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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

2020 Florida Provider Directory - Wellcare

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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

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

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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

List of Plan Providers Lista de proveedores del plan

Lis Founis� Plan yo

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

33453864

Primary Care Providers

Pasco

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

33453864

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

33453864

Primary Care Providers

Pasco

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

33453864

Primary Care Providers

Pasco

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

33453864

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

33453864

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

33453864

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

Primary Care Providers

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

33453864

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

33453864

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.

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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

33453864

Specialty Physicians

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

33453864

Specialty Physicians

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.

www.wellcare.com/Florida 43

33453864

Specialty Physicians

Pasco

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.

www.wellcare.com/Florida 45

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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33453864

Specialty Physicians

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.

www.wellcare.com/Florida 48

33453864

Specialty Physicians

Pasco

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.

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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

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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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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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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

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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

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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

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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

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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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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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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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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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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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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.

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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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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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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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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.

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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

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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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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.

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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

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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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Specialty Physicians

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.

www.wellcare.com/Florida 136

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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Specialty Physicians

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.

www.wellcare.com/Florida 137

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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Specialty Physicians

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

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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.

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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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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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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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Specialty Physicians

Pinellas

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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Optometry - cont.

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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Optometry - cont.

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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Pinellas

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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Optometry - cont.

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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Optometry - cont.

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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Specialty Physicians

Pinellas

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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Optometry - cont.

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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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

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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

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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

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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

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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.

www.wellcare.com/Florida 189

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

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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.

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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

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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

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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

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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

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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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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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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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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.

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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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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.

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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.

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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

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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.

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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.

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Pinellas

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

Specialty Physicians

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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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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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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33453864

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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.

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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.

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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.

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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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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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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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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

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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) 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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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

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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

33453864

Behavioral Health

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

Behavioral Health

Pinellas

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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Pinellas

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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Ancillary Providers

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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Ancillary Providers

Pinellas

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

33453864

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

33453864

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

33453864

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

33453864

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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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

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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

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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.

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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

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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

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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

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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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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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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.

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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

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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

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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

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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.

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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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Pinellas

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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Retail - cont.

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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Retail - cont.

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.

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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

formatos sem nenhum custo a você. Isso inclui materiais em outros

idiomas, Braille, áudio, impressão grande e prestação de serviços de

intérprete de língua gestual americana. Entre em contacto connosco

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

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Audio, Großdruck sowie die Bereitstellung von Dolmetscherservice in

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erreichen uns unter 1-866-799-5321, Montag bis Freitag, 8.00 Uhr bis

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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

( 711 גייחל שי TTY רובע) 1-866-799-5321 ורפסמש ןופלטל םניח תחישב ונילא ןפלטל

.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

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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

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कृपया धयान द : यदद हिदंी आपकी मातृ भाषा ि, ै िम आपके लिए अनुवाद कर

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ि। 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 ।

CHÚ Ý: Nếu Tiếng Việt là ngôn ngữ chính của quý vị, thì chúng tôi có thể

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tin ở các định dạng khác mà quý vị không phải trả tiền ví dụ như tài liệu

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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.

33453864

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1-866-799-5321 (TTY 711)

www.wellcare.com/Florida

33453864