Table of Contents Hospitals.............................................................................................................................. 3 Urgent Care Centers ........................................................................................................ 4 Primary Care Centers ..................................................................................................... 5 Specialty Care Centers ................................................................................................... 9 Other Care Providers ................................................................................................... 19 Hospitals 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 the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 3 of 20 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 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 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 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 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 Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 4 of 20 Primary Care Providers Baker County Family Practice/Primary Care UF Crossroads Family Medicine Center 802 South 6th St MacClenny, FL 32063 (904)383-1777 Alvarez, Edgar R., M.D. 5 and Up Pediatrics/Primary Care Childrens Health Assoc 124th S. 6th Street MacClenny, FL 32063 904-259-5766 Assi, John , M.D. Birth to 18 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 Waters, Lynn M., D.O. Birth and Up 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 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 Pratt, Ebony Nicole, M.D. Birth and Up SJ Elizabeth G Means Comm Hlth Ctr 1155 E 21st St Jacksonville, FL 32206 (904)633-0500 Jaminal, Mar Antonio Celestial, M.D. Birth and Up UF Augustine Oaks Family Medicine Center 11481 Old St. Augustine Rd, Ste 101 Jacksonville, FL 32258 (904)633-0210 Alvarez, Edgar R., M.D. 5 and Up UF Baymeadows Family Practice & Pediatric Center 8274 Bayberry Rd Jacksonville, FL 32256 (904)633-0800 Array, Samir Y., M.D. 18 and Up Grewal, Reetu, M.D. Birth and Up Zaiden, Julianni M., M.D. Birth and Up UF Blanding Family Medicine and Pediatric Center 6015 118th Street Jacksonville, FL 32244 (904)633-0610 Anand, Subashini V., M.D. Birth and Up Silva, Jose A., M.D. Birth and Up UF Commonwealth Family Medicine and Pediatric Center 761 Edgewood Ave N Jacksonville, FL 32254 (904)633-0500 Bosque-Perez, Monique D., D.O. Birth and Up Stewart, Eric B., M.D. Birth and Up Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 5 of 20 Primary Care Providers UF Dunn Avenue Family Practice Center 2377 Dunn Ave Jacksonville, FL 32218 (904)633-0700 Bonaquist, Casey-Sue, D.O. Birth and Up Haddad, Charles J., M.D. Birth and Up Hadzic, Amra , M.D. Birth and Up Peterson, Kevin William, M.D. Birth and Up UF Family Medicine Center at Lem Turner 1255 Lila Ave Jacksonville, FL 32208 (904)383-1001 Amin, Aisha, M.D. 18 and Up Funderburk, Marcia W., M.D. Birth and Up Lavina, Joel S., M.D. Birth and Up Okoli, Emeka Jude, M.D. Birth and Up Wilson, Linda Lea Manning, D.O. Birth and Up UF Health Family Medicine - Goodby's Creek 3872 San Jose Park Dr. Jacksonville, FL 32217 (904)731-0304 Jacqmein, Jeffry Alan, M.D. Birth and Up UF Kernan Square Family Medicine Center 12620 Beach Blvd, Ste 13 Jacksonville, FL 32246 (904)633-0585 Clarke, Mark A., M.D. Birth and Up Sharma, Swati , M.D. Birth and Up UF Merrill Road Family Medicine Center 7645 Merrill Rd, Ste 301 Jacksonville, FL 32277 (904)633-0285 Hoffmann, Susan Lee, M.D. 16 and Up UF Monument Landing Family Medicine Center 2485 Monument Road, Suite 12 Jacksonville, FL 32225 (904)383-1026 Rosada, Miguel A., M.D. Birth and Up UF Murray Hill Family Practice Center 5205 Normandy Blvd, Ste 13 Jacksonville, FL 32205 (904)633-0500 Gajda, Anna , M.D. Birth and Up UF New Berlin Family Medicine Center 3122 New Berlin Rd. Jacksonville, FL 32226 (904)633-0340 Johnson, Tra'Chella C., M.D. Birth and Up Scuderi, Christopher Benjamin, D.O. Birth and Up: Established Patients Only UF Normandy Family Practice Center 8093 Normandy Blvd Jacksonville, FL 32221 (904)633-0640 Corpus, Lorenzo Mil, M.D. Birth an Up UF Soutel Plaza Family Practice and Pediatric Center 5045 Soutel Dr, Ste 12 Jacksonville, FL 32208 (904)633-0500 Registre, Louis Joseph, M.D. Birth and Up University of Florida Community Health Center 655 W 8th St, ACC 4th Fl Jacksonville, FL 32209 (904)383-1002 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. Birth and Up 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 UF San Jose Family Practice Center 5614 San Jose Blvd Jacksonville, FL 32207 (904)633-0475 Ober, Vincent Hilles, Jr. M.D. Birth and Up Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 6 of 20 Primary Care Providers Internal Medicine Primary Care Center UF Merrill Road Family Medicine Center 655 W 8th St, ACC 1st Fl Jacksonville, FL 32209 (904)383-1003 Edwards, Linda R., M.D. 18 and Up: Established Patients Only 7645 Merrill Rd, Ste 301 Jacksonville, FL 32277 (904)633-0285 Hoffmann, Susan Lee, M.D. 16 and Up House, Jeffrey G., D.O. 18 and Up: Established Patients Only Pediatrics/Primary Care Jacob, Rafik, M.D. 18 and Up Palacio, Carlos , M.D. 18 and Up Sottile, Elisa Marie, M.D. 18 and Up Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Sanchez-Rojas, Wilfredo, M.D. 18 and Up w/ HIV+ UF Family Medicine Center at Lem Turner 1255 Lila Ave Jacksonville, FL 32208 (904)383-1001 Amin, Aisha, M.D. 18 and Up UF General Internal Medicine 4555 Emerson Street, Suite 220 Jacksonville, FL 32207 (904)383-1003 Edwards, Linda R., M.D. 18 and Up; Established Patients Only House, Jeffrey G., D.O. 18 and Up; Established Patients Only Jacob, Rafik, M.D. 18 and Up Kuo, Hsia-Yen, M.D. 18 and Up Masri, Ghania, M.D. 18 and Up 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 Assi, John , M.D. Birth to 18 Sakhaei, Masoud , MD Birth to 21 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 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 Nathawad, Rita, M.D. 16-26 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 Simmons Pediatrics Inc. 1771 Edgewood Ave W, Suite 1 Jacksonville, FL 32208 904-766-1106 5445 Norwood Jacksonville, FL 32208 904-765-7075 Eisenberg, Iris , M.D. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 7 of 20 Primary Care Providers SJ C.B. McIntosh Pediatric Center 555 W 11th St Jacksonville, FL 32206 (904)244-4472 McCatty, Soyini Ayanna, M.D. SJ Elizabeth G Means Comm Hlth Ctr 1155 E 21st St Jacksonville, FL 32206 (904)633-0500 McCatty, Soyini Ayanna, M.D. Birth to 17 UF Baymeadows Family Practice & Pediatric Center 8399 Bayberry Rd Jacksonville, FL 32256 (904)633-0800 Arango, Carlos A., M.D. Birth to 17 Array, Victoria C., M.D. Birth to 17 UF Blanding Family Medicine and Pediatric Center 6015 118th Street Jacksonville, FL 32244 (904)633-0610 Chua-Ravago, Leslie Surara, M.D. Birth to 21 UF New Berlin Family Medicine Center 3122 New Berlin Rd. Jacksonville, FL 32226 (904)633-0340 Cuevas, Christine Lim, M.D. Birth to 18 UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Nathawad, Rita, M.D. 16-26 UF San Jose Pediatrics and Adolescent Center 6271 St. Augustine Rd, Ste A Jacksonville, FL 32217 (904)633-0460 Cedres, Carmelo , M.D. Birth to 17 Lindor, Pamela Alix, M.D. Birth to 17 UF Soutel Plaza Family Practice and Pediatric Center 5045 Soutel Dr, Ste 12 Jacksonville, FL 32208 (904)633-0500 Agnila, Concepcion Latoza, M.D. Birth to 17 UFCARES 910 Jefferson Street Jacksonville, FL 32209 (904)244-2120 Mirza, Ayesha, M.D. Birth to 15 w/HIV+ & ID Nassau County Family Practice/Primary Care UF Callahan Family Practice Center UF Yulee Family Practice Center 851042 US Highway 17 Yulee, FL 32097 (904)633-0670 Hamilton, Holly Lane, M.D. Birth and Up Price, James William, M.D. Birth and Up Wright, Anna M., M.D. Birth and Up 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 Fong, Arnold Douglas, M.D. Birth and Up Pediatrics/Primary Care Pediatric Assocs of Jacksonville PA 1102 A1A N Unit 104 Ponte Vedra, FL 32082 904-273-6533 Ozdemir, Aylin , M.D. 450077 State Road 200 (A1A) Callahan, FL 32011 (904)633-0560 Day, Charles M., M.D. 3 and Up Kecskemeti-Kovacs, Timea A., M.D. 3 and Up Solomon, William C., Jr.M.D. 3 and Up Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 8 of 20 Specialty Care Providers Camden County Clay County Columbia County Cardiovascular Disease Allergy & Immunology Allergy 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. Paterick, Timothy, M.D. Wannenburg, Thomas , 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 Wannenburg, Thomas, M.D. 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 St Mary's Multi-Specialty Center UF Generation to Generation Obstetrics and Gynecology Bautista, Ramon E., M.D. 1887 Kingsley Ave, Ste 1500 Orange Park, FL 32073 (904)633-0880 Esquivel, Patricia C., M.D. Cvejic, Mara, D.O. Ozcan, Michelle Stalnaker , M.D. Krishnaiengar, Suparna R., M.D. Rowan, Nikki Jean, M.D. Oguh, Odinachi Ngozi, M.D. Tchankoshvili, Nickoloz, M.D. Sanders, Kalina M., 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. 163 SW Stonegate Terrace, Ste 105 Lake City, FL 32055 (904)633-0200 Antoun, Patrick, M.D. Chapman, Douglas B., M.D. Cox-Alomar, Pedro, M.D. Guzman, Luis A., M.D. Kim, Robert J., M.D. Miller, Alan B., M.D. Percy, Robert F., M.D. Neurology 201 B Lakeshore Point St. Mary's, GA 31558 (912)729-6821 Aranke, Shachie V., M.D. University of Florida Lake City Cardiovascular Center Pediatric Cardiology UF Health Pediatric Cardiology - Clay 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 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. 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. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 9 of 20 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) UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Desai, Chirag V., M.D. 3 and Up Ford, Regina L., LMHC 3 and Up Gauntlett, Matthew W., LMHC 3 to 21 McCrea, Sarah J., LCSW 3 to 21 Sims, Stephanie Vetere, M.D. 3 and Up Witherspoon, Dawn O., Ph.D (Psychologist) 3 to 21 University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Celso, Brian G., Ph.D (Psychologist) 18 and Up Cuffe, Steven P., M.D. 5 and Up Desai, Chirag V., M.D. 8 and Up Ford, Regina L., LMHC 3 and Up Shadden, Elizabeth B., LMHC 18 and Up Taylor, Phyliss N., M.D. 18 and Up Cardiothoracic Surgery UF Pediatric Cardiovascular Center 841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Bleiweis, Mark 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. Cox-Alomar, Pedro, M.D. Guzman, Luis A., M.D. Hsu, Steve S., M.D. Kim, Robert J., M.D. Miller, Alan B., M.D. Patel, Ambar, M.D. Paterick, Timothy, M.D. Percy, Robert F., M.D. Strom, Joel Andrew, M.D. Suryadevara, Siva K., M.D. Velarde, Gladys P, M.D. Wannenburg, Thomas , 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. Guzman, Luis A., M.D. Miller, Alan B., M.D. Percy, Robert F., M.D. Strom, Joel Andrew, M.D. Velarde, Gladys P, M.D. Wannenburg, Thomas , M.D. Zenni, Martin , M.D. Shillingford, Michael S, M.D. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 10 of 20 Specialty Care Providers Child & Adolescent Psychiatry UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Desai, Chirag V., M.D. 3 and Up Sims, Stephanie Vetere, M.D. 3 and Up University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Cuffe, Steven P., M.D. 5 and Up Desai, Chirag V., M.D. 8 and Up Child Neurology Developmental Pediatric Center 6271 St. Augustine Rd, Ste B Jacksonville, FL 32217 (904)633-0750 Tardo, Carmela Lydia, M.D. UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 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 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 Wannenburg, Thomas, 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. Critical Care Medicine UF Pulmonology 653 W 8th St., 3rd Floor Jacksonville, FL 32209 (904)383-1014 Bajwa, Abubakr Akhtar, 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 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. Gragnoli, Claudia, M.D. Mooradian, Arshag Dertad, M.D. Sheikh-Ali, Mae , 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. Gragnoli, Claudia, M.D. Mooradian, Arshag Dertad, M.D. Sheikh-Ali, Mae , 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. 9191 R.G. Skinner Pkwy Jacksonville, FL 32256 (904)354-4488 Wannenburg, Thomas, M.D. UF Health Dermatology at Emerson 4555 Emerson , #100 Jacksonville, FL 32207 Baker, Robert, M.D. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 11 of 20 Specialty Care Providers UF Gastroenterology 4555 Emerson Street, Ste 300 Jacksonville, FL 32207 (904)633-0797 Deutch, Amie G., M.D. Eid, Amalie Faouzi, M.D. Munoz, Juan Carlos, 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. Munoz, Juan Carlos, M.D. Scolapio, James S., M.D. UF Health Multi-Specialty Center - Beaches 3316 South Third Street, Ste 200 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. UF Southside Women's Health Specialists 4549 Emerson St, 2nd Fl Jacksonville, FL 32207 (904)633-0140 Smith, Karl H., 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. Infectious Disease Rainbow Center at Shands Jacksonville 655 W 8th St, 3rd Fl Jacksonville, FL 32209 (904)244-2120 Guzman, Nilmarie , M.D. Sands, Michael L., M.D. UF Infectious Disease 580 W 8th St, Tower I, 5th Fl Jacksonville, FL 32209 (904)383-1006 Guerrero, Ivan Alonzo, M.D. 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. Mercado, Diana Iniguez, M.D. 18 and Up 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 Zaiden, Robert Anthony, M.D. 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. Zaiden, Robert Anthony, M.D. Zhou, Louise, M.D. Zuberi, Lara, M.D. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 12 of 20 Specialty Care Providers Mental Health Counselor UF Psychiatry Center at Dupont Station 6266 Dupont Station Court Jacksonville, FL 32217 (904)383-1038 Ford, Regina L., LMHC 3 and Up Gauntlett, Matthew W., LMHC 3 to 21 University of Florida Psychiatry Center 580 W 8th St, Tower II, Ste 6005 Jacksonville, FL 32209 (904)383-1038 Ford, Regina L., LMHC 3 and Up Shadden, Elizabeth B., LMHC 18 and Up 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. 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 Neuro-Surgery 580 W 8th St, Tower I 8th Fl Jacksonville, FL 32209 (904)383-1022 Arce, Carlos A., M.D. Neurology The Neuroscience Institute at Shands Jacksonville Jimenez, Lincoln M., M.D. 580 W 8th St, Tower I, 9th Fl Jacksonville, FL 32209 (904)383-1022 Antonios, Nader M., M.D. Keshavarzi, Sassan , M.D. Aranke, Shachie V., M.D. Nguyen, Tai Quyen, M.D. Bautista, Ramon E., M.D. Tavanaiepour, Daryoush , M.D. Berger, Alan R., M.D. Vitarbo, Elizabeth Anne, M.D. Cvejic, Mara, D.O. Hawkins, John C., III M.D. UF Pediatric Neurosurgery Center Glassner, Stuart J., D.O. 836 Prudential Dr, Ste 1205 Jacksonville, FL 32207 (904)633-0780 Aldana, Phillipp Roque, M.D. Krishnaiengar, Suparna R., M.D. Beier, Alexandra Daros, D.O. Sanders, Kalina M., M.D. Keshavarzi, Sassan , M.D. Shneyder, Natalya V., M.D. Ranalli, Nathan Joseph, M.D. Silliman, Scott L., M.D. UF Southside Neuroscience Institute 4555 Emerson Street, Ste 120 Jacksonville, FL 32207 (904)633-0052 Arce, Carlos A., M.D. Oguh, Odinachi Ngozi, M.D. Pulley, Michael Thomas, M.D. Russo, Louis S., 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. Shneyder, Natalya V., M.D. Urban, Edward S., M.D. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 13 of 20 Specialty Care Providers 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. Ward, Kristy Kay, 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 Beaches Women's Health Specialist 390 16th Ave S Jacksonville Beach, FL 32250 (904)633-0420 Caldow, Kristin Burns, M.D. Farrow, Meridith J., M.D. Ozcan, Michelle Stalnaker , M.D. Pellegrino, Fiorina , D.O. Richmond, Rebekah Melana, M.D. UF Southside Women's Health Specialists 4549 Emerson St, 2nd Fl Jacksonville, FL 32207 (904)633-0140 Best, Kelly Ann, M.D. Occupational Medicine UF Occupational Medicine at Emerson 4555 Emerson St, Ste 300 Jacksonville, FL 32207 (904)383-1440 Chapa, Robert Michael, M.D. 18 and Up Ophthalmology UF Ophthalmology/UF Eye Institute 580 W 8th St, Tower II 3rd & 7th Fl Jacksonville, FL 32209 (904)244-9390 Brar, Vikram Singh, M.D. 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 Pirgousis, Phillip, MD, DMD Steinberg, Barry, MD, DDS Yetzer, Jacob G., MD, DDS Orthopaedic Surgery The Bone and Joint Institute at Shands Jacksonville Davis, Don K., M.D. 655 W 8th St, ACC 2nd Fl Jacksonville, FL 32209 (904)383-1010 Berrey, Bedford Hudson, M.D. Grover, Sandeep , M.D. Brinkis, Edmund Z., M.D. Gupta, Jyoti R., M.D. Harris, Anthony M., M.D. Gupta, Shailesh K., M.D. Kaye, Marc , M.D. Haji, Shamim A., M.D. Perkins, Christopher H., M.D. Chalam, Kakarla V., M.D. Cho, Michelle Yeon, M.D. Kennerdell, John S., 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 Oral Maxillofacial 653 W 8th St Jacksonville, FL 32209 (904)383-1018 Fattahi, Tirbod T., MD, DDS UF Bone and Joint Center at Emerson 4555 Emerson Street, Ste 100 Jacksonville, FL 32207 (904)383-1010 Berrey, Bedford Hudson, M.D. Brinkis, Edmund Z., M.D. Kaye, Marc , M.D. Perkins, Christopher H., M.D. Otolaryngology The Otolaryngology ENT Clinic at Shands Jacksonville Burnett, Erin, M.D. Johnson, Douglas L., D.M.D 653 W 8th St Jacksonville, FL 32209 (904)383-1017 Davis-Malesevich, Melinda V., M.D. Good, Meadow M., D.O. Pirgousis, Phillip , MD, DMD Fraker, John T., M.D. Irby, B. Freeman, M.D. Schare, Howard J., D.M.D. Knox, Glenn W., M.D. Kaunitz, Andrew Moss, M.D. Steinberg, Barry, MD, DDS Ozcan, Michelle Stalnaker , M.D. Wallender, Aaron C., MD, DDS Seibel, Brent E., M.D. Yetzer, Jacob G., MD, DDS Ward, Kristy Kay, M.D. Fernandes, Rui P., MD, DMD Goldman, Nelson C., 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 the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 14 of 20 Specialty Care Providers Pain Medicine Center for Pain Management Pediatric Cardiology UF Pediatric Cardiovascular Center 555 W 8th St, Pav 2nd Fl S Jacksonville, FL 32209 (904)383-1020 Kumar, Sanjeev, M.D. 841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Bryant, Randall M., M.D. Quevedo Vela, Alfredo J., M.D. English, Robert F., M.D. Tabakian, Hagop M., M.D. Ettedgui, Jose A., 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. Palliative Medicine UF Pediatric Palliative Care Clinic 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 904-633-0920 Komatz, Kelly Cronin, M.D. Fricker, Frederick Jay, M.D. Fudge, James Curtis, Jr.M.D. Ho, Jason , 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. Wallis, Gonzalo A, 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. Mirza, Ayesha , M.D. Rathore, Mobeen H., 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 Alvarez, Ana Mabel, M.D. Birth to 15 w/HIV+ & ID Maraqa, Nizar F., M.D. Birth to 15 w/HIV+ & ID Mirza, Ayesha, M.D. Birth to 15 w/HIV+ & ID 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 Neurosurgery UF Pediatric Neurosurgery Center 836 Prudential Dr, Ste 1205 Jacksonville, FL 32207 (904)633-0780 James, Hector E., 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. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 15 of 20 Specialty Care Providers Pediatric Rehabilitation Medic UF Pediatric Multi-Specialty Center 841 Prudential Dr, Ste 1900 Jacksonville, FL 32207 (904)633-0920 Thorogood, Christine , M.D. 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 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 Murray, John D., M.D. 18 and Up Shaddix, Kyle Kit, M.D. 18 and Up UF Plastic Surgery Institute 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0130 Murray, John D., M.D. 18 and Up Shaddix, Kyle Kit, M.D. 18 and Up Podiatry The Bone and Joint Institute at Shands Jacksonville 655 W 8th St, ACC 2nd Fl Jacksonville, FL 32209 (904)383-1010 Miller, Christine P., D.P.M. Pulmonary Disease UF Pulmonology 653 W 8th St., 3rd Floor Jacksonville, FL 32209 (904)383-1014 Cury, James Davis, M.D. Jones, Lisa M., M.D. Louis, Mariam, M.D. Seeram, Vandana Kavita, M.D. Shujaat, Adil , M.D. Radiation Oncology Florida Proton Therapy Institute, Inc. Sindone, Joseph L., D.P.M. 2015 N. Jefferson Street Jacksonville, FL 32206 (904)588-1800 Bradley, Julie Ann, M.D. Stranningan, Kristin L., D.P.M. Bryant, Curtis, M.D. Piraino, Jason A., 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. Sindone, Joseph L., D.P.M. UF Family Medicine Center at Lem Turner 1255 Lila Ave Jacksonville, FL 32208 (904)383-1001 Sindone, Joseph 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. 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 the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 16 of 20 Specialty Care Providers Reproductive Endocrinology Care Center for Women at Shands Jacksonville 655 W 8th St, ACC 3rd Fl Jacksonville, FL 32209 (904)383-1037 Fox, Michael D., M.D. Lipari, Christopher W., M.D. 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 Comprehensive Breast Center 580 W 8th St, Tower II, 4th Fl Jacksonville, FL 32209 (904)244-9017 Samiian, Laila , M.D. UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Ahmed, Bestoun , M.D. Awad, Ziad Tarik, M.D. Fattahi, Tirbod T., MD, DDS Knox, Glenn W., M.D. Latzko, Michael Patrick, M.D. Nussbaum, Michael S., M.D. Samiian, Laila , M.D. UF Surgery UF Pediatric Cardiovascular Center 653 W 8th St Jacksonville, FL 32209 (904)383-1015 Ahmed, Bestoun , M.D. 841 Prudential Dr, Ste 100 Jacksonville, FL 32207 (904)633-4110 Ceithaml, Eric L., M.D. Awad, Ziad Tarik, M.D. Stein, William, M.D. Latzko, Michael Patrick, M.D. Leaphart, Cynthia Lynn, M.D. Lerner, Eli N., M.D. Nussbaum, Michael S., M.D. Samiian, Laila , 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. Surgical Critical Care UF Surgery UF Surgery 653 W 8th St Jacksonville, FL 32209 (904)383-1015 D'Agostino, Harry J., M.D. Urology 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)383-1015 Burns, Jr., J. Bracken, D.O. 653 W 8th St Jacksonville, FL 32209 (904)383-1016 Costa, Joseph A., D.O. Kerwin, Andrew J., M.D. Harris, Stephanie Elizabeth, M.D. Ra, Jin Hee, M.D. Mandia, Stephen Ernest J., 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 Pirris, John P., M.D. UF Cardiovascular Center at Emerson 4555 Emerson St, Ste 120 Jacksonville, FL 32207 (904)383-1036 Pirris, John P., 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. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 17 of 20 Specialty Care Providers UF Health Multi-Specialty Center - Beaches 3316 South Third Street, Ste 200 Jacksonville Beach, FL 32250 (904)383-1042 Allmon, Jon C., M.D. Dennis, James W., M.D. UF Surgeons of Jacksonville 4555 Emerson Street, Suite 230 Jacksonville, FL 32207 (904)633-0020 Dennis, James W., M.D. Pierce County Volusia County Pediatric Cardiology 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 UF Surgery 653 W 8th St Jacksonville, FL 32209 (904)383-1015 Allmon, Jon C., M.D. North Florida Dermatology 200 Southpark Blvd., Suite 209 St. Augustine, FL 32086 (904)354-4488 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. 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. 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. 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. Guzman, Luis A., M.D. Miller, Alan B., M.D. Paterick, Timothy, M.D. Percy, Robert F., M.D. 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. Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 18 of 20 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 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 Hospice Outpt Radiology/General Radiology and Ultrasound Shands Jacksonville Diagnostic Radiology 655 W 8th St., Clinical Ctr, 2nd Fl Jacksonville, FL 32209 904-383-1024 Outpt Radiology/Nuclear Medicine Shands Jacksonville Clinical Center Radiology 655 W 8th St., Clinical Ctr Basement Jacksonville, FL 32209 904-244-2945 Proton Therapy 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 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 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 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 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 Skilled Nursing Shands Jacksonville Transitional Care Unit 555 W. 8th St., Pavilion 3rd Fl Jacksonville, FL 32209 904-244-1816 Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 19 of 20 Other Health Care Providers 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 Note: Services must be received at the address listed in the GatorCare Provider Directory for Tier 1 benefits. Revised 01/07/2015 Page 20 of 20