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2022 Provider & Pharmacy Directory

Directorio de proveedores y farmacias


Central Florida and the Treasure Coast | Florida Central y el Treasure Coast
Indian River Marion
031 Premier by Ultimate (HMO) 028 Premier by Ultimate (HMO)
032 Premier Plus by Ultimate (HMO) 016 Premier Plus by Ultimate (HMO)
033 Advantage Care by Ultimate (HMO C-SNP) 029 Advantage Care by Ultimate (HMO C-SNP)
034 Advantage Care COPD by Ultimate (HMO C-SNP) 030 Advantage Care COPD by Ultimate (HMO C-SNP)
043 Advantage Plus by Ultimate (Full) (HMO D-SNP) 041 Advantage Plus by Ultimate (Full) (HMO D-SNP)
044 Advantage Plus by Ultimate (Partial) (HMO D-SNP) 042 Advantage Plus by Ultimate (Partial) (HMO D-SNP)

Lake St. Lucie


028 Premier by Ultimate (HMO) 031 Premier by Ultimate (HMO)
016 Premier Plus by Ultimate (HMO) 032 Premier Plus by Ultimate (HMO)
029 Advantage Care by Ultimate (HMO C-SNP) 033 Advantage Care by Ultimate (HMO C-SNP)
030 Advantage Care COPD by Ultimate (HMO C-SNP) 034 Advantage Care COPD by Ultimate (HMO C-SNP)
041 Advantage Plus by Ultimate (Full) (HMO D-SNP) 043 Advantage Plus by Ultimate (Full) (HMO D-SNP)
042 Advantage Plus by Ultimate (Partial) (HMO D-SNP) 044 Advantage Plus by Ultimate (Partial) (HMO D-SNP)

Sumter
028 Premier by Ultimate (HMO)
016 Premier Plus by Ultimate (HMO)
029 Advantage Care by Ultimate (HMO C-SNP)
030 Advantage Care COPD by Ultimate (HMO C-SNP)
041 Advantage Plus by Ultimate (Full) (HMO D-SNP)
042 Advantage Plus by Ultimate (Partial) (HMO D-SNP)

This directory is current as of December 30, 2021. This directory provides a list of Ultimate Health Plans’ current network providers and
pharmacies for Indian River, Lake, Marion, St. Lucie and Sumter counties. Changes to our provider and pharmacy network may occur during the
benefit year. To access Ultimate Health Plans’ updated online provider and pharmacy directory, you can visit www.ChooseUltimate.com. For more
recent information or any questions about the information contained in this directory, please call our Member Service Department at
1-888-657-4170, Monday through Sunday, 8 am to 8 pm EST. During certain times of the year we may use alternative technologies to answer
your call on weekends and Federal holidays. TTY users should call 711.
Este directorio está actualizado al 30 de deciembre de 2021. Este directorio proporciona una lista de los proveedores de la red actual de Ultimate
Health Plans para Indian River, Lake, Marion, St. Lucie y Sumter. Es posible que se produzcan cambios en nuestra red de proveedores y farmacias
durante el año de beneficios. Para acceder al directorio de farmacias y proveedores en línea actualizado de Ultimate Health Plans, puede visitar
www.ChooseUltimate. com. Para información más reciente o cualquier pregunta sobre la información contenida en este directorio, llame a
nuestro Departamento de Servicios para Miembros al 1-888-657-4170, DE Lunes a Domingo de 8am A 8pm EST. Durante determinadas
épocas del año podemos utilizar tecnologías alternativas tecnologías para responder a su llamada los fines de semana y feriado federales. Los
usuarios de TTY deben llamar al 711. H2962_PROVDIRCEN_CY22R081021_C
Section 1 - Introduction
This directory provides a list of Ultimate Health Plans’ network providers and pharmacies. To get detailed
information about your health care coverage or to get a complete description of your prescription coverage,
including how to fill your prescriptions, please review the Evidence of Coverage and Premier by Ultimate
(HMO)’s, Premier Plus by Ultimate (HMO)’s, Advantage Care by Ultimate (HMO C-SNP)’s, Advantage Care
COPD by Ultimate (HMO C-SNP)’s, Advantage Care CHF by Ultimate (HMO C-SNP)’s, Advantage Plus by
Ultimate (Partial) (HMO D-SNP)’s, and Advantage Plus by Ultimate (Full) (HMO D-SNP)’s formulary.

How to access our plan’s providers and pharmacies


You will have to choose one of our network providers listed in this directory to be your Primary Care Provider
(PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician who meets
state requirements and is trained to give you medical care. Your PCP serves as your medical home, and you
will get your routine or basic care from your PCP. The types of providers that may act as a PCP are General
Practice, Family Practice, and Internal Medicine physicians.

You may choose your PCP from the Provider and Pharmacy Directory. You may also view the most up-to-date
Provider and Pharmacy Directory online at www.ChooseUltimate.com. To change your PCP, or if you require
assistance in choosing your PCP, contact Member Services (phone numbers can be found on the covers of this
booklet).

The network providers listed in this directory have agreed to provide you with your health care services. You
may go to any of our network providers listed in this directory; however, some services may require a referral.
Your PCP will coordinate and provide referrals for certain covered services you get as a member of our plan. In
some cases, you may get covered services from non-network providers. Please refer to your Evidence of
Coverage for more information.

Some provider services require prior authorization. In addition to providing you referrals to a specialist when
needed, your PCP (or specialist in some cases) will obtain prior authorization (approval in advance) from
Ultimate Health Plans for certain services and items. Please refer to your Evidence of Coverage for a complete
list of the services that may require Ultimate Health Plans’ approval in advance.

Your PCP selection may limit the specialists you can see. If there are specific specialists you want to use, find
out whether your PCP sends patients to these specialists, as your PCP may only refer patients to certain
participating providers. Please check first to ensure your PCP can refer you to an in-network specialist or
hospital you may want to use. If you have been going to one network provider, you are not required to
continue going to that same provider.

We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them
to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under our plan
only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one
pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can
switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under
certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from
the list after this directory was printed. This means the pharmacies listed here may no longer be in our
network, or there may be newer pharmacies in our network that are not listed. This list is current as of the

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date printed on the cover of this booklet. For the most current list, please contact us. Our contact information
appears on the front and back cover pages.

You can get prescription drugs shipped to your home through our network mail-order delivery program. For
more information, please contact us or see the mail-order section of this provider and pharmacy directory.

This directory is for Indian River, Lake, Marion, St. Lucie and Sumter counties, including the area in which you
live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may
be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory,
please call member service at 1-888-657-4170 (TTY users should call 711).

We also list pharmacies that are in our network but are outside of Indian River, Lake, Marion, St. Lucie and
Sumter counties, the area in which you live. You may also fill your prescriptions at these pharmacies. For more
information, please see the section in this directory on Network Pharmacies outside of Indian River, Lake,
Marion, St. Lucie and Sumter counties.

If you have questions about any of the above, please see the first and last cover pages of this directory for
information on how to contact us.

Services that don’t require approval in advance


Referrals from your PCP are not required for emergency care or urgently needed care. You can also get some
other kinds of care without having approval in advance from your PCP, such as preventive services, routine
women’s health care, covered dermatology, podiatry and chiropractic services, covered mental health
services, flu shots, and vaccinations.

What to do if you get a bill from a non-contracted provider


There may be times when you get a bill from a non-contracted provider for the full cost of medical care you
have received. You should send this bill to us instead of paying it. We will look at the bill and decide whether
the services should be covered. If we decide they should be covered, we will pay the provider our share of the
cost directly. You will be responsible for paying your share of the cost. For more information on situations in
which you may need to ask us for reimbursement or to pay a bill you have received from a provider (including
where to send your request for payment), please see Chapter 7 of your Evidence of Coverage (Asking us to pay
our share of a bill you have received for covered medical services or drugs).

Getting care if you have a medical emergency


A “medical emergency” is when you, or any other prudent layperson with an average knowledge of health and
medicine, believe that you have medical symptoms that require immediate medical attention to prevent loss
of life, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness, injury, severe pain,
or a medical condition that is quickly getting worse.
You may get covered emergency medical care whenever you need it, anywhere in the world. If you have a
medical emergency, get help as quickly as possible. Call 911 for help or go to the nearest emergency room or
hospital. Call for an ambulance if you need it. Our plan covers ambulance services in situations where getting
to the emergency room in any other way could endanger your health. You do not need to get approval or a
referral first from your PCP. If you have an emergency, we will talk with the doctors who are giving you
emergency care to help manage and follow up on your care. The doctors who are giving you emergency care
will decide when your condition is stable, and the medical emergency is over. After the emergency is over, you
are entitled to follow-up care to ensure your condition continues to be stable. Our plan will cover your follow-

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up care. If out-of-network providers provide your emergency care, we will try to arrange for network providers
to take over your care as soon as your medical condition and the circumstances allow.

What if you are outside the plan’s service area when you have an urgent need/or care?
When you are outside the service area and cannot get care from a network provider, our plan will cover
urgently needed care that you get from any provider. Our plan does not cover urgently needed care or any
other non-emergency care if you receive the care outside the United States. You must use network providers
except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain
routine care from out-of-network providers, neither Medicare nor Ultimate Health Plans will be responsible
for the costs.

What is the service area for Ultimate Health Plans?


The counties in our service area are listed below.
• The service area for Premier by Ultimate is Citrus, Hernando, Hillsborough, Indian River, Lake, Marion,
Pasco, Pinellas, St. Lucie, and Sumter counties.
• The service area for Premier Plus by Ultimate is Citrus, Hernando, Indian River, Lake, Marion, Pasco, St.
Lucie, and Sumter counties.
• The service area for Advantage Care by Ultimate is Citrus, Hernando, Hillsborough, Indian River, Lake,
Marion, Pasco, Pinellas, St. Lucie, and Sumter counties.
• The service area for Advantage Care COPD by Ultimate is Citrus, Hernando, Hillsborough, Indian River,
Lake, Marion, Pasco, Pinellas, St. Lucie, and Sumter counties.
• The service area for Advantage Care CHF by Ultimate is Citrus, Hernando, and Pasco counties.
• The service area for Advantage Plus by Ultimate is Citrus, Hernando, Hillsborough, Indian River, Lake,
Marion, Pasco, Pinellas, St. Lucie, and Sumter counties.

How do you find Ultimate Health Plans providers and pharmacies that serve
your area?
Find Doctors, Hospitals, Skilled Nursing Facilities, Outpatient Mental Health, and Ancillary
Providers
Ultimate Health Plans’ providers are listed by specialty in Section 2. The PCPs are listed first, followed by
specialists listed by specialty type in alphabetical order, then hospitals, skilled nursing facilities, outpatient
mental health providers, and ancillary providers (ambulatory surgical centers, durable medical equipment
suppliers, home health agencies, etc.). Within each specialty, the provider locations are listed under the
corresponding County and City. Providers are also listed alphabetically in the Index of Providers at the back of
this directory.

Note: Providers identified with an asterisk(*) also accept Medicaid.

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Find Dental, Vision, Hearing, Behavioral (Mental) Health, Fitness Program Providers and
Pharmacies

Dental: To find a dentist or for help scheduling an appointment, you may call 1-800-340-8869 from 8 am to 8
pm Monday through Sunday. TTY users should call 711.
Vision: We have arranged with Argus to provide the vision services included in your benefit plan. A referral
from your PCP for routine vision services is not required. Ophthalmology providers are assigned based on your
residential zip code. For questions regarding this assignment or assistance in finding a routine vision care
provider or accessing your vision benefit, you may call 1-800-210-5511 from 8 am to 8 pm Monday through
Sunday. TTY users should call 711.
Hearing: To find a provider or for help in scheduling an appointment, you may call 1-800-313-2763 from 8 am
to 8 pm, Monday through Sunday. TTY users should call 711.
Behavioral (Mental) Health: A referral is not required from your PCP or Ultimate Health Plans for behavioral
health services included in your benefit plan. To locate a provider, you may call 1-800-627-1259, 24 hours a
day, 7 days a week. TTY users should call 711.
Fitness Program: We have arranged with Tivity Health to bring you the SilverSneakers® Fitness Program. A
referral is not required from your PCP; however, speaking with your PCP before starting any exercise program
is advisable. The fitness centers in this network can be found by calling 1-888-423-4632, or you can also visit
the SilverSneakers® website at www.silversneakers.com to find a fitness class, product, or program near you.
Pharmacies: Network pharmacies are listed in the back of Section 2. They are arranged by type of pharmacy
(i.e., Retail, Mail Order, Long-Term Care, etc.) and then listed alphabetically by name under their
corresponding county and city. To find a pharmacy, look for its pharmacy type and then locate it in the
corresponding alphabetic listing.

If you have questions about Ultimate Health Plans or require assistance in selecting a PCP, please call our
Member Services Department at 1-888-657-4170 Monday through Sunday from 8 am to 8 pm EST. During
certain times of the year we may use alternative technologies to answer your call during weekends and
Federal holidays. TTY users should call 711. You can also visit www.ChooseUltimate.com.

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Sección 1: Introducción
Este directorio tiene una lista de los proveedores y las farmacias de la red de Ultimate Health Plans. Para
obtener información detallada sobre su cobertura de atención médica o para obtener una descripción
completa de su cobertura de medicamentos con receta, incluyendo cómo surtir sus recetas, consulte la
Constancia de Cobertura y los formularios de los planes Premier de Ultimate (HMO), Premier Plus de Ultimate
(HMO), Advantage Care de Ultimate (HMO C-SNP), Advantage Care COPD de Ultimate (HMO C-SNP),
Advantage Care CHF de Ultimate (HMO C-SNP), Advantage Plus de Ultimate (parcial) (HMO D-SNP) y
Advantage Plus de Ultimate (completo) (HMO D-SNP).

Cómo acceder a los proveedores y farmacias de nuestro plan


Deberá elegir uno de los proveedores de nuestra red que están en este directorio para que sea su proveedor
de atención primaria (PCP). En general, usted debe recibir sus servicios de atención médica de su PCP. Su PCP
es un médico que cumple los requisitos estatales y está capacitado para darle atención médica. Su PCP cumple
la función de su hogar médico, ya que le dará la atención básica o de rutina. Los tipos de proveedores que
pueden ser PCP son los médicos de medicina general, medicina familiar y medicina interna.

Puede elegir su PCP del directorio de farmacias y proveedores. También puede ver el directorio de farmacias y
proveedores en línea más actualizado en www.ChooseUltimate.com. Para cambiar de PCP, o si necesita ayuda
para elegir uno, comuníquese con Servicios para Miembros (puede consultar los números de teléfono en las
portadas de este cuadernillo).

Los proveedores de la red listados en este directorio aceptaron prestarle servicios de atención médica. Puede
recurrir a cualquiera de los proveedores de nuestra red listados en este directorio; sin embargo, es posible que
para algunos servicios sea necesaria una remisión. Su PCP coordinará determinados servicios cubiertos que
reciba como miembro de nuestro plan y lo remitirá a estos. En algunos casos, podrá recibir servicios cubiertos
de proveedores fuera de la red. Consulte su Constancia de Cobertura para obtener más información.

Para algunos servicios de los proveedores es necesaria una autorización previa. Además de remitirlo a un
especialista cuando sea necesario, su PCP (o especialista en algunos casos) obtendrá una autorización previa
(aprobación con antelación) de Ultimate Health Plans para determinados servicios y artículos. Consulte su
Constancia de Cobertura para obtener una lista completa de los servicios para los que podría necesitar una
aprobación con antelación de Ultimate Health Plans.

Es posible que la elección de su PCP limite los especialistas que lo pueden atender. Si quiere que lo atienda
algún especialista específico, averigüe si su PCP remite pacientes a dicho especialista, ya que es posible que
solo haga remisiones a ciertos proveedores participantes. Primero asegúrese de que su PCP pueda remitirlo a
un especialista u hospital dentro de la red que quiera usar. Si lo ha estado atendiendo un proveedor de la red,
no tiene la obligación de que lo siga atendiendo ese mismo proveedor.

Llamamos a las farmacias de esta lista “farmacias de la red” porque tienen acuerdos con nosotros para que los
miembros de nuestro plan reciban medicamentos recetados. En la mayoría de los casos, nuestro plan cubre
sus recetas solo si se surten en una farmacia de la red o mediante nuestro servicio de farmacia de venta por
correo. No tiene la obligación de ir siempre a la misma farmacia para obtener los medicamentos recetados,
sino que puede ir a cualquiera de las farmacias de nuestra red. Surtiremos medicamentos recetados en
farmacias fuera de la red en determinadas circunstancias, según lo establecido en su Constancia de Cobertura.

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Es posible que no todas las farmacias de la red figuren en este directorio. Puede que se hayan agregado o
eliminado de la lista algunas farmacias después de que se haya impreso el directorio. Esto significa que las
farmacias listadas aquí pueden no estar más en nuestra red, o puede que haya farmacias nuevas en nuestra
red que no estén en la lista. Esta lista se actualizó a la fecha que está impresa en la portada de este
cuadernillo. Para obtener la lista más actualizada, póngase en contacto con nosotros. Nuestra información de
contacto está en la cubierta y en la contracubierta.

Puede recibir medicamentos recetados en su casa mediante el programa de entrega por correo de nuestra
red. Para obtener más información, comuníquese con nosotros o consulte la sección de venta por correo de
este directorio de proveedores y farmacias.

Este directorio es para los condados de Indian River, Lake, Marion, St. Lucie y Sumter, incluyendo el área
donde vive. Sin embargo, cubrimos un área de servicio más grande y hay más farmacias en las que nuestro
plan podría cubrir sus recetas. Para obtener información sobre otras farmacias de la red de nuestro plan que
no estén en este directorio, llame al Servicio para Miembros al 1-888-657-4170 (los usuarios de TTY deben
llamar al 711).

También listamos las farmacias que están en nuestra red pero que están fuera de los condados de Indian
River, Lake, Marion, St. Lucie y Sumter, el área donde vive. También puede surtir sus recetas en esas
farmacias. Para obtener más información, consulte la sección de este directorio sobre farmacias de la red
fuera de los condados de Indian River, Lake, Marion, St. Lucie y Sumter.

Si tiene preguntas sobre alguno de los temas de arriba, consulte la cubierta y contracubierta de este directorio
para obtener nuestra información de contacto.

Servicios que no necesitan autorización previa


No necesita obtener una remisión de su PCP para recibir atención de emergencia ni atención de urgencia.
También puede recibir otros tipos de atención sin tener la aprobación previa de su PCP, como servicios
preventivos, atención ginecológica de rutina, servicios de dermatología, podología y quiropráctica cubiertos,
servicios de salud mental cubiertos, vacunas de la gripe y otras vacunas.

Qué debe hacer si recibe una factura de un proveedor no contratado


En algunas ocasiones, es posible que reciba una factura de un proveedor no contratado por el costo total de la
atención médica que recibió. Deberá enviarnos la factura en lugar de pagarla. Nosotros la analizaremos y
decidiremos si se deben cubrir los servicios. Si decidimos que están cubiertos, le pagaremos directamente al
proveedor nuestra parte. Usted será responsable de pagar su parte. Para obtener más información de las
situaciones en que puede que deba solicitarnos un reembolso o el pago de una factura que recibió de un
proveedor (incluyendo a dónde enviar su solicitud de pago), consulte el capítulo 7 de su Evidencia de
Cobertura (Cómo solicitar que paguemos nuestra parte de una factura que recibió por servicios médicos o
medicamentos cubiertos).

Cómo recibir atención si tiene una emergencia médica


Se considera una “emergencia médica” cuando usted, u otro lego prudente con un conocimiento medio de
salud y medicina, cree que tiene síntomas que requieren atención médica inmediata para prevenir la muerte,
la pérdida de una extremidad o la pérdida de la función de una extremidad. Los síntomas pueden ser una
enfermedad, una lesión, dolor intenso o una condición médica que empeora rápidamente.

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Puede recibir atención médica de emergencia cubierta cuando lo necesite, en cualquier lugar del mundo. Si
tiene una emergencia médica, pida ayuda lo antes posible. Llame al 911 para pedir ayuda o vaya a la sala de
emergencias u hospital más cercano. Llame a una ambulancia si la necesita. Nuestro plan cubre servicios de
ambulancia en situaciones en las que ir a una sala de emergencias de otra manera podría poner en riesgo su
salud. No es necesario que obtenga una aprobación o una remisión del PCP primero. Si tiene una emergencia,
nos pondremos en contacto con los médicos que le estén prestando atención de emergencia para gestionar su
atención y darle seguimiento. Los médicos que le presten atención de emergencia decidirán cuándo su
condición sea estable y la emergencia médica haya pasado. Después de que la emergencia haya pasado, usted
tiene derecho a recibir atención de seguimiento para asegurarse de que su condición continúe estable.
Nuestro plan cubrirá su atención de seguimiento. Si recibe atención de emergencia de proveedores fuera la
red, intentaremos que proveedores de la red se encarguen de su atención en cuanto su condición médica y las
circunstancias lo permitan.

¿Qué sucede si usted está fuera del área de servicio de su plan cuando tenga una
necesidad urgente de atención?
Cuando esté fuera del área de servicios y no pueda recibir atención de un proveedor de la red, nuestro plan
cubrirá la atención médica de urgencia que reciba de cualquier proveedor. Nuestro plan no cubre la atención
de urgencia ni ninguna otra atención que no sea de emergencia si la recibe fuera de los Estados Unidos. Deben
atenderlo proveedores de la red, salvo en situaciones de emergencia o de atención urgente, o para diálisis u
otros servicios fuera del área. Si recibe atención de rutina de proveedores fuera de la red, ni Medicare ni
Ultimate Health Plans serán responsables de los costos.

¿Cuál es el área de servicios de Ultimate Health Plans?


Los condados en nuestra área de servicios se listan abajo.
• El área de servicio del plan Premier de Ultimate incluye los condados de Citrus, Hernando,
Hillsborough, Indian River, Lake, Marion, Pasco, Pinellas, St. Lucie y Sumter.
• El área de servicio del plan Premier Plus de Ultimate incluye los condados de Citrus, Hernando, Indian
River, Lake, Marion, Pasco, St. Lucie y Sumter.
• El área de servicio del plan Advantage Care de Ultimate incluye los condados de Citrus, Hernando,
Hillsborough, Indian River, Lake, Marion, Pasco, Pinellas, St. Lucie y Sumter.
• El área de servicio del plan Advantage Care COPD de Ultimate incluye los condados de Citrus,
Hernando, Hillsborough, Indian River, Lake, Marion, Pasco, Pinellas, St. Lucie y Sumter.
• El área de servicio del plan Advantage Care CHF de Ultimate incluye los condados de Citrus, Hernando y
Pasco.
• El área de servicio del plan Advantage Plus de Ultimate incluye los condados de Citrus, Hernando,
Hillsborough, Indian River, Lake, Marion, Pasco, Pinellas, St. Lucie y Sumter.

¿Cómo puede encontrar proveedores y farmacias de Ultimate Health Plans


que atiendan en su zona?
Encuentre médicos, hospitales, centros de enfermería especializada, proveedores de
atención de salud mental ambulatoria y proveedores complementarios.
Los proveedores de Ultimate Health Plans están listados por especialidad en la sección 2. Los PCP están
primero; a continuación, están los especialistas según el tipo de especialidad por orden alfabético, después los
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hospitales, los centros de enfermería especializada, los proveedores de atención de salud mental ambulatoria
y los proveedores complementarios (centros de cirugía ambulatoria, proveedores de equipos médicos
duraderos, agencias de atención médica a domicilio, etc.). En cada especialidad, se indican los lugares donde
atiende cada proveedor, bajo el condado y la ciudad correspondientes. Los proveedores también están
listados por orden alfabético en el Índice de proveedores, en la parte de atrás de este directorio.

Nota: Los proveedores marcados con un asterisco (*) también aceptan Medicaid.

Encuentre farmacias y proveedores de atención dental, atención de la vista, atención de la


audición, salud conductual (mental) y programas de actividad física

Atención dental: Para encontrar un dentista u obtener ayuda para programar una cita, puede llamar al 1-800-
340-8869 de lunes a domingo de 8 a. m. a 8 p. m. Los usuarios de TTY deben llamar al 711.
Atención de la vista: Tenemos un acuerdo con Argus para que sea el proveedor de los servicios de la vista
incluidos en su plan de beneficios. No se necesita una remisión de su PCP para recibir servicios para la vista de
rutina. Los proveedores de oftalmología se asignan según el código postal de su casa. Si tiene preguntas sobre
esta asignación o si necesita ayuda para encontrar un proveedor de atención de la vista de rutina, o para
acceder a su beneficio de la vista, puede llamar al 1-800-210-5511 de lunes a domingo de 8 a. m. a 8 p. m. Los
usuarios de TTY deben llamar al 711.
Atención de la audición: Si necesita encontrar un proveedor u obtener ayuda para programar una cita, puede
llamar al 1-800-313-2763 de lunes a domingo de 8 a. m. a 8 p. m. Los usuarios de TTY deben llamar al 711.
Atención de la salud conductual (mental): No necesita una remisión de su PCP o Ultimate Health Plans para
los servicios de salud conductual incluidos en su plan de beneficios. Para saber dónde atiende un proveedor,
puede llamar al 1-800-627-1259 las 24 horas del día, los 7 días de la semana. Los usuarios de TTY deben llamar
al 711.
Programa de actividad física: Tenemos un acuerdo con Tivity Health para el programa de actividad física
SilverSneakers®. Aunque no necesita una remisión de su PCP, se recomienda que hable con su PCP antes de
empezar cualquier programa de ejercicios. Puede llamar al 1-888-423-4632 para encontrar los centros de esta
red o puede visitar el sitio web de SilverSneakers®, www.silversneakers.com, para buscar una clase, producto o
programa de actividad física cerca de usted.
Farmacias: Las farmacias de la red están listadas en la parte de atrás de la sección 2. Están organizadas según
su tipo (es decir, de venta directa, de venta por correo, de atención de largo plazo, etc.) y están listadas por
orden alfabético por nombre, bajo el condado y ciudad correspondientes. Para encontrar una farmacia,
búsquela por tipo y luego encuentre la dirección en el listado alfabético correspondiente.
Si tiene preguntas sobre Ultimate Health Plans o necesita ayuda para elegir un PCP, llame a nuestro
Departamento de Servicios para Miembros al 1-888-657-4170 de lunes a domingo de 8 a. m. a 8 p. m., hora
del este. En determinadas épocas del año, podemos usar tecnologías alternativas para responder su llamada
en fines de semana y feriados federales. Los usuarios de TTY deben llamar al 711. También puede visitar
www.ChooseUltimate.com.

viii
Primary Care Physicians / Médicos de cuidados primarios
English / Inglés Spanish / Español
Family Practice Medicina familiar
General Practice Medicina general
Geriatrics Geriatría
Internal Medicine Medicina interna

Specialists / Especialistas
English / Inglés Spanish / Español English / Inglés Spanish / Español
Acupuncture Acupuntura Neurosurgery Neurocirugía
Allergy / Immunology Alergias / Inmunología Obstetrics / Gynecology Obstetricia / Ginecología
Behavioral Health Proveedores de salud Oncology Oncología
Providers mental para pacientes
ambulatorios
Cardiology Cardiología Ophthalmology Oftalmología
Chiropractic Quiropráctica Orthopedic Surgery Cirugía ortopédica
Colorectal Surgery Cirugía colorrectal Otolaryngology Otorrinolaringología
Critical Care Atención crítica Pain Management Manejo del dolor
Dermatology Dermatología Physical Medicine and Fisiatría y rehabilitación
Rehabilitation
Endocrinology Endocrinología Plastic & Reconstructive Cirugía plástica y
Surgery reconstructiva
Female Pelvic Medicine Medicina pélvica Podiatry Podología
and Reconstructive femenina y
Surgery reconstructiva Cirugía
Gastroenterology Gastroenterología Pulmonology Neumonología
General Surgery Cirugía general Radiation Oncology Radioncología
Gynecological / Obstetricia / Ginecología Rheumatology Reumatología
Oncology
Hematology Hematología Sports Medicine Medicina del deporte
Infectious Disease Enfermedades Thoracic Surgery Cirugía torácica
infecciosas
Nephrology Nefrología Urology Urología
Neurology Neurología Vascular Surgery Cirugía vascular

Facilities / Centros
English / Inglés Spanish / Español
Hospitals Hospitales
Urgent Care Centers Centros de atención de emergencia
Skilled Nursing Facilities (SNFs) Centros de enfermería especializada (SNF)

ix
Ancillary Providers / Proveedores complementarios
English / Inglés Spanish / Español
Ambulatory Surgical Center Centro quirúrgico ambulatorio
Dental Dental
Diabetic Supplies - Mail Order Suministros para diabéticos - Venta por correo
Diagnostic Radiology Radiología diagnóstica
Diagnostic Testing Pruebas de diagnóstico
Durable Medical Equipment Equipos médicos duraderos
Durable Medical Equipment - Mastectomy Supplies Equipos médicos duraderos - Suministros de mastectomía
Fitness Program Programa de actividad física
Home Health Salud en casa
Hearing Audición
Laboratory Laboratorio
Mammography Mamografías
Occupational Therapy Terapia ocupacional
Optometry - Routine Vision Providers Optometría - proveedores de atención de la vista de rutina
Outpatient Dialysis Diálisis
Oxygen Oxígeno
Physical Therapy Terapia física
Prosthetics and Orthotics Prótesis y órtesis
Sleep Studies Estudios del sueño
Speech Therapy Terapia del lenguaje

Pharmacies / Farmacias
English / Inglés Spanish / Español
Retail Pharmacies Farmacias de venta al por menor
Mail Order Pharmacy Farmacia de pedidos por correo
Home Infusion Pharmacies Farmacias con servicios de infusion a domicilio
Long Term Care Pharmacies Farmacias de cuidado a largo plazo

x
Table of Contents – Directory

Indian River
Primary Care Physicians 3
Specialists 7
Hospitals 25
Urgent Care Centers 26
Skilled Nursing Facilities (SNFs) 27
Ancillary Providers 28
Pharmacies/Farmacias 33

Lake
Primary Care Physicians 38
Specialists 44
Hospitals 68
Urgent Care Centers 69
Skilled Nursing Facilities (SNFs) 70
Ancillary Providers 71
Pharmacies/Farmacias 80

Marion
Primary Care Physicians 87
Specialists 95
Hospitals 123
Urgent Care Centers 124
Skilled Nursing Facilities (SNFs) 125
Ancillary Providers 126
Pharmacies/Farmacias 135

St. Lucie
Primary Care Physicians 142
Specialists 148
Hospitals 174
Urgent Care Centers 175
Skilled Nursing Facilities (SNFs) 176
Ancillary Providers 177
Pharmacies/Farmacias 183

1
20211230-20211230083145
Table of Contents – Directory

Sumter
Primary Care Physicians 189
Specialists 194
Hospitals 205
Urgent Care Centers 206
Skilled Nursing Facilities (SNFs) 207
Ancillary Providers 208
Pharmacies/Farmacias 216

2
Ultimate Health Plans Indian River January 2022

Blecker Jr., Edgar Rene, MD Espat, Pedro A., DO


Primary Care Edgar R. Blecker, MD, PA
Internal Medicine
Pedro A. Espat, DO
Internal Medicine
Physicians 7901 Ron Beatty Boulevard
Sebastian, FL 32976
8005 Bay Street
Suite 3
Phone: (772) 581-0016 / Fax: Sebastian, FL 32958
(772) 581-1198 Phone: (772) 589-5600 / Fax:
Sebastian Gender: Male (772) 589-9449
Language(s): Spanish Gender: Male
ID #: 200000036553 Language(s): Spanish
Blecker, Edgar R., MD Accepting new patients: Yes ID #: 200000021669
Edgar R. Blecker, MD, PA Accepting new patients: No
Internal Medicine Chavez, Edgard, MD
229 Sebastian Boulevard Chavez JO Internal Medicine Geiger, Ralph B., MD
Sebastian, FL 32958 Internal Medicine Steward Internal Medicine
Phone: (772) 581-0016 / Fax: 705 Sebastian Boulevard Internal Medicine
(772) 581-1198 Unit D 13838 US Highway 1
Gender: Male Sebastian, FL 32958 Sebastian, FL 32958
Language(s): Italian, Spanish Phone: (772) 388-9066 / Fax: Phone: (772) 581-6900 / Fax:
ID #: 200000020747 (772) 388-9067 (772) 589-6995
Accepting new patients: Yes Gender: Male Gender: Male
Language(s): Spanish ID #: 200000021483
Blecker, Edgar R., MD ID #: 200000021185 Accepting new patients: Yes
Edgar R. Blecker, MD, PA Accepting new patients: Yes
Internal Medicine Hernandez Perez, Miciara, MD
7901 Ron Beatty Boulevard Chavez, Katiusca, MD Sebastian River Primary Care
Sebastian, FL 32976 Chavez JO Internal Medicine Family Practice
Phone: (772) 581-0016 / Fax: Internal Medicine 13840 US Highway 1
(772) 581-1198 705 Sebastian Boulevard Sebastian, FL 32958
Gender: Male Unit D Phone: (772) 581-0334 / Fax:
Language(s): Italian, Spanish Sebastian, FL 32958 (772) 581-0644
ID #: 200000020747 Phone: (772) 388-9066 / Fax: Gender: Female
Accepting new patients: Yes (772) 388-9067 Language(s): Spanish
Gender: Female ID #: 200000021502
Blecker Jr., Edgar Rene, MD Language(s): Spanish Accepting new patients: Yes
Edgar R. Blecker, MD, PA ID #: 200000021186
Internal Medicine Accepting new patients: Yes
229 Sebastian Boulevard
Sebastian, FL 32958
Phone: (772) 581-0016 / Fax:
(772) 581-1198
Gender: Male
Language(s): Spanish
ID #: 200000036553
Accepting new patients: Yes

3
Ultimate Health Plans Indian River January 2022

Sadhwani, Deepti H., MD Vero Beach Coppola, Christopher R., DO


Quality Health Care, Inc. of Florida Compassionate Medical Center
Internal Medicine Family Practice
8701 US Highway 1 Arnold, William A., MD 1485 37th Street
Sebastian, FL 32958 Indian River Family Medicine Suite 102
Phone: (772) 228-8480 / Fax: Family Practice Vero Beach, FL 32960
(772) 228-8481 1715 37th Place Phone: (772) 567-4336 / Fax:
Gender: Female Suite 101 (855) 772-1275
Language(s): Arabic, Hindi, Urdu Vero Beach, FL 32960 Gender: Male
ID #: 200000022465 Phone: (772) 778-1400 / Fax: ID #: 200000020750
Accepting new patients: Yes (772) 794-0045 Accepting new patients: Yes
Gender: Male
Sadhwani, Harish L., MD ID #: 200000023590 Coppola, Christopher R., DO
Quality Health Care, Inc. of Florida Accepting new patients: Yes Compassionate Medical Center
Internal Medicine Family Practice
8701 US Highway 1 Bloom, Lauren E., DO 1600 36th Street
Sebastian, FL 32958 Indian River Family Medicine Suite C
Phone: (772) 228-8480 / Fax: Family Practice Vero Beach, FL 32960
(772) 228-8481 1715 37th Place Phone: (772) 217-4460 / Fax:
Gender: Male Suite 101 (855) 772-1275
Language(s): Hindi Vero Beach, FL 32960 Gender: Male
ID #: 200000021648 Phone: (772) 778-1400 / Fax: ID #: 200000020750
Accepting new patients: Yes (772) 794-0045 Accepting new patients: Yes
Gender: Female
Venazio, Michael A., MD Language(s): Spanish Dalili, Curtis, MD
Michael A. Venazio, MD ID #: 200000023591 Indian River Primary Care
Internal Medicine Accepting new patients: No Internal Medicine
1627 US Highway 1 1715 37th Place
Suite 201 Canavosio, Federico, MD 2nd Floor
Sebastian, FL 32958 Integrative Medical Care Vero Beach, FL 32960
Phone: (772) 388-2110 / Fax: Internal Medicine Phone: (772) 794-2222 / Fax:
(772) 388-2426 787 37th Street (772) 794-0045
Gender: Male Suite 130 Gender: Male
ID #: 200000021505 Vero Beach, FL 32960 ID #: 200000021469
Accepting new patients: Yes Phone: (772) 925-8230 / Fax: Accepting new patients: Yes
(772) 925-8235
Gender: Male
Language(s): Spanish
ID #: 200000021182
Accepting new patients: Yes

4
Ultimate Health Plans Indian River January 2022

Fawaz, Samuel T., MD Kelly, Kristin L., MD Pichardo, Milagros B., MD


Steward Primary Care Steward Primary Care, Vero Beach Compassionate Medical Center
Internal Medicine Family Practice Internal Medicine
3745 11th Circle 3745 11th Circle 1485 37th Street
Suite 101 Suite 105 Suite 102
Vero Beach, FL 32960 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 564-2485 / Fax: Phone: (772) 564-2485 / Fax: Phone: (772) 567-4336 / Fax:
(772) 564-6132 (772) 564-6132 (855) 772-1275
Gender: Male Gender: Female Gender: Female
ID #: 200000037296 Language(s): German Language(s): Spanish
Accepting new patients: Yes ID #: 200000021514 ID #: 200000023882
Accepting new patients: Yes Accepting new patients: Yes
Fischman, Charles M., MD
Indian River Primary Care Lewis, Thomas W., MD Pichardo, Milagros B., MD
Internal Medicine Indian River Primary Care Compassionate Medical Center
1715 37th Place Internal Medicine Internal Medicine
2nd Floor 1715 37th Place 1600 36th Street
Vero Beach, FL 32960 2nd Floor Suite C
Phone: (772) 794-2222 / Fax: Vero Beach, FL 32960 Vero Beach, FL 32960
(772) 794-0045 Phone: (772) 794-2222 / Fax: Phone: (772) 217-4460 / Fax:
Gender: Male (772) 794-0045 (855) 772-1275
ID #: 200000021507 Gender: Male Gender: Female
Accepting new patients: Yes ID #: 200000019427 Language(s): Spanish
Accepting new patients: No ID #: 200000023882
Grasman, Brad M., MD Accepting new patients: Yes
Steward Primary Care, Vero Beach Merida, Migdalia, MD
Internal Medicine Steward Primary Care, Vero Beach Ruiz Cordero, Santos, MD
3745 11th Circle Internal Medicine Compassionate Medical Center
Suite 105 3745 11th Circle General Practice
Vero Beach, FL 32960 Suite 105 1485 37th Street
Phone: (772) 564-2485 / Fax: Vero Beach, FL 32960 Suite 102
(772) 564-6132 Phone: (772) 564-2485 / Fax: Vero Beach, FL 32960
Gender: Male (772) 564-6132 Phone: (772) 567-4336 / Fax:
ID #: 200000021493 Gender: Female (855) 772-1275
Accepting new patients: Yes ID #: 200000021554 Gender: Male
Accepting new patients: Yes Language(s): Spanish
ID #: 200000020751
Accepting new patients: Yes

5
Ultimate Health Plans Indian River January 2022

Ruiz Cordero, Santos, MD Vivas, Christopher, MD Williams, Clayton R., MD


Compassionate Medical Center Compassionate Medical Center Indian River Family Medicine
General Practice Internal Medicine Family Practice
1600 36th Street 1600 36th Street 1715 37th Place
Suite C Suite C Suite 101
Vero Beach, FL 32960 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 217-4460 / Fax: Phone: (772) 217-4460 / Fax: Phone: (772) 778-1400 / Fax:
(855) 772-1275 (855) 772-1275 (772) 794-0045
Gender: Male Gender: Male Gender: Male
Language(s): Spanish Language(s): Spanish ID #: 200000021658
ID #: 200000020751 ID #: 200000023592 Accepting new patients: Yes
Accepting new patients: Yes Accepting new patients: Yes

Stigliano, Randy, DO Watine, Robert S., MD


Steward Primary Care, Vero Beach Steward Primary Care, Vero Beach
Family Practice Internal Medicine
3745 11th Circle 3745 11th Circle
Suite 105 Suite 105
Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 564-2485 / Fax: Phone: (772) 564-2485 / Fax:
(772) 564-6132 (772) 564-6132
Gender: Male Gender: Male
ID #: 200000021649 ID #: 200000025491
Accepting new patients: Yes Accepting new patients: Yes

Vivas, Christopher, MD Williams, Clayton R., MD


Compassionate Medical Center Indian River Family Medicine
Internal Medicine Family Practice
1485 37th Street 1040 37th Street
Suite 102 Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 778-1400 / Fax:
Phone: (772) 567-4336 / Fax: (772) 778-4626
(855) 772-1275 Gender: Male
Gender: Male ID #: 200000021658
Language(s): Spanish Accepting new patients: Yes
ID #: 200000023592
Accepting new patients: Yes

6
Ultimate Health Plans Indian River January 2022

Cardiology Rivera Jimenez, Jose D., MD


Specialists Coastal Cardiovascular Associates,
PA
Sebastian 7754 Bay Street
Suite 6-7
Sebastian, FL 32958
Allergy / Immunology Gongidi, Vikranth R., DO Phone: (772) 589-3000 / Fax:
IRHS Cardiology Central (772) 589-3003
801 Wellness Way Gender: Male
Vero Beach Suite 203 Language(s): Spanish
Sebastian, FL 32958 ID #: 200000021644
Phone: (772) 778-8687 / Fax:
Wein, Michael B., MD
(772) 778-3680 Rosenbaum, Alan M., MD
Family Allergy & Asthma
Gender: Male IRHS Cardiology Central
3375 20th Street
ID #: 200000024321 801 Wellness Way
Suite 140
Suite 203
Vero Beach, FL 32960 Khawaja, Farhat J., MD Sebastian, FL 32958
Phone: (772) 299-7299 / Fax: Coastal Cardiovascular Associates, Phone: (772) 778-8687 / Fax:
(772) 563-9191 PA (772) 778-3680
Gender: Male 7754 Bay Street Gender: Male
ID #: 200000020700 Suite 6-7 ID #: 200000024255
Sebastian, FL 32958
Phone: (772) 589-3000 / Fax: Shaikh, Shahbaaz A., MD
Behavioral Health Providers (772) 589-3003 Coastal Cardiovascular Associates,
Gender: Male PA
Language(s): Punjabi, Urdu 7754 Bay Street
Beacon Health Options ID #: 200000021517 Suite 6-7
Phone: (800) 627-1259 Sebastian, FL 32958
https:// Makam, Raghavendra P., MD Phone: (772) 589-3000 / Fax:
www.beaconhealthoptions.com IRHS Cardiology Central (772) 589-3003
/find-a-provider/ 801 Wellness Way Gender: Male
Suite 203 Language(s): Urdu
Sebastian, FL 32958 ID #: 200000021645
Phone: (772) 778-8687 / Fax:
(772) 778-3680 Sharak, Nazar, DO
Gender: Male IRHS Cardiology Central
ID #: 200000028208 801 Wellness Way
Suite 203
Sebastian, FL 32958
Phone: (772) 778-8687 / Fax:
(772) 778-3680
Gender: Male
ID #: 200000024331

7
Ultimate Health Plans Indian River January 2022

Wubneh, Daniel R., DO Faulknier, Brett A., DO Kloehn, Gregory C., MD


IRHS Cardiology Central IRHS Electrophysiology Steward Interventional Cardiology
801 Wellness Way 3450 11th Court 3745 11th Circle
Suite 203 Suite 104A Suite 101
Sebastian, FL 32958 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 778-8687 / Fax: Phone: (772) 226-4830 / Fax: Phone: (772) 217-3082 / Fax:
(772) 778-3680 (772) 226-4835 (772) 213-8039
Gender: Male Gender: Male Gender: Male
ID #: 200000024337 ID #: 200000024310 Language(s): Spanish
ID #: 200000024070
Gongidi, Vikranth R., DO
Vero Beach IRHS Cardiology Central Makam, Raghavendra P., MD
3450 11th Court IRHS Cardiology Central
Suite 102 3450 11th Court
Ali, Fahad, MD Vero Beach, FL 32960 Suite 102
IRHS Electrophysiology Phone: (772) 778-8687 / Fax: Vero Beach, FL 32960
3450 11th Court (772) 778-3680 Phone: (772) 778-8687 / Fax:
Suite 104A Gender: Male (772) 778-3680
Vero Beach, FL 32960 ID #: 200000024321 Gender: Male
Phone: (772) 226-4830 / Fax: ID #: 200000028208
(772) 226-4835 Gonzalez Lengua, Carlos A., MD
Gender: Male IRHS Interventional Cardiology Miller, Mistyann-Blue N., MD
ID #: 200000024257 1000 36th Street Cleveland Clinic Indian River
Vero Beach, FL 32960 Hospital - Interventional
Anderson, Janet E., MD Phone: (772) 567-4311 / Fax: Cardiology
Janet E. Anderson, MD (772) 563-4456 1000 36th Street
777 37th Street Gender: Male Vero Beach, FL 32960
Suite C105 ID #: 200000024322 Phone: (772) 563-5645 / Fax:
Vero Beach, FL 32960 (772) 563-4634
Phone: (772) 794-7791 / Fax: Kieval, Joshua, MD Gender: Female
(772) 794-7794 IRHS Interventional Cardiology ID #: 200000024363
Gender: Female 1000 36th Street
ID #: 200000022043 Vero Beach, FL 32960 Rosenbaum, Alan M., MD
Phone: (772) 567-4311 / Fax: Cleveland Clinic Indian River
DeoNarine, Brian J., MD (772) 563-4456 Hospital - Cardiology
Brian J. DeoNarine, MD, PA Gender: Male 3450 11th Court
1285 36th Street ID #: 200000024346 Suite 102
Suite 200 Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 778-8687 / Fax:
Phone: (772) 562-9923 / Fax: (772) 778-3680
(772) 562-8487 Gender: Male
Gender: Male ID #: 200000024255
ID #: 200000021668

8
Ultimate Health Plans Indian River January 2022

Scridon, Tudor M., MD Wubneh, Daniel R., DO Critical Care


Tudor M. Scridon, MD PL IRHS Cardiology Central
787 37th Street 3450 11th Court
Suite 250 Suite 102 Sebastian
Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 226-7380 / Fax: Phone: (772) 778-8687 / Fax:
(772) 212-0205 (772) 778-3680 Yankovich, Andrei, MD
Gender: Male Gender: Male Steward Medical Group, Inc.
Language(s): Russian ID #: 200000024337 12920 US Highway 1
ID #: 200000028740 Suite A
Sebastian, FL 32958
Sharak, Nazar, DO Phone: (772) 388-8322 / Fax:
IRHS Cardiology Central Chiropractic (772) 388-8323
3450 11th Court Gender: Male
Suite 102 Language(s): English
Vero Beach ID #: 200000021651
Vero Beach, FL 32960
Phone: (772) 778-8687 / Fax:
(772) 778-3680 La Bella, Arthur A., DC Vero Beach
Gender: Male Arthur La Bella, DC
ID #: 200000024331 1599 Highaland Avenue
Vero Beach, FL 32960 Mitchell, George A., DO
Tee, Howard T., MD
Phone: (772) 562-4002 / Fax: IRHS Critical Care Practice
Howard T. Tee, MD, PLLC
(772) 562-4855 1000 36th Street
960 37th Place
Gender: Male Vero Beach, FL 32960
Suite 105
ID #: 200000020929 Phone: (772) 567-4311 / Fax:
Vero Beach, FL 32960
Phone: (772) 299-1901 / Fax: (772) 794-1440
(772) 299-1904 Gender: Male
Gender: Male ID #: 200000024365
Colorectal Surgery
Language(s): Indonesian
Pellerano Guzman, Edward J., MD
ID #: 200000023480
IRHS Critical Care Practice
Vero Beach
Tobar, Robert, MD 1000 36th Street
Robert Tobar, MD, PA Vero Beach, FL 32960
787 37th Street Massarotti, Haane G., MD Phone: (772) 567-4311 / Fax:
Suite 240 IRHS Physician Network General (772) 794-1440
Vero Beach, FL 32960 Surgery Gender: Male
Phone: (772) 562-9690 / Fax: 3450 11th Court ID #: 200000028796
(772) 562-9947 Suite 204
Gender: Male Vero Beach, FL 32960
Language(s): Spanish Phone: (772) 770-6850
Gender: Female

9
Ultimate Health Plans Indian River January 2022

Symeonides, Simon T., MD Leavitt, Matt L., DO Vero Beach


IRHS Critical Care Practice Advanced Dermatology and
1000 36th Street Cosmetic Surgery
Vero Beach, FL 32960 484 US Highway 1 Leavitt, Matt L., DO
Phone: (772) 567-4311 / Fax: Suite C Advanced Dermatology and
(772) 794-1440 Sebastian, FL 32958 Cosmetic Surgery
Gender: Male Phone: (772) 646-6100 / Fax: 3755 7th Terrace
ID #: 200000028807 (772) 646-6110 Suite 101
Gender: Male Vero Beach, FL 32960
Tariq, Umair, MD Language(s): French, Spanish Phone: (772) 569-5056 / Fax:
IRHS Critical Care Practice ID #: 200000020744 (772) 562-5098
1000 36th Street Gender: Male
Vero Beach, FL 32960 Lockridge, Jason L., MD Language(s): French, Spanish
Phone: (772) 567-4311 / Fax: Water's Edge Dermatology ID #: 200000020744
(772) 794-1474 7765 144th Street
Gender: Male Unit 1 Lockridge, Jason L., MD
ID #: 200000027331 Sebastian, FL 32958 Water's Edge Dermatology
Phone: (772) 388-3551 / Fax: 805 37th Place
(772) 338-3557 Vero Beach, FL 32960
Gender: Male Phone: (772) 257-7373 / Fax:
Dermatology (772) 257-7377
Ottuso, Patrick T., MD Gender: Male
Advanced Dermatology and
Sebastian Ottuso, Patrick T., MD
Cosmetic Surgery
484 US Highway 1 Advanced Dermatology and
Suite C Cosmetic Surgery
Haryani, Anand, MD
Sebastian, FL 32958 1955 22nd Avenue
Haryani Dermatology and
Phone: (772) 646-6100 / Fax: Vero Beach, FL 32960
Aesthetics
(772) 646-6110 Phone: (772) 299-0085 / Fax:
8745 US Highway 1
Gender: Male (772) 633-3597
Sebastian, FL 32958
ID #: 200000020745 Gender: Male
Phone: (772) 217-5362 / Fax:
ID #: 200000020745
(772) 218-7267
Varghese, Shery M., MD
Gender: Male Ottuso, Patrick T., MD
Water's Edge Dermatology
ID #: 200000021500 Advanced Dermatology and
7765 144th Street
Unit 1 Cosmetic Surgery
Haryani, Divya S., MD
Sebastian, FL 32958 1945 22nd Avenue
Haryani Dermatology and
Phone: (772) 388-3551 / Fax: Vero Beach, FL 32960
Aesthetics
(772) 338-3557 Phone: (770) 299-0085 / Fax:
8745 US Highway 1
Gender: Male (772) 633-3597
Sebastian, FL 32958
Gender: Male
Phone: (772) 217-5362 / Fax:
ID #: 200000020745
(772) 218-7267
Gender: Female
Language(s): Hindi
ID #: 200000024741

10
Ultimate Health Plans Indian River January 2022

Ottuso, Patrick T., MD Williams, Alexander J., MD Perez, Alejandro, DO


Advanced Dermatology and Cleveland Clinic IRH Endocrinology Sebastian River Gastroenterology
Cosmetic Surgery 3450 11th Court 8005 Bay Street
3755 7th Terrace Suite 204B Suite 1
Suite 101 Vero Beach, FL 32960 Sebastian, FL 32958
Vero Beach, FL 32960 Phone: (772) 770-6872 / Fax: Phone: (772) 567-4825 / Fax:
Phone: (772) 569-5056 / Fax: (772) 770-6873 (772) 567-8856
(772) 562-5098 Gender: Male Gender: Male
Gender: Male ID #: 200000028211 Language(s): Spanish
ID #: 200000020745 ID #: 200000021633

Gastroenterology Vero Beach


Endocrinology

Sebastian Canipe, Ashley L., MD


Sebastian Cleveland Clinic Indian River
Hospital - Gastroenterology
Lopez, Tania, DO 3450 11th Court
Williams, Alexander J., MD Sebastian River Gastroenterology Suite 206
IRHS Multi Specialty Office 8005 Bay Street Vero Beach, FL 32960
801 Wellness Way Suite 1 Phone: (772) 299-3511 / Fax:
Suite 109 Sebastian, FL 32958 (772) 299-3517
Sebastian, FL 32958 Phone: (772) 567-4825 / Fax: Gender: Female
Phone: (772) 794-5800 / Fax: (772) 567-8856 ID #: 200000024297
(772) 794-5801 Gender: Female
Gender: Male ID #: 200000021541 Eberhart, Charles, MD
ID #: 200000028211 Cleveland Clinic Indian River
Lui, Alec Y., MD Hospital - Gastroenterology
Alec Y. Lui, MD 3450 11th Court
Vero Beach 13845 US Highway 1 Suite 206
Sebastian, FL 32958 Vero Beach, FL 32960
Phone: (772) 589-9071 / Fax: Phone: (772) 299-3511 / Fax:
Biezunski, David R., MD (772) 589-8017
Steward Health Care Network, Inc. (772) 299-3517
Gender: Male Gender: Male
3745 11th Circle Language(s): Chinese
Suite 105 ID #: 200000024307
ID #: 200000023184
Vero Beach, FL 32960
Phone: (772) 564-2485
Gender: Male
ID #: 200000023537

11
Ultimate Health Plans Indian River January 2022

Gitin, Yakov I., MD Lopez, Tania, DO Pestana, Laura, DO


Cleveland Clinic Indian River Steward Gastroenterology IRHS Gastroenterology Practice
Hospital - Gastroenterology Associates 3450 11th Court
3450 11th Court 3745 11th Circle Suite 206
Suite 206 Suite 103 Vero Beach, FL 32960
Vero Beach, FL 32960 Vero Beach, FL 32960 Phone: (772) 299-3511 / Fax:
Phone: (772) 299-3511 / Fax: Phone: (772) 567-4825 / Fax: (772) 299-3517
(772) 299-3517 (772) 567-8856 Gender: Female
Gender: Male Gender: Female ID #: 200000027403
ID #: 200000024317 ID #: 200000021537
Zerega, Joseph J., MD
Golden, Nicholas C., MD Lui, Alec Y., MD Cleveland Clinic Indian River
IRHS Gastroenterology Practice Alec Y. Lui, MD Hospital - Gastroenterology
3450 11th Court 275 18th Street 3450 11th Court
Suite 206 Suite 102 Suite 206
Vero Beach, FL 32960 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 299-3511 / Fax: Phone: (772) 562-6818 / Fax: Phone: (772) 299-3511 / Fax:
(772) 299-3517 (772) 299-3653 (772) 299-3517
Gender: Male Gender: Male Gender: Male
ID #: 200000028200 Language(s): Chinese ID #: 200000024327
ID #: 200000023184
Grossman, Bruce M., MD
Cleveland Clinic Indian River MacKay, Gregory D., MD
Hospital - Gastroenterology Cleveland Clinic Indian River General Surgery
3450 11th Court Hospital - Gastroenterology
Suite 206 3450 11th Court
Sebastian
Vero Beach, FL 32960 Suite 206
Phone: (772) 299-3511 / Fax: Vero Beach, FL 32960
(772) 299-3517 Phone: (772) 299-3511 / Fax: Domkowski, Patrick W., MD
Gender: Male (772) 299-3517 Riverside Surgical & Weight Loss
ID #: 200000024325 Gender: Male Center
ID #: 200000024349 14430 US Highway 1
Joseph, Pramod, MD
101
Pramod Joseph, MD, LLC Perez, Alejandro, DO
Sebastian, FL 32958
275 18th Street Steward Gastroenterology
Phone: (772) 581-8003 / Fax:
Suite 103 Associates
(772) 581-8005
Vero Beach, FL 32960 3745 11th Circle
Gender: Male
Phone: (772) 567-6181 / Fax: Suite 103
ID #: 200000024066
(772) 567-8242 Vero Beach, FL 32960
Gender: Male Phone: (772) 567-4825 / Fax:
Language(s): Hindi, Kannada, (772) 567-8856
Telugu Gender: Male
ID #: 200000023269 Language(s): Spanish
ID #: 200000021629

12
Ultimate Health Plans Indian River January 2022

Koziarski, John D., MD Glotzer, Daniel, MD Paul, Derek K., MD


Water's Edge Dermatology Cleveland Clinic Indian River Derek K. Paul, MD
7765 144th Street Hospital - General Surgeons 3735 11th Circle
Unit 1 3450 11th Court Suite 101
Sebastian, FL 32958 Suite 204 Vero Beach, FL 32960
Phone: (772) 388-3551 / Fax: Vero Beach, FL 32960 Phone: (772) 569-5660 / Fax:
(772) 338-3557 Phone: (772) 770-0323 / Fax: (772) 569-4343
Gender: Male (772) 778-3460 Gender: Male
Gender: Male ID #: 200000027413
Radecke, Jason M., MD ID #: 200000024320
Riverside Surgical & Weight Loss Radecke, Jason M., MD
Center Johnson, Paul E., MD Steward Gastroenterology
14430 US Highway 1 IRHS Physician Network General Associates
101 Surgery 3745 11th Circle
Sebastian, FL 32958 3450 11th Court Suite 103
Phone: (772) 581-8003 / Fax: Suite 204 Vero Beach, FL 32960
(772) 581-8005 Vero Beach, FL 32960 Phone: (772) 567-4825 / Fax:
Gender: Male Phone: (772) 770-6850 (772) 567-8856
ID #: 200000021637 Gender: Male Gender: Male
ID #: 200000028790 ID #: 200000021631

Vero Beach Koziarski, John D., MD Rosenthal, Raul J., MD


Water's Edge Dermatology IRHS Physician Network General
805 37th Place Surgery
Bongiorno, Philip F., MD Vero Beach, FL 32960 3450 11th Court
Indian River Health Services, Inc. Phone: (772) 257-7373 / Fax: Suite 204
1000 36th Street (772) 257-7377 Vero Beach, FL 32960
Vero Beach, FL 32960 Gender: Male Phone: (772) 770-6850
Phone: (772) 567-4311 / Fax: Gender: Male
(772) 563-4623 Murphy, Edward, MD ID #: 200000028805
Gender: Male Cleveland Clinic Indian River
ID #: 200000024278 Hospital - General Surgeons Tousimis, Eleni A., MD
3450 11th Court IRHS Medical Oncology
Bongiorno, Philip F., MD Suite 204 3555 10th Court
Indian River Health Services, Inc. Vero Beach, FL 32960 Suite 200B
3450 11th Court Phone: (772) 770-0323 / Fax: Vero Beach, FL 32960
Suite 105 (772) 778-3460 Phone: (772) 563-4673 / Fax:
Vero Beach, FL 32960 Gender: Male (772) 226-4825
Phone: (772) 563-4580 / Fax: ID #: 200000024290 Gender: Female
(772) 563-4690 ID #: 200000028724
Gender: Male
ID #: 200000024278

13
Ultimate Health Plans Indian River January 2022

Hematology Vero Beach Nephrology

Vero Beach Callahan, Charles M., MD Sebastian


Cleveland Clinic Indian River
Hospital - Infectious Disease
Hurtado-Cordovi, Jorge M., MD 3450 11th Court Franck, Jean L., MD
IRHS Medical Oncology Suite 203 Orlando Kidney Care
3555 10th Circle Vero Beach, FL 32960 14355 US Highway 1
Suite 200B Phone: (772) 794-5631 / Fax: Sebastian, FL 32958
Vero Beach, FL 32960 (772) 794-5635 Phone: (772) 978-5811 / Fax:
Phone: (772) 563-4673 / Fax: Gender: Male (772) 978-5815
(772) 226-4825 ID #: 200000024294 Gender: Male
Gender: Male Language(s): French, Creole
ID #: 200000024328 Cardona Bonet, Lyssette L., MD ID #: 200000020017
IRHS Infectious Disease
Ulhoa-Cintra, Alice B., MD 1000 36th Street Jaffry, Saatiah, MD
IRHS Medical Oncology Vero Beach, FL 32960 Saatiah Jaffry, MD
3555 10th Circle Phone: (772) 794-5631 / Fax: 7965 Bay Street
Suite 200B (772) 794-1474 Suite 6
Vero Beach, FL 32960 Gender: Female Sebastian, FL 32958
Phone: (772) 563-4673 / Fax: ID #: 200000024111 Phone: (772) 918-8487 / Fax:
(772) 226-4825 (772) 918-8621
Gender: Female Phillips, Michael C., MD Gender: Female
ID #: 200000024315 Cleveland Clinic Indian River
Hospital - Infectious Disease Jaffry, Saatiah, MD
3450 11th Court Saatiah Jaffry, MD
Suite 203 7965 Bay Street
Infectious Disease Vero Beach, FL 32960 Suite 6
Phone: (772) 794-5631 / Fax: Sebastian, FL 32958
(772) 794-5635 Phone: (772) 918-8487 / Fax:
Sebastian
Gender: Male (772) 918-8621
ID #: 200000024303 Gender: Female
Thomas-St. Cyr, Aisha Q., MD ID #: 200000021671
Yagnik, Kruti J., DO
Sebastian ID Care, LLC
IRHS Infectious Disease Puello Diaz, Pablo E., MD
7955 Bay Street
3450 11th Court Orlando Kidney Care
Sebastian, FL 32958
Suite 203 14355 US Highway 1
Phone: (772) 388-9155 / Fax:
Vero Beach, FL 32960 Sebastian, FL 32958
(772) 338-9154
Phone: (772) 794-5631 / Fax: Phone: (772) 978-5811 / Fax:
Gender: Female
(772) 794-5635 (772) 978-5815
Language(s): French, Creole
Gender: Female Gender: Male
ID #: 200000024073
ID #: 200000037261 Language(s): Spanish
ID #: 200000020886

14
Ultimate Health Plans Indian River January 2022

Vero Beach Taveras Pantaleon, Ana E., MD Vero Beach


Vero Renal Associates, PA
777 37th Street
Franck, Jean L., MD Suite C107 Aldana, Peter R., MD
Florida Kidney Care Vero Beach, FL 32960 Peter R. Aldana, MD, PA
920 37th Place Phone: (772) 562-3234 / Fax: 787 37th Street
Suite 105 (772) 562-3236 Suite E240
Vero Beach, FL 32960 Gender: Female Vero Beach, FL 32960
Phone: (772) 978-5811 / Fax: Language(s): Spanish Phone: (772) 794-3527
(772) 978-5815 ID #: 200000026238 Gender: Male
Gender: Male ID #: 200000023510
Language(s): French, Creole
ID #: 200000020017 Beristain, Xabier, MD
Neurology IRHS Neurology
Handler, Richard J., MD 3450 11th Court
Vero Renal Associates, PA Suite 305B
777 37th Street Statewide Vero Beach, FL 32960
Suite C107 Phone: (772) 770-6848 / Fax:
Vero Beach, FL 32960 (772) 770-6849
Burry, Matthew, MD
Phone: (772) 562-3234 / Fax: Gender: Male
The Neurohealth Sciences Center,
(772) 562-3236 ID #: 200000024274
LLC
Gender: Male
8400 Red Bug Lake Road Dompenciel, Michelle M., MD
ID #: 200000026296
Suite 1010 IRHS Neurology
Pitts, Eric, DO Ovideo, FL 32765 3450 11th Court
Vero Renal Associates, PA Phone: (407) 833-7505 / Fax: Suite 305B
777 37th Street (407) 833-7509 Vero Beach, FL 32960
Suite C107 Gender: Male Phone: (772) 770-6848 / Fax:
Vero Beach, FL 32960 ID #: 200000022908 (772) 770-6849
Phone: (772) 562-3234 / Fax: Gender: Female
(772) 562-3236 Sebastian ID #: 200000028708
Gender: Male
ID #: 200000026360 Galvez-Jimenez, Nestor, MD
Rose, Roberta S., DO IRHS Neurology
Puello Diaz, Pablo E., MD Roberta S. Rose, DO 3450 11th Court
Florida Kidney Care 8005 Bay Street Suite 305B
920 37th Place Suite 3 Vero Beach, FL 32960
Suite 105 Sebastian, FL 32958 Phone: (772) 770-6848 / Fax:
Vero Beach, FL 32960 Phone: (772) 388-1100 / Fax: (772) 770-6849
Phone: (772) 978-5811 / Fax: (772) 918-8834 Gender: Male
(772) 978-5815 Gender: Female ID #: 200000037249
Gender: Male ID #: 200000027415
Language(s): Spanish
ID #: 200000020886

15
Ultimate Health Plans Indian River January 2022

Garcia Gracia, Camilo, MD Khan, Asif A., MD Nalluri, Suman, MD


IRHS Neurology Cleveland Clinic IRH Neuro Cleveland Clinic IRH Neuro
3450 11th Court Interventional Interventional
Suite 305B 1000 36th Street 1000 36th Street
Vero Beach, FL 32960 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 770-6848 / Fax: Phone: (772) 770-6838 / Fax: Phone: (772) 770-6838 / Fax:
(772) 770-6849 (772) 770-6841 (772) 770-6841
Gender: Male Gender: Male Gender: Male
ID #: 200000037276 ID #: 200000024343 ID #: 200000024291

Husainy, Taher, MD Khan, Asif A., MD Nalluri, Suman, MD


Taher Husainy, MD Cleveland Clinic IRH Neuro Cleveland Clinic IRH Neuro
787 37th Street Interventional Interventional
Suite E 210 1000 36th Street 1000 36th Street
Vero Beach, FL 32960 Suite 304 Suite 304
Phone: (772) 770-0808 / Fax: Vero Beach, FL 32960 Vero Beach, FL 32960
(772) 770-0260 Phone: (772) 770-6838 / Fax: Phone: (772) 770-6838 / Fax:
Gender: Male (772) 770-6841 (772) 770-6841
Language(s): Arabic Gender: Male Gender: Male
ID #: 200000027262 ID #: 200000024343 ID #: 200000024291

Jones, Danita B., DO Khan, Tarannum S., MD Sengul, Buse, MD


IRHS Neurology IRHS Neurology IRHS Neurology
3450 11th Court 3450 11th Court 3450 11th Court
Suite 305B Suite 305B Suite 305B
Vero Beach, FL 32960 Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 770-6848 / Fax: Phone: (772) 770-6848 / Fax: Phone: (772) 770-6848 / Fax:
(772) 770-6849 (772) 770-6849 (772) 770-6849
Gender: Female Gender: Female Gender: Female
ID #: 200000028711 ID #: 200000037251 ID #: 200000027329

Jovanovic, Nikola, MD Lugo-Sanchez, Ramon G., MD Vela Duarte, Daniel H., MD


IRHS Neurology IRHS Neurology Cleveland Clinic IRH Neuro
3450 11th Court 3450 11th Court Interventional
Suite 305B Suite 305B 3450 11th Court
Vero Beach, FL 32960 Vero Beach, FL 32960 Suite 304
Phone: (772) 770-6848 / Fax: Phone: (772) 770-6848 / Fax: Vero Beach, FL 32960
(772) 770-6849 (772) 770-6849 Phone: (772) 770-6838 / Fax:
Gender: Male Gender: Male (772) 770-6841
ID #: 200000037252 Gender: Male
ID #: 200000037260

16
Ultimate Health Plans Indian River January 2022

Vela Duarte, Daniel H., MD Szentirmai, Oszkar, MD DuPree McClure, Cristina M., DO
Cleveland Clinic IRH Neuro Indian River Health Services, Inc. Cleveland Clinic Indian River
Interventional 1000 36th Street Hospital - Partners In Women's
1000 36th Street Vero Beach, FL 32960 Health
Vero Beach, FL 32960 Phone: (772) 567-4311 / Fax: 801 Wellness Way
Phone: (772) 770-6838 / Fax: (772) 563-4623 Suite 109
(772) 770-6841 Gender: Male Sebastian, FL 32958
Gender: Male Language(s): Hungarian Phone: (772) 770-6801
ID #: 200000037260 Gender: Female
Uribe Villa, Juan D., MD ID #: 200000024285
IRMC Physician Network
Neurosurgery Fyffe, George J., MD
Neurosurgery 3450 11th Court Cleveland Clinic Indian River
Suite 305A Hospital - Partners In Women's
Vero Beach, FL 32960 Health
Vero Beach
Phone: (772) 563-4741 / Fax: 801 Wellness Way
(772) 563-4646 Suite 109
Rey Dios, Roberto, MD Gender: Male Sebastian, FL 32958
IRMC Physician Network ID #: 200000024316 Phone: (772) 770-6801
Neurosurgery Gender: Male
3450 11th Court ID #: 200000024312
Suite 305A Obstetrics / Gynecology Gallo, Taryn N., MD
Vero Beach, FL 32960
Indian River Gynecology
Phone: (772) 563-4741 / Fax:
14430 US Highway 1
(772) 563-4646 Sebastian
Suite 104
Gender: Male
Sebastian, FL 32958
ID #: 200000024305
Bigay-Rodriguez, Felix U., MD Phone: (772) 589-6400 / Fax:
Szentirmai, Oszkar, MD Cleveland Clinic Indian River (772) 589-6441
Back & Spine Center at Martin Hospital - Multi-Specialty Office Gender: Female
Health 801 Wellness Way ID #: 200000021481
1000 36th Street Suite 109
Vero Beach, FL 32960 Sebastian, FL 32958 Vero Beach
Phone: (772) 288-5862 / Fax: Phone: (772) 770-6801
(772) 770-6841 Gender: Male
Gender: Male ID #: 200000024276 Berkowitz, Kathleen M., MD
Language(s): Hungarian Indian River Health Services
1050 37th Place
Suite 101-103
Vero Beach, FL 32960
Phone: (772) 770-6116 / Fax:
(772) 564-6120
Gender: Female
ID #: 200000024108

17
Ultimate Health Plans Indian River January 2022

Bigay-Rodriguez, Felix U., MD Goodman, Lindsay L., MD Vero Beach


Partners In Women's Health Steward Coastal Gynecology
1050 37th Place Specialists
Suite 101-103 840 37th Place Hurtado-Cordovi, Jorge M., MD
Vero Beach, FL 32960 Suite 1 IRHS Medical Oncology
Phone: (772) 770-6116 Vero Beach, FL 32960 3555 10th Circle
Gender: Male Phone: (772) 567-6412 / Fax: Suite 200B
ID #: 200000024276 (772) 567-4991 Vero Beach, FL 32960
Gender: Female Phone: (772) 563-4673 / Fax:
Bruce, Lindsey G., MD ID #: 200000021485 (772) 226-4825
Steward Coastal Gynecology Gender: Male
Specialists Maki, Lance A., MD ID #: 200000024328
840 37th Place Partners In Women's Health
Suite 1 1050 37th Place Patterson, Stephen G., MD
Vero Beach, FL 32960 Suite 101-103 Cleveland Clinic Indian River
Phone: (772) 567-6412 / Fax: Vero Beach, FL 32960 Hospital - Scully-Welsh Cancer
(772) 567-4991 Phone: (772) 770-6116 Center
Gender: Female Gender: Male 3555 10th Circle
ID #: 200000021179 Suite 101
Malave-Huertos, Deni, MD Vero Beach, FL 32960
DuPree McClure, Cristina M., DO Cleveland Clinic Indian River Phone: (772) 226-4810
Partners In Women's Health Hospital - Premier Womens Gender: Male
1050 37th Place Health ID #: 200000024300
Suite 101-103 3450 11th Court
Vero Beach, FL 32960 Suite 304 Tan-Chiu, Elizabeth D., MD
Phone: (772) 770-6116 Vero Beach, FL 32960 IRHS Medical Oncology
Gender: Female Phone: (772) 770-6801 / Fax: 3555 10th Court
ID #: 200000024285 (772) 563-4641 Suite 200B
Gender: Male Vero Beach, FL 32960
Fyffe, George J., MD ID #: 200000024350 Phone: (772) 563-4673 / Fax:
Partners In Women's Health (772) 226-4825
1050 37th Place Malave-Huertos, Deni, MD Gender: Female
Suite 101-103 Partners In Women's Health ID #: 200000027394
Vero Beach, FL 32960 1050 37th Place
Phone: (772) 770-6116 Suite 101-103
Gender: Male Vero Beach, FL 32960
Ophthalmology
ID #: 200000024312 Phone: (772) 770-6116
Gender: Male
ID #: 200000024350 Statewide

Oncology Argus Vision


Phone: (800) 210-5511
https:// argusdental.com /find-a-
Also see Hematology/Oncology provider/

18
Ultimate Health Plans Indian River January 2022

Oral & Maxillofacial surgery Ware, Anthony W., MD Greeson, Clay B., MD
Coastal Joint and Sports Medicine IRHS Orthopedics
13000 US Highway 1 3450 11th Court
Statewide Suite 5 Suite 302
Sebastian, FL 32958 Vero Beach, FL 32960
Phone: (772) 581-5881 / Fax: Phone: (772) 794-1444 / Fax:
Argus Dental (772) 581-5883 (772) 794-1475
Phone: (800) 340-8869 Gender: Male Gender: Male
https:// argusdental.com /find-a- ID #: 200000021660 ID #: 200000024323
provider/
Iannotti, Joseph P., MD
Vero Beach Indian River Health Services, Inc.
1000 36th Street
Orthopedic Surgery
Vero Beach, FL 32960
Brooks, Peter J., MD Phone: (772) 567-4311 / Fax:
IRHS Orthopedics (772) 563-4623
Sebastian 3450 11th Court Gender: Male
Suite 302A ID #: 200000024335
Vero Beach, FL 32960
Maes, Kirk E., MD
Phone: (772) 794-1444 / Fax: Nichols, George K., MD
Coastal Joint and Sports Medicine
(772) 794-1475 Cleveland Clinic Indian River
13000 US Highway 1
Gender: Male Hospital - Orthopedic Surgeons
Suite 5
ID #: 200000028382 3450 11th Court
Sebastian, FL 32958
Phone: (772) 581-5881 / Fax: Suite 302A
Dilella, Carl P., DO Vero Beach, FL 32960
(772) 581-5883 Orthopaedic Center of Vero Beach
Gender: Male Phone: (772) 794-1444
1285 36th Street Gender: Male
ID #: 200000021546 Suite 100 ID #: 200000024293
Vero Beach, FL 32960
Saleh, Anas, MD
Phone: (772) 778-2009 / Fax: Saleh, Anas, MD
IRHS Orthopedics
(772) 778-2910 IRHS Orthopedics
801 Wellness Way
Gender: Male 3450 11th Court
Suite 109
ID #: 200000021475 Suite 302
Sebastian, FL 32958
Phone: (772) 794-1444 Vero Beach, FL 32960
Dilella, Carl P., DO Phone: (772) 794-1444 / Fax:
Gender: Male Orthopaedic Center of Vero Beach
ID #: 200000024309 (772) 794-1475
1285 36th Street Gender: Male
Suite 102 ID #: 200000024309
Vero Beach, FL 32960
Phone: (772) 778-2009 / Fax:
(772) 778-2910
Gender: Male
ID #: 200000021475

19
Ultimate Health Plans Indian River January 2022

Steinfeld, Richard, MD Otolaryngology Pain Management


Orthopaedic Center of Vero Beach
1285 36th Street
Suite 100 Sebastian Sebastian
Vero Beach, FL 32960
Phone: (772) 778-2009 / Fax:
(772) 778-2910 Tudor, Timothy S., DO Cordner, Harold J., MD
Gender: Male Steward Medical Group, Inc. Florida Pain Management
ID #: 200000021641 12920 US Highway 1 Associates
Suite B 13825 Highway US 1
Steinfeld, Richard, MD Sebastian, FL 32958 Sebastian, FL 32958
Orthopaedic Center of Vero Beach Phone: (772) 228-9808 / Fax: Phone: (772) 388-9998 / Fax:
1285 36th Street (772) 228-9844 (772) 388-9742
Suite 102 Gender: Male Gender: Male
Vero Beach, FL 32960 ID #: 200000021650 ID #: 200000021189
Phone: (772) 778-2009 / Fax:
(772) 778-2910
Vero Beach Vero Beach
Gender: Male
ID #: 200000021641

Ware, Anthony W., MD Burkey, Brian B., MD Cordner, Harold J., MD


Steward Orthopedic & Sports Indian River Health Services, Inc. Florida Pain Management
Medicine 3555 10th Circle Associates
1715 37th Place Suite 200A 960 37th Place
Suite 101 Vero Beach, FL 32960 Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 563-4673 Phone: (772) 388-9998 / Fax:
Phone: (772) 778-0600 / Fax: Gender: Male (772) 388-9742
(772) 778-4005 ID #: 200000028384 Gender: Male
Gender: Male ID #: 200000021189
Reisman, Allen T., MD
ID #: 200000021659
Indian River Health Services, Inc. Khalaf, Majid R., MD
3555 10th Circle Pain Management Institute of
Suite 200A Florida, PA
Vero Beach, FL 32960 1936 32nd Avenue
Phone: (772) 563-4673 Vero Beach, FL 32960
Gender: Male Phone: (772) 778-8882 / Fax:
ID #: 200000028810 (772) 778-8894
Gender: Male
Language(s): Arabic
ID #: 200000023986

20
Ultimate Health Plans Indian River January 2022

Physical Medicine and Podiatry Vero Beach


Rehabilitation

Vero Beach Endara-Bravo, Andres S., MD


Vero Beach IRHS Pulmonary
3450 11th Court
Kalish, Keith J., DPM Suite 306
Khromov, Igor J., MD Keith J. Kalish, DPM, PA Vero Beach, FL 32960
Sports Spine and Pain Medicine 1285 36th Street Phone: (772) 794-5800 / Fax:
2096 38th Avenue Suite 203 (772) 794-5801
Vero Beach, FL 32960 Vero Beach, FL 32960 Gender: Male
Phone: (772) 978-9997 / Fax: Phone: (772) 567-0111 / Fax: ID #: 200000024308
(772) 567-1828 (772) 257-6521
Gender: Male Gender: Male Maldonado, Diego A., MD
ID #: 200000021032 ID #: 200000023810 Cleveland Clinic Indian River
Hospital - Pulmonary Medicine
Rivera, Miguel A., MD Roberts, Joshua C., DPM 3450 11th Court
Orthopaedic Center of Vero Beach Foot Seas Podiatry, Inc. Suite 306
1285 36th Street 787 37th Street Vero Beach, FL 32960
Suite 100 Suite E220 Phone: (772) 794-5800
Vero Beach, FL 32960 Vero Beach, FL 32960 Gender: Male
Phone: (772) 778-2009 / Fax: Phone: (772) 770-9127 / Fax: ID #: 200000024356
(772) 778-2910 (772) 770-1530
Gender: Male Gender: Male Suen, John S., MD
Language(s): Spanish ID #: 200000020690 John Suen, MD, PA
ID #: 200000021639 3735 11th Circle
Suite 103
Rivera, Miguel A., MD Vero Beach, FL 32960
Orthopaedic Center of Vero Beach Pulmonology Phone: (772) 770-4888 / Fax:
1285 36th Street (772) 770-0190
Suite 102 Gender: Male
Sebastian
Vero Beach, FL 32960 ID #: 200000020969
Phone: (772) 778-2009 / Fax:
(772) 778-2910 Tonner, Michael P., MD
Yankovich, Andrei, MD
Gender: Male Michael P. Tonner, MD
Steward Medical Group, Inc.
Language(s): Spanish 3735 11th Circle
12920 US Highway 1
ID #: 200000021639 Suite 103
Suite A
Vero Beach, FL 32960
Sebastian, FL 32958
Phone: (772) 770-4888 / Fax:
Phone: (772) 388-8322 / Fax:
(772) 770-0190
(772) 388-8323
Gender: Male
Gender: Male
ID #: 200000020997
Language(s): English
ID #: 200000021651

21
Ultimate Health Plans Indian River January 2022

Velasquez, Hermes S., MD Shankar, Ravi A., MD Fleming, Christopher, MD


Cleveland Clinic Indian River Cancer Care Centers of Brevard, IRHS Radiation Oncology
Hospital - Pulmonary Medicine Inc. 3555 10th Circle
3450 11th Court 13050 US Highway 1 Suite 101
Suite 306 Sebastian, FL 32958 Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 589-1995 / Fax: Phone: (772) 794-3333 / Fax:
Phone: (772) 794-5800 (772) 589-1922 (772) 569-6949
Gender: Male Gender: Male Gender: Male
ID #: 200000024319 Language(s): Hindi ID #: 200000037275
ID #: 200000020676
Nikolaev, Anatoly, MD
IRHS Radiation Oncology
Radiation Oncology Vero Beach 3555 10th Circle
Suite 101
Vero Beach, FL 32960
Sebastian Byer, Stuart L., MD Phone: (772) 794-3333 / Fax:
GenesisCare USA of Florida, LLC (772) 569-6949
931 37th Place Gender: Male
Chopra, Rahul R., MD Vero Beach, FL 32960
Cancer Care Centers of Brevard, ID #: 200000028809
Phone: (772) 774-4182 / Fax:
Inc. (772) 774-4186 Pagnini, Paul G., MD
13050 US Highway 1 Gender: Male Cleveland Clinic Indian River
Sebastian, FL 32958 ID #: 200000021357 Hospital - Scully-Welsh Cancer
Phone: (772) 589-1995 / Fax:
Center
(772) 589-1922 Cornell, Dan R., MD 3555 10th Circle
Gender: Male IRHS Radiation Oncology Suite 101
ID #: 200000020663 3555 10th Circle Vero Beach, FL 32960
Suite 101 Phone: (772) 226-4810
Panarese, Todd V., MD Vero Beach, FL 32960
Cancer Care Centers of Brevard, Gender: Male
Phone: (772) 794-3333 / Fax: ID #: 200000024295
Inc. (772) 569-6949
13050 US Highway 1 Gender: Male Perman, Mark L., MD
Sebastian, FL 32958 ID #: 200000024304 GenesisCare USA of Florida, LLC
Phone: (772) 589-1995 / Fax:
931 37th Place
(772) 589-1922 Crook, William F., MD Vero Beach, FL 32960
Gender: Male GenesisCare USA of Florida, LLC Phone: (772) 774-4182 / Fax:
ID #: 200000020673 931 37th Place (772) 774-4186
Vero Beach, FL 32960 Gender: Male
Phone: (772) 774-4182 / Fax: ID #: 200000021318
(772) 774-4186
Gender: Male
Language(s): Spanish
ID #: 200000021292

22
Ultimate Health Plans Indian River January 2022

Peterson, John P., MD Parody, Ivana M., MD Thoracic Surgery


IRHS Radiation Oncology IRHS Rheumatology
3555 10th Court 3450 11th Court
Suite 101 Suite 301 Sebastian
Vero Beach, FL 32960 Vero Beach, FL 32960
Phone: (772) 794-3333 / Fax: Phone: (772) 569-8550 / Fax:
(772) 569-6949 (772) 567-4345 Greene, Michael A., MD
Gender: Male Gender: Female Steward Thoracic Surgery
ID #: 200000037255 ID #: 200000024298 816 US Highway 1
Sebastian, FL 32958
Quintero Betancourt, Javier A., Phone: (772) 581-5848 / Fax:
MD (772) 581-5849
Rheumatology IRHS Rheumatology Gender: Male
3450 11th Court Language(s): English
Suite 301 ID #: 200000021497
Vero Beach
Vero Beach, FL 32960
Phone: (772) 569-8550 / Fax:
Vero Beach
Kennedy, Alastair C., MD (772) 567-4345
IRHS Rheumatology Gender: Male
3450 11th Court ID #: 200000037256
Bongiorno, Philip F., MD
Suite 301 Indian River Health Services, Inc.
Rosian, Rochelle, MD
Vero Beach, FL 32960 1000 36th Street
IRHS Rheumatology
Phone: (772) 569-8550 / Fax: Vero Beach, FL 32960
3450 11th Court
(772) 567-4345 Phone: (772) 567-4311 / Fax:
Suite 301
Gender: Male (772) 563-4623
Vero Beach, FL 32960
ID #: 200000024340 Gender: Male
Phone: (772) 569-8550 / Fax:
(772) 567-4345 ID #: 200000024278
Memet, Beatrice L., MD
IRHS Rheumatology Gender: Female
Bongiorno, Philip F., MD
3450 11th Court ID #: 200000028722
Indian River Health Services, Inc.
Suite 301 3450 11th Court
Vero Beach, FL 32960 Suite 105
Phone: (772) 569-8550 / Fax: Vero Beach, FL 32960
(772) 567-4345 Phone: (772) 563-4580 / Fax:
Gender: Female (772) 563-4690
ID #: 200000024361 Gender: Male
ID #: 200000024278

23
Ultimate Health Plans Indian River January 2022

Brizzio, Mariano E., MD Fergany, Amr F., MD Tardif, Christopher P., MD


Cardiac Surgery Group Steward Urology Specialists Cleveland Clinic Indian River
3450 11th Court 8005 Bay Street Hospital - Urology
Suite 105 Suite 4 3450 11th Court
Vero Beach, FL 32960 Sebastian, FL 32958 Suite 303
Phone: (772) 563-4580 / Fax: Phone: (772) 918-4327 / Fax: Vero Beach, FL 32960
(772) 563-4690 (772) 783-6980 Phone: (772) 794-9771
Gender: Male Gender: Male Gender: Male
ID #: 200000024292 Language(s): Arabic, French ID #: 200000024314
ID #: 200000024068
Justicz, Alexander G., MD
Indian River Health Services, Inc.
1000 36th Street Vero Beach Vascular Surgery
Vero Beach, FL 32960
Phone: (772) 567-4311 / Fax:
Crawford, Joseph P., MD Sebastian
(772) 563-4623
Gender: Male Advanced Urology Associates of
Florida
1986 35th Avenue Shalhoub, Hadi A., DO
Vero Beach, FL 32960 Advanced Vascular Solutions, LLC
Urology Phone: (772) 562-7220 / Fax: 13100 US Highway 1
(772) 562-5476 Sebastian, FL 32958
Gender: Male Phone: (772) 581-8900 / Fax:
Sebastian Language(s): Tagalog (772) 581-4478
ID #: 200000023565 Gender: Male
Language(s): Arabic
Crawford, Joseph P., MD Mason, Roy C., DO ID #: 200000023182
Advanced Urology Associates of Cleveland Clinic Indian River
Florida Hospital - Urology
7945 Bay Steet Vero Beach
3450 11th Court
Suite 4 Suite 303
Sebastian, FL 32958 Vero Beach, FL 32960
Phone: (772) 388-0239 / Fax: Ramdev, Pranay T., MD
Phone: (772) 794-9771 Vascular Interventional Vein
(772) 388-0249 Gender: Male
Gender: Male Association of Vero
ID #: 200000024359 960 37th Place
Language(s): Tagalog
ID #: 200000023565 Vero Beach, FL 32960
Rose, Marc C., MD
Phone: (772) 567-8482 / Fax:
Cleveland Clinic Indian River
(772) 567-8478
Hospital - Urology
Gender: Male
3450 11th Court
Language(s): Italian, Spanish,
Suite 303
Telugu
Vero Beach, FL 32960
ID #: 200000023630
Phone: (772) 567-3003 / Fax:
(772) 794-9773
Gender: Male
ID #: 200000024306

24
Ultimate Health Plans Indian River January 2022

Hospitals
For Inpatient Psychiatric Facilities,
please contact Beacon Health
Options at (800) 627-1259 or visit
https://
www.beaconhealthoptions.com
/find-a-provider/

Sebastian

Steward Sebastian River Medical


Center
13695 Us Highway 1
Sebastian, FL 32958
Phone: (508) 930-1403 / Fax:
(772) 388-3689

Vero Beach

Cleveland Clinic Indian River


Hospital
1000 36th Street
Vero Beach, FL 32960
Phone: (772) 567-4311 / Fax:
(772) 563-4441

25
Ultimate Health Plans Indian River January 2022

Urgent Care
Centers
Sebastian

Cleveland Clinic Indian River


Hospital - Walk-In Care -
Sebastian
801 Wellness Way
Sebastian, FL 32958
Phone: (772) 226-4200 / Fax:
(772) 226-4204

Vero Beach

CareSpot Express Healthcare


1820 58th Avenue
Unit 110
Vero Beach, FL 32966
Phone: (772) 257-3200 / Fax:
(772) 257-0187

Cleveland Clinic Indian River


Hospital - Walk-In Care Pointe
West
1960 Pointe West Drive
Vero Beach, FL 32966
Phone: (772) 226-4250

MedExpress
1150 US Highway 1
Vero Beach, FL 32960
Phone: (772) 978-5679 / Fax:
(772) 978-5680

26
Ultimate Health Plans Indian River January 2022

Skilled Nursing
Facilities (SNFs)
Vero Beach

Palm Garden of Vero Beach


1755 37th Street
Vero Beach, FL 32960
Phone: (772) 567-2443 / Fax:
(772) 925-3322

Sea Breeze Rehab and Nursing


Center
3663 15th Avenue
Vero Beach, FL 32960
Phone: (772) 567-2552 / Fax:
(772) 567-8929

27
Ultimate Health Plans Indian River January 2022

Diabetic Supplies - Mail Order Vero Radiology Associates


Ancillary 3725 11th Circle
Vero Beach, FL 32960
Statewide
Providers Phone: (772) 562-0163 / Fax:
(772) 562-1505

United Medco, Inc.


4250 Coral Ridge Drive
Ambulatory Surgical Center Suite 201 Diagnostic Testing
Coral Springs, FL 33065
Phone: (954) 947-4300 / Fax:
Vero Beach (954) 753-1669 Statewide

Associates for Surgical Care Clinicare Diagnostic Medical


1255 37th Street Diagnostic Radiology Services
Suite E 2311 Alternate 19
Vero Beach, FL 32960 Suite B
Phone: (772) 562-9339 / Fax: Statewide Palm Harbor, FL 34683
(772) 569-8868 Phone: (866) 961-5589 / Fax:
(727) 796-2965
Live Oak Endoscopy Center, LLC Allied Mobile X-Ray, Inc.
275 18th Street 8360 West Flagler Street
Suite 101 Suite 207
Miami, FL 33144 Durable Medical Equipment
Vero Beach, FL 32960
Phone: (772) 299-5005 / Fax: Phone: (877) 404-0333 / Fax:
(772) 299-1340 (877) 404-9339
Nationwide

Vero Beach
Dental Acelis Connected Health Services
6465 National Drive
Indian River MRI, Inc. Livermore, CA 94550
Statewide 1850 37th Street Phone: (877) 262-4669 / Fax:
Vero Beach, FL 32960 (925) 606-6978
Phone: (772) 562-3030 / Fax:
Argus Dental (772) 778-0766 Alere Home Monitoring, Inc.
Phone: (800) 340-8869 Phone: (877) 262-4669
https:// argusdental.com /find-a- Indian River Radiology, PA
provider/ 1485 37th Street Prism Medical Products, LLC
Suite 107 112 Church Street
Vero Beach, FL 32960 Suite 101
Phone: (772) 567-9745 / Fax: Elkin, NC 28621
(772) 567-6868 Phone: (888) 244-6421 / Fax:
(800) 975-6321

28
Ultimate Health Plans Indian River January 2022

Statewide Home Oxygen Medical Orthomedx Corporation


Equipment of Hernando 4329 36th Street
18735 Sakera Road Suite 800
180 Medical, Inc. Hudson, FL 34667 Orlando, FL 32811
8516 Northwest Expressway Phone: (727) 861-5542 / Fax: Phone: (407) 422-4526 / Fax:
Oklahoma City, OK 73162 (727) 861-5545 (407) 377-5770
Phone: (877) 688-2729 / Fax:
(888) 718-0633 InfuSystem, Inc. RespirTech
3851 West Hamlin Road 5905 Nathan Lane North
Acentus Rochester, MI 48309 Suite 200
4951-B East Adamo Drive Phone: (800) 962-9656 / Fax: Plymouth, MN 55442
Suite 200 (800) 455-4338 Phone: (800) 793-1261 / Fax:
Tampa, FL 33605 (800) 962-1611
Phone: (866) 684-2507 / Fax: Kelmedix, Inc.
(866) 695-2183 4646 Commerical Way Strive Medical, LLC
Spring Hill, FL 34606 5800 Campus Circle Drive East
ActivStyle Phone: (352) 592-1063 / Fax: Suite 100B
5912 Breckenridge Parkway (352) 592-1064 Irving, TX 75063
Suite G Phone: (888) 771-9229 / Fax:
Tampa, FL 33610 Kinex Medical Company, LLC (866) 680-5574
Phone: (813) 280-6547 / Fax: 1801 Airport Road
(877) 426-7329 Suite D SurfMed
Waukesha, WI 53188 2799 Southwest 32nd Avenue
Aeroflow Healthcare Phone: (800) 845-6364 / Fax: Building E, Suite 14
65 Beale Road (888) 845-3342 Pembroke Park, FL 33023
Arden, NC 28704 Phone: (888) 201-7873 / Fax:
Phone: (888) 345-1780 / Fax: Medline Industries, Inc. (888) 398-3149
(800) 249-1513 1 Medline Place
Mundelein, IL 60060 United Medco, Inc.
Comfort Medical, LLC Phone: (866) 356-4997 / Fax: 4250 Coral Ridge Drive
4240 Northwest 120th Avenue (866) 272-8122 Suite 201
Coral Springs, FL 33065 Coral Springs, FL 33065
Phone: (800) 700-4246 / Fax: Medline Industries, Inc. Phone: (954) 947-4300 / Fax:
(800) 604-9760 1501 Harris Road (954) 753-1669
Libertyville, IL 60048
Essential Medical Solutions, Inc. Phone: (866) 356-4997 / Fax: United States Medical Supply, LLC
3 Nebo Yorkville Road (866) 272-8122 8260 Northwest 27th Street
Yorkville, TN 38389 Suite 401
Phone: (877) 278-1079 / Fax: MY DME DOC, LLC Miami, FL 33122
(877) 231-3088 977 Del Mar Drive Phone: (305) 436-6033 / Fax:
Lady Lake, FL 32159 (305) 455-5700
Phone: (866) 726-9363 / Fax:
(888) 788-5796

29
Ultimate Health Plans Indian River January 2022

Universal Med Supply Home Health Kindred at Home


1329 West Walnut Hill Lane 525 Northwest Lake Whitney
Suite 100 Place
Irving, TX 75038 Statewide Suite 206
Phone: (972) 228-1820 / Fax: Port Saint Lucie, FL 34986
(972) 572-1112 Phone: (772) 223-2116 / Fax:
Advanced InfusionCare (772) 223-1772
US Med, LLC 212 Northside Drive
1480 Northwest 79th Avenue Valdosta, GA 31602 Options Home Health
Miami, FL 33126 Phone: (229) 242-3060 / Fax: 680 South Military Trail
Phone: (800) 787-6331 / Fax: (292) 242-9914 2nd Floor
(305) 455-5700 West Palm Beach, FL 33415
Phone: (561) 968-4434 / Fax:
Countywide
(561) 968-4474
Countywide
Options Home Health
AccentCare Home Health of Port 777 37th Street
Lincare, Inc. St Lucie Suite C102
4007 US Highway 1 548 University Boulevard Vero Beach, FL 32960
Vero Beach, FL 32960 Suite 101 Phone: (772) 234-5126 / Fax:
Phone: (772) 567-0822 / Fax: Port Saint Lucie, FL 34986 (772) 234-5127
(772) 562-7992 Phone: (772) 283-2247 / Fax:
(772) 283-9861 Pinnacle Home Care
Perkins Medical Supply 579 Northwest Lake Whitney
4005 20th Street Best PCS, LLC Place
Vero Beach, FL 32960 1750 North Florida Mango Road Suite 103
Phone: (772) 569-3797 / Fax: suite 414 Port Saint Lucie, FL 34986
(772) 567-1567 West Palm Beach, FL 33409 Phone: (772) 781-3006 / Fax:
Phone: (772) 344-6598 / Fax: (772) 781-3008
Southern Respiratory, Inc. (772) 344-6599
724 South Rossiter Street Visiting Nurse Association of
Mount Dora, FL 32757 Comprehensive Home Care Indian River County, Inc.
Phone: (352) 385-9116 / Fax: 2000 Palm Beach Lakes Boulevard 1110 35th Lane
(352) 385-3729 West Palm Beach, FL 33409 Vero Beach, FL 32960
Phone: (561) 588-0996 / Fax: Phone: (772) 567-5551 / Fax:
(561) 588-0446 (772) 978-5585
Fitness Program Comprehensive Home Care
1850 Southwest Fountainview
Boulevard Hearing
Silver Sneakers Fitness Port Saint Lucie, FL 34986
Phone: (888) 423-4632 Phone: (772) 323-2133 / Fax:
https:// tools.silversneakers.com (772) 323-2438 Hearing Services
/LocationSearch Phone: (800) 313-2763
https://
hearing.myultimatehp.com /

30
Ultimate Health Plans Indian River January 2022

Laboratory Occupational Therapy Vero Beach

Sebastian Vero Beach Indian River Dialysis Center


2150 45th Street
Unit 102
LabCorp Advanced Motion Therapeutic Vero Beach, FL 32967
13407 US Highway 1 Massage, Inc. Phone: (772) 567-2529 / Fax:
Suite 8B 2965 20th Street (772) 567-2587
Sebastian, FL 32958 Vero Beach, FL 32960
Phone: (772) 581-8708 / Fax: Phone: (772) 567-8585 / Fax: Oslo Dialysis
(772) 581-8709 (772) 299-7868 100 South US Highway 1
Vero Beach, FL 32962
LabCorp at Walgreens Phone: (772) 567-8496 / Fax:
9595 North US Highway 1 (772) 562-5735
Sebastian, FL 32958 Optometry - Routine Vision
Phone: (772) 242-6999 / Fax: Providers Sandy Shores Dialysis
(772) 388-1586 5947 20th Street
Vero Beach, FL 32966
Statewide Phone: (772) 770-0331 / Fax:
Vero Beach (772) 770-0336
Argus Vision
LabCorp Toll Free Customer Service
955 37th Place Phone: (800) 210-5511 Oxygen
Vero Beach, FL 32960 https:// argusdental.com /find-a-
Phone: (772) 978-0968 / Fax: provider/
(772) 978-0697 Home Oxygen Medical
Equipment of Hernando
18735 Sakera Road
Outpatient Dialysis Hudson, FL 34667
Mammography Phone: (727) 861-5542 / Fax:
(727) 861-5545
Sebastian
Vero Beach Kelmedix, Inc.
4646 Commerical Way
Sebastian Dialysis
Spring Hill, FL 34606
Vero Radiology Associates 1424 US Highway 1
Phone: (352) 592-1063 / Fax:
3725 11th Circle Suite C
(352) 592-1064
Vero Beach, FL 32960 Sebastian, FL 32958
Phone: (772) 562-0163 / Fax: Phone: (772) 589-9182 / Fax: Lincare, Inc.
(772) 562-1505 (772) 589-9959 4007 US Highway 1
Vero Beach, FL 32960
Phone: (772) 567-0822 / Fax:
(772) 562-7992

31
Ultimate Health Plans Indian River January 2022

Perkins Medical Supply Longevity Rehab Center Wound Care


4005 20th Street 1515 Indian River Boulvard
Vero Beach, FL 32960 Suite A135
Phone: (772) 569-3797 / Fax: Vero Beach, FL 32960 Continuum, LLC
(772) 567-1567 Phone: (772) 978-9750 / Fax: 7003 Valley Ranch Drive
(772) 978-9748 Little Rock, AZ 72223
Southern Respiratory, Inc. Phone: (866) 217-9900 / Fax:
724 South Rossiter Street (866) 217-9998
Mount Dora, FL 32757
Phone: (352) 385-9116 / Fax: Prosthetics and Orthotics
(352) 385-3729
Statewide

Physical Therapy
Liberator Medical Supply, Inc.
2979 Southeast Gran Park Way
Sebastian Stuart, FL 34997
Phone: (800) 536-2390 / Fax:
(800) 755-0843
Longevity Rehab Center
13000 US Highway 1 Tampa Bay Prosthetics
Suite 7 5109 North Armenia Avenue
Sebastian, FL 32958 Tampa, FL 33603
Phone: (772) 581-8326 / Fax: Phone: (813) 801-9110 / Fax:
(772) 581-0660 (813) 801-9048

Vero Beach
Sleep Studies

Advanced Motion Therapeutic


Massage, Inc. Statewide
2965 20th Street
Vero Beach, FL 32960
Phone: (772) 567-8585 / Fax: Blackstone Medical Services, LLC
(772) 299-7868 550 North Reo Street
Suite 250
Compass Therapeutic Tampa, FL 33609
1965 42nd Avenue Phone: (888) 710-2727 / Fax:
Suite 2 (888) 239-4616
Vero Beach, FL 32960
Phone: (772) 569-9747 / Fax:
(772) 564-0380

32
Ultimate Health Plans Indian River January 2022

Publix Pharmacy #0772 Vero Beach


Retail Pharmacy 9621 North US Highway 1
Sebastian, FL 32958
Phone: (772) 581-5737 Bailey's Pharmacy
780 US Highway 1 Ste 101
Statewide Publix Pharmacy #1035 Vero Beach, FL 32962
1451 Sebastian Blvd Phone: (772) 492-8559
Sebastian, FL 32958
CVS Pharmacy* Phone: (772) 581-5725 Coreys Pharmacy
Phone: (800) 746-7287 2912 Ocean Dr
https:// www.cvs.com /stores Sebastian Discount Pharmacy Vero Beach, FL 32963
13403 US Highway 1 Phone: (772) 231-6931
Publix Pharmacy* Sebastian, FL 32958
Phone: (800) 242-1227 Phone: (772) 594-9292 CVS Pharmacy
https:// www.publix.com 2500 53rd Street
/pharmacy Walgreens #4248 Vero Beach, FL 32967
13613 US Hwy 1 Phone: (772) 564-6110
Walgreens* Sebastian, FL 32958
Phone: (800) 925-4733 Phone: (772) 589-6477 CVS Pharmacy #00584
https:// www.walgreens.com 1706 US Hwy 1
/storelocator/find.jsp Walgreens #4619 Vero Beach, FL 32960
999 Sebastian Blvd Phone: (772) 567-7136
Walmart* Sebastian, FL 32958
Phone: (800) 966-6546 Phone: (772) 388-1096 CVS Pharmacy #03216
https:// www.walmart.com 5825 20th St
/pharmacy Walgreens #6991 Vero Beach, FL 32966
9595 N US Hwy 1 Phone: (772) 569-3777
Winn Dixie* Sebastian, FL 32958
Phone: (866) 946-6349 Phone: (772) 589-5177 CVS Pharmacy #03429
https:// www.winndixie.com 5052 N A1a
/pharmacy Walmart Pharmacy 10-1068 Vero Beach, FL 32963
2001 US Highway 1 Phone: (772) 231-9330
Sebastian, FL 32958
Sebastian Phone: (772) 589-7556 CVS Pharmacy #07883
4215 SW 9th St
Winn Dixie Vero Beach, FL 32968
Bay Street Pharmacy Inc 995 Fellsmere Rd Unit B Phone: (772) 564-8235
7746 Bay St Sebastian, FL 32958
Sebastian, FL 32958 Phone: (772) 388-4636 CVS Pharmacy #07894
Phone: (772) 589-2043 8495 S Federal Highway
Vero Beach, FL 32967
Careplus Pharmacy Phone: (772) 589-2822
13260 US Highway 1
Sebastian, FL 32958 CVS Pharmacy #16435
Phone: (772) 571-6496 5800 20th St
Vero Beach, FL 32966
Phone: (772) 778-4855

33
Ultimate Health Plans Indian River January 2022

Millers Health Mart Pharmacy Publix Pharmacy #1374 Winn Dixie


777 37th Street 5230 US Highway 1 2950 SW 9th St
Suite C100 Vero Beach, FL 32967 Vero Beach, FL 32968
Vero Beach, FL 32960 Phone: (772) 778-8022 Phone: (772) 562-3175
Phone: (772) 778-8585
Sam's Pharmacy 10-6520
Osceola Pharmacy 5565 20th Street
1635 14th Ave Vero Beach, FL 32966
Vero Beach, FL 32960 Phone: (772) 978-7701
Phone: (772) 562-3660
Walgreens #1127
Perkins Indian River Pharmacy 850 43rd Ave Sw
3721 10th Ct Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 562-0761
Phone: (772) 567-2555
Walgreens #11737
Perkins Pharmacy 5285 US Highway 1
4015 20th St Vero Beach, FL 32967
Vero Beach, FL 32960 Phone: (772) 925-3204
Phone: (772) 978-6470
Walgreens #3607
Publix Pharmacy #0240 915 South US Hwy 1
1255 US Hwy 1 Vero Beach, FL 32962
Vero Beach, FL 32960 Phone: (772) 569-5323
Phone: (772) 778-4771
Walgreens #3608
Publix Pharmacy #0284 1705 US Highway 1
2040 58th Ave Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 569-1414
Phone: (772) 563-2065
Walgreens #4642
Publix Pharmacy #0385 5755 20th St
810 S US Highway 1 Vero Beach, FL 32966
Vero Beach, FL 32962 Phone: (772) 778-1772
Phone: (772) 778-7933
Walmart Pharmacy 10-0931
Publix Pharmacy #0898 5555 20th Street
4145 9th Street Sw Vero Beach, FL 32966
Vero Beach, FL 32968 Phone: (772) 778-1202
Phone: (772) 299-6245
Walmart Pharmacy 10-4546
Publix Pharmacy #1150 1750 US Highway 1
415 21st St Vero Beach, FL 32960
Vero Beach, FL 32960 Phone: (772) 410-2642
Phone: (772) 562-0541

34
Ultimate Health Plans Indian River January 2022

Mail Order
Pharmacy
Statewide

Optumrx
Phone: (855) 842-6337

TTY 711
24 hours a day / 7 day a week
You can get prescription drugs
shipped to your home through our
network mail order delivery program.
For refills of your mail order
prescriptions, you have the option to
sign up for an automatic refill
program. Under this program, we will
start to process your next refill
automatically when our records show
that you should be close to running
out of your drug. We will contact you
prior to shipping each refill to make
sure you are in need of more
medication. You can cancel
scheduled refills if you have enough
of your medication or if your
medication has changed. If you
choose not to use the auto refill
program, please contact us 14 days
before you think the drugs you have
on hand will run out to make sure
your next order is shipped to you in
time. To opt out of the automatic
refill program, please contact us by
calling 1 (855) 842-6337, 24 hours a
day, 7 days a week.
Typically, you should expect to
receive your prescription drugs
within 14 days from the time that the
mail order pharmacy receives the
order. If you do not receive your
prescription drug(s) within this time,
please contact us at 1 (855) 842-
6337.

35
Ultimate Health Plans Indian River January 2022

The Institute For Florida Pain


Home Infusion Specialists
3010 E 138th Ave Ste 100
Pharmacies Tampa, FL 33613
Phone: (813) 569-0794

Statewide Sebastian

All Care Pharmacy Bay Street Pharmacy Inc


4728 N Habana Ave # 100a 7746 Bay St
Tampa, FL 33614 Sebastian, FL 32958
Phone: (813) 527-0765 Phone: (772) 589-2043

Bioscrip Infusion Services


5505 Johns Road, Suite 700 Vero Beach
Tampa, FL 33634
Phone: (813) 549-5499
Orthopaedic Center Of Vero
Coram Cvs/Specialty Infusion Beach
Services 1285 36th St Ste 100
8508 Benjamin Road, Suite C Vero Beach, FL 32960
Tampa, FL 33634 Phone: (772) 778-2009
Phone: (813) 639-4500
Treasure Coast Community
Dedicated Senior Medical Center Health
West Tampa 4675 28th Ct
9501 Anderson Road Vero Beach, FL 32967
Tampa, FL 33634 Phone: (772) 646-6410
Phone: (813) 413-7333

Heart Of Florida Health Center


5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksvile, FL 33604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

36
Ultimate Health Plans Indian River January 2022

Omnicare Of Tampa
Long Term Care 8603 Florida Mining Boulevard
Tampa, FL 33634
Pharmacies Phone: (813) 247-9225

The Institute For Florida Pain


Specialists
Statewide 3010 E 138th Ave Ste 100
Tampa, FL 33613
Phone: (813) 569-0794
Alpha Touch Pharmacy
10071 Pines Blvd Ste D
Pembroke Pines, FL 33024 Sebastian
Phone: (954) 435-5200

Blake Pharmacy Bay Street Pharmacy Inc


5628-5632 Trouble Creek Road 7746 Bay St
New Port Richey, FL 34652 Sebastian, FL 32958
Phone: (727) 846-7600 Phone: (772) 589-2043

Careone Pharmacy Services


Sanford Vero Beach
1455 E Airport Blvd
Sanford, FL 32773
Orthopaedic Center Of Vero
Phone: (855) 822-7366
Beach
Dedicated Senior Medical Center 1285 36th St Ste 100
West Tampa Vero Beach, FL 32960
9501 Anderson Road Phone: (772) 778-2009
Tampa, FL 33634
Osceola Pharmacy
Phone: (813) 413-7333
1635 14th Ave
Heart Of Florida Health Center Vero Beach, FL 32960
5051 SE 110th St Phone: (772) 562-3660
Belleview, FL 34420
Osceola Pharmcay
Phone: (352) 480-5797
1635 14th Ave
Jrc Compounding Vero Beach, FL 32960
18114 Powell Road Phone: (772) 562-3660
Brooksville, FL 34604
Treasure Coast Community
Phone: (352) 345-4849
Health
Lake Seminole Pharmacy Ltc 4675 28th Ct
9117 Park Blvd Vero Beach, FL 32967
Seminole, FL 33777 Phone: (772) 646-6410
Phone: (727) 592-4588

37
Ultimate Health Plans Lake January 2022

Echavarria, Fabio L., MD Maharaja, Gopi K., MD


Primary Care Fabio Echavarria, MD, PA
Internal Medicine
Soni Family Practice, PLLC
General Practice
Physicians 1715 East Highway 50
Building 3, Suite C
221 North Highway 27
Suite G
Clermont, FL 34711 Clermont, FL 34711
Phone: (352) 243-7495 / Fax: Phone: (863) 588-4775 / Fax:
Altoona (352) 243-7498 (863) 422-7664
Gender: Male Gender: Female
Language(s): Spanish Language(s): Spanish, Gujarati,
Clark, Lowell F., MD ID #: 200000022416 Hindi
The Clark Clinic, Inc. Accepting new patients: Yes ID #: 200000027797
Internal Medicine Accepting new patients: Yes
110 Lodge Terrace Drive Huang, Hanxian, MD
Altoona, FL 32702 South Lake Medicine, PA Perez-Velez, Yadira, MD
Phone: (352) 787-1600 Internal Medicine Aegis Medical Group, LLC
Gender: Male 3190 Citrus Tower Boulevard General Practice
ID #: 200000020898 Suite B 3725 South Highway 27
Accepting new patients: Yes Clermont, FL 34711 Suite 101
Phone: (352) 242-2282 / Fax: Clermont, FL 34711
(352) 242-2886 Phone: (352) 242-0676 / Fax:
Clermont
Gender: Male (352) 242-1335
Language(s): Chinese Gender: Female
Campo, Lawrence J., MD ID #: 200000022247 Language(s): Spanish
VIPCare Accepting new patients: Yes ID #: 200000024241
Internal Medicine Accepting new patients: Yes
Jimenez Arocho, Emilio, MD
3135 Citrus Tower Boulevard
Soni Family Practice, PLLC Sanjuan, David F., MD
Clermont, FL 34711
General Practice Premier Medical Associates
Phone: (352) 988-6200 / Fax:
221 Frontage Road General Practice
(844) 388-6186
Suite G 3105 Citrus Tower Boulevard
Gender: Male
Clermont, FL 34711 Suite B
Language(s): Spanish
Phone: (863) 588-4775 / Fax: Clermont, FL 34711
ID #: 200000022255
(863) 422-7664 Phone: (352) 259-2159 / Fax:
Accepting new patients: Yes
Gender: Male (352) 259-5731
Language(s): Spanish Gender: Male
ID #: 200000028281 Language(s): Spanish
Accepting new patients: Yes ID #: 200000019761
Accepting new patients: Yes

38
Ultimate Health Plans Lake January 2022

Soni, Ambica, MD Yedwab Oliver, Beth D., MD Howey In The Hills


Soni Family Practice, PLLC VIPCare
Family Practice Family Practice
221 Frontage Road 3135 Citrus Tower Boulevard Clark, Lowell F., MD
Suite G Clermont, FL 34711 The Clark Clinic, Inc.
Clermont, FL 34711 Phone: (352) 988-6200 / Fax: Internal Medicine
Phone: (863) 588-4775 / Fax: (844) 388-6186 107 West Central Avenue
(863) 422-7664 Gender: Female Howey In The Hills, FL 34737
Gender: Female ID #: 200000021981 Phone: (352) 324-0504 / Fax:
Language(s): Hindi Accepting new patients: Yes (352) 324-4020
ID #: 200000027568 Gender: Male
Accepting new patients: Yes ID #: 200000020898
Eustis Accepting new patients: Yes
Sosa, Gustavo A., MD
Bright Care Medical Group, LLC Dstteffano, Daniel D., MD
Family Practice Nagabhairu, Vijaya L., MD The Clark Clinic, Inc.
245 Citrus Tower Boulevard Aegis Medical Group, LLC General Practice
Suite 201 Family Practice 107 West Central Avenue
Clermont, FL 34711 39 East Atwater Avenue Howey In The Hills, FL 34737
Phone: (352) 708-3021 / Fax: Eustis, FL 32726 Phone: (352) 324-0504 / Fax:
(352) 708-6153 Phone: (352) 483-0900 / Fax: (352) 324-4020
Gender: Male (352) 483-0822 Gender: Male
Language(s): Spanish Gender: Female Language(s): Spanish
ID #: 200000023749 ID #: 200000022816 ID #: 200000021605
Accepting new patients: Yes Accepting new patients: No Accepting new patients: Yes

Victoria, Alejandro A., MD White-Findley, Sharon L., DO Eichelbaum, Ehrentraud J., MD


Aegis Medical Group, LLC Aegis Medical Group, LLC The Clark Clinic, Inc.
Internal Medicine Family Practice General Practice
3725 South Highway 27 39 East Atwater Avenue 107 West Central Avenue
Suite 101 Eustis, FL 32726 Howey In The Hills, FL 34737
Clermont, FL 34711 Phone: (352) 483-0900 / Fax: Phone: (352) 324-0504 / Fax:
Phone: (352) 242-0676 / Fax: (352) 483-0822 (352) 324-4020
(352) 242-1335 Gender: Female Gender: Female
Gender: Male ID #: 200000021107 Language(s): Spanish
Language(s): Spanish Accepting new patients: Yes ID #: 200000021707
ID #: 200000020631 Accepting new patients: Yes
Accepting new patients: Yes

39
Ultimate Health Plans Lake January 2022

Lady Lake Hans, Sangeeta, MD Bhattarai, Birendra, MD


VIPCare Lakeview Internal Medicine, PA
Family Practice Internal Medicine
Abrantes, Clarissa R., MD 13940 US Highway 441 1801 US Highway 441
Pulse Medical Doctors, LLC Building 100, Suite 102 Building 100
Internal Medicine Lady Lake, FL 32159 Leesburg, FL 34748
749 Highway 466 Phone: (352) 751-9900 / Fax: Phone: (352) 460-4004 / Fax:
Lady Lake, FL 32159 (844) 388-6186 (352) 460-4003
Phone: (352) 350-5130 / Fax: Gender: Female Gender: Male
(352) 350-1684 Language(s): Hindi, Punjabi Language(s): Nepali
Gender: Female ID #: 200000020787 ID #: 200000022434
Language(s): Tagalog Accepting new patients: No Accepting new patients: Yes
ID #: 200000023159
Accepting new patients: Yes Satriale, Richard F., MD Chang, Khai S., MD
VIPCare Lakeview Internal Medicine, PA
Desai, Kalpana P., MD Internal Medicine Internal Medicine
Integrated Family Medical Center 13940 US Highway 441 1801 US Highway 441
Family Practice Building 100, Suite 102 Building 100
773 Highway 466 Lady Lake, FL 32159 Leesburg, FL 34748
Lady Lake, FL 32159 Phone: (352) 751-9900 / Fax: Phone: (352) 460-4004 / Fax:
Phone: (352) 259-6949 / Fax: (844) 388-6186 (352) 460-4003
(352) 259-1132 Gender: Male Gender: Male
Gender: Female ID #: 200000026701 Language(s): Chinese, Hindi
Language(s): Gujarati, Hindi Accepting new patients: Yes ID #: 200000022442
ID #: 200000020781 Accepting new patients: Yes
Accepting new patients: Yes
Leesburg Cheema, Shahbaz A., MD
Gregory, Paula M., DO Lakeview Internal Medicine, PA
VIPCare Internal Medicine
Family Practice Banala, Dwaraknadh R., MD 1801 US Highway 441
13940 US Highway 441 Florida Internal Medicine Building 100
Building 100, Suite 102 Internal Medicine Leesburg, FL 34748
Lady Lake, FL 32159 620 South Lake Street Phone: (352) 460-4004 / Fax:
Phone: (352) 751-9900 / Fax: Suite 6 (352) 460-4003
(844) 388-6186 Leesburg, FL 34748 Gender: Male
Gender: Female Phone: (352) 365-0099 / Fax: Language(s): Punjabi, Urdu
ID #: 200000016490 (352) 315-0578 ID #: 200000022443
Accepting new patients: Yes Gender: Male Accepting new patients: Yes
Language(s): Hindi, Urdu
ID #: 200000020775
Accepting new patients: Yes

40
Ultimate Health Plans Lake January 2022

Davina, Eleanor F., DO Llamas Jr., Jose M., MD Perkins Sr., Hashani M., MD
Adult Medicine of Lake County VIPCare Lakeview Internal Medicine, PA
Internal Medicine General Practice General Practice
10401 US Highway 441 601 East Dixie Avenue 1801 US Highway 441
Leesburg, FL 34788 Suite 102 Building 100
Phone: (352) 383-8222 / Fax: Leesburg, FL 34748 Leesburg, FL 34748
(352) 383-1420 Phone: (352) 350-8888 / Fax: Phone: (352) 460-4004 / Fax:
Gender: Female (844) 388-6186 (352) 460-4003
ID #: 200000022224 Gender: Male Gender: Male
Accepting new patients: Yes Language(s): Spanish Language(s): Spanish
ID #: 200000020789 ID #: 200000022458
Earley, Brian E., DO Accepting new patients: Yes Accepting new patients: Yes
VIPCare
Family Practice Llop, Yodsui L., MD Sanjuan, David F., MD
601 East Dixie Avenue Lakeview Internal Medicine, PA Premier Medical Associates
Suite 102 General Practice General Practice
Leesburg, FL 34748 1801 US Highway 441 25327 US Highway 27
Phone: (352) 350-8888 / Fax: Building 100 Leesburg, FL 34748
(844) 388-6186 Leesburg, FL 34748 Phone: (352) 259-2159 / Fax:
Gender: Male Phone: (352) 460-4004 / Fax: (352) 259-5731
ID #: 200000026699 (352) 460-4003 Gender: Male
Accepting new patients: Yes Gender: Female Language(s): Spanish
ID #: 200000026344 ID #: 200000019761
Etemadnia, Amir H., MD Accepting new patients: Yes Accepting new patients: Yes
Premier Medical Associates
Internal Medicine Pellegrino, Francis B., MD Tesalona, Mary A., MD
1004 North 14th Street Aegis Medical Group, LLC Mary A. Tesalona, MD, Corp.
Leesburg, FL 34748 Family Practice Family Practice
Phone: (352) 259-2159 / Fax: 8135 Centralia Court 32845 Radio Road
(352) 259-5731 Suite 101 Suite 101
Gender: Male Leesburg, FL 34788 Leesburg, FL 34788
Language(s): Farsi Phone: (352) 394-8060 / Fax: Phone: (352) 315-1161 / Fax:
ID #: 200000026706 (352) 708-6420 (352) 315-8438
Accepting new patients: Yes Gender: Male Gender: Female
ID #: 200000021105 ID #: 200000022818
Gupta, Ravi P., MD Accepting new patients: Yes Accepting new patients: Yes
Mid-Florida Primary Care, PA
Internal Medicine
401 North Boulevard West
Leesburg, FL 34748
Phone: (352) 728-4242 / Fax:
(352) 728-4868
Gender: Male
Language(s): Hindi
ID #: 200000021978
Accepting new patients: Yes

41
Ultimate Health Plans Lake January 2022

Mascotte Bhattarai, Birendra, MD Cheema, Shahbaz A., MD


Lakeview Internal Medicine, PA Lakeview Internal Medicine, PA
Internal Medicine Internal Medicine
Clark, Lowell F., MD 18550 US Highway 441 18550 US Highway 441
The Clark Clinic, Inc. Mount Dora, FL 32757 Mount Dora, FL 32757
Internal Medicine Phone: (352) 735-3755 / Fax: Phone: (352) 735-3755 / Fax:
910 West Myers Boulevard (352) 307-8442 (352) 307-8442
Mascotte, FL 34753 Gender: Male Gender: Male
Phone: (352) 557-8700 Language(s): Nepali Language(s): Punjabi, Urdu
Gender: Male ID #: 200000022434 ID #: 200000022443
ID #: 200000020898 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Bisht, Ajay H., MD Davina, Eleanor F., DO
Dstteffano, Daniel D., MD Lakeview Internal Medicine, PA Adult Medicine of Lake County
The Clark Clinic, Inc. Internal Medicine Internal Medicine
General Practice 18550 US Highway 441 3619 Lake Center Drive
910 West Myers Boulevard Mount Dora, FL 32757 Mount Dora, FL 32757
Mascotte, FL 34753 Phone: (352) 735-3755 / Fax: Phone: (352) 383-8222 / Fax:
Phone: (352) 557-8700 (352) 307-8442 (352) 383-1420
Gender: Male Gender: Male Gender: Female
Language(s): Spanish Language(s): Nepali ID #: 200000022224
ID #: 200000021605 ID #: 200000022436 Accepting new patients: Yes
Accepting new patients: Yes Accepting new patients: Yes
Eagle, Donald T., MD
Boloczko, Sylvia, MD Aegis Medical Group, LLC
Mount Dora VIPCare Family Practice
Family Practice 18540 US Highway 441
16860 US Highway 441 Mount Dora, FL 32757
Aung, Ma T., MD
Mount Dora, FL 32757 Phone: (352) 383-1667 / Fax:
Lakeview Internal Medicine, PA
Phone: (352) 432-8443 / Fax: (352) 357-6045
Internal Medicine
(844) 388-6186 Gender: Male
18550 US Highway 441
Gender: Female ID #: 200000022221
Mount Dora, FL 32757
ID #: 200000036552 Accepting new patients: Yes
Phone: (352) 735-3755 / Fax:
Accepting new patients: Yes
(352) 307-8442 Hernandez Collado, Gloria M.,
Gender: Female Chang, Khai S., MD MD
Language(s): Burmese Lakeview Internal Medicine, PA Lakeview Internal Medicine, PA
ID #: 200000022430 Internal Medicine Internal Medicine
Accepting new patients: Yes 18550 US Highway 441 4685 North Highway 19A
Mount Dora, FL 32757 Mount Dora, FL 32757
Phone: (352) 735-3755 / Fax: Phone: (352) 589-5900 / Fax:
(352) 307-8442 (352) 589-5904
Gender: Male Gender: Female
Language(s): Chinese, Hindi Language(s): Spanish
ID #: 200000022442 ID #: 200000022454
Accepting new patients: Yes Accepting new patients: Yes

42
Ultimate Health Plans Lake January 2022

Lynch, Robert D., MD Boloczko, Sylvia, MD Umatilla


Aegis Medical Group, LLC VIPCare
Family Practice Family Practice
18540 US Highway 441 1729 David Walker Drive Cheema, Chaudhry Shahzad A.,
Mount Dora, FL 32757 Tavares, FL 32778 MD
Phone: (352) 383-1667 / Fax: Phone: (352) 508-4455 / Fax: Umatilla Family Practice
(352) 357-6045 (844) 388-6186 Internal Medicine
Gender: Male Gender: Female 390 South Central Avenue
Language(s): Spanish ID #: 200000036552 Umatilla, FL 32784
ID #: 200000021104 Accepting new patients: Yes Phone: (352) 669-3175 / Fax:
Accepting new patients: Yes (352) 669-3640
Mohan, Kumaran K., MD Gender: Male
Fernhill Family Medicine, LLC ID #: 200000022426
Sorrento Family Practice Accepting new patients: Yes
1879 Nightingale Lane
Suite B3
Clark, Lowell F., MD Tavares, FL 32778
The Clark Clinic, Inc. Phone: (352) 589-9090 / Fax:
Internal Medicine (352) 589-1433
31450 Church Street Gender: Male
Sorrento, FL 32776 Language(s): Hindi, Malayalam
Phone: (352) 787-1600 ID #: 200000023579
Gender: Male Accepting new patients: No
ID #: 200000020898
Accepting new patients: Yes Watson, John T., MD
VIPCare
Family Practice
Tavares
1729 David Walker Drive
Tavares, FL 32778
Boggus, Dan A., MD Phone: (352) 508-4455 / Fax:
Aegis Medical Group, LLC (844) 388-6186
Family Practice Gender: Male
1733 David Walker Drive ID #: 200000022261
Tavares, FL 32778 Accepting new patients: No
Phone: (352) 508-1830 / Fax:
(352) 720-0905
Gender: Male
ID #: 200000022219
Accepting new patients: Yes

43
Ultimate Health Plans Lake January 2022

Leesburg Yu, Yong, LAC


Specialists American Rehab Connections
620 South Lake Street
Gutierrez, Ramon L., LAC Suite 3
American Rehab Connections Leesburg, FL 34748
620 South Lake Street Phone: (352) 729-2290 / Fax:
Acupuncture Suite 3 (888) 465-1815
Leesburg, FL 34748 Gender: Female
Phone: (352) 729-2290 / Fax: ID #: 200000027715
Clermont (888) 465-1815
Gender: Male
ID #: 200000027685 Minneola
Lee, Wenchi, LAC
Dr. Lee Acupuncture & Chinese Kolment, Jared, LAC
Medicine American Rehab Connections McGrath, Kathleen, LAC
3741 South Highway 27 620 South Lake Street Kathleen McGrath, LAC
Suite B Suite 3 605 South Main Avenue
Clermont, FL 34711 Leesburg, FL 34748 Minneola, FL 34715
Phone: (352) 432-1311 Phone: (352) 729-2290 / Fax: Gender: Female
Gender: Male (888) 465-1815 ID #: 200000027699
ID #: 200000027693 Gender: Male
ID #: 200000027690
Lin, Qianqian, LAC Mount Dora
Blue Orchid Acupuncture & Wang, Charng-Shen S., LAC
Traditional Herb Clinic American Rehab Connections
2105 Hartwood Marsh Road Gutierrez, Ramon L., LAC
620 South Lake Street
Suite 9 American Rehab Connections
Suite 3
Clermont, FL 34711 3739 Lake Center Drive
Leesburg, FL 34748
Phone: (352) 988-5697 Mount Dora, FL 32757
Phone: (352) 729-2290 / Fax:
Gender: Female Phone: (352) 729-2290 / Fax:
(888) 465-1815
ID #: 200000027698 (888) 465-1815
Gender: Male
Gender: Male
ID #: 200000027710
Osterweil, Glenn H., LAC ID #: 200000027685
Dr. Glenn H. Osterweil Dom, LAC, Yen, Pei Chi, LAC
DPM Kolment, Jared, LAC
American Rehab Connections
2560 East Highway 50 American Rehab Connections
620 South Lake Street
Suite 106 3739 Lake Center Drive
Suite 3
Clermont, FL 34711 Mount Dora, FL 32757
Leesburg, FL 34748
Phone: (407) 900-7259 Phone: (352) 729-2290 / Fax:
Phone: (352) 729-2290 / Fax:
Gender: Male (888) 465-1815
(888) 465-1815
ID #: 200000027700 Gender: Male
Gender: Male
ID #: 200000027690
ID #: 200000027716

44
Ultimate Health Plans Lake January 2022

Wang, Charng-Shen S., LAC Tavares Mohib, Saiyed A., MD


American Rehab Connections Heart and Vascular Clinic of
3739 Lake Center Drive Clermont, LLC
Mount Dora, FL 32757 Cooke, Andrew J., MD 3101 Citrus Tower Boulevard
Phone: (352) 729-2290 / Fax: Lake Allergy Asthma & Clermont, FL 34711
(888) 465-1815 Immunology Phone: (352) 432-7200 / Fax:
Gender: Male 1822 Salk Avenue (352) 432-5931
ID #: 200000027710 Tavares, FL 32778 Gender: Male
Phone: (352) 553-1717 / Fax: Language(s): Hindi, Urdu
Yen, Pei Chi, LAC (888) 220-7924 ID #: 200000019791
American Rehab Connections Gender: Male
3739 Lake Center Drive ID #: 200000022023
Mount Dora, FL 32757 Lady Lake
Phone: (352) 729-2290 / Fax:
(888) 465-1815
Behavioral Health Providers Afolabi, Bosede A., MD
Gender: Male
ID #: 200000027716 Cardiovascular Institute of Central
Florida LLC
Beacon Health Options 121 Lagrande Boulevard
Yu, Yong, LAC
Phone: (800) 627-1259 Suite A
American Rehab Connections
https:// Lady Lake, FL 32159
3739 Lake Center Drive
www.beaconhealthoptions.com Phone: (352) 622-4251 / Fax:
Mount Dora, FL 32757
/find-a-provider/ (352) 547-3373
Phone: (352) 729-2290 / Fax:
(888) 465-1815 Gender: Female
Gender: Female ID #: 200000022359
ID #: 200000027715 Cardiology
Bajaj, Sharad, MD
Cardiovascular Institute of Central
Clermont Florida LLC
Allergy / Immunology 121 Lagrande Boulevard
Suite A
Al-Suleiman, Osama, MD Lady Lake, FL 32159
Leesburg Phone: (352) 622-4251 / Fax:
Heart and Vascular Clinic of
Clermont, LLC (352) 547-3373
3101 Citrus Tower Boulevard Gender: Male
Shen, Thomas J., MD
Clermont, FL 34711 ID #: 200000028718
Allergy, Asthma and Immunology
Phone: (352) 432-7200 / Fax:
Center, Inc. Balulad, Sujata S., MD
(352) 432-5931
8245 County Road 44 Leg A Sujata S. Balulad, MD, PA
Gender: Male
Suite 1 1501 North US Highway 441
Language(s): Arabic, Hindi, Urdu
Leesburg, FL 34788 Building 1600, Suite 1
ID #: 200000019790
Phone: (352) 314-2929 / Fax: Lady Lake, FL 32159
(352) 314-9747 Phone: (352) 478-0010 / Fax:
Gender: Male (949) 577-4163
ID #: 200000016321 Gender: Female
ID #: 200000027376

45
Ultimate Health Plans Lake January 2022

Cacodcar, Surexa S., MD Inamdar, Vatsal, MD Koneru, Jayanth, MD


Central Florida Heart Center Heart of the Villages, PLC Cardiovascular Institute of Central
8550 Northeast 138th Lane 8575 Northeast 138th Lane Florida LLC
Building 400 Suite 203 121 Lagrande Boulevard
Lady Lake, FL 32159 Lady Lake, FL 32159 Suite A
Phone: (352) 387-3159 / Fax: Phone: (352) 674-2080 / Fax: Lady Lake, FL 32159
(352) 873-2406 (352) 674-2177 Phone: (352) 622-4251 / Fax:
Gender: Male Gender: Male (352) 547-3373
Language(s): Spanish ID #: 200000037010 Gender: Male
ID #: 200000014957 ID #: 200000006580
Jones, Christopher I., MD
Couturier, Georg J., MD Heart of the Villages, PLC Mikkilineni, Hima, MD
Heart of the Villages, PLC 8575 Northeast 138th Lane Cardiovascular Institute of Central
8575 Northeast 138th Lane Suite 203 Florida LLC
Suite 203 Lady Lake, FL 32159 121 Lagrande Boulevard
Lady Lake, FL 32159 Phone: (352) 674-2080 / Fax: Suite A
Phone: (352) 674-2080 / Fax: (352) 674-2177 Lady Lake, FL 32159
(352) 674-2177 Gender: Male Phone: (352) 622-4251 / Fax:
Gender: Male ID #: 200000026056 (352) 547-3373
ID #: 200000024769 Gender: Female
Koka, Vijaya N., MD ID #: 200000009497
Gummadi, Siva S., MD Cardiovascular Institute of Central
Cardiovascular Institute of Central Florida LLC Patel, Jigar H., MD
Florida LLC 121 Lagrande Boulevard Cardiovascular Institute of Central
121 Lagrande Boulevard Suite A Florida LLC
Suite A Lady Lake, FL 32159 121 Lagrande Boulevard
Lady Lake, FL 32159 Phone: (352) 622-4251 / Fax: Suite A
Phone: (352) 622-4251 / Fax: (352) 547-3373 Lady Lake, FL 32159
(352) 547-3373 Gender: Male Phone: (352) 622-4251 / Fax:
Gender: Male Language(s): Hindi, Telugu (352) 547-3373
Language(s): Telugu ID #: 200000015379 Gender: Male
ID #: 200000011486 Language(s): Hindi
Koka, Vijaya N., MD ID #: 200000016864
Gummadi, Siva S., MD Cardiovascular Institute of Central
Cardiovascular Institute of Central Florida, LLC Patel, Jigar H., MD
Florida, LLC 121 Lagrande Boulevard Cardiovascular Institute of Central
121 Lagrande Boulevard Lady Lake, FL 32159 Florida, LLC
Lady Lake, FL 32159 Phone: (352) 622-4251 / Fax: 121 Lagrande Boulevard
Phone: (352) 622-4251 / Fax: (352) 205-8984 Lady Lake, FL 32159
(352) 205-8984 Gender: Male Phone: (352) 622-4251 / Fax:
Gender: Male Language(s): Hindi, Telugu (352) 205-8984
Language(s): Telugu ID #: 200000015379 Gender: Male
ID #: 200000011486 Language(s): Hindi
ID #: 200000016864

46
Ultimate Health Plans Lake January 2022

Rao, Srisha, MD Singh, Premranjan P., MD Urban, Paul L., MD


Cardiovascular Institute of Central Cardiovascular Institute of Central Cardiovascular Institute of Central
Florida LLC Florida, LLC Florida LLC
121 Lagrande Boulevard 121 Lagrande Boulevard 121 Lagrande Boulevard
Suite A Lady Lake, FL 32159 Suite A
Lady Lake, FL 32159 Phone: (352) 622-4251 / Fax: Lady Lake, FL 32159
Phone: (352) 622-4251 / Fax: (352) 205-8984 Phone: (352) 622-4251 / Fax:
(352) 547-3373 Gender: Male (352) 547-3373
Gender: Female Language(s): Hindi Gender: Male
Language(s): Telugu ID #: 200000019703 ID #: 200000008578
ID #: 200000022367
Solanki, Kalpesh H., DO Urban, Paul L., MD
Rao, Srisha, MD Cardiovascular Institute of Central Cardiovascular Institute of Central
Cardiovascular Institute of Central Florida LLC Florida, LLC
Florida, LLC 121 Lagrande Boulevard 121 Lagrande Boulevard
121 Lagrande Boulevard Suite A Lady Lake, FL 32159
Lady Lake, FL 32159 Lady Lake, FL 32159 Phone: (352) 622-4251 / Fax:
Phone: (352) 622-4251 / Fax: Phone: (352) 622-4251 / Fax: (352) 205-8984
(352) 205-8984 (352) 547-3373 Gender: Male
Gender: Female Gender: Male ID #: 200000008578
Language(s): Telugu ID #: 200000022370
ID #: 200000022367
Solanki, Kalpesh H., DO Leesburg
Sampong, Kenneth A., MD Cardiovascular Institute of Central
Kenneth A. Sampong, MD Florida, LLC
501 West Circle 466 121 Lagrande Boulevard Alvarez Torres, Nitza I., MD
Suite 106 Lady Lake, FL 32159 Tri-County Heart Institute, PA
Lady Lake, FL 32159 Phone: (352) 622-4251 / Fax: 26218 US Highway 27
Phone: (352) 728-5116 / Fax: (352) 205-8984 Suite 103
(352) 728-5928 Gender: Male Leesburg, FL 34748
Gender: Male ID #: 200000022370 Phone: (352) 504-3500 / Fax:
ID #: 200000023611 (352) 504-3388
Tampira, Saroj T., MD Gender: Female
Singh, Premranjan P., MD Heart of the Villages, PLC Language(s): Spanish
Cardiovascular Institute of Central 8575 Northeast 138th Lane ID #: 200000020976
Florida LLC Suite 203
121 Lagrande Boulevard Lady Lake, FL 32159 Attanti, Srinivas, MD
Suite A Phone: (352) 674-2080 / Fax: Citrus Cardiology Consultants, PA
Lady Lake, FL 32159 (352) 674-2177 801 East Dixie Avenue
Phone: (352) 622-4251 / Fax: Gender: Male Suite 107
(352) 547-3373 Language(s): Thai Leesburg, FL 34748
Gender: Male ID #: 200000026066 Phone: (352) 315-0627 / Fax:
Language(s): Hindi (352) 315-1012
ID #: 200000019703 Gender: Male
Language(s): Hindi, Kannada
ID #: 200000007756

47
Ultimate Health Plans Lake January 2022

Bhatta, Sanjeev, MD Gonzalez, Javier M., MD Sabbah, Ronnie, MD


Cardiac Specialty Institute Citrus Cardiology Consultants, PA Cardiac Specialty Institute
803 East Dixie Avenue 801 East Dixie Avenue 803 East Dixie Avenue
Leesburg, FL 34748 Suite 107 Leesburg, FL 34748
Phone: (352) 530-2256 / Fax: Leesburg, FL 34748 Phone: (352) 530-2256 / Fax:
(352) 315-0069 Phone: (352) 315-0627 / Fax: (352) 315-0069
Gender: Male (352) 315-1012 Gender: Male
Language(s): Nepali Gender: Male Language(s): Arabic, Hebrew
ID #: 200000014379 Language(s): Spanish ID #: 200000020942
ID #: 200000002704
Chesner, Michael D., MD Saluck, Brian H., DO
Lakeview Internal Medicine, PA Miryala, Vinod R., MD Citrus Cardiology Consultants, PA
410 Fern Drive Citrus Cardiology Consultants, PA 801 East Dixie Avenue
Leesburg, FL 34748 801 East Dixie Avenue Suite 107
Phone: (352) 218-8200 / Fax: Suite 107 Leesburg, FL 34748
(352) 460-4003 Leesburg, FL 34748 Phone: (352) 315-0627 / Fax:
Gender: Male Phone: (352) 315-0627 / Fax: (352) 315-1012
Language(s): Hebrew (352) 315-1012 Gender: Male
ID #: 200000021285 Gender: Male ID #: 200000002696
ID #: 200000002701
Faraj, Kirmanj, MD Sampong, Kenneth A., MD
Cardiac Specialty Institute Negron Marrero, Roberto L., MD Kenneth A. Sampong, MD
803 East Dixie Avenue Citrus Cardiology Consultants, PA 709 Physicians Court
Leesburg, FL 34748 801 East Dixie Avenue Leesburg, FL 34748
Phone: (352) 530-2256 / Fax: Suite 107 Phone: (352) 728-5116 / Fax:
(352) 315-0069 Leesburg, FL 34748 (352) 728-5928
Gender: Male Phone: (352) 315-0627 / Fax: Gender: Male
Language(s): Arabic, Kurdish (352) 315-1012 ID #: 200000023611
ID #: 200000020941 Gender: Male
Language(s): Spanish Uche, Eze D., MD
Garcia, Hector L., MD ID #: 200000017306 Citrus Cardiology Consultants, PA
Citrus Cardiology Consultants, PA 801 East Dixie Avenue
801 East Dixie Avenue Rivero, Abel, MD Suite 107
Suite 107 Citrus Cardiology Consultants, PA Leesburg, FL 34748
Leesburg, FL 34748 801 East Dixie Avenue Phone: (352) 315-0627 / Fax:
Phone: (352) 315-0627 / Fax: Suite 107 (352) 315-1012
(352) 315-1012 Leesburg, FL 34748 Gender: Male
Gender: Male Phone: (352) 315-0627 / Fax: ID #: 200000002902
Language(s): Spanish (352) 315-1012
ID #: 200000017038 Gender: Male
Language(s): Spanish
ID #: 200000002697

48
Ultimate Health Plans Lake January 2022

Mount Dora Kunamneni, Prabhakara B., MD Salami, Sule S., MD


Central Florida Cardiology & Central Florida Cardiovascular
Vascular Center, LLC Center, PA
Chesner, Michael D., MD 1825 Salk Avenue 1691 Mayo Drive
Lakeview Internal Medicine, PA Tavares, FL 32778 Tavares, FL 32778
18550 US Highway 441 Phone: (352) 343-1158 Phone: (352) 253-0003 / Fax:
Mount Dora, FL 32757 Gender: Male (352) 253-0016
Phone: (352) 735-3755 / Fax: ID #: 200000018855 Gender: Male
(352) 735-3151 ID #: 200000023194
Gender: Male Layeni, Kehinde A., MD
Language(s): Hebrew Central Florida Cardiovascular Salami, Sule S., MD
ID #: 200000021285 Center, PA Central Florida Cardiovascular
1691 Mayo Drive Imaging Center, LLC
Tavares, FL 32778 1717 Mayo Drive
Tavares Phone: (352) 253-0003 / Fax: Tavares, FL 32778
(352) 253-0016 Phone: (352) 253-0003 / Fax:
Gender: Male (352) 253-0016
Balulad, Sujata S., MD
ID #: 200000023193 Gender: Male
Sujata S. Balulad, MD, PA
ID #: 200000023194
2134 Vindale Road Layeni, Kehinde A., MD
Suite 1 Central Florida Cardiovascular
Tavares, FL 32778 Imaging Center, LLC
Phone: (352) 478-0010 1717 Mayo Drive Critical Care
Gender: Female Tavares, FL 32778
ID #: 200000027376 Phone: (352) 253-0003 / Fax:
Leesburg
(352) 253-0016
Gammenthaler, Sammy A., MD
Gender: Male
Central Florida Cardiology &
ID #: 200000023193 Narain, Shakti, MD
Vascular Center, LLC
1825 Salk Avenue Shakti Narain, MD, PA
Mohareb, Sameh N., MD
Tavares, FL 32778 1070 Flager Avenue
Central Florida Cardiology &
Phone: (352) 343-1158 Leesburg, FL 34748
Vascular Center, LLC
Gender: Male Phone: (352) 365-2550 / Fax:
1825 Salk Avenue
Language(s): Spanish (352) 365-1950
Tavares, FL 32778
ID #: 200000018886 Gender: Male
Phone: (352) 343-1158
Language(s): Hindi, Punjabi
Gender: Male
Gammenthaler, Sammy A., MD ID #: 200000020985
Language(s): Arabic
Central Florida Cardiology &
ID #: 200000024426
Vascular Center, LLC
1815 Salk Avenue
Tavares, FL 32778
Phone: (352) 343-1158 / Fax:
(352) 343-8106
Gender: Male
Language(s): Spanish
ID #: 200000018886

49
Ultimate Health Plans Lake January 2022

Dermatology Sellheyer, Klaus F., MD Lady Lake


Florida Dermatology and Skin
Cancer Centers
Clermont 3725 South Highway 27 Allyn, David L., MD
Suite 105 Aesthetic Dermatology, PA
Clermont, FL 34711 918 Rolling Acres Road
Allyn, David L., MD Phone: (855) 353-7546 / Fax: Suite 1
Aesthetic Dermatology, PA (352) 533-4391 Lady Lake, FL 32159
210 North Highway 27 Gender: Male Phone: (352) 243-2544 / Fax:
Suite 1 Language(s): German (352) 243-2745
Clermont, FL 34711 ID #: 200000011684 Gender: Male
Phone: (352) 243-2544 / Fax: Language(s): Spanish
(352) 243-2745 Tung, Rebecca C., MD ID #: 200000018070
Gender: Male Florida Dermatology and Skin
Language(s): Spanish Cancer Centers Cottam, John A., MD
ID #: 200000018070 3725 South Highway 27 John A. Cottam, MD, PA
Suite 105 741 Country Road 466
Bibliowicz, Nathan, DO Clermont, FL 34711 Lady Lake, FL 32159
Advanced Dermatology and Phone: (855) 353-7546 / Fax: Phone: (352) 259-1042 / Fax:
Cosmetic Surgery (352) 533-4391 (813) 962-0566
1920 Don Wickham Drive Gender: Female Gender: Male
Suite 330 ID #: 200000022033 ID #: 200000022017
Clermont, FL 34711
Phone: (352) 241-4298 / Fax: Dewberry, Charles T., DO
(352) 241-7620 Fruitland Park Florida Dermatology and Skin
Gender: Male Cancer Centers
ID #: 200000035699 836 Highway 466
Shaath, Tarek S., MD Lady Lake, FL 32159
Rivera Roig, Valenie, MD Care Dermatology and Skin Cancer Phone: (352) 750-4614 / Fax:
Advanced Dermatology and Centers (352) 775-4413
Cosmetic Surgery 3261 US Highway 441/27 Gender: Male
1920 Don Wickham Drive Suite F1 ID #: 200000011682
Suite 330 Fruitland Park, FL 34731
Clermont, FL 34711 Phone: (352) 612-1722 / Fax: Gurgen, Johnny, DO
Phone: (352) 241-4298 / Fax: (888) 431-6656 Lady Lake Dermatology and MOHS
(352) 241-7620 Gender: Male Surgery
Gender: Female Language(s): Arabic 920 Rolling Acres Road
Language(s): Spanish ID #: 200000025175 Suite 203
ID #: 200000016767 Lady Lake, FL 32159
Phone: (352) 435-7695 / Fax:
(352) 633-2211
Gender: Male
ID #: 200000017775

50
Ultimate Health Plans Lake January 2022

Leesburg Tavares Gastroenterology

Gurgen, Johnny, DO Curry, Sidney S., MD Clermont


Lady Lake Dermatology and MOHS Advanced Dermatology and
Surgery Cosmetic Surgery
1340 Citizens Boulevard 1816 Salk Avenue Abukhadrah, Rajab K., MD
Leesburg, FL 34748 Tavares, FL 32778 South Lake Gastroenterology, Inc.
Phone: (352) 435-7695 / Fax: Phone: (352) 343-2461 / Fax: 2040 Oakley Seaver Drive
(352) 435-7453 (352) 343-5968 Suite 300
Gender: Male Gender: Male Clermont, FL 34711
ID #: 200000017775 ID #: 200000016890 Phone: (352) 242-1665 / Fax:
(352) 243-1649
Macinnis, Colleen R., MD Gender: Male
MacInnis Dermatology Language(s): Arabic
27950 US Highway 27 Endocrinology ID #: 200000021034
Leesburg, FL 34748
Phone: (352) 350-5230 / Fax: Abukhadrah, Rajab K., MD
Leesburg South Lake Gastroenterology, Inc.
(866) 539-7193
Gender: Female 201 Mohawk Road
ID #: 200000028036 Suite 100
Tandon, Prabhat K., MD
Clermont, FL 34711
Lakeview Internal Medicine, PA
Schroeder, Shana R., DO Phone: (352) 242-1665 / Fax:
410 Fern Drive
MacInnis Dermatology (352) 708-6168
Leesburg, FL 34748
27950 US Highway 27 Gender: Male
Phone: (352) 218-8200 / Fax:
Leesburg, FL 34748 Language(s): Arabic
(352) 460-4003
Phone: (352) 350-5230 / Fax: ID #: 200000021034
Gender: Male
(866) 539-7193
Language(s): Punjabi Maqsood, Khalid, MD
Gender: Female
ID #: 200000021371 South Lake Gastroenterology, Inc.
ID #: 200000025349
201 Mohawk Road
Mount Dora Suite 100
Mount Dora Clermont, FL 34711
Phone: (352) 242-1665 / Fax:
Tandon, Prabhat K., MD (352) 243-1649
Schroeder, Shana R., DO
Lakeview Internal Medicine, PA Gender: Male
MacInnis Dermatology
18550 US Highway 441 Language(s): Urdu
17521 US Highway 441
Mount Dora, FL 32757 ID #: 200000021035
Suite 21
Phone: (352) 735-3755 / Fax:
Mount Dora, FL 32757
(352) 307-8442
Phone: (352) 350-5230 / Fax:
Gender: Male
(866) 539-7193
Language(s): Punjabi
Gender: Female
ID #: 200000021371
ID #: 200000025349

51
Ultimate Health Plans Lake January 2022

Maqsood, Khalid, MD Santos-Burgos, Leonor, MD Mathew, Thomas P., MD


South Lake Gastroenterology, Inc. Dr. Leonor Santos, MD Gastroenterology Associates of
2040 Oakley Seaver Drive Gastroenterology, LLC Ocala
Suite 300 255 Citrus Tower Boulevard 1400 North US Highway 441
Clermont, FL 34711 Suite 202 Suite 531
Phone: (352) 242-1665 / Fax: Clermont, FL 34711 Lady Lake, FL 32159
(352) 243-1649 Phone: (352) 404-8840 / Fax: Phone: (352) 732-8905 / Fax:
Gender: Male (352) 404-8842 (352) 732-2440
Language(s): Urdu Gender: Female Gender: Male
ID #: 200000021035 Language(s): Spanish ID #: 200000035062
ID #: 200000023794
Maqsood, Khalid, MD Nagabhairu, Lalbahadur S., MD
South Lake Gastroenterology, Inc. Gastrointestinal Consultants of
821 Oakley Seaver Drive Lady Lake Central Florida
Suite 300 1501 North US Highway 441
Clermont, FL 34711 Building 1600
Phone: (352) 242-1665 / Fax: DeJongh Beyer, Mariana, MD Lady Lake, FL 32159
(352) 243-1649 Gastroenterology Associates of Phone: (352) 383-7703 / Fax:
Gender: Male Ocala (352) 751-1480
Language(s): Urdu 1400 North US Highway 441 Gender: Male
ID #: 200000021035 Suite 531 ID #: 200000022522
Lady Lake, FL 32159
Rahhal, Fadi E., MD Phone: (352) 732-8905 / Fax: Quinnonez, Celia A., MD
South Lake Gastroenterology, Inc. (352) 732-2440 Advanced Gastroenterology &
201 Mohawk Road Gender: Female Surgery Associates
Suite 100 Language(s): Spanish 13838 North US Highway 441
Clermont, FL 34711 ID #: 200000035039 Lady Lake, FL 32159
Phone: (352) 242-1665 / Fax: Phone: (352) 753-1612 / Fax:
(352) 243-1649 Fleites, Rafael A., MD (352) 753-0200
Gender: Male Advanced Gastroenterology & Gender: Female
Language(s): Arabic, French Surgery Associates Language(s): Spanish
ID #: 200000021036 13838 North US Highway 441 ID #: 200000035295
Lady Lake, FL 32159
Rahhal, Fadi E., MD Phone: (352) 753-1612 / Fax: Ravi, Madhavi R., MD
South Lake Gastroenterology, Inc. (352) 753-0200 Gastroenterology Associates of
2040 Oakley Seaver Drive Gender: Male Ocala
Clermont, FL 34711 Language(s): Spanish 1400 North US Highway 441
Phone: (352) 242-1665 / Fax: ID #: 200000026252 Suite 531
(352) 242-1649 Lady Lake, FL 32159
Gender: Male Phone: (352) 732-8905 / Fax:
Language(s): Arabic, French (352) 732-2440
ID #: 200000021036 Gender: Female
ID #: 200000035065

52
Ultimate Health Plans Lake January 2022

Tran, Lily C., MD Leesburg Gabriel, Nehme, MD


Advanced Gastroenterology & Gastroenterology and Nutrition of
Surgery Associates Central Florida, LLC
13838 North US Highway 441 Baskar, Soundarapandian, MD 822 Perkins Street
Lady Lake, FL 32159 Lake Gastroenterology Associates, Leesburg, FL 34748
Phone: (352) 753-1612 / Fax: LLC Phone: (352) 315-4111 / Fax:
(352) 753-0200 620 South Lake Street (352) 315-4112
Gender: Female Suite 5 Gender: Male
Language(s): Vietnamese Leesburg, FL 34748 Language(s): Arabic, French
ID #: 200000025140 Phone: (352) 383-5200 / Fax: ID #: 200000023260
(352) 383-3534
Truesdale, Richard A., MD Gender: Male George, Garth O., MD
Gastroenterology Associates of Language(s): Tamil Advanced Gastroenterology &
Ocala ID #: 200000023766 Surgery Associates
1400 North US Highway 441 8110 County Road 44 Leg A
Suite 531 Fleites, Rafael A., MD Leesburg, FL 34788
Lady Lake, FL 32159 Advanced Gastroenterology & Phone: (352) 323-8868 / Fax:
Phone: (352) 732-8905 / Fax: Surgery Associates (352) 323-8865
(352) 732-2440 26450 Ace Avenue Gender: Male
Gender: Male Suite A ID #: 200000024658
ID #: 200000035022 Leesburg, FL 34748
Phone: (352) 365-4304 / Fax: George, Garth O., MD
Van Eldik, Richard B., MD (352) 365-4305 Advanced Gastroenterology &
Gastroenterology Associates of Gender: Male Surgery Associates
Ocala Language(s): Spanish 26450 Ace Avenue
1400 North US Highway 441 ID #: 200000026252 Suite A
Suite 531 Leesburg, FL 34748
Lady Lake, FL 32159 Fleites, Rafael A., MD Phone: (352) 365-4304 / Fax:
Phone: (352) 732-8905 / Fax: Advanced Gastroenterology & (352) 365-4305
(352) 732-2440 Surgery Associates Gender: Male
Gender: Male 8110 County Road 44 Leg A ID #: 200000024658
ID #: 200000035016 Leesburg, FL 34788
Phone: (352) 323-8868 / Fax: Quinnonez, Celia A., MD
(352) 323-8865 Advanced Gastroenterology &
Gender: Male Surgery Associates
Language(s): Spanish 8110 County Road 44 Leg A
ID #: 200000026252 Leesburg, FL 34788
Phone: (352) 323-8868 / Fax:
(352) 323-8865
Gender: Female
Language(s): Spanish
ID #: 200000035295

53
Ultimate Health Plans Lake January 2022

Quinnonez, Celia A., MD Tavares Roth, Ronald, MD


Advanced Gastroenterology & Ronald Roth, MD, PA
Surgery Associates 1824 Salk Avenue
26450 Ace Avenue Baskar, Soundarapandian, MD Tavares, FL 32778
Suite A Lake Gastroenterology Associates, Phone: (352) 253-0244 / Fax:
Leesburg, FL 34748 LLC (352) 253-1175
Phone: (352) 365-4304 / Fax: 1858 Mayo Drive Gender: Male
(352) 365-4305 Tavares, FL 32778 ID #: 200000028103
Gender: Female Phone: (352) 383-5200 / Fax:
Language(s): Spanish (352) 383-3534
ID #: 200000035295 Gender: Male
Language(s): Tamil General Surgery
Ramaiah, Bharathi, MD ID #: 200000023766
Lake Gastroenterology Associates,
Goodman, Jeffrey A., MD Clermont
LLC
620 South Lake Street Keller & Goodman, MD, PA
Suite 5 1879 Nightingale Lane
Boardman, Jason A., MD
Leesburg, FL 34748 Suite C2
Mid-Florida Surgical Associates
Phone: (352) 383-5200 / Fax: Tavares, FL 32778
1804 Oakley Seaver Drive
(352) 383-3534 Phone: (352) 742-7776 / Fax:
Suite A
Gender: Female (352) 742-7750
Clermont, FL 34711
ID #: 200000023770 Gender: Male
Phone: (352) 243-2622 / Fax:
ID #: 200000023267
(352) 243-6277
Tran, Lily C., MD
Nagabhairu, Lalbahadur S., MD Gender: Male
Advanced Gastroenterology &
Gastrointestinal Consultants of ID #: 200000020070
Surgery Associates
8110 County Road 44 Leg A Central Florida
Florin, Jorge L., MD
Leesburg, FL 34788 2134 Vindale Road
Mid-Florida Surgical Associates
Phone: (352) 323-8868 / Fax: Suite 112
1804 Oakley Seaver Drive
(352) 323-8865 Tavares, FL 32778
Suite A
Gender: Female Phone: (352) 383-7703 / Fax:
Clermont, FL 34711
Language(s): Vietnamese (352) 383-8875
Phone: (352) 243-2622 / Fax:
ID #: 200000025140 Gender: Male
(352) 243-6277
ID #: 200000022522
Gender: Male
Tran, Lily C., MD
Ramaiah, Bharathi, MD Language(s): Spanish
Advanced Gastroenterology &
Lake Gastroenterology Associates, ID #: 200000020071
Surgery Associates
26450 Ace Avenue LLC
Suite A 1858 Mayo Drive
Leesburg, FL 34748 Tavares, FL 32778
Phone: (352) 365-4304 / Fax: Phone: (352) 383-5200 / Fax:
(352) 365-4305 (352) 383-3534
Gender: Female Gender: Female
Language(s): Vietnamese ID #: 200000023770
ID #: 200000025140

54
Ultimate Health Plans Lake January 2022

Johnson, Christopher J., DO Wecowski, Jacek, MD Han, MaoHao, MD


Mid-Florida Surgical Associates Ocala Health Surgical Oncology Advanced Gastroenterology &
1804 Oakley Seaver Drive 121 Lagrade Boulevard Surgery Associates
Suite A Suite B 8110 County Road 44 Leg A
Clermont, FL 34711 Lady Lake, FL 32159 Leesburg, FL 34788
Phone: (352) 243-2622 / Fax: Phone: (352) 629-1800 / Fax: Phone: (352) 323-8868 / Fax:
(352) 243-6277 (352) 629-1888 (352) 323-8865
Gender: Male Gender: Male Gender: Male
ID #: 200000020072 Language(s): Polish Language(s): Chinese, Mandarin
ID #: 200000018698 ID #: 200000022082
Schroeder, Alexander D., MD
Mid-Florida Surgical Associates Han, MaoHao, MD
1804 Oakley Seaver Drive Leesburg Advanced Gastroenterology &
Suite A Surgery Associates
Clermont, FL 34711 26450 Ace Avenue
Phone: (352) 243-2622 / Fax: Behrns, Kevin E., MD Suite A
(352) 243-6277 UF Health Central Florida Medical Leesburg, FL 34748
Gender: Male Group Phone: (352) 365-4304 / Fax:
Language(s): German 601 East Dixie Avenue (352) 365-4305
ID #: 200000022294 Suite 801 Gender: Male
Leesburg, FL 34748 Language(s): Chinese, Mandarin
Sinclair, Karlene E., MD Phone: (352) 323-1405 / Fax: ID #: 200000022082
Sinclair Surgical (352) 323-1451
255 Citrus Tower Boulevard Gender: Male Luk, Yin F., MD
Suite 207 ID #: 200000027003 UF Health Central Florida Medical
Clermont, FL 34711 Group
Phone: (863) 421-4407 / Fax: Bundz, Samuel, MD 601 East Dixie Avenue
(863) 422-2888 UF Health Central Florida Medical Suite 801
Gender: Female Group Leesburg, FL 34748
ID #: 200000022103 8112 Centralia Court Phone: (352) 323-1405 / Fax:
Suite 101 (352) 323-1451
Leesburg, FL 34788 Gender: Female
Lady Lake Phone: (352) 787-9111 / Fax: Language(s): Chinese
(352) 787-9331 ID #: 200000020633
Gender: Male
Han, MaoHao, MD ID #: 200000020208 Nelson, Celia K., MD
Advanced Gastroenterology & UF Health Central Florida Medical
Surgery Associates Group
13838 North US Highway 441 601 East Dixie Avenue
Lady Lake, FL 32159 Suite 801
Phone: (352) 753-1612 / Fax: Leesburg, FL 34748
(352) 753-0200 Phone: (352) 323-1405 / Fax:
Gender: Male (352) 323-1451
Language(s): Chinese, Mandarin Gender: Female
ID #: 200000022082 ID #: 200000020634

55
Ultimate Health Plans Lake January 2022

Hematology Pinnamaneni, Suneeta, MD Infectious Disease


Pain and Spine Centers of Florida,
LLC
Clermont 800 Highway 466 Lady Lake
Lady Lake, FL 32159
Phone: (352) 343-7246 / Fax:
Kunta, Gopal R., MD (352) 343-7159 Lalane Del Castillo, Negia E., MD
Clermont Oncology Center, LLC Gender: Female Florida Health Care, LLC
2737 Citrus Tower Boulevard Language(s): Hindi, Marathi, 929 North Highway 441
Clermont, FL 34711 Telugu Suite 102
Phone: (352) 242-1366 ID #: 200000023841 Lady Lake, FL 32159
Gender: Male Phone: (352) 350-2474 / Fax:
Language(s): Telugu Vasudevan, Anju, MD (352) 753-9983
ID #: 200000021326 Florida Cancer Affiliates - North Gender: Female
Florida Language(s): Spanish
13940 US Highway 441 North ID #: 200000013741
Lady Lake
Suite 203
Lady Lake, FL 32159 Laowansiri, Panthipa, MD
Phone: (352) 259-8940 / Fax: Florida Health Care, LLC
Balaraman, Rama, MD 929 North Highway 441
(352) 430-1073
Florida Cancer Affiliates - North Suite 102
Gender: Female
Florida Lady Lake, FL 32159
Language(s): Spanish, Hindi
13940 US Highway 441 North Phone: (352) 350-2474 / Fax:
ID #: 200000019690
Suite 203 (352) 753-9983
Lady Lake, FL 32159 Gender: Female
Phone: (352) 259-8940 / Fax: Leesburg Language(s): Thai
(352) 430-1073 ID #: 200000021335
Gender: Female
Language(s): Hindi, Tamil Pinnamaneni, Suneeta, MD
ID #: 200000010429 Pain and Spine Centers of Florida, Leesburg
LLC
Doshi, Ketan D., MD 8136 Centralia Court
Florida Cancer Affiliates - North Suite 103 Maroun, Elias N., MD
Florida Leesburg, FL 34788 Lakeview Internal Medicine, PA
13940 US Highway 441 North Phone: (352) 343-7246 / Fax: 410 Fern Drive
Suite 203 (352) 343-7159 Leesburg, FL 34748
Lady Lake, FL 32159 Gender: Female Phone: (352) 218-8200 / Fax:
Phone: (352) 259-8940 / Fax: Language(s): Hindi, Marathi, (352) 460-4003
(352) 430-1073 Telugu Gender: Male
Gender: Male ID #: 200000023841 Language(s): Arabic, French,
Language(s): Gujarati, Hindi Greek, Spanish
ID #: 200000020725 ID #: 200000020831

56
Ultimate Health Plans Lake January 2022

Syed, Madiha K., MD Khan, Rizwan, DO Khan, Rizwan, DO


Lakeview Internal Medicine, PA Kidney and Hypertension Kidney and Hypertension
410 Fern Drive Specialists of Central Florida, PA Specialists of Central Florida, PA
Leesburg, FL 34748 306 Mohawk Road 600 West North Boulevard
Phone: (352) 218-8200 / Fax: Clermont, FL 34715 Suite B
(352) 460-4003 Phone: (352) 394-1361 / Fax: Leesburg, FL 34748
Gender: Female (352) 394-1362 Phone: (352) 394-1361 / Fax:
Language(s): Urdu Gender: Male (352) 394-1362
ID #: 200000020835 Language(s): Urdu Gender: Male
ID #: 200000020023 Language(s): Urdu
ID #: 200000020023
Lone, Usman M., MD
Nephrology Advanced Kidney Care of Central Locay, Harold R., MD
Florida Ocala Kidney Group Vascular
3175 Citrus Tower Boulevard Access Center
Clermont
Clermont, FL 34711 1330 Citizens Boulevard
Phone: (352) 240-3812 / Fax: Suite 201
Ahmed, Adnan, MD (888) 716-2003 Leesburg, FL 34748
Kidney and Hypertension Gender: Male Phone: (352) 435-4577 / Fax:
Specialists of Central Florida, PA ID #: 200000018397 (352) 326-5831
306 Mohawk Road Gender: Male
Malas, Mohammed Said, MD Language(s): Spanish
Clermont, FL 34715
Advanced Kidney Care of Central ID #: 200000019515
Phone: (352) 394-1361 / Fax:
Florida
(352) 394-1362
3175 Citrus Tower Boulevard Rogers, Timothy W., MD
Gender: Male
Clermont, FL 34711 Ocala Kidney Group Vascular
Language(s): Hindi
Phone: (352) 240-3812 / Fax: Access Center
ID #: 200000020022
(888) 716-2003 1330 Citizens Boulevard
Huynh, Bao-Chau L., MD Gender: Male Suite 201
Advanced Kidney Care of Central ID #: 200000023947 Leesburg, FL 34748
Florida Phone: (352) 435-4577 / Fax:
3175 Citrus Tower Boulevard (352) 326-5831
Leesburg Gender: Male
Clermont, FL 34711
Phone: (352) 240-3812 / Fax: ID #: 200000019516
(888) 716-2003 Ahmed, Adnan, MD
Gender: Male Kidney and Hypertension
ID #: 200000023940 Specialists of Central Florida, PA
600 West North Boulevard
Suite B
Leesburg, FL 34748
Phone: (352) 394-1361 / Fax:
(352) 394-1362
Gender: Male
Language(s): Hindi
ID #: 200000020022

57
Ultimate Health Plans Lake January 2022

Neurology Garbee, Michael A., MD Shekhadia, Nitesh J., MD


Lakeview Internal Medicine, PA Florida Neurology, PA
410 Fern Drive 2710 Dora Avenue
Statewide Leesburg, FL 34748 Tavares, FL 32778
Phone: (352) 218-8200 / Fax: Phone: (407) 333-1718 / Fax:
(352) 460-4003 (407) 333-1633
Burry, Matthew, MD Gender: Male Gender: Male
The Neurohealth Sciences Center, ID #: 200000022672 Language(s): Gujarati, Hindi
LLC ID #: 200000015158
8400 Red Bug Lake Road Nieves, Anette V., MD
Suite 1010 Neurological Specialist of Central
Ovideo, FL 32765 Florida, LLC
Phone: (407) 833-7505 / Fax: 2500 Citrus Boulevard Neurosurgery
(407) 833-7509 Leesburg, FL 34748
Gender: Male Phone: (352) 901-6210 / Fax:
ID #: 200000022908 Lady Lake
(352) 435-7148
Gender: Female
Language(s): Spanish Ramirez, Pedro M., MD
Lady Lake
ID #: 200000021401 Florida Pain and Rehabilitation
Associates, Inc.
Reddy, Praveen B., MD Tavares 13945 North US Highway 441
Ocala Health Surgical Oncology Lady Lake, FL 32159
121 Lagrade Boulevard Phone: (352) 277-3500 / Fax:
Suite B Panara, Ramit H., MD (352) 277-3498
Lady Lake, FL 32159 Florida Neurology, PA Gender: Male
Phone: (352) 629-1800 / Fax: 2710 Dora Avenue Language(s): Spanish
(352) 629-1888 Tavares, FL 32778 ID #: 200000027181
Gender: Male Phone: (407) 333-1718 / Fax:
ID #: 200000019535 (407) 333-1633 Reddy, Praveen B., MD
Gender: Male Ocala Health Surgical Oncology
ID #: 200000015157 121 Lagrade Boulevard
Leesburg Suite B
Shanmugham, Sampathkumar, Lady Lake, FL 32159
MD Phone: (352) 629-1800 / Fax:
Ancha, Prasad R., MD Florida Neurology, PA (352) 629-1888
Lakeview Internal Medicine, PA 2710 Dora Avenue Gender: Male
410 Fern Drive Tavares, FL 32778 ID #: 200000019535
Leesburg, FL 34748 Phone: (407) 333-1718 / Fax:
Phone: (352) 218-8200 / Fax: (407) 333-1633
(352) 460-4003 Gender: Male
Gender: Male Language(s): Tamil
Language(s): Telugu ID #: 200000020956
ID #: 200000020826

58
Ultimate Health Plans Lake January 2022

Obstetrics / Gynecology Torres, Giselle, MD Clermont


Womens Centre for Excellence
2400 Hooks Street
Clermont Clermont, FL 34711 Kunta, Gopal R., MD
Phone: (352) 241-6460 / Fax: Clermont Oncology Center, LLC
(352) 241-6461 2737 Citrus Tower Boulevard
Lewis-Boardman, Mary Beth, MD Gender: Female Clermont, FL 34711
Womens Centre for Excellence ID #: 200000022834 Phone: (352) 242-1366
2400 Hooks Street Gender: Male
Clermont, FL 34711 Language(s): Telugu
Phone: (352) 241-6460 / Fax: Lady Lake ID #: 200000021326
(352) 241-6461
Gender: Female
ID #: 200000022110 Alvarado Hernandez, Luis A., MD Lady Lake
Premier Specialty Alliance, Inc.
McGee, Alana, MD 13696 US Highway 441
Womens Centre for Excellence Lady Lake, FL 32159 Balaraman, Rama, MD
2400 Hooks Street Phone: (352) 259-2159 / Fax: Florida Cancer Affiliates - North
Clermont, FL 34711 (352) 259-5731 Florida
Phone: (352) 241-6460 / Fax: Gender: Male 13940 US Highway 441 North
(352) 241-6461 Language(s): Spanish Suite 203
Gender: Female ID #: 200000027595 Lady Lake, FL 32159
ID #: 200000022576 Phone: (352) 259-8940 / Fax:
(352) 430-1073
McLean, Kristina, MD Leesburg Gender: Female
Womens Centre for Excellence Language(s): Hindi, Tamil
2400 Hooks Street ID #: 200000010429
Courtney, Wendell J., MD
Clermont, FL 34711
Wendell J. Courtney, MD, PA Doshi, Ketan D., MD
Phone: (352) 241-6460 / Fax:
601 East Dixie Avenue Florida Cancer Affiliates - North
(352) 241-6461
Suite 301 Florida
Gender: Female
Leesburg, FL 34748 13940 US Highway 441 North
ID #: 200000022577
Phone: (352) 787-1001 / Fax: Suite 203
Ortiz-Ledee, Debra, MD (352) 787-8049 Lady Lake, FL 32159
Womens Centre for Excellence Gender: Male Phone: (352) 259-8940 / Fax:
2400 Hooks Street ID #: 200000023780 (352) 430-1073
Clermont, FL 34711 Gender: Male
Phone: (352) 241-6460 / Fax: Language(s): Gujarati, Hindi
(352) 241-6461 Oncology ID #: 200000020725
Gender: Female
ID #: 200000022679
Also see Hematology/Oncology

59
Ultimate Health Plans Lake January 2022

Myrick, Samuel E., MD Leesburg Oral & Maxillofacial surgery


Florida Cancer Affiliates - North
Florida
13940 US Highway 441 North Pinnamaneni, Suneeta, MD Statewide
Suite 203 Pain and Spine Centers of Florida,
Lady Lake, FL 32159 LLC
Phone: (352) 259-8940 / Fax: 8136 Centralia Court Argus Dental
(352) 430-1073 Suite 103 Phone: (800) 340-8869
Gender: Male Leesburg, FL 34788 https:// argusdental.com /find-a-
Language(s): Mandarin Phone: (352) 343-7246 / Fax: provider/
ID #: 200000020727 (352) 343-7159
Gender: Female
Pinnamaneni, Suneeta, MD Language(s): Hindi, Marathi,
Orthopedic Surgery
Pain and Spine Centers of Florida, Telugu
LLC ID #: 200000023841
800 Highway 466 Clermont
Lady Lake, FL 32159
Phone: (352) 343-7246 / Fax: Tavares
(352) 343-7159 Athans, William J., MD
Gender: Female Florida Sports Injury & Orthopedic
Mascarenhas, Borys A., MD
Language(s): Hindi, Marathi, Institute
Borys A. Mascarenhas, MD, PA
Telugu 1925 Don Wickham Drive
1879 Nightengale Lane
ID #: 200000023841 Clermont, FL 34711
Suite B4
Tavares, FL 32778 Phone: (352) 404-8956 / Fax:
Vasudevan, Anju, MD (352) 404-8958
Florida Cancer Affiliates - North Phone: (352) 742-2286 / Fax:
(352) 742-2289 Gender: Male
Florida ID #: 200000022372
13940 US Highway 441 North Gender: Male
Suite 203 ID #: 200000022627
Baldwin, William W., MD
Lady Lake, FL 32159 Florida Sports Injury & Orthopedic
Phone: (352) 259-8940 / Fax: Institute
(352) 430-1073 Ophthalmology 1925 Don Wickham Drive
Gender: Female Clermont, FL 34711
Language(s): Spanish, Hindi Phone: (352) 404-8956 / Fax:
ID #: 200000019690 Statewide (352) 404-8958
Gender: Male
ID #: 200000021985
Argus Vision
Phone: (800) 210-5511
https:// argusdental.com /find-a-
provider/

60
Ultimate Health Plans Lake January 2022

Shekailo, Peter J., MD Onuoha, Kemjika O., MD Mitchell, Isaac L., MD


Florida Sports Injury & Orthopedic Surgical Practice Resource Group UF Health Central Florida Medical
Institute of FL, Inc. Group
1925 Don Wickham Drive 539 Roling Acres Road 701 Medical Plaza Drive
Clermont, FL 34711 Lady Lake, FL 32159 Leesburg, FL 34748
Phone: (352) 404-8956 / Fax: Phone: (352) 973-4070 / Fax: Phone: (352) 733-0485
(352) 404-8958 (352) 973-4091 Gender: Male
Gender: Male Gender: Male ID #: 200000028723
ID #: 200000022489 ID #: 200000037021
Phillips Jr., James D., DO
Varma, Amit B., MD Thomas, Claudia L., MD Lakeview Internal Medicine, PA
Florida Sports Injury & Orthopedic Surgical Practice Resource Group 410 Fern Drive
Institute of FL, Inc. Leesburg, FL 34748
1925 Don Wickham Drive 539 Roling Acres Road Phone: (352) 218-8200 / Fax:
Clermont, FL 34711 Lady Lake, FL 32159 (352) 460-4003
Phone: (352) 404-8956 / Fax: Phone: (352) 973-4070 / Fax: Gender: Male
(352) 404-8958 (352) 973-4091 ID #: 200000028728
Gender: Male Gender: Female
ID #: 200000021987 ID #: 200000036687 Tankson, Cedric J., MD
UF Health Central Florida Medical
Welsh, Matthew L., MD Group
Florida Sports Injury & Orthopedic Leesburg 701 Medical Plaza Drive
Institute Leesburg, FL 34748
1925 Don Wickham Drive Phone: (352) 733-0485
Clermont, FL 34711 Baldwin, William W., MD Gender: Male
Phone: (352) 404-8956 / Fax: Florida Sports Injury ID #: 200000028726
(352) 404-8958 22326 US Highway 27
Gender: Male Suite B
ID #: 200000021988 Leesburg, FL 34748 Mount Dora
Phone: (352) 404-8956 / Fax:
(352) 404-8958
Lady Lake Gender: Male Manoogian, Vrej K., DO
ID #: 200000021985 Manoogian Orthopaedic Center,
PA
Kerina, Jeffrey M., MD Cook, Jay B., MD 1945 Bay Road
Surgical Practice Resource Group UF Health Central Florida Medical Mount Dora, FL 32757
of FL, Inc. Group Phone: (352) 483-5633 / Fax:
539 Roling Acres Road 701 Medical Plaza Drive (352) 483-5070
Lady Lake, FL 32159 Leesburg, FL 34748 Gender: Male
Phone: (352) 973-4070 / Fax: Phone: (352) 733-0485 Language(s): Armenian
(352) 973-4091 Gender: Male ID #: 200000020044
Gender: Male ID #: 200000035691
ID #: 200000022525

61
Ultimate Health Plans Lake January 2022

Manoogian, Vrej K., DO Merritt, Robert M., MD Milstead, Judith C., MD


Manoogian Orthopaedic Center, South Florida ENT Associates, Inc. Lake ENT & FPS, PA
PA 1920 Don Wickham Drive 601 East Dixie Avenue
3900 Lake Center Drive Suite 215 Medical Plaza 901
Suite A1 Clermont, FL 34711 Leesburg, FL 34748
Mount Dora, FL 32757 Phone: (352) 394-8808 / Fax: Phone: (352) 728-2404 / Fax:
Phone: (352) 483-5633 (352) 394-8804 (352) 787-7401
Gender: Male Gender: Male Gender: Female
Language(s): Armenian ID #: 200000025121 ID #: 200000020978
ID #: 200000020044
Stuart, Menachem M., MD Moak III, Joseph S., MD
South Florida ENT Associates, Inc. Lake ENT & FPS, PA
Tavares 1920 Don Wickham Drive 601 East Dixie Avenue
Suite 215 Medical Plaza 901
Clermont, FL 34711 Leesburg, FL 34748
Radnothy, Jon H., DO Phone: (352) 394-8808 / Fax: Phone: (352) 728-2404 / Fax:
Radnothy Orthopaedics, PA (352) 394-8804 (352) 787-7401
2051 Mayo Drive Gender: Male Gender: Male
Tavares, FL 32778 ID #: 200000025123 ID #: 200000020836
Phone: (352) 343-2171 / Fax:
(352) 343-1475 Sundean, Elizabeth P., MD Vaught, Sammy D., MD
Gender: Male South Florida ENT Associates, Inc. Lake ENT & FPS, PA
ID #: 200000023548 1920 Don Wickham Drive 601 East Dixie Avenue
Suite 215 Medical Plaza 901
Clermont, FL 34711 Leesburg, FL 34748
Otolaryngology Phone: (352) 394-8808 / Fax: Phone: (352) 728-2404 / Fax:
(352) 394-8804 (352) 787-7401
Gender: Female Gender: Male
Clermont ID #: 200000025125 ID #: 200000020837

Leesburg Tavares
Bradfield, Joseph J., MD
South Florida ENT Associates, Inc.
1920 Don Wickham Drive
Madonna, Dino, MD Madonna, Dino, MD
Suite 215
Lake ENT & FPS, PA Lake ENT & FPS, PA
Clermont, FL 34711
601 East Dixie Avenue 1819 Salk Avenue
Phone: (352) 394-8808 / Fax:
Medical Plaza 901 Tavares, FL 32778
(352) 394-8804
Leesburg, FL 34748 Phone: (352) 343-7279 / Fax:
Gender: Male
Phone: (352) 728-2404 / Fax: (352) 343-1618
ID #: 200000025115
(352) 787-7401 Gender: Male
Gender: Male Language(s): Italian
Language(s): Italian ID #: 200000020834
ID #: 200000020834

62
Ultimate Health Plans Lake January 2022

Milstead, Judith C., MD Saranita, Julie, DO Leesburg


Lake ENT & FPS, PA South Lake Pain Institute, Inc.
1819 Salk Avenue 2440 Hooks Street
Tavares, FL 32778 Clermont, FL 34711 Pinnamaneni, Sridhar, MD
Phone: (352) 343-7279 / Fax: Phone: (352) 394-0833 / Fax: Pain and Spine Centers of Florida,
(352) 343-1618 (352) 394-0367 LLC
Gender: Female Gender: Female 8136 Centralia Court
ID #: 200000020978 ID #: 200000023886 Suite 103
Leesburg, FL 34788
Moak III, Joseph S., MD Phone: (352) 343-7246 / Fax:
Lake ENT & FPS, PA Lady Lake (352) 343-7159
1819 Salk Avenue Gender: Male
Tavares, FL 32778 Language(s): Telugu
Phone: (352) 343-7279 / Fax: Adkins, Richard K., MD ID #: 200000023840
(352) 343-1618 Central Florida Pain Management
Gender: Male 1503 Buenos Aires Boulevard
ID #: 200000020836 Suite 150
Lady Lake, FL 32159 Physical Medicine and
Vaught, Sammy D., MD Phone: (352) 750-5882 / Fax: Rehabilitation
Lake ENT & FPS, PA (352) 750-9947
1819 Salk Avenue Gender: Male
Language(s): French, Spanish Clermont
Tavares, FL 32778
Phone: (352) 343-7279 / Fax: ID #: 200000010395
(352) 343-1618
Deluca, Jason R., MD Correa-Perez, Margarita, MD
Gender: Male
Florida Pain and Rehabilitation Physical Medicine Institute
ID #: 200000020837
Associates, Inc. 720 Almond Street
13945 North US Highway 441 Clermont, FL 34711
Lady Lake, FL 32159 Phone: (352) 404-6959 / Fax:
Pain Management Phone: (352) 277-3500 / Fax: (352) 404-6960
(352) 277-3498 Gender: Female
Gender: Male Language(s): Spanish
Clermont ID #: 200000027109 ID #: 200000020980

Pinnamaneni, Sridhar, MD Martinez-Sanchez, Mireda E., MD


Paez, Julio C., MD Pain and Spine Centers of Florida, Physical Medicine Institute
South Lake Pain Institute, Inc. LLC 720 Almond Street
2440 Hooks Street 800 Highway 466 Clermont, FL 34711
Clermont, FL 34711 Lady Lake, FL 32159 Phone: (352) 404-6959 / Fax:
Phone: (352) 394-0833 / Fax: Phone: (352) 343-7246 / Fax: (352) 404-6960
(352) 394-0367 (352) 343-7159 Gender: Female
Gender: Male Gender: Male Language(s): Spanish
Language(s): Italian, Spanish Language(s): Telugu ID #: 200000020981
ID #: 200000023906 ID #: 200000023840

63
Ultimate Health Plans Lake January 2022

Oquendo Roman, Gualberto, MD Eustis Leesburg


Physical Medicine Institute
720 Almond Street
Clermont, FL 34711 Herzbrun, Lewis J., MD Hu, Wayne, DO
Phone: (352) 404-6959 / Fax: Lewis J. Herzbrun, MD, PA Lakeview Internal Medicine, PA
(352) 404-6960 30 West Wilt Avenue 410 Fern Drive
Gender: Male Eustis, FL 32726 Leesburg, FL 34748
Language(s): Spanish Phone: (352) 357-7342 / Fax: Phone: (352) 218-8200 / Fax:
ID #: 200000020983 (352) 357-7395 (352) 460-4003
Gender: Male Gender: Male
Placer, Javier A., MD ID #: 200000025347 ID #: 200000021690
Florida Spine and Pain Institute
1804 Oakley Seaver Drive
Suite F Lady Lake
Podiatry
Clermont, FL 34711
Phone: (407) 499-0755 / Fax:
Kaba, Drahmane, MD
(407) 563-2196 Clermont
Central Florida Pain Management
Gender: Male
1503 Buenos Aires Boulevard
Language(s): Spanish
Suite 150
ID #: 200000027445 Estrada, Robert J., DPM
Lady Lake, FL 32159
Phone: (352) 750-5882 / Fax: Orlando Foot & Ankle Clinic, Inc.
Rivera Velazquez, Itza M., MD
(352) 750-9947 1381 Citrus Tower Boulevard
Physical Medicine Institute
Gender: Male Suite 103
720 Almond Street
Language(s): French, Portuguese, Clermont, FL 34711
Clermont, FL 34711
Spanish Phone: (352) 243-7066 / Fax:
Phone: (352) 404-6959 / Fax:
ID #: 200000027129 (352) 243-7068
(352) 404-6960
Gender: Male
Gender: Female
Varela-Batista, Lourdes L., MD Language(s): Spanish
Language(s): Spanish
Florida Pain and Rehabilitation ID #: 200000023720
ID #: 200000020984
Associates, Inc.
918 Rolling Acres Road Patel, Jalpen, DPM
Thomas, Bryan A., MD
Suite 102 Doctors of Clinical Specialties, LLC
Specialized Rehabilitation
Lady Lake, FL 32159 255 Citrus Tower Boulevard
Physician Group
Phone: (352) 751-6582 Suite 210
1804 Oakley Seaver Drive
Gender: Female Clermont, FL 34711
Suite F
Language(s): Spanish Phone: (407) 500-3627 / Fax:
Clermont, FL 34711
ID #: 200000027157 (407) 930-4353
Phone: (888) 663-6435 / Fax:
Gender: Male
(407) 563-2196
Language(s): Gujarati, Hindi
Gender: Male
ID #: 200000025306
ID #: 200000020873

64
Ultimate Health Plans Lake January 2022

Saranita, Anthony D., DPM Tavares Pulmonology


Orlando Foot & Ankle Clinic, Inc.
1381 Citrus Tower Boulevard
Suite 103 Balkaran, Joanne N., DPM Clermont
Clermont, FL 34711 Ankle & Foot Center of Central
Phone: (352) 243-7066 / Fax: Florida
(352) 243-7068 1865 Nightingale Lane Jalloul, Ahmad S., MD
Gender: Male Suite A Pulmonary, Critical Care and Sleep
ID #: 200000023735 Tavares, FL 32778 Specialists of Lake County, PA
Phone: (352) 385-7718 / Fax: 3121 Citrus Tower Boulevard
(352) 385-7719 Clermont, FL 34711
Lady Lake Gender: Female Phone: (352) 404-5968 / Fax:
Language(s): French, Spanish (877) 762-7377
ID #: 200000036694 Gender: Male
Carter, Brent E., DPM Language(s): Arabic
American Foot & Ankle Centers Fatima, Seema, DPM ID #: 200000021001
1501 North US Highway 441 Pascarella, Hoover, Finkelstein &
Building 1600 Wagner, DPM, PA Varraux, Alan R., MD
Lady Lake, FL 32159 1807 Salk Avenue Associates of Pulmonary & Critical
Phone: (352) 388-4680 / Fax: Tavares, FL 32778 Care, LLC
(352) 304-6898 Phone: (352) 589-9550 / Fax: 1920 Don Wickham Drive
Gender: Male (352) 589-8283 Suite 125
ID #: 200000023778 Gender: Female Clermont, FL 34711
Language(s): Hindi, Urdu Phone: (407) 841-1290 / Fax:
ID #: 200000024690 (352) 708-6571
Leesburg
Gender: Male
Suecof, Larry A., DPM ID #: 200000028636
Ankle & Foot Center of Central
Przystawski, Nicholas, DPM
Florida
Central Florida Foot Care, P.A. Leesburg
1865 Nightingale Lane
913 East North Boulevard
Suite A
Suite B
Tavares, FL 32778
Leesburg, FL 34748 Diaz, Jose L., MD
Phone: (352) 385-7718 / Fax:
Phone: (352) 360-1360 / Fax: Pulmonary Group of Central
(352) 385-7719
(352) 360-0686 Florida, LLC
Gender: Male
Gender: Male 1038 West North Boulevard
ID #: 200000035643
ID #: 200000017041 Suite 102
Leesburg, FL 34748
Phone: (352) 315-1627 / Fax:
(352) 326-8744
Gender: Male
Language(s): Spanish
ID #: 200000020005

65
Ultimate Health Plans Lake January 2022

Narain, Shakti, MD Brabham, Jeffrey G., MD Abualula, Hasan A., MD


Shakti Narain, MD, PA Florida Oncology Tavares, LLC Lakeview Internal Medicine, PA
1070 Flager Avenue 2010 Nightingale Lane 410 Fern Drive
Leesburg, FL 34748 Tavares, FL 32778 Leesburg, FL 34748
Phone: (352) 365-2550 / Fax: Phone: (352) 742-3045 / Fax: Phone: (352) 218-8200 / Fax:
(352) 365-1950 (352) 742-3169 (352) 460-4003
Gender: Male Gender: Male Gender: Male
Language(s): Hindi, Punjabi ID #: 200000020039 Language(s): Arabic
ID #: 200000020985 ID #: 200000021368
Diamond, David A., MD
Florida Oncology Tavares, LLC
Tavares 2010 Nightingale Lane
Tavares, FL 32778 Sports Medicine
Phone: (352) 742-3045 / Fax:
Jalloul, Ahmad S., MD (352) 742-3169
Pulmonary, Critical Care and Sleep Lady Lake
Gender: Male
Specialists of Lake County, PA ID #: 200000020040
2762 Dora Avenue
Tavares, FL 32778 Wilt, Jason S., MD
LaFave, Kelly E., MD
Phone: (352) 508-1727 / Fax: Unova Health Hip and Knee
Florida Oncology Tavares, LLC
(877) 762-7377 539 Rolling Acres Road
2010 Nightingale Lane
Gender: Male Lady Lake, FL 32159
Tavares, FL 32778
Language(s): Arabic Phone: (352) 973-4070 / Fax:
Phone: (352) 742-3045 / Fax:
ID #: 200000021001 (352) 973-4091
(352) 742-3169
Gender: Male
Gender: Female
ID #: 200000020041
Radiation Oncology
Thoracic Surgery
Rheumatology
Tavares
Leesburg
Leesburg
Alvarez-Farinetti, Alvaro R., MD
Florida Oncology Tavares, LLC Cook, Ralph D., MD
2010 Nightingale Lane UF Health Central Florida Medical
Abualula, Hasan A., MD
Tavares, FL 32778 Group
Lakeview Internal Medicine, PA
Phone: (352) 742-3045 / Fax: 700 Doctors Court
1801 US Highway 441
(352) 742-3169 Leesburg, FL 34748
Building 100
Gender: Male Phone: (352) 787-9838
Leesburg, FL 34748
ID #: 200000020038 Gender: Male
Phone: (352) 460-4004 / Fax:
Language(s): Spanish
(352) 460-4003
ID #: 200000035690
Gender: Male
Language(s): Arabic
ID #: 200000021368

66
Ultimate Health Plans Lake January 2022

Richardson, Robert J., MD Leesburg Vascular Surgery


UF Health Central Florida Medical
Group
700 Doctors Court Gordon, Carole L., MD Lady Lake
Leesburg, FL 34748 Advanced Urology Institute, LLC
Phone: (352) 787-9838 210 South Lake Street
Gender: Male Suite 9 Gonzalez, Alberto J., MD
ID #: 200000035689 Leesburg, FL 34748 Ocala Health Surgical Oncology
Phone: (352) 787-4567 / Fax: 121 Lagrade Boulevard
Thompson, Karen S., DO (352) 787-0370 Suite B
UF Health Central Florida Medical Gender: Female Lady Lake, FL 32159
Group ID #: 200000021791 Phone: (352) 629-1800 / Fax:
701 Medical Plaza Drive (352) 629-1888
Leesburg, FL 34748 Roach, Richard M., MD Gender: Male
Phone: (352) 733-0485 Advanced Urology Institute, LLC ID #: 200000018581
Gender: Female 210 South Lake Street
ID #: 200000036691 Suite 9
Leesburg, FL 34748
Phone: (352) 787-4567 / Fax:
(352) 787-0370
Urology Gender: Male
ID #: 200000023998
Lady Lake Sher, Andrew B., MD
Advanced Urology Institute, LLC
210 South Lake Street
Thill, Jeffrey R., MD
Suite 9
Urology Institute of Central
Leesburg, FL 34748
Florida, PL
Phone: (352) 787-4567 / Fax:
808 Highway 466
(352) 787-0370
Lady Lake, FL 32159
Gender: Male
Phone: (352) 751-0040 / Fax:
ID #: 200000021788
(352) 751-2825
Gender: Male
ID #: 200000022038 Mount Dora

Cassell, Jack L., MD


Urology of Mount Dora
717 North Donnelly Street
Mount Dora, FL 32757
Phone: (352) 383-3773 / Fax:
(352) 383-4434
Gender: Male
ID #: 200000026821

67
Ultimate Health Plans Lake January 2022

Hospitals
For Inpatient Psychiatric Facilities,
please contact Beacon Health
Options at (800) 627-1259 or visit
https://
www.beaconhealthoptions.com
/find-a-provider/

Leesburg

UF Health Leesburg Hospital


600 East Dixie Avenue
Leesburg, FL 34748
Phone: (352) 323-5762 / Fax:
(352) 323-5039

68
Ultimate Health Plans Lake January 2022

Express Care of Leesburg, LLC


Urgent Care 2500 Citrus Boulevard
Leesburg, FL 34748
Centers Phone: (352) 728-5335 / Fax:
(352) 347-1073

UF Health Leesburg Hospital


Clermont Urgent Care
550 East Dixie Avenue
Leesburg, FL 34748
Clermont Urgent Care Phone: (352) 323-2273 / Fax:
1675 Hancock Road (352) 232-2261
Suite 300
Clermont, FL 34711
Phone: (352) 432-9990 / Fax:
(352) 708-4577

Paramount Urgent Care, Inc.


628 Cagan View Road
Suite 3 & 4
Clermont, FL 34714
Phone: (352) 242-1988 / Fax:
(352) 242-0866

Lady Lake

Paramount Urgent Care, Inc.


805 East County Road 466
Lady Lake, FL 32159
Phone: (352) 674-9218 / Fax:
(352) 259-6069

Leesburg

Concentra Urgent Care


210 South Lake Street
Suite 4
Leesburg, FL 34748
Phone: (866) 944-6046 / Fax:
(352) 787-4977

69
Ultimate Health Plans Lake January 2022

Lady Lake South Campus Care Center


Skilled Nursing 715 East Dixie Avenue
Leesburg, FL 34748
Freedom Pointe Health Center
Facilities (SNFs) 1460 El Camino Real Drive
Phone: (352) 728-3020 / Fax:
(352) 728-6071
Lady Lake, FL 32159
Phone: (352) 750-3800 / Fax:
Clermont (352) 750-2065 Mount Dora

Lady Lake Specialty Care Center


Clermont Health and 630 Griffin Avenue Avante at Mount Dora
Rehabilitation Center Lady Lake, FL 32159 3050 Brown Avenue
151 East Minnehaha Avenue Phone: (352) 750-6619 / Fax: Mount Dora, FL 32757
Clermont, FL 34711 (352) 750-0373 Phone: (352) 383-4161 / Fax:
Phone: (352) 394-2188 / Fax: (352) 383-4161
(352) 394-0504 The Villages Rehabilitation and
Nursing Center
The Lakes of Clermont Health and 900 Highway 466
Rehabilitation Center Lady Lake, FL 32159
1775 Hooks Street Phone: (352) 430-0017 / Fax:
Clermont, FL 34711 (352) 674-6800
Phone: (352) 717-7980 / Fax:
(352) 717-7981
Leesburg

Eustis
Avante at Leesburg
2000 Edgewood Avenue
Bayview Center Leesburg, FL 34748
301 South Bay Street Phone: (352) 787-3545 / Fax:
Eustis, FL 32726 (352) 787-6361
Phone: (352) 357-8105 / Fax:
(352) 589-1182 Lake Harris Health Center
701 Lake Port Boulevard
Lake Eustis Health and Leesburg, FL 34748
Rehabilitation Center Phone: (352) 728-3366 / Fax:
411 West Woodward Avenue (352) 728-1503
Eustis, FL 32726
Phone: (352) 357-3565 / Fax: North Campus Rehabilitation and
(352) 357-2874 Nursing Center
700 North Palmetto Street
Ruleme Center Leesburg, FL 34748
2810 Ruleme Street Phone: (352) 323-2400 / Fax:
Eustis, FL 32726 (352) 323-2409
Phone: (352) 357-1990 / Fax:
(352) 357-5056

70
Ultimate Health Plans Lake January 2022

Tavares Diagnostic Radiology


Ancillary
Tavares Surgery Center Statewide
Providers 1878 Mayo Drive
Tavares, FL 32778
Phone: (352) 508-5401 / Fax: Allied Mobile X-Ray, Inc.
(352) 508-5403 8360 West Flagler Street
Ambulatory Surgical Center Suite 207
Miami, FL 33144
Phone: (877) 404-0333 / Fax:
Lady Lake Dental (877) 404-9339

Endosurg Outpatient Center Statewide Clermont


13838 North US Highway 441
Lady Lake, FL 32159
Phone: (352) 323-8868 / Fax: Argus Dental Clermont Radiology - Kings Ridge
(352) 323-8865 Phone: (800) 340-8869 3725 South Highway 27
https:// argusdental.com /find-a- Suite 104
provider/ Clermont, FL 34711
Leesburg Phone: (352) 241-6100 / Fax:
(352) 241-6101
Lake Surgery & Endoscopy Center Diabetic Supplies - Mail Order
Clermont Radiology, LLC
8110 County Road 44 Leg A 871 Oakley Seaver Drive
Leesburg, FL 34788 Clermont, FL 34711
Phone: (352) 323-8868 / Fax: Statewide
Phone: (352) 241-6100 / Fax:
(352) 323-8865 (352) 241-6101
United Medco, Inc.
4250 Coral Ridge Drive SimonMed Imaging
Mount Dora
Suite 201 265 Citrus Tower Boulevard
Coral Springs, FL 33065 Suite 100
Phone: (954) 947-4300 / Fax: Clermont, FL 34711
Surgery Center of Mount Dora
(954) 753-1669 Phone: (352) 241-7440 / Fax:
3710 Lake Center Drive
(407) 865-6080
Mount Dora, FL 32757
Phone: (352) 383-1268 / Fax:
(352) 385-3199 Leesburg

Akumin Leesburg
600 West North Boulevard
Suite E
Leesburg, FL 34748
Phone: (352) 504-0525 / Fax:
(352) 388-4906

71
Ultimate Health Plans Lake January 2022

Lake Medical Imaging and Breast Diagnostic Testing Acentus


Center at The Villages, LLC 4951-B East Adamo Drive
801 East Dixie Avenue Suite 200
Suite 104 Statewide Tampa, FL 33605
Leesburg, FL 34748 Phone: (866) 684-2507 / Fax:
Phone: (352) 787-5858 / Fax: (866) 695-2183
(352) 787-4655 Clinicare Diagnostic Medical
Services ActivStyle
SimonMed Imaging 2311 Alternate 19 5912 Breckenridge Parkway
211 North 1st Avenue Suite B Suite G
Leesburg, FL 34748 Palm Harbor, FL 34683 Tampa, FL 33610
Phone: (352) 241-7446 / Fax: Phone: (866) 961-5589 / Fax: Phone: (813) 280-6547 / Fax:
(407) 865-6089 (727) 796-2965 (877) 426-7329

Aeroflow Healthcare
Mount Dora 65 Beale Road
Durable Medical Equipment Arden, NC 28704
Phone: (888) 345-1780 / Fax:
Akumin Mt. Dora (800) 249-1513
3615 Lake Center Drive Nationwide
Mount Dora, FL 32757 Comfort Medical, LLC
Phone: (352) 405-4545 / Fax: 4240 Northwest 120th Avenue
(352) 388-9464 Acelis Connected Health Services
Coral Springs, FL 33065
6465 National Drive
Phone: (800) 700-4246 / Fax:
Livermore, CA 94550
(800) 604-9760
Tavares Phone: (877) 262-4669 / Fax:
(925) 606-6978 Essential Medical Solutions, Inc.
3 Nebo Yorkville Road
Serene Diagnostic Imaging Alere Home Monitoring, Inc.
Yorkville, TN 38389
1751 David Walker Drive Phone: (877) 262-4669
Phone: (877) 278-1079 / Fax:
Tavares, FL 32778
Prism Medical Products, LLC (877) 231-3088
Phone: (352) 800-6500 / Fax:
(352) 800-6501 112 Church Street
Home Oxygen Medical
Suite 101
Equipment of Hernando
Elkin, NC 28621
18735 Sakera Road
Phone: (888) 244-6421 / Fax:
Hudson, FL 34667
(800) 975-6321
Phone: (727) 861-5542 / Fax:
(727) 861-5545
Statewide
InfuSystem, Inc.
3851 West Hamlin Road
180 Medical, Inc. Rochester, MI 48309
8516 Northwest Expressway Phone: (800) 962-9656 / Fax:
Oklahoma City, OK 73162 (800) 455-4338
Phone: (877) 688-2729 / Fax:
(888) 718-0633

72
Ultimate Health Plans Lake January 2022

Kelmedix, Inc. Strive Medical, LLC Countywide


4646 Commerical Way 5800 Campus Circle Drive East
Spring Hill, FL 34606 Suite 100B
Phone: (352) 592-1063 / Fax: Irving, TX 75063 Active Mobility Innovations
(352) 592-1064 Phone: (888) 771-9229 / Fax: 3720 Tampa Road
(866) 680-5574 Palm Harbor, FL 34684
Kinex Medical Company, LLC Phone: (727) 535-6100 / Fax:
1801 Airport Road SurfMed (888) 527-1919
Suite D 2799 Southwest 32nd Avenue
Waukesha, WI 53188 Building E, Suite 14 Lincare, Inc.
Phone: (800) 845-6364 / Fax: Pembroke Park, FL 33023 301 South Richey Road
(888) 845-3342 Phone: (888) 201-7873 / Fax: Suite 101
(888) 398-3149 Leesburg, FL 34748
Medline Industries, Inc. Phone: (352) 323-5540 / Fax:
1 Medline Place United Medco, Inc. (352) 323-5549
Mundelein, IL 60060 4250 Coral Ridge Drive
Phone: (866) 356-4997 / Fax: Suite 201 PM Respiratory Services, Inc.
(866) 272-8122 Coral Springs, FL 33065 3306 Southwest 26th Avenue
Phone: (954) 947-4300 / Fax: Ocala, FL 34471
Medline Industries, Inc. (954) 753-1669 Phone: (352) 237-4545 / Fax:
1501 Harris Road (866) 945-9458
Libertyville, IL 60048 United States Medical Supply, LLC
Phone: (866) 356-4997 / Fax: 8260 Northwest 27th Street Southern Respiratory, Inc.
(866) 272-8122 Suite 401 724 South Rossiter Street
Miami, FL 33122 Mount Dora, FL 32757
MY DME DOC, LLC Phone: (305) 436-6033 / Fax: Phone: (352) 385-9116 / Fax:
977 Del Mar Drive (305) 455-5700 (352) 385-3729
Lady Lake, FL 32159
Phone: (866) 726-9363 / Fax: Universal Med Supply Southern Respiratory, Inc.
(888) 788-5796 1329 West Walnut Hill Lane 724 South Rossiter Street
Suite 100 Mount Dora, FL 32757
Orthomedx Corporation Irving, TX 75038 Phone: (352) 385-9116 / Fax:
4329 36th Street Phone: (972) 228-1820 / Fax: (352) 385-3729
Suite 800 (972) 572-1112
Orlando, FL 32811
Phone: (407) 422-4526 / Fax: US Med, LLC Leesburg
(407) 377-5770 1480 Northwest 79th Avenue
Miami, FL 33126
RespirTech Breathe Easy Medical, Inc.
Phone: (800) 787-6331 / Fax:
5905 Nathan Lane North 9900 US Highway 441
(305) 455-5700
Suite 200 Leesburg, FL 34788
Plymouth, MN 55442 Phone: (352) 483-0911 / Fax:
Phone: (800) 793-1261 / Fax: (352) 483-1670
(800) 962-1611

73
Ultimate Health Plans Lake January 2022

Rotech Countywide Family Home Health Services


2032 Talley Road 2801 Southwest College Road
Suite 7 Suite 5
Leesburg, FL 34748 Classic Home Health Services Ocala, FL 34474
Phone: (352) 728-2033 / Fax: 1504 South Street Phone: (941) 907-1595 / Fax:
(352) 787-2001 Leesburg, FL 34748 (941) 907-4768
Phone: (352) 314-1885 / Fax:
(800) 690-3901 Florida Homecare Specialists, Inc.
Tavares 150 Southeast 17th Street
Classic Home Health Services Unit 301
1504 South Street Ocala, FL 34471
Matrix Medical, LLC Leesburg, FL 34748 Phone: (352) 509-3045 / Fax:
1101 Lake Harris Drive Phone: (352) 314-1885 / Fax: (352) 509-3046
Tavares, FL 32778 (800) 690-3901
Phone: (352) 343-4402 / Fax: Florida Homecare Specialists, Inc.
(888) 491-5803 Comprehensive Home Care 130 North Old Dixie Highway
3200 Southwest 34th Avenue Lady Lake, FL 32159
Suite 501 Phone: (352) 753-2206 / Fax:
Ocala, FL 34474 (352) 350-2210
Fitness Program
Phone: (352) 861-8806 / Fax:
(352) 873-8806 Fusion HealthCare
Silver Sneakers Fitness 10508 Spring Hill Drive
Comprehensive Home Care of Spring Hill, FL 34608
Phone: (888) 423-4632
Hernando Phone: (352) 684-1388 / Fax:
https:// tools.silversneakers.com
5085 Commercial Way (352) 684-1389
/LocationSearch
Unit 2
Spring Hill, FL 34606 Kindred at Home
Phone: (352) 688-4020 / Fax: 4465 North Lecanto Highway
Home Health (866) 305-9695 Suite 7A
Beverly Hills, FL 34465
Crown Home Health Care, Inc. Phone: (352) 746-5010 / Fax:
Statewide 3900 Lake Center Drive (352) 746-0565
Suite A4
Mount Dora, FL 32757 Kindred at Home
Advanced InfusionCare Phone: (352) 561-2376 / Fax: 311 Southeast 17th Place
212 Northside Drive (352) 561-2377 Ocala, FL 34471
Valdosta, GA 31602 Phone: (352) 402-0660 / Fax:
Phone: (229) 242-3060 / Fax: Doctor's Choice Home Care (352) 402-0670
(292) 242-9914 18770 Cortez Boulevard
Brooksville, FL 34601 Kindred at Home
Phone: (352) 794-6099 / Fax: 3951 Northwest 48th Terrace
(352) 204-0069 Suite 219
Gainesville, FL 32606
Phone: (352) 376-3221 / Fax:
(352) 376-7525

74
Ultimate Health Plans Lake January 2022

Kindred at Home Visiting Nurse Services of Central LabCorp at Walgreens


205 Zeagler Drive Florida, LLC 4400 South Highway 27
Palatka, FL 32177 1326 West North Boulevard Clermont, FL 34711
Phone: (386) 328-0202 / Fax: Suite 12 Phone: (352) 566-1155 / Fax:
(386) 328-3459 Leesburg, FL 34748 (352) 536-2357
Phone: (352) 315-0958 / Fax:
Kindred at Home (352) 314-9999 Vista Clinical
17240 Camelot Court 4290 South Highway 27
Suite 101 Visiting Nurse Services of Central Suite 204
Land O Lakes, FL 34638 Florida, LLC Clermont, FL 34711
Phone: (813) 920-9389 / Fax: 1326 West North Boulevard Phone: (352) 536-9270 / Fax:
(813) 920-7815 Suite 12 (352) 536-9279
Leesburg, FL 34748
Kindred at Home Phone: (352) 315-0958 / Fax:
900 Main Street (352) 314-9999 Eustis
The Villages, FL 32159
Phone: (352) 787-2780 / Fax: VNA of FL
(352) 787-3995 10177 Cortez Boulevard Mid-Florida Pathology
Weeki Wachee, FL 34613 2100 Prevatt Street
Lake Centre Home Care, LLC Phone: (352) 592-9800 / Fax: Eustis, FL 32726
310 Market Street (352) 592-9801 Phone: (352) 308-8903 / Fax:
Leesburg, FL 34748 (352) 460-0785
Phone: (352) 315-0050 / Fax:
(352) 315-0059
Hearing Lady Lake
Palm Garden Home Health
3306 Southwest 26th Avenue
Hearing Services LabCorp
Suite 401
Phone: (800) 313-2763 8575 Northeast 138th Lane
Ocala, FL 34471
https:// Suite 201
Phone: (352) 877-4120 / Fax:
hearing.myultimatehp.com / Lady Lake, FL 32159
(352) 304-6929
Phone: (352) 259-6238 / Fax:
Pinnacle Home Care (352) 259-7833
1213 West Miller Street
Laboratory
Suite 1 Leesburg
Fruitland Park, FL 34731
Phone: (352) 314-9500 / Fax: Clermont
(352) 314-9503 LabCorp
33041 Professional Drive
Pinnacle Home Care of Spring LabCorp Suite 102
Hill, Inc. 235 West Highway 50 Leesburg, FL 34788
5286 Applegate Drive Clermont, FL 34711 Phone: (352) 787-1108 / Fax:
Spring Hill, FL 34606 Phone: (352) 708-4567 / Fax: (888) 733-2129
Phone: (352) 666-2771 / Fax: (877) 445-5847
(352) 688-9737

75
Ultimate Health Plans Lake January 2022

LabCorp Clermont Radiology, LLC Occupational Therapy


210 South Lake Street 871 Oakley Seaver Drive
Suite B Clermont, FL 34711
Leesburg, FL 34748 Phone: (352) 241-6100 / Fax: Clermont
Phone: (352) 319-8013 / Fax: (352) 241-6101
(352) 319-8015
SimonMed Imaging Ability Rehabilitation
Mid-Florida Pathology 265 Citrus Tower Boulevard 1804 Oakley Seaver Boulevard
120 East North Boulevard Suite 100 Suite E
Suite 102 Clermont, FL 34711 Clermont, FL 34711
Leesburg, FL 34748 Phone: (352) 241-7440 / Fax: Phone: (352) 989-5838 / Fax:
Phone: (352) 308-8903 / Fax: (407) 865-6080 (352) 404-8979
(352) 460-0785
CORA Physical Therapy -
Leesburg Clermont
Tavares 1500 Oakley Seaver Drive
Suite 11
Lake Medical Imaging and Breast Clermont, FL 34711
LabCorp Center at The Villages, LLC Phone: (352) 241-0347 / Fax:
1605 Banning Beach Road 801 East Dixie Avenue (352) 243-3610
Tavares, FL 32778 Suite 104
Phone: (352) 253-2327 / Fax: Leesburg, FL 34748
(888) 733-2596 Phone: (352) 787-5858 / Fax: Eustis
(352) 787-4655
LabCorp
2730 Dora Avenue SimonMed Imaging Physio Med, Inc.
Suite D 211 North 1st Avenue 443 Plaza Drive
Tavares, FL 32778 Leesburg, FL 34748 Eustis, FL 32726
Phone: (352) 253-0137 / Fax: Phone: (352) 241-7446 / Fax: Phone: (352) 589-5595 / Fax:
(352) 253-0139 (407) 865-6089 (352) 589-5747

Mount Dora Lady Lake


Mammography

Akumin Mt. Dora Physio Med, Inc.


Clermont 3615 Lake Center Drive 765 County Road 466
Mount Dora, FL 32757 Lady Lake, FL 32159
Phone: (352) 405-4545 / Fax: Phone: (352) 259-2522 / Fax:
Clermont Radiology - Kings Ridge (352) 388-9464 (352) 259-2554
3725 South Highway 27
Suite 104
Clermont, FL 34711
Phone: (352) 241-6100 / Fax:
(352) 241-6101

76
Ultimate Health Plans Lake January 2022

Leesburg Optometry - Routine Vision Leesburg


Providers

Lake Centre for Rehab Highland Dialysis Care Center Leesburg, LLC
Lakes Statewide 600 West North Boulevard
26540 Ace Avenue Suite B
Suite 110B Leesburg, FL 34748
Leesburg, FL 34748 Argus Vision Phone: (352) 530-2450 / Fax:
Phone: (352) 314-9810 / Fax: Toll Free Customer Service (352) 530-2606
(352) 314-9878 Phone: (800) 210-5511
https:// argusdental.com /find-a- Leesburg Dialysis Center
Lake Centre for Rehab Leesburg provider/ 8425 US Highway 441
600 West North Boulevard Suite 104
Suite D Leesburg, FL 34788
Leesburg, FL 34748 Phone: (352) 435-0082 / Fax:
Phone: (352) 728-6636 / Fax: Outpatient Dialysis (352) 435-0380
(352) 728-1322

Physio Med, Inc. Clermont Tavares


1127 East North Boulevard
Leesburg, FL 34748
Clermont Dialysis Mount Dora Dialysis
Phone: (352) 365-1114 / Fax:
1350 North Hancock Road 1971 Salk Avenue
(352) 365-0111
Clermont, FL 34711 Tavares, FL 32778
Phone: (352) 394-0072 / Fax: Phone: (352) 508-3007 / Fax:
Mount Dora (352) 241-0433 (352) 508-3232

Lake Centre for Rehab Mt. Dora Lady Lake


18840 US Highway 441 Oxygen
Mount Dora, FL 32757
Ocala Regional Kidney Center
Phone: (352) 383-7800 / Fax:
South Home Oxygen Medical
(352) 383-0607
13940 North Us Highway 441 Equipment of Hernando
Building 400 18735 Sakera Road
Tavares Lady Lake, FL 32159 Hudson, FL 34667
Phone: (352) 751-1240 / Fax: Phone: (727) 861-5542 / Fax:
(352) 751-1250 (727) 861-5545
CORA Physical Therapy - Eustis
15745 Dora Avenue Kelmedix, Inc.
Suite B 4646 Commerical Way
Tavares, FL 32778 Spring Hill, FL 34606
Phone: (352) 357-8358 / Fax: Phone: (352) 592-1063 / Fax:
(352) 357-0618 (352) 592-1064

77
Ultimate Health Plans Lake January 2022

Lincare, Inc. Eustis Lake Centre for Rehab Leesburg


301 South Richey Road 600 West North Boulevard
Suite 101 Suite D
Leesburg, FL 34748 Physio Med, Inc. Leesburg, FL 34748
Phone: (352) 323-5540 / Fax: 443 Plaza Drive Phone: (352) 728-6636 / Fax:
(352) 323-5549 Eustis, FL 32726 (352) 728-1322
Phone: (352) 589-5595 / Fax:
Southern Respiratory, Inc. (352) 589-5747 Physio Med, Inc.
724 South Rossiter Street 1127 East North Boulevard
Mount Dora, FL 32757 Leesburg, FL 34748
Phone: (352) 385-9116 / Fax: Lady Lake Phone: (352) 365-1114 / Fax:
(352) 385-3729 (352) 365-0111

Southern Respiratory, Inc. Physio Med, Inc.


724 South Rossiter Street 765 County Road 466 Mount Dora
Mount Dora, FL 32757 Lady Lake, FL 32159
Phone: (352) 385-9116 / Fax: Phone: (352) 259-2522 / Fax:
(352) 385-3729 (352) 259-2554 American Rehab Connections
3739 Lake Center Drive
Mount Dora, FL 32757
Leesburg Phone: (352) 729-2290 / Fax:
Physical Therapy (888) 465-1815
American Rehab Connections Lake Centre for Rehab Mt. Dora
Clermont 620 South Lake Street 18840 US Highway 441
Suite 3 Mount Dora, FL 32757
Leesburg, FL 34748 Phone: (352) 383-7800 / Fax:
Ability Rehabilitation Phone: (352) 729-2290 / Fax: (352) 383-0607
1804 Oakley Seaver Boulevard (888) 465-1815
Suite E
Clermont, FL 34711 CORA Physical Therapy - Leesburg Tavares
Phone: (352) 989-5838 / Fax: 701 North 14th Street
(352) 404-8979 Suite 1
Leesburg, FL 34748 CORA Physical Therapy - Eustis
CORA Physical Therapy - Phone: (352) 314-3874 / Fax: 15745 Dora Avenue
Clermont (352) 314-5954 Suite B
1500 Oakley Seaver Drive Tavares, FL 32778
Suite 11 Lake Centre for Rehab Highland Phone: (352) 357-8358 / Fax:
Clermont, FL 34711 Lakes (352) 357-0618
Phone: (352) 241-0347 / Fax: 26540 Ace Avenue
(352) 243-3610 Suite 110B
Leesburg, FL 34748
Phone: (352) 314-9810 / Fax:
(352) 314-9878

78
Ultimate Health Plans Lake January 2022

Prosthetics and Orthotics Leesburg Leesburg

Statewide Mid-Florida Prosthetics & Lake Centre for Rehab Highland


Orthotics Lakes
601 East Dixie Avenue 26540 Ace Avenue
Liberator Medical Supply, Inc. Suite 806 Suite 110B
2979 Southeast Gran Park Way Leesburg, FL 34748 Leesburg, FL 34748
Stuart, FL 34997 Phone: (352) 435-4500 / Fax: Phone: (352) 314-9810 / Fax:
Phone: (800) 536-2390 / Fax: (352) 435-4516 (352) 314-9878
(800) 755-0843
Lake Centre for Rehab Leesburg
Tampa Bay Prosthetics 600 West North Boulevard
5109 North Armenia Avenue Sleep Studies Suite D
Tampa, FL 33603 Leesburg, FL 34748
Phone: (813) 801-9110 / Fax: Phone: (352) 728-6636 / Fax:
(813) 801-9048 Statewide
(352) 728-1322

Lady Lake Blackstone Medical Services, LLC Mount Dora


550 North Reo Street
Suite 250
Mid-Florida Prosthetics & Tampa, FL 33609 Lake Centre for Rehab Mt. Dora
Orthotics Phone: (888) 710-2727 / Fax: 18840 US Highway 441
13940 Highway 441 (888) 239-4616 Mount Dora, FL 32757
Building 300, Suite 302 Phone: (352) 383-7800 / Fax:
Lady Lake, FL 32159 (352) 383-0607
Phone: (352) 259-3084 / Fax:
Speech Therapy
(352) 259-3417

Saunders Prosthetics & Orthotics Wound Care


Clermont
Group
761 County Road 466
Lady Lake, FL 32159 Continuum, LLC
Ability Rehabilitation 7003 Valley Ranch Drive
Phone: (352) 259-9749 / Fax: 1804 Oakley Seaver Boulevard
(352) 259-8209 Little Rock, AZ 72223
Suite E Phone: (866) 217-9900 / Fax:
Clermont, FL 34711 (866) 217-9998
Phone: (352) 989-5838 / Fax:
(352) 404-8979

79
Ultimate Health Plans Lake January 2022

CVS Pharmacy #05817 Publix Pharmacy #0684


Retail Pharmacy 1800 East Highway 50
Clermont, FL 34711
17445 US Highway 192 Ste 11
Clermont, FL 34714
Phone: (352) 243-7030 Phone: (352) 243-0785

Statewide CVS Pharmacy #07897 Publix Pharmacy #0763


1640 US Highway 27 4351 S Highway 27
Clermont, FL 34714 Clermont, FL 34711
CVS Pharmacy* Phone: (352) 243-0135 Phone: (352) 394-2915
Phone: (800) 746-7287
https:// www.cvs.com /stores CVS Pharmacy #08375 Publix Pharmacy #1357
4405 South Highway 27 2430 US Hwy. 27
Publix Pharmacy* Clermont, FL 34711 Clermont, FL 34714
Phone: (800) 242-1227 Phone: (352) 243-3367 Phone: (352) 243-8845
https:// www.publix.com
/pharmacy CVS Pharmacy #16849 Walgreens #16051
2660 East Hwy 50 699 E Highway 50
Walgreens* Clermont, FL 34711 Clermont, FL 34711
Phone: (800) 925-4733 Phone: (352) 394-7626 Phone: (352) 241-9109
https:// www.walgreens.com
/storelocator/find.jsp Four Corners Pharmacy Walgreens #6218
16744 Cagan Crossings Blvd 1600 US Hwy 27
Walmart* Suite 207 A Clermont, FL 34714
Phone: (800) 966-6546 Clermont, FL 34714 Phone: (352) 242-4563
https:// www.walmart.com Phone: (352) 989-5913
/pharmacy Walgreens #6528
Mchills Pharmacy 4400 S Hwy 27
Winn Dixie* 1158 5th St Clermont, FL 34711
Phone: (866) 946-6349 Clermont, FL 34711 Phone: (352) 394-8029
https:// www.winndixie.com Phone: (352) 394-1333
/pharmacy Walgreens #7273
Medicap Pharmacy 2590 E Highway 50
12302 Roper Blvd Clermont, FL 34711
Clermont Ste 106 And 107 Phone: (352) 394-1748
Clermont, FL 34711
Phone: (352) 243-6340 Walmart Pharmacy 10-2695
Clermont Family Pharmacy 1450 Johns Lake Road
2761 Citrus Tower Blvd Ste 102 Publix Pharmacy #0015 Clermont, FL 34711
Clermont, FL 34711 250 Citrus Tower Blvd Phone: (352) 243-6270
Phone: (352) 404-7353 Clermont, FL 34711
Phone: (352) 241-6676 Walmart Pharmacy 10-5299
Community Health Centers, Inc. 550 US Highway 27
509 Cagan View Rd Publix Pharmacy #0027 Clermont, FL 34711
Clermont, FL 34714 13900 County Road 455 Phone: (352) 536-2730
Phone: (352) 557-5712 Clermont, FL 34711
Phone: (407) 877-1565

80
Ultimate Health Plans Lake January 2022

Winn Dixie Publix Pharmacy #0862 Publix Pharmacy #1168


684 E Hwy 50 2840 David Walker Rd 7975 State Road 50
Clermont, FL 34711 Eustis, FL 32726 Groveland, FL 34736
Phone: (352) 242-9061 Phone: (352) 357-9168 Phone: (352) 429-2969

Publix Pharmacy #1499 Walgreens #12317


Eustis 24420 Sr 44 7777 State Road 50
Eustis, FL 32736 Groveland, FL 34736
Phone: (352) 357-2008 Phone: (352) 557-3007
Bay Pharmacy
2 E Magnolia Ave St.Mary Pharmacy Compounding
Eustis, FL 32726 And Medical Supply Lady Lake
Phone: (352) 357-4341 1314 S Bay St
Eustis, FL 32726
CVS Pharmacy #05139 Phone: (352) 357-6699 CVS Pharmacy #05120
1995 Sr 19 860 Avenida Central Ave
Eustis, FL 32726 Walgreens #5779 Lady Lake, FL 32159
Phone: (352) 589-1330 101 W Ardice Ave Phone: (352) 750-1118
Eustis, FL 32726
CVS Pharmacy #08937 Phone: (352) 589-5062 Lady Lake Pharmacy
24450 Sr 44 725 Highway 466
Eustis, FL 32736 Walgreens #5809 Lady Lake, FL 32159
Phone: (352) 357-2576 2005 North Sr 19 Phone: (352) 633-2105
Eustis, FL 32726
Lake Pharmacy Phone: (352) 483-6183 Sam's Pharmacy 10-4998
710 N Bay St 755 N US Highway 441
Eustis, FL 32726 Winn Dixie Lady Lake, FL 32159
Phone: (352) 357-5485 1955 North State Rd 19 Phone: (352) 751-5989
Eustis, FL 32726
Mid Florida Pharmacy Phone: (352) 589-2646 Walgreens #6723
461 Plaza Drive 890 North US Hwy 27
Eustis, FL 32726 Lady Lake, FL 32159
Phone: (352) 729-6557 Groveland Phone: (352) 753-3257

Mount Dora Pharmacy Winn Dixie


17435 US Highway 441 Community Health Centers, Inc 944 Bichara Blvd
Suite-102 1296 W Broad St Lady Lake, FL 32159
Eustis, FL 32726 Groveland, FL 34736 Phone: (352) 753-6115
Phone: (352) 357-1406 Phone: (352) 435-6696

Publix Pharmacy #0507 Groveland Pharmacy Leesburg


1950 St Rd 19 North 145 E. Broad St.
Eustis, FL 32726 Groveland, FL 34736
Phone: (352) 357-5885 Phone: (352) 429-1353 Adonai Pharmacy
620 S Lake Street #4
Leesburg, FL 34748
Phone: (352) 460-4030

81
Ultimate Health Plans Lake January 2022

Burrys Pharmacy Walgreens #6887 CVS Pharmacy #05452


500 Webster St 27440 US Highway 27 18915 US Hwy 441
Leesburg, FL 34748 Leesburg, FL 34748 Mount Dora, FL 32757
Phone: (352) 787-3787 Phone: (352) 728-8083 Phone: (352) 735-0768

Community Health Centers, Inc Walgreens #6940 CVS Pharmacy #17150


225 N 1st St 901 S 14th St 17450 US Highway 441
Leesburg, FL 34748 Leesburg, FL 34748 Mount Dora, FL 32757
Phone: (352) 314-7403 Phone: (352) 787-3506 Phone: (352) 385-0747

CVS Pharmacy #00605 Walmart Pharmacy 10-0800 Walmart Pharmacy 10-0705


1235 N 14th St 2501 N Citrus Blvd 17030 US Hwy 441
Leesburg, FL 34748 Leesburg, FL 34748 Mount Dora, FL 32757
Phone: (352) 787-7800 Phone: (352) 326-4044 Phone: (352) 735-0011

Publix Pharmacy #0710 Winn Dixie


27615 US Highway 27 27405 US Hwy 27 Ste 119 Mt Dora
Leesburg, FL 34748 Leesburg, FL 34748
Phone: (352) 787-2122 Phone: (352) 315-4199
Publix Pharmacy #1269
Publix Pharmacy #0815 18955 Us. Hwy 441
717 North 14th St Minneola Mt Dora, FL 32757
Leesburg, FL 34748 Phone: (352) 383-1272
Phone: (352) 787-0664
CVS Pharmacy #03384 Walgreens #2928
Publix Pharmacy #1762 814 N Hwy 27 18910 US Hwy 441
10601 US Highway 441 Ste D Minneola, FL 34715 Mt Dora, FL 32757
Leesburg, FL 34788 Phone: (352) 242-1251 Phone: (352) 735-0600
Phone: (352) 630-6295
Publix Pharmacy #1759
Publix Pharmacy #1762 1685 N Hancock Rd Sorrento
10601 US Highway 441 Ste D Minneola, FL 34711
Leesburg, FL 34788 Phone: (352) 241-9347
Health Plus Pharmacy
Phone: (352) 630-6295
Walgreens #11484 25444 State Road 46, Suite 3
The Pharmacist 200 Southern Breeze Dr Sorrento, FL 32776
32713 County Road 473 Minneola, FL 34715 Phone: (352) 720-3104
Leesburg, FL 34788 Phone: (352) 241-4390
Phone: (352) 742-8080 Tavares
Walgreens #6163 Mount Dora
2010 Citrus Blvd Community Health Centers, Inc
Leesburg, FL 34748 212 E Main St
CVS Pharmacy #00497
Phone: (352) 326-0735 Tavares, FL 32778
17021 US Hwy 441
Mount Dora, FL 32757 Phone: (352) 314-7409
Phone: (352) 357-6904

82
Ultimate Health Plans Lake January 2022

CVS Pharmacy #04465 Umatilla


550 W Burleigh Blvd
Tavares, FL 32778
Phone: (352) 343-1502 Umatilla Drug Store
901 N Central Ave
Publix Pharmacy #1535 Umatilla, FL 32784
2042 State Road 19 Phone: (352) 669-1166
Tavares, FL 32778
Phone: (352) 742-2794

Tavares Pharmacy
524 S Duncan Dr
Tavares, FL 32778
Phone: (352) 508-6449

Walgreens #12105
680 E Burleigh Blvd
Tavares, FL 32778
Phone: (352) 253-0289

Walgreens #4648
11101 US Hwy 441
Tavares, FL 32778
Phone: (352) 742-1700

Winn Dixie
450 E Burleigh Blvd
Tavares, FL 32778
Phone: (352) 343-6436

The Villages

CVS Pharmacy #17147


716 N US Highway 441/27
The Villages, FL 32159
Phone: (352) 205-8943

Publix Pharmacy #0447


1120 Bichara Blvd
The Villages, FL 32159
Phone: (352) 750-2424

83
Ultimate Health Plans Lake January 2022

Mail Order
Pharmacy
Statewide

Optumrx
Phone: (855) 842-6337

TTY 711
24 hours a day / 7 day a week
You can get prescription drugs
shipped to your home through our
network mail order delivery program.
For refills of your mail order
prescriptions, you have the option to
sign up for an automatic refill
program. Under this program, we will
start to process your next refill
automatically when our records show
that you should be close to running
out of your drug. We will contact you
prior to shipping each refill to make
sure you are in need of more
medication. You can cancel
scheduled refills if you have enough
of your medication or if your
medication has changed. If you
choose not to use the auto refill
program, please contact us 14 days
before you think the drugs you have
on hand will run out to make sure
your next order is shipped to you in
time. To opt out of the automatic
refill program, please contact us by
calling 1 (855) 842-6337, 24 hours a
day, 7 days a week.
Typically, you should expect to
receive your prescription drugs
within 14 days from the time that the
mail order pharmacy receives the
order. If you do not receive your
prescription drug(s) within this time,
please contact us at 1 (855) 842-
6337.

84
Ultimate Health Plans Lake January 2022

The Institute For Florida Pain


Home Infusion Specialists
3010 E 138th Ave Ste 100
Pharmacies Tampa, FL 33613
Phone: (813) 569-0794

Statewide Clermont

All Care Pharmacy Fhcc Clermont


4728 N Habana Ave # 100a 15701 State Road 50
Tampa, FL 33614 Ste 101
Phone: (813) 527-0765 Clermont, FL 34711
Phone: (852) 394-7757
Bioscrip Infusion Services
5505 Johns Road, Suite 700
Tampa, FL 33634 Leesburg
Phone: (813) 549-5499

Coram Cvs/Specialty Infusion Direct Care Pharmacy, Llc


Services 709 W North Blvd
8508 Benjamin Road, Suite C Suite B
Tampa, FL 33634 Leesburg, FL 34748
Phone: (813) 639-4500 Phone: (352) 399-6886

Dedicated Senior Medical Center


West Tampa
9501 Anderson Road
Tampa, FL 33634
Phone: (813) 413-7333

Heart Of Florida Health Center


5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksvile, FL 33604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

85
Ultimate Health Plans Lake January 2022

Omnicare Of Tampa Fruitland Park


Long Term Care 8603 Florida Mining Boulevard
Tampa, FL 33634
The Medicine Chest - Ltc Llc
Pharmacies Phone: (813) 247-9225
2468 US Highway 441/27 Ste 204
The Institute For Florida Pain Fruitland Park, FL 34731
Specialists Phone: (352) 415-0505
Statewide 3010 E 138th Ave Ste 100
Tampa, FL 33613
Phone: (813) 569-0794 Leesburg
Alpha Touch Pharmacy
10071 Pines Blvd Ste D
Pembroke Pines, FL 33024 Clermont Direct Care Pharmacy, Llc
Phone: (954) 435-5200 709 W North Blvd
Suite B
Blake Pharmacy Fhcc Clermont Leesburg, FL 34748
5628-5632 Trouble Creek Road 15701 State Road 50 Phone: (352) 399-6886
New Port Richey, FL 34652 Ste 101
Phone: (727) 846-7600 Clermont, FL 34711 Genoa Healthcare, Llc
Phone: (852) 394-7757 215 N 3rd St Ste A
Careone Pharmacy Services Leesburg, FL 34748
Sanford Genoa Healthcare Llc Phone: (352) 702-0079
1455 E Airport Blvd 2120 N Don Wickham Dr
Sanford, FL 32773 Room 110
Clermont, FL 34711 Umatilla
Phone: (855) 822-7366
Phone: (352) 988-6027
Dedicated Senior Medical Center
West Tampa Umatilla Drug Store
9501 Anderson Road Eustis 901 N Central Ave
Tampa, FL 33634 Umatilla, FL 32784
Phone: (813) 413-7333 Phone: (352) 669-1166
Bay Pharmacy Long Term Care
Heart Of Florida Health Center 2 E Magnolia Ave
5051 SE 110th St Ste 201
Belleview, FL 34420 Eustis, FL 32726
Phone: (352) 480-5797 Phone: (352) 357-4341

Jrc Compounding St.Mary Pharmacy Compounding


18114 Powell Road And Medical Supply
Brooksville, FL 34604 1314 S Bay St
Phone: (352) 345-4849 Eustis, FL 32726
Phone: (352) 357-6699
Lake Seminole Pharmacy Ltc
9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

86
Ultimate Health Plans Marion January 2022

Dunnellon Ocala
Primary Care
Bellam, Rajendra P, MD Atkinson, Maria Lourdes F., MD
Physicians West Florida Medical Associates, Ocala Family Practice, LLC
PA Internal Medicine
Internal Medicine 1328 Southeast 25th Loop
Belleview 20021 Southwest 111th Place Suite 102
Dunnellon, FL 34432 Ocala, FL 34471
Phone: (352) 465-1199 / Fax: Phone: (352) 732-2558 / Fax:
De Jesus, Juan A., MD (352) 465-1207 (352) 732-8983
Premier Medical Associates Gender: Male Gender: Female
General Practice Language(s): Telugu Language(s): Tagalog
10250 US Highway 441 ID #: 200000006073 ID #: 200000016116
Belleview, FL 34421 Accepting new patients: Yes Accepting new patients: Yes
Phone: (352) 259-2159 / Fax:
(352) 259-5731 Deven, Ulhas T., MD Bajwa, Usman K., MD
Gender: Male West Florida Medical Associates, Aegis Medical Group, LLC
ID #: 200000026961 PA Internal Medicine
Accepting new patients: Yes Internal Medicine 1630 Southeast 18th Street
11707 North Williams Street Building 400
Falkenberg, Richard W., MD Suite 3 Ocala, FL 34471
VIPCare Dunnellon, FL 34432 Phone: (352) 758-2597 / Fax:
Internal Medicine Phone: (352) 465-1919 / Fax: (352) 758-2598
11531 Southwest US Highway 301 (352) 465-7576 Gender: Male
Belleview, FL 34420 Gender: Male Language(s): Hindi, Punjabi, Urdu
Phone: (352) 553-1669 / Fax: Language(s): Hindi, Kannada ID #: 200000035333
(844) 388-6186 ID #: 200000006046 Accepting new patients: Yes
Gender: Male Accepting new patients: Yes
ID #: 200000016119 Bedi, Jaskaran S., MD
Accepting new patients: Yes Institute of Internal Medicine
Fort Mc Coy Internal Medicine
2654 Southwest 32nd Place
Suite 100
Thomas, Greyson C., MD Ocala, FL 34471
Thomas Internal Medicine, PA Phone: (352) 854-7444 / Fax:
Internal Medicine (352) 873-6647
15035 Northeast Highway 315 Gender: Male
Fort Mc Coy, FL 32134 Language(s): Hindi
Phone: (352) 236-2525 / Fax: ID #: 200000023599
(352) 236-8610 Accepting new patients: Yes
Gender: Male
ID #: 200000016124
Accepting new patients: Yes

87
Ultimate Health Plans Marion January 2022

Challa, Hanimi R., MD De Jesus Kalil, Clara L., MD Garces, Patrycja, DO


Challa Citrus and Marion Countryside Medical, PA VIPCare
Geriatrics Associates General Practice Family Practice
Internal Medicine 7860 Southwest 103rd Street 8409 Southwest 80th Street
40 Southwest 12th Street Building 100, Suite 101 Suite 8
Suite B101 Ocala, FL 34476 Ocala, FL 34481
Ocala, FL 34471 Phone: (352) 873-4458 Phone: (352) 414-1922 / Fax:
Phone: (352) 622-1344 / Fax: Gender: Female (844) 388-6186
(352) 622-1417 ID #: 200000025479 Gender: Female
Gender: Male Accepting new patients: Yes Language(s): Polish, Spanish
Language(s): Telugu ID #: 200000020786
ID #: 200000016643 Dieguez, Eladio J., MD Accepting new patients: No
Accepting new patients: Yes VIPCare
Internal Medicine Goszkowski, James H., MD
Challa, Hanimi R., MD 5345 Southwest College Road VIPCare
Challa Citrus and Marion Suite 401 Internal Medicine
Geriatrics Associates Ocala, FL 34474 4011 East Silver Springs Boulevard
Internal Medicine Phone: (352) 873-2300 / Fax: Ocala, FL 34470
9920 Southwest 84th Court (844) 388-6186 Phone: (352) 261-0400 / Fax:
Ocala, FL 34481 Gender: Male (844) 388-6186
Phone: (352) 873-1100 / Fax: Language(s): Spanish Gender: Male
(352) 873-9151 ID #: 200000018710 ID #: 200000016120
Gender: Male Accepting new patients: Yes Accepting new patients: Yes
Language(s): Telugu
ID #: 200000016643 Edwards-Miller, Myriam A., MD Goszkowski, James H., MD
Accepting new patients: Yes VIPCare VIPCare
Internal Medicine Internal Medicine
Colon, Lourdes, MD 1714 Southwest 17th Street 2765 Northwest 49th Avenue
VIPCare Ocala, FL 34471 Suite 304
General Practice Phone: (352) 274-9900 / Fax: Ocala, FL 34482
5345 Southwest College Road (844) 388-6186 Phone: (352) 619-0848 / Fax:
Suite 401 Gender: Female (844) 388-6186
Ocala, FL 34474 Language(s): Spanish Gender: Male
Phone: (352) 873-2300 / Fax: ID #: 200000016019 ID #: 200000016120
(844) 388-6186 Accepting new patients: Existing Accepting new patients: Yes
Gender: Female
ID #: 200000022444 Espinoza, Anthony U., DO
Accepting new patients: Yes Florida Medical Associates, LLC
Family Practice
4011 East Silver Springs Boulevard
Ocala, FL 34470
Phone: (352) 261-0400 / Fax:
(844) 388-6186
Gender: Male
ID #: 200000023878
Accepting new patients: Yes

88
Ultimate Health Plans Marion January 2022

Grainger, Christopher J., MD Hsu, Stephen I., MD Kandru, Veerendra N., MD


Christopher J. Grainger, MD Premier Medical Associates Veerendra N. Kandru, MD, PA
Family Practice Internal Medicine Internal Medicine
4600 Southwest 46th Court 1800 Southeast 17th Street 9920 Southwest 84th Court
Suite 310 Suite 700 Ocala, FL 34481
Ocala, FL 34474 Ocala, FL 34471 Phone: (352) 873-1100 / Fax:
Phone: (352) 351-0463 / Fax: Phone: (352) 259-2159 / Fax: (352) 873-9151
(352) 620-8639 (352) 259-5731 Gender: Male
Gender: Male Gender: Male Language(s): Telugu
ID #: 200000016117 ID #: 200000026707 ID #: 200000016297
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

Guia, Yoany, MD Hunt, David W., DO Kang, Myeong W., MD


West Marion Family Practice VIPCare Alliance Medical Associates, Inc.
General Practice Family Practice Internal Medicine
2760 Southeast 17th Street 8409 Southwest 80th Street 1800 Southeast 17th Street
Suite 400 Suite 8 Suite 800
Ocala, FL 34481 Ocala, FL 34481 Ocala, FL 34471
Phone: (352) 245-1845 / Fax: Phone: (352) 414-1922 / Fax: Phone: (352) 622-7268 / Fax:
(352) 433-1381 (844) 388-6186 (352) 622-6045
Gender: Female Gender: Male Gender: Male
Language(s): Spanish ID #: 200000019265 Language(s): Korean
ID #: 200000016020 Accepting new patients: No ID #: 200000016023
Accepting new patients: No Accepting new patients: Yes
Kachelman, Adam P., DO
Guia, Yoany, MD VIPCare Ketheeswaran, Bhavani, MD
West Marion Family Practice Family Practice Ocala Florida Physician Group, LLC
General Practice 8075 Southwest State Road 200 Internal Medicine
8599 Southwest Highway 200 Suite 118 2810 Southeast 3rd Court
Ocala, FL 34481 Ocala, FL 34481 Ocala, FL 34471
Phone: (352) 861-0043 / Fax: Phone: (352) 414-4511 / Fax: Phone: (352) 867-8844 / Fax:
(352) 861-8750 (844) 388-6186 (352) 867-8845
Gender: Female Gender: Male Gender: Female
Language(s): Spanish ID #: 200000021608 ID #: 200000024684
ID #: 200000016020 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: No

89
Ultimate Health Plans Marion January 2022

Khan, Anwar A., MD Lara, Carlos E., MD Lee, Kenneth B., DO


Alliance Medical Associates, Inc. West Marion Family Practice Countryside Medical, PA
Internal Medicine Family Practice Family Practice
1800 Southeast 17th Street 2760 Southeast 17th Street 7860 Southwest 103rd Street
Suite 800 Suite 400 Building 100, Suite 101
Ocala, FL 34471 Ocala, FL 34481 Ocala, FL 34476
Phone: (352) 622-7268 / Fax: Phone: (352) 245-1845 / Fax: Phone: (352) 873-4458
(352) 622-6045 (352) 433-1381 Gender: Male
Gender: Male Gender: Male Language(s): Spanish
ID #: 200000016024 Language(s): Spanish ID #: 200000025480
Accepting new patients: Yes ID #: 200000016021 Accepting new patients: Yes
Accepting new patients: Yes
Kuhn, David B., MD Lopez, Jeronimo, MD
Trinity Healthcare Medical Center Lara, Carlos E., MD VIPCare
Internal Medicine West Marion Family Practice Family Practice
321 Southeast 29th Place Family Practice 4011 East Silver Springs Boulevard
Suite 102 8599 Southwest Highway 200 Ocala, FL 34470
Ocala, FL 34471 Ocala, FL 34481 Phone: (352) 261-0400 / Fax:
Phone: (352) 512-0000 / Fax: Phone: (352) 861-0043 / Fax: (844) 388-6186
(352) 512-0004 (352) 861-8750 Gender: Male
Gender: Male Gender: Male Language(s): Spanish
ID #: 200000016118 Language(s): Spanish ID #: 200000016294
Accepting new patients: Yes ID #: 200000016021 Accepting new patients: Yes
Accepting new patients: Yes
Kumar, Keertini, MD Machado, Veronica, MD
Keertini Kumar, MD, PA Lazo, Edward C., MD Florida Medical Associates, LLC
Internal Medicine Lazo Medical Center, Inc. General Practice
8618 Southwest 103rd Street Internal Medicine 7502 Southwest 60th Avenue
Road 321 Southeast 29th Place Suite B
Ocala, FL 34481 Suite 200 Ocala, FL 34476
Phone: (352) 304-8980 / Fax: Ocala, FL 34471 Phone: (352) 433-0133 / Fax:
(352) 304-8985 Phone: (352) 690-6813 / Fax: (844) 388-6186
Gender: Female (352) 690-6859 Gender: Female
Language(s): Kannada Gender: Male Language(s): Spanish
ID #: 200000016028 ID #: 200000025974 ID #: 200000016122
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

90
Ultimate Health Plans Marion January 2022

McCleerey, John, MD Muniz Quiros, Rosilvia, MD Panchal, Jayanti J., MD


Aegis Medical Group, LLC RM Healthcare, LLC Institute of Internal Medicine
Family Practice General Practice Internal Medicine
1630 Southeast 18th Street 2202 Southeast 17th Street 2654 Southwest 32nd Place
Building 400 Ocala, FL 34471 Suite 100
Ocala, FL 34471 Phone: (352) 204-9866 / Fax: Ocala, FL 34471
Phone: (352) 758-2597 / Fax: (352) 204-9661 Phone: (352) 854-7444 / Fax:
(352) 758-2598 Gender: Female (352) 873-6647
Gender: Male Language(s): Spanish Gender: Male
ID #: 200000025474 ID #: 200000025488 ID #: 200000023601
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

Mitta, Walter R., MD Murthy, Srinivassa M., MD Pineiro, Rosalinda, MD


Mitta Primary Care, LLC Medical Associates, LLC Langley Health Services
Internal Medicine Family Practice Family Practice
9401 Southwest Highway 200 10238 Southwest 86th Circle 7205 Southeast Maricamp Road
Building 700, Suite 701 Unit 200 Ocala, FL 34472
Ocala, FL 34481 Ocala, FL 34481 Phone: (352) 793-5900 / Fax:
Phone: (352) 873-0501 / Fax: Phone: (352) 873-1010 / Fax: (855) 767-2558
(352) 873-0502 (352) 873-4387 Gender: Female
Gender: Male Gender: Male Language(s): Spanish
Language(s): Spanish ID #: 200000016029 ID #: 200000037025
ID #: 200000016027 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Nazario-Vidal, Uriel, MD Pogiatzis, Andrew D., MD
Moreno, Benjamin, MD Langley Health Services West Marion Family Practice
Aegis Medical Group, LLC Family Practice Internal Medicine
General Practice 7205 Southeast Maricamp Road 8599 Southwest Highway 200
1630 Southeast 18th Street Ocala, FL 34472 Ocala, FL 34481
Building 400 Phone: (352) 793-5900 / Fax: Phone: (352) 861-0043 / Fax:
Ocala, FL 34471 (855) 767-2558 (352) 861-8750
Phone: (352) 758-2597 / Fax: Gender: Male Gender: Male
(352) 758-2598 Language(s): Spanish Language(s): Greek, Spanish
Gender: Male ID #: 200000037019 ID #: 200000016022
Language(s): Spanish Accepting new patients: Yes Accepting new patients: No
ID #: 200000024881
Accepting new patients: Yes Oliver, David L., DO
American Family Medical, LLC
Family Practice
1750 Southeast 28th Loop
Ocala, FL 34471
Phone: (352) 351-4634 / Fax:
(352) 351-1900
Gender: Male
ID #: 200000024233
Accepting new patients: Yes

91
Ultimate Health Plans Marion January 2022

Prince, Andrea M., MD Rubio-Gonzalez, Jaime E., MD Soto, Alfred, MD


VIPCare Advance Primary Care, LLC Premier Medical Associates
Family Practice General Practice Internal Medicine
8409 Southwest 80th Street 1133 Southeast 18th Place 9311 Southwest Highway 200
Suite 8 Unit 2 Ocala, FL 34481
Ocala, FL 34481 Ocala, FL 34471 Phone: (352) 259-2159 / Fax:
Phone: (352) 414-1922 / Fax: Phone: (352) 861-5765 / Fax: (352) 259-5731
(844) 388-6186 (352) 505-8688 Gender: Male
Gender: Female Gender: Male ID #: 200000025239
ID #: 200000028308 ID #: 200000016030 Accepting new patients: Yes
Accepting new patients: Yes Accepting new patients: Yes
Te, Jessie D., MD
Rosa-Algarin, Rafael A., MD Seecharan, Stephen K., MD Alliance Medical Associates, Inc.
American Family Medical, LLC VIPCare Internal Medicine
General Practice Internal Medicine 1800 Southeast 17th Street
1750 Southeast 28th Loop 1714 Southwest 17th Street Suite 800
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 351-4634 / Fax: Phone: (352) 274-9900 / Fax: Phone: (352) 622-7268 / Fax:
(352) 351-1900 (844) 388-6186 (352) 622-6045
Gender: Male Gender: Male Gender: Male
Language(s): Spanish ID #: 200000016123 Language(s): Tagalog
ID #: 200000024235 Accepting new patients: Yes ID #: 200000016025
Accepting new patients: Yes Accepting new patients: Yes
Shetty, Jayapraksh N., MD
Rosario-Maisonet, Luz D., MD Jayapraksh Shetty, MD, PA Zambrana-Morales, Laura, MD
RM Healthcare, LLC Internal Medicine West Marion Family Practice
Family Practice 1737A Southeast 28th Loop General Practice
2202 Southeast 17th Street Ocala, FL 34471 8599 Southwest Highway 200
Ocala, FL 34471 Phone: (352) 622-7755 / Fax: Ocala, FL 34481
Phone: (352) 204-9866 / Fax: (352) 622-4021 Phone: (352) 861-0043 / Fax:
(352) 204-9661 Gender: Male (352) 861-8750
Gender: Female Language(s): Hindi, Kannada Gender: Female
Language(s): Spanish ID #: 200000016031 ID #: 200000023583
ID #: 200000022259 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Soto, Alfred, MD
Premier Medical Associates
Internal Medicine
1800 Southeast 17th Street
Suite 700
Ocala, FL 34471
Phone: (352) 259-2159 / Fax:
(352) 259-5731
Gender: Male
ID #: 200000025239
Accepting new patients: Yes

92
Ultimate Health Plans Marion January 2022

Summerfield Gupta, Ravi P., MD Perkins Sr., Hashani M., MD


Mid Florida Primary Care, PA Lakeview Internal Medicine, PA
Internal Medicine General Practice
Aung, Ma T., MD 17809 Southeast 109th Avenue 10250 Southeast 167th Place
Lakeview Internal Medicine, PA Summerfield, FL 34491 Road
Internal Medicine Phone: (352) 307-4200 / Fax: Suite 5
10250 Southeast 167th Place (352) 307-2520 Summerfield, FL 34491
Road Gender: Male Phone: (352) 307-9925 / Fax:
Suite 5 Language(s): Hindi (352) 307-8442
Summerfield, FL 34491 ID #: 200000021978 Gender: Male
Phone: (352) 307-9925 / Fax: Accepting new patients: Yes Language(s): Spanish
(352) 307-8442 ID #: 200000022458
Gender: Female Kang, Myeong W., MD Accepting new patients: Yes
Language(s): Burmese Alliance Medical Associates, Inc.
ID #: 200000022430 Internal Medicine Smith, Page A., MD
Accepting new patients: Yes 10969 Southeast 175th Place Lakeview Internal Medicine, PA
Road Internal Medicine
Chang, Khai S., MD Suite 200 10250 Southeast 167th Place
Lakeview Internal Medicine, PA Summerfield, FL 34491 Road
Internal Medicine Phone: (352) 307-2112 / Fax: Suite 5
10250 Southeast 167th Place (352) 622-6045 Summerfield, FL 34491
Road Gender: Male Phone: (352) 307-9925 / Fax:
Suite 5 Language(s): Korean (352) 307-8442
Summerfield, FL 34491 ID #: 200000016023 Gender: Male
Phone: (352) 307-9925 / Fax: Accepting new patients: Yes ID #: 200000022459
(352) 307-8442 Accepting new patients: Yes
Gender: Male Khan, Anwar A., MD
Language(s): Chinese, Hindi Alliance Medical Associates, Inc. Te, Jessie D., MD
ID #: 200000022442 Internal Medicine Alliance Medical Associates, Inc.
Accepting new patients: Yes 10969 Southeast 175th Place Internal Medicine
Road 10969 Southeast 175th Place
Cheema, Shahbaz A., MD Suite 200 Road
Lakeview Internal Medicine, PA Summerfield, FL 34491 Suite 200
Internal Medicine Phone: (352) 307-2112 / Fax: Summerfield, FL 34491
10250 Southeast 167th Place (352) 622-6045 Phone: (352) 307-2112 / Fax:
Road Gender: Male (352) 622-6045
Suite 5 ID #: 200000016024 Gender: Male
Summerfield, FL 34491 Accepting new patients: Yes Language(s): Tagalog
Phone: (352) 307-9925 / Fax: ID #: 200000016025
(352) 307-8442 Accepting new patients: Yes
Gender: Male
Language(s): Punjabi, Urdu
ID #: 200000022443
Accepting new patients: Yes

93
Ultimate Health Plans Marion January 2022

Weirsdale

Cheema, Chaudhry Shahzad A.,


MD
Weirsdale Family Health Center,
Inc.
Internal Medicine
16400 South Highway 25
Weirsdale, FL 32195
Phone: (352) 821-9797 / Fax:
(352) 821-0553
Gender: Male
ID #: 200000022426
Accepting new patients: Yes

94
Ultimate Health Plans Marion January 2022

Kannam, Hari C., MD Alonso, Joseph R., MD


Specialists Citrus Cardiology Consultants, PA
11673 North Williams Street
Central Florida Heart Center
3310 Southwest 34th Street
Dunnellon, FL 34432 Ocala, FL 34474
Phone: (352) 726-8353 / Fax: Phone: (352) 387-3159 / Fax:
(352) 726-5038 (352) 387-0189
Behavioral Health Providers Gender: Male Gender: Male
Language(s): Hindi, Telugu ID #: 200000016110
ID #: 200000002703
Beacon Health Options Bajaj, Sharad, MD
Phone: (800) 627-1259 Luo, Lan, MD Cardiovascular Institute of Central
https:// Central Florida Heart Center Florida, LLC
www.beaconhealthoptions.com 20049 East Pennsylvania Avenue 2105 Southwest 20th Place
/find-a-provider/ Dunnellon, FL 34431 Ocala, FL 34471
Phone: (352) 873-9557 / Fax: Phone: (352) 622-4251 / Fax:
(352) 873-1842 (352) 622-0102
Cardiology Gender: Female Gender: Male
ID #: 200000013583 ID #: 200000028718

Belleview Topi, Bernard, MD Bajaj, Sharad, MD


Citrus Cardiology Consultants, PA Cardiovascular Institute of Central
11673 North Williams Street Florida, LLC
Balulad, Sujata S., MD Dunnellon, FL 34432 2111 Southwest 20th Place
Premier Specialty Alliance, Inc. Phone: (352) 726-8353 / Fax: Ocala, FL 34471
10250 Southeast US Highway 441 (352) 726-5038 Phone: (352) 622-4251 / Fax:
Belleview, FL 34421 Gender: Male (352) 547-3373
Phone: (352) 259-2159 / Fax: Language(s): Greek, Italian, Gender: Male
(352) 259-5731 Spanish, Albanian ID #: 200000028718
Gender: Female ID #: 200000017346
ID #: 200000027376 Bajaj, Sharad, MD
Cardiovascular Institute of Central
Ocala Florida, LLC
Dunnellon 6555 Southwest Highway 200
Building 100
Acevedo, Celso, MD Ocala, FL 34476
Barad, Bhavesh B., MD Robert Feldman, MD, PA Phone: (352) 622-4251 / Fax:
Citrus Cardiology Consultants, PA 125 Southwest 11th Street (352) 547-3373
11673 North Williams Street Ocala, FL 34471 Gender: Male
Dunnellon, FL 34432 Phone: (352) 354-9000 / Fax: ID #: 200000028718
Phone: (352) 726-8353 / Fax: (352) 620-0255
(352) 726-5038 Gender: Male
Gender: Male Language(s): Hebrew, Spanish,
Language(s): Gujarati, Hindi Hindi
ID #: 200000018165 ID #: 200000009507

95
Ultimate Health Plans Marion January 2022

Bittl, John A., MD El Hayek, Georges, MD Gonzalez, Javier M., MD


Robert Feldman, MD, PA Robert Feldman, MD, PA Citrus Cardiology Consultants, PA
125 Southwest 11th Street 1500 Southwest 1st Avenue 2101 Southwest 20th Place
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 354-9000 / Fax: Phone: (352) 354-9000 / Fax: Phone: (352) 622-7008 / Fax:
(352) 620-0255 (352) 620-0255 (352) 622-4072
Gender: Male Gender: Male Gender: Male
ID #: 200000005684 Language(s): Arabic, French, Language(s): Spanish
Spanish ID #: 200000002704
Cacodcar, Surexa S., MD ID #: 200000017999
Central Florida Heart Center Gummadi, Siva S., MD
3310 Southwest 34th Street Feldman, Robert L., MD Cardiovascular Institute of Central
Ocala, FL 34474 Robert Feldman, MD, PA Florida, LLC
Phone: (352) 387-3159 / Fax: 125 Southwest 11th Street 6555 Southwest Highway 200
(352) 387-0189 Ocala, FL 34471 Building 100
Gender: Male Phone: (352) 354-9000 / Fax: Ocala, FL 34476
Language(s): Spanish (352) 620-0255 Phone: (352) 622-4251 / Fax:
ID #: 200000014957 Gender: Male (352) 547-3373
ID #: 200000016904 Gender: Male
Das, Chandranath L., MD Language(s): Telugu
Citrus Cardiology Consultants, PA Feldman, Robert L., MD ID #: 200000011486
2101 Southwest 20th Place Robert Feldman, MD, PA
Ocala, FL 34471 1500 Southwest 1st Avenue Gummadi, Siva S., MD
Phone: (352) 622-7008 / Fax: Ocala, FL 34471 Cardiovascular Institute of Central
(352) 622-4072 Phone: (352) 354-9000 / Fax: Florida, LLC
Gender: Male (352) 620-0255 2111 South West 20th Place
Language(s): Hindi Gender: Male Ocala, FL 34471
ID #: 200000010857 ID #: 200000016904 Phone: (352) 622-4251 / Fax:
(352) 547-3373
El Hayek, Georges, MD Goel, Satish R., MD Gender: Male
Robert Feldman, MD, PA Citrus Cardiology Consultants, PA Language(s): Telugu
125 Southwest 11th Street 2101 Southwest 20th Place ID #: 200000011486
Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 354-9000 / Fax: Phone: (352) 622-7008 / Fax: Gummadi, Siva S., MD
(352) 620-0255 (352) 622-4072 Cardiovascular Institute of Central
Gender: Male Gender: Male Florida, LLC
Language(s): Arabic, French, ID #: 200000018695 2111 Southwest 20th Place
Spanish Ocala, FL 34471
ID #: 200000017999 Phone: (352) 622-4251 / Fax:
(352) 547-3373
Gender: Male
Language(s): Telugu
ID #: 200000011486

96
Ultimate Health Plans Marion January 2022

Han, Richard O., MD Koka, Vijaya N., MD Liu, Tong, MD


Robert Feldman, MD, PA Cardiovascular Institute of Central Central Florida Heart Center
125 Southwest 11th Street Florida, LLC 3310 Southwest 34th Street
Ocala, FL 34471 2111 South West 20th Place Ocala, FL 34474
Phone: (352) 354-9000 / Fax: Ocala, FL 34471 Phone: (352) 387-3159 / Fax:
(352) 620-0255 Phone: (352) 622-4251 / Fax: (352) 387-0189
Gender: Male (352) 547-3373 Gender: Female
ID #: 200000016905 Gender: Male Language(s): Chinese
Language(s): Hindi, Telugu ID #: 200000016313
Han, Richard O., MD ID #: 200000015379
Robert Feldman, MD, PA Luo, Lan, MD
1500 Southwest 1st Avenue Koneru, Jayanth, MD Central Florida Heart Center
Ocala, FL 34471 Cardiovascular Institute of Central 3310 Southwest 34th Street
Phone: (352) 354-9000 / Fax: Florida, LLC Ocala, FL 34474
(352) 620-0255 6555 Southwest Highway 200 Phone: (352) 387-3159 / Fax:
Gender: Male Building 100 (352) 387-0189
ID #: 200000016905 Ocala, FL 34476 Gender: Female
Phone: (352) 622-4251 / Fax: ID #: 200000013583
Koka, Vijaya N., MD (352) 547-3373
Cardiovascular Institute of Central Gender: Male Mehta, Ajay J., MD
Florida, LLC ID #: 200000006580 Central Florida Heart Center
2111 Southwest 20th Place 3310 Southwest 34th Street
Ocala, FL 34471 Koneru, Jayanth, MD Ocala, FL 34474
Phone: (352) 622-4251 / Fax: Cardiovascular Institute of Central Phone: (352) 387-3159 / Fax:
(352) 547-3373 Florida, LLC (352) 387-0189
Gender: Male 2111 South West 20th Place Gender: Male
Language(s): Hindi, Telugu Ocala, FL 34471 ID #: 200000011927
ID #: 200000015379 Phone: (352) 622-4251 / Fax:
(352) 547-3373 Mikkilineni, Hima, MD
Koka, Vijaya N., MD Gender: Male Cardiovascular Institute of Central
Cardiovascular Institute of Central ID #: 200000006580 Florida, LLC
Florida, LLC 2111 South West 20th Place
6555 Southwest Highway 200 Koneru, Jayanth, MD Ocala, FL 34471
Building 100 Cardiovascular Institute of Central Phone: (352) 622-4251 / Fax:
Ocala, FL 34476 Florida, LLC (352) 547-3373
Phone: (352) 622-4251 / Fax: 2111 Southwest 20th Place Gender: Female
(352) 547-3373 Ocala, FL 34471 ID #: 200000009497
Gender: Male Phone: (352) 622-4251 / Fax:
Language(s): Hindi, Telugu (352) 547-3373
ID #: 200000015379 Gender: Male
ID #: 200000006580

97
Ultimate Health Plans Marion January 2022

Mikkilineni, Hima, MD Patel, Jigar H., MD Rao, Srisha, MD


Cardiovascular Institute of Central Cardiovascular Institute of Central Cardiovascular Institute of Central
Florida, LLC Florida, LLC Florida, LLC
2111 Southwest 20th Place 2111 South West 20th Place 6555 Southwest Highway 200
Ocala, FL 34471 Ocala, FL 34471 Building 100
Phone: (352) 622-4251 / Fax: Phone: (352) 622-4251 / Fax: Ocala, FL 34476
(352) 547-3373 (352) 547-3373 Phone: (352) 622-4251 / Fax:
Gender: Female Gender: Male (352) 547-3373
ID #: 200000009497 Language(s): Hindi Gender: Female
ID #: 200000016864 Language(s): Telugu
Mikkilineni, Hima, MD ID #: 200000022367
Cardiovascular Institute of Central Patel, Jigar H., MD
Florida, LLC Cardiovascular Institute of Central Rao, Srisha, MD
6555 Southwest Highway 200 Florida, LLC Cardiovascular Institute of Central
Building 100 2111 Southwest 20th Place Florida, LLC
Ocala, FL 34476 Ocala, FL 34471 2111 South West 20th Place
Phone: (352) 622-4251 / Fax: Phone: (352) 622-4251 / Fax: Ocala, FL 34471
(352) 547-3373 (352) 547-3373 Phone: (352) 622-4251 / Fax:
Gender: Female Gender: Male (352) 547-3373
ID #: 200000009497 Language(s): Hindi Gender: Female
ID #: 200000016864 Language(s): Telugu
Mittal, Vijay K., MD ID #: 200000022367
Central Florida Heart Center Patel, Prakrut, MD
3310 Southwest 34th Street Citrus Cardiology Consultants, PA Rao, Srisha, MD
Ocala, FL 34474 2101 Southwest 20th Place Cardiovascular Institute of Central
Phone: (352) 387-3159 / Fax: Ocala, FL 34471 Florida, LLC
(352) 387-0189 Phone: (352) 622-7008 / Fax: 2111 Southwest 20th Place
Gender: Male (352) 622-4072 Ocala, FL 34471
ID #: 200000003524 Gender: Male Phone: (352) 622-4251 / Fax:
Language(s): Hindi (352) 547-3373
Patel, Jigar H., MD ID #: 200000027778 Gender: Female
Cardiovascular Institute of Central Language(s): Telugu
Florida, LLC Prashad, Rakesh, MD ID #: 200000022367
6555 Southwest Highway 200 Citrus Cardiology Consultants, PA
Building 100 2101 Southwest 20th Place Ruisi, Michael, MD
Ocala, FL 34476 Ocala, FL 34471 Citrus Cardiology Consultants, PA
Phone: (352) 622-4251 / Fax: Phone: (352) 622-7008 / Fax: 2101 Southwest 20th Place
(352) 547-3373 (352) 622-4072 Ocala, FL 34471
Gender: Male Gender: Male Phone: (352) 622-7008 / Fax:
Language(s): Hindi ID #: 200000011297 (352) 622-4072
ID #: 200000016864 Gender: Male
Language(s): Spanish
ID #: 200000026466

98
Ultimate Health Plans Marion January 2022

Santoian, Edward C., MD Singh, Premranjan P., MD Urban, Paul L., MD


Robert Feldman, MD, PA Cardiovascular Institute of Central Cardiovascular Institute of Central
125 Southwest 11th Street Florida, LLC Florida, LLC
Ocala, FL 34471 2111 Southwest 20th Place 2111 South West 20th Place
Phone: (352) 354-9000 / Fax: Ocala, FL 34471 Ocala, FL 34471
(352) 620-0255 Phone: (352) 622-4251 / Fax: Phone: (352) 622-4251 / Fax:
Gender: Male (352) 547-3373 (352) 547-3373
ID #: 200000008886 Gender: Male Gender: Male
Language(s): Hindi ID #: 200000008578
Santoian, Edward C., MD ID #: 200000019703
Robert Feldman, MD, PA Urban, Paul L., MD
1500 Southwest 1st Avenue Solanki, Kalpesh H., DO Cardiovascular Institute of Central
Ocala, FL 34471 Cardiovascular Institute of Central Florida, LLC
Phone: (352) 354-9000 / Fax: Florida, LLC 2111 Southwest 20th Place
(352) 620-0255 6555 Southwest Highway 200 Ocala, FL 34471
Gender: Male Building 100 Phone: (352) 622-4251 / Fax:
ID #: 200000008886 Ocala, FL 34476 (352) 547-3373
Phone: (352) 622-4251 / Fax: Gender: Male
Singh, Premranjan P., MD (352) 547-3373 ID #: 200000008578
Cardiovascular Institute of Central Gender: Male
Florida, LLC ID #: 200000022370 Urban, Paul L., MD
6555 Southwest Highway 200 Cardiovascular Institute of Central
Building 100 Solanki, Kalpesh H., DO Florida, LLC
Ocala, FL 34476 Cardiovascular Institute of Central 6555 Southwest Highway 200
Phone: (352) 622-4251 / Fax: Florida, LLC Building 100
(352) 547-3373 2111 South West 20th Place Ocala, FL 34476
Gender: Male Ocala, FL 34471 Phone: (352) 622-4251 / Fax:
Language(s): Hindi Phone: (352) 622-4251 / Fax: (352) 547-3373
ID #: 200000019703 (352) 547-3373 Gender: Male
Gender: Male ID #: 200000008578
Singh, Premranjan P., MD ID #: 200000022370
Cardiovascular Institute of Central Vasudevan, Ramabhadran, MD
Florida, LLC Solanki, Kalpesh H., DO Marion Heart Center, PA
2111 South West 20th Place Cardiovascular Institute of Central 1040 Southwest 2nd Avenue
Ocala, FL 34471 Florida, LLC Ocala, FL 34471
Phone: (352) 622-4251 / Fax: 2111 Southwest 20th Place Phone: (352) 732-3005 / Fax:
(352) 547-3373 Ocala, FL 34471 (352) 732-4860
Gender: Male Phone: (352) 622-4251 / Fax: Gender: Male
Language(s): Hindi (352) 547-3373 Language(s): Hindi
ID #: 200000019703 Gender: Male ID #: 200000018466
ID #: 200000022370

99
Ultimate Health Plans Marion January 2022

Vasudevan, Ramabhadran, MD Chiropractic Lonadier, Sonja J., DC


Marion Heart Center, PA Sonja J. Lonadier, DC, PA
10230 Southwest 86th Circle 801 Northeast 25th Avenue
Ocala, FL 34481 Ocala Ocala, FL 34470
Phone: (352) 861-6633 / Fax: Phone: (352) 732-0200 / Fax:
(352) 732-4860 (352) 732-2623
Gender: Male Chen, Mark H., DC Gender: Female
Language(s): Hindi ChiropracticUSA ID #: 200000023845
ID #: 200000018466 1715 South East 28th Loop
Ocala, FL 34471 Plante, Amber A., DC
Veligandla, Himachala R., MD Phone: (352) 861-0566 / Fax: ChiropracticUSA
Citrus Cardiology Consultants, PA (352) 402-0565 1715 South East 28th Loop
2101 Southwest 20th Place Gender: Male Ocala, FL 34471
Ocala, FL 34471 Language(s): Chinese Phone: (352) 861-0566 / Fax:
Phone: (352) 622-7008 / Fax: ID #: 200000022512 (352) 402-0565
(352) 622-4072 Gender: Female
Gender: Male Garemore Jr., James V., DC ID #: 200000022514
ID #: 200000017357 Pitts Family Chiropractic
801 Northeast 25th Avenue Stubrud, Julie D., DC
Ocala, FL 34470 Dr. Julie Chiropractic and Massage
Summerfield Phone: (352) 732-0200 / Fax: 6405 Southwest 38th Street
(352) 732-2623 Suite 203
Gender: Male Ocala, FL 34474
Chesner, Michael D., MD ID #: 200000025336 Phone: (352) 390-6133 / Fax:
Lakeview Internal Medicine, PA (352) 390-6961
10250 South East 167th Place Grove, Schuyler G., DC Gender: Female
Road Ocala Chiropractic and Wellness ID #: 200000027769
Suite 5 419 Northeast 36th Avenue
Summerfield, FL 34491 Ocala, FL 34470 White, Katherine E., DC
Phone: (352) 307-9925 / Fax: Phone: (352) 671-3100 / Fax: White Lion Chiropractic
(352) 307-8442 (352) 236-0815 801 Northeast 25th Avenue
Gender: Male Gender: Male Ocala, FL 34470
Language(s): Hebrew ID #: 200000021116 Phone: (352) 732-0200 / Fax:
ID #: 200000021285 (352) 732-2623
Hartley, Kaycie L., DC Gender: Female
ChiropracticUSA ID #: 200000024454
1715 South East 28th Loop
Ocala, FL 34471
Phone: (352) 861-0566 / Fax:
(352) 402-0565
Gender: Female
ID #: 200000022513

100
Ultimate Health Plans Marion January 2022

Colorectal Surgery Cauthen, Ashley B., MD Doshi, Daven N., MD


MidState Skin Institute, LLC MidState Skin Institute, LLC
1740 Southeast 18th Street 1740 Southeast 18th Street
Ocala Suite 1102 Suite 1102
Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 512-0092 / Fax: Phone: (352) 512-0092 / Fax:
Riad, Joseph N., MD (352) 512-0093 (352) 512-0093
Ocala Health Surgical Group Gender: Female Gender: Male
4600 Southwest 46th Court ID #: 200000018021 ID #: 200000018022
Suite 340
Ocala, FL 34474 Curry, Sidney S., MD Eubanks, Stephen W., MD
Phone: (352) 291-0239 / Fax: Advanced Dermatology and Advanced Dermatology and
(352) 291-0254 Cosmetic Surgery Cosmetic Surgery
Gender: Male 1918 Southeast 17th Street 1918 Southeast 17th Street
Building 300 Building 300
Riad, Joseph N., MD Ocala, FL 34471 Ocala, FL 34471
Ocala Health Surgical Group Phone: (352) 620-2420 / Fax: Phone: (352) 620-2420 / Fax:
4600 Southwest 46th Court (352) 620-2935 (352) 620-2935
Suite 370-R Gender: Male Gender: Male
Ocala, FL 34474 ID #: 200000016890 ID #: 200000016299
Phone: (352) 291-0239 / Fax:
(352) 291-0254 Doshi, Daven N., MD Helmrick-Blossom, Jessin, MD
Gender: Male MidState Skin Institute, LLC MidState Skin Institute, LLC
3210 Southwest 33rd Road 3210 Southwest 33rd Road
Suite 101 Suite 101
Ocala, FL 34474 Ocala, FL 34474
Dermatology
Phone: (352) 470-0770 / Fax: Phone: (352) 470-0770 / Fax:
(352) 512-0093 (352) 512-0093
Ocala Gender: Male Gender: Female
ID #: 200000018022 ID #: 200000022592

Behringer, Frederick R., MD Doshi, Daven N., MD Helmrick-Blossom, Jessin, MD


Suncoast Skin Solutions, Inc. MidState Skin Institute, LLC MidState Skin Institute, LLC
2611 Southeast 17th Street 1740 Southeast 18th Street 7550 Southwest 61st Avenue
Suite B Suite 1102 Suite 1
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34476
Phone: (813) 321-1786 / Fax: Phone: (352) 512-0092 / Fax: Phone: (352) 732-7337 / Fax:
(813) 321-1787 (352) 512-0093 (352) 512-0093
Gender: Male Gender: Male Gender: Female
ID #: 200000018013 ID #: 200000018022 ID #: 200000022592

101
Ultimate Health Plans Marion January 2022

Helmrick-Blossom, Jessin, MD Kathrotiya, Puja R., MD Wartels, Michael B., MD


MidState Skin Institute, LLC MidState Skin Institute, LLC Suncoast Dermatology and Skin
1740 Southeast 18th Street 1740 Southeast 18th Street Surgery Center, PA
Suite 1102 Suite 1102 9401 Southwest Highway 200
Ocala, FL 34471 Ocala, FL 34471 Building 1000
Phone: (352) 512-0092 / Fax: Phone: (352) 512-0092 / Fax: Suite 1001
(352) 512-0093 (352) 512-0093 Ocala, FL 34481
Gender: Female Gender: Female Phone: (352) 873-1500 / Fax:
ID #: 200000022592 ID #: 200000021824 (352) 873-6770
Gender: Male
Helmrick-Blossom, Jessin, MD Massullo Jr., Ralph E., MD ID #: 200000008475
MidState Skin Institute, LLC Suncoast Dermatology and Skin
1740 Southeast 18th Street Surgery Center, PA Welton III, William A., MD
Suite 1102 9401 Southwest Highway 200 Suncoast Dermatology and Skin
Ocala, FL 34471 Building 1000 Surgery Center, PA
Phone: (352) 512-0092 / Fax: Suite 1001 9401 Southwest Highway 200
(352) 512-0093 Ocala, FL 34481 Building 1000
Gender: Female Phone: (352) 873-1500 / Fax: Suite 1001
ID #: 200000022592 (352) 873-6770 Ocala, FL 34481
Gender: Male Phone: (352) 873-1500 / Fax:
Kathrotiya, Puja R., MD ID #: 200000009439 (352) 873-6770
MidState Skin Institute, LLC Gender: Male
3210 Southwest 33rd Road Moorhead Dovre, Christine E., ID #: 200000014182
Suite 101 MD
Ocala, FL 34474 Advanced Dermatology and
Phone: (352) 470-0770 / Fax: Cosmetic Surgery
(352) 512-0093 1918 Southeast 17th Street Endocrinology
Gender: Female Building 300
ID #: 200000021824 Ocala, FL 34471
Ocala
Phone: (352) 620-2420 / Fax:
Kathrotiya, Puja R., MD (352) 620-2935
MidState Skin Institute, LLC Gender: Female Ramharrack, Frank M., MD
7550 Southwest 61st Avenue ID #: 200000016484 Frank M. Ramharrack, MD, PA
Suite 1
311 Southeast 29th Place
Ocala, FL 34476 Towry, James B., DO
Ocala, FL 34471
Phone: (352) 732-7337 / Fax: Water's Edge Dermatology
Phone: (352) 369-1411 / Fax:
(352) 512-0093 7502 South West 60th Avenue
(352) 369-1116
Gender: Female Suite A
Gender: Male
ID #: 200000021824 Ocala, FL 34476
ID #: 200000011406
Phone: (352) 484-0463 / Fax:
(352) 300-3596
Gender: Male

102
Ultimate Health Plans Marion January 2022

Young, Lisa L., MD Brown, Thomas A., MD Olejeme, Henry C., MD


One Health Center Gastroenterology Associates of Gastroenterology Associates of
1714 Southwest 17th Street Ocala Ocala
Ocala, FL 34471 1901 Southeast 18th Avenue 1901 Southeast 18th Avenue
Phone: (352) 274-9900 / Fax: Suite 400 Suite 400
(877) 405-0955 Ocala, FL 34471 Ocala, FL 34471
Gender: Female Phone: (352) 732-8905 / Fax: Phone: (352) 732-8905 / Fax:
ID #: 200000016319 (352) 732-2440 (352) 732-2440
Gender: Male Gender: Male
ID #: 200000035051 ID #: 200000035038
Summerfield
Brown, Thomas A., MD Pastorini, Cristhine Stephanie C.,
Gastroenterology Associates of MD
Tandon, Prabhat K., MD Ocala Gastroenterology Associates of
Lakeview Internal Medicine, PA 9401 Southwest State Road 200 Ocala
10250 Southeast 167th Place Suite 103 1901 Southeast 18th Avenue
Road Ocala, FL 34481 Suite 400
Suite 5 Phone: (352) 732-8905 / Fax: Ocala, FL 34471
Summerfield, FL 34491 (352) 732-2440 Phone: (352) 732-8905 / Fax:
Phone: (352) 307-9925 / Fax: Gender: Male (352) 732-2440
(352) 307-8442 ID #: 200000035051 Gender: Female
Gender: Male Language(s): Portuguese
Language(s): Punjabi Kumar, Thimmiah, MD ID #: 200000035072
ID #: 200000021371 Thimmiah Kumar, MD, PA
1950 Southwest 18th Court Pastorini, Cristhine Stephanie C.,
Suite 101 MD
Gastroenterology Ocala, FL 34471 Gastroenterology Associates of
Phone: (352) 861-8555 / Fax: Ocala
(352) 401-0124 9401 Southwest State Road 200
Ocala Gender: Male Suite 103
Language(s): Kannada Ocala, FL 34481
ID #: 200000015693 Phone: (352) 732-8905 / Fax:
Barish, Robert W., MD (352) 732-2440
Gastroenterology Associates of McClary, Robert D., MD Gender: Female
Ocala Gastroenterology Associates of Language(s): Portuguese
1901 Southeast 18th Avenue Ocala ID #: 200000035072
Suite 400 1901 Southeast 18th Avenue
Ocala, FL 34471 Suite 400
Phone: (352) 732-8905 / Fax: Ocala, FL 34471
(352) 732-2440 Phone: (352) 732-8905 / Fax:
Gender: Male (352) 732-2440
ID #: 200000035034 Gender: Male
ID #: 200000035064

103
Ultimate Health Plans Marion January 2022

Ramos, Miguel A., MD Rumalla, Ashwin, MD General Surgery


Gastroenterology Associates of Gastroenterology Associates of
Ocala Ocala
1901 Southeast 18th Avenue 9401 Southwest State Road 200 Ocala
Suite 400 Suite 103
Ocala, FL 34471 Ocala, FL 34481
Phone: (352) 732-8905 / Fax: Phone: (352) 732-8905 / Fax: Ang, Darwin N., MD
(352) 732-2440 (352) 732-2440 Ocala Health Trauma, LLC
Gender: Male Gender: Male 1234 Southeast Magnolia
Language(s): Spanish Language(s): Hindi Extension
ID #: 200000035046 ID #: 200000035060 Unit 1
Ocala, FL 34471
Ravi, Madhavi R., MD Singu, Bheema S., MD Phone: (352) 401-1218 / Fax:
Gastroenterology Associates of Digestive Health Associates PA (352) 401-1017
Ocala 7558 South West 61st Avenue Gender: Male
1901 Southeast 18th Avenue Unit 1 ID #: 200000007165
Suite 400 Ocala, FL 34476
Ocala, FL 34471 Phone: (352) 840-1001 / Fax: Caban, Angel M., MD
Phone: (352) 732-8905 / Fax: (352) 840-1002 Ocala Health Surgical Group
(352) 732-2440 Gender: Male 4600 Southwest 46th Court
Gender: Female Language(s): Hindi, Telugu Suite 340
ID #: 200000035065 ID #: 200000005528 Ocala, FL 34474
Phone: (352) 291-0239 / Fax:
Reddy, Vishnu P., MD Truesdale, Richard A., MD (352) 291-0254
7 Hill Gastroenterology, PA Gastroenterology Associates of Gender: Male
3256 South Pine Avenue Ocala ID #: 200000017044
Building 100 Suite B 1901 Southeast 18th Avenue
Ocala, FL 34471 Suite 400 Chandra, Ravi, MD
Phone: (352) 401-1919 / Fax: Ocala, FL 34471 Surgical Specialists of Ocala, PA
(352) 401-1870 Phone: (352) 732-8905 / Fax: 1920 Southwest 20th Place
Gender: Male (352) 732-2440 Suite 100
Language(s): Spanish Gender: Male Ocala, FL 34471
ID #: 200000021339 ID #: 200000035022 Phone: (352) 237-1212 / Fax:
(352) 237-0066
Rumalla, Ashwin, MD Van Eldik, Richard B., MD Gender: Male
Gastroenterology Associates of Gastroenterology Associates of ID #: 200000002221
Ocala Ocala
1901 Southeast 18th Avenue 1901 Southeast 18th Avenue Chandra, Ravi, MD
Suite 400 Suite 400 Surgical Specialists of Ocala, PA
Ocala, FL 34471 Ocala, FL 34471 1920 Southwest 20th Place
Phone: (352) 732-8905 / Fax: Phone: (352) 732-8905 / Fax: Suite 100
(352) 732-2440 (352) 732-2440 Ocala, FL 34471
Gender: Male Gender: Male Phone: (352) 237-1212 / Fax:
Language(s): Hindi ID #: 200000035016 (352) 237-0066
ID #: 200000035060 Gender: Male
ID #: 200000002221

104
Ultimate Health Plans Marion January 2022

Chandra, Ravi, MD Hagan, Joshua, MD Richards, Winston T., MD


The Vein Center of North Florida Ocala Health Trauma, LLC Ocala Health Trauma, LLC
1920 Southwest 20th Place 1234 Southeast Magnolia 1234 Southeast Magnolia
Suite 201 Extension Extension
Ocala, FL 34471 Unit 1 Unit 1
Phone: (352) 237-1820 / Fax: Ocala, FL 34471 Ocala, FL 34471
(352) 237-0675 Phone: (352) 401-1218 / Fax: Phone: (352) 401-1218 / Fax:
Gender: Male (352) 401-1017 (352) 401-1017
ID #: 200000002221 Gender: Male Gender: Male
ID #: 200000007571 ID #: 200000014547
Clark, Jason M., MD
Ocala Health Trauma, LLC McFaddin, David M., MD Rossidis, Georgios, MD
1234 Southeast Magnolia David M. McFaddin, MD, PA Ocala Health Surgical Group
Extension 2760 Southeast 17th Street 4600 Southwest 46th Court
Unit 1 Suite 102 Suite 340
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34474
Phone: (352) 401-1218 / Fax: Phone: (352) 867-8551 / Fax: Phone: (352) 291-0239 / Fax:
(352) 401-1017 (352) 867-7669 (352) 291-0254
Gender: Male Gender: Male Gender: Male
ID #: 200000006967 Language(s): Spanish Language(s): Greek
ID #: 200000024925 ID #: 200000018000
Ferber, Laurence R., MD
Ocala Health Trauma, LLC Riad, Joseph N., MD Shen, Adam W., MD
1234 Southeast Magnolia Ocala Health Surgical Group Ocala Health Trauma, LLC
Extension 4600 Southwest 46th Court 1234 Southeast Magnolia
Unit 1 Suite 370-R Extension
Ocala, FL 34471 Ocala, FL 34474 Unit 1
Phone: (352) 401-1218 / Fax: Phone: (352) 291-0239 / Fax: Ocala, FL 34471
(352) 401-1017 (352) 291-0254 Phone: (352) 401-1218 / Fax:
Gender: Male Gender: Male (352) 401-1017
ID #: 200000017541 Gender: Male
Riad, Joseph N., MD ID #: 200000036727
Griffin, Reginald L., MD Ocala Health Surgical Group
Concierge Bariatrics 4600 Southwest 46th Court Watson, Carrie, DO
1630 Southeast 18th Street Suite 340 Ocala Health Trauma, LLC
Suite 103 Ocala, FL 34474 1234 Southeast Magnolia
Ocala, FL 34471 Phone: (352) 291-0239 / Fax: Extension
Phone: (352) 236-5809 / Fax: (352) 291-0254 Unit 1
(352) 236-5461 Gender: Male Ocala, FL 34471
Gender: Male Phone: (352) 401-1218 / Fax:
ID #: 200000015703 (352) 401-1017
Gender: Female
ID #: 200000014494

105
Ultimate Health Plans Marion January 2022

Wecowski, Jacek, MD Hematology Berger, Maury B., MD


Ocala Health Surgical Oncology Florida Cancer Affiliates - North
1500 Southeast Magnolia Florida
Extension Ocala 9401 Southwest Highway 200
Suite 205 Suite 702
Ocala, FL 34471 Ocala, FL 34481
Phone: (352) 629-1800 / Fax: Balaraman, Rama, MD Phone: (352) 237-7170 / Fax:
(352) 629-1888 Florida Cancer Affiliates - North (352) 237-8808
Gender: Male Florida Gender: Male
Language(s): Polish 3130 Southwest 32nd Avenue Language(s): Spanish
ID #: 200000018698 Ocala, FL 34474 ID #: 200000014189
Phone: (352) 732-4032 / Fax:
Wecowski, Jacek, MD (352) 620-0419 Doshi, Ketan D., MD
Ocala Health Surgical Oncology Gender: Female Florida Cancer Affiliates - North
4600 Southwest 46th Court Language(s): Hindi, Tamil Florida
Suite 370 ID #: 200000010429 3130 Southwest 32nd Avenue
Ocala, FL 34474 Ocala, FL 34474
Phone: (352) 629-1800 / Fax: Balaraman, Rama, MD Phone: (352) 732-4032 / Fax:
(352) 629-1888 Florida Cancer Affiliates - North (352) 620-0419
Gender: Male Florida Gender: Male
Language(s): Polish 9401 Southwest Highway 200 Language(s): Gujarati, Hindi
ID #: 200000018698 Suite 702 ID #: 200000020725
Ocala, FL 34481
Zayko, Olga, MD Phone: (352) 237-7170 / Fax: Doshi, Ketan D., MD
Ocala Health Trauma, LLC (352) 237-8808 Florida Cancer Affiliates - North
1234 Southeast Magnolia Gender: Female Florida
Extension Language(s): Hindi, Tamil 9401 Southwest Highway 200
Unit 1 ID #: 200000010429 Suite 702
Ocala, FL 34471 Ocala, FL 34481
Phone: (352) 401-1218 / Fax: Berger, Maury B., MD Phone: (352) 237-7170 / Fax:
(352) 401-1017 Florida Cancer Affiliates - North (352) 237-8808
Gender: Female Florida Gender: Male
ID #: 200000036729 3130 Southwest 32nd Avenue Language(s): Gujarati, Hindi
Ocala, FL 34474 ID #: 200000020725
Phone: (352) 732-4032 / Fax:
(352) 620-0419 Koti, Ravi K., MD
Gender: Male Central Florida Cancer and Blood
Language(s): Spanish Center, PA
ID #: 200000014189 2494 Southwest 19th Avenue
Road
Ocala, FL 34471
Phone: (352) 671-4422 / Fax:
(352) 671-4423
Gender: Male
ID #: 200000011412

106
Ultimate Health Plans Marion January 2022

Patterson, Daniel A., MD Infectious Disease Sanchez, Wilfredo, MD


Bethel Blood and Cancer Center, Infectious Disease Specialty
PA Associates PLLC
11660 Southwest 97th Terrace Ocala 150 South East 17th Street
Unit 201 Suite 801
Ocala, FL 34481 Ocala, FL 34471
Phone: (352) 291-9376 / Fax: Addisu, Anteneh M., MD Phone: (352) 240-8555 / Fax:
(352) 291-9377 Infectious Disease Specialty (352) 240-8556
Gender: Male Associates PLLC Gender: Male
Language(s): Russian 150 South East 17th Street ID #: 200000020615
ID #: 200000014420 Suite 801
Ocala, FL 34471
Patterson, Daniel A., MD Phone: (352) 240-8555 / Fax:
Bethel Blood and Cancer Center, (352) 240-8556 Nephrology
PA Gender: Male
3256 South Pine Avenue Language(s): Amharic
ID #: 200000013724 Ocala
Suite 303
Ocala, FL 34471
Phone: (352) 512-0688 / Fax: Mirza, Haris I., MD
Ocala Infectious Disease and Chitumalla, Venkat V., MD
(352) 512-0689 Ocala Kidney Group, Inc.
Gender: Male Wound Center, Inc.
2651 Southwest 32nd Place 2980 Southeast 3rd Court
Language(s): Russian Ocala, FL 34471
ID #: 200000014420 Ocala, FL 34471
Phone: (352) 401-7552 / Fax: Phone: (352) 622-4231 / Fax:
(352) 622-7945 (352) 622-0518
Vasudevan, Anju, MD
Gender: Male Gender: Male
Florida Cancer Affiliates - North
Language(s): Punjabi, Urdu Language(s): Hindi, Telugu
Florida
ID #: 200000009668 ID #: 200000010559
9401 Southwest Highway 200
Suite 702 Chitumalla, Venkat V., MD
Ocala, FL 34481 Samnani, Imran Q., MD
Infectious Disease Specialty Ocala Kidney Group, Inc.
Phone: (352) 237-7170 / Fax: 8613 Southwest 103rd Street
(352) 237-8808 Associates PLLC
150 South East 17th Street Road
Gender: Female Ocala, FL 34481
Language(s): Spanish, Hindi Suite 801
Ocala, FL 34471 Phone: (352) 622-4231 / Fax:
ID #: 200000019690 (352) 622-0518
Phone: (352) 240-8555 / Fax:
(352) 240-8556 Gender: Male
Vasudevan, Anju, MD
Gender: Male Language(s): Hindi, Telugu
Florida Cancer Affiliates - North
ID #: 200000020621 ID #: 200000010559
Florida
3130 Southwest 32nd Avenue
Ocala, FL 34474
Phone: (352) 732-4032 / Fax:
(352) 620-0419
Gender: Female
Language(s): Spanish, Hindi
ID #: 200000019690

107
Ultimate Health Plans Marion January 2022

Kovalchuk, Oleksandr I., MD Locay, Harold R., MD Ong, Rebecca P., MD


Ocala Kidney Group, Inc. Ocala Kidney Group, Inc. Ocala Kidney Group, Inc.
2980 Southeast 3rd Court 2980 Southeast 3rd Court 2980 Southeast 3rd Court
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 622-4231 / Fax: Phone: (352) 622-4231 / Fax: Phone: (352) 622-4231 / Fax:
(352) 622-0518 (352) 622-0518 (352) 622-0518
Gender: Male Gender: Male Gender: Female
Language(s): Ukrainian Language(s): Spanish ID #: 200000019517
ID #: 200000011202 ID #: 200000019515
Ong, Rebecca P., MD
Kovalchuk, Oleksandr I., MD Locay, Harold R., MD Ocala Kidney Group, Inc.
Ocala Kidney Group, Inc. Ocala Kidney Group, Inc. 8613 Southwest 103rd Street
8613 Southwest 103rd Street 8613 Southwest 103rd Street Road
Road Road Ocala, FL 34481
Ocala, FL 34481 Ocala, FL 34481 Phone: (352) 622-4231 / Fax:
Phone: (352) 622-4231 / Fax: Phone: (352) 622-4231 / Fax: (352) 622-0518
(352) 622-0518 (352) 622-0518 Gender: Female
Gender: Male Gender: Male ID #: 200000019517
Language(s): Ukrainian Language(s): Spanish
ID #: 200000011202 ID #: 200000019515 Radoianu, Nicoleta, MD
Ocala Kidney Group, Inc.
Lakshminarayanan, Suresh, MD Nwakoby, Izuchukwu E., MD 2980 Southeast 3rd Court
Ocala Kidney Group, Inc. Ocala Kidney Group, Inc. Ocala, FL 34471
2980 Southeast 3rd Court 2980 Southeast 3rd Court Phone: (352) 622-4231 / Fax:
Ocala, FL 34471 Ocala, FL 34471 (352) 622-0518
Phone: (352) 622-4231 / Fax: Phone: (352) 622-4231 / Fax: Gender: Female
(352) 622-0518 (352) 622-0518 Language(s): Spanish, Romanian
Gender: Male Gender: Male ID #: 200000019518
Language(s): Hindi ID #: 200000011390
ID #: 200000010502 Radoianu, Nicoleta, MD
Nwakoby, Izuchukwu E., MD Ocala Kidney Group, Inc.
Lakshminarayanan, Suresh, MD Ocala Kidney Group, Inc. 8613 Southwest 103rd Street
Ocala Kidney Group, Inc. 8613 Southwest 103rd Street Road
8613 Southwest 103rd Street Road Ocala, FL 34481
Road Ocala, FL 34481 Phone: (352) 622-4231 / Fax:
Ocala, FL 34481 Phone: (352) 622-4231 / Fax: (352) 622-0518
Phone: (352) 622-4231 / Fax: (352) 622-0518 Gender: Female
(352) 622-0518 Gender: Male Language(s): Spanish, Romanian
Gender: Male ID #: 200000011390 ID #: 200000019518
Language(s): Hindi
ID #: 200000010502

108
Ultimate Health Plans Marion January 2022

Rogers, Timothy W., MD Vaghela, Maheshkumar L., MD Neurology


Ocala Kidney Group, Inc. Ocala Kidney Group, Inc.
2980 Southeast 3rd Court 2980 Southeast 3rd Court
Ocala, FL 34471 Ocala, FL 34471 Statewide
Phone: (352) 622-4231 / Fax: Phone: (352) 622-4231 / Fax:
(352) 622-0518 (352) 622-0518
Gender: Male Gender: Male Burry, Matthew, MD
ID #: 200000019516 Language(s): Hindi The Neurohealth Sciences Center,
ID #: 200000019519 LLC
Rogers, Timothy W., MD 8400 Red Bug Lake Road
Ocala Kidney Group, Inc. Vaghela, Maheshkumar L., MD Suite 1010
8613 Southwest 103rd Street Ocala Kidney Group, Inc. Ovideo, FL 32765
Road 8613 Southwest 103rd Street Phone: (407) 833-7505 / Fax:
Ocala, FL 34481 Road (407) 833-7509
Phone: (352) 622-4231 / Fax: Ocala, FL 34481 Gender: Male
(352) 622-0518 Phone: (352) 622-4231 / Fax: ID #: 200000022908
Gender: Male (352) 622-0518
ID #: 200000019516 Gender: Male
Ocala
Language(s): Hindi
Seek, Melvin M., MD ID #: 200000019519
Ocala Kidney Group, Inc.
2980 Southeast 3rd Court Ventrapragada, Sailaja V., MD Gaya, William, MD
Ocala, FL 34471 Ocala Kidney Group, Inc. William Gaya, M.D., P.A.
Phone: (352) 622-4231 / Fax: 2980 Southeast 3rd Court 801 Southwest 1st Avenue
(352) 622-0518 Ocala, FL 34471 Ocala, FL 34471
Gender: Male Phone: (352) 622-4231 / Fax: Phone: (352) 732-7233 / Fax:
ID #: 200000014110 (352) 622-0518 (352) 732-0239
Gender: Female Gender: Male
Seek, Melvin M., MD ID #: 200000005973 Language(s): Spanish
Ocala Kidney Group, Inc. ID #: 200000017046
8613 Southwest 103rd Street Ventrapragada, Sailaja V., MD
Road Ocala Kidney Group, Inc. Kim, Lance Y., DO
Ocala, FL 34481 8613 Southwest 103rd Street Florida Neurological Center, LLC
Phone: (352) 622-4231 / Fax: Road 2237 Southwest 19th Avenue
(352) 622-0518 Ocala, FL 34481 Road
Gender: Male Phone: (352) 622-4231 / Fax: Suite 101
ID #: 200000014110 (352) 622-0518 Ocala, FL 34471
Gender: Female Phone: (352) 867-9877 / Fax:
ID #: 200000005973 (352) 867-1040
Gender: Male
Language(s): Korean
ID #: 200000025525

109
Ultimate Health Plans Marion January 2022

Main, John T., DO Schweizer, Heather R., DO Neurosurgery


Ocala Health Surgical Group Ocala Health Neurology
1725 Southeast 28th Loop 1725 Southeast 28th Loop
Suite 102 Suite 101 Ocala
Ocala, FL 34471 Ocala, FL 34471
Phone: (352) 629-1743 / Fax: Phone: (352) 629-1730 / Fax:
(352) 629-1748 (352) 236-3520 Freeman, Jacob L., MD
Gender: Male Gender: Female Ocala Neurosurgical Center, PA
ID #: 200000015853 ID #: 200000019523 1901 Southeast 18th Avenue
Suite 101
Nikfarjam, Iraj, MD Sinha, Nisha, MD Ocala, FL 34471
Ocala Health Neurology Ocala Health Neurology Phone: (352) 622-3360 / Fax:
1725 Southeast 28th Loop 1725 Southeast 28th Loop (352) 629-4512
Suite 103 Suite 103 Gender: Male
Ocala, FL 34471 Ocala, FL 34471 ID #: 200000023836
Phone: (352) 629-1730 / Fax: Phone: (352) 629-1730 / Fax:
(352) 236-3520 (352) 236-3520 Main, John T., DO
Gender: Male Gender: Female Ocala Health Surgical Group
ID #: 200000019521 ID #: 200000019262 1725 Southeast 28th Loop
Suite 102
Reddy, Praveen B., MD Venkatraman, Anand, MD Ocala, FL 34471
Ocala Health Surgical Group Ocala Health Neurological Phone: (352) 629-1743 / Fax:
1725 Southeast 28th Loop Institute-Stroke (352) 629-1748
Suite 102 1725 Southeast 28th Loop Gender: Male
Ocala, FL 34471 Suite 103 ID #: 200000015853
Phone: (352) 629-1743 / Fax: Ocala, FL 34471
(352) 629-1748 Phone: (352) 629-1730 / Fax: Oliver, Mark D., MD
Gender: Male (352) 236-3520 Ocala Neurosurgical Center, PA
ID #: 200000019535 Gender: Male 1901 Southeast 18th Avenue
ID #: 200000035659 Suite 101
Savani, Chirag N., MD Ocala, FL 34471
AdvancedNeuro Corp Phone: (352) 622-3360 / Fax:
2685 Southwest 32nd Place Summerfield (352) 629-4512
Suite 100 Gender: Male
Ocala, FL 34471 ID #: 200000022090
Phone: (201) 590-5104 / Fax: Garbee, Michael A., MD
(813) 315-6299 Lakeview Internal Medicine, PA Reddy, Praveen B., MD
Gender: Male 10250 South East 167th Place Ocala Health Surgical Group
ID #: 200000035739 Road 1725 Southeast 28th Loop
Suite 5 Suite 102
Summerfield, FL 34491 Ocala, FL 34471
Phone: (352) 307-9925 / Fax: Phone: (352) 629-1743 / Fax:
(352) 307-8442 (352) 629-1748
Gender: Male Gender: Male
ID #: 200000022672 ID #: 200000019535

110
Ultimate Health Plans Marion January 2022

Robertson, Daniel P., MD Obstetrics / Gynecology Ocala


Ocala Neurosurgical Center
1901 Southeast 18th Avenue
Suite 101 Ocala Balaraman, Rama, MD
Ocala, FL 34471 Florida Cancer Affiliates - North
Phone: (352) 622-3360 / Fax: Florida
(352) 629-4512 Alvarado Hernandez, Luis A., MD 9401 Southwest Highway 200
Gender: Male Premier Specialty Alliance, Inc. Suite 702
ID #: 200000020574 1015 Southeast 17th Street Ocala, FL 34481
Ocala, FL 34471 Phone: (352) 237-7170 / Fax:
Robertson, Daniel P., MD Phone: (352) 259-2159 / Fax: (352) 237-8808
Ocala Neurosurgical Center, PA (352) 259-5731 Gender: Female
1901 Southeast 18th Avenue Gender: Male Language(s): Hindi, Tamil
Suite 101 Language(s): Spanish ID #: 200000010429
Ocala, FL 34471 ID #: 200000027595
Phone: (352) 622-3360 / Fax: Balaraman, Rama, MD
(352) 629-4512 Lindo, Hersell O., MD Florida Cancer Affiliates - North
Gender: Male Hersell Lindo, MD Florida
ID #: 200000020574 202 Southwest 17th Street 3130 Southwest 32nd Avenue
Suite B Ocala, FL 34474
Tuli, Sagun K., MD Ocala, FL 34471 Phone: (352) 732-4032 / Fax:
Ocala Health Neurosurgical Group Phone: (352) 390-6607 / Fax: (352) 620-0419
1234 Southeast Magnolia (352) 433-2135 Gender: Female
Extension Gender: Male Language(s): Hindi, Tamil
Unit 1 ID #: 200000025506 ID #: 200000010429
Ocala, FL 34471
Phone: (352) 401-1218 / Fax: Riley, Poorti K., MD Berger, Maury B., MD
(352) 401-1017 Florida Women's Health, LLC Florida Cancer Affiliates - North
Gender: Female 4600 Southwest 46th Court Florida
ID #: 200000016570 Suite 150 9401 Southwest Highway 200
Ocala, FL 34474 Suite 702
Phone: (352) 369-5999 / Fax: Ocala, FL 34481
(352) 629-4227 Phone: (352) 237-7170 / Fax:
Gender: Female (352) 237-8808
Language(s): Spanish Gender: Male
ID #: 200000024052 Language(s): Spanish
ID #: 200000014189

Oncology

Also see Hematology/Oncology

111
Ultimate Health Plans Marion January 2022

Berger, Maury B., MD Myrick, Samuel E., MD Vasudevan, Anju, MD


Florida Cancer Affiliates - North Florida Cancer Affiliates - North Florida Cancer Affiliates - North
Florida Florida Florida
3130 Southwest 32nd Avenue 3130 Southwest 32nd Avenue 3130 Southwest 32nd Avenue
Ocala, FL 34474 Ocala, FL 34474 Ocala, FL 34474
Phone: (352) 732-4032 / Fax: Phone: (352) 732-4032 / Fax: Phone: (352) 732-4032 / Fax:
(352) 620-0419 (352) 620-0419 (352) 620-0419
Gender: Male Gender: Male Gender: Female
Language(s): Spanish Language(s): Mandarin Language(s): Spanish, Hindi
ID #: 200000014189 ID #: 200000020727 ID #: 200000019690

Doshi, Ketan D., MD Myrick, Samuel E., MD Vasudevan, Anju, MD


Florida Cancer Affiliates - North Florida Cancer Affiliates - North Florida Cancer Affiliates - North
Florida Florida Florida
3130 Southwest 32nd Avenue 9401 Southwest Highway 200 9401 Southwest Highway 200
Ocala, FL 34474 Suite 702 Suite 702
Phone: (352) 732-4032 / Fax: Ocala, FL 34481 Ocala, FL 34481
(352) 620-0419 Phone: (352) 237-7170 / Fax: Phone: (352) 237-7170 / Fax:
Gender: Male (352) 237-8808 (352) 237-8808
Language(s): Gujarati, Hindi Gender: Male Gender: Female
ID #: 200000020725 Language(s): Mandarin Language(s): Spanish, Hindi
ID #: 200000020727 ID #: 200000019690
Doshi, Ketan D., MD
Florida Cancer Affiliates - North Patterson, Daniel A., MD
Florida Bethel Blood and Cancer Center,
9401 Southwest Highway 200 PA Ophthalmology
Suite 702 11660 Southwest 97th Terrace
Ocala, FL 34481 Unit 201
Statewide
Phone: (352) 237-7170 / Fax: Ocala, FL 34481
(352) 237-8808 Phone: (352) 291-9376 / Fax:
Gender: Male (352) 291-9377 Argus Vision
Language(s): Gujarati, Hindi Gender: Male Phone: (800) 210-5511
ID #: 200000020725 Language(s): Russian https:// argusdental.com /find-a-
ID #: 200000014420 provider/
Koti, Ravi K., MD
Central Florida Cancer and Blood Patterson, Daniel A., MD
Center, PA Bethel Blood and Cancer Center,
2494 Southwest 19th Avenue PA
Road 3256 South Pine Avenue
Ocala, FL 34471 Suite 303
Phone: (352) 671-4422 / Fax: Ocala, FL 34471
(352) 671-4423 Phone: (352) 512-0688 / Fax:
Gender: Male (352) 512-0689
ID #: 200000011412 Gender: Male
Language(s): Russian
ID #: 200000014420

112
Ultimate Health Plans Marion January 2022

Oral & Maxillofacial surgery Flynn, Lindsay S., MD Locker, Joseph R., MD
The Orthopaedic Institute, PA The Orthopaedic Institute, PA
2300 Southeast 17th Street 1710 Southeast 16th Avenue
Statewide Suite 500 Ocala, FL 34471
Ocala, FL 34471 Phone: (352) 620-1900 / Fax:
Phone: (352) 336-6000 (352) 620-1901
Argus Dental Gender: Female Gender: Male
Phone: (800) 340-8869 ID #: 200000022723 ID #: 200000020455
https:// argusdental.com /find-a-
provider/ Flynn, Lindsay S., MD Locker, Joseph R., MD
The Orthopaedic Institute, PA The Orthopaedic Institute, PA
2965 Southeast 3rd Court 4600 Southwest 46th Court
Ocala, FL 34471 Suite 250, 210 & 220
Orthopedic Surgery
Phone: (352) 336-6000 / Fax: Ocala, FL 34474
(352) 789-6098 Phone: (352) 336-6000
Ocala Gender: Female Gender: Male
ID #: 200000022723 ID #: 200000020455

Bachoura, Abdo, MD Flynn, Lindsay S., MD Lowell, Troy D., MD


The Orthopaedic Institute, PA The Orthopaedic Institute, PA The Orthopaedic Institute, PA
1710 Southeast 16th Avenue 4600 Southwest 46th Court 2965 Southeast 3rd Court
Ocala, FL 34471 Suite 330 Ocala, FL 34471
Phone: (352) 620-1900 / Fax: Ocala, FL 34474 Phone: (352) 336-6000 / Fax:
(352) 620-1901 Phone: (352) 620-1980 / Fax: (352) 789-6098
Gender: Male (352) 620-1901 Gender: Male
ID #: 200000019903 Gender: Female ID #: 200000020456
ID #: 200000022723
Duke, James B., MD Mahmood, Zakariah S., MD
The Orthopaedic Institute, PA Flynn, Lindsay S., MD The Orthopaedic Institute, PA
2300 Southeast 17th Street The Orthopaedic Institute, PA 1710 Southeast 16th Avenue
Suite 500 4600 Southwest 46th Court Ocala, FL 34471
Ocala, FL 34471 Suite 250, 210 & 220 Phone: (352) 620-1900 / Fax:
Phone: (352) 336-6000 Ocala, FL 34474 (352) 620-1901
Gender: Male Phone: (352) 336-6000 Gender: Male
ID #: 200000020439 Gender: Female ID #: 200000020457
ID #: 200000022723
Flynn, Lindsay S., MD Mahmood, Zakariah S., MD
The Orthopaedic Institute, PA Henry, Havalee T., MD The Orthopaedic Institute, PA
1710 Southeast 16th Avenue The Orthopaedic Institute, PA 4600 Southwest 46th Court
Ocala, FL 34471 1710 Southeast 16th Avenue Suite 250, 210 & 220
Phone: (352) 620-1900 / Fax: Ocala, FL 34471 Ocala, FL 34474
(352) 620-1901 Phone: (352) 620-1900 / Fax: Phone: (352) 336-6000
Gender: Female (352) 620-1901 Gender: Male
ID #: 200000022723 Gender: Female ID #: 200000020457
ID #: 200000018869

113
Ultimate Health Plans Marion January 2022

McFadden, James P., MD O'Connor, Robert W, MD Summerfield


The Orthopaedic Institute, PA The Orthopaedic Institute, PA
1710 Southeast 16th Avenue 2300 Southeast 17th Street
Ocala, FL 34471 Suite 500 Billings, Joseph B., DO
Phone: (352) 620-1900 / Fax: Ocala, FL 34471 The Orthopaedic Institute, PA
(352) 620-1901 Phone: (352) 336-6000 17270 Southeast 109th Terrace
Gender: Male Gender: Male Road
ID #: 200000020458 ID #: 200000037020 Summerfield, FL 34491
Phone: (352) 336-6000 / Fax:
McFadden, James P., MD Rogers, Marc J., DO (352) 336-6071
The Orthopaedic Institute, PA The Orthopaedic Institute, PA Gender: Male
4600 Southwest 46th Court 1710 Southeast 16th Avenue ID #: 200000025585
Suite 250, 210 & 220 Ocala, FL 34471
Ocala, FL 34474 Phone: (352) 620-1900 / Fax: Flynn, Lindsay S., MD
Phone: (352) 336-6000 (352) 620-1901 The Orthopaedic Institute, PA
Gender: Male Gender: Male 17270 Southeast 109th Terrace
ID #: 200000020458 ID #: 200000020470 Road
Summerfield, FL 34491
O'Connor, Robert W, MD Rogers, Marc J., DO Phone: (352) 336-6000 / Fax:
The Orthopaedic Institute, PA The Orthopaedic Institute, PA (352) 336-6071
1710 Southeast 16th Avenue 4600 Southwest 46th Court Gender: Female
Ocala, FL 34471 Suite 250, 210 & 220 ID #: 200000022723
Phone: (352) 620-1900 / Fax: Ocala, FL 34474
(352) 620-1901 Phone: (352) 336-6000 Krueger, Michael R., MD
Gender: Male Gender: Male The Orthopaedic Institute, PA
ID #: 200000037020 ID #: 200000020470 17270 Southeast 109th Terrace
Road
O'Connor, Robert W, MD Sahajpal, Deenesh T., MD Summerfield, FL 34491
The Orthopaedic Institute, PA Elite Orthopedics & Sports Phone: (352) 336-6000 / Fax:
2965 Southeast 3rd Court Medicine, PLLC (352) 336-6071
Ocala, FL 34471 3200 Southwest 34th Avenue Gender: Male
Phone: (352) 336-6000 / Fax: Building 500, Suite 502 ID #: 200000020453
(352) 789-6098 Ocala, FL 34474
Gender: Male Phone: (352) 547-8220 Munroe, Brent A., MD
ID #: 200000037020 Gender: Male The Orthopaedic Institute, PA
Language(s): French 17270 Southeast 109th Terrace
O'Connor, Robert W, MD ID #: 200000018719 Road
The Orthopaedic Institute, PA Summerfield, FL 34491
4600 Southwest 46th Court Van De Leur, Timothy J., MD Phone: (352) 336-6000 / Fax:
Suite 250, 210 & 220 The Orthopaedic Institute, PA (352) 336-6071
Ocala, FL 34474 1710 Southeast 16th Avenue Gender: Male
Phone: (352) 336-6000 Ocala, FL 34471 ID #: 200000023108
Gender: Male Phone: (352) 620-1900 / Fax:
ID #: 200000037020 (352) 620-1901
Gender: Male
ID #: 200000020494

114
Ultimate Health Plans Marion January 2022

O'Connor, Robert W, MD Nadenik, Scott A., DO Thomason, Thomas B., MD


The Orthopaedic Institute, PA Ocala Ear, Nose & Throat Ocala Ear, Nose & Throat
17270 Southeast 109th Terrace Specialists Specialists
Road 2120 Southwest 22nd Place 2102 Southwest 20th Place
Summerfield, FL 34491 Ocala, FL 34471 Suite 602
Phone: (352) 336-6000 / Fax: Phone: (352) 732-5042 / Fax: Ocala, FL 34471
(352) 336-6071 (352) 732-6031 Phone: (352) 732-5042 / Fax:
Gender: Male Gender: Male (352) 732-6031
ID #: 200000037020 ID #: 200000016881 Gender: Male
Language(s): Spanish
Reynolds, Stephen M., DO ID #: 200000019589
Ocala Ear, Nose & Throat
Otolaryngology Specialists
2120 Southwest 22nd Place
Ocala, FL 34471 Pain Management
Ocala
Phone: (352) 732-5042 / Fax:
(352) 732-6031
Ocala
Grayson, Charles W., DO Gender: Male
Ocala Ear, Nose & Throat ID #: 200000021727
Specialists Babu, Vijay G., MD
Reynolds, Stephen M., DO
2120 Southwest 22nd Place The Orthopaedic Institute, PA
Ocala Ear, Nose & Throat
Ocala, FL 34471 1710 Southeast 16th Avenue
Specialists
Phone: (352) 732-5042 / Fax: Ocala, FL 34471
2102 Southwest 20th Place
(352) 732-6031 Phone: (352) 620-1900 / Fax:
Suite 602
Gender: Male (352) 620-1901
Ocala, FL 34471
ID #: 200000019591 Gender: Male
Phone: (352) 732-5042 / Fax:
ID #: 200000019981
Jiron Jr., Jose L., MD (352) 732-6031
Ocala Ear, Nose & Throat Gender: Male Shetty, Mangala J., MD
Specialists ID #: 200000021727 Florida Pain and Rehabilitation
2120 Southwest 22nd Place Associates, Inc.
Schmidt, Christopher J., MD
Ocala, FL 34471 1737A Southeast 28th Loop
Ocala Ear, Nose & Throat
Phone: (352) 732-5042 / Fax: Suite A
Specialists
(352) 732-6031 Ocala, FL 34471
2102 Southwest 20th Place
Gender: Male Phone: (888) 877-3850 / Fax:
Ocala, FL 34471
Language(s): Spanish (631) 329-6951
Phone: (352) 732-5042
ID #: 200000019587 Gender: Male
Gender: Male
ID #: 200000035601
ID #: 200000019588

115
Ultimate Health Plans Marion January 2022

Ulseth, Robert N., MD Jollu, Chayapathy M., MD Carreras-Montgomery, Jennel M.,


Comprehensive Pain Management Medical Associates MD
3120 Southwest 27th Avenue 10238 Southwest 86th Circle Ocala Plastic Surgery
Suite 300 Unit 200 3320 Southwest 34th Circle
Ocala, FL 34471 Ocala, FL 34481 Ocala, FL 34474
Phone: (352) 236-3025 / Fax: Phone: (352) 873-1011 / Fax: Phone: (352) 629-8154 / Fax:
(352) 236-3521 (352) 873-1017 (352) 629-5231
Gender: Male Gender: Male Gender: Female
ID #: 200000004414 ID #: 200000021366 ID #: 200000023837

Sharma, Anuj, DO Nijher, Navinderdeep S., MD


Summerfield Sharma Institute of Pain Medicine Ocala Plastic Surgery
3221 Southwest 33rd Road 3320 Southwest 34th Circle
Suite 100 Ocala, FL 34474
Johnson, Versan S., MD Ocala, FL 34474 Phone: (352) 629-8154 / Fax:
Premier Specialtiy Allicance, Inc. Phone: (352) 433-0085 / Fax: (352) 629-5231
14031 Del Webb Blvd (866) 509-3414 Gender: Male
Summerfield, FL 34491 Gender: Male ID #: 200000023838
Phone: (352) 259-2159 / Fax: ID #: 200000009002
(352) 259-5731 Rogers, James H., MD
Gender: Female Ocala Plastic Surgery
ID #: 200000027596 3320 Southwest 34th Circle
Plastic & Reconstructive Surgery Ocala, FL 34474
Phone: (352) 629-8154 / Fax:
Physical Medicine and (352) 629-5231
Ocala
Rehabilitation Gender: Male
ID #: 200000023498
Ahumada, Leonik A., MD
Ocala Ocala Plastic Surgery
3320 Southwest 34th Circle Podiatry
Ocala, FL 34474
Brown, Janice C., MD Phone: (352) 629-8154 / Fax:
Better Health and Rehab (352) 629-5231 Ocala
2275 Southwest 22nd Lane Gender: Male
Suite 201 Language(s): Spanish
Ocala, FL 34471 ID #: 200000023497 Carter, Brent E., DPM
Phone: (352) 433-9292 / Fax: American Foot & Ankle Centers
(228) 200-5770 1714 Southwest 17th Street
Gender: Female Ocala, FL 34471
ID #: 200000024424 Phone: (352) 388-4680 / Fax:
(352) 304-6898
Gender: Male
ID #: 200000023778

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Dao, Uyen K., DPM Gonzalez Jr., Armando, DPM Summerfield


Live Oak Foot and Ankle Marion County Podiatry Specialist
1800 Southeast 17th Street 3300 Southwest 33rd Road
Suite 601 Ocala, FL 34474 Dao, Uyen K., DPM
Ocala, FL 34471 Phone: (352) 351-4444 / Fax: Live Oak Foot and Ankle
Phone: (352) 351-0375 / Fax: (352) 351-4920 17820 Southeast 109th Avenue
(352) 352-1610 Gender: Male Suite 102
Gender: Female Language(s): Spanish Summerfield, FL 34491
Language(s): Vietnamese ID #: 200000015705 Phone: (352) 347-3338 / Fax:
ID #: 200000023832 (352) 347-3389
Miller, Stephen R., DPM Gender: Female
Effren, Steven C., DPM Suncoast Podiatry Associates, Inc. Language(s): Vietnamese
Live Oak Foot and Ankle 3301 Southwest 34th Circle ID #: 200000023832
1800 Southeast 17th Street Suite 102
Suite 601 Ocala, FL 34474 Effren, Steven C., DPM
Ocala, FL 34471 Phone: (352) 861-0444 / Fax: Live Oak Foot and Ankle
Phone: (352) 351-0375 / Fax: (352) 861-0464 17820 Southeast 109th Avenue
(352) 352-1610 Gender: Male Suite 102
Gender: Male ID #: 200000005646 Summerfield, FL 34491
ID #: 200000023833 Phone: (352) 347-3338 / Fax:
Salvati, Carl M., DPM (352) 347-3389
Goldstein, Scott P., DPM Marion County Podiatry Specialist Gender: Male
The Orthopaedic Institute, PA 812 Northeast 25th Avenue ID #: 200000023833
1710 Southeast 16th Avenue Suite A
Ocala, FL 34471 Ocala, FL 34470
Phone: (352) 620-1900 / Fax: Phone: (352) 351-4444 / Fax:
Pulmonology
(352) 620-1901 (352) 351-4920
Gender: Male Gender: Male
ID #: 200000022058 ID #: 200000016262 Ocala
Gonzalez Jr., Armando, DPM Salvati, Carl M., DPM
Marion County Podiatry Specialist Marion County Podiatry Specialist
Bapatla, Amruth S., MD
812 Northeast 25th Avenue 3300 Southwest 33rd Road
Amruth S. Bapatla, MD, PA
Suite A Ocala, FL 34474
6041 Southwest 73rd Street
Ocala, FL 34470 Phone: (352) 351-4444 / Fax:
Suite 1
Phone: (352) 351-4444 / Fax: (352) 351-4920
Ocala, FL 34476
(352) 351-4920 Gender: Male
Phone: (352) 369-2040 / Fax:
Gender: Male ID #: 200000016262
(352) 369-2045
Language(s): Spanish
Gender: Male
ID #: 200000015705
ID #: 200000023796

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Ultimate Health Plans Marion January 2022

Bapatla, Amruth S., MD Karunakara, Raj G., MD Summerfield


Amruth S. Bapatla, MD, PA Ocala Lung & Critical Care
1133 Southeast Place Associates, Inc.
Suite 4 1834 Southwest 1st Avenue Bhatt, Hardik B., MD
Ocala, FL 34471 Suite 101 Ocala Lung & Critical Care
Phone: (352) 369-2040 / Fax: Ocala, FL 34471 Associates, Inc.
(352) 369-2045 Phone: (352) 732-5552 / Fax: 10969 Southeast 175th Place
Gender: Male (352) 732-1131 Suite 200
ID #: 200000023796 Gender: Male Summerfield, FL 34491
Language(s): Hindi Phone: (352) 732-5552 / Fax:
Bhatt, Hardik B., MD ID #: 200000009195 (352) 732-1131
Ocala Lung & Critical Care Gender: Male
Associates, Inc. Mitra, Purushottam, MD Language(s): Gujarati, Hindi
1834 Southwest 1st Avenue Ocala Lung & Critical Care ID #: 200000020006
Suite 101 Associates, Inc.
Ocala, FL 34471 1834 Southwest 1st Avenue Gogineni, Anil K., MD
Phone: (352) 732-5552 / Fax: Suite 101 Ocala Lung & Critical Care
(352) 732-1131 Ocala, FL 34471 Associates, Inc.
Gender: Male Phone: (352) 732-5552 / Fax: 10969 Southeast 175th Place
Language(s): Gujarati, Hindi (352) 732-1131 Suite 200
ID #: 200000020006 Gender: Male Summerfield, FL 34491
Language(s): Hindi Phone: (352) 732-5552 / Fax:
Ferro, Tammy N., DO ID #: 200000011360 (352) 732-1131
Ocala Lung & Critical Care Gender: Male
Associates, Inc. Seevaratnam, Andrew R., MD Language(s): Telugu
1834 Southwest 1st Avenue Ocala Lung & Critical Care ID #: 200000009825
Suite 101 Associates, Inc.
Ocala, FL 34471 1834 Southwest 1st Avenue Seevaratnam, Andrew R., MD
Phone: (352) 732-5552 / Fax: Suite 101 Ocala Lung & Critical Care
(352) 732-1131 Ocala, FL 34471 Associates, Inc.
Gender: Female Phone: (352) 732-5552 / Fax: 10969 Southeast 175th Place
Language(s): Spanish, Vietnamese (352) 732-1131 Suite 200
ID #: 200000027863 Gender: Male Summerfield, FL 34491
ID #: 200000020007 Phone: (352) 732-5552 / Fax:
Gogineni, Anil K., MD (352) 732-1131
Ocala Lung & Critical Care Gender: Male
Associates, Inc. ID #: 200000020007
1834 Southwest 1st Avenue
Suite 101
Ocala, FL 34471
Phone: (352) 732-5552 / Fax:
(352) 732-1131
Gender: Male
Language(s): Telugu
ID #: 200000009825

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Ultimate Health Plans Marion January 2022

Radiation Oncology Lightsey, Judith L., MD Rheumatology


Robert Boissoneault Oncology
Institute
Ocala 9401 Southwest Highway 200 Summerfield
Building 800
Ocala, FL 34481
Anderson, Norman H., MD Phone: (352) 861-2400 / Fax: Abualula, Hasan A., MD
Robert Boissoneault Oncology (352) 861-2401 Lakeview Internal Medicine, PA
Institute Gender: Female 10250 South East 167th Place
2020 Southeast 17th Street ID #: 200000011797 Road
Ocala, FL 34471 Suite 5
Phone: (352) 732-0277 / Fax: Rao, Jayanth G., MD Summerfield, FL 34491
(352) 732-6574 GenesisCare USA of Florida, LLC Phone: (352) 307-9925 / Fax:
Gender: Male 3201 South West 33rd Road (352) 307-8442
ID #: 200000001559 Ocala, FL 34474 Gender: Male
Phone: (352) 291-2495 / Fax: Language(s): Arabic
Anderson, Norman H., MD (352) 291-2498 ID #: 200000021368
Robert Boissoneault Oncology Gender: Male
Institute ID #: 200000021989
9401 Southwest Highway 200
Building 800 Sandrapaty, Ravichandra K., MD Sports Medicine
Ocala, FL 34481 GenesisCare USA of Florida, LLC
Phone: (352) 861-2400 / Fax: 3201 South West 33rd Road
Ocala
(352) 861-2401 Ocala, FL 34474
Gender: Male Phone: (352) 291-2495 / Fax:
ID #: 200000001559 (352) 291-2498 Wilt, Jason S., MD
Gender: Male The Orthopaedic Institute, PA
Bucy, Guy S., MD Language(s): Spanish, Telugu 1710 Southeast 16th Avenue
Robert Boissoneault Oncology ID #: 200000021322 Ocala, FL 34471
Institute
Phone: (352) 620-1900 / Fax:
2020 Southeast 17th Street
(352) 620-1901
Ocala, FL 34471
Gender: Male
Phone: (352) 732-0277 / Fax:
ID #: 200000024838
(352) 732-6574
Gender: Male
ID #: 200000001924

Lightsey, Judith L., MD


Robert Boissoneault Oncology
Institute
2020 Southeast 17th Street
Ocala, FL 34471
Phone: (352) 732-0277 / Fax:
(352) 732-6574
Gender: Female
ID #: 200000011797

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Thoracic Surgery Summerfield Cunningham, David L., MD


Advanced Urology Institute, LLC
9401 Southwest State Road 200
Ocala Sharma, Ravi, MD Building 3000, Suite 3001
Ravi Sharma, MD, PA Ocala, FL 34481
17820 Southeast 109th Street Phone: (352) 351-2801 / Fax:
Bush, Bryan S., MD Suite 109 (352) 351-2279
Florida Heart & Lung Institute of Summerfield, FL 34491 Gender: Male
Ocala Phone: (352) 693-2052 / Fax: ID #: 200000021800
1500 Southeast Magnolia (352) 693-2169
Extension Gender: Male Dersch, Mark W., MD
Suite 203 Language(s): Hindi Advanced Urology Institute, LLC
Ocala, FL 34471 ID #: 200000002654 1901 South East 18th Avenue
Phone: (352) 629-1378 / Fax: Suite 300
(352) 629-1406 Ocala, FL 34471
Gender: Male Phone: (352) 351-1313 / Fax:
ID #: 200000019070 Urology
(352) 351-1285
Gender: Male
Bush, Bryan S., MD ID #: 200000021750
Ocala Health Surgical Group, LLC Dunnellon
1511 Southwest Dersch, Mark W., MD
Ocala, FL 34471 Advanced Urology Institute, LLC
Ayyathurai, Rajinikanth, MD
Phone: (352) 629-1378 / Fax: 9401 Southwest State Road 200
Advanced Urology Institute, LLC
(352) 629-1406 Building 3000, Suite 3001
11673 North Williams Street
Gender: Male Ocala, FL 34481
Dunnellon, FL 34432
ID #: 200000019070 Phone: (352) 351-2801 / Fax:
Phone: (352) 628-7671 / Fax:
(352) 351-2279
Osian, Omeni N., MD (352) 628-9893
Gender: Male
Florida Heart & Lung Institute of Gender: Male
ID #: 200000021750
Ocala ID #: 200000021743
1500 Southeast Magnolia Jo, Paul D., MD
Extension Ocala Urology Care of Central Florida
Suite 203 6907 Southwest Highway 200
Ocala, FL 34471 Ocala, FL 34476
Phone: (352) 629-1378 / Fax: Cunningham, David L., MD Phone: (352) 351-0029 / Fax:
(352) 629-1406 Advanced Urology Institute, LLC (352) 840-9977
Gender: Male 1901 South East 18th Avenue Gender: Male
ID #: 200000017358 Suite 300 ID #: 200000027370
Ocala, FL 34471
Phone: (352) 351-1313 / Fax:
(352) 351-1285
Gender: Male
ID #: 200000021800

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Karavadia, Saumilkumar S., MD King, Edward D., MD Taub, Harvey C., MD


Advanced Urology Institute, LLC Advanced Urology Institute, LLC Advanced Urology Institute, LLC
1901 South East 18th Avenue 9401 Southwest State Road 200 1901 South East 18th Avenue
Suite 300 Building 3000, Suite 3001 Suite 300
Ocala, FL 34471 Ocala, FL 34481 Ocala, FL 34471
Phone: (352) 351-1313 / Fax: Phone: (352) 351-2801 / Fax: Phone: (352) 351-1313 / Fax:
(352) 351-1285 (352) 351-2279 (352) 351-1285
Gender: Male Gender: Male Gender: Male
ID #: 200000021786 ID #: 200000021787 Language(s): Spanish
ID #: 200000021775
Karavadia, Saumilkumar S., MD Narayan, Perinchery, MD
Advanced Urology Institute, LLC North Florida Urology Associates, Taub, Harvey C., MD
9401 Southwest State Road 200 PA Advanced Urology Institute, LLC
Building 3000, Suite 3001 1630 Southeast 18th Street 9401 Southwest State Road 200
Ocala, FL 34481 Suite 300 Building 3000, Suite 3001
Phone: (352) 351-2801 / Fax: Ocala, FL 34471 Ocala, FL 34481
(352) 351-2279 Phone: (352) 456-7911 / Fax: Phone: (352) 351-2801 / Fax:
Gender: Male (877) 353-2778 (352) 351-2279
ID #: 200000021786 Gender: Male Gender: Male
Language(s): Hindi Language(s): Spanish
King, Charles T., MD ID #: 200000012001 ID #: 200000021775
Urology Institute of Central
Florida, PL Rao, Dinesh S., MD Thill, Jeffrey R., MD
2850 Southeast Third Court Advanced Urology Institute, LLC Urology Institute of Central
Ocala, FL 34471 1901 South East 18th Avenue Florida, PL
Phone: (352) 732-6474 / Fax: Suite 300 2850 Southeast 3rd Court
(352) 732-7205 Ocala, FL 34471 Ocala, FL 34471
Gender: Male Phone: (352) 351-1313 / Fax: Phone: (352) 732-6474 / Fax:
ID #: 200000001605 (352) 351-1285 (352) 751-2825
Gender: Female Gender: Male
King, Edward D., MD ID #: 200000021767 ID #: 200000022038
Advanced Urology Institute, LLC
1901 South East 18th Avenue Rao, Dinesh S., MD
Suite 300 Advanced Urology Institute, LLC
Ocala, FL 34471 9401 Southwest State Road 200
Phone: (352) 351-1313 / Fax: Building 3000, Suite 3001
(352) 351-1285 Ocala, FL 34481
Gender: Male Phone: (352) 351-2801 / Fax:
ID #: 200000021787 (352) 351-2279
Gender: Female
ID #: 200000021767

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Vascular Surgery Gonzalez, Alberto J., MD


Ocala Health Vascular Surgery
1511 Sothwest 1st Avenue
Ocala Suite 2
Ocala, FL 34471
Phone: (352) 351-1022 / Fax:
Chandra, Ravi, MD (352) 351-1372
Surgical Specialists of Ocala, PA Gender: Male
1920 Southwest 20th Place ID #: 200000018581
Suite 100
Ocala, FL 34471
Phone: (352) 237-1212 / Fax: Summerfield
(352) 237-0066
Gender: Male
ID #: 200000002221 Sharma, Ravi, MD
Ravi Sharma, MD, PA
Chandra, Ravi, MD 17820 Southeast 109th Street
Surgical Specialists of Ocala, PA Suite 109
1920 Southwest 20th Place Summerfield, FL 34491
Suite 100 Phone: (352) 693-2052 / Fax:
Ocala, FL 34471 (352) 693-2169
Phone: (352) 237-1212 / Fax: Gender: Male
(352) 237-0066 Language(s): Hindi
Gender: Male ID #: 200000002654
ID #: 200000002221

Chandra, Ravi, MD
The Vein Center of North Florida
1920 Southwest 20th Place
Suite 201
Ocala, FL 34471
Phone: (352) 237-1820 / Fax:
(352) 237-0675
Gender: Male
ID #: 200000002221

Gonzalez, Alberto J., MD


Ocala Health Vascular Surgery
1500 Southeast Magnolia
Extension
Suite 204
Ocala, FL 34471
Phone: (352) 351-1022 / Fax:
(352) 351-1372
Gender: Male
ID #: 200000018581

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Hospitals
For Inpatient Psychiatric Facilities,
please contact Beacon Health
Options at (800) 627-1259 or visit
https://
www.beaconhealthoptions.com
/find-a-provider/

Ocala

Maricamp ER
2897 Southeast Maricamp Road
Ocala, FL 34471
Phone: (352) 421-7500

Ocala Regional Medical Center


1431 Southwest 1st Avenue
Ocala, FL 34471
Phone: (352) 401-1100 / Fax:
(352) 401-1198

West Marion Community


Hospital
4600 Southwest 46th Court
Ocala, FL 34474
Phone: (352) 291-3000 / Fax:
(833) 462-1884

Summerfield

Summerfield ER
14193 South US Highway 441
Summerfield, FL 34491
Phone: (352) 245-4440

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Ultimate Health Plans Marion January 2022

Express Care of Ocala


Urgent Care 1834 Southwest 1st Avenue
Suite 201
Centers Ocala, FL 34471
Phone: (352) 732-9888 / Fax:
(352) 732-0490

Belleview MedOne, PLLC


6160 South West Highway 200
Unit 119
Express Care of Belleview, LLC Ocala, FL 34476
10762 Southeast US Highway 441 Phone: (352) 694-6331 / Fax:
Belleview, FL 34420 (352) 694-6338
Phone: (352) 347-5225 / Fax:
(352) 347-1073 Quick Care Med
3415 East Silver Springs Boulevard
Ocala, FL 34470
Dunnellon Phone: (352) 629-7336 / Fax:
(352) 690-7633
Quick Care Med Quick Care Med
11371 North Williams Street 8119 Southwest Highway 200
Unit 4 Ocala, FL 34475
Dunnellon, FL 34432 Phone: (352) 854-9355 / Fax:
Phone: (352) 465-2273 / Fax: (352) 874-0047
(352) 465-6343

Ocala

CareSpot Express Healthcare


2415 Southwest College Road
Ocala, FL 34471
Phone: (352) 237-3536 / Fax:
(352) 237-8735

Concentra Urgent Care


2221 Southwest 19th Avenue
Road
Suite 100
Ocala, FL 34471
Phone: (866) 944-6046 / Fax:
(351) 629-8954

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TimberRidge Center for


Skilled Nursing Rehabilitation & Healing
9848 Southwest 110th Street
Facilities (SNFs) Ocala, FL 34481
Phone: (352) 291-7244 / Fax:
(352) 854-2520

Ocala

Avante at Ocala
2021 Southwest 1st Avenue
Ocala, FL 34474
Phone: (352) 732-0042 / Fax:
(352) 351-5604

Hawthorne Center for


Rehabilitation and Healing of
Ocala
4100 Southwest 33rd Avenue
Ocala, FL 34474
Phone: (352) 237-7776 / Fax:
(352) 237-5551

Life Care Center of Ocala


2800 Southwest 41st Street
Ocala, FL 34474
Phone: (352) 873-7570 / Fax:
(352) 873-7112

Palm Garden of Ocala


2700 Southwest 34th Street
Ocala, FL 34474
Phone: (352) 854-6262 / Fax:
(352) 433-4535

The Lodge Health and


Rehabilitation Center
635 Southeast 17th Street
Ocala, FL 34471
Phone: (352) 629-7921 / Fax:
(352) 732-8804

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Ultimate Health Plans Marion January 2022

Summerfield Diagnostic Radiology


Ancillary
Villages Endoscopy Center, LLC Statewide
Providers 10900 Southeast 174th Place
Summerfield, FL 34491
Phone: (352) 245-7427 / Fax: Allied Mobile X-Ray, Inc.
(352) 245-2387 8360 West Flagler Street
Ambulatory Surgical Center Suite 207
Miami, FL 33144
Phone: (877) 404-0333 / Fax:
Ocala Dental (877) 404-9339

Central Florida Endoscopy & Statewide Ocala


Surgical Institute of Ocala
3256 South Pine Avenue
Ocala, FL 34471 Argus Dental Advanced Imaging Centers
Phone: (352) 401-1919 / Fax: Phone: (800) 340-8869 2300 Southeast 17th Street
(352) 401-1870 https:// argusdental.com /find-a- Building 800
provider/ Ocala, FL 34471
Ocala Surgical Center Phone: (352) 867-9606 / Fax:
3201 Southwest 34th Street (844) 212-9295
Ocala, FL 34474
Diabetic Supplies - Mail Order
Phone: (352) 237-1385 / Fax: Advanced Imaging Centers
(352) 291-0087 2300 Southeast 17th Street
Statewide Building 300
Orthopaedic Surgery Center of Ocala, FL 34471
Ocala Phone: (352) 867-9606 / Fax:
1600 Southeast 17th Street United Medco, Inc. (844) 212-9295
Ocala, FL 34471 4250 Coral Ridge Drive
Phone: (352) 512-9210 / Fax: Suite 201 CareFirst Imaging
(352) 512-9201 Coral Springs, FL 33065 1714 Southwest 17th Street
Phone: (954) 947-4300 / Fax: Suite 300
Surgery Center of Mid Florida Ocala, FL 34471
(954) 753-1669
1950 Southwest 18th Court Phone: (352) 274-9565 / Fax:
Suite 102 (888) 978-5541
Ocala, FL 34471
Phone: (352) 789-6575 / Fax: Medical Imaging Center of Ocala,
(352) 291-7546 LLP
1490 Southeast Magnolia
The Endoscopy Center of Ocala Extension
1160 Southeast 18th Place Ocala, FL 34471
Ocala, FL 34471 Phone: (352) 671-4300 / Fax:
Phone: (352) 732-8905 / Fax: (352) 671-4292
(352) 732-2440

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Ultimate Health Plans Marion January 2022

PET/CT Services of Florida Diagnostic Testing Acentus


1541 Southwest 1st Avenue 4951-B East Adamo Drive
Suite 101 Suite 200
Ocala, FL 34471 Statewide Tampa, FL 33605
Phone: (352) 622-1133 / Fax: Phone: (866) 684-2507 / Fax:
(352) 622-8844 (866) 695-2183
Clinicare Diagnostic Medical
TimberRidge Imaging Center, LLP Services ActivStyle
9521 Southwest Highway 200 2311 Alternate 19 5912 Breckenridge Parkway
Ocala, FL 34481 Suite B Suite G
Phone: (352) 671-4260 / Fax: Palm Harbor, FL 34683 Tampa, FL 33610
(352) 671-4292 Phone: (866) 961-5589 / Fax: Phone: (813) 280-6547 / Fax:
(727) 796-2965 (877) 426-7329
Triumph Radiology Associates
3233 Southwest 33rd Road Aeroflow Healthcare
Suite 302 65 Beale Road
Ocala, FL 34474 Durable Medical Equipment Arden, NC 28704
Phone: (352) 795-5628 / Fax: Phone: (888) 345-1780 / Fax:
(352) 795-9729 (800) 249-1513
Nationwide
Windsor Oaks Comfort Medical, LLC
1901 Southeast 18th Avenue 4240 Northwest 120th Avenue
Acelis Connected Health Services
Building 200 Coral Springs, FL 33065
6465 National Drive
Ocala, FL 34471 Phone: (800) 700-4246 / Fax:
Livermore, CA 94550
Phone: (352) 671-4260 / Fax: (800) 604-9760
Phone: (877) 262-4669 / Fax:
(352) 671-4292
(925) 606-6978 Essential Medical Solutions, Inc.
Women's Imaging Center 3 Nebo Yorkville Road
Alere Home Monitoring, Inc.
1901 Southeast 18th Avenue Yorkville, TN 38389
Phone: (877) 262-4669
Building 200 Phone: (877) 278-1079 / Fax:
Ocala, FL 34471 Prism Medical Products, LLC (877) 231-3088
Phone: (352) 671-4260 / Fax: 112 Church Street
(352) 671-4292 Home Oxygen Medical
Suite 101
Equipment of Hernando
Elkin, NC 28621
18735 Sakera Road
Phone: (888) 244-6421 / Fax:
Hudson, FL 34667
(800) 975-6321
Phone: (727) 861-5542 / Fax:
(727) 861-5545
Statewide
InfuSystem, Inc.
3851 West Hamlin Road
180 Medical, Inc. Rochester, MI 48309
8516 Northwest Expressway Phone: (800) 962-9656 / Fax:
Oklahoma City, OK 73162 (800) 455-4338
Phone: (877) 688-2729 / Fax:
(888) 718-0633

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Ultimate Health Plans Marion January 2022

Kelmedix, Inc. Strive Medical, LLC Countywide


4646 Commerical Way 5800 Campus Circle Drive East
Spring Hill, FL 34606 Suite 100B
Phone: (352) 592-1063 / Fax: Irving, TX 75063 Active Mobility Innovations
(352) 592-1064 Phone: (888) 771-9229 / Fax: 3720 Tampa Road
(866) 680-5574 Palm Harbor, FL 34684
Kinex Medical Company, LLC Phone: (727) 535-6100 / Fax:
1801 Airport Road SurfMed (888) 527-1919
Suite D 2799 Southwest 32nd Avenue
Waukesha, WI 53188 Building E, Suite 14 Lincare, Inc.
Phone: (800) 845-6364 / Fax: Pembroke Park, FL 33023 4651 Northwest 6th Street
(888) 845-3342 Phone: (888) 201-7873 / Fax: Suite H
(888) 398-3149 Gainesville, FL 32609
Medline Industries, Inc. Phone: (352) 335-7390 / Fax:
1 Medline Place United Medco, Inc. (352) 335-4959
Mundelein, IL 60060 4250 Coral Ridge Drive
Phone: (866) 356-4997 / Fax: Suite 201 Lincare, Inc.
(866) 272-8122 Coral Springs, FL 33065 4055 North Lecanto Highway
Phone: (954) 947-4300 / Fax: Beverly Hills, FL 34465
Medline Industries, Inc. (954) 753-1669 Phone: (352) 527-6404 / Fax:
1501 Harris Road (352) 240-3826
Libertyville, IL 60048 United States Medical Supply, LLC
Phone: (866) 356-4997 / Fax: 8260 Northwest 27th Street Lincare, Inc.
(866) 272-8122 Suite 401 301 South Richey Road
Miami, FL 33122 Suite 101
MY DME DOC, LLC Phone: (305) 436-6033 / Fax: Leesburg, FL 34748
977 Del Mar Drive (305) 455-5700 Phone: (352) 323-5540 / Fax:
Lady Lake, FL 32159 (352) 323-5549
Phone: (866) 726-9363 / Fax: Universal Med Supply
(888) 788-5796 1329 West Walnut Hill Lane PM Respiratory Services, Inc.
Suite 100 3306 Southwest 26th Avenue
Orthomedx Corporation Irving, TX 75038 Ocala, FL 34471
4329 36th Street Phone: (972) 228-1820 / Fax: Phone: (352) 237-4545 / Fax:
Suite 800 (972) 572-1112 (866) 945-9458
Orlando, FL 32811
Phone: (407) 422-4526 / Fax: US Med, LLC Rotech
(407) 377-5770 1480 Northwest 79th Avenue 144 North Florida Avenue
Miami, FL 33126 Inverness, FL 34453
RespirTech Phone: (800) 787-6331 / Fax: Phone: (352) 795-0696 / Fax:
5905 Nathan Lane North (305) 455-5700 (352) 795-0380
Suite 200
Plymouth, MN 55442 Southern Respiratory, Inc.
Phone: (800) 793-1261 / Fax: 724 South Rossiter Street
(800) 962-1611 Mount Dora, FL 32757
Phone: (352) 385-9116 / Fax:
(352) 385-3729

128
Ultimate Health Plans Marion January 2022

Ocala Fitness Program Doctor's Choice Home Care


18770 Cortez Boulevard
Brooksville, FL 34601
AeroCare Silver Sneakers Fitness Phone: (352) 794-6099 / Fax:
3315 Southwest 13th Street Phone: (888) 423-4632 (352) 204-0069
Suite 202 https:// tools.silversneakers.com
Ocala, FL 34474 /LocationSearch Family Home Health Services
Phone: (352) 861-2337 / Fax: 2801 Southwest College Road
(866) 847-7606 Suite 5
Ocala, FL 34474
Lincare, Inc. Home Health Phone: (941) 907-1595 / Fax:
1011 Southwest 33rd Avenue (941) 907-4768
Suite 100
Ocala, FL 34474 Statewide Family Home Health Services
Phone: (352) 629-8880 / Fax: 2801 Southwest College Road
(866) 700-2339 Suite 5
Advanced InfusionCare
Ocala, FL 34474
OxyLife Respiratory Services 212 Northside Drive
Phone: (941) 907-1595 / Fax:
6405 Southwest 38th Street Valdosta, GA 31602
(941) 907-4768
Building 100, Suite 101-104 Phone: (229) 242-3060 / Fax:
Ocala, FL 34476 (292) 242-9914 Florida Homecare Specialists, Inc.
Phone: (352) 873-2971 / Fax: 150 Southeast 17th Street
(352) 873-2972 Countywide Unit 301
Ocala, FL 34471
Phone: (352) 509-3045 / Fax:
Comprehensive Home Care (352) 509-3046
Durable Medical Equipment -
Mastectomy Supplies 3200 Southwest 34th Avenue
Suite 501 Florida Homecare Specialists, Inc.
Ocala, FL 34474 130 North Old Dixie Highway
Phone: (352) 861-8806 / Fax: Lady Lake, FL 32159
Ocala
(352) 873-8806 Phone: (352) 753-2206 / Fax:
(352) 350-2210
Unique Lingerie Services, LLC Comprehensive Home Care of
Hernando Fusion HealthCare
4414 Southwest College Road 10508 Spring Hill Drive
Suite 1930 5085 Commercial Way
Unit 2 Spring Hill, FL 34608
Ocala, FL 34474 Phone: (352) 684-1388 / Fax:
Phone: (352) 629-5590 / Fax: Spring Hill, FL 34606
Phone: (352) 688-4020 / Fax: (352) 684-1389
(352) 629-5597
(866) 305-9695
Kindred at Home
Unique Lingerie, Inc. 311 Southeast 17th Place
202 Southwest 17th Street Crown Home Health Care, Inc.
3900 Lake Center Drive Ocala, FL 34471
Unit c Phone: (352) 402-0660 / Fax:
Ocala, FL 34471 Suite A4
Mount Dora, FL 32757 (352) 402-0670
Phone: (352) 877-8700 / Fax:
(352) 608-9718 Phone: (352) 561-2376 / Fax:
(352) 561-2377

129
Ultimate Health Plans Marion January 2022

Kindred at Home Palm Garden Home Health Laboratory


4465 North Lecanto Highway 3306 Southwest 26th Avenue
Suite 7A Suite 401
Beverly Hills, FL 34465 Ocala, FL 34471 Dunnellon
Phone: (352) 746-5010 / Fax: Phone: (352) 877-4120 / Fax:
(352) 746-0565 (352) 304-6929
LabCorp
Kindred at Home Palm Garden Home Health 20056 East Pennsylvania Avenue
3951 Northwest 48th Terrace 3306 Southwest 26th Avenue Suite 1
Suite 219 Suite 401 Dunnellon, FL 34432
Gainesville, FL 32606 Ocala, FL 34471 Phone: (352) 489-9536 / Fax:
Phone: (352) 376-3221 / Fax: Phone: (352) 877-4120 / Fax: (352) 489-9629
(352) 376-7525 (352) 304-6929

Kindred at Home Pinnacle Home Care Ocala


900 Main Street 1213 West Miller Street
The Villages, FL 32159 Suite 1
Phone: (352) 787-2780 / Fax: Fruitland Park, FL 34731 LabCorp
(352) 787-3995 Phone: (352) 314-9500 / Fax: 3200 Southwest 34th Avenue
(352) 314-9503 Building 200, Suite 201
Kindred at Home Ocala, FL 34474
17240 Camelot Court Pinnacle Home Care of Spring Phone: (352) 732-4671 / Fax:
Suite 101 Hill, Inc. (352) 732-4917
Land O Lakes, FL 34638 5286 Applegate Drive
Phone: (813) 920-9389 / Fax: Spring Hill, FL 34606 LabCorp
(813) 920-7815 Phone: (352) 666-2771 / Fax: 9401 Southwest Highway 200
(352) 688-9737 Building 1000, Suite 1002
Kindred at Home Ocala, FL 34481
205 Zeagler Drive VNA of FL Phone: (352) 861-0681 / Fax:
Palatka, FL 32177 10177 Cortez Boulevard (352) 861-3857
Phone: (386) 328-0202 / Fax: Weeki Wachee, FL 34613
(386) 328-3459 Phone: (352) 592-9800 / Fax: LabCorp
(352) 592-9801 150 Southeast 17th Street
Kindred at Home Ocala, FL 34471
311 Southeast 17th Place Phone: (352) 614-1033 / Fax:
Ocala, FL 34471 (352) 622-1633
Phone: (352) 402-0660 / Fax: Hearing
(352) 402-0670

Lake Centre Home Care, LLC Hearing Services


310 Market Street Phone: (800) 313-2763
Leesburg, FL 34748 https://
Phone: (352) 315-0050 / Fax: hearing.myultimatehp.com /
(352) 315-0059

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Ultimate Health Plans Marion January 2022

Mammography Ocala Summerfield

Ocala CORA Physical Therapy - East TLC Rehab, Inc.


Ocala 10969 Southeast 175th Place
3845 Southeast Lake Weir Road
Advanced Imaging Centers Ocala, FL 34480 Summerfield, FL 34491
2300 Southeast 17th Street Phone: (352) 693-3378 / Fax: Phone: (352) 347-8877 / Fax:
Building 800 (888) 758-9645 (352) 347-9477
Ocala, FL 34471
Phone: (352) 867-9606 / Fax: CORA Physical Therapy - West
(844) 212-9295 Ocala
8449 Southwest Highway 200 Optometry - Routine Vision
TimberRidge Imaging Center, LLP Suite 141 Providers
9521 Southwest Highway 200 Ocala, FL 34481
Ocala, FL 34481 Phone: (352) 693-3378 / Fax:
Phone: (352) 671-4260 / Fax: Statewide
(888) 758-9645
(352) 671-4292
Strive! Rehabilitation
Women's Imaging Center Argus Vision
4600 Southwest 46th Court
1901 Southeast 18th Avenue Toll Free Customer Service
Suite 140
Building 200 Phone: (800) 210-5511
Ocala, FL 34474
Ocala, FL 34471 https:// argusdental.com /find-a-
Phone: (352) 873-3058 / Fax:
Phone: (352) 671-4260 / Fax: provider/
(352) 873-3726
(352) 671-4292
Strive! Rehabilitation
2620 Southeast Maricamp Road Outpatient Dialysis
Ocala, FL 34471
Occupational Therapy Phone: (352) 351-8883 / Fax:
(352) 351-4219 Citra
Belleview TLC Rehab, Inc.
5481 Southwest 60th Street Ocala Regional Kidney Center
Suite 102 North
CORA Physical Therapy -
Ocala, FL 34474 2620 West Highway 316
Belleview
Phone: (352) 873-1122 / Fax: Citra, FL 32113
5036 Southeast 110th Street
(352) 873-6841 Phone: (352) 591-4680 / Fax:
Suite 103
Belleview, FL 34420 (352) 591-4679
Phone: (352) 693-3378 / Fax:
(888) 758-9645

Strive! Rehabilitation
5925 Southeast Abshier Boulevard
Belleview, FL 34420
Phone: (352) 307-1200 / Fax:
(352) 307-7812

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Ultimate Health Plans Marion January 2022

Ocala Oxygen Rotech


144 North Florida Avenue
Inverness, FL 34453
Ocala Regional Kidney Center Home Oxygen Medical Phone: (352) 795-0696 / Fax:
East Equipment of Hernando (352) 795-0380
2870 Southeast 1st Avenue 18735 Sakera Road
Ocala, FL 34471 Hudson, FL 34667 Southern Respiratory, Inc.
Phone: (352) 351-9140 / Fax: Phone: (727) 861-5542 / Fax: 724 South Rossiter Street
(352) 351-9150 (727) 861-5545 Mount Dora, FL 32757
Phone: (352) 385-9116 / Fax:
Ocala Regional Kidney Center Kelmedix, Inc. (352) 385-3729
West 4646 Commerical Way
8585 Southwest Highway 200 Spring Hill, FL 34606
Suite 19 Phone: (352) 592-1063 / Fax:
Ocala, FL 34481 (352) 592-1064 Physical Therapy
Phone: (352) 854-5011 / Fax:
(352) 854-6299 Lincare, Inc.
1011 Southwest 33rd Avenue Belleview
Ocala Regional Kidney Centers Suite 100
Home Dialysis Division Ocala, FL 34474
CORA Physical Therapy -
2860 Southeast 1st Avenue Phone: (352) 629-8880 / Fax:
Belleview
Ocala, FL 34471 (866) 700-2339
5036 Southeast 110th Street
Phone: (352) 622-8758 / Fax:
Lincare, Inc. Suite 103
(352) 622-8658
4055 North Lecanto Highway Belleview, FL 34420
Ocala West Home Training Beverly Hills, FL 34465 Phone: (352) 693-3378 / Fax:
8615 Southwest 103rd Street Phone: (352) 527-6404 / Fax: (888) 758-9645
Road (352) 240-3826
Strive! Rehabilitation
Ocala, FL 34481
Lincare, Inc. 5925 Southeast Abshier Boulevard
Phone: (352) 854-3099 / Fax:
4651 Northwest 6th Street Belleview, FL 34420
(352) 854-3480
Suite H Phone: (352) 307-1200 / Fax:
Silver Springs Shores Dialysis Gainesville, FL 32609 (352) 307-7812
9310 Spring Road Phone: (352) 335-7390 / Fax:
Ocala, FL 34472 (352) 335-4959 Dunnellon
Phone: (352) 687-0403 / Fax:
(352) 687-2527 Lincare, Inc.
301 South Richey Road CORA Physical Therapy -
Suite 101 Dunnellon
Leesburg, FL 34748 20056 East Pennsylvania Avenue
Phone: (352) 323-5540 / Fax: Unit 2
(352) 323-5549 Dunnellon, FL 34432
Phone: (352) 462-7171 / Fax:
(888) 758-9645

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Ultimate Health Plans Marion January 2022

Mid-Florida Physical Therapy Mid-Florida Physical Therapy Prosthetics and Orthotics


12139 South Williams Street 2210 Southeast 17th Street
Dunnellon, FL 34432 Suite 302
Phone: (352) 489-2500 / Fax: Ocala, FL 34471 Statewide
(352) 489-7870 Phone: (352) 629-4509 / Fax:
(352) 629-5005
Liberator Medical Supply, Inc.
Ocala Strive! Rehabilitation 2979 Southeast Gran Park Way
4600 Southwest 46th Court Stuart, FL 34997
Suite 140 Phone: (800) 536-2390 / Fax:
Alpha Rehab & Spine Ocala, FL 34474 (800) 755-0843
Strengthening, LLC Phone: (352) 873-3058 / Fax:
1901 Southeast 18th Avenue (352) 873-3726 Tampa Bay Prosthetics
Suite #500 5109 North Armenia Avenue
Ocala, FL 34471 Strive! Rehabilitation Tampa, FL 33603
Phone: (352) 789-6776 / Fax: 2620 Southeast Maricamp Road Phone: (813) 801-9110 / Fax:
(352) 390-6359 Ocala, FL 34471 (813) 801-9048
Phone: (352) 351-8883 / Fax:
CORA Physical Therapy - East (352) 351-4219
Ocala Ocala
3845 Southeast Lake Weir TLC Rehab, Inc.
Ocala, FL 34480 5481 Southwest 60th Street
Phone: (352) 693-3378 / Fax: Suite 102 Hanger Clinic
(888) 758-9645 Ocala, FL 34474 1750 Southwest First Avenue
Phone: (352) 873-1122 / Fax: Ocala, FL 34474
CORA Physical Therapy - West (352) 873-6841 Phone: (352) 351-2788 / Fax:
Ocala (352) 351-3582
8449 Southwest Highway 200
Suite 141 Summerfield Mid-Florida Prosthetics &
Ocala, FL 34481 Orthotics
Phone: (352) 693-3378 / Fax: 2300 Southeast 17th Street
(888) 758-9645 TLC Rehab, Inc. Suite 401
10969 Southeast 175th Place Ocala, FL 34471
Gulf Coast Rehab Therapy Road Phone: (352) 351-3207 / Fax:
Services Summerfield, FL 34491 (352) 351-3267
7651 Southwest Highway 200 Phone: (352) 347-8877 / Fax:
Suite 206 (352) 347-9477 Mid-Florida Prosthetics &
Ocala, FL 34476 Orthotics
Phone: (727) 992-2039 / Fax: 9401 Southwest State Road 200
(727) 868-3838 Building 400, Suite 404
Ocala, FL 34481
Phone: (352) 873-0925 / Fax:
(352) 873-0909

133
Ultimate Health Plans Marion January 2022

Sleep Studies TLC Rehab, Inc.


5481 Southwest 60th Street
Suite 102
Statewide Ocala, FL 34474
Phone: (352) 873-1122 / Fax:
(352) 873-6841
Blackstone Medical Services, LLC
550 North Reo Street
Suite 250 Summerfield
Tampa, FL 33609
Phone: (888) 710-2727 / Fax:
(888) 239-4616 TLC Rehab, Inc.
10969 Southeast 175th Place
Road
Summerfield, FL 34491
Speech Therapy Phone: (352) 347-8877 / Fax:
(352) 347-9477
Belleview

Wound Care
Strive! Rehabilitation
5925 Southeast Abshier Boulevard
Belleview, FL 34420 Continuum, LLC
Phone: (352) 307-1200 / Fax: 7003 Valley Ranch Drive
(352) 307-7812 Little Rock, AZ 72223
Phone: (866) 217-9900 / Fax:
(866) 217-9998
Ocala

Strive! Rehabilitation
4600 Southwest 46th Court
Suite 140
Ocala, FL 34474
Phone: (352) 873-3058 / Fax:
(352) 873-3726

Strive! Rehabilitation
2620 Southeast Maricamp Road
Ocala, FL 34471
Phone: (352) 351-8883 / Fax:
(352) 351-4219

134
Ultimate Health Plans Marion January 2022

Publix Pharmacy #0438 Walgreens #5578


Retail Pharmacy 10135 US Hwy 441
Belleview, FL 34420
11283 N Williams St
Dunnellon, FL 34432
Phone: (352) 347-7100 Phone: (352) 489-2864

Statewide Publix Pharmacy #1747 Walmart Pharmacy 10-0960


10301 SE US Highway 441 11012 No. Williams St.
Belleview, FL 34420 Dunnellon, FL 34432
CVS Pharmacy* Phone: (352) 203-6007 Phone: (352) 489-4241
Phone: (800) 746-7287
https:// www.cvs.com /stores Sunshine Drugs Winn Dixie
5909 SE Abshier Blvd 10051 S US Highway 41
Publix Pharmacy* Belleview, FL 34420 Dunnellon, FL 34432
Phone: (800) 242-1227 Phone: (352) 245-3961 Phone: (352) 465-2002
https:// www.publix.com
/pharmacy Walgreens #4426
4920 SE Abshier Blvd Fort Mc Coy
Walgreens* Belleview, FL 34420
Phone: (800) 925-4733 Phone: (352) 245-0177
https:// www.walgreens.com Ft Mccoy Pharmacy
/storelocator/find.jsp Winn Dixie 11386 E Highway 316
11310 SE US Hwy 301 Fort Mc Coy, FL 32134
Walmart* Belleview, FL 34420 Phone: (352) 438-1161
Phone: (800) 966-6546 Phone: (352) 245-6522
https:// www.walmart.com
/pharmacy Ocala
Dunnellon
Winn Dixie*
Phone: (866) 946-6349 17th Street Discount Pharmacy
https:// www.winndixie.com CVS Pharmacy #03539 Inc
/pharmacy 11582 N Williams St 506 2506 SE 17th St Ste B
Dunnellon, FL 34432 Ocala, FL 34471
Phone: (352) 489-9023 Phone: (352) 351-3330
Belleview
Dunnellon Discount Drugs Bittings Pharmacy And Medical
11150 N Williams St Ste 101-B Equipment And Supplies
Belleview Community Pharmacy Dunnellon, FL 34432 619 SE 17 St
10762 S US Hwy 441 Phone: (352) 489-4960 Ocala, FL 34471
Belleview, FL 34420 Phone: (352) 732-3666
Phone: (352) 347-4064 Publix Pharmacy #1616
11352 N Williams St Ste 400 Classic Pharmacy
CVS Pharmacy #03215 Dunnellon, FL 34432 1907 SE 58th Ave
5800 SE Abshier Blvd Phone: (352) 566-5003 Ocala, FL 34480
Belleview, FL 34420 Phone: (352) 694-2830
Phone: (352) 245-2470

135
Ultimate Health Plans Marion January 2022

Cornerstone Pharmacy CVS Pharmacy #16310 Publix Pharmacy #0061


2509 NE 14th St 2000 SW College Rd 3450 East Silver Springs Blvd
Ocala, FL 34470 Ocala, FL 34471 Ocala, FL 34470
Phone: (352) 690-7770 Phone: (352) 629-1515 Phone: (352) 671-3770

CVS Pharmacy #01813 Eastern Pharmacy Inc. Publix Pharmacy #0404


2449 E Silver Springs Blvd 2046 W Silver Springs Blvd 2647 NE 35th St
Ocala, FL 34470 Ocala, FL 34475 Ocala, FL 34479
Phone: (352) 401-9492 Phone: (352) 622-9909 Phone: (352) 867-1270

CVS Pharmacy #03278 Golden Hills Pharmacy Publix Pharmacy #0419


3501 N Pine Ave 6998 N US Highway 27 Ste 104 303 SE 17th St
Ocala, FL 34475 Ocala, FL 34482 Ocala, FL 34471
Phone: (352) 622-3083 Phone: (352) 351-3784 Phone: (352) 368-2921

CVS Pharmacy #03636 Healthwell Pharmacy Publix Pharmacy #0733


1719 SE Lake Weir Ave 1426 S Pine Ave 7578 Maricamp Road Suite 100
Ocala, FL 34471 Ocala, FL 34471 Ocala, FL 34472
Phone: (352) 629-8745 Phone: (352) 304-6663 Phone: (352) 687-2464

CVS Pharmacy #03661 Michael's Pharmacy Publix Pharmacy #0856


2401 SW 27th Ave 166 Marion Oaks Blvd. Unit 9 5400 SW College Rdsuite 200
Ocala, FL 34471 Ocala, FL 34473 Ocala, FL 34474
Phone: (352) 237-6206 Phone: (352) 693-5973 Phone: (352) 873-1038

CVS Pharmacy #04146 Neso Pharmacy Publix Pharmacy #1201


1720 West Highway 326 6230 SW Highway 200 Unit 1 8075 SW Highway 200
Ocala, FL 34475 Ocala, FL 34476 Unit 111
Phone: (352) 351-5888 Phone: (352) 644-4268 Ocala, FL 34481
Phone: (352) 291-0372
CVS Pharmacy #05231 Ocala Oncology
7563 SE Maricamp Rd 3130 SW 32nd Ave Publix Pharmacy #1289
Ocala, FL 34472 Ocala, FL 34474 3035 SE Maricamp Rd.
Phone: (352) 687-4242 Phone: (352) 547-1915 Ocala, FL 34471
Phone: (352) 351-2374
CVS Pharmacy #05921 Ocala Pharmacy Llc
10255 SW 86th Circle 8290 SW Highway 200 Publix Pharmacy #1365
Ocala, FL 34481 Ocala, FL 34481 2765 NW 49th Ave. Suite 301
Phone: (352) 873-6093 Phone: (352) 509-7890 Ocala, FL 34482
Phone: (352) 401-3606
CVS Pharmacy #08382 Pathway Pharmacy
6042 SW Hwy 200 202 SW 17th St Suite# A Publix Pharmacy #1477
Ocala, FL 34476 Ocala, FL 34471 2575 SW 42nd St Unit 100
Phone: (352) 873-0984 Phone: (352) 624-2779 Ocala, FL 34471
Phone: (352) 237-3648

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Ultimate Health Plans Marion January 2022

Publix Pharmacy #1750 Walgreens #13585 Walmart Pharmacy 10-1847


2655 NE 35th St 7921 SW Highway 200 4980 East Silver Springs Blvd
Ocala, FL 34479 Ocala, FL 34476 Ocala, FL 34470
Phone: (352) 421-6648 Phone: (352) 854-9600 Phone: (352) 236-1411

Sams Pharmacy 10-6335 Walgreens #16546 Walmart Pharmacy 10-4434


3921 SW College Road 474 SW 17th St 7855 SW Highway 200
Ocala, FL 34474 Ocala, FL 34471 Ocala, FL 34476
Phone: (352) 237-9611 Phone: (352) 368-1886 Phone: (352) 512-6627

Sunshine Drugs Walgreens #1724 Walmart Pharmacy 104368


3450 NE Jacksonville Rd 4899 NW Blitchton 34 Bahia Ave
Ocala, FL 34479 Ocala, FL 34482 Ocala, FL 34472
Phone: (352) 732-4655 Phone: (352) 622-8753 Phone: (352) 537-3102

Sunshine Drugs Walgreens #2224 Winn Dixie


9309 SE Maricamp Rd 4747 SW College Rd 184 Marion Oaks Blvd
Ocala, FL 34472 Ocala, FL 34474 Ocala, FL 34473
Phone: (352) 680-9500 Phone: (352) 873-9806 Phone: (352) 347-3115

Tlcrx Walgreens #3389 Winn Dixie


1714 SW 17th Street 3529 E Silver Springs Blvd 7131 N US Hwy 441
Ocala, FL 34471 Ocala, FL 34470 Ocala, FL 34475
Phone: (352) 644-6779 Phone: (352) 622-5298 Phone: (352) 351-2477

Wal-Mart Pharmacy 10-5326 Walgreens #3391


9570 SW Highway 200 807 E Silver Springs Blvd Reddick
Ocala, FL 34481 Ocala, FL 34470
Phone: (352) 291-8629 Phone: (352) 629-8721
Reddick Discount Pharmacy
Walgreens #10671 Walgreens #7207 15320 NW Gainesville Rd
1260 NW 35th St 6015 SW Highway 200 Reddick, FL 32686
Ocala, FL 34475 Ocala, FL 34476 Phone: (352) 591-1116
Phone: (352) 867-0373 Phone: (352) 291-9435

Walgreens #11486 Walgreens #7589 Silver Springs


260 Marion Oaks Blvd 3500 SE Maricamp Rd
Ocala, FL 34473 Ocala, FL 34471
CVS Pharmacy #03395
Phone: (352) 307-1304 Phone: (352) 694-4193
15843 E Highway 40
Walgreens #11991 Walmart Pharmacy 10-0697 Silver Springs, FL 34488
89 Midway Rd 2600 SW 19th Ave Phone: (352) 625-6300
Ocala, FL 34472 Ocala, FL 34474
Winn Dixie
Phone: (352) 261-1273 Phone: (352) 237-7103
15912 East State Rd 40
Silver Springs, FL 34488
Phone: (352) 625-2866

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Ultimate Health Plans Marion January 2022

Summerfield

CVS Pharmacy #05226


17817 SE 109th Ave
Summerfield, FL 34491
Phone: (352) 347-6616

Villages Pharmacy
17860 SE 109th Ave Ste 616a
Summerfield, FL 34491
Phone: (352) 775-0888

Walmart Pharmacy 10-2843


17861 So. U.S. Hwy 441
Summerfield, FL 34491
Phone: (352) 307-4410

The Villages

Publix Pharmacy #0004


8780 165 Mulberry Lane
The Villages, FL 32162
Phone: (352) 751-0304

Walgreens #7468
8591 SE 165th Mulberry Ln
The Villages, FL 32162
Phone: (352) 753-5034

138
Ultimate Health Plans Marion January 2022

Mail Order
Pharmacy
Statewide

Optumrx
Phone: (855) 842-6337

TTY 711
24 hours a day / 7 day a week
You can get prescription drugs
shipped to your home through our
network mail order delivery program.
For refills of your mail order
prescriptions, you have the option to
sign up for an automatic refill
program. Under this program, we will
start to process your next refill
automatically when our records show
that you should be close to running
out of your drug. We will contact you
prior to shipping each refill to make
sure you are in need of more
medication. You can cancel
scheduled refills if you have enough
of your medication or if your
medication has changed. If you
choose not to use the auto refill
program, please contact us 14 days
before you think the drugs you have
on hand will run out to make sure
your next order is shipped to you in
time. To opt out of the automatic
refill program, please contact us by
calling 1 (855) 842-6337, 24 hours a
day, 7 days a week.
Typically, you should expect to
receive your prescription drugs
within 14 days from the time that the
mail order pharmacy receives the
order. If you do not receive your
prescription drug(s) within this time,
please contact us at 1 (855) 842-
6337.

139
Ultimate Health Plans Marion January 2022

The Institute For Florida Pain


Home Infusion Specialists
3010 E 138th Ave Ste 100
Pharmacies Tampa, FL 33613
Phone: (813) 569-0794

Statewide Dunnellon

All Care Pharmacy Dunnellon Podiatry Center P A


4728 N Habana Ave # 100a 11786 Cedar St
Tampa, FL 33614 Dunnellon, FL 34431
Phone: (813) 527-0765 Phone: (352) 489-6621

Bioscrip Infusion Services


5505 Johns Road, Suite 700 Ocala
Tampa, FL 33634
Phone: (813) 549-5499
Family Foot & Ankle
Coram Cvs/Specialty Infusion 2825 SE 3rd Ct
Services Ocala, FL 34471
8508 Benjamin Road, Suite C Phone: (352) 867-0024
Tampa, FL 33634
Healthwell Pharmacy
Phone: (813) 639-4500
1426 S Pine Ave
Dedicated Senior Medical Center Ocala, FL 34471
West Tampa Phone: (352) 304-6663
9501 Anderson Road
Rechargerx
Tampa, FL 33634
47 SW 17th St Ste B
Phone: (813) 413-7333
Ocala, FL 34471
Heart Of Florida Health Center Phone: (352) 512-9996
5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksvile, FL 33604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

140
Ultimate Health Plans Marion January 2022

Omnicare Of Tampa Healthwell Pharmacy


Long Term Care 8603 Florida Mining Boulevard
Tampa, FL 33634
1426 S Pine Ave
Ocala, FL 34471
Pharmacies Phone: (813) 247-9225 Phone: (352) 304-6663

The Institute For Florida Pain Ims Pharmacy


Specialists 202 S Magnolia Ave
Statewide 3010 E 138th Ave Ste 100 Ste 1
Tampa, FL 33613 Ocala, FL 34474
Phone: (813) 569-0794 Phone: (352) 351-1536
Alpha Touch Pharmacy
10071 Pines Blvd Ste D Ocala Pharmacy Llc
Pembroke Pines, FL 33024 Belleview 8290 SW Highway 200
Phone: (954) 435-5200 Ocala, FL 34481
Phone: (352) 509-7890
Blake Pharmacy Belleview Community Pharmacy
5628-5632 Trouble Creek Road 10762 S US Hwy 441 Rechargerx
New Port Richey, FL 34652 Belleview, FL 34420 47 SW 17th St Ste B
Phone: (727) 846-7600 Phone: (352) 347-4064 Ocala, FL 34471
Phone: (352) 512-9996
Careone Pharmacy Services
Sanford Dunnellon
1455 E Airport Blvd
Sanford, FL 32773
Dunnellon Podiatry Center P A
Phone: (855) 822-7366
11786 Cedar St
Dedicated Senior Medical Center Dunnellon, FL 34431
West Tampa Phone: (352) 489-6621
9501 Anderson Road
Tampa, FL 33634 Ocala
Phone: (813) 413-7333

Heart Of Florida Health Center


Classic Pharmacy
5051 SE 110th St
1907 SE 58th Ave
Belleview, FL 34420
Ocala, FL 34480
Phone: (352) 480-5797
Phone: (352) 694-2830
Jrc Compounding
Family Foot & Ankle
18114 Powell Road
2825 SE 3rd Ct
Brooksville, FL 34604
Ocala, FL 34471
Phone: (352) 345-4849
Phone: (352) 867-0024
Lake Seminole Pharmacy Ltc
Genoa Healthcare, Llc
9117 Park Blvd
5664 SW 60th Ave Ste 2a
Seminole, FL 33777
Ocala, FL 34474
Phone: (727) 592-4588
Phone: (352) 502-4999

141
Ultimate Health Plans St. Lucie January 2022

Shah, Chintan B., MD Aarons, Kellie, MD


Primary Care MD Primary Care, LLC
Family Practice
Heart & Family Health Institute
Family Practice
Physicians 2215 Nebraska Avenue
Suite 2B
293 Northwest Peacock Boulevard
Suite 101-104
Fort Pierce, FL 34950 Port Saint Lucie, FL 34986
Phone: (772) 302-3767 / Fax: Phone: (772) 336-6601 / Fax:
Fort Pierce (888) 436-7197 (772) 446-7681
Gender: Male Gender: Female
ID #: 200000020768 ID #: 200000027216
Ahmed, Raheel, MD Accepting new patients: Yes Accepting new patients: Yes
Raheel Ahmed, MD, PA
Internal Medicine Shareef, Humayun, DO Aarons, Kellie, MD
2215 Nebraska Avenue Humayun Shareef, MD, PA Heart & Family Health Institute of
Suite 3B Family Practice Port St. Lucie
Fort Pierce, FL 34950 2401 Frist Boulevard Family Practice
Phone: (772) 465-8089 / Fax: Suite 1 1700 Southeast Hillmoor Drive
(772) 465-8091 Fort Pierce, FL 34950 Port Saint Lucie, FL 34952
Gender: Male Phone: (772) 465-6979 / Fax: Phone: (772) 335-9600 / Fax:
Language(s): Urdu (772) 465-4288 (772) 398-7972
ID #: 200000021711 Gender: Male Gender: Female
Accepting new patients: Yes Language(s): Telugu, Urdu ID #: 200000027216
ID #: 200000022421 Accepting new patients: Yes
Gottfried, Jeffrey S., DO Accepting new patients: Yes
Heart & Family Health Institute Bali, Shammi K., MD
Cardiology Internal Medicine
Family Practice Port Saint Lucie 1100 Southwest Saint Lucie West
900 Virgina Avenue Boulevard
Suite 10 Suite 209
Fort Pierce, FL 34982 Aarons, Kellie, MD Port Saint Lucie, FL 34986
Phone: (772) 464-6551 Heart & Family Health Institute Phone: (772) 204-8889 / Fax:
Gender: Male Family Practice (772) 204-8895
ID #: 200000021575 1700 Southeast Hillmoor Drive Gender: Male
Accepting new patients: Yes Suite 101 Language(s): Polish, Hindi, Swahili
Port Saint Lucie, FL 34952 ID #: 200000020760
Pirani, Shaheen H., MD Phone: (772) 335-9600 / Fax: Accepting new patients: Yes
General Practice (772) 335-7972
1801 South 23rd Street Gender: Female
Suite 9 ID #: 200000027216
Fort Pierce, FL 34950 Accepting new patients: Yes
Phone: (772) 465-4220 / Fax:
(772) 465-4251
Gender: Female
Language(s): Hindi
ID #: 200000020762
Accepting new patients: Yes

142
Ultimate Health Plans St. Lucie January 2022

Bump, Jared M., DO Chua, Robert K., MD Dhar, Binno, MD


Family Medicine Faculty and Family Medicine Faculty and St. Lucie Medical Associates
Resident Clinic Resident Clinic Internal Medicine
Family Practice Family Practice 1930 Southeast Port St. Lucie
1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive Boulevard
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952
Phone: (772) 398-7936 / Fax: Phone: (772) 398-7936 / Fax: Phone: (772) 335-3184 / Fax:
(772) 398-7970 (772) 398-7970 (772) 335-4256
Gender: Male Gender: Male Gender: Male
ID #: 200000027215 ID #: 200000024538 Language(s): Hindi, Urdu, Kashmiri
Accepting new patients: Yes Accepting new patients: Yes ID #: 200000020882
Accepting new patients: Yes
Carela-Kirby, Gendy, MD Chua, Robert K., MD
Heart & Family Health Institute of Heart & Family Health Institute of Eisenberg, Alexander J., DO
Port St. Lucie Port St. Lucie Family Medicine Faculty and
Family Practice Family Practice Resident Clinic
1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive Family Practice
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952 1700 Southeast Hillmoor Drive
Phone: (772) 335-9600 / Fax: Phone: (772) 335-9600 / Fax: Port Saint Lucie, FL 34952
(772) 398-7972 (772) 398-7972 Phone: (772) 398-7936 / Fax:
Gender: Female Gender: Male (772) 398-7970
ID #: 200000021561 ID #: 200000024538 Gender: Male
Accepting new patients: Yes Accepting new patients: Yes ID #: 200000021563
Accepting new patients: Yes
Carela-Kirby, Gendy, MD Chua, Robert K., MD
Heart & Family Health Institute Heart & Family Health Institute- Eisenberg, Alexander J., DO
Primary Care SLW Heart & Family Health Institute
Family Practice Family Practice Cardiology
1700 Southeast Hillmoor Drive 293 Northwest Peacock Boulevard Family Practice
Suite 101 Suite 204 293 Northwest Peacock Boulevard
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34986 Suite 101-104
Phone: (772) 335-9600 / Fax: Phone: (772) 879-4667 / Fax: Port Saint Lucie, FL 34986
(772) 335-7972 (772) 879-4478 Phone: (772) 336-6601 / Fax:
Gender: Female Gender: Male (772) 879-4478
ID #: 200000021561 ID #: 200000024538 Gender: Male
Accepting new patients: Yes Accepting new patients: Yes ID #: 200000021563
Accepting new patients: Yes

143
Ultimate Health Plans St. Lucie January 2022

Eisenberg, Alexander J., DO Hafeez, Sadaf, MD Johnson, Kenneth I., MD


Heart & Family Health Institute Internal Medicine Family Practice
Primary Care 213 Northwest Saint James Drive 1801 Southeast Hillmoor Drive
Family Practice Suite 3 Suite A108-A110
1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34983 Port Saint Lucie, FL 34952
Suite 101 Phone: (772) 212-7049 / Fax: Phone: (772) 212-7049 / Fax:
Port Saint Lucie, FL 34952 (772) 212-7059 (772) 212-7059
Phone: (772) 335-9600 / Fax: Gender: Female Gender: Male
(772) 335-7972 Language(s): Urdu Language(s): Spanish
Gender: Male ID #: 200000023851 ID #: 200000019784
ID #: 200000021563 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Higginbotham, Karla D., MD Kankam, Edward K., DO
Garland, Meghan, MD Family Medicine Faculty and Heart & Family Health Institute of
Heart & Family Health Institute of Resident Clinic Port St. Lucie
Port St. Lucie Family Practice Family Practice
Family Practice 1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive
1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34952 Phone: (772) 398-7936 / Fax: Phone: (772) 335-9600 / Fax:
Phone: (772) 335-9600 / Fax: (772) 398-7970 (772) 398-7972
(772) 398-7972 Gender: Female Gender: Male
Gender: Female ID #: 200000021567 ID #: 200000021573
ID #: 200000024540 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Higginbotham, Karla D., MD Kankam, Edward K., DO
Garland, Meghan, MD Heart & Family Health Institute Heart & Family Health Institute
Heart & Family Health Institute Primary Care Primary Care
Primary Care Family Practice Family Practice
Family Practice 1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive
293 Northwest Peacock Boulevard Suite 101 Suite 101
Suite 101-104 Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34986 Phone: (772) 335-9600 / Fax: Phone: (772) 335-9600 / Fax:
Phone: (772) 335-9600 / Fax: (772) 335-7972 (772) 335-7972
(772) 879-4478 Gender: Female Gender: Male
Gender: Female ID #: 200000021567 ID #: 200000021573
ID #: 200000024540 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes

144
Ultimate Health Plans St. Lucie January 2022

Kankam, Edward K., DO Molano, Raymond, MD Patel, Hemal, DO


Heart & Family Health Institute Internal Medicine Heart & Family Health Institute
Primary Care 1801 Southeast Hillmoor Drive Cardiology
Family Practice Suite A108-A110 Family Practice
293 Northwest Peacock Boulevard Port Saint Lucie, FL 34952 293 Northwest Peacock Boulevard
Suite 101-104 Phone: (772) 212-7049 / Fax: Suite 101-104
Port Saint Lucie, FL 34986 (772) 212-7059 Port Saint Lucie, FL 34986
Phone: (772) 335-9600 / Fax: Gender: Male Phone: (772) 336-6601 / Fax:
(772) 879-4478 Language(s): Spanish (772) 879-4478
Gender: Male ID #: 200000022235 Gender: Male
ID #: 200000021573 Accepting new patients: Yes ID #: 200000021597
Accepting new patients: Yes Accepting new patients: Yes
Patel, Chandrakant N., MD
Kurtin, Jennifer M., DO Family Medicine Faculty and Pico, Jose, MD
Heart & Family Health Institute Resident Clinic Heart & Family Health Institute
Primary Care Internal Medicine Primary Care
Family Practice 1700 Southeast Hillmoor Drive Family Practice
293 Northwest Peacock Boulevard Port Saint Lucie, FL 34952 1700 Southeast Hillmoor Drive
Suite 101-104 Phone: (772) 398-7936 / Fax: Suite 101
Port Saint Lucie, FL 34986 (772) 398-7970 Port Saint Lucie, FL 34952
Phone: (772) 335-9600 / Fax: Gender: Male Phone: (772) 335-9600 / Fax:
(772) 879-4478 ID #: 200000021569 (772) 335-7972
Gender: Female Accepting new patients: Yes Gender: Male
ID #: 200000021590 ID #: 200000021582
Accepting new patients: No Patel, Chandrakant N., MD Accepting new patients: Yes
Heart & Family Health Institute
Lewis, Lindsay N., MD Primary Care Pinto, Jose F., MD
Heart & Family Health Institute Internal Medicine Associates in Medicine, LLC
Primary Care 1700 Southeast Hillmoor Drive Internal Medicine
Family Practice Suite 101 10023 South Highway 1
1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34952 Suite A
Suite 101 Phone: (772) 335-9600 / Fax: Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34952 (772) 335-7972 Phone: (772) 398-5339 / Fax:
Phone: (772) 335-9600 / Fax: Gender: Male (772) 337-2666
(772) 335-7972 ID #: 200000021569 Gender: Male
Gender: Female Accepting new patients: Yes Language(s): Portuguese
ID #: 200000021580 ID #: 200000020885
Accepting new patients: Yes Accepting new patients: Yes

145
Ultimate Health Plans St. Lucie January 2022

Rodriguez, Evelyn, MD Sanz, Agustin C., MD Talati, Raja R., MD


Heart & Family Health Institute Heart & Family Health Institute Heart & Family Health Institute
Cardiology Primary Care Primary Care
Family Practice Internal Medicine Family Practice
293 Northwest Peacock Boulevard 1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive
Suite 101-104 Suite 101 Suite 101
Port Saint Lucie, FL 34986 Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952
Phone: (772) 336-6601 / Fax: Phone: (772) 335-9600 / Fax: Phone: (772) 335-9600 / Fax:
(772) 879-4478 (772) 335-7972 (772) 335-7972
Gender: Female Gender: Male Gender: Male
ID #: 200000021594 ID #: 200000021601 ID #: 200000021571
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

Rodriguez, Evelyn, MD Shareef, Humayun, DO Tirado, Pablo H., MD


Heart & Family Health Institute of Humayun Shareef, MD, PA Family Medicine Faculty and
Port St. Lucie Family Practice Resident Clinic
Family Practice 320 Northwest Bethany Drive Family Practice
1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34986 1700 Southeast Hillmoor Drive
Port Saint Lucie, FL 34952 Phone: (772) 807-8773 / Fax: Port Saint Lucie, FL 34952
Phone: (772) 335-9600 / Fax: (772) 465-4288 Phone: (772) 398-7936 / Fax:
(772) 398-7972 Gender: Male (772) 398-7970
Gender: Female Language(s): Telugu, Urdu Gender: Male
ID #: 200000021594 ID #: 200000022421 ID #: 200000021572
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

Sanz, Agustin C., MD Talati, Raja R., MD Tirado, Pablo H., MD


Heart & Family Health Institute Family Medicine Faculty and Heart & Family Health Institute
Cardiology Resident Clinic Primary Care
Internal Medicine Family Practice Family Practice
293 Northwest Peacock Boulevard 1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive
Suite 101-104 Port Saint Lucie, FL 34952 Suite 101
Port Saint Lucie, FL 34986 Phone: (772) 398-7936 / Fax: Port Saint Lucie, FL 34952
Phone: (772) 336-6601 / Fax: (772) 398-7970 Phone: (772) 335-9600 / Fax:
(772) 879-4478 Gender: Male (772) 335-7972
Gender: Male ID #: 200000021571 Gender: Male
ID #: 200000021601 Accepting new patients: Yes ID #: 200000021572
Accepting new patients: Yes Accepting new patients: Yes

146
Ultimate Health Plans St. Lucie January 2022

Towbin, Scott R., MD


Heart & Family Health Institute
Primary Care
Internal Medicine
1700 Southeast Hillmoor Drive
Suite 101
Port Saint Lucie, FL 34952
Phone: (772) 335-9600 / Fax:
(772) 335-7972
Gender: Male
ID #: 200000021595
Accepting new patients: No

147
Ultimate Health Plans St. Lucie January 2022

Behavioral Health Providers Geha, Fady H., MD


Specialists Florida Heart Center, PA
1900 Nebraska Avenue
Beacon Health Options Suite 9
Phone: (800) 627-1259 Fort Pierce, FL 34950
https:// Phone: (772) 465-4499 / Fax:
Acupuncture www.beaconhealthoptions.com (772) 466-0832
/find-a-provider/ Gender: Male
Language(s): Arabic, French
Port Saint Lucie
ID #: 200000025312
Cardiology Jasti, Venu G., MD
Williams, Cherryl D., LAC
Florida Heart Center, PA
Cherryl Williams, LAC
1900 Nebraska Avenue
1801 Southeast Hillmoor Drive Fort Pierce
Suite 9
Suite 109B
Fort Pierce, FL 34950
Port Saint Lucie, FL 34952
Akrami, Brian A., DO Phone: (772) 465-4499 / Fax:
Phone: (772) 940-7239 / Fax:
Heart & Family Health Institute (772) 466-0832
(407) 302-9899
Cardiology Gender: Male
Gender: Female
900 Virgina Avenue Language(s): Hindi, Telugu
ID #: 200000027711
Suite 10 ID #: 200000025509
Fort Pierce, FL 34982
Lamothe, Jacques J., MD
Phone: (772) 464-6551
Allergy / Immunology Florida Heart Center, PA
Gender: Male
1900 Nebraska Avenue
Language(s): Spanish
Suite 9
ID #: 200000021020
Port Saint Lucie Fort Pierce, FL 34950
Chalasani, Prasad V.R.K., MD Phone: (772) 465-4499 / Fax:
Florida Heart Center, PA (772) 466-0832
Wein, Michael B., MD 1900 Nebraska Avenue Gender: Male
Family Allergy & Asthma Suite 9 Language(s): French, Spanish
320 North West Bethany Drive Fort Pierce, FL 34950 ID #: 200000025314
# 322 Phone: (772) 465-4499 / Fax:
Port Saint Lucie, FL 34986 Lewis, Darron, MD
(772) 466-0832
Phone: (772) 621-9992 / Fax: Heart & Family Health Institute
Gender: Male
(772) 465-9547 Cardiology
Language(s): Hindi
Gender: Male 900 Virgina Avenue
ID #: 200000025310
ID #: 200000020700 Suite 10
Fort Pierce, FL 34982
Phone: (772) 464-6551
Gender: Male
ID #: 200000021024

148
Ultimate Health Plans St. Lucie January 2022

Oliver, Lawrence G., MD Shareef, Babar, MD Akrami, Brian A., DO


Florida Heart Center, PA Cardiovascular Consultants Heart & Family Health Institute
1900 Nebraska Avenue 2215 Nebraska Avenue Cardiology
Suite 9 Suite 2-E 293 Northwest Peacock Boulevard
Fort Pierce, FL 34950 Fort Pierce, FL 34950 Suite 101-104
Phone: (772) 465-4499 / Fax: Phone: (772) 461-6812 / Fax: Port Saint Lucie, FL 34986
(772) 466-0832 (772) 461-6816 Phone: (772) 336-6601 / Fax:
Gender: Male Gender: Male (772) 879-4478
ID #: 200000025315 ID #: 200000024680 Gender: Male
Language(s): Spanish
Panchal, Hemang B., MD Studzinski, Marcy A., DO ID #: 200000021020
Florida Heart Center, PA Florida Heart Center, PA
1900 Nebraska Avenue 1900 Nebraska Avenue Akrami, Brian A., DO
Suite 9 Suite 9 Heart & Family Health Institute of
Fort Pierce, FL 34950 Fort Pierce, FL 34950 Port St. Lucie
Phone: (772) 465-4499 / Fax: Phone: (772) 465-4499 / Fax: 1700 Southeast Hillmoor Drive
(772) 466-0832 (772) 466-0832 Port Saint Lucie, FL 34952
Gender: Male Gender: Female Phone: (772) 335-9600 / Fax:
Language(s): Gujarati, Hindi ID #: 200000025323 (772) 398-7972
ID #: 200000025318 Gender: Male
Tobar, Robert, MD Language(s): Spanish
Rao, Kamalakar T., MD Robert Tobar, MD, PA ID #: 200000021020
Florida Heart Center, PA 1900 Nebraska Avenue
1900 Nebraska Avenue Suite 3 Ellis, Chrisitian, MD
Suite 9 Fort Pierce, FL 34950 Family Medicine Faculty and
Fort Pierce, FL 34950 Phone: (772) 467-0995 / Fax: Resident Clinic
Phone: (772) 465-4499 / Fax: (772) 562-9947 1700 Southeast Hillmoor Drive
(772) 466-0832 Gender: Male Port Saint Lucie, FL 34952
Gender: Male Language(s): Spanish Phone: (772) 398-7936 / Fax:
ID #: 200000025320 (772) 398-7970
Gender: Male
Rashid, Ahmad, MD Port Saint Lucie ID #: 200000023082
Cardiovascular Consultants
2215 Nebraska Avenue Ellis, Chrisitian, MD
Suite 2-E Akrami, Brian A., DO Heart & Family Institute
Fort Pierce, FL 34950 Heart & Family Health Institute Cardiology
Phone: (772) 461-6812 / Fax: Cardiology 1700 Southeast Hillmoor Drive
(772) 461-6816 1700 Southeast Hillmoor Drive Suite 407
Gender: Female Suite 101 Port Saint Lucie, FL 34952
Language(s): Punjabi, Urdu Port Saint Lucie, FL 34952 Phone: (772) 355-9600
ID #: 200000025708 Phone: (772) 335-9600 / Fax: Gender: Male
(772) 398-7971 ID #: 200000023082
Gender: Male
Language(s): Spanish
ID #: 200000021020

149
Ultimate Health Plans St. Lucie January 2022

Ellis, Chrisitian, MD Lewis, Darron, MD Saxena, Sanjeev, MD


Heart & Family Institute Heart & Family Institute United Vein Centers
Cardiology Cardiology 295 Southwest Peacock Boulevard
1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34986
Suite 101 Suite 407 Phone: (800) 991-6117 / Fax:
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952 (888) 812-8191
Phone: (772) 335-9600 / Fax: Phone: (772) 355-9600 Gender: Male
(772) 335-7972 Gender: Male Language(s): Hindi
Gender: Male ID #: 200000021024 ID #: 200000028389
ID #: 200000023082
Lewis, Darron, MD Vedere, Amarnath R., MD
Lewis, Anthony B., MD Heart & Family Institute Cardiology Partners, PL
TLC Medical Group, Inc. Cardiology 808 South West Glenview Court
537 Northwest Whitney Place 1700 Southeast Hillmoor Drive Suite 812 & 814
Suite 103-106 Suite 101 Port Saint Lucie, FL 34953
Port Saint Lucie, FL 34986 Port Saint Lucie, FL 34952 Phone: (772) 240-7822 / Fax:
Phone: (772) 877-8578 / Fax: Phone: (772) 335-9600 / Fax: (772) 236-4493
(772) 877-8549 (772) 335-7972 Gender: Male
Gender: Male Gender: Male Language(s): Hindi
ID #: 200000023275 ID #: 10012020 ID #: 200000020943

Lewis, Darron, MD Lewis, Darron, MD Waldo, Oral A., MD


Heart & Family Health Institute Heart & Health Instititue Heart & Family Health Institute
Cardiology Cardiology Cardiology
1700 Southeast Hillmoor Drive 293 Northwest Peacock Boulevard 1700 Southeast Hillmoor Drive
Suite 101 Port Saint Lucie, FL 34986 Suite 101
Port Saint Lucie, FL 34952 Phone: (772) 335-9600 / Fax: Port Saint Lucie, FL 34952
Phone: (772) 335-9600 / Fax: (772) 398-7971 Phone: (772) 335-9600 / Fax:
(772) 398-7971 Gender: Male (772) 398-7971
Gender: Male ID #: 200000021024 Gender: Male
ID #: 200000021024 ID #: 200000021046
Lewis, Darron, MD
Lewis, Darron, MD St. Lucie Medical Specialists Waldo, Oral A., MD
Heart & Family Health Institute- 1700 Southeast Hillmoor Drive Heart & Family Health Institute
SLW Suite 407 Cardiology
293 Northwest Peacock Boulevard Port Saint Lucie, FL 34952 1700 Southeast Hillmoor Drive
Suite 204 Phone: (772) 879-4667 / Fax: Suite 101
Port Saint Lucie, FL 34986 (772) 879-4478 Port Saint Lucie, FL 34952
Phone: (772) 879-4667 / Fax: Gender: Male Phone: (772) 335-9600 / Fax:
(772) 879-4478 ID #: 200000021024 (772) 398-7971
Gender: Male Gender: Male
ID #: 200000021024 ID #: 200000021046

150
Ultimate Health Plans St. Lucie January 2022

Waldo, Oral A., MD Zanto, Sabrina, DO Chiropractic


St. Lucie Medical Specialists Heart & Family Institute
1700 Southeast Hillmoor Drive Cardiology
Suite 407 1700 Southeast Hillmoor Drive Fort Pierce
Port Saint Lucie, FL 34952 Suite 406
Phone: (772) 879-4667 / Fax: Port Saint Lucie, FL 34952
(772) 879-4478 Phone: (772) 335-9600 / Fax: Sanders, Susan P., DC
Gender: Male (772) 335-7972 St. Lucie Injury and Health, LLC
ID #: 200000021046 Gender: Female 4842 North Kings Highway
ID #: 200000023085 Fort Pierce, FL 34951
Zanto, Sabrina, DO Phone: (772) 882-0701 / Fax:
Heart & Family Health Institute Zanto, Sabrina, DO (888) 920-1114
Cardiology Heart & Family Institute Gender: Female
293 Northwest Peacock Boulevard Cardiology ID #: 200000020771
Suite 101-104 1700 Southeast Hillmoor Drive
Port Saint Lucie, FL 34986 Suite 101
Port Saint Lucie
Phone: (772) 336-6601 / Fax: Port Saint Lucie, FL 34952
(772) 879-4478 Phone: (772) 335-9600 / Fax:
Gender: Female (772) 335-7972
Smith, Katrina R., DC
ID #: 200000023085 Gender: Female
Michael Papa, DC, PA
ID #: 200000023085
Zanto, Sabrina, DO 9109 South US Highway 1
Heart & Family Health Institute Zanto, Sabrina, DO Suite 102
Cardiology St. Lucie Medical Specialists Port Saint Lucie, FL 34952
1700 Southeast Hillmoor Drive 1700 Southeast Hillmoor Drive Phone: (772) 337-1300 / Fax:
Suite 101 Suite 407 (800) 783-5176
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952 Gender: Female
Phone: (772) 335-9600 / Fax: Phone: (772) 879-4667 / Fax:
(772) 398-7971 (772) 879-4478
Gender: Female Gender: Female Colorectal Surgery
ID #: 200000023085 ID #: 200000023085

Zanto, Sabrina, DO Port Saint Lucie


Heart & Family Institute
Cardiology
1700 Southeast Hillmoor Drive Sklow, Bradford, MD
Suite 407 MHPG Surgical Group
Port Saint Lucie, FL 34952 10080 Southwest Innovation Way
Phone: (772) 355-9600 Suite 201
Gender: Female Port Saint Lucie, FL 34987
ID #: 200000023085 Phone: (772) 223-2003 / Fax:
(772) 344-3890
Gender: Male
ID #: 200000037258

151
Ultimate Health Plans St. Lucie January 2022

Vogler, Sarah A., MD Kaul, Vivek, MD Saul, Daniel, MD


MHPG Surgical Group MHPG Pulmonary & Critical Care MHPG Pulmonary & Critical Care
10080 Southwest Innovation Way 1651 Southeast Tiffany Avenue 10080 Southwest Innovation Way
Suite 201 Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34987 Phone: (772) 223-4978 / Fax: Phone: (772) 223-4978 / Fax:
Phone: (772) 223-2003 / Fax: (772) 223-2847 (772) 223-2847
(772) 344-3890 Gender: Male Gender: Male
Gender: Female ID #: 200000024184 ID #: 200000024265
ID #: 200000028725
Lugo, Toribio P., MD Saul, Daniel, MD
MHPG Pulmonary & Critical Care MHPG Pulmonary & Critical Care
10080 Southwest Innovation Way 1651 Southeast Tiffany Avenue
Critical Care Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34952
Phone: (772) 223-4978 / Fax: Phone: (772) 223-4978 / Fax:
(772) 223-2847 (772) 223-2847
Port Saint Lucie
Gender: Male Gender: Male
ID #: 200000024197 ID #: 200000024265
Castaneda Nerio, Jose, MD
Lugo, Toribio P., MD
MHPG Pulmonary & Critical Care
MHPG Pulmonary & Critical Care
1651 Southeast Tiffany Avenue Dermatology
1651 Southeast Tiffany Avenue
Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34952
Phone: (772) 223-4978 / Fax:
Phone: (772) 223-4978 / Fax:
(772) 223-2847 Port Saint Lucie
(772) 223-2847
Gender: Male
Gender: Male
ID #: 200000024116
ID #: 200000024197 Klem, Patricia S., DO
Hunsucker, Justin, MD Advanced Dermatology and
Paccione, Rose, MD
MHPG Pulmonary & Critical Care Cosmetic Surgery
MHPG Pulmonary & Critical Care
1651 Southeast Tiffany Avenue 10080 Southwest Innovation Way
10080 Southwest Innovation Way
Port Saint Lucie, FL 34952 Suite 301
Port Saint Lucie, FL 34987
Phone: (772) 223-4978 / Fax: Port Saint Lucie, FL 34987
Phone: (772) 223-4978 / Fax:
(772) 223-2847 Phone: (772) 318-4945 / Fax:
(772) 223-2847
Gender: Male (772) 380-4360
Gender: Female
ID #: 200000024172 Gender: Female
ID #: 200000024248
ID #: 200000020740
Kaul, Vivek, MD
Paccione, Rose, MD
MHPG Pulmonary & Critical Care Shaughnessy, Kerry K., MD
MHPG Pulmonary & Critical Care
10080 Southwest Innovation Way Water's Edge Dermatology
1651 Southeast Tiffany Avenue
Port Saint Lucie, FL 34987 1400 Southeast Goldtree Drive
Port Saint Lucie, FL 34952
Phone: (772) 223-4978 / Fax: Suite 107
Phone: (772) 223-4978 / Fax:
(772) 223-2847 Port Saint Lucie, FL 34952
(772) 223-2847
Gender: Male Phone: (772) 335-3550 / Fax:
Gender: Female
ID #: 200000024184 (772) 337-4113
ID #: 200000024248
Gender: Female

152
Ultimate Health Plans St. Lucie January 2022

Endocrinology Ergin, Ahmet B., MD Guerrero, Gabriel E., MD


Heart & Family Health Institute MHPG Endocrinology
1700 Southeast Hillmoor Drive 1095 Northwest Saint Lucie West
Port Saint Lucie Suite 101 Boulevard
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34986
Phone: (772) 335-9600 / Fax: Phone: (772) 785-5581 / Fax:
Casanova-Romero, Paul, MD (772) 335-7972 (772) 785-5582
MHPG Endocrinology Gender: Male Gender: Male
1095 Northwest Saint Lucie West Language(s): Turkish ID #: 200000024167
Boulevard ID #: 200000020875
Port Saint Lucie, FL 34986
Phone: (772) 785-5581 / Fax: Ergin, Ahmet B., MD
(772) 785-5582 Heart & Family Health Institute Female Pelvic Medicine and
Gender: Male 1700 Southeast Hillmoor Drive Reconstructive Surgery
ID #: 200000024112 Suite 307
Port Saint Lucie, FL 34952
Derezil, Michal-Ann, MD Port Saint Lucie
Phone: (772) 398-7814 / Fax:
Heart & Family Health Institute (772) 398-7812
1700 Southeast Hillmoor Drive Gender: Male
Suite 101 Florida Robotics and Minimally
Language(s): Turkish Invasive Urogynecol
Port Saint Lucie, FL 34952 ID #: 200000020875
Phone: (772) 335-9600 / Fax: 293 Northwest Peacock Boulevard
(772) 335-7972 Suite 202
Ergin, Ahmet B., MD
Gender: Female Port Saint Lucie, FL 34986
Heart & Family Health Institute
ID #: 200000036726 Phone: (772) 878-3788 / Fax:
Cardiology
(772) 878-3789
293 Northwest Peacock Boulevard
Derezil, Michal-Ann, MD ID #: 200000023468
Suite 101-104
Heart & Family Health Institute Port Saint Lucie, FL 34986
293 Northwest Peacock Boulevard Phone: (772) 336-6601 / Fax:
Suite 101-104 (772) 879-4478 Gastroenterology
Port Saint Lucie, FL 34986 Gender: Male
Phone: (772) 336-6601 / Fax: Language(s): Turkish
(772) 446-7681 ID #: 200000020875 Fort Pierce
Gender: Female
ID #: 200000036726 Ergin, Ahmet B., MD
Heart & Family Health Institute of Joseph, Pramod, MD
Derezil, Michal-Ann, MD Port St. Lucie Pramod Joseph, MD, LLC
Heart & Family Health Institute of 1700 Southeast Hillmoor Drive 2215 Nebraska Avenue
Port St. Lucie Port Saint Lucie, FL 34952 Suite 1-A
1700 Southeast Hillmoor Drive Phone: (772) 335-9600 / Fax: Fort Pierce, FL 34950
Port Saint Lucie, FL 34952 (772) 398-7972 Phone: (772) 567-6181 / Fax:
Phone: (772) 335-9600 / Fax: Gender: Male (772) 567-8242
(772) 398-7972 Language(s): Turkish Gender: Male
Gender: Female ID #: 200000020875 Language(s): Hindi, Kannada,
ID #: 200000036726 Telugu
ID #: 200000023269

153
Ultimate Health Plans St. Lucie January 2022

Port Saint Lucie Bournique, Marissa R., DO Kappler, Steven M., MD


Heart & Family Health Institute of MHPG Gastroenterology
Port St. Lucie 1651 Southeast Tiffany Avenue
Bird, Juan C., MD 1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34952
MHPG Gastroenterology Port Saint Lucie, FL 34952 Phone: (772) 398-1800 / Fax:
10080 Southwest Innovation Way Phone: (772) 335-9600 / Fax: (772) 398-1828
Suite 201 (772) 398-7972 Gender: Male
Port Saint Lucie, FL 34987 Gender: Female ID #: 200000024181
Phone: (772) 398-1800 / Fax: ID #: 200000027899
(772) 398-1820 Nguyen, Khiem D., MD
Gender: Male Flanagan, Edwin B., DO St. Lucie Gastrointestinal Diseases,
ID #: 200000024109 MHPG Gastroenterology PL
10080 Southwest Innovation Way 1822 South East Port St Lucie
Bird, Juan C., MD Suite 201 Boulevard
MHPG Gastroenterology Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34952
1651 Southeast Tiffany Avenue Phone: (772) 398-1800 / Fax: Phone: (772) 337-2001 / Fax:
Port Saint Lucie, FL 34952 (772) 398-1820 (772) 398-7030
Phone: (772) 398-1800 / Fax: Gender: Male Gender: Male
(772) 398-1828 ID #: 200000024149 Language(s): Vietnamese
Gender: Male ID #: 200000021027
ID #: 200000024109 Flanagan, Edwin B., DO
MHPG Gastroenterology Ozeran, Allen, DO
Bournique, Marissa R., DO 1651 Southeast Tiffany Avenue MHPG Gastroenterology
Heart & Family Health Institute Port Saint Lucie, FL 34952 10080 Southwest Innovation Way
1700 Southeast Hillmoor Drive Phone: (772) 398-1800 / Fax: Suite 201
Suite 101 (772) 398-1828 Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34952 Gender: Male Phone: (772) 398-1800 / Fax:
Phone: (772) 335-9600 / Fax: ID #: 200000024149 (772) 398-1820
(772) 335-7972 Gender: Male
Gender: Female Kappler, Steven M., MD ID #: 200000037254
ID #: 200000027899 MHPG Gastroenterology
10080 Southwest Innovation Way Pineiro, Celso E., MD
Bournique, Marissa R., DO Suite 201 MHPG Gastroenterology
Heart & Family Health Institute Port Saint Lucie, FL 34987 10080 Southwest Innovation Way
293 Northwest Peacock Boulevard Phone: (772) 398-1800 / Fax: Suite 201
Suite 101-104 (772) 398-1820 Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34986 Gender: Male Phone: (772) 398-1800 / Fax:
Phone: (772) 336-6601 / Fax: ID #: 200000024181 (772) 398-1820
(772) 446-7681 Gender: Male
Gender: Female ID #: 200000024138
ID #: 200000027899

154
Ultimate Health Plans St. Lucie January 2022

Pineiro, Celso E., MD Koziarski, John D., MD Duffy, Eric, DO


MHPG Gastroenterology Water's Edge Dermatology Treasure Coast Surgical Specialists
1651 Southeast Tiffany Avenue 5101 Okeechobee Road 1400 Southeast Goldtree Drive
Port Saint Lucie, FL 34952 Fort Pierce, FL 34947 Suite 102-104
Phone: (772) 398-1800 / Fax: Phone: (772) 595-5995 / Fax: Port Saint Lucie, FL 34952
(772) 398-1828 (772) 595-5990 Phone: (772) 335-8446 / Fax:
Gender: Male Gender: Male (772) 335-8499
ID #: 200000024138 Gender: Male
Regan, Patrick, DO ID #: 200000023961
Powers, David W., DO Lawnwood Trauma Surgeons
MHPG Gastroenterology 2402 Frist Boulevard El-Haddad, Ahmed M., MD
10080 Southwest Innovation Way suite 204 MHPG Surgical Group
Suite 201 Fort Pierce, FL 34950 10080 Southwest Innovation Way
Port Saint Lucie, FL 34987 Phone: (772) 462-3939 / Fax: Suite 201
Phone: (772) 398-1800 / Fax: (772) 462-3938 Port Saint Lucie, FL 34987
(772) 398-1820 Gender: Male Phone: (772) 344-3811 / Fax:
Gender: Male ID #: 200000023332 (772) 344-3890
ID #: 200000028204 Gender: Male
ID #: 200000037248
Port Saint Lucie
Hatzoudis, Georgios, MD
General Surgery MHPG Surgical Group
Brown, Jon R., DO 10080 Southwest Innovation Way
Treasure Coast Surgical Specialists Suite 201
Fort Pierce 1400 Southeast Goldtree Drive Port Saint Lucie, FL 34987
Suite 103 Phone: (772) 344-3811 / Fax:
Port Saint Lucie, FL 34952 (772) 344-3890
Binette, Christopher, MD Phone: (772) 335-8446 / Fax:
Lawnwood Surgical Specialists Gender: Male
(772) 335-8499 ID #: 200000028201
2401 Frist Boulevard Gender: Male
Suite 4 Language(s): Spanish Kurtin, Adam D., DO
Fort Pierce, FL 34950 ID #: 200000020865 Treasure Coast Surgical Specialists
Phone: (772) 595-5302 / Fax:
1400 Southeast Goldtree Drive
(772) 595-5304 Cober, Meshach P., MD Suite 103
Gender: Male Lawnwood Surgical Specialists Port Saint Lucie, FL 34952
ID #: 200000023291 293 Northwest Peacock Boulevard Phone: (772) 335-8446 / Fax:
Suite 2020 (772) 335-8499
Cober, Meshach P., MD Port Saint Lucie, FL 34986
Lawnwood Surgical Specialists Gender: Male
Phone: (772) 878-6599 / Fax: ID #: 200000021045
2401 Frist Boulevard (772) 871-2905
Suite 4 Gender: Male
Fort Pierce, FL 34950 ID #: 200000021042
Phone: (772) 595-5302 / Fax:
(772) 595-5304
Gender: Male
ID #: 200000021042

155
Ultimate Health Plans St. Lucie January 2022

Lama, Teofilo R., MD Owings, Eric W., MD Taggart, Tracy, MD


MHPG Surgical Group MHPG Surgical Group MHPG Surgical Group
10080 Southwest Innovation Way 10080 Southwest Innovation Way 10080 Southwest Innovation Way
Suite 201 Suite 201 Suite 201
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34987
Phone: (772) 344-3811 / Fax: Phone: (772) 223-2003 / Fax: Phone: (772) 344-3811 / Fax:
(772) 344-3890 (772) 344-3890 (772) 344-3890
Gender: Male Gender: Male Gender: Female
ID #: 200000027382 ID #: 200000024211 ID #: 200000023167

Landry, Miles, MD Peebles, Matthew N., MD


MHPG Surgical Group MHPG Surgical Group
10080 Southwest Innovation Way 10080 Southwest Innovation Way Hematology
Suite 201 Suite 201
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34987
Fort Pierce
Phone: (772) 344-3811 / Fax: Phone: (772) 344-3811 / Fax:
(772) 344-3890 (772) 344-3890
Gender: Male Gender: Male My, Joseph, MD
ID #: 200000024127 ID #: 200000024252 Stuart Oncology Associates, PA
1231 North Lawnwood Circle
Machado-Hopkins, Ana P., MD Rubenstein, Forrest S., MD
Fort Pierce, FL 34950
Treasure Coast Surgical Specialists United Vein Centers
Phone: (772) 807-6525 / Fax:
1400 Southeast Goldtree Drive 295 Southwest Peacock Boulevard
(772) 252-3254
Suite 102-104 Port Saint Lucie, FL 34986
Gender: Male
Port Saint Lucie, FL 34952 Phone: (800) 991-6117 / Fax:
ID #: 200000037018
Phone: (772) 335-8446 / Fax: (888) 812-8191
(772) 335-8499 Gender: Male Patel, Ravi K., MD
Gender: Female ID #: 200000027796 Stuart Oncology Associates, PA
ID #: 200000023962 1231 North Lawnwood Circle
Sklow, Bradford, MD
Fort Pierce, FL 34950
Moyer, Philip W., MD MHPG Surgical Group
Phone: (772) 807-6525 / Fax:
MHPG Surgical Group 10080 Southwest Innovation Way
(772) 252-3254
10080 Southwest Innovation Way Suite 201
Gender: Male
Suite 201 Port Saint Lucie, FL 34987
ID #: 200000037023
Port Saint Lucie, FL 34987 Phone: (772) 223-2003 / Fax:
Phone: (772) 223-2003 / Fax: (772) 344-3890 Simone, Christine G., MD
(772) 344-3890 Gender: Male Stuart Oncology Associates, PA
Gender: Male ID #: 200000037258 1231 North Lawnwood Circle
ID #: 200000023349 Fort Pierce, FL 34950
Phone: (772) 807-6525 / Fax:
(772) 252-3254
Gender: Female
ID #: 200000037032

156
Ultimate Health Plans St. Lucie January 2022

Port Saint Lucie Patel, Ravi K., MD Infectious Disease


Stuart Oncology Associates, PA
451 Southwest Bethany Drive
Abdul Sater, Houssein, MD Suite 100 Fort Pierce
MHPG Hematology and Oncology Port Saint Lucie, FL 34986
10000 Southwest Innovation Way Phone: (772) 223-5955 / Fax:
Port Saint Lucie, FL 34987 (772) 252-3254 Ramgopal, Moti N., MD
Phone: (772) 419-2162 / Fax: Gender: Male Midway Specialty Care Center,
(772) 419-2163 ID #: 200000037023 Inc.
Gender: Male 356 East Midway Road
Patel, Ravi K., MD Fort Pierce, FL 34982
Klafter, Robert J., MD Stuart Oncology Associates, PA Phone: (772) 464-9746 / Fax:
MHPG Hematology and Oncology 1780 Southeast Hillmoor Drive (772) 464-9750
10000 Southwest Innovation Way Port Saint Lucie, FL 34952 Gender: Male
Port Saint Lucie, FL 34987 Phone: (772) 807-6525 / Fax: ID #: 200000020128
Phone: (772) 419-2162 / Fax: (772) 807-6526
(772) 419-2163 Gender: Male
Gender: Male Port Saint Lucie
ID #: 200000037023

My, Joseph, MD Simone, Christine G., MD


Stuart Oncology Associates, PA Stuart Oncology Associates, PA Cardona Bonet, Lyssette L., MD
1780 Southeast Hillmoor Drive 1780 Southeast Hillmoor Drive MHPG Infectious Disease
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952 10000 Southwest Innovation Way
Phone: (772) 807-6525 / Fax: Phone: (772) 807-6525 / Fax: Port Saint Lucie, FL 34987
(772) 807-6526 (772) 807-6526 Phone: (772) 221-2073 / Fax:
Gender: Male Gender: Female (772) 221-2093
ID #: 200000037018 ID #: 200000037032 Gender: Female
ID #: 200000024111
My, Joseph, MD Simone, Christine G., MD
Stuart Oncology Associates, PA Stuart Oncology Associates, PA Collin, Berjan A., MD
451 Southwest Bethany Drive 451 Southwest Bethany Drive Associates in Infectious Diseases,
Suite 100 Suite 100 LLC
Port Saint Lucie, FL 34986 Port Saint Lucie, FL 34986 1801 Southeast Hillmoor Drive
Phone: (772) 223-5955 / Fax: Phone: (772) 223-5955 / Fax: Suite C-207
(772) 252-3254 (772) 252-3254 Port Saint Lucie, FL 34952
Gender: Male Gender: Female Phone: (772) 335-4234 / Fax:
ID #: 200000037018 ID #: 200000037032 (772) 335-4236
Gender: Male
Language(s): French, German,
Portuguese, Spanish
ID #: 200000020435

157
Ultimate Health Plans St. Lucie January 2022

Hernandez Jimenez, Jarelys M., Razuman, Samerah G., MD Akrawi, Anis Y., MD
MD Kidney Care of the Treasure Coast MHPG Nephrology
MHPG Infectious Disease 2000 Hartman Road 1651 Southeast Tiffany Avenue
10000 Southwest Innovation Way Suite 1 Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34987 Fort Pierce, FL 34947 Phone: (772) 337-0199 / Fax:
Phone: (772) 221-2073 / Fax: Phone: (772) 465-1170 / Fax: (772) 337-5368
(772) 221-2093 (772) 465-1171 Gender: Male
Gender: Female Gender: Female ID #: 200000024105
ID #: 200000028202 ID #: 200000021005
Andre, Jamie M., MD
Ramgopal, Moti N., MD Roche, Zeidy, MD Kidney Care of the Treasure Coast
Associates in Infectious Diseases, Zeidy Roche, MD, PA 1401 South East Goldtree Drive
LLC 2501 Ohio Avenue Suite 102
1801 Southeast Hillmoor Drive Fort Pierce, FL 34947 Port Saint Lucie, FL 34952
Suite C-207 Phone: (772) 468-7212 / Fax: Phone: (772) 337-3540 / Fax:
Port Saint Lucie, FL 34952 (772) 468-7213 (772) 337-3541
Phone: (772) 335-4234 / Fax: Gender: Female Gender: Male
(772) 335-4236 Language(s): Spanish ID #: 200000021002
Gender: Male ID #: 200000036534
ID #: 200000008799 Glickman, Jeffrey L., MD
Tomita, B. Aurora F., MD MHPG Nephrology
Ruiz Andia, Marco A., MD Kidney Care of the Treasure Coast 10080 Southwest Innovation Way
MHPG Infectious Disease 2000 Hartman Road Suite 201
10000 Southwest Innovation Way Suite 1 Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34987 Fort Pierce, FL 34947 Phone: (772) 286-1550 / Fax:
Phone: (504) 905-1647 Phone: (772) 465-1170 / Fax: (772) 221-0569
Gender: Male (772) 465-1171 Gender: Male
ID #: 200000024262 Gender: Female ID #: 200000024165
ID #: 200000020799
Glickman, Jeffrey L., MD
MHPG Nephrology
Nephrology Port Saint Lucie 1651 Southeast Tiffany Avenue
Port Saint Lucie, FL 34952
Phone: (772) 337-0199 / Fax:
Fort Pierce Akrawi, Anis Y., MD (772) 337-5368
MHPG Nephrology Gender: Male
10080 Southwest Innovation Way ID #: 200000024165
Andre, Jamie M., MD Suite 201
Kidney Care of the Treasure Coast Port Saint Lucie, FL 34987
2000 Hartman Road Phone: (772) 286-1550 / Fax:
Suite 1 (772) 221-0569
Fort Pierce, FL 34947 Gender: Male
Phone: (772) 465-1170 / Fax: ID #: 200000024105
(772) 465-1171
Gender: Male
ID #: 200000021002

158
Ultimate Health Plans St. Lucie January 2022

Jean, Henry J., MD Razuman, Samerah G., MD Shah, Gaurav R., MD


MHPG Nephrology Kidney Care of the Treasure Coast MHPG Nephrology
10080 Southwest Innovation Way 1401 South East Goldtree Drive 1651 Southeast Tiffany Avenue
Suite 201 Suite 102 Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34952 Phone: (772) 337-0199 / Fax:
Phone: (772) 286-1550 / Fax: Phone: (772) 337-3540 / Fax: (772) 337-5368
(772) 221-0569 (772) 337-3541 Gender: Male
Gender: Male Gender: Female ID #: 200000024269
ID #: 200000024180 ID #: 200000021005
Shrestha, Adarsha, MD
Jean, Henry J., MD Reyes, Andres M., MD MHPG Nephrology
MHPG Nephrology MHPG Nephrology 10080 Southwest Innovation Way
1651 Southeast Tiffany Avenue 10080 Southwest Innovation Way Suite 201
Port Saint Lucie, FL 34952 Suite 201 Port Saint Lucie, FL 34987
Phone: (772) 337-0199 / Fax: Port Saint Lucie, FL 34987 Phone: (772) 286-1550 / Fax:
(772) 337-5368 Phone: (772) 286-1550 / Fax: (772) 221-0569
Gender: Male (772) 221-0569 Gender: Male
ID #: 200000024180 Gender: Male ID #: 200000024270
ID #: 200000024260
Khilnani, Resham B., MD Shrestha, Adarsha, MD
MHPG Nephrology Reyes, Andres M., MD MHPG Nephrology
10080 Southwest Innovation Way MHPG Nephrology 1651 Southeast Tiffany Avenue
Suite 201 1651 Southeast Tiffany Avenue Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34952 Phone: (772) 337-0199 / Fax:
Phone: (772) 286-1550 / Fax: Phone: (772) 337-0199 / Fax: (772) 337-5368
(772) 221-0569 (772) 337-5368 Gender: Male
Gender: Female Gender: Male ID #: 200000024270
ID #: 200000024187 ID #: 200000024260
Tomita, B. Aurora F., MD
Khilnani, Resham B., MD Shah, Gaurav R., MD Kidney Care of the Treasure Coast
MHPG Nephrology MHPG Nephrology 1401 South East Goldtree Drive
1651 Southeast Tiffany Avenue 10080 Southwest Innovation Way Suite 102
Port Saint Lucie, FL 34952 Suite 201 Port Saint Lucie, FL 34952
Phone: (772) 337-0199 / Fax: Port Saint Lucie, FL 34987 Phone: (772) 337-3540
(772) 337-5368 Phone: (772) 286-1550 / Fax: Gender: Female
Gender: Female (772) 221-0569 ID #: 200000020799
ID #: 200000024187 Gender: Male
ID #: 200000024269 Usorov, Alexander M., MD
MHPG Nephrology
10080 Southwest Innovation Way
Suite 201
Port Saint Lucie, FL 34987
Phone: (772) 286-1550 / Fax:
(772) 221-0569
Gender: Male
ID #: 200000037259

159
Ultimate Health Plans St. Lucie January 2022

Usorov, Alexander M., MD Neurology Kulman, Tanzila, MD


MHPG Nephrology Neurosurgical Specialists of South
1651 Southeast Tiffany Avenue Florida
Port Saint Lucie, FL 34952 Statewide 2402 Frist Boulevard
Phone: (772) 337-0199 / Fax: Suite 201
(772) 337-5368 Fort Pierce, FL 34950
Gender: Male Burry, Matthew, MD Phone: (772) 460-8838 / Fax:
ID #: 200000037259 The Neurohealth Sciences Center, (772) 460-8808
LLC Gender: Female
Usorov, Alexander M., MD 8400 Red Bug Lake Road ID #: 200000035658
MHPG Nephrology Suite 1010
10000 Southwest Innovation Way Ovideo, FL 32765 Nduku, Valentine, DO
Port Saint Lucie, FL 34987 Phone: (407) 833-7505 / Fax: Neurosurgical Specialists of South
Phone: (772) 286-1550 / Fax: (407) 833-7509 Florida
(772) 221-0569 Gender: Male 2402 Frist Boulevard
Gender: Male ID #: 200000022908 Suite 201
ID #: 200000037259 Fort Pierce, FL 34950
Phone: (772) 460-8838 / Fax:
Vickers, Jean A., MD Fort Pierce
(772) 460-8808
MHPG Nephrology Gender: Male
10080 Southwest Innovation Way ID #: 200000023311
Suite 201 Aldana, Peter R., MD
Port Saint Lucie, FL 34987 Peter R. Aldana, MD, PA Patel, Shatabdi L., MD
Phone: (772) 286-1550 / Fax: 1801 South 23rd Street Global Neuro and Spine Institute
(772) 221-0569 Suite 7 2201 South 25th Street
Gender: Female Fort Pierce, FL 34950 Fort Pierce, FL 34947
ID #: 200000024339 Phone: (772) 465-5600 / Fax: Phone: (800) 735-1178 / Fax:
(772) 467-1050 (772) 223-6354
Vickers, Jean A., MD Gender: Male Gender: Female
MHPG Nephrology ID #: 200000023510 Language(s): Gujarati, Hindi
1651 Southeast Tiffany Avenue ID #: 200000020582
Port Saint Lucie, FL 34952 Callison, Richard, MD
Phone: (772) 337-0199 / Fax: Neurosurgical Specialists of South
(772) 337-5368 Florida Port Saint Lucie
Gender: Female 2402 Frist Boulevard
ID #: 200000024339 Suite 201
Fort Pierce, FL 34950 Ahmed, Sophia, MD
Phone: (772) 460-8838 / Fax: Heart & Family Health Institute
(772) 460-8808 1700 Southeast Hillmoor Drive
Gender: Male Suite 101
ID #: 200000023296 Port Saint Lucie, FL 34952
Phone: (772) 335-9600 / Fax:
(772) 335-7972
Gender: Female
Language(s): Urdu
ID #: 200000023080

160
Ultimate Health Plans St. Lucie January 2022

Ahmed, Sophia, MD Kaushal, Ritesh D., MD Patterson-Lake, Marlyn A., MD


Heart & Family Health Institute of Back & Spine Center at Martin MHPG Neurology
Port St. Lucie Health 10000 Southwest Innovation Way
1700 Southeast Hillmoor Drive 10000 Southwest Innovation Way Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34987 Phone: (772) 344-3811 / Fax:
Phone: (772) 335-9600 / Fax: Phone: (772) 288-5862 / Fax: (772) 335-2422
(772) 398-7972 (772) 288-5874 Gender: Female
Gender: Female Gender: Male ID #: 200000024251
Language(s): Urdu
ID #: 200000023080 Kazmi, Samina, MD Rosenbaum, Anna, MD
MHPG Neurology MHPG Neurology
Celdran, Delvis A., MD 10050 Southwest Innovation Way 10000 Southwest Innovation Way
Delvis A Celdran, MD PA Suite 102 Port Saint Lucie, FL 34987
543 North West Lake Whitney Port Saint Lucie, FL 34987 Phone: (772) 344-3811 / Fax:
Place Phone: (772) 344-3811 / Fax: (772) 335-2422
Suite 105 (772) 335-2422 Gender: Female
Port Saint Lucie, FL 34986 Gender: Female ID #: 200000024261
Phone: (772) 335-3255 / Fax: ID #: 200000026793
(772) 335-3256 Rosenbaum, Anna, MD
Gender: Male Kellenberger, Edward F., MD MHPG Neurology
Language(s): Spanish MHPG Neurology 10050 Southwest Innovation Way
ID #: 200000022663 10050 Southwest Innovation Way Suite 102
Suite 102 Port Saint Lucie, FL 34987
Chauhan, Sunil M., MD Port Saint Lucie, FL 34987 Phone: (772) 344-3811 / Fax:
MHPG Neurology Phone: (772) 344-3811 / Fax: (772) 335-2422
10080 Southwest Innovation Way (772) 335-2422 Gender: Female
Port Saint Lucie, FL 34987 Gender: Male ID #: 200000024261
Phone: (772) 223-2388 / Fax: ID #: 200000024186
(772) 223-2396 Sherr, Gregory T., MD
Gender: Male Kowalczyk, Kathie Y., MD Back & Spine Center at Martin
ID #: 200000024126 MHPG Neurology Health
10050 Southwest Innovation Way 10000 Southwest Innovation Way
Kaushal, Ritesh D., MD Suite 102 Port Saint Lucie, FL 34987
Back & Spine Center at Martin Port Saint Lucie, FL 34987 Phone: (772) 288-5862 / Fax:
Health Phone: (772) 344-3811 / Fax: (772) 288-5874
10050 Southwest Innovation Way (772) 335-2422 Gender: Male
Suite 102 Gender: Female ID #: 200000023524
Port Saint Lucie, FL 34987 ID #: 200000024189
Phone: (772) 419-3810 / Fax:
(772) 419-3811
Gender: Male

161
Ultimate Health Plans St. Lucie January 2022

Sherr, Gregory T., MD Neurosurgery Sherr, Gregory T., MD


Back & Spine Center at Martin Back & Spine Center at Martin
Health Health
10050 Southwest Innovation Way Port Saint Lucie 10050 Southwest Innovation Way
Suite 102 Suite 102
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34987
Phone: (772) 419-3810 / Fax: Babu, Maya, MD Phone: (772) 419-3810 / Fax:
(772) 419-3811 Back & Spine Center at Martin (772) 419-3811
Gender: Male Health Gender: Male
ID #: 200000023524 10050 Southwest Innovation Way ID #: 200000023524
Suite 102
Stabley, Jason P., DO Port Saint Lucie, FL 34987 Stephanian, Erick, MD
MHPG Neurology Phone: (772) 419-3810 / Fax: Back & Spine Center at Martin
10000 Southwest Innovation Way (772) 419-3811 Health
Port Saint Lucie, FL 34987 Gender: Female 10050 Southwest Innovation Way
Phone: (772) 344-3811 / Fax: Suite 102
(772) 335-2422 Klem, Jack M., MD Port Saint Lucie, FL 34987
Gender: Male Back & Spine Center at Martin Phone: (772) 419-3810 / Fax:
ID #: 200000024284 Health (772) 419-3811
10050 Southwest Innovation Way Gender: Male
Vela Duarte, Daniel H., MD Suite 102
Back & Spine Center at Martin Port Saint Lucie, FL 34987 Szentirmai, Oszkar, MD
Health Phone: (772) 419-3810 / Fax: Back & Spine Center at Martin
10050 Southwest Innovation Way (772) 419-3811 Health
Suite 102 Gender: Male 10050 Southwest Innovation Way
Port Saint Lucie, FL 34987 Suite 102
Phone: (772) 419-3810 / Fax: Rey Dios, Roberto, MD Port Saint Lucie, FL 34987
(772) 419-3811 Back & Spine Center at Martin Phone: (772) 419-3810 / Fax:
Gender: Male Health (772) 419-3811
ID #: 200000037260 10050 Southwest Innovation Way Gender: Male
Suite 102 Language(s): Hungarian
Vela Duarte, Daniel H., MD Port Saint Lucie, FL 34987
Back & Spine Center at Martin Phone: (772) 419-3810 / Fax:
Health (772) 419-3811
10000 Southwest Innovation Way Gender: Male
Port Saint Lucie, FL 34987 ID #: 200000024305
Phone: (772) 288-5862 / Fax:
(772) 288-5874 Sherr, Gregory T., MD
Gender: Male Back & Spine Center at Martin
ID #: 200000037260 Health
10000 Southwest Innovation Way
Port Saint Lucie, FL 34987
Phone: (772) 288-5862 / Fax:
(772) 288-5874
Gender: Male
ID #: 200000023524

162
Ultimate Health Plans St. Lucie January 2022

Obstetrics / Gynecology Cousineau, Lisa M., DO Rodriguez, Evelyn, MD


Cleveland Clinic Florida Heart & Family Health Institute
Obstetrical Group 1700 Southeast Hillmoor Drive
Port Saint Lucie 10080 Southwest Innovation Way Suite 101
Suite 201 Port Saint Lucie, FL 34952
Port Saint Lucie, FL 34987 Phone: (772) 335-9600 / Fax:
Avondstondt, Andrea M., MD Phone: (772) 419-3301 / Fax: (772) 335-7972
Florida Robotics and Minimally (772) 419-3302 Gender: Female
Invasive Urogynecol Gender: Female ID #: 200000021594
293 Northwest Peacock Boulevard ID #: 200000024131
Suite 202 Rodriguez, Evelyn, MD
Port Saint Lucie, FL 34986 Cousineau, Lisa M., DO Heart & Family Health Institute of
Phone: (772) 878-3788 / Fax: Cleveland Clinic Florida Port St. Lucie
(772) 878-3789 Obstetrical Group 1700 Southeast Hillmoor Drive
Gender: Female 1651 Southeast Tiffany Avenue Port Saint Lucie, FL 34952
ID #: 200000023468 Port Saint Lucie, FL 34952 Phone: (772) 335-9600 / Fax:
Phone: (772) 419-3301 / Fax: (772) 398-7972
Avondstondt, Andrea M., MD (772) 419-3302 Gender: Female
Florida Robotics and Minimally Gender: Female ID #: 200000021594
Invasive Urogynecol ID #: 200000024131
293 Northwest Peacock Boulevard Rodriguez, Evelyn, MD
Suite 202 Drake III, George L., DO Heart & Family Health Institute
Port Saint Lucie, FL 34986 Cleveland Clinic Florida Primary Care
Phone: (772) 878-3788 / Fax: Obstetrical Group 293 Northwest Peacock Boulevard
(772) 878-3789 1651 Southeast Tiffany Avenue Suite 101-104
Gender: Female Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34986
ID #: 200000023468 Phone: (772) 419-3301 / Fax: Phone: (772) 335-9600 / Fax:
(772) 419-3302 (772) 879-4478
Berkowitz, Kathleen M., MD Gender: Male Gender: Female
MHPG Maternal Fetal Medicine ID #: 200000027377 ID #: 200000021594
10080 Southwest Innovation Way
Suite 201 Drake III, George L., DO
Port Saint Lucie, FL 34987 Cleveland Clinic Florida
Phone: (772) 345-5280 / Fax: Obstetrical Group Oncology
(772) 345-5274 10000 Southwest Innovation Way
Gender: Female Port Saint Lucie, FL 34987
ID #: 200000024108 Also see Hematology/Oncology
Phone: (772) 419-3301 / Fax:
(772) 419-3302
Gender: Male
ID #: 200000027377

163
Ultimate Health Plans St. Lucie January 2022

Fort Pierce Simone, Christine G., MD My, Joseph, MD


Stuart Oncology Associates, PA Stuart Oncology Associates, PA
1231 North Lawnwood Circle 451 Southwest Bethany Drive
Akhtar, Vaseem S., MD Fort Pierce, FL 34950 Suite 100
Cancer Care & Chemotherapy Phone: (772) 807-6525 / Fax: Port Saint Lucie, FL 34986
Center (772) 252-3254 Phone: (772) 223-5955 / Fax:
1900 Nebraska Avenue Gender: Female (772) 252-3254
Suite 2 ID #: 200000037032 Gender: Male
Fort Pierce, FL 34950 ID #: 200000037018
Phone: (772) 489-4000 / Fax:
(772) 489-4066 Port Saint Lucie My, Joseph, MD
Gender: Male Stuart Oncology Associates, PA
ID #: 200000020754 1780 Southeast Hillmoor Drive
Abdul Sater, Houssein, MD Port Saint Lucie, FL 34952
My, Joseph, MD MHPG Hematology and Oncology Phone: (772) 807-6525 / Fax:
Stuart Oncology Associates, PA 10000 Southwest Innovation Way (772) 807-6526
1231 North Lawnwood Circle Port Saint Lucie, FL 34987 Gender: Male
Fort Pierce, FL 34950 Phone: (772) 419-2162 / Fax: ID #: 200000037018
Phone: (772) 807-6525 / Fax: (772) 419-2163
(772) 252-3254 Gender: Male Patel, Prashant R., MD
Gender: Male Stuart Oncology Associates, PA
ID #: 200000037018 Akhtar, Vaseem S., MD 1780 Southeast Hillmoor Drive
Cancer Care & Chemotherapy Port Saint Lucie, FL 34952
Patel, Prashant R., MD Center Phone: (772) 807-6525 / Fax:
Stuart Oncology Associates, PA 1631 Northwest St. Lucie West (772) 807-6526
1231 North Lawnwood Circle Boulevard Gender: Male
Fort Pierce, FL 34950 Suite 201 ID #: 200000037022
Phone: (772) 807-6525 / Fax: Port Saint Lucie, FL 34986
(772) 252-3254 Phone: (772) 489-4000 / Fax: Patel, Prashant R., MD
Gender: Male (772) 489-4066 Stuart Oncology Associates, PA
ID #: 200000037022 Gender: Male 451 Southwest Bethany Drive
ID #: 200000020754 Suite 100
Patel, Ravi K., MD Port Saint Lucie, FL 34986
Stuart Oncology Associates, PA Klafter, Robert J., MD Phone: (772) 223-5955 / Fax:
1231 North Lawnwood Circle MHPG Hematology and Oncology (772) 252-3254
Fort Pierce, FL 34950 10000 Southwest Innovation Way Gender: Male
Phone: (772) 807-6525 / Fax: Port Saint Lucie, FL 34987 ID #: 200000037022
(772) 252-3254 Phone: (772) 419-2162 / Fax:
Gender: Male (772) 419-2163
ID #: 200000037023 Gender: Male

164
Ultimate Health Plans St. Lucie January 2022

Patel, Ravi K., MD Ophthalmology Davis, Barry C., MD


Stuart Oncology Associates, PA Fort Pierce Orthopaedics, LLC
451 Southwest Bethany Drive 2402 First Boulevard
Suite 100 Statewide Suite 102
Port Saint Lucie, FL 34986 Fort Pierce, FL 34950
Phone: (772) 223-5955 / Fax: Phone: (772) 465-4651 / Fax:
(772) 252-3254 Argus Vision (772) 465-4087
Gender: Male Phone: (800) 210-5511 Gender: Male
ID #: 200000037023 https:// argusdental.com /find-a- ID #: 200000020869
provider/
Patel, Ravi K., MD Stanton, William, MD
Stuart Oncology Associates, PA Institute for Orthopaedic
1780 Southeast Hillmoor Drive Innovations
Oral & Maxillofacial surgery
Port Saint Lucie, FL 34952 2402 Frist Boulevard
Phone: (772) 807-6525 / Fax: Suite 200
(772) 807-6526 Statewide Fort Pierce, FL 34950
Gender: Male Phone: (772) 409-6192 / Fax:
ID #: 200000037023 (772) 468-6848
Argus Dental Gender: Male
Simone, Christine G., MD Phone: (800) 340-8869 ID #: 200000023344
Stuart Oncology Associates, PA https:// argusdental.com /find-a-
451 Southwest Bethany Drive provider/
Suite 100 Port Saint Lucie
Port Saint Lucie, FL 34986
Phone: (772) 223-5955 / Fax:
(772) 252-3254 Orthopedic Surgery Delahay, John, MD
Gender: Female MHPG Orthopedic Care
ID #: 200000037032 1095 Northwest Saint Lucie West
Fort Pierce Boulevard
Simone, Christine G., MD Suite 108
Stuart Oncology Associates, PA Port Saint Lucie, FL 34986
1780 Southeast Hillmoor Drive Beiser, Christopher, DO Phone: (772) 781-2735 / Fax:
Port Saint Lucie, FL 34952 Fort Pierce Orthopaedics, LLC (772) 781-2727
Phone: (772) 807-6525 / Fax: 2402 First Boulevard Gender: Male
(772) 807-6526 Suite 102 ID #: 200000024140
Gender: Female Fort Pierce, FL 34950
ID #: 200000037032 Phone: (772) 465-4651 / Fax: Fowble, Vincent A., MD
(772) 465-4087 MHPG Orthopedic Care
Gender: Male 1095 Northwest Saint Lucie West
ID #: 200000008960 Boulevard
Suite 108
Port Saint Lucie, FL 34986
Phone: (772) 781-2735 / Fax:
(772) 781-2727
Gender: Male
ID #: 200000024159

165
Ultimate Health Plans St. Lucie January 2022

Grieco, Preston W., MD Montijo, Harvey, MD Spindler, Kurt P., MD


MHPG Orthopedic Care Center for Bone and Joint Surgery MHPG Orthopedic Care
1095 Northwest Saint Lucie West of the Palm Beaches, PA 1095 Northwest Saint Lucie West
Boulevard 582 Northwest University Boulevard
Suite 108 Boulevard Suite 108
Port Saint Lucie, FL 34986 Suite 100 Port Saint Lucie, FL 34986
Phone: (772) 781-2735 / Fax: Port Saint Lucie, FL 34986 Phone: (772) 781-2735 / Fax:
(772) 781-2727 Phone: (561) 798-6600 / Fax: (772) 781-2727
Gender: Male (561) 753-3328 Gender: Male
ID #: 200000024166 Gender: Male ID #: 200000036722
Language(s): Spanish
Lopes De Lima, Diego J., MD ID #: 200000021813
Center for Bone and Joint Surgery
of the Palm Beaches, PA Phillips, Charles D., MD Otolaryngology
582 Northwest University David Smythe Wound Center at
Boulevard Martin Health
Fort Pierce
Suite 100 10080 Southwest Innovation Way
Port Saint Lucie, FL 34986 Port Saint Lucie, FL 34987
Phone: (561) 798-6600 / Fax: Phone: (772) 785-5561 / Fax: Blasberg, Elizabeth A., MD
(561) 753-3328 (772) 785-5562 Associated Coastal ENT
Gender: Male Gender: Male 4632 South 25th Street
Language(s): Portuguese, Spanish Fort Pierce, FL 34981
ID #: 200000022560 Rossario, Edward J., MD
Phone: (772) 464-9595 / Fax:
Coastal Orthopaedics & Sports
(772) 464-9582
Lugo, Roberto, MD Medicine Center
Gender: Female
Coastal Orthopaedic & Sports 7710 South US Highway 1
ID #: 200000025493
Medicine Center Port Saint Lucie, FL 34952
7710 South US Highway 1 Phone: (772) 335-5300 / Fax: Phillips, Jesse E., MD
Port Saint Lucie, FL 34952 (772) 200-2131 Associated Coastal ENT
Phone: (772) 335-3200 / Fax: Gender: Male 4632 South 25th Street
(877) 406-5592 Language(s): Spanish Fort Pierce, FL 34981
Gender: Male ID #: 200000020952 Phone: (772) 464-9595 / Fax:
Language(s): Spanish (772) 464-9582
ID #: 200000020946 Smyth, Niall A., MD
Gender: Male
MHPG Orthopedic Care
ID #: 200000025494
Mondo, Paul J., MD 1095 Northwest Saint Lucie West
Coastal Orthopaedic & Sports Boulevard Richards, Michele L., MD
Medicine Center Suite 108 Associated Coastal ENT
7710 South US Highway 1 Port Saint Lucie, FL 34986 4632 South 25th Street
Port Saint Lucie, FL 34952 Phone: (772) 781-2735 / Fax: Fort Pierce, FL 34981
Phone: (772) 335-3200 / Fax: (772) 781-2727 Phone: (772) 464-9595 / Fax:
(877) 406-5592 Gender: Male (772) 464-9582
Gender: Male ID #: 200000024272 Gender: Female
ID #: 200000020951 ID #: 200000025271

166
Ultimate Health Plans St. Lucie January 2022

Slack, Christopher L., MD Zaluzec, Daniel J., MD Carlyle, Daniel, MD


Associated Coastal ENT Daniel J. Zaluzec, MD, PA MHPG Pain Management
4632 South 25th Street 1801 Southeast Hillmoor Drive 10050 Southwest Innovation Way
Fort Pierce, FL 34981 C-110 Suite 102
Phone: (772) 464-9595 / Fax: Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34987
(772) 464-9582 Phone: (772) 337-0072 / Fax: Phone: (772) 419-3810 / Fax:
Gender: Male (888) 615-7171 (772) 419-3811
ID #: 200000025495 Gender: Male Gender: Male
ID #: 200000020083
DeBonet, Alexander F, MD
Port Saint Lucie MHPG Pain Management
10050 Southwest Innovation Way
Pain Management Suite 102
Blasberg, Elizabeth A., MD Port Saint Lucie, FL 34987
Associated Coastal ENT Phone: (772) 419-3810 / Fax:
1731 Southwest Gatlin Boulevard Fort Pierce
(772) 419-3811
Port Saint Lucie, FL 34953 Gender: Male
Phone: (772) 335-1351 / Fax:
(772) 344-0032 Slobasky, Michael S., DO
Glener, David M., MD
Gender: Female Global Neuro and Spine Institute
David M. Glener MD
ID #: 200000025493 2201 South 25th Street
561 Northwest Lake Whitney
Fort Pierce, FL 34947
Place
Phillips, Jesse E., MD Phone: (800) 735-1178 / Fax:
Suite 102
Associated Coastal ENT (772) 223-6354
Port Saint Lucie, FL 34986
1731 Southwest Gatlin Boulevard Gender: Male
Phone: (772) 337-3350
Port Saint Lucie, FL 34953 ID #: 200000020585
Gender: Male
Phone: (772) 335-1351 / Fax: ID #: 200000028160
(772) 344-0032
Port Saint Lucie
Gender: Male
ID #: 200000025494
Physical Medicine and
Bodepudi, Haren, MD
Slack, Christopher L., MD Rehabilitation
MHPG Pain Management
Associated Coastal ENT
10050 Southwest Innovation Way
1731 Southwest Gatlin Boulevard
Suite 102 Fort Pierce
Port Saint Lucie, FL 34953
Port Saint Lucie, FL 34987
Phone: (772) 335-1351 / Fax:
Phone: (772) 419-3810 / Fax:
(772) 344-0032
(772) 419-3811 Burack, Steven A., DO
Gender: Male
Gender: Male Global Neuro and Spine Institute
ID #: 200000025495
2201 South 25th Street
Fort Pierce, FL 34947
Phone: (800) 735-1178 / Fax:
(772) 223-6354
Gender: Male
ID #: 200000020220

167
Ultimate Health Plans St. Lucie January 2022

Malik, Ali S., DO Plastic & Reconstructive Surgery Taylor, Leighton, MD


Global Neuro and Spine Institute Coastal Islands & Reconstructive
2201 South 25th Street Surgery
Fort Pierce, FL 34947 Fort Pierce 293 Northwest Peacock Boulevard
Phone: (800) 735-1178 / Fax: Suite 201
(772) 223-6354 Port Saint Lucie, FL 34986
Gender: Male Taylor, Leighton, MD Phone: (772) 204-8870 / Fax:
ID #: 200000020215 Lawnwood Trauma Surgeons (772) 204-8873
2402 Frist Boulevard Gender: Male
Slobasky, Michael S., DO suite 204 ID #: 200000023312
Global Neuro and Spine Institute Fort Pierce, FL 34950
2201 South 25th Street Phone: (772) 462-3939 / Fax:
Fort Pierce, FL 34947 (772) 462-3938
Phone: (800) 735-1178 / Fax: Gender: Male Podiatry
(772) 223-6354 ID #: 200000023312
Gender: Male
Fort Pierce
ID #: 200000020585
Port Saint Lucie

Port Saint Lucie Cohen, Scott J., DPM


Cromwell, Christopher R., MD Treasure Coast Podiatry
Water's Edge Dermatology 1090 Virginia Avenue
Afong, Anthony F., MD 264 Northwest Peacock Boulevard Fort Pierce, FL 34982
Florida Pain and Rehabilitation Suite 201 Phone: (772) 461-2575 / Fax:
Associates, Inc. Port Saint Lucie, FL 34986 (772) 461-0419
150 Southwest Chamber Court Phone: (772) 871-1682 / Fax: Gender: Male
Suite 105 (772) 323-2523 ID #: 200000022153
Port Saint Lucie, FL 34986 Gender: Male
Phone: (772) 807-9000 / Fax: Gotkin, Paul N., DPM
(678) 841-7223 Lee, Spencer D., MD Treasure Coast Podiatry
Gender: Male Lee Plastic Surgery 1090 Virginia Avenue
ID #: 200000027162 525 Northwest Lake Whitney Fort Pierce, FL 34982
Place Phone: (772) 461-2575 / Fax:
Suite 206 (772) 461-0419
Port Saint Lucie, FL 34986 Gender: Male
Phone: (772) 878-8885 / Fax: ID #: 200000022161
(866) 353-1297
Gender: Male Gubernick, David A., DPM
ID #: 200000023271 Treasure Coast Podiatry
1090 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 461-2575 / Fax:
(772) 461-0419
Gender: Male
ID #: 200000022162

168
Ultimate Health Plans St. Lucie January 2022

Lonabaugh, Andrew D., DPM Gubernick, David A., DPM Paul, Craig J., DPM
Treasure Coast Podiatry Treasure Coast Podiatry Heart & Family Health Institute
1090 Virginia Avenue 1095 Northwest Saint Lucie West 1700 Southeast Hillmoor Drive
Fort Pierce, FL 34982 Boulevard Suite 101
Phone: (772) 461-2575 / Fax: Suite 222 Port Saint Lucie, FL 34952
(772) 461-0419 Port Saint Lucie, FL 34986 Phone: (772) 335-9600 / Fax:
Gender: Male Phone: (772) 785-5580 / Fax: (772) 335-7972
ID #: 200000022165 (772) 785-5528 Gender: Male
Gender: Male ID #: 200000009385
ID #: 200000022162
Port Saint Lucie Paul, Craig J., DPM
Jerry, Kristopher P., DPM Heart & Family Health Institute of
Podiatry Health Services, LLC Port St. Lucie
Cardona, Natalia, DPM 1846 Southeast Port St. Lucie 1700 Southeast Hillmoor Drive
Podiatry Health Services, LLC Boulevard Port Saint Lucie, FL 34952
1846 Southeast Port St. Lucie Port Saint Lucie, FL 34952 Phone: (772) 335-9600 / Fax:
Boulevard Phone: (772) 301-1951 / Fax: (772) 398-7972
Port Saint Lucie, FL 34952 (772) 934-7297 Gender: Male
Phone: (772) 301-1951 / Fax: Gender: Male ID #: 200000009385
(772) 934-7297 ID #: 200000024737
Gender: Female Salcedo, William, DPM
Language(s): Spanish Lonabaugh, Andrew D., DPM William Salcedo, DPM, PA
ID #: 200000025601 Treasure Coast Podiatry 1331 Southeast Port St. Lucie
1095 Northwest Saint Lucie West Boulevard
Cohen, Scott J., DPM Boulevard #101
Treasure Coast Podiatry Suite 222 Port Saint Lucie, FL 34952
1095 Northwest Saint Lucie West Port Saint Lucie, FL 34986 Phone: (772) 337-0014 / Fax:
Boulevard Phone: (772) 785-5580 / Fax: (772) 398-0887
Suite 222 (772) 785-5528 Gender: Male
Port Saint Lucie, FL 34986 Gender: Male Language(s): Spanish
Phone: (772) 785-5580 / Fax: ID #: 200000022165 ID #: 200000020597
(772) 785-5528
Gender: Male Parratto, Scott F., DPM
ID #: 200000022153 Treasure Coast Podiatry
1095 Northwest Saint Lucie West
Gotkin, Paul N., DPM Boulevard
Treasure Coast Podiatry Suite 222
1095 Northwest Saint Lucie West Port Saint Lucie, FL 34986
Boulevard Phone: (772) 785-5580 / Fax:
Suite 222 (772) 785-5528
Port Saint Lucie, FL 34986 Gender: Male
Phone: (772) 785-5580 / Fax: ID #: 200000022171
(772) 785-5528
Gender: Male
ID #: 200000022161

169
Ultimate Health Plans St. Lucie January 2022

Pulmonology Layton, Michael A., MD Lugo, Toribio P., MD


Heart & Family Health Institute MHPG Pulmonary & Critical Care
1700 Southeast Hillmoor Drive 10080 Southwest Innovation Way
Fort Pierce Suite 101 Port Saint Lucie, FL 34987
Port Saint Lucie, FL 34952 Phone: (772) 223-4978 / Fax:
Phone: (772) 335-9600 / Fax: (772) 223-2847
Nayyar, Ramesh K., MD (772) 335-7972 Gender: Male
Pulmonary Medical Associates, PA Gender: Male ID #: 200000024197
2580 Rhode Island Avenue ID #: 200000026126
Fort Pierce, FL 34947 Nayyar, Ramesh K., MD
Phone: (772) 461-4834 / Fax: Layton, Michael A., MD Pulmonary Medical Associates, PA
(772) 337-4577 Heart & Family Health Institute 1576 Southeast Port Saint Lucie
Gender: Male 293 Northwest Peacock Boulevard Boulevard
Language(s): Hindi Suite 101-104 Port Saint Lucie, FL 34952
ID #: 200000024712 Port Saint Lucie, FL 34986 Phone: (772) 878-6568 / Fax:
Phone: (772) 336-6601 / Fax: (772) 337-4577
(772) 446-7681 Gender: Male
Port Saint Lucie
Gender: Male Language(s): Hindi
ID #: 200000026126 ID #: 200000024712
Hunsucker, Justin, MD Layton, Michael A., MD Paccione, Rose, MD
MHPG Pulmonary & Critical Care Heart & Family Health Institute of MHPG Pulmonary & Critical Care
1651 Southeast Tiffany Avenue Port St. Lucie 1651 Southeast Tiffany Avenue
Port Saint Lucie, FL 34952 1700 Southeast Hillmoor Drive Port Saint Lucie, FL 34952
Phone: (772) 223-4978 / Fax: Port Saint Lucie, FL 34952 Phone: (772) 223-4978 / Fax:
(772) 223-2847 Phone: (772) 335-9600 / Fax: (772) 223-2847
Gender: Male (772) 398-7972 Gender: Female
ID #: 200000024172 Gender: Male ID #: 200000024248
ID #: 200000026126
Kaul, Vivek, MD Paccione, Rose, MD
MHPG Pulmonary & Critical Care Lugo, Toribio P., MD MHPG Pulmonary & Critical Care
1651 Southeast Tiffany Avenue MHPG Pulmonary & Critical Care 10080 Southwest Innovation Way
Port Saint Lucie, FL 34952 1651 Southeast Tiffany Avenue Port Saint Lucie, FL 34987
Phone: (772) 223-4978 / Fax: Port Saint Lucie, FL 34952 Phone: (772) 223-4978 / Fax:
(772) 223-2847 Phone: (772) 223-4978 / Fax: (772) 223-2847
Gender: Male (772) 223-2847 Gender: Female
ID #: 200000024184 Gender: Male ID #: 200000024248
ID #: 200000024197
Kaul, Vivek, MD Saul, Daniel, MD
MHPG Pulmonary & Critical Care MHPG Pulmonary & Critical Care
10080 Southwest Innovation Way 1651 Southeast Tiffany Avenue
Port Saint Lucie, FL 34987 Port Saint Lucie, FL 34952
Phone: (772) 223-4978 / Fax: Phone: (772) 223-4978 / Fax:
(772) 223-2847 (772) 223-2847
Gender: Male Gender: Male
ID #: 200000024184 ID #: 200000024265

170
Ultimate Health Plans St. Lucie January 2022

Saul, Daniel, MD Crook, William F., MD Castillo, Jorge G, MD


MHPG Pulmonary & Critical Care GenesisCare USA of Florida, LLC MHPG Radiation Oncology
10080 Southwest Innovation Way 5550 South US Highway 1 1095 Northwest Saint Lucie West
Port Saint Lucie, FL 34987 Fort Pierce, FL 34982 Boulevard
Phone: (772) 223-4978 / Fax: Phone: (772) 293-0377 / Fax: Suite 200
(772) 223-2847 (772) 293-0388 Port Saint Lucie, FL 34986
Gender: Male Gender: Male Phone: (772) 785-5588 / Fax:
ID #: 200000024265 Language(s): Spanish (772) 785-5589
ID #: 200000021292 Gender: Male
Upadhyay, Bharat, MD
Family Medicine Faculty and Kanski, Jeffrey W., MD Melotek, James M., MD
Resident Clinic Water's Edge Dermatology Saint Lucie Radiation Oncology
1700 Southeast Hillmoor Drive 5101 Okeechobee Road 8980 South US Highway 1
Port Saint Lucie, FL 34952 Fort Pierce, FL 34947 Suite 105
Phone: (772) 398-7936 / Fax: Phone: (772) 595-5995 / Fax: Port Saint Lucie, FL 34952
(772) 398-7970 (772) 595-5990 Phone: (772) 281-3060 / Fax:
Gender: Male Gender: Male (772) 281-3055
ID #: 200000023084 Gender: Male
Perman, Mark L., MD Language(s): Hebrew, Spanish
Upadhyay, Bharat, MD GenesisCare USA of Florida, LLC ID #: 200000020645
Heart & Family Health Institute 5550 South US Highway 1
Cardiology Fort Pierce, FL 34982 Nikolaev, Anatoly, MD
1700 Southeast Hillmoor Drive Phone: (772) 293-0377 / Fax: MHPG Radiation Oncology
Suite 101 (772) 293-0388 1095 Northwest Saint Lucie West
Port Saint Lucie, FL 34952 Gender: Male Boulevard
Phone: (772) 335-9600 / Fax: ID #: 200000021318 Suite 200
(772) 398-7971 Port Saint Lucie, FL 34986
Gender: Male Phone: (772) 785-5588 / Fax:
ID #: 200000023084 Port Saint Lucie (772) 785-5589
Gender: Male
ID #: 200000028809
Burke, Michael A., MD
Radiation Oncology MHPG Radiation Oncology Reddy, Kiran A., MD
1095 Northwest Saint Lucie West MHPG Radiation Oncology
Boulevard 1095 Northwest Saint Lucie West
Fort Pierce Suite 200 Boulevard
Port Saint Lucie, FL 34986 Suite 200
Phone: (772) 785-5588 / Fax: Port Saint Lucie, FL 34986
Byer, Stuart L., MD (772) 785-5589
GenesisCare USA of Florida, LLC Phone: (772) 785-5588 / Fax:
Gender: Male (772) 785-5589
5550 South US Highway 1
Fort Pierce, FL 34982 Gender: Female
Phone: (772) 293-0377 / Fax:
(772) 293-0388
Gender: Male
ID #: 200000021357

171
Ultimate Health Plans St. Lucie January 2022

Rheumatology Thoracic Surgery Bower, Paul E., MD


MHPG Urology
10080 Southwest Innovation Way
Port Saint Lucie Fort Pierce Suite 201
Port Saint Lucie, FL 34987
Phone: (772) 419-4834 / Fax:
Amer, Hassan M., MD Heitman, William, MD (772) 419-4833
MHPG Rheumatology Lawnwood Cardiovascular Gender: Male
10080 Southwest Innovation Way Surgery, LLC ID #: 200000024110
Suite 201 2401 Frist Boulevard
Port Saint Lucie, FL 34987 Suite 5 Digiorgio, Lorenzo, MD
Phone: (772) 344-3811 / Fax: Fort Pierce, FL 34950 MHPG Urology
(772) 344-3890 Phone: (772) 465-8100 / Fax: 10080 Southwest Innovation Way
Gender: Male (772) 465-8689 Suite 201
ID #: 200000028197 Gender: Male Port Saint Lucie, FL 34987
ID #: 200000023337 Phone: (772) 419-4834 / Fax:
Wadhwa, Ranju B., MD (772) 419-4833
Arthritis and Rheumatology Seibel, Philip S., MD Gender: Male
Associates of Treasure Coast, LLC Lawnwood Cardiovascular Surgery ID #: 200000024145
1701 South East Hillmoor Drive 2100 Nebraska Avenue
Suite D16 Suite 201 Foley, Patrick, MD
Port Saint Lucie, FL 34952 Fort Pierce, FL 34950 MHPG Urology
Phone: (772) 800-7758 / Fax: Phone: (772) 465-8100 / Fax: 10080 Southwest Innovation Way
(772) 800-7867 (772) 465-8689 Suite 201
Gender: Female Gender: Male Port Saint Lucie, FL 34987
Language(s): Hindi ID #: 200000026765 Phone: (772) 419-4834 / Fax:
ID #: 200000021834 (772) 419-4833
Gender: Male
ID #: 200000024155
Urology
Therapeutic Massage Mues, Adam C., MD
MHPG Urology
Port Saint Lucie
10080 Southwest Innovation Way
Port Saint Lucie
Suite 201
Ball, Adam J., MD Port Saint Lucie, FL 34987
Jones, Rhonda C., LMT Gulfstream Urology Associates, PA Phone: (772) 419-4834 / Fax:
Rhonda C. Jones 579 North West Lake Whitney (772) 419-4833
192 Southwest North Wakefield Place Gender: Male
Circle Suite 105 ID #: 200000024209
Port Saint Lucie, FL 34953 Port Saint Lucie, FL 34986
Phone: (772) 475-8677 / Fax: Phone: (772) 465-2020 / Fax:
(772) 800-3099 (772) 465-2111
Gender: Female Gender: Male
ID #: 200000027688 ID #: 200000023828

172
Ultimate Health Plans St. Lucie January 2022

Muskovich, Justin A., MD Vascular Surgery Wang, Bo, MD


Heart & Family Health Institute Lawnwood Surgical Specialists
1700 Southeast Hillmoor Drive 2401 Frist Boulevard
Suite 101 Fort Pierce Suite 4
Port Saint Lucie, FL 34952 Fort Pierce, FL 34950
Phone: (772) 335-9600 / Fax: Phone: (772) 595-5302 / Fax:
(772) 335-7972 Binette, Christopher, MD (772) 595-5304
Gender: Male Lawnwood Surgical Specialists Gender: Male
ID #: 200000023083 2401 Frist Boulevard ID #: 200000025166
Suite 4
Muskovich, Justin A., MD Fort Pierce, FL 34950
Heart & Family Health Institute- Phone: (772) 595-5302 / Fax: Port Saint Lucie
SLW (772) 595-5304
293 Northwest Peacock Boulevard Gender: Male
Suite 204 ID #: 200000023291 Albrecht, Robert J., MD
Port Saint Lucie, FL 34986 Treasure Coast Heart and Vascular
Phone: (772) 879-4667 / Fax: Boccardo, Justin, MD 1801 Southeast Hillmoor Drive
(772) 879-4478 Lawnwood Surgical Specialists Suite C-208
Gender: Male 2401 Frist Boulevard Port Saint Lucie, FL 34952
ID #: 200000023083 Suite 4 Phone: (772) 337-5083 / Fax:
Fort Pierce, FL 34950 (772) 337-5088
Solomon, Michael C., MD Phone: (772) 595-5302 / Fax: Gender: Male
Michael C. Solomon, MD (772) 595-5304 ID #: 200000035740
555 Northwest Whitney Place Gender: Male
Suite 103 ID #: 200000023292 Lall, Purandath, MD
Port Saint Lucie, FL 34986 MHPG Surgical Group
Phone: (772) 468-0042 / Fax: Ramdev, Pranay T., MD 10080 Southwest Innovation Way
(772) 468-0309 Vascular Interventional and Vein Suite 201
Gender: Male Associates Port Saint Lucie, FL 34987
Language(s): Spanish 2215 Nebraska Avenue Phone: (772) 344-3811 / Fax:
ID #: 200000025634 Suite 3-C & 3-D (772) 344-3890
Fort Pierce, FL 34950 Gender: Male
Phone: (772) 567-8482 / Fax: ID #: 200000024191
(772) 567-8478
Gender: Male
Language(s): Italian, Spanish,
Telugu
ID #: 200000023630

173
Ultimate Health Plans St. Lucie January 2022

Hospitals
For Inpatient Psychiatric Facilities,
please contact Beacon Health
Options at (800) 627-1259 or visit
https://
www.beaconhealthoptions.com
/find-a-provider/

Fort Pierce

Lawnwood Regional Medical


Center & Heart Institute
1700 South 23rd Street
Fort Pierce, FL 34950
Phone: (772) 468-4500 / Fax:
(772) 460-1353

Port Saint Lucie

Cleveland Clinic Tradition


Hospital
10000 Southwest Innovation Way
Port Saint Lucie, FL 34987
Phone: (772) 223-5680 / Fax:
(772) 223-5622

St. Lucie Medical Center


1800 Southeast Tiffany Avenue
Port Saint Lucie, FL 34952
Phone: (772) 398-3100 / Fax:
(772) 398-3608

St. Lucie Medical Center ER at


Darwin Square
3275 Southwest Darwin Boulevard
Port Saint Lucie, FL 34953
Phone: (772) 335-4000

174
Ultimate Health Plans St. Lucie January 2022

CareSpot Express Healthcare


Urgent Care 784 Southeast Prima Vista
Boulevard
Centers Port Saint Lucie, FL 34952
Phone: (772) 878-7311 / Fax:
(772) 878-7321

Fort Pierce

CareNow
5550 South US Highway 1
Fort Pierce, FL 34982
Phone: (772) 460-9227 / Fax:
(772) 460-9292

Port Saint Lucie

CareNow
1730 Southwest St. Lucie West
Boulevard
Port Saint Lucie, FL 34986
Phone: (772) 873-8155 / Fax:
(772) 873-8858

CareNow
1900 Southeast Port St. Lucie
Boulevard
Port Saint Lucie, FL 34952
Phone: (772) 398-1588 / Fax:
(772) 398-1550

CareNow
4007 Southwest Port St. Lucie
Boulevard
Port Saint Lucie, FL 34953
Phone: (772) 343-1774 / Fax:
(772) 343-1744

175
Ultimate Health Plans St. Lucie January 2022

Skilled Nursing
Facilities (SNFs)
Fort Pierce

Aidan Post Acute and


Rehabilitation Center
700 South 29th Street
Fort Pierce, FL 34947
Phone: (772) 465-7560 / Fax:
(772) 465-5619

Fort Pierce Health Care


611 South 13th Street
Fort Pierce, FL 34950
Phone: (772) 464-5262 / Fax:
(772) 464-5022

Sandgate Gardens Rehab and


Nursing Center
703 South 29th Street
Fort Pierce, FL 34947
Phone: (772) 466-3322 / Fax:
(772) 466-8057

Port Saint Lucie

Palm Garden of Port St. Lucie


1751 Southeast Hillmoor Drive
Port Saint Lucie, FL 34952
Phone: (772) 335-8844 / Fax:
(772) 335-1224

Port St. Lucie Rehabilitation and


Healthcare
7300 Oleander Avenue
Port Saint Lucie, FL 34952
Phone: (772) 466-4100 / Fax:
(772) 466-4135

176
Ultimate Health Plans St. Lucie January 2022

Dental Fort Pierce


Ancillary
Statewide Diagnostic Radiology Center of
Providers the Treasure Coast, Inc.
2011 South 25th Street
Argus Dental Suite 106
Phone: (800) 340-8869 Fort Pierce, FL 34947
Ambulatory Surgical Center https:// argusdental.com /find-a- Phone: (772) 468-7020 / Fax:
provider/ (772) 924-3231
Port Saint Lucie Windsor Imaging
1000 Virgina Avenue
Diabetic Supplies - Mail Order Fort Pierce, FL 34982
Blue Water Surgery Center Phone: (772) 466-5050 / Fax:
6830 South US Highway 1 (772) 467-1003
Port Saint Lucie, FL 34952 Statewide
Phone: (772) 873-6700 / Fax:
(772) 465-5499 Port Saint Lucie
United Medco, Inc.
One Day Surgery 4250 Coral Ridge Drive
1715 Southeast Tiffany Avenue Suite 201 Cleveland Clinic Imaging
Port Saint Lucie, FL 34952 Coral Springs, FL 33065 1095 Northwest Saint Lucie West
Phone: (772) 905-3422 / Fax: Phone: (954) 947-4300 / Fax: Boulevard
(772) 398-9195 (954) 753-1669 Port Saint Lucie, FL 34986
Phone: (772) 785-5502 / Fax:
St. Lucie Surgery Center (772) 785-5539
1310 Southeast West Star Avenue
Diagnostic Radiology
Port Saint Lucie, FL 34952 Diagnostic Radiology Center of
Phone: (772) 337-5200 / Fax: the Treasure Coast, Inc.
(772) 337-7955 Statewide 1501 Southeast Lennard Road
Port Saint Lucie, FL 34952
Tradition Surgery Center, LLC Phone: (772) 468-7020 / Fax:
10080 Southwest Innovation Way (772) 924-3231
Allied Mobile X-Ray, Inc.
Suite 101
8360 West Flagler Street
Port Saint Lucie, FL 34987 iCare Radiology, LLC
Suite 207
Phone: (772) 345-8700 / Fax: 451 Southwest Bethany Drive
Miami, FL 33144
(772) 345-8699 Suite 102
Phone: (877) 404-0333 / Fax:
(877) 404-9339 Port Saint Lucie, FL 34986
Phone: (772) 202-2734 / Fax:
(772) 249-5230

177
Ultimate Health Plans St. Lucie January 2022

Diagnostic Testing Acentus Kelmedix, Inc.


4951-B East Adamo Drive 4646 Commerical Way
Suite 200 Spring Hill, FL 34606
Statewide Tampa, FL 33605 Phone: (352) 592-1063 / Fax:
Phone: (866) 684-2507 / Fax: (352) 592-1064
(866) 695-2183
Clinicare Diagnostic Medical Kinex Medical Company, LLC
Services ActivStyle 1801 Airport Road
2311 Alternate 19 5912 Breckenridge Parkway Suite D
Suite B Suite G Waukesha, WI 53188
Palm Harbor, FL 34683 Tampa, FL 33610 Phone: (800) 845-6364 / Fax:
Phone: (866) 961-5589 / Fax: Phone: (813) 280-6547 / Fax: (888) 845-3342
(727) 796-2965 (877) 426-7329
Medline Industries, Inc.
Aeroflow Healthcare 1 Medline Place
65 Beale Road Mundelein, IL 60060
Durable Medical Equipment Arden, NC 28704 Phone: (866) 356-4997 / Fax:
Phone: (888) 345-1780 / Fax: (866) 272-8122
(800) 249-1513
Nationwide Medline Industries, Inc.
Comfort Medical, LLC 1501 Harris Road
4240 Northwest 120th Avenue Libertyville, IL 60048
Acelis Connected Health Services
Coral Springs, FL 33065 Phone: (866) 356-4997 / Fax:
6465 National Drive
Phone: (800) 700-4246 / Fax: (866) 272-8122
Livermore, CA 94550
(800) 604-9760
Phone: (877) 262-4669 / Fax: MY DME DOC, LLC
(925) 606-6978 Essential Medical Solutions, Inc. 977 Del Mar Drive
3 Nebo Yorkville Road Lady Lake, FL 32159
Alere Home Monitoring, Inc.
Yorkville, TN 38389 Phone: (866) 726-9363 / Fax:
Phone: (877) 262-4669
Phone: (877) 278-1079 / Fax: (888) 788-5796
Prism Medical Products, LLC (877) 231-3088
Orthomedx Corporation
112 Church Street
Home Oxygen Medical 4329 36th Street
Suite 101
Equipment of Hernando Suite 800
Elkin, NC 28621
18735 Sakera Road Orlando, FL 32811
Phone: (888) 244-6421 / Fax:
Hudson, FL 34667 Phone: (407) 422-4526 / Fax:
(800) 975-6321
Phone: (727) 861-5542 / Fax: (407) 377-5770
(727) 861-5545
Statewide RespirTech
InfuSystem, Inc. 5905 Nathan Lane North
3851 West Hamlin Road Suite 200
180 Medical, Inc. Rochester, MI 48309 Plymouth, MN 55442
8516 Northwest Expressway Phone: (800) 962-9656 / Fax: Phone: (800) 793-1261 / Fax:
Oklahoma City, OK 73162 (800) 455-4338 (800) 962-1611
Phone: (877) 688-2729 / Fax:
(888) 718-0633

178
Ultimate Health Plans St. Lucie January 2022

Strive Medical, LLC Countywide Fitness Program


5800 Campus Circle Drive East
Suite 100B
Irving, TX 75063 Lincare, Inc. Silver Sneakers Fitness
Phone: (888) 771-9229 / Fax: 7965 Southwest Jack James Drive Phone: (888) 423-4632
(866) 680-5574 Stuart, FL 34997 https:// tools.silversneakers.com
Phone: (772) 286-0085 / Fax: /LocationSearch
SurfMed (772) 286-1277
2799 Southwest 32nd Avenue
Building E, Suite 14 Lincare, Inc.
Pembroke Park, FL 33023 4007 US Highway 1 Home Health
Phone: (888) 201-7873 / Fax: Vero Beach, FL 32960
(888) 398-3149 Phone: (772) 567-0822 / Fax:
(772) 562-7992 Statewide
United Medco, Inc.
4250 Coral Ridge Drive Perkins Medical Supply
4005 20th Street Advanced InfusionCare
Suite 201
Vero Beach, FL 32960 212 Northside Drive
Coral Springs, FL 33065
Phone: (772) 569-3797 / Fax: Valdosta, GA 31602
Phone: (954) 947-4300 / Fax:
(772) 567-1567 Phone: (229) 242-3060 / Fax:
(954) 753-1669
(292) 242-9914
United States Medical Supply, LLC
8260 Northwest 27th Street Port Saint Lucie
Countywide
Suite 401
Miami, FL 33122
ABC Home Medical Supply, Inc.
Phone: (305) 436-6033 / Fax: AccentCare Home Health of Port
900 East Prima Vista Boulevard
(305) 455-5700 St Lucie
Suite 300
Port Saint Lucie, FL 34952 548 University Boulevard
Universal Med Supply Suite 101
1329 West Walnut Hill Lane Phone: (772) 232-7180 / Fax:
(772) 232-6297 Port Saint Lucie, FL 34986
Suite 100 Phone: (772) 283-2247 / Fax:
Irving, TX 75038 (772) 283-9861
AeroCare
Phone: (972) 228-1820 / Fax:
1701 Southeast Tiffany Avenue
(972) 572-1112 Best PCS, LLC
Suite 104
Port Saint Lucie, FL 34952 1750 North Florida Mango Road
US Med, LLC suite 414
1480 Northwest 79th Avenue Phone: (772) 337-4326 / Fax:
(772) 335-3916 West Palm Beach, FL 33409
Miami, FL 33126 Phone: (772) 344-6598 / Fax:
Phone: (800) 787-6331 / Fax: (772) 344-6599
(305) 455-5700
Comprehensive Home Care
2000 Palm Beach Lakes Boulevard
West Palm Beach, FL 33409
Phone: (561) 588-0996 / Fax:
(561) 588-0446

179
Ultimate Health Plans St. Lucie January 2022

Comprehensive Home Care Port Saint Lucie Mammography


1850 Southwest Fountainview
Boulevard
Port Saint Lucie, FL 34986 Options Home Health Fort Pierce
Phone: (772) 323-2133 / Fax: 160 Central park Plaza
(772) 323-2438 Port Saint Lucie, FL 34986
Phone: (772) 785-8344 / Fax: Diagnostic Radiology Center of
Kindred at Home (772) 785-8345 the Treasure Coast, Inc.
525 Northwest Lake Whitney 2011 South 25th Street
Place Suite 106
Suite 206 Fort Pierce, FL 34947
Hearing Phone: (772) 468-7020 / Fax:
Port Saint Lucie, FL 34986
Phone: (772) 223-2116 / Fax: (772) 924-3231
(772) 223-1772 Hearing Services
Phone: (800) 313-2763 Port Saint Lucie
Options Home Health
https://
777 37th Street
hearing.myultimatehp.com /
Suite C102
Vero Beach, FL 32960 Cleveland Clinic Imaging
Phone: (772) 234-5126 / Fax: 1095 Northwest Saint Lucie West
(772) 234-5127 Boulevard
Laboratory
Port Saint Lucie, FL 34986
Options Home Health Phone: (772) 785-5502 / Fax:
680 South Military Trail Port Saint Lucie (772) 785-5539
2nd Floor
West Palm Beach, FL 33415 Diagnostic Radiology Center of
Phone: (561) 968-4434 / Fax: LabCorp the Treasure Coast, Inc.
(561) 968-4474 9196 South US Highway 1 1501 Southeast Lennard Road
Port Saint Lucie, FL 34952 Port Saint Lucie, FL 34952
Pinnacle Home Care Phone: (772) 335-7674 / Fax: Phone: (772) 468-7020 / Fax:
579 Northwest Lake Whitney (772) 335-5127 (772) 924-3231
Place
Suite 103
Port Saint Lucie, FL 34986
Phone: (772) 781-3006 / Fax:
(772) 781-3008

Visiting Nurse Association of


Indian River County, Inc.
1110 35th Lane
Vero Beach, FL 32960
Phone: (772) 567-5551 / Fax:
(772) 978-5585

180
Ultimate Health Plans St. Lucie January 2022

Occupational Therapy Home Oxygen Medical Premier Physical Therapy and


Equipment of Hernando Sports Medicine, Inc.
18735 Sakera Road 800 Virginia Avenue
Port Saint Lucie Hudson, FL 34667 Suite 48
Phone: (727) 861-5542 / Fax: Fort Pierce, FL 34982
(727) 861-5545 Phone: (772) 464-6424 / Fax:
CORA Physical Therapy - St. Lucie (772) 464-4324
West Kelmedix, Inc.
1707 Northwest St. Lucie 4646 Commerical Way
Boulevard Spring Hill, FL 34606 Port Saint Lucie
Suite 188 Phone: (352) 592-1063 / Fax:
Port Saint Lucie, FL 34986 (352) 592-1064
Phone: (772) 878-3322 / Fax: CORA Physical Therapy - St. Lucie
(772) 878-5030 Lincare, Inc. West
7965 Southwest Jack James Drive 1707 Northwest St. Lucie
Stuart, FL 34997 Boulevard
Phone: (772) 286-0085 / Fax: Suite 188
Optometry - Routine Vision (772) 286-1277 Port Saint Lucie, FL 34986
Providers Phone: (772) 878-3322 / Fax:
Lincare, Inc. (772) 878-5030
4007 US Highway 1
Statewide Vero Beach, FL 32960 Premier Physical Therapy and
Phone: (772) 567-0822 / Fax: Sports Medicine, Inc.
(772) 562-7992 519 Northwest Lake Whitney
Argus Vision Place
Toll Free Customer Service Perkins Medical Supply Suite 101
Phone: (800) 210-5511 4005 20th Street Port Saint Lucie, FL 34986
https:// argusdental.com /find-a- Vero Beach, FL 32960 Phone: (772) 621-9313 / Fax:
provider/ Phone: (772) 569-3797 / Fax: (772) 621-9358
(772) 567-1567
Premier Physical Therapy and
Oxygen Sports Medicine, Inc.
1400 Southeast Goldtree Drive
Physical Therapy Suite 205
AeroCare Port Saint Lucie, FL 34952
1701 Southeast Tiffany Avenue Phone: (772) 335-7966 / Fax:
Fort Pierce
Suite 104 (772) 335-7963
Port Saint Lucie, FL 34952
Phone: (772) 337-4326 / Fax: Premier Physical Therapy and
Advanced Physical Therapy &
(772) 335-3916 Sports Medicine, Inc.
Rehab, Inc.
4007 Southwest Port St Lucie
900 Virginia Avenue
Boulevard
Suite 2
Unit 6
Fort Pierce, FL 34982
Port Saint Lucie, FL 34953
Phone: (772) 466-9173 / Fax:
Phone: (772) 281-4722 / Fax:
(772) 466-9728
(772) 877-2532

181
Ultimate Health Plans St. Lucie January 2022

Prosthetics and Orthotics Port Saint Lucie

Statewide Treasure Coast Sleep Disorders


188 Northwest Central Park Plaza
Port Saint Lucie, FL 34986
Liberator Medical Supply, Inc. Phone: (772) 336-2770 / Fax:
2979 Southeast Gran Park Way (772) 232-9989
Stuart, FL 34997
Phone: (800) 536-2390 / Fax:
(800) 755-0843
Wound Care
Tampa Bay Prosthetics
5109 North Armenia Avenue
Tampa, FL 33603 Continuum, LLC
Phone: (813) 801-9110 / Fax: 7003 Valley Ranch Drive
(813) 801-9048 Little Rock, AZ 72223
Phone: (866) 217-9900 / Fax:
(866) 217-9998
Port Saint Lucie

Orthotic & Prosthetic Center of


Port St. Lucie
1781 Southeast Port St. Lucie
Boulevard
Port Saint Lucie, FL 34952
Phone: (772) 249-3033 / Fax:
(772) 448-8379

Sleep Studies

Statewide

Blackstone Medical Services, LLC


550 North Reo Street
Suite 250
Tampa, FL 33609
Phone: (888) 710-2727 / Fax:
(888) 239-4616

182
Ultimate Health Plans St. Lucie January 2022

Fl Comm Health Center-Fort Ft Pierce


Retail Pharmacy Pierce
1505 Delaware Ave
Fort Pierce, FL 34950 CVS Pharmacy #00111
Phone: (772) 462-6520 1891 N US Highway 1
Statewide Ft Pierce, FL 34946
Fort Pierce Discount Pharmacy, Phone: (772) 461-7049
Inc.
CVS Pharmacy* 1727 Okeechobee Rd CVS Pharmacy #03487
Phone: (800) 746-7287 Fort Pierce, FL 34950 2220 S US Hwy 1
https:// www.cvs.com /stores Phone: (772) 577-6469 Ft Pierce, FL 34950
Phone: (772) 464-0434
Publix Pharmacy* Healthcite Pharmacy
Phone: (800) 242-1227 4500 W Midway Rd Jackson Drugs Llc
https:// www.publix.com Fort Pierce, FL 34981 2301 Okeechobee Rd
/pharmacy Phone: (772) 742-2886 Ft Pierce, FL 34950
Phone: (772) 464-3784
Walgreens* Jaber's Pharmacy
Phone: (800) 925-4733 2210 Orange Ave Publix Pharmacy #0567
https:// www.walgreens.com Fort Pierce, FL 34950 2517 South Federal Highway
/storelocator/find.jsp Phone: (772) 742-8269 Ft Pierce, FL 34982
Phone: (772) 467-2188
Walmart* Publix Pharmacy #1682
Phone: (800) 966-6546 1851 N US Highway 1 Walgreens #10705
https:// www.walmart.com Fort Pierce, FL 34946 2592 S Jenkins Rd
/pharmacy Phone: (772) 448-5008 Ft Pierce, FL 34947
Phone: (772) 429-3174
Winn Dixie* Rite Care Pharmacy
Phone: (866) 946-6349 2215 S 25th St Walgreens #10741
https:// www.winndixie.com Fort Pierce, FL 34947 1603 South US 1
/pharmacy Phone: (772) 257-6663 Ft Pierce, FL 34950
Phone: (772) 466-6934
Royal Care Pharmacy
Fort Pierce 5045 Turnpike Feeder Rd Walgreens #4391
Fort Pierce, FL 34951 2501 Virginia Ave
Phone: (772) 713-9303 Ft Pierce, FL 34981
CVS Pharmacy #03689 Phone: (772) 595-3077
4999 S Federal Hwy Walmart Pharmacy 10-0973
Fort Pierce, FL 34982 5100 Okeechobee Road Walgreens #4727
Phone: (772) 464-3308 Fort Pierce, FL 34947 4950 S US Hwy 1
Phone: (772) 465-6601 Ft Pierce, FL 34982
CVS Pharmacy #05151 Phone: (772) 466-7106
4780 North Kings Hwy
Fort Pierce, FL 34951
Phone: (772) 489-2100

183
Ultimate Health Plans St. Lucie January 2022

Port Saint Lucie Sams Pharmacy 10-8150 Publix Pharmacy #0819


10900 S US Highway 1 5473 St James Drive
Port Saint Lucie, FL 34952 Port St Lucie, FL 34983
Aster Discount Pharmacy , Inc. Phone: (772) 335-3992 Phone: (772) 878-1526
718 SW Port St Lucie Blvd Unit 2
Port Saint Lucie, FL 34953 Walmart Pharmacy 10-5704 Publix Pharmacy #0855
Phone: (772) 777-2141 3045 SW Port St Lucie Blvd 7576 South US 1
Port Saint Lucie, FL 34953 Port St Lucie, FL 34952
Crosstown Pharmacy Phone: (772) 301-6124 Phone: (772) 336-9285
8701 S US Highway 1
Port Saint Lucie, FL 34952 Publix Pharmacy #1030
Phone: (772) 301-1095 Port St Lucie 10400 SW Village Center Drive
Port St Lucie, FL 34987
CVS Pharmacy #04041 Phone: (772) 345-9911
9801 US Hwy 1 Butterfield Pharmacy & Medical
Port Saint Lucie, FL 34952 Supplies Publix Pharmacy #1128
Phone: (772) 337-2553 1770 SE Hillmoor Dr 788 SE Becker Rd
Port St Lucie, FL 34952 Port St Lucie, FL 34984
CVS Pharmacy #04254 Phone: (772) 446-1100 Phone: (772) 336-5186
301 NE Prima Vista Blvd
Port Saint Lucie, FL 34983 CVS Pharmacy #05902 Publix Pharmacy #1284
Phone: (772) 340-3640 9197 S Federal Highway 3253 SW Port Saint Lucie Blvd.
Port St Lucie, FL 34952 Port St Lucie, FL 34953
CVS Pharmacy #05157 Phone: (772) 335-4668 Phone: (772) 873-2361
1300 SW St Lucie Blvd
Port Saint Lucie, FL 34986 CVS Pharmacy #07923 Publix Pharmacy #1378
Phone: (772) 878-7078 2873 SW Port St Lucie Blvd 1125 SE Port St. Lucie Blvd.
Port St Lucie, FL 34953 Port St Lucie, FL 34952
New Life Pharmacy & Medical Phone: (772) 344-1657 Phone: (772) 335-9465
Supply
11200 SW Village Pkwy Ste 100 CVS Pharmacy #17323 Publix Pharmacy #1737
Port Saint Lucie, FL 34987 10720 SW Village Pkwy 1537 NW St. Lucie West Blvd
Phone: (772) 877-1125 Port St Lucie, FL 34987 Port St Lucie, FL 34986
Phone: (772) 293-6153 Phone: (772) 340-4350
Publix Pharmacy #1472
9335 SW Commerce Centre Dr Eastport Pharmacy Sams Pharmacy 10-4972
Port Saint Lucie, FL 34986 8972 S Us.Hwy 1 1750 SW Gatlin Blvd
Phone: (772) 345-9505 Port St Lucie, FL 34952 Port St Lucie, FL 34953
Phone: (772) 800-7267 Phone: (772) 878-3022
Royal Care Pharmacy
378 SE Port St Lucie Blvd Floresta Pharmacy Tradition Pharmacy At Martin
Port Saint Lucie, FL 34984 1550 SE Floresta Dr Health
Phone: (772) 713-1244 Port St Lucie, FL 34983 10080 SW Innovation Way Suite
Phone: (772) 340-4142 102
Port St Lucie, FL 34987
Phone: (772) 345-8166

184
Ultimate Health Plans St. Lucie January 2022

Walgreens #12122 Walmart Pharmacy 10-3527


1954 SW Gatlin Blvd 1675 St. Lucie West Blvd
Port St Lucie, FL 34953 Port St Lucie, FL 34986
Phone: (772) 224-3020 Phone: (772) 873-1616

Walgreens #12302 Walmart Pharmacy 10-4260


9000 S US Hwy 1 1850 S.W. Gatlin Blvd
Port St Lucie, FL 34952 Port St Lucie, FL 34953
Phone: (772) 337-0112 Phone: (772) 336-8268

Walgreens #3110 Walmart Pharmacy 10-7299


692 SW Prima Vista Blvd 902 SW Saint Lucie West Blvd
Port St Lucie, FL 34983 Port St Lucie, FL 34986
Phone: (772) 879-0522 Phone: (772) 446-8743

Walgreens #4001 Winn Dixie


280 SW Port St Lucie Blvd 281 S W Port St Lucie Blvd
Port St Lucie, FL 34984 Port St Lucie, FL 34984
Phone: (772) 878-6353 Phone: (772) 879-1330

Walgreens #4804
1661 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone: (772) 873-1892

Walgreens #5335
7620 S US Highway 1
Port St Lucie, FL 34952
Phone: (772) 878-1505

Walgreens #5465
1025 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone: (772) 335-4200

Walgreens #6383
2901 SW Port St Lucie Blvd
Port St Lucie, FL 34953
Phone: (772) 336-3108

Walmart Pharmacy 10-0929


10855 S US Hwy 1
Port St Lucie, FL 34952
Phone: (772) 335-1557

185
Ultimate Health Plans St. Lucie January 2022

Mail Order
Pharmacy
Statewide

Optumrx
Phone: (855) 842-6337

TTY 711
24 hours a day / 7 day a week
You can get prescription drugs
shipped to your home through our
network mail order delivery program.
For refills of your mail order
prescriptions, you have the option to
sign up for an automatic refill
program. Under this program, we will
start to process your next refill
automatically when our records show
that you should be close to running
out of your drug. We will contact you
prior to shipping each refill to make
sure you are in need of more
medication. You can cancel
scheduled refills if you have enough
of your medication or if your
medication has changed. If you
choose not to use the auto refill
program, please contact us 14 days
before you think the drugs you have
on hand will run out to make sure
your next order is shipped to you in
time. To opt out of the automatic
refill program, please contact us by
calling 1 (855) 842-6337, 24 hours a
day, 7 days a week.
Typically, you should expect to
receive your prescription drugs
within 14 days from the time that the
mail order pharmacy receives the
order. If you do not receive your
prescription drug(s) within this time,
please contact us at 1 (855) 842-
6337.

186
Ultimate Health Plans St. Lucie January 2022

The Institute For Florida Pain


Home Infusion Specialists
3010 E 138th Ave Ste 100
Pharmacies Tampa, FL 33613
Phone: (813) 569-0794

Statewide Fort Pierce

All Care Pharmacy Royal Care Pharmacy


4728 N Habana Ave # 100a 5045 Turnpike Feeder Rd
Tampa, FL 33614 Fort Pierce, FL 34951
Phone: (813) 527-0765 Phone: (772) 713-9303

Bioscrip Infusion Services


5505 Johns Road, Suite 700 Port Saint Lucie
Tampa, FL 33634
Phone: (813) 549-5499
Royal Care Pharmacy
Coram Cvs/Specialty Infusion 378 SE Port St Lucie Blvd
Services Port Saint Lucie, FL 34984
8508 Benjamin Road, Suite C Phone: (772) 713-1244
Tampa, FL 33634
Phone: (813) 639-4500 Port St Lucie
Dedicated Senior Medical Center
West Tampa
All Med Pharmacy
9501 Anderson Road
1044 SE Port St Lucie Blvd
Tampa, FL 33634
Port St Lucie, FL 34952
Phone: (813) 413-7333
Phone: (772) 281-2731
Heart Of Florida Health Center
5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksvile, FL 33604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

187
Ultimate Health Plans St. Lucie January 2022

Omnicare Of Tampa Butterfield Ips


Long Term Care 8603 Florida Mining Boulevard
Tampa, FL 33634
1770 SE Hillmoor Dr
Port St Lucie, FL 34952
Pharmacies Phone: (813) 247-9225 Phone: (772) 446-1100

The Institute For Florida Pain Crosstown Pharmacy


Specialists 8701 S US Highway 1
Statewide 3010 E 138th Ave Ste 100 Port St Lucie, FL 34952
Tampa, FL 33613 Phone: (772) 301-1095
Phone: (813) 569-0794
Alpha Touch Pharmacy Eastport Pharmacy
10071 Pines Blvd Ste D 8972 S Us.Hwy 1
Pembroke Pines, FL 33024 Fort Pierce Port St Lucie, FL 34952
Phone: (954) 435-5200 Phone: (772) 800-7267

Blake Pharmacy Healthcite Pharmacy New Life Pharmacy & Medical


5628-5632 Trouble Creek Road 4500 W Midway Rd Supply
New Port Richey, FL 34652 Suite 105 11200 SW Village Pkwy Ste 100
Phone: (727) 846-7600 Fort Pierce, FL 34981 Port St Lucie, FL 34987
Phone: (772) 742-2886 Phone: (772) 877-1125
Careone Pharmacy Services
Sanford Royal Care Pharmacy
1455 E Airport Blvd 5045 Turnpike Feeder Rd
Sanford, FL 32773 Fort Pierce, FL 34951
Phone: (855) 822-7366 Phone: (772) 713-9303

Dedicated Senior Medical Center


West Tampa Port Saint Lucie
9501 Anderson Road
Tampa, FL 33634
Royal Care Pharmacy
Phone: (813) 413-7333
378 SE Port St Lucie Blvd
Heart Of Florida Health Center Port Saint Lucie, FL 34984
5051 SE 110th St Phone: (772) 713-1244
Belleview, FL 34420
Phone: (352) 480-5797 Port St Lucie
Jrc Compounding
18114 Powell Road
All Med Pharmacy
Brooksville, FL 34604
1044 SE Port St Lucie Blvd
Phone: (352) 345-4849
Port St Lucie, FL 34952
Lake Seminole Pharmacy Ltc Phone: (772) 281-2731
9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

188
Ultimate Health Plans Sumter January 2022

Lief, Harrison M., MD Sumterville


Primary Care Premier Medical Associates
Internal Medicine
Grajales, Olga R., MD
Physicians 1225 West County Road 48
Bushnell, FL 33513 Langley Health Services
Phone: (352) 259-2159 / Fax: Family Practice
(352) 259-5731 1389 South US Highway 301
Bushnell Gender: Male Sumterville, FL 33585
Language(s): Spanish Phone: (352) 793-5900 / Fax:
ID #: 200000036545 (855) 767-2558
Clark, Lowell F., MD Accepting new patients: Yes Gender: Female
The Clark Clinic, Inc. Language(s): Spanish
Internal Medicine Ramirez-Ramirez, Carlos R., MD ID #: 200000036540
212 South Florida Street Premier Medical Associates Accepting new patients: Yes
Bushnell, FL 33513 Internal Medicine
Phone: (352) 793-2441 / Fax: 1225 West County Road 48
(352) 793-3282 Bushnell, FL 33513 The Villages
Gender: Male Phone: (352) 259-2159 / Fax:
ID #: 200000020898 (352) 259-5731
Accepting new patients: Yes Alexander, Brooke E., DO
Gender: Male
Premier Medical Associates
ID #: 200000027516
Dstteffano, Daniel D., MD Family Practice
Accepting new patients: Yes
The Clark Clinic, Inc. 1580 Santa Barbara Boulevard
General Practice Rosado-Larroy, Delvy, MD The Villages, FL 32159
212 South Florida Street Premier Medical Associates Phone: (352) 259-2159 / Fax:
Bushnell, FL 33513 General Practice (352) 259-5731
Phone: (352) 793-2441 / Fax: 1225 West County Road 48 Gender: Female
(352) 793-3282 Bushnell, FL 33513 Language(s): Spanish
Gender: Male Phone: (352) 259-2159 / Fax: ID #: 200000026959
Language(s): Spanish (352) 259-5731 Accepting new patients: Yes
ID #: 200000021605 Gender: Female
Accepting new patients: Yes Alexander, Brooke E., DO
ID #: 200000026725
Premier Medical Associates
Accepting new patients: Yes
Eichelbaum, Ehrentraud J., MD Family Practice
The Clark Clinic, Inc. 910 Old Camp Road
General Practice Suite 130
212 South Florida Street The Villages, FL 32162
Bushnell, FL 33513 Phone: (352) 259-2159 / Fax:
Phone: (352) 793-2441 / Fax: (352) 259-5731
(352) 793-3282 Gender: Female
Gender: Female Language(s): Spanish
Language(s): Spanish ID #: 200000026959
ID #: 200000021707 Accepting new patients: Yes
Accepting new patients: Yes

189
Ultimate Health Plans Sumter January 2022

Aung, Ma T., MD Boor, Paul E., MD Cheema, Tasneem A., MD


Lakeview Internal Medicine, PA Premier Medical Associates Lakeview Internal Medicine, PA
Internal Medicine Family Practice Internal Medicine
910 Old Camp Road 910 Old Camp Road 1950 Laurel Manor Drive
Building 200 Suite 130 Building 150
The Villages, FL 32162 The Villages, FL 32162 The Villages, FL 32162
Phone: (352) 775-4868 / Fax: Phone: (352) 259-2159 / Fax: Phone: (352) 633-5282 / Fax:
(352) 775-4867 (352) 259-5731 (352) 633-5284
Gender: Female Gender: Male Gender: Female
Language(s): Burmese ID #: 200000026960 Language(s): Punjabi, Urdu
ID #: 200000022430 Accepting new patients: Yes ID #: 200000022451
Accepting new patients: Yes Accepting new patients: Yes
Chang, Khai S., MD
Aung, Ma T., MD Lakeview Internal Medicine, PA Choudhry, Amad, MD
Lakeview Internal Medicine, PA Internal Medicine Premier Medical Associates
Internal Medicine 910 Old Camp Road Internal Medicine
1950 Laurel Manor Drive Building 200 1580 Santa Barbara Boulevard
Building 150 The Villages, FL 32162 The Villages, FL 32159
The Villages, FL 32162 Phone: (352) 775-4868 / Fax: Phone: (352) 259-2159 / Fax:
Phone: (352) 633-5282 / Fax: (352) 775-4867 (352) 259-5731
(352) 633-5284 Gender: Male Gender: Male
Gender: Female Language(s): Chinese, Hindi ID #: 200000036544
Language(s): Burmese ID #: 200000022442 Accepting new patients: Yes
ID #: 200000022430 Accepting new patients: Yes
Accepting new patients: Yes Etemadnia, Amir H., MD
Cheema, Shahbaz A., MD Premier Medical Associates
Bajwa, Usman K., MD Lakeview Internal Medicine, PA Internal Medicine
Aegis Medical Group, LLC Internal Medicine 910 Old Camp Road
Internal Medicine 1950 Laurel Manor Drive Suite 130
8491 Southeast 165th Mulberry Building 150 The Villages, FL 32162
Lane The Villages, FL 32162 Phone: (352) 259-2159 / Fax:
The Villages, FL 32162 Phone: (352) 633-5282 / Fax: (352) 259-5731
Phone: (352) 775-1261 / Fax: (352) 633-5284 Gender: Male
(352) 775-1262 Gender: Male Language(s): Farsi
Gender: Male Language(s): Punjabi, Urdu ID #: 200000026706
Language(s): Hindi, Punjabi, Urdu ID #: 200000022443 Accepting new patients: Yes
ID #: 200000035333 Accepting new patients: Yes
Accepting new patients: Yes

190
Ultimate Health Plans Sumter January 2022

Fischer, Stephen E., MD Gutierrez, Gil F., MD Ibrahim, Ramy, MD


VIPCare VIPCare Premier Medical Associates
Internal Medicine Internal Medicine Internal Medicine
1400 North US Highway 441 1950 Laurel Manor Drive 910 Old Camp Road
Suite 912 Building 210 Suite 130
The Villages, FL 32159 The Villages, FL 32162 The Villages, FL 32162
Phone: (352) 750-1277 / Fax: Phone: (352) 350-8800 / Fax: Phone: (352) 259-2159 / Fax:
(844) 388-6186 (844) 388-6186 (352) 259-5731
Gender: Male Gender: Male Gender: Male
ID #: 200000026700 Language(s): Spanish, Tagalog ID #: 200000010828
Accepting new patients: Yes ID #: 200000016121 Accepting new patients: Yes
Accepting new patients: Yes
Ghali, Randa, MD Khanna, Dinesh, MD
Lakeview Internal Medicine, PA Hsu, Stephen I., MD Premier Medical Associates
Internal Medicine Premier Medical Associates Internal Medicine
910 Old Camp Road Internal Medicine 1580 Santa Barbara Boulevard
Building 200 910 Old Camp Road The Villages, FL 32159
The Villages, FL 32162 Suite 130 Phone: (352) 259-2159 / Fax:
Phone: (352) 775-4868 / Fax: The Villages, FL 32162 (352) 259-5731
(352) 775-4867 Phone: (352) 259-2159 / Fax: Gender: Male
Gender: Female (352) 259-5731 Language(s): Hindi, Urdu
ID #: 200000022452 Gender: Male ID #: 200000026708
Accepting new patients: Yes ID #: 200000026707 Accepting new patients: Yes
Accepting new patients: Yes
Gitte Acosta, Sara I., MD Lief, Harrison M., MD
Lakeview Internal Medicine, PA Ibrahim, Ramy, MD Premier Medical Associates
Internal Medicine Premier Medical Associates Internal Medicine
1950 Laurel Manor Drive Internal Medicine 1580 Santa Barbara Boulevard
Building 150 1580 Santa Barbara Boulevard The Villages, FL 32159
The Villages, FL 32162 The Villages, FL 32159 Phone: (352) 259-2159 / Fax:
Phone: (352) 633-5282 / Fax: Phone: (352) 259-2159 / Fax: (352) 259-5731
(352) 633-5284 (352) 259-5731 Gender: Male
Gender: Female Gender: Male Language(s): Spanish
ID #: 200000004657 ID #: 200000010828 ID #: 200000036545
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

191
Ultimate Health Plans Sumter January 2022

Madarang, Melchor E., MD Malik, Seemab N., MD Ruiz Llanes, Jorge, MD


Premier Medical Associates Premier Medical Associates Premier Medical Associates
Internal Medicine Internal Medicine Internal Medicine
1580 Santa Barbara Boulevard 910 Old Camp Road 1580 Santa Barbara Boulevard
The Villages, FL 32159 Suite 130 The Villages, FL 32159
Phone: (352) 259-2159 / Fax: The Villages, FL 32162 Phone: (352) 259-2159 / Fax:
(352) 259-5731 Phone: (352) 259-2159 / Fax: (352) 259-5731
Gender: Male (352) 259-5731 Gender: Male
Language(s): Spanish, Tagalog Gender: Female Language(s): Spanish
ID #: 200000019379 ID #: 200000026714 ID #: 200000036548
Accepting new patients: Yes Accepting new patients: Yes Accepting new patients: Yes

Madarang, Melchor E., MD Pugh, Darrell L., MD Shah, Sanjay B., MD


Premier Medical Associates VIPCare Premier Medical Associates
Internal Medicine Family Practice Internal Medicine
910 Old Camp Road 1950 Laurel Manor Drive 1580 Santa Barbara Boulevard
Suite 130 Building 210 The Villages, FL 32159
The Villages, FL 32162 The Villages, FL 32162 Phone: (352) 259-2159 / Fax:
Phone: (352) 259-2159 / Fax: Phone: (352) 350-8800 / Fax: (352) 259-5731
(352) 259-5731 (844) 388-6186 Gender: Male
Gender: Male Gender: Male Language(s): Gujarati
Language(s): Spanish, Tagalog ID #: 200000016295 ID #: 200000026732
ID #: 200000019379 Accepting new patients: Yes Accepting new patients: Yes
Accepting new patients: Yes
Ramirez-Ramirez, Carlos R., MD Shah, Sanjay B., MD
Malik, Seemab N., MD Premier Medical Associates Premier Medical Associates
Premier Medical Associates Internal Medicine Internal Medicine
Internal Medicine 910 Old Camp Road 910 Old Camp Road
1580 Santa Barbara Boulevard Suite 130 Suite 130
The Villages, FL 32159 The Villages, FL 32162 The Villages, FL 32162
Phone: (352) 259-2159 / Fax: Phone: (352) 259-2159 / Fax: Phone: (352) 259-2159 / Fax:
(352) 259-5731 (352) 259-5731 (352) 259-5731
Gender: Female Gender: Male Gender: Male
ID #: 200000026714 ID #: 200000027516 Language(s): Gujarati
Accepting new patients: Yes Accepting new patients: Yes ID #: 200000026732
Accepting new patients: Yes
Reddy, Srinivas R., MD
Lake Point Medical Associates
Internal Medicine
3375 Wedgewood Lane
The Villages, FL 32162
Phone: (352) 753-5522 / Fax:
(352) 753-5541
Gender: Male
ID #: 200000023608
Accepting new patients: Yes

192
Ultimate Health Plans Sumter January 2022

Shah, Sundeep, MD Garcia, Yalieski, MD


Premier Medical Associates Aegis Medical Group, LLC
Internal Medicine General Practice
1580 Santa Barbara Boulevard 3990 East State Road 44
The Villages, FL 32159 Suite 107
Phone: (352) 259-2159 / Fax: Wildwood, FL 34785
(352) 259-5731 Phone: (352) 775-6428 / Fax:
Gender: Male (352) 633-1614
Language(s): French, Gujarati Gender: Male
ID #: 200000026733 Language(s): Spanish
Accepting new patients: Yes ID #: 200000021944
Accepting new patients: Yes

Wildwood Rosado-Larroy, Delvy, MD


Premier Medical Associates
General Practice
Banala, Dwaraknadh R., MD 480 West Gulf Atlantic Highway
Florida Internal Medicine Suite C
Internal Medicine Wildwood, FL 34785
1305 Cleveland Avenue Phone: (352) 259-2159 / Fax:
Wildwood, FL 34785 (352) 259-5731
Phone: (352) 365-0099 / Fax: Gender: Female
(352) 315-0578 ID #: 200000026725
Gender: Male Accepting new patients: Yes
Language(s): Hindi, Urdu
ID #: 200000020775
Accepting new patients: Yes

Garcia, Yalieski, MD
Aegis Medical Group, LLC
General Practice
3990 East State Road 44
Suite 107
Wildwood, FL 34785
Phone: (352) 775-6428 / Fax:
(352) 633-1614
Gender: Male
Language(s): Spanish
ID #: 200000021944
Accepting new patients: No

193
Ultimate Health Plans Sumter January 2022

Cardiology Balulad, Sujata S., MD


Specialists Premier Specialty Alliance, Inc.
1580 Santa Barbara Boulevard
Lady Lake The Villages, FL 32159
Phone: (352) 259-2159 / Fax:
(352) 259-5731
Allergy / Immunology Acevedo, Celso, MD Gender: Female
Robert Feldman, MD, PA ID #: 200000027376
8550 Northeast 138th Lane
The Villages Suite 403 Das, Chandranath L., MD
Lady Lake, FL 32159 Citrus Cardiology Consultants, PA
Phone: (352) 354-9000 / Fax: 1400 North US Highway 441
Shen, Thomas J., MD
(352) 620-0255 Suite 914
Allergy, Asthma and Immunology
Gender: Male The Villages, FL 32159
Center, Inc.
Language(s): Hebrew, Spanish, Phone: (352) 622-7008 / Fax:
910 Old Camp Road
Hindi (352) 622-4072
Suite 152
ID #: 200000009507 Gender: Male
The Villages, FL 32162
Language(s): Hindi
Phone: (352) 391-1437 / Fax:
ID #: 200000010857
(352) 391-1457 The Villages
Gender: Male Garcia, Hector L., MD
ID #: 200000016321 Citrus Cardiology Consultants, PA
Alvarez Torres, Nitza I., MD 1501 North US Highway 441
Tri-County Heart Institute, PA Building 1000, Suite 1002
1400 North US Highway 441 The Villages, FL 32159
Behavioral Health Providers
Suite 537 Phone: (352) 259-4460 / Fax:
The Villages, FL 32159 (352) 391-1528
Phone: (352) 504-3500 / Fax: Gender: Male
Beacon Health Options
(352) 504-3388 Language(s): Spanish
Phone: (800) 627-1259
Gender: Female ID #: 200000017038
https://
Language(s): Spanish
www.beaconhealthoptions.com
ID #: 200000020976 Garcia, Hector L., MD
/find-a-provider/
Citrus Cardiology Consultants, PA
Attanti, Srinivas, MD 910 Old Camp Road
Citrus Cardiology Consultants, PA Building 210
910 Old Camp Road The Villages, FL 32162
Building 210 Phone: (352) 751-3356 / Fax:
The Villages, FL 32162 (352) 751-3359
Phone: (352) 751-3356 / Fax: Gender: Male
(352) 751-3359 Language(s): Spanish
Gender: Male ID #: 200000017038
Language(s): Hindi, Kannada
ID #: 200000007756

194
Ultimate Health Plans Sumter January 2022

Gonzalez, Javier M., MD Prashad, Rakesh, MD Uche, Eze D., MD


Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA
910 Old Camp Road 1400 North US Highway 441 910 Old Camp Road
Building 210 Suite 914 Building 210
The Villages, FL 32162 The Villages, FL 32159 The Villages, FL 32162
Phone: (352) 751-3356 / Fax: Phone: (352) 622-7008 / Fax: Phone: (352) 751-3356 / Fax:
(352) 751-3359 (352) 622-4072 (352) 751-3359
Gender: Male Gender: Male Gender: Male
Language(s): Spanish ID #: 200000011297 ID #: 200000002902
ID #: 200000002704
Rivero, Abel, MD Veligandla, Himachala R., MD
Miryala, Vinod R., MD Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA
Citrus Cardiology Consultants, PA 910 Old Camp Road 1400 North US Highway 441
910 Old Camp Road Building 210 Suite 914
Building 210 The Villages, FL 32162 The Villages, FL 32159
The Villages, FL 32162 Phone: (352) 751-3356 / Fax: Phone: (352) 622-7008 / Fax:
Phone: (352) 751-3356 / Fax: (352) 751-3359 (352) 622-4072
(352) 751-3359 Gender: Male Gender: Male
Gender: Male Language(s): Spanish ID #: 200000017357
ID #: 200000002701 ID #: 200000002697

Negron Marrero, Roberto L., MD Rothschild, Mark A., MD Wildwood


Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA
1501 North US Highway 441 910 Old Camp Road
Building 1000, Suite 1002 Building 210 Barad, Bhavesh B., MD
The Villages, FL 32159 The Villages, FL 32162 Citrus Cardiology Consultants, PA
Phone: (352) 259-4460 / Fax: Phone: (352) 751-3356 / Fax: 5575 East State Road 44
(352) 391-1528 (352) 751-3359 Wildwood, FL 34785
Gender: Male Gender: Male Phone: (352) 571-4418 / Fax:
Language(s): Spanish ID #: 200000012124 (352) 661-3905
ID #: 200000017306 Gender: Male
Saluck, Brian H., DO Language(s): Gujarati, Hindi
Nerella, Nishant K., MD Citrus Cardiology Consultants, PA ID #: 200000018165
Citrus Cardiology Consultants, PA 910 Old Camp Road
910 Old Camp Road Building 210 Garcia, Hector L., MD
Building 210 The Villages, FL 32162 Citrus Cardiology Consultants, PA
The Villages, FL 32162 Phone: (352) 751-3356 / Fax: 5575 East State Road 44
Phone: (352) 751-3356 / Fax: (352) 751-3359 Wildwood, FL 34785
(352) 751-3359 Gender: Male Phone: (352) 571-4418 / Fax:
Gender: Male ID #: 200000002696 (352) 661-3905
ID #: 200000002700 Gender: Male
Language(s): Spanish
ID #: 200000017038

195
Ultimate Health Plans Sumter January 2022

Goel, Satish R., MD Rothschild, Mark A., MD Taylor, Daniel S., DC


Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA Compton Chiropractic Care, LLC
5575 East State Road 44 5575 East State Road 44 11974 Country Road 101
Wildwood, FL 34785 Wildwood, FL 34785 Suite 101
Phone: (352) 571-4418 / Fax: Phone: (352) 571-4418 / Fax: The Villages, FL 32162
(352) 661-3905 (352) 661-3905 Phone: (352) 391-9467 / Fax:
Gender: Male Gender: Male (352) 391-9468
ID #: 200000018695 ID #: 200000012124 Gender: Male
ID #: 200000021460
Gonzalez, Javier M., MD Saluck, Brian H., DO
Citrus Cardiology Consultants, PA Citrus Cardiology Consultants, PA Thomas, Katie L., DC
5575 East State Road 44 5575 East State Road 44 Compton Chiropractic Care, LLC
Wildwood, FL 34785 Wildwood, FL 34785 11974 Country Road 101
Phone: (352) 571-4418 / Fax: Phone: (352) 571-4418 / Fax: Suite 101
(352) 661-3905 (352) 661-3905 The Villages, FL 32162
Gender: Male Gender: Male Phone: (352) 391-9467 / Fax:
Language(s): Spanish ID #: 200000002696 (352) 391-9468
ID #: 200000002704 Gender: Female
Uche, Eze D., MD ID #: 200000026425
Miryala, Vinod R., MD Citrus Cardiology Consultants, PA
Citrus Cardiology Consultants, PA 5575 East State Road 44
5575 East State Road 44 Wildwood, FL 34785 Wildwood
Wildwood, FL 34785 Phone: (352) 571-4418 / Fax:
Phone: (352) 571-4418 / Fax: (352) 661-3905
(352) 661-3905 Gender: Male Kuhn, David M., DC
Gender: Male ID #: 200000002902 David M. Kuhn, DC
ID #: 200000002701 112 South Main Street
Wildwood, FL 34785
Pasupuleti, Suman, MD Phone: (352) 748-1125 / Fax:
Citrus Cardiology Consultants, PA Chiropractic (352) 748-0412
5575 East State Road 44 Gender: Male
Wildwood, FL 34785 ID #: 200000008952
The Villages
Phone: (352) 571-4418 / Fax:
(352) 661-3905
Gender: Male Compton, Brett C., DC
ID #: 200000002698 Compton Chiropractic Care, LLC
11974 Country Road 101
Rivero, Abel, MD
Suite 101
Citrus Cardiology Consultants, PA
The Villages, FL 32162
5575 East State Road 44
Phone: (352) 391-9467 / Fax:
Wildwood, FL 34785
(352) 391-9468
Phone: (352) 571-4418 / Fax:
Gender: Male
(352) 661-3905
ID #: 200000021459
Gender: Male
Language(s): Spanish
ID #: 200000002697

196
Ultimate Health Plans Sumter January 2022

Critical Care Bolton, Joanna G., MD Eubanks, Stephen W., MD


Alliant Dermatology, PA Advanced Dermatology and
1050 Old Camp Road Cosmetic Surgery
The Villages Building 150 910 Old Camp Road
The Villages, FL 32162 Suite 166
Phone: (352) 399-7295 / Fax: The Villages, FL 32162
Narain, Shakti, MD (352) 399-7294 Phone: (352) 205-4959 / Fax:
Shakti Narain, MD, PA Gender: Female (352) 205-4957
1501 North US Highway 441 ID #: 200000025967 Gender: Male
Suite 1836, Building 1800 ID #: 200000016299
The Villages, FL 32159 Casper, David J., MD
Phone: (352) 365-2550 Alliant Dermatology, PA Eubanks, Stephen W., MD
Gender: Male 340 Heald Way Advanced Dermatology and
Language(s): Hindi, Punjabi Suite 216 Cosmetic Surgery
ID #: 200000020985 The Villages, FL 32163 3614 Kiessel Road
Phone: (352) 399-7295 / Fax: The Villages, FL 32163
(352) 399-7294 Phone: (352) 571-7000 / Fax:
Gender: Male (352) 877-3354
Dermatology
ID #: 200000025968 Gender: Male
ID #: 200000016299
Casper, David J., MD
The Villages
Alliant Dermatology, PA Glass, Lewis F., MD
8620 East County Road 466 Alliant Dermatology, PA
Bibliowicz, Nathan, DO The Villages, FL 32162 8620 East County Road 466
Advanced Dermatology and Phone: (352) 399-7295 / Fax: The Villages, FL 32162
Cosmetic Surgery (352) 399-7294 Phone: (352) 399-7295 / Fax:
910 Old Camp Road Gender: Male (352) 399-7294
Suite 166 ID #: 200000025968 Gender: Male
The Villages, FL 32162 ID #: 200000025995
Casper, David J., MD
Phone: (352) 205-4959 / Fax:
Alliant Dermatology, PA Leavitt, Matt L., DO
(352) 205-4957
1050 Old Camp Road Advanced Dermatology and
Gender: Male
Building 150 Cosmetic Surgery
ID #: 200000035699
The Villages, FL 32162 910 Old Camp Road
Bibliowicz, Nathan, DO Phone: (352) 399-7295 / Fax: Suite 166
Advanced Dermatology and (352) 399-7294 The Villages, FL 32162
Cosmetic Surgery Gender: Male Phone: (352) 205-4959 / Fax:
1503 Buenos Aires Boulevard ID #: 200000025968 (352) 205-4957
Building 100 Gender: Male
The Villages, FL 32162 Language(s): French, Spanish
Phone: (352) 753-2812 / Fax: ID #: 200000024883
(352) 753-5037
Gender: Male
ID #: 200000035699

197
Ultimate Health Plans Sumter January 2022

Macinnis, Colleen R., MD Ramirez, Raymond J., DO Endocrinology


MacInnis Dermatology Advanced Dermatology and
1950 Laurel Manor Drive Cosmetic Surgery
Suite 124 910 Old Camp Road The Villages
The Villages, FL 32162 Suite 166
Phone: (352) 350-5230 / Fax: The Villages, FL 32162
(866) 539-7193 Phone: (352) 205-4959 / Fax: Banda, Madhusudhan R., MD
Gender: Female (352) 205-4957 Premier Specialty Alliance, Inc.
ID #: 200000028036 Gender: Male 1580 Santa Barbara Boulevard
ID #: 200000022498 The Villages, FL 32159
Moorhead Dovre, Christine E., Phone: (352) 259-2159 / Fax:
MD Ramirez, Raymond J., DO (352) 259-5731
Advanced Dermatology and Advanced Dermatology and Gender: Male
Cosmetic Surgery Cosmetic Surgery ID #: 200000027597
1503 Buenos Aires Boulevard 1503 Buenos Aires Boulevard
Building 100 Building 100 Banda, Madhusudhan R., MD
The Villages, FL 32162 The Villages, FL 32162 Premier Specialty Alliance, Inc.
Phone: (352) 753-2812 / Fax: Phone: (352) 753-2812 / Fax: 910 Old Camp Road
(352) 753-5037 (352) 753-5037 The Villages, FL 32162
Gender: Female Gender: Male Phone: (352) 259-2159 / Fax:
ID #: 200000016484 ID #: 200000022498 (352) 259-5731
Gender: Male
Ramirez, Raymond J., DO Shaath, Tarek S., MD ID #: 200000027597
Advanced Dermatology and Care Dermatology and Skin Cancer
Cosmetic Surgery Centers Tandon, Prabhat K., MD
3614 Kiessel Road 1040 Lake Sumter Landing Lakeview Internal Medicine, PA
The Villages, FL 32163 The Villages, FL 32162 910 Old Camp Road
Phone: (352) 571-7000 / Fax: Phone: (352) 218-3211 / Fax: Building 200
(352) 877-3354 (877) 699-3709 The Villages, FL 32162
Gender: Male Gender: Male Phone: (352) 775-4868 / Fax:
ID #: 200000022498 Language(s): Arabic (352) 775-4867
ID #: 200000025175 Gender: Male
Ramirez, Raymond J., DO Language(s): Punjabi
Advanced Dermatology and ID #: 200000021371
Cosmetic Surgery
280 Farner Place
The Villages, FL 32163
Phone: (352) 674-1710 / Fax:
(352) 674-8910
Gender: Male
ID #: 200000022498

198
Ultimate Health Plans Sumter January 2022

Female Pelvic Medicine and Gabriel, Nehme, MD General Surgery


Reconstructive Surgery Gastroenterology and Nutrition of
Central Florida, LLC
8550 Northeast 138th Lane The Villages
Wildwood Building 100
The Villages, FL 32159
Phone: (352) 315-4111 / Fax: Hart, Hugo V., MD
NUWA World (352) 315-4112 Vascular Center of Orlando, PA
9580 North US Highway 301 Gender: Male 910 Old Camp Road
Wildwood, FL 34785 Language(s): Arabic, French Suite 162
Phone: (352) 633-0703 / Fax: ID #: 200000023260 The Villages, FL 32162
(352) 399-2168 Phone: (352) 750-6191 / Fax:
ID #: 200000021364 (352) 750-0196
Wildwood Gender: Male
Language(s): Spanish
Gastroenterology Baskar, Soundarapandian, MD Kent, Mark G., MD
Lake Gastroenterology Associates, UF Health Central Florida Medical
LLC Group
The Villages 1305 Cleveland Avenue 1400 North US Highway 441
Wildwood, FL 34785 Suite 526
Phone: (352) 383-5200 / Fax: The Villages, FL 32159
Baskar, Soundarapandian, MD
(352) 383-3534 Phone: (352) 751-8960 / Fax:
Lake Gastroenterology Associates,
Gender: Male (352) 728-7805
LLC
Language(s): Tamil Gender: Male
910 Old Camp Road
ID #: 200000023766 ID #: 200000020210
Suite 152
The Villages, FL 32162 Gabriel, Nehme, MD
Phone: (352) 383-5200 / Fax: Gastroenterology and Nutrition of
(352) 383-3534 Central Florida, LLC Neurology
Gender: Male 4669 East State Road 44
Language(s): Tamil Wildwood, FL 34785
ID #: 200000023766 Phone: (352) 315-4111 / Fax: Statewide
(352) 315-4112
Borade, Rajesambhaji S., MD
Gender: Male
Gastroenterology and Nutrition of Burry, Matthew, MD
Language(s): Arabic, French
Central Florida, LLC The Neurohealth Sciences Center,
ID #: 200000023260
8550 Northeast 138th Lane LLC
Building 100 8400 Red Bug Lake Road
The Villages, FL 32159 Suite 1010
Phone: (352) 315-4111 / Fax: Ovideo, FL 32765
(352) 315-4112 Phone: (407) 833-7505 / Fax:
Gender: Male (407) 833-7509
ID #: 200000023261 Gender: Male
ID #: 200000022908

199
Ultimate Health Plans Sumter January 2022

The Villages Ophthalmology Moak III, Joseph S., MD


Lake ENT & FPS, PA
1501 North US Highway 441
Garbee, Michael A., MD Statewide Suite 1402
Lakeview Internal Medicine, PA The Villages, FL 32159
910 Old Camp Road Phone: (352) 753-8448 / Fax:
Building 200 Argus Vision (352) 787-7401
The Villages, FL 32162 Phone: (800) 210-5511 Gender: Male
Phone: (352) 775-4868 / Fax: https:// argusdental.com /find-a- ID #: 200000020836
(352) 775-4867 provider/
Gender: Male Vaught, Sammy D., MD
ID #: 200000022672 Lake ENT & FPS, PA
1501 North US Highway 441
Lobar, Bruce I., MD Oral & Maxillofacial surgery
Suite 1402
Premier Specialty Alliance, Inc. The Villages, FL 32159
1580 Santa Barbara Boulevard Phone: (352) 753-8448 / Fax:
Statewide
The Villages, FL 32159 (352) 787-7401
Phone: (352) 259-2159 / Fax: Gender: Male
(352) 259-5731 Argus Dental ID #: 200000020837
Gender: Male Phone: (800) 340-8869
ID #: 200000035614 https:// argusdental.com /find-a-
provider/ Pain Management

Obstetrics / Gynecology
Otolaryngology The Villages

Wildwood
The Villages Alger, Patrick W., MD
Arbor Medical Group, PLLC
Nwaubani, Uzoma K., MD 1950 Laurel Manor Drive
NUWA World Milstead, Judith C., MD Suite 206
9580 North US Highway 301 Lake ENT & FPS, PA The Villages, FL 32162
Wildwood, FL 34785 1501 North US Highway 441 Phone: (352) 205-8812 / Fax:
Phone: (352) 633-0703 / Fax: Suite 1402 (352) 205-8184
(352) 399-2168 The Villages, FL 32159 Gender: Male
Gender: Female Phone: (352) 753-8448 / Fax: ID #: 200000023558
Language(s): Afrikaans (352) 787-7401
ID #: 200000021364 Gender: Female Johnson, Versan S., MD
ID #: 200000020978 Premier Specialty Alliance, Inc.
1580 Santa Barbara Boulevard
The Villages, FL 32159
Phone: (352) 259-2159 / Fax:
(352) 259-5731
Gender: Female
ID #: 200000027596

200
Ultimate Health Plans Sumter January 2022

Johnson, Versan S., MD Ahumada, Leonik A., MD Rogers, James H., MD


Premier Specialty Alliance, Inc. Villages Plastic Surgery Aesthetic Center for Cosmetic &
910 Old Camp Road 11950 County Road 101 Reconstructive Surgery
The Villages, FL 32162 Suite 205 11950 Country Road 101
Phone: (352) 259-2159 / Fax: The Villages, FL 32162 Dana Center
(352) 259-5731 Phone: (352) 629-8154 / Fax: The Villages, FL 32162
Gender: Female (352) 629-5231 Phone: (352) 629-8154 / Fax:
ID #: 200000027596 Gender: Male (352) 629-5231
Language(s): Spanish Gender: Male
ID #: 200000023497 ID #: 200000023498
Physical Medicine and Burton, Michael E., MD
Rehabilitation Advanced Dermatology and
Cosmetic Surgery Podiatry
910 Old Camp Road
The Villages
Suite 166
The Villages
The Villages, FL 32162
Sharma, Anuj, DO Phone: (352) 205-4959 / Fax:
Sharma Institute of Pain Medicine (352) 205-4957 Jamwant, Varendra, DPM
1501 North US Highway 441 Gender: Male Arbor Medical Group, PLLC
Suite 1104 ID #: 200000005547 1950 Laurel Manor Drive
The Villages, FL 32159 Suite 206
Carreras-Montgomery, Jennel M.,
Phone: (352) 433-0085 / Fax: The Villages, FL 32162
MD
(866) 509-3414 Phone: (352) 205-8812 / Fax:
Villages Plastic Surgery
Gender: Male (352) 205-8184
11950 County Road 101
ID #: 200000009002 Gender: Male
Suite 205
ID #: 200000023562
The Villages, FL 32162
Phone: (352) 629-8154 / Fax:
Plastic & Reconstructive Surgery (352) 629-5231
Gender: Female Pulmonology
ID #: 200000023837
The Villages
Nijher, Navinderdeep S., MD The Villages
Aesthetic Center for Cosmetic &
Ahumada, Leonik A., MD Reconstructive Surgery
Alliant Dermatology, PA 11950 Country Road 101 Narain, Shakti, MD
8620 East County Road 466 Dana Center Shakti Narain, MD, PA
The Villages, FL 32162 The Villages, FL 32162 1501 North US Highway 441
Phone: (352) 399-7295 / Fax: Phone: (352) 629-8154 / Fax: Suite 1836, Building 1800
(352) 399-7294 (352) 629-5231 The Villages, FL 32159
Gender: Male Gender: Male Phone: (352) 365-2550
Language(s): Spanish ID #: 200000023838 Gender: Male
ID #: 200000025730 Language(s): Hindi, Punjabi
ID #: 200000020985

201
Ultimate Health Plans Sumter January 2022

Radiation Oncology Flink, Herman M., MD Urology


Robert Boissoneault Oncology
Institute
Oxford 1540 Clemente Court Oxford
Building 300
The Villages, FL 32159
Chancellor, Michael W., MD Phone: (352) 259-2200 / Fax: Ayyathurai, Rajinikanth, MD
Advanced Prostate Cancer Center (352) 259-2203 Advanced Urology Institute, LLC
12109 County Road 103 Gender: Male 12109 County Road 103
Suite 3 ID #: 200000006272 Oxford, FL 34484
Oxford, FL 34484 Phone: (352) 350-8272 / Fax:
Phone: (352) 350-8272 / Fax: Purdon, Robert L., MD (352) 205-8120
(352) 350-8275 Robert Boissoneault Oncology Gender: Male
Gender: Male Institute ID #: 200000021743
ID #: 200000021746 1540 Clemente Court
Building 300 Cunningham, David L., MD
The Villages, FL 32159 Advanced Urology Institute, LLC
The Villages 12109 County Road 103
Phone: (352) 259-2200 / Fax:
(352) 259-2203 Suite 1
Gender: Male Oxford, FL 34484
Brabham, Jeffrey G., MD Phone: (352) 430-0705 / Fax:
Language(s): Spanish
Alliant Dermatology, PA (352) 205-8120
ID #: 200000006273
1050 Old Camp Road Gender: Male
Building 150 ID #: 200000021800
The Villages, FL 32162
Phone: (352) 399-7295 / Fax: Rheumatology Dersch, Mark W., MD
(352) 399-7294 Advanced Urology Institute, LLC
Gender: Male 12109 County Road 103
ID #: 200000026003 The Villages Suite 1
Oxford, FL 34484
Bucy, Guy S., MD Phone: (352) 430-0705 / Fax:
Robert Boissoneault Oncology Abualula, Hasan A., MD (352) 205-8120
Institute Lakeview Internal Medicine, PA Gender: Male
1540 Clemente Court 910 Old Camp Road ID #: 200000021750
Building 300 Building 200
The Villages, FL 32159 The Villages, FL 32162 Desai, Pareshkumar G., MD
Phone: (352) 259-2200 / Fax: Phone: (352) 775-4868 / Fax: Advanced Urology Institute, LLC
(352) 259-2203 (352) 775-4867 12109 County Road 103
Gender: Male Gender: Male Oxford, FL 34484
ID #: 200000001924 Language(s): Arabic Phone: (352) 350-8272 / Fax:
ID #: 200000021368 (352) 205-8120
Gender: Male
ID #: 200000021753

202
Ultimate Health Plans Sumter January 2022

Desautel, Michael G., MD Kumar, Udaya, MD Sher, Andrew B., MD


Advanced Urology Institute, LLC Advanced Urology Institute, LLC Advanced Urology Institute, LLC
12109 County Road 103 12109 County Road 103 12109 Country Road 103
Oxford, FL 34484 Oxford, FL 34484 Suite 2
Phone: (352) 350-8272 / Fax: Phone: (352) 350-8272 / Fax: Oxford, FL 34484
(352) 205-8120 (352) 205-8120 Phone: (352) 259-4400 / Fax:
Gender: Male Gender: Male (352) 205-8120
ID #: 200000021756 ID #: 200000021760 Gender: Male
ID #: 200000021788
Gordon, Carole L., MD Rao, Dinesh S., MD
Advanced Prostate Cancer Center Advanced Urology Institute, LLC Taub, Harvey C., MD
12109 County Road 103 12109 County Road 103 Advanced Urology Institute, LLC
Suite 3 Suite 1 12109 County Road 103
Oxford, FL 34484 Oxford, FL 34484 Suite 1
Phone: (352) 350-8272 / Fax: Phone: (352) 430-0705 / Fax: Oxford, FL 34484
(352) 350-8275 (352) 205-8120 Phone: (352) 430-0705 / Fax:
Gender: Female Gender: Female (352) 205-8120
ID #: 200000021791 ID #: 200000021767 Gender: Male
Language(s): Spanish
Karavadia, Saumilkumar S., MD Roach, Richard M., MD ID #: 200000021775
Advanced Urology Institute, LLC Advanced Urology Institute, LLC
12109 County Road 103 12109 County Road 103
Suite 1 Oxford, FL 34484 The Villages
Oxford, FL 34484 Phone: (352) 350-8272 / Fax:
Phone: (352) 430-0705 / Fax: (352) 205-8120
(352) 205-8120 Gender: Male Krick, James M., DO
Gender: Male ID #: 200000023998 Leesburg Regional Medical Center
ID #: 200000021786 Physician Services
Seneriz, Manuel A., MD 1501 North US Highway 441
King, Edward D., MD Advanced Urology Institute, LLC Suite 1832
Advanced Urology Institute, LLC 12109 County Road 103 The Villages, FL 32159
12109 County Road 103 Oxford, FL 34484 Phone: (352) 751-8649 / Fax:
Suite 1 Phone: (352) 350-8272 / Fax: (352) 728-7810
Oxford, FL 34484 (352) 205-8120 Gender: Male
Phone: (352) 430-0705 / Fax: Gender: Male ID #: 200000020211
(352) 205-8120 Language(s): Spanish
Gender: Male ID #: 200000021773 Narayan, Perinchery, MD
ID #: 200000021787 North Florida Urology Associates,
PA
1501 US 441
The Villages, FL 32159
Phone: (352) 775-6742 / Fax:
(352) 561-4164
Gender: Male
Language(s): Hindi
ID #: 200000012001

203
Ultimate Health Plans Sumter January 2022

Vascular Surgery

The Villages

Martin, Samuel P., MD


Vascular Center of Orlando, PA
910 Old Camp Road
Suite 162
The Villages, FL 32162
Phone: (352) 750-6191 / Fax:
(352) 750-0196
Gender: Male

204
Ultimate Health Plans Sumter January 2022

Hospitals
For Inpatient Psychiatric Facilities,
please contact Beacon Health
Options at (800) 627-1259 or visit
https://
www.beaconhealthoptions.com
/find-a-provider/

The Villages

UF Health The Villages Hospital


1451 El Camino Real
The Villages, FL 32159
Phone: (352) 751-8000 / Fax:
(352) 323-5039

UF Health The Villages Hospital


Freestanding Emergency Room
3800 Meggison Road
The Villages, FL 32163
Phone: (352) 643-7555 / Fax:
(352) 643-7559

Wildwood

Trailwinds Village ER
6131 Seven Mile Drive
Wildwood, FL 34785
Phone: (352) 461-5200

205
Ultimate Health Plans Sumter January 2022

Urgent Care
Centers
The Villages

Premier Urgent Care of The


Villages
1580 Santa Barbara Boulevard
The Villages, FL 32159
Phone: (352) 259-2159 / Fax:
(352) 259-5731

Wildwood

American Urgent Care and Walk


In Clinics, LLC
601 Gray Avenue
Wildwood, FL 34785
Phone: (352) 399-2422 / Fax:
(352) 399-2427

206
Ultimate Health Plans Sumter January 2022

Skilled Nursing
Facilities (SNFs)
Bushnell

Osprey Point Nursing Center


1104 North Main Street
Bushnell, FL 33513
Phone: (352) 568-8777 / Fax:
(352) 568-8780

The Villages

Chatham Glen Healthcare and


Rehabilitation Center
16605 Southeast 74th Soulliere
Avenue
The Villages, FL 32162
Phone: (352) 362-1888 / Fax:
(352) 358-5640

The Club Health and


Rehabilitation Center at The
Villages
16529 Southeast 86th Belle
Meade Circle
The Villages, FL 32162
Phone: (352) 385-8200 / Fax:
(352) 385-8888

Wildwood

Cypress Care Center


490 South Old Wire Road
Wildwood, FL 34785
Phone: (352) 748-3683 / Fax:
(352) 748-7609

207
Ultimate Health Plans Sumter January 2022

Dental Lady Lake


Ancillary
Statewide Medical Imaging and
Providers Therapeutics
13837 Northeast 86th Terrace
Argus Dental Lady Lake, FL 32159
Phone: (800) 340-8869 Phone: (352) 261-5502 / Fax:
Ambulatory Surgical Center https:// argusdental.com /find-a- (352) 350-5942
provider/
Sand Lake Imaging
Oxford 809 County Road 466
Unit 400
Diabetic Supplies - Mail Order Lady Lake, FL 32159
Advanced Surgery Center of Phone: (352) 753-2660 / Fax:
Oxford (352) 753-2259
12117 County Road 103 Statewide
Oxford, FL 34484
Phone: (352) 626-8989 / Fax: The Villages
(352) 399-5111 United Medco, Inc.
4250 Coral Ridge Drive
Suite 201 Lake Medical Imaging and Breast
Wildwood Coral Springs, FL 33065 Center at The Villages, LLC
Phone: (954) 947-4300 / Fax: 1400 US Highway 441
(954) 753-1669 Suite 510 & 511
Lakewood ASC, LLC The Villages, FL 32159
5571 East State Road 44 Phone: (352) 787-5858 / Fax:
Suite 501 (352) 787-4655
Wildwood, FL 34785 Diagnostic Radiology
Phone: (352) 643-9050 / Fax: Lake Medical Imaging at Colony
(352) 571-6786 Plaza
Statewide
340 Heald Way
Nwaubani Urogynecology & Building 140T
Women's Academy The Villages, FL 32163
Allied Mobile X-Ray, Inc.
9580 North US Highway 301 Phone: (352) 787-5858 / Fax:
8360 West Flagler Street
Wildwood, FL 34785 (352) 787-4655
Suite 207
Phone: (352) 633-0703 / Fax:
Miami, FL 33144
(352) 461-0398 Lake Medical Imaging at Lake
Phone: (877) 404-0333 / Fax:
(877) 404-9339 Sumter Landing
910 Old Camp Road
Building 122
The Villages, FL 32162
Phone: (352) 787-5858 / Fax:
(352) 787-4655

208
Ultimate Health Plans Sumter January 2022

Lake Medical Imaging at Prism Medical Products, LLC Essential Medical Solutions, Inc.
Mulberry Grove 112 Church Street 3 Nebo Yorkville Road
8801 Southeast 165th Mulberry Suite 101 Yorkville, TN 38389
Lane Elkin, NC 28621 Phone: (877) 278-1079 / Fax:
The Villages, FL 32162 Phone: (888) 244-6421 / Fax: (877) 231-3088
Phone: (352) 787-5858 / Fax: (800) 975-6321
(352) 787-4655 Home Oxygen Medical
Equipment of Hernando
SimonMed Imaging Statewide 18735 Sakera Road
13940 North US Highway 441 Hudson, FL 34667
Suite 201 Phone: (727) 861-5542 / Fax:
The Villages, FL 32159 180 Medical, Inc. (727) 861-5545
Phone: (352) 241-7448 / Fax: 8516 Northwest Expressway
(407) 865-6088 Oklahoma City, OK 73162 InfuSystem, Inc.
Phone: (877) 688-2729 / Fax: 3851 West Hamlin Road
(888) 718-0633 Rochester, MI 48309
Phone: (800) 962-9656 / Fax:
Diagnostic Testing Acentus (800) 455-4338
4951-B East Adamo Drive
Suite 200 Kelmedix, Inc.
Statewide Tampa, FL 33605 4646 Commerical Way
Phone: (866) 684-2507 / Fax: Spring Hill, FL 34606
(866) 695-2183 Phone: (352) 592-1063 / Fax:
Clinicare Diagnostic Medical
(352) 592-1064
Services ActivStyle
2311 Alternate 19 5912 Breckenridge Parkway Kinex Medical Company, LLC
Suite B Suite G 1801 Airport Road
Palm Harbor, FL 34683 Tampa, FL 33610 Suite D
Phone: (866) 961-5589 / Fax: Phone: (813) 280-6547 / Fax: Waukesha, WI 53188
(727) 796-2965 (877) 426-7329 Phone: (800) 845-6364 / Fax:
(888) 845-3342
Aeroflow Healthcare
65 Beale Road Medline Industries, Inc.
Durable Medical Equipment Arden, NC 28704 1 Medline Place
Phone: (888) 345-1780 / Fax: Mundelein, IL 60060
(800) 249-1513 Phone: (866) 356-4997 / Fax:
Nationwide
(866) 272-8122
Comfort Medical, LLC
4240 Northwest 120th Avenue Medline Industries, Inc.
Acelis Connected Health Services
Coral Springs, FL 33065 1501 Harris Road
6465 National Drive
Phone: (800) 700-4246 / Fax: Libertyville, IL 60048
Livermore, CA 94550
(800) 604-9760 Phone: (866) 356-4997 / Fax:
Phone: (877) 262-4669 / Fax:
(925) 606-6978 (866) 272-8122

Alere Home Monitoring, Inc.


Phone: (877) 262-4669

209
Ultimate Health Plans Sumter January 2022

MY DME DOC, LLC United States Medical Supply, LLC Rotech


977 Del Mar Drive 8260 Northwest 27th Street 144 North Florida Avenue
Lady Lake, FL 32159 Suite 401 Inverness, FL 34453
Phone: (866) 726-9363 / Fax: Miami, FL 33122 Phone: (352) 795-0696 / Fax:
(888) 788-5796 Phone: (305) 436-6033 / Fax: (352) 795-0380
(305) 455-5700
Orthomedx Corporation
4329 36th Street Universal Med Supply
Suite 800 1329 West Walnut Hill Lane Fitness Program
Orlando, FL 32811 Suite 100
Phone: (407) 422-4526 / Fax: Irving, TX 75038
Silver Sneakers Fitness
(407) 377-5770 Phone: (972) 228-1820 / Fax:
Phone: (888) 423-4632
(972) 572-1112
RespirTech https:// tools.silversneakers.com
5905 Nathan Lane North US Med, LLC /LocationSearch
Suite 200 1480 Northwest 79th Avenue
Plymouth, MN 55442 Miami, FL 33126
Phone: (800) 793-1261 / Fax: Phone: (800) 787-6331 / Fax: Home Health
(800) 962-1611 (305) 455-5700

Strive Medical, LLC Statewide


5800 Campus Circle Drive East Countywide
Suite 100B
Irving, TX 75063 Advanced InfusionCare
Phone: (888) 771-9229 / Fax: Lincare, Inc.
212 Northside Drive
(866) 680-5574 4055 North Lecanto Highway
Valdosta, GA 31602
Beverly Hills, FL 34465
Phone: (229) 242-3060 / Fax:
SurfMed Phone: (352) 527-6404 / Fax:
(292) 242-9914
2799 Southwest 32nd Avenue (352) 240-3826
Building E, Suite 14
Pembroke Park, FL 33023 Lincare, Inc. Countywide
Phone: (888) 201-7873 / Fax: 301 South Richey Road
(888) 398-3149 Suite 101
Leesburg, FL 34748 Classic Home Health Services
United Medco, Inc. Phone: (352) 323-5540 / Fax: 1504 South Street
4250 Coral Ridge Drive (352) 323-5549 Leesburg, FL 34748
Suite 201 Phone: (352) 314-1885 / Fax:
Coral Springs, FL 33065 PM Respiratory Services, Inc. (800) 690-3901
Phone: (954) 947-4300 / Fax: 3306 Southwest 26th Avenue
(954) 753-1669 Ocala, FL 34471 Comprehensive Home Care
Phone: (352) 237-4545 / Fax: 3200 Southwest 34th Avenue
(866) 945-9458 Suite 501
Ocala, FL 34474
Phone: (352) 861-8806 / Fax:
(352) 873-8806

210
Ultimate Health Plans Sumter January 2022

Comprehensive Home Care of Kindred at Home Visiting Nurse Services of Central


Hernando 4465 North Lecanto Highway Florida, LLC
5085 Commercial Way Suite 7A 1326 West North Boulevard
Unit 2 Beverly Hills, FL 34465 Suite 12
Spring Hill, FL 34606 Phone: (352) 746-5010 / Fax: Leesburg, FL 34748
Phone: (352) 688-4020 / Fax: (352) 746-0565 Phone: (352) 315-0958 / Fax:
(866) 305-9695 (352) 314-9999
Kindred at Home
Crown Home Health Care, Inc. 205 Zeagler Drive VNA of FL
3900 Lake Center Drive Palatka, FL 32177 10177 Cortez Boulevard
Suite A4 Phone: (386) 328-0202 / Fax: Weeki Wachee, FL 34613
Mount Dora, FL 32757 (386) 328-3459 Phone: (352) 592-9800 / Fax:
Phone: (352) 561-2376 / Fax: (352) 592-9801
(352) 561-2377 Kindred at Home
900 Main Street
Doctor's Choice Home Care The Villages, FL 32159
18770 Cortez Boulevard Phone: (352) 787-2780 / Fax: Hearing
Brooksville, FL 34601 (352) 787-3995
Phone: (352) 794-6099 / Fax:
Lake Centre Home Care, LLC Hearing Services
(352) 204-0069
310 Market Street Phone: (800) 313-2763
Family Home Health Services Leesburg, FL 34748 https://
2801 Southwest College Road Phone: (352) 315-0050 / Fax: hearing.myultimatehp.com /
Suite 5 (352) 315-0059
Ocala, FL 34474
Phone: (941) 907-1595 / Fax: Palm Garden Home Health
Laboratory
(941) 907-4768 3306 Southwest 26th Avenue
Suite 401
Florida Homecare Specialists, Inc. Ocala, FL 34471 Lady Lake
150 Southeast 17th Street Phone: (352) 877-4120 / Fax:
Unit 301 (352) 304-6929
Ocala, FL 34471 LabCorp
Phone: (352) 509-3045 / Fax: Pinnacle Home Care 8575 Northeast 138th Lane 201
(352) 509-3046 1213 West Miller Street Lady Lake, FL 32159
Suite 1 Phone: (352) 259-6238
Florida Homecare Specialists, Inc. Fruitland Park, FL 34731
130 North Old Dixie Highway Phone: (352) 314-9500 / Fax: LabCorp
Lady Lake, FL 32159 (352) 314-9503 924 Bichara Boulevard
Phone: (352) 753-2206 / Fax: Lady Lake, FL 32159
(352) 350-2210 Pinnacle Home Care of Spring Phone: (352) 259-4395 / Fax:
Hill, Inc. (888) 733-1135
Fusion HealthCare 5286 Applegate Drive
10508 Spring Hill Drive Spring Hill, FL 34606
Spring Hill, FL 34608 Phone: (352) 666-2771 / Fax:
Phone: (352) 684-1388 / Fax: (352) 688-9737
(352) 684-1389

211
Ultimate Health Plans Sumter January 2022

The Villages The Villages SimonMed Imaging


13940 North US Highway 441
Suite 201
LabCorp Lake Medical Imaging and Breast The Villages, FL 32159
8600A County Road 466 Center at The Villages, LLC Phone: (352) 241-7448 / Fax:
Suite A 1400 US Highway 441 (407) 865-6088
The Villages, FL 32162 Suite 510 & 511
Phone: (352) 674-9162 / Fax: The Villages, FL 32159
(352) 674-9169 Phone: (352) 787-5858 / Fax:
(352) 787-4655 Occupational Therapy
LabCorp
2955 Brownwood Boulevard Lake Medical Imaging at Colony
The Villages, FL 32159 Plaza The Villages
Phone: (352) 399-4638 / Fax: 340 Heald Way
(352) 259-1611 Building 140T
Ability Rehabilitation
The Villages, FL 32163
1554 Bella Cruz Drive
Phone: (352) 787-5858 / Fax:
Wildwood The Villages, FL 32159
(352) 787-4655
Phone: (352) 205-4122 / Fax:
Lake Medical Imaging at Lake (352) 268-3179
LabCorp Sumter Landing
846 South Main Steet CORA Physical Therapy - Grand
910 Old Camp Road
Wildwood, FL 34785 Traverse
Building 122
Phone: (352) 748-1846 / Fax: 2953 Traverse Trail
The Villages, FL 32162
(352) 748-1849 The Villages, FL 32163
Phone: (352) 787-5858 / Fax:
Phone: (352) 693-3378 / Fax:
(352) 787-4655
(888) 758-9645

Mammography Lake Medical Imaging at


CORA Physical Therapy - Lake
Mulberry Grove
Sumter Landing
8801 Southeast 165th Mulberry
1050 Old Camp Road
Lady Lake Lane
Suite 282
The Villages, FL 32162
The Villages, FL 32162
Phone: (352) 787-5858 / Fax:
Phone: (352) 693-3378 / Fax:
Sand Lake Imaging (352) 787-4655
(888) 758-9645
809 County Road 466
Unit 400 Lake Medical Imaging at The
CORA Physical Therapy -
Lady Lake, FL 32159 Center For Advanced Healthcare
Mulberry Lane
Phone: (352) 753-2660 / Fax: Brownwood
8768 Southeast 165th Mulberry
(352) 753-2259 2955 Brownwood Boulevard
Lane
Suite 112
The Villages, FL 32162
The Villages, FL 32163
Phone: (352) 693-3378 / Fax:
Phone: (352) 787-5858 / Fax:
(888) 758-9645
(352) 787-4655

212
Ultimate Health Plans Sumter January 2022

CORA Physical Therapy - Palm Lake Centre for Rehabilitation Oxygen


Ridge 2955 Brownwood Boulevard
11962 County Road 101 Suite 302
Suite 104 The Villages, FL 32163 Home Oxygen Medical
The Villages, FL 32162 Phone: (352) 706-1122 / Fax: Equipment of Hernando
Phone: (352) 693-3378 / Fax: (352) 398-4415 18735 Sakera Road
(888) 758-9645 Hudson, FL 34667
UF Health The Villages Hospital Phone: (727) 861-5542 / Fax:
CORA Physical Therapy - Spanish 1451 El Camino Real (727) 861-5545
Springs The Villages, FL 32159
1114 Bichara Boulevard Phone: (352) 751-8000 / Fax: Kelmedix, Inc.
The Villages, FL 32159 (352) 323-5039 4646 Commerical Way
Phone: (352) 577-0832 / Fax: Spring Hill, FL 34606
(352) 316-7403 Phone: (352) 592-1063 / Fax:
(352) 592-1064
Lake Centre for Rehab Optometry - Routine Vision
340 Heald Way Providers Lincare, Inc.
Suite 232 4055 North Lecanto Highway
The Villages, FL 32163 Beverly Hills, FL 34465
Statewide Phone: (352) 527-6404 / Fax:
Phone: (352) 330-1154 / Fax:
(352) 330-1004 (352) 240-3826
Argus Vision Lincare, Inc.
Lake Centre for Rehab Lake
Toll Free Customer Service 301 South Richey Road
Sumter Landing
Phone: (800) 210-5511 Suite 101
910 Old Camp Road
https:// argusdental.com /find-a- Leesburg, FL 34748
Building 100
provider/ Phone: (352) 323-5540 / Fax:
The Villages, FL 32162
Phone: (352) 259-6750 / Fax: (352) 323-5549
(352) 259-6780
Outpatient Dialysis Rotech
Lake Centre for Rehab Mulberry 144 North Florida Avenue
8495 Southeast 165th Mulberry Inverness, FL 34453
Lane Lady Lake Phone: (352) 795-0696 / Fax:
The Villages, FL 32162 (352) 795-0380
Phone: (352) 259-6942 / Fax:
(352) 259-8320 Laurel Manor Dialysis Center at
The Villages
Lake Centre for Rehab Spanish 1950 Laurel Manor Drive
Plaines Suite 190
1400 US Highway 441 North Lady Lake, FL 32162
Suite 830 Phone: (352) 259-0250 / Fax:
The Villages, FL 32159 (352) 259-0335
Phone: (352) 753-6999 / Fax:
(352) 259-0002

213
Ultimate Health Plans Sumter January 2022

Physical Therapy CORA Physical Therapy - Palm Lake Centre for Rehabilitation
Ridge 2955 Brownwood Boulevard
11962 County Road 101 Suite 302
Bushnell Suite 104 The Villages, FL 32163
The Villages, FL 32162 Phone: (352) 706-1122 / Fax:
Phone: (352) 693-3378 / Fax: (352) 398-4415
Physical Therapy Services of (888) 758-9645
Sumter UF Health The Villages Hospital
413 Northwest Street CORA Physical Therapy - Spanish 1451 El Camino Real
Bushnell, FL 33513 Springs The Villages, FL 32159
Phone: (352) 569-0004 / Fax: 1114 Bichara Boulevard Phone: (352) 751-8000 / Fax:
(352) 569-0090 The Villages, FL 32159 (352) 323-5039
Phone: (352) 577-0832 / Fax:
(352) 316-7403
The Villages
Lake Centre for Rehab Prosthetics and Orthotics
340 Heald Way
Ability Rehabilitation Suite 232
1554 Bella Cruz Drive Statewide
The Villages, FL 32163
The Villages, FL 32159 Phone: (352) 330-1154 / Fax:
Phone: (352) 205-4122 / Fax: (352) 330-1004
(352) 268-3179 Liberator Medical Supply, Inc.
2979 Southeast Gran Park Way
Lake Centre for Rehab Lake
CORA Physical Therapy - Grand Stuart, FL 34997
Sumter Landing
Traverse Phone: (800) 536-2390 / Fax:
910 Old Camp Road
2953 Traverse Trail (800) 755-0843
Building 100
The Villages, FL 32163 The Villages, FL 32162
Phone: (352) 693-3378 / Fax: Tampa Bay Prosthetics
Phone: (352) 259-6750 / Fax: 5109 North Armenia Avenue
(888) 758-9645 (352) 259-6780 Tampa, FL 33603
CORA Physical Therapy - Lake Phone: (813) 801-9110 / Fax:
Lake Centre for Rehab Mulberry
Sumter Landing (813) 801-9048
8495 Southeast 165th Mulberry
1050 Old Camp Road Lane
Suite 282 The Villages, FL 32162
The Villages, FL 32162 Phone: (352) 259-6942 / Fax: Sleep Studies
Phone: (352) 693-3378 / Fax: (352) 259-8320
(888) 758-9645
Lake Centre for Rehab Spanish Statewide
CORA Physical Therapy - Plaines
Mulberry Lane 1400 US Highway 441 North
8768 Southeast 165th Mulberry Suite 830 Blackstone Medical Services, LLC
Lane The Villages, FL 32159 550 North Reo Street
The Villages, FL 32162 Phone: (352) 753-6999 / Fax: Suite 250
Phone: (352) 693-3378 / Fax: (352) 259-0002 Tampa, FL 33609
(888) 758-9645 Phone: (888) 710-2727 / Fax:
(888) 239-4616

214
Ultimate Health Plans Sumter January 2022

Speech Therapy

The Villages

Ability Rehabilitation
1554 Bella Cruz Drive
The Villages, FL 32159
Phone: (352) 205-4122 / Fax:
(352) 268-3179

Lake Centre for Rehab


340 Heald Way
Suite 232
The Villages, FL 32163
Phone: (352) 330-1154 / Fax:
(352) 330-1004

UF Health The Villages Hospital


1451 El Camino Real
The Villages, FL 32159
Phone: (352) 751-8000 / Fax:
(352) 323-5039

Wound Care

Continuum, LLC
7003 Valley Ranch Drive
Little Rock, AZ 72223
Phone: (866) 217-9900 / Fax:
(866) 217-9998

215
Ultimate Health Plans Sumter January 2022

Safescript Pharmacy The Villages


Retail Pharmacy 211 N. Market St
Bushnell, FL 33513
Phone: (352) 793-8000 Care Dermatology And Skin
Cancer Centers
Statewide Walmart Pharmacy 10-0959 1040 Lake Sumter Landing
2163 West C-48 The Villages, FL 32162
Bushnell, FL 33513 Phone: (352) 218-3211
CVS Pharmacy* Phone: (352) 793-1400
Phone: (800) 746-7287 CVS Pharmacy #08381
https:// www.cvs.com /stores Winn Dixie 5208 E County Rd 466
1122 N Main St The Villages, FL 32162
Publix Pharmacy* Bushnell, FL 33513 Phone: (352) 751-4700
Phone: (800) 242-1227 Phone: (352) 568-0669
https:// www.publix.com Lake Sumter Landing Pharmacy
/pharmacy 910 Old Camp Rd Ste 170
Lady Lake The Villages, FL 32162
Walgreens* Phone: (352) 268-3454
Phone: (800) 925-4733
https:// www.walgreens.com Walgreens #10373 Premier Medical Assoc Of Fl
/storelocator/find.jsp 2235 Parr Dr Healthcare, Pa
Lady Lake, FL 32162 1580 Santa Barbara Blvd
Walmart* Phone: (352) 391-9457 The Villages, FL 32159
Phone: (800) 966-6546 Phone: (352) 561-3234
https:// www.walmart.com Wellcare Pharmacy
/pharmacy 13733 N US Highway 441 Publix Pharmacy #1080
Lady Lake, FL 32159 3475 Wedgewood Lane
Winn Dixie* Phone: (352) 391-5533 The Villages, FL 32162
Phone: (866) 946-6349 Phone: (352) 751-6302
https:// www.winndixie.com
/pharmacy Lake Panasoffkee Publix Pharmacy #1155
327 Colony Blvd
The Villages, FL 32162
Bushnell Lake Town Pharmacy
Phone: (352) 391-1808
2020 N Cr 470
Unit B Publix Pharmacy #1487
CVS Pharmacy #03639 Lake Panasoffkee, FL 33538 2925 Traverse Trl
420 N Main St Phone: (352) 444-2055 The Villages, FL 32163
Bushnell, FL 33513 Phone: (352) 750-2714
Phone: (352) 793-8577
Sumterville
Publix Pharmacy #1507
Divine Pharmacy 695 Kristine Way
1333 W C 48 Ste A The Villages, FL 32163
Bushnell, FL 33513 Thomas E Langley Medical Center
1389 S US Hwy 301 Phone: (352) 259-8235
Phone: (352) 793-2679
Sumterville, FL 33585
Phone: (352) 793-5900

216
Ultimate Health Plans Sumter January 2022

Publix Pharmacy #1581 Winn Dixie


1566 Bella Cruz Dr 820 Old Camp Road
The Villages, FL 32159 The Villages, FL 32162
Phone: (352) 561-7234 Phone: (352) 753-7124

Publix Pharmacy #1741 Winn Dixie


2135 Everglades Lane 2500 Burnsed Blvd
The Villages, FL 32163 The Villages, FL 32163
Phone: (352) 461-5097 Phone: (352) 753-7476

Walgreens #11329
400 Colony Blvd Wildwood
The Villages, FL 32162
Phone: (352) 205-7010
CVS Pharmacy #03144
Walgreens #15495 901 S Main St
2615 Burnsed Blvd Wildwood, FL 34785
The Villages, FL 32163 Phone: (352) 748-1414
Phone: (352) 643-4067
Publix Pharmacy #1705
Walgreens #16466 5810 Seven Mile Drive
620 Kristine Way Wildwood, FL 34785
The Villages, FL 32162 Phone: (352) 461-5094
Phone: (352) 330-6722
Publix Pharmacy #1705
Walgreens #21204 5810 Seven Mile Drive
2955 Brownwood Blvd Ste 102 Wildwood, FL 34785
The Villages, FL 32163 Phone: (352) 461-5094
Phone: (352) 330-6481
Safescript Pharmacy
Walgreens #5432 342 Shopping Center Dr
1581 Bella Cruz Dr Wildwood, FL 34785
The Villages, FL 32159 Phone: (352) 748-9900
Phone: (352) 750-9959
Village Discount Pharmacy
Walmart Pharmacy 10-4262 3990 E State Road 44 Ste 207
4085 Wedgewood Lane Wildwood, FL 34785
The Villages, FL 32162 Phone: (352) 492-9333
Phone: (352) 259-2844

Walmart Pharmacy 10-4565


270 Heald Way
The Villages, FL 32163
Phone: (352) 461-5018

217
Ultimate Health Plans Sumter January 2022

Mail Order
Pharmacy
Statewide

Optumrx
Phone: (855) 842-6337

TTY 711
24 hours a day / 7 day a week
You can get prescription drugs
shipped to your home through our
network mail order delivery program.
For refills of your mail order
prescriptions, you have the option to
sign up for an automatic refill
program. Under this program, we will
start to process your next refill
automatically when our records show
that you should be close to running
out of your drug. We will contact you
prior to shipping each refill to make
sure you are in need of more
medication. You can cancel
scheduled refills if you have enough
of your medication or if your
medication has changed. If you
choose not to use the auto refill
program, please contact us 14 days
before you think the drugs you have
on hand will run out to make sure
your next order is shipped to you in
time. To opt out of the automatic
refill program, please contact us by
calling 1 (855) 842-6337, 24 hours a
day, 7 days a week.
Typically, you should expect to
receive your prescription drugs
within 14 days from the time that the
mail order pharmacy receives the
order. If you do not receive your
prescription drug(s) within this time,
please contact us at 1 (855) 842-
6337.

218
Ultimate Health Plans Sumter January 2022

The Institute For Florida Pain


Home Infusion Specialists
3010 E 138th Ave Ste 100
Pharmacies Tampa, FL 33613
Phone: (813) 569-0794

Statewide Bushnell

All Care Pharmacy Bushnell Pharmacy


4728 N Habana Ave # 100a 417 N West St
Tampa, FL 33614 Bushnell, FL 33513
Phone: (813) 527-0765 Phone: (352) 569-5800

Bioscrip Infusion Services


5505 Johns Road, Suite 700 The Villages
Tampa, FL 33634
Phone: (813) 549-5499
Scripts Pharmacy
Coram Cvs/Specialty Infusion 2789 Brownwood Blvd
Services The Villages, FL 32163
8508 Benjamin Road, Suite C Phone: (888) 877-9705
Tampa, FL 33634
Phone: (813) 639-4500

Dedicated Senior Medical Center


West Tampa
9501 Anderson Road
Tampa, FL 33634
Phone: (813) 413-7333

Heart Of Florida Health Center


5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksvile, FL 33604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

219
Ultimate Health Plans Sumter January 2022

Omnicare Of Tampa
Long Term Care 8603 Florida Mining Boulevard
Tampa, FL 33634
Pharmacies Phone: (813) 247-9225

The Institute For Florida Pain


Specialists
Statewide 3010 E 138th Ave Ste 100
Tampa, FL 33613
Phone: (813) 569-0794
Alpha Touch Pharmacy
10071 Pines Blvd Ste D
Pembroke Pines, FL 33024 Bushnell
Phone: (954) 435-5200

Blake Pharmacy Bushnell Pharmacy


5628-5632 Trouble Creek Road 417 N West St
New Port Richey, FL 34652 Bushnell, FL 33513
Phone: (727) 846-7600 Phone: (352) 569-5800

Careone Pharmacy Services


Sanford The Villages
1455 E Airport Blvd
Sanford, FL 32773
Scripts Pharmacy
Phone: (855) 822-7366
2789 Brownwood Blvd
Dedicated Senior Medical Center The Villages, FL 32163
West Tampa Phone: (888) 877-9705
9501 Anderson Road
Tampa, FL 33634
Phone: (813) 413-7333

Heart Of Florida Health Center


5051 SE 110th St
Belleview, FL 34420
Phone: (352) 480-5797

Jrc Compounding
18114 Powell Road
Brooksville, FL 34604
Phone: (352) 345-4849

Lake Seminole Pharmacy Ltc


9117 Park Blvd
Seminole, FL 33777
Phone: (727) 592-4588

220
Ultimate Health Plans Index Of Providers January 2022

17th Street Discount Pharmacy Advanced InfusionCare 30, 74, Akumin Mt. Dora 72, 76
Inc 135 129, 179, 210 Albrecht Robert J. MD 173
180 Medical Inc. 28, 72, Advanced Kidney Care of Central Aldana Peter R. MD 15, 160
127, 178, 209 Florida 57
Alec Y. Lui MD 11, 12
7 Hill Gastroenterology PA Advanced Motion Therapeutic
Alere Home Monitoring Inc.
104 Massage Inc. 31, 32
28, 72, 127, 178, 209
Aarons Kellie MD 142 Advanced Physical Therapy &
Alexander Brooke E. DO 189
ABC Home Medical Supply Inc. Rehab Inc. 181
Alger Patrick W. MD 200
179 Advanced Prostate Cancer Center
201, 203 Ali Fahad MD 8
Abdul Sater Houssein MD
156, 164 Advanced Surgery Center of All Care Pharmacy 36, 85,
Oxford 208 140, 187, 219
Ability Rehabilitation 76,
78, 79, 212, 214 Advanced Urology Associates of All Med Pharmacy 187, 188
Abrantes Clarissa R. MD 39 Florida 24 Allergy / Immunology 7, 45,
Advanced Urology Institute LLC 148, 194
Abualula Hasan A. MD 66,
119, 202 67, 120, 121, 202, 203 Allergy Asthma and Immunology
Advanced Vascular Solutions Center Inc. 45, 194
Abukhadrah Rajab K. MD 51
LLC 24 Alliance Medical Associates
AccentCare Home Health of Port
AdvancedNeuro Corp 110 Inc. 89, 92, 93
St Lucie 30, 179
Aegis Medical Group LLC 38, Alliant Dermatology PA 197,
Acelis Connected Health
39, 41, 42, 43, 87, 90, 91, 201, 202
Services 28, 72, 127, 178,
209 190, 193 Allied Mobile X-Ray Inc. 28,
AeroCare 128, 179, 181 71, 126, 177, 208
Acentus 29, 72, 127, 178, 209
Aeroflow Healthcare 29, 72, Allyn David L. MD 49, 50
Acevedo Celso MD 95, 194
127, 178, 209 Alonso Joseph R. MD 95
Active Mobility Innovations
73, 128 Aesthetic Center for Cosmetic & Alpha Rehab & Spine
Reconstructive Surgery 201 Strengthening LLC 133
ActivStyle 29, 72, 127, 178,
209 Aesthetic Dermatology PA 49, Alpha Touch Pharmacy 37, 86,
50 141, 188, 220
Acupuncture 44, 148
Afolabi Bosede A. MD 45 Al-Suleiman Osama MD 45
Addisu Anteneh M. MD 107
Afong Anthony F. MD 168 Alvarado Hernandez Luis A. MD
Adkins Richard K. MD 63
Ahmed Adnan MD 57 59, 111
Adonai Pharmacy 81
Ahmed Raheel MD 142 Alvarez Torres Nitza I. MD
Adult Medicine of Lake County 47, 194
40, 42 Ahmed Sophia MD 160
Alvarez-Farinetti Alvaro R.
Advance Primary Care LLC 92 Ahumada Leonik A. MD 116,
MD 66
201
Advanced Dermatology and Ambulatory Surgical Center
Cosmetic Surgery 10, 50, 51, Aidan Post Acute and
28, 71, 126, 177, 208
101, 102, 152, 197, 198, 201 Rehabilitation Center 176
Amer Hassan M. MD 171
Advanced Gastroenterology & Akhtar Vaseem S. MD 163,
164 American Family Medical LLC
Surgery Associates 52, 53,
91, 92
54, 55 Akrami Brian A. DO 148, 149
American Foot & Ankle Centers
Advanced Imaging Centers 126, Akrawi Anis Y. MD 158
65, 116
130 Akumin Leesburg 71

221
Ultimate Health Plans Index Of Providers January 2022

American Rehab Connections Aung Ma T. MD 42, 92, 189, Bedi Jaskaran S. MD 87


44, 45, 78 190 Behavioral Health Providers
American Urgent Care and Walk Avante at Leesburg 70 7, 45, 95, 148, 194
In Clinics LLC 206 Avante at Mount Dora 70 Behringer Frederick R. MD
Amruth S. Bapatla MD PA 117 Avante at Ocala 125 101
Ancha Prasad R. MD 58 Avondstondt Andrea M. MD Behrns Kevin E. MD 55
Ancillary Providers 28, 71, 162, 163 Beiser Christopher DO 165
126, 177, 208 Ayyathurai Rajinikanth MD Bellam Rajendra P MD 87
Anderson Janet E. MD 8 120, 202 Belleview Community Pharmacy
Anderson Norman H. MD 118, Babu Maya MD 162 135, 141
119 Babu Vijay G. MD 115 Berger Maury B. MD 106, 111
Andre Jamie M. MD 158 Bachoura Abdo MD 113 Beristain Xabier MD 15
Ang Darwin N. MD 104 Back & Spine Center at Martin Berkowitz Kathleen M. MD
Ankle & Foot Center of Central Health 17, 161, 162 17, 163
Florida 65 Bailey's Pharmacy 33 Best PCS LLC 30, 179
Arbor Medical Group PLLC Bajaj Sharad MD 45, 95 Bethel Blood and Cancer Center
200, 201 PA 106, 107, 112
Bajwa Usman K. MD 87, 190
Argus Dental 18, 28, 60, 71, Better Health and Rehab 116
Balaraman Rama MD 56, 59,
112, 126, 165, 177, 200, 208
106, 111 Bhatt Hardik B. MD 118
Argus Vision 18, 31, 60, 77,
Baldwin William W. MD 60, Bhatta Sanjeev MD 47
112, 131, 165, 181, 200, 213
61 Bhattarai Birendra MD 40,
Arnold William A. MD 4
Bali Shammi K. MD 142 42
Arthritis and Rheumatology
Balkaran Joanne N. DPM 65 Bibliowicz Nathan DO 50,
Associates of Treasure Coast
Ball Adam J. MD 172 197
LLC 172
Balulad Sujata S. MD 45, Biezunski David R. MD 11
Arthur La Bella DC 9
49, 95, 194 Bigay-Rodriguez Felix U. MD
Associated Coastal ENT 166,
Banala Dwaraknadh R. MD 40, 17
167
193 Billings Joseph B. DO 114
Associates for Surgical Care
28 Banda Madhusudhan R. MD 198 Binette Christopher MD 155,
Bapatla Amruth S. MD 117 173
Associates in Infectious
Diseases LLC 157, 158 Barad Bhavesh B. MD 95, 195 Bioscrip Infusion Services
36, 85, 140, 187, 219
Associates in Medicine LLC Barish Robert W. MD 103
145 Bird Juan C. MD 153, 154
Baskar Soundarapandian MD
Associates of Pulmonary & 53, 54, 199 Bisht Ajay H. MD 42
Critical Care LLC 65 Bay Pharmacy 81 Bittings Pharmacy And Medical
Aster Discount Pharmacy Inc. Equipment And Supplies 135
Bay Pharmacy Long Term Care
183 86 Bittl John A. MD 95
Athans William J. MD 60 Bay Street Pharmacy Inc 33, Blackstone Medical Services
Atkinson Maria Lourdes F. MD 36, 37 LLC 32, 79, 133, 182, 214
87 Bayview Center 70 Blake Pharmacy 37, 86, 141,
Attanti Srinivas MD 47, 194 188, 220
Beacon Health Options 7, 45,
95, 148, 194 Blasberg Elizabeth A. MD
166, 167

222
Ultimate Health Plans Index Of Providers January 2022

Blecker Jr. Edgar Rene MD 3 Burry Matthew MD 15, 57, CareFirst Imaging 126
Blecker Edgar R. MD 3 109, 160, 199 Carela-Kirby Gendy MD 143
Bloom Lauren E. DO 4 Burrys Pharmacy 81 CareNow 175
Blue Orchid Acupuncture & Burton Michael E. MD 201 Careone Pharmacy Services
Traditional Herb Clinic 44 Bush Bryan S. MD 119, 120 Sanford 37, 86, 141, 188, 220
Blue Water Surgery Center 177 Bushnell Pharmacy 219, 220 Careplus Pharmacy 33
Boardman Jason A. MD 54 Butterfield Ips 188 CareSpot Express Healthcare
Boccardo Justin MD 173 Butterfield Pharmacy & Medical 26, 124, 175
Bodepudi Haren MD 167 Supplies 184 Carlyle Daniel MD 167
Boggus Dan A. MD 43 Byer Stuart L. MD 22, 171 Carreras-Montgomery Jennel M.
Caban Angel M. MD 104 MD 116, 201
Boloczko Sylvia MD 42, 43
Cacodcar Surexa S. MD 45, Carter Brent E. DPM 65, 116
Bolton Joanna G. MD 197
96 Casanova-Romero Paul MD 152
Bongiorno Philip F. MD 13,
23 Callahan Charles M. MD 14 Casper David J. MD 197
Boor Paul E. MD 190 Callison Richard MD 160 Cassell Jack L. MD 67
Borade Rajesambhaji S. MD Campo Lawrence J. MD 38 Castaneda Nerio Jose MD 152
199 Canavosio Federico MD 4 Castillo Jorge G MD 171
Borys A. Mascarenhas MD PA Cancer Care & Chemotherapy Cauthen Ashley B. MD 101
60 Center 163, 164 Celdran Delvis A. MD 161
Bournique Marissa R. DO 154 Cancer Care Centers of Brevard Center for Bone and Joint
Bower Paul E. MD 172 Inc. 22 Surgery of the Palm Beaches PA
Brabham Jeffrey G. MD 66, Canipe Ashley L. MD 11 166
202 Cardiac Specialty Institute Central Florida Cancer and
Bradfield Joseph J. MD 62 47, 48 Blood Center PA 106, 112
Breathe Easy Medical Inc. 73 Cardiac Surgery Group 23 Central Florida Cardiology &
Cardiology Partners PL 150 Vascular Center LLC 49
Brian J. DeoNarine MD PA 8
Cardiology 7, 45, 95, 148, Central Florida Cardiovascular
Bright Care Medical Group LLC
194 Center PA 49
39
Cardiovascular Consultants Central Florida Cardiovascular
Brizzio Mariano E. MD 23
149 Imaging Center LLC 49
Brooks Peter J. MD 19
Cardiovascular Institute of Central Florida Endoscopy &
Brown Janice C. MD 116 Surgical Institute of Ocala
Central Florida LLC 45, 46,
Brown Jon R. DO 155 47 126
Brown Thomas A. MD 103 Cardiovascular Institute of Central Florida Foot Care P.A.
Bruce Lindsey G. MD 18 Central Florida LLC 46, 47, 65
Bucy Guy S. MD 119, 202 95, 96, 97, 98, 99 Central Florida Heart Center
Bump Jared M. DO 142 Cardona Bonet Lyssette L. MD 45, 95, 96, 97, 98
Bundz Samuel MD 55 14, 157 Central Florida Pain Management
Cardona Natalia DPM 169 63, 64
Burack Steven A. DO 167
Care Dermatology and Skin Chalasani Prasad V.R.K. MD
Burke Michael A. MD 171
Cancer Centers 50, 198 148
Burkey Brian B. MD 20
Care Dermatology And Skin Challa Citrus and Marion
Cancer Centers 216 Geriatrics Associates 87, 88

223
Ultimate Health Plans Index Of Providers January 2022

Challa Hanimi R. MD 87, 88 Clermont Health and Cleveland Clinic Indian River
Chancellor Michael W. MD Rehabilitation Center 70 Hospital - Scully-Welsh Cancer
201 Clermont Oncology Center LLC Center 18, 22
Chandra Ravi MD 104, 121, 55, 59 Cleveland Clinic Indian River
122 Clermont Radiology - Kings Hospital - Urology 24
Chang Khai S. MD 40, 42, Ridge 71, 76 Cleveland Clinic Indian River
93, 190 Clermont Radiology LLC 71, Hospital - Walk-In Care -
76 Sebastian 26
Chatham Glen Healthcare and
Rehabilitation Center 207 Clermont Urgent Care 69 Cleveland Clinic Indian River
Hospital - Walk-In Care Pointe
Chauhan Sunil M. MD 161 Cleveland Clinic Florida
West 26
Chavez JO Internal Medicine 3 Obstetrical Group 163
Cleveland Clinic IRH
Chavez Edgard MD 3 Cleveland Clinic Imaging 177,
Endocrinology 11
180
Chavez Katiusca MD 3 Cleveland Clinic IRH Neuro
Cleveland Clinic Indian River
Cheema Chaudhry Shahzad A. MD Interventional 16
Hospital 25
43, 93 Cleveland Clinic Tradition
Cleveland Clinic Indian River
Cheema Shahbaz A. MD 40, Hospital 174
Hospital - Cardiology 8
42, 93, 190 Clinicare Diagnostic Medical
Cleveland Clinic Indian River
Cheema Tasneem A. MD 190 Services 28, 72, 127, 177,
Hospital - Gastroenterology
Chen Mark H. DC 100 209
11, 12
Cherryl Williams LAC 148 Coastal Cardiovascular
Cleveland Clinic Indian River
Chesner Michael D. MD 48, Associates PA 7
Hospital - General Surgeons
100 13 Coastal Islands &
Chiropractic 9, 100, 151, 196 Reconstructive Surgery 168
Cleveland Clinic Indian River
ChiropracticUSA 100 Hospital - Infectious Disease Coastal Joint and Sports
14 Medicine 19
Chitumalla Venkat V. MD 107
Cleveland Clinic Indian River Coastal Orthopaedic & Sports
Chopra Rahul R. MD 22
Hospital - Interventional Medicine Center 166
Choudhry Amad MD 190
Cardiology 8 Coastal Orthopaedics & Sports
Christopher J. Grainger MD Medicine Center 166
Cleveland Clinic Indian River
88
Hospital - Multi-Specialty Cober Meshach P. MD 155
Chua Robert K. MD 143 Office 17 Cohen Scott J. DPM 168, 169
Citrus Cardiology Consultants Cleveland Clinic Indian River Collin Berjan A. MD 157
PA 47, 48, 95, 96, 98, 100, Hospital - Orthopedic Surgeons
194, 195, 196 Colon Lourdes MD 88
19
Clark Jason M. MD 105 Colorectal Surgery 9, 100,
Cleveland Clinic Indian River
151
Clark Lowell F. MD 38, 39, Hospital - Partners In Women's
41, 43, 189 Health 17 Comfort Medical LLC 29, 72,
127, 178, 209
Classic Home Health Services Cleveland Clinic Indian River
74, 210 Hospital - Premier Womens Community Health Centers Inc
Health 18 81, 82
Classic Pharmacy 135, 141
Cleveland Clinic Indian River Community Health Centers Inc.
Clermont Dialysis 77
Hospital - Pulmonary Medicine 80
Clermont Family Pharmacy 80
21 Compass Therapeutic 32

224
Ultimate Health Plans Index Of Providers January 2022

Compassionate Medical Center CORA Physical Therapy - West CVS Pharmacy #03539 135
4, 5, 6 Ocala 131, 133 CVS Pharmacy #03636 136
Comprehensive Home Care 30, Coram Cvs/Specialty Infusion CVS Pharmacy #03639 216
74, 129, 179, 210 Services 36, 85, 140, 187,
CVS Pharmacy #03661 136
Comprehensive Home Care of 219
CVS Pharmacy #03689 183
Hernando 74, 129, 210 Cordner Harold J. MD 20
CVS Pharmacy #04041 184
Comprehensive Pain Management Coreys Pharmacy 33
115 CVS Pharmacy #04146 136
Cornell Dan R. MD 22
Compton Chiropractic Care LLC CVS Pharmacy #04254 184
Cornerstone Pharmacy 135
196 CVS Pharmacy #04465 82
Correa-Perez Margarita MD
Compton Brett C. DC 196 63 CVS Pharmacy #05120 81
Concentra Urgent Care 69, 124 Cottam John A. MD 50 CVS Pharmacy #05139 81
Concierge Bariatrics 105 Countryside Medical PA 88, CVS Pharmacy #05151 183
Continuum LLC 32, 79, 134, 90 CVS Pharmacy #05157 184
182, 215 Courtney Wendell J. MD 59 CVS Pharmacy #05226 137
Cook Jay B. MD 61 Cousineau Lisa M. DO 163 CVS Pharmacy #05231 136
Cook Ralph D. MD 66 Couturier Georg J. MD 46 CVS Pharmacy #05452 82
Cooke Andrew J. MD 45 Crawford Joseph P. MD 24 CVS Pharmacy #05817 80
Coppola Christopher R. DO 4 Critical Care 9, 49, 152, 196 CVS Pharmacy #05902 184
CORA Physical Therapy - Cromwell Christopher R. MD CVS Pharmacy #05921 136
Belleview 131, 132 168 CVS Pharmacy #07883 33
CORA Physical Therapy - Crook William F. MD 22, 171 CVS Pharmacy #07894 33
Clermont 76, 78
Crosstown Pharmacy 184, 188 CVS Pharmacy #07897 80
CORA Physical Therapy -
Crown Home Health Care Inc. CVS Pharmacy #07923 184
Dunnellon 132
74, 129, 211 CVS Pharmacy #08375 80
CORA Physical Therapy - East
Cunningham David L. MD 120, CVS Pharmacy #08381 216
Ocala 131, 133
202
CORA Physical Therapy - Eustis CVS Pharmacy #08382 136
Curry Sidney S. MD 51, 101
77, 78 CVS Pharmacy #08937 81
CVS Pharmacy 33
CORA Physical Therapy - Grand CVS Pharmacy #16310 136
Traverse 212, 214 CVS Pharmacy #00111 183
CVS Pharmacy #16435 33
CORA Physical Therapy - Lake CVS Pharmacy #00497 82
CVS Pharmacy #16849 80
Sumter Landing 212, 214 CVS Pharmacy #00584 33
CVS Pharmacy #17147 83
CORA Physical Therapy - CVS Pharmacy #00605 82
CVS Pharmacy #17150 82
Leesburg 78 CVS Pharmacy #01813 136
CVS Pharmacy #17323 184
CORA Physical Therapy - CVS Pharmacy #03144 217
Mulberry Lane 212, 214 CVS Pharmacy* 33, 80, 135,
CVS Pharmacy #03215 135 183, 216
CORA Physical Therapy - Palm CVS Pharmacy #03216 33
Ridge 212, 214 Cypress Care Center 207
CVS Pharmacy #03278 136 Dalili Curtis MD 4
CORA Physical Therapy - Spanish
CVS Pharmacy #03384 82 Daniel J. Zaluzec MD PA 167
Springs 213, 214
CVS Pharmacy #03395 137 Dao Uyen K. DPM 116, 117
CORA Physical Therapy - St.
Lucie West 180, 181 CVS Pharmacy #03429 33
CVS Pharmacy #03487 183

225
Ultimate Health Plans Index Of Providers January 2022

Das Chandranath L. MD 96, Dialysis Care Center Leesburg Durable Medical Equipment 28,
194 LLC 77 72, 127, 178, 209
David M. Glener MD 167 Diamond David A. MD 66 Eagle Donald T. MD 42
David M. Kuhn DC 196 Diaz Jose L. MD 65 Earley Brian E. DO 41
David M. McFaddin MD PA 105 Dieguez Eladio J. MD 88 Eastern Pharmacy Inc. 136
David Smythe Wound Center at Digestive Health Associates PA Eastport Pharmacy 184, 188
Martin Health 166 104 Eberhart Charles MD 11
Davina Eleanor F. DO 40, 42 Digiorgio Lorenzo MD 172 Echavarria Fabio L. MD 38
Davis Barry C. MD 165 Dilella Carl P. DO 19 Edgar R. Blecker MD PA 3
De Jesus Kalil Clara L. MD Direct Care Pharmacy Llc 85, Edwards-Miller Myriam A. MD
88 86 88
De Jesus Juan A. MD 87 Divine Pharmacy 216 Effren Steven C. DPM 117
DeBonet Alexander F MD 167 Doctor's Choice Home Care 74, Eichelbaum Ehrentraud J. MD
Dedicated Senior Medical Center 129, 211 39, 189
West Tampa 36, 37, 85, 86, Doctors of Clinical Specialties Eisenberg Alexander J. DO
140, 141, 187, 188, 219, 220 LLC 64 143
DeJongh Beyer Mariana MD 52 Domkowski Patrick W. MD 12 El Hayek Georges MD 96
Delahay John MD 165 Dompenciel Michelle M. MD El-Haddad Ahmed M. MD 155
Deluca Jason R. MD 63 15
Elite Orthopedics & Sports
Delvis A Celdran MD PA 161 Doshi Daven N. MD 101 Medicine PLLC 114
Dental 28, 71, 126, 177, 208 Doshi Ketan D. MD 56, 59, Ellis Chrisitian MD 149
106, 112
DeoNarine Brian J. MD 8 Endara-Bravo Andres S. MD
Dr. Glenn H. Osterweil Dom LAC 21
Derek K. Paul MD 13
DPM 44
Derezil Michal-Ann MD 153 Endocrinology 11, 51, 102,
Dr. Julie Chiropractic and 152, 198
Dermatology 10, 49, 101, 152, Massage 100
197 Endosurg Outpatient Center 71
Dr. Lee Acupuncture & Chinese
Dersch Mark W. MD 120, 202 Ergin Ahmet B. MD 153
Medicine 44
Desai Kalpana P. MD 40 Espat Pedro A. DO 3
Dr. Leonor Santos MD
Desai Pareshkumar G. MD 202 Gastroenterology LLC 52 Espinoza Anthony U. DO 88
Desautel Michael G. MD 202 Drake III George L. DO 163 Essential Medical Solutions
Inc. 29, 72, 127, 178, 209
Deven Ulhas T. MD 87 Dstteffano Daniel D. MD 39,
42, 189 Estrada Robert J. DPM 64
Dewberry Charles T. DO 50
Duffy Eric DO 155 Etemadnia Amir H. MD 41,
Dhar Binno MD 143
190
Diabetic Supplies - Mail Order Duke James B. MD 113
Eubanks Stephen W. MD 101,
28, 71, 126, 177, 208 Dunnellon Discount Drugs 135
197
Diagnostic Radiology Center of Dunnellon Podiatry Center P A
Express Care of Belleview LLC
the Treasure Coast Inc. 177, 140, 141
124
180 DuPree McClure Cristina M. DO
Express Care of Leesburg LLC
Diagnostic Radiology 28, 71, 17, 18
69
126, 177, 208 Durable Medical Equipment -
Express Care of Ocala 124
Diagnostic Testing 28, 72, Mastectomy Supplies 129
127, 177, 209 Fabio Echavarria MD PA 38

226
Ultimate Health Plans Index Of Providers January 2022

Falkenberg Richard W. MD 87 Florida Heart Center PA 148, Frank M. Ramharrack MD PA


Family Allergy & Asthma 7, 149 102
148 Florida Homecare Specialists Freedom Pointe Health Center
Family Foot & Ankle 140, 141 Inc. 74, 129, 211 70
Family Home Health Services Florida Internal Medicine 40, Freeman Jacob L. MD 110
74, 129, 211 193 Ft Mccoy Pharmacy 135
Family Medicine Faculty and Florida Kidney Care 14, 15 Fusion HealthCare 74, 129,
Resident Clinic 142, 143, Florida Medical Associates LLC 211
144, 145, 146, 149, 171 88, 90 Fyffe George J. MD 17, 18
Faraj Kirmanj MD 48 Florida Neurological Center Gabriel Nehme MD 53, 199
Fatima Seema DPM 65 LLC 109
Gallo Taryn N. MD 17
Faulknier Brett A. DO 8 Florida Neurology PA 58
Galvez-Jimenez Nestor MD 15
Fawaz Samuel T. MD 4 Florida Oncology Tavares LLC
Gammenthaler Sammy A. MD 49
66
Feldman Robert L. MD 96 Garbee Michael A. MD 58,
Florida Pain and Rehabilitation
Female Pelvic Medicine and 110, 199
Associates Inc. 58, 63, 64,
Reconstructive Surgery 153, Garces Patrycja DO 88
115, 168
198
Florida Pain Management Garcia Gracia Camilo MD 15
Ferber Laurence R. MD 105
Associates 20 Garcia Hector L. MD 48,
Fergany Amr F. MD 24 194, 195
Florida Robotics and Minimally
Fernhill Family Medicine LLC Invasive Urogynecol 153, 162, Garcia Yalieski MD 193
43 163 Garemore Jr. James V. DC
Ferro Tammy N. DO 118 Florida Spine and Pain 100
Fhcc Clermont 85, 86 Institute 64 Garland Meghan MD 144
Fischer Stephen E. MD 190 Florida Sports Injury 61 Gastroenterology and Nutrition
Fischman Charles M. MD 5 Florida Sports Injury & of Central Florida LLC 53,
Fitness Program 30, 74, 129, Orthopedic Institute 60, 61 199
179, 210 Florida Women's Health LLC Gastroenterology Associates of
Fl Comm Health Center-Fort 111 Ocala 52, 53, 103, 104
Pierce 183 Florin Jorge L. MD 54 Gastroenterology 11, 51, 103,
Flanagan Edwin B. DO 154 Flynn Lindsay S. MD 113, 153, 199
Fleites Rafael A. MD 52, 53 114 Gastrointestinal Consultants of
Foley Patrick MD 172 Central Florida 52, 54
Fleming Christopher MD 22
Foot Seas Podiatry Inc. 21 Gaya William MD 109
Flink Herman M. MD 202
Fort Pierce Discount Pharmacy Geha Fady H. MD 148
Floresta Pharmacy 184
Inc. 183 Geiger Ralph B. MD 3
Florida Cancer Affiliates -
North Florida 56, 59, 60, Fort Pierce Health Care 176 General Surgery 12, 54, 104,
106, 107, 111, 112 Fort Pierce Orthopaedics LLC 155, 199
Florida Dermatology and Skin 165 GenesisCare USA of Florida LLC
Cancer Centers 50 Four Corners Pharmacy 80 22, 119, 171
Florida Health Care LLC 56 Fowble Vincent A. MD 165 Genoa Healthcare Llc 86
Florida Heart & Lung Institute Franck Jean L. MD 14 Genoa Healthcare Llc 86, 141
of Ocala 119, 120 George Garth O. MD 53

227
Ultimate Health Plans Index Of Providers January 2022

Ghali Randa MD 191 Groveland Pharmacy 81 Heart & Family Health Institute
Gitin Yakov I. MD 11 Gubernick David A. DPM 168, Cardiology 142, 143, 145,
169 146, 148, 149, 150, 151, 153,
Gitte Acosta Sara I. MD 191
171
Glass Lewis F. MD 197 Guerrero Gabriel E. MD 153
Heart & Family Health Institute
Glener David M. MD 167 Guia Yoany MD 89
of Port St. Lucie 142, 143,
Glickman Jeffrey L. MD 158 Gulf Coast Rehab Therapy 144, 146, 149, 153, 154, 160,
Services 133 163, 169, 170
Global Neuro and Spine
Institute 160, 167, 168 Gulfstream Urology Associates Heart & Family Health Institute
PA 172 Primary Care 143, 144, 145,
Glotzer Daniel MD 13
Gummadi Siva S. MD 46, 96 146, 163
Goel Satish R. MD 96, 195
Gupta Ravi P. MD 41, 93 Heart & Family Health
Gogineni Anil K. MD 118
Gurgen Johnny DO 50 Institute-SLW 143, 150, 173
Golden Hills Pharmacy 136
Gutierrez Gil F. MD 191 Heart & Family Institute
Golden Nicholas C. MD 12
Gutierrez Ramon L. LAC 44 Cardiology 149, 150, 151
Goldstein Scott P. DPM 117
Hafeez Sadaf MD 144 Heart & Health Instititue
Gongidi Vikranth R. DO 7, 8 Cardiology 150
Hagan Joshua MD 105
Gonzalez Jr. Armando DPM Heart and Vascular Clinic of
117 Han MaoHao MD 55
Clermont LLC 45
Gonzalez Lengua Carlos A. MD Han Richard O. MD 96, 97
Heart Of Florida Health Center
8 Handler Richard J. MD 15 36, 37, 85, 86, 140, 141, 187,
Gonzalez Alberto J. MD 67, Hanger Clinic 133 188, 219, 220
122 Hans Sangeeta MD 40 Heart of the Villages PLC
Gonzalez Javier M. MD 48, Hart Hugo V. MD 199 46, 47
96, 194, 196 Heitman William MD 172
Hartley Kaycie L. DC 100
Goodman Jeffrey A. MD 54 Helmrick-Blossom Jessin MD
Haryani Dermatology and
Goodman Lindsay L. MD 18 Aesthetics 10 101, 102
Gordon Carole L. MD 67, 203 Haryani Anand MD 10 Hematology 13, 55, 106, 156
Goszkowski James H. MD 88 Haryani Divya S. MD 10 Henry Havalee T. MD 113
Gotkin Paul N. DPM 168, 169 Hatzoudis Georgios MD 155 Hernandez Collado Gloria M.
Gottfried Jeffrey S. DO 142 MD 42
Hawthorne Center for
Grainger Christopher J. MD Rehabilitation and Healing of Hernandez Jimenez Jarelys M.
88 Ocala 125 MD 157
Grajales Olga R. MD 189 Health Plus Pharmacy 82 Hernandez Perez Miciara MD
3
Grasman Brad M. MD 5 Healthcite Pharmacy 183, 188
Hersell Lindo MD 111
Grayson Charles W. DO 115 Healthwell Pharmacy 136, 140,
141 Herzbrun Lewis J. MD 64
Greene Michael A. MD 23
Hearing Services 30, 75, 130, Higginbotham Karla D. MD
Greeson Clay B. MD 19
180, 211 144
Gregory Paula M. DO 40
Hearing 30, 75, 130, 180, 211 Home Health 30, 74, 129, 179,
Grieco Preston W. MD 165 210
Heart & Family Health Institute
Griffin Reginald L. MD 105 Home Infusion Pharmacies 36,
142, 153, 154, 160, 163, 169,
Grossman Bruce M. MD 12 170, 172 85, 140, 187, 219
Grove Schuyler G. DC 100

228
Ultimate Health Plans Index Of Providers January 2022

Home Oxygen Medical Equipment Institute for Orthopaedic Jo Paul D. MD 120


of Hernando 29, 31, 72, 77, Innovations 165 John A. Cottam MD PA 50
127, 132, 178, 181, 209, 213 Institute of Internal Medicine John Suen MD PA 21
Hospitals 25, 68, 123, 174, 87, 91
Johnson Christopher J. DO
205 Integrated Family Medical 54
Howard T. Tee MD PLLC 9 Center 40
Johnson Kenneth I. MD 144
Hsu Stephen I. MD 89, 191 Integrative Medical Care 4
Johnson Paul E. MD 13
Hu Wayne DO 64 IRHS Cardiology Central 7, 8,
Johnson Versan S. MD 116,
Huang Hanxian MD 38 9
200
Humayun Shareef MD PA 142, IRHS Critical Care Practice
Jollu Chayapathy M. MD 116
146 9, 10
Jones Christopher I. MD 46
Hunsucker Justin MD 152, IRHS Electrophysiology 8
Jones Danita B. DO 16
170 IRHS Gastroenterology Practice
12 Jones Rhonda C. LMT 172
Hunt David W. DO 89
IRHS Infectious Disease 14 Joseph Pramod MD 12, 153
Hurtado-Cordovi Jorge M. MD
13, 18 IRHS Interventional Cardiology Jovanovic Nikola MD 16
Husainy Taher MD 16 8 Jrc Compounding 36, 37, 85,
IRHS Medical Oncology 13, 14, 86, 140, 141, 187, 188, 219,
Huynh Bao-Chau L. MD 57
18 220
Iannotti Joseph P. MD 19
IRHS Multi Specialty Office Justicz Alexander G. MD 24
Ibrahim Ramy MD 191
11 Kaba Drahmane MD 64
iCare Radiology LLC 177
IRHS Neurology 15, 16 Kachelman Adam P. DO 89
Ims Pharmacy 141
IRHS Orthopedics 19 Kalish Keith J. DPM 21
Inamdar Vatsal MD 46
IRHS Physician Network General Kandru Veerendra N. MD 89
Indian River Dialysis Center Surgery 9, 13 Kang Myeong W. MD 89, 93
31
IRHS Pulmonary 21 Kankam Edward K. DO 144
Indian River Family Medicine
IRHS Radiation Oncology 22 Kannam Hari C. MD 95
4, 6
IRHS Rheumatology 23 Kanski Jeffrey W. MD 171
Indian River Gynecology 17
IRMC Physician Network Kappler Steven M. MD 154
Indian River Health Services
Neurosurgery 17 Karavadia Saumilkumar S. MD
17
Jaber's Pharmacy 183 120, 121, 203
Indian River Health Services
Inc. 13, 17, 19, 20, 23, 24 Jackson Drugs Llc 183 Karunakara Raj G. MD 118
Indian River MRI Inc. 28 Jaffry Saatiah MD 14 Kathleen McGrath LAC 44
Indian River Primary Care 4, Jalloul Ahmad S. MD 65, 66 Kathrotiya Puja R. MD 102
5 Jamwant Varendra DPM 201 Kaul Vivek MD 152, 170
Indian River Radiology PA 28 Janet E. Anderson MD 8 Kaushal Ritesh D. MD 161
Infectious Disease Specialty Jasti Venu G. MD 148 Kazmi Samina MD 161
Associates PLLC 107 Jayapraksh Shetty MD PA 92 Keertini Kumar MD PA 90
Infectious Disease 14, 56, Jean Henry J. MD 158, 159 Keith J. Kalish DPM PA 21
107, 157
Jerry Kristopher P. DPM 169 Kellenberger Edward F. MD
InfuSystem Inc. 29, 72, 127, 161
Jimenez Arocho Emilio MD 38
178, 209
Jiron Jr. Jose L. MD 115 Keller & Goodman MD PA 54

229
Ultimate Health Plans Index Of Providers January 2022

Kelly Kristin L. MD 5 Kowalczyk Kathie Y. MD 161 Lake Centre for Rehab Spanish
Kelmedix Inc. 29, 31, 72, Koziarski John D. MD 12, Plaines 213, 214
77, 127, 132, 178, 181, 209, 13, 155 Lake Centre for Rehabilitation
213 Krick James M. DO 203 213, 214
Kennedy Alastair C. MD 23 Krueger Michael R. MD 114 Lake Centre Home Care LLC
Kenneth A. Sampong MD 47, 48 75, 130, 211
Kuhn David B. MD 90
Kent Mark G. MD 199 Lake ENT & FPS PA 62, 63,
Kuhn David M. DC 196
200
Kerina Jeffrey M. MD 61 Kulman Tanzila MD 160
Lake Eustis Health and
Ketheeswaran Bhavani MD 89 Kumar Keertini MD 90 Rehabilitation Center 70
Khalaf Majid R. MD 20 Kumar Thimmiah MD 103 Lake Gastroenterology
Khan Anwar A. MD 89, 93 Kumar Udaya MD 203 Associates LLC 53, 54, 199
Khan Asif A. MD 16 Kunamneni Prabhakara B. MD Lake Harris Health Center 70
Khan Rizwan DO 57 49 Lake Medical Imaging and Breast
Khan Tarannum S. MD 16 Kunta Gopal R. MD 55, 59 Center at The Villages LLC
Khanna Dinesh MD 191 Kurtin Adam D. DO 155 71, 76, 208, 212
Khawaja Farhat J. MD 7 Kurtin Jennifer M. DO 145 Lake Medical Imaging at Colony
Khilnani Resham B. MD 159 La Bella Arthur A. DC 9 Plaza 208, 212
Khromov Igor J. MD 20 LabCorp 30, 31, 75, 76, 130, Lake Medical Imaging at Lake
180, 211, 212 Sumter Landing 208, 212
Kidney and Hypertension
Specialists of Central Florida LabCorp at Walgreens 31, 75 Lake Medical Imaging at
PA 57 Mulberry Grove 208, 212
Laboratory 30, 75, 130, 180,
Kidney Care of the Treasure 211 Lake Medical Imaging at The
Coast 158, 159 Center For Advanced Healthcare
Lady Lake Dermatology and MOHS
Brownwood 212
Kieval Joshua MD 8 Surgery 50
Lake Pharmacy 81
Kim Lance Y. DO 109 Lady Lake Pharmacy 81
Lake Point Medical Associates
Kindred at Home 30, 74, 75, Lady Lake Specialty Care Center
192
129, 130, 180, 211 70
Lake Seminole Pharmacy Ltc
Kinex Medical Company LLC LaFave Kelly E. MD 66
36, 37, 85, 86, 140, 141, 187,
29, 73, 128, 178, 209 Lake Allergy Asthma & 188, 219, 220
King Charles T. MD 121 Immunology 45
Lake Sumter Landing Pharmacy
King Edward D. MD 121, 203 Lake Centre for Rehab 213, 216
Klafter Robert J. MD 157, 214, 215
Lake Surgery & Endoscopy Center
164 Lake Centre for Rehab Highland 71
Klem Jack M. MD 162 Lakes 76, 78, 79
Lake Town Pharmacy 216
Klem Patricia S. DO 152 Lake Centre for Rehab Lake
Lakeview Internal Medicine PA
Sumter Landing 213, 214
Kloehn Gregory C. MD 8 40, 41, 42, 48, 51, 56, 58,
Lake Centre for Rehab Leesburg 61, 64, 66, 92, 93, 100, 103,
Koka Vijaya N. MD 46, 97
77, 78, 79 110, 119, 189, 190, 191, 198,
Kolment Jared LAC 44
Lake Centre for Rehab Mt. Dora 199, 202
Koneru Jayanth MD 46, 97 77, 78, 79 Lakewood ASC LLC 208
Koti Ravi K. MD 106, 112 Lake Centre for Rehab Mulberry Lakshminarayanan Suresh MD
Kovalchuk Oleksandr I. MD 213, 214 108
107, 108

230
Ultimate Health Plans Index Of Providers January 2022

Lalane Del Castillo Negia E. Liberator Medical Supply Inc. Machado-Hopkins Ana P. MD
MD 56 32, 78, 133, 181, 214 156
Lall Purandath MD 173 Lief Harrison M. MD 189, MacInnis Dermatology 51, 197
Lama Teofilo R. MD 155 191 Macinnis Colleen R. MD 51,
Lamothe Jacques J. MD 148 Life Care Center of Ocala 125 197
Landry Miles MD 156 Lightsey Judith L. MD 119 MacKay Gregory D. MD 12
Langley Health Services 91, Lin Qianqian LAC 44 Madarang Melchor E. MD 191,
189 Lincare Inc. 30, 31, 73, 77, 192
Laowansiri Panthipa MD 56 128, 129, 132, 179, 181, 210, Madonna Dino MD 62
213 Maes Kirk E. MD 19
Lara Carlos E. MD 90
Lindo Hersell O. MD 111 Maharaja Gopi K. MD 38
Laurel Manor Dialysis Center at
The Villages 213 Liu Tong MD 97 Mahmood Zakariah S. MD 113
Lawnwood Cardiovascular Surgery Live Oak Endoscopy Center LLC Mail Order Pharmacy 35, 84,
172 28 139, 186, 218
Lawnwood Cardiovascular Surgery Live Oak Foot and Ankle 116, Main John T. DO 109, 110
LLC 172 117
Makam Raghavendra P. MD 7,
Lawnwood Regional Medical Llamas Jr. Jose M. MD 41 8
Center & Heart Institute 174 Llop Yodsui L. MD 41 Maki Lance A. MD 18
Lawnwood Surgical Specialists Lobar Bruce I. MD 200 Malas Mohammed Said MD 57
155, 173 Locay Harold R. MD 57, 108 Malave-Huertos Deni MD 18
Lawnwood Trauma Surgeons 155, Locker Joseph R. MD 113 Maldonado Diego A. MD 21
168
Lockridge Jason L. MD 10 Malik Ali S. DO 167
Layeni Kehinde A. MD 49
Lonabaugh Andrew D. DPM Malik Seemab N. MD 192
Layton Michael A. MD 170 168, 169
Mammography 31, 76, 130, 180,
Lazo Medical Center Inc. 90 Lonadier Sonja J. DC 100 212
Lazo Edward C. MD 90 Lone Usman M. MD 57 Manoogian Orthopaedic Center
Leavitt Matt L. DO 10, 197 Long Term Care Pharmacies 37, PA 61
Lee Plastic Surgery 168 86, 141, 188, 220 Manoogian Vrej K. DO 61
Lee Kenneth B. DO 90 Longevity Rehab Center 32 Maqsood Khalid MD 51, 52
Lee Spencer D. MD 168 Lopes De Lima Diego J. MD Maricamp ER 123
Lee Wenchi LAC 44 166
Marion County Podiatry
Leesburg Dialysis Center 77 Lopez Jeronimo MD 90 Specialist 117
Leesburg Regional Medical Lopez Tania DO 11, 12 Marion Heart Center PA 99
Center Physician Services 203 Lowell Troy D. MD 113 Maroun Elias N. MD 56
Lewis J. Herzbrun MD PA 64 Lugo Roberto MD 166 Martin Samuel P. MD 203
Lewis Anthony B. MD 150 Lugo Toribio P. MD 152, 170 Martinez-Sanchez Mireda E. MD
Lewis Darron MD 148, 150 Lugo-Sanchez Ramon G. MD 16 63
Lewis Lindsay N. MD 145 Lui Alec Y. MD 11, 12 Mary A. Tesalona MD Corp.
Lewis Thomas W. MD 5 Luk Yin F. MD 55 41
Lewis-Boardman Mary Beth MD Luo Lan MD 95, 97 Mascarenhas Borys A. MD 60
58 Lynch Robert D. MD 42 Mason Roy C. DO 24
Machado Veronica MD 90 Massarotti Haane G. MD 9

231
Ultimate Health Plans Index Of Providers January 2022

Massullo Jr. Ralph E. MD MHPG Pain Management 167 Mitra Purushottam MD 118
102 MHPG Pulmonary & Critical Care Mitta Primary Care LLC 91
Mathew Thomas P. MD 52 152, 170 Mitta Walter R. MD 91
Matrix Medical LLC 74 MHPG Radiation Oncology 171 Mittal Vijay K. MD 98
McClary Robert D. MD 103 MHPG Rheumatology 171 Moak III Joseph S. MD 62,
McCleerey John MD 90 MHPG Surgical Group 151, 155, 63, 200
McFadden James P. MD 113, 156, 173 Mohan Kumaran K. MD 43
114 MHPG Urology 172 Mohareb Sameh N. MD 49
McFaddin David M. MD 105 Michael A. Venazio MD 4 Mohib Saiyed A. MD 45
McGee Alana MD 59 Michael C. Solomon MD 173 Molano Raymond MD 145
McGrath Kathleen LAC 44 Michael P. Tonner MD 21 Mondo Paul J. MD 166
Mchills Pharmacy 80 Michael Papa DC PA 151 Montijo Harvey MD 166
McLean Kristina MD 59 Michael's Pharmacy 136 Moorhead Dovre Christine E.
MD Primary Care LLC 142 Mid Florida Pharmacy 81 MD 102, 198
MedExpress 26 Mid Florida Primary Care PA Moreno Benjamin MD 91
Medical Associates 116 93 Mount Dora Dialysis 77
Medical Associates LLC 91 Mid-Florida Pathology 75, 76 Mount Dora Pharmacy 81
Medical Imaging and Mid-Florida Physical Therapy Moyer Philip W. MD 156
Therapeutics 208 132, 133
Mues Adam C. MD 172
Medical Imaging Center of Ocala Mid-Florida Primary Care PA
Muniz Quiros Rosilvia MD 91
LLP 126 41
Munroe Brent A. MD 114
Medicap Pharmacy 80 Mid-Florida Prosthetics &
Orthotics 79, 133 Murphy Edward MD 13
Medline Industries Inc. 29,
Mid-Florida Surgical Associates Murthy Srinivassa M. MD 91
73, 128, 178, 209
54, 55 Muskovich Justin A. MD 172,
MedOne PLLC 124
MidState Skin Institute LLC 173
Mehta Ajay J. MD 97
101, 102 MY DME DOC LLC 29, 73, 128,
Melotek James M. MD 171 178, 209
Midway Specialty Care Center
Memet Beatrice L. MD 23 Inc. 157 My Joseph MD 156, 157, 164
Merida Migdalia MD 5 Mikkilineni Hima MD 46, 97, Myrick Samuel E. MD 59, 112
Merritt Robert M. MD 62 98 Nadenik Scott A. DO 115
MHPG Endocrinology 152, 153 Miller Mistyann-Blue N. MD Nagabhairu Lalbahadur S. MD
MHPG Gastroenterology 153, 8 52, 54
154, 155 Miller Stephen R. DPM 117 Nagabhairu Vijaya L. MD 39
MHPG Hematology and Oncology Millers Health Mart Pharmacy Nalluri Suman MD 16
156, 157, 164 33 Narain Shakti MD 49, 65,
MHPG Infectious Disease 157, Milstead Judith C. MD 62, 196, 201
158 200 Narayan Perinchery MD 121,
MHPG Maternal Fetal Medicine Miryala Vinod R. MD 48, 203
163 195, 196 Nayyar Ramesh K. MD 169,
MHPG Nephrology 158, 159, 160 Mirza Haris I. MD 107 170
MHPG Neurology 161, 162 Mitchell George A. DO 9 Nazario-Vidal Uriel MD 91
MHPG Orthopedic Care 165, 166 Mitchell Isaac L. MD 61 Nduku Valentine DO 160

232
Ultimate Health Plans Index Of Providers January 2022

Negron Marrero Roberto L. MD Ocala Health Neurosurgical Olejeme Henry C. MD 103


48, 195 Group 111 Oliver David L. DO 91
Nelson Celia K. MD 55 Ocala Health Surgical Group Oliver Lawrence G. MD 148
Nephrology 14, 57, 107, 158 100, 101, 104, 105, 109, 110
Oliver Mark D. MD 110
Nerella Nishant K. MD 195 Ocala Health Surgical Group
Omnicare Of Tampa 37, 86,
LLC 120
Neso Pharmacy 136 141, 188, 220
Ocala Health Surgical Oncology
Neurological Specialist of Oncology 18, 59, 111, 163
55, 58, 67, 105, 106
Central Florida LLC 58 One Day Surgery 177
Ocala Health Trauma LLC 104,
Neurology 15, 57, 109, 160, One Health Center 102
105, 106
199
Ocala Health Vascular Surgery Ong Rebecca P. MD 108
Neurosurgery 17, 58, 110, 162
122 Onuoha Kemjika O. MD 61
Neurosurgical Specialists of
Ocala Infectious Disease and Ophthalmology 18, 60, 112,
South Florida 160
Wound Center Inc. 107 165, 200
New Life Pharmacy & Medical
Ocala Kidney Group Vascular Options Home Health 30, 180
Supply 184, 188
Access Center 57 Optometry - Routine Vision
Nguyen Khiem D. MD 154
Ocala Kidney Group Inc. 107, Providers 31, 77, 131, 181,
Nichols George K. MD 19 108, 109 213
Nieves Anette V. MD 58 Ocala Lung & Critical Care Optumrx 35, 84, 139, 186, 218
Nijher Navinderdeep S. MD Associates Inc. 118 Oquendo Roman Gualberto MD
116, 201 Ocala Neurosurgical Center 63
Nikfarjam Iraj MD 110 110 Oral & Maxillofacial surgery
Nikolaev Anatoly MD 22, 171 Ocala Neurosurgical Center PA 18, 60, 112, 165, 200
North Campus Rehabilitation and 110, 111 Orlando Foot & Ankle Clinic
Nursing Center 70 Ocala Oncology 136 Inc. 64
North Florida Urology Ocala Pharmacy Llc 136, 141 Orlando Kidney Care 14
Associates PA 121, 203 Ocala Plastic Surgery 116 Orthomedx Corporation 29, 73,
NUWA World 198, 200 Ocala Regional Kidney Center 128, 178, 210
Nwakoby Izuchukwu E. MD 108 East 131 Orthopaedic Center of Vero
Nwaubani Urogynecology & Ocala Regional Kidney Center Beach 19, 20, 21
Women's Academy 208 North 131 Orthopaedic Center Of Vero
Nwaubani Uzoma K. MD 200 Ocala Regional Kidney Center Beach 36, 37
Obstetrics / Gynecology 17, South 77 Orthopaedic Surgery Center of
58, 111, 162, 200 Ocala Regional Kidney Center Ocala 126
Ocala Chiropractic and Wellness West 132 Orthopedic Surgery 19, 60,
100 Ocala Regional Kidney Centers 113, 165
Ocala Ear Nose & Throat Home Dialysis Division 132 Orthotic & Prosthetic Center of
Specialists 115 Ocala Regional Medical Center Port St. Lucie 182
Ocala Family Practice LLC 87 123 Ortiz-Ledee Debra MD 59
Ocala Florida Physician Group Ocala Surgical Center 126 Osceola Pharmacy 34, 37
LLC 89 Ocala West Home Training 132 Osceola Pharmcay 37
Ocala Health Neurological Occupational Therapy 31, 76, Osian Omeni N. MD 120
Institute-Stroke 110 131, 180, 212 Oslo Dialysis 31
Ocala Health Neurology 110 O'Connor Robert W MD 114

233
Ultimate Health Plans Index Of Providers January 2022

Osprey Point Nursing Center Pasupuleti Suman MD 196 Phillips Jesse E. MD 166,
207 Patel Chandrakant N. MD 145 167
Osterweil Glenn H. LAC 44 Patel Hemal DO 145 Phillips Michael C. MD 14
Otolaryngology 20, 62, 115, Patel Jalpen DPM 64 Physical Medicine and
166, 200 Rehabilitation 20, 63, 116,
Patel Jigar H. MD 46, 98
Ottuso Patrick T. MD 10 167, 201
Patel Prakrut MD 98
Outpatient Dialysis 31, 77, Physical Medicine Institute
Patel Prashant R. MD 164 63, 64
131, 213
Patel Ravi K. MD 156, 157, Physical Therapy Services of
Owings Eric W. MD 156
164, 165 Sumter 213
Oxygen 31, 77, 132, 181, 213
Patel Shatabdi L. MD 160 Physical Therapy 32, 78, 132,
OxyLife Respiratory Services
Pathway Pharmacy 136 181, 213
129
Patterson Daniel A. MD 106, Physio Med Inc. 76, 77, 78
Ozeran Allen DO 154
107, 112 Pichardo Milagros B. MD 5
Paccione Rose MD 152, 170
Patterson Stephen G. MD 18 Pico Jose MD 145
Paez Julio C. MD 63
Patterson-Lake Marlyn A. MD Pineiro Celso E. MD 154
Pagnini Paul G. MD 22 161
Pineiro Rosalinda MD 91
Pain and Spine Centers of Paul Craig J. DPM 169
Florida LLC 56, 60, 63 Pinnacle Home Care 30, 75,
Paul Derek K. MD 13 130, 180, 211
Pain Management Institute of
Pedro A. Espat DO 3 Pinnacle Home Care of Spring
Florida PA 20
Peebles Matthew N. MD 156 Hill Inc. 75, 130, 211
Pain Management 20, 63, 115,
167, 200 Pellegrino Francis B. MD 41 Pinnamaneni Sridhar MD 63
Palm Garden Home Health 75, Pellerano Guzman Edward J. MD Pinnamaneni Suneeta MD 56,
130, 211 9 60
Palm Garden of Ocala 125 Perez Alejandro DO 11, 12 Pinto Jose F. MD 145
Palm Garden of Port St. Lucie Perez-Velez Yadira MD 38 Pirani Shaheen H. MD 142
176 Perkins Indian River Pharmacy Pitts Family Chiropractic 100
Palm Garden of Vero Beach 27 34 Pitts Eric DO 15
Panara Ramit H. MD 58 Perkins Medical Supply 30, Placer Javier A. MD 64
31, 179, 181
Panarese Todd V. MD 22 Plante Amber A. DC 100
Perkins Pharmacy 34
Panchal Hemang B. MD 149 Plastic & Reconstructive
Perkins Sr. Hashani M. MD Surgery 116, 168, 201
Panchal Jayanti J. MD 91
41, 93
Paramount Urgent Care Inc. PM Respiratory Services Inc.
Perman Mark L. MD 22, 171 73, 128, 210
69
Pestana Laura DO 12 Podiatry Health Services LLC
Parody Ivana M. MD 23
PET/CT Services of Florida 169
Parratto Scott F. DPM 169
126 Podiatry 21, 64, 116, 168,
Partners In Women's Health
Peter R. Aldana MD PA 15, 201
17, 18
160 Pogiatzis Andrew D. MD 91
Pascarella Hoover Finkelstein
Peterson John P. MD 22 Port St. Lucie Rehabilitation
& Wagner DPM PA 65
Phillips Jr. James D. DO 61 and Healthcare 176
Pastorini Cristhine Stephanie
C. MD 103 Phillips Charles D. MD 166 Powers David W. DO 155

234
Ultimate Health Plans Index Of Providers January 2022

Pramod Joseph MD LLC 12, Publix Pharmacy #0772 33 Puello Diaz Pablo E. MD 14,
153 Publix Pharmacy #0815 82 15
Prashad Rakesh MD 98, 195 Publix Pharmacy #0819 184 Pugh Darrell L. MD 192
Premier Medical Assoc Of Fl Publix Pharmacy #0855 184 Pulmonary Group of Central
Healthcare Pa 216 Florida LLC 65
Publix Pharmacy #0856 136
Premier Medical Associates Pulmonary Medical Associates
Publix Pharmacy #0862 81
38, 41, 87, 89, 92, 189, 190, PA 169, 170
191, 192, 193 Publix Pharmacy #0898 34
Pulmonary Critical Care and
Premier Physical Therapy and Publix Pharmacy #1030 184 Sleep Specialists of Lake
Sports Medicine Inc. 181 Publix Pharmacy #1035 33 County PA 65, 66
Premier Specialtiy Allicance Publix Pharmacy #1080 216 Pulmonology 21, 65, 117, 169,
Inc. 116 Publix Pharmacy #1128 184 201
Premier Specialty Alliance Publix Pharmacy #1150 34 Pulse Medical Doctors LLC 39
Inc. 59, 95, 111, 194, 198, Publix Pharmacy #1155 216 Purdon Robert L. MD 202
200
Publix Pharmacy #1168 81 Quality Health Care Inc. of
Premier Urgent Care of The Florida 3, 4
Publix Pharmacy #1201 136
Villages 206
Publix Pharmacy #1269 82 Quick Care Med 124
Primary Care Physicians 3,
Publix Pharmacy #1284 184 Quinnonez Celia A. MD 52,
38, 87, 142, 189
53
Prince Andrea M. MD 91 Publix Pharmacy #1289 136
Quintero Betancourt Javier A.
Prism Medical Products LLC Publix Pharmacy #1357 80
MD 23
28, 72, 127, 178, 209 Publix Pharmacy #1365 136
Radecke Jason M. MD 13
Prosthetics and Orthotics 32, Publix Pharmacy #1374 34
Radiation Oncology 22, 66,
78, 133, 181, 214 Publix Pharmacy #1378 184 118, 171, 201
Przystawski Nicholas DPM 65 Publix Pharmacy #1472 184 Radnothy Orthopaedics PA 62
Publix Pharmacy #0004 138 Publix Pharmacy #1477 136 Radnothy Jon H. DO 62
Publix Pharmacy #0015 80 Publix Pharmacy #1487 216 Radoianu Nicoleta MD 108
Publix Pharmacy #0027 80 Publix Pharmacy #1499 81 Raheel Ahmed MD PA 142
Publix Pharmacy #0061 136 Publix Pharmacy #1507 216 Rahhal Fadi E. MD 52
Publix Pharmacy #0240 34 Publix Pharmacy #1535 83 Ramaiah Bharathi MD 54
Publix Pharmacy #0284 34 Publix Pharmacy #1581 216 Ramdev Pranay T. MD 24, 173
Publix Pharmacy #0385 34 Publix Pharmacy #1616 135 Ramgopal Moti N. MD 157,
Publix Pharmacy #0404 136 Publix Pharmacy #1682 183 158
Publix Pharmacy #0419 136 Publix Pharmacy #1705 217 Ramharrack Frank M. MD 102
Publix Pharmacy #0438 135 Publix Pharmacy #1737 184 Ramirez Pedro M. MD 58
Publix Pharmacy #0447 83 Publix Pharmacy #1741 217 Ramirez Raymond J. DO 198
Publix Pharmacy #0507 81 Publix Pharmacy #1747 135 Ramirez-Ramirez Carlos R. MD
Publix Pharmacy #0567 183 Publix Pharmacy #1750 136 189, 192
Publix Pharmacy #0684 80 Publix Pharmacy #1759 82 Ramos Miguel A. MD 103
Publix Pharmacy #0710 82 Publix Pharmacy #1762 82 Rao Dinesh S. MD 121, 203
Publix Pharmacy #0733 136 Publix Pharmacy* 33, 80, 135, Rao Jayanth G. MD 119
Publix Pharmacy #0763 80 183, 216 Rao Kamalakar T. MD 149

235
Ultimate Health Plans Index Of Providers January 2022

Rao Srisha MD 46, 47, 98 Robert Boissoneault Oncology Ruiz Andia Marco A. MD 158
Rashid Ahmad MD 149 Institute 118, 119, 202 Ruiz Cordero Santos MD 5
Ravi Sharma MD PA 120, 122 Robert Feldman MD PA 95, Ruiz Llanes Jorge MD 192
96, 97, 98, 99, 194
Ravi Madhavi R. MD 52, 104 Ruleme Center 70
Robert Tobar MD PA 9, 149
Razuman Samerah G. MD 158, Rumalla Ashwin MD 104
159 Roberta S. Rose DO 15
Saatiah Jaffry MD 14
Rechargerx 140, 141 Roberts Joshua C. DPM 21
Sabbah Ronnie MD 48
Reddick Discount Pharmacy 137 Robertson Daniel P. MD 110,
Sadhwani Deepti H. MD 3
111
Reddy Kiran A. MD 171 Sadhwani Harish L. MD 4
Roche Zeidy MD 158
Reddy Praveen B. MD 58, 110 Safescript Pharmacy 216, 217
Rodriguez Evelyn MD 145,
Reddy Srinivas R. MD 192 Sahajpal Deenesh T. MD 114
146, 163
Reddy Vishnu P. MD 104 Saint Lucie Radiation Oncology
Rogers James H. MD 116, 201
Regan Patrick DO 155 171
Rogers Marc J. DO 114
Reisman Allen T. MD 20 Salami Sule S. MD 49
Rogers Timothy W. MD 57,
RespirTech 29, 73, 128, 178, 108, 109 Salcedo William DPM 169
210 Saleh Anas MD 19
Ronald Roth MD PA 54
Retail Pharmacy 33, 80, 135, Saluck Brian H. DO 48, 195,
Rosa-Algarin Rafael A. MD
183, 216 196
92
Rey Dios Roberto MD 17, 162 Salvati Carl M. DPM 117
Rosado-Larroy Delvy MD 189,
Reyes Andres M. MD 159 193 Samnani Imran Q. MD 107
Reynolds Stephen M. DO 115 Rosario-Maisonet Luz D. MD Sampong Kenneth A. MD 47,
Rheumatology 23, 66, 119, 92 48
171, 202 Rose Marc C. MD 24 Sams Pharmacy 10-4972 184
Rhonda C. Jones 172 Rose Roberta S. DO 15 Sam's Pharmacy 10-4998 81
Riad Joseph N. MD 100, 101, Rosenbaum Alan M. MD 7, 8 Sams Pharmacy 10-6335 137
105
Rosenbaum Anna MD 161 Sam's Pharmacy 10-6520 34
Richards Michele L. MD 166
Rosenthal Raul J. MD 13 Sams Pharmacy 10-8150 184
Richards Winston T. MD 105
Rosian Rochelle MD 23 Sanchez Wilfredo MD 107
Richardson Robert J. MD 66
Rossario Edward J. MD 166 Sand Lake Imaging 208, 212
Riley Poorti K. MD 111
Rossidis Georgios MD 105 Sanders Susan P. DC 151
Rite Care Pharmacy 183
Rotech 73, 128, 132, 210, 213 Sandgate Gardens Rehab and
Rivera Jimenez Jose D. MD 7 Nursing Center 176
Roth Ronald MD 54
Rivera Roig Valenie MD 50 Sandrapaty Ravichandra K. MD
Rothschild Mark A. MD 195,
Rivera Velazquez Itza M. MD 196 119
64 Sandy Shores Dialysis 31
Royal Care Pharmacy 183, 184,
Rivera Miguel A. MD 21 187, 188 Sanjuan David F. MD 38, 41
Rivero Abel MD 48, 195, 196 Rubenstein Forrest S. MD Santoian Edward C. MD 98,
Riverside Surgical & Weight 156 99
Loss Center 12, 13 Rubio-Gonzalez Jaime E. MD Santos-Burgos Leonor MD 52
RM Healthcare LLC 91, 92 92 Sanz Agustin C. MD 146
Roach Richard M. MD 67, 203 Ruisi Michael MD 98 Saranita Anthony D. DPM 64

236
Ultimate Health Plans Index Of Providers January 2022

Saranita Julie DO 63 Shalhoub Hadi A. DO 24 Sleep Studies 32, 79, 133,


Satriale Richard F. MD 40 Shankar Ravi A. MD 22 182, 214
Saul Daniel MD 152, 170 Shanmugham Sampathkumar MD Slobasky Michael S. DO 167,
58 168
Saunders Prosthetics &
Orthotics Group 79 Sharak Nazar DO 7, 9 Smith Katrina R. DC 151
Savani Chirag N. MD 110 Shareef Babar MD 149 Smith Page A. MD 93
Saxena Sanjeev MD 150 Shareef Humayun DO 142, 146 Smyth Niall A. MD 166
Schmidt Christopher J. MD Sharma Institute of Pain Solanki Kalpesh H. DO 47,
115 Medicine 116, 201 99
Schroeder Alexander D. MD Sharma Anuj DO 116, 201 Solomon Michael C. MD 173
55 Sharma Ravi MD 120, 122 Soni Family Practice PLLC 38
Schroeder Shana R. DO 51 Shaughnessy Kerry K. MD 152 Soni Ambica MD 38
Schweizer Heather R. DO 110 Shekailo Peter J. MD 60 Sonja J. Lonadier DC PA 100
Scridon Tudor M. MD 8 Shekhadia Nitesh J. MD 58 Sosa Gustavo A. MD 39
Scripts Pharmacy 219, 220 Shen Adam W. MD 105 Soto Alfred MD 92
Sea Breeze Rehab and Nursing Shen Thomas J. MD 45, 194 South Campus Care Center 70
Center 27 South Florida ENT Associates
Sher Andrew B. MD 67, 203
Sebastian Dialysis 31 Inc. 62
Sherr Gregory T. MD 161,
Sebastian Discount Pharmacy 162 South Lake Gastroenterology
33 Inc. 51, 52
Shetty Jayapraksh N. MD 92
Sebastian ID Care LLC 14 South Lake Medicine PA 38
Shetty Mangala J. MD 115
Sebastian River South Lake Pain Institute Inc.
Shrestha Adarsha MD 159
Gastroenterology 11 63
Silver Sneakers Fitness 30,
Sebastian River Primary Care Southern Respiratory Inc.
74, 129, 179, 210
3 30, 32, 73, 78, 128, 132
Silver Springs Shores Dialysis
Seecharan Stephen K. MD 92 Specialists 7, 44, 95, 148,
132
Seek Melvin M. MD 109 194
Simone Christine G. MD 156,
Seevaratnam Andrew R. MD Specialized Rehabilitation
157, 164, 165
118 Physician Group 64
SimonMed Imaging 71, 72, 76,
Seibel Philip S. MD 172 Speech Therapy 79, 134, 214
209, 212
Sellheyer Klaus F. MD 50 Spindler Kurt P. MD 166
Sinclair Surgical 55
Seneriz Manuel A. MD 203 Sports Medicine 66, 119
Sinclair Karlene E. MD 55
Sengul Buse MD 16 Sports Spine and Pain Medicine
Singh Premranjan P. MD 47,
20
Serene Diagnostic Imaging 72 99
St. Lucie Gastrointestinal
Shaath Tarek S. MD 50, 198 Singu Bheema S. MD 104
Diseases PL 154
Shah Chintan B. MD 142 Sinha Nisha MD 110
St. Lucie Injury and Health
Shah Gaurav R. MD 159 Skilled Nursing Facilities LLC 151
Shah Sanjay B. MD 192 (SNFs) 27, 70, 125, 176, 207
St. Lucie Medical Associates
Shah Sundeep MD 192 Sklow Bradford MD 151, 156 143
Shaikh Shahbaaz A. MD 7 Slack Christopher L. MD St. Lucie Medical Center 174
166, 167
Shakti Narain MD PA 49, 65, St. Lucie Medical Center ER at
196, 201 Darwin Square 174

237
Ultimate Health Plans Index Of Providers January 2022

St. Lucie Medical Specialists Sujata S. Balulad MD PA 45, Taylor Leighton MD 168
150, 151 49 Te Jessie D. MD 92, 93
St. Lucie Surgery Center 177 Summerfield ER 123 Tee Howard T. MD 9
St.Mary Pharmacy Compounding Suncoast Dermatology and Skin Tesalona Mary A. MD 41
And Medical Supply 81, 86 Surgery Center PA 102
The Clark Clinic Inc. 38,
Stabley Jason P. DO 162 Suncoast Podiatry Associates 39, 41, 42, 43, 189
Stanton William MD 165 Inc. 117
The Club Health and
Steinfeld Richard MD 19, 20 Suncoast Skin Solutions Inc. Rehabilitation Center at The
101 Villages 207
Stephanian Erick MD 162
Sundean Elizabeth P. MD 62 The Endoscopy Center of Ocala
Steward Coastal Gynecology
Specialists 18 Sunshine Drugs 135, 137 126
Steward Gastroenterology SurfMed 29, 73, 128, 179, 210 The Institute For Florida Pain
Associates 12, 13 Surgery Center of Mid Florida Specialists 36, 37, 85, 86,
126 140, 141, 187, 188, 219, 220
Steward Health Care Network
Inc. 11 Surgery Center of Mount Dora The Lakes of Clermont Health
71 and Rehabilitation Center 70
Steward Internal Medicine 3
Surgical Practice Resource The Lodge Health and
Steward Interventional
Group of FL Inc. 61 Rehabilitation Center 125
Cardiology 8
Surgical Specialists of Ocala The Medicine Chest - Ltc Llc
Steward Medical Group Inc.
PA 104, 121, 122 86
9, 20, 21
Syed Madiha K. MD 56 The Neurohealth Sciences Center
Steward Orthopedic & Sports
LLC 15, 57, 109, 160, 199
Medicine 20 Symeonides Simon T. MD 9
The Orthopaedic Institute PA
Steward Primary Care 4 Szentirmai Oszkar MD 17,
113, 114, 115, 117, 119
Steward Primary Care Vero 162
The Pharmacist 82
Beach 5, 6 Taggart Tracy MD 156
The Vein Center of North
Steward Sebastian River Medical Taher Husainy MD 16
Florida 104, 122
Center 25 Talati Raja R. MD 146
The Villages Rehabilitation and
Steward Thoracic Surgery 23 Tampa Bay Prosthetics 32, 79, Nursing Center 70
Steward Urology Specialists 133, 182, 214
Therapeutic Massage 172
24 Tampira Saroj T. MD 47
Thill Jeffrey R. MD 67, 121
Stigliano Randy DO 6 Tan-Chiu Elizabeth D. MD 18
Thimmiah Kumar MD PA 103
Strive Medical LLC 29, 73, Tandon Prabhat K. MD 51,
128, 178, 210 Thomas E Langley Medical Center
103, 198
216
Strive! Rehabilitation 131, Tankson Cedric J. MD 61
132, 133, 134 Thomas Internal Medicine PA
Tardif Christopher P. MD 24 87
Stuart Oncology Associates PA
Tariq Umair MD 10 Thomas Bryan A. MD 64
156, 157, 164, 165
Taub Harvey C. MD 121, 203 Thomas Claudia L. MD 61
Stuart Menachem M. MD 62
Tavares Pharmacy 83 Thomas Greyson C. MD 87
Stubrud Julie D. DC 100
Tavares Surgery Center 71 Thomas Katie L. DC 196
Studzinski Marcy A. DO 149
Taveras Pantaleon Ana E. MD Thomason Thomas B. MD 115
Suecof Larry A. DPM 65
15
Suen John S. MD 21 Thomas-St. Cyr Aisha Q. MD
Taylor Daniel S. DC 196 14

238
Ultimate Health Plans Index Of Providers January 2022

Thompson Karen S. DO 67 Truesdale Richard A. MD 53, Urology Institute of Central


Thoracic Surgery 23, 66, 119, 104 Florida PL 67, 121
172 Tudor M. Scridon MD PL 8 Urology of Mount Dora 67
TimberRidge Center for Tudor Timothy S. DO 20 Urology 24, 67, 120, 172, 202
Rehabilitation & Healing 125 Tuli Sagun K. MD 111 US Med LLC 30, 73, 128, 179,
TimberRidge Imaging Center LLP Tung Rebecca C. MD 50 210
127, 131 Usorov Alexander M. MD 159,
Uche Eze D. MD 48, 195, 196
Tirado Pablo H. MD 146 160
UF Health Central Florida
TLC Medical Group Inc. 150 Medical Group 55, 61, 66, 67, Vaghela Maheshkumar L. MD
TLC Rehab Inc. 131, 133, 134 199 109
Tlcrx 137 UF Health Leesburg Hospital Van De Leur Timothy J. MD
68 114
Tobar Robert MD 9, 149
UF Health Leesburg Hospital Van Eldik Richard B. MD 53,
Tomita B. Aurora F. MD 158,
Urgent Care 69 104
159
UF Health The Villages Hospital Varela-Batista Lourdes L. MD
Tonner Michael P. MD 21
205, 213, 214, 215 64
Topi Bernard MD 95
UF Health The Villages Hospital Varghese Shery M. MD 10
Torres Giselle MD 59
Freestanding Emergency Room Varma Amit B. MD 61
Tousimis Eleni A. MD 13 205 Varraux Alan R. MD 65
Towbin Scott R. MD 146 Ulhoa-Cintra Alice B. MD 14 Vascular Center of Orlando PA
Towry James B. DO 102 Ulseth Robert N. MD 115 199, 203
Tradition Pharmacy At Martin Umatilla Drug Store 83, 86 Vascular Interventional and
Health 184 Vein Associates 173
Umatilla Family Practice 43
Tradition Surgery Center LLC Vascular Interventional Vein
Unique Lingerie Services LLC
177 Association of Vero 24
129
Trailwinds Village ER 205 Vascular Surgery 24, 67, 121,
Unique Lingerie Inc. 129
Tran Lily C. MD 52, 54 173, 203
United Medco Inc. 28, 29,
Treasure Coast Community Health 71, 73, 126, 128, 177, 179, Vasudevan Anju MD 56, 60,
36, 37 208, 210 107, 112
Treasure Coast Heart and United States Medical Supply Vasudevan Ramabhadran MD 99
Vascular 173 LLC 29, 73, 128, 179, 210 Vaught Sammy D. MD 62, 63,
Treasure Coast Podiatry 168, United Vein Centers 150, 156 200
169 Vedere Amarnath R. MD 150
Universal Med Supply 29, 73,
Treasure Coast Sleep Disorders 128, 179, 210 Veerendra N. Kandru MD PA
182 89
Unova Health Hip and Knee 66
Treasure Coast Surgical Vela Duarte Daniel H. MD
Upadhyay Bharat MD 171
Specialists 155, 156 16, 162
Urban Paul L. MD 47, 99
Tri-County Heart Institute PA Velasquez Hermes S. MD 21
47, 194 Urgent Care Centers 26, 69,
124, 175, 206 Veligandla Himachala R. MD
Trinity Healthcare Medical 100, 195
Center 90 Uribe Villa Juan D. MD 17
Venazio Michael A. MD 4
Triumph Radiology Associates Urology Care of Central Florida
120 Venkatraman Anand MD 110
127

239
Ultimate Health Plans Index Of Providers January 2022

Ventrapragada Sailaja V. MD Walgreens #16051 80 Walgreens* 33, 80, 135, 183,


109 Walgreens #16466 217 216
Vero Radiology Associates 28, Walgreens #16546 137 Walmart Pharmacy 10-0697 137
31 Walmart Pharmacy 10-0705 82
Walgreens #1724 137
Vero Renal Associates PA 15 Walmart Pharmacy 10-0800 82
Walgreens #21204 217
Vickers Jean A. MD 160 Walmart Pharmacy 10-0929 185
Walgreens #2224 137
Victoria Alejandro A. MD 39 Walmart Pharmacy 10-0931 34
Walgreens #2928 82
Village Discount Pharmacy 217 Walmart Pharmacy 10-0959 216
Walgreens #3110 185
Villages Endoscopy Center LLC Walmart Pharmacy 10-0960 135
Walgreens #3389 137
126
Walgreens #3391 137 Walmart Pharmacy 10-0973 183
Villages Pharmacy 138
Walgreens #3607 34 Walmart Pharmacy 10-1068 33
Villages Plastic Surgery 201
Walgreens #3608 34 Walmart Pharmacy 10-1847 137
VIPCare 38, 39, 40, 41, 42,
Walgreens #4001 185 Walmart Pharmacy 10-2695 80
43, 87, 88, 89, 90, 91, 92,
190, 191, 192 Walgreens #4248 33 Walmart Pharmacy 10-2843 138
Visiting Nurse Association of Walgreens #4391 183 Walmart Pharmacy 10-3527 185
Indian River County Inc. 30, Walgreens #4426 135 Walmart Pharmacy 10-4260 185
180 Walgreens #4619 33 Walmart Pharmacy 10-4262 217
Visiting Nurse Services of Walgreens #4642 34 Walmart Pharmacy 104368 137
Central Florida LLC 75, 211 Walmart Pharmacy 10-4434 137
Walgreens #4648 83
Vista Clinical 75 Walmart Pharmacy 10-4546 34
Walgreens #4727 183
Vivas Christopher MD 6 Walmart Pharmacy 10-4565 217
Walgreens #4804 185
VNA of FL 75, 130, 211 Walmart Pharmacy 10-5299 80
Walgreens #5335 185
Vogler Sarah A. MD 151 Wal-Mart Pharmacy 10-5326 137
Walgreens #5432 217
Wadhwa Ranju B. MD 172 Walmart Pharmacy 10-5704 184
Walgreens #5465 185
Waldo Oral A. MD 150 Walmart Pharmacy 10-7299 185
Walgreens #5578 135
Walgreens #10373 216 Walmart* 33, 80, 135, 183,
Walgreens #5779 81
Walgreens #10671 137 216
Walgreens #5809 81
Walgreens #10705 183 Wang Bo MD 173
Walgreens #6163 82
Walgreens #10741 183 Wang Charng-Shen S. LAC 44
Walgreens #6218 80
Walgreens #1127 34 Ware Anthony W. MD 19, 20
Walgreens #6383 185
Walgreens #11329 217 Wartels Michael B. MD 102
Walgreens #6528 80
Walgreens #11484 82 Water's Edge Dermatology 10,
Walgreens #6723 81
Walgreens #11486 137 12, 13, 102, 152, 155, 168, 171
Walgreens #6887 82
Walgreens #11737 34 Watine Robert S. MD 6
Walgreens #6940 82
Walgreens #11991 137 Watson Carrie DO 105
Walgreens #6991 33
Walgreens #12105 83 Watson John T. MD 43
Walgreens #7207 137
Walgreens #12122 184 Wecowski Jacek MD 55, 105,
Walgreens #7273 80 106
Walgreens #12302 185
Walgreens #7468 138 Wein Michael B. MD 7, 148
Walgreens #12317 81
Walgreens #7589 137 Weirsdale Family Health Center
Walgreens #13585 137
Inc. 93
Walgreens #15495 217

240
Ultimate Health Plans Index Of Providers January 2022

Wellcare Pharmacy 216 Zambrana-Morales Laura MD


Welsh Matthew L. MD 61 92
Welton III William A. MD Zanto Sabrina DO 151
102 Zayko Olga MD 106
Wendell J. Courtney MD PA Zeidy Roche MD PA 158
59 Zerega Joseph J. MD 12
West Florida Medical Associates
PA 87
West Marion Community Hospital
123
West Marion Family Practice
89, 90, 91, 92
White Lion Chiropractic 100
White Katherine E. DC 100
White-Findley Sharon L. DO
39
William Gaya M.D. P.A. 109
William Salcedo DPM PA 169
Williams Alexander J. MD 11
Williams Cherryl D. LAC 148
Williams Clayton R. MD 6
Wilt Jason S. MD 66, 119
Windsor Imaging 177
Windsor Oaks 127
Winn Dixie 33, 34, 80, 81,
82, 83, 135, 137, 185, 216, 217
Winn Dixie* 33, 80, 135, 183,
216
Womens Centre for Excellence
58, 59
Women's Imaging Center 127,
131
Wound Care 32, 79, 134, 182,
215
Wubneh Daniel R. DO 7, 9
Yagnik Kruti J. DO 14
Yankovich Andrei MD 9, 21
Yedwab Oliver Beth D. MD 39
Yen Pei Chi LAC 44, 45
Young Lisa L. MD 102
Yu Yong LAC 44, 45
Zaluzec Daniel J. MD 167

241
Visit our website at www.ChooseUltimate.com
or stop into one of our local offices.

Visite nuestro sitio web en www.ChooseUltimate.com


o pasa por una de nuestras oficinas locales.

Community Outreach Offices / Oficina de Extensión Comunitaria


2713 Forest Road
Spring Hill, FL 34606
17820 SE 109th Ave Unit 103
Summerfield, FL 34491
4058 Tampa Road Unit 7
Oldsmar, FL 34677

To learn more, call


1-855-858-7526 (TTY 711)
Monday – Sunday 8 am to 8 pm

Para obtener mas información, llame


1-855-858-7526 (TTY 711)
Lunes - Domingo 8 am to 8 pm

Corporate Office / Oficina Corporativa


1244 Mariner Boulevard|Spring Hill, FL 34609
This directory is current as of December 30, 2021. This directory provides a list of Ultimate Health Plans’ current network providers and
pharmacies for Citrus, Hernando, Hillsborough, Pasco, and Pinellas counties. Changes to our provider and pharmacy network may occur
during the benefit year. To access Ultimate Health Plans’ updated online provider and pharmacy directory, you can visit
www.ChooseUltimate.com. For more recent information or any questions about the information contained in this directory, please call our
Member Service Department at 1-888-657-4170, Monday through Sunday, 8 am to 8 pm EST. During certain times of the year we may use
alternative technologies to answer your call on weekends and Federal holidays. TTY users should call 711.
Este directorio está actualizado al 30 de deciembre de 2021. Este directorio proporciona una lista de los proveedores de la red actual de
Ultimate Health Plans para Citrus, Hernando, Hillsborough, Pasco, y Pinellas. Es posible que se produzcan cambios en nuestra red de
proveedores y farmacias durante el año de beneficios. Para acceder al directorio de farmacias y proveedores en línea actualizado de Ultimate
Health Plans, puede visitar www.ChooseUltimate.com. Para información más reciente o cualquier pregunta sobre la información contenida en
este directorio, llame a nuestro Departamento de Servicios para Miembros al 1-888-657-4170, DE Lunes a Domingo de 8am A 8pm EST.
Durante determinadas épocas del año podemos utilizar tecnologías alternativas tecnologías para responder a su llamada los fines de semana y
feriado federales. Los usuarios de TTY deben llamar al 711.

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