State of Florida Directory - Florida Health Care Plans

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGState of Florida/HMOProviders* Please call Member Services atabove listed numbers BEFOREmaking your first appointment.Family Medicine PhysiciansAhmar, Ayesha R., M.D.Family Practice of Central Florida1349 S. International Pkwy., Ste.1411Lake Mary, FL 32746(407) 774-4911Patients 8 years & olderArguello, Martha, M.D.FHCP Center309 Palm Coast Pkwy., Ste. 1Palm Coast, FL 32137(386) 445-7073Patients 2 years & olderBaldassarri, Gerardo, M.D.FHCP Center309 Palm Coast Pkwy., Ste. 1Palm Coast, FL 32137(386) 445-7073Patients 3 months & olderBlair-Britt, Loray A., M.D.Century Clinical Family Medicine,LLC1410 LPGA Blvd., Ste. 136Daytona Beach, FL 32117(386) 274-4750Patients 3 days & olderBogdanovski, Dragi, D.O.Bogdanovski Family Practice909 Sterthaus Dr.Ormond Beach, FL 32174(386) 673-1717Patients 12 years & olderBranoff, Richard, M.D.Ormond Medical Center, Inc.545 W. Granada Blvd.Ormond Beach, FL 32174(386) 672-6243Patients 5 years & olderBrown, James, M.D.Jena Medical1180 W. Granada Blvd., Ste. BOrmond Beach, FL 32174(386) 677-2606Patients 6 years & olderCarratt, Evan, M.D.James Carratt, M.D., P.A.1243 S. Ridgewood Ave.Daytona Beach, FL 32114(386) 252-2504Patients 2 years & olderCarratt, James, M.D.James Carratt, M.D., P.A.1243 S. Ridgewood Ave.Daytona Beach, FL 32114(386) 252-2504Patients 2 years & olderChan, Rainer, M.D.DMA - Dr.'s Sterling & Chan151 Victoria Commons Blvd., Ste.104DeLand, FL 32724(386) 740-4083Patients 2 years & olderDMA - Dr.'s Sterling & Chan549 Bert Fish Dr.DeLand, FL 32724(386) 822-8150Patients 2 years & olderChang, Margaret, M.D.Coastal Family Practice, L.L.C.1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 424-5777All ages acceptedChanmugam, Jay C., D.O.Genesis Family Practice, LLC1133 Saxon Blvd., Ste. 200Orange City, FL 32763(386) 228-9700Newborn and olderCrossman, Margaret, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages acceptedCrouch, Eugene, M.D.Crouch & Dunn, M.D. LLC155 S. Halifax Ave.Daytona Beach, FL 32118(386) 252-7119Patients 2 weeks & olderDoolin, Dina, D.O.Shores Medical, P.A.346 N. Ridgewood Ave., Ste. AEdgewater, FL 32132(386) 423-1888Patients 12 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 1

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGraham-Lapp, Shellie, D.O.Primary Care Center at Lake Mary4106 W. Lake Mary Blvd., Ste. 100Lake Mary, FL 32746(407) 333-2273Patients 6 years & olderGuirgis, Wagid, M.D.3953 S. Nova Rd.Port Orange, FL 32127(386) 788-4911Patients 2 years & olderGupta, Anita, M.D.A. Gupta, M.D., P.A.3300 W. Lake Mary Blvd., Ste. 220Lake Mary, FL 32746(407) 321-7111Patients 6 years & olderGupta, Anjali, M.D.FHCP Center937 N. Spring Garden Ave.DeLand, FL 32720(386) 736-1948Patients 2 years & olderHalifax Health Center for Family &Sports MedicineHalifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165For Family Medicine: All agesacceptedHarmon, Jason, M.D.FHCP Center461 S. Nova Rd.Ormond Beach, FL 32174(386) 671-4337Patients 2 years & olderHaynes, Delicia, M.D.Family First Health Center1898 S. Clyde Morris Blvd., Ste.360Daytona Beach, FL 32119(386) 492-1064All ages acceptedHensgen, Kelly J., D.O.Wellness Family Practice, P.A.500 Memorial Cir., Ste. COrmond Beach, FL 32174(386) 615-3500Patients 12 years & older*Established Patients OnlyHernandez, Teresa, M.D.FHCP Center1182 Ocean Shore Blvd.Ormond Beach, FL 32176(386) 481-6102Patients 2 years & olderHill, John M., M.D.West Volusia Family & SportsMedicine, Inc.1590 SR 15A, Ste. 100DeLand, FL 32720(386) 774-0016Patients 2 years & olderHole, Susan, D.O.Shores Medical, P.A.346 N. Ridgewood Ave., Ste. AEdgewater, FL 32132(386) 423-1888Patients 12 years & olderHoward, Susan, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages acceptedIbrahim, Magued, M.D.Advanced Family Care, Inc.2836 Enterprise Rd.DeBary, FL 32713(386) 951-4538Patients 2 years & olderJennings, Lane E., M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages acceptedJones, Gordon, M.D.FHCP Center461 S. Nova Rd.Ormond Beach, FL 32174(386) 671-4337Patients 10 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 3

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGKandavanam, Raj, M.D.West Volusia Family & SportsMedicine, Inc.1590 SR 15A, Ste. 100DeLand, FL 32720(386) 774-0016Patients 2 years & olderKeen, Stephen B., M.D.FHCP Center461 S. Nova Rd.Ormond Beach, FL 32174(386) 671-4337All ages acceptedKinne III, Sandford, D.O.Seaside Family Practice290 Clyde Morris Blvd., Ste. A1Ormond Beach, FL 32174(386) 677-5600Patients 8 years & olderKucker, Mark, D.O.161 N. Causeway, Ste. DNew Smyrna Beach, FL 32169(386) 428-6660Patients 8 years & olderLevin, Herbert, D.O.4530 S. Ridgewood Ave.Port Orange, FL 32127(386) 761-2321Patients 16 years & olderLuong, Priscilla, M.D.Volusia Medical Center161 N. Causeway, Ste. ANew Smyrna Beach, FL 32169(386) 424-1584All ages acceptedMalki, George, M.D.Town Center Family Practice1043 Town Center Dr.Orange City, FL 32763(386) 774-0188Patients 15 years & olderMamone, Vincent, D.O.Primary Care Physicians of Sanford309 W. 1st St.Sanford, FL 32771(407) 324-5035Patients 18 years & olderMarrese, Roxy, M.D.East Volusia Family Practice, P.A.201 N. Clyde Morris Blvd., Ste. 240Daytona Beach, FL 32114(386) 258-4840Patients 7 years & older*Established Patients OnlyMcCollum Jr., Alfonza, M.D.FHCP Center461 S. Nova Rd.Ormond Beach, FL 32174(386) 671-4337Patients 2 years & olderMerzenich, Angela R., M.D.FHCP Center2500 W. Lake Mary Blvd., Ste. 109Lake Mary, FL 32746(407) 878-0910Patients 2 years & olderMilcarsky, Edward J., M.D.Bert Fish Medical Center -Edgewater239 N. Ridgewood Ave.Edgewater, FL 32132(386) 427-4868Patients 15 years & olderMonette, Daniel R., M.D.North Seminole Family Practice2209 S. French Ave.Sanford, FL 32771(407) 321-4230All ages acceptedMontaldo, Thomas, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100Patients 16 years & olderOmbogo, Anthony, M.D.East Volusia Family Practice, P.A.201 N. Clyde Morris Blvd., Ste. 240Daytona Beach, FL 32114(386) 258-4960Patients 7 years & olderOslos, Neil, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 4

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGParnell, John R., M.D.John R. Parnell, M.D., P.A.647 Orange Ave., Ste. ADaytona Beach, FL 32114(386) 252-5501Patients 12 years & olderPatel, Pinkal P., M.D.Oviedo Family Health Center, P.A.808 Executive Dr.Oviedo, FL 32765(407) 366-7455All ages acceptedPeck, Benjamin J., M.D.Peck's Family Practice1688 W. Granada Blvd., Ste. A-2Ormond Beach, FL 32174(386) 677-2018Patients 4 years & olderPeck, Rebecca, M.D.Peck's Family Practice1688 W. Granada Blvd., Ste. A-2Ormond Beach, FL 32174(386) 677-2018Patients 4 years & olderPillappa, Mukti, M.D.Family Health Source216 N. Frederick St.Pierson, FL 32180(386) 749-9449Patients 2 weeks & olderFamily Health Source844 W. Plymouth Ave.DeLand, FL 32720(386) 738-2422Patients 2 weeks & olderFamily Health Source2160 Howland Blvd., Ste. 110Deltona, FL 32738(386) 532-0515Patients 2 weeks & olderFamily Health Source1015 N. Stone St.DeLand, FL 32720(386) 736-7931Patients 2 weeks & olderPotter, Willie P., M.D.John R. Parnell, M.D., P.A.647 Orange Ave., Ste. ADaytona Beach, FL 32114(386) 252-5501Patients 12 years & olderPrevatte, Edwin, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages acceptedQuarberg, Rachel L., M.D.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550Patients 2 years & olderQuinn, James E., M.D.North Seminole Family Practice2209 S. French Ave.Sanford, FL 32771(407) 321-4230All ages acceptedRankin, Bruce, D.O.Family Practice of West Volusia,P.A.862 Peachwood Dr.DeLand, FL 32720(386) 740-7080Patients 2 years & olderFamily Practice of West Volusia,P.A.2582 S. Volusia Ave.Orange City, FL 32763(386) 740-7080Patients 2 years & olderRees, Ryan, M.D.East Volusia Family Practice, P.A.201 N. Clyde Morris Blvd., Ste. 240Daytona Beach, FL 32114(386) 258-4836Patients 7 years & olderSahgal, Geeta, M.D.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550Patients 12 years & olderSanti, Kathleen, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 5

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGSchefsky, Harvey, M.D.North Seminole Family Practice2209 S. French Ave.Sanford, FL 32771(407) 321-4230All ages acceptedShelton, John, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165*Family Medicine: Patients of allagesSiddiqui, Rehana M., M.D.61 Memorial Medical Pkwy., Ste.3812Palm Coast, FL 32164(386) 586-1770Patients 5 years & olderSmith, Jeffrey, D.O.FHCP Center320 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3293All ages acceptedSmith, Arletty, M.D.Family Health Source216 N. Frederick St.Pierson, FL 32180(386) 749-9449Patients 2 weeks & olderFamily Health Source844 W. Plymouth Ave.DeLand, FL 32720(386) 738-2422Patients 2 weeks & olderFamily Health Source2160 Howland Blvd., Ste. 110Deltona, FL 32738(386) 532-0515Patients 2 weeks & olderFamily Health Source1015 N. Stone St.DeLand, FL 32720(386) 736-7931Patients 2 weeks & olderSrisawat, Anunporn, M.D.Tui Family Medicine, P.L.4554 Clyde Morris Blvd., Ste. 2Port Orange, FL 32129(386) 304-2990Patients 5 years & olderSt. James III, Luther, M.D.Twin Lakes Family Practice1890 LPGA Blvd., Ste. 170Daytona Beach, FL 32117(386) 274-3354Patients 3 years & older*Established Patients OnlySterling, Joanne, M.D.DMA - Dr.'s Sterling & Chan151 Victoria Commons Blvd., Ste.104DeLand, FL 32724(386) 740-4083Patients 2 years & olderDMA - Dr.'s Sterling & Chan549 Bert Fish Dr.DeLand, FL 32724(386) 822-8150Patients 2 years & olderStockhammer Jr., Stanley F., D.O.Stanley F. Stockhammer Jr., D.O.,P.A.2370 E. International SpeedwayBlvd.DeLand, FL 32724(386) 736-1105All ages acceptedTamariz, Miguel, M.D.FHCP Center1182 Ocean Shore Blvd.Ormond Beach, FL 32176(386) 441-1525Patients 2 years & olderTanner-St. James, Carol, M.D.Twin Lakes Family Practice1890 LPGA Blvd., Ste. 170Daytona Beach, FL 32117(386) 274-3354Patients 3 years & older*Established Patients OnlyTorres, Diego T., M.D.Aba Family Medicine325 Clyde Morris Blvd., Ste. 320Ormond Beach, FL 32174(386) 676-2367Patients 7 years & olderVan Demark, Melanie, M.D.DeLand Family Medicine, P.A.1450 S. Woodland Blvd., Ste. 300CDeLand, FL 32720(386) 740-1701Patients 5 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 6

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGVarghese, Mili K., M.D.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550Patients 2 years & olderVazquez, Nelson, M.D.Family Medicine & Holistic Center,Inc.887 Deltona Blvd.Deltona, FL 32725(386) 575-2900Patients 5 years & olderWhite, Donald, M.D.FHCP Center740 Dunlawton Ave., Ste. 200Port Orange, FL 32127(386) 763-1000Patients 12 years & olderYee, John, M.D.Volusia Medical Center161 N. Causeway, Ste. ANew Smyrna Beach, FL 32169(386) 424-1584All ages acceptedYoon, David K., M.D.Jena Medical926 Saxon Blvd.Orange City, FL 32763(386) 774-1881Patients 6 years & olderYoon, David K., M.D.Jena Medical1180 W. Granada Blvd., Ste. BOrmond Beach, FL 32174(386) 677-2606Patients 6 years & olderGeneral Practice PhysiciansMutch, Elizabeth, M.D.Family Health Source216 N. Frederick St.Pierson, FL 32180(386) 749-9449Patients 2 weeks & olderFamily Health Source844 W. Plymouth Ave.DeLand, FL 32720(386) 738-2422Patients 2 weeks & olderFamily Health Source2160 Howland Blvd., Ste. 110Deltona, FL 32738(386) 532-0515Patients 2 weeks & olderFamily Health Source1015 N. Stone St.DeLand, FL 32720(386) 736-7931Patients 2 weeks & olderInternal Medicine PhysiciansAhmed, Uzma, M.D.Saxon Internal Medicine, P.A.975 Town Center Dr., Ste. 300Orange City, FL 32763(386) 775-1086Patients 18 years & olderAppleton, Staci, M.D.Appleton Internal Medicine161 N. Causeway, Ste. CNew Smyrna Beach, FL 32169(386) 424-8440Patients 17 years & olderAsihene, Regina, M.D.Bert Fish Medical Center -Edgewater239 N. Ridgewood Ave.Edgewater, FL 32132(386) 427-4868Patients 16 years & olderCrisanto, Manuel, M.D.Deltona Medical Center, LLC747 Fawn Ridge Dr., Ste. 200Orange City, FL 32763(386) 668-9800Patients 18 years & olderCucchiarella, Mario, M.D.FHCP Center740 Dunlawton Ave., Ste. 200Port Orange, FL 32127(386) 763-1000Patients 14 years & olderdeLeon Jr., Augusto, M.D.FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073Patients 12 years & olderdePeyster, Joseph, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100Patients 16 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 7

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDeSouza, Michael P., M.D.Michael P. DeSouza, M.D., P.A.2521 Junior St.Orange City, FL 32763(386) 774-5755Patients 18 years & olderDominguez, Carlos Lorenzo, M.D.1857 Providence Blvd.Deltona, FL 32725(386) 789-8544Patients 12 years & olderDuren, Laura, M.D.FHCP Center740 Dunlawton Ave., Ste. 200Port Orange, FL 32127(386) 763-1000Patients 18 years & olderEdwards, Samuel, M.D.Samuel Edwards, M.D., P.A.750 W. Plymouth Ave.DeLand, FL 32720(386) 736-7244Patients 18 years & olderEhringer, George, M.D.FHCP Center1182 Ocean Shore Blvd.Ormond Beach, FL 32176(386) 441-0600Patients 18 years & olderFatemi, Zia, M.D.Sunstate Medical Associates, P.A.758 N. Sun Dr., Ste. 104Lake Mary, FL 32746(407) 333-3303Patients 18 years & olderGabor, Elena, M.D.Primary Care Center at Lake Mary4106 W. Lake Mary Blvd., Ste. 100Lake Mary, FL 32746(407) 333-2273Patients 18 years & olderHerdel, G. Fredrick, M.D.G. Fredrick Herdel, M.D., P.A.845 S.R. 44New Smyrna Beach, FL 32168(386) 423-2550Patients 16 years & olderHuyen, Theresa, M.D.Total Care Adult Medicine, P.A.914 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 409-9182Patients 18 years & olderIntihar, Dale, M.D.FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073Patients 12 years & olderJohnson, Jesse, M.D.Primary Care Center at Lake Mary4106 W. Lake Mary Blvd., Ste. 100Lake Mary, FL 32746(407) 333-2273Patients 18 years & olderJoshi, Sukhinder K., M.D.1001 W. First St.Sanford, FL 32771(407) 323-9570Patients 18 years & olderKhurshid, Syed, M.D.Saxon Internal Medicine, P.A.975 Town Center Dr., Ste. 300Orange City, FL 32763(386) 775-1086Patients 18 years & olderKoruth, Pothen, M.D.Sunstate Medical Associates, P.A.758 N. Sun Dr., Ste. 104Lake Mary, FL 32746(407) 333-3303Patients 18 years & olderKrishnan, Ananth, M.D.Ananth Krishnan, M.D., P.A.230 E. New York Ave.DeLand, FL 32724(386) 736-6066Patients 16 years & olderMathur, Pradeep, M.D.Pradeep Mathur, M.D., P.A.999 S. Volusia Ave.Orange City, FL 32763(386) 775-7001Patients 10 years & older*Established Patients OnlyMitchell-Samon, Levonne, M.D.FHCP Center320 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3293Patients 18 years & olderMohan, Sangita, M.D.Sanford Medical Group, P.A.1621 W. 1st St.Sanford, FL 32771(407) 322-4431Patients 13 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 8

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGMoussly, Souheil, M.D.Port Orange Internists3890 Turtle Creek Dr., Ste. CPort Orange, FL 32127(386) 756-4400Patients 18 years & olderPatel, Bhupendra P., M.D.Bhupendra Patel, M.D., P.A.925 N. Stone St.DeLand, FL 32720(386) 734-6007Patients 16 years & olderPatel, Vipin, M.D.Vipin K. Patel, M.D., P.A.55 N. Old Kings Rd., Ste. EOrmond Beach, FL 32174(386) 672-4615Patients 10 years & olderPatel, Ashwinkumar, M.D.1403 Medical Plaza Dr., Ste. 106Sanford, FL 32771(407) 328-1575Patients 18 years & olderRandolph, Andrew, M.D.Andrew Randolph, M.D., P.A.1025 N. Stone St., Ste. B.DeLand, FL 32720(386) 734-4453Patients 12 years & olderRausch, Curt, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100Patients 16 years & olderRazzetti, Albert, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100*Internal Medicine for patients 16years & olderSchildecker, Charles, M.D.401 Downing St.New Smyrna Beach, FL 32168(386) 428-3243Patients 16 years & older*Established Patients OnlySchutt-Aine, Reginald, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100Patients 16 years & olderSerrano-Lopez, Carmen, M.D.FHCP Center740 Dunlawton Ave., Ste. 200Port Orange, FL 32127(386) 763-1000Patients 16 years & olderShah, Indravadan, M.D.Indravadan Shah, M.D., P.A.667 Beville Rd., Ste. BSouth Daytona, FL 32119(386) 322-2224Patients 14 years & olderSpringer, Deanna, M.D.1425 Hand Ave., Ste. EOrmond Beach, FL 32174(386) 672-4939Patients 18 years & older*Established Patients OnlySrivastava, Vinay C., M.D.Sanford Medical Group, P.A.1621 W. 1st St.Sanford, FL 32771(407) 322-4431Patients 13 years & olderUppalapati, Madhavi, M.D.1301 S. International Pkwy., Ste.1001Lake Mary, FL 32746(407) 829-8920Patients 18 years & olderVu, Nguyen, M.D.Meridian Pointe Medical &Chiropractic Center1656 S. Volusia Ave.Orange City, FL 32763(386) 917-0007Patients 15 years & olderZadeh, Farideh, M.D.Sunstate Medical Associates, P.A.758 N. Sun Dr., Ste. 104Lake Mary, FL 32746(407) 333-3303Patients 18 years & olderPediatriciansAhmed, Salman, M.D.Halifax Health - Children's MedicalCenter200 Booth Rd., Unit AOrmond Beach, FL 32174(386) 523-1212Patients newborn to 21 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 9

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGHalifax Health - Children's MedicalCenter1 Florida Park Dr. S., Ste. 201Palm Coast, FL 32137(386) 447-4540Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter870 Dunlawton Ave., Ste. 310Port Orange, FL 32127(386) 523-1313Patients newborn to 21 yearsBarnard III, Grandy, M.D.West Volusia Pediatrics809 N. Stone St.DeLand, FL 32720(386) 734-1824Patients newborn to 19 yearsBell, Michael, M.D.West Volusia Pediatrics809 N. Stone St.DeLand, FL 32720(386) 734-1824Patients newborn to 19 yearsCarithers, Robert, M.D.Carithers Pediatrics, P.A.605 E. Orange St.New Smyrna Beach, FL 32168(386) 427-4882Patients newborn to 21 yearsCarrasquero, Luisa, M.D.Wekiva Springs Pediatrics407 Wekiva Springs Rd., Ste.110Longwood, FL 32779(407) 790-7998Patients newborn to 18 yearsCasey, Nalini D., M.D.Volusia Pediatrics, LLC317 S. Dixie FreewayNew Smyrna Beach, FL 32168(386) 424-1414Patients newborn to 16 yearsChiapco, Oliver, M.D.Volusia Pediatrics, LLC317 S. Dixie FreewayNew Smyrna Beach, FL 32168(386) 424-1414Patients newborn to 16 yearsChopra, Neena, M.D.633 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 756-1937Patients newborn to 19 yearsdeGracia, Amelia A., M.D.755 Westmoreland Rd.Daytona Beach, FL 32114(386) 255-6428Patients newborn to 18 yearsDeSouza, Peter, M.D.Family Health Source216 N. Frederick St.Pierson, FL 32180(386) 749-9449Patients 2 weeks & olderFamily Health Source844 W. Plymouth Ave.DeLand, FL 32720(386) 738-2422Patients 2 weeks & olderFamily Health Source2160 Howland Blvd., Ste. 110Deltona, FL 32738(386) 532-0515Patients 2 weeks & olderFamily Health Source1015 N. Stone St.DeLand, FL 32720(386) 736-7931Patients 2 weeks & olderD'Souza, Gemma, M.D.Ormond Pediatrics, P.A.725 W. Granada Blvd., Ste. 1Ormond Beach, FL 32174(386) 673-2770Patients newborn to 21 yearsGarcia, Cristina, M.D.Volusia Pediatrics, LLC317 S. Dixie FreewayNew Smyrna Beach, FL 32168(386) 424-1414Patients newborn to 16 yearsGeorge, Jiby O., M.D.Central Florida Pediatrics735 Primera Blvd., Ste. 135Lake Mary, FL 32746(407) 321-0085Patients newborn to 18 yearsCentral Florida Pediatrics2881 Wellness Ave.Orange City, FL 32763(386) 917-0450Patients newborn to 18 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 10

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGHalifax Health Center for Family &Sports MedicineHalifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165For Pediatrics: Patients newborn to18 yearsIskander, Enas, M.D.Children's Health Alliance, LLC400 Clyde Morris Blvd., Ste. AOrmond Beach, FL 32174(386) 677-0987Patients newborn to 16 yearsJeanty, Jean-Claude, M.D.Coastal Pediatrics, LLC1275 W. Granada Blvd., Ste. 3AOrmond Beach, FL 32174(386) 672-1490Patients newborn to 18 yearsKhorsandian, Ashpendiar, M.D.Tots to Teens Healthcare, P.A.337 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 253-2518Patients newborn to 21 yearsLawindy, Madiey, M.D.Ocean Pediatrics900 N. Swallowtail Dr., Ste. 106Port Orange, FL 32129(386) 304-1919Patients newborn to 18 yearsLewis, Brenda B., M.D.Central Florida Pediatrics735 Primera Blvd., Ste. 135Lake Mary, FL 32746(407) 321-0085Patients newborn to 18 yearsCentral Florida Pediatrics2881 Wellness Ave.Orange City, FL 32763(386) 917-0450Patients newborn to 18 yearsLopez, Ruben, M.D.Port Orange Pediatrics, P.A.1728 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-5390Patients newborn to 19 yearsLozano, Rolando, M.D.Ormond Pediatrics, P.A.725 W. Granada Blvd., Ste. 1Ormond Beach, FL 32174(386) 673-2770Patients newborn to 21 yearsLutz, Kacie, M.D.Central Florida Pediatrics735 Primera Blvd., Ste. 135Lake Mary, FL 32746(407) 321-0085Patients newborn to 18 yearsCentral Florida Pediatrics2881 Wellness Ave.Orange City, FL 32763(386) 917-0450Patients newborn to 18 yearsMathur, Anita, M.D.Anita Mathur, M.D., Inc.999 S. Volusia Ave., Ste. 102Orange City, FL 32763(386) 774-7337Patients newborn to 18 yearsMcLoughlin Jr., Thomas G., M.D.Halifax Health - Children's MedicalCenter200 Booth Rd., Unit AOrmond Beach, FL 32174(386) 523-1212Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter1 Florida Park Dr. S., Ste. 201Palm Coast, FL 32137(386) 447-4540Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter870 Dunlawton Ave., Ste. 310Port Orange, FL 32127(386) 523-1313Patients newborn to 21 yearsNguyen-Tuong, Phi-Yen, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165Patients newborn to 18 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 11

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGOrezzoli, Louis, M.D.Daytona Beach Pediatrics515 Health Blvd.Daytona Beach, FL 32114(386) 255-7531Patients newborn to 18 years*Established Patients OnlyPatel, Bhavnaben B., M.D.DeLand Pediatric Associates, M.D,P.A.999 N. Stone St., Ste. ADeLand, FL 32720(386) 738-6804Patients newborn to 18 yearsPatel, Usha P., M.D.DeLand Pediatric Associates, M.D,P.A.999 N. Stone St., Ste. ADeLand, FL 32720(386) 738-6804Patients newborn to 18 yearsQuinteros, Jaime E., M.D.Halifax Health - Children's MedicalCenter200 Booth Rd., Unit AOrmond Beach, FL 32174(386) 523-1212Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter1 Florida Park Dr. S., Ste. 201Palm Coast, FL 32137(386) 447-4540Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter870 Dunlawton Ave., Ste. 310Port Orange, FL 32127(386) 523-1313Patients newborn to 21 yearsReinertsen, Jeff, M.D.West Volusia Pediatrics809 N. Stone St.DeLand, FL 32720(386) 734-1824Patients newborn to 19 yearsSantasiero, Debra, D.O.Primary Care Physicians of Sanford309 W. 1st St.Sanford, FL 32771(407) 324-5035Patients newborn to 18 yearsTiu, Dwight, M.D.Acute Care Pediatrics of PalmCoast397 S.W. Palm Coast Pkwy., Unit303Palm Coast, FL 32137(386) 447-7337Patients newborn to 18 yearsWilliams, Michelle F., M.D.Central Florida Pediatrics735 Primera Blvd., Ste. 135Lake Mary, FL 32746(407) 321-0085Patients newborn to 18 yearsCentral Florida Pediatrics2881 Wellness Ave.Orange City, FL 32763(386) 917-0450Patients newborn to 18 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 12

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDirect Access/Self-Referred Providers* Members may directly call thefollowing FHCP contractedProviders to schedule theirappointments and care. Servicesfrom these Providers DO NOTrequire an order from a Physician.Acute Low Back/Neck PainProgramThis physical therapy program offeredby Ability Health Services is formembers age 17 years and above foracute (sudden) or chronic (due to anold problem) low back or neck pain.Access to this program can beinitiated by either a physician ormember at any of the followinglocations:Ability Health Services1200 Lexington Green Ln.Sanford, FL 32771(407) 322-3442*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services1565 Saxon Blvd., Ste. 301Deltona, FL 32725(386) 851-0901*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services801 Douglas Ave., Ste. 103Altamonte Springs, FL 32714(407) 865-7153*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services1337 S. International Pkwy., Ste.1321Lake Mary, FL 32746(407) 833-0802*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services7400 Red Bug Lake Rd.Oviedo, FL 32765(407) 971-2774*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services401 Venture Blvd., Ste. CSouth Daytona, FL 32119(386) 763-0084*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services614 N. Peninsula Dr.Daytona Beach, FL 32118(386) 258-6212*The Acute Low Back/Neck PainProgram is available to patients 17years & olderAbility Health Services345 W. Michigan St., Ste. 108Orlando, FL 32819(407) 745-4633*The Acute Low Back/Neck PainProgram is available to patients 17years & olderBlue Water Therapy916 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 426-7885*The Acute Low Back/Neck PainProgram is available to patients 17years & olderPalm Coast Sports Medicine &Rehabilitation Center35 Old Kings Rd., N.Palm Coast, FL 32137(386) 445-5555*For Acute Low Back/Neck PainProgram: Flagler County ResidentsOnly for ages 17 years & olderProfessional Physical Therapy1316 S. Ridgewood Ave., Ste. 1Edgewater, FL 32132(386) 423-0100*The Acute Low Back/Neck PainProgram is available to patients 17years & olderProgressive Physical Therapy290 Clyde Morris Blvd., Ste. B2Ormond Beach, FL 32174(386) 898-0443*The Acute Low Back/Neck PainProgram is available to patients 17years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 13

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGChiropracticBruno, Rebecca A., D.C.Lombardo Chiropractic Clinic, PA1400 Hand Ave., Ste. SOrmond Beach, FL 32174(386) 673-0400Carlisi, Roy C., D.C.Carlisi Chiropractic Center1400 E. Moody Blvd., S.R. 100Bunnell, FL 32110(386) 313-2599Carlisi Chiropractic Center1107 Saxon Blvd.Orange City, FL 32763(386) 218-4902Carlisi Chiropractic Center136 Parliament Loop, Ste. 1030Lake Mary, FL 32746(407) 878-0918Carlisi Chiropractic Center2370 International Speedway Blvd.DeLand, FL 32724(386) 313-2511Durant, Michael C., D.C.Durant Chiropractic Clinic1435 Dunn Ave.Daytona Beach, FL 32114(386) 255-9522Gingras, John P., D.C.Gingras Chiropractic3113 S. Ridgewood Ave.South Daytona, FL 32119(386) 767-6602Hether, James Jeremy, D.C.2719 S. Woodland Blvd.DeLand, FL 32720(386) 734-0702Lombardo, Linda S., D.C.Lombardo Chiropractic Clinic, PA1400 Hand Ave., Ste. SOrmond Beach, FL 32174(386) 673-0400McCranels, Stuart, D.C.Adkore Rehabilitation Center1670 Providence Blvd.Deltona, FL 32725(386) 218-5979Adkore Rehabilitation Center1081 WP Ball Blvd.Sanford, FL 32771(407) 328-7595Moulterie, Tiffany N., D.C.Adkore Rehabilitation Center1670 Providence Blvd.Deltona, FL 32725(386) 218-5979Adkore Rehabilitation Center1081 WP Ball Blvd.Sanford, FL 32771(407) 328-7595Nirschl, Matthew, D.C.53 N. Old Kings Rd., Ste. COrmond Beach, FL 32174(386) 672-6565Nuzum, Lorra Lee, D.C.Lombardo Chiropractic Clinic, PA1400 Hand Ave., Ste. SOrmond Beach, FL 32174(386) 673-0400Petker, A. Michael, D.C.A. Michael Petker Chiropractic220 Mason Ave.Holly Hill, FL 32117(386) 258-7474Poss, Robert, D.C.Poss Clinic of Chiropractic819 W. Beresford Rd.DeLand, FL 32720(386) 738-0643Prokop, Amanda, D.C.New Smyrna Beach ChiropracticClinic1205 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-5259Reed, Patrick G., D.C.4601 E. Hwy. 100, Ste. G4Bunnell, FL 32110(386) 437-9990Rivera, Alicia, D.C.Rivera Family Chiropractic Center3950 US Hwy. 17-92, Ste. 1000Casselberry, FL 32707(407) 767-4878Rivera Family Chiropractic Center821 DeBary Ave.Deltona, FL 32725(386) 860-54482014 State of Florida Provider Directory – Form# 03-310-29 Page 14

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGRivera, Omar, D.C.Rivera Family Chiropractic Center804 S. French Ave.Sanford, FL 32771(407) 878-5848Rodriguez, Michael J., D.C.Ormond Medical Center545 W. Granada Blvd.Ormond Beach, FL 32174(386) 672-6243Samples, Jon, D.C.622 E.Third Ave.New Smyrna Beach, FL 32169(386) 428-9327Sherrier, William, D.C.Vogel Chiropractic Clinic, LLC1780 S. Nova Rd., Ste. 4South Daytona, FL 32119(386) 788-4778Steflik, Timothy, D.C.Coastal Chiropractic Clinic315 N. Ridgewood Ave.Edgewater, FL 32132(386) 427-8403Tatalovich, Chris, D.C.Gingras Chiropractic3113 S. Ridgewood Ave.South Daytona, FL 32119(386) 767-6602Timko, J. Randall, D.C.Complete Wellness ChiropracticCenter844 N. Stone St., Ste. 202DeLand, FL 32720(386) 734-2592Vogel, Trudi F., D.C.Vogel Chiropractic Clinic, LLC1780 S. Nova Rd., Ste. 4South Daytona, FL 32119(386) 788-4778Walsh, Gregory A., D.C.Ormond Medical Center545 W. Granada Blvd.Ormond Beach, FL 32174(386) 672-6243Wilson, Koteuaisa T., D.C.Adkore Rehabilitation Center1670 Providence Blvd.Deltona, FL 32725(386) 218-5979Adkore Rehabilitation Center1081 WP Ball Blvd.Sanford, FL 32771(407) 328-7595Colonoscopy/ScreeningBratu, Beatrice, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Covelli, Christina, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-2221Gastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-2221Gaddipati, Kalyani, M.D.917 Rinehart Rd., Ste. 2051Lake Mary, FL 32746(407) 936-2444Gupta, Vishal, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-22212014 State of Florida Provider Directory – Form# 03-310-29 Page 15

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-2221Hemaidan, Ammar, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Kirtane, Prafulla K., M.D.Kirtane Associates, M.D., P.A.210 N. Westmonte Dr., Ste. 1000Altamonte Springs, FL 32714(407) 788-7844Patients 18 years & olderMallaiah, Lenkala, M.D.Mid-Florida GastroenterologyGroup, P.A.311 N. Mangoustine Ave.Sanford, FL 32771(407) 321-4570Mid-Florida GastroenterologyGroup, P.A.1565 Saxon Blvd., Ste. 102Deltona, FL 32725(386) 789-5400Nasr, Issam R., M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Navarro Jr., Felix, M.D.Gastroenterology & LiverConsultants, P.L.1403 Medical Plaza Dr., Ste. 206Sanford, FL 32771(407) 322-9530Parikh, Nitin, M.D.1053 Medical Center Dr., Ste. 251Orange City, FL 32763(386) 775-4720Patel, Bharat, M.D.Digestive Health Specialists, P.A.1070 N. Stone St., Ste. DDeLand, FL 32720(386) 822-9410*Colonoscopy-Screenings areavailable for patients who eitherreside in or are assigned to a PCP inWest Volusia County.Patel, Jigneshkumar, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-2221Gastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-22212014 State of Florida Provider Directory – Form# 03-310-29 Page 16

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPrado, Martin Gino, M.D.Digestive Health Specialists, P.A.1070 N. Stone St., Ste. DDeLand, FL 32720(386) 822-9410*Colonoscopy-Screenings areavailable for patients who eitherreside in or are assigned to a PCP inWest Volusia County.Suleiman, Saud, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Zulfiqar, Hassan, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920DermatologyLeavitt Medical Associates of FL,Inc.Amoruso, Anthony, M.D.Bernard, James, D.O.Boyd, David, M.D.Leavitt, Matt, M.D.Loewinger, Robert, M.D.Lucas, Joseph, M.D.McAskill, Stephen, M.D.Board Certified Family MedicineMendelsohn, Herbert E., M.D.Moorhead, Christine, M.D.Podnos, Scott, M.D.Ramirez, Raymond, D.O.Stewart, Kristen, M.D.Yungmann, Martin, D.O.1720 Dunlawton Ave.Port Orange, FL 32127(386) 322-8310*Appt. scheduling # (888) 540-9660725 W. Granada Blvd., Ste. 44Ormond Beach, FL 32174(386) 898-0547*Appt. scheduling # (888) 540-9660818 N. Woodland Blvd.DeLand, FL 32720(386) 738-8000*Appt. scheduling # (888) 540-96602893 Enterprise Rd., Ste. 100DeBary, FL 32713(386) 789-8600*Appt. scheduling # (888) 540-9660260 Lookout Pl., Ste. 103Maitland, FL 32751(407) 373-0700*Appt. scheduling # (888) 540-9660120 International Pkwy., Ste. 240Heathrow, FL 32746(407) 333-4200*Appt. scheduling # (888) 540-9660106 Boston Ave., Ste. 105Altamonte Springs, FL 32701(407) 834-9091*Appt. scheduling # (888) 540-96603 Pine Cone Dr., Ste. 102Palm Coast, FL 32137(386) 864-6005*Appt. scheduling # (888) 540-96602014 State of Florida Provider Directory – Form# 03-310-29 Page 17

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGChirinos, Rodolfo, M.D.Mid Florida DermatologyAssociates, P.A.519 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 428-2223Patients 10 years & olderMid Florida DermatologyAssociates, P.A.1325 S. International Pkwy., Ste.2241Lake Mary, FL 32746(407) 444-0123Patients 10 years & olderGutierrez, Michael, M.D.Mid Florida DermatologyAssociates, P.A.519 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 428-2223Patients 10 years & olderMid Florida DermatologyAssociates, P.A.1325 S. International Pkwy., Ste.2241Lake Mary, FL 32746(407) 444-0123Patients 10 years & olderPossick, Sidney, M.D.Sidney Possick, M.D., P.A.655-B N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 252-5578Saffold, Oscar, M.D.Mid Florida DermatologyAssociates, P.A.519 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 428-2223Patients 10 years & olderMid Florida DermatologyAssociates, P.A.1325 S. International Pkwy., Ste.2241Lake Mary, FL 32746(407) 444-0123Patients 10 years & olderSevigny, Gina Mollis, M.D.Ormond Beach Dermatology305 Clyde Morris Blvd., Ste. 150Ormond Beach, FL 32174(386) 615-1771Sherman, Ronald, D.O.Acclaimed Dermatology106 N. Old Kings Rd., Ste. DOrmond Beach, FL 32174(386) 673-5969GynecologyYou may choose from the followingGYN Providers or your Primary CarePhysician for such care.Baldwin, Cynthia, M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessmentBell, Laura, C.N.M.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessment2014 State of Florida Provider Directory – Form# 03-310-29 Page 18

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGBesong, George, M.D.Women's Health Resource Center2728 Enterprise Rd., Ste. 200Orange City, FL 32763(386) 774-0109*Including self-referral once peryear for a Well Women'sAssessmentWomen's Health Resource Center810 N. Spring Garden Ave., Ste.100DeLand, FL 32720(386) 279-0060*Including self-referral once peryear for a Well Women'sAssessmentBrown, Steven, M.D.Palm Coast Women's Center21 Hospital Dr., Ste. 270Palm Coast, FL 32164(386) 437-5959*Including self-referral once peryear for a Well Women'sAssessmentCarbiener, Pamela P., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessmentCofield, Michele, M.D.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessmentHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessmentCortez, Stephen J., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessmentDaSilva, Christine, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123*Including self-referral once peryear for a Well Women'sAssessmentFoust, Paula, M.D.Port Orange Gynecology900 N. Swallowtail Dr., Ste. 102Port Orange, FL 32129(386) 492-6929All ages accepted*Including self-referral once peryear for a Well Women'sAssessmentGilmore, Tedra, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123*Including self-referral once peryear for a Well Women'sAssessmentHoffmeister, Timothy A., D.O.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessmentHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessment2014 State of Florida Provider Directory – Form# 03-310-29 Page 19

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGJahagirdar, Udita, M.D.Udita Jahagirdar, M.D., FACOG,P.A.101 N. 8th St., Ste. 1001Lake Mary, FL 32746(407) 321-8300Patients 2 years & olderKruse, Patricia, C.N.M.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessmentLarrain, Ricardo J., M.D.Ricardo J. Larrain, M.D., P.A.800 W. Plymouth Ave.DeLand, FL 32720(386) 736-1404*Including self-referral once peryear for a Well Women'sAssessmentRicardo J. Larrain, M.D., P.A.1414 W. Granada Blvd., Ste. 3Ormond Beach, FL 32174(386) 673-7503*Including self-referral once peryear for a Well Women'sAssessmentMetchick, Heather, M.D.Edgewater Gynecology, P.A.435 N. CausewayNew Smyrna Beach, FL 32169(386) 427-4441*Including self-referral once peryear for a Well Women'sAssessmentMeyers, John, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123*Including self-referral once peryear for a Well Women'sAssessmentModad, Patricia I., M.D.50 Leanni Wy., Ste. A3 & A4Palm Coast, FL 32137(386) 447-6831Patients 10 years & older*Including self-referral once peryear for a Well Women'sAssessment1165 Dunlawton Ave., Ste. 103Port Orange, FL 32127(386) 767-1660Patients 10 years & older*Including self-referral once peryear for a Well Women'sAssessmentRouse, Jacob D., M.D.New Smyrna Beach Gynecology &Obstetrics, PA603 S. Orange St.New Smyrna Beach, FL 32168(386) 423-0333*Including self-referral once peryear for a Well Women'sAssessmentStafford, Stefanie L., C.N.M.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessmentHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & older*Including self-referral once peryear for a Well Women'sAssessmentStavoy, Thomas G., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701*Including self-referral once peryear for a Well Women'sAssessmentStein, Charles I, M.D.Charles I. Stein, M.D., P.A.21 Hospital Dr., Ste. 260Palm Coast, FL 32164(386) 586-5344*Including self-referral once peryear for a Well Women'sAssessment2014 State of Florida Provider Directory – Form# 03-310-29 Page 20

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGCharles I. Stein, M.D., P.A.1414 W. Granada Blvd., Ste. 3Ormond Beach, FL 32174(386) 586-5344*Including self-referral once peryear for a Well Women'sAssessmentVagovic, R. John, M.D.Daytona Beach Women 's Center,Inc.311 N. Clyde Morris Blvd., Ste. 420Daytona Beach, FL 32114(386) 274-1005*Including self-referral once peryear for a Well Women'sAssessmentHearing Aid ServicesTimko Hearing Care1185 Dunlawton Ave., Ste. 103Port Orange, FL 32127(386) 756-8225Timko Hearing Care100 E. New York Ave., Ste. 103DeLand, FL 32724(386) 736-7192Timko Hearing Care1050 W. Granada Blvd., Ste. 3Ormond Beach, FL 32174(386) 677-2366HospiceFlorida Hospital Hospice Care770 W. Granada Blvd., Ste. 304Ormond Beach, FL 32174(386) 671-2138*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.Hospice of Volusia/Flagler7 Florida Park Dr.Palm Coast, FL 32137(386) 446-0300*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.Hospice of Volusia/Flagler4140 S. Ridgewood Ave.Edgewater, FL 32141(386) 425-8950*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.Hospice of Volusia/Flagler1625 Veterans Memorial Pkwy.Orange City, FL 32763(386) 851-7600*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.Hospice of Volusia/Flagler3800 Woodbriar Tr.Port Orange, FL 32129(386) 322-4701*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.Hospice of Volusia/Flagler1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-7900*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.2014 State of Florida Provider Directory – Form# 03-310-29 Page 21

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGHospice of Volusia/Flagler1250 S. Spring Garden Rd.DeLand, FL 32720(386) 822-4848*FHCP has contracted with thisprovider for non-Medicaremembers. Medicare members mayobtain care from any Medicarecertified hospice of their choicethrough Original Medicare.ObstetricsBaldwin, Cynthia, M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701Bell, Laura, C.N.M.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701Besong, George, M.D.Women's Health Resource Center2728 Enterprise Rd., Ste. 200Orange City, FL 32763(386) 774-0109Women's Health Resource Center810 N. Spring Garden Ave., Ste.100DeLand, FL 32720(386) 279-0060Carbiener, Pamela P., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701Cofield, Michele, M.D.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & olderHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & olderCortez, Stephen J., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701DaSilva, Christine, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123Desai, Meetesh, M.D.Volusia Obstetrics & Gynecology,LLC500 Health Blvd.Daytona Beach, FL 32114(386) 252-5858Volusia Obstetrics & Gynecology,LLC33 Old Kings Rd. N., Ste. 3Palm Coast, FL 32137(386) 252-5858Gilmore, Tedra, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123Hoffmeister, Timothy A., D.O.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & olderHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & olderKruse, Patricia, C.N.M.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701Patients 15 years & olderLarrain, Ricardo J., M.D.Ricardo J. Larrain, M.D., P.A.800 W. Plymouth Ave.DeLand, FL 32720(386) 736-14042014 State of Florida Provider Directory – Form# 03-310-29 Page 22

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGRicardo J. Larrain, M.D., P.A.1414 W. Granada Blvd., Ste. 3Ormond Beach, FL 32174(386) 673-7503Meyers, John, M.D.OB/GYN Health Center769 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 258-0123Modad, Patricia I., M.D.50 Leanni Wy., Ste. A3 & A4Palm Coast, FL 32137(386) 447-6831Patients 10 years & older1165 Dunlawton Ave., Ste. 103Port Orange, FL 32127(386) 767-1660Patients 10 years & olderRobertson, Ted, M.D.Volusia Obstetrics & Gynecology,LLC500 Health Blvd.Daytona Beach, FL 32114(386) 252-5858Volusia Obstetrics & Gynecology,LLC33 Old Kings Rd. N., Ste. 3Palm Coast, FL 32137(386) 252-5858Stafford, Stefanie L., C.N.M.Heathrow OB/GYN1319 S. International Pkwy., Ste.1151Lake Mary, FL 32746(407) 333-1616Patients 14 years & olderHeathrow OB/GYN932 Saxon Blvd., Ste. BOrange City, FL 32763(386) 775-0839Patients 14 years & olderStavoy, Thomas G., M.D.Halifax OB/GYN Associates1890 LPGA Blvd., Ste. 160Daytona Beach, FL 32117(386) 252-4701Tapia-Santiago, Cecille, M.D.Volusia Obstetrics & Gynecology,LLC500 Health Blvd.Daytona Beach, FL 32114(386) 252-5858Volusia Obstetrics & Gynecology,LLC33 Old Kings Rd. N., Ste. 3Palm Coast, FL 32137(386) 252-5858Vagovic, R. John, M.D.Daytona Beach Women 's Center,Inc.311 N. Clyde Morris Blvd., Ste. 420Daytona Beach, FL 32114(386) 274-1005OptometryCady, Michael, O.D.1089 W. Granada Blvd.Ormond Beach, FL 32174(386) 676-1300Chalker, Bonnie, O.D.15 Cypress Branch Wy., Ste. 206Palm Coast, FL 32164(386) 445-1880Chih, Andreea, O.D.524 Canal St.New Smyrna Beach, FL 32168(386) 423-51905820 S. Williamson Blvd., Ste. 106Port Orange, FL 32128(386) 767-4449Heacock, Charles, O.D.840 N. Stone St.DeLand, FL 32720(386) 734-1766Nunez, Charles, O.D.5820 S. Williamson Blvd., Unit 106Port Orange, FL 32128(386) 767-4449Ramey, Elizabeth, O.D.2836 Enterprise Rd.DeBary, FL 32713(386) 668-8885Ramey, Dustin, O.D.2836 Enterprise Rd.DeBary, FL 32713(386) 668-8885Stephens, Phillip, O.D.15 Cypress Branch Wy., Ste. 206Palm Coast, FL 32137(386) 445-1880524 Canal St.New Smyrna Beach, FL 32168(386) 423-51902014 State of Florida Provider Directory – Form# 03-310-29 Page 23

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTING840 N. Stone St.DeLand, FL 32721(386) 734-1766Timko, Jeffrey R., O.D.840 N. Stone St.DeLand, FL 32720(386) 734-1766Timko, Jeffrey R., O.D.524 Canal St.New Smyrna Beach, FL 32168(386) 423-5190Timko, Jeffrey L., O.D.840 N. Stone St.DeLand, FL 32720(386) 734-1766Wilgers, Kirsten, O.D.5820 S. Williamson Blvd., Unit 106Port Orange, FL 32128(386) 767-4449Orthopaedics/Sports MedicineOrthopaedics/Sports Medicineinvolves non-surgical treatment ofconditions or injuries of bones, joints,ligaments, tendons, and muscles,including muscle and joint pain.Services can include evaluation andmanagement, splinting, casting,therapy or injections. These providersalso have additional training in sportsmedicine and provide medical care toactive people to prevent or treat sportsrelated injuries.Lemaster, Roy, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165Shelton, John, M.D.Halifax Health Center for Family &Sports Medicine201 N. Clyde Morris Blvd., Ste. 200Daytona Beach, FL 32114(386) 425-4165Staley, Tyler, M.D.FHCP Center330 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3290Patients 5 years & olderFHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073Patients 5 years & olderOstomy ServicesWright, Charles, M.S.N., A.R.N.P.-B.C, C.W.O.C.N.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3200Pelvic Health ProgramThis physical therapy program offeredby Ability Health Services is designedto help with urinary incontinence andpelvic pain for male and femalemembers.The program is available to membersage 18 years and older. Access to thisprogram can be initiated by either aphysician or memberwithout prior authorization for up tosix (6) visits at any of the followinglocations :Ability Health Services401 Venture Blvd., Ste. CSouth Daytona, FL 32119(386) 763-0084*The Pelvic Health Program isavailable to patients 18 years &older.Ability Health Services1565 Saxon Blvd., Ste. 301Deltona, FL 32725(386) 851-0901*The Pelvic Health Program isavailable to patients 18 years &older.2014 State of Florida Provider Directory – Form# 03-310-29 Page 24

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAbility Health Services1200 Lexington Green Ln.Sanford, FL 32771(407) 322-3442*The Pelvic Health Program isavailable to patients 18 years &older.Palm Coast Sports Medicine &Rehabilitation Center35 Old Kings Rd., N.Palm Coast, FL 32137(386) 445-5555*The Pelvic Health Program isavailable to patients 18 years &older.Progressive Physical Therapy290 Clyde Morris Blvd., Ste. B2Ormond Beach, FL 32174(386) 898-0443*The Pelvic Health Program isavailable to patients 18 years &older.PodiatryAlaish, Lisa N., D.P.M.Florida Foot & Ankle Group, P.A.925 Williston Park Pointe, Ste.1009Lake Mary, FL 32746(407) 323-2566All ages acceptedFlorida Foot & Ankle Group, P.A.5211 Curry Ford Rd.Orlando, FL 32812(407) 281-1414All ages acceptedFlorida Foot & Ankle Group, P.A.200 N. Park Ave.Apopka, FL 32703(407) 889-2262All ages acceptedFlorida Foot & Ankle Group, P.A.7560 Red Bug Lake Rd., Ste. 2024Oviedo, FL 32765(407) 679-7444All ages acceptedFlorida Foot & Ankle Group, P.A.1120 State Rd. 436, Ste. 1400Casselberry, FL 32707(407) 671-8010All ages acceptedChessman, Gary W., D.P.M.Florida Foot & Ankle Group, P.A.925 Williston Park Pointe, Ste.1009Lake Mary, FL 32746(407) 323-2566All ages acceptedFlorida Foot & Ankle Group, P.A.5211 Curry Ford Rd.Orlando, FL 32812(407) 281-1414All ages acceptedFlorida Foot & Ankle Group, P.A.200 N. Park Ave.Apopka, FL 32703(407) 889-2262All ages acceptedFlorida Foot & Ankle Group, P.A.7560 Red Bug Lake Rd., Ste. 2024Oviedo, FL 32765(407) 679-7444All ages acceptedFlorida Foot & Ankle Group, P.A.1120 State Rd. 436, Ste. 1400Casselberry, FL 32707(407) 671-8010All ages acceptedCrigler, Lisa B., D.P.M.Crigler Foot & Ankle Center, LLC616 E. Altamonte Dr. Ste. 205Altamonte Springs, FL 32701(407) 331-3668All ages acceptedFann, Thomas R., D.P.M.Florida Foot & Ankle Group, P.A.925 Williston Park Pointe, Ste.1009Lake Mary, FL 32746(407) 323-2566All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 25

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Foot & Ankle Group, P.A.5211 Curry Ford Rd.Orlando, FL 32812(407) 281-1414All ages acceptedFlorida Foot & Ankle Group, P.A.200 N. Park Ave.Apopka, FL 32703(407) 889-2262All ages acceptedFlorida Foot & Ankle Group, P.A.7560 Red Bug Lake Rd., Ste. 2024Oviedo, FL 32765(407) 679-7444All ages acceptedFlorida Foot & Ankle Group, P.A.1120 State Rd. 436, Ste. 1400Casselberry, FL 32707(407) 671-8010All ages acceptedGreen, Andrew B., D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & olderAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderLappost, Rafael, D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & olderAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderMcBroom, Dennis, D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & olderAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderRamdath Jr., Sona, D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 26

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderRoth III, Walter E., D.P.M.Florida Foot & Ankle Group, P.A.925 Williston Park Pointe, Ste.1009Lake Mary, FL 32746(407) 323-2566All ages acceptedFlorida Foot & Ankle Group, P.A.5211 Curry Ford Rd.Orlando, FL 32812(407) 281-1414All ages acceptedFlorida Foot & Ankle Group, P.A.200 N. Park Ave.Apopka, FL 32703(407) 889-2262All ages acceptedFlorida Foot & Ankle Group, P.A.7560 Red Bug Lake Rd., Ste. 2024Oviedo, FL 32765(407) 679-7444All ages acceptedFlorida Foot & Ankle Group, P.A.1120 State Rd. 436, Ste. 1400Casselberry, FL 32707(407) 671-8010All ages acceptedRust III, James, D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & olderAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderWatson, Cynthia M., D.P.M.Florida Foot & Ankle Group, P.A.925 Williston Park Pointe, Ste.1009Lake Mary, FL 32746(407) 323-2566All ages acceptedFlorida Foot & Ankle Group, P.A.5211 Curry Ford Rd.Orlando, FL 32812(407) 281-1414All ages acceptedFlorida Foot & Ankle Group, P.A.200 N. Park Ave.Apopka, FL 32703(407) 889-2262All ages acceptedFlorida Foot & Ankle Group, P.A.7560 Red Bug Lake Rd., Ste. 2024Oviedo, FL 32765(407) 679-7444All ages acceptedFlorida Foot & Ankle Group, P.A.1120 State Rd. 436, Ste. 1400Casselberry, FL 32707(407) 671-8010All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 27

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGZema Jr., Roger, D.P.M.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336Patients infant & olderAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333Patients infant & olderAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281Patients infant & olderAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373Patients infant & olderAtlantic Foot & Ankle Associates1404 S. Ridgewood Ave.Edgewater, FL 32132(386) 957-4818Patients infant & olderSmoking Cessation ProgramTo make a reservation for sessionsmembers may call directly to theFHCP Marketing Department inHolly Hill at (386) 676-7110 or (800)352-9824. Program will be offered atvarious FHCP locations.QUITSMART OF DAYTONABEACHWeight Management ProgramProgram is open to FHCP members18 years & older with a BMI of 30 orabove who have been a member for atleast 6 months. Members may callthe Halifax Fitness Center directly at(386) 254-4031 and ask to speak to adietician.Wound Care ProvidersCentral Florida Regional Hospital1401 W. Seminole Blvd.Sanford, FL 32771(407) 321-4500*Prior authorization from FHCPReferral Department needed.http://centralfloridaregional.comFHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3200Mon.-Fri.: 8:00 a.m. to 4:30 p.m.2014 State of Florida Provider Directory – Form# 03-310-29 Page 28

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGSpecialist ProviderNetwork* FHCP Members must have anorder from a Physician to receiveservices from the following FHCPProviders.Acute Low Back/Neck PainProgramSee Direct Access/Self-referredproviders in previous sectionAllergyAlidina, Laila, M.D.Allergy Asthma Specialists, P.A.661 E. Altamonte Dr., Ste. 315Altamonte Springs, FL 32701(407) 339-3002All ages accepted*Treats HMO Members assigned toPCP's located in Seminole CountyonlyArias Jr., Jose, M.D.Allergy Asthma Specialists, P.A.661 E. Altamonte Dr., Ste. 315Altamonte Springs, FL 32701(407) 339-3002All ages accepted*Treats HMO Members assigned toPCP's located in Seminole CountyonlyBagg, Andrew, M.D.Allergy Asthma Specialists, P.A.661 E. Altamonte Dr., Ste. 315Altamonte Springs, FL 32701(407) 339-3002All ages accepted*Treats HMO Members assigned toPCP's located in Seminole CountyonlyDiNicolo, Roberto, M.D.Asthma, Allergy & Sinus Clinic,P.A.353 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 252-6622Patients infant & older*Treats HMO Members assigned toPCP's in East & SE VolusiaCounties onlyMas, Juan, M.D.Asthma and Allergy Specialists890 N. Boundry Ave., Ste. 101DeLand, FL 32720(386) 736-3911Patients 2 years & older*Treats HMO Members assigned toPCP's in W Volusia & FlaglerCounties onlyAsthma and Allergy Specialists9 Pine Cone Dr., Ste. 105Palm Coast, FL 32137(386) 446-3006Patients 2 years & older*Treats HMO Members assigned toPCP's in W Volusia & FlaglerCounties onlyMcLaughlin, Edward, M.D.Asthma and Allergy Specialists890 N. Boundry Ave., Ste. 101DeLand, FL 32720(386) 736-3911Patients 2 years & older*Treats HMO Members assigned toPCP's in W Volusia & FlaglerCounties onlyAsthma and Allergy Specialists9 Pine Cone Dr., Ste. 105Palm Coast, FL 32137(386) 446-3006Patients 2 years & older*Treats HMO Members assigned toPCP's in W Volusia & FlaglerCounties onlyPatel, Pragnesh, M.D.Allergy Asthma Specialists, P.A.661 E. Altamonte Dr., Ste. 315Altamonte Springs, FL 32701(407) 339-3002All ages accepted*Treats HMO Members assigned toPCP's located in Seminole CountyonlyAutism Spectrum DisorderEaster Seals Society of Volusia &Flagler Counties, Inc.2219 Woodland Blvd.DeLand, FL 32720*FHCP Members will need to firstbe referred to a FHCP StaffPsychiatrist for eval &recommendation into the program.2014 State of Florida Provider Directory – Form# 03-310-29 Page 29

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGEaster Seals Society of Volusia &Flagler Counties, Inc.1219 Dunn Ave.Daytona Beach, FL 32114*FHCP Members will need to firstbe referred to a FHCP StaffPsychiatrist for eval &recommendation into the program.Bone Density StudiesCyrus Diagnostic Imaging, Inc.165 Waymont Ct.Lake Mary, FL 32746(407) 321-3012FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3200*For Bone Density Studies: Patients350 lbs. & under. By Appt. onlyDensity Hours-Mon.-Fri.: 8:00 a.m.to 4:30 p.m.LAD Imaging, LLC1555 Saxon Blvd., Bldg. 4, Ste. 401Deltona, FL 32725(386) 860-9336*For Bone Density Studies: Patients350 lbs. & under. By Appt. onlyPalm Coast Imaging Center3 Pine Cone Dr., Ste. 101Palm Coast, FL 32137(386) 446-5200*For Bone Density Studies: Patients350 lbs. & under. By Appt. onlySt. Augustine Imaging Center190 Southpark Blvd., Ste. 101St. Augustine, FL 32086(904) 827-9191*For Bone Density Studies: Patients350 lbs. & under. By Appt. onlyTown Center Imaging21 Hospital Dr.Palm Coast, FL 32164(386) 445-4400*For Bone Density Studies: Patients350 lbs. & under. By Appt. onlyBraces/Orthotics/ProstheticsAmerican Ortho-TechLaboratories, Inc.1320 Mason Ave.Daytona Beach, FL 32117(386) 258-0401*Prior authorization from FHCPReferral Department needed.American Ortho-TechLaboratories, Inc.938 Saxon Blvd., Ste.103Orange City, FL 32763(386) 775-1266*Prior authorization from FHCPReferral Department needed.Atlantic Foot & Ankle Associates1890 LPGA Blvd., Ste. 230Daytona Beach, FL 32117(386) 274-3336*Diabetic Shoes and PodiatricDevices OnlyAtlantic Foot & Ankle Associates790 Dunlawton Ave., Ste. CPort Orange, FL 32127(386) 788-6333*Diabetic Shoes and PodiatricDevices OnlyAtlantic Foot & Ankle Associates963 Town Center Dr., Ste. 200Orange City, FL 32763(386) 775-2281*Diabetic Shoes and PodiatricDevices OnlyAtlantic Foot & Ankle Associates21 Hospital Dr., Ste. 150Palm Coast, FL 32164(386) 586-7373*Diabetic Shoes and PodiatricDevices Only2014 State of Florida Provider Directory – Form# 03-310-29 Page 30

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDale's Shoes2595 W. International SpeedwayBlvd.Daytona Beach, FL 32114(386) 252-2138*Diabetic Shoes OnlyHanger Prosthetics & Orthotics,Inc.1561 San Marco Blvd.Jacksonville, FL 32207(904) 390-1766*Orthotic Spinal Devices andDiabetic Shoes Only. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.1282 S. 3rd. Ave.Jacksonville, FL 32250(904) 249-1757*Orthotic Spinal Devices andDiabetic Shoes Only. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.1100 S. Orlando Ave.Winter Park, FL 32789(407) 740-8774*Seminole County Residents. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.3728 Phillips Hwy., Ste. 2Jacksonville, FL 32207(904) 396-4400*Orthotic Spinal Devices andDiabetic Shoes Only. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.1400 Mason Ave., Ste. CDaytona Beach, FL 32117(386) 274-4907*Orthotic Spinal Devices andDiabetic Shoes Only. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.819 E. 1st. Ave.Sanford, FL 32771(407) 321-2053*Seminole County Residents. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.2754-A Enterprise Rd.Orange City, FL 32763(386) 774-5678*Orthotic Spinal Devices andDiabetic Shoes Only. Priorauthorization from FHCP ReferralDepartment needed.Hanger Prosthetics & Orthotics,Inc.124 Underwood Ave.Orlando, FL 32806(407) 422-8200*Seminole County Residents. Priorauthorization from FHCP ReferralDepartment needed.JSC Pedorthics, Inc.100 S. State St., Ste. DBunnell, FL 32110(386) 437-0272*Pedorthics & Diabetic Shoes OnlyVienna Medical985 Harley Strickland Blvd., Ste.100Orange City, FL 32713(386) 774-2440*Diabetic Shoes OnlyCardiologyAgamasu, Jacob K., M.D.Jacob K. Agamasu, M.D., P.A.1355 S. International Pkwy., Ste.1491Lake Mary, FL 32746(407) 804-9616Patients 18 years & olderAhmar, Wasim, M.D.Longwood Cardiology450 W. SR 434, Ste. 3010Longwood, FL 32750(407) 767-8200Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 31

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAhuja, Ratan, M.D.Central Florida CardiovascularConsultants, PLLC759 Harley Strickland Blvd.Orange City, FL 32763(386) 456-0300Central Florida CardiovascularConsultants, PLLC1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(407) 268-3660Bhavsar, Janak, M.D.Daytona Heart Group630 W. Plymouth Ave.DeLand, FL 32720(386) 734-3654Patients 18 years & olderBianco, Robert, M.D.Robert C. Bianco, M.D., P.A.14 Office Park Dr., Ste. 1Palm Coast, FL 32137(386) 446-2305Patients 18 years & olderBroome-Webster, Chad, M.D.Daytona Heart Group630 W. Plymouth Ave.DeLand, FL 32720(386) 734-3654Patients 18 years & olderDaytona Heart Group938 Saxon Blvd., Ste. 101-COrange City, FL 32763(386) 774-5485Patients 18 years & olderChida, Mubeen, M.D.Cardiovascular Specialists, P.A.305 Mangoustine Ave., Ste. 200Sanford, FL 32771(407) 321-1415Patients 18 years & olderHecht, Gary D., M.D.Cardiology Associates of WestVolusia, P.A.1000 W. New York Ave.DeLand, FL 32720(386) 736-3110Patients 18 years & olderHippalgaonkar, Rajendra, M.D.Central Florida Heart Associates,P.A.932 Saxon Blvd., Ste. AOrange City, FL 32763(386) 774-2100Patients 18 years & olderCentral Florida Heart Associates,P.A.1403 Medical Plaza Dr., Ste. 106Sanford, FL 32771(407) 330-9900Patients 18 years & olderCentral Florida Heart Associates,P.A.800 W. Plymouth Ave.DeLand, FL 32720(386) 774-2100Patients 18 years & olderLazard, Marielle, M.D.Daytona Heart Group630 W. Plymouth Ave.DeLand, FL 32720(386) 734-3654Patients 18 years & olderDaytona Heart Group938 Saxon Blvd., Ste. 101-COrange City, FL 32763(386) 774-5485Patients 18 years & olderLiu, Wing Yi Winnie, M.D.Complete Cardiology Care, P.A.161 N. Causeway, Ste. CNew Smyrna Beach, FL 32169(386) 424-8440Patients 18 years & olderLo, Eric, M.D.Complete Cardiology Care, P.A.161 N. Causeway, Ste. CNew Smyrna Beach, FL 32169(386) 424-8440Patients 18 years & olderMartinez-Mejias, Edwin, M.D.Longwood Cardiology450 W. SR 434, Ste. 3010Longwood, FL 32750(407) 767-8200Patients 18 years & olderMinor, Stephen, M.D.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3289Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 32

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGRao, Ravi, M.D.600 Palmetto St., Ste. 1New Smyrna Beach, FL 32168(386) 424-3870Patients 18 years & olderReed, Francis, M.D.Daytona Heart Group630 W. Plymouth Ave.DeLand, FL 32720(386) 734-3654Patients 18 years & olderDaytona Heart Group938 Saxon Blvd., Ste. 101-COrange City, FL 32763(386) 774-5485Patients 18 years & olderRosemond, Robert M., M.D.Central Florida Heart Associates,P.A.932 Saxon Blvd., Ste. AOrange City, FL 32763(386) 774-2100Patients 18 years & olderCentral Florida Heart Associates,P.A.1403 Medical Plaza Dr., Ste. 106Sanford, FL 32771(407) 330-9900Patients 18 years & olderCentral Florida Heart Associates,P.A.800 W. Plymouth Ave.DeLand, FL 32720(386) 774-2100Patients 18 years & olderRyan, Amanda, D.O.600 Palmetto St., Ste. 1New Smyrna Beach, FL 32168(386) 424-3870Patients 18 years & olderShah, Yogesh, M.D.Yogesh H. Shah, MD, PA501 Live Oak St.New Smyrna Beach, FL 32168(386) 426-2060Patients 18 years & olderYogesh H. Shah, MD, PA4554 S. Clyde Morris Blvd., Ste. 1Port Orange, FL 32129(386) 756-8226Patients 18 years & olderWang, Huijian J., M.D.Complete Cardiology Care, P.A.161 N. Causeway, Ste. CNew Smyrna Beach, FL 32169(386) 424-8440Patients 18 years & olderWest, Oscar, M.D.Daytona Heart Group630 W. Plymouth Ave.DeLand, FL 32720(386) 734-3654Patients 18 years & olderDaytona Heart Group938 Saxon Blvd., Ste. 101-COrange City, FL 32763(386) 774-5485Patients 18 years & olderWilliams, David, M.D.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3289Patients 18 years & olderFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 238-3289Patients 18 years & olderYaqoob, Khalid, M.D.Longwood Cardiology450 W. SR 434, Ste. 3010Longwood, FL 32750(407) 767-8200Patients 18 years & olderCardiology-PediatricCarson, Thomas, M.D.Thomas P. Carson & Associates,M.D.3813 Oakwater Cir.Orlando, FL 32806(800) 470-6672Patients newborn to 18 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 33

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGarcia, Jorge, M.D.Pediatric Cardiology Consultants,P.A.2501 N. Orange Ave., Ste. 310Orlando, FL 32804(800) 289-3883Patients newborn to 18 yearsPediatric Cardiology Consultants,P.A.5535 S. Williamson Blvd., #700Port Orange, FL 32128(800) 289-3883Patients newborn to 18 yearsRamos, Agustin, M.D.Pediatric Cardiology Consultants,P.A.2501 N. Orange Ave., Ste. 310Orlando, FL 32804(800) 289-3883Patients newborn to 18 yearsPediatric Cardiology Consultants,P.A.5535 S. Williamson Blvd., #700Port Orange, FL 32128(800) 289-3883Patients newborn to 18 yearsReyes II, Aurelio, M.D.Pediatric Cardiology Consultants,P.A.2501 N. Orange Ave., Ste. 310Orlando, FL 32804(800) 289-3883Patients newborn to 18 yearsPediatric Cardiology Consultants,P.A.5535 S. Williamson Blvd., #700Port Orange, FL 32128(800) 289-3883Patients newborn to 18 yearsTrivedi, Bhavya, M.D.Pediatric Cardiology Consultants,P.A.2501 N. Orange Ave., Ste. 310Orlando, FL 32804(800) 289-3883Patients newborn to 18 yearsPediatric Cardiology Consultants,P.A.5535 S. Williamson Blvd., #700Port Orange, FL 32128(800) 289-3883Patients newborn to 18 yearsZussman, Matthew, M.D.Pediatric Cardiology Consultants,P.A.2501 N. Orange Ave., Ste. 310Orlando, FL 32804(800) 289-3883Patients newborn to 18 yearsPediatric Cardiology Consultants,P.A.5535 S. Williamson Blvd., #700Port Orange, FL 32128(800) 289-3883Patients newborn to 18 yearsCardiovascularDesai, Utpal, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderHolt, John, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderHooker Jr., Robert, M.D.Cardiovascular Surgeons, P.A.4106 W. Lake Mary Blvd., Ste. 201Lake Mary, FL 32746(407) 425-1566Patients 19 years & olderJohnson III, William, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderLitke, Bradley, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 34

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGWalsh, John A., M.D.John A. Walsh, M.D., P.A.61 Memorial Medical Pkwy., Ste. 1-800BPalm Coast, FL 32164(386) 586-0760Patients 18 years & olderChiropracticSee Direct Access/Self-referredproviders in previous sectionColon & RectalBlake III, Thomas B., M.D.Thomas B. Blake III, M.D., P.A.331 N. Maitland Ave., Ste. A2Maitland, FL 32751(407) 629-5141Patients 16 years & olderMeese, David, M.D.Colon & Rectal Surgery Associates550 Memorial Cir., Ste. HOrmond Beach, FL 32174(386) 672-0017Colon & Rectal Surgery Associates1185 Dunlawton Ave., Ste. 100Port Orange, FL 32127(386) 756-7006Ritter, Andrew, M.D.Colon & Rectal Surgery Associates550 Memorial Cir., Ste. HOrmond Beach, FL 32174(386) 672-0017Colon & Rectal Surgery Associates1185 Dunlawton Ave., Ste. 100Port Orange, FL 32127(386) 756-7006Tolland, John, M.D.Colon & Rectal Surgery Associates550 Memorial Cir., Ste. HOrmond Beach, FL 32174(386) 672-0017Colon & Rectal Surgery Associates1185 Dunlawton Ave., Ste. 100Port Orange, FL 32127(386) 756-7006Williams, Kathleen, M.D.Colon & Rectal Surgery Associates550 Memorial Cir., Ste. HOrmond Beach, FL 32174(386) 672-0017Colon & Rectal Surgery Associates1185 Dunlawton Ave., Ste. 100Port Orange, FL 32127(386) 756-7006DermatologySee Direct Access/Self-referredproviders in previous sectionDiabetes EducationFHCP Center2777 Enterprise Rd.Orange City, FL 32763*For Diabetes Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center330 N. Clyde Morris Blvd.Daytona Beach, FL 32114*For Diabetes Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137*For Diabetes Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center740 Dunlawton Ave.Port Orange, FL 32127*For Diabetes Education: Forinformation, call (386) 676-7133 or1-877-229-45182014 State of Florida Provider Directory – Form# 03-310-29 Page 35

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDiagnostic Imaging/OutpatientAdvanced Imaging1639 N. Volusia Ave.Orange City, FL 32763(386) 774-7226*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Cyrus Diagnostic Imaging, Inc.165 Waymont Ct.Lake Mary, FL 32746(407) 321-3012*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Florida Hospital DeLand701 W. Plymouth Ave.DeLand, FL 32720(386) 943-4610*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Florida Hospital Fish Imaging1053 Medical Center Dr., Ste. 151Orange City, FL 32763(386) 917-5428*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Florida Hospital Fish Memorial1055 Saxon Blvd.Orange City, FL 32763(386) 917-5428*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Florida Hospital Flagler60 Memorial Medical Pkwy.Palm Coast, FL 32164(386) 586-4402*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.LAD Imaging, LLC1555 Saxon Blvd., Ste. 401Deltona, FL 32725(386) 860-9336*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.New Smyrna Imaging, LLC405 E. 3rd Ave.New Smyrna Beach, FL 32169(386) 426-1900Open MRI of Daytona201 Bill France Blvd.Daytona Beach, FL 32114(386) 254-6800*MRI's Only.Orlando Diagnostic Center, Inc.450 W. SR 434, Ste. 102Longwood, FL 32750(321) 207-0200Palm Coast Imaging Center3 Pine Cone Dr., Ste. 101Palm Coast, FL 32137(386) 446-5200*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Port Orange Imaging Center1195 Dunlawton Ave.Port Orange, FL 32127(386) 322-1616*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.St. Augustine Imaging Center190 Southpark Blvd., Ste. 101St. Augustine, FL 32086(904) 827-9191*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.Town Center Imaging21 Hospital Dr.Palm Coast, FL 32164(386) 445-4400*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.2014 State of Florida Provider Directory – Form# 03-310-29 Page 36

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGTwin Lakes Imaging Center1890 LPGA Blvd., Ste. 110Daytona Beach, FL 32117(386) 274-5454*Members can access provider forAdvanced Diagnostic Imaging-Outpatient such as MRI's, CT's &Bone Scans.DialysisDaytona Beach Dialysis578 Health Blvd.Daytona Beach, FL 32114(386) 258-7322Daytona South Dialysis1801 S. Nova Rd., Ste. 306South Daytona, FL 32119(386) 322-3625DeLand Dialysis350 E. New York Ave.DeLand, FL 32720(386) 738-2570Melbourne Dialysis2235 S. Babcock St.Melbourne, FL 32901(321) 956-6252New Smyrna Beach ArtificialKidney Ctr.821 S.R. 44New Smyrna Beach, FL 32168(386) 409-8855New Smyrna Beach Dialysis110 S. Orange St.New Smyrna Beach, FL 32168(386) 409-0025Orange City Dialysis2575 S. Volusia Ave., Ste. 400Orange City, FL 32763(386) 774-0101Ormond Beach Dialysis495 S. Nova Rd., Ste. 109Ormond Beach, FL 32174(386) 676-2405Palm Coast Dialysis13 Kingswood Dr., Ste. APalm Coast, FL 32137(386) 445-4445Sanford Dialysis1701 W. 1st St.Sanford, FL 32771(407) 268-9425Davita.comDurable Medical EquipmentApria Healthcare, Inc.2381 Mason Ave., Ste. 140Daytona Beach, FL 32117(800) 999-2094Apria Healthcare, Inc.3443 Parkway Center Ct.Orlando, FL 32808(800) 999-2094EndocrinologyAli, Ahmad, M.D.Regency Endocrinology &Diabetes, P.A.752 Stirling Ctr. Pl., Ste.2000,Bldg.13,Unit 1008Lake Mary, FL 32746(407) 333-1212Patients 18 years & olderAnsara, Maha, M.D.Regency Endocrinology &Diabetes, P.A.752 Stirling Ctr. Pl., Ste.2000,Bldg.13,Unit 1008Lake Mary, FL 32746(407) 333-1212Patients 18 years & olderGupta, Sheila, M.D.Gupta Medical Specialists345 Clyde Morris Blvd., Ste. 390Ormond Beach, FL 32174(386) 673-0075Patients 18 years & older*Not accepting new diabeticpatients.2014 State of Florida Provider Directory – Form# 03-310-29 Page 37

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGMetchick, Lee N., M.D.Endocrinology of Central Florida109 W. Knapp Ave.Edgewater, FL 32132(386) 427-4544Patients 18 years & older *Under18-case by caseEndocrinology of Central Florida210 Rinehart Rd., Ste. 1000Lake Mary, FL 32746(407) 691-3200Patients 18 years & older *Under18-case by caseMiceli, Gerald, M.D.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550Patients 18 years & olderFHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 774-2550Patients 18 years & olderMorris, Richard D., M.D.Atlantic Endocrinology Associates,P.A.1360 Mason Ave., Ste. CDaytona Beach, FL 32117(386) 255-6241Patients 18 years & olderRho, Christina, M.D.780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 18 years & older *Ages 16-17-case by case*Established Patients OnlyYajnik, Chaitanya, M.D.FHCP Center315 Palm Coast Pkwy. N.E.Palm Coast, FL 32137(386) 445-7073Patients 16 years & olderFHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 445-7073Patients 16 years & olderGastroenterologyBratu, Beatrice, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Covelli, Christina, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-2221Patients 18 years & olderGastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-2221Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 38

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDeCarli, Antonio, M.D.AJD Medical, LLC501 Live Oak St., Ste. BNew Smyrna Beach, FL 32168(386) 427-0390Patients 18 years & olderGaddipati, Kalyani, M.D.917 Rinehart Rd., Ste. 2051Lake Mary, FL 32746(407) 936-2444Patients 18 years & olderGupta, Vishal, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-2221Patients 18 years & olderGastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-2221Patients 18 years & olderHeath, Bryan, M.D.308 Palmetto St.New Smyrna Beach, FL 32168(386) 957-3891Patients 17 years & olderHemaidan, Ammar, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Kirtane, Prafulla K., M.D.Kirtane Associates, M.D., P.A.210 N. Westmonte Dr., Ste. 1000Altamonte Springs, FL 32714(407) 788-7844Patients 18 years & olderMallaiah, Lenkala, M.D.Mid-Florida GastroenterologyGroup, P.A.311 N. Mangoustine Ave.Sanford, FL 32771(407) 321-4570Mid-Florida GastroenterologyGroup, P.A.1565 Saxon Blvd., Ste. 102Deltona, FL 32725(386) 789-5400Nagrani, Mark, M.D.612 Palmetto St.New Smyrna Beach, FL 32168(386) 423-5500Patients 17 years & olderNasr, Issam R., M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.2014 State of Florida Provider Directory – Form# 03-310-29 Page 39

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAdvanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Navarro Jr., Felix, M.D.Gastroenterology & LiverConsultants, P.L.1403 Medical Plaza Dr., Ste. 206Sanford, FL 32771(407) 322-9530Patients 16 years & olderParikh, Nitin, M.D.1053 Medical Center Dr., Ste. 251Orange City, FL 32763(386) 775-4720Patients 18 years & olderPatel, Bharat, M.D.Digestive Health Specialists, P.A.1070 N. Stone St., Ste. DDeLand, FL 32720(386) 822-9410*Gastroenterology services areavailable for patients ages 16 &older who either reside in or areassigned to a PCP in West VolusiaCounty.Patel, Jigneshkumar, M.D.Gastroenterology of GreaterOrlando, P.A.2728 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 668-2221Patients 18 years & olderGastroenterology of GreaterOrlando, P.A.1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(386) 668-2221Patients 18 years & olderPrado, Martin Gino, M.D.Digestive Health Specialists, P.A.1070 N. Stone St., Ste. DDeLand, FL 32720(386) 822-9410*Gastroenterology services areavailable for patients ages 16 &older who either reside in or areassigned to a PCP in West VolusiaCounty.Shams, Safwan, M.D.61 Memorial Medical Pkwy., Ste. 1-800APalm Coast, FL 32164(386) 586-1810Patients 18 years & olderSuleiman, Saud, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.2014 State of Florida Provider Directory – Form# 03-310-29 Page 40

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAdvanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Zulfiqar, Hassan, M.D.Advanced GastroenterologyHealthcare Center1690 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center1890 LPGA Blvd., Ste. 270Daytona Beach, FL 32117(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.Advanced GastroenterologyHealthcare Center2777 Enterprise Blvd.Orange City, FL 32763(386) 763-4920Patients 18 years & older*All appointments to be madethrough Port Orange office.General SurgeryArts, Jeff P., M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedBlack, Harry, M.D.201 N. Clyde Morris Blvd., Ste. 100Daytona Beach, FL 32114(386) 238-3295Capulong, Rene, M.D.Rene AB Capulong, M.D., P.A.2515 Junior St.Orange City, FL 32763(386) 736-7600Patients infant & olderClayton, Kimberly, M.D.600 Palmetto St.New Smyrna Beach, FL 32168(386) 428-8326Patients 18 years & olderClontz, Franklin D., M.D.Osceola Surgical Associates, L.L.C.200 N. Magoustine Ave.Sanford, FL 32771(407) 833-7505Corbyons, Thomas, M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages acceptedDiaz, Dennis, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedDonohoe, Michael J., M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 41

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGIacobelli, Joan, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedLevy, Marc, M.D.Children's Surgical Associates1814 Lucerne Terrace Dr., Ste. AOrlando, FL 32806(407) 540-1000Pediatric patients onlyMiller, David, M.D.Children's Surgical Associates1814 Lucerne Terrace Dr., Ste. AOrlando, FL 32806(407) 540-1000Pediatric patients onlyMorgan, Ross, M.D.Children's Surgical Associates1814 Lucerne Terrace Dr., Ste. AOrlando, FL 32806(407) 540-1000Pediatric patients onlyPlumley, Donald, M.D.Children's Surgical Associates1814 Lucerne Terrace Dr., Ste. AOrlando, FL 32806(407) 540-1000Pediatric patients onlySebastien, Joel, M.D.201 N. Clyde Morris Blvd., Ste. 100Daytona Beach, FL 32114(386) 238-32952777 Enterprise Rd., Ste. 5Orange City, FL 32763(386) 238-3295Steinbaum, Jeremy, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedToub, Frank W., M.D.600 Palmetto St.New Smyrna Beach, FL 32168(386) 428-8326Patients 18 years & olderWalters, Michael, M.D.600 Palmetto St.New Smyrna Beach, FL 32168(386) 428-8326Patients 18 years & olderWilkie, Caren, M.D.201 N. Clyde Morris Blvd., Ste. 100Daytona Beach, FL 32114(386) 238-3295Windham, T. Christopher, M.D.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 231-4000Patients 18 years & older*Surgical OncologyHand SurgeryBlaum III, Louis, M.D.Halifax Ctr for Hand, Plastic &Cosmetic Surgery311 N. Clyde Morris Blvd., Ste. 510Daytona Beach, FL 32114(386) 238-2244*Cosmetic procedures require priorauthorizationBrenner, Laurence, M.D.Halifax Ctr for Hand, Plastic &Cosmetic Surgery311 N. Clyde Morris Blvd., Ste. 510Daytona Beach, FL 32114(386) 238-2244*Cosmetic procedures require priorauthorizationCastaneda, Juan, D.O.Hand and Upper Extremity ofDaytona Beach790 Dunlawton Ave., Ste. IPort Orange, FL 32127(386) 322-6882Patients 6 years & older*Cosmetic procedures require priorauthorization2014 State of Florida Provider Directory – Form# 03-310-29 Page 42

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGClancy, Tamara Ray, M.D.Volusia Hand Surgery Clinic, P.A.3635 S. Clyde Morris Blvd., Ste.900Port Orange, FL 32129(386) 788-4263All ages accepted*Cosmetic procedures require priorauthorizationVolusia Hand Surgery Clinic, P.A.315 Palm Coast Pkwy. N.E., Ste. 4Palm Coast, FL 32137(386) 246-3063All ages accepted*Cosmetic procedures require priorauthorizationDeMercurio, Jeffrey, M.D.Halifax Ctr for Hand, Plastic &Cosmetic Surgery311 N. Clyde Morris Blvd., Ste. 510Daytona Beach, FL 32114(386) 238-2244*Cosmetic procedures require priorauthorizationEathiraju, Srikanth, M.D.Volusia Hand Surgery Clinic, P.A.3635 S. Clyde Morris Blvd., Ste.900Port Orange, FL 32129(386) 788-4263All ages accepted*Cosmetic procedures require priorauthorizationVolusia Hand Surgery Clinic, P.A.2777 Enterprise Rd., Ste. 1Orange City, FL 32763(386) 218-4920All ages accepted*Cosmetic procedures require priorauthorizationMehta, Vikram P., M.D.Vikram P. Mehta, M.D., P.A.4106 W. Lake Mary Blvd., Ste. 224Lake Mary, FL 32746(407) 333-4548All ages acceptedTessler, Richard, M.D.Volusia Hand Surgery Clinic, P.A.3635 S. Clyde Morris Blvd., Ste.900Port Orange, FL 32129(386) 788-4263All ages accepted*Cosmetic procedures require priorauthorizationVolusia Hand Surgery Clinic, P.A.239 N. Ridgewood Ave.Edgewater, FL 32132(386) 410-4972All ages accepted*Cosmetic procedures require priorauthorizationHearing Aid ServicesSee Direct Access/Self-referredproviders in previous sectionHIV/Hepatitis COguchi, Godson, M.D.Midland Florida Infectious DiseasesSpecialists955 Town Center Dr., Ste. 100Orange City, FL 32763(386) 228-0661Patients 16 years & olderMidland Florida Infectious DiseasesSpecialists665 Peachwood Dr.DeLand, FL 32720(386) 822-4191Patients 16 years & olderWarner, Daniel, M.D.Consultive Medicine1630 Mason Ave.Daytona Beach, FL 32117(386) 274-7651Patients 13 years & olderHome HealthConficare Home Health Solutions1425 State Road 434, Ste. 101Longwood, FL 32750(407) 834-0020*Seminole County Residents OnlyDoctor's Choice Home HealthServices1801 S. Nova Rd., Ste. 110South Daytona, FL 32119(386) 872-47002014 State of Florida Provider Directory – Form# 03-310-29 Page 43

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGInterim Healthcare of GreaterOrlando1890 State Road 436, Ste. 355Winter Park, FL 32792(407) 740-8584*Seminole County Residents OnlyHospiceSee Direct Access/Self-referredproviders in previous sectionInfectious DiseasesAhmed, Salman, M.D.Halifax Health - Children's MedicalCenter200 Booth Rd., Unit AOrmond Beach, FL 32174(386) 523-1212Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter1 Florida Park Dr. S., Ste. 201Palm Coast, FL 32137(386) 447-4540Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter870 Dunlawton Ave., Ste. 310Port Orange, FL 32127(386) 523-1313Patients newborn to 21 yearsEjie, Ukonu, M.D.Infectious Diseases of Mid Florida,P.A.104 La Costa La., Ste 120Daytona Beach, FL 32114(386) 274-1966Patients 18 years & olderIsaac, Reba K., M.D.IDC of Volusia, LLC410 Palmetto St.New Smyrna Beach, FL 32168(386) 410-4981Patients 16 years & olderOguchi, Godson, M.D.Midland Florida Infectious DiseasesSpecialists955 Town Center Dr., Ste. 100Orange City, FL 32763(386) 228-0661Patients 16 years & olderMidland Florida Infectious DiseasesSpecialists665 Peachwood Dr.DeLand, FL 32720(386) 822-4191Patients 16 years & olderOlivier, Chamion N., M.D.120 Cypress Edge Dr., Ste. 201Palm Coast, FL 32164(386) 586-4469Patients 18 years & olderWarner, Daniel, M.D.Consultive Medicine1630 Mason Ave.Daytona Beach, FL 32117(386) 274-7651Patients 13 years & olderMammogramsBert Fish Medical Center401 Palmetto Ave.New Smyrna Beach, FL 32168(386) 424-5044*For Mammograms: Requires AWritten Prescription.Cyrus Diagnostic Imaging, Inc.165 Waymont Ct.Lake Mary, FL 32746(407) 321-3012Florida Hospital Fish Imaging1053 Medical Center Dr., Ste. 151Orange City, FL 32763(386) 917-5428*For Mammograms: Requires AWritten PrescriptionFlorida Hospital Flagler60 Memorial Medical Pkwy.Palm Coast, FL 32164(386) 586-4402*For Mammograms: Requires AWritten Prescription.LAD Imaging, LLC1555 Saxon Blvd., Ste. 401Deltona, FL 32725(386) 860-9336*For Mammograms: Requires AWritten PrescriptionPalm Coast Imaging Center3 Pine Cone Dr., Ste. 101Palm Coast, FL 32137(386) 446-52002014 State of Florida Provider Directory – Form# 03-310-29 Page 44

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPort Orange Imaging Center1195 Dunlawton Ave.Port Orange, FL 32127(386) 322-1616St. Augustine Imaging Center190 Southpark Blvd., Ste. 101St. Augustine, FL 32086(904) 827-9191Town Center Imaging21 Hospital Dr.Palm Coast, FL 32164(386) 445-4400Twin Lakes Imaging Center1890 LPGA Blvd., Ste. 110Daytona Beach, FL 32117(386) 274-5454Victoria Medical Park/DeLandWomen's Center151 Victoria Commons Blvd.DeLand, FL 32724(386) 943-4610*For Mammograms: Requires AWritten Prescription.NephrologyAfzal, Fuad, M.D.Mid Florida Kidney &Hypertension Care, P.L.631 Palm Springs Dr., Ste. 104Altamonte Springs, FL 32701(407) 265-2540Patients 18 years & olderDesai, Rohan, M.D.Florida Kidney & HypertensionSpecialists, PA2877 Wellness Ave.Orange City, FL 32763(386) 668-4650Patients 18 years & olderFlorida Kidney & HypertensionSpecialists, PA665 Peachwood Dr., Ste. 1DeLand, FL 32720(386) 668-4650Patients 18 years & olderHoskote, Jaideep, M.D.120 Cypress Edge Dr., Ste. 201Palm Coast, FL 32164(386) 586-4460All ages acceptedHoskote, Jaideep, M.D.Nephrology Consultants, P.A.544 Health Blvd.Daytona Beach, FL 32114(386) 258-6522Patients 18 years & olderJumani, Abdul, M.D.Volusia Renal Consultants4645 S. Clyde Morris Blvd., Ste.408Port Orange, FL 32129(386) 295-6601Patients 18 years & olderLatif, Sajid, M.D.Renal Care Consultants, P.L.4641 S. Clyde Morris Blvd., #201Port Orange, FL 32129(386) 322-6340Patients 18 years & olderMai, Christopher, M.D.Christopher Chein Mai, M.D., P.A.821 S.R. 44New Smyrna Beach, FL 32168(386) 427-3767Patients 19 years & olderMandal, Anil, M.D.Medical Specialists of NortheastFlorida206 Dr. Carter Blvd. (S. Lemon)Bunnell, FL 32110(386) 445-2003Patients 18 years & olderMedical Specialists of NortheastFlorida665 State Rd. 207, Ste. 102St. Augustine, FL 32084(904) 824-8158Patients 18 years & olderMarathe, Shiram, M.D.Medical Specialists of NortheastFlorida206 Dr. Carter Blvd. (S. Lemon)Bunnell, FL 32110(386) 445-2003Patients 18 years & olderMedical Specialists of NortheastFlorida665 State Rd. 207, Ste. 102St. Augustine, FL 32084(904) 824-8158Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 45

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGMoorjani, Harjas, M.D.Florida Kidney & HypertensionSpecialists, PA2877 Wellness Ave.Orange City, FL 32763(386) 668-4650Patients 18 years & olderFlorida Kidney & HypertensionSpecialists, PA665 Peachwood Dr., Ste. 1DeLand, FL 32720(386) 668-4650Patients 18 years & olderPatel, Vinod, M.D.Nephrology Consultants, P.A.544 Health Blvd.Daytona Beach, FL 32114(386) 258-6522Patients 18 years & olderPatel, Daniel V., M.D.Nephrology Consultants, P.A.544 Health Blvd.Daytona Beach, FL 32114(386) 258-6522Patients 18 years & olderPegoraro, Alfredo, M.D.Florida Kidney & HypertensionSpecialists, PA2877 Wellness Ave.Orange City, FL 32763(386) 668-4650Patients 18 years & olderFlorida Kidney & HypertensionSpecialists, PA665 Peachwood Dr., Ste. 1DeLand, FL 32720(386) 668-4650Patients 18 years & olderPurandare, Vinayak, M.D.Vinayak V. Purandare, M.D., P.L.305 Memorial Medical Pkwy., Ste.507Daytona Beach, FL 32117(386) 672-8595Patients 18 years & olderTudor, Dan, M.D.Orlando Metropolitan Nephrology419 E. 1st St.Sanford, FL 32771(407) 323-5047Patients 18 years & olderOrlando Metropolitan Nephrology750 W. Plymouth Ave.DeLand, FL 32720(407) 323-5047Patients 18 years & olderOrlando Metropolitan Nephrology2751 Enterprise Rd., Ste. 215Orange City, FL 32763(407) 323-5047Patients 18 years & olderNeurologyBenezette, Alyn, D.O.Coastal Neurology801 Beville Rd.South Daytona, FL 32119(386) 788-2300Patients 12 years & olderBhat, Mulki, M.D.FHCP Center315 Palm Coast Pkwy., N.E., Ste. 2Palm Coast, FL 32137(386) 445-7073Patients 14 years & olderBorkoski, Jeffrey, M.D.501 Live Oak St.New Smyrna Beach, FL 32168(386) 424-3860Patients 18 years & olderCarinci, Stephanie, M.D.Central Florida NeurologicConsultants742 W. Plymouth Ave.DeLand, FL 32720(386) 736-8622Patients newborn & olderCorak, Jeffrey, M.D.Volusia Neurology, P.A.760 S. Volusia Ave., Ste. 400Orange City, FL 32763(386) 774-0220Patients 5 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 46

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGCunha, Olimpio, M.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderDerbenwick, Mary June, M.D.FHCP Center350 N. Clyde Morris Blvd., Ste. 3Daytona Beach, FL 32114(386) 238-3244Patients 12 years & olderDerbenwick, Kenneth, M.D.FHCP Center350 N. Clyde Morris Blvd., Ste. 3Daytona Beach, FL 32114(386) 238-3244*EMG Testing OnlyDinkla, Hendrik, M.D.Central Florida NeurologicConsultants742 W. Plymouth Ave.DeLand, FL 32720(386) 736-8622Patients 14 years & older*Established Patients OnlyFulop, Dalia, M.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderGarewal, Mandeep, M.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderGizaw, Elias, M.D.Florida Neurology, P.A.755 Stirling Center PlaceLake Mary, FL 32746(407) 333-1718Patients 18 years & olderGrimes, Jeremy R., M.D.Neurology & Spine Disorders, LLC5111 Ridgewood Ave., Ste. 102Port Orange, FL 32127(386) 763-4484Patients 18 years & olderMangat, Bhupinder, M.D.Seminole Neurology Associates,P.A.1403 Medical Plaza Dr., Ste. 204Sanford, FL 32771(407) 324-5500Patients 18 years & olderMcDonald, David, M.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderPanara, Ramit, M.D.Florida Neurology, P.A.755 Stirling Center PlaceLake Mary, FL 32746(407) 333-1718Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 47

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGRotstein, Jack, M.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderScott, James A., M.D., Ph.D.Neurology Associates of OrmondBeach, P.A.8 Mirror Lake Dr., Ste. AOrmond Beach, FL 32174(386) 673-2500Patients 18 years & olderNeurology Associates of OrmondBeach, P.A.405 Downing St.New Smyrna Beach, FL 32168(386) 427-3700Patients 18 years & olderShanmugham, Sampathkumar,M.D.Florida Neurology, P.A.755 Stirling Center PlaceLake Mary, FL 32746(407) 333-1718Patients 18 years & olderShekhadia, Nitesh, M.D.Florida Neurology, P.A.755 Stirling Center PlaceLake Mary, FL 32746(407) 333-1718Patients 18 years & olderTabbarah, Khalid, M.D.1070 N. Stone St., Ste. BDeLand, FL 32724(386) 943-3110Patients 18 years & olderTikku, Deepak, M.D.Neurology Center of Florida929 N. Spring Garden Ave., Ste.180DeLand, FL 32720(386) 624-6900Patients 18 years & olderTrapani, Vicente C., M.D.NDC of Volusia, L.L.C.1055 N. Dixie Freeway, Ste. 1New Smyrna Beach, FL 32168(386) 423-0505Patients 18 years & olderNDC of Volusia, L.L.C.780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 18 years & olderWierzbicki, Timothy, M.D.Brain & Spine Institute of PortOrange1211 Dunlawton Ave.Port Orange, FL 32127(386) 304-0111Patients 18 years & olderNeurology-PediatricDavis, Ronald, M.D.Pediatric Neurology, P.A.7485 Sand Lake Commons Blvd.Orlando, FL 32819(407) 293-1122Pediatric patients onlyEl-Bohy, Ashraf, M.D.Child Neurology Center of Orlando,P.A.6000 Turkey Lake Rd., Ste. 205Orlando, FL 32819(407) 649-1848Pediatric patients onlyKojic, Jasna, M.D.Child Neurology Center of Orlando,P.A.6000 Turkey Lake Rd., Ste. 205Orlando, FL 32819(407) 649-1848Pediatric patients onlyLe, Ngoc, M.D.Pediatric Neurology, P.A.7485 Sand Lake Commons Blvd.Orlando, FL 32819(407) 293-1122Pediatric patients onlyTaylor, Denise S., D.O.Pediatric Neurology, P.A.7485 Sand Lake Commons Blvd.Orlando, FL 32819(407) 293-1122Pediatric patients only2014 State of Florida Provider Directory – Form# 03-310-29 Page 48

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGNeurosurgeryKent, Christopher S., M.D.FHMMC Brain & Spine SurgeryAssociates305 Memorial Medical Pkwy., Ste.206Daytona Beach, FL 32117(386) 231-3540Patients 18 years & olderKhanna, Rohit, M.D.Halifax Health Center forNeurosurgery311 N. Clyde Morris Blvd., Ste. 580Daytona Beach, FL 32114(386) 257-5055Kuhn, William B., M.D.311 N. Clyde Morris Blvd., Ste. 550Daytona Beach, FL 32114(386) 255-8582Patients 18 years & olderMartin, Robert J., M.D.FHMMC Brain & Spine SurgeryAssociates305 Memorial Medical Pkwy., Ste.206Daytona Beach, FL 32117(386) 231-3540Patients 18 years & olderMurphy, Dennis M., M.D.FHMMC Brain & Spine SurgeryAssociates305 Memorial Medical Pkwy., Ste.206Daytona Beach, FL 32117(386) 231-3540Patients 18 years & olderMurphy, Dennis M., M.D.Palm Coast Brain & Spine SurgicalAssociates61 Memorial Medical Pkwy., Ste.2802Palm Coast, FL 32164(386) 231-3540Patients 18 years & olderRodas, Raul A., D.O., F.A.C.O.S.The NeuroHealth Center, LLC755 Stirling Center Pl.Lake Mary, FL 32746(407) 878-3704Patients 18 years & olderVinas, Federico, M.D.Halifax Health Center forNeurosurgery311 N. Clyde Morris Blvd., Ste. 560Daytona Beach, FL 32114(386) 253-7644Patients 18 years & olderNutritional EducationBert Fish Medical Center -Edgewater239 N. Ridgwood Ave.Edgewater, FL 32132*For Nutritional Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center2777 Enterprise Rd.Orange City, FL 32763*For Nutritional Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114*For Nutritional Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137*For Nutritional Education: Forinformation, call (386) 676-7133 or1-877-229-4518FHCP Center740 Dunlawton Ave.Port Orange, FL 32127*For Nutritional Education: Forinformation, call (386) 676-7133 or1-877-229-4518ObstetricsSee Direct Access/Self-referredproviders in previous section2014 State of Florida Provider Directory – Form# 03-310-29 Page 49

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGOncology-Medical/HematologyAlexander, Christopher, D.O.Florida Cancer Specialists325 Clyde Morris Blvd., Ste. 450Ormond Beach, FL 32174(386) 673-2442Patients 18 years & olderFlorida Cancer Specialists800 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 767-6977Patients 18 years & olderFlorida Cancer Specialists61 Memorial Medical Pkwy., Ste3804Palm Coast, FL 32164(386) 206-9375Patients 18 years & olderBigman, Karin, M.D.345 Clyde Morris Blvd., Ste. 490Ormond Beach, FL 32174(386) 672-3933Patients 18 years & older224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 231-4000Patients 18 years & olderCabeza, Rene, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderChew, Boon Y., M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderDeveras, Ruby Anne, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderDodd, Paul, M.D.Florida Cancer Specialists325 Clyde Morris Blvd., Ste. 450Ormond Beach, FL 32174(386) 673-2442Patients 18 years & olderFlorida Cancer Specialists800 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 767-6977Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 50

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Cancer Specialists61 Memorial Medical Pkwy., Ste3804Palm Coast, FL 32164(386) 206-9375Patients 18 years & olderDoughney, Kathleen, M.D.Florida Cancer Specialists325 Clyde Morris Blvd., Ste. 450Ormond Beach, FL 32174(386) 673-2442Patients 18 years & olderFlorida Cancer Specialists800 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 767-6977Patients 18 years & olderFlorida Cancer Specialists61 Memorial Medical Pkwy., Ste3804Palm Coast, FL 32164(386) 206-9375Patients 18 years & olderDurkin, Walter, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderFavis, Gregory, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderGershman, Eric, M.D.680 Peachwood Dr.DeLand, FL 32720(386) 740-3939Patients 18 years & olderGershman, Eric, M.D.1061 Medical Center Dr., Ste. 305Orange City, FL 32763(386) 917-7630Patients 16 years & olderHarichand-Herdt, Seema, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderKelley, Michael J., M.D.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 231-4000Patients 18 years & olderKhan, Mudussara, M.D.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 231-4000Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 51

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGKunjumoideen, Kottapurath, M.D.Florida Cancer Specialists765 Image WayOrange City, FL 32763(386) 774-7411Patients 18 years & olderFlorida Cancer Specialists917 Rinehart Rd., Ste. 2041Lake Mary, FL 32746(407) 804-6133Patients 18 years & olderFlorida Cancer Specialists810 N. Spring Garden Ave., Ste.100DeLand, FL 32720(386) 943-9446Patients 18 years & olderLatif, Zafar, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderMasri, Mohamad, M.D.1061 Medical Center Dr., Ste. 305Orange City, FL 32763(386) 917-7630Patients 16 years & olderMelgen, Victor W., M.D.Florida Cancer Specialists765 Image WayOrange City, FL 32763(386) 774-7411Patients 18 years & olderFlorida Cancer Specialists917 Rinehart Rd., Ste. 2041Lake Mary, FL 32746(407) 804-6133Patients 18 years & olderFlorida Cancer Specialists810 N. Spring Garden Ave., Ste.100DeLand, FL 32720(386) 943-9446Patients 18 years & olderMolpus, Kelly L., M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4034Patients 18 years & older*Medical & Gynecologic OnlyHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & older*Medical & Gynecologic OnlyHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & older*Medical & Gynecologic OnlyHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & older*Medical & Gynecologic OnlyNair, Santosh, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 52

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGNdum, Philip, M.D.Florida Cancer Specialists61 Memorial Medical Pkwy., Ste.2818Palm Coast, FL 32164(386) 586-2889Patients 18 years & olderOrtega, Gregory L., M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderSaferali, Shemin, M.D.Florida Cancer Specialists765 Image WayOrange City, FL 32763(386) 774-7411Patients 18 years & olderFlorida Cancer Specialists917 Rinehart Rd., Ste. 2041Lake Mary, FL 32746(407) 804-6133Patients 18 years & olderFlorida Cancer Specialists810 N. Spring Garden Ave., Ste.100DeLand, FL 32720(386) 943-9446Patients 18 years & olderSai, Padmaja, M.D.Florida Cancer Specialists61 Memorial Medical Pkwy., Ste.2812Palm Coast, FL 32164(386) 586-1860Patients 18 years & olderSelassie, Peter, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderSharma, Neeraj, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderSorathia, Abdul, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 53

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderVan Ummersen, Lynn, M.D.Florida Cancer Specialists765 Image WayOrange City, FL 32763(386) 774-7411Patients 18 years & olderFlorida Cancer Specialists917 Rinehart Rd., Ste. 2041Lake Mary, FL 32746(407) 804-6133Patients 18 years & olderVisvalingam, Bhanu, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.1070 N. Stone St., Ste. CDeLand, FL 32720(386) 734-1013Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderWeiss, Richard, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4212Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderHalifax Health Center for Oncology1185 Dunlawton Ave., Ste. 105Port Orange, FL 32127(386) 322-4750Patients 18 years & olderOncology-RadiationAlvarez-Farinetti, Alvaro, M.D.Florida Oncology Network, P.A.60 Memorial Medical Pkwy., Ste.I-700Palm Coast, FL 32164(386) 586-2060Patients 18 years & olderFlorida Oncology Network, P.A.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 676-6025Patients 18 years & olderBattle, Joyce, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4210Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderFactor, Brad A., M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4210Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 54

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGraham, Gary R., M.D.Florida Oncology Network, P.A.680 Peachwood Dr.DeLand, FL 32720(386) 822-5502Patients 16 years & olderFlorida Oncology Network, P.A.1055 Saxon Blvd.Orange City, FL 32763(386) 917-5526Patients 16 years & olderFlorida Oncology Network, P.A.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 676-6025Patients 16 years & olderHart, Noushin I., M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderMid-Florida Hematology &Oncology Centers, P.A.2100 W. First St.Sanford, FL 32771(407) 323-2250Patients 18 years & olderHechtman, Charles D., M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4210Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderKrochak, Ronald, M.D.Florida Oncology Network, P.A.224 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 676-6025Patients 18 years & olderFlorida Oncology Network, P.A.60 Memorial Medical Pkwy., Ste.I-700Palm Coast, FL 32164(386) 586-2060Patients 18 years & olderMendoza, April, M.D.Halifax Health Center for Oncology303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4210Patients 18 years & olderHalifax Health Center for Oncology1688 W. Granada Blvd.Ormond Beach, FL 32174(386) 425-4400Patients 18 years & olderHalifax Health Center for Oncology401 S. Palmetto St.New Smyrna Beach, FL 32168(386) 424-5038Patients 18 years & olderScheer, Thomas, M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderVerma, Ajay K., M.D.Mid-Florida Hematology &Oncology Centers, P.A.2776 Enterprise Rd., Ste. 100Orange City, FL 32763(386) 774-1223Patients 18 years & olderOphthalmologyBarber, Kevin, M.D.Central Florida Eye Specialists,P.A.305 E. New York Ave.DeLand, FL 32724(386) 734-2931Patients infant & olderCentral Florida Eye Specialists, P.A.975 Town Center Dr., Ste. 200Orange City, FL 32763(386) 917-0404Patients infant & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 55

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGCentral Florida Eye Specialists, P.A.524 Canal St.New Smyrna Beach, FL 32168(386) 428-6811Patients infant & olderBarnard, Thomas, M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570*Retinal services only (with anapproved referral from FHCP)Cohn, Eric A., D.O.Sakowitz Eye Center2850 Wellness Ave.Orange City, FL 32763(386) 574-0700Patients 10 years & olderSakowitz Eye Center313 N. Mangoustine Ave.Sanford, FL 32771(386) 574-0700Patients 10 years & olderCordero, Robert, M.D.Central Florida Eye Specialists,P.A.305 E. New York Ave.DeLand, FL 32724(386) 734-2931Patients infant & olderCentral Florida Eye Specialists, P.A.975 Town Center Dr., Ste. 200Orange City, FL 32763(386) 917-0404Patients infant & olderCunningham, Matthew A., M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570*Retinal services only (with anapproved referral from FHCP)Dunn, William J., M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570*Retinal services only (with anapproved referral from FHCP)2014 State of Florida Provider Directory – Form# 03-310-29 Page 56

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGEtienne, Annemarie N., M.D.FHCP Center350 N. Clyde Morris Blvd., Suite210Daytona Beach, FL 32114(386) 676-7103All ages accepted*All appointments to be madethrough Daytona Beach OfficeFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 676-7103All ages accepted*All appointments to be madethrough Daytona Beach OfficeGeis, Todd, M.D.FHCP Center350 N. Clyde Morris Blvd., Suite210Daytona Beach, FL 32114(386) 676-7103All ages accepted*All appointments to be madethrough Daytona Beach OfficeFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 676-7103All ages accepted*All appointments to be madethrough Daytona Beach OfficeGeorge, Mathew, M.D.Sakowitz Eye Center2850 Wellness Ave.Orange City, FL 32763(386) 574-0700Patients 10 years & olderSakowitz Eye Center313 N. Mangoustine Ave.Sanford, FL 32771(386) 574-0700Patients 10 years & olderKrajnyk, Orest, M.D.Kutryb Eye Institute2568 S. Ridgewood Ave., Ste. 4Edgewater, FL 32141(386) 424-1422Patients under 15 years old on caseby caseKropp, Thomas M., M.D.Central Florida Eye Specialists,P.A.305 E. New York Ave.DeLand, FL 32724(386) 734-2931Patients infant & olderCentral Florida Eye Specialists, P.A.975 Town Center Dr., Ste. 200Orange City, FL 32763(386) 917-0404Patients infant & olderKushner, F. Harold, M.D.FHCP Center350 N. Clyde Morris Blvd., Suite210Daytona Beach, FL 32114(386) 676-7103All ages acceptedKutryb, Michael J., M.D.Kutryb Eye Institute2568 S. Ridgewood Ave., Ste. 4Edgewater, FL 32141(386) 424-1422Patients under 15 years old on caseby caseLieb, Douglas, M.D.Sakowitz Eye Center2850 Wellness Ave.Orange City, FL 32763(386) 574-0700Patients 10 years & olderSakowitz Eye Center313 N. Mangoustine Ave.Sanford, FL 32771(386) 574-0700Patients 10 years & olderMavrofrides, Elias, M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847*Retinal services only (with anapproved referral from FHCP)2014 State of Florida Provider Directory – Form# 03-310-29 Page 57

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570*Retinal services only (with anapproved referral from FHCP)Miller, Daniel F., M.D.Dean & Miller, M.D., P.A.415 N. CausewayNew Smyrna Beach, FL 32169(386) 427-4143Ages: Case by case basisMyer, Rory, M.D.Tomoka Eye Associates, P.A.345 Clyde Morris Blvd., Ste. 330Ormond Beach, FL 32174(386) 672-4244Patients 18 months & older*Corneal services only (with anapproved referral from FHCP)Tomoka Eye Associates, P.A.21 Hospital Dr., Ste. 160Palm Coast, FL 32164(386) 586-3711Patients 18 months & older*Corneal services only (with anapproved referral from FHCP)Tomoka Eye Associates, P.A.790 Dunlawton Ave., Ste. APort Orange, FL 32127(386) 767-0053Patients 18 months & older*Corneal services only (with anapproved referral from FHCP)Perez, Humberto, M.D.Sakowitz Eye Center2850 Wellness Ave.Orange City, FL 32763(386) 574-0700Patients 10 years & olderSakowitz Eye Center313 N. Mangoustine Ave.Sanford, FL 32771(386) 574-0700Patients 10 years & olderRouth, Robert H., M.D.Dean & Miller, M.D., P.A.415 N. CausewayNew Smyrna Beach, FL 32169(386) 427-4143Ages: Case by case basisSakowitz, Howard, M.D.Sakowitz Eye Center2850 Wellness Ave.Orange City, FL 32763(386) 574-0700Patients 10 years & olderSakowitz Eye Center313 N. Mangoustine Ave.Sanford, FL 32771(386) 574-0700Patients 10 years & olderStaman, Jonathan A., M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777All ages accepted*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909All ages accepted*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847All ages accepted*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570All ages accepted*Retinal services only (with anapproved referral from FHCP)Staman, James A., M.D.Florida Retina Institute, Inc.564 Health Blvd.Daytona Beach, FL 32114(386) 258-5777*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.412 Tremonte Dr.Orange City, FL 32763(386) 775-9909*Retinal services only (with anapproved referral from FHCP)2014 State of Florida Provider Directory – Form# 03-310-29 Page 58

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Retina Institute, Inc.50 Leanni Wy., Ste. E5Palm Coast, FL 32137(386) 447-1847*Retinal services only (with anapproved referral from FHCP)Florida Retina Institute, Inc.1025 Primera Blvd.Lake Mary, FL 32748(407) 333-1570*Retinal services only (with anapproved referral from FHCP)Optometry/ Low VisionChoat, Christopher, O.D.Low Vision Center303 N. Clyde Morris Blvd., Ste. 70Daytona Beach, FL 32114(877) 556-6621*Treats HMO Members referred byOptometrist or OphthalmologyprovidersNguyen, Pauline, O.D.Low Vision Center303 N. Clyde Morris Blvd., Ste. 70Daytona Beach, FL 32114(877) 556-6621*Treats HMO Members referred byOptometrist or OphthalmologyprovidersSalh, Darshna, O.D.Low Vision Center303 N. Clyde Morris Blvd., Ste. 70Daytona Beach, FL 32114(877) 556-6621*Treats HMO Members referred byOptometrist or OphthalmologyprovidersOptometrySee Direct Access/Self-referredproviders in previous sectionOral SurgeryLinek, Peter J., D.D.S.Peter J. Linek, D.D.S., M.D., P.A.870 Dunlawton Ave., Ste. 210Port Orange, FL 32127(386) 756-2580*Prior authorization from FHCPReferral Department needed.Orthopaedic SurgeryAlter, Dennis, M.D.Flagler Orthopedics and SportsMedicine21 Hospital Dr., Ste. 110Palm Coast, FL 32164(386) 586-1370All ages acceptedAujla, Narinder S., M.D.Tri-County Orthopedics, P.A.317 N. Mangoustine Ave.Sanford, FL 32771(407) 323-2577Patients 2 years & older*Non-surgical treatment only.Bathaw, Ronald, M.D.Palm Harbor Orthopedics, P.A.80 Pinnacles Dr., Ste. 700Palm Coast, FL 32164(386) 586-2234All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 59

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGBrodrick, Thomas J., M.D.Florida Orthopaedic Associates740 W. Plymouth Ave.DeLand, FL 32720(386) 734-9122All ages acceptedFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500All ages acceptedFlorida Orthopaedic Associates1337 S. International Pkwy., Ste.1341Lake Mary, FL 32746(407) 333-4507All ages acceptedBryan, James, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedDenoff, Frank, M.D.Denoff Orthopaedics, P.A.1639 N. Volusia Ave., Ste. BOrange City, FL 32763(386) 775-2012All ages acceptedGaines, Richard K., M.D.McLeod Orthopedic Clinic, P.A.504 Palmetto St.New Smyrna Beach, FL 32168(386) 424-9601Patients 4 years & olderGillespy, Albert, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedGillespy, Mark, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 60

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGillespy Jr., Thurman, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedGottlich, Malcolm, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedHatten, Bryan, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedHollmann, Mark, M.D.Florida Orthopaedic Associates740 W. Plymouth Ave.DeLand, FL 32720(386) 734-9122All ages acceptedFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500All ages acceptedHood Jr., Royce, M.D.Florida Orthopaedic Associates740 W. Plymouth Ave.DeLand, FL 32720(386) 734-9122All ages acceptedFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500All ages acceptedLavoie, Stephane, M.D.Florida Orthopaedic Associates740 W. Plymouth Ave.DeLand, FL 32720(386) 734-9122All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 61

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500All ages acceptedFlorida Orthopaedic Associates1337 S. International Pkwy., Ste.1341Lake Mary, FL 32746(407) 333-4507All ages acceptedMartin, Jeffrey, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedMartin Jr., Gilbert, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedMcCall, Todd, M.D.Orthopaedic Clinic of DaytonaBeach, P.A.1075 Mason Ave.Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1890 LPGA Blvd., Ste. 240Daytona Beach, FL 32117(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.17 Old Kings Rd. N., Ste. KPalm Coast, FL 32137(386) 255-4596All ages acceptedOrthopaedic Clinic of DaytonaBeach, P.A.1165 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 255-4596All ages acceptedMcLeod, William, M.D.McLeod Orthopedic Clinic, P.A.504 Palmetto St.New Smyrna Beach, FL 32168(386) 424-9601Patients 4 years & olderReed, Stephen M., M.D.Florida Orthopaedic Associates1337 S. International Pkwy., Ste.1341Lake Mary, FL 32746(407) 333-4507All ages acceptedFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 62

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGRhodes, J. Richard, M.D.Atlantic Orthopaedics, P.A.1020 Mason Ave.Daytona Beach, FL 32117(386) 253-0524All ages acceptedAtlantic Orthopaedics, P.A.1400 Dunlawton Ave., Ste. 1-APort Orange, FL 32127(386) 760-5008All ages acceptedRussell, John, M.D.Russell Orthopaedic Center, P.A..315 Palm Coast Pkwy., N.E.Palm Coast, FL 32137(386) 447-4440All ages acceptedSridhar, Srinivasa, M.D.Atlantic Orthopaedics, P.A.1020 Mason Ave.Daytona Beach, FL 32117(386) 253-0524All ages acceptedAtlantic Orthopaedics, P.A.1400 Dunlawton Ave., Ste. 1-APort Orange, FL 32127(386) 760-5008All ages acceptedWhite, Gregory, M.D.600 Palmetto St.New Smyrna Beach, FL 32168(386) 424-3845Patients 18 years & olderOrthopaedics/Sports MedicineSee Direct Access/Self-referredproviders in previous sectionOtolaryngologyCollette, Robert P., M.D.Robert P. Collette, M.D., P.A.763 Harley Strickland Blvd.Orange City, FL 32763(386) 775-4467All ages acceptedRobert P. Collette, M.D., P.A.4106 W. Lake Mary Blvd., Ste. 110Lake Mary, FL 32746(407) 444-0573All ages acceptedCraven, James, M.D.Coastal Ear Nose & Throat, P.A.1050 W. Granada Blvd., Ste. 4Ormond Beach, FL 32174(386) 677-8808Patients infant & olderCoastal Ear Nose & Throat, P.A.1185 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 760-6601Patients infant & olderMirante, Joseph, M.D.Coastal Ear Nose & Throat, P.A.1050 W. Granada Blvd., Ste. 4Ormond Beach, FL 32174(386) 677-8808Patients infant & olderCoastal Ear Nose & Throat, P.A.1185 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 760-6601Patients infant & olderMunier, Michael, M.D.Coastal Ear Nose & Throat, P.A.1050 W. Granada Blvd., Ste. 4Ormond Beach, FL 32174(386) 677-8808Patients infant & olderCoastal Ear Nose & Throat, P.A.1185 Dunlawton Ave., Ste. 102Port Orange, FL 32127(386) 760-6601Patients infant & olderRothbaum, Daniel, M.D.Atlantic Ear, Nose & Throat, P.A.963 Town Center Dr., Ste. 100Orange City, FL 32763(386) 774-9880All ages acceptedAtlantic Ear, Nose & Throat, P.A.1431 Orange Camp Rd., Ste. 112DeLand, FL 32724(386) 774-9880All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 63

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAtlantic Ear, Nose & Throat, P.A.1301 S. International Pkwy., Ste.2011Lake Mary, FL 32746(407) 444-5225All ages acceptedShah, Devang, M.D.Atlantic Ear, Nose & Throat, P.A.963 Town Center Dr., Ste. 100Orange City, FL 32763(386) 774-9880All ages acceptedAtlantic Ear, Nose & Throat, P.A.1431 Orange Camp Rd., Ste. 112DeLand, FL 32724(386) 774-9880All ages acceptedAtlantic Ear, Nose & Throat, P.A.1301 S. International Pkwy., Ste.2011Lake Mary, FL 32746(407) 444-5225All ages acceptedTucker, Anthony, M.D.120 Cypress Edge Dr., Ste. 202Palm Coast, FL 32164(386) 586-4462All ages acceptedOutpatient RehabilitationAbility Health Services1337 S. International Pkwy., Ste.1321Lake Mary, FL 32746(407) 833-0802Ability Health Services1565 Saxon Blvd., Ste. 301Deltona, FL 32725(386) 851-0901Ability Health Services1200 Lexington Green Ln.Sanford, FL 32771(407) 322-3442Ability Health Services20 S. Park Ave., Ste. AApopka, FL 32703(407) 880-8438Ability Health Services801 Douglas Ave., Ste. 103Altamonte Springs, FL 32714(407) 865-7153Ability Health Services7400 Red Bug Lake Rd.Oviedo, FL 32765(407) 971-2774Ability Health Services5540 E. Grant St., Ste. COrlando, FL 32822(407) 823-8550Ability Health Services801 N. Orange Ave., Ste 610Orlando, FL 32801(407) 236-7155Ability Health Services11543 Lake Underhill Rd.Orlando, FL 32825(407) 380-0357Ability Health Services453 N. Kirkman Rd., Ste. 104Orlando, FL 32811(407) 293-3156Ability Health Services345 W. Michigan St., Ste. 108Orlando, FL 32819(407) 745-4633Ability Health Services614 N. Peninsula Dr.Daytona Beach, FL 32118(386) 258-6212Ability Health Services401 Venture Blvd., Ste. CSouth Daytona, FL 32119(386) 763-0084Ability Health Services/StetsonCampus141 E. Pennsylvania Ave.Deland, FL 32724(386) 822-5649Blue Water Therapy916 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 426-7885Palm Coast Sports Medicine &Rehabilitation Center35 Old Kings Rd., N.Palm Coast, FL 32137(386) 445-55552014 State of Florida Provider Directory – Form# 03-310-29 Page 64

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGProfessional Physical Therapy1316 S. Ridgewood Ave., Ste. 1Edgewater, FL 32132(386) 423-0100Progressive Physical Therapy290 Clyde Morris Blvd., Ste. B2Ormond Beach, FL 32174(386) 898-0443Pain ManagementCabantog, Alberto M., M.D.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesDominguez, Carmen, M.D.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3226*Available to all patients 18 years& older.Dunham, Anne, M.D.Ambulatory Anesthesia Providers1890 LPGA Blvd., Ste. 210Daytona Beach, FL 32117(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesAmbulatory Anesthesia Providers161 N. Causeway, Ste. DNew Smyrna Beach, FL 32169(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesDunson, Teddrick L., M.D.Orlando Pain Relief Center683 Douglas Ave., Ste. 101Altamonte Springs, FL 32714(407) 478-1510Patients 18 years & olderFernandez-Silva, Jorge A., M.D.Lake Mary Pain Relief Center325 Waymont Ct., Ste. 111Lake Mary, FL 32746(407) 302-4770Patients 18 years & olderGuergues, Youssef, M.D.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCounties2014 State of Florida Provider Directory – Form# 03-310-29 Page 65

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesIranpur, Pervez T., M.D.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3226*Available to all patients 18 years& older.Lapham, Diane, M.D.Ambulatory Anesthesia Providers1890 LPGA Blvd., Ste. 210Daytona Beach, FL 32117(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesAmbulatory Anesthesia Providers161 N. Causeway, Ste. DNew Smyrna Beach, FL 32169(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesLee, Tse C., M.D.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCounties2014 State of Florida Provider Directory – Form# 03-310-29 Page 66

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGMalik, Vinod, M.D.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesSharma, Kavita, D.O.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesSteichen, Carrie A., D.O.PRC Associates, L.L.C.1671 N. Clyde Morris Blvd., Ste.100Daytona Beach, FL 32117(386) 274-2977Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.2720 Rebecca Ln., Ste. 104Orange City, FL 32763(386) 456-1160Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCounties2014 State of Florida Provider Directory – Form# 03-310-29 Page 67

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPRC Associates, L.L.C.740 1/2 W. Plymouth Ave.DeLand, FL 32720(386) 740-1123Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.21 Hospital Dr., Ste. 120Palm Coast, FL 32164(386) 586-2280Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPRC Associates, L.L.C.1165 Dunlawton Ave., Ste. 101Port Orange, FL 32127(386) 760-0815Patients 16 years & older*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesThompson, David, M.D.Ambulatory Anesthesia Providers1890 LPGA Blvd., Ste. 210Daytona Beach, FL 32117(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesAmbulatory Anesthesia Providers161 N. Causeway, Ste. DNew Smyrna Beach, FL 32169(386) 274-1744*Treats HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCountiesPerinatology*Treats only high risk Obstetricalpatients referred by ObstetricalProvidersAcuna, Joann, M.D.Regional Obstetrical Consultants836 Prudential Dr., Ste. 1800Jacksonville, FL 32207(904) 398-7684*Works with Obstetricians onlyRegional Obstetrical Consultants303 N. Clyde Morris Blvd.,Perinatal Unit - HMCDaytona Beach, FL 32114(386) 239-5007*Works with Obstetricians onlyRegional Obstetrical Consultants6885 Belfort Oaks Pl., Ste. 240Jacksonville, FL 32116(904) 652-0311*Works with Obstetricians onlyCastillo, Ramon, M.D.Regional Obstetrical Consultants836 Prudential Dr., Ste. 1800Jacksonville, FL 32207(904) 398-7684*Works with Obstetricians onlyRegional Obstetrical Consultants303 N. Clyde Morris Blvd.,Perinatal Unit - HMCDaytona Beach, FL 32114(386) 239-5007*Works with Obstetricians onlyRegional Obstetrical Consultants6885 Belfort Oaks Pl., Ste. 240Jacksonville, FL 32116(904) 652-0311*Works with Obstetricians onlyDel Valle, Gerardo O., M.D.Regional Obstetrical Consultants836 Prudential Dr., Ste. 1800Jacksonville, FL 32207(904) 398-7684*Works with Obstetricians onlyRegional Obstetrical Consultants303 N. Clyde Morris Blvd.,Perinatal Unit - HMCDaytona Beach, FL 32114(386) 239-5007*Works with Obstetricians onlyRegional Obstetrical Consultants6885 Belfort Oaks Pl., Ste. 240Jacksonville, FL 32116(904) 652-0311*Works with Obstetricians only2014 State of Florida Provider Directory – Form# 03-310-29 Page 68

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGGaudier, Francisco, M.D.Regional Obstetrical Consultants836 Prudential Dr., Ste. 1800Jacksonville, FL 32207(904) 398-7684*Works with Obstetricians onlyRegional Obstetrical Consultants303 N. Clyde Morris Blvd.,Perinatal Unit - HMCDaytona Beach, FL 32114(386) 239-5007*Works with Obstetricians onlyRegional Obstetrical Consultants6885 Belfort Oaks Pl., Ste. 240Jacksonville, FL 32116(904) 652-0311*Works with Obstetricians onlyVillano, Kathryn S., M.D.Regional Obstetrical Consultants836 Prudential Dr., Ste. 1800Jacksonville, FL 32207(904) 398-7684*Works with Obstetricians onlyRegional Obstetrical Consultants303 N. Clyde Morris Blvd.,Perinatal Unit - HMCDaytona Beach, FL 32114(386) 239-5007*Works with Obstetricians onlyRegional Obstetrical Consultants6885 Belfort Oaks Pl., Ste. 240Jacksonville, FL 32116(904) 652-0311*Works with Obstetricians onlyPhysical Medicine & RehabilitationServicesGeis, Carolyn P. C., M.D.Halifax Health Neuroscience Center201 N. Clyde Morris Blvd., Ste. 300Daytona Beach, FL 32114(386) 947-4641Patients 18 years & older*Prior authorization from FHCPReferral Department needed.Gupta, Amol, M.D.Gupta Medical Specialists345 Clyde Morris Blvd., Ste. 390Ormond Beach, FL 32174(386) 673-0075Patients 16 years & older*Non-operative treatment specificto musculoskeletal conditionsPerez Lopez, Jorge A., M.D.Halifax Health Neuroscience Center201 N. Clyde Morris Blvd., Ste. 300Daytona Beach, FL 32114(386) 947-4641Patients 18 years & older*Prior authorization from FHCPReferral Department needed.Staley, Tyler, M.D.FHCP Center330 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3290Patients 5 years & olderFHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073Patients 5 years & olderWaldbaum, Jonathan, M.D.Florida Orthopaedic Associates740 W. Plymouth Ave.DeLand, FL 32720(386) 734-9122*Non-operative treatment of back &neck painFlorida Orthopaedic Associates1053 Medical Center Dr., Ste. 101Orange City, FL 32763(386) 774-2500*Non-operative treatment of back &neck painFlorida Orthopaedic Associates1337 S. International Pkwy., Ste.1341Lake Mary, FL 32746(407) 333-4507*Non-operative treatment of back &neck pain2014 State of Florida Provider Directory – Form# 03-310-29 Page 69

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPlastic SurgeryCashio Jr., Richard V., M.D.61 Memorial Medical Pkwy., Ste.2802Palm Coast, FL 32164(386) 586-1880Patients 18 years & older*Prior authorization from FHCPReferral Department needed.DeMercurio, Jeffrey, M.D.Halifax Ctr for Hand, Plastic &Cosmetic Surgery311 N. Clyde Morris Blvd., Ste. 510Daytona Beach, FL 32114(386) 238-2244*Prior authorization from FHCPReferral Department needed.Jankauskas, Saulius, M.D.Saulius Jankauskas, M.D.521 W. SR 434, Ste. 106Longwood, FL 32750(407) 834-5255Patients 12 years & older*Prior authorization from FHCPReferral Department needed.Lentz III, Carl W., M.D.Carl W. Lentz, III, M.D., F.A.C.S.1040 W. International SpeedwayBlvd.Daytona Beach, FL 32114(386) 252-8051All ages accepted*Prior authorization from FHCPReferral Department needed.Moradia, Vijay, M.D.201 N. Clyde Morris Blvd., Ste. 100Daytona Beach, FL 32114(386) 238-3295Patients 13 years & older*Prior authorization from FHCPReferral Department needed.Samson, Michel, M.D.3635 S. Clyde Morris Blvd., Ste.400Port Orange, FL 32129(386) 756-9400Patients 1 year & older*Prior authorization from FHCPReferral Department needed.Shoukas, James, M.D.Lake Mary Plastic Surgery934 Williston Park Point, Ste. 1028Lake Mary, FL 32746(407) 333-2518*Prior authorization from FHCPReferral Department needed.Slade, C. Lawrence, M.D.3635 S. Clyde Morris Blvd., Ste.400Port Orange, FL 32129(386) 756-9400Patients 1 year & older*Prior authorization from FHCPReferral Department needed.Zamora, Sergio, M.D.Sergio Zamora, M.D., PLC1890 LPGA Blvd., Ste. 150Daytona Beach, FL 32117(386) 274-5557All ages accepted*Prior authorization from FHCPReferral Department needed.PodiatrySee Direct Access/Self-referredproviders in previous sectionPsychiatry/Behavioral HealthAfridi, Fariya, M.D.Halifax Behavioral Health Services841 Jimmy Ann Dr.Daytona Beach, FL 32117(386) 425-3900*Prior authorization from the FHCPReferral Department neededAldridge, Margaret M., L.C.S.W.Margaret Aldridge Consulting, Inc.261 N. CausewayNew Smyrna Beach, FL 32169(386) 957-4807Patients 12 years & olderBarringer, Robert L., L.M.H.C.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161Patients 12 years & olderBlakeslee, Patricia, L.M.F.T.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smryna Beach, FL 32169(386) 423-9161All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 70

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGBoener, Mary, L.C.S.W.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 5 years & olderCapozzi, Anthony, M.D.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161Patients 12 years & olderClow, Trevon, Ph.D.Dr. Trevon Clow CounselingTherapies221 N. Causeway, Ste. BNew Smyrna Beach, FL 32168(386) 428-4564All ages acceptedDerr , Pamela, L.M.H.C.210 Moody Blvd.Flagler Beach, FL 32136(386) 503-9674Patients 12 years & olderFerguson, Susan K., L.C.S.W.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161All ages acceptedFrick, Gary, M.D.Northeast Florida PsychiatricAssociation, Inc.790 Dunlawton Ave., Ste. JPort Orange, FL 32127(386) 767-8584Patients 12 years & olderHowe, Julia, L.C.S.W.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 3 years & olderKennerley, Robert, Ph.D.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161Patients 12 years & olderLichtenwalter, Mary K. (Kathy),L.M.H.C.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 10 years & olderMasferrer, Maria, M.D.Atlas Behavioral Health, P.A.50 Leanni Way, Ste. B3Palm Coast, FL 32137(386) 446-5494All ages acceptedMerilson, Lisa S., Psy.D.Volusia Neuropsychology &Behavioral Health Inc.221 N. Causeway, Ste. BNew Smyrna Beach, FL 32168(386) 423-0442Patients 6 years & older*Prior authorization from FHCPReferral Department needed.Mounteer, Susan, L.M.F.T.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 676-7175Patients 2 years & olderNowell, Lisa, L.M.H.C.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 7 years & olderParker, Julie, Psy.D.Volusia Neuropsychology &Behavioral Health Inc.221 N. Causeway, Ste. BNew Smyrna Beach, FL 32169(386) 423-0442Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 71

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGParlade, Rafael, Ph.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderPorter, Shane, L.M.H.C.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161All ages acceptedRiley, Sara, L.M.H.C.Sara Riley, LMHC, P.A.397 SW Palm Coast Pkwy., #5Palm Coast, FL 32137(386) 986-2222Patients 2 years & olderRodgers, Linda, L.M.H.C.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderFHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 676-7175Patients 2 years & olderRomain, Josette, M.D.Family Psychiatric Services1403 Medical Plaza Dr., Ste. 202Sanford, FL 32771(407) 322-3096All ages acceptedFamily Psychiatric Services2725 Rebecca Ln.Orange City, FL 32763(386) 775-0736All ages acceptedRust, Kimberly, L.C.S.W.Kim Rust Counseling118 1/2 N. Woodland Blvd., Ste. 4DeLand, FL 32720(386) 232-8623Patients 3 years & olderSaunders, T. Richard, Ph.DCounseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161Patients 12 years & olderShaw, Timothy, Ph.D.Counseling Center of New SmyrnaBeach265 N. CausewayNew Smyrna Beach, FL 32169(386) 423-9161All ages acceptedShelby, Aikiesha N., M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 676-7175Patients 2 years & olderSivak, Joseph, M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 18 years & olderSomers, Edward Lee, L.M.H.C.101 N. Woodland Blvd., Ste. 203DeLand, FL 32720(321) 277-7714Patients 5 years & olderThebaud, Adly, M.D.Family Psychiatric Services1403 Medical Plaza Dr., Ste. 202Sanford, FL 32771(407) 322-3096All ages acceptedFamily Psychiatric Services2725 Rebecca Ln.Orange City, FL 32763(386) 775-0736All ages acceptedTikku, Sunita, M.D.1061 Medical Center Dr., Ste. 210Orange City, FL 32763(386) 917-7610Patients 18 years & olderUpton, Monique L., M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 72

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGVacchelli, Kathleen, A.R.N.P.-CAtlas Behavioral Health, P.A.50 Leanni Way, Ste. B3Palm Coast, FL 32137(386) 446-5494All ages acceptedWelch, Wendy, M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderPsychiatry/Behavioral Health –Child & AdolescentAfridi, Fariya, M.D.Halifax Behavioral Health Services841 Jimmy Ann Dr.Daytona Beach, FL 32117(386) 425-3900*Prior authorization from the FHCPReferral Department neededGreer, Richard, M.D.Halifax Behavioral Health Services841 Jimmy Ann Dr.Daytona Beach, FL 32117(386) 425-3900*Prior authorization from the FHCPReferral Department neededPrasad, Rekha, M.D.Halifax Behavioral Health Services841 Jimmy Ann Dr.Daytona Beach, FL 32117(386) 425-3900*Prior authorization from the FHCPReferral Department neededShelby, Aikiesha N., M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderFHCP Center315 Palm Coast Pkwy.Palm Coast, FL 32137(386) 676-7175Patients 2 years & olderWelch, Wendy, M.D.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175Patients 2 years & olderPulmonaryAhuja, Karuna, M.D.Central Florida PulmonaryConsultants, PL759 Harley Strickland Blvd.Orange City, FL 32763(386) 456-0300Patients 18 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties.Central Florida PulmonaryConsultants, PL1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(407) 268-3660Patients 18 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties.Ailani, Rajesh K., M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 2 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties for patients 2years & older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.2014 State of Florida Provider Directory – Form# 03-310-29 Page 73

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.PCCC of Volusia, LLC638 W. Plymouth Ave.DeLand, FL 32720(386) 279-0006Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.Ajayi, Akinyemi, M.D.Orlando Pediatric Pulmonary andSleep Associates2660 W. Fairbanks Ave.Winter Park, FL 32789(407) 898-2767Patients newborn to 21 yearsOrlando Pediatric Pulmonary andSleep Associates533 N. Clyde Morris Blvd.Daytona Beach, FL 32114(407) 898-2767Patients newborn to 21 yearsBorbely, Bernard, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties.First Coast Pulmonary Associates100 Whetstone Pl., Ste. 208St. Augustine, FL 32086(904) 819-6800Patients 18 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties.Bowman, Kurt, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1075 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesBurns, Lawrence, M.D.61 Memorial Medical Pkwy., Ste.3817Palm Coast, FL 32164(386) 586-1730Patients 18 years & older*Services are available for HMOMembers assigned to PCP's in SE,W Volusia & Flagler Counties.Desai, Sureskumar, M.D.570 Memorial Cir., Ste. 140Ormond Beach, FL 32174(386) 677-3662Patients 21 years & older*Available to all FHCP Members.263 N. CausewayNew Smyrna Beach, FL 32169(386) 677-3662Patients 21 years & older*Available to all FHCP Members.2014 State of Florida Provider Directory – Form# 03-310-29 Page 74

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGDiBello, Christopher, M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 2 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties for patients 2years & older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.PCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.PCCC of Volusia, LLC638 W. Plymouth Ave.DeLand, FL 32720(386) 279-0006Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.Kirtane, Shirish, M.D.Kirtane Associates, M.D., P.A.210 N. Westmonte Dr., Ste. 1000Altamonte Springs, FL 32714(407) 788-7844Patients 18 years & older*Treats HMO Members assigned toPCP's located in Seminole CountyonlyKubiet, Martin, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties.First Coast Pulmonary Associates100 Whetstone Pl., Ste. 208St. Augustine, FL 32086(904) 819-6800Patients 18 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties.Kuriakose, Kevin, M.D.Orlando Pediatric Pulmonary andSleep Associates2660 W. Fairbanks Ave.Winter Park, FL 32789(407) 898-2767Patients newborn to 21 yearsOrlando Pediatric Pulmonary andSleep Associates533 N. Clyde Morris Blvd.Daytona Beach, FL 32114(407) 898-2767Patients newborn to 21 yearsPenugonda, Madhuri, M.D.Orlando Pediatric Pulmonary andSleep Associates2660 W. Fairbanks Ave.Winter Park, FL 32789(407) 898-2767Patients newborn to 21 yearsOrlando Pediatric Pulmonary andSleep Associates533 N. Clyde Morris Blvd.Daytona Beach, FL 32114(407) 898-2767Patients newborn to 21 yearsRazzetti, Albert, M.D.West Volusia Medical Associates1070 N. Stone St., Ste. ADeLand, FL 32720(386) 943-7100*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties for patients 18years & older.2014 State of Florida Provider Directory – Form# 03-310-29 Page 75

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGScanlon, E. Kevin, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1075 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesShaqareq, Ramzi, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W. Volusia& Flagler Counties.First Coast Pulmonary Associates100 Whetstone Pl., Ste. 208St. Augustine, FL 32086(904) 819-6800Patients 18 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W. Volusia & FlaglerCounties.Sifain, Maggie R., M.D.Orlando Pediatric Pulmonary andSleep Associates2660 W. Fairbanks Ave.Winter Park, FL 32789(407) 898-2767Patients newborn to 21 yearsOrlando Pediatric Pulmonary andSleep Associates533 N. Clyde Morris Blvd.Daytona Beach, FL 32114(407) 898-2767Patients newborn to 21 yearsSmith, P. Travis, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1075 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesVerma, Shivani, M.D.Orlando Pediatric Pulmonary andSleep Associates2660 W. Fairbanks Ave.Winter Park, FL 32789(407) 898-2767Patients newborn to 21 yearsOrlando Pediatric Pulmonary andSleep Associates533 N. Clyde Morris Blvd.Daytona Beach, FL 32114(407) 898-2767Patients newborn to 21 years2014 State of Florida Provider Directory – Form# 03-310-29 Page 76

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGVerma, Radhika, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1075 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Pulmonology treatments areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler CountiesZacharis, Theodossis, M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 2 years & older*Pulmonology services areavailable for HMO Membersassigned to PCP's in SE, W Volusia& Flagler Counties for patients 2years & older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.PCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.PCCC of Volusia, LLC638 W. Plymouth Ave.DeLand, FL 32720(386) 279-0006Patients 2 years & older*Pulmonology services are availablefor HMO Members assigned toPCP's in SE, W Volusia & FlaglerCounties for patients 2 years &older.RheumatologyAhmed, Salman, M.D.Halifax Health - Children's MedicalCenter200 Booth Rd., Unit AOrmond Beach, FL 32174(386) 523-1212Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter1 Florida Park Dr. S., Ste. 201Palm Coast, FL 32137(386) 447-4540Patients newborn to 21 yearsHalifax Health - Children's MedicalCenter870 Dunlawton Ave., Ste. 310Port Orange, FL 32127(386) 523-1313Patients newborn to 21 yearsElston, Jeffrey J., M.D.Jeffrey J. Elston, M.D., P.A.616 E. Altamonte Dr., Ste. 203Altamonte Springs, FL 32701(407) 265-1109Patients 17 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 77

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGKapil, Sanjiv, M.D.Florida Arthritis Center, P.L.147 Parliament Loop, Ste. 1005Lake Mary, FL 32746(407) 688-9446Patients 18 years & olderFlorida Arthritis Center, P.L.70 Fox Ridge Ct., Ste. BDeBary, FL 32713(407) 688-9446Patients 18 years & olderKohen, Michael D., M.D.Allergy, Asthma, Arthritis, & LungCenter709 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 252-1632Patients 3 years & olderAllergy, Asthma, Arthritis, & LungCenter1545 Hand Ave., Ste. 2Ormond Beach, FL 32174(386) 252-1632Patients 3 years & olderOffenberg, Howard L., M.D.Howard L. Offenberg, M.D., P.L.325 Clyde Morris Blvd., Ste. 350Ormond Beach, FL 32174(386) 673-7227Patients 18 years & olderTsai, Yong, M.D.Arthritis, Autoimmune and Allergy1893 N. Clyde Morris Blvd., Ste.110Daytona Beach, FL 32117(386) 676-0307Patients 3 years & olderVintimilla, Maria, M.D.RDC of Volusia, LLC1055 N. Dixie Freeway, Ste. 1New Smyrna Beach, FL 32168(386) 423-0505Patients 18 years & olderRDC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 18 years & olderRDC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 18 years & olderRDC of Volusia, LLC638 W. Plymouth Ave.DeLand, FL 32720(386) 279-0006Patients 18 years & olderSleep Disorder ProvidersAhuja, Karuna, M.D.Central Florida PulmonaryConsultants, PL1319 S. International Pkwy., Ste.1171Lake Mary, FL 32746(407) 268-3660Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyAilani, Rajesh K., M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.PCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.2014 State of Florida Provider Directory – Form# 03-310-29 Page 78

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAilani, Rajesh K., M.D.PCCC of Port Orange & Ormond,LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyPCCC of Port Orange & Ormond,LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyBorbely, Bernard, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in Flagler CountyonlyBowman, Kurt, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyDiBello, Christopher, M.D.PCCC of Port Orange & Ormond,LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyPCCC of Port Orange & Ormond,LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyDiBello, Christopher, M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.2014 State of Florida Provider Directory – Form# 03-310-29 Page 79

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.Kubiet, Martin, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in Flagler CountyonlyScanlon, E. Kevin, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyShaqareq, Ramzi, M.D.First Coast Pulmonary Associates6 Florida Park Dr., N., Ste. BPalm Coast, FL 32137(386) 986-1422Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in Flagler CountyonlySmith, P. Travis, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyVerma, Radhika, M.D.Pulmonary Practice Associates749 Stirling Center Pl.Lake Mary, FL 32746(407) 321-8230Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyPulmonary Practice Associates1087 Town Center Dr.Orange City, FL 32763(386) 917-0333Patients 18 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in W VolusiaCounty onlyWahba, Wahba, M.D.Sleep-Wake Disorder Center ofDaytona, P.A.810 Wildwood St., Ste. 1Daytona Beach, FL 32117(386) 258-7100*Sleep Disorder services areavailable for all patients.Sleep-Wake Disorder Center ofDaytona, P.A.621 S. Nova Rd.Ormond Beach, FL 32174(386) 258-7100*Sleep Disorder services areavailable for all patients.2014 State of Florida Provider Directory – Form# 03-310-29 Page 80

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGSleep-Wake Disorder Center ofDaytona, P.A.4869 Palm Coast Pkwy., Unit 4Palm Coast, FL 32137(386) 445-9334*Sleep Disorder services areavailable for all patients.Sleep-Wake Disorder Center ofDaytona, P.A.3949 S. Nova Rd.Port Orange, FL 32127(386) 258-7100*Sleep Disorder services areavailable for all patients.Sleep-Wake Disorder Center ofDaytona, P.A.2836 Enterprise Rd., Ste. 4DeBary, FL 32763(386) 258-7100*Sleep Disorder services areavailable for all patients.Sleep-Wake Disorder Center ofDaytona, P.A.263 N. CausewayNew Smyrna Beach, FL 32169(386) 258-7100*Sleep Disorder services areavailable for all patients.Zacharis, Theodossis, M.D.PCCC of Volusia, LLC1055 N. Dixie FreewayNew Smyrna Beach, FL 32168(386) 423-0505Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.PCCC of Volusia, LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.PCCC of Volusia, LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in SE VolusiaCounty only for patients 5 years &older.Zacharis, Theodossis, M.D.PCCC of Port Orange & Ormond,LLC780 Dunlawton Ave., Ste. 1Port Orange, FL 32127(386) 322-6111Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyPCCC of Port Orange & Ormond,LLC575 N. Clyde Morris Blvd., Ste. BDaytona Beach, FL 32114(386) 671-6333Patients 5 years & older*Sleep Disorder services areavailable for HMO Membersassigned to PCP's in East VolusiaCounty onlyFlagler Diagnostic & SleepDisorders Center4721 E. Moody Blvd., Bldg. 1, Ste.104Bunnell, FL 32110(386) 586-1229*Available to FHCP HMOmembers assigned to PCP's inFlagler County onlyFlorida Hospital DeLand701 W. Plymouth Ave.DeLand, FL 32720(386) 943-4777*For Sleep Disorder: Treatmentsare available to FHCP HMOmembers assigned to PCP's in WestVolusia County only2014 State of Florida Provider Directory – Form# 03-310-29 Page 81

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Hospital Fish Memorial1061 Medical Center Dr., Ste. 301Orange City, FL 32763(386) 917-7600*Available to FHCP HMOmembers assigned to PCP's in WestVolusia County onlySmoking Cessation ProgramSee Direct Access/Self-referredproviders in previous sectionOrthopaedics/Sports MedicineSee Direct Access/Self-referredproviders in previous sectionSubstance AbuseFHCP Center1340 N. Ridgewood Ave.Holly Hill, FL 32117(386) 676-7175SMA Behavioral Health Services,Inc.702 S. Ridgewood Ave.Daytona Beach, FL 32114(800) 539-4228*Prior authorization from the FHCPReferral Department needed.Thoracic SurgeryCorbyons, Thomas, M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages acceptedDesai, Utpal, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderDonohoe, Michael J., M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages acceptedHolt, John, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderHooker Jr., Robert, M.D.Cardiovascular Surgeons, P.A.4106 W. Lake Mary Blvd., Ste. 201Lake Mary, FL 32746(407) 425-1566Patients 19 years & olderJohnson III, William, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderLitke, Bradley, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderSteinbaum, Jeremy, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedWalsh, John A., M.D.John A. Walsh, M.D., P.A.61 Memorial Medical Pkwy., Ste. 1-800BPalm Coast, FL 32164(386) 586-0760Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 82

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGUltrasound TestingBert Fish Medical Center -Edgewater - FHCP U/S Dept.239 N. Ridgewood Ave.Edgewater, FL 32132(386) 238-3200, Ext. 3303*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.Cyrus Diagnostic Imaging, Inc.165 Waymont Ct.Lake Mary, FL 32746(407) 321-3012*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.FHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3200, Ext. 3303*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.Ultrasound Hours-Mon.-Fri.: 8:00a.m. to 5:00 p.m.FHCP Center740 Dunlawton Ave.Port Orange, FL 32127(386) 238-3200, Ext. 3303*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.Ultrasound Hours-Mon.-Fri.: 8:00a.m. to 5:00 p.m.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 238-3200, Ext. 3303*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.Ultrasound Hours-Mon.-Fri.: 8:00a.m. to 5:00 p.m.FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 238-3200, Ext. 3303*For Ultrasound Testing: Servicesavailable for GYN, Vascular &General.Ultrasound Hours-Mon.-Fri.: 8:00a.m. to 5:00 p.m.UrologyAtlantic Urological Associates, P.A.Patients 16 years & olderBrown, B. Thomas, M.D.Cantwell, Anthony, M.D.Chopra, Ramesh, M.D.Dann, Jeffrey A., M.D.Dineen, Martin K., M.D.Epstein, Howard, M.D.Grable, Michael, M.D.Merrell, Matthew, M.D.Regan, Terrance, M.D.Tirney, Sean, M.D.Weiss, Stephen, M.D.Youngman, Robert C., M.D.545 Health Blvd.Daytona Beach, FL 32114(386) 239-8500Patients 16 years & older633 Dunlawton Ave., Ste. 2Port Orange, FL 32127(386) 756-19451620 Mason Ave., Ste. EDaytona Beach, FL 32117(386) 506-5117685 Peachwood Dr.DeLand, FL 32720(386) 736-34631061 Medical Center Dr., Ste. 300Orange City, FL 32763(386) 774-212121 Hospital Dr., Ste. 140Palm Coast, FL 32164(386) 445-8530506 Palmetto St.New Smyrna Beach, FL 32168(386) 427-9554Friedman, Michael D., M.D.Central Florida Urology Associates210 Rinehart Rd., Ste. 1000Lake Mary, FL 32746(407) 332-7700Greene, John, M.D.Greene Urological Center, P.A.308 Palmetto St.New Smyrna Beach, FL 32168(386) 426-2565All ages accepted2014 State of Florida Provider Directory – Form# 03-310-29 Page 83

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGJahagirdar, Ravindra R., M.D.Associates in Urology of CentralFlorida101 N. 8th St., Ste. 1001Lake Mary, FL 32746(407) 330-1100Scaglia, Bennett, M.D.Halifax Urology Center311 N. Clyde Morris Blvd., Ste. 360Daytona Beach, FL 32114(386) 254-4199All ages acceptedHalifax Urology Center944 Bridgewater Dr., Ste. APort Orange, FL 32129(386) 254-4199All ages acceptedWitten, Charles N., M.D.Central Florida Urology Associates210 Rinehart Rd., Ste. 1000Lake Mary, FL 32746(407) 332-7700Womack, Charles, M.D.Halifax Urology Center311 N. Clyde Morris Blvd., Ste. 360Daytona Beach, FL 32114(386) 254-4199All ages acceptedHalifax Urology Center944 Bridgewater Dr., Ste. APort Orange, FL 32129(386) 254-4199All ages acceptedWoods III, Abraham L., M.D.Center for Urology106 Boston Ave., Ste. 103Altamonte Springs, FL 32701(407) 830-4777Young, Marvin J., M.D.Urology Wellness Center at LakeMary2500 W. Lake Mary Blvd., Ste. 204Lake Mary, FL 32746(407) 302-2620Vascular SurgeryAdcock, George K., M.D.Florida Vascular Consultants, P.A.400 S. Maitland Ave.Maitland, FL 32751(407) 539-2100Patients 18 years & olderFlorida Vascular Consultants, P.A.210 Rinehart Rd.Lake Mary, FL 32746(407) 539-2100Patients 18 years & olderArts, Jeff P., M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedCorbyons, Thomas, M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages acceptedDesai, Utpal, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderDonohoe, Michael J., M.D.Corbyons & Donohoe SurgicalAssoc., M.D., P.A.685 Peachwood Dr.DeLand, FL 32720(386) 738-5300All ages acceptedHarrington, Michael P., M.D.Surgical Associates of Volusia1890 LPGA Blvd., Ste. 250Daytona Beach, FL 32117(386) 274-0250All ages acceptedHolt, John, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 84

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGIacobelli, Joan, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedJohnson III, William, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderLitke, Bradley, M.D.Coastal Cardiovascular andThoracic Associates, PA588 Sterthaus Ave.Ormond Beach, FL 32174(386) 672-9501Patients 18 years & olderPerez-Izquierdo, Manuel, M.D.Florida Vascular Consultants, P.A.400 S. Maitland Ave.Maitland, FL 32751(407) 539-2100Patients 18 years & olderFlorida Vascular Consultants, P.A.210 Rinehart Rd.Lake Mary, FL 32746(407) 539-2100Patients 18 years & olderSteinbaum, Jeremy, M.D.North Orlando Surgical Group1053 Medical Center Dr., Ste. 242Orange City, FL 32763(386) 775-0333All ages acceptedNorth Orlando Surgical Group1355 S. International Pkwy., Ste.2451Lake Mary, FL 32746(407) 790-9800All ages acceptedSutton, James T., M.D.Surgical Associates of Volusia1890 LPGA Blvd., Ste. 250Daytona Beach, FL 32117(386) 274-0250All ages acceptedWalsh, John A., M.D.John A. Walsh, M.D., P.A.61 Memorial Medical Pkwy., Ste. 1-800BPalm Coast, FL 32164(386) 586-0760Patients 18 years & olderWinter, Robert P., M.D.Florida Vascular Consultants, P.A.400 S. Maitland Ave.Maitland, FL 32751(407) 539-2100Patients 18 years & olderFlorida Vascular Consultants, P.A.210 Rinehart Rd.Lake Mary, FL 32746(407) 539-2100Patients 18 years & olderWell Women's AssessmentSee Direct Access/Self-referredproviders in previous sectionWeight Management ProgramSee Direct Access/Self-referredproviders in previous sectionX-RaysBert Fish Medical Center -Edgewater Imaging & DiagnosticCenter239 N. Ridgewood Ave.Edgewater, FL 32132(386) 424-9421*X-Ray Services Only - Patients300 lbs. & under. Appt. PreferredWalk-ins accepted when schedulepermits.Cyrus Diagnostic Imaging, Inc.165 Waymont Ct.Lake Mary, FL 32746(407) 321-3012*X-Ray Services Only - Patients400 lbs. & under.2014 State of Florida Provider Directory – Form# 03-310-29 Page 85

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3200*For X-Rays: X-Ray Services Only- Patients 450 lbs. & under. NoAppt. necessary.X-Ray Hours-Mon.-Fri.: 8:00 a.m.to 4:30 p.m.STAT Readings AvailableFHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550*For X-Rays: X-Ray Services Only- Patients 450 lbs. & under. Appt.Preferred - Walk-ins accepted whenschedule permits.X-Ray Hours-Mon.-Fri.: 8:00 a.m.to 4:30 p.m.FHCP Center309 Palm Coast ParkwayPalm Coast, FL 32137(386) 445-7073*For X-Rays: X-Ray Services Only- Patients 450 lbs. & under. Appt.Preferred - Walk-ins accepted whenschedule permits.X-Ray Hours-Mon.-Fri.: 8:00 a.m.to 4:30 p.m.FHCP Center740 Dunlawton Ave.Port Orange, FL 32127(386) 763-4910*For X-Rays: X-Ray Services Only- Patients 300 lbs. & under. Appt.Preferred - Walk-ins accepted whenschedule permits.X-Ray Hours-Mon.-Fri.: 8:00 a.m.to 5:00 p.m.Florida Hospital DeLand701 W. Plymouth Ave.DeLand, FL 32720(386) 943-4610*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Florida Hospital Fish Imaging1053 Medical Center Dr., Ste. 151Orange City, FL 32763(386) 917-5428*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Florida Hospital Fish Memorial1055 Saxon Blvd.Orange City, FL 32763(386) 917-5428*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Florida Hospital Flagler60 Memorial Medical Pkwy.Palm Coast, FL 32164(386) 586-4402*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.LAD Imaging, LLC1555 Saxon Blvd., Ste. 401Deltona, FL 32725(386) 860-9336*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.New Smyrna Imaging, LLC405 E. 3rd Ave.New Smyrna Beach, FL 32169(386) 426-1900*For X-Rays: X-Ray Services Only- Patients 450 lbs. & under. Appt.Preferred - Walk-ins accepted whenschedule permits.Palm Coast Imaging Center3 Pine Cone Dr., Ste. 101Palm Coast, FL 32137(386) 446-5200*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.2014 State of Florida Provider Directory – Form# 03-310-29 Page 86

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGPort Orange Imaging Center1195 Dunlawton Ave.Port Orange, FL 32127(386) 322-1616*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.St. Augustine Imaging Center190 Southpark Blvd., Ste. 101St. Augustine, FL 32086(904) 827-9191*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Town Center Imaging21 Hospital Dr.Palm Coast, FL 32164(386) 445-4400*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Twin Lakes Imaging Center1890 LPGA Blvd., Ste. 110Daytona Beach, FL 32117(386) 274-5454*For X-Rays: Only for X-Raysunable to be provided at FHCPFacilities.Contract FacilitiesContracted Hospital & EmergencyFacilities"Emergency Medical Condition" isdefined as a condition manifestingitself by acute symptoms of sufficientseverity (including severe pain), suchthat a prudent layperson, with anaverage knowledge of health andmedicine, could reasonably expect theabsense of immediate medicalattention to result in serious jeopardyto the health of the individual (or inthe case of a pregnant woman, thehealth of the woman or her unbornchild), impairment of bodilyfunctions, or dysfunction of anybodily organ or part. FHCP contractswith the listed hospital and emergencyfacilities, however, for those membersrequiring emergency services wherethe time to reach a FHCP contractedfacility would mean the risk ofjeopardizing the member's health, themember should seek medical care andtreatment at the nearest appropriatefacility or hospital even if FHCP doesnot contract with same.FHCP contracts with the followinghospitals for inpatient, outpatient andtwenty-four (24) hour emergencyservices; however, Pediatricadmissions are only available atHalifax Health Medical Center,Daytona.Bert Fish Medical Center401 Palmetto Ave.New Smyrna Beach, FL 32168(386) 424-5000www.bertfish.comCentral Florida Regional Hospital1401 W. Seminole Blvd.Sanford, FL 32771(407) 321-4500http://centralfloridaregional.comFlorida Hospital DeLand701 W. Plymouth Ave.DeLand, FL 32720(386) 943-4522www.fhdeland.orgFlorida Hospital Fish Memorial1055 Saxon Blvd.Orange City, FL 32763(386) 917-5000www.fhfishmemorial.orgFlorida Hospital Flagler60 Memorial Medical Pkwy.Palm Coast, FL 32164(386) 586-2000www.floridahospitalflagler.comFlorida Hospital Memorial MedicalCenter301 Memorial Medical Pkwy.Daytona Beach, FL 32117(386) 676-6000www.floridahospitalmemorial.org2014 State of Florida Provider Directory – Form# 03-310-29 Page 87

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGFlorida Hospital Oceanside264 S. Atlantic Ave.Ormond Beach, FL 32176(386) 672-4161www.floridahospital.com/oceansideHalifax Health Medical Center303 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 254-4000www.halifaxhealth.orgHalifax Health Medical Center ofPort Orange1041 Dunlawton Ave.Port Orange, FL 32127(386) 322-4700www.halifaxhealth.orgPutnam Community MedicalCenterHwy 20, W.Palatka, FL 32177(386) 328-5711www.pcmcfl.comAmbulatory Surgery CentersAlliance Surgical Center LLC917 Rinehart Rd., Ste. 1001Lake Mary, FL 32746(407) 708-5383Atlantic Surgery Center, Inc.541 Health Blvd.Daytona Beach, FL 32114(386) 248-8222Blue Springs Surgery Center1053 Medical Center Dr., Ste. 201Orange City, FL 32763(386) 878-8080Lake Mary Surgery Center460 Saint Charles Ct.Lake Mary, FL 32746(407) 585-0263Physician's Ambulatory SurgeryCenter300 Clyde Morris Blvd., # BOrmond Beach, FL 32174(386) 672-1080Surgery Center of Volusia, LLC3635 S. Clyde Morris Blvd., Ste.500Port Orange, FL 32129(386) 760-8151Tomoka Surgery Center, LLC345 Clyde Morris Blvd., Ste. 300Ormond Beach, FL 32174(386) 672-7575Urgent Care Facilities*FHCP urgent care facilities can beused after hours and when themember's primary care physician isunavailable for those medical servicesrequired to prevent a seriousdeterioration of a member's healththat results from an unforseen illnessor injury.Please call these facilities to verifyavailability prior to your visit.*:Advanced Urgent Care1690 Dunlawton Ave., Ste. 120Port Orange, FL 32127(386) 271-2273*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 7:00 a.m. to 10:00 p.m.Sat. & Sun.: 9:00 a.m. to 6:00 p.m.Closed HolidaysHeathrow Urgent Care, Inc.1125 Town Park Ave., Ste. 1011Lake Mary, FL 32746(407) 804-9494*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 9:00 a.m. to 7:00 p.m.Sat. & Sun.: 9:00 a.m. to 3:00 p.m.www.heathrowurgentcare.comMediQuick Walk-in Clinic6 Office Park Dr.Palm Coast, FL 32137(386) 447-6615*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 8:00 p.m.Sat.: 8:00 a.m. to 6:00 p.m.Sun. & Holidays 10:00 a.m. to 5:00p.m.2014 State of Florida Provider Directory – Form# 03-310-29 Page 88

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGMediQuick Walk-in Clinic140 Pinnacles Dr.Palm Coast, FL 32164(386) 597-2829*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 8:00 p.m.Sat.: 8:00 a.m. to 6:00 p.m.Sun. & Holidays 10:00 a.m. to 5:00p.m.New Smyrna Beach Urgent Care1860 Renzulli RoadNew Smyrna Beach, FL 32168(386) 663-3061*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 6:00 p.m.Sat. 9:00 a.m. to 3 p.m.Sun. 9:00 a.m. to 3 p.m.Holidays 9:00 a.m. to 3 p.m.Ormond Beach Urgent Care435 S. Yonge St., Unit 1Ormond Beach, FL 32174(386) 673-9949*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 6:00 p.m.Sat. 9:00 a.m. to 3 p.m.Sun. 9:00 a.m. to 3 p.m.Holidays 9:00 a.m. to 3 p.m.PrimeCare at Port Orange740 Dunlawton Ave., Ste. 100Port Orange, FL 32127(386) 767-2402*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 8:00 p.m.Sat., Sun. & Holidays 10:00 a.m. to5:00 p.m.PrimeCare at Twin Lakes1890 LPGA Blvd., Ste. 130Daytona Beach, FL 32117(386) 274-2212*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:00 a.m. to 8:00 p.m.Sat.: 8:00 a.m. to 5:00 p.m.Sun. & Holidays 10:00 a.m. to 5:00p.m.Prompt Care of Central Florida,LLC1133 Saxon Blvd.Orange City, FL 32763(386) 878-4137*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 9:00 a.m. to 7:00 p.m.Sat.: 9:00 a.m. to 5:00 p.m.Sun.: 9:00 a.m. to 2:00 p.m.Closed on Christmas & New Year'sDayTwilight Pediatrics1688 W. Granada Blvd., Ste. 1AOrmond Beach, FL 32174(386) 615-4414*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 5:00 p.m. to 10:00 p.m.Sat. & Sun.: 10:00 a.m. to 4:00 p.m.Closed HolidaysNewborn to 21 yearsUrgent Care of Longwood450 W. State Rd. 434Longwood, FL 32750(407) 212-3000*After Hours Care & when PCP isunavailable. Call for availability ofhours prior to your visit.Mon.-Fri.: 8:30 a.m. to 7:00 p.m.Sat.: 9:00 a.m. to 2:00 p.m.Sun.: 12:00 p.m. to 5:00 p.m.www.urgentcarelongwood.comAfter Hours Primary Care*FHCP has extended the office hoursof some primary care physicians foryour convenience. These physiciansare available for routine illnesses andcare of non-urgent nature.After Hours Walk-In Clinic FHCPCenter - Orange City2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550Mon.-Fri.: 7:00 a.m. to 7:00 p.m.Sat.: 8:00 a.m. to 12:00 p.m.Patients 10 years & older2014 State of Florida Provider Directory – Form# 03-310-29 Page 89

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGAfter Hours Walk-In Clinic FHCPCenter - Palm Coast309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073*Patients 12 years & older on Mon.& Wed.Mon. & Wed.: 5:00 p.m. to 6:00p.m.After Hours Walk-In Clinic FHCPCenter - Palm Coast309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 445-7073*Patients 1 year & older on Tue. &Thurs.Tue. & Thurs.: 5:00 p.m. to 6:00p.m.Bert Fish Medical Center - FHCP -Edgewater239 N. Ridgewood Ave.Edgewater, FL 32132(386) 427-4868*Call Central Scheduling: (386) 676-7198 - Available: Mon.-Fri.: 8:00a.m. to 5:00 p.m.Mon.-Fri.: 7:00 a.m. to 7:00 p.m.Sat.: 8:00 a.m. to 12:00 p.m.FHCP Center - Daytona Beach320 N. Clyde Morris Blvd., Ste. DDaytona Beach, FL 32114(386) 238-3204*Call Central Scheduling: (386) 676-7198 - Available: Mon.-Fri.: 8:00a.m. to 5:00 p.m.Mon.-Fri.: 7:00 a.m. to 7:00 p.m.Sat.: 8:00 a.m. to 12:00 p.m.FHCP Center - DeLand937 N. Spring Garden Ave.DeLand, FL 32720(386) 736-1948*Call Central Scheduling: (386) 676-7198 - Available: Mon.-Fri.: 8:00a.m. to 5:00 p.m.Mon.-Fri.: 7:00 a.m. to 7:00 p.m.FHCP Center - Ormond Beach461 S. Nova Rd.Ormond Beach, FL 32174(386) 671-4337*Call Central Scheduling: (386) 676-7198 - Available: Mon.-Fri.: 8:00a.m. to 5:00 p.m.Mon.-Fri.: 7:00 a.m. to 7:00 p.m.Pediatric Unscheduled Care Walk-In Clinic- Anita Mathur, M.D.999 S. Volusia Ave., Ste. BOrange City, FL 32763(386) 774-7337*Call for availability of hours priorto your visit.Wed.: 1:00 p.m to 6:00 p.m.LaboratoriesTHESE ARE DRAWSTATIONS ONLYFHCP Center350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 238-3285(800) 321-1227*For Laboratories: No appt.necessaryLab Hours-Mon.-Fri.: 7:00 a.m. to5:00 p.m.FHCP Center1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7136(800) 352-9824*For Laboratories: No appt.necessaryLab Hours-Mon.-Fri.: 7:00 a.m. to3:30 p.m.FHCP Center2777 Enterprise Rd.Orange City, FL 32763(386) 774-2550*For Laboratories: No appt.necessaryLab Hours-Mon.-Fri.: 7:00 a.m. to3:30 p.m.FHCP Center309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 447-9685*For Laboratories: No appt.necessaryLab Hours-Mon.-Fri.: 7:00 a.m. to3:30 p.m.FHCP Center740 Dunlawton Ave.Port Orange, FL 32127(386) 763-1000*For Laboratories: No appt.necessary. Lab located on SecondFloor.Lab Hours-Mon.-Fri.: 7:00 a.m. to3:30 p.m.2014 State of Florida Provider Directory – Form# 03-310-29 Page 90

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGLabCorp., Inc. - Altamonte Springs393 Center Point Cir., Ste. 1457Altamonte Springs, FL 32701(407) 834-0804*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Lab Hours-Mon.-Fri.: 6:00 a.m. to3:00 p.m.Sat.: 8:00 a.m. to 12:00 p.m.Drug Screens 8 a.m. to 11:30 a.m.& 1 to 3:00 p.m.LabCorp., Inc. - Apopka1706 E. Semoran Blvd., Ste. 114Apopka, FL 32703(407) 814-0281*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Lab Hours-Mon.-Fri.: 6:30 a.m. to3:30 p.m.Drug Screens 8 a.m. to 12:00 a.m.& 1 to 2:30 p.m.LabCorp., Inc. - Casselberry1239 SR 436, Unit 101Casselberry, FL 32707(407) 678-0169*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 7:00 a.m. to 7:00 p.m.Sat.: 7:00 a.m. to 5:00 p.m.Sun.: 9:00 a.m. to 5:00 p.m.Drug Screens-Mon-Fri:7 am-6 pm,Sat.:7 am-4pmLabCorp., Inc. - DeLand929 N. Spring Garden Ave., Ste.927DeLand, FL 32720(386) 822-9000*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Lab Hours-Mon.-Fri.: 6:00 a.m. to3:00 p.m.Drug Screens 8:00 a.m. to 2:30 p.m.LabCorp., Inc. - Edgewater602 W. Indian River Blvd., Ste. 1Edgewater, FL 32132(386) 424-7346*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 6:00 a.m. to 3:00 p.m.No Drug ScreensLabCorp., Inc. - Lake Mary2500 W. Lake Mary Blvd., Ste. 112Lake Mary, FL 32746(407) 268-4253*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 6:30 a.m. to noon & 1p.m. to 3:30 p.m.No Drug ScreensLabCorp., Inc. - Longwood705 W. State Rd 434, Ste. J KLongwood, FL 32750(407) 331-0182*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Lab Hours-Mon.-Fri.: 6:30 a.m. to3:30 p.m.Drug Screens 8 a.m. to 11 a.m. & 1to 2:30 p.m.LabCorp., Inc. - Oviedo1000 W. Broadway St., Ste. 204Oviedo, FL 32765(407) 359-2132*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 7:00 a.m. to 4:00 p.m.No Drug ScreensLabCorp., Inc. - Port Orange3510 S. Nova Rd., Ste. 109 & 110Port Orange, FL 32129(386) 788-5004*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 6:00 a.m. to 3:00 p.m.No Drug Screens2014 State of Florida Provider Directory – Form# 03-310-29 Page 91

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGLabCorp., Inc. - Sanford910 Lexington Green Ln.Sanford, FL 32771(407) 330-0300*Online appointment schedulingavailable at www.LabCorp.comAppt. scheduling - 800/877-3818,Option 3Mon.-Fri.: 7:00 a.m. to 4:00 p.m.Drug Screens 8 a.m. to 11:30 a.m.& 1 to 3:00 p.m.PharmaciesFHCP Pharmacy - Daytona Beach350 N. Clyde Morris Blvd.Daytona Beach, FL 32114(386) 248-0832(800) 526-1463*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.FHCP Pharmacy - DeLand939 N. Spring Garden Ave.DeLand, FL 32720(386) 736-7318(800) 526-1592*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 1:00 p.m.FHCP Pharmacy - Edgewater239 N. Ridgewood Ave.Edgewater, FL 32132(386) 423-4212(800) 526-1613*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 1:00 p.m.FHCP Pharmacy - Holly Hill1340 Ridgewood Ave.Holly Hill, FL 32117(386) 676-7120(800) 352-9824*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 5:00 p.m.FHCP Pharmacy - Orange City2777 Enterprise Rd.Orange City, FL 32763(386) 774-5961(800) 526-1581*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 1:00 p.m.FHCP Pharmacy - Palm Coast309 Palm Coast Pkwy.Palm Coast, FL 32137(386) 446-9447(800) 526-0662*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 1:00 p.m.FHCP Pharmacy - Port Orange740 Dunlawton Ave., Ste. 150Port Orange, FL 32127(386) 767-0563(800) 526-1565*Preferred PharmacyMon.-Fri.: 8:30 a.m. to 6:00 p.m.Sat.: 9:00 a.m. to 1:00 p.m.Walgreens - Altamonte Springs113 Maitland Ave.Altamonte Springs, FL 32701(407) 331-4698*Non-Preferred Pharmacy.Open 24 hoursWalgreens - Lake Mary7085 County Road 46ALake Mary, FL 32746(407) 833-0276*Non-Preferred Pharmacy.Mon.-Fri.: 9:00 a.m. to 9:00 p.m.Sat.: 9:00 a.m. to 5:00 p.m.Sun.: 9:00 a.m. to 5:00 p.m.Walgreens - Lake Mary4024 W. Lake Mary Blvd.Lake Mary, FL 32746(407) 549-3115*Non-Preferred Pharmacy.Mon.-Fri.: 9:00 a.m. to 9:00 p.m.Sat.: 9:00 a.m. to 5:00 p.m.Sun.: 9:00 a.m. to 5:00 p.m.Walgreens - Oviedo785 Lockwood Blvd.Oviedo, FL 32765(407) 359-2453*Non-Preferred Pharmacy.Mon.-Fri: 9:00 a.m. to 9:00 p.m.Sat.: 9:00 a.m. to 5:00 p.m.Sun.: 9:00 a.m. to 5:00 p.m.Walgreens - Sanford2501 French Ave.Sanford, FL 32773(407) 321-0518*Non-Preferred Pharmacy.Open 24 hours2014 State of Florida Provider Directory – Form# 03-310-29 Page 92

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGWalgreens - Winter Springs5205 Red Bug Lake Rd.Winter Springs, FL 32708(407) 696-2242*Non-Preferred Pharmacy.Open 24 hoursHome Infusion PharmaciesAmbient Healthcare of CentralFlorida12689 Challenger Pkwy., Ste. 100Orlando, FL 32826(407) 678-2068(888) 999-8586*Prior authorization from FHCPReferral Department needed.Ambient Healthcare of NortheastFlorida9655 Florida Mining Blvd., West,Ste. 411Jacksonville, FL 32257(904) 652-1990(866) 680-5744*Prior authorization from FHCPReferral Department needed.Holly Hill Pharmacy1702 Ridgewood Ave.Holly Hill, FL 32117(386) 677-7377*Prior authorization from FHCPReferral Department needed.Skilled Nursing FacilitiesAlliance Community forRetirement Living600 S. Florida Ave.DeLand, FL 32720(386) 734-3481Avante at Ormond Beach, Inc.170 N. Kings Rd.Ormond Beach, FL 32174(386) 677-7955Flagler Pines300 Dr. Carter Blvd.Bunnell, FL 32137(386) 437-4168Healthcare and Rehab of Sanford950 S. Mellonville Ave.Sanford, FL 32771(407) 322-8566Indigo Manor595 Williamson Blvd.Daytona Beach, FL 32114(386) 257-4400John Knox Village of CentralFlorida901 Veteran's Memorial Pkwy.Orange City, FL 32763(386) 775-2008Longwood Health Care Center1520 S. Grant St.Longwood, FL 32750(407) 339-9200Manor on the Green324 Wilder Blvd.Daytona Beach, FL 32114(386) 252-2600Oakwood Garden of DeLand451 S. Amelia Ave.DeLand, FL 32720(386) 734-8614Oceanview Nursing Home2810 S. Atlantic Ave.New Smyrna Beach, FL 32169(386) 428-6424Ridgecrest Nursing &Rehabilitation Center1200 N. Stone St.DeLand, FL 32720(386) 734-4334Sandalwood Nursing Center1001 S. Beach St.Daytona Beach, FL 32114(386) 258-3334Signature Healthcare of Ormond103 N. Clyde Morris Blvd.Ormond Beach, FL 32174(386) 673-04502014 State of Florida Provider Directory – Form# 03-310-29 Page 93

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022TRS Relay 711April, 2014The online Provider Search is updated eachbusiness day - http://www.fhcp.com/physician.doIf you want further information about your provider, please visit FHCP.com Online Provider search orcontact FHCP Member ServicesSTATE OF FLORIDA NETWORK PROVIDER LISTINGWoodland Terrace Extended Care120 Chipola Ave.DeLand, FL 32720(386) 738-3433Residents OnlyGood Samaritan Society - FloridaLutheran450 N. McDonald Ave.DeLand, FL 32724(386) 736-5800*Residents OnlyTertiary Care CentersUpon Approved Referral OnlyMayo Clinic FloridaJacksonville, FL 32224(904) 953-2000*Upon Approved Referral Onlymayoclinic.org/jacksonville/Shands and University of FloridaHealth Care Network Specialists-GainesvilleGainesville, FL 32608(800) 749-7424*Upon Approved Referral Only.shands.org/hospitals/uf/clinicsShands and University of FloridaHealth Care Network Specialists-JacksonvilleJacksonville, FL 32209(904) 244-7024*Upon Approved Referral Onlyjax.shands.org/hs/specialtycare/2014 State of Florida Provider Directory – Form# 03-310-29 Page 94

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXAAbility Health Services 13, 24-5, 64Ability Health Services/Stetson Campus64Acuna, Joann, M.D. 68Advanced Imaging 36Afridi, Fariya, M.D. 70, 73After Hours Walk-In Clinic FHCP Center -Orange City 89After Hours Walk-In Clinic FHCP Center -Palm Coast 90Afzal, Fuad, M.D. 45Agamasu, Jacob K., M.D. 31Ahmar, Ayesha R., M.D. 1Ahmar, Wasim, M.D. 31AhmedSalman, M.D. 9, 44, 77Uzma, M.D. 7AhujaKaruna, M.D. 73, 78Ratan, M.D. 32Ailani, Rajesh K., M.D. 73, 78-9Alaish, Lisa N., D.P.M. 25Aldridge, Margaret M., L.C.S.W. 70Alexander, Christopher, D.O. 50Ali, Ahmad, M.D. 37Alidina, Laila, M.D. 29Alliance Community for Retirement Living93Alliance Surgical Center LLC 88Alter, Dennis, M.D. 59Alvarez-Farinetti, Alvaro, M.D. 54Ambient Healthcare of Central Florida 93Ambient Healthcare of Northeast Florida93American Ortho-Tech Laboratories, Inc.30Amoruso, Anthony, M.D. 17Ansara, Maha, M.D. 37Appleton, Staci, M.D. 7Apria Healthcare, Inc. 37Arguello, Martha, M.D. 1Arias Jr., Jose, M.D. 29Arts, Jeff P., M.D. 41, 84Asihene, Regina, M.D. 7Atlantic Foot & Ankle Associates 26-8, 30Atlantic Surgery Center, Inc. 88Aujla, Narinder S., M.D. 59Avante at Ormond Beach, Inc. 93BBagg, Andrew, M.D. 29Baldassarri, Gerardo, M.D. 1Baldwin, Cynthia, M.D. 18, 22Barber, Kevin, M.D. 55Barnard, Thomas, M.D. 56Barnard III, Grandy, M.D. 10Barringer, Robert L., L.M.H.C. 70Bathaw, Ronald, M.D. 59Battle, Joyce, M.D. 54Bell, Laura, C.N.M. 18, 22Bell, Michael, M.D. 10Benezette, Alyn, D.O. 46Bernard, James, D.O. 17Bert Fish Medical Center 4, 7, 44, 49, 83,85, 87, 90Besong, George, M.D. 19, 22Bhat, Mulki, M.D. 46Bhavsar, Janak, M.D. 32Bianco, Robert, M.D. 32Bigman, Karin, M.D. 50Black, Harry, M.D. 41Blair-Britt, Loray A., M.D. 1Blakeslee, Patricia, L.M.F.T. 70Blaum III, Louis, M.D. 42Blue Springs Surgery Center 88Blue Water Therapy 13, 64Boener, Mary, L.C.S.W. 71Bogdanovski, Dragi, D.O. 1Borbely, Bernard, M.D. 74, 79Borkoski, Jeffrey, M.D. 46Bowman, Kurt, M.D. 74, 79Boyd, David, M.D. 17Branoff, Richard, M.D. 1Bratu, Beatrice, M.D. 15, 38Brenner, Laurence, M.D. 42Brodrick, Thomas J., M.D. 60Broome-Webster, Chad, M.D. 32Brown, B. Thomas, M.D. 83Brown, James, M.D. 12013 SOF Plan Provider Directory i

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXBrown, Steven, M.D. 19Bruno, Rebecca A., D.C. 14Bryan, James, M.D. 60Burns, Lawrence, M.D. 74CCabantog, Alberto M., M.D. 65Cabeza, Rene, M.D. 50Cady, Michael, O.D. 23Cantwell, Anthony, M.D. 83Capozzi, Anthony, M.D. 71Capulong, Rene, M.D. 41Carbiener, Pamela P., M.D. 19, 22Carinci, Stephanie, M.D. 46Carithers, Robert, M.D. 10Carlisi, Roy C., D.C. 14Carrasquero, Luisa, M.D. 10Carratt, Evan, M.D. 1Carratt, James, M.D. 1Carson, Thomas, M.D. 33Casey, Nalini D., M.D. 10Cashio Jr., Richard V., M.D. 70Castaneda, Juan, D.O. 42Castillo, Ramon, M.D. 68Central Florida Regional Hospital 28, 87Chalker, Bonnie, O.D. 23Chan, Rainer, M.D. 1Chang, Margaret, M.D. 1Chanmugam, Jay C., D.O. 1Chessman, Gary W., D.P.M. 25Chew, Boon Y., M.D. 50Chiapco, Oliver, M.D. 10Chida, Mubeen, M.D. 32Chih, Andreea, O.D. 23Chirinos, Rodolfo, M.D. 18Choat, Christopher, O.D. 59ChopraNeena, M.D. 10Ramesh, M.D. 83Clancy, Tamara Ray, M.D. 43Clayton, Kimberly, M.D. 41Clontz, Franklin D., M.D. 41Clow, Trevon, Ph.D. 71Cofield, Michele, M.D. 19, 22Cohn, Eric A., D.O. 56Collette, Robert P., M.D. 63Conficare Home Health Solutions 43Corak, Jeffrey, M.D. 46Corbyons, Thomas, M.D. 41, 82, 84Cordero, Robert, M.D. 56Cortez, Stephen J., M.D. 19, 22Covelli, Christina, M.D. 15, 38Craven, James, M.D. 63Crisanto, Manuel, M.D. 7Crossman, Margaret, M.D. 1Crouch, Eugene, M.D. 1Cucchiarella, Mario, M.D. 7Cunha, Olimpio, M.D. 47Cunningham, Matthew A., M.D. 56Cyrus Diagnostic Imaging, Inc. 30, 36,44, 83, 85DDale's Shoes 31Dann, Jeffrey A., M.D. 83DaSilva, Christine, M.D. 19, 22Davis, Ronald, M.D. 48Daytona Beach Dialysis 37Daytona South Dialysis 37DeCarli, Antonio, M.D. 39deGracia, Amelia A., M.D. 10Del Valle, Gerardo O., M.D. 68DeLand Dialysis 37deLeon Jr., Augusto, M.D. 7DeMercurio, Jeffrey, M.D. 43, 70Denoff, Frank, M.D. 60dePeyster, Joseph, M.D. 7Derbenwick, Kenneth, M.D. 47Derbenwick, Mary June, M.D. 47Derr , Pamela, L.M.H.C. 71DesaiMeetesh, M.D. 22Rohan, M.D. 45Sureskumar, M.D. 74Utpal, M.D. 34, 82, 84DeSouza, Michael P., M.D. 8DeSouza, Peter, M.D. 10Deveras, Ruby Anne, M.D. 50Diaz, Dennis, M.D. 41DiBello, Christopher, M.D. 75, 792013 SOF Plan Provider Directory ii

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXDineen, Martin K., M.D. 83DiNicolo, Roberto, M.D. 29Dinkla, Hendrik, M.D. 47Doctor's Choice Home Health Services 43Dodd, Paul, M.D. 50Dominguez, Carlos Lorenzo, M.D. 8Dominguez, Carmen, M.D. 65Donohoe, Michael J., M.D. 41, 82, 84Doolin, Dina, D.O. 1Doughney, Kathleen, M.D. 51Driggers, Wesley, M.D., Ph.D. 2D'Souza, Gemma, M.D. 10Dunham, Anne, M.D. 65Dunn, William J., M.D. 56Dunson, Teddrick L., M.D. 65Durant, Michael C., D.C. 14Duren, Laura, M.D. 8Durkin, Walter, M.D. 51EEaster Seals Society of Volusia & FlaglerCounties, Inc. 29-30Eathiraju, Srikanth, M.D. 43Edwards, Samuel, M.D. 8Ehringer, George, M.D. 8Ejie, Ukonu, M.D. 44El-Bohy, Ashraf, M.D. 48Elston, Jeffrey J., M.D. 77Epstein, Howard, M.D. 83Etienne, Annemarie N., M.D. 57FFactor, Brad A., M.D. 54Fann, Thomas R., D.P.M. 25Fatemi, Zia, M.D. 8Favis, Gregory, M.D. 51Feldman, Andrew, D.O. 2Ferguson, Susan K., L.C.S.W. 71Fernandez-Silva, Jorge A., M.D. 65FHCP Center 1-9, 24, 28, 30, 32-3, 35,38, 46-7, 49, 57, 65-6, 69, 71-3, 82-3, 86, 89-90FHCP Center - Daytona Beach 90FHCP Center - DeLand 90FHCP Center - Ormond Beach 90FHCP Pharmacy - Daytona Beach 92FHCP Pharmacy - DeLand 92FHCP Pharmacy - Edgewater 92FHCP Pharmacy - Holly Hill 92FHCP Pharmacy - Orange City 92FHCP Pharmacy - Palm Coast 92FHCP Pharmacy - Port Orange 92Fischer-Carne, Tina L., M.D. 2Flagler Diagnostic & Sleep Disorders Center81Flagler Pines 93Florida Hospital DeLand 36, 81, 86-7Florida Hospital Fish Imaging 36, 44, 86Florida Hospital Fish Memorial 36, 82, 86-7Florida Hospital Flagler 36, 44, 86-7Florida Hospital Hospice Care 21Florida Hospital Memorial Medical Center87Florida Hospital Oceanside 88Foust, Paula, M.D. 19Fredette-Huffman, Patricia, M.D. 2Frick, Gary, M.D. 71Friedman, Jeffrey, D.O. 2Fulop, Dalia, M.D. 47GGabor, Elena, M.D. 8Gaddipati, Kalyani, M.D. 15, 39Gaines, Richard K., M.D. 60Garcia, Cristina, M.D. 10Garcia, Jorge, M.D. 34Garcia Jr., Pablo (Paul), M.D. 2Garewal, Mandeep, M.D. 47Garrido, Mercedes, M.D. 2Gaudier, Francisco, M.D. 69Geis, Carolyn P. C., M.D. 69Geis, Todd, M.D. 57George, Jiby O., M.D. 10George, Mathew, M.D. 57Gershman, Eric, M.D. 51Gibbs, James, M.D. 2Gierbolini, Jose R., M.D. 2Gillespy, Albert, M.D. 602013 SOF Plan Provider Directory iii

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXGillespy, Mark, M.D. 60Gillespy Jr., Thurman, M.D. 61Gilmore, Tedra, M.D. 19, 22Gilroy, Scott T., M.D. 2Gingras, John P., D.C. 14Gizaw, Elias, M.D. 47Glidden-Wood, Angella, M.D. 2Gohill, Vina, M.D. 2Good Samaritan Society - Florida Lutheran94Gottlich, Malcolm, M.D. 61Grable, Michael, M.D. 83Graham, Gary R., M.D. 55Graham-Lapp, Shellie, D.O. 3Green, Andrew B., D.P.M. 26Greene, John, M.D. 83Greer, Richard, M.D. 73Grimes, Jeremy R., M.D. 47Guergues, Youssef, M.D. 65Guirgis, Wagid, M.D. 3Gupta, Amol, M.D. 69Gupta, Anita, M.D. 3Gupta, Anjali, M.D. 3Gupta, Sheila, M.D. 37Gupta, Vishal, M.D. 15, 39Gutierrez, Michael, M.D. 18HHalifax Fitness Center 28Halifax Health Medical Center 87-8Halifax Health Medical Center of PortOrange 88Hanger Prosthetics & Orthotics, Inc. 31Harichand-Herdt, Seema, M.D. 51Harmon, Jason, M.D. 3Harrington, Michael P., M.D. 84Hart, Noushin I., M.D. 55Hatten, Bryan, M.D. 61Haynes, Delicia, M.D. 3Heacock, Charles, O.D. 23Healthcare and Rehab of Sanford 93Heath, Bryan, M.D. 39Heathrow Urgent Care, Inc. 88Hecht, Gary D., M.D. 32Hechtman, Charles D., M.D. 55Hemaidan, Ammar, M.D. 16, 39Hensgen, Kelly J., D.O. 3Herdel, G. Fredrick, M.D. 8Hether, James Jeremy, D.C. 14Hill, John M., M.D. 3Hippalgaonkar, Rajendra, M.D. 32Hoffmeister, Timothy A., D.O. 19, 22Hole, Susan, D.O. 3Hollmann, Mark, M.D. 61Holly Hill Pharmacy 93Holt, John, M.D. 34, 82, 84Hood Jr., Royce, M.D. 61Hooker Jr., Robert, M.D. 34, 82Hoskote, Jaideep, M.D. 45Hospice of Volusia/Flagler 21-2Howard, Susan, M.D. 3Howe, Julia, L.C.S.W. 71Huyen, Theresa, M.D. 8IIacobelli, Joan, M.D. 42, 85Ibrahim, Magued, M.D. 3Indigo Manor 93Interim Healthcare of Greater Orlando 44Intihar, Dale, M.D. 8Iranpur, Pervez T., M.D. 66Isaac, Reba K., M.D. 44Iskander, Enas, M.D. 11JJahagirdar, Udita, M.D. 20Jankauskas, Saulius, M.D. 70Jeanty, Jean-Claude, M.D. 11Jennings, Lane E., M.D. 3John Knox Village of Central Florida 93Johnson, Jesse, M.D. 8Johnson III, William, M.D. 34, 82, 85Jones, Gordon, M.D. 3Joshi, Sukhinder K., M.D. 8JSC Pedorthics, Inc. 31Jumani, Abdul, M.D. 452013 SOF Plan Provider Directory iv

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXKKandavanam, Raj, M.D. 4Kapil, Sanjiv, M.D. 78Keen, Stephen B., M.D. 4Kelley, Michael J., M.D. 51Kennerley, Robert, Ph.D. 71Kent, Christopher S., M.D. 49Khan, Mudussara, M.D. 51Khanna, Rohit, M.D. 49Khorsandian, Ashpendiar, M.D. 11Khurshid, Syed, M.D. 8Kinne III, Sandford, D.O. 4Kirtane, Prafulla K., M.D. 16, 39Kirtane, Shirish, M.D. 75Kohen, Michael D., M.D. 78Kojic, Jasna, M.D. 48Koruth, Pothen, M.D. 8Krajnyk, Orest, M.D. 57Krishnan, Ananth, M.D. 8Krochak, Ronald, M.D. 55Kropp, Thomas M., M.D. 57Kruse, Patricia, C.N.M. 20, 22Kubiet, Martin, M.D. 75, 80Kucker, Mark, D.O. 4Kuhn, William B., M.D. 49Kunjumoideen, Kottapurath, M.D. 52Kushner, F. Harold, M.D. 57Kutryb, Michael J., M.D. 57LLabCorp.Inc. - Altamonte Springs 91Inc. - Apopka 91Inc. - Casselberry 91Inc. - DeLand 91Inc. - Edgewater 91Inc. - Lake Mary 91Inc. - Longwood 91Inc. - Oviedo 91Inc. - Port Orange 91Inc. - Sanford 92LAD Imaging, LLC 30, 36, 44, 86Lake Mary Surgery Center 88Lapham, Diane, M.D. 66Lappost, Rafael, D.P.M. 26Larrain, Ricardo J., M.D. 20, 22LatifSajid, M.D. 45Zafar, M.D. 52Lavoie, Stephane, M.D. 61Lawindy, Madiey, M.D. 11Lazard, Marielle, M.D. 32Le, Ngoc, M.D. 48Leavitt, Matt, M.D. 17Lee, Tse C., M.D. 66Lemaster, Roy, M.D. 24Lentz III, Carl W., M.D. 70Levin, Herbert, D.O. 4Levy, Marc, M.D. 42Lewis, Brenda B., M.D. 11Lichtenwalter, Mary K. (Kathy), L.M.H.C.71Lieb, Douglas, M.D. 57Linek, Peter J., D.D.S. 59Litke, Bradley, M.D. 34, 82, 85Liu, Wing Yi Winnie, M.D. 32Lo, Eric, M.D. 32Loewinger, Robert, M.D. 17Lombardo, Linda S., D.C. 14Longwood Health Care Center 93Lopez, Ruben, M.D. 11Lozano, Rolando, M.D. 11Lucas, Joseph, M.D. 17Luong, Priscilla, M.D. 4Lutz, Kacie, M.D. 11MMai, Christopher, M.D. 45Malik, Vinod, M.D. 67Malki, George, M.D. 4Mallaiah, Lenkala, M.D. 16, 39Mamone, Vincent, D.O. 4Mandal, Anil, M.D. 45Mangat, Bhupinder, M.D. 47Manor on the Green 93Marathe, Shiram, M.D. 45Marrese, Roxy, M.D. 4Martin, Jeffrey, M.D. 62Martin, Robert J., M.D. 492013 SOF Plan Provider Directory v

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXMartin Jr., Gilbert, M.D. 62Martinez-Mejias, Edwin, M.D. 32Mas, Juan, M.D. 29Masferrer, Maria, M.D. 71Masri, Mohamad, M.D. 52Mathur, Anita, M.D. 11Mathur, Pradeep, M.D. 8Mavrofrides, Elias, M.D. 57Mayo Clinic Florida 94McAskill, Stephen, M.D. 17McBroom, Dennis, D.P.M. 26McCall, Todd, M.D. 62McCollum Jr., Alfonza, M.D. 4McCranels, Stuart, D.C. 14McDonald, David, M.D. 47McLaughlin, Edward, M.D. 29McLeod, William, M.D. 62McLoughlin Jr., Thomas G., M.D. 11MediQuick Walk-in Clinic 88-9Meese, David, M.D. 35Mehta, Vikram P., M.D. 43Melgen, Victor W., M.D. 52Mendelsohn, Herbert E., M.D. 17Mendoza, April, M.D. 55Merilson, Lisa S., Psy.D. 71Merrell, Matthew, M.D. 83Merzenich, Angela R., M.D. 4Metchick, Heather, M.D. 20Metchick, Lee N., M.D. 38Meyers, John, M.D. 20, 23Miceli, Gerald, M.D. 38Milcarsky, Edward J., M.D. 4Miller, Daniel F., M.D. 58Miller, David, M.D. 42Minor, Stephen, M.D. 32Mirante, Joseph, M.D. 63Mitchell-Samon, Levonne, M.D. 8Modad, Patricia I., M.D. 20, 23Mohan, Sangita, M.D. 8Molpus, Kelly L., M.D. 52Monette, Daniel R., M.D. 4Montaldo, Thomas, M.D. 4Moorhead, Christine, M.D. 17Moorjani, Harjas, M.D. 46Moradia, Vijay, M.D. 70Morgan, Ross, M.D. 42Morris, Richard D., M.D. 38Moulterie, Tiffany N., D.C. 14Mounteer, Susan, L.M.F.T. 71Moussly, Souheil, M.D. 9Munier, Michael, M.D. 63Murphy, Dennis M., M.D. 49Mutch, Elizabeth, M.D. 7Myer, Rory, M.D. 58NNagrani, Mark, M.D. 39Nair, Santosh, M.D. 52Nasr, Issam R., M.D. 16, 39Navarro Jr., Felix, M.D. 16, 40Ndum, Philip, M.D. 53New Smyrna Beach Artificial Kidney Ctr.37New Smyrna Beach Dialysis 37New Smyrna Beach Urgent Care 89New Smyrna Imaging, LLC 36, 86Nguyen, Pauline, O.D. 59Nguyen-Tuong, Phi-Yen, M.D. 11Nirschl, Matthew, D.C. 14Nowell, Lisa, L.M.H.C. 71Nunez, Charles, O.D. 23Nuzum, Lorra Lee, D.C. 14OOakwood Garden of DeLand 93Oceanview Nursing Home 93Offenberg, Howard L., M.D. 78Oguchi, Godson, M.D. 43-4Olivier, Chamion N., M.D. 44Ombogo, Anthony, M.D. 4Open MRI of Daytona 36Orange City Dialysis 37Orezzoli, Louis, M.D. 12Orlando Diagnostic Center, Inc. 36Ormond Beach Dialysis 37Ormond Beach Urgent Care 89Ortega, Gregory L., M.D. 53Oslos, Neil, M.D. 42013 SOF Plan Provider Directory vi

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXPPalm Coast Dialysis 37Palm Coast Imaging Center 30, 36, 44,86Palm Coast Sports Medicine &Rehabilitation Center 13, 25, 64Panara, Ramit, M.D. 47Parikh, Nitin, M.D. 16, 40Parker, Julie, Psy.D. 71Parlade, Rafael, Ph.D. 72Parnell, John R., M.D. 5Patel, Ashwinkumar, M.D. 9Patel, Bharat, M.D. 16, 40Patel, Bhavnaben B., M.D. 12Patel, Bhupendra P., M.D. 9Patel, Daniel V., M.D. 46Patel, Jigneshkumar, M.D. 16, 40Patel, Pinkal P., M.D. 5Patel, Pragnesh, M.D. 29Patel, Usha P., M.D. 12Patel, Vinod, M.D. 46Patel, Vipin, M.D. 9Peck, Benjamin J., M.D. 5Peck, Rebecca, M.D. 5Pediatric Unscheduled Care Walk-In Clinic-Anita Mathur, M.D. 90Pegoraro, Alfredo, M.D. 46Perez, Humberto, M.D. 58Perez Lopez, Jorge A., M.D. 69Petker, A. Michael, D.C. 14Physician's Ambulatory Surgery Center 88Pillappa, Mukti, M.D. 5Plumley, Donald, M.D. 42Podnos, Scott, M.D. 17Port Orange Imaging Center 36, 45, 87Porter, Shane, L.M.H.C. 72Poss, Robert, D.C. 14Possick, Sidney, M.D. 18Prado, Martin Gino, M.D. 17, 40Prasad, Rekha, M.D. 73Prevatte, Edwin, M.D. 5PrimeCare at Port Orange 89PrimeCare at Twin Lakes 89Professional Physical Therapy 13, 65Progressive Physical Therapy 13, 25, 65Prokop, Amanda, D.C. 14Prompt Care of Central Florida, LLC 89Purandare, Vinayak, M.D. 46Putnam Community Medical Center 88QQuarberg, Rachel L., M.D. 5Quinn, James E., M.D. 5Quinteros, Jaime E., M.D. 12RRamdath Jr., Sona, D.P.M. 26Ramey, Dustin, O.D. 23Ramey, Elizabeth, O.D. 23Ramirez, Raymond, D.O. 17Ramos, Agustin, M.D. 34Randolph, Andrew, M.D. 9Rankin, Bruce, D.O. 5Rao, Ravi, M.D. 33Rausch, Curt, M.D. 9Razzetti, Albert, M.D. 9, 75Reed, Francis, M.D. 33Reed, Patrick G., D.C. 14Reed, Stephen M., M.D. 62Rees, Ryan, M.D. 5Regan, Terrance, M.D. 83Reinertsen, Jeff, M.D. 12Reyes II, Aurelio, M.D. 34Rho, Christina, M.D. 38Rhodes, J. Richard, M.D. 63Ridgecrest Nursing & Rehabilitation Center93Riley, Sara, L.M.H.C. 72Ritter, Andrew, M.D. 35Rivera, Alicia, D.C. 14Rivera, Omar, D.C. 15Robertson, Ted, M.D. 23Rodas, Raul A., D.O., F.A.C.O.S. 49Rodgers, Linda, L.M.H.C. 72Rodriguez, Michael J., D.C. 15Romain, Josette, M.D. 72Rosemond, Robert M., M.D. 33Roth III, Walter E., D.P.M. 27Rothbaum, Daniel, M.D. 632013 SOF Plan Provider Directory vii

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXRotstein, Jack, M.D. 48Rouse, Jacob D., M.D. 20Routh, Robert H., M.D. 58Russell, John, M.D. 63Rust, Kimberly, L.C.S.W. 72Rust III, James, D.P.M. 27Ryan, Amanda, D.O. 33SSaferali, Shemin, M.D. 53Saffold, Oscar, M.D. 18Sahgal, Geeta, M.D. 5Sai, Padmaja, M.D. 53Sakowitz, Howard, M.D. 58Salh, Darshna, O.D. 59Samples, Jon, D.C. 15Samson, Michel, M.D. 70Sandalwood Nursing Center 93Sanford Dialysis 37Santasiero, Debra, D.O. 12Santi, Kathleen, M.D. 5Scaglia, Bennett, M.D. 84Scanlon, E. Kevin, M.D. 76, 80Scheer, Thomas, M.D. 55Schefsky, Harvey, M.D. 6Schildecker, Charles, M.D. 9Schutt-Aine, Reginald, M.D. 9Scott, James A., M.D., Ph.D. 48Sebastien, Joel, M.D. 42Selassie, Peter, M.D. 53Serrano-Lopez, Carmen, M.D. 9Sevigny, Gina Mollis, M.D. 18ShahDevang, M.D. 64Indravadan, M.D. 9Yogesh, M.D. 33Shams, Safwan, M.D. 40Shands and University of Florida HealthCare Network Specialists-Gainesville94Shands and University of Florida HealthCare Network Specialists-Jacksonville94Shanmugham, Sampathkumar, M.D. 48Shaqareq, Ramzi, M.D. 76, 80SharmaKavita, D.O. 67Neeraj, M.D. 53Shaw, Timothy, Ph.D. 72Shekhadia, Nitesh, M.D. 48Shelby, Aikiesha N., M.D. 72-3Shelton, John, M.D. 6, 24Sherman, Ronald, D.O. 18Sherrier, William, D.C. 15Shoukas, James, M.D. 70Siddiqui, Rehana M., M.D. 6Signature Healthcare of Ormond 93Sivak, Joseph, M.D. 72Slade, C. Lawrence, M.D. 70SMA Behavioral Health Services, Inc. 82Smith, Arletty, M.D. 6Smith, Jeffrey, D.O. 6Smith, P. Travis, M.D. 76, 80Somers, Edward Lee, L.M.H.C. 72Sorathia, Abdul, M.D. 53Springer, Deanna, M.D. 9Sridhar, Srinivasa, M.D. 63Srisawat, Anunporn, M.D. 6Srivastava, Vinay C., M.D. 9St. Augustine Imaging Center 30, 36, 45,87St. James III, Luther, M.D. 6Stafford, Stefanie L., C.N.M. 20, 23Staley, Tyler, M.D. 24, 69Staman, James A., M.D. 58Staman, Jonathan A., M.D. 58Stavoy, Thomas G., M.D. 20, 23Steflik, Timothy, D.C. 15Steichen, Carrie A., D.O. 67Stein, Charles I, M.D. 20Steinbaum, Jeremy, M.D. 42, 82, 85Stephens, Phillip, O.D. 23Sterling, Joanne, M.D. 6Stewart, Kristen, M.D. 17Stockhammer Jr., Stanley F., D.O. 6Suleiman, Saud, M.D. 17, 40Surgery Center of Volusia, LLC 88Sutton, James T., M.D. 85T2013 SOF Plan Provider Directory viii

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXTabbarah, Khalid, M.D. 48Tamariz, Miguel, M.D. 6Tanner-St. James, Carol, M.D. 6Tapia-Santiago, Cecille, M.D. 23Tatalovich, Chris, D.C. 15Taylor, Denise S., D.O. 48Tessler, Richard, M.D. 43Thebaud, Adly, M.D. 72Thompson, David, M.D. 68TikkuDeepak, M.D. 48Sunita, M.D. 72Timko, J. Randall, D.C. 15Timko, Jeffrey L., O.D. 24Timko, Jeffrey R., O.D. 24Timko Hearing Care 21Tirney, Sean, M.D. 83Tiu, Dwight, M.D. 12Tolland, John, M.D. 35Tomoka Surgery Center, LLC 88Torres, Diego T., M.D. 6Toub, Frank W., M.D. 42Town Center Imaging 30, 36, 45, 87Trapani, Vicente C., M.D. 48Trivedi, Bhavya, M.D. 34Tsai, Yong, M.D. 78Tucker, Anthony, M.D. 64Tudor, Dan, M.D. 46Twilight Pediatrics 89Twin Lakes Imaging Center 37, 45, 87UUppalapati, Madhavi, M.D. 9Upton, Monique L., M.D. 72Urgent Care of Longwood 89VVacchelli, Kathleen, A.R.N.P.-C 73Vagovic, R. John, M.D. 21, 23Van Demark, Melanie, M.D. 6Van Ummersen, Lynn, M.D. 54Varghese, Mili K., M.D. 7Vazquez, Nelson, M.D. 7Verma, Ajay K., M.D. 55Verma, Radhika, M.D. 77, 80Victoria Medical Park/DeLand Women'sCenter 45Vienna Medical 31Villano, Kathryn S., M.D. 69Vinas, Federico, M.D. 49Vintimilla, Maria, M.D. 78Visvalingam, Bhanu, M.D. 54Vogel, Trudi F., D.C. 15Vu, Nguyen, M.D. 9WWahba, Wahba, M.D. 80Waldbaum, Jonathan, M.D. 69Walgreens - Altamonte Springs 92Walgreens - Lake Mary 92Walgreens - Oviedo 92Walgreens - Sanford 92Walgreens - Winter Springs 93Walsh, Gregory A., D.C. 15Walsh, John A., M.D. 35, 82, 85Walters, Michael, M.D. 42Wang, Huijian J., M.D. 33Warner, Daniel, M.D. 43-4Watson, Cynthia M., D.P.M. 27Weiss, Richard, M.D. 54Weiss, Stephen, M.D. 83Welch, Wendy, M.D. 73West, Oscar, M.D. 33White, Donald, M.D. 7White, Gregory, M.D. 63Wierzbicki, Timothy, M.D. 48Wilgers, Kirsten, O.D. 24Wilkie, Caren, M.D. 42Williams, David, M.D. 33Williams, Kathleen, M.D. 35Williams, Michelle F., M.D. 12Wilson, Koteuaisa T., D.C. 15Windham, T. Christopher, M.D. 42Womack, Charles, M.D. 84Woodland Terrace Extended Care 94Wright, Charles, M.S.N., A.R.N.P.-B.C,C.W.O.C.N. 242013 SOF Plan Provider Directory ix

www.fhcp.comMember Services: (386) 615-4022 or (877) 615-4022 April, 2014TTY: TRS Relay 711INDEXYYajnik, Chaitanya, M.D. 38Yaqoob, Khalid, M.D. 33Yee, John, M.D. 7Yoon, David K., M.D. 7Youngman, Robert C., M.D. 83Yungmann, Martin, D.O. 17ZZacharis, Theodossis, M.D. 77, 81Zadeh, Farideh, M.D. 9Zamora, Sergio, M.D. 70Zema Jr., Roger, D.P.M. 282013 SOF Plan Provider Directory x