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June 2018 P rovider D irectory Region 4 Baker, Clay, Duval, Flagler, Nassau, Saint Johns and Volusia Counties For the latest directory, please go to http://cmsplan.floridahealth.gov There you may view or print the latest online directory or use our provider search function.

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  • June 2018

    Provider D irectory Region 4

    Baker, Clay, Duval, Flagler, Nassau, Saint Johns and Volusia Counties

    For the latest directory, please go to http://cmsplan.floridahealth.gov

    There you may view or print the latest online directory or use our provider search function.

  • *** Some providers may not perform certain services based on religious or moral beliefs.

    Welcome to the Childrens Medical Services Managed Care Plan Thank you for choosing the Childrens Medical Services Managed Care Plan (CMS Plan) Specialty Plan for your health care needs. We are happy to have you as a member and look forward to serving you. This Directory contains a list of quality health care providers that are participating in the CMS Plan in your area, including primary care physicians, hospitals, pharmacies and other health care professionals. If you would like to know your providers hospital affiliation(s), please call their office to get the most up-to-date information. CMS Plan, together with the two Integrated Care Systems (ICS): Ped-i-Care and Community Care Plan (CCP) is continually expanding our network of health care providers to improve access to quality health care services for our members. Since our providers may change over time, you may get the most recent listing of Florida CMS Plan providers by calling the toll-free Customer Service Center of Ped-I-Care at 1-866-376-2456 and the TTY phone number of 1 -800-955-8771, if you reside in one of the counties colored in green in the map below, or the toll -free Customer Service Center of CCP at 1-866-209-5022 and TTY phone number of 1-855-655-5303 if you reside in one of the counties colored in yellow.

  • Table of Contents 15

    ..................................................................................................................................................................

    Baker CountyAlphabetic Listing for Baker 15

    .......................................................................................................................................................................................... 15Dentistry

    15..................................................................................................................................................................................General Dentistry

    ................................................................................................................................................................................. 15Emergency Services

    15.................................................................................................................................................................................Emergency Medicine

    ....................................................................................................................................................... 15Nurse Practitioners And Physician Assistants

    15.......................................................................................................................................................................................Family Nurse

    15....................................................................................................................................................................................Pediatric Nurse

    15................................................................................................................................................................................Physician Assistant

    ........................................................................................................................................................................................... 16Pharmacy

    16.................................................................................................................................................................................Community Pharmacy

    ........................................................................................................................................................................................... 16Podiatry

    16.........................................................................................................................................................................................Podiatrist

    ..................................................................................................................................................................... 16Primary Care - Family Practice

    16....................................................................................................................................................................................Family Practice

    .................................................................................................................................................................... 16Primary Care - General Practice

    16...........................................................................................................................................................General Practice (Default Spec For Phys)

    .......................................................................................................................................................................... 17Primary Care - Pediatrics

    17.........................................................................................................................................................................................Pediatrics

    ......................................................................................................................................................................... 17Therapy And Rehabilitation

    17.............................................................................................................................................................................Occupational Therapist

    17.................................................................................................................................................................................Physical Therapist

    28

    ...................................................................................................................................................................

    Clay CountyAlphabetic Listing for Clay 28

    ............................................................................................................................................................................... 28Allergy / Immunology

    28............................................................................................................................................................................................Allergy

    .................................................................................................................................................................... 29Behavioral Health Practitioners

    29...................................................................................................................................................................Community Mental Health Services

    29.........................................................................................................................................................Comprehensive Behavioral Health Assessment

    29.........................................................................................................................................................................Social Worker/Case Manager

    29.............................................................................................................................................................Specialized Mental Health Practitioner

    .................................................................................................................................................................................... 30Case Management

    30.............................................................................................................................................................................Case Management Agency

    ....................................................................................................................................................................................... 30Chiropractic

    30.......................................................................................................................................................................................Chiropractor

    .......................................................................................................................................................................................... 31Dentistry

    31..................................................................................................................................................................................General Dentistry

    31........................................................................................................................................................................................Pedodontist

    ........................................................................................................................................................................................ 31Dermatology

    31........................................................................................................................................................................................Dermatology

    ......................................................................................................................................................................................... 31Disability

    31...............................................................................................................................................................................Aged/Disabled Adults

    .......................................................................................................................................................................... 31Durable Medical Equipment

    31...............................................................................................................................................................Durable Med Equipt/ Medical Supplies

    ................................................................................................................................................................................. 32Emergency Services

    32.................................................................................................................................................................................Emergency Medicine

    32..........................................................................................................................................................................Pediatrics; Critical Care

    ................................................................................................................................................................................... 32Gastroenterology

    32...................................................................................................................................................................................Gastroenterology

    ........................................................................................................................................................................................ 32Neonatology

    32.................................................................................................................................................................................Neonatal/Perinatal

    .......................................................................................................................................................................................... 32Neurology

    32..........................................................................................................................................................................................Neurology

    ....................................................................................................................................................... 33Nurse Practitioners And Physician Assistants

    33.......................................................................................................................................................................................Family Nurse

    33....................................................................................................................................................................Nurse Practitioner (Arnp)|Group

    33....................................................................................................................................................................................Pediatric Nurse

    33................................................................................................................................................................................Physician Assistant

    ............................................................................................................................................................................ 34Obstetrics / Gynecology

    34.............................................................................................................................................................................................Ob-Gyn

    ...................................................................................................................................................................................... 34Ophthalmology

    34......................................................................................................................................................................................Ophthalmology

  • ............................................................................................................................................................................... 34Optometry / Optician

    34........................................................................................................................................................................................Optometrist

    .................................................................................................................................................................................. 35Other Specialties

    35........................................................................................................................................................Managed Care Treating Provider|Indpdt Diag.

    ....................................................................................................................................................................................... 35Pallate Care

    35............................................................................................................................................................................................Hospice

    .......................................................................................................................................................................................... 35Pathology

    35..........................................................................................................................................................................................Pathology

    ........................................................................................................................................................................................... 36Pharmacy

    36.................................................................................................................................................................................Community Pharmacy

    37..................................................................................................................................................................................Ltc|Non Community

    ........................................................................................................................................................................................... 37Podiatry

    37.........................................................................................................................................................................................Podiatrist

    ..................................................................................................................................................................... 38Primary Care - Family Practice

    38....................................................................................................................................................................................Family Practice

    .................................................................................................................................................................... 39Primary Care - General Practice

    39...........................................................................................................................................................General Practice (Default Spec For Phys)

    ................................................................................................................................................................... 39Primary Care - Internal Medicine

    39..................................................................................................................................................................................Internal Medicine

    .......................................................................................................................................................................... 40Primary Care - Pediatrics

    40.........................................................................................................................................................................................Pediatrics

    ......................................................................................................................................................................................... 40Psychiatry

    40.........................................................................................................................................................................................Psychiatry

    .......................................................................................................................................................................................... 41Radiology

    41..........................................................................................................................................................................................Radiology

    41..............................................................................................................................................................................Radiology; Diagnostic

    ............................................................................................................................................................................................ 41Surgery

    41...................................................................................................................................................................................Surgery; General

    41...................................................................................................................................................................................Surgery; Plastic

    ............................................................................................................................................................................... 41Surgery - Neurologic

    41..............................................................................................................................................................................Surgery; Neurological

    ......................................................................................................................................................................... 42Therapy And Rehabilitation

    42.............................................................................................................................................................................Occupational Therapist

    42.................................................................................................................................................................................Physical Therapist

    42...................................................................................................................................................................................Speech Therapist

    42...................................................................................................................................................................Therapist (Pt; Ot; St; Rt)|Group

    ..................................................................................................................................................................................... 42Transportation

    42..........................................................................................................................................................................................Ambulance

    171

    ...................................................................................................................................................................

    Duval CountyAlphabetic Listing for Duval 171

    ................................................................................................................................................................................. 171Adolescent Medicine

    171.................................................................................................................................................................................Adolescent Medicine

    ................................................................................................................................................................................ 171Allergy / Immunology

    171.............................................................................................................................................................................................Allergy

    171..........................................................................................................................................................................................Immunology

    ........................................................................................................................................................................... 172Ambulatory Surgery Center

    172...........................................................................................................................................................................Ambulatory Surgery Center

    ...................................................................................................................................................................................... 173Anesthesiology

    173......................................................................................................................................................................................Anesthesiology

    174..............................................................................................................................................................Certified Registered Nurse Anesthetist

    ........................................................................................................................................................................................... 177Audiology

    177.........................................................................................................................................................................................Audiologist

    ..................................................................................................................................................................... 178Behavioral Health Practitioners

    178....................................................................................................................................................................Community Mental Health Services

    178..........................................................................................................................................................Comprehensive Behavioral Health Assessment

    179..........................................................................................................................................................................Social Worker/Case Manager

    179..............................................................................................................................................................Specialized Mental Health Practitioner

    ............................................................................................................................................................................... 184Brain And Spinal Cord

    184.......................................................................................................................................................Traumatic Brain Injury And Spinal Cord Injury

    .......................................................................................................................................................................................... 185Cardiology

    185.............................................................................................................................................................................Cardiovascular Medicine

    ..................................................................................................................................................................................... 185Case Management

    185..............................................................................................................................................................................Case Management Agency

    ........................................................................................................................................................................................ 186Chiropractic

    186........................................................................................................................................................................................Chiropractor

  • .................................................................................................................................................................................. 186Community Services

    186..................................................................................................................................................................................Home Health Agency

    ........................................................................................................................................................................................... 187Dentistry

    187...................................................................................................................................................................................General Dentistry

    190..............................................................................................................................................................................Oral Surgery (Dentist)

    190........................................................................................................................................................................................Orthodontist

    190.........................................................................................................................................................................................Pedodontist

    ......................................................................................................................................................................................... 191Dermatology

    191.........................................................................................................................................................................................Dermatology

    ............................................................................................................................................................................................ 193Dialysis

    193.....................................................................................................................................................................................Dialysis Center

    .......................................................................................................................................................................................... 193Disability

    193................................................................................................................................................................................Aged/Disabled Adults

    ........................................................................................................................................................................... 194Durable Medical Equipment

    194................................................................................................................................................................Durable Med Equipt/ Medical Supplies

    194.............................................................................................................................................................................Medical Oxygen Retailer

    .................................................................................................................................................................................. 195Early Intervention

    195............................................................................................................................................................Professional Early Intervention Services

    .................................................................................................................................................................................. 196Emergency Services

    196..................................................................................................................................................................................Emergency Medicine

    199...........................................................................................................................................................................Pediatrics; Critical Care

    ....................................................................................................................................................................................... 200Endocrinology

    200.......................................................................................................................................................................................Endocrinology

    .................................................................................................................................................................................... 201Gastroenterology

    201....................................................................................................................................................................................Gastroenterology

    ...................................................................................................................................................................................... 203Geriatric Care

    203...........................................................................................................................................................................................Geriatric

    ............................................................................................................................................................................... 203Hematology / Oncology

    203..........................................................................................................................................................................................Hematology

    203............................................................................................................................................................................................Oncology

    ............................................................................................................................................................................................ 203Hospital

    203....................................................................................................................................................................................General Hospital

    ................................................................................................................................................................................. 204Infectious Diseases

    204.................................................................................................................................................................................Infectious Diseases

    .......................................................................................................................................................................................... 205Laboratory

    205..............................................................................................................................................................................Independent Laboratory

    ............................................................................................................................................................................................. 206Midwife

    206..................................................................................................................................................................Certified Registered Nurse Midwife

    ......................................................................................................................................................................................... 207Neonatology

    207..................................................................................................................................................................................Neonatal/Perinatal

    .......................................................................................................................................................................................... 208Nephrology

    208..........................................................................................................................................................................................Nephrology

    ........................................................................................................................................................................................... 209Neurology

    209...........................................................................................................................................................................................Neurology

    ........................................................................................................................................................ 210Nurse Practitioners And Physician Assistants

    210............................................................................................................................................................................Anesthesiology Assistant

    210......................................................................................................................................................Clinical Nurse Specialist Psych. Mental Health

    210........................................................................................................................................................................................Family Nurse

    214.....................................................................................................................................................................Nurse Practitioner (Arnp)|Group

    215........................................................................................................................................................................................Ob/Gyn Nurse

    215.....................................................................................................................................................................................Pediatric Nurse

    218.................................................................................................................................................................................Physician Assistant

    ............................................................................................................................................................................. 222Obstetrics / Gynecology

    222.....................................................................................................................................................................................Family Planning

    222..........................................................................................................................................................................................Gynecology

    222..............................................................................................................................................................................................Ob-Gyn

    ....................................................................................................................................................................................... 225Ophthalmology

    225.......................................................................................................................................................................................Ophthalmology

    ................................................................................................................................................................................ 227Optometry / Optician

    227.........................................................................................................................................................................................Optometrist

    ................................................................................................................................................................................... 229Other Specialties

    229.........................................................................................................................................................Managed Care Treating Provider|Indpdt Diag.

    229................................................................................................................................................................Managed Care Treating Provider|Other

    229.......................................................................................................................................................................................Personal Care

    ...................................................................................................................................................................................... 230Otolaryngology

    230......................................................................................................................................................................................Otolaryngology

  • ........................................................................................................................................................................................ 230Pallate Care

    230.............................................................................................................................................................................................Hospice

    ........................................................................................................................................................................................... 231Pathology

    231...........................................................................................................................................................................................Pathology

    231.................................................................................................................................................................................Pathology; Clinical

    ................................................................................................................................................................................ 232Pediatric Cardiology

    232..............................................................................................................................................................................Pediatrics; Cardiology

    ................................................................................................................................................................................ 232Pediatric Nephrology

    232..............................................................................................................................................................................Pediatrics; Nephrology

    ................................................................................................................................................................................. 233Pediatric Neurology

    233..................................................................................................................................................................................Neurology/Children

    ............................................................................................................................................................................................ 234Pharmacy

    234.......................................................................................................................................................................................340B Pharmacy

    234..................................................................................................................................................................................Community Pharmacy

    241.............................................................................................................................................................................Dispensing Practitioner

    241...................................................................................................................................................................................Infusion Pharmacy

    241...................................................................................................................................................................................Ltc|Non Community

    ................................................................................................................................................................................... 242Physical Medicine

    242.........................................................................................................................................................................Physical Medicine And Rehab

    ............................................................................................................................................................................................ 243Podiatry

    243..........................................................................................................................................................................................Podiatrist

    ...................................................................................................................................................................... 245Primary Care - Family Practice

    245.....................................................................................................................................................................................Family Practice

    ..................................................................................................................................................................... 251Primary Care - General Practice

    251............................................................................................................................................................General Practice (Default Spec For Phys)

    .................................................................................................................................................................... 255Primary Care - Internal Medicine

    255..................................................................................................................................................................................Adult Primary Care

    255...................................................................................................................................................................................Internal Medicine

    ........................................................................................................................................................................... 258Primary Care - Pediatrics

    258..........................................................................................................................................................................................Pediatrics

    .......................................................................................................................................................................................... 275Psychiatry

    275..........................................................................................................................................................................................Psychiatry

    276...................................................................................................................................................................................Psychiatry; Child

    ......................................................................................................................................................................................... 277Pulmonology

    277..................................................................................................................................................................................Pulmonary Diseases

    ........................................................................................................................................................................................... 278Radiology

    278...........................................................................................................................................................................................Radiology

    279...............................................................................................................................................................................Radiology; Diagnostic

    281................................................................................................................................................................................Radiology; Pediatric

    282..............................................................................................................................................................................Radiology; Therapeutic

    ........................................................................................................................................................................................ 282Rheumatology

    282........................................................................................................................................................................................Rheumatology

    ............................................................................................................................................................................................. 283Surgery

    283....................................................................................................................................................................................Surgery; General

    284....................................................................................................................................................................................Surgery; Plastic

    285...................................................................................................................................................................................Surgery; Thoracic

    285..................................................................................................................................................................................Surgery; Traumatic

    285.................................................................................................................................................................................Surgery; Urological

    ............................................................................................................................................................................ 286Surgery - Cardiovascular

    286.............................................................................................................................................................................Surgery; Cardiovascular

    ................................................................................................................................................................................ 286Surgery - Neurologic

    286...............................................................................................................................................................................Surgery; Neurological

    ................................................................................................................................................................................ 287Surgery - Orthopedic

    287.......................................................................................................................................................................................Surgery; Hand

    287.................................................................................................................................................................................Surgery; Orthopedic

    ................................................................................................................................................................................. 288Surgery - Pediatric

    288..................................................................................................................................................................................Surgery; Pediatric

    .......................................................................................................................................................................... 289Therapy And Rehabilitation

    289..............................................................................................................................................................................Occupational Therapist

    291..................................................................................................................................................................................Physical Therapist

    293..................................................................................................................................................................Prescribed Pediatric Extended Care

    293...............................................................................................................................................................................Respiratory Therapist

    293....................................................................................................................................................................................Speech Therapist

    297....................................................................................................................................................................Therapist (Pt; Ot; St; Rt)|Group

    ...................................................................................................................................................................................... 299Transportation

    299...........................................................................................................................................................................................Ambulance

  • 307

    .................................................................................................................................................................

    Flagler CountyAlphabetic Listing for Flagler 307

    ..................................................................................................................................................................... 307Behavioral Health Practitioners

    307....................................................................................................................................................................Community Mental Health Services

    307..............................................................................................................................................................Specialized Mental Health Practitioner

    ............................................................................................................................................................................... 307Brain And Spinal Cord

    307.......................................................................................................................................................Traumatic Brain Injury And Spinal Cord Injury

    ........................................................................................................................................................................................ 307Chiropractic

    307........................................................................................................................................................................................Chiropractor

    ........................................................................................................................................................................................... 308Dentistry

    308...................................................................................................................................................................................General Dentistry

    ......................................................................................................................................................................................... 308Dermatology

    308.........................................................................................................................................................................................Dermatology

    .......................................................................................................................................................................................... 308Disability

    308................................................................................................................................................................................Aged/Disabled Adults

    .................................................................................................................................................................................. 308Early Intervention

    308............................................................................................................................................................Professional Early Intervention Services

    .................................................................................................................................................................................. 308Emergency Services

    308..................................................................................................................................................................................Emergency Medicine

    .......................................................................................................................................................................................... 309Laboratory

    309..............................................................................................................................................................................Independent Laboratory

    ............................................................................................................................................................................................. 309Midwife

    309..................................................................................................................................................................Certified Registered Nurse Midwife

    ........................................................................................................................................................ 309Nurse Practitioners And Physician Assistants

    309......................................................................................................................................................Clinical Nurse Specialist Psych. Mental Health

    309........................................................................................................................................................................................Family Nurse

    309.....................................................................................................................................................................Nurse Practitioner (Arnp)|Group

    ....................................................................................................................................................................................... 310Ophthalmology

    310.......................................................................................................................................................................................Ophthalmology

    ................................................................................................................................................................................ 310Optometry / Optician

    310............................................................................................................................................................................................Optician

    310.........................................................................................................................................................................................Optometrist

    ................................................................................................................................................................................... 310Other Specialties

    310................................................................................................................................................................Managed Care Treating Provider|Other

    ........................................................................................................................................................................................ 311Pallate Care

    311.............................................................................................................................................................................................Hospice

    ............................................................................................................................................................................................ 312Pharmacy

    312.......................................................................................................................................................................................340B Pharmacy

    312..................................................................................................................................................................................Community Pharmacy

    312...................................................................................................................................................................................Infusion Pharmacy

    ............................................................................................................................................................................................ 313Podiatry

    313..........................................................................................................................................................................................Podiatrist

    ...................................................................................................................................................................... 313Primary Care - Family Practice

    313.....................................................................................................................................................................................Family Practice

    ..................................................................................................................................................................... 313Primary Care - General Practice

    313............................................................................................................................................................General Practice (Default Spec For Phys)

    ........................................................................................................................................................................... 313Primary Care - Pediatrics

    313..........................................................................................................................................................................................Pediatrics

    .......................................................................................................................................................................................... 314Psychiatry

    314..........................................................................................................................................................................................Psychiatry

    314...................................................................................................................................................................................Psychiatry; Child

    ........................................................................................................................................................................................... 314Radiology

    314...........................................................................................................................................................................................Radiology

    314...............................................................................................................................................................................Radiology; Diagnostic

    .......................................................................................................................................................................... 315Therapy And Rehabilitation

    315..............................................................................................................................................................................Occupational Therapist

    315..................................................................................................................................................................................Physical Therapist

    315....................................................................................................................................................................................Speech Therapist

    316....................................................................................................................................................................Therapist (Pt; Ot; St; Rt)|Group

    ...................................................................................................................................................................................... 317Transportation

    317...........................................................................................................................................................................................Ambulance

    322

    ..................................................................................................................................................................

    Nassau CountyAlphabetic Listing for Nassau 322

    ..................................................................................................................................................................... 322Behavioral Health Practitioners

    322....................................................................................................................................................................Community Mental Health Services

  • 322..........................................................................................................................................................Comprehensive Behavioral Health Assessment

    322..............................................................................................................................................................Specialized Mental Health Practitioner

    ........................................................................................................................................................................................ 323Chiropractic

    323........................................................................................................................................................................................Chiropractor

    ........................................................................................................................................................................................... 323Dentistry

    323...................................................................................................................................................................................General Dentistry

    .......................................................................................................................................................................................... 323Disability

    323................................................................................................................................................................................Aged/Disabled Adults

    .................................................................................................................................................................................. 323Emergency Services

    323..................................................................................................................................................................................Emergency Medicine

    .................................................................................................................................................................................... 323Gastroenterology

    323....................................................................................................................................................................................Gastroenterology

    ........................................................................................................................................................ 324Nurse Practitioners And Physician Assistants

    324........................................................................................................................................................................................Family Nurse

    ............................................................................................................................................................................. 324Obstetrics / Gynecology

    324..............................................................................................................................................................................................Ob-Gyn

    ........................................................................................................................................................................................... 324Pathology

    324...........................................................................................................................................................................................Pathology

    ............................................................................................................................................................................................ 325Pharmacy

    325..................................................................................................................................................................................Community Pharmacy

    325...................................................................................................................................................................................Ltc|Non Community

    ............................................................................................................................................................................................ 325Podiatry

    325..........................................................................................................................................................................................Podiatrist

    ...................................................................................................................................................................... 326Primary Care - Family Practice

    326.....................................................................................................................................................................................Family Practice

    .................................................................................................................................................................... 326Primary Care - Internal Medicine

    326..................................................................................................................................................................................Adult Primary Care

    326...................................................................................................................................................................................Internal Medicine

    ........................................................................................................................................................................... 326Primary Care - Pediatrics

    326..........................................................................................................................................................................................Pediatrics

    .......................................................................................................................................................................................... 327Psychiatry

    327..........................................................................................................................................................................................Psychiatry

    ........................................................................................................................................................................................... 327Radiology

    327..............................................................................................................................................................................Radiology; Therapeutic

    .......................................................................................................................................................................... 328Therapy And Rehabilitation

    328..............................................................................................................................................................................Occupational Therapist

    328..................................................................................................................................................................................Physical Therapist

    328....................................................................................................................................................................................Speech Therapist

    328....................................................................................................................................................................Therapist (Pt; Ot; St; Rt)|Group

    ...................................................................................................................................................................................... 328Transportation

    328.......................................................................................................................................................................................Air Ambulance

    342

    ...............................................................................................................................................................

    St. Johns CountyAlphabetic Listing for St. Johns 342

    ................................................................................................................................................................................. 342Adolescent Medicine

    342.................................................................................................................................................................................Adolescent Medicine

    ..................................................................................................................................................................... 343Behavioral Health Practitioners

    343....................................................................................................................................................................Community Mental Health Services

    343..........................................................................................................................................................Comprehensive Behavioral Health Assessment

    343..............................................................................................................................................................Specialized Mental Health Practitioner

    .................................................................................................................................................................................. 344Community Services

    344..................................................................................................................................................................................Home Health Agency

    ........................................................................................................................................................................................... 344Dentistry

    344...................................................................................................................................................................................General Dentistry

    344.........................................................................................................................................................................................Pedodontist

    ......................................................................................................................................................................................... 344Dermatology

    344.........................................................................................................................................................................................Dermatology

    .......................................................................................................................................................................................... 345Disability

    345................................................................................................................................................................................Aged/Disabled Adults

    345............................................................................................................................................................................Developmental Disability

    ........................................................................................................................................................................... 345Durable Medical Equipment

    345................................................................................................................................................................Durable Med Equipt/ Medical Supplies

    345.............................................................................................................................................................................Medical Oxygen Retailer

    .................................................................................................................................................................................. 345Early Intervention

    345............................................................................................................................................................Professional Early Intervention Services

    .................................................................................................................................................................................. 346Emergency Services

  • 346..................................................................................................................................................................................Emergency Medicine

    ....................................................................................................................................................................................... 346Endocrinology

    346.......................................................................................................................................................................................Endocrinology

    .................................................................................................................................................................................... 346Gastroenterology

    346....................................................................................................................................................................................Gastroenterology

    .......................................................................................................................................................................................... 346Laboratory

    346..............................................................................................................................................................................Independent Laboratory

    ........................................................................................................................................................ 347Nurse Practitioners And Physician Assistants

    347......................................................................................................................................................Clinical Nurse Specialist Psych. Mental Health

    347........................................................................................................................................................................................Family Nurse

    347.................................................................................................................................................................................Physician Assistant

    ....................................................................................................................................................................................... 347Ophthalmology

    347.......................................................................................................................................................................................Ophthalmology

    ................................................................................................................................................................................ 347Optometry / Optician

    347.........................................................................................................................................................................................Optometrist

    ................................................................................................................................................................................... 348Other Specialties

    348.........................................................................................................................................................Managed Care Treating Provider|Indpdt Diag.

    348................................................................................................................................................................Managed Care Treating Provider|Other

    ...................................................................................................................................................................................... 348Otolaryngology

    348......................................................................................................................................................................................Otolaryngology

    ........................................................................................................................................................................................ 348Pallate Care

    348.............................................................................................................................................................................................Hospice

    ............................................................................................................................................................................................ 349Pharmacy

    349..................................................................................................................................................................................Community Pharmacy

    ...................................................................................................................................................................... 350Primary Care - Family Practice

    350.....................................................................................................................................................................................Family Practice

    ..................................................................................................................................................................... 350Primary Care - General Practice

    350............................................................................................................................................................General Practice (Default Spec For Phys)

    .................................................................................................................................................................... 350Primary Care - Internal Medicine

    350...................................................................................................................................................................................Internal Medicine

    ........................................................................................................................................................................... 351Primary Care - Pediatrics

    351..........................................................................................................................................................................................Pediatrics

    .......................................................................................................................................................................................... 352Psychiatry

    352..........................................................................................................................................................................................Psychiatry

    352...................................................................................................................................................................................Psychiatry; Child

    ........................................................................................................................................................................................... 352Radiology

    352...........................................................................................................................................................................................Radiology

    352...............................................................................................................................................................................Radiology; Diagnostic

    ............................................................................................................................................................................................. 352Surgery

    352....................................................................................................................................................................................Surgery; Plastic

    .......................................................................................................................................................................... 353Therapy And Rehabilitation

    353....................................................................