florida health care plans east volusia area network referral instructions

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DENTAL SERVICES Preferred Medical Centers – Daytona Beach Scott Grande, D.M.D. #000410 Michael Tidwell, D.M.D. #000417 Patients 5 years and older Florida Dental Associates Mark Johnson, D.D.S. #008481 Patients 5 years and older Florida Dental Associates Benjamin Lacy, D.D.S. #002046 Jeremiah Mahoney, D.M.D. #136859 Patients 16 years and older 350 N. Clyde Morris Blvd., Daytona Beach, FL 32114 386 / 238-3280 Fax: 386 / 238-3279 215 S. Third Street, Flagler Beach, FL 32136 386 / 439-9688 Fax: 386 / 439-1915 30 Office Park Drive, Palm Coast, FL 32137 386 / 446-3883 Fax: 386 / 445-9318 REFERRAL INSTRUCTIONS: Members can schedule appointments with Florida Dental Associates and/or FHCP’s Dental Department after being assigned to a dentist through Member Services Department in the Holly Hill facility at 386 / 615-4022. FHCP coverage of dental examinations, cleaning and x-ray services are in accordance with the member’s FHCP benefits. Dental services are available to our members on a discounted fee-for-service basis through FHCP Dental Providers. For urgent / accidental dental injury services, call FHCP’s Dental Department in the Daytona Beach Facility at 386 / 238-3280 and describe the presenting problem. They will advise you if FHCP covers the problem and who you should call within FHCP’s Provider Network to arrange for treatment of the member. For TMJ services please send the Completed FHCP Referral form along with the completed FHCP TMJ Screening Questionnaire via courier directly to FHCP’s Dental Dept. in either the Daytona Beach or Orange City Facility for review and scheduling. 17 FLAGLER 06/01/08
DERMATOLOGY Acclaimed Dermatology Ronald Sherman, D.O. 106 North Old Kings Road, Suite D, Ormond Beach, FL 32174 Skin Emergencies – Seen same day 386 / 673-5969 Fax: 386 / 615-9952 Jack Albert, M.D. 4393 Ridgewood Ave., Port Orange, FL 32119 386 / 756-3341 Fax: 386 / 756-3341 Leavitt Medical Associates of Fla., Inc. Anthony Amoruso, M.D. Lauren Archer, M.D. James Bernard, D.O. Steven Glanz, M.D. Matt Leavitt, M.D. Joseph T. Lucas, M.D. Colleen MacInnis, M.D. Stephen McAskill, M.D. Dimitry Palceski, D.O. Keith Perrine, M.D. Scott Podnos, M.D. Raymond Ramirez, D.O. Martin Yungman, D.O. Scott Clark, P.A. – C. David Fitzmaurice, P.A.-C. Kristen Gregory, P.A. – C. Michelle Thomas, P.A.– C. Allison Bachman, A.R.N.P. Margaret Burg, A.R.N.P. Janet Curtis, ARNP -C All ages 1720 Dunlawton Ave., Port Orange, FL 32127 725 W. Granada Blvd., Suite 44, Ormond Beach, FL 32174 SCHEDULING NUMBER 386 / 322-8310 Fax: 386 / 322-8370 386 / 898-0547 Fax: 386 / 898-0551 888 / 540-9660 Mid Florida Dermatology Associates, PA Michael Gutierrez, M.D. #142344 Jason Welch, A.R.N.P. #011900 519 N. Dixie Freeway, New Smyrna Beach, FL 32168 386 / 428-2223 Fax: 386 / 428-6222 INSTRUCTIONS: Member can call and schedule an appointment with this provider directly without any paperwork being completed. 18 FLAGLER 06/01/08
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FLORIDA HEALTH CARE PLANS EAST VOLU
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FLUOROSCOPIC PROCEDURES............
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ULTRASOUND ........................
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2 EAST 06/01/08 FLORIDA HEALTH CARE
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ALLERGY Robert DiNicolo, M.D. # 001
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DIABETIC SHOE PROVIDERS Atlantic Po
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CARDIOLOGY Preferred Medical Center
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CHIROPRACTIC Lawrence Petker, D.C.
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DENTAL SERVICES Preferred Medical C
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DIABETES EDUCATION Florida Health C
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DIALYSIS SERVICES DVA Healthcare Re
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Acute Low Back & Neck Pain • This
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EAR LAVAGE Florida Health Care Plan
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EMG TESTING Preferred Medical Cente
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FLUOROSCOPIC PROCEDURES Twin Lakes
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GENETIC TESTING All Genetic Testing
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GYNECOLOGY AND WELL WOMAN’S ASSES
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HOME HEALTH CARE Doctors’ Choice
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HOSPITAL SURGERY Halifax Health #00
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INFUSION / INJECTION CLINIC Florida
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LYMPHEDEMA CLINIC Halifax Health #0
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NEPHROLOGY Nephrology Consultants,
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NEUROLOGY (cont’d) Coastal Neurol
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OBSTETRICS Halifax OB/GYN Associate
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ONCOLOGY - MEDICAL/HEMATOLOGY (cont
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OPHTHALMOLOGY Preferred Medical Cen
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ORTHOPAEDICS Preferred Medical Cent
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OSTOMY SERVICES Florida Health Care
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BALANCE & VESTIBULAR THERAPY Univer
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PAIN MANAGEMENT (cont’d) Ambulato
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PHARMACY FHCP Pharmacy 350 N. Clyde
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PODIATRY Atlantic Podiatry Associat
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PRIMARY CARE (cont’d) Pablo Garci
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SUBSTANCE ABUSE, DETOXIFICATION AND
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PULMONOLOGY Suresh D. Desai, M.D. #
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RHEUMATOLOGY - PEDIATRICS Children
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SMOKING CESSATION PROGRAM QuitSmart
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SURGERY-CARDIOVASCULAR Coastal Card
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MINOR SURGICAL CLINIC Harry H. Blac
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SURGERY - PLASTIC Vijay Moradia, M.
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SURGERY - VASCULAR Surgical Associa
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URGENT CARE SERVICES MediQuick Urge
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VARICOSE VEIN TREATMENT Thomas Corb
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WOUND CARE CLINIC Florida Health Ca
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FLORIDA HEALTH CARE PLANS SOUTHEAST
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FLUOROSCOPIC PROCEDURES............
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ULTRASOUND ........................
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FLORIDA HEALTH CARE PLANS OUTPATIEN
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ALLERGY Robert DiNicolo, M.D. # 001
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DIABETIC SHOE PROVIDERS Atlantic Po
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CARDIOLOGY Yogesh Shah, M.D. #01045
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CHIROPRACTIC Michelle Gingras, D.C.
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DENTAL SERVICES Preferred Medical C
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DIABETES EDUCATION Florida Health C
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DIALYSIS SERVICES DVA Healthcare Re
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Acute Low Back & Neck Pain • This
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EAR LAVAGE Florida Health Care Plan
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EMG TESTING Preferred Medical Cente
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FLUOROSCOPIC PROCEDURES Bert Fish M
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GASTROENTEROLOGY (cont’d) Nagrani
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HOME HEALTH CARE Doctors’ Choice
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INFECTIOUS DISEASES Daniel Warner,
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LABORATORY SERVICES - ROUTINE LabCo
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MRI’S Bert Fish Medical Center #0
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NEUROLOGY Preferred Medical Centers
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OPHTHALMOLOGY Robert C. Dean, M.D.
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ORTHOPAEDICS Atlantic Orthopaedic A
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OSTOMY SERVICES Florida Health Care
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BALANCE & VESTIBULAR THERAPY Univer
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PAIN MANAGEMENT (cont’d) Ambulato
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PHYSICAL MEDICINE AND REHABILITATIO
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PSYCHIATRY / BEHAVIORAL HEALTH Marg
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SUBSTANCE ABUSE, DETOXIFICATION AND
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PULMONOLOGY Suresh D. Desai, M.D. #
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RHEUMATOLOGY - PEDIATRICS Children
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SMOKING CESSATION PROGRAM QuitSmart
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SURGERY-CARDIOVASCULAR Coastal Card
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SURGERY-GENERAL Avrohm Faber, M.D.
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SURGERY - ORAL Peter J. Linek, D.D.
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SURGERY - THORACIC Coastal Cardiova
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SUTURE AND STAPLE REMOVAL Florida H
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URGENT CARE SERVICES MediQuick Urge
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VARICOSE VEIN TREATMENT Thomas Corb
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WEIGHT MANAGEMENT PROGRAM Halifax F
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FLORIDA HEALTH CARE PLANS WEST VOLU
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EVENT MONITOR......................
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SURGERY-THORACIC ..................
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ALLERGY Asthma & Allergy Specialist
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BRACES / ORTHOTICS / PROSTHETICS Am
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CARDIAC CATHETERIZATION Florida Hos
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CARDIOLOGY (cont’d) Central Flori
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CHIROPRACTIC James Jeremy Hether, D
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CT’S Florida Hospital - DeLand #0
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DERMATOLOGY Acclaimed Dermatology R
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DIAGNOSTIC TESTING Florida Hospital
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DISEASE MANAGEMENT PROGRAMS The lis
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DURABLE MEDICAL EQUIPMENT Apria Hea
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EAR, NOSE AND THROAT (ENT) Coastal
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EMG TESTING Central Florida Neurolo
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EVENT MONITOR Florida Health Care P
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GASTROENTEROLOGY Central Florida Ga
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GENETIC TESTING All Genetic Testing
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HOLTER MONITOR Florida Health Care
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HOSPITAL SURGERY Florida Hospital -
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INFUSION CLINIC Florida Health Care
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LABORATORY SERVICES - ROUTINE Flori
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MRI’S Florida Hospital - DeLand #
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NEPHROLOGY Nephrology Consultants,
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NEUROLOGY (con’t) Preferred Medic
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ONCOLOGY-RADIATION Florida Oncology
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OPTOMETRY Total Vision Eye & Contac
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ORTHOPAEDICS - SPORTS MEDICINE (Non
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Page 237 and 238: PAIN MANAGEMENT Pain Management & R
Page 239 and 240: PEDIATRICS Preferred Medical Center
Page 241 and 242: PHYSICAL MEDICINE AND REHABILITATIO
Page 243 and 244: PRIMARY CARE Preferred Medical Cent
Page 245 and 246: PSYCHIATRY / BEHAVIORAL HEALTH Fami
Page 247 and 248: PULMONARY FUNCTION TESTS (PFT’s)
Page 249 and 250: RABIES VACCINE SERIES Volusia Count
Page 251 and 252: RHEUMATOLOGY - PEDIATRICS Children
Page 253 and 254: SMOKING CESSATION PROGRAM QuitSmart
Page 255 and 256: SURGERY-CARDIOVASCULAR Coastal Card
Page 257 and 258: SURGERY-GENERAL Rene Capulong, M.D.
Page 259 and 260: SURGERY - ORAL Peter J. Linek, D.D.
Page 261 and 262: SURGERY-THORACIC Corbyons & Donohoe
Page 263 and 264: SURGERY - VASCULAR Surgical Associa
Page 265 and 266: ULTRASOUND Florida Health Care Plan
Page 267 and 268: UROLOGY Atlantic Urology Associates
Page 269 and 270: VNG TESTING Timko Hearing and Balan
Page 271 and 272: X-RAYS (PLAIN FILMS) Florida Health
Page 273 and 274: TABLE OF CONTENTS ACUTE LOW BACK &
Page 275 and 276: OUTPATIENT REHABILITATION .........
Page 277 and 278: ACUTE LOW BACK & NECK PROGRAM This
Page 279 and 280: AFTER HOURS PRIMARY CARE FHCP Pedia
Page 281 and 282: BONE DENSITY STUDIES Florida Health
Page 283 and 284: CARDIAC CATHETERIZATION Florida Hos
Page 285 and 286: CARDIOLOGY - PEDIATRIC Pediatric Ca
Page 287: CT’S Florida Hospital - Flagler #
Page 291 and 292: DIAGNOSTIC TESTING Florida Hospital
Page 293 and 294: DISEASE MANAGEMENT PROGRAMS The lis
Page 295 and 296: DURABLE MEDICAL EQUIPMENT Apria Hea
Page 297 and 298: EEG TESTING Florida Hospital - Flag
Page 299 and 300: EVENT MONITOR Florida Health Care P
Page 301 and 302: GENETIC TESTING All Genetic Testing
Page 303 and 304: GYNECOLOGY AND WELL WOMAN’S ASSES
Page 305 and 306: HOME HEALTH CARE Doctors’ Choice
Page 307 and 308: INFECTIOUS DISEASES Daniel A. Warne
Page 309 and 310: LABORATORY SERVICES - ROUTINE Flori
Page 311 and 312: MRI’S Florida Hospital - Flagler
Page 313 and 314: NEUROLOGY Preferred Medical Centers
Page 315 and 316: OBSTETRICS Halifax OB/GYN Associate
Page 317 and 318: ONCOLOGY - MEDICAL/HEMATOLOGY (cont
Page 319 and 320: OPHTHALMOLOGY Preferred Medical Cen
Page 321 and 322: ORTHOPAEDICS - SPORTS MEDICINE (Non
Page 323 and 324: FLORIDA HEALTH CARE PLANS OUTPATIEN
Page 325 and 326: PAIN MANAGEMENT Pain Management & R
Page 327 and 328: PEDIATRICS Preferred Medical Center
Page 329 and 330: PODIATRY Atlantic Podiatry Associat
Page 331 and 332: SUBSTANCE ABUSE, DETOXIFICATION AND
Page 333 and 334: PULMONOLOGY Lawrence Burns, M.D. #0
Page 335 and 336: RHEUMATOLOGY - PEDIATRICS Children
Page 337 and 338: SMOKING CESSATION PROGRAM QuitSmart
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SURGERY - CARDIOVASCULAR Coastal Ca
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SURGERY-GENERAL Alfred Alson, M.D.
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SURGERY - ORAL Peter J. Linek, D.D.
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SURGERY - VASCULAR Surgical Associa
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ULTRASOUND Florida Health Care Plan
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UROLOGY Atlantic Urological Associa
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VNG TESTING Timko Hearing and Balan
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X-RAYS (PLAIN FILMS) Florida Health
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