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GatorCare Provider Network Tier 1 Directory Jacksonville 2015

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  • GatorCare Provider Network Tier 1 Directory

    Jacksonville

    2015

  • Table of Contents

    Hospital/Outpatient Facilities ....................................................................................... 3

    Urgent Care Centers ........................................................................................................ 4

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

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

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

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  • Hospital/Outpatient Facilities

    Duval County*Shands Jacksonville Medical Center-Clinical Center

    655 W. 8th St.

    Jacksonville, FL 32209

    904-244-0411

    Nemours Children's Clinic

    807 Children's Way

    Jacksonville, FL 32207

    904-697-3694

    Wolfson Childrens Hospital

    800 Prudential Dr.

    Jacksonville, FL 32207

    (904)202-8000

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

    Page 3 of 23

  • Urgent Care Centers

    Clay County

    Urgent Care Clinic/Center

    Care Spot Urgent Care

    1708 Blanding Blvd

    Middleburg, FL 32068

    904-406-8240

    2140 Kingsley Ave.

    Orange Park, FL 32073

    904-213-0600

    Magnolia Urgent Care

    3185 Highway 17

    Green Cover Springs, FL 32043

    904-284-4222

    Scheiner Clinic LLC

    1880 Eagle Harbor Pkwy

    Fleming Island, FL 32003

    904-213-8277

    Duval County

    Urgent Care Clinic/Center

    Arlington Acute Care Center

    1021 Cesery Blvd

    Jacksonville, FL 32211

    904-743-2466

    Care Spot Urgent Care

    12303 San Jose Blvd

    Jacksonville, FL 32223

    904-288-0277

    2032 Dunn Ave.

    Jacksonville, FL 32218

    904-757-2008

    2401 Monument Road

    Jacksonville, FL 32225

    904-642-0337

    410 Atlantic Blvd

    Neptune Beach, FL 32266

    904-241-0117

    5915 Normandy Blvd

    Jacksonville, FL 32205

    904-378-0121

    8705 Perimeter Park Blvd , Suite 2

    Jacksonville, FL 32216

    904-248-3910

    Nassau County

    Urgent Care Clinic/Center

    Care Spot Urgent Care

    464016 State Road 200

    Yulee, FL 32097

    904-261-3913

    Saint Johns County

    Urgent Care Clinic/Center

    Care Spot Urgent Care

    2095 US 1 S

    St Augustine, FL 32084

    904-429-0001

    James F Connor PA Urgent Care

    1851 Old Moultrie Rd , Suite A

    St Augustine, FL 32084

    904-824-8088

    St. Johns Express Care

    880 A1A N Suite 16, Suite 16

    Ponte Vedra, FL 32082

    904-280-1300

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

    Page 4 of 23

  • Primary Care Providers

    Baker County

    Family Practice/Primary Care

    UF Crossroads Family Medicine Center

    802 South 6th St

    MacClenny, FL 32063

    (904)383-1777

    5 and Up

    Alvarez, Edgar R., M.D.

    Pediatrics/Primary Care

    Childrens Health Assoc

    124th S. 6th Street

    MacClenny, FL 32063

    904-259-5766

    Birth to 18

    Assi, John , M.D.

    Camden County

    Family Practice/Primary Care

    UF Health Family Medicine and Pediatrics - St. Mary's

    51 Lindsey Lane

    Kingsland, GA 31548

    (912)576-2344

    Birth and Up

    Price, James William, M.D.

    Clay County

    Family Practice/Primary Care

    Family Medical Center Middleburg

    3839 County Road 218

    Middleburg, FL 32068

    904-282-5474

    Braeutigam, Kent , D.O.

    Goh, Benjamin , D.O.

    Family Medical Center Orange Park

    1409 Kingsley Ave, Suite 6A

    Orange Park, FL 32073

    904-264-7517

    Harris, Gene A, D.O.

    UF Family Medicine and Pediatric Center at Plantation Oaks

    4215 Plantation Oaks Blvd

    Orange Park, FL 32065

    (904)633-0820

    Birth and Up

    Waters, Lynn M., D.O.

    Pediatrics/Primary Care

    Family Medical Center Pediatrics

    1555 Kingsley Ave Suite 601

    Orange Park, FL 32073

    (904) 264-0264

    Aboushaar, Mohammad H, M.D.

    Hardin, Michael , M.D.

    Middleburg Pediatrics

    3839 County Road 218 Suite E

    Middleburg, FL 32065

    904-861-1034

    Mora, Maria E, MD FAAP PA

    UF Family Medicine and Pediatric Center at Plantation Oaks

    4215 Plantation Oaks Blvd

    Orange Park, FL 32065

    (904)633-0820

    Birth and Up

    Wells, Saran, M.D.

    Duval County

    Family Practice/Primary Care

    Family Medical Center San Pablo

    14011 Beach Blvd, Unit 120

    Jacksonville, FL 32250

    904-223-6400

    Caballero, Jorge B, D.O.

    Hamaty, Anthony C, M.D.

    Porcase, Fredric , Jr. D.O.

    Secunda, Edward , D.O.

    Family Medical Center Southside

    1906 Southside Blvd

    Jacksonville, FL 32216

    (904)724-3083

    Oceanway Medical Center

    11513 N Main St

    Jacksonville, FL 32218

    904-751-6200

    Micolucci, Victor , M.D.

    Yu, Zhi , M.D.

    Shands Jacksonville Brentwood Primary

    Care Center

    3465 Village Center Dr

    Jacksonville, FL 32209

    (904)633-0500

    Birth and Up

    Pratt, Ebony Nicole, M.D.

    SJ Elizabeth G Means Comm Hlth Ctr

    1155 E 21st St

    Jacksonville, FL 32206

    (904)633-0500

    Birth and Up

    Jaminal, Mar Antonio Celestial, M.D.

    18 and Up

    Jones, Ross E., M.D.

    UF Augustine Oaks Family Medicine

    Center

    11481 Old St. Augustine Rd, Ste 101

    Jacksonville, FL 32258

    (904)633-0210

    5 and Up

    Alvarez, Edgar R., M.D.

    UF Baymeadows Family Practice & Pediatric Center

    8274 Bayberry Rd

    Jacksonville, FL 32256

    (904)633-0800

    18 and Up

    Array, Samir Y., M.D.

    Birth and Up

    Grewal, Reetu, M.D.

    Birth and Up

    Zaiden, Julianni M., M.D.

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

    Page 5 of 23

  • Primary Care Providers

    UF Blanding Family Medicine and Pediatric Center

    6015 118th Street

    Jacksonville, FL 32244

    (904)633-0610

    Birth and Up

    Anand, Subashini V., M.D.

    Birth and Up

    Silva, Jose A., M.D.

    UF Commonwealth Family Medicine and

    Pediatric Center

    761 Edgewood Ave N

    Jacksonville, FL 32254

    (904)633-0500

    Birth and Up

    Registre, Louis Joseph, M.D.

    Birth and Up

    Stewart, Eric B., M.D.

    UF Dunn Avenue Family Practice Center

    2377 Dunn Ave

    Jacksonville, FL 32218

    (904)633-0700

    Birth and Up

    Bonaquist, Casey-Sue, D.O.

    Birth and Up

    Haddad, Charles J., M.D.

    Birth and Up

    Hadzic, Amra , M.D.

    UF Family Medicine Center at Lem Turner

    1255 Lila Ave

    Jacksonville, FL 32208

    (904)383-1001

    18 and Up

    Amin, Aisha, M.D.

    Birth and Up

    Funderburk, Marcia W., M.D.

    Birth and Up

    Okoli, Emeka Jude, M.D.

    Birth and Up

    Wilson, Linda Lea Manning, D.O.

    UF Health Family Medicine - Goodby's Creek

    3872 San Jose Park Dr.

    Jacksonville, FL 32217

    (904)731-0304

    Birth and Up

    Jacqmein, Jeffry Alan, M.D.

    UF Kernan Square Family Medicine Center

    12620 Beach Blvd, Ste 13

    Jacksonville, FL 32246

    (904)633-0585

    Birth and Up

    Sharma, Swati , M.D.

    UF Merrill Road Family Medicine Center

    7645 Merrill Rd, Ste 301

    Jacksonville, FL 32277

    (904)633-0285

    16 and Up

    Hoffmann, Susan Lee, M.D.

    UF Monument Landing Family Medicine Center

    2485 Monument Road, Suite 12

    Jacksonville, FL 32225

    (904)383-1026

    Birth and Up

    Rosada, Miguel A., M.D.

    UF Murray Hill Family Practice Center

    5205 Normandy Blvd, Ste 13

    Jacksonville, FL 32205

    (904)633-0500

    Birth and Up

    Gajda, Anna , M.D.

    UF New Berlin Family Medicine Center

    3122 New Berlin Rd.

    Jacksonville, FL 32226

    (904)633-0340

    Birth and Up

    Johnson, Tra'Chella C., M.D.

    Birth and Up: Established Patients

    Only

    Scuderi, Christopher Benjamin, D.O.

    UF Normandy Family Practice Center

    8093 Normandy Blvd

    Jacksonville, FL 32221

    (904)633-0640

    Birth an Up

    Corpus, Lorenzo Mil, M.D.

    UF San Jose Family Practice Center

    5614 San Jose Blvd

    Jacksonville, FL 32207

    (904)633-0475

    Birth and Up

    Ober, Vincent Hilles, Jr. M.D.

    UF Soutel Plaza Family Practice and Pediatric Center

    5045 Soutel Dr, Ste 12

    Jacksonville, FL 32208

    (904)633-0500

    Birth and Up

    Bosque-Perez, Monique D., D.O.

    University of Florida Community Health Center

    655 W 8th St, ACC 4th Fl

    Jacksonville, FL 32209

    (904)383-1002

    Birth and Up

    Dimmitt, Steven , D.O.

    Birth and Up

    Haddad-Lacle', Judella , M.D.

    Birth and Up

    Hussain, Mahrukh , M.D.

    Birth and Up

    Salman, Farah , M.D.

    Birth and Up

    Shah, Nipa R., M.D.

    Internal Medicine/Primary Care

    Anil George MD PA

    915 W Monroe St, Suite 301

    Jacksonville, FL 32204

    904-353-8562

    Bates, Paige , M.D.

    Davuluir, Satya , M.D.

    George, Anil , MD PA

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

    Page 6 of 23

  • Primary Care Providers

    Internal Medicine Primary Care Center

    655 W 8th St, ACC 1st Fl

    Jacksonville, FL 32209

    (904)383-1003

    18 and Up: Established Patients Only

    Edwards, Linda R., M.D.

    18 and Up: Established Patients Only

    House, Jeffrey G., D.O.

    18 and Up

    Jacob, Rafik, M.D.

    18 and Up

    Palacio, Carlos , M.D.

    18 and Up

    Sottile, Elisa Marie, M.D.

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    18 and Up w/ HIV+

    Sanchez-Rojas, Wilfredo, M.D.

    UF Dunn Avenue Family Practice Center

    2377 Dunn Ave

    Jacksonville, FL 32218

    (904)633-0700

    18 and Up

    Greenberg, Adam, M.D.

    UF Family Medicine Center at Lem Turner

    1255 Lila Ave

    Jacksonville, FL 32208

    (904)383-1001

    18 and Up

    Amin, Aisha, M.D.

    18 and Up

    Brown, Alex J., M.D.

    UF General Internal Medicine

    4555 Emerson Street, Suite 220

    Jacksonville, FL 32207

    (904)383-1003

    18 and Up; Established Patients Only

    Edwards, Linda R., M.D.

    18 and Up; Established Patients Only

    House, Jeffrey G., D.O.

    18 and Up

    Isache, Carmen L., M.D.

    18 and Up

    Jacob, Rafik, M.D.

    18 and Up

    Masri, Ghania, M.D.

    UF Health General Medicine - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    18 and Up

    Abreu Read, Silvia V., M.D.

    18 and Up

    Isache, Carmen L., M.D.

    UF Kernan Square Family Medicine Center

    12620 Beach Blvd, Ste 13

    Jacksonville, FL 32246

    (904)633-0585

    18 and Up

    Liao, Weichi, M.D.

    UF Merrill Road Family Medicine Center

    7645 Merrill Rd, Ste 301

    Jacksonville, FL 32277

    (904)633-0285

    16 and Up

    Hoffmann, Susan Lee, M.D.

    Pediatrics/Primary Care

    Carithers Pediatric Group

    2121 Park St

    Jacksonville, FL 32204

    904-387-6200

    Children First Pediatric

    1233 Lane Ave S, Suite 21

    Jacksonville, FL 32205

    904-786-9600

    Valdes, Maria , M.D.

    Childrens Health Assoc

    1522 Emerson St

    Jacksonville, FL 32207

    904-396-3964

    Birth to 18

    Assi, John , M.D.

    Birth to 21

    Sakhaei, Masoud , MD

    Children's Medical Group

    4131 University Blvd S, Suite 16

    Jacksonville, FL 32216

    904-733-7408

    White, Susan H, M.D.

    530 Jacksonville Dr

    Jacksonville Beach, FL 32250

    904-246-4500

    9776 San Jose Blvd, Suite 1

    Jacksonville, FL 32257

    904-268-6725

    Family Medical Center

    5445 Norwood

    Jacksonville, FL 32208

    904-765-7075

    Eisenberg, Iris , M.D.

    Family Medical Center San Pablo

    14011 Beach Blvd, Unit 120

    Jacksonville, FL 32250

    904-223-6400

    Hamaty, Anthony C, M.D.

    Internal Medicine Primary Care Center

    655 W 8th St, ACC 1st Fl

    Jacksonville, FL 32209

    (904)244-9233

    16-26

    Nathawad, Rita, M.D.

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

    Page 7 of 23

  • Primary Care Providers

    Middleburg Pediatrics

    10250 Normandy Blvd Unit 201

    Jacksonville, FL 32221

    904-652-0870

    Lavina, Zenaida , M.D.

    Northeast Florida Pediatrics

    1301 Monument Rd, Suite 19

    Jacksonville, FL 32225

    904-727-5160

    Penariet, Rodolfo , M.D.

    13595 Atlantic Blvd.

    Jacksonville, FL 32225

    904-221-4325

    Oceanway Pediatrics

    11521 N Main St

    Jacksonville, FL 32218

    904-751-9491

    Pediatric Assocs of Jacksonville PA

    8011 Merrill Rd, Suite 4

    Jacksonville, FL 32277

    904-743-2100

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Birth to 24 w/HIV+

    Mirza, Ayesha , M.D.

    Birth to 24 w/HIV+

    Rathore, Mobeen H., M.D.

    Simmons Pediatrics Inc.

    1771 Edgewood Ave W, Suite 1

    Jacksonville, FL 32208

    904-766-1106

    SJ Elizabeth G Means Comm Hlth Ctr

    1155 E 21st St

    Jacksonville, FL 32206

    (904)633-0500

    Birth to 17

    Agnila, Concepcion Latoza, M.D.

    UF Baymeadows Family Practice & Pediatric Center

    8399 Bayberry Rd

    Jacksonville, FL 32256

    (904)633-0800

    Birth to 17

    Arango, Carlos A., M.D.

    Birth to 17

    Array, Victoria C., M.D.

    UF Blanding Family Medicine and

    Pediatric Center

    6015 118th Street

    Jacksonville, FL 32244

    (904)633-0610

    Birth to 21

    Chua-Ravago, Leslie Surara, M.D.

    UF Commonwealth Family Medicine and Pediatric Center

    761 Edgewood Ave N

    Jacksonville, FL 32254

    (904)633-0500

    Birth to 17

    Agnila, Concepcion Latoza, M.D.

    UF Health Pediatrics - Beaches

    530 Jacksonville Dr

    Jacksonville Beach, FL 32250

    904-383-1046

    Birth to 21

    Beverly, Laura N., M.D.

    Birth to 21

    Solo-Josephson, Patricia Ana, M.D.

    UF Health Pediatrics - North

    15255 Max Leggett Parkway, Ste 4000

    Jacksonville, FL 32218

    (904)383-1000

    Birth to 18

    Knight, Jennifer L., M.D.

    UF New Berlin Family Medicine Center

    3122 New Berlin Rd.

    Jacksonville, FL 32226

    (904)633-0340

    Birth to 18

    Cuevas, Christine Lim, M.D.

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    16-26

    Nathawad, Rita, M.D.

    UF San Jose Pediatrics and Adolescent

    Center

    6271 St. Augustine Rd, Ste A

    Jacksonville, FL 32217

    (904)633-0460

    Birth to 17

    Cedres, Carmelo , M.D.

    Birth to 17

    Lindor, Pamela Alix, M.D.

    UF Soutel Plaza Family Practice and Pediatric Center

    5045 Soutel Dr, Ste 12

    Jacksonville, FL 32208

    (904)633-0500

    Birth to 17

    Agnila, Concepcion Latoza, M.D.

    UFCARES

    910 Jefferson Street

    Jacksonville, FL 32209

    (904)244-2120

    Birth to 15 w/HIV+ & ID

    Mirza, Ayesha, M.D.

    Nassau County

    Family Practice/Primary Care

    UF Callahan Family Practice Center

    450077 State Road 200 (A1A)

    Callahan, FL 32011

    (904)633-0560

    3 and Up

    Day, Charles M., M.D.

    3 and Up

    Kecskemeti-Kovacs, Timea A., M.D.

    3 and Up

    Solomon, William C., Jr.M.D.

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

    Page 8 of 23

  • Primary Care Providers

    UF Yulee Family Practice Center

    851042 US Highway 17

    Yulee, FL 32097

    (904)633-0670

    2 and Up

    Coleman, Jeremy Latron, M.D.

    Birth and Up

    Hamilton, Holly Lane, M.D.

    Birth and Up

    Price, James William, M.D.

    Internal Medicine/Primary Care

    UF Yulee Family Practice Center

    851042 US Highway 17

    Yulee, FL 32097

    (904)633-0670

    Birth and Up

    Broughton, Nanako, M.D.

    Saint Johns County

    Family Practice/Primary Care

    UF Health Family Medicine - Ponte Vedra

    Beach

    1102 A1A N., Suite 106

    Ponte Vedra Beach, FL 32082

    (904)280-8228

    Birth and Up

    Fong, Arnold Douglas, M.D.

    Pediatrics/Primary Care

    Pediatric Assocs of Jacksonville PA

    1102 A1A N Unit 104

    Ponte Vedra, FL 32082

    904-273-6533

    Ozdemir, Aylin , M.D.

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

    Page 9 of 23

  • Specialty Care Providers

    Camden County

    Cardiovascular Disease

    UF St Mary's Multi-Specialty Center

    201 B Lakeshore Point

    St. Mary's, GA 31558

    (912)729-6821

    Bass, Theodore A., M.D.

    Chapman, Douglas B., M.D.

    Oberst, Leslie M., M.D.

    Paterick, Timothy, M.D.

    Zenni, Martin, M.D.

    Clinical Cardiac Electrophysiology

    UF St Mary's Multi-Specialty Center

    201 B Lakeshore Point

    St. Mary's, GA 31558

    (912)729-6821

    Catanzaro, John, M.D

    Neurology

    UF St Mary's Multi-Specialty Center

    201 B Lakeshore Point

    St. Mary's, GA 31558

    (912)729-6821

    Bautista, Ramon E., M.D.

    Cvejic, Mara, D.O.

    Krishnaiengar, Suparna R., M.D.

    Oguh, Odinachi Ngozi, M.D.

    Pulley, Michael Thomas, M.D.

    Sanders, Kalina M., M.D.

    Shah, Jaimin S., M.D.

    Silliman, Scott L., M.D.

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    UF St Mary's Multi-Specialty Center

    201 B Lakeshore Point

    St. Mary's, GA 31558

    (912)729-6821

    Pirris, John P., M.D.

    Clay County

    Allergy & Immunology Allergy

    Allergy & Asthma Specialists

    1895 Kingsley Avenue, Suite 401

    Orange Park, FL 32073

    904-272-5251

    Dermatology

    North Florida Dermatology

    1495 Kingsley Avenue

    Orange Park, FL 32073

    (904)354-4488

    Park Avenue Dermatology PA

    906 Park Ave

    Orange Park, FL 32073

    (904)541-0315

    Obstetrics & Gynecology

    UF Generation to Generation Obstetrics and Gynecology

    1887 Kingsley Ave, Ste 1500

    Orange Park, FL 32073

    (904)633-0880

    Evans, Lindsey M., M.D.

    Ozcan, Michelle Stalnaker , M.D.

    Rowan, Nikki Jean, M.D.

    Tchankoshvili, Nickoloz, M.D.

    Pediatric Cardiology

    UF Health Pediatric Cardiology - Clay

    1747 Baptist Clay Drive

    Fleming Island, FL 32003

    (904)633-4110

    English, Robert F., M.D.

    Ettedgui, Jose A., M.D.

    Kuebler, Brandon E., M.D.

    Marvin, William J., Jr. M.D.

    Moon, Thomas J., Jr. M.D.

    Neagu, Daniela L., M.D.

    Columbia County

    Cardiovascular Disease

    University of Florida Lake City Cardiovascular Center

    163 SW Stonegate Terrace, Ste 105

    Lake City, FL 32055

    (904)633-0200

    Antoun, Patrick, M.D.

    Chapman, Douglas B., M.D.

    Kim, Robert J., M.D.

    Miller, Alan B., M.D.

    Percy, Robert F., M.D.

    Suryadevara, Siva K., M.D.

    Zenni, Martin, M.D.

    Clinical Cardiac Electrophysiology

    University of Florida Lake City Cardiovascular Center

    163 SW Stonegate Terrace, Ste 105

    Lake City, FL 32055

    (904)633-0200

    Catanzaro, John, M.D

    Kim, Robert J., M.D.

    Pediatric Cardiology

    University of Florida Lake City Pediatric Cardiovascular Center

    351 NE Franklin St, Ste 1112

    Lake City, FL 32055

    (904)633-0200

    English, Robert F., M.D.

    Ettedgui, Jose A., M.D.

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

    Page 10 of 23

  • Specialty Care Providers

    Duval County

    Allergy & Immunology Allergy

    Allergy & Asthma Specialists

    11701-32 San Jose Blvd Suite 117

    Jacksonville, FL 32223

    904-880-3880

    3636 University Blvd S. Suite A3

    Jacksonville, FL 32216

    904-730-4870

    Behavioral Health

    Developmental Pediatric Center

    6271 St. Augustine Rd, Ste B

    Jacksonville, FL 32217

    (904)633-0750

    Holmes, Stephanie Backof, Ph. D (Psychologist)

    New Directions Behavioral Health Network

    (866)287-9569

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Dew-Reeves, Sarah Emily, Ph.D (Psychologist)

    Khokhar, Ubaid A., M.D. (Psychiatry)

    Marra, Jaime, Ph.D (Psychologist)

    Sims, Stephanie Vetere, M.D. (Child & Adolescent Psychiatry)

    UF Psychiatry Center at Dupont Station

    6266 Dupont Station Court

    Jacksonville, FL 32217

    (904)383-1038

    3 and Up

    Desai, Chirag V., M.D.

    3 and Up

    Ford, Regina L., LMHC

    3 to 21

    Gauntlett, Matthew W., LMHC

    3 to 21

    McCrea, Sarah J., LCSW

    3 and Up

    Sims, Stephanie Vetere, M.D.

    3 to 21

    Witherspoon, Dawn O., Ph.D (Psychologist)

    University of Florida Psychiatry Center

    580 W 8th St, Tower II, Ste 6005

    Jacksonville, FL 32209

    (904)383-1038

    18 and Up

    Celso, Brian G., Ph.D (Psychologist)

    5 and Up

    Cuffe, Steven P., M.D.

    8 and Up

    Desai, Chirag V., M.D.

    3 and Up

    Ford, Regina L., LMHC

    18 and Up

    Shadden, Elizabeth B., LMHC

    18 and Up

    Taylor, Phyliss N., M.D.

    Cardiothoracic Surgery

    UF Pediatric Cardiovascular Center

    841 Prudential Dr, Ste 100

    Jacksonville, FL 32207

    (904)633-4110

    Bleiweis, Mark S., M.D.

    Shillingford, Michael S, M.D.

    Cardiovascular Disease

    The Cardiovascular Center at Shands Jacksonville

    655 W 8th St, ACC 5th Fl

    Jacksonville, FL 32209

    (904)244-4198

    Angiolillo, Dominick Joseph, M.D.

    Antoun, Patrick, M.D.

    Bass, Theodore A., M.D.

    Chapman, Douglas B., M.D.

    Hsu, Steve S., M.D.

    Kim, Robert J., M.D.

    Miller, Alan B., M.D.

    Oberst, Leslie M., M.D.

    Paterick, Timothy, M.D.

    Percy, Robert F., M.D.

    Suryadevara, Siva K., M.D.

    Velarde, Gladys P., M.D.

    Zenni, Martin, M.D.

    UF Cardiovascular Center at Emerson

    4555 Emerson St, Ste 120

    Jacksonville, FL 32207

    (904)383-1036

    Angiolillo, Dominick Joseph, M.D.

    Bass, Theodore A., M.D.

    Chapman, Douglas B., M.D.

    Miller, Alan B., M.D.

    Oberst, Leslie M., M.D.

    Percy, Robert F., M.D.

    Velarde, Gladys P., M.D.

    Zenni, Martin, M.D.

    UF Health Cardiovascular Center - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Antoun, Patrick, M.D.

    Bass, Theodore A., M.D.

    Oberst, Leslie M., M.D.

    Velarde, Gladys P., M.D.

    Zenni, Martin, M.D.

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

    Page 11 of 23

  • Specialty Care Providers

    Child & Adolescent Psychiatry

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Sims, Stephanie Vetere, M.D.

    UF Psychiatry Center at Dupont Station

    6266 Dupont Station Court

    Jacksonville, FL 32217

    (904)383-1038

    3 and Up

    Desai, Chirag V., M.D.

    3 and Up

    Sims, Stephanie Vetere, M.D.

    University of Florida Psychiatry Center

    580 W 8th St, Tower II, Ste 6005

    Jacksonville, FL 32209

    (904)383-1038

    5 and Up

    Cuffe, Steven P., M.D.

    8 and Up

    Desai, Chirag V., M.D.

    Child Neurology

    Developmental Pediatric Center

    6271 St. Augustine Rd, Ste B

    Jacksonville, FL 32217

    (904)633-0750

    Painter, Michael J., M.D.

    Tardo, Carmela Lydia, M.D.

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Painter, Michael J., M.D.

    Tardo, Carmela Lydia, M.D.

    Clinical Cardiac Electrophysiology

    The Cardiovascular Center at Shands Jacksonville

    655 W 8th St, ACC 5th Fl

    Jacksonville, FL 32209

    (904)244-4198

    Catanzaro, John, M.D

    Hsu, Steve S., M.D.

    Kim, Robert J., M.D.

    UF Cardiovascular Center at Emerson

    4555 Emerson St, Ste 120

    Jacksonville, FL 32207

    (904)383-1036

    Catanzaro, John, M.D

    UF Health Cardiovascular Center - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Catanzaro, John, M.D

    Hsu, Steve S., M.D.

    Clinical Genetics

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Perszyk, Anthony A., M.D.

    Dermatology

    First Coast Dermatology

    4479 Baymeadows Rd

    Jacksonville, FL 32217

    (904)731-8300

    Rosario-Collazo, Juan, M.D.

    Smith, Edward, M.D.

    North Florida Dermatology

    1541 Riverside

    Jacksonville, FL 32204

    (904)354-4488

    1551 Riverside

    Jacksonville, FL 32204

    (904)354-4488

    9191 R.G. Skinner Pkwy

    Jacksonville, FL 32256

    (904)354-4488

    UF Health Dermatology at Emerson

    4555 Emerson , #100

    Jacksonville, FL 32207

    Baker, Robert, M.D.

    Developmental-Behavioral Pediatrics

    Developmental Pediatric Center

    6271 St. Augustine Rd, Ste B

    Jacksonville, FL 32217

    (904)633-0750

    Childers, David Omer, M.D.

    Endocrinology, Diabetes & Metabolism

    UF Endocrinology

    655 W 8th St, ACC 1st Fl

    Jacksonville, FL 32209

    (904)383-1004

    Chehade, Joe Michel, M.D.

    Mooradian, Arshag Dertad, M.D.

    Wehmeier, Kent Ray, M.D.

    UF Endocrinology & Diabetes

    4555 Emerson Street, Suite 200

    Jacksonville, FL 32207

    (904)383-1004

    Chehade, Joe Michel, M.D.

    Gandhi, Gunjan, M.D.

    Mooradian, Arshag Dertad, M.D.

    Wehmeier, Kent Ray, M.D.

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

    Page 12 of 23

  • Specialty Care Providers

    UF Health Endocrinology - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    Gandhi, Gunjan, M.D.

    Wehmeier, Kent Ray, M.D.

    Gastroenterology

    UF Beaches Digestive & Liver Specialist

    570 Jacksonville Drive

    Jacksonville Beach, FL 32250

    (904)633-4000

    Bass, Robert T., M.D.

    UF Gastroenterology

    4555 Emerson Street, Ste 300

    Jacksonville, FL 32207

    (904)633-0797

    Deutch, Amie G., M.D.

    Eid, Amalie Faouzi, M.D.

    Malespin, Miguel H., M.D.

    Scolapio, James S., M.D.

    580 W 8th St, Tower I, 5th Fl

    Jacksonville, FL 32209

    (904)633-0797

    de Melo, Silvio W., Jr., M.D.

    Deutch, Amie G., M.D.

    Eid, Amalie Faouzi, M.D.

    Malespin, Miguel H., M.D.

    Scolapio, James S., M.D.

    UF Health Gastroenterology - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    de Melo, Silvio W., Jr., M.D.

    Eid, Amalie Faouzi, M.D.

    Malespin, Miguel H., M.D.

    Scolapio, James S., M.D.

    UF Health Multi-Specialty Center - Beaches

    3316 South Third Street, Ste 201

    Jacksonville Beach, FL 32250

    (904)383-1042

    Scolapio, James S., M.D.

    UF Southside Digestive and Liver Specialist

    4203 Belfort Road, Ste 310

    Jacksonville, FL 32216

    (904)633-0375

    Sievert, Paul A., M.D.

    Geriatric Medicine

    UF San Jose Family Practice Center

    5614 San Jose Blvd

    Jacksonville, FL 32207

    (904)633-0475

    Ober, Vincent Hilles, Jr. M.D.

    Gynecological Oncology

    Care Center for Women at Shands Jacksonville

    655 W 8th St, ACC 3rd Fl

    Jacksonville, FL 32209

    (904)383-1037

    Benrubi, Guy I., M.D.

    Smith, Karl H., M.D.

    Ward, Kristy Kay, M.D.

    UF Health Women's Specialists - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    Ward, Kristy Kay, M.D.

    UF Southside Women's Health Specialists

    4549 Emerson St, 2nd Fl

    Jacksonville, FL 32207

    (904)633-0140

    Smith, Karl H., M.D.

    Ward, Kristy Kay, M.D.

    Hematology

    SJ C.B. McIntosh Pediatric Center

    555 W 11th St

    Jacksonville, FL 32206

    (904)244-4472

    Rana, Fauzia Naeem, M.D.

    UF Hematology/Oncology

    4555 Emerson Street, Ste 300

    Jacksonville, FL 32207

    (904)383-1021

    Rana, Fauzia Naeem, M.D.

    Zuberi, Lara, M.D.

    653 W 8th St., 3rd Floor

    Jacksonville, FL 32209

    (904)383-1021

    Rana, Fauzia Naeem, M.D.

    Zuberi, Lara, M.D.

    Hospital/Outpatient Facilities

    *Shands Jacksonville Medical Center-Clinical Center

    655 W. 8th St.

    Jacksonville, FL 32209

    904-244-0411

    Nemours Children's Clinic

    807 Children's Way

    Jacksonville, FL 32207

    904-697-3694

    Wolfson Childrens Hospital

    800 Prudential Dr.

    Jacksonville, FL 32207

    (904)202-8000

    Infectious Disease

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Guzman, Nilmarie , M.D.

    Mercado, Diana Iniguez, M.D.

    Ravi, Malleswari S., M.D.

    Sands, Michael L., M.D.

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

    Page 13 of 23

  • Specialty Care Providers

    UF Infectious Disease

    580 W 8th St, Tower I, 5th Fl

    Jacksonville, FL 32209

    (904)383-1006

    Guzman, Nilmarie , M.D.

    Mercado, Diana Iniguez, M.D.

    Sands, Michael L., M.D.

    UF Infectious Disease & Travel Medicine

    4555 Emerson Street, Suite 220

    Jacksonville, FL 32207

    (904)383-1006

    Guzman, Nilmarie , M.D.

    18 and Up

    Mercado, Diana Iniguez, M.D.

    Interventional Cardiology

    The Cardiovascular Center at Shands Jacksonville

    655 W 8th St, ACC 5th Fl

    Jacksonville, FL 32209

    (904)244-4198

    Soffer, Daniel, M.D.

    UF Cardiovascular Center at Emerson

    4555 Emerson St, Ste 120

    Jacksonville, FL 32207

    (904)383-1036

    Soffer, Daniel, M.D.

    UF Health Cardiovascular Center - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Soffer, Daniel, M.D.

    Maternal & Fetal Medicine

    Care Center for Women at Shands Jacksonville

    655 W 8th St, ACC 3rd Fl

    Jacksonville, FL 32209

    (904)383-1037

    Delke, Isaac , M.D.

    Sanchez-Ramos, Luis , M.D.

    UF Southside Women's Health Specialists

    4549 Emerson St, 2nd Fl

    Jacksonville, FL 32207

    (904)633-0140

    Delke, Isaac , M.D.

    Sanchez-Ramos, Luis , M.D.

    Medical Oncology

    SJ C.B. McIntosh Pediatric Center

    555 W 11th St

    Jacksonville, FL 32206

    (904)244-4472

    Rana, Fauzia Naeem, M.D.

    UF Hematology/Oncology

    4555 Emerson Street, Ste 300

    Jacksonville, FL 32207

    (904)383-1021

    Zhou, Louise, M.D.

    Zuberi, Lara, M.D.

    653 W 8th St., 3rd Floor

    Jacksonville, FL 32209

    (904)383-1021

    Pham, Dat Cao, M.D.

    Zhou, Louise, M.D.

    Zuberi, Lara, M.D.

    Mental Health Counselor

    UF Psychiatry Center at Dupont Station

    6266 Dupont Station Court

    Jacksonville, FL 32217

    (904)383-1038

    3 and Up

    Ford, Regina L., LMHC

    3 to 21

    Gauntlett, Matthew W., LMHC

    University of Florida Psychiatry Center

    580 W 8th St, Tower II, Ste 6005

    Jacksonville, FL 32209

    (904)383-1038

    3 and Up

    Ford, Regina L., LMHC

    18 and Up

    Shadden, Elizabeth B., LMHC

    Nephrology

    UF Nephrology

    580 W 8th St, Tower I, 5th Fl

    Jacksonville, FL 32209

    (904)383-1013

    Gupta, Ashwani K., M.D.

    Heilig, Charles W., M.D.

    James, Leighton Rolston, M.D.

    Mars, Ronald L., M.D.

    Poenariu, Andreea , M.D.

    UF Nephrology at Emerson

    4555 Emerson Street, Ste 300

    Jacksonville, FL 32207

    (904)383-1013

    Gupta, Ashwani K., M.D.

    Neurological Surgery

    The Neuroscience Institute at Shands Jacksonville

    580 W 8th St, Tower I, 9th Fl

    Jacksonville, FL 32209

    (904)383-1022

    Hawkins, John C., III M.D.

    UF Health Neurosurgery - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Hawkins, John C., III M.D.

    Keshavarzi, Sassan , M.D.

    Tavanaiepour, Daryoush , M.D.

    UF Neuro-Surgery

    580 W 8th St, Tower I 8th Fl

    Jacksonville, FL 32209

    (904)383-1022

    Arce, Carlos A., M.D.

    Hawkins, John C., III M.D.

    Keshavarzi, Sassan , M.D.

    Nguyen, Tai Quyen, M.D.

    Tavanaiepour, Daryoush , M.D.

    Vitarbo, Elizabeth Anne, M.D.

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

    Page 14 of 23

  • Specialty Care Providers

    UF Pediatric Neurosurgery Center

    836 Prudential Dr, Ste 1205

    Jacksonville, FL 32207

    (904)633-0780

    Aldana, Phillipp Roque, M.D.

    Beier, Alexandra Daros, D.O.

    Keshavarzi, Sassan , M.D.

    Ranalli, Nathan Joseph, M.D.

    UF Southside Neuroscience Institute

    4555 Emerson Street, Ste 120

    Jacksonville, FL 32207

    (904)633-0052

    Arce, Carlos A., M.D.

    Neurology

    The Neuroscience Institute at Shands Jacksonville

    580 W 8th St, Tower I, 9th Fl

    Jacksonville, FL 32209

    (904)383-1022

    Antonios, Nader M., M.D.

    Bautista, Ramon E., M.D.

    Berger, Alan R., M.D.

    Cvejic, Mara, D.O.

    Glassner, Stuart J., D.O.

    Krishnaiengar, Suparna R., M.D.

    Oguh, Odinachi Ngozi, M.D.

    Pulley, Michael Thomas, M.D.

    Russo, Louis S., M.D.

    Sanders, Kalina M., M.D.

    Shah, Jaimin S., M.D.

    Shneyder, Natalya V., M.D.

    Silliman, Scott L., M.D.

    Urban, Edward S., M.D.

    UF Health Neurology - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Bautista, Ramon E., M.D.

    Cvejic, Mara, D.O.

    Sanders, Kalina M., M.D.

    Shneyder, Natalya V., M.D.

    Urban, Edward S., M.D.

    UF Oceanway Neurology Center

    11513 N Main St

    Jacksonville, FL 32218

    (904)751-6200

    Cvejic, Mara, D.O.

    Sanders, Kalina M., M.D.

    UF Southside Neuroscience Institute

    4555 Emerson Street, Ste 120

    Jacksonville, FL 32207

    (904)633-0052

    Bautista, Ramon E., M.D.

    Cvejic, Mara, D.O.

    Pulley, Michael Thomas, M.D.

    Sanders, Kalina M., M.D.

    Shah, Jaimin S., M.D.

    Shneyder, Natalya V., M.D.

    Urban, Edward S., M.D.

    Obstetrics & Gynecology

    Care Center for Women at Shands Jacksonville

    655 W 8th St, ACC 3rd Fl

    Jacksonville, FL 32209

    (904)383-1037

    Burnett, Erin, M.D.

    Good, Meadow M., D.O.

    Irby, B. Freeman, M.D.

    McNeill, H. W., M.D.

    Mojadidi, Qudratullah, M.D.

    Ozcan, Michelle Stalnaker , M.D.

    Pellegrino, Fiorina , D.O.

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Mojadidi, Qudratullah, M.D.

    SJ Elizabeth G Means Comm Hlth Ctr

    1155 E 21st St

    Jacksonville, FL 32206

    (904)633-0500

    Irby, B. Freeman, M.D.

    Jones, James L., M.D.

    Ozcan, Michelle Stalnaker , M.D.

    UF Health Birth Center

    15255 Max Leggett Parkway, Ste 4600

    Jacksonville, FL 32218

    (904)427-6378

    Burnett, Erin, M.D.

    Seibel, Brent E., M.D.

    UF Health Birth Clinic

    15255 Max Leggett Parkway, Ste 4600

    Jacksonville, FL 32218

    (904)427-6378

    Burnett, Erin, M.D.

    UF Health Women's Specialists - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    Good, Meadow M., D.O.

    McCullough, Deanna, M.D.

    Seibel, Brent E., M.D.

    Wiggins, Jibri, M.D.

    UF Southside Women's Health Specialists

    4549 Emerson St, 2nd Fl

    Jacksonville, FL 32207

    (904)633-0140

    Best, Kelly Ann, M.D.

    Burnett, Erin, M.D.

    Good, Meadow M., D.O.

    Irby, B. Freeman, M.D.

    Kaunitz, Andrew Moss, M.D.

    Ozcan, Michelle Stalnaker , M.D.

    Seibel, Brent E., M.D.

    Occupational Medicine

    UF Health Occupational Medicine - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    Chapa, Robert Michael, M.D.

    UF Occupational Medicine at Emerson

    4555 Emerson St, Ste 300

    Jacksonville, FL 32207

    (904)383-1440

    18 and Up

    Chapa, Robert Michael, M.D.

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

    Page 15 of 23

  • Specialty Care Providers

    Ophthalmology

    UF Ophthalmology/UF Eye Institute

    580 W 8th St, Tower II 3rd & 7th Fl

    Jacksonville, FL 32209

    (904)244-9390

    Alvarez, Karen A., D.O.

    Brar, Vikram Singh, M.D.

    Chalam, Kakarla V., M.D.

    Cho, Michelle Yeon, M.D.

    Davis, Don K., M.D.

    Gayasaddin, Omar, D.O.

    Grover, Sandeep , M.D.

    Gupta, Jyoti R., M.D.

    Gupta, Shailesh K., M.D.

    Kennerdell, John S., M.D.

    Lukowski, Zachary L., M.D.

    Patel, Chirag Jitendra, M.D.

    Pau, Derrick Chee-Sak, M.D.

    Smithwick, IV, Walter , M.D.

    Stass-Isern, Merrill L., M.D.

    Zhou, Zimei, M.D.

    Oral & Maxillofacial Surgery

    UF Health - Cleft & Craniofacial Program

    910 Jefferson Street

    Jacksonville, FL 32209

    (904)633-0935

    Salman, Salam O., MD, DDS

    UF Health Oral and Maxillofacial Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1044

    Fattahi, Tirbod T., MD, DDS

    Fernandes, Rui P., MD, DMD

    Manlove, Ashley E., MD, DMD

    Pirgousis, Phillip , MD, DMD

    Salman, Salam O., MD, DDS

    Schare, Howard J., D.M.D.

    Steinberg, Barry, MD, DDS

    UF Oral Maxillofacial

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1018

    Fattahi, Tirbod T., MD, DDS

    Fernandes, Rui P., MD, DMD

    Johnson, Douglas L., D.M.D

    Manlove, Ashley E., MD, DMD

    Pirgousis, Phillip , MD, DMD

    Salman, Salam O., MD, DDS

    Schare, Howard J., D.M.D.

    Steinberg, Barry, MD, DDS

    UF Southside Head & Neck Maxillofacial & Aesthetic Surgery

    4203 Belfort Road, Suite 345

    Jacksonville, FL 32216

    (904)383-1667

    Fattahi, Tirbod T., MD, DDS

    Fernandes, Rui P., MD, DMD

    Manlove, Ashley E., MD, DMD

    Pirgousis, Phillip, MD, DMD

    Salman, Salam O., MD, DDS

    Steinberg, Barry, MD, DDS

    Orthopaedic Surgery

    The Bone and Joint Institute at Shands Jacksonville

    655 W 8th St, ACC 2nd Fl

    Jacksonville, FL 32209

    (904)383-1010

    Bell, Anthony J., M.D.

    Berrey, Bedford Hudson, M.D.

    Brinkis, Edmund Z., M.D.

    Brunelli, Jeffrey Allen, M.D.

    Harris, Anthony M., M.D.

    Helms, Jonathon R., M.D.

    Kaye, Marc , M.D.

    UF Bone and Joint Center at Emerson

    4555 Emerson Street, Ste 100

    Jacksonville, FL 32207

    (904)383-1010

    Bell, Anthony J., M.D.

    Berrey, Bedford Hudson, M.D.

    Brinkis, Edmund Z., M.D.

    Brunelli, Jeffrey Allen, M.D.

    Kaye, Marc , M.D.

    UF Health Orthopedic Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Brinkis, Edmund Z., M.D.

    Brunelli, Jeffrey Allen, M.D.

    Helms, Jonathon R., M.D.

    Kaye, Marc , M.D.

    Otolaryngology

    The Otolaryngology ENT Clinic at Shands Jacksonville

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1017

    Fraker, John T., M.D.

    Knox, Glenn W., M.D.

    UF Health Otolaryngology - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Fraker, John T., M.D.

    Knox, Glenn W., M.D.

    UF Surgeons of Jacksonville

    4555 Emerson Street, Suite 230

    Jacksonville, FL 32207

    (904)633-0020

    Fraker, John T., M.D.

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

    Page 16 of 23

  • Specialty Care Providers

    Pain Medicine

    Center for Pain Management

    555 W 8th St, Pav 2nd Fl S

    Jacksonville, FL 32209

    (904)383-1020

    Kumar, Sanjeev, M.D.

    Patel, Monika Y., M.D.

    Quevedo Vela, Alfredo J., M.D.

    Tabakian, Hagop M., M.D.

    Florida Institute of Pain Medicine

    6144 Gazebo Art Place South, Suite 104

    Jacksonville, FL 32257

    (904)880-4505

    Canlas, Bernard, M.D.

    Integrative Pain Management

    12443 San Jose Blvd., Suite 104

    Jacksonville, FL 32217

    (904)260-1070

    Golden, Marla, D.O.

    UF Health Pain Management Center - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Kumar, Sanjeev, M.D.

    Patel, Monika Y., M.D.

    Pediatric Cardiology

    UF Pediatric Cardiovascular Center

    841 Prudential Dr, Ste 100

    Jacksonville, FL 32207

    (904)633-4110

    Bryant, Randall M., M.D.

    English, Robert F., M.D.

    Ettedgui, Jose A., M.D.

    Fricker, Frederick Jay, M.D.

    Fudge, James Curtis, Jr.M.D.

    Ho, Jason , M.D.

    Kropf, Paulette, M.D.

    Kuebler, Brandon E., M.D.

    Lacey, Stephanie R., D.O.

    Marvin, William J., Jr. M.D.

    Moon, Thomas J., Jr. M.D.

    Neagu, Daniela L., M.D.

    Pietra, Biagio Antonio, M.D.

    Saidi, Arwa S., M.D.

    Pediatric Cleft & Craniofacial

    UF Health - Cleft & Craniofacial Program

    910 Jefferson Street

    Jacksonville, FL 32209

    (904)633-0935

    Goldhagen, Jeffrey L., M.D.

    Obi, John J., M.D.

    Ranalli, Nathan Joseph, M.D.

    Steinberg, Barry, MD, DDS

    Pediatric Infectious Diseases

    Rainbow Center at Shands Jacksonville

    655 W 8th St, 3rd Fl

    Jacksonville, FL 32209

    (904)244-2120

    Alvarez, Ana Mabel, M.D.

    Maraqa, Nizar F., M.D.

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Alvarez, Ana Mabel, M.D.

    Maraqa, Nizar F., M.D.

    Mirza, Ayesha , M.D.

    Rathore, Mobeen H., M.D.

    UFCARES

    910 Jefferson Street

    Jacksonville, FL 32209

    (904)244-2120

    Birth to 15 w/HIV+ & ID

    Alvarez, Ana Mabel, M.D.

    Birth to 15 w/HIV+ & ID

    Maraqa, Nizar F., M.D.

    Pediatric Nephrology

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Ilyas, Mohammad , M.D.

    Tolaymat, M. Al Asad , M.D.

    Pediatric Otolaryngology

    Pediatric ENT

    10475 Centurion Parkway North, Suite 302

    Jacksonville, FL 32256

    (904)398-5437

    Maddern, Bruce R., M.D., P.L.

    McMillin, B. Denise, M.D.

    Simonsen, Andrew R., D.O.

    Pediatric Rehabilitation Medic

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Thorogood, Christine , M.D.

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

    Page 17 of 23

  • Specialty Care Providers

    UF Pediatric Physical Medicine and Rehabilitation

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0926

    Spierre, Louise Ruth Zabor, M.D.

    Pediatric Surgery

    UF Pediatric Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)244-3915

    Tepas, III, Joseph J., M.D.

    Physical Med & Rehab

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Lewelt, Aga Julia, M.D.

    Plastic Surgery

    UF Health Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Murray, John D., M.D.

    Shaddix, Kyle Kit, M.D.

    UF Pediatric Multi-Specialty Center

    841 Prudential Dr, Ste 1900

    Jacksonville, FL 32207

    (904)633-0920

    Obi, John J., M.D.

    UF Plastic Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)633-0130

    18 and Up

    Murray, John D., M.D.

    18 and Up

    Shaddix, Kyle Kit, M.D.

    UF Plastic Surgery Institute

    4555 Emerson Street, Suite 230

    Jacksonville, FL 32207

    (904)633-0130

    18 and Up

    Murray, John D., M.D.

    18 and Up

    Shaddix, Kyle Kit, M.D.

    Podiatry

    The Bone and Joint Institute at Shands Jacksonville

    655 W 8th St, ACC 2nd Fl

    Jacksonville, FL 32209

    (904)383-1010

    Piraino, Jason A., D.P.M.

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

    UF Bone and Joint Center at Emerson

    4555 Emerson Street, Ste 100

    Jacksonville, FL 32207

    (904)383-1010

    Piraino, Jason A., D.P.M.

    UF Health Podiatry - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

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

    UF New Berlin Family Medicine Center

    3122 New Berlin Rd.

    Jacksonville, FL 32226

    (904)633-0340

    Piraino, Jason A., D.P.M.

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

    Pulmonary Disease

    UF Health Pulmonary - North

    15255 Max Leggett Parkway, Ste 3900

    Jacksonville, FL 32218

    (904)383-1000

    Bajwa, Abubakr Akhtar, M.D.

    Seeram, Vandana Kavita, M.D.

    UF Pulmonology

    653 W 8th St., 3rd Floor

    Jacksonville, FL 32209

    (904)383-1014

    Bajwa, Abubakr Akhtar, M.D.

    Cury, James Davis, M.D.

    Jones, Lisa M., M.D.

    Louis, Mariam, M.D.

    Seeram, Vandana Kavita, M.D.

    Radiation Oncology

    Florida Proton Therapy Institute, Inc.

    2015 N. Jefferson Street

    Jacksonville, FL 32206

    (904)588-1800

    Bradley, Julie Ann, M.D.

    Bryant, Curtis, M.D.

    Dagan, Roi , M.D.

    Henderson, Randal Hollis, M.D.

    Hoppe, Bradford Scott, M.D.

    Indelicato, Daniel Joseph, M.D.

    Lightsey, Judith L., M.D.

    Mendenhall, Nancy J., M.D.

    Mendenhall, William M., M.D.

    Nichols, Romaine Charles, M.D.

    Rotondo, Ronny L., M.D.

    Rutenberg, Michael S., M.D.

    Shands Jacksonville Radiation Oncology

    2015 N Jefferson Street

    Jacksonville, FL 32206

    (904)244-7810

    Bradley, Julie Ann, M.D.

    Bryant, Curtis, M.D.

    Dagan, Roi , M.D.

    Henderson, Randal Hollis, M.D.

    Hoppe, Bradford Scott, M.D.

    Indelicato, Daniel Joseph, M.D.

    Lightsey, Judith L., M.D.

    Mendenhall, Nancy J., M.D.

    Mendenhall, William M., M.D.

    Nichols, Romaine Charles, M.D.

    Rotondo, Ronny L., M.D.

    Rutenberg, Michael S., M.D.

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

    Page 18 of 23

  • Specialty Care Providers

    Rheumatology

    UF Rheumatology

    4555 Emerson Street, Suite 220

    Jacksonville, FL 32207

    (904)383-1005

    Kaeley, Gurjit Singh, M.D.

    Taba, Reza M., M.D.

    Thway, Myint M., M.D.

    655 W 8th St, ACC 1st Fl

    Jacksonville, FL 32209

    (904)383-1005

    Kaeley, Gurjit Singh, M.D.

    Taba, Reza M., M.D.

    Thway, Myint M., M.D.

    Surgery

    UF Health Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Ahmed, Bestoun , M.D.

    Ali, Abubaker, M.D.

    Awad, Ziad Tarik, M.D.

    Jasra, Bharti, M.D.

    Latzko, Michael Patrick, M.D.

    Nussbaum, Michael S., M.D.

    UF Surgeons of Jacksonville

    4555 Emerson Street, Suite 230

    Jacksonville, FL 32207

    (904)633-0020

    Ahmed, Bestoun , M.D.

    Ali, Abubaker, M.D.

    Awad, Ziad Tarik, M.D.

    Fattahi, Tirbod T., MD, DDS

    Jasra, Bharti, M.D.

    Knox, Glenn W., M.D.

    Latzko, Michael Patrick, M.D.

    Nussbaum, Michael S., M.D.

    UF Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1015

    Ahmed, Bestoun , M.D.

    Ali, Abubaker, M.D.

    Awad, Ziad Tarik, M.D.

    Hsu, Albert T., M.D.

    Jasra, Bharti, M.D.

    Latzko, Michael Patrick, M.D.

    Leaphart, Cynthia Lynn, M.D.

    Nussbaum, Michael S., M.D.

    Tepas, III, Joseph J., M.D.

    UF Weight Loss Surgery Institute

    4555 Emerson St, Ste 230

    Jacksonville, FL 32207

    (904)383-1023

    Ahmed, Bestoun , M.D.

    Ali, Abubaker, M.D.

    Surgical Critical Care

    UF Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1015

    Burns, Jr., J. Bracken, D.O.

    Crandall, Marie L., M.D.

    Kerwin, Andrew J., M.D.

    Ra, Jin Hee, M.D.

    Surgical Oncology

    UF Health Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Samiian, Laila , M.D.

    UF Surgeons of Jacksonville

    4555 Emerson Street, Suite 230

    Jacksonville, FL 32207

    (904)633-0020

    Samiian, Laila , M.D.

    UF Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1015

    Samiian, Laila , M.D.

    Thoracic Surgery (Cardiothoracic Vascular Surgery)

    The Cardiovascular Center at Shands Jacksonville

    655 W 8th St, ACC 5th Fl

    Jacksonville, FL 32209

    (904)244-4198

    Anastasi, John S., M.D.

    Pirris, John P., M.D.

    Rosenblum, Harry M., M.D.

    UF Cardiovascular Center at Emerson

    4555 Emerson St, Ste 120

    Jacksonville, FL 32207

    (904)383-1036

    Anastasi, John S., M.D.

    Pirris, John P., M.D.

    Rosenblum, Harry M., M.D.

    UF Health Cardiovascular Center - North

    15255 Max Leggett Parkway, Ste 3600

    Jacksonville, FL 32218

    (904)383-1000

    Rosenblum, Harry M., M.D.

    UF Pediatric Cardiovascular Center

    841 Prudential Dr, Ste 100

    Jacksonville, FL 32207

    (904)633-4110

    Ceithaml, Eric L., M.D.

    Stein, William, M.D.

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

    Page 19 of 23

  • Specialty Care Providers

    Urology

    UF Health Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Costa, Joseph A., D.O.

    Harris, Stephanie Elizabeth, M.D.

    Mandia, Stephen Ernest J., M.D.

    Williams, Christopher R., M.D.

    UF Southside Digestive and Liver Specialist

    4203 Belfort Road, Ste 310

    Jacksonville, FL 32216

    (904)633-0375

    Harris, Stephanie Elizabeth, M.D.

    UF Urology

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1016

    Costa, Joseph A., D.O.

    Harris, Stephanie Elizabeth, M.D.

    Mandia, Stephen Ernest J., M.D.

    Williams, Christopher R., M.D.

    Vascular Neurology

    The Neuroscience Institute at Shands

    Jacksonville

    580 W 8th St, Tower I, 9th Fl

    Jacksonville, FL 32209

    (904)383-1022

    Antonios, Nader M., M.D.

    Vascular Surgery

    The Cardiovascular Center at Shands Jacksonville

    655 W 8th St, ACC 5th Fl

    Jacksonville, FL 32209

    (904)244-4198

    Habib, Joseph Hasan, M.D.

    UF Health Multi-Specialty Center - Beaches

    3316 South Third Street, Ste 201

    Jacksonville Beach, FL 32250

    (904)383-1042

    Allmon, Jon C., M.D.

    Dennis, James W., M.D.

    UF Health Surgery - North

    15255 Max Leggett Parkway, Ste 3100

    Jacksonville, FL 32218

    (904)383-1000

    Allmon, Jon C., M.D.

    Dennis, James W., M.D.

    Habib, Joseph Hasan, M.D.

    UF Surgeons of Jacksonville

    4555 Emerson Street, Suite 230

    Jacksonville, FL 32207

    (904)633-0020

    Dennis, James W., M.D.

    UF Surgery

    653 W 8th St

    Jacksonville, FL 32209

    (904)383-1015

    Allmon, Jon C., M.D.

    Dennis, James W., M.D.

    Vascular/Interventional Radiology

    UF Health at Jacksonville - Vascular and Interventional Radiology

    655 W 8th St., 2nd Floor

    Jacksonville, FL 32209

    (904)244-6086

    Cunningham, James C., D.O.

    Matteo, Jerry Peter, M.D.

    Northup, Harry M., M.D.

    Siragusa, Daniel A., M.D.

    Nassau County

    Pain Medicine

    Matos-Garsault MD

    1001 Atlantic Avenue

    Fernandina Beach, FL 32034

    (904)322-8047

    Matos, Kirsten, M.D.

    Matos-Garsault, Huber, M.D.

    Pierce County

    Pediatric Cardiology

    UF Waycross Pediatric Cardiovascular Center

    410 Darling Ave

    Waycross, GA 31501

    (904)633-4110

    English, Robert F., M.D.

    Saint Johns County

    Dermatology

    North Florida Dermatology

    200 Southpark Blvd., Suite 209

    St. Augustine, FL 32086

    (904)354-4488

    Suwannee County

    Cardiovascular Disease

    University of Florida Live Oak Cardiovascular Center

    1100 Southwest 11th St, Ste 1126

    Live Oak, FL 32064

    (386)362-0820

    Antoun, Patrick, M.D.

    Miller, Alan B., M.D.

    Paterick, Timothy, M.D.

    Percy, Robert F., M.D.

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

    Page 20 of 23

  • Specialty Care Providers

    Clinical Cardiac Electrophysiology

    UF Health Cardiology - Dowling Park

    10820 Marvin Jones Drive

    Dowling Park, FL 32064

    (904)633-0200

    Kim, Robert J., M.D.

    University of Florida Live Oak

    Cardiovascular Center

    1100 Southwest 11th St, Ste 1126

    Live Oak, FL 32064

    (386)362-0820

    Kim, Robert J., M.D.

    Volusia County

    Pediatric Cardiology

    UF Pediatric Cardiovascular Center at Daytona

    1219 Dunn Avenue

    Daytona Beach, FL 32114

    (904)633-4110

    Bryant, Randall M., M.D.

    English, Robert F., M.D.

    Ettedgui, Jose A., M.D.

    Ho, Jason , M.D.

    Kropf, Paulette, M.D.

    Kuebler, Brandon E., M.D.

    Lacey, Stephanie R., D.O.

    Marvin, William J., Jr. M.D.

    Moon, Thomas J., Jr. M.D.

    Neagu, Daniela L., M.D.

    Pediatric Infectious Diseases

    UF Pediatric Infectious Disease at Halifax

    201 North Clyde Morris Blvd, Ste 120

    Daytona Beach, FL 32114

    (904)633-0920

    Alvarez, Ana Mabel, M.D.

    Maraqa, Nizar F., M.D.

    Mirza, Ayesha , M.D.

    Rathore, Mobeen H., M.D.

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

    Page 21 of 23

  • Other Health Care Providers

    Duval County

    Dialysis

    Shands Jacksonville Dialysis

    655 W. 8th St., ACC Basement

    Jacksonville, FL 32209

    904-244-6690

    Home Health

    Shands Jacksonville Home Health Services

    580 W. 8th St., Suite 9009

    Jacksonville, FL 32209

    904-244-9900

    Hospice

    Northeast Florida Community Hospice - George and Margaret Morris Center for Caring - Shands Jacksonville Campus

    555 West 8th Street - Pavilion 6th Floor

    Jacksonville, FL 32209

    (904)244-1651

    Hospital Based Surgery Center

    Shands Jacksonville Outpatient Surgery Center

    653 W. 8th St, 1st Floor

    Jacksonville, FL 32209

    904-244-6557

    UF Health Outpatient Surgery - North

    15255 Max Leggett Parkway, 2nd Fl

    Jacksonville, FL 32218

    904-427-6000

    Infusion

    Infusion Center for Women @ Shands Jacksonville

    655 W. 8th St., 3rd Fl Clinical Ctr

    Jacksonville, FL 32209

    904-244-3854

    Shands Jacksonville Infusion Center

    655 W. 8th St., Pavilion 4th Fl North

    Jacksonville, FL 32209

    904-244-1560

    UF Health Oncology-Baymeadows

    7751 Baymeadows Rd., E. Suite 205

    Jacksonville, FL 32256

    904-493-5190

    Lab

    Shands Jacksonville Laboratory

    555 W. 8th St., Pavilion 1st Fl

    Jacksonville, FL 32209

    904-244-8755

    UF Health Outreach Lab - Beaches

    390 16th Avenue South, Suite 8

    Jacksonville Beach, FL 32250

    904-633-0425

    UF Health Outreach Lab - Emerson

    4555 Emerson Street, Suite 300-A

    Jacksonville, FL 32207

    904-633-0099

    UF Health Pathology & Laboratory Medicine - North

    15255 Max Leggett Parkway, 1st Fl, Rm

    1506

    Jacksonville, FL 32218

    904-427-2418

    Outpt Radiology

    Shands Jacksonville Imaging Center at Emerson

    4549 Emerson Street, Suite 100

    Jacksonville, FL 32207

    904-383-1024

    Shands Jacksonville Pavillion Radiology

    555 W 8th St, Pavillion 2nd Fl

    Jacksonville, FL 32209

    904-383-1024

    UF Health Radiology - North

    15255 Max Leggett Parkway, 1st Fl

    Jacksonville, FL 32218

    904-383-1000

    Outpt Radiology/CT and MRI Only

    Shands Advanced Imaging Center

    1800 Blvd Street

    Jacksonville, FL 32209

    904-383-1024

    Outpt Radiology/CT/MRI

    Shands Jacksonville Clinical Center Radiology

    655 W 8th St, Clinical Ctr, 1st Fl

    Jacksonville, FL 32209

    904-383-1024

    Outpt Radiology/General Radiology and Ultrasound

    Shands Jacksonville Diagnostic Radiology

    655 W 8th St., Clinical Ctr, 2nd Fl

    Jacksonville, FL 32209

    904-383-1024

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

    Page 22 of 23

  • Other Health Care Providers

    Outpt Radiology/Nuclear Medicine

    Shands Jacksonville Clinical Center Radiology

    655 W 8th St., Clinical Ctr Basement

    Jacksonville, FL 32209

    904-244-2945

    Proton Therapy

    Florida Proton Therapy Institute

    2015 N. Jefferson Street

    Jacksonville, FL 32206

    904-588-1800

    Rehab

    Shands Jacksonville Rehabilitative Services

    555 W. 8th St., Pavilion 1st Fl

    Jacksonville, FL 32209

    904-244-1179

    Shands Rehab Services at Emerson

    4555 Emerson Street, Suite 110

    Jacksonville, FL 32207

    904-633-0090

    UF Health Rehabilitation Center - North

    15255 Max Leggett Parkway, Suite 4100

    Jacksonville, FL 32218

    904-244-1179

    Skilled Nursing

    Shands Jacksonville Transitional Care Unit

    555 W. 8th St., Pavilion 3rd Fl

    Jacksonville, FL 32209

    904-244-1816

    Sleep Center

    The Sleep Disorders Center at Shands Jacksonville

    580 W. 8th St., Tower I, 4th Fl

    Jacksonville, FL 32209

    904-383-1033

    Women's Health Outpt Radiology/ Imaging Bone Density

    Advanced Breast Imaging Center at Emerson

    4549 Emerson Expy, #200

    Jacksonville, FL 33207

    904-383-1024

    Shands Jacksonville Women’s Breast Center

    580 W 8th St, Tower II, 4th Fl

    Jacksonville, FL 32209

    904-383-1024

    Saint Johns County

    Rehab

    Revive Rehab, Inc.

    151 Sawgrass Corners Dr.

    Ponte Vedra Beach, FL 32082

    904-371-4649

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

    Page 23 of 23

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