jacksonville - gatorcare...scheiner clinic llc 1880 eagle harbor pkwy fleming island, fl 32003...
TRANSCRIPT
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GatorCare Provider Network Tier 1 Directory
Jacksonville
2015
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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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