
General Practice
Lusancarez, Jose MD ..................... 115
Hematology & Oncology
Diaz, Michael MD ........................... 123
Ho, Vu MD ........................................ 123
Mace, Joseph MD .......................... 123
Hematology
Knipe, Richard MD ......................... 122
Home Health Care
Abundant Life Home Health Agency LLC .....................................287
Access Home Health Care Inc DBA Preferre ...................................287
Best Care Providers Inc .............287
Generations At Home ................288
Harmony Home Health LLC ....288
Home Care Now ...........................288
Instruments For Hope LLC .......289
Maxim Healthcare Services Inc ................................................................289
Quality Home Care Of Tampa Bay .......................................................289
Trelaine House Of Love Inc ....289
www.wellcare.com/Florida 410
33453864
Extended Hours Index
Pinellas - cont.
Hospital
Adventhealth North Pinellas ..236
Baycare Alliant Hospital ............236
Bayfront Medical Center ..........236
Johns Hopkins All Childrens Hospital Inc .....................................236
Largo Medical Center Indian Rocks ..................................................236
Largo Medical Center .................236
Mease Countryside Hospital ..236
Mease Hospital Dunedin ...........236
Morton Plant Hospital ...............236
Northside Hospital ......................236
Palms Of Pasadena Hosp ..........236
St Anthonys Hospital ................. 237
St Petersburg General Hosp ... 237
Infant And Toddler Develop-ment Specialists
Schinella, Kerry RN ....................... 327
Infectious Disease
Asare, Kingsley DO ........................ 125
Internal Medicine
Barroso, Luis DO ............................ 127
Briley, Denver DO ........................... 15
Decker, Gary MD ........................... 127
Hanley, Allison MD .......................128
Kaszuba, Robert MD ...................... 16
Kurtsikidze, Nino MD ..................... 16
Licensed Clinical Social Worker
Ali, Kimberly LCSW ......................256
Almeida, Brandice LCSW ..........256
Benovic, Elisabeth LCSW .......... 257
Jadlowski, Janice LCSW .............. 257
Jordan, Cassandra LCSW ........... 257
Russell, Nancy LCSW ..................258
Schleich, Eric LCSW .....................258
Vagedes, Marie LCSW ................258
Wheeler, Cynthia LCSW ...........258
Licensed Marriage And Family Therapist
Skane, Marina LMFT ....................259
Welch, Matthew LMFT ..............259
Licensed Mental Health Coun-selor
Dennis, Jamelle LMHC ................329
Diaz, Charisse LMHC ...................329
Dixon-Taliaferro, Cara LMHC .329
Ellingham, Patricia LMHC ..........330
Hannon, Kathleen LMHC ..........330
Mortimer, Dolores LMHC .........330
Norris, Lesley LMHC ...................330
O'neil, Susan LMHC ...................... 331
Paolillo, Jennifer LMHC ............... 331
Petroshius Crocker, Samantha LMHC .................................................. 331
Silva, Mylene LMHC ..................... 331
Snell, Chelsy LMHC ...................... 331
Wood, Melissa LMHC .................. 331
Yancey, Linda LMHC .................... 331
Maternal Fetal Medicine
Apostolakis Kyrus, Katherine MD ................................................................. 130
Cruz Ithier, Mayra MD ................. 130
Samuel, Amber MD ....................... 131
Stanley Christian, Heather MD 132
Tolaymat, Lama MD ..................... 132
Medical Oncology
Knipe, Richard MD ......................... 133
Peterson, John MD ........................ 133
Mobile Diagnostic
Symphony Diagnostic Services No1 LLC DBA ...................................290
Ultra Healthcare Services .........290
Neonatal Perinatal Medicine
Teper, Jordan MD .......................... 136
Nurse Practitioner Family Medicine
Huttie, Jennifer APRN .................338
Mathews, Jessica APRN .............. 339
Nurse Practitioner Neonatal
Bowers, Brittany APRN .............. 339
Malone, Glaysa APRN ................. 339
Polhamus, Lisa APRN ...................340
Nurse Practitioner Pediatric
Bowermaster, Sarah APRN .......340
Horton, Krista APRN ...................340
Richardson, Taylor APRN ..........340
Rondolino Fick, Cristina APRN 340
Schuhmann, Cynthia APRN ......340
Wolf, Richard APRN ....................340
Nurse Practitioner Psychiatric Mental Health
Williams, Chiara APRN ................. 341
Nurse Practitioner
Darville, Kristina APRN ............... 334
De LA Noval, Barbara APRN .... 334
Langen, Kimberly APRN ............. 335
Marcino, Kathryn APRN ............. 335
Mervine, Jana APRN ..................... 335
Otis, Mishya APRN ....................... 336
Riles, Roxene APRN ..................... 336
Rourk, Latoya APRN .................... 336
Sherbuk, Christine APRN .......... 336
Wawro, Agata APRN ................... 337
Obstetrics
Gallagher, James MD .................... 142
Obstetrics/Gynecology
Acosta Jr, Romeo MD .................. 145
www.wellcare.com/Florida 411
33453864
Extended Hours Index
Pinellas - cont. Bainbridge, Megan CNP ............. 342
Calderon, Guillermo MD ............146
Connor, Diana MD ........................146
Javate, Emanuel MD ......................149
Jones, Malcolm MD .......................150
Kinder, Michael MD ......................150
Lerner, Saul MD ............................... 151
Rudolph, Connie CNM ............... 343
Ruiz Robles, Ivelisse MD ............. 155
Shamas, Christina MD .................. 156
St John, Patricia MD ...................... 157
Tarte, Michelle PA ........................ 343
Occupational Therapy
Anischko, Lauren OT .................. 343
Chalker, Jessica OT ....................... 343
Clay, Patricia OT ............................344
Dawson, Kristin OT ......................344
Forbes, Jennifer OT ......................344
Graffeo, Michael OT ...................344
Griffith, Leah OT ...........................344
Hamlin Pacheco, Kathryn OT .344
Hill, Morgan OT .............................344
Holmes, Nilsa OT ..........................344
Littlewood, Christine OT .......... 345
Lybarger, Hannah OT .................. 345
Meidenbauer, Jillian OT ............. 345
Nicolaus, Marnie OT ................... 345
Oconnor, Rachel OT ................... 345
Perry, Amy OT ............................... 345
Powers, Susan OT ........................ 345
Sams, Kathleen OT .......................346
Schutz, Andrea OT ......................346
Skonieczka, Carly OT ..................346
Solomon, Rebecca OT ...............346
Stevenson, Victoria OT .............346
Velett, Kristen OT ........................346
Optician
Eye Doctors Optical Outlets Pa ................................................................. 165
Optimart Inc .................................... 165
Optimart St Petersburg .............. 165
Visionworks Inc ..............................166
Optometry
Adler, Shepard OD ........................166
Alcantara, Marielle OD ................166
Atkins, Brian OD ............................. 167
Beckwitt, Julie-Ann OD ............... 167
Birnbaum, Suzanne OD ...............168
Branin, Leslie OD ............................168
Campbell, Christopher OD .......168
Case, Barry OD ................................168
D'alesio, Michael OD ....................168
Day, Paul OD ....................................169
Ferris, Anthony OD .......................169
Flanagan, Deborah OD ................170
Flanagan, Thomas OD ..................169
Furman, Adam OD ........................170
Furman, Megan OD ......................170
Geary, Daniel OD ...........................170
Hernandez, Richard OD ............... 171
Herriott, Michael OD .................... 171
Ho, Thanh OD ................................. 172
Hossenlopp, Craig OD ................ 172
Ingham, Richard OD ..................... 172
Jones, Douglas OD ........................ 173
Krumbholz, Gerald OD ............... 173
Kuplicki, Dane OD ......................... 173
Lappano, Alfred OD ..................... 174
Lewenson, Robert OD ................ 174
Mann, Clare OD .............................. 174
Mason, John OD ............................. 175
Mcknight, Jaclyn OD .................... 175
Merlino, Brian OD .......................... 175
Morrison, Caryn OD ..................... 175
Nguyen, Thu OD ............................ 176
Parrish, Gregory OD ..................... 177
Pham, Tony OD .............................. 177
Plante, Parker OD .......................... 177
Regal, Sarah OD ..............................178
Rophie, Alan OD ............................178
Rosenfeld, Jay OD .........................178
Ryczek, Dennis OD .......................178
Sabin, David OD ............................. 179
Salta, Mark OD ................................ 179
Sarno, Nevin OD ............................ 179
Schoneck, Katie OD ..................... 179
Stanley, Jennifer OD .....................180
Thai, Pauline OD .............................180
Tran, Baotram OD .......................... 181
Wilcoxon, Dennis OD ..................182
Williams, John OD .........................182
Oral & Maxillofacial Surgery
Guerra-Andrade, Andres DMD 183
Lawson, Scott DDS ....................... 183
Orthodontics
Guloy, Robertzon DMD .............184
Hasan, Shadiya DMD ....................185
Nelson, Stephen DMD ................186
Segovia, Flor DDS ..........................186
Pediatric Allergy & Immunology
Ballow, Mark MD ............................188
Pediatric Cardiology
Censoplano, Nina DO .................189
Hardin, Joel MD ..............................190
Morgan, John PA ...........................348
Pediatric Gastroenterology
Gursky, Beverly APRN ................349
Pediatric Nephrology
Rodriguez, Jessica MD ................. 197
Pediatric Surgery
Buchanan, Vivian PA .................... 353
Grant, Kelsey APRN ..................... 353
Kainec, Paul PA ............................... 353
Layfield, Mary PA .......................... 353
Lefkowitz Webb, Sara APRN .. 353
Rausch, Kelly PA ............................ 354
Zaharis Molina, Alissa APRN ....354
www.wellcare.com/Florida 412
33453864
Extended Hours Index
Pinellas - cont.
Pediatrics
Acker Lense, Beverly MD ............ 20
Ahmad, Akif MD ............................203
Arvelo-Velez, Beatriz MD ........... 20
Aungst, Cary MD ............................. 20
Banks, Elizabeth MD ...................... 20
Beetler, June DO ............................. 20
Berio Alvarez, Marta MD ...........203
Bharucha, Corrie MD ......................21
Bielicki, Lois APRN ........................ 354
Black, Janet MD ..................................21
Booth, Christine MD .......................21
Cano, Carlos MD ............................. 22
Cavanaugh, Lara MD ..................... 22
Cibran, Mariano MD ....................204
Conde, Nicole DO .......................205
Davis, James MD .............................. 22
Dhanireddy, Jennifer MD ..........205
Drummond, Alrick MD ................. 22
Faulkner, Kim MD ..........................207
Freed, Heather APRN .................. 355
Gadea, Shayne MD ........................ 22
Grindy, Anna MD ..........................207
Hagan, Teri MD .................................23
Halbert, Douglas MD .....................23
Hicks, Mary MD ................................23
Hidalgo, Carlos MD .........................23
Hornbeck, Elizabeth MD ...........207
Hughes, Natasha MD .....................23
Jackson-Curtis, Danuta MD .........23
Jordan, Michael MD ........................23
Karges, Stephen MD ...................... 24
Kelley, Sarah MD ...........................208
Kickish, Robert MD ........................ 24
Kim, Jennifer MD ............................. 24
Kitterman, Christopher DO .....209
Klein, Jay MD ..................................... 24
Kober, Terry PA ............................. 355
Lawrence, Samantha APRN .....356
Leal, Jennifer APRN ......................356
Lopez Dominguez, Maria MD .209
Lopez-Mccormack, Celia MD ... 24
Lopez-Molina, Norma MD ........210
www.wellcare.com/Florida 413
Mak, Sheila DO ................................ 25
Mallett, Lesley APRN ..................356
Mchugh, Sara APRN .....................356
Mcneely, Kathryn MD .................. 25
Migliore, Heidi APRN .................. 357
Millette, Kinjal MD .........................210
Moore, Steven MD ........................ 25
Pai, Rajendra MD ............................. 25
Pantages, Efstratios MD ............... 25
Pargas, Anet MD .............................. 211
Patterson, Jebhar MD ................... 211
Petitfils, Lisa MD .............................. 26
Razman, Dolores MD .................... 26
Reilly Hays, Elizabeth MD .......... 212
Richardson, Athena MD .............. 26
Rommel, Duane MD ...................... 26
Sawka, Jennifer MD ........................ 27
Shine, Leetoria APRN ..................358
Smith, Christine MD ...................... 27
Sorci, Mary DO ................................ 27
Sterling, Fran DO ............................. 27
Szafranski, Christy MD ................. 27
Tran, Thien MD ................................ 27
Voltarel, Stephen MD ................... 27
Weber, Charlene MD .................... 28
Weinberger, Alyssa MD ............... 28
Wesnofske, Casandra APRN ....358
Zhao, Wenying MD ........................ 28
Pedodontics
Adibi, Farnaz DMD ........................ 213
Iyer, Priyanka DDS ......................... 215
Lee, Sara DMD ................................216
Sirage, Mohamed DMD .............. 217
Periodontics
Barzyk, Jeffrey DMD .....................218
Physical Medicine & Rehabilita-tion
Batlle, Luis MD ................................218
Physical Therapy
Farese, Patricia PT .........................358
Katz, Dina PT ...................................358
Kraynak, Jodi PT .............................358
Magerkurth, Alyssa PT ................359
Reuter, Brett PT .............................359
Schumann, David PT ...................359
Shivers, Karen PT ...........................359
Taliaferro, Ashley PT ...................359
Verdebout, Nadine PT ...............359
Physician Assistant
Odonnell, James PA .....................360
Podiatry
Delellis, Salvatore DPM ..............220
Parise, Daniel DPM ....................... 222
Psych Hospital
Windmoor Healthcare Inc .......260
Psychiatry
Ackerman, Bernadette APRN ..260
Bhatt, Ashish MD ..........................260
Brandon, Mariko MD ...................260
Chamberlain, Andrea MD ..........261
Dougherty, Phyllis APRN ...........262
Feldman, Alan MD ........................262
Iglesias, Nieves MD ......................262
Kawliche, Boris MD ......................263
Kunins, Craig MD ...........................263
Nwokolo, Felix MD ......................264
Rodriguez, Mauro MD ................265
Sayers Erfourth, Sharmayn DO ................................................................265
Psychology
Cohen, Benjamin PHD ................267
Gimon, Alexander PHD ..............267
Hemsath, Randolph PSYD ........267
Howes, Jeanne PSYD ..................267
Lunden, Judy PSYD ......................268
33453864
Extended Hours Index
Pinellas - cont.
Radiation Oncology
Franzese, Frank MD ......................226
Gauwitz, Michael MD ................. 227
Miller, Robert MD ......................... 227
Radiation Therapy
Solc, Zucel MD ...............................228
Rehabilitation Therapy
Heart 4 Kids Therapy LLC ..........291
Retail
Ahf Pharmacy ................................. 375
Alexander Pharmacy ................... 375
All Childrens Outpatient Phcy 375
Anclote Pharmacy ........................ 375
Apex Care Pharmacy .................. 375
Bay Life Pharmacy III ...................376
Bay Life Pharmacy ........................ 375
Baycare Homecare ......................376
Baydoun Pharmacy ......................376
Benzer Pharmacy ..........................376
CVS Pharmacy ................................379
Care Plus Pharmacy .....................379
Curlew Pharmacy .........................380
Danang Pharmacy .........................380
Edwards Pharmacy .......................380
Empath Health Pharmacy .........380
Fusion Pharmaceuticals .............380
G And H Pharmacy ......................380
Good Samaritan Pharmacy ......380
Guardian Pharmacy ......................381
Healthmed Pharmacy ..................381
Highland Pharmacy Inc ...............381
Inspire Pharmacy ............................381
J&k Care Pharmacy ........................381
King Phcy & Compounding LLC .................................................................381
Lake Seminole Pharmacy ...........381
Lincourt Assisted Living. Inc .....381
Lincourt Pharmacy ........................381
Main Street Pharmacy .................381
Medicine Shoppe Pharmacy ...382
Michaels Pharmacy ......................382
Np Pharmacy ..................................382
Option Care ....................................382
Pharmaco Med Shop ..................382
Pharmacy Express & Medical Supply ................................................382
Pharmacy Innovations ................382
Pharmalabs .......................................382
Pharmerica .......................................382
Prime Rx Pharmacy ......................382
Publix Super Markets ..................383
Sams Club Pharmacy ...................383
Scotts Rx ...........................................383
Scripts Pharmacy ..........................383
Shepherd Pharmacy ....................383
Shields Pharmacy ..........................383
Southcare Pharmacy Inc ...........383
Southcare Pharmacy ...................383
St Luke Pharmacy .........................383
St Marks Pharmacy ......................383
St Mary Pharmacy II ....................383
St Mary Pharmacy ........................383
St Petersburg Pharmacy ............384
Sun Pharmacy .................................384
Sunlife Pharmacy ..........................384
Tampa Road Pharmacy ..............384
Tarpon Discount Drugs .............384
The Green Cross Pharmacy .....384
Trust Pharmacy ..............................384
V & T Pharmacy .............................384
Vistacare Pharmacy II .................384
Walmart Pharmacy ......................385
Winn-Dixie Pharmacy .................386
Skilled Nursing Facility
Advanced Care Center ...............291
Alhambra Health & Rehab Center .................................................................291
Alpine Health Rehabilitation Center .................................................291
Apollo Health And Rehabilitation Center .................................................291
Bardmoor Oaks Healthcare And Rehabilitat .........................................291
Bay Pointe Nursing Pavilion ......291
Bay Tree Care And Rehabilitation Center ................................................292
Bayside Care Center ...................292
Baywood Nursing Center .........292
Boca Ciega Center .......................292
Bon Secours Maria Manor Nursing Care Cen ...........................................292
Carrington Place Of St Pete ....292
Clearwater Center .......................292
Concordia Manor .........................292
Consulate Health Care Of Safety Harbor ................................................292
Consulate Health Care Of St Petersburg ........................................292
Countryside Healthcare Ctr ....292
East Bay Nc LLC .............................292
Egret Cove .......................................292
Gateway Care Center ................292
Glen Oaks Health And Rehabilitation Cent ......................293
Golfview Healthcare Center ...293
Gulf Shore Care Center ............293
Gulfport Rehabilitation Center ................................................................293
Harbourwood Care Center .....293
Highland Pines Rehab Center .293
Kensington Gardens Rehab And Nursing Ctr ......................................293
Lakeside Oaks Care Center .....293
Laurellwood Care Center .........293
Lexington Health & Rehab Ctrs ................................................................293
Manorcare Health Services Dunedin 533 ....................................293
Manorcare Health Services Palm Harbor ................................................293
Mease Continuing Care .............293
Morton Plant Rehab Ctr ............293
North Rehabilitation Center ...294
Oak Manor Healthcare & Rehab Ctr ........................................................294
Palm Garden Of Clearwater ....294
Palm Garden Of Largo ...............294
Palm Garden Of Pinellas- Nhc 294
www.wellcare.com/Florida 414
33453864
Extended Hours Index
Pinellas - cont. Peninsula Care & Rehab Center ................................................................294
Pinellas Point Nursing And Rehab Center ................................................294
Sabal Palms Health Care Center ................................................................294
Shore Acres Care Center ..........294
South Heritage Health Rehab Center ................................................294
St Mark Village ...............................294
St Petersburg Nursing And Rehab ................................................................294
St Petersburg Nursing And Rehabilitation .................................294
Stratford Court Of Palm Harbor ................................................................295
Sunset Point Rehab & Nursing C ................................................................295
Tarpon Bayou Ctr .........................295
The Abbey Rehabilitation And Nursing ..............................................295
The Care Center At Pinellas Park ................................................................295
The Health And Rehabilitation Centre At ..........................................295
The Springs At Boca Ciega Bay ................................................................295
West Bay Rehab & Nursing Ctr ................................................................295
Westminster Suncoast ..............295
Wrights Healthcare & Rehab Ctr ................................................................295
Speech & Language Pathology
Brady, Cheyenne SLP ..................362
Brawner, Krissy SLP ......................362
Brenner, Diana SLP .......................362
Dalrymple, Maria SLP .................. 363
Demich, Kailyn SLP ....................... 363
Ferreira, Jennifer SLP ................... 363
Garner, Miriam SLP ...................... 363
Irizarry Figueroa, Eliany SLP ......364
Kornicki, Rachel SLP .....................364
Lopez, Dhyana SLP .......................364
www.wellcare.com/Florida 415
Morgan, Alyson SLP .....................365
Prescott, Kelsi SLP ........................365
Ruth, Theresa SLP .........................365
Spangler, Danielle SLP ................366
Stratton, Lisa SLP ..........................366
Svetec, Carly SLP ..........................366
Wiech, Natalia SLP .......................366
Speech Therapy
Cummings, Kristin SLP ................366
Diaz, Elanda SLP .............................366
Le, Sharon SLP ................................366
Porreca, Tina SLP ..........................367
Stokes, Sarianna SLP ....................367
Sports Medicine
Iftikhar, Altamash DO .................229
Substance Abuse
Directions For Living ...................268
Operation Par Inc .........................269
The Harbor Bhci ............................269
Urgent Care Center
Afc Urgent Care ............................295
After Hours Pediatrics Practices Inc ........................................................296
Baycare Urgent Care LLC ..........296
Doctors Urgent Care ..................296
Doctors Walk In Clinics .............296
Evening Pediatrics Inc .................297
Sandbay Urgent Care LLC ........297
Signature Urgent Care ...............297
33453864
Provider Index
Numerics 1st Choice Pharmacy ...........369,375
3d Wellness Specialty Phcy ..... 369
A Ab Specialty Pharmacy Inc ...... 369
Abady, Robert DPM .................... 220
Abbott, Norman MD .....................92
Abdelrahman, Layal MD ...... 126,136
Abraham, Andria APRN .............. 304
Abundant Life Home Health Agency LLC ..................................... 287
Access Home Health Care Inc DBA Preferre ................................... 287
Acevedo, Raymond HAD ..........286
Acharya, Muralidhar MD ..............53
Ache, Robyn DO ..............................43
Acheson, Kimberly LCSW ......... 256
Acker Lense, Beverly MD .............20
Ackerman, Bernadette APRN ..260
Acosta Jr, Romeo MD ........... 144,145
Adams, Donald SLP ...................... 362
Adams, Lauren PA ........................ 360
Adams, Maria DO ................... 157,158
Adibi, Farnaz DMD .................. 78,213
Adler, Shepard OD ........................ 166
Adoption Related Svs - Pinellas. Inc ........................................................ 252
Advanced Care Center ............... 291
Advanced Orthopedics And Prosthetics Inc ............................... 276
Adventhealth Dade City ............235
Adventhealth North Pinellas .. 236
Adventhealth Wesley Chapel .235
Adventhealth Zephyrhills ..........235
Afc Urgent Care ............................ 295
Afesllari, Endri DPM ........................82
After Hours Pediatrics Practices Inc ................................................278,296
Agazzi, Heather PHD ................... 259
Agency For Community Treatment Services .............253,268
Agnello, Peter MD ...........................39
Agrawal, Rajesh MD ......................223
www.wellcare.com/Florida 416
Agustines, Rachel MD .................260
Ahf Pharmacy - Safety Harbor 375
Ahf Pharmacy ..................................375
Ahiable, Lilian MD .................... 92,126
Ahmad, Akif MD ............................ 203
Ahmed, Saeed MD ........ 41,42,48,49
Akel, Rami MD ...................................30
Al-Andary, Hazem MD .............. 14,15
Albaugh, Jessica APRN .................334
Alberdi, Taylor MD ........................... 4
Albergo, Robert MD ..................... 104
Albritton, Danielle DO ..................... 1
Alcantara, Marielle OD ..........66,166
Aldana Campos, Martin MD .......53
Alemar, Jose MD ............................ 122
Aletkin, Michelle LCSW ............. 242
Alexander Pharmacy ....................375
Alexander, Sandra APRN ....298,318
Aleyas, Cirly APRN ........................337
Alfonso Rivera, Mayra MD ..80,218
Alhambra Health & Rehab Center ................................................................. 291
Ali, Kimberly LCSW ...................... 256
Ali, Mohamed MD ........................ 224
Ali, Muhammad MD .................... 245
Ali, Rias MD .........................................30
Alkurdi, Basem MD ........................ 126
All Childrens Outpatient Phcy 375
Allday Home Health Corp ........ 274
Allen, Shanna SLP .............................311
Alliance Oxygen And Medical Equipment ........................................ 285
Almeida, Brandice LCSW .......... 256
Almond, Brett MD ........................ 234
Alpine Health Rehabilitation Center ................................................. 291
Altoos, Taghrid MD ..................... 226
Alvarez, Alfred MD ........................... 4
Always Dependable Inc ............. 287
Amato, Frank APRN ......................327
Amen Pharmacy .............................375
American Care Of North Florida Inc ........................................................ 369
Amin, Devendra MD .................... 224
Anacki, Heather SLP .................... 362
Anclote Pharmacy .........................375
Anderson, Clinton OD ................. 66
Anderson, Demetria LMHC ..... 329
Anderson, Ian HAD ......................286
Anderson, Lenka APRN ...............325
Anderson, Nicholas OD .......166,167
Anderson, Wayne MD ....................10
Andrews, Ena MD ........................... 99
Andrews, Thomas MD ............ 75,191
Angell, William MD ...................... 230
Angeloni, Mark DMD ......73,183,184
Anischko, Lauren OT ...................343
Annoni-Suau, Luis MD .............29,30
Anthony, Shari MD ..........................10
Antonucci, Iris HAD ......................273
Apex Care Pharmacy ...................375
Apollo Health And Rehabilitation Center ................................................. 291
Aponte, Dawn HAD ............. 273,274
Apostolakis Kyrus, Katherine MD ................................................................. 130
Apria Healthcare LLC ...................273
Arango, Jan MD ........................ 77,203
Argiropoulos-Dhima, Margaret OD ......................................................... 66
Arkhipenko, Tatiana MD ............... 15
Armstrong, Frank DO ................... 104
Armstrong, John DO .......................111
Arnold, Paul MD .............................232
Aron, Jamie DO ............................... 134
Arora, Pradeep MD ..............245,260
Arredondo, Andra LCSW .......... 248
Arroyo, Fernando MD ............... 4,20
Arvelo-Velez, Beatriz MD ............20
Asante Korang, Alfred MD ........ 189
Asare, Kingsley DO ........................ 125
Ashby, Gem MD ...............................58
Astra, Louis MD ....................... 87,232
Atchley, Tara PT ............................ 309
Athanasatos, Antigone DO ........... 4
Atkins, Brian OD ............................. 167
Aum Pharmacy ............................... 369
Aungst, Cary MD .......................... 4,20
33453864
Provider Index
A - cont. Austin Respiratory Equipment Inc ................................................................ 285
Austin, Bradley OD ........................ 66
Avallone, Jennifer DO .................. 139
Avery, Samantha DO ............. 92,127
Aves, Renato DDS ...........................73
Avila, Camila MD ...............................10
Awad, Reda MD .................................. 5
Awwad, Abraham DO ................. 136
Ayestaran Cassani, Frank MD ... 197
Ayub, Jorge MD ................................46
Azzi, Nadine MD ............................... 15
B Baab, Holly MD ..................................10
Baacke, Keri MD ....................... 52,130
Baade, Melody MD ........................... 5
Bacon, Nickole APRN ..................334
Badillo, Linda MD .............................53
Badura, Tonia CNM ......................333
Bagg, Jenny CNM ........................... 319
Baileys Pharmacy ...........................375
Bainbridge, Megan CNP ............. 342
Baker, Gregory MD ..........................10
Baker, Ryan MD .................................10
Bakhda, Rima MD .............................. 15
Balcacer-Estevez, Nery MD ...... 125
Ball, Jennifer DO ............................. 122
Ballal, Natraj MD ..............................75
Ballesteros, Natalia MD ............. 202
Ballow, Mark MD ......................89,188
Banks, Elizabeth MD .......................20
Barakat, Ayman MD ........................52
Barasch, Marc DO .............................10
Bardach, Reut MD ...........................58
Bardmoor Oaks Healthcare And Rehabilitat ......................................... 291
Bardmoor Surgery Center ........280
Barkley, Craig MD ..........................232
Barlow, Giovanna APRN ............298
Barnes, Wanda LMHC ................. 248
Barr Prosthetics & Orthotics ....223
Barr, Erin SLP ......................................311
www.wellcare.com/Florida 417
Barreiro, Francis OD ..................... 167
Barrera, Marilyn APRN ................. 301
Barrett, Brendan DPM ...................82
Barroso, Luis DO ............................ 127
Bartuseck, Michael APRN ...........323
Barzyk, Jeffrey DMD ...............80,218
Baskin, Robyn LCSW ................... 242
Basler, Keith MD ............................. 107
Bassel, Yaser MD ..............................87
Batlle, Luis MD ................................ 218
Bay Breeze Dialysis ...................... 284
Bay Dermat & Cosmetic Surgery .................................................................375
Bay Life Pharmacy II .....................375
Bay Life Pharmacy III ........... 375,376
Bay Life Pharmacy .........................375
Bay Pointe Nursing Pavilion ...... 291
Bay Tree Care And Rehabilitation Center ................................................ 292
Baycare Alliant Hospital ............ 236
Baycare Home Care Inc ............. 285
Baycare Homecare ...................... 376
Baycare Life Management 252,253
Baycare Outpatient Imaging Center .........................................271,282
Baycare Outpatient Imaging ... 282
Baycare Surgery Center .............. 271
Baycare Urgent Care LLC ..278,296
Baydoun Pharmacy ...................... 376
Bayfront Ambulatory Surgical Center LLC .......................................280
Bayfront Hma Convenient Care LLC .......................................................296
Bayfront Hma Home Health LLC ................................................................ 287
Bayfront Medical Center .......... 236
Bayfront Same Day Surgery Ctr ................................................................280
Bayonet Point Surgery & Endoscopy Ctr ................................ 271
Bayraktar, Soley MD ..................... 122
Bayron, Carlos MD ....................30,92
Bayside Care Center ................... 292
Bayview Pharmacy ....................... 376
Baywood Nursing Center ......... 292
Be Well Pharmacy ........................ 369
Beach, Caitlin PA .............................321
Bear Creek Nursing Center ...... 277
Beaton, William DPM .................. 220
Beaupin, Bernard MD ................... 218
Beaupin, Lynda MD ....................... 194
Beck, Cassandra APRN ................ 341
Beck, Sandra OT ............................ 305
Becker, Edward MD ...................... 186
Beckwitt, Julie-Ann OD ............... 167
Bedi, Bharminder MD ..................260
Beer, Jamie SLP ................................ 314
Beetler, June DO ..............................20
Befeler, Carley MD ...........................10
Beiler, Mark OD ............................... 66
Bekman, William DO ........................ 5
Bell, Daniel MD ................................ 139
Bell, Emily SLP ................................. 362
Bell, Roger DC ...................................36
Bellamy, Marilyn APRN .............. 326
Belleair Surgi-Center-Hca Columbia ..........................................280
Belongie, Iriana MD ................105,107
Beltran-Walshe, Maria DPM .......82
Belzberg, Allan MD ......................... 141
Benfanti, Paul MD ....................76,198
Bennett, Harvey MD ..................... 99
Bennett, Krista APRN .................. 305
Benovic, Elisabeth LCSW .......... 257
Benson, Beth MD ........................... 145
Benson, Matthew PA ...................352
Benzer Pharmacy ..................369,376
Berg, Marie MD ....................... 134,203
Berger, Rebecca APRN ............... 349
Berger, Todd MD ........................... 158
Bergier, Gregoire MD ................... 122
Berio Alvarez, Marta MD ...... 21,203
Berkey, Peter MD .......................15,125
Berman, David DO ........................ 196
Berrios, Jose MD ............................. 107
Berry, David MD .............................. 116
Besonen, Katherine SLP ............. 362
Best Care Providers Inc ............. 287
33453864
Provider Index
B - cont. Best, Matthew LMHC .........300,329
Betancourt, Fernando MD ........ 145
Betensky, Marisol MD .................. 122
Bezerra, Francisco DDS .................78
Bhalani, Maulik MD .................. 75,80
Bhambore, Mahesh MD .................. 3
Bharucha, Corrie MD ......................21
Bhaskar, Varun MD ....................... 224
Bhathal, Amanpreet DC ............... 101
Bhatia, Vikas MD ..............................92
Bhatt, Ashish MD ..........................260
Bickerton, Janel RN ......................300
Bidwell, Justin PA .......................... 346
Bielicki, Lois APRN ........................ 354
Bielitz, Robert LMHC .................. 238
Bienkowski, John SLP ................... 362
Bird, Jessica SLP .............................. 362
Birnbaum, Suzanne OD ..67,167,168
Bishay, Sawsan MD .........................85
Bishop, Harold LCSW ................. 248
Bishop, Jerry MD ................................. 1
Biss, Kimberly MD .......................... 142
Bittles, Mark MD ........................... 228
Bjorkman, Tara LMHC ................. 238
Black, Janet MD ..................................21
Blackstone, Harry DO ................. 1,45
Blake Pharmacy .............................. 369
Blake, Richard DDS .........................213
Blanchard, Chanel APRN ........... 305
Blanchard, Richard MD ................ 109
Blanco, Allisha DC ............................36
Blanco, Elissa APRN ........................351
Blanco, George MD ........................92
Bland, Daniel MD ............. 76,198,199
Blankenship, Susan DMD ...... 78,213
Blankinship, Louellen SLP .............311
Blevins, Alisha APRN ......................321
Bloom, David MD ......................... 226
Bloom, Jennifer LCSW ................ 257
Bma Of Clearwater ...................... 284
Boca Ciega Center ....................... 292
Bohnert, Shannon DPM ............. 220
Bojkovic, Michael MD .................260
Bolen, Brian LMHC .............. 244,300
Boles, Elia MD ...................................... 5
Boling, Shannon OT ..................... 305
Bologna, Maria APRN ...................352
Bon Secours Maria Manor Nursing Care Cen ........................................... 292
Bonaparte, Katina MD ....................111
Bondar, George DO ..................... 105
Booth, Christine MD ................... 5,21
Borissov, Boris APRN .....................317
Bott, Jeffrey MD ............................ 230
Botz, Jeanne APRN ....................... 238
Boucher, Jennifer MD ....................... 1
Bowen, Jennifer DO ................ 58,145
Bower, Brittany APRN ................ 339
Bowermaster, Sarah APRN ....... 340
Bowers, Brittany APRN .............. 339
Bowers, Janaya SLP ...................... 366
Bowers, William MD ...................... 116
Bowersock, Angela PA ............... 367
Boyle, Andrew MD ..........................92
Boynton, Abigail APRN ............... 301
Brady, Cheyenne SLP .................. 362
Brandon, Mariko MD ...................260
Branin, Leslie OD ............................ 168
Brant, George DO .....................37,38
Bratton, Edward DPM ....................82
Brawner, Krissy SLP ...................... 362
Breath Of Life Birth Cnter ......... 281
Breedlove, Megan SLP ................. 314
Breen, Ariel LMHC ........................ 238
Breen, James PA .............................299
Bremm, Jessica APRN .................. 326
Brennan, Bret DPM .........................82
Brennan, Todd DPM .......................82
Brenner, Diana SLP ....................... 362
Breznau, Candace MD ...................46
Brightstar Of Pinellas County .288
Briley, Denver DO ............................ 15
Brinkman Mosiman, Lesley MD .58
Brinn, Melissa MD .............................21
Briscoe, Sarah PA ...........................325
Brockway, Chelsea DDS ....... 73,184
Brooks, Aaron APRN .................... 261
Brooks, Sandra MD ....................... 134
Brothers, Mary APRN ...................352
Brown, Taylor APRN .................... 349
Brown, Teddy MD ...........................39
Brownlee, Harrison MD .................10
Broyles, Jennifer MD ................... 10,11
Brucculeri, Michael MD ............... 136
Bruzzichesi, Jessica PA ................ 245
Bryan, Chad PA .............................. 368
Bryan, Foster MD ............................231
Bryk, Jessica APRN ..........................351
Buccinna, Dana APRN ..........301,302
Buchanan, Vivian PA .....................353
Buck, Jennifer LMHC ................... 238
Buck, Jenny MD ......................... 58,145
Buckley, Breea PA ......................... 326
Budharaju, Venkata MD .............. 109
Bui, Loananh DDS ................... 213,214
Bulla, Angela LCSW ...................... 248
Bunnell, Avianne MD ..................... 88
Bunton, Miriam LCSW ................ 248
Burke, Christina PA ............... 327,328
Burke, Elizabeth APRN ................ 342
Burns, Craig DO .................................. 11
Burns, James OT .............................343
Busciglio, Lindell MD ......................47
Bush, Jennifer APRN ....................300
Butler, Robert MD ......................... 186
Butler, Stephanie OT .................. 305
By, Charya MD ..................................38
Byrne, Margaret PT ...................... 358
Byun, Sung MD ........................ 122,132
C C-Med Ambulatory Surgery Center ................................................280
CVS Pharmacy ............... 369,370,371,376,377,378,379
Caballero, Jaime MD .......................30
Caban, Francis MD ........................ 105
Cadogan, Kerry Ann MD ............ 127
Caldeira, Christiano MD ....... 116,231
Calderon, Guillermo MD .....145,146
Caldwell, Wendy LMHC ............ 238
www.wellcare.com/Florida 418
33453864
Provider Index
C - cont. Calise, Domenick MD ....................82
Calkins, Alison MD ...........................85
Cambier, Patrick MD .......................51
Camelot Community Care Inc 253
Campbell, Christopher OD ....... 168
Campbell, Dana MD ......................137
Can Comm Health Phcy Of Clearwater ....................................... 379
Canas, Jose MD ............................... 192
Cancel, Jeanette MD .................... 125
Cancio, Margarita MD ...................47
Cannon Brooks, Mara SLP ..........315
Cannon, Fay MD ............................ 245
Cano, Carlos MD ..............................22
Cappiello, Angelo MD ..................... 3
Care One Of Florida LLC .......... 278
Care Plus Pharmacy ..................... 379
Carepoint Pharmacy ................... 379
Carey, Carolyn MD ....................... 197
Caribas-Mendible, Alejandro DDS ...................................................................73
Carillon Surgery Center LLC ....280
Carini, Andrew LCSW ................. 248
Carlee, Christina APRN ...............325
Carlisle Imaging Center .............. 282
Carlson, Tim MD ................................ 11
Carlton Manor Inc .........................253
Carney, Jacquelyn PA ....................351
Carrier Dzwonek, Elizabeth SLP ................................................................ 363
Carrington Place Of St Pete .... 292
Carrington, Moise MD ...................47
Carringtons Caring Angels LLC ................................................................288
Carvallo, Alejandro MD ..........49,53
Casadonte, Joseph MD ................ 99
Case, Barry OD ................................ 168
Caseber, Kelly APRN ....................334
Caselnova, Petra MD .....................59
Cassela, Lan OT .....................305,306
Castro, Alfonso MD ..................... 224
Cataldo, Dorothy DMD ........ 78,214
Cater, Kathleen SLP ........................311
www.wellcare.com/Florida 419
Causey, Matthew OD ....................67
Causey, Michael OD .......................67
Cavanaugh, Lara MD ......................22
Ceithaml, Eric MD ........................... 99
Censoplano, Nina DO ................. 189
Cerreta, Kenneth MD ................. 224
Cetta, Christopher DMD ..............74
Chadda, Nader MD ..........................31
Chain, Karen SLP ........................... 363
Chakola, Paul MD .............................83
Chalavarya, Gopal MD ...................31
Chalker, Jessica OT ........................343
Chamarthy, Latha MD ............ 29,89
Chamberlain, Andrea MD .......... 261
Chamberlain, Kerry DO ................123
Chambers, Nelly MD ........................ 3
Chandler, Nicole MD .............116,201
Chang, Lilly MD ............................... 134
Chang, San MD .............................. 245
Chapters Health Palliative Care Inc ...........................................................47
Chari, Ganesh MD ...........................55
Chase, Stacy DO ...............................111
Chatha, Sheena MD ....................... 40
Chauhan, Ketul MD ....................31,49
Chavez, Heinz MD ...........................22
Chawk, Beverly APRN ..........299,321
Chc Of Bayonet Point ................ 277
Cheema, Pavitar MD ......................87
Chellapandian, Deepakbabu MD ................................................................. 194
Chenault, Shelley CNM .........................................298,304,319,341
Chernin, Leah DO ...................89,203
Chillag, Kipp DO ............................. 100
Chinarian, James MD ...................200
Chintakayala, Durga MD .................. 1
Chiro Alliance Corporation ....... 101
Christ, Philip DO ............................. 187
Christopher Hines, Joanne APRN ................................................................ 340
Christova, Albena LMHC ........... 248
Chuong, Christopher DDS ... 78,214
Chuong, Robert DMD ............ 73,182
Cibran, Mariano MD ............203,204
Ciccarello, Jimmie OD ...................67
Cichra, Deborah SLP ......................315
Clare, John LMHC ......................... 248
Clark, Louisa LMHC ...................... 249
Clark, Masharia APRN ................. 328
Clarke, John MD .............................. 116
Clay, Patricia OT ............................ 344
Clearwater Center ....................... 292
Clearwater Limb & Brace ..........290
Clement, Veronica PHD ............ 259
Codolosa, Jose MD ...................92,93
Coffey, Savannah OT ................. 306
Cohen, Benjamin PHD ................ 267
Coleman, Michael MD ................. 218
Collins, Paul MD .............................. 116
Colon Rivera, Malieri MD .............59
Colon, Yaritza MD ....................... 204
Community Aging And Retirement Services .................... 274
Community Health Ctrs Of Pinellas ............................................... 379
Comprehensive Ht Oncology 379
Comprehensive Medical Care .. 86
Concordia Manor ......................... 292
Conde, Nicole DO .............. 204,205
Condino, Adria DO ....................... 192
Confident, Leonard MD ................. 11
Conklin, Kim PT .............................. 309
Conner, Kevin DC ............................37
Connor, Amanda PA ........... 325,353
Connor, Diana MD ........................ 146
Connors, James MD ...................... 105
Consulate Health Care Of New Port Richey ...................................... 277
Consulate Health Care Of Safety Harbor ................................................ 292
Consulate Health Care Of St Petersburg ........................................ 292
Conteh, Abib MD .......................... 127
Conter, Rachel AUD ..................... 318
Cooper, Seth MD ............................74
Cope, Winston MD ...................... 158
33453864
Provider Index
C - cont. Cora Health Services Inc .................................................276,277,291
Cora Rehabilitation Clinics Seminole ............................................ 291
Corbyons, Katherine MD .......... 202
Corradini, Frank LCSW ............... 238
Cortes-Ramirez, Luz LCSW ...... 242
Corzo, Hector MD ........................ 261
Cosgrove Golka, Heather APRN .................................................................332
Cothran, Nora OD ........................ 168
Cotman, Henry MD ..................... 226
Couch, Matthew MD .................... 116
Countryside Birthing Place Inc 281
Countryside Healthcare Ctr .... 292
Countryside Surgery Center ...280
Cox, Brooke APRN .......................299
Cox, Paul DC ......................................37
Crandall, Charles DC .................... 102
Crawford, Marguerite MD ... 75,189
Creech Medlock, Kailey SLP .... 363
Creed, Kevin MD ............................ 219
Cregan, Rae RN ...............................327
Crenshaw, Melissa MD ................ 194
Crespo Velazquez, Rafael MD ..... 3
Cressman, Wade MD .............. 75,191
Crews, Jacquelyn MD .....................22
Crews, Jennifer PA ................. 321,322
Crmc At Bayonet Point ..............235
Crosby, Courtney LMHC .......... 238
Cross, Vicki APRN ..........................334
Crotty, Jennifer SLP ..................... 363
Cruz Ithier, Mayra MD .......... 130,147
Cruz Jr, Jairo DPM ............................82
Cuadros, Lorraine MD ................. 147
Cubbedge, Julie HAD ..................286
Cucchiaro, Giovanni MD ............ 196
Cuenca, Rosa MD ............................76
Cummings, Kristin SLP ................ 366
Cummings, Marloin DDS ...... 78,214
Curant Health Florida ................. 379
Curlew Pharmacy .................379,380
Custom Mobility Inc ................... 285
D D Amico, Nancy SLP ......................311
D'alesio, Michael OD .................... 168
D'cunha, Prakas MD .................54,137
Dadisman, Katherine DO ........... 142
Dahmer, Brian DC ............................37
Dalrymple, Maria SLP .................. 363
Danang Pharmacy .........................380
Dandamudi, Uday MD ...................46
Danielson, Paul MD ................. 117,201
Danly, Diane MD ..............................47
Dann, Kelly LCSW ......................... 249
Danner, Erin SLP ..............................315
Darville, Kristina APRN ................334
Dasouza, Wilma MD ..................... 1,41
Davenport, Glenda LCSW ........ 249
Davidson, Robert MD ....................117
Davidson, Wayne LMHC ........... 249
Davila Rivera, Alfredo MD ......... 219
Davis, Bonnie APRN ..................... 328
Davis, Don APRN ........................... 238
Davis, Emily LMFT ......................... 259
Davis, James MD ...............................22
Davis, Stephanie PA ..................... 245
Dawkins, Rachel MD .......................22
Dawood, Sally MD ............................. 1
Dawoud, Mark DMD .................... 214
Dawson, Kristin OT ...................... 344
Day, Paul OD ..............................67,169
Dayan, Joseph MD ........................ 205
De LA Garza, Miguel MD ..............75
De LA Noval, Barbara APRN .....334
De Silva, Niyomi MD ........................ 11
Decker, Gary MD ........................... 127
Decker, Jamie MD .......................... 190
Dedicated Senior Healthcare .380
Dedicated Senior Med Ctr Largo ................................................................380
Degan, William MD ........................... 11
Del Santo, Patrick DO ..................... 11
Delellis, Salvatore DPM .............. 220
Dematteis, Ralph MD .....................117
Demetriou, Panagiota APRN ... 303
Demich, Kailyn SLP ....................... 363
www.wellcare.com/Florida 420
Demissie, Seifu MD .........................76
Dempsey, Donna APRN ............. 262
Dennis, Jamelle LMHC ................ 329
Desai, Neel MD ............................... 158
Desai, Rupal MD ................................. 5
Desai, Sangita MD ......................... 262
Desantis, Marshall MD .................. 86
Deschamps, Shauna APRN ....... 303
Desper, David MD ......................... 147
Dessani, Nehal MD .........................137
Devanesan, Sheila MD ................. 147
Deveikis, John MD .......................... 141
Dewan, Naakesh MD ................... 262
Dewberry, Frederick MD .............137
Dhana, Leila MD ...................... 192,193
Dhanireddy, Jennifer MD .......... 205
Dhillon, Amarjeet MD ................. 246
Di Martino, Peter MD ...............31,49
Di Pasquale, Paul DO .................39,81
Diaczyk, Andrew OD ................... 169
Diagnostic Medical Testing Inc ................................................................ 277
Diakonis, Vasilios MD ............158,159
Diaz, Charisse LMHC ................... 329
Diaz, Christina MD ......................... 139
Diaz, Elanda SLP ............................. 366
Diaz, Michael MD ............................123
Dibartolomeo, Mara DO ............ 134
Dickson, Allison OD ...................... 169
Diedriech, Linda MD .................... 127
Diego, Alejandro MD .................. 205
Dilella, Vincent DO ........................... 11
Dillon, Elizabeth LMHC .............. 238
Diner, Beth MD ............................... 142
Diner, Eric MD .................................232
Dinse, William DMD .....................223
Dipiazza, David MD .........................87
Directions For Living .. 253,254,268
Dixon-Taliaferro, Cara LMHC . 329
Doctors Choice Pharmacy .........371
Doctors Urgent Care ..........278,296
Doctors Walk In Clinics .....279,296
Dolgin, Sanford MD ........................39
Donate, Guillermo DPM ...............82
33453864
Provider Index
D - cont. Donatelli Jr, Anthony MD .............. 11
Dondero, Aldo MD ........................... 5
Donnelly, Kevin MD ........................39
Donovan, Patrick DPM ............... 220
Dorton, David DO ......................... 105
Dose Of Diamond LLC ................273
Dougherty, Aimee APRN .......... 354
Dougherty, Phyllis APRN ........... 262
Draeger, John MD .................259,262
Drake, Katie DO .................................. 11
Driver, Kelly DO ............................. 205
Driver, Kelly MD ............................. 134
Drug Store Healthmart ................371
Drummond, Alrick MD ..................22
Dubey, Rita MD .................................. 5
Dubovsky, Ladislaus LMHC ...... 239
Duff, Carla APRN .......................... 347
Dumois, Juan MD ........................... 124
Dunn, Evan MD .................................62
Dupuis, Elisa APRN ........................323
Duquette, Tara PA .........................322
Durable Medical Equipment ... 270
Durdan, Judith LCSW .......... 242,257
Duren, Melinda APRN ................. 349
Dutt, Ramana MD ......................45,52
Duval Metro Treatment Center ................................................................ 254
Duvall, Stephen PT ....................... 358
Dwyer, James MD .............................. 5
E E Street Endoscopy LLC ............280
Earle, Kelli CNM ............................. 342
East Bay Nc LLC ............................. 292
Easy Living Inc. ...............................288
Echeverri, Diego MD .....................137
Eckardt, Shea MD ......................... 224
Eckerds Pharmacy ..........................371
Edison, Laura CRNA ...................... 319
Edwards Pharmacy .......................380
Edwards, Elizabeth DPM ............ 220
Edwards, Jenny DMD ................... 214
Edwards, Stephen LMHC .......... 239
Egli, Graciela MD ..............................77
Egret Cove ....................................... 292
Eichenbaum, Annette DO ......... 219
Eisner, Adrienne MD ................... 246
Ejaz, Mariam MD ................................ 6
El-Jabali, Fayssal DO ................ 62,159
Elfers Pharmacy Healthmart ......371
Elite Imaging LLC DBA Akumin 282
Ellingham, Patricia LMHC .......... 330
Elliott, Alice LMHC ....................... 239
Elliott, Joshua MD .......................... 159
Ellis, Lynne MD ..................................22
Ellitt, Richard MD ..........................206
Elmohd, Tarik DMD .........................73
Elsworth, Thomas HAD .............. 287
Elvambuena, Glivery Mary MD ................................................................206
Embassy Pharmacy .........................371
Empath Health Pharmacy .........380
Empath Home Health LLC .......288
Eng, William MD ...............................39
English, Diane MD .......................... 120
English, Jenna SLP .............................311
Erickson, Shannon LCSW ..239,249
Escoto, Danilo MD ........................ 134
Esguerra, David DO ....................... 105
Eskander, Peter APRN ................. 307
Estess, Erica APRN ......................... 319
Evanko, Robert LMHC ................ 239
Evans, Patricia APRN ............299,323
Evening Pediatrics Inc ................. 297
Ewing And Thomas Inc .............. 277
Excel Medical Imaging ................. 271
Eye Doctors Optical Outlets Pa ....................................................65,164,165
Eye Institute Optical LLC ........... 165
Eyecare Optics LLC ........................65
Eyesavers Optical Inc ....................65
Ezeude, Ngozi DPM ..................... 220
F Fabelo, Edward MD .......................137
Fagan, Denise LMHC ................... 239
Fajardo, Rebeca MD ......................... 3
Faltas, Wael MD ................................. 3
www.wellcare.com/Florida 421
Family First Homecare LLC ......288
Fanelli, Christine LCSW .............. 242
Faragalla, Wassem DPM .............. 221
Fares, Iman MD ............................... 134
Farese, Patricia PT ......................... 358
Farkas, Frank DC ............................. 102
Farooqi, Sonia MD ............................. 6
Faulkner, Kim MD ................ 12,111,207
Feldbaum, Victor MD .................. 147
Feldman, Alan MD ........................ 262
Feldman, Benjamin PA ................ 307
Feliz De LA Cruz, Victor MD ......32
Ferlita, John MD ................................59
Fernandes, Jacqueline MD ......... 147
Fernandez, Danielle DMD ............78
Ferraro, Amber PA ........................ 346
Ferreira, Jennifer SLP ................... 363
Ferris, Anthony OD ....................... 169
Ferris, Vijay MD ...........................43,44
Ferroir, Erin APRN ......................... 304
Ferrone, Damian HAD ................. 274
Fh Express Care At Walgreens .......................................................... 271,281
Figueredo, Nicole MD ...................44
Fikry, Driss PA ..................................325
Filer, Kate SLP ....................................311
Fine, David DPM ............................. 221
Fine, Frank LMHC .......................... 249
Fines-Dailey, Verlee MD ....... 52,130
Finnegan, Rachel SLP ......................311
Fitzgerald, Jennifer OT ............... 306
Fitzpatrick, Laura SLP ....................315
Fivecoat, Tifani APRN ..................334
Fl Med Clinic Phcy Of Wiregrass ..................................................................371
Flack, Rachel PA ............................. 360
Flanagan, Deborah OD ................ 170
Flanagan, Thomas OD .................. 169
Fleming, Tara SLP ............................312
Florida Apnea Diagnostics LLC 278
Florida Brace & Limb Inc ...........290
Florida Coast Foot And Ankle 380
Florida Hospital Centra Care University ......................................... 279
33453864
Provider Index
F - cont. Florida Medical Clinic ...................371
Florida Pharmacy ............................371
Fmc Belleair Dialysis Center .... 284
Fmc Belleair Home Therapies . 284
Fmc Clearwater Beach ............... 284
Fmc Pharmacy Services .............380
Fmc Pinellas Park ........................... 284
Fogleman, Ruthann LMHC 239,249
Folkens, Eric MD ................................111
Foltz, Diana LCSW ........................ 242
Fondren, Katherine APRN .......... 318
Fonticiella, Yissa MD .................... 147
Forbes, Jennifer OT ...................... 344
Fosnot, Susan DO ............................121
Foster, Maurice APRN .................337
Foster, Sheryl LMHC ...................300
Fountain, Lorna MD ....................12,111
Fox, Benjamin MD .......................... 141
Fox, Matthew LMHC ................... 239
Francis, Mandy APRN .................. 309
Franco Swain, Desiree SLP ..........312
Franco, Nazrah MD .........................112
Franzese, Frank MD ...................... 226
Frascatore, Haylie APRN .............335
Freed, Heather APRN .......... 354,355
Freedland, Curtis DO .....................42
Freeman, Barbara MD ....................115
Freeman, Jill LMHC ...............300,330
Freire, Grace MD ............................ 190
French, Trish LCSW ..................... 249
Fresenius Kidney Care Seminole ................................................................ 284
Fresenius Kidney Care St Petersburg ........................................ 284
Fridley II, Donald DO .....................44
Fry, Alland MD ...................................131
Fudge, Marilyn MD ........................ 148
Fuhr, Alison APRN ......................... 318
Fuller, Mary LMHC ....................... 249
Funai, Edmund MD ..........................59
Furman, Adam OD .................. 67,170
Furman, Megan OD ...................... 170
Fusion Healthcare .........................288
Fusion Pharmaceuticals .............380
GG And H Pharmacy ......................380
Gabriel, Amy MD ........................... 148
Gadea, Shayne MD .........................22
Gadouas, Cassandra LMHC ..... 239
Gainer, Marcia APRN ....................323
Galbraith, Dana PT ....................... 358
Gallagher, James MD .................... 142
Gallagher, Jennifer LMHC ......... 330
Gan, Mary Joyce MD .................... 192
Gandhi, Malay MD ...........................91
Gandle, Larry MD ............................85
Ganga, Roopa MD ......................... 125
Gann, Carrie APRN ....................... 349
Garcia, Homero APRN ................ 348
Garcia-Cardona, Maria MD ....... 105
Gardner, Daniel AUD ................... 318
Garner, Kevin MD ............................93
Garner, Miriam SLP ...................... 363
Garrick, Jenna SLP ......................... 363
Garrigan, Erin MD .............................22
Gateway Care Center ................ 292
Gateway Radiology Consultants ................................................................ 283
Gaud, Rosa MD ........................ 77,207
Gauwitz, Michael MD .........226,227
Gavi, Eli MD .............................224,229
Geary, Amanda OD ................ 170,171
Geary, Daniel OD ........................... 170
Geddes, Carol MD ............................ 6
Gelber, Jeffrey MD ........................ 127
Gellady, Andrew MD .................6,76
Geller, Thomas MD ....................... 100
Generations At Home ................288
Gennara, Thomas PA .................. 367
Genoa Healthcare LLC .................371
Genoa-Qol Healthcare ..............380
Germain, Aaron MD ..................... 134
Ghanekar, Dilip MD ........................42
Giannoni Delgado, Miguel MD ..93
Gifford, Jason PA .......................... 367
Gilbert, Warren PA ...................... 347
Gilby, Jennifer MD ......................... 142
www.wellcare.com/Florida 422
Gillham, Nicole SLP ........................315
Gilling, Lucia MD ............................. 40
Gillis, Lisa MD ....................................132
Gilroy, Patricia MD ........................ 107
Gimon, Alexander PHD .............. 267
Gittess, Robert DDS ...................... 110
Giuliano, Lynne SLP ..................... 364
Glen Oaks Health And Rehabilitation Cent ...................... 293
Goddard, Melissa APRN ............ 304
Godoy-Hung, Danya MD ........... 188
Goff, Michelle PA .........................299
Goldberg, Lawrence MD ............ 159
Goldenberg, Neil MD .................. 195
Goldfarb, Glen MD ....................... 107
Goldman, Joshua MD ............. 59,148
Goldman, Stephen MD .................32
Golen, Jeffrey MD ......................... 159
Golfview Healthcare Center ... 293
Gomez Rayon, Jorge MD .......... 207
Gomez, Christina DO ....................59
Gomez-Luengas, Alexander MD 6
Gonatos, Jennifer LCSW ........... 242
Gonzalez Abella, Beatriz MD ... 100
Gonzalez Paoli, Julio MD ........... 228
Gonzalez, Amber SLP ................. 364
Gonzalez, Gina LMHC ................ 239
Gonzalez, Joanna PA ...................299
Gonzalez, Raquel MD .................. 201
Good Samaritan Pharmacy ......380
Gooden, Natasha MD ...................57
Goodman, Jamie DC ..................... 102
Gottschalk, Amanda DC ............. 102
Goyal, Anoop MD .......................... 114
Gozdanovic, Suzanne MD ...........117
Grabow, Harry MD ....................... 159
Graceland Phcy And Medical Supply ..................................................371
Graeser, Timothy DPM ............... 221
Graff, Sara LCSW .......................... 250
Graffeo, Michael OT ................... 344
Graham, Melinda MD ....................59
Grant, Kelsey APRN ......................353
Green, Angela Theresa APRN . 328
33453864
Provider Index
G - cont. Green, Deanna MD ....................... 199
Green, Zachary HAD ................... 287
Greenan, Lilith LMHC ................. 240
Greenberg, Steven MD .................57
Greenfield, Adam DO ...................... 1
Griffen, Michael DO ......................... 6
Griffin, Vivian MD ............................85
Griffith, Leah OT ........................... 344
Grimm, Rebecca APRN .............. 326
Grimmel, Stanley DC ................... 102
Grindy, Anna MD .......................... 207
Griner, Kimberly CNM .......... 319,341
Grooms, Janis LMHC ................... 330
Gross, Andrew DO ........................... 12
Grover, Alpana MD ........................... 6
Gruszka, Melinda OD .....................171
Gu, Qin MD ........................................55
Guardian Pharmacy ..............380,381
Gubernick, Samuel DO ................ 89
Guerra-Andrade, Andres DMD .................................................... 73,182,183
Guerrero, Nestor MD ....................43
Guevara, Candice DO .................. 134
Guichard, Raphael MD ................ 148
Guida, Meghan PT ........................ 309
Gulf Breeze Dialysis Center ..... 284
Gulf Coast Jewish Family And Community S ...................................253
Gulf Coast Kidney Ctrnpr ..........273
Gulf Shore Care Center ............ 293
Gulf View Medical And Urgent Care Inc ............................................. 279
Gulfport Pharmacy ....................... 381
Gulfport Rehabilitation Center ................................................................ 293
Gulfside Hospice And Pasco Palliative Ca ..................................... 275
Gulfside Hospice Pasco Palliative Care ........................................................47
Guloy, Robertzon DMD ....... 74,184
Gunn, Jinny MD .................................117
Gupta, Amitabh MD ..................... 219
Gupta, Ashwani MD ......................137
Gupta, Eva MD ............................45,52
Gupta, Monesha MD ................... 190
Gupta, Sneh MD ..............................46
Gupta, Sunil MD ...............................32
Gurd, Melissa SLP ......................... 364
Gurney, Stephanie PA ................ 368
Gursky, Beverly APRN ................ 349
Gutierrez, Anna PA .......................325
H Haase, Melanie APRN ................. 349
Hagan, Teri MD .................................23
Hagen, Katie LCSW .............. 243,257
Hahn, Gregory MD ........................ 198
Hairston, Richard MD ...........159,160
Hakki, Abdul MD ...................... 86,231
Halbert, Douglas MD .....................23
Hale, Brian MD ................................232
Hall, Gerald APRN ...........................321
Hall, Kathryn MD .........................39,81
Hall, Sandra LMHC ....................... 250
Ham, Michael MD ...........................137
Hamill, John MD ........................ 38,105
Hamilton, Mary LMHC ............... 240
Hamilton, Richard MD ...................62
Hamlin Pacheco, Kathryn OT . 344
Hanai, Hisham MD ............................ 12
Handza, Jason DO ............................63
Hanger Clinic 273,276,285,286,290
Hanley, Allison MD ................ 127,128
Hanna, Alyssa PT ........................... 358
Hannon, Kathleen LMHC .......... 330
Harang, Jacqueline APRN .......... 328
Harbourwood Care Center ..... 293
Hardin, Joel MD .............................. 190
Hariachar, Srinivas MD ..................54
Haridas, Manju MD .........................47
Harker, John DO ............................. 187
Harmony Home Health LLC ........................................................274,288
Harris, David DO ........................... 246
Harris, Meghan MD .........................49
Harrison, James APRN ................. 324
Harrison, Jenna DO ....................... 148
Harrop, Daniel MD ....................... 262
www.wellcare.com/Florida 423
Hart, Dennis MD ............................. 219
Hart, Katelyn APRN ...................... 326
Hartlage, Kiersten MD ..................... 6
Hartley, Sandra APRN ...................321
Hasan, Shadiya DMD .............. 74,185
Hasan, Syed MD ................................. 3
Hasell, Douglass MD ......................... 7
Hauber, Frederick MD ...................63
Hauk, Charles PA ...................349,350
Havens, Alicia OD ............................67
Hawkins, Courtney SLP .............. 364
Hayes, Christopher DC ............... 102
Hayes, Cynthia APRN ...................332
Health Aid Company Inc ...........286
Healthmed Pharmacy .................. 381
Healthsouth Hospitals ............... 236
Heart 4 Kids Therapy LLC .......... 291
Heather Hill Nursing Home-Pcs ................................................................ 277
Hektoen, Margaret LMHC ......... 301
Hemsath, Randolph PSYD ........ 267
Hendren, Beatrice APRN ........... 324
Heritage Park Health And Rehabilitation ................................. 277
Herlan, Paul PA ............................... 360
Hernandez Moreno, Rosa DMD ............................................................. 41,110
Hernandez, Madeline OD ............67
Hernandez, Patricia APRN ........ 328
Hernandez, Richard OD ................171
Hernandez, Sheridan MD ............... 7
Heron, Sean MD .............................232
Herrema, Heather DO ................. 139
Herriott, Michael OD .............. 68,171
Herrygers, Canaan MD .................... 7
Hess, Derek MD .............................. 160
Hess, Jeffrey MD ............................ 160
Hetherington, Mark OD .............. 68
Hicks, Mary MD ................................23
Hidalgo, Carlos MD .........................23
Higgins, Cynthia MD .................... 246
Highland Pharmacy Inc ............... 381
Highland Pines Rehab Center . 293
Highshaw, Ralph MD ......................87
33453864
Provider Index
H - cont. Hill, Chelsea PA .............................. 347
Hill, Morgan OT ............................. 344
Hill, Taryn MD ................................. 207
Ho, Janie MD .................................... 160
Ho, Thanh OD ................................. 172
Ho, Vu MD .........................................123
Hoang, Jessie MD .......................... 207
Hoang, Tranchau DMD .................78
Hoche, Nay MD ......................... 59,60
Hogan, Courtney APRN ............. 348
Holbrook, Erica SLP .......................312
Hollis, Susan SLP ............................ 364
Hollstrom, Gregory DC ............... 102
Holmberg, Kirsten SLP ..................315
Holmes, Nilsa OT .......................... 344
Home Care Now ...........................288
Home Health Care ....................... 270
Home Instead Senior Care .......288
Home Oxygen Medical Equipment Of Hernand ..............273
Hood, Ashley SLP ...........................312
Hopkins, Bobbi MD ...................... 229
Horizon Homecare LLC ............. 274
Hornbeck, Elizabeth MD ........... 207
Horne, Leslie DC ..............................37
Horner, Kelsey APRN .................. 350
Horng, Betty PHD ......................... 267
Horton, Krista APRN ................... 340
Horton-Bender, Kimberly DC .. 102
Hospice Of The Fl Suncoast Inc ................................................................289
Hossenlopp, Craig OD ................ 172
Hough, Karen SLP ......................... 364
Howes, Jeanne PSYD .................. 267
Hoyos, Amanda PA ...................... 355
Hph Hospice ................................... 275
Hubbard, Brittani LCSW .... 243,257
Hubsher, Chad MD .......................232
Hudson Pharmacy ..........................371
Hudson, Tamika APRN ................325
Huggett, Edward OD .................... 68
Hughes, Natasha MD ..................7,23
Huguet, Kevin MD .................... 117,118
Hulley, William DO ....................... 140
Humphreys, Kevin MD .......... 114,128
Hunter, Ebony MD ....................... 207
Hunter, Lara PA ................................351
Huntzinger, Jill APRN ............304,341
Huszar, Peter MD ........................... 100
Hutter, George MD ......................... 12
Huttie, Jennifer APRN ................. 338
Huynh, An Tam OD ...................... 172
I Iacono, David APRN .................... 304
Icaza, Elisa APRN ............................327
Icely, Suzanne MD ......................... 149
Iftikhar, Altamash DO ................. 229
Igel, Gustave MD ........................... 149
Iglesias, Nieves MD ...................... 262
Ignacio, Joseph MD ....................... 193
Ignatz, Rochelle LMHC ............... 330
Ilie, Ramona MD .............................. 118
Imperium Healthcare Inc .......... 274
Impower Inc ............................. 241,247
Imudia, Anthony MD .............. 60,85
Indermaur, Megan MD .......... 121,149
Ingham, Richard OD ..................... 172
Inglese, Christopher MD ............ 100
Ingram, Jennifer LMHC ............... 250
Inspire Pharmacy ............................ 381
Instruments For Hope LLC .......289
Integrated Therapy Alliance .... 276
Iqbal, Shahid MD ..............................29
Irani, Jennifer MD .............................57
Irani, Sarah MD ...............................200
Irizarry Figueroa, Eliany SLP ...... 364
Irizarry, Karina MD ......................... 193
Irons, Kristy OT .............................. 306
Ise, Charlene MD ..............................115
Isenberg, Mark DPM ..................... 221
Ivanov, Maria SLP ............................315
Iyadurai, Stanley MD .................... 100
Iyer, Ananth MD ....................... 121,132
Iyer, Priyanka DDS ......78,79,214,215
Iyunni, Venkata MD ....................... 114
Iyyunni, Ujwala MD .......................... 15
J J&k Care Pharmacy ........................ 381
Jackman, Suzanne MD ................. 192
Jacks Pharmacy ................................371
Jackson, Darwin MD ..................... 149
Jackson-Curtis, Danuta MD .........23
Jacob, Binu MD .................................32
Jacob, David MD ............................232
Jacob, Jasmine MD ...........................93
Jacobs, Skyler APRN ..................... 301
Jadlowski, Janice LCSW .............. 257
Jafarnia, Bahareh DDS ....................79
Jain, Surbhi MD .................................47
Jallo, George MD ............................. 141
Jaquish, Shelley MD .............. 107,108
Jaramillo, Kate LMFT .................... 244
Javate, Emanuel MD ...................... 149
Javeed, Najam MD ...........................32
Jayakody, Himali MD .................... 100
Jaynes, Krystle APRN ....................335
Jean Baptiste, Stephanie DO ..........................................................149,150
Jeffery, Thomas APRN ................ 263
Jennings, Diana APRN ..................299
Jennings, John DC ........................... 102
Jensen, Preceousa DO ................. 134
Jensen, Summer OT ..................... 344
Jerome Clay, E. MD ....................... 195
Jester, Adam MD ............................ 187
Jimenez, Jose MD ............................... 7
Jimenez, Raul MD .......................29,32
Jimenezdiaz, Solimar MD ........... 150
John, Tobin MD ................................... 1
Johns Hopkins All Childrens Hospital Inc ............................. 235,236
Johnsen, Luke DO ............................. 12
Johnson, Alexander MD ................93
Johnson, Amy CNM ...................... 319
Johnson, Douglas OD ............ 172,173
Johnson, Jeffery MD ...................... 118
Johnson, Megan DPM .................. 221
Johnson, Michele APRN ............. 349
Johnson, Sandra MD ..................... 160
Johnson, Skyler PA .......................300
www.wellcare.com/Florida 424
33453864
Provider Index
J - cont. Joint Scripts ...................................... 381
Jones, Carmela APRN ..................308
Jones, David MD ..............................132
Jones, Douglas OD .................. 68,173
Jones, Emily MD ................................23
Jones, Galen MD ...............................57
Jones, Julia PA ............................ 310,311
Jones, Malcolm MD ....................... 150
Jones, Roderick DC ....................... 102
Jooma, Nurruddin MD ..................123
Jordan, Cassandra LCSW ... 243,257
Jordan, Michael MD .....................7,23
Js Pharmacy .......................................371
K Kaczur, Ashley SLP .........................312
Kaif, Mohamed MD ........................42
Kainec, Paul PA ................................353
Kaiser, Greg MD ............................. 193
Kalaskar, Sudhir MD ........................44
Kales, Lawrence DPM ..............82,83
Kallam, Lindsay SLP ........................312
Kalra, Lalit MD ................................. 125
Kalter, Craig MD ...............................131
Kaly, Tracey LMHC ....................... 240
Kamath, Geetha MD ...............121,133
Kanaan, Rana MD .......................... 224
Kanoff, Richard DO ...................... 100
Kant, Krista MD ............................... 143
Kapadia, Ketan MD .......................232
Karber, Bianca MD ..........................135
Karges, Stephen MD .......................24
Karjoo, Sara MD .............................. 193
Karkare, Rajendra MD ..................... 15
Kashlan, Ghiath MD .......................... 4
Kasper, Jeffrey MD ..................160,161
Kasumova, Iryna APRN ............... 302
Kaszuba, Robert MD .......................16
Kataya, Abdo MD ......................... 224
Katinic, Josip APRN .......................335
Katz, Dina PT ................................... 358
Kawliche, Boris MD ...................... 263
Kay, Richard MD ................................. 2
www.wellcare.com/Florida 425
Kay, Walter DO ................................. 12
Kays, David MD ............................... 201
Kelesidis, Iosif MD ...........................30
Kelleher, Margaret MD ................ 105
Kelley, Sarah MD ...........................208
Kelly, Carolyn APRN .....................332
Kelly, Christopher PA .................. 324
Kelly, Erin APRN ..............................332
Keltner, Marshall MD ................... 150
Kennedy, Bridget APRN .....340,352
Kennel Besselieu, Allison APRN ................................................................ 355
Kensington Gardens Rehab And Nursing Ctr ...................................... 293
Kepto, Joyce CNM ................ 320,341
Kernaghan, Kelly SLP .....................315
Kerwin, Joan LMHC ...................... 250
Kessler Posgai, Dorothy APRN .........................................................332,333
Kethireddy, Ravi MD ......................93
Kevill, John MD ................................ 100
Keyes, Darla PT .............................. 358
Khadim, Ghazanfar MD ...........33,49
Khamare, Chetan MD .................... 33
Khan, Nadeem MD ......................... 48
Khan, Sohail MD .........................50,54
Khan, Wali MD .................................. 33
Kharbanda, Monica MD ................24
Kharia, Neelam MD .........................77
Kickish, Robert MD .........................24
Kim, Dennis MD ............................... 89
Kim, Jennifer MD ..............................24
Kinder, Michael MD ...................... 150
King Phcy & Compounding LLC ................................................................. 381
Kirkpatrick, Gina DO ............... 87,88
Kirsch, Leonard MD ....................... 161
Kirst, Maegan OT .......................... 306
Kiss, Alexander MD .........................55
Kitterman, Christopher DO ....................................................... 208,209
Klaus, Jennifer LCSW ........... 243,257
Klavans, Mitchell MD ...................233
Klein, Ian DPM ................................. 221
Klein, Jay MD ......................................24
Klein, Jesse DO ..................................94
Klein, Lonnie MD ............................233
Knapp-Baker, Paula DO .................. 12
Knight, Randolph MD .....................74
Knipe, Richard MD ............ 121,122,133
Knobloch, Jacquelyn SLP .............315
Knop, Karen LCSW ....................... 250
Kober, Terry PA ............................. 355
Kochey, Alison PT ......................... 358
Kohl, David MD .................................94
Koler, Amy MD ................................ 118
Kolligian, Mark MD ................. 77,202
Komis, Andrea MD .........................135
Korabathina, Ravikiran MD ..........94
Korbaj, Rabee MD ............................16
Kornfeld, Stephen MD ................. 89
Kornicki, Rachel SLP ..................... 364
Koscso, Kevin DMD ............. 41,110,111
Koster, Judith PA ........................... 305
Kotak, Rajesh MD ...................... 44,118
Kotolski, Amanda OT .................. 345
Kovtunova, Svetlana MD .............112
Kozich, Alexis APRN .................... 309
Kozlov, Nicholas MD .............. 114,115
Kraynak, Jodi PT ............................. 358
Kreplick, Alexis DPM ......................83
Krippendorf, Donald DC ............ 102
Kriseman, Anthony MD .............. 199
Krolick, Merrill DO ......................... 129
Krumbholz, Gerald OD ................173
Kubarek, Seema MD .......................24
Kubiak, Catherine MD .................. 90
Kudryk, John OD ............................. 68
Kulkarni, Gajanan MD ....................46
Kumar, Alok MD .............................. 84
Kumar, Kapisthalam MD ...............46
Kundra, Anita MD .............................16
Kundra, Navnit MD ...................... 225
Kunhardt, Rene MD ........................ 33
Kunins, Craig MD ........................... 263
Kuplicki, Dane OD ..........................173
Kupstas, Hilary PA ................. 347,352
Kurtsikidze, Nino MD ......................16
33453864
Provider Index
K - cont. Kussel, Ferdinand DPM ................ 221
Kutty, Mohan MD .............................16
Kwon, Mi Ae DMD ........................ 215
Kwon, Mia DMD ............................. 215
Kyle, Allison APRN .........................322
L Labcorp At Walgreens ............... 276
Labcorp .....................................275,289
Lake Seminole Pharmacy ........... 381
Lakeland Community Pharmacy ................................................................. 381
Lakeside Oaks Care Center ..... 293
Lam, David MD ............................... 106
Lam, Loan DPM .................................83
Lam, Yim MD ..................................209
Lama, Colleen SLP ......................... 316
Lambert, John LCSW ................... 250
Lamke, Kimberly OT .................... 306
Lamperts Home Therapy Inc. .. 291
Land O Lakes Dialysis ..................273
Land O Lakes Pharmacy .............372
Landis-Nussbaum, Debbie CNM ........................................................ 333,342
Landy, Jennifer MD ........................ 161
Langen, Kimberly APRN ..............335
Lanham, Fallon PA ........................ 350
Lapierre, Lindsay PA .....................325
Laplume, Jeffery OD .....................173
Lapolla, James MD ................... 150,151
Lappano, Alfred OD ..68,69,173,174
Lapresti, Lisa DMD ..........................79
Largo Medical Center Indian Rocks .................................................. 236
Largo Medical Center ................. 236
Largo Medical Ctr-Sleep Ctr ... 295
Largo Surgery LLC DBA West Bay Surgery C ..........................................280
Lassiter, Kristel APRN ...................332
Laurellwood Care Center ......... 293
Lauren, Rebecca APRN .............. 263
Law, Trevor MD ................................94
www.wellcare.com/Florida 426
Lawrence, Samantha APRN ........................................................ 355,356
Lawson, Scott DDS ....................... 183
Lay, Christopher MD .......................16
Layfield, Mary PA ...........................353
Le, Hoang PT ................................... 309
Le, Sharon SLP ................................ 366
Le, Thanh MD ...........................188,219
Leal, Jennifer APRN ..............308,356
Lee, Kenneth DO .............................112
Lee, Lauri PT .................................... 359
Lee, Sara DMD ......................... 215,216
Leek, Joshua PA .............................. 368
Leeson, Lindsey SLP ......................312
Lefkowitz Webb, Sara APRN ...353
Lefler, Linda MD ............................ 263
Lehmann, Joan MD ..........................112
Leiding, Jennifer MD ...............90,188
Lentz, Taylor PA ............................ 342
Lerner, Saul MD ................................151
Lester, Lawrence PT .................... 359
Leto, Christopher MD ................. 108
Levenson, Jeffrey MD .................. 126
Leverone, Andrew DC ................. 103
Levin, Robert MD ......................... 228
Levin, Stephen DPM .......................83
Levine, Gary DO ................................ 13
Levine, Jason MD .............................94
Levine, Larry DO ............................... 13
Levitt, Stephan MD ...................... 106
Levoy, Craig MD ...............................112
Levy-Clarke, Grace MD ................ 161
Lewenson, Robert OD ................ 174
Lewis, Bertram MD ........................ 88
Lewis, Deborah LMHC ................ 251
Lewis, Kevin APRN ....................... 348
Lewis, Lory APRN ......................... 339
Lewis, Paul MD ................................... 13
Lewis, Susan PA .......................310,361
Lewis-Serag, Maha MD .................. 13
Lexington Health & Rehab Ctrs ................................................................ 293
Liaros, Demetrios DPM ............... 221
Life Care Center Of New Port Richey ................................................. 277
Lily Care Pharmacy .......................372
Lim, Eric PT ....................................... 309
Lin, Kathryn MD .................................. 7
Lincare Inc ........................................286
Lincourt Assisted Living. Inc ..... 381
Lincourt Pharmacy ........................ 381
Lindsay, Samantha MD .................... 2
Linger, Shari LMHC ...................... 330
Linsey, Kyle DO ................................63
Linton, Candice MD .......................112
Lipton, Alexis MD ............................151
Little Road Pharmacy ...................372
Littlewood, Christine OT .......... 345
Liu, Liyu DO ................................. 112,113
Lo, Percy MD .................................. 220
Lockett, Tiffany APRN ............... 338
Logeswaran, Prashanti MD ..........151
Lokesh, Haravu MD .......................... 7
Long, Ashley DO ..............................151
Long, Molly MD ........................ 151,152
Lontoc, Dino PT .....................309,310
Lontoc, Maria PT ............................ 310
Lopez Dominguez, Maria MD .209
Lopez Molina, Michael MD ...... 225
Lopez Molina, Norma MD 209,210
Lopez, Dhyana SLP ....................... 364
Lopez, Melissa APRN .................. 339
Lopez, Michael MD ........................ 161
Lopez-Mccormack, Celia MD .............................................................24,25
Lopez-Molina, Norma MD ........ 210
Lotito, Jillian APRN ....................... 248
Louderback, Pam APRN ..............335
Louis-Jean, Chrissy APRN ...........335
Lowell, Anna DO ..............................113
Lugo Ruiz, Sonialy MD ................ 228
Lujan Zilbermann, Jorge MD ..... 196
Lukas, Claudia PA .......................... 350
Lunden, Judy PSYD ......................268
Lungren, Hillary DO ......................... 13
Luong, Don MD ...............................123
Lura, Glenn MD ................................... 2
33453864
Provider Index
L - cont. Lusancarez, Jose MD ......................115
Lustig, Alan MD ............................... 138
Lustig, David MD ............................. 88
Lutchmedial, Sanjiva MD ........... 225
Luu, Jessica OD ................................ 69
Lybarger, Hannah OT .................. 345
Lynn, Brandon APRN .....................351
Lynn, Casey DMD .......................... 216
Lynskey, Elisa MD .......................... 108
M MRI Associates Of St Pete ....... 283
Mace, Joseph MD ...........................123
Machry, Joana MD ..........................135
Mack, Teresa LMHC ..................... 251
Madison Pointe Care Center .. 277
Magerkurth, Alyssa PT ................ 359
Magers, Deborah SLP .................. 367
Magnolia Pharmacy ......................372
Mahfooz, Naeem MD .................. 100
Mai, Jane MD ..................................... 48
Mail Meds Clinical Pharmacy ... 381
Main Street Pharmacy ................. 381
Mak, Sheila DO .................................25
Malik, Samia MD ...............................55
Malka, David MD ........................55,56
Mallett, Lesley APRN .................. 356
Malone Sr, Michael DO ........ 95,128
Malone, Alexander MD ............... 108
Malone, Glaysa APRN ................. 339
Malone, Jacqueline LCSW ........ 258
Manalo, Ronald MD .......................... 2
Mangat, Mona MD ......................... 90
Maniscalco Dhanireddy, Jennifer MD ........................................................ 210
Mankodi, Kshemal MD .................... 2
Mann, Clare OD .............................. 174
Mann, Nicholas DMD ................... 185
Manorcare Health Services Dunedin 533 .................................... 293
Manorcare Health Services Palm Harbor ................................................ 293
Marcell, Mike DC ........................... 103
www.wellcare.com/Florida 427
Marcelli, Susan MD ....................... 152
Marcino, Kathryn APRN ..............335
Maria, Bernard MD ......................... 101
Marine Pharmacy ...........................372
Marks, Becca DO ............................ 60
Marmagkiolis, Konstantinos MD 51
Marques, Vasco MD ....................... 33
Marrero, Ailis MD .............................. 2
Marrotte, Jill OD ............................. 174
Marsalisi, Frank MD ....................... 152
Marsh, Naomi DPM ....................... 221
Martinez, Rafael MD ...................... 84
Martinez, Ricardo MD ................. 128
Mason, Andrea LMHC ................. 251
Mason, Erniesha SLP ......................312
Mason, John OD ............................. 175
Mason, Karen SLP ......................... 367
Masvidal, Daniel MD ................ 91,128
Matcha, Mrinalini MD .................. 138
Mathew, Ajay DO ............................54
Mathew, Merryn PT ...................... 310
Mathews, Jessica APRN ................................................303,338,339
Matthew, Jeff MD ........................ 234
Mauriello, Daniel MD ................... 190
Mavroudis, Constantine MD ..... 99
Maxcare Pharmacy ........................372
Maxim Healthcare Services Inc ................................................................289
May, Jonathan DPM ..................... 222
May, William LMFT ...................... 244
Mayer, Cynthia DO ........................ 48
Mayer, James MD .............................85
Mayer, Robert MD ...... 259,263,264
Mazzaferro, Lisa APRN ................325
Mccance, Georgette MD ........... 152
Mccanse, Webb MD ....................233
Mcclenathan, Daniel MD ............ 194
Mccormack, Leah APRN ....308,356
Mccormack, Maire PT ................. 359
Mccormick, Kelly LMHC ............. 301
Mccoy, Andrea APRN ................. 349
Mccrave, Carla MD ....................... 210
Mccrimmon, Barrie APRN 299,300
Mccullough, Cynthia CNM .......333
Mcdowell, Ernest DMD ......... 74,185
Mcendree, Terri MD ...................... 60
Mcginley, Fotini SLP .................... 367
Mcguire, Margaret MD ................. 118
Mcguire, Sarah CNM ................... 320
Mchugh, Sara APRN ..................... 356
Mciltrot, Kimberly APRN ...340,353
Mcilwain, Michael DMD ...............79
Mckay, Victor MD ..........................135
Mckendree, Roland APRN ........ 303
Mckinley, Scott DO ...................... 199
Mckinney, Rosemary HAD ....... 287
Mcknight, Jaclyn OD .................... 175
Mclaughlin, Darlene APRN ....... 264
Mcleod Reyes, Grace OT .......... 306
Mcloy, Richard SLP ........................313
Mcmeekin, Thomas MD ...............38
Mcnair, Jonathan DDS ........... 79,216
Mcnamee, Hugar DO .....................44
Mcneely, Kathryn MD ...................25
Mcneill Jr, Thomas MD ................ 143
Mcneill, Thomas MD .....................153
Mcpherson, Michael DC ............. 103
Mease Continuing Care ............. 293
Mease Countryside Hospital ........................................................ 236,253
Mease Hospital Dunedin ........... 236
Med Specialist Imaging .............. 283
Mederi Caretenders .................... 275
Medical Center Of Trinity .........235
Medical Transportation Management ................................... 270
Medicine Shoppe Pharmacy .................................................372,381,382
Medicor Healthcare Inc ............. 275
Medilink Pharmacy ........................372
Medlin, Brian DO .......................... 264
Mehta, Shital DO ............................... 4
Meidenbauer, Jillian OT ............. 345
Meiron, Mary APRN ......................332
Melek, Seham MD .......................... 60
Melilli, Steven DC .......................... 103
Melton, Chandler PA .................. 360
33453864
Provider Index
M - cont. Menczelesz, Gabor MD .............. 128
Menon, Sanjay MD ........................ 187
Merlino, Brian OD .................... 69,175
Mervine, Jana APRN ............. 335,336
Messina, Allison MD ..................... 196
Metnick, Robert DPM ................. 222
Metts, Jonathan MD ..................... 195
Meyer, Ernesto MD ........................25
Meyer, Laura MD .......................25,89
Michael, Jenny MD .........................153
Michaels Pharmacy ...................... 382
Michalski, Patricia APRN ............ 336
Micic, Vesna MD ............................. 101
Miele, Alexandra SLP ...........364,365
Miercort, Craig MD ...................... 227
Migliore, Heidi APRN .......... 356,357
Mikhail, Peter MD ..................... 45,86
Mikulic, Lucas MD ................. 128,225
Miller, Joelle MD ............................. 190
Miller, Julia SLP ............................... 367
Miller, Matthew OD ................ 69,70
Miller, Michelle MD ...................... 190
Miller, Monica MD ............................81
Miller, Richard DO ......................... 106
Miller, Robert MD ......................... 227
Miller, Sarah DO ..............................153
Miller, Tracey MD ............................57
Millette, Kinjal MD ......................... 210
Mills, Jaime PA ................................ 360
Mills, Katie APRN .......................... 350
Milojevic, Diana MD ....................200
Minner, Kevin OT .......................... 345
Minnix, William MD .........................16
Minuteclinic LLC .............271,281,282
Miranda, Edgar MD ........................133
Miranda, Elinor MD .........................211
Miseroy, Milvia SLP ........................313
Misiaszek-Boser, Joann LCSW 243
Mitchell Rehabilitation Hospital ......................................................... 235,241
Mitchell, Paul MD .............................. 7
Mittal, Ashok MD .......................... 225
Mixa, Martha PA ............................ 347
Mixa, Thomas MD ......................... 187
Mobility Solutions Inc .................273
Modh, Rishi MD ..............................233
Mohadjer, Yasaman MD ....... 161,162
Mohmand, Asad MD ............... 48,50
Moinfar, Nader MD ........................63
Molinares Sosa, Alexandra MD ..41
Monteleone, Chelsea DDS ..........79
Montgomery, Daniel SLP ............313
Montgomery, Nancy DMD . 79,216
Montsho, Yvette LMHC ............ 259
Montzka, Dan MD ................... 63,162
Moore, Amanda SLP ..................... 316
Moore, Christine APRN ..............357
Moore, Colin MD ........................... 195
Moore, Patricia APRN ................. 304
Moore, Steven MD .........................25
Moorhead, Lauren MD .......... 60,153
Moreland, Clyde MD .....................113
Morelli, Anthony MD ................... 124
Moreno Cabasos, Maria APRN 322
Moreno, Anthony MD ................ 187
Moreno, Keyshla APRN .............. 324
Morgan, Alyson SLP ..................... 365
Morgan, Bethanie MD .................. 101
Morgan, John PA ........................... 348
Morgan, Nicole PA ....................... 360
Morgan, Vanessa APRN ..............332
Morig, Meredith OT .................... 345
Morning Light Counseling Options ............................................. 254
Morningstar, Tracy PA ................ 368
Morris, Richard LMHC ................. 251
Morrison III, John MD ....................... 2
Morrison, Caryn OD ..................... 175
Morrow, Casey APRN ..................333
Mortimer, Dolores LMHC ......... 330
Morton Plant Hospital ....... 236,253
Morton Plant Mease Diagnostic Cardiology ...................57,141,272,283
Morton Plant North Bay Hosp ......................................................... 235,241
Morton Plant North Bay Hospital Recovery .................................... 235,241
Morton Plant Rehab Ctr ............ 293
Mosburg, Jeramy DO .................. 225
Moss, Brian DO .................................95
Moss, Lisa APRN ..................... 334,341
Motiwala, Shaheen MD ................54
Mp Pharmacy ................................. 382
Mularoni, Philip MD ..................... 230
Mumtaz, Hamid MD .......................87
Mundy, Lauren SLP ........................313
Murphy, Eugene MD ............. 118,234
Murphy, Kenneth OD ....................70
Murphy, Lelila APRN ................... 328
Murphy, Shawn DO ................. 75,80
Muse, James OD ...................... 175,176
Musheza, Mariza APRN .............. 342
Musumeci, Salvatore OD ........... 176
Musunuru, Sambasiva MD ........... 33
Musy, Pierre MD .............................. 40
Muthalakuzhy, George MD ..50,54
My Dme Doc LLC .........................286
N Nair, Govindan MD ....................... 109
Nakhl, Fadi MD ................................ 124
Nalley, Charles MD .........................74
Nambam, Bimota MD .................. 192
Napolitano, Anthony MD ...........135
Nappi, Florence MD .......................38
Nareddy, Jogi MD ............................ 33
Narula, Rajan DO ........................42,50
National Imaging Specialists .... 283
National Seating And Mobility Inc ................................................................286
Navarro, Jose DMD ................. 79,216
Nazario, Margaret PA ...................321
Needham, Gerald DO ................. 138
Neifeld, Kenneth MD ...................... 17
Nelson, Stephen DMD ................ 186
Nembhard, Kayla LMHC ............ 330
Nensey, Zara DDS .......................... 80
Neustadt, Jeffrey MD ...........187,198
Neville, Sara SLP ..............................313
New Port Richey Kidney Ctr ....273
New Port Richey Surgical Ctr .. 271
New Tampa Surgery Center .... 271
www.wellcare.com/Florida 428
33453864
Provider Index
N - cont. Newan, Michael MD .................... 225
Newman, Christopher DO ....... 220
Newman, Jaclyn MD .................... 264
Newton, William MD .....................57
Ng, Benton MD .........................190,211
Nghiem, Nicole MD ................ 135,211
Nguyen, Kimmy PA ...................... 360
Nguyen, Tammy MD .....................153
Nguyen, Thanh Binh DPM ...........83
Nguyen, Thieu MD ........................ 190
Nguyen, Thu OD ............................ 176
Ngwa, Linda APRN ....................... 336
Niaz, Nabila MD ............................. 138
Nickel, Noura MD ............................211
Nickeson, Robert MD .................200
Nickolakis, Irene MD ................... 264
Nicolaus, Marnie OT ................... 345
Nielsen, Pamela DDS .................... 218
Nienke, Thomas DO ..................... 187
Nieves Munoz, Daime APRN .........................................................318,348
Nigara, Andrea SLP ....................... 365
Nikla, Richard LMHC ................... 240
Nimoh Phcy & Compounding LLC .................................................................372
Ninan, Mathew MD ........................87
Nirgudkar, Pranita MD ...................52
Nirmalan, Nadarajah MD ............... 17
Noel, Pamela MD ............................ 48
Nofsinger, Yoon MD ..................... 40
Nolan, Christy DO ....................57,143
Norris, Lesley LMHC ................... 330
North Pinellas Surgery Center 280
North Rehabilitation Center ... 294
North Tampa Behav Health .... 247
Northside Hospital ...................... 236
Novak, Renee APRN ..................... 341
Nowacki, Mark MD .......................... 17
Np Pharmacy .................................. 382
Numrungroad, Visal MD ...............54
Nutter, Jonathan MD ............ 153,154
Nwaubani, Arthur MD .................. 101
Nwokeji, Peter-Paul MD ..............135
Nwokolo, Felix MD ...................... 264
Nystrom, Joseph MD ....................... 2
O O'neil, Diana APRN ....................... 264
O'neil, Susan LMHC ....... 251,330,331
O2 Solutions LLC ..........................286
Oak Manor Healthcare & Rehab Ctr ........................................................ 294
Oakes, Chelsea SLP ........................313
Oberlander, Mark MD ................. 162
Obermeier, Drew PA .................. 326
Occhino, Frederick DO .................113
Oconnor, Rachel OT ................... 345
Odonnell, Jacquelyn PA ..............322
Odonnell, James PA ..................... 360
Odonohoe, Catharine APRN .. 339
Okonkwo-Onuigbo, Obi MD ... 140
Oldfield, Christopher AUD ....... 318
Olivero, Karen PA .........................298
Olson Healthcare LLC ................ 275
Olton, Robert PA ..........................300
Omar, Sabry MD ...............................51
Open MRI Of Pinellas Inc ......... 283
Operation Par Inc ............................... 241,247,254,268,269
Oppenheim, Lean MD ................. 140
Oppenheim, Seth MD ................. 162
Optimart Inc ..............................66,165
Optimart St Petersburg .............. 165
Option Care Inc ................... 286,289
Option Care .................................... 382
Optum Womens And Childrens Health LLC .............................. 286,289
Orchard Ridge Rehab & Nursing ................................................................ 277
Ordiway, Lester MD ......................231
Orlando, Daniel MD .................... 225
Orlick, Martin MD .......................... 162
Orthotic And Prosthetic Center Of St Pet ...........................................290
Ortiz, Daniel MD ..............................211
Ortiz, Luis MD .........................199,229
Oshrine, Benjamin MD ................ 195
Oshrine, Kathleen APRN ........... 348
Osman-Mohamed, Hussein MD .................................................................. 118
Otero, John MD .............................. 188
Otis, Mishya APRN ....................... 336
Owens, Henry PA ................. 324,357
P Pabon, Hernan MD ....................... 264
Pacetti, Lauren PA ........................ 350
Pai, Rajendra MD ..............................25
Palacio Ramirez, Carlos MD ...40,41
Palm Garden Of Clearwater .... 294
Palm Garden Of Largo ............... 294
Palm Garden Of Pinellas- Nhc 294
Palm Harbor MRI ........................... 283
Palm Harbor Pharmacy .............. 382
Palms Of Pasadena Hosp .......... 236
Panchal, Priti OD ............................ 176
Pandya, Shuchi MD .................. 48,50
Panicker, Usha MD ............................8
Paniello, Santo MD ........................ 60
Pansuriya, Vinubhai MD ............. 225
Pantages, Efstratios MD ................25
Paolillo, Jennifer LMHC ................331
Papak, Crystal APRN .................... 328
Parayath, Krishnan MD ................ 126
Parbhoo, Arvind MD .................... 109
Parekh, Dipakkumar MD ...............34
Pargas, Anet MD ...............................211
Parise, Daniel DPM ....................... 222
Park Avenue Ophthalmics LLC 165
Parker, Jill PA ................................... 326
Parks, Alicia APRN .................246,264
Parks, Ashley MD ........................... 125
Parrish, David MD ............................. 13
Parrish, Gregory OD ......................177
Parsons, Brent OD ...........................70
Parsons, Lisa DPM ......................... 222
Parsons, Nicole OD .........................70
Partain, Kelly OT ........................... 306
Partridge, Paige MD ..........................8
Passaro, Vincent OD ......................70
Patel, Aalok MD .................................51
Patel, Akash MD ...............................95
Patel, Anish DC .................................37
www.wellcare.com/Florida 429
33453864
Provider Index
P - cont. Patel, Anisha OD ...............................71
Patel, Anjana MD ........................... 154
Patel, Arpit DO ..................................81
Patel, Ashok MD ............................ 265
Patel, Bhagwat MD ........................ 138
Patel, Bhasker MD ...........................34
Patel, Darshan MD .....................34,95
Patel, Gopita OD ............................177
Patel, Harish MD ............................. 140
Patel, Harshadkumar MD .......... 265
Patel, Hitesh MD ............................ 124
Patel, Jaydeep MD .............................8
Patel, Jignesh MD ............................135
Patel, Jigneshkumar MD ................43
Patel, Kinna DPM ........................... 222
Patel, Kirti MD .................................... 17
Patel, Lena MD ..................................113
Patel, Mukesh MD .......................... 84
Patel, Nalin MD .................................75
Patel, Nandesh MD ....................... 162
Patel, Satish MD ...............................42
Patel, Shilen MD .........................45,53
Patel, Shodhan MD ...................... 246
Patel, Smeet MD ............................... 17
Patel, Urvi APRN ............................ 329
Patel, Yagneshvari MD ................. 48
Patterson, Jebhar MD ....................211
Pavan, Mary MD ...............................211
Pavlock, Amanda APRN ............. 348
Payne, Tessa OD ...............................71
Peachey, Auxi MD ............................ 17
Pediatric Surgery Center LLC Odessa ................................................ 271
Pelaez, Rachael APRN ..................353
Pelaez, Vianey LCSW .................. 258
Pelt, Robleda APRN ..................... 302
Peninsula Care & Rehab Center ................................................................ 294
Perard Bastien, Daihla MD ............ 17
Perez, Aivlys MD ..............................38
Perez, Hugo MD .......................60,154
Perez, Maribelis MD .........................8
Perez, Rafael MD ............................ 154
Perez-Arce, Jose MD .......................18
Perich, Larry DO ...............................64
Perich, Tanya DO .............................64
Perkins, Melissa SLP .......................313
Perry, Alyssa PA .............................. 319
Perry, Amy OT ............................... 345
Perry, William SLP ......................... 365
Personacare At St Petersburg 294
Personal Enrichment Through Mental Healt ................................... 254
Pet Ct Center ................................. 283
Peters, Julianna SLP ........................313
Peterson, Bonnie APRN ............. 302
Peterson, Jennifer OT ................. 306
Peterson, John MD .........................133
Petitfils, Lisa MD ...............................26
Petrilli, John MD .................................41
Petroshius Crocker, Samantha LMHC ........................................... 301,331
Petry, Harold LMHC ......................331
Pettenger, Brittany PA ............... 326
Petti, Erin APRN ..............................333
Pham, Nhathy OD ............................71
Pham, Thuy MD ..................................8
Pham, Tony OD ...............................177
Pharmaco Med Shop .................. 382
Pharmacy Express & Medical Supply ................................................ 382
Pharmacy Innovations ................ 382
Pharmalabs ....................................... 382
Pharmerica ....................................... 382
Philippe, Bernard MD .....................115
Phillips, Joel MD ............................... 90
Phillips, Lee MD .............................. 199
Pierce, Tyne LMHC ....................... 251
Pile, Nadia MD ................................. 154
Pimentel Alvarez, Maria MD ..... 154
Pineiro, Alisha DO ...........................77
Pinellas Point Nursing And Rehab Center ................................................ 294
Pinellas West Shore Dialysis .... 284
Pirmohamed, Fermina MD ........ 140
Pitarys, Christos MD .................34,50
Pizon Moore, Angela SLP ........... 314
Plante, Parker OD ...........................177
Plumley, Elizabeth CNM ............ 320
Plummer, Miyosia LMHC .......... 240
Polhamus, Lisa APRN ................... 340
Politz, Laura MD ............................. 154
Polsky, Ethan MD .................... 77,202
Poor, Savannah PA ............... 347,352
Porcelli, Monica MD .......................26
Porreca, Tina SLP ...................316,367
Portella, Steven APRN .................353
Post, James MD .................................95
Potter, Lidu OT .............................. 345
Potts, Ashlee APRN ..................... 336
Powers, Susan OT ........................ 345
Prescott, Kelsi SLP ........................ 365
Preston, David DC ......................... 103
Price, Nicholas MD ......................... 119
Price-Mccarthy, Staci DC ........... 103
Prieto, Jose MD .................. 131,154,155
Prime Rx Pharmacy ...................... 382
Pringle, Aleshia APRN .................. 361
Proper, Steven MD .................38,106
Publix Super Markets ..........382,383
Pudur, Sudhindra MD .................. 138
Pursino, Heather SLP .................... 316
Q Qi, Quanle MD ..................................54
Quality Home Care Of Tampa Bay ................................................................289
Quefatieh, Amir MD ..................... 84
Quest Diagnostics ........................ 270
Quick Pharmacy ............................ 383
Quigley, Cheryl MD .........................18
Quintessenza, James MD ............ 191
Qureshi, Ambreen MD ...................41
R Radiance Radiology .....................290
Radiology Associates Of West Pasco .................................................. 272
Rafols, Madison HAD ..........274,287
Raguthu, Lalitha MD .......................77
Rahim, Abdur MD ............................34
Rahman, Omar PHD .....................268
www.wellcare.com/Florida 430
33453864
Provider Index
R - cont. Rai - 9th Street North - St Petersburg ........................................ 285
Rai Starkey Largo .......................... 285
Rai-Us 19 N-Clearwater/Palm Harbor ................................................ 285
Raiker, Anilkumar MD ...................133
Raimer, Karen MD .................... 131,155
Ramappa, Renuka MD ............. 60,61
Ramey, Jeremy MD ....................... 190
Ramireddy, Kesavulu MD .............35
Ramker, Joan PT ............................. 359
Ramos, Geraldo MD .......................95
Randall, Gerald DO ...................... 265
Rao, Kavita MD ..................................18
Rao, Ramanath MD .........................35
Rash, Trudi MD ..............................8,26
Rathi, Siddarth MD ................. 162,163
Rattehalli, Narayana MD .............. 86
Raulerson, Nichol PA ...................322
Rausch, Kelly PA ............................ 354
Raveling, Paul DC ........................... 103
Raxwal, Vinod MD ...................... 35,51
Ray, Tanya APRN ........................... 305
Rays Pharmacy ................................372
Razman, Dolores MD .....................26
Read, Sonia MD ................................55
Rebori, Brian DC ............................. 103
Recuero Litwin, Tania SLP ........ 365
Reddy, Ashwini MD ...................... 109
Reddy, Mahathi MD .......................55
Reddy, Mohan MD ................... 95,96
Reddy, Purushottam MD .............55
Redmond, Carolyn LCSW .243,258
Reed, Damon MD .......................... 195
Reed, Shawn APRN ...................... 324
Reedimes, Susan LCSW ............. 244
Reeger, Laura APRN ..................... 348
Reese, Jasmine MD ..........................211
Reese, Robyn CNM ...................... 320
Regal, Sarah OD .................. 71,177,178
Rego, Robert OD ........................... 178
Reilly Hays, Elizabeth MD 26,211,212
Reilly, Thomas MD ........................ 219
Reintgen, Douglas MD .................. 119
Reiskind, Marc MD ........................ 219
Renelus, Deborah MD ..................... 2
Renviva Dialysis Center Of Clearwater Ll ................................... 285
Requena, Ricardo DO .................. 108
Reuter, Brett PT ............................. 359
Reyes, Alexandria DO .................. 143
Reyes, Carlos MD .................... 143,155
Reyes, Manuel MD .....................13,89
Reyes, Steven PA .......................... 329
Reynolds, Danielle MD ................ 192
Richardson, Athena MD ...............26
Richardson, Jocelyn SLP .............. 314
Richardson, Taylor APRN .......... 340
Richman, Martin MD ....................233
Rickrode, Stephanie OT ............ 345
Ricx Pharmacy .................................372
Riddle, Heather APRN ................308
Rideout, Drew MD ........................ 201
Riles, Roxene APRN ..................... 336
Ritter, Brooke DO ......................... 144
Rivera, Abraham MD .................... 188
Rizzo, Gerald MD .................... 138,139
Roach, John DO .................................81
Roberts, Eric DPM ........................ 222
Robinson, Carolyn MD ................ 199
Roca, Jose MD ...................................35
Rocha, Rafael MD .......................... 124
Rodriguez, Alex PA ........................322
Rodriguez, Carina MD .................. 196
Rodriguez, Carlos MD .............13,230
Rodriguez, Jessica MD ................. 197
Rodriguez, Luis MD ....................... 197
Rodriguez, Mauro MD ................ 265
Rodriguez, Rosemarie APRN ........................................................308,357
Roehm, Kirsti OD ........................... 178
Roever, Christopher DPM ........ 222
Roever, Cynthia MD ........................18
Rojas Lacotts, Maria SLP ............ 365
Roland, Samantha MD ................. 163
Rolston, Scott APRN ................... 329
Romagnolo, Stephen MD ............38
Romanchak, Maria LMHC ......... 240
Romero, Joseph DO ..................... 128
Rommel, Duane MD .......................26
Rondolino Fick, Cristina APRN 340
Rophie, Alan OD ............................ 178
Roque, Mark APRN ...................... 302
Rose Radiology Centers Inc ............................................... 272,283,284
Rose-Le, Kathleen SLP ................. 314
Rosen, David DMD .................. 80,217
Rosenberg, David MD .................200
Rosenbluth, Laura LMFT ....244,259
Rosenfeld, Jay OD ......................... 178
Rosenthal, Andrew MD ................ 96
Ross, Joseph MD ............................ 163
Roth, Robert MD ............................ 119
Rottgers, Stephen MD ............... 220
Rourk, Latoya APRN .................... 336
Rowan Discount Pharmacy .......372
Rowan, Carey MD ...........................64
Rowe, Amanda APRN ..................357
Royal Oak Nursing Ctr-Pcs ....... 278
Royal Pharmacy ..............................372
Rudic, Valerija APRN ..................... 301
Rudnick, Judith MD ..........................18
Rudolph, Connie CNM ................343
Ruiz Robles, Ivelisse MD ............. 155
Russell, Nancy LCSW .................. 258
Ruth, Theresa SLP ......................... 365
Rx Care Pharmacy & Kwik Mart .................................................................373
Rx Care Pharmacy .........................372
Rx Discount Pharmacy ................373
Ryczek, Dennis OD ....................... 178
S Saba, Fadi MD .....................................18
Sabal Palms Health Care Center ................................................................ 294
Sabin, David OD ......................178,179
Sable, David MD ...............................38
Sacksteder, Ryan OD ................... 179
Sadlowski, Yolanta PA ..................321
Saeks, Jeffrey MD .................. 108,109
Saible, Shivani PHD ......................268
www.wellcare.com/Florida 431
33453864
Provider Index
S - cont. Saiyad, Saleemuddin MD ............ 96
Sakellarides, Michael MD ............ 40
Salazar, Manuel MD ....................... 96
Salazar, Susan CNM ..................... 320
Salem, Areej MD ...............................61
Salim, Nauman MD .........................29
Salmanullah, Muhammad MD .. 128
Salta, Mark OD ................................ 179
Sambatakos, Peter MD ................ 191
Samlal, Ravi DO ................................47
Samples, Katharine OT ............... 306
Sams Club Pharmacy ........... 373,383
Sams, Kathleen OT ....................... 346
Samuel, Abie DO .......................... 228
Samuel, Amber MD ........................131
Sanborn, Megan APRN ............... 348
Sanchez, Mark MD ........................ 155
Sanchez, Robert MD ............... 96,97
Sanchez, Wendy APRN .............. 326
Sanchez-Ponce, Rafael MD ..............................................50,52,128,129
Sancic, Margery HAD .................. 287
Sandbay Urgent Care LLC ........ 297
Sanderbeck, Tracey APRN ........ 265
Sanders, Jacob APRN .................. 303
Sando, Jane MD .............................. 212
Sanka, Madhurima DO ........... 29,90
Sankoorikal, Antony MD ...228,229
Santana Hernandez, Omar MD 110
Santiago, Karmivis LMHC ........... 251
Santiago, Laisa MD .......................200
Santiago, Lourdes MD ................. 104
Sara, Kousalya MD ...........................77
Sarafian, Berc MD ......................... 226
Sarai, Abey MD ............................... 126
Sardo, Margo DO .............................14
Sarnaik, Shawn PA ........................308
Sarno, Nevin OD ............................ 179
Saron, Whitnie APRN ...................322
Save N Care Pharmacy ................373
Savino, Tarah PA ........................... 309
Sawar, Asad MD ...............................35
Sawka, Jennifer MD .........................27
www.wellcare.com/Florida 432
Sayers Erfourth, Sharmayn DO ................................................................ 265
Scaccabarrozzi, Luis MD .................8
Scamard, David OD .........................71
Scheck, Eric APRN ........................ 336
Schinella, Kerry RN ........................327
Schirripa, Jane APRN .................... 324
Schlau, Aron MD ...............................18
Schlefman, Amanda DO ............200
Schleich, Eric LCSW ..................... 258
Schmidt, Rick MD ........................... 119
Schmittner, John MD .................... 99
Schneider, Erica DO .............. 155,156
Schoeffel-Hayes, Diane DC ...... 103
Schoneck, Katie OD ...........71,72,179
Schreyer, Stephanie APRN ....... 336
Schroeder, Jordan SLP ................. 316
Schuhmann, Cynthia APRN ...... 340
Schultheis, Marisol PA ................. 361
Schumann, David PT ................... 359
Schutz Cabrera, Grisel OT ........ 346
Schutz, Andrea OT ...................... 346
Schuyler, Gregg MD .......................97
Schwartz, Jeffrey MD ................... 163
Schwartz, Rachelle DO ............... 156
Scotch, Brett DO ....................... 40,81
Scott, Gregory MD ....................... 140
Scotts Rx ........................................... 383
Scripts Pharmacy .......................... 383
Scutaru, Irina MD ..............................18
Segovia, Flor DDS .................... 74,186
Selsor, Michele DPM ................... 222
Seltzer, Steven DO ..........................19
Semelsberger, Cara PA ................352
Senior Helpers Of Spring Hill .. 275
Sennabaum, Joseph MD ...............46
Seper, Janet MD .............................. 40
Sequelcare Of Florida LLC 241,253
Serag, Sherif MD ...............................14
Shah, Ashish MD ............................ 212
Shah, Hiral MD ............................... 227
Shah, Jaimin MD ..............................233
Shah, Manish MD ........................... 4,8
Shah, Meena MD ...................246,265
Shah, Nihal MD ..............................266
Shah, Nilamben MD .........................19
Shah, Rakesh MD ..................... 56,140
Shah, Sailesh DO ............................. 84
Shah, Shalin MD .................................91
Shah, Shuchi MD ............................ 192
Shah, Siddharth MD .......................56
Shakeel, Fauzia MD ........................135
Shaker, Ahmad MD ....................... 124
Shamas, Christina MD .................. 156
Shaner, Timothy PA ......................323
Shannon, Jane APRN ....................332
Shapiro, David MD ......................... 119
Shariff, Sohail MD ............................113
Sharma, Nagaraja MD ....................35
Sharman, Carole LMHC ............. 252
Shastri, Milind MD ............................19
Shaw, Peter MD .............................. 195
Shawchuck, Kay MD ...................... 119
Shears Mccloud, Regina APRN 329
Sheils, Martha DO ............................. 2
Shelden, Sarah DO ................... 61,157
Shelton, Scott LMHC .................. 240
Shelton, Tiffani DO .........................45
Shepard, Ashleigh PA .................. 326
Shepherd Pharmacy .................... 383
Sheppard, Robert MD ...................97
Sher, Mandel MD .......... 188,189,200
Sherbuk, Christine APRN .. 336,337
Sherman, Christopher MD ........233
Sherman, Shanna APRN ............. 349
Shetty, Ranjith MD ..........................29
Shetye, Bharti MD ......................... 129
Shetye, Kedar MD ......................... 139
Shields Pharmacy .......................... 383
Shine, Leetoria APRN .......... 357,358
Shirina, Sarah LCSW .................... 243
Shivers, Karen PT ........................... 359
Shockley, Michelle OT ............... 306
Shontz, Michael DC ........................37
Shore Acres Care Center .......... 294
Shulkin, Joel MD ............................260
Shulstad, Raymond APRN .........299
Sica, Carissa DPM .......................... 222
33453864
Provider Index
S - cont. Siddiqi, Farhan MD ........................ 188
Siddiqi, Reshma MD ..........................8
Siddiqui, Anwar DPM ...................223
Siedlecki, Michael MD ................. 139
Sierra, Frank DMD .......................... 217
Signature Urgent Care ............... 297
Sikes, David MD ...........................51,86
Sikes, Kjersti APRN ....................... 303
Silva, Mylene LMHC ......................331
Silva, Nancy MD .................................8
Simko, Mark MD ............................266
Simmons, Shnai LMHC ................ 301
Simonmed Imaging Florida LLC ................................................................ 284
Simpson, Hillary APRN ............... 350
Simpson, Rebecca PA .................. 319
Sims, Rebecca OD ..................179,180
Sinni, Karen APRN ..........................337
Sirage, Mohamed DMD .............. 217
Sisco, Kelly LCSW ......................... 252
Siva, Thushy MD ...............................45
Sivasankaran, Satish MD ...............36
Skane, Marina LMFT .................... 259
Sklencar, Britni DPM .......................83
Skonieczka, Carly OT .................. 346
Skorczewski, James DO ....... 129,130
Slawson, Kyra AUD ......................298
Sleep Associates Of Florida .... 278
Slemp, Kelli SLP .............................. 365
Sleppy, Cynthia APRN ................ 339
Slickers, Albert LPC ...................... 244
Sloan, Chris MD ........................ 131,157
Small, Theodore MD ..............119,120
Smith, Brandie AUD ..............298,319
Smith, Christine MD .......................27
Smith, Edward PA ......................... 347
Smith, Elizabeth MD ......................... 9
Smith, Erica LMHC ....................... 240
Smith, Erin SLP ............................... 367
Smith, Kaitlyn OT ......................... 307
Smith, Kevin OD ...............................72
Smith, Kristin SLP .......................... 366
Smith, Mary OD ............................. 180
www.wellcare.com/Florida 433
Smith, Maryann SLP ..................... 366
Smith, Michelle MD ...................... 212
Smith, Richard DO .......................266
Smith, Robert MD ............................61
Smith, Shayna SLP ........................ 365
Smithers, Charles MD .................. 201
Snell, Chelsy LMHC .......................331
Snider, Cindy PT ............................ 359
Snyder, Christopher MD ............ 201
Sokol, Gerald MD ............................85
Solaris Healthcare Bayonet Point ................................................................ 278
Solc, Zucel MD .......................227,228
Solomon, Rebecca OT ............... 346
Soma, Vikas MD ................................52
Sonas Home Health Care .........289
Sorci, Mary DO .................................27
Soto Aguilar, Maria MD ............... 86
Soto-Aguilar, Maria MD ......... 29,86
Sotolongo, Ignacio MD ............... 139
South Heritage Health Rehab Center ................................................ 294
South Lake Pharmacy ..................373
Southcare Pharmacy Inc ........... 383
Southcare Pharmacy ................... 383
Southern Pines Healthcare Center ................................................................ 278
Spagnolo-Hye, Carol DO ............... 9
Spangler, Danielle SLP ................ 366
Sparrowhawk, Paloma LMHC .240
Speech Within Reach Therapy Services ............................................. 277
Spengler, Laci CNM ...................... 318
Sperber, Harry MD ..........................115
Spicochi, Amanda APRN ............337
Spiegel, Justin PT ............................ 310
Spieker, Janet APRN .................... 347
Sprehe, Stacey PA ........................300
Sriaroon, Panida MD .............189,212
Srivastava, Amit MD .......................97
St Anthonys Hospital ......... 237,253
St Anthonys Physicians Surgery ................................................................280
St John, Patricia MD ...................... 157
St Joseph Pharmacy And Medical Supplies ..............................................273
St Josephs Pharmacy ....................373
St Julien, Jamii MD ......................... 120
St Luke Pharmacy ......................... 383
St Mark Village ............................... 294
St Marks Pharmacy ...................... 383
St Mary Pharmacy II .................... 383
St Mary Pharmacy ........................ 383
St Petersburg Dialysis ................. 285
St Petersburg Endoscopy Center ................................................................280
St Petersburg General Hosp ....237
St Petersburg Kidney Care LLC ................................................................ 285
St Petersburg Kidney Care South LLC ....................................................... 285
St Petersburg Limb & Brace .....290
St Petersburg Nursing And Rehab ................................................................ 294
St Petersburg Nursing And Rehabilitation ................................. 294
St Petersburg Pharmacy ............ 384
St Petersburg South Dialysis ... 285
Staffetti, Joseph MD ......................43
Stafford, Damon DC .................... 104
Stamoolis, Christina MD ...............113
Stamou, Sotiris MD ........................231
Stanley Christian, Heather MD 132
Stanley, Jennifer OD ..................... 180
Staples, Stephanie APRN ...........333
Stapleton, Stacie MD ............195,196
Starcare Pharmacy ........................373
Staywell Pharmacy ........................373
Steffel, Christine SLP .................. 367
Steinhoff, Jeff MD .............97,98,129
Stemble, Kelly LMHC ..........240,252
Stephenson, Shannon SLP ......... 314
Sterling, Fran DO ..............................27
Sterling, Peggy OD ..........................72
Stevens, Kesha MD ........................... 9
Stevens, Sara CNM ......................298
Stevenson, Victoria OT ............. 346
Stirling, Kari MD .........................52,132
33453864
Provider Index
S - cont. Stokes, Melvin PHD .....................268
Stokes, Sarianna SLP .................... 367
Stone, Stacey MD ..........................135
Stratford Court Of Palm Harbor ................................................................ 295
Stratton, John APRN ....................337
Stratton, Lisa SLP .......................... 366
Strauss, Lawrence PA ...................323
Strickland, Amy MD ........................115
Strickland, Joseph DPM ...............223
Stryjewski, Kelly APRN ...............308
Stubblefield, Leah PA ................. 347
Sturgill, Kristi SLP ........................... 314
Subramanian, Thondikulam MD 56
Summergate Pharmacy ...............373
Sun Pharmacy ................................. 384
Suncoast Center Inc ....254,255,256
Suncoast Specialty Surgery Center ................................................. 271
Sunkersett, Gauri DO .................. 196
Sunlife Pharmacy .......................... 384
Sunset Point Rehab & Nursing C ................................................................ 295
Suntrust Pharmacy ........................373
Superior Medical Equipment Plus LLC .......................................................290
Susan Cheek Needler Breast Center ................................................ 284
Svetec, Carly SLP .......................... 366
Swan, Tricia MD .............................. 212
Swanson, Rozales MD .................. 86
Swertfeger, Melissa APRN .298,318
Syed, Asma MD .................................81
Symphony Diagnostic Services No1 LLC DBA ...................................290
Szafranski, Christy MD ..................27
Szell, Nicole DO .............................233
Szostak, Michael MD ...................233
Szymanski, Ann MD .....................200
T Tager, Madisen SLP ....................... 316
Taliaferro, Ashley PT ................... 359
www.wellcare.com/Florida 434
Taliaferro, Robert PA .................. 307
Talton Williamson, Stephanie MD ..................................................................2,3
Tampa Road Pharmacy .............. 384
Tan, Ignatius MD ................................ 9
Tan, Noel MD ...................................135
Taneja, Amy MD ............................. 144
Tang, Nathan MD ....................90,189
Tarabishy, Ahmad MD ...................64
Tarpon Bayou Ctr ......................... 295
Tarpon Discount Drugs ............. 384
Tarpon Springs Dialysis LLC ..... 285
Tarte, Michelle PA .........................343
Tas, Amber DO ................................ 98
Taylor III, Gregg LMHC ............... 301
Taylor, Brittany SLP ...................... 314
Taylor, Helen OT .......................... 346
Taylor, Symone D'auri LCSW ........................................................243,258
Taylor, Tara MD .............................. 157
Tedder, Jeffrey MD ....................... 188
Teekell-Taylor, Leah MD .............231
Teper, Jordan MD .......................... 136
Terry, Johnny PA ............................ 361
Tesar, Leigh APRN .........................337
Thai, Pauline OD ....................... 72,180
Thatch, Keith MD ..................201,202
Thatimatla, Naga MD .....................45
Thaxton, Alyssa LCSW .......243,258
The Abbey Rehabilitation And Nursing .............................................. 295
The Back To Wellness Center LLC ................................................................ 277
The Care Center At Pinellas Park ................................................................ 295
The Chrysalis Center Inc ........... 256
The Green Cross Pharmacy ..... 384
The Harbor Bhci ............................... 241,242,247,256,269
The Health And Rehabilitation Centre At .......................................... 295
The Springs At Boca Ciega Bay ................................................................ 295
Theodoro, Mariana MD .............. 212
Theogene, Dorothy DDS ........... 217
Theophilopoulos, Constantine MD ........................................................ 136
Thodeson, Drew MD .................... 101
Thomas, Kristina LMHC ............. 240
Thomas, Matthew MD ................ 196
Thomer, Marguerite MD ............233
Thompson, Cody PA ...........308,352
Thompson, Elisa MD ........................ 3
Thompson, Justin MD ............ 14,230
Thorpe, Lorraine DC .................... 104
Tietz, Carol OT .............................. 307
Tijerino, Linda MD ......................... 144
Tinari, Dominick DC ........................37
Tinny, Jacqueline CNM ............................... 299,304,320,341,342
Tirupathi, Sreelatha MD ................19
Tiwari, Diana APRN ...................... 329
Tolaymat, Lama MD ......................132
Tonismae, Tiffany MD ..................132
Torres Bonilla, Gisela MD .............39
Torres Velazco, Jeniffer MD ...... 48
Torres, Arnaldo MD ..................... 229
Torres, Theresa APRN ..................351
Torres, Wanda MD ..........................61
Toscani, Joy LMHC ........................ 241
Tower Imaging Inc .......................................272,276,284,290
Tralins, Kevin MD .......................... 227
Tran, Baotram OD ...................180,181
Tran, Thien MD .................................27
Tran-Lockwood, Julie OD ............72
Tranum, Megan LMHC ................ 241
Trbovic, Sinisa MD .......................266
Trc Bayonet Point Dialysis ........273
Treanor, Hilary LCSW ................. 243
Trelaine House Of Love Inc ....289
Trese, Michael LMHC .................. 241
Tresso, Jennifer APRN ........307,308
Tretter, Michelle OT ................... 307
Trinity Regional Rehab Center 278
Trowbridge, Rose MD ............ 76,191
Trussel, Tanya APRN ................... 324
Trust Pharmacy ...................... 373,384
33453864
Provider Index
T - cont. Tuite, Gerald MD ........................... 197
Tun, Aung MD ...................................36
Turner, Angela DO ..................98,129
Turner, Joan CNM ........................ 305
Turpin, Sharon CNM ....................343
Tyler, Eric OD ....................................72
U Ubillos, Scott MD ........................... 48
Ultra Healthcare Services .........290
Umamaheswaran, Indira MD ........................................................... 56,140
Umstead, Thomas MD ........... 61,157
Urban Specialty Pharmacy ....... 384
Urban. Jr, Robert MD .....................65
V V & T Pharmacy ............................. 384
Vagedes, Marie LCSW ........243,258
Valencia-Serafini, Maria DO ......... 9
Vales, Ana-Marai DMD .......... 80,217
Valez Gaetan, Jelexza MD .............41
Valins, Robert DPM .........................83
Van Der Merwe, Marijcke PT .. 359
Vanden, Vera LMFT ..................... 244
Vandenberg, Joseph OD ............. 181
Vander Heuvel, Kimberly APRN ................................................................. 319
Vangaasbeek, Debra APRN ...... 238
Vangara, Sreenivasa MD ...............43
Vasiloudes, Panos MD ...................39
Vasquez, Alberto MD ................... 141
Vaughn, Gretchen APRN ........... 350
Vazquez Diaz, Antonio MD ....... 101
Vecchio, Christine AUD .............298
Vega, Vilma MD ......................... 19,126
Velett, Kristen OT ........................ 346
Vera, Jose APRN ............................ 302
Verdebout, Nadine PT ............... 359
Vergara, Isaac MD .......................... 163
Vernier, Eric MD .............................. 101
Villa, Maria MD ...................................61
Villalba, Jorge MD .........................266
Vincent, Daniel MD ....................... 109
Vindhya, Naveena MD .................... 9
Vinson, Mary DO ...........................232
Visalli, Alyssa LMHC ...................... 241
Visionworks Inc ................ 66,165,166
Visiting Nurse Association Of Florida In ........................................... 275
Vistacare Pharmacy II ................. 384
Volodka, Karina MD ...................... 136
Voltarel, Stephen MD ....................27
Von Thron, James MD ...................58
Vought, Jill SLP ................................ 316
Vricella, Luca MD ............................ 99
Vyas, Paulas MD ............................ 234
Vydyula, Ravikanth MD ................ 84
W Wachter, John OD ......................... 181
Wahl, Michael MD .......................... 86
Walford, Nebbie MD ...........120,202
Walker, Michelle APRN ............... 318
Walker, Robert MD .........................115
Walker, Sharla APRN ....................325
Walker, Travis MD ......................... 212
Wallace, Davina SLP .................... 366
Wallace, Robert MD ...................... 114
Walmart Pharmacy ....................................... 373,374,384,385
Walsh, Douglas DO ....................... 126
Walsh, John MD ............................... 98
Walsh, Ronald DO .......................... 98
Walsh, Thomas DO ...................... 4,19
Walter, Andrew MD ........................61
Walter, Jolan MD .....................90,189
Ward, Marilyn MD ........................266
Warner, Michael MD .................... 163
Warnick, Drew MD .................76,198
Warta, Steven PA ..........................323
Washington, Gina MD ..............61,62
Wassmer, Peter MD ...................... 98
Wasylik, Kathleen MD ............ 76,191
Waters, Madeline APRN .............327
Watson, Jeffrey MD ..................... 188
Watson, Jennifer DO ............. 58,144
Wawro, Agata APRN ....................337
Waye, Janet LCSW ...............243,244
www.wellcare.com/Florida 435
Weber, Charlene MD .....................28
Wee Care Clinic Inc ..................... 279
Weil, Matt DDS ............................... 217
Weinberger, Alyssa MD ................28
Weingarten, Darlean CNM 321,342
Weinstock, Robert MD ........163,164
Weinstock, Stephen MD ............ 164
Weiss, Michael MD .........................62
Weiss, Steven MD ............................91
Welch And Mcloy Therapy Services Pa ....................................... 276
Welch, Matthew LMFT .............. 259
Weller, Conrado MD ..................266
Werblin, Joshua MD .................... 246
Wesley Chapel Dialysis. LLC .....273
Wesnofske, Casandra APRN .... 358
West Bay Rehab & Nursing Ctr ................................................................ 295
West Cst Neonatology Inc ....... 136
West Hernando Diag And MRI Ctr ................................................................ 272
West Park Surgery Center. LLC ................................................................280
West, John MD .............................. 228
Westcoast Brace & Limb ..........290
Westerfield, Matthew DPM .....223
Westerfield, Susan OT ............... 307
Westermannclark, Emma MD .....91
Westervelt, Lindley PT ................ 310
Westminster Suncoast .............. 295
Wheeler, Cynthia LCSW ........... 258
White, Dawn APRN ......................343
White, Denielle APRN ................ 349
White-Green, Latamia MD ....... 245
Wical, Jessica APRN ......................333
Wiech, Natalia SLP ....................... 366
Wilcoxon, Dennis OD ............181,182
Wilkerson, Wallace MD ................58
Wilkins, Beena MD ............................ 9
Wilkinson, Donna APRN .............343
Williams, Annette MD ...................62
Williams, Beth APRN ....................337
Williams, Chiara APRN ................. 341
Williams, Dennis MD .............. 65,164
33453864
Provider Index
W - cont. Williams, Gregory DC ....................37
Williams, James MD ...................... 104
Williams, John OD ................... 72,182
Williams, Jory MD .......................... 164
Williams, Kevin PA ............... 246,266
Williams, Lauren PA ......................352
Williams, Madonna OT .............. 307
Williams, Michelle CNM ............ 305
Williams, Natalie MD ......................14
Williams, Sheena APRN ............... 361
Williams, Stephanie APRN ........ 302
Williams, Theresa OT .................. 307
Williams, Vashaun MD ................ 245
Williams-Wallace, Nancy MD .. 164
Williamson, Blake LMHC ........... 252
Willis, Kathleen SLP ............... 316,317
Willis, Steven DC .............................37
Wilsey, Michael MD ............... 76,194
Wilson, Christopher DO ............. 98
Wilson, Donna LCSW ................. 252
Wilson, Heather APRN ............... 348
Wilson, Shacara MD ........................14
Wilson, Thomas MD ..................... 199
Win, Moethu MD .......................36,51
Winchester, Blaine APRN ..........266
Windmoor Healthcare Inc .......260
Windsor Woods Rehab And Health Center ................................. 278
Wingert, Frank LCSW ................. 252
Winn-Dixie Pharmacy .........374,386
Winner Mendizabal, Oscar MD 136
Wisdom Pharmacy ....................... 374
Witfill, Kristin MD .......................... 106
Witkowski, Kristen MD .................62
Wize Pharmacy .............................. 386
Wojas, Justyna MD ................139,266
Wojnowich, Katherine MD ..................................................... 14,114,230
Wolf, Julie OD ................................. 182
Wolf, Richard APRN .................... 340
Wood, Christy APRN ...................332
Wood, Melissa LMHC ...................331
Woodard, Alyssa MD ................... 212
Woods, Andrea MD ...................... 98
Woods, Casey PA ..........................323
Woods, Jennifer APRN ............... 350
Woodward, Kristin PT ................ 360
Woolwine, Joshua OD ............. 72,73
Wouters, Anna MD ....................... 157
Wrassmann, Emma OT ............... 346
Wright, Alene MD ...........................45
Wright, Gail MD ...............................53
Wrights Healthcare & Rehab Ctr ................................................................ 295
Wrightway Consulting Inc ........286
Wroe, Tiffany APRN .................... 354
Wurtz, Kenneth MD ..................... 124
X Xtra Discount Drugs .................... 374
Y Yamamura, Kenneth MD ................................................ 30,36,92,99
Yamani, Mohammad MD ..............19
Yancey, Linda LMHC .....................331
Yang, Chun MD .............................. 120
Yankeloff, Kristina SLP .................317
Yates, Nicole SLP ........................... 314
Yazdani, Noushin DO .....................14
Ycaza, Luis DO ..................................20
Yeager, Michael MD .................... 226
Young III, John MD ................. 56,246
Young, Carrie APRN ......................351
Your Family Walk In Clinic LLC ................................................................ 279
Z Z Orange Pharmacy ..................... 374
Zachary, James MD ...................... 234
Zafar, Omair DPM ............................83
Zaharis Molina, Alissa APRN .... 354
Zaidi, Syed MD ............................... 267
Zaki, Khaja MD ...................................36
Zakrzewski, Paula APRN ....... 321,351
Zanchi, Dragos MD .................. 84,85
Zelna, Brendon DPM ....................223
Zelna, Heather DPM .....................223
Zephyrhills Brace&limb .............. 276
www.wellcare.com/Florida 436
Zephyrhills Community Pharmacy ................................................................ 374
Zephyrhills Pharmacy ................. 374
Zetoony, Michelle DO ............... 229
Zhao, Wenying MD .........................28
Zhou, Shaw MD ............................. 234
Ziegler, Lane DO ............................ 124
Ziemba, Kristine MD ...................... 141
Ziesman, Krista APRN .................. 361
Zigouris, Mary Ann LCSW ........ 244
Zito, Susan DO ............................... 229
Zook, Matthew MD .............. 106,107
Zoueva, Svetlana NULL ............. 247
Zuzga, Mark MD ...................... 88,234
33453864
Discrimination is Against the Law
Children’s Medical Services Health Plan, complies with applicable Federal civil rights laws and does not discriminate
on the basis of race, color, national origin, age, disability, or sex. Children’s Medical Services Health Plan does not
exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Children’s Medical Services Health Plan:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, Braille, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, contact Children’s Medical Services Health Plan at 1-866-799-5321 (TTY: 711),
Monday–Friday from 8 a.m. to 7 p.m., for help or you can ask Customer Service to put you in touch with a Civil
Rights Coordinator who works for Children’s Medical Services Health Plan.
If you believe that Children’s Medical Services Health Plan 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:
Children’s Medical Services Health Plan, 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 Children’s Medical Services
Health Plan 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 Avenue 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.
ATTENTION: If English is not your first language, we can translate for you.
We can also give you info in other formats at no cost to you. That includes
materials in other languages, Braille, audio, large print and provide American
Sign Language interpreter services. Call us toll-free at 1-866-799-5321 (TTY 711)
Monday–Friday, 8 a.m. to 7 p.m.
ATENCIÓN: Si el español es su lengua materna, podemos brindarle servicios
de traducción. También podemos proporcionarle información en otros
formatos sin costo para usted, que incluye materiales en otros idiomas, braille,
audio, letra de imprenta grande y servicios de interpretación de lenguaje de
señas americano. Llámenos sin cargo al 1-866-799-5321 (TTY 711), de lunes a
viernes de 8 a. m. a 7 p. m.
CAD_21922E State Approved 01082019
©WellCare 2019 FL8CADINS29969E_1800
33453864
ATTENTION: Si votre langue maternelle est le français, nous pouvons
faire la traduction. Nous pouvons également vous fournir l’information
dans d’autres formats sans frais pour vous. Ceci comprend les documents
dans les autres langues, en braille, en version audio et imprimé en gros
caractères. Nous pouvons aussi fournir les services d’un interprète gestuel
en langage ASL (American Sign Language). Il suffit de nous appeler au
numéro sans frais 1-866-799-5321. Pour les utilisateurs d’un ATS, composez
le 711 du lundi au vendredi, de 8 h à 19 h.
ATANSYON: Si lang matènèl ou se Kreyòl, nou ka fè tradiksyon an pou ou.
Nou kapab ba w enfòmasyon yo tou sou lòt fòma ki pa koute ou. Sa gen
ladan l literati ki ekri nan lòt lang, sou fòm Bray, fòm odyo, gwo karaktè epitou nou ofri sèvis entèprèt Langaj Siy Ameriken. Annik rele nou nan
nimewo pou apèl gratis la. Ou ka kontakte nou nan nimewo 1-866-799-5321.
Pou TTY, rele 711. Lendi-Vandredi, depi 8 a.m. jiska 7 p.m.
ATTENZIONE: Se l’italiano è la tua prima lingua, possiamo tradurre per te.
Possiamo anche darti informazioni in altri formati gratuitamente per te.
Fra questi vi sono materiali in altre lingue, Braille, audio, stampa in grande
formato e servizi di interpretariato nel linguaggio americano dei segni. Ti
basta chiamarci gratuitamente. Puoi contattarci al numero 1-866-799-5321.
Per TTY, chiama il 711. Orari: dal lunedì al venerdì, dalle 8 alle 19.
ВНИМАНИЕ: Если русский Ваш первый язык, мы можем перевести для Вас. Мы также можем предоставить для Вас бесплатную информацию в различных форматах, в том числе материалы на других языках, на шрифте Брайля, на аудионосителях, распечатанную крупным шрифтом, а также услуги по американскому сурдопереводу. Просто позвоните нам по бесплатному номеру 1-866-799-5321 (TTY 711) с понедельника по пятницу, c 8 утра до 7 вечера.
33453864
ATENÇÃO: Se o Português for a sua língua materna, nós podemos
traduzir para si. Também lhe podemos fornecer informações noutros
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idiomas, Braille, áudio, impressão grande e prestação de serviços de
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através do número gratuito. Pode contactar-nos através do número
1-866-799-5321. Para TTY, digite 711. De segunda a sexta das 8 h às 19 h.
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Sie übersetzen. Wir können Ihnen Infos auch in anderen Formaten
kostenfrei anbieten. Dazu gehört Material in anderen Sprachen, Braille,
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(TTY 711) 聯繫我們,服務時間為週一至週五,上午 8點至晚上 7點。
ךל רוסמל ונתורשפאב .ךרובע םגרתל םילוכי ונא ,תירבע איה ךמא תפש םא :ךבל תמושתל - עדימ וא עמש ,ליירב בתכ ,תורחא תופשב םירמוח ללוכ :תורחא תורוצב םג – םולשת אלל ת/ןמזומ ךנה .תיאקירמאה םינמיסה תפשב תונמגרותמ תוריש ןכו ,תולודג תויתואב ספדומ
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.ברעב 7-ל רקובב 8 ןיב ,תועשה ןיב ישיש דע ינש םימיב
33453864
PAUNAWA: Kung ang Tagalog ay iyong unang wika, maaari naming isalin ito
para sa iyo. Maaari din naming magbigay sa iyo ng impormasyon sa iba pang
pormat na walang gastos sa iyo. Kabilang dito ang materyales sa iba pang
mga wika, Braille, audio, malalaking letra at maglaan ng American senyas na
wika na serbisyong tagapagsalin. Tumawag sa amin nang walang bayad sa
1-866-799-5321 (TTY 711) Lunes-Biyernes, 8 ng umaga hanggang 7 ng gabi.
تقديم ا علومات تنبيه: إذا كانت لغتك ا و هي اللغة العربية، فيمكننا ال جمة لك. كننا أيضاً بلغات أخرى وبطريقة برايل و واد صوتية وبالخط الكب ، أشكال أخرى لك مجاناً. وهذه تتضمن مواداً
ك نوفر خدمات ال جمة للغة ا شارة ا مريكية. اتصل بنا ع الرقم ا جا 1-866-799-5321 ً)ولخدمة TTY، اتصل بالرقم 711( من ا ثن إ الجمعة من الساعة 8 صباحا إ الساعة 7 مساء. ً
कृपया धयान द : यदद हिदंी आपकी मातृ भाषा ि, ै िम आपके लिए अनुवाद कर
सकते ि। िम अनय ा प म भी आपको जानकारी लिना दकसी कीमत के दे सकते
ि। इसम अनय भाषा म साम ी, ेि, ऑलियो, िडे ह ंट और अमेररकी साइन
ि गवेज दभुालषया सेवाएं दान करना शालमि ि।ै िस िम टोि- ी कॉि कर । आप
1-866-799-5321 पर िम से संपक कर सकते ि। TTY के लिए, 711 पर सोमवार स ेशु वार, 8 सुिि से 7 शाम तक कॉि कर ।
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thông dịch cho quý vị. Chúng tôi cũng có thể cung cấp cho quý vị thông
tin ở các định dạng khác mà quý vị không phải trả tiền ví dụ như tài liệu
ở các ngôn ngữ khác, chữ nổi Braille, âm thanh, bản in cỡ lớn và cung
cấp dịch vụ thông dịch Ngôn ngữ Ký hiệu Mỹ. Vui lòng gọi điện thoại cho
chúng tôi theo số miễn phí 1-866-799-5321 (đối với TTY, hãy gọi 711) từ Thứ
Hai đến Thứ Sáu, từ 8 giờ sáng đến 7 giờ tối.
Operated by WellCare
1-866-799-5321 (TTY 711)
www.wellcare.com/Florida
33453864