2019 FLORIDA - Wellcare

2019

FLORIDA PROVIDER DIRECTORY

DIRECTORIO DE PROVEEDORES

ANYE PWOFESYONÈL SWEN SANTE

Escambia, Okaloosa, Santa Rosa, Walton

CAD_41154M_0119 State Approved 02102014

©WellCare 2019

FL9WHKDIR41154M_0W01

Table of Contents Provider Directory

Introduction I How to Read Our Provider Listings II Icon Guide II

List of Plan Providers Primary Care Physicians

Bay 1 Escambia 3 Holmes 8 Okaloosa 9 Santa Rosa 11 Walton 13 Washington 14

Specialty Physicians Bay 15Escambia 29Holmes 56Okaloosa 57Santa Rosa 66Walton 73Washington 78

Hospitals Bay 80Escambia 81Holmes 82Okaloosa 83Santa Rosa 84Walton 85Washington 86

Behavioral Health Bay 87Escambia 89Holmes 92Okaloosa 93Santa Rosa 94Walton 95

Ancillary Providers All 96Bay 97

FL9WHKDIR41154M_0W01

List of Plan Providers Ancillary Providers

Escambia 100Holmes 103Okaloosa 104Santa Rosa 107Walton 108Washington 109

Allied Providers Bay 110Escambia 120Holmes 133Okaloosa 134Santa Rosa 142Walton 149Washington 153

Pharmacy Bay 154Escambia 156Holmes 159Okaloosa 160Santa Rosa 162Walton 163Washington 164

Indexes Alternate Languages Index 165Specialty Index 169Extended Hours Index 174Provider Index 179

www.wellcare.com/Florida | I

Here is your Staywell Kids provider directory. It lists all of the providers in our network. These providers include:• Primary care providers (PCPs) and specialists• Hospitals• Pharmacies

Each of these providers will make his or her own decisions about the care you need. Staywell Kids is notresponsible for these decisions. Some providers may not perform certain services due to their religious ormoral beliefs.

We've listed all of the providers by county. Then we've grouped them together by the type of care or servicesthey give. We've also included:

• The providers' addresses and phone numbers• Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair

accessible

We have a provider look-up tool on our website. Go to www.wellcare.com/Florida . Then click on the "Find aProvider" icon. You'll be able to search for providers right in your area. This is the best place to get our mostcurrent directory information.

Call us if you have questions about this directory. We can help you find a provider. We can even help set upan appointment for you. Our toll-free number is 1-866-698-5437 . TTY users can call 711 . You can reach usMonday-Friday, 7 a.m. to 7 p.m.

We wish you good health.

http://www.wellcare.com/Florida


How to Read Our Provider Listings

{

Provider name Smith, Joe, MD Provider ID: 111111

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

Practice name Your Family Medical Center

Provider gender Male

Provider address and phone number

123 Main Street Anytown, FL 12345 (555) 555-5555

Ages of patients seen by provider00 Yrs/99 Yrs

Hospital the provider is associated withSunshine Hospital

Language spoken by provider or staffLanguage: Spanish

Hours of operation9:00 am-5:00 pm

Takes part in the PCMH* ModelPCMH: YES/NO. Level 1, 2, 3

Icon Guide

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of health care professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest).

www.wellcare.com/Florida | II


www.wellcare.com/Florida | III

Este es su directorio de proveedores de Staywell Kids. Aquí se listan todos los proveedores en nuestra red.Estos proveedores incluyen:

• Proveedores de cuidado primario (PCP) y especialistas• Hospitales• Farmacias

Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. StaywellKids no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen ciertosservicios debido a sus creencias religiosas o morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado oservicios que ofrecen. También hemos incluido:

• Las direcciones y los números de teléfono de los proveedores• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o

si cuenta con acceso para silla de ruedas

En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visitewww.wellcare.com/Florida . Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted podrábuscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información dedirectorio más actual.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Inclusopodemos ayudarle a programar una cita. Nuestro número sin cargo es1-866-698-5437 . Los usuarios de TTYpueden llamar al 711 . Puede comunicarse con nosotros de lunes a viernes de 7 a.m. a 7 p.m.

Le deseamos una buena salud.



{

Cómo leer nuestros listados de proveedores

Nombre del proveedor Smith, Joe, MD Provider ID: 111111

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

Nombre de la práctica Your Family Medical Center

Sexo del proveedor Male

Dirección y número de teléfono del proveedor


Edades de pacientes vistos por el proveedor00 Yrs/99 Yrs

Hospital con el que está asociado el proveedorSunshine Hospital

Idioma hablado por el proveedor o personalLanguage: Spanish

Horario de atención9:00 am-5:00 pm

Participa en el modelo PCMH*PCMH: YES/NO. Level 1, 2, 3

Guía de íconos

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).

www.wellcare.com/Florida | IV


Spanish to English Provider Types*/Tipos de proveedores de español a inglés*

Español InglésAcupuntura Acupuncture

Psiquiatría de adicciones

Addiction Psychiatry

Medicina para adolescentes

Adolescent Medicine

Servicios de acompañante para adultos

Adult Companion Services

Cuidado diurno para adultos

Adult Day Care

Hogar de cuidado sustituto para adultos

Adult Foster Care Home

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos

Adult Residential Care Home

Administración de casos enfocados en adultos

Adult Targeted Case Management

Centro para tratar el SIDA

AIDS Center

Alergias e inmunología Allergy & Immunology

Centro de cirugía ambulatoria

Ambulatory Surgery Center

Servicios de vida asistida

Assisted Living Services

Audiología Audiology

Asesoramiento en salud del comportamiento

Behavioral Health Counseling

Centro de salud del comportameinto

Behavioral Health Facility

Centro de maternidad Birthing Center

Laboratorio de cateterismo cardíaco

Cardiac Cath Laboratory

Español InglésElectrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco Cardiac Monitoring

Cardiología Cardiology

Cirugía cardiovascular Cardiovascular Surgery

Cirugía cardiovascular Cardiovascular Surgery

Servicios de administración de casos

Case Management Services

Pediatría de abuso infantil

Child Abuse Pediatrics

Centro de desarrollo para niños

Child Development Center

Administración de casos enfocados en niños

Children Targeted Case Management

Niños con necesidades especiales de cuidado de la salud

Children With Special Health Care Needs

Quiropráctica Chiropractic

Servicios de tareas domésticas y limpieza del hogar

Chore/Housekeeping Services

Clínica Clinic

Neurofisiología clínica

Clinical Neurophysiology

Cirugía de colon y recto

Colon & Rectal Surgery

Centro de salud comunitario

Community Health Center

Centro de salud mental comunitario

Community Mental Health Center

Junta de servicios a la comunidad

Community Service Board

www.wellcare.com/Florida | V


Español InglésCirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables

Consumable Medical Supply Services

Clínica de cuidado conveniente

Convenient Care Clinic

Hospital de acceso crítico

Critical Access Hospital

Odontología Dentistry

Dermatología Dermatology

Dermatopatología Dermatopathology

Centro designado para el sida

Designated Aids Center

Educación sobre la diabetes

Diabetes Education

Centro de diagnóstico y tratamiento

Diagnostic And Treatment Center

Centro de diagnóstico Diagnostic Center

Diagnóstico por imágenes

Diagnostic Imaging

Diálisis Dialysis

Equipo médico duradero

Durable Medical Equipment

Otorrinolaringología Ear, Nose & Throat

Endocrinología, diabetes, metabolismo

Endocrinology, Diabetes, Metabolism

Endodoncia EndodonticsServicios de adaptaciones de accesibilidad al entorno

Environmental Accessibility Adaptation Services

Servicios especiales de EPSDT

EPSDT Special Services

Servicios de acompañante

Escort Services

Español InglésPlanificación familiar Family Planning

Medicina familiar Family Practice

Servicios de capacitación familiar

Family Training Services

Centro de salud con calificación federal

Federally Qualified Health Center

Servicios de evaluación/reducción de riesgos financieros

Financial Risk Assessment/Risk Reduction Services

Centro de aptitud física

Fitness Center

Gastroenterología Gastroenterology

Gastroenterología y hepatología

Gastroenterology & Hepatology

Medicina general General Practice

Cirugía general General Surgery

Asesoramiento genético

Genetic Counseling

Medicina geriátrica Geriatric Medicine

Psiquiatría geriátrica Geriatric Psychiatry

Oncología ginecológica

Gynecological Oncology

Ginecología Gynecology

Cirugía de la mano Hand Surgery

Oncología de cabeza y cuello

Head & Neck Oncology

Cirugía de cabeza y cuello

Head & Neck Surgery

Control de la seguridad de la salud

Health Safety Monitoring

Proveedor de audífonos

Hearing Aid Supplier

Terapia y especialista en audífonos

Hearing Aid Therapy & Specialist

Hematología Hematology

www.wellcare.com/Florida | VI


Español InglésHematología y oncología

Hematology & Oncology

VIH/SIDA HIV/AIDS

Comidas entregadas a domicilio

Home-Delivered Meals

Cuidado de la salud en el hogar

Home Health Care

Hospicio Hospice

Cuidado de hospicio y paliativo

Hospice & Palliative Care

Hospital Hospital

Servicios de limpieza del hogar y tareas domésticas

Housekeeping/Chore Services

Medicina hiperbárica Hyperbaric Medicine

Enfermedades infecciosas

Infectious Disease

Terapia de infusión Infusion Therapy

Medicina interna Internal Medicine

Pruebas de laboratorio de patología

Laboratory Pathology Testing

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Litotripsia Lithotripsy

Imágenes por resonancia magnética

Magnetic Resonance Imaging

Mamografía Mammography

Masoterapia Massage Therapy

Medicina maternofetal

Maternal Fetal Medicine

Genética médica Medical Genetics

Oncología médica Medical Oncology

Administración de medicamentos

Medication Administration

Español InglésDiagnóstico con equipos portátiles

Mobile Diagnostic

MRI, equipos abiertos MRI Open

Medicina perinatal neonatal

Neonatal Perinatal Medicine

Nefrología Nephrology

Neurooncología Neuro Oncology

Discapacidades del desarrollo neurológico

Neurodevelopmental Disabilities

Neurodiagnóstico Neurodiagnostic

Neurología Neurology

Neurología/otología Neurology/Otology

Medicina neuromuscular

Neuromuscular Medicine

Neurooncología Neuro-Oncology

Neuropsicología Neuropsychology

Neurorradiología Neuroradiology

Neurocirugía Neurosurgery

Servicios de transporte sin carácter de emergencia

Non-Emergency Transportation

Cardiología nuclear Nuclear Cardiology

Medicina nuclear Nuclear Medicine

Radiología nuclear Nuclear Radiology

Enfermeras parteras Nurse Midwife

Nutrición NutritionObstetricia ObstetricsObstetricia/Ginecología

Obstetrics/Gynecology

Medicina ocupacional Occupational Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

www.wellcare.com/Florida | VII


Español InglésÓptico OpticianOptometría OptometryCirugía oral y maxilofacial

Oral & Maxillofacial Surgery

Ortodoncia OrthodonticsCirugía ortopédica Orthopaedic SurgeryOrtésica OrthoticsOrtopedia y prostética

Orthotics & Prosthetics

Establecimiento quirúrgico para pacientes ambulatorios

Outpatient Surgical Facility

Tratamiento del dolor

Pain Management

Apoyo para el tratamiento del el dolor

Pain Management Support

Alergias e inmunología pediátricas

Pediatric Allergy & Immunology

Medicina pediátrica del comportamiento

Pediatric Behavioral Medicine

Monitoreo cardíaco pediátrico

Pediatric Cardiac Monitoring

Cardiología pediátrica Pediatric CardiologyCirugía cardiovascular pediátrica

Pediatric Cardiovascular Surgery

Dermatología pediátrica

Pediatric Dermatology

Otorrinolaringología pediáatrica

Pediatric Ear, Nose & Throat

Endocrinología pediátrica

Pediatric Endocrinology

Gastroenterología pediátrica

Pediatric Gastroenterology

Genética pediátrica Pediatric Genetics

Español InglésHematología/oncología pediátricas

Pediatric Hematology/Oncology

Enfermedades infecciosas pediátricas

Pediatric Infectious Disease

Nefrología pediátrica Pediatric Nephrology

Neurología pediátrica Pediatric Neurology

Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology

Oftalmología pediátrica

Pediatric Ophthalmology

Ortopedia pediátrica Pediatric Orthopaedics

Cirugía ortopédica pediátrica

Pediatric Orthopedic Surgery

Psiquiatría pediátrica Pediatric Psychiatry

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica Pediatric Surgery

Hepatología pediátrica y trasplante

Pediatric Transplant Hepatology

Urología pediátrica Pediatric Urology

Pediatría Pediatrics

Comportamiento y desarollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Pedodontics

Periodoncia Periodontics

www.wellcare.com/Florida | VIII


Español InglésServicios de cuidado personal

Personal Care Services

Servicios personales de respuesta de emergencias

Personal Emergency Response System

Farmacia Pharmacy

Medicina física y rehabilitación

Physical Medicine & Rehabilitation

Terapia física Physical Therapy

Laboratorio de fisiología

Physiological Lab

Cirugía plástica y reconstructiva

Plastic & Reconstructive Surgery

Podiatría Podiatry

Medicina preventiva Preventive Medicine

Centro de cuidado primario

Primary Care Center

Aparatos protésicos Prosthetics

Prostodoncia Prosthodontics

Psiquiatría Psychiatry

Psicología Psychology

Medicina psicosomática

Psychosomatic Medicine

Enfermedad pulmonar

Pulmonary Disease

Oncología radioterápica

Radiation Oncology

Radioterapia Radiation Therapy

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology - Interventional & Vascular

Español InglésCentro de rehabilitación

Rehabilitation Facility

Medicina de rehabilitación

Rehabilitation Medicine

Terapia de rehabilitación

Rehabilitation Therapy

Endocrinología reproductiva

Reproductive Endocrinology

Terapia respiratoria Respiratory Therapy

Servicios de cuidado de relevo

Respite Care Services

Reumatología Rheumatology

Centro de salud rural Rural Health Center

Cuidado autodirigido Self-Directed Care

Centro de enfermería especializada

Skilled Nursing Facility

Estudios de diagnóstico del sueño

Sleep Diagnostic Studies

Medicina del sueño Sleep Medicine

Cuidado diurno social

Social Day Care

Terapia del habla Speech Therapy

Medicina para lesiones de médula espinal

Spinal Cord Injury Medicine

Medicina deportiva Sports Medicine

Cuidado subagudo Sub-Acute Care

Abuso de sustancias Substance Abuse

Oncología quirúrgica Surgical Oncology

Monitoreo telecardíaco

Tele-Cardiac Monitoring

Cirugía torácica y cardiovascular

Thoracic & Cardiovascular Surgery

Cirugía torácica Thoracic Surgery

www.wellcare.com/Florida | IX


Español InglésTórax/sistema vascular

Thoracic/Vascular

Hepatología de trasplante

Transplant Hepatology

Centro de cuidado urgente

Urgent Care Center

Urología Urology

Español InglésOncología urológica Urology Oncology

Urología/ginecología Urology/Gynecology

Laboratorio vascular Vascular Lab

Medicina vascular Vascular Medicine

Cirugía vascular Vascular Surgery

* These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book.

* Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.

www.wellcare.com/Florida | X


www.wellcare.com/Florida | XI

Men anyè pwofesyonèl swen medikal Staywell Kids lan. Li gen lis non pwofesyonèl swen medikal ki nan sistèmnou an. Nan pwofesyonèl swen medikal sa yo, gen:

• Doktè prensipal (PCP) ak espesyalis• Lopital• Famasi

Chak pwofesyonèl swen medikal sa yo pran pwòp desizyon pa yo konsènan swen ou bezwen an. Staywell Kidspa responsab desizyon sa yo. Gen kèk pwofesyonèl swen medikal ki pa fè kèk sèvis poutèt kwayans relijye oswakwayans moral.

Nou mete non pwofesyonèl swen medikal yo sou yon lis dapre konte kote to ye a. Lèfini, nou mete yo ansanman gwoup dapre kalite swen oswa sèvis yo fè yo. Epitou, nou mete:

• Adrès ak nimewo telefòn pwofesyonèl swen medikal yo• Senbòl ki pou fè ou konnen si pwofesyonèl swen medikal la ap aksepte nouvo malad, si pwofesyonèl swen

medikal la sètifye oswa si klinik pwofesyonèl la aksesib pou moun ki sou chèz-woulant

Nou gen yon zouti pou gade enfòmasyon sou yon pwofesyonèl swen medikal sou sitwèb nou an. Ale nanwww.wellcare.com/Florida . Lèfini, klike sou senbòl “Find a Provider” a (Jwenn yon pwofesyonèl swen medikal).

W ap kapab chèche pwofesyonèl swen medikal ki egzakteman nan zòn kote ou rete a. Se pi bon kote poujwenn enfòmasyon ki pi ajou nan anyè a.

Rele nou si ou gen kesyon konsènan anyè sa a. Nou ka ede ou jwenn yon pwofesyonèl swen medikal. Nou kamenm ede ou pran yon randevou. Nimewo telefòn gratis nou an se 1-866-698-5437 . Moun ki itilize TTY/TDDkapab rele 711 . Ou ka kontakte nou lendi jiska vandredi, depi 7 a.m. jiska 7 p.m.

Nou swete ou bòn sante.



Kijan pou Li Anyè Pwofesyonèl Swen Medikal nou an

Non pwofesyonèl la Smith, Joe, MD Provider ID: 111111

Li fè konnen si pwofesyonèl la sètifye

Li fè konnen si klinik la gen aksè pou chèz-woulant

Li fè konnen si pwofesyonèl la pap aksepte nouvo malad

Non klinik la Your Family Medical CenterSèks pwofesyonèl swen sante

Male

Pwofesyonèl la adrès ak nimewo telefòn


Laj malad pwofesyonèl swen medikal la wè yo00 Yrs/99 Yrs

Lopital kote pwofesyonèl swen medikal la gen afilyasyonSunshine Hospital

Lang pwofesyonèl la oswa pèsonèl la paleLanguage: Spanish

Lè klinik la ouvri pou travay9:00 am-5:00 pm

Patisipe nan Modèl PCMH*PCMH: YES/NO. Level 1, 2, 3

Gid pou senbòl yo

Li fè konnen si pwofesyonèl la sètifye

Li fè konnen si klinik la gen aksè pou chèz-woulant

Li fè konnen si pwofesyonèl la ap aksepte nouvo malad

*PCMH vle di Kay Medikal ki Konsantre sou Pasyan. Sa a se yon fason pou bay swen ki genpou wè ak yon ekip pwofesyonèl swen sante. Ekip la travay ansanm pou satisfè bezwen chak pasyan. Nou mete pwofesyonèl swen sante yo nan youn nan twa (3) nivo; Nivo 1 (pi ba a), Nivo 2, ak Nivo 3 (pi wo a).

{

www.wellcare.com/Florida | XII


Creole to English Provider Types*/Lis pwofesyonèl yo depi lang Kreyòl jiska lang Angle*

Kreyòl Ayisyen AngleAkiponkti Acupuncture

Sikyatri pou Akoutimans

Addiction Psychiatry

Lamedsin Adolesan Adolescent Medicine

Sèvis Konpay pou Adilt

Adult Companion Services

Gadri Adilt Adult Day Care

Fanmi Plasman pou Adilt

Adult Foster Care Home

Swen Medikal Lajounen pou Adilt

Adult Medical Day Care

Kay Plasman pou Adilt

Adult Residential Care Home

Jesyon dosye ki vize Adult Targeted Case Management

Sant pou Moun ki gen SIDA

AIDS Center

Alèji ak Iminoloji Allergy & Immunology

Sant Operasyon san Pasyan an pa Entène

Ambulatory Surgery Center

Sèvis pou Viv avèk Asistans

Assisted Living Services

Odyoloji Audiology

Konsèy sou Sante Konpòtmantal

Behavioral Health Counseling

Sant Sante Konpòtmantal


Sant Akouchman Birthing Center

Laboratwa Kateteris Kadyak

Cardiac Cath Laboratory

Elektwo-Fizyoloji Kadyak


Siveyans Kadyak Cardiac Monitoring

Kreyòl Ayisyen AngleKadyoloji Cardiology

Operasyon Kadyo-Vaskilè

Cardiovascular Surgery

Operasyon Kadyo-Vaskilè


Sèvis Jesyon Dosye Case Management Services

Pedyatri pou Abi sou Timoun

Child Abuse Pediatrics

Sant Devlopman Timoun

Child Development Center

Jesyon dosye ki Vize pou Timoun

Children Targeted Case Management

Timoun ki Bezwen Swen Sante Espesyal

Children With Special Health Care Needs

Kiwopratik Chiropractic

Sèvis pou Travay nan Kay/Pwòpte nan Kay

Chore/Housekeeping Services

Klinik Clinic

Newo-Fizyoloji Klinik

Clinical Neurophysiology

Operasyon Kolon ak Rektòm


Sant Sante Kominotè

Community Health Center

Sant Sante Mantal Kominotè

Community Mental Health Center

Konsèy Sèvis Kominotè

Community Service Board

Operasyon Kè nan Moman Akouchman

Congenital Cardiac Surgery

Sèvis Materyèl Medikal pou Renouvle Souvan

Consumable Medical Supply Services

www.wellcare.com/Florida | XIII


Kreyòl Ayisyen AngleKlinik Swen Sante Pratik


Lopital ki Gen Aksè Enpòtan


Dantistri Dentistry

Dèmatoloji Dermatology

Dèmato-Patoloji Dermatopathology

Sant Èd ki Deziyen Designated Aids Center

Edikasyon sou Dyabèt

Diabetes Education

Sant pou Dyagnostik ak Tretman

Diagnostic And Treatment Center

Sant Dyagnostik Diagnostic Center

Imajri Dyagnostik Diagnostic Imaging

Dyaliz Dialysis

Ekipman Medikal Dirab

Durable Medical Equipment

Zòrèy, Nen ak Gòj Ear, Nose & Throat

Lamedsin Espò Timoun

Endocrinology, Diabetes, Metabolism

Andodonti Endodontics

Sèvis Adaptasyon Aksesibilite nan Anviwònman

Environmental Accessibility Adaptation Services

Sèvis Espesyal EPSDT

EPSDT Special Services

Sèvis Akonpayman Escort Services

Planing Familyal Family Planning

Pratik pou Lafanmi Family Practice

Sèvis Fòmasyon Fanmi

Family Training Services

Sant Sante ki Gen Kalifikasyon Federal

Federally Qualified Health Center

Kreyòl Ayisyen AngleSèvis Evalyasyon/Rediksyon Risk Finansye

Financial Risk Assessment/Risk Reduction Services

Sant pou Antrènman an

Fitness Center

Gastwo-antewoloji Gastroenterology

Gastwo-Antewoloji ak Epatoloji

Gastroenterology & Hepatology

Pratik Jeneral General Practice

Chiriji Jeneral General Surgery

Konsèy Jenetik Genetic Counseling

Lamedsin Jeryatrik Geriatric Medicine

Sikyatri Timoun Geriatric Psychiatry

Onkoloji Jinekolojik Gynecological Oncology

Jinekoloji Gynecology

Chiriji Men Hand Surgery

Onkoloji Men ak Kou Head & Neck Oncology

Chiriji Men ak Kou Head & Neck Surgery

Kontwòl Sekirite Kadyak

Health Safety Monitoring

Founisè Pwotèz Oditif


Terapi ak Espesyalis Pwotèz Oditif

Hearing Aid Therapy & Specialist

Ematoloji Hematology

Ematoloji ak Onkoloji


VIH/SIDA HIV/AIDS

Repa ki Distribiye nan Kay

Home-Delivered Meals

Swen Sante nan Kay Home Health Care

Enstitisyon ki Ofri Swen pou Soulajman

Hospice

www.wellcare.com/Florida | XIV


Kreyòl Ayisyen Angle

Enstitisyon Swen pou Soulajman ak Swen pou Soulajman

Hospice & Palliative Care

Lopital Hospital

Sèvis pou Pwòpte nan Kay/Travay nan Kay

Housekeeping/Chore Services

Lamedsin Ipèbarik Hyperbaric Medicine

Maladi Enfektye Infectious Disease

Terapi Enjeksyon Infusion Therapy

Lamedsin Entèn Internal Medicine

Tès Patoloji Laboratwa

Laboratory Pathology Testing

Ajans Sèvis Swen nan Kay ki gen Lisans

Licensed Home Care Service Agency

Litotripsi Lithotripsy

Imajri avèk Rezonans Mayetik

Magnetic Resonance Imaging

Mamografi Mammography

Terapi nan Masaj Massage Therapy

Lamedsin Fetis Matènèl


Jenetik Medikal Medical Genetics

Onkoloji Medikal Medical Oncology

Administrasyon Medikaman

Medication Administration

Dyagnostik Mobil Mobile Diagnostic

MRI Ouvè MRI Open

Lamedsin pou Tibebe Apre Akouchman

Neonatal Perinatal Medicine

Nefwoloji Nephrology

Newo-Onkoloji Neuro Oncology

Andikap Newo-Devlòpmantal

Neurodevelopmental Disabilities

Newo-Dyagnostik Neurodiagnostic


Newoloji Neurology

Newoloji/Otoloji Neurology/Otology

Lamedsin Newo-Miskilè

Neuromuscular Medicine

Newo-Onkoloji Neuro-Oncology

Newo-Sikoloji Neuropsychology

Newo-Radyoloji Neuroradiology

Newo-Chiriji Neurosurgery

Sèvis Transpò ki pa pou Ijans

Non-Emergency Transportation

Kadyoloji Nikleyè Nuclear Cardiology

Lamedsin Nikleyè Nuclear Medicine

Radyoloji Nikleyè Nuclear Radiology

Fanmsaj Enfimyè Nurse Midwife

Nitrisyon Nutrition

Obstetrik Obstetrics

Obstetrik/Jinekoloji Obstetrics/Gynecology

Lamedsin Travay Occupational Medicine

Ègoterapi Occupational Therapy

Oftalmoloji Ophthalmology

Optisyen Optician

Optometri Optometry

Operasyon nan Bouch, nan Maksilyè ak nan Figi

Oral & Maxillofacial Surgery

Òtodonti Orthodontics

Operasyon Òtopedik Orthopaedic Surgery

Òtetik Orthotics

Òtetik ak Pwostetik Orthotics & Prosthetics

www.wellcare.com/Florida | XV



Sant Chirijikal pou Pasyan ki pa Entène

Outpatient Surgical Facility

Kontwòl Doulè Pain Management

Sipò pou Kontwole Doulè

Pain Management Support

Alèji ak Iminoloji Timoun

Pediatric Allergy & Immunology

Lamedsin Konpòtmantal Timoun

Pediatric Behavioral Medicine

Kontwòl Kadyak Timoun

Pediatric Cardiac Monitoring

Kadyoloji Timoun Pediatric Cardiology

Operasyon Kadyo-Vaskilè Timoun

Pediatric Cardiovascular Surgery

Dèmatoloji Timoun Pediatric Dermatology

Zòrèy, Nen ak Gòj Timoun

Pediatric Ear, Nose & Throat

Andokrinoloji Timoun


Gastwo-Antewoloji Timoun

Pediatric Gastroenterology

Jenetik Timoun Pediatric Genetics

Ematoloji/Onkoloji Timoun


Maladi Kontajye Timoun

Pediatric Infectious Disease

Nefwoloji Timoun Pediatric Nephrology

Newoloji Timoun Pediatric Neurology

Newo-Chiriji Timoun


Onkoloji Timoun Pediatric Oncology

Oftalmoloji Timoun Pediatric Ophthalmology

Òtopedik Timoun Pediatric Orthopaedics


Chiriji Òtopedik Timoun

Pediatric Orthopedic Surgery

Sikyatri Timoun Pediatric Psychiatry

Nemoloji Timoun Pediatric Pulmonology

Lamedsin Reyabilitasyon Timoun

Pediatric Rehabilitation Medicine

Rimatoloji Timoun Pediatric Rheumatology

Lamedsin Espò Timoun

Pediatric Sports Medicine

Chiriji Timoun Pediatric Surgery

Epatoloji Transplantasyon Timoun

Pediatric Transplant Hepatology

Iwoloji Timoun Pediatric Urology

Pedyatri Pediatrics

Konpòtman ak Devlopman Timoun

Pediatrics Behavioral & Developmental

Pedodonti Pedodontics

Pawodonti Periodontics

Sèvis Swen Pèsonèl Personal Care Services

Sistèm Repons pou Ijans Pèsonèl

Personal Emergency Response System

Famasi Pharmacy

Lamedsin ak Reyabilitasyon Fizik

Physical Medicine & Rehabilitation

Terapi Fizik Physical Therapy

Laboratwa Fizyolojik Physiological Lab

Chiriji Plastik ak Rekonstwiktif

Plastic & Reconstructive Surgery

Podoloji Podiatry

Lamedsin pou Prekosyon

Preventive Medicine

www.wellcare.com/Florida | XVI



Sant Swen Sante Prensipal

Primary Care Center

Pwotèz Prosthetics

Pwostodonti Prosthodontics

Sikyatri Psychiatry

Sikoloji Psychology

Lamedsin Siko-Somatik

Psychosomatic Medicine

Maladi Poumon Pulmonary Disease

Radyo-Onkoloji Radiation Oncology

Radyoterapi Radiation Therapy

Sant Radyoterapi Radiation Therapy Center

Radyoloji - Entèvansyon ak Vaskilè

Radiology - Interventional & Vascular

Sant Reyabilitasyon Rehabilitation Facility

Medikaman pou Reyabilitasyon

Rehabilitation Medicine

Terapi Reyabilitasyon

Rehabilitation Therapy

Andokrinoloji Repwodiktif

Reproductive Endocrinology

Terapi Respiratwa Respiratory Therapy

Sèvis Swen pou Pran Repo

Respite Care Services

Rimatoloji Rheumatology

Sant Sante Riral Rural Health Center

Swen Endepandan Self-Directed Care


Kay Retrèt Kalifye Skilled Nursing Facility

Etid Dyagnostik Somèy

Sleep Diagnostic Studies

Lamedsin Somèy Sleep Medicine

Gadri Sosyal Social Day Care

Òtofoni Speech Therapy

Lamedsin Chòk nan Mwal Epinyè

Spinal Cord Injury Medicine

Lamedsin Espò Sports Medicine

Swen Kontini Sub-Acute Care

Abi Dwòg/Alkòl Substance Abuse

Onkoloji Chirijikal Surgical Oncology

Tele-Kontwòl Kadyak

Tele-Cardiac Monitoring

Chiriji Torasik ak Kadyo-Vaskilè

Thoracic & Cardiovascular Surgery

Chiriji Torasik Thoracic Surgery

Torasik/Vaskilè Thoracic/Vascular

Epatoloji Transplantasyon

Transplant Hepatology

Sant Swen Ijan Urgent Care Center

Iwoloji Urology

Onkoloji Iwoloji Urology Oncology

Iwoloji/Jinekoloji Urology/Gynecology

Laboratwa Vaskilè Vascular Lab

Lamedsin Vaskilè Vascular Medicine

Chiriji Vaskilè Vascular Surgery

* These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book.

* Sa yo se kèk kalite pwofesyonèl swen medikal sèlman. Ou ka jwenn yon kalite pwofesyonèl an patikilye nan Lis Espesyalite a. Ou ka jwenn li nan dènye paj liv sa a.

www.wellcare.com/Florida | XVII


List of Plan ProvidersLista de proveedores del plan

Lis Pwofesyonel SWen Medikal ki nan Plan an

Updated: 07/03/2019

Primary Care PhysiciansBay

www.wellcare.com/Florida | 1

Family Practice

Jacobson, Thomas MD

Provider ID: 1150438Gender: MaleGulf Coast Medical CenterPrimary C4121 W Hwy 98Panama City, FL 32401(850) 872-9701Fax: (850) 872-056700 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 8:00 PMSat 9:30 AM - 6:00 PMPCMH: No

Jacobson, Thomas MDProvider ID: 1805168Gender: MaleGulf Coast Medical CenterPrimary C16181 Panama City Beach PkwyPanama City Beach, FL 32413(850) 872-9701Fax: (850) 249-100900 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat 9:30 AM - 6:00 PMPCMH: No

Khan, Ashraf MDProvider ID: 922191Gender: MaleAshraf Khan MD LLC3808 E 3rd StPanama City, FL 32401(850) 785-9511Fax: (850) 763-949400 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Nation, Roman MDProvider ID: 1428591Gender: MaleNation's Best Family HealthCare, P817 Ohio AveLynn Haven, FL 32444(850) 481-1101Fax: (850) 441-374800 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Reams, Joshua MDProvider ID: 1580387Gender: MaleBay Medical Physician Group23040 Panama City BeachPkwyPanama City, FL 32413(850) 770-3230Fax: (850) 770-323500 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Abdulrahim, Mohammed MD

Provider ID: 195007Gender: MaleMohammed Yahia AbdulRahim MD200 W 19th StPanama City, FL 32405(850) 872-0021Fax: (850) 872-808800 Yrs/21 YrsBay Medical CenterGulf Coast Medical CentercLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Al Yahia, Musab MDProvider ID: 1094873Gender: MaleFuture Pediatrics12216 PC Beach Pkwy Ste BPanama City Beach, FL 32407(850) 236-0488Fax: (850) 249-091700 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Al Yahia, Musab MDProvider ID: 1647274Gender: MalePanama City Pediatrics621 W Baldwin Rd Ste APanama City, FL 32405(850) 747-3661Fax: (850) 747-019400 Yrs/21 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 4:00 PMPCMH: No

Al-Farawi, Khaled MDProvider ID: 1647095Gender: MaleBaldwin Pediatrix PA528 W Baldwin Rd Ste BPanama City, FL 32405(850) 522-1522Fax: (850) 522-592500 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bohn, Aimee MDProvider ID: 1655316Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bohn, Aimee MDProvider ID: 1655316Gender: FemaleRainbow Pediatrics PC LLC2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bohn, Aimee MDProvider ID: 1655317Gender: FemaleRainbow Pediatrics PC LLC10800 PC Beach Pkwy Ste 400Panama City, FL 32407(850) 257-5524Fax: (850) 257-563800 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ebeid, Hasan MDProvider ID: 673174Gender: MaleSamir H Ebeid MD PA2202 State Ave Ste 302Panama City, FL 32405(850) 785-0321Fax: (850) 784-995500 Yrs/21 YrsGulf Coast Medical CentercLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Ebeid, Samir MDProvider ID: 003174Gender: MaleSamir H Ebeid MD PA2202 State Ave Ste 302Panama City, FL 32405(850) 785-0321Fax: (850) 784-995500 Yrs/21 YrsBay Medical CenterGulf Coast Medical CentercLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Kenawy, Eehab MDProvider ID: 459988Gender: MaleEmerald Coast Pediatrics621 W Baldwin Rd Ste APanama City, FL 32405(850) 747-3661Fax: (850) 747-019400 Yrs/21 YrsBay Medical CenterLanguages: ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 4:00 PMSat 9:00 AM - 12:00 PMPCMH: No


Primary Care PhysiciansBay

Updated: 07/03/2019


Pediatrics - cont.

Mohamed, Ahmed MDProvider ID: 409996Gender: MaleFuture Pediatrics LLC292 Forest Park CirPanama City, FL 32405(850) 767-4777Fax: (850) 763-498800 Yrs/18 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMSat 10:00 AM - 1:00 PMPCMH: No

Rezk, Ahmed MDProvider ID: 1309450Gender: MaleRainbow Pediatrics2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sprenkle, Marilyn MD

Provider ID: 1321625Gender: FemaleCoastal Pediatric Group, LLC22901 Panama City BeachPkwyPanama City Beach, FL 32413(850) 659-6556Fax: (850) 249-130800 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Vadlamani Simmers, LalithaMD

Provider ID: 1693928Gender: FemaleRainbow Pediatrics PC LLC10800 PC Beach Pkwy Ste 400Panama City, FL 32407(850) 249-3500Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1693929Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1693929Gender: FemaleRainbow Pediatrics PC LLC2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Zeinomar, Mohammed MD

Provider ID: 358000Gender: MaleClinic of Pediatrics GIMedicine102 Medical Center DrPanama City, FL 32405(850) 913-1666Fax: (850) 913-154900 Yrs/21 YrsBay Medical CenterLanguages: ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No


Primary Care PhysiciansEscambia

Updated: 07/03/2019


Family Practice

Brandhorst, Michelle MDProvider ID: 195331Gender: FemaleSacred Heart Medical Group4501 N Davis Hwy Ste APensacola, FL 32503(850) 476-9000Fax: (850) 478-233200 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Denapoles, Christopher MD

Provider ID: 1654844Gender: MalePensacola Primary Care IncDBA West2360 S Hwy 29Cantonment, FL 32533(850) 968-2083Fax: (866) 390-134302 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Fleming, Juanita MDProvider ID: 814501Gender: FemaleEscambia Community Clinic14 W Jordan St Ste 2GPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-TH 8:00 AM - 6:00 PMF 8:00 AM - 12:00 PMPCMH: No

Gahagan, James DOProvider ID: 806756Gender: MaleShmg Sports Med and PCDowntown151 W Main StPensacola, FL 32502(850) 416-7544Fax: (850) 416-754500 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Garg, Purushottam MD

Provider ID: 203760Gender: Male5500 N Davis Hwy Ste 2Pensacola, FL 32503(850) 475-0867Fax: (850) 475-089500 Yrs/130 YrsSacred Heart HospitalSouth Florida Baptist HospitalWest Florida HospitalLanguages: HindiM-F 8:00 AM - 5:00 PMPCMH: No

Gisbert, Celine MDProvider ID: 1264832Gender: FemaleSacred Heart Medical Group151 W Main St Ste 101Pensacola, FL 32502(850) 416-7544Fax: (850) 416-754500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Greenlee, Samuel MDProvider ID: 195473Gender: Male1500 N Pace BlvdPensacola, FL 32505(850) 435-8998Fax: (850) 435-899500 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Ham, Philip DOProvider ID: 1207671Gender: MaleWest Florida Primary Care -Kingsfi2360 S Hwy 29Cantonment, FL 32533(850) 857-4040Fax: (850) 968-602400 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ham, Philip DOProvider ID: 625530Gender: MalePensacola Primary Care, Inc7458 Pine Forest RdPensacola, FL 32526(850) 434-4600Fax: (850) 941-008403 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Hawthorne, Serda MD

Provider ID: 1163614Gender: FemalePensacola Primary Care1190 E Nine Mile RdPensacola, FL 32514(850) 494-4600Fax: (855) 516-436800 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3

Henson, Roger MDProvider ID: 195272Gender: MaleRoger L Henson MD2995 Langley AvePensacola, FL 32504(850) 477-4634Fax: (850) 857-778200 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Hudson, Janice MD

Provider ID: 1449363Gender: FemalePensacola Primary Care Inc4244 Avalon BlvdCantonment, FL 32533(850) 494-4600Fax: (850) 983-402505 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kasabian, Michael DO

Provider ID: 1203245Gender: MaleWest Florida Primary Care4601 Spanish TrlPensacola, FL 32504(850) 432-9224Fax: (850) 433-894000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kasabian, Michael DO

Provider ID: 406525Gender: MalePensacola Primary Care Inc6431 N W StPensacola, FL 32505(850) 474-3660Fax: (850) 474-365900 Yrs/130 YrsBethesda Memorial HospitalJFK Medical CenterWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Konell, Benjamin DO

Provider ID: 1299145Gender: MaleWest Florida Primary Care321 S Fairfield DrPensacola, FL 32506(850) 458-4200Fax: (850) 456-722200 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Miniat, Stephen MD

Provider ID: 1544227Gender: MaleSacred Heart Medical Group4929 Mobile HwyPensacola, FL 32506(850) 453-3281Fax: (850) 453-449100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Family Practice - cont.

Moore, Gregory MDProvider ID: 1239921Gender: MaleWest Florida Primary Care -Kingsfi2360 S Hwy 29Cantonment, FL 32533(850) 968-2083Fax: (850) 968-602400 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Osban, Wendy DO

Provider ID: 373592Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Padden, Maureen MD

Provider ID: 1500385Gender: FemaleDavis Hwy Primary Care4501 N Davis Hwy Ste APensacola, FL 32503(850) 476-9000Fax: (850) 478-233200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Padden, Maureen MD

Provider ID: 1500386Gender: FemaleDavis Hwy Primary Care4501 N Davis Hwy Ste CPensacola, FL 32503(850) 476-9000Fax: (850) 478-233200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Padden, Maureen MD

Provider ID: 1500387Gender: FemaleDavis Hwy Primary Care151 W Main StPensacola, FL 32502(850) 416-7544Fax: (850) 416-754500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pocta, Melissa MDProvider ID: 610684Gender: FemaleSanta Rosa Community Clinic2200 N Palafox StPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Robins, Ross MDProvider ID: 217860Gender: MaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-0020Fax: (850) 492-634000 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 6:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Rush, Christopher MDProvider ID: 1156661Gender: MaleWest Florida Primary Care4601 Spanish TrailPensacola, FL 32504(850) 494-4600Fax: (850) 433-894000 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Rush, Christopher MD

Provider ID: 402210Gender: MalePensacola Primary Care7458 Pine Forest RdPensacola, FL 32526(850) 494-4600Fax: (850) 941-008400 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: Yes, Level 3

Saguan, Dannette MDProvider ID: 1217442Gender: FemaleEscambia Community ClinicsAt Lakev1221 W Lakeview Ave Bldg EPensacola, FL 32501(850) 469-3890Fax: (850) 436-209500 Yrs/18 YrsM-F 7:30 AM - 4:00 PMPCMH: Yes, Level 1

Saguan, Dannette MDProvider ID: 797407Gender: Female1221 Hernandez StPensacola, FL 32503(850) 469-389000 Yrs/130 YrsPCMH: No

Schuka, Edward MD

Provider ID: 1490876Gender: MalePensacola Primary Care Inc1190 E Nine Mile RdPensacola, FL 32514(850) 494-4600Fax: (855) 516-436800 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sindhu, Pallavi MDProvider ID: 1491029Gender: FemaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-0020Fax: (850) 492-634000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Snow, Karen MDProvider ID: 620994Gender: FemaleWoodlands MedicalSpecialists PA1921 E Nine Mile RdPensacola, FL 32514(850) 479-4791Fax: (850) 494-226000 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tarnosky, Adam MD

Provider ID: 245917Gender: MaleSacred Heart Medical Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Waddington, Eric MD

Provider ID: 1493271Gender: MaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-0020Fax: (850) 492-634000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Whibbs, William MDProvider ID: 177376Gender: MaleEscambia Community Clinics14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Whitaker, Sonja MD

Provider ID: 1142184Gender: FemaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-0020Fax: (850) 492-634000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Whitehead, Mitchell MD

Provider ID: 1800427Gender: MaleAids Healthcare Foundation4300 Bayou Blvd Ste 17DPensacola, FL 32503(850) 476-3131Fax: (850) 476-484818 Yrs/130 YrsMWF 8:00 AM - 5:00 PMT 8:00 AM - 6:30 PMTH 6:30 AM - 5:00 PMPCMH: No

Willis, William MD

Provider ID: 676150Gender: MalePensacola Primary Care Inc2360 S Hwy 29Cantonment, FL 32533(850) 968-2083Fax: (850) 968-602400 Yrs/130 YrsWest Florida HospitalM 8:00 AM - 6:00 PMPCMH: No

Wilson, William DOProvider ID: 203660Gender: MaleWilson Family Medical6160 N Davis Hwy Ste 12Pensacola, FL 32504(850) 476-0003Fax: (850) 476-472400 Yrs/130 YrsSacred Heart HospitalM 8:00 AM - 5:00 PMPCMH: No

Pediatrics

Aflak, Rafah MDProvider ID: 1031042Gender: FemaleSacred Heart Medical Group185 Crossville StCantonment, FL 32533(850) 478-5440Fax: (850) 416-774400 Yrs/21 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Andrews, Carol MDProvider ID: 187177Gender: FemalePensacola Pediatrics4951 Grande DrPensacola, FL 32504(850) 473-0100Fax: (850) 473-050000 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Benny, Ulrike MDProvider ID: 449384Gender: FemalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1100Fax: (850) 478-428900 Yrs/18 YrsSacred Heart HospitalLanguages: Spanish, GermanM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Burns, James MDProvider ID: 568295Gender: MaleUniversity Pediatric Prog1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-447410 Yrs/20 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Cordell, Jeneile MDProvider ID: 423286Gender: FemalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1100Fax: (850) 478-428900 Yrs/21 YrsSacred Heart HospitalLanguages: VietnameseM-F 9:00 AM - 5:00 PMPCMH: No

Cordell, Jeneile MDProvider ID: 783524Gender: FemalePediatric Associates PA12385 Sorrento Rd C 4Pensacola, FL 32507(850) 492-5433Fax: (850) 492-899900 Yrs/18 YrsSacred Heart HospitalLanguages: VietnameseM-F 9:00 AM - 5:00 PMPCMH: No

Ewert, Jessica MDProvider ID: 534293Gender: FemalePensacola Pediatrics PA4951 Grande DrPensacola, FL 32504(850) 473-0100Fax: (850) 473-050000 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Fitzharris, Susie MD

Provider ID: 664790Gender: FemalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1100Fax: (850) 478-428900 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No


Provider ID: 664792Gender: FemalePediatric Associates PA12385 Sorrento Rd Ste C4Pensacola, FL 32507(850) 492-5433Fax: (850) 492-899900 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Grier-Hall, Pamela MD

Provider ID: 161837Gender: FemaleFirst Steps Pediatrics PA5868 Creek Station Dr Bldg APensacola, FL 32504(850) 478-1244Fax: (850) 478-189400 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 1



Updated: 07/03/2019


Pediatrics - cont.

Jaalouk, Dina MDProvider ID: 227856Gender: FemaleFirst Steps Pediatrics PA5868 Creek Station Dr Bldg APensacola, FL 32504(850) 478-1244Fax: (850) 478-189400 Yrs/21 YrsSacred Heart HospitalLanguages: French, German,ArabicM-TH 8:30 AM - 4:00 PMF 8:30 AM - 12:30 PMPCMH: Yes, Level 1

Lanza, Quetheline MD

Provider ID: 1024997Gender: FemaleEscambia Community ClinicUrgent Ca2510 N 12th AvePensacola, FL 32503(850) 471-0508Fax: (850) 471-051000 Yrs/18 YrsSacred Heart HospitalLanguages: Spanish, FrenchMTWTHFSatSun 8:00 AM -6:00 PMPCMH: Yes, Level 1

Lanza, Quetheline MDProvider ID: 1067023Gender: FemaleEscambia Community Clinic1221 W Lakeview AvePensacola, FL 32501(850) 429-6993Fax: (850) 436-209500 Yrs/18 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

Murray, Patrick MDProvider ID: 166187Gender: MalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1104Fax: (850) 607-830200 Yrs/18 YrsSacred Heart HospitalM-F 7:30 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 3:00 AM - 6:00 PMPCMH: No

Murray, Patrick MDProvider ID: 166190Gender: MalePediatric Associates PA12385 Sorrento Rd Ste C4Pensacola, FL 32507(850) 492-5433Fax: (850) 607-830200 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Ogrady, Mary MDProvider ID: 782953Gender: FemalePediatric Associates PA5190 Bayou Blvd Bldg 7Pensacola, FL 32503(850) 478-1104Fax: (850) 607-830200 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

O'Grady, Mary MDProvider ID: 798757Gender: FemalePediatric Associates PA12385 Sorrento Rd C-4Pensacola, FL 32507(850) 478-1104Fax: (850) 607-830200 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ravenel II, Samuel MDProvider ID: 1233004Gender: MalePediatric Associates PA12385 Sorrento Rd Ste C4Pensacola, FL 32507(850) 492-5433Fax: (850) 607-830200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ravenel II, Samuel MDProvider ID: 1233005Gender: MalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1104Fax: (850) 607-830200 Yrs/18 YrsM-F 7:30 AM - 6:30 PMSat-Sun 8:00 AM - 12:00 PMPCMH: No

Sayre, Robert MDProvider ID: 690167Gender: MaleEast Hill Medical Group99 S Alcaniz St Ste BPensacola, FL 32502(850) 437-0035Fax: (850) 429-000500 Yrs/21 YrsSacred Heart HospitalM-F 9:00 AM - 6:00 PMPCMH: No

Southwick, Matthew MD

Provider ID: 1764816Gender: MaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/18 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Southwick, Matthew MD

Provider ID: 1776910Gender: Male2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Stadden, Jennifer MD

Provider ID: 710316Gender: FemalePensacola Pediatrics, PA9301 Beatrice DrPensacola, FL 32514(850) 476-7555Fax: (850) 466-377700 Yrs/18 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Stadden, Jennifer MD

Provider ID: 724887Gender: FemalePensacola Pediatrics, PA4951 Grande DrPensacola, FL 32504(850) 473-0100Fax: (850) 473-050000 Yrs/18 YrsSacred Heart HospitalM-TH 8:00 AM - 5:00 PMFSat 8:00 AM - 12:00 PMPCMH: No

Stewart, Marian MDProvider ID: 1275529Gender: FemaleEscambia Community Clinics,Inc Center501 Church StCentury, FL 32535(850) 722-4405Fax: (850) 724-417000 Yrs/21 YrsM-TH 7:30 AM - 4:00 PMF 7:30 AM - 1:00 PMPCMH: Yes, Level 1



Updated: 07/03/2019


Pediatrics - cont.

Strahan, Richard MDProvider ID: 1576746Gender: Male2120 E Johnson Ave Ste 103Pensacola, FL 32514(850) 494-396500 Yrs/18 YrsPCMH: No

Strahan, Richard MD

Provider ID: 1576746Gender: MalePensacola Pediatrics PA2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Thompson, Jennifer MD

Provider ID: 781137Gender: FemalePediatric Associates PA12385 Sorrento Rd Ste C4Pensacola, FL 32507(850) 492-5433Fax: (850) 492-899900 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Victoriano, Mylene MD

Provider ID: 293935Gender: FemaleChildrens Clinic of PensacolaPA909 Garden Gate CirPensacola, FL 32504(850) 477-5475Fax: (850) 477-818600 Yrs/17 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: TagalogM-TH 8:30 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Victoriano, Ronald MD

Provider ID: 960040Gender: MaleChildrens Clinic of PensacolaPA945 W Michigan Ave Ste 10CPensacola, FL 32504(850) 332-6788Fax: (888) 660-195300 Yrs/17 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Wilkinson, Diane MDProvider ID: 1450422Gender: FemaleSacred Heart Medical Group1295 W Fairfield DrPensacola, FL 32501(850) 416-7710Fax: (850) 416-447400 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Yurttutan Engin, Nesrin MD

Provider ID: 1469473Gender: FemaleEscambia Community Clinics1295 W Fairfield DrPensacola, FL 32501(850) 416-7710Fax: (850) 416-447400 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Primary Care PhysiciansUpdated: 07/03/2019


HolmesFamily Practice

Bailey, Leisa MDProvider ID: 3268Gender: FemaleBailey Family Practice101 E Wisconsin AveBonifay, FL 32425(850) 547-2209Fax: (850) 547-452100 Yrs/130 YrsDoctors Memorial HospitalJackson HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hawkins, Patrick MDProvider ID: 714818Gender: MaleHawkins Family Medicine3120 Southride LnBonifay, FL 32425(850) 547-4440Fax: (850) 547-444100 Yrs/21 YrsDoctors Memorial HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Primary Care PhysiciansOkaloosa

Updated: 07/03/2019


Family Practice

Barnes, Ronald MD

Provider ID: 1487734Gender: MaleWhite Wilson Medical CenterPA1005 Mar Walt DrFt Walton Beach, FL 32547(850) 863-6600Fax: (850) 862-097700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Brooks, Kara MDProvider ID: 541353Gender: FemaleSacred Heart Medical Group@ Crestv550 Redstone Ave W Ste 200Crestview, FL 32536(850) 682-6122Fax: (850) 682-591700 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Cooper, Mark MDProvider ID: 279221Gender: MaleSacred Heart Medical Group550 Redstone Ave W Ste 200Crestview, FL 32536(850) 682-6122Fax: (850) 682-591700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3

Green, Kathy MDProvider ID: 1182505Gender: FemaleSacred Heart Medical Group4586 E Hwy 20 Ste BNiceville, FL 32578(850) 897-3200Fax: (850) 897-235318 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hudson, Kerrian MD

Provider ID: 1084657Gender: FemaleShmg PC At Destin Med Park36500 Emerald Coast PkwyDestin, FL 32541(850) 837-0032Fax: (850) 278-382600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, John MDProvider ID: 586034Gender: MaleSacred Heart Medical Group@ Crestv550 Redstone Ave W Ste 200Crestview, FL 32536(850) 682-6122Fax: (850) 682-591700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Manuel, Ana MDProvider ID: 1821448Gender: FemaleNorth Okaloosa PhysicianGroup Mult1005 Mar Walt DrFt Walton Bch, FL 32547(850) 863-6600Fax: (850) 862-097700 Yrs/130 YrsM-F 8:30 AM - 4:30 PMPCMH: No

Mills, John MDProvider ID: 1248975Gender: MaleWhite Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sadat, Mohammad MD

Provider ID: 1774916Gender: MaleCrestview Health Center800 Hospital DrCrestview, FL 32539(850) 682-1164Fax: (850) 682-530200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Internal Medicine

Parker, Michelle MDProvider ID: 1469380Gender: FemaleShmg PC At Destin Med Park36500 Emerald Coast PkwyDestin, FL 32541(850) 837-0032Fax: (850) 650-278700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatrics

Barbon-Guisasola, AlbertoMD

Provider ID: 731738Gender: MaleABC Pediatrics of OkaloosaPA182 E Redstone Ave Ste BCrestview, FL 32539(850) 689-0900Fax: (850) 689-091200 Yrs/18 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Chiles, John MDProvider ID: 1344835Gender: MaleWhite Wilson Medical Group1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8203Fax: (850) 863-811300 Yrs/18 YrsM-F 8:30 AM - 4:30 PMSat 9:00 AM - 12:00 PMPCMH: No

Manuel, Mervin MDProvider ID: 1355857Gender: MaleNorth Okaloosa Clinic Corp130 E Redstone AveCrestview, FL 32539(850) 398-8725Fax: (850) 398-872700 Yrs/21 YrsLanguages: Spanish, TagalogMTTHF 7:00 AM - 4:00 PMW 7:0 AM - 4:00 PMPCMH: No

Meeks, Evan MDProvider ID: 908057Gender: MaleWhite Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062300 Yrs/21 YrsM-F 7:00 AM - 7:00 PMPCMH: Yes, Level 3

Reno, Richard MDProvider ID: 213207Gender: MaleWhite Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/21 YrsLanguages: Spanish, RussianM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3

Rigby, Douglas MDProvider ID: 188303Gender: MaleWhite Wilson Medical CenterPA1005 Mar Walt DrFt Walton Bch, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/18 YrsM-F 8:30 AM - 5:00 PMPCMH: Yes, Level 3


Primary Care PhysiciansOkaloosa

Updated: 07/03/2019


Pediatrics - cont.

Shelton, Robert MD

Provider ID: 753096Gender: MaleWhite Wilson Medical CenterPA1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/18 YrsM-F 8:30 AM - 5:00 PMPCMH: Yes, Level 3

Simmers, Kyle MDProvider ID: 370886Gender: MaleWhite Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062300 Yrs/21 YrsM-F 7:00 AM - 7:00 PMPCMH: Yes, Level 3

Smith, Irina MDProvider ID: 1428606Gender: FemaleWhite Wilson MedicalCenters PA990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/18 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Susong, Rebecca MDProvider ID: 1289524Gender: FemaleSacred Heart Medical Group332 Medcrest DrCrestview, FL 32536(850) 683-5100Fax: (850) 683-510200 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wakefield, William MD

Provider ID: 1559720Gender: MaleSacred Heart Medical Group332 Medcrest DrCrestview, FL 32536(850) 683-5100Fax: (850) 683-510200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Primary Care PhysiciansSanta Rosa

Updated: 07/03/2019


Family Practice

Ates, Mark MDProvider ID: 203800Gender: MaleSanta Rosa Hma PhysicianManagement4225 Woodbine Rd Ste APace, FL 32571(850) 994-6575Fax: (850) 994-564300 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 4:30 PMPCMH: No

Brinker, Jeffrey MDProvider ID: 1220931Gender: MaleSacred Heart Medical Group4033 Gulf Breeze Pkwy Ste BGulf Breeze, FL 32563(850) 932-9251Fax: (850) 932-919900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cave, Christopher MD

Provider ID: 201038Gender: MaleWhite Wilson Medical Center8990 Navarre Pkwy Ste ANavarre, FL 32566(850) 396-0108Fax: (850) 939-493300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Elder, Mark DOProvider ID: 934892Gender: MalePanhandle Rural Health DBAJay Medi14088 Alabama StJay, FL 32565(850) 675-4546Fax: (850) 675-454800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Garg, Purushottam MD

Provider ID: 203761Gender: Male5553 Hwy 90Pace, FL 32571(850) 995-8811Fax: (850) 995-881000 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterSouth Florida Baptist HospitalLanguages: HindiM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Henson, Andrew MDProvider ID: 1128344Gender: MalePace Primary Care3754 Hwy 90 Ste 200Pace, FL 32571(850) 416-5200Fax: (850) 416-520100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hudson, Diane MDProvider ID: 1370160Gender: FemaleSanta Rosa Community ClinicPA5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (890) 365-040018 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: Yes, Level 1

Kincaid, Robert DO

Provider ID: 478300Gender: MaleSacred Heart Medical Group3754 Hwy 90 Ste 200Milton, FL 32571(850) 416-5200Fax: (850) 416-520100 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Messick Jr, Chester MD

Provider ID: 751173Gender: MaleWest Florida Primary Care4262 Woodbine RdMilton, FL 32571(850) 995-4798Fax: (855) 712-263300 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: Yes, Level 3

Mills, John MDProvider ID: 1248976Gender: MaleWhite Wilson Medical Center8990 Navarre PkwyNavarre, FL 32566(850) 396-0108Fax: (850) 939-493305 Yrs/130 YrsM-F 7:30 AM - 7:00 PMSat 8:00 AM - 4:00 PMPCMH: No

Mills, John MDProvider ID: 1248977Gender: MaleWhite Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062305 Yrs/130 YrsM-F 7:30 AM - 7:00 PMSat 8:00 AM - 4:00 PMPCMH: No

Payne-Johnson, Ann MD

Provider ID: 681258Gender: FemaleSacred Heart Medical Group3754 Hwy 90 Ste 200Milton, FL 32571(850) 416-5200Fax: (850) 416-520100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Smith, John-Stewart MDProvider ID: 414535Gender: MaleJax Medical Clinic14088 Alabama StJay, FL 32565(850) 675-4546Fax: (850) 675-454803 Yrs/130 YrsMWTHF 8:00 AM - 5:00 PMT 8:00 AM - 8:00 PMPCMH: No

Westafer, Anita MDProvider ID: 1091761Gender: FemaleShmg PA @ Gulf Breeze2569 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 934-0932Fax: (850) 934-073705 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Internal Medicine

Kelley, Jeffery MDProvider ID: 414534Gender: MaleJay Medical Clinic14088 Alabama StJay, FL 32565(850) 675-4546Fax: (850) 675-454800 Yrs/130 YrsMWTHF 9:00 AM - 5:00 PMT 9:00 AM - 8:00 PMPCMH: No

Pediatrics

Barker, Heidi DOProvider ID: 1029468Gender: FemaleSacred Heart Medical Group5565 Woodbine RdPace, FL 32571(850) 994-5010Fax: (850) 994-027200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Primary Care PhysiciansSanta Rosa

Updated: 07/03/2019


Pediatrics - cont.

Benny, Ulrike MDProvider ID: 783486Gender: FemalePediatric Associates PA4591 Santa Villa DrPace, FL 32571(850) 994-0901Fax: (850) 994-274000 Yrs/18 YrsSacred Heart HospitalLanguages: Spanish, GermanM-F 9:00 AM - 5:00 PMSat-Sun 8:30 AM - 12:00 PMPCMH: No

Berger, Paul MDProvider ID: 997650Gender: MaleWhite Wilson Medical Center8990 Navarre Pkwy Ste ANavarre, FL 32566(850) 396-0108Fax: (850) 939-493300 Yrs/18 YrsSacred Heart HospitalM-F 8:30 AM - 4:30 PMPCMH: Yes, Level 3

Cordell, Jeneile MDProvider ID: 783504Gender: FemalePediatric Associates PA4591 Santa Villa DrPace, FL 32571(850) 994-0901Fax: (850) 994-274000 Yrs/18 YrsSacred Heart HospitalLanguages: VietnameseM-F 9:00 AM - 5:00 PMSat-Sun 8:30 AM - 12:00 PMPCMH: No


Provider ID: 664793Gender: FemalePediatric Associates PA4591 Santa Villa DrMilton, FL 32571(850) 994-0901Fax: (850) 994-274000 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMSat-Sun 8:30 AM - 12:00 PMPCMH: No

Lanza, Quetheline MDProvider ID: 1066540Gender: FemaleEscambia Community ClinicUrgent Ca5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/18 YrsSacred Heart HospitalLanguages: Spanish, FrenchM-F 8:00 AM - 6:00 PMPCMH: No

Mahaffey, Teresa MD

Provider ID: 218154Gender: FemaleSacred Heart Medical Group5565 Woodbine RdPace, FL 32571(850) 994-5010Fax: (850) 994-027200 Yrs/18 YrsSacred Heart HospitalM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Page, Michelle MDProvider ID: 221142Gender: FemalePace Pediatrics4288 Woodbine Rd Ste AMilton, FL 32571(850) 995-8600Fax: (850) 995-907000 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Ravenel II, Samuel MDProvider ID: 1233003Gender: MalePediatric Associates PA4591 Santa Villa DrMilton, FL 32571(850) 994-0901Fax: (850) 994-274000 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMSat-Sun 8:30 AM - 12:00 PMPCMH: No

Renfroe, Robin MDProvider ID: 1124833Gender: FemaleSacred Heart Medical Group15 Daniel DrGulf Breeze, FL 32561(850) 932-5348Fax: (850) 416-122600 Yrs/18 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Stewart, Marian MD

Provider ID: 681787Gender: FemaleMarian Stewart MD14088 Alabama St Ste AJay, FL 32565(850) 675-4546Fax: (850) 675-454800 Yrs/130 YrsSacred Heart HospitalMWTHF 8:00 AM - 5:00 PMT 8:00 AM - 8:00 PMPCMH: No

Thompson, Jennifer MD

Provider ID: 781136Gender: FemalePediatric Associates PA4591 Santa Villa DrPace, FL 32571(850) 994-0901Fax: (850) 994-274000 Yrs/18 YrsM-F 9:00 AM - 5:00 PMSat-Sun 8:30 AM - 12:00 PMPCMH: No


Primary Care PhysiciansWalton

Updated: 07/03/2019


Family Practice

Mackinney, Mikael MDProvider ID: 1126349Gender: MaleShmg PC At Destin Med Park9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3940Fax: (850) 278-394100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Molina, Claudia MDProvider ID: 1277599Gender: FemaleSacred Heart Medical Group9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3940Fax: (850) 278-394100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Morell, Venita MDProvider ID: 1198724Gender: FemaleWalton County Health Dept362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMPCMH: Yes, Level 3

Internal Medicine

Parker, Michelle MD

Provider ID: 1469380Gender: FemaleSacred Heart Medical Group12805 US Hwy 98 E Unit G201Inlet Beach, FL 32461(850) 278-3551Fax: (850) 278-359600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Bolduc, Stephen MDProvider ID: 1162062Gender: MaleSacred Heart Medical Group9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3885Fax: (850) 278-385100 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Gomez, Luis MDProvider ID: 1135756Gender: MaleDestin Mack Bayou Pediatrics23 Mack Bayou Loop Ste 200Santa Rosa Beach, FL 32459(850) 278-3920Fax: (850) 278-391900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Smith Sowell, Mollie MDProvider ID: 689151Gender: Female271 State Hwy 20 EastFreeport, FL 32439(850) 278-3400Fax: (850) 835-419500 Yrs/18 YrsPCMH: No

Viator, Rickey MDProvider ID: 653763Gender: MaleSacred Heart Medical Group@ Destin23 Mack Bayou Loop Ste 200Santa Rosa Beach, FL 32459(850) 278-3920Fax: (850) 278-391900 Yrs/18 YrsSacred Heart HospitalEmeraldM-F 8:00 AM - 5:00 PMPCMH: No

Vroon, Tiffany MDProvider ID: 1331798Gender: FemaleSacred Heart Medical Group23 Mack Bayou Loop Ste 200Santa Rosa Beach, FL 32459(850) 278-3920Fax: (850) 278-391900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Weiss, Prabha MDProvider ID: 1561861Gender: FemaleSacred Heart Medical Group23 Mack Bayou Loop Ste 200Santa Rosa Beach, FL 32459(850) 278-3920Fax: (850) 278-391900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Winter, Mollie MDProvider ID: 1302471Gender: FemaleSacred Heart Medical Group271 State Hwy 20 E Ste AFreeport, FL 32439(850) 278-3400Fax: (850) 278-341300 Yrs/18 YrsM 8:00 AM - 5:00 PMPCMH: No


Primary Care PhysiciansWashington

Updated: 07/03/2019


Family Practice

Melvin, Wade MDProvider ID: 949643Gender: MalePancare of Florida Inc1414 Main St Ste 4Chipley, FL 32428(850) 872-4128Fax: (850) 872-413102 Yrs/130 YrsNorthwest FloridaCommunity HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Taing, David MDProvider ID: 650722Gender: MaleNorthwest Florida FamilyHealth and1360 Brickyard RdChipley, FL 32428(850) 415-8303Fax: (850) 415-818700 Yrs/130 YrsNorthwest FloridaCommunity HospitalLanguages: CambodianM-TH 9:00 AM - 5:00 PMF 9:00 AM - 12:00 PMPCMH: No


Specialty PhysiciansBay

Updated: 07/03/2019


Allergy & Immunology

Humphreys, Randall MD

Provider ID: 377049Gender: Male2401 Saint Andrews BlvdPanama City, FL 32405(850) 785-2717Fax: (850) 785-230100 Yrs/130 YrsGulf Coast Medical CentercMW 8:00 AM - 5:00 PMT 9:00 AM - 5:30 PMTH 9:00 AM - 6:00 PMF 8:30 AM - 12:00 PMPCMH: No

Obid, Hind MDProvider ID: 463917Gender: FemaleHind Obid MD951 W 23rd StPanama City, FL 32405(850) 785-0699Fax: (850) 872-989900 Yrs/130 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Cardiology

Ahmed, Amna MDProvider ID: 1450751Gender: FemaleSacred Heart Medical Group12805 US Hwy 98 East Ste 130Panama City Beach, FL 32407(850) 278-3551Fax: (850) 278-359600 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Bhatt, Dinesh MDProvider ID: 757317Gender: MaleHeart South2232 W 24th StPanama City, FL 32405(850) 215-7117Fax: (850) 913-895600 Yrs/130 YrsGulf Coast Medical CentercNorthwest FloridaCommunity HospitalM-TH 8:00 AM - 4:30 PMF 8:00 AM - 12:00 PMPCMH: No

Bhatt, Nayan MDProvider ID: 580949Gender: MaleHeart South2232 W 24th StPanama City, FL 32405(850) 215-7117Fax: (850) 913-895600 Yrs/130 YrsGulf Coast Medical CentercM-TH 8:00 AM - 4:30 PMF 8:00 AM - 12:00 PMPCMH: No

Davis, Don MDProvider ID: 1109530Gender: MaleGulf Coast Cardiology2202 State Ave Ste 207Panama City, FL 32405(850) 872-3939Fax: (850) 872-393818 Yrs/130 YrsGulf Coast Medical CentercM-F 8:00 AM - 5:00 PMPCMH: No

Davis, Don MDProvider ID: 1109530Gender: MaleGulf CoastmultispecialtyServices L16181 Panama City Beach PkwyPanama City Beach, FL 32413(850) 872-3939Fax: (850) 872-393818 Yrs/130 YrsGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Labroo, Ajay MDProvider ID: 1160867Gender: MaleGulf Coast Cardiology2202 State Ave Ste 207Panama City, FL 32405(850) 872-3939Fax: (850) 872-393818 Yrs/110 YrsGulf Coast Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No


Ahmad, Aziz MDProvider ID: 292332Gender: MaleLynn Haven Surgical Center,Inc1301 Ohio AveLynn Haven, FL 32444(850) 265-6604Fax: (850) 265-487900 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: UrduM-F 8:00 AM - 6:00 PMPCMH: No

Dermatology

Johnston Jr, Ronald MD

Provider ID: 1600125Gender: MaleAdvanced Dermatology andSkin Care10800 PC Beach Pkwy Ste 200Panama City Beach, FL 32407(850) 250-5790Fax: (850) 266-630100 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1600125Gender: MaleAdvanced Dermatology andSkin Care2202 State Ave Ste 102Panama City, FL 32405(850) 250-5790Fax: (850) 266-630100 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Kovaleski, Charles MD

Provider ID: 464159Gender: MaleDermatology Associates1900 Harrison AvePanama City, FL 32405(850) 769-7546Fax: (850) 785-212300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 8:00 AM - 5:00 PMPCMH: No

Siragusa, Robert MD

Provider ID: 454461Gender: MaleDermatology Associates1900 Harrison AvePanama City, FL 32405(850) 769-7546Fax: (850) 785-212300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Stickler, Michael MDProvider ID: 456442Gender: MaleGulf Coast Dermatology PA12907 Panama City BeachPkwyPanama City Beach, FL 32407(850) 233-3376Fax: (850) 522-835402 Yrs/130 YrsMTWTHFSat 8:00 AM - 5:00PMPCMH: No



Updated: 07/03/2019


Dermatology - cont.

Stickler, Michael MDProvider ID: 456442Gender: MaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835402 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Van Der Kooi, Kaisa MD

Provider ID: 1239767Gender: FemaleDermatology Associates ofTallahass425 W 19th StPanama City, FL 32405(850) 818-0220Fax: (850) 818-015600 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Ward, Jon MDProvider ID: 348771Gender: MaleGulf Coast Dermatology PA12907 Panama City BeachPkwyPanama City Beach, FL 32407(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Ward, Jon MDProvider ID: 348771Gender: MaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Dermatopathology

Morgan, Michael MD

Provider ID: 1181670Gender: MaleDermatology Specialists ofFlorida2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Van Der Kooi, Kaisa MD

Provider ID: 1239767Gender: FemaleDermatology Associates ofTallahass425 W 19th StPanama City, FL 32405(850) 818-0220Fax: (850) 818-015600 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Beggs, James MDProvider ID: 07018Gender: MaleGulf Coast Facial Plastics andENT200 Doctors DrPanama City, FL 32405(850) 784-7722Fax: (850) 784-690300 Yrs/130 YrsGulf Coast Medical CentercSurgical Center For ExcellenceLLLPM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Beggs, James MDProvider ID: 07018Gender: MaleGulf Coast Facial Plastics andENT304 W 23rd StPanama City, FL 32405(850) 784-7722Fax: (850) 785-509000 Yrs/130 YrsGulf Coast Medical CentercSurgical Center For ExcellenceLLLPM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Caspary, Hans MDProvider ID: 439560Gender: MaleHead & Neck Assoc of BayCounty PA724 W 19th StPanama City, FL 32405(850) 769-0278Fax: (850) 769-620200 Yrs/21 YrsGulf Coast Medical CentercNorthwest Florida SurgeryCenterLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Gibson, Brian MDProvider ID: 648645Gender: MaleGulf Coast Facial Plastics andENT1303 Mosley DrLynn Haven, FL 32444(850) 784-7722Fax: (850) 785-509000 Yrs/21 YrsGulf Coast Medical CentercMillenia Surgery CenterPanama City Surgery CenterLLCLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Toner, Stephen MDProvider ID: 225552Gender: MaleGulf Coast Facial Plastics &ENT200 Doctors DrPanama City, FL 32405(850) 784-7722Fax: (850) 784-690300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercSurgical Center For ExcellenceLLLPM-F 8:00 AM - 5:00 PMPCMH: No

Tran, Quang MDProvider ID: 479032Gender: MaleHead & Neck Assoc of BayCounty PA724 W 19th StPanama City, FL 32405(850) 769-0278Fax: (850) 769-620200 Yrs/130 YrsBay Medical CenterNorthwest Florida SurgeryCenterOcala Endoscopy ASCLanguages: VietnameseM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Endocrinology, Diabetes,Metabolism

Ergin, Ahmet MDProvider ID: 1443773Gender: MaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-549000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Endocrinology, Diabetes,Metabolism - cont.

Ergin, Ahmet MDProvider ID: 1443773Gender: MaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hammoud, Ramadan MD

Provider ID: 1442781Gender: MaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hammoud, Ramadan MD

Provider ID: 1442781Gender: MaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549000 Yrs/130 YrsM-F 7:00 AM - 4:00 PMPCMH: No

Kamel, Sherief MDProvider ID: 368632Gender: MaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549105 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: ArabicM-F 8:30 AM - 5:30 PMPCMH: No

Manzoor, Amir MDProvider ID: 289196Gender: MaleAmir Manzoor MD237 E Baldwin Rd Ste 103Panama City, FL 32405(850) 770-4051Fax: (850) 770-405918 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: HindiM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:30 PMPCMH: No

Family Practice

Johnson, Bret MDProvider ID: 1119112Gender: MaleDermatology Associates ofBay Count1900 Harrison AvePanama City, FL 32405(850) 769-1668Fax: (850) 785-212300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Gastroenterology

Albibi, Riyad MDProvider ID: 343173Gender: MaleDigestive Diseases Center12216 Panama City Beach PkwyUnit DPanama City Beach, FL 32407(850) 397-4355Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Albibi, Riyad MDProvider ID: 343173Gender: MaleRao Reedy Albibi & FinlawAssoc204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Ching Companioni, Rafael MD

Provider ID: 1853173Gender: MaleDigestive Diseases Center ofFlorida204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Finlaw, Robert MDProvider ID: 343185Gender: MaleDigestive Diseases Center12216 Panama City Beach PkwyUnit DPanama City Beach, FL 32407(850) 397-4355Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

Finlaw, Robert MDProvider ID: 343185Gender: MaleRao Reddy Albibi & FinlawAssociate204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

Klin, Mariusz MDProvider ID: 343401Gender: MaleEmerald CoastGastroenterology2202 State Ave Ste 301Panama City, FL 32405(850) 215-7071Fax: (850) 215-707300 Yrs/130 YrsBay Medical CenterMillenia Surgery CenterPanama City Surgery CenterLLCLanguages: PolishM-F 8:00 AM - 5:30 PMPCMH: No



Updated: 07/03/2019


Gastroenterology - cont.

Rao, Palep MDProvider ID: 279302Gender: MaleDigestive Diseases Center12216 Panama City Beach PkwyUnit DPanama City Beach, FL 32407(850) 397-4355Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

Rao, Palep MDProvider ID: 279302Gender: MaleRao Reddy Albibi Finlaw andWells M204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

Reddy, Shilpa DOProvider ID: 980704Gender: FemaleDigestive Diseases Center12216 Panama City Beach PkwyPanama City Beach, FL 32407(850) 763-5409Fax: (850) 763-712912 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: TeluguM-F 8:00 AM - 5:00 PMPCMH: No

Reddy, Shilpa DOProvider ID: 980704Gender: FemaleRao Reddy Albibi Finlaw WellsMD P204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712912 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: TeluguM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Reddy, Sudhakar MD

Provider ID: 343176Gender: MaleDigestive Diseases Center12216 Panama City Beach PkwyUnit DPanama City Beach, FL 32407(850) 397-4355Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: HindiM-F 8:00 AM - 5:00 PMPCMH: No

Reddy, Sudhakar MD

Provider ID: 343176Gender: MaleRao Reddy Albibi MD PA204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712916 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPLanguages: HindiMTWF 8:00 AM - 5:00 PMTH 7:30 AM - 5:00 PMPCMH: No

Wells, Christopher MD

Provider ID: 520008Gender: MaleDigestive Diseases Center12216 Panama City Beach PkwyUnit DPanama City Beach, FL 32407(850) 763-5409Fax: (850) 763-712918 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

Wells, Christopher MD

Provider ID: 520008Gender: MaleRao Reddy Albibi FinlawAssociate204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712918 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Adamski, John MDProvider ID: 1464447Gender: MaleBay County Health SystemLLC801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 614-906500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ahmad, Aziz MDProvider ID: 292332Gender: MaleLynn Haven Surgical Center,Inc1301 Ohio AveLynn Haven, FL 32444(850) 265-6604Fax: (850) 265-487900 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: UrduM-F 8:00 AM - 6:00 PMPCMH: No

Apakama, Chukwuma MD

Provider ID: 1248993Gender: MaleBay Medical Physician Group801 E 6th St Ste 302Panama City, FL 32401(850) 913-695816 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Cundiff, Jason MDProvider ID: 1563535Gender: MaleBay County Health SystemsLLC801 E 6th St Ste 602Panama City, FL 32401(850) 913-6961Fax: (850) 770-302600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

El Sheikh, Omar MD

Provider ID: 1462183Gender: MaleBay County Health SystemsLLC801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


General Surgery - cont.

Heid, Michael DOProvider ID: 1465872Gender: MaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 913-696100 Yrs/130 YrsMTWF 8:00 AM - 5:00 PMTH 9:00 AM - 5:00 PMPCMH: No

Hysong, Rebecca MD

Provider ID: 451684Gender: FemaleBay County Health System801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 913-696100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Johnson, Jon MDProvider ID: 1274122Gender: MaleBay County Health System,LLC801 E 6th St Ste 302Panama City, FL 32401(850) 913-6960Fax: (850) 914-706516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lee, Joanne MDProvider ID: 1256847Gender: FemaleBay County Health System,LLC801 E 6th St Ste 302Panama City, FL 32401(850) 913-6960Fax: (850) 914-696516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McKissack, Randall MD

Provider ID: 1465879Gender: MaleBay County Health SystemsLLC801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

O'Connor, Robert MDProvider ID: 1268345Gender: MaleBay County Health System,LLC801 E 6th St Ste 302Panama City, FL 32401(850) 914-7060Fax: (850) 914-706516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Richards, John MDProvider ID: 1169207Gender: MaleBay Medical Physician Group801 E 6th StPanama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 7:00 AM - 7:00 PMPCMH: No

Richards, John MDProvider ID: 1207513Gender: MaleFlorida Neuro Pain and SpineCenter, PA1008 Jenks AvePanama City, FL 32401(850) 215-3000Fax: (850) 215-315012 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PMPCMH: No

Roelant, Geoffrey MD

Provider ID: 1476403Gender: MaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6961Fax: (850) 770-302600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Salvino, Christopher MD

Provider ID: 1274118Gender: MaleBay County Health System801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 913-696118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Swaniker, Fresca MDProvider ID: 1268346Gender: FemaleBay County Health System,LLC801 E 6th St Ste 302Panama City, FL 32401(850) 914-7060Fax: (850) 914-706516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices2202 State Ave Ste 207Panama City, FL 32405(850) 784-1856Fax: (850) 784-197500 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wong, Larry DOProvider ID: 675364Gender: MaleLarry T Wong DO PA502 N MacArthur Ave Ste CPanama City, FL 32401(850) 215-1080Fax: (850) 215-108600 Yrs/130 YrsGulf Coast Medical CentercPanama City Surgery CenterLLCLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Hematology

Mahmood, Syed MD

Provider ID: 1308272Gender: MaleFlorida Cancer Affiliates2614 Jenks AvePanama City, FL 32405(850) 769-2996Fax: (850) 769-466518 Yrs/130 YrsLanguages: UrduM-F 9:00 AM - 5:00 PMPCMH: No

Weber, Andrew MD

Provider ID: 1594022Gender: MaleFlorida Cancer Affiliates2100 State AvePanama City, FL 32405(850) 763-0036Fax: (850) 763-025918 Yrs/130 YrsGulf Coast Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Infectious Disease

Bone, William MDProvider ID: 313944Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834118 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercPCMH: No

Bone, William MDProvider ID: 313944Gender: MalePanama City InfectiousDisease Assoc2579 Huntcliff LnPanama City, FL 32405(850) 763-8596Fax: (850) 784-677418 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 8:00 AM - 4:00 PMPCMH: No

Haq, Ikram MDProvider ID: 216872Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834102 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: Spanish, Hindi,Urdu, PunjabiPCMH: No

Haq, Ikram MDProvider ID: 216872Gender: MaleIkram Ul Haq MD750 Harrison AvePanama City, FL 32401(850) 913-9294Fax: (850) 481-182002 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercLanguages: Spanish, Hindi,Urdu, PunjabiM-F 9:00 AM - 12:00 PMPCMH: No

Interventional Cardiology

Le, Francis MDProvider ID: 1163675Gender: MaleGulf Coast Cardiology2202 State Ave Ste 303Panama City, FL 32405(850) 872-3939Fax: (850) 872-393800 Yrs/130 YrsGulf Coast Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No


Livingston, Jeffrey MDProvider ID: 957819Gender: MaleNorth Florida PerinatalAssociates2202 State Ave Ste 102Panama City, FL 32405(850) 257-0202Fax: (850) 257-021712 Yrs/130 YrsGulf Coast Medical CentercNorth Florida RegionalM-TH 8:00 AM - 4:30 PMF 8:00 AM - 12:00 PMPCMH: No

Medical Oncology

Mahmood, Syed MD

Provider ID: 1308272Gender: MaleFlorida Cancer Affiliates2614 Jenks AvePanama City, FL 32405(850) 769-2996Fax: (850) 769-466518 Yrs/130 YrsLanguages: UrduM-F 9:00 AM - 5:00 PMPCMH: No

Weber, Andrew MD

Provider ID: 1594022Gender: MaleFlorida Cancer Affiliates2100 State AvePanama City, FL 32405(850) 763-0036Fax: (850) 763-025918 Yrs/130 YrsGulf Coast Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Neurology

Barrio, George MDProvider ID: 1045582Gender: MaleMustafa A Hammad MD PA1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: SpanishM-F 7:00 AM - 6:00 PMPCMH: No

Barrio, George MDProvider ID: 1045582Gender: MaleMustafa A Hammad MD PA645 N Hwy 231Panama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Elzawahry, Hoda MD

Provider ID: 567387Gender: FemaleBrain and Spine Center2011 Harrison AvePanama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsLawnwood Regional MedCenterM-F 8:00 AM - 5:00 PMPCMH: No

Elzawahry, Mohamed MDProvider ID: 194361Gender: Male2011 Harrison AvePanama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsBay Medical CenterNorthwest Florida SurgeryCenterOcala Endoscopy ASCLanguages: UrduPCMH: No

Elzawahry, Mohamed MD

Provider ID: 194361Gender: MaleThe Brain and Spine Center2202 State Ave Ste 201Panama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsBay Medical CenterNorthwest Florida SurgeryCenterOcala Endoscopy ASCLanguages: UrduM-F 8:00 AM - 5:00 PMPCMH: No

Hammad, Mustafa MD

Provider ID: 412757Gender: MaleThe Neuro Pain Center1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Neurology - cont.

Javed Ebeid, Sana MD

Provider ID: 1185587Gender: FemaleMustafa A Hammad MD PA1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: UrduM-F 8:00 AM - 5:00 PMPCMH: No

Kaleem, Zafar MDProvider ID: 1653386Gender: MaleBay Medical Physician Group801 E 6th St Ste 302Panama City, FL 32401(850) 770-3030Fax: (850) 770-303500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Maddox, Karin MDProvider ID: 316361Gender: Female2011 Harrison AvePanama City, FL 32405(850) 769-3261Fax: (850) 785-638800 Yrs/130 YrsBay Medical CenterNorthwest Florida SurgeryCenterOcala Endoscopy ASCM-F 9:00 AM - 5:00 PMPCMH: No

Nazir, Khurram MD

Provider ID: 1196140Gender: MaleBrain and Spine, LLC2202 State Ave Ste 201Panama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sinclair, David MDProvider ID: 1272046Gender: MaleBrain Spine Center LLC2202 State Ave Ste 201Panama City, FL 32405(850) 785-0029Fax: (850) 785-760012 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Zaman Khan, Muhammad MD

Provider ID: 939655Gender: MaleBay County Physician Group801 E 6th St Ste 302Panama City, FL 32401(850) 770-3030Fax: (850) 770-303500 Yrs/130 YrsBay Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Neurosurgery

Desilva, Cyril MDProvider ID: 485777Gender: MaleBay Medical Physician Group801 E 6th St Ste 604Panama City, FL 32401(850) 770-3030Fax: (850) 770-303500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Franck, Joel MDProvider ID: 575109Gender: MaleBay Neurosurgical and SpinalInstit11111 PC Beach Pkwy Ste 134Panama City Beach, FL 32407(850) 914-7040Fax: (850) 914-704300 Yrs/130 YrsBay Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Stringer, Douglas MDProvider ID: 186641Gender: MaleThe Brain and Spine Center2011 Harrison AvePanama City, FL 32405(850) 769-3261Fax: (850) 785-638800 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercNorthwest Florida SurgeryCenterLanguages: SpanishM-F 7:00 AM - 5:00 PMPCMH: No

Stringer, Merle MDProvider ID: 186224Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercNorthwest Florida SurgeryCenterLanguages: SpanishPCMH: No

Stringer, Merle MDProvider ID: 186224Gender: MaleThe Brain and Spine Center2011 Harrison AvePanama City, FL 32405(850) 769-3261Fax: (850) 785-638800 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercNorthwest Florida SurgeryCenterLanguages: SpanishM-F 7:00 AM - 5:00 PMPCMH: No


Bain, Kimberly MDProvider ID: 666904Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608800 Yrs/130 YrsGulf Coast Medical CentercM-F 7:00 AM - 5:00 PMPCMH: No

Breland, Henry MDProvider ID: 245121Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercPCMH: No

Deruiter, James MDProvider ID: 779578Gender: MalePancare of Florida Inc2309 E 15th StPanama City, FL 32405(850) 747-5272Fax: (850) 747-527405 Yrs/130 YrsGulf Coast Medical CentercM-F 8:00 AM - 9:00 PMSat 9:00 AM - 8:00 PMPCMH: No

Edgeworth, Deborah MDProvider ID: 281248Gender: Female615 N Bonita AvePanama City, FL 32401(850) 769-151112 Yrs/130 YrsMillenia Surgery CenterPanama City Surgery CenterLLCPCMH: No



Updated: 07/03/2019


Obstetrics/Gynecology -cont.

Edgeworth, Deborah MD

Provider ID: 281248Gender: FemaleCoastal OB/GYN25 Doctors DrPanama City, FL 32405(850) 785-0515Fax: (850) 763-840012 Yrs/130 YrsMillenia Surgery CenterPanama City Surgery CenterLLCM-F 8:00 AM - 5:00 PMPCMH: No

Leff, Ricky MDProvider ID: 1646884Gender: MaleBay Medical Physician Group25 Doctors DrPanama City, FL 32405(850) 785-0515Fax: (850) 763-840000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mallory, Roslyn MD

Provider ID: 575526Gender: Female70 Doctors DrPanama City, FL 32405(850) 785-1517Fax: (850) 784-127100 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishMTTHF 7:00 AM - 4:00 PMW 7:00 AM - 12:00 PMPCMH: No

Mallory, Roslyn MD

Provider ID: 583369Gender: FemaleFlorida Woman Care LLC70 Doctors DrPanama City, FL 32405(850) 785-1517Fax: (850) 784-127100 Yrs/130 YrsGulf Coast Medical CentercMTTHF 7:00 AM - 4:00 PMW 7:00 AM - 12:00 PMPCMH: No

Maqueira, Jr, Justo MD

Provider ID: 193853Gender: MaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608800 Yrs/130 YrsBayfront Medical CenterGulf Coast Medical CentercMease Hospital DunedinLanguages: SpanishM-F 7:00 AM - 5:00 PMPCMH: No

Morrow, Gregory MDProvider ID: 528922Gender: Male615 N Bonita AvePanama City, FL 32401(850) 769-151112 Yrs/130 YrsMillenia Surgery CenterPanama City Surgery CenterLLCPCMH: No

Morrow, Gregory MD

Provider ID: 528922Gender: MaleCoastal OB/GYN25 Doctors DrPanama City, FL 32405(850) 785-0515Fax: (850) 763-840012 Yrs/130 YrsMillenia Surgery CenterPanama City Surgery CenterLLCM-F 8:00 AM - 5:00 PMPCMH: No

Pennington, Toni MDProvider ID: 500900Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608800 Yrs/130 YrsGulf Coast Medical CentercM-F 7:00 AM - 5:00 PMPCMH: No

Percy, Tricia DOProvider ID: 391871Gender: Female449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercPCMH: No

Percy, Tricia DOProvider ID: 391871Gender: FemaleSmith Smith Simpson & PercyOB/GYN70 Doctors DrPanama City, FL 32405(850) 785-1517Fax: (850) 784-127100 Yrs/130 YrsGulf Coast Medical CentercMTTHF 7:00 AM - 4:00 PMW 7:00 AM - 12:00 PMPCMH: No

Ramie, George DOProvider ID: 228832Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercPCMH: No

Ramsden, Timothy MDProvider ID: 571172Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercPanama City Surgery CenterLLCLanguages: SpanishPCMH: No

Smith, Stephen MDProvider ID: 390961Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834112 Yrs/130 YrsGulf Coast Medical CentercPCMH: No

Smith, Stephen MD

Provider ID: 390961Gender: MaleFlorida Woman Care LLC70 Doctors DrPanama City, FL 32405(850) 785-1517Fax: (850) 784-127112 Yrs/130 YrsGulf Coast Medical CentercMTTHF 7:00 AM - 4:00 PMW 7:00 AM - 12:00 PMPCMH: No

Wolf, Samuel DOProvider ID: 388503Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercPCMH: No



Updated: 07/03/2019



Wolf, Samuel DOProvider ID: 388503Gender: MaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608800 Yrs/130 YrsGulf Coast Medical CentercM-F 7:00 AM - 5:00 PMPCMH: No

Ophthalmology

Henkel, Austin MDProvider ID: TPV1184966699-0Gender: MaleEye Partners PC2401 State AvePanama City, FL 32405(850) 763-9550Fax: (850) 763-636000 Yrs/99 YrsNo Hospital Privileges-Covering ArrangemM-F 8:00 AM - 5:00 PMPCMH: No

Pyne, Jeffrey DOProvider ID: TPV1649204355-0Gender: MaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549309 Yrs/99 YrsGulf Coast Medical CenterLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Pyne, Jeffrey DOProvider ID: TPV1649204355-0Gender: MaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982909 Yrs/99 YrsGulf Coast Medical CenterLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Shuler, Magdalena MDProvider ID: TPV1851368559-0Gender: FemaleSunil Gupta MD LLC10800 Panama City BeachPkwy Ste 300Panama City Beach, FL 32407(850) 250-2637Fax: (850) 250-263618 Yrs/99 YrsGulf Coast Medical CenterLanguages: SpanishMF 8:00 AM - 5:00 PMTWTH 8:30 AM - 5:00 PMPCMH: No

Shuler, Magdalena MDProvider ID: TPV1851368559-0Gender: FemaleSunil Gupta MD LLC2101 Northside Dr Unit703-704Panama City, FL 32405(850) 747-3999Fax: (850) 747-369918 Yrs/99 YrsGulf Coast Medical CenterLanguages: Spanish, HindiM-F 8:00 AM - 5:00 PMPCMH: No

Willingham, Christopher MD

Provider ID: TPV1225096183-0Gender: MaleSouthern VitreoretinalAssociates Pl2577 Huntcliff LnPanama City, FL 32405(850) 763-7007Fax: (850) 763-700218 Yrs/99 YrsBay Medical CenterLanguages: GermanM-F 8:00 AM - 6:00 PMPCMH: No

Optometry

Aker, Anthony ODProvider ID: TPV1174555619-0Gender: MaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549304 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Aker, Anthony ODProvider ID: TPV1174555619-0Gender: MaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982904 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Bazarte, Joseph ODProvider ID: TPV1639229271-0Gender: MaleBay Vision Center1611 Lisenby AvePanama City, FL 32405(850) 913-0000Fax: (850) 785-198804 Yrs/99 YrsMW 9:00 AM - 5:30 PMTF 9:00 AM - 5:00 PMTH 8:00 AM - 5:30 PMPCMH: No

Edinger, David ODProvider ID: TPV1144245200-0Gender: MaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549304 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Edinger, David ODProvider ID: TPV1144245200-0Gender: MaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982904 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Jones, Mark ODProvider ID: TPV1003831165-0Gender: MaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549304 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Optometry - cont.

Jones, Mark ODProvider ID: TPV1003831165-0Gender: MaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982904 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Lisa ODProvider ID: TPV1013192350-0Gender: FemaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982900 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Lisa ODProvider ID: TPV1013192350-0Gender: FemaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549300 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Scott ODProvider ID: TPV1356335319-0Gender: MaleThe Eye Center of NorthFlorida PA10900 Hutchison BlvdPanama City Beach, FL 32407(850) 234-1829Fax: (850) 233-549305 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Scott ODProvider ID: TPV1356335319-0Gender: MaleThe Eye Center of NorthFlorida PA2500 Martin Luther King JrBlvdPanama City, FL 32405(850) 784-3937Fax: (850) 522-982905 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Wolf, Julie ODProvider ID: TPV1144309956-0Gender: FemaleMullis Eye Institute Inc1600 Jenks AvePanama City, FL 32405(850) 763-6666Fax: (850) 763-666512 Yrs/99 YrsLanguages: FrenchM-F 8:00 AM - 5:00 PMPCMH: No

Oral & MaxillofacialSurgery

Claussen, Eric DMDProvider ID: 586704Gender: MaleOral and Maxillofacial Surgery2624 Jenks AvePanama City, FL 32405(850) 215-0798Fax: (850) 818-002902 Yrs/130 YrsBay Medical CenterMillenia Surgery CenterPanama City Surgery CenterLLCM-W 8:00 AM - 5:00 PMTHF 7:00 AM - 3:00 PMPCMH: No

Grantham, Gregory DMD

Provider ID: 647980Gender: MaleGregory P Grantham DMD PA340 W 23rd St Ste APanama City, FL 32405(850) 769-3253Fax: (850) 784-005700 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercSurgical Center For ExcellenceLLLPM-TH 7:00 AM - 4:30 PMF 7:00 AM - 12:00 PMPCMH: No

Orthopaedic Surgery

Anglen, Jeffrey MD

Provider ID: 1247731Gender: MaleBay Orthopedics2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706518 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bleday, Raymond MD

Provider ID: 532251Gender: MaleRaymond M Bleday MD410 W 19th StPanama City, FL 32405(850) 215-1246Fax: (850) 215-124800 Yrs/130 YrsTallahassee Memorial HosptialM-F 8:00 AM - 5:00 PMPCMH: No

Bryant, Ginger MDProvider ID: 1311641Gender: FemaleBay Medical Physician Group2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsBay Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Calkins, Mark MDProvider ID: 1239910Gender: MaleBay Orthopedics2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ebert, Andrew MDProvider ID: 1260047Gender: MaleBay Orthopedics2943 Martin Luther King JrBlvdPanama City, FL 32405(918) 502-4720Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Orthopaedic Surgery -cont.

Griffin, David MDProvider ID: 1465871Gender: MaleBay County Health SystemsLLC2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Iaquinto, John MDProvider ID: 937132Gender: MaleBay Medical Physicians Group2943 Martin Luther King JrBlvdPanama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Joyner, Patrick MDProvider ID: 1241619Gender: MaleBay County Health System,LLC2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706516 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lennen, William MDProvider ID: 1593999Gender: MaleBay Medical Physician Group801 E 6th St Ste 304Panama City, FL 32401(850) 770-3250Fax: (850) 770-325500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ohalloran, Kevin MDProvider ID: 1518570Gender: MaleBay County Health SystemsLLC2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Poludnianyk, Kim DO

Provider ID: 1555916Gender: FemaleBay Medical Physician Group2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Rohan, Michael DO

Provider ID: 478790Gender: MalePanama City Spine PA221 E 23rd St Ste APanama City, FL 32405(850) 481-8752Fax: (850) 481-875800 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 8:00 AM - 4:30 PMPCMH: No

Pain Management

Mitchell, Baker MD

Provider ID: 1603499Gender: MaleDynamic Pain and Wellness100 N Jackson Blvd Ste 120Panama City Beach, FL 32407(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mohsin, Ata MDProvider ID: 299304Gender: MaleComprehensive Pain MedicineInc501 Airport RdPanama City, FL 32405(850) 913-9488Fax: (850) 522-944300 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No


Drawdy, Martina MDProvider ID: 1851668Gender: FemaleSacred Heart Medical Group120 N Jackson Blvd Ste 130Panama City Beach, FL 32407(850) 416-1575Fax: (850) 416-212000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

PediatricGastroenterology

Zeinomar, Mohammed MDProvider ID: 348606Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/18 YrsLanguages: ArabicPCMH: No

Zeinomar, Mohammed MD

Provider ID: 348606Gender: MaleClinic of Pediatrics & GIMedicine102 Medical Center DrPanama City, FL 32405(850) 913-1666Fax: (850) 913-154900 Yrs/18 YrsLanguages: ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PMPCMH: No


Abdul-Rahim, Mohammed MDProvider ID: 458358Gender: Male200 W 19th StPanama City, FL 32405(850) 872-0021Fax: (850) 872-808800 Yrs/21 YrsBay Medical CenterGulf Coast Medical CentercLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Nephrology

Kurady, Ali MDProvider ID: 1654788Gender: MaleSacred Heart Meical Group120 Richard Jackson Blvd Ste130Panama City Beach, FL 32407(850) 416-1575Fax: (850) 416-225900 Yrs/18 YrsLanguages: Vietnamese,AmericanM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Surgery

Taylor, Michael MDProvider ID: 401740Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishPCMH: No



Updated: 07/03/2019


Pediatric Surgery - cont.

Taylor, Michael MDProvider ID: 401740Gender: MaleGulf Coast MultispecialtyServices16181 Panama City Beach PkwyPanama City Beach, FL 32413(850) 784-1856Fax: (850) 784-197500 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Taylor, Michael MDProvider ID: 401740Gender: MaleGulf Coast Pediatric GenSurgery2202 State Ave Ste 311BPanama City, FL 32405(850) 784-1856Fax: (850) 784-197500 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishM-TH 8:00 AM - 4:30 PMF 8:00 AM - 12:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices2202 State Ave Ste 207Panama City, FL 32405(850) 784-1856Fax: (850) 784-197500 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Mohamed, Ahmed MDProvider ID: 418485Gender: MaleFuture Pediatrics LLC12216 PC Beach Pkwy Ste BPanama City Beach, FL 32407(850) 236-0488Fax: (850) 249-091700 Yrs/18 YrsLanguages: ArabicM-F 8:00 AM - 4:00 PMPCMH: No

Physical Medicine &Rehabilitation

Rahman, Mohammad MD

Provider ID: 1606636Gender: MalePanama MedicalRehabilitation PLLC1847 Florida AvePanama City, FL 32405(850) 851-0425Fax: (850) 532-624416 Yrs/130 YrsLanguages: BengaliM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PMPCMH: No

Plastic & ReconstructiveSurgery

Nunnery, Phillip MD

Provider ID: 1652788Gender: MaleBay Medical Physician Group1936 Jenks Ave Ste APanama City, FL 32405(850) 763-5959Fax: (850) 785-057400 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Podiatry

Schuler, Burton DPMProvider ID: 1103626Gender: MaleBurton S Schuler DPM2401 W 15th StPanama City, FL 32401(850) 763-3333Fax: (850) 763-177000 Yrs/130 YrsM-W 8:00 AM - 5:00 PMTH 8:00 AM - 12:00 PMPCMH: No

Sidani, Jalal DPMProvider ID: 229550Gender: MaleJalal K Sidani DPM2563 Huntcliff LnPanama City, FL 32405(850) 769-1055Fax: (850) 769-143400 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercSurgical Center For ExcellenceLLLPLanguages: Spanish, French,Italian, ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PMPCMH: No

Pulmonary Disease

Ramirez, Jesus MDProvider ID: 284170Gender: Male502 N MacArthur AvePanama City, FL 32401(850) 769-1797Fax: (850) 215-218512 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishPCMH: No

Ramirez, Jesus MDProvider ID: 284170Gender: MaleBay Clinic621 N Cove BlvdPanama City, FL 32401(850) 785-3212Fax: (850) 785-321812 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Radiation Oncology

Finelstein, Steven MD

Provider ID: 1789612Gender: MaleOcala Oncology Center Pl2100 State AvePanama City, FL 32405(850) 763-0036Fax: (850) 763-025900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Finkelstein, Steven MD

Provider ID: 1490985Gender: MaleAdvanced Urology Institute615 N Bonita AvePanama City, FL 32401(850) 747-6972Fax: (850) 747-658400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Rheumatology

Agha, Amir MD

Provider ID: 940392Gender: MaleBay Arthritis Institute Inc2917 Hwy 77Panama City, FL 32405(850) 215-3062Fax: (850) 215-302412 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 8:00 AM - 5:00 PMPCMH: No

Thoracic & CardiovascularSurgery

England, Gregory MD

Provider ID: 19623Gender: MaleBay Medical Physician Group801 E 6th St Ste 309Panama City, FL 32401(850) 785-9559Fax: (850) 770-302618 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

England, Gregory MD

Provider ID: 19623Gender: MaleBay Orthopedics11111 PC Beach Pkwy Ste 134Panama City Beach, FL 32407(850) 914-7050Fax: (850) 914-705518 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 8:00 AM - 5:00 PMPCMH: No

Seto, Lynn MDProvider ID: 720836Gender: FemaleCoastal CardiovascularSurgeons801 E 6th St Ste 309Panama City, FL 32401(850) 785-9559Fax: (850) 770-302618 Yrs/130 YrsBay Medical CenterM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Yazji, Ibrahim MDProvider ID: 1526972Gender: MaleBay Medical Physician Group801 E 6th St Ste 309Panama City, FL 32401(850) 785-9559Fax: (850) 770-302618 Yrs/130 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Urology

Beiswanger, Jay MDProvider ID: 1135779Gender: MaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Beiswanger, Jay MDProvider ID: 1135779Gender: MalePanama City UrologicalCenter, PA11038 Hutchison BlvdPanama City Beach, FL 32407(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Eisenbrown, Jeanne MD

Provider ID: 1135774Gender: FemaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Eisenbrown, Jeanne MD

Provider ID: 1135774Gender: FemalePanama City UrologicalCenter, PA11038 Hutchison BlvdPanama City Beach, FL 32407(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Healey, Denis MDProvider ID: 1135776Gender: MaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349716 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Healey, Denis MDProvider ID: 1135776Gender: MalePanama City UrologicalCenter PA11038 Hutchison BlvdPanama City Beach, FL 32407(850) 785-8557Fax: (850) 785-349716 Yrs/130 YrsM-F 8:00 AM - 9:00 PMPCMH: No

Hitt, Warren MDProvider ID: 1135781Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834100 Yrs/130 YrsBay Medical CenterPCMH: No

Hitt, Warren MDProvider ID: 1135781Gender: Male625 W Baldwin Rd Ste APanama City, FL 32405(850) 784-0804Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterPCMH: No

Hitt, Warren MDProvider ID: 1135781Gender: MaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Jenkins, Michael MDProvider ID: 1135784Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834116 Yrs/130 YrsBay Medical CenterPCMH: No

Jenkins, Michael MDProvider ID: 1135784Gender: Male625 W Baldwin Rd Ste APanama City, FL 32405(850) 784-0804Fax: (850) 784-084016 Yrs/130 YrsBay Medical CenterPCMH: No



Updated: 07/03/2019


Urology - cont.

Jenkins, Michael MDProvider ID: 1135784Gender: MaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349716 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Karaman, Umar MDProvider ID: 1847675Gender: MaleAdvanced Urology Institute80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349718 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ramos, Carlos MDProvider ID: 1135786Gender: Male449 W 23rd StPanama City, FL 32405(850) 769-834116 Yrs/130 YrsBay Medical CenterPCMH: No

Ramos, Carlos MDProvider ID: 1135786Gender: MaleAdvanced Urology Institute,LLC80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349716 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Ramos, Carlos MDProvider ID: 1135786Gender: MalePanama City UrologicalCenter PA11038 Hutchinson BlvdPanama City Beach, FL 32407(850) 785-8557Fax: (850) 785-349716 Yrs/130 YrsBay Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Vascular Surgery

Gupta, Ashish MDProvider ID: 937143Gender: MaleSouthern Vascular of PanamaCity Pl10800 PC Beach Pkwy Ste 300Panama City Beach, FL 32407(850) 532-6303Fax: (850) 307-540218 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM 1:00 AM - 5:00 PMPCMH: No

Gupta, Ashish MDProvider ID: 937143Gender: MaleSouthern Vascular of PanamaCity Pl2202 State Ave Ste 102Panama City, FL 32405(850) 532-6303Fax: (855) 478-757818 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM 8:00 AM - 12:00 PMPCMH: No

Gupta, Ashish MDProvider ID: 937143Gender: MaleSouthern Vascular of PanamaCity Pl801 E 6th St Ste 201Panama City, FL 32401(850) 532-6303Fax: (855) 478-757818 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM 8:30 AM - 12:30 PMPCMH: No


Specialty PhysiciansEscambia

Updated: 07/03/2019


Adolescent Medicine

Burns, James MDProvider ID: 568295Gender: MaleUniversity Pediatric Prog1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-447410 Yrs/20 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Cleveland, Crawford MD

Provider ID: 161840Gender: MaleHealth First Network3298 Summit Blvd Ste 40Pensacola, FL 32503(850) 469-8010Fax: (850) 469-098003 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Westbrook, Thomas MDProvider ID: 214850Gender: MaleAllergy & Asthma Center ofNW Florida6160 N Davis Hwy Ste 3Pensacola, FL 32504(850) 473-1121Fax: (850) 473-112200 Yrs/130 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 6:00 PMW 7:00 AM - 5:00 PMPCMH: No


Branco, Marcelo MDProvider ID: 194486Gender: MaleWest Florida CardiologyPhysicans L8333 N Davis Hwy 4th FlPensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsSanta Rosa Medical CenterWest Florida HospitalLanguages: PortugueseM-F 9:00 AM - 5:00 PMPCMH: No

Foreman, Jason DO

Provider ID: 1289515Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Golden, Keith MDProvider ID: 687439Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Golden, Keith MDProvider ID: 687439Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Pensacola, FL 32506(850) 267-1603Fax: (850) 622-334200 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Golden, Keith MDProvider ID: 687439Gender: MaleSacred Heart Medical Group7720 W Hwy 98 Ste 310Pensacola, FL 32506(850) 267-1603Fax: (850) 622-334200 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Cardiology

Amin, Rohit MDProvider ID: 686311Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsSacred Heart HospitalLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Amin, Rohit MDProvider ID: 686311Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsSacred Heart HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Branco, Marcelo MDProvider ID: 194486Gender: MaleWest Florida CardiologyPhysicans L8333 N Davis Hwy 4th FlPensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsSanta Rosa Medical CenterWest Florida HospitalLanguages: PortugueseM-F 9:00 AM - 5:00 PMPCMH: No

Celigoj, Micheleanne MD

Provider ID: 594146Gender: FemaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsLanguages: PortugueseM-F 9:00 AM - 5:00 PMPCMH: No

Guitian, Jose MDProvider ID: 195836Gender: MaleWest Florida CardiologyPhysicians8333 N Davis Hwy 4th FlPensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsWest Florida HospitalLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Licheng MDProvider ID: 900207Gender: MaleWest Florida CardiologyPhysicians1190 E Nine Mile RdPensacola, FL 32514(850) 969-7979Fax: (850) 995-866000 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Licheng MDProvider ID: 900207Gender: MaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Cardiology - cont.

Mayes, Charles MDProvider ID: 900609Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-7000Fax: (850) 416-496918 Yrs/130 YrsPCMH: No

Mayes, Charles MDProvider ID: 900609Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-4970Fax: (850) 416-796918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mehmood, Farhat MD

Provider ID: 631101Gender: MaleWest Florida CardiologyPhysicians8333 N Davis Hwy 4th FlPensacola, FL 32514(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Moses, Andrew MD

Provider ID: 1819673Gender: MaleWest Florida CardiologyPhysicians1190 E Nine Mile RdPensacola, FL 32514(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Moses, Andrew MD

Provider ID: 1819673Gender: MaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Singh, Balraj MDProvider ID: 1289491Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stewart, Martha MD

Provider ID: 1695356Gender: FemaleSacred Heart Medical Group400 Milestone BlvdCantonment, FL 32533(850) 416-4620Fax: (850) 623-334218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chiropractic

Edge, David DCProvider ID: TPV10142-01Gender: MaleEdge Family Chiropractic8124 Pensacola BlvdPensacola, FL 32534(850) 476-7117Fax: (850) 479-462200 Yrs/99 YrsLanguages: GermanMWF 7:00 AM - 6:00 PMTTH 7:00 AM - 5:00 PMPCMH: No

Roberts, Edwin DCProvider ID: TPV11167-02Gender: MaleDr Edwin RobertsChiropractic, Plc4469 Mobile Hwy Ste DPensacola, FL 32506(850) 912-415500 Yrs/99 YrsMWF 9:00 AM - 6:00 PMT 9:00 AM - 5:00 PMTH 9:00 AM - 4:30 PMPCMH: No

Snellgrove, David DCProvider ID: TPV10119-01Gender: MaleReturn To Health MedicalHome and Wellness Center5330 N Davis HwyPensacola, FL 32503(850) 477-8874Fax: (850) 477-886500 Yrs/99 YrsM-W 9:00 AM - 5:00 PMPCMH: No

Dermatology

Dobrescu, Adrian MD

Provider ID: 1450464Gender: MaleMid Florida DermatologyAssociates12385 Sorrento Rd Ste D4Pensacola, FL 32507(407) 299-7333Fax: (407) 293-204900 Yrs/130 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Phillips, John MDProvider ID: 1571143Gender: MaleDermatology Specialists ofFlorida2010 E Johnson AvePensacola, FL 32514(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Susong, Jason MDProvider ID: 1776912Gender: Male530 Fontaine StPensacola, FL 32503(850) 474-4775Fax: (850) 484-822300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Taylor, Andrea MDProvider ID: 1505176Gender: FemaleLeavitt Medical Associates ofFlori6160 N Davis Hwy Ste 11-12Pensacola, FL 32504(850) 777-3682Fax: (850) 417-717200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Blair, Matthew DOProvider ID: 1748836Gender: MaleSacred Heart Medical Group5147 N 9th Ave Ste 325APensacola, FL 32504(850) 475-9025Fax: (850) 494-785500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Blair, Matthew DOProvider ID: 1776866Gender: Male5147 N 9th Ave Ste 325APensacola, FL 32504(850) 475-9025Fax: (850) 494-785500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Ear, Nose & Throat - cont.

Kotlarz, Jack MDProvider ID: 162683Gender: MaleKotlarz ENT and Facial PlasticSurg6100 N Davis HwyPensacola, FL 32504(850) 471-2377Fax: (850) 471-997500 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Lurton, Jack MDProvider ID: 165034Gender: MaleEscambia Community Clinics2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pennington, James MDProvider ID: 1092103Gender: MaleShmg ENT @ Pensacola5147 N 9th Ave Ste 325 APensacola, FL 32504(850) 475-9025Fax: (850) 494-785500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Behari, Vishnu MDProvider ID: 456660Gender: MaleThe Diabetes & EndocrineCenter6160 N Davis Hwy Unit 10APensacola, FL 32504(850) 208-3848Fax: (855) 593-409100 Yrs/130 YrsWest Florida HospitalM-TH 8:00 AM - 4:00 PMF 8:00 AM - 12:00 PMPCMH: No

Mamish, Ziad MDProvider ID: 629190Gender: MaleSacred Heart Medical GroupSpeciali1549 Airport Blvd Ste 330Pensacola, FL 32504(850) 416-6450Fax: (850) 416-678300 Yrs/130 YrsSacred Heart HospitalLanguages: French, German,ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Family Practice

Albrecht, Bruce MD

Provider ID: 653562Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsSacred Heart Hospital On TheGulfMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Boyett, Richard MD

Provider ID: 195268Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Brandhorst, Michelle MD

Provider ID: 499017Gender: FemaleSacred Heart Med GroupUrgent Care6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208600 Yrs/130 YrsMTWTHFSatSun 8:00 AM -5:00 PMPCMH: No

Gahagan, James DOProvider ID: 1360985Gender: MaleSacred Heart Medical Group2237 W Nine Mile RdPensacola, FL 32534(850) 416-4740Fax: (850) 416-470500 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PMPCMH: No

Gahagan, Kelli DOProvider ID: 848832Gender: FemaleSacred Heart Medical Group6665 Pensacola Blvd APensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Gahagan, Kelli DOProvider ID: 848832Gender: FemaleSacred Heart Medical GroupUrgent C6665 Pensacola Blvd BPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Geurin, Caitlin DOProvider ID: 1536867Gender: MaleSacred Heart Medical Group400 Milestone BlvdCantonment, FL 32533(850) 478-2333Fax: (850) 478-180900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hawthorne, Richard MDProvider ID: 1156658Gender: MaleWest Florida Primary Care6431 N W StPensacola, FL 32505(850) 474-3660Fax: (850) 474-365900 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Hawthorne, Richard MD

Provider ID: 593684Gender: MalePensacola Primary Care Inc6431 N W StPensacola, FL 32505(850) 474-3660Fax: (850) 474-365900 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3



Updated: 07/03/2019



May, John MDProvider ID: 1084854Gender: MaleSacred Heart Medical Group6314 N 9th AvePensacola, FL 32504(850) 416-4730Fax: (850) 416-470300 Yrs/130 YrsM-F 8:30 AM - 7:00 PMPCMH: No

Mixon, Fred MDProvider ID: 151556Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-700000 Yrs/130 YrsPCMH: No

Mixon, Fred MDProvider ID: 151556Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Ramos, Raul MD

Provider ID: 653400Gender: MaleSacred Heart Medical Group4313 Old Spanish Trail RdPensacola, FL 32504(850) 432-3225Fax: (850) 438-066100 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ramos, Raul MDProvider ID: 665466Gender: MaleSacred Heart Medical Group6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Samson, Rogelio MD

Provider ID: 689806Gender: MaleEscambia Community ClinicUrgent Ca14 W Jordan St Ste 2GPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsLanguages: TagalogMTWTHFSatSun 8:00 AM -6:00 PMPCMH: No

Tarnosky, Adam MD

Provider ID: 658657Gender: MaleSacred Heart Medica Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: Yes, Level 3

Gastroenterology

Adkisson, Kendral MDProvider ID: 191329Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Adkisson, Kendral MDProvider ID: 191329Gender: MaleGastroenterology Associates4531 N Davis HwyPensacola, FL 32503(850) 477-2597Fax: (850) 478-794118 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Adkisson, Kendral MDProvider ID: 191329Gender: MaleGastroenterology Associates5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Cartee, Wayne MDProvider ID: 148268Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Cartee, Wayne MDProvider ID: 148268Gender: MaleSacred Heart Medical4531 N Davis HwyPensacola, FL 32503(850) 436-4563Fax: (850) 436-457118 Yrs/130 YrsPCMH: No

Dobhan, Richard MDProvider ID: 1106782Gender: MaleGastroenterology Associatesof Pens4531 N Davis HwyPensacola, FL 32503(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dobhan, Richard MDProvider ID: 1106782Gender: MaleGastroenterology Associatesof Pens4828 N Davis HwyPensacola, FL 32503(850) 474-898816 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Dobhan, Richard MDProvider ID: 1106782Gender: MaleGastroenterology Associatesof Pens5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Newman, Frederic MDProvider ID: 1199921Gender: MaleGastroenterology Associatesof Pens4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pabby, Ajay MDProvider ID: 832213Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898812 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Reilly, Patrick MDProvider ID: 269947Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Reilly, Patrick MDProvider ID: 269947Gender: MaleSacred Heart Medical4531 N Davis HwyPensacola, FL 32503(850) 436-4563Fax: (850) 436-457100 Yrs/130 YrsPCMH: No

Ringel, Andrew MD

Provider ID: 1308358Gender: MaleEmerald Coast DigestiveHealth Spec550 Redstone Ave W Ste 200Crestview, FL 32526(850) 682-6122Fax: (850) 862-004118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Soued, Mounzer MDProvider ID: 148420Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsLanguages: ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Soued, Mounzer MDProvider ID: 148420Gender: MaleSacred Heart Medical4531 N Davis HwyPensacola, FL 32503(850) 436-4563Fax: (850) 436-457118 Yrs/130 YrsLanguages: ArabicPCMH: No

Speer, Carl MDProvider ID: 149719Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Speer, Carl MDProvider ID: 149719Gender: MaleGastroenterology Associatesof Pens1717 N E St Ste 533Pensacola, FL 32501(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Speer, Carl MDProvider ID: 149719Gender: MaleSacred Heart Medical4531 N Davis HwyPensacola, FL 32503(850) 436-4563Fax: (850) 436-457118 Yrs/130 YrsPCMH: No

General Surgery

Andreoni, Kenneth MDProvider ID: 692746Gender: MaleUF Health SurgericalSpecialist-Pen5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Battula, Narendra MDProvider ID: 1529865Gender: MaleUF Health SurgericalSpecialist-Pen5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsLanguages: Hindi, TeluguM-F 8:00 AM - 5:00 PMPCMH: No

Benson, Mary MDProvider ID: 789847Gender: Female5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719812 Yrs/130 YrsPCMH: No

Benson, Mary MDProvider ID: 789847Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 430Pensacola, FL 32504(850) 416-1885Fax: (850) 416-188612 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Brestan, Loretta MD

Provider ID: 534329Gender: FemaleSacred Heart Medical Group5149 N 9th Ave Ste 246Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Comitalo, Jeffrey MDProvider ID: 1260066Gender: MaleWest Florida SpecialtyPhysicians2130 E Johnson Ave Ste 130Pensacola, FL 32514(850) 494-6839Fax: (850) 494-519300 Yrs/130 YrsM-F 5:00 AM - 9:00 PMPCMH: No

Dial, Patrick MDProvider ID: 190711Gender: MaleWest Florida SpecialtyPhysicians2130 E Johnson Ave Ste 140Pensacola, FL 32514(850) 494-6080Fax: (850) 493-397412 Yrs/130 YrsWest Florida HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Gill, Karanbir MDProvider ID: 190247Gender: MaleShmg Sub Specialists5149 N 9th Ave Ste 246Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/90 YrsSacred Heart Hospital On TheGulfLanguages: SwahiliM-F 8:00 AM - 5:00 PMPCMH: No

Kaderis, David DOProvider ID: 924371Gender: MaleSacred Heart Medical GroupSub Spec5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Lasquety, Ludovic MDProvider ID: 199658Gender: MaleMcMahon and Ricketson MDPA5147 N 9th Ave Ste 203Pensacola, FL 32504(850) 476-6110Fax: (850) 479-604212 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Lecroy, Christopher MD

Provider ID: 471679Gender: MaleCoastal Vascular andInterventiona8333 N Davis Hwy Fl 10Pensacola, FL 32514(850) 479-1805Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 471679Gender: MaleCoastal Vascular andInterventional5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 471679Gender: MaleLifeline Pensacola LLC DBACoastal1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8843Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Moore, Jon MDProvider ID: 651532Gender: MaleWest Florida General Surgery2130 E Johnson Ave Ste 130Pensacola, FL 32514(850) 494-3749Fax: (850) 494-397418 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Parikh, Katherine DOProvider ID: 1724634Gender: FemaleSacred Heart Medical GroupSubspeci5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8847Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-836700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl8333 N Davis Hwy Ste 10Pensacola, FL 32514(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roberts, Eric DOProvider ID: 1105514Gender: MaleTrauma Services5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Shanahan, William MDProvider ID: 212060Gender: Male4511 N Davis Hwy Ste CPensacola, FL 32503(850) 484-8448Fax: (850) 479-325818 Yrs/130 YrsSacred Heart HospitalPCMH: No

Stockamp, Kurt MDProvider ID: 210490Gender: MaleMcMahon and Ricketson MDPA5147 N 9th Ave Ste 203Pensacola, FL 32504(850) 476-6110Fax: (850) 479-604200 Yrs/130 YrsSacred Heart HospitalM-F 8:30 AM - 5:00 PMPCMH: No

Summers, Glenn MDProvider ID: 489212Gender: MaleTrauma Services5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tenniswood, David MD

Provider ID: 576982Gender: MaleWest Florida General Surgery2130 E Johnson Ave Ste 130Pensacola, FL 32514(850) 494-3749Fax: (850) 494-397400 Yrs/130 YrsWest Florida HospitalMTWTHFSat 8:00 AM - 5:00PMPCMH: No

Tucker, John MDProvider ID: 175881Gender: MaleJohn A Tucker MD PA8333 N Davis Hwy 10th FlPensacola, FL 32514(850) 437-3777Fax: (850) 437-331818 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 4:30 PMPCMH: No



Updated: 07/03/2019


Gynecological Oncology

Decesare, Steven MDProvider ID: 151165Gender: Male1545 Airport Blvd Ste 3200Pensacola, FL 32504(850) 416-7101Fax: (850) 416-710312 Yrs/130 YrsSacred Heart HospitalTampa General HospitalUniversity HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Decesare, Steven MDProvider ID: 151165Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 202Pensacola, FL 32503(850) 416-6933Fax: (850) 416-710312 Yrs/130 YrsSacred Heart HospitalTampa General HospitalUniversity HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hand Surgery

Fiedler, David MDProvider ID: 1226673Gender: MaleSacred Heart Health SystemOrtho Ha4551 N Davis Hwy Ste APensacola, FL 32503(850) 494-9001Fax: (850) 416-124800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Boatright, Mark MDProvider ID: 228114Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Brown, Alexander MDProvider ID: 1439569Gender: MaleSacred Heart Medical Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dissanayake, Ranjith MD

Provider ID: 228267Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-493416 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Eldawy, Tarek MDProvider ID: 632551Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 200Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693416 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

El-Sayah, Dany MDProvider ID: 628137Gender: MaleSacred Heart MedicalOncology1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-7101Fax: (850) 416-693400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hayes, Mose MDProvider ID: 648925Gender: MaleSacred Heart Medical Group1545 Airport Blvd Ste 200Pensacola, FL 32504(850) 416-7101Fax: (850) 416-710300 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 4:00 PMPCMH: No

Miller, Lonnie MDProvider ID: 1724056Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Miller, Lonnie MDProvider ID: 1731178Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, Jeffrey MDProvider ID: 1429143Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-7000Fax: (850) 416-611900 Yrs/130 YrsPCMH: No

Schwartz, Jeffrey MDProvider ID: 1429143Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-672900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, Jeffrey MD




Updated: 07/03/2019


Hematology & Oncology- cont.

Sunnenberg, Thomas MDProvider ID: 151489Gender: Male5375 N 9th AvePensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sunnenberg, Thomas MD

Provider ID: 151489Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Watkins, James MD

Provider ID: 632539Gender: MaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsSacred Heart HospitalM 8:00 AM - 5:00 PMTWTHF 8:00 AM - 4:30 PMPCMH: No

Infectious Disease

Clements, James MDProvider ID: 164341Gender: MaleInfectious Disease Group PA1717 N E St Ste 439Pensacola, FL 32501(850) 432-3692Fax: (850) 332-644518 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Daley, David MDProvider ID: 294761Gender: MaleInfectious Disease Group PA1717 N E St Ste 439Pensacola, FL 32501(850) 432-3692Fax: (850) 332-644500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Erickson, Jay MDProvider ID: 165083Gender: MaleInfectious Disease Group PA1717 N E St Ste 439Pensacola, FL 32501(850) 432-3692Fax: (850) 332-644518 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Kumari, Pardeep MDProvider ID: 198348Gender: FemaleGulf Coast Infectious Diseases2120 E Johnson Ave Ste 105Pensacola, FL 32514(850) 549-4755Fax: (850) 549-476005 Yrs/130 YrsSacred Heart Hospital On TheGulfWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Li-Espino, Edgardo MDProvider ID: 206164Gender: Male5147 N 9th Ave Ste 322Pensacola, FL 32504(850) 439-5681Fax: (850) 439-568216 Yrs/130 YrsSacred Heart HospitalLanguages: SpanishPCMH: No

Li-Espino, Edgardo MD

Provider ID: 206164Gender: MaleInfectious Disease Assoc ofNW Florida5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 476-3131Fax: (850) 476-484816 Yrs/130 YrsSacred Heart HospitalLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Patiag, Ronaldo MDProvider ID: 690010Gender: MaleCenter For Prevention andTreatment5147 N 9th Ave Ste 322Pensacola, FL 32504(850) 439-5681Fax: (850) 439-568200 Yrs/130 YrsSacred Heart HospitalLanguages: TagalogM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Wade, Barbara MDProvider ID: 723462Gender: Female4300 Bayou Blvd Ste 17DPensacola, FL 32503(850) 476-3131Fax: (850) 476-484800 Yrs/130 YrsSacred Heart HospitalMWF 8:00 AM - 5:00 PMT 8:00 AM - 6:30 PMTH 6:30 AM - 5:00 PMPCMH: No

Internal Medicine

Anwar, David DOProvider ID: 1816875Gender: MaleWest Florida CardiologyPhysician L8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 696-7979Fax: (850) 476-935218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Anwar, David DOProvider ID: 1816875Gender: MaleWest Florida CardiologyPhysicians321 S Fairfield DrPensacola, FL 32506(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Baroco, Paul MDProvider ID: 653738Gender: MaleEscambia Community Clinic2200 N Palafox StPensacola, FL 32501(850) 436-463000 Yrs/130 YrsSacred Heart Hospital On TheGulfM-F 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Internal Medicine - cont.

Baroco, Paul MDProvider ID: 653738Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsSacred Heart Hospital On TheGulfMTWTHFSatSun 8:00 AM -8:00 PMPCMH: No

Cruz, Lorinda MDProvider ID: 1695376Gender: FemaleSacred Heart Medical GropSub Speci4451 Bayou BlvdPensacola, FL 32503(850) 278-3618Fax: (850) 278-364418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Daniels, Matthew MD

Provider ID: 219653Gender: MaleSacred Heart Medical Group1549 Airport Blvd Ste 200Pensacola, FL 32504(850) 416-7838Fax: (850) 416-401000 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Eisa, Emad MDProvider ID: 1695369Gender: MaleSacred Heart Medical GroupSub Spec4451 Bayou BlvdPensacola, FL 32503(850) 416-7619Fax: (850) 416-775318 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Gorton, Jung MDProvider ID: 222910Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 200Pensacola, FL 32503(850) 416-2535Fax: (850) 416-710500 Yrs/130 YrsSacred Heart HospitalSacred Heart Hospital On TheGulfM-F 8:00 AM - 5:00 PMPCMH: No

Morelock, Christina MD

Provider ID: 653393Gender: FemaleShmg Sub Specialists4451 Bayou BlvdPensacola, FL 32503(850) 278-3001Fax: (850) 278-364400 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Papic, Lisa MDProvider ID: 1854377Gender: FemaleSacred Heart Medical Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Papic, Lisa MDProvider ID: 1854377Gender: FemaleSacred Heart Medical Group5151 N 9th AvePensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Vimal DOProvider ID: 1695365Gender: MaleSacred Heart Medical GropSub Speci4451 Bayou BlvdPensacola, FL 32503(850) 278-3618Fax: (850) 278-364418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Scherer, Jeremy DOProvider ID: 1698496Gender: MaleSacred Heart Medical GropSub Speci4451 Bayou BlvdPensacola, FL 32503(850) 416-7619Fax: (850) 416-775318 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Vannorsdall, Mark MDProvider ID: 1853169Gender: MaleFresenius Vascular CarePensac1619 Creighton RdPensacola, FL 32504(850) 466-3843Fax: (850) 484-310618 Yrs/130 YrsMT 8:30 AM - 4:30 PMPCMH: No


Al Bitar, Issam MDProvider ID: 1093014Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Roque, Henry MDProvider ID: 1654150Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-8477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, William MDProvider ID: 965713Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

White, David DOProvider ID: 957970Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-2477Fax: (850) 416-752000 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nephrology

Friedland, Edward MD

Provider ID: 1473135Gender: MaleFresenius Vascular CarePensacola L1619 Creighton Rd Ste 2Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814418 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Nephrology - cont.

Friedland, Edward MDProvider ID: 150375Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814416 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Humeda, Humam MD

Provider ID: 1472162Gender: MaleFresenius Vascular CarePensacola L1619 Creighton Rd Ste 2Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsSacred Heart HospitalLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Humeda, Humam MDProvider ID: 150373Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalWest Florida HospitalLanguages: French, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Humeda, Humam MDProvider ID: 150373Gender: MalePensacola Nephrology PA1717 N E St Ste 403Pensacola, FL 32501(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalWest Florida HospitalLanguages: French, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Humeda, Humam MDProvider ID: 150373Gender: MalePensacola Nephrology PA5149 N 9th Ave G35Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalWest Florida HospitalLanguages: French, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Jimenez, Derek MDProvider ID: 419400Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 862-2385Fax: (850) 434-814412 Yrs/130 YrsFt Walton Beach MedicalCenterNorth Okaloosa MedicalCenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Nagrani, Nicholas MDProvider ID: 295551Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 862-2385Fax: (850) 862-048212 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Nagrani, Nicholas MDProvider ID: 295551Gender: MalePensacola Nephrology PA2940 N Blue Angel PkwyPensacola, FL 32506(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsFt Walton Beach MedicalCenterM 8:00 AM - 5:00 PMPCMH: No

Nashed, Maged MDProvider ID: 240676Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Qader, Haitham MD

Provider ID: 1472642Gender: MaleFresenius Vascular CarePensacola L1619 Creighton Rd Ste 2Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Qader, Haitham MDProvider ID: 586437Gender: Male1717 N E St Ste 403Pensacola, FL 32501(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Qader, Haitham MDProvider ID: 586437Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Qader, Haitham MDProvider ID: 586437Gender: MalePensacola Nephrology PA5149 N 9th Ave Ste G35Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Reid, Christopher MDProvider ID: 222938Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsNorth Okaloosa MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Nephrology - cont.

Wiles, Ronnie MDProvider ID: 152309Gender: Male1000 W Moreno StPensacola, FL 32501(850) 434-401112 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: Male1305 W Moreno StPensacola, FL 32501(850) 434-1176Fax: (850) 434-570412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology5149 N 9th Ave Ste G35Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology6001 Industrial BlvdCentury, FL 32535(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology PA1717 N E St Ste 403Pensacola, FL 32501(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalMWTHF 8:30 AM - 5:00 PMT 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology PADBA Renalus2940 N Blue Angel PkwyPensacola, FL 32506(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM 8:00 AM - 5:00 PMPCMH: No

Neurology

Cahill, Joseph MDProvider ID: 1352410Gender: MaleWest Florida SpecialtyPhysicians8383 N Davis Hwy 1st FlPensacola, FL 32514(850) 494-3954Fax: (850) 494-396018 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Keller, Curtis MDProvider ID: 1829472Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-2554Fax: (850) 416-744218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Keller, Curtis MDProvider ID: 1851673Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-2554Fax: (850) 416-255400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mallenbaum, Sidney MD


Mallenbaum, Sidney MD


Neill, Terry MDProvider ID: 628237Gender: MaleSacred Heart Medical GroupSub Spec5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-2554Fax: (850) 416-744200 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Ouellette, Bruce MDProvider ID: 1240923Gender: MaleWest Florida Neurology8383 N Davis Hwy 1st FlPensacola, FL 32514(850) 494-3954Fax: (850) 494-396000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurosurgery

Carr, Ann MDProvider ID: 1559150Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253618 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Carr, Ann MDProvider ID: 1559150Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253618 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Neurosurgery - cont.

Critides, Samuel MD

Provider ID: 968223Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Critides, Samuel MD

Provider ID: 968223Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Jimenez, Lincoln MDProvider ID: 1136442Gender: MaleNeurosergery Pensacola5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kern, Matthew MD

Provider ID: 1585898Gender: MaleWest Florida SpecialtyPhysicians L2120 E Johnson Ave Ste 106Pensacola, FL 32514(850) 494-6003Fax: (850) 494-963600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ronderos, Juan MDProvider ID: 1080989Gender: MaleNeurosurgery Pensacola5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Spinks, Theodore MD

Provider ID: 1760895Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-225300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Spinks, Theodore MD


Toledo, Maria MDProvider ID: 1474875Gender: FemaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Toledo, Maria MDProvider ID: 1474875Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Villar, Christopher MDProvider ID: 1638874Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Villar, Christopher MDProvider ID: 1638874Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Allison, Allessa MD

Provider ID: 1865519Gender: FemaleAdvanced Women's Care525 Brent LnPensacola, FL 32503(850) 471-2221Fax: (850) 471-224512 Yrs/130 YrsM-TH 8:00 AM - 4:30 PMF 8:00 AM - 12:00 PMPCMH: No

Altenhofen, Dean MD

Provider ID: 214580Gender: MaleDean E Altenhofen, MD, PA6110 N Davis HwyPensacola, FL 32504(850) 475-0902Fax: (850) 475-090800 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Antonetti, Ana MDProvider ID: 1541309Gender: FemaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357300 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Bernal Blair, Ileana MDProvider ID: 1692786Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste AND207Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253912 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bruce, Lakeema MDProvider ID: 1331434Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 475-596416 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Bush, Suzanne MDProvider ID: 609558Gender: Female5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-700000 Yrs/130 YrsSacred Heart HospitalPCMH: No

Bush, Suzanne MDProvider ID: 609558Gender: FemaleFlorida Medical Practice Plan,Inc5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246700 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Calhoun, Allison MDProvider ID: 1528048Gender: FemaleFlorida Woman Care LLC525 Brent LnPensacola, FL 32503(850) 471-2221Fax: (850) 471-224512 Yrs/130 YrsM-TH 8:30 AM - 4:30 PMF 8:30 AM - 12:00 PMPCMH: No

Decesare, Julie MDProvider ID: 201594Gender: Female5151 N 9th AvePensacola, FL 32504(850) 416-700012 Yrs/130 YrsSacred Heart HospitalPCMH: No

Decesare, Julie MDProvider ID: 201594Gender: FemaleEscambia Community ClinicInc At Wo5855 Creek Station DrPensacola, FL 32504(850) 435-4352Fax: (850) 497-619512 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Decesare, Julie MDProvider ID: 201594Gender: FemaleUniv OB/GYN Program AtSacred Heart5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 475-596412 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 4:30 PMPCMH: No

Duke Elmore, Jairan DOProvider ID: 245654Gender: FemaleRule One4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 889-5161Fax: (850) 416-279712 Yrs/130 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

Duke Elmore, Jairan DOProvider ID: 245654Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253912 Yrs/130 YrsSacred Heart HospitalM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Eckert, Jeanne MDProvider ID: 1112802Gender: FemaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Gilliam, Lynda MDProvider ID: 1580270Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-TH 7:30 AM - 5:00 PMF 8:00 AM - 5:00 PMPCMH: No

Grammer, John MD

Provider ID: 1107292Gender: MaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsM-TH 7:30 AM - 5:00 PMF 7:30 AM - 5:30 PMPCMH: No

Hultstrand, Victor MD

Provider ID: 1771582Gender: MaleWest Florida InternalMedicine, LLC8333 N Davis Hwy Ste 2Pensacola, FL 32514(850) 494-4600Fax: (850) 969-203712 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Hultstrand, Victor MD

Provider ID: 1771582Gender: MaleWoodlands MedicalSpecialists PA8333 N Davis Hwy Fl 7Pensacola, FL 32514(850) 494-4600Fax: (850) 969-203712 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kelley, Janet MDProvider ID: 1731180Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lile, William DOProvider ID: 151163Gender: MaleRule One4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 889-516100 Yrs/130 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

Lile, William DOProvider ID: 151163Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Lile, William DOProvider ID: 613833Gender: MaleRule One4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 889-516100 Yrs/130 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

McAlpin, Lindsey MD

Provider ID: 1695367Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Medlock, Charles MDProvider ID: 538989Gender: MaleRule One4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 416-5050Fax: (850) 474-906000 Yrs/130 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

Medlock, Charles MD

Provider ID: 538989Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 207Pensacola, FL 32504(850) 416-5050Fax: (850) 416-502200 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Medlock, Charles MD

Provider ID: 538989Gender: MaleUniv OB/GYN Prog @ Sh5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246700 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Mehta, David MDProvider ID: 165797Gender: MaleWest Florida ObstetricsGynecology8333 N Davis Hwy 7th FlPensacola, FL 32514(850) 432-9536Fax: (850) 969-203712 Yrs/130 YrsSacred Heart HospitalWest Florida HospitalLanguages: Spanish, German,Hindi, PunjabiM-F 8:00 AM - 5:00 PMPCMH: No

Mehta, David MDProvider ID: 165797Gender: MaleWest Florida Obstetrics andGynecol8333 N Davis HwyPensacola, FL 32514(850) 494-460012 Yrs/130 YrsSacred Heart HospitalWest Florida HospitalLanguages: Spanish, German,Hindi, PunjabiM-F 8:00 AM - 5:00 PMPCMH: No

Navarro, Dina MDProvider ID: 618918Gender: FemaleFlorida Woman Care2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 7:30 AM - 5:00 PMPCMH: No

Osterrieder, Benjamin MDProvider ID: 1238157Gender: MaleSacred Heart Medical GroupOB/GYN5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Osterrieder, Benjamin MDProvider ID: 1238157Gender: MaleSacred Heart Medical GroupOB/GYN5153 N 9th Ave Ste 207Pensacola, FL 32504(850) 416-5050Fax: (850) 416-502200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Payne, Jennifer MDProvider ID: 1110359Gender: FemaleWest Florida InternalMedicine, LLC8333 N Davis Hwy 2nd FlPensacola, FL 32514(850) 969-2038Fax: (850) 969-203712 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Person, Gary MDProvider ID: 322073Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-700012 Yrs/130 YrsPCMH: No

Person, Gary MDProvider ID: 322073Gender: MaleSeton Shh University Obgy5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Peterson, Joseph MDProvider ID: 1194755Gender: MaleEscambia Community ClinicInc At Wo5855 Creek Station DrPensacola, FL 32504(850) 416-2450Fax: (850) 416-246700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Peterson, Joseph MDProvider ID: 457303Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-700000 Yrs/130 YrsSacred Heart HospitalPCMH: No

Peterson, Joseph MDProvider ID: 457303Gender: MaleEscambia Community ClinicInc At Wo5855 Creek Station DrPensacola, FL 32504(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Peterson, Joseph MDProvider ID: 457303Gender: MaleSacred Heart Medical Group5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 475-596400 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Prafke, Jill MDProvider ID: 1135213Gender: FemaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Ross, Ann MDProvider ID: 1571192Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2450Fax: (850) 416-246012 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ruis, Kristy MDProvider ID: 1855154Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-2477Fax: (850) 416-752000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, William MDProvider ID: 965713Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Seidel, Sharon MDProvider ID: 1194749Gender: FemaleEscambia Community ClinicInc At Wo5855 Creek Station DrPensacola, FL 32504(850) 416-2450Fax: (850) 416-246700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Sontag, Brian DOProvider ID: 203640Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-700012 Yrs/130 YrsSacred Heart HospitalPCMH: No

Sontag, Brian DOProvider ID: 203640Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253912 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 203650Gender: Male5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 203650Gender: MaleRule One4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 889-5161Fax: (850) 474-906000 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 203650Gender: MaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-2433Fax: (850) 478-180900 Yrs/130 YrsSacred Heart HospitalM 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 203650Gender: MaleSacred Heart Medical Group400 Milestone BlvdCantonment, FL 32533(850) 478-2333Fax: (850) 478-180900 Yrs/130 YrsSacred Heart HospitalMT 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 964906Gender: MaleRule One LLC4400 Bayou Blvd Ste 36Pensacola, FL 32503(850) 889-5161Fax: (850) 474-906012 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 964906Gender: MaleUniversity OB/GYN Program@ Sh5153 N 9th Ave Ste 205Pensacola, FL 32504(850) 416-2550Fax: (850) 416-253912 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Stuart, Ronald MDProvider ID: 187266Gender: MaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Turner, David MDProvider ID: 169277Gender: MaleFlorida Woman Care LLC2114 Airport Blvd Ste 1000Pensacola, FL 32504(850) 476-3696Fax: (850) 477-357312 Yrs/130 YrsSacred Heart HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Webb, Laura DOProvider ID: 1304970Gender: FemaleWest Florida Obstetrics andGynecol8333 N Davis Hwy 2nd FlPensacola, FL 32514(850) 969-4600Fax: (850) 969-203712 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Occupational Medicine

Center For Pediatric RehabProvider ID: 1639391108 Airport Blvd Bldg APensacola, FL 32504(850) 471-1005Fax: (850) 484-952500 Yrs/21 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Ophthalmology

Gupta, Sunil MDProvider ID: TPV1063489383-0Gender: MaleSunil Gupta MD LLC5150 N Davis HwyPensacola, FL 32503(850) 476-6759Fax: (850) 484-522218 Yrs/99 YrsWest Florida HospitalLanguages: Spanish, French,HindiM-F 8:00 AM - 5:00 PMPCMH: No

Hansen, Winfried MDProvider ID: TPV1023073210-0Gender: MaleW H Hansen MD PA2020 Langley AvePensacola, FL 32504(850) 476-8467Fax: (850) 476-846800 Yrs/99 YrsBaptist HospitalLanguages: GermanM-F 9:00 AM - 5:00 PMPCMH: No

Herron, Warren MDProvider ID: TPV1982787545-0Gender: MaleWarren L Herron Jr MD PA1717 N E St Ste 206Pensacola, FL 32501(850) 433-3641Fax: (850) 433-038118 Yrs/99 YrsBaptist HospitalM-W 9:00 AM - 5:00 PMTH 9:00 AM - 2:00 PMPCMH: No

Kortz, Andrew MDProvider ID: TPV1295710556-0Gender: MaleAndrew Kortz MD PA4570 Isabella Ingram DrPensacola, FL 32504(850) 438-6555Fax: (850) 438-655912 Yrs/99 YrsGulf Breeze HospitalM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Mills, David MDProvider ID: TPV1639118227-0Gender: MaleFlorida Ophthalmic AffiliatesPA9050 University PkwyPensacola, FL 32514(850) 266-7500Fax: (850) 390-457600 Yrs/99 YrsBaptist HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Myers, John MDProvider ID: TPV1881661585-0Gender: MaleSunil Gupta MD LLC5150 N Davis HwyPensacola, FL 32503(850) 476-6759Fax: (850) 484-522218 Yrs/99 YrsGulf Breeze HospitalLanguages: Spanish, French,HindiM-F 8:00 AM - 5:00 PMPCMH: No

Rifai, Aref MDProvider ID: TPV1265428270-0Gender: MaleRetina Center of Pensacola PA1549 Airport Blvd Ste 410Pensacola, FL 32504(850) 607-6841Fax: (850) 637-105400 Yrs/99 YrsBaptist HospitalGulf Breeze HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tarantola, Ryan MDProvider ID: TPV1316094139-0Gender: MaleSunil Gupta MD LLC5150 N Davis HwyPensacola, FL 32503(850) 476-6759Fax: (850) 484-522218 Yrs/99 YrsBaptist HospitalLanguages: Spanish, French,HindiM-F 8:00 AM - 5:00 PMPCMH: No

Optician

Visionworks IncProvider ID: TPV1619078805-05100 N 9th SPensacola, FL 32504(850) 484-3077Fax: (850) 476-983600 Yrs/99 YrsMTWTHFSat 10:00 AM - 9:00PMSun 12:00 AM - 6:00 PMPCMH: No

Optometry

Bell, Troy ODProvider ID: TPV1174537690-0Gender: MaleDr Gene Terrezza ODAssociates PA113 Palafox PlPensacola, FL 32502(850) 434-2060Fax: (850) 434-183005 Yrs/99 YrsLanguages: ItalianMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMPCMH: No

Bell, Troy ODProvider ID: TPV1174537690-0Gender: MaleBell Terrezza OD PA800 N Fairfield DrPensacola, FL 32506(850) 456-5059Fax: (850) 456-046105 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Charbonneau, Mary ODProvider ID: TPV1962445189-0Gender: FemaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209503 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Charbonneau, Mary ODProvider ID: TPV1962445189-0Gender: FemaleCoastal Family Eyecare Inc3960 W Navy Blvd Ste 1Pensacola, FL 32507(850) 455-0120Fax: (844) 965-987503 Yrs/99 YrsM 9:00 AM - 6:30 PMTWF 8:00 AM - 5:00 PMTH 7:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Optometry - cont.

Cobb, Jonathan ODProvider ID: TPV1538455985-0Gender: MaleDr Gene Terrezza ODAssociates PA113 Palafox PlPensacola, FL 32502(850) 434-2060Fax: (850) 434-183005 Yrs/99 YrsLanguages: ItalianMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMPCMH: No

Colley, Floyd ODProvider ID: TPV1033211594-0Gender: MaleDr F Donald ColleyOptometrist PA2105 Town StPensacola, FL 32505(850) 433-0327Fax: (850) 432-215905 Yrs/99 YrsM-TH 8:00 AM - 6:00 PMPCMH: No

Leonard, Clare ODProvider ID: TPV1992873020-0Gender: FemaleCoastal Family Eyecare Inc3960 W Navy Blvd Ste 1Pensacola, FL 32507(850) 455-0120Fax: (844) 965-987500 Yrs/99 YrsM 9:00 AM - 6:30 PMTWF 8:00 AM - 5:00 PMTH 7:00 AM - 5:00 PMPCMH: No

Mayes, Wesley ODProvider ID: TPV1780876862-0Gender: MaleFlorida Ophthalmic AffiliatesPA9050 University PkwyPensacola, FL 32514(850) 266-7500Fax: (850) 390-457600 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McDonald, Stacey ODProvider ID: TPV1518927052-0Gender: FemaleDr Gene Terrezza ODAssociates PA113 Palafox PlPensacola, FL 32502(850) 434-2060Fax: (850) 434-183004 Yrs/99 YrsLanguages: ItalianMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMPCMH: No

Peeterse, Cynthia ODProvider ID: TPV1821084328-0Gender: FemalePensacola Vision Center Inc6400 N Davis Hwy Ste 1Pensacola, FL 32504(850) 476-6100Fax: (850) 471-115504 Yrs/99 YrsMTTH 8:30 AM - 5:30 PMW 9:00 AM - 12:00 PMF 8:00 AM - 4:00 PMPCMH: No

Reed, Richard ODProvider ID: TPV1285712737-0Gender: MaleDr Gene Terrezza ODAssociates PA113 Palafox PlPensacola, FL 32502(850) 434-2060Fax: (850) 434-183002 Yrs/99 YrsLanguages: ItalianMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMPCMH: No

Reed, Richard ODProvider ID: TPV1285712737-0Gender: MaleBell Terrezza OD PA800 N Fairfield DrPensacola, FL 32506(850) 456-5059Fax: (850) 456-046102 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Terrezza, Gene ODProvider ID: TPV1295929933-0Gender: MaleDr Gene Terrezza ODAssociates PA113 Palafox PlPensacola, FL 32502(850) 434-2060Fax: (850) 434-183003 Yrs/99 YrsLanguages: ItalianMTTHF 8:00 AM - 5:00 PMW 8:00 AM - 6:00 PMPCMH: No

Terrezza, Gene ODProvider ID: TPV1295929933-0Gender: MaleBell Terrezza OD PA800 N Fairfield DrPensacola, FL 32506(850) 456-5059Fax: (850) 456-046103 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Collette, Andrew DOProvider ID: 1432616Gender: MaleSacred Heart Medical Group4541 N Davis Hwy Ste APensacola, FL 32503(850) 494-9000Fax: (850) 416-124800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Collette, Andrew DOProvider ID: 1432616Gender: MaleSacred Heart Medical Group5147 N 9th Ave Ste 103Pensacola, FL 32504(850) 494-9000Fax: (850) 416-195800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Elliott, Mark MDProvider ID: 1595053Gender: MaleSacred Heart Medical Group4521 N Davis Hwy Ste APensacola, FL 32503(850) 494-9002Fax: (850) 473-270918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roberts, Tracy MDProvider ID: 1649812Gender: FemaleSacred Heart Medical Group4541 N Davis Hwy Ste APensaacola, FL 32503(850) 416-1575Fax: (850) 416-130200 Yrs/130 YrsLanguages: SpanishMTTHF 8:00 AM - 5:00 PMW 7:30 AM - 5:00 PMPCMH: No

Stall, Alec MDProvider ID: 1635964Gender: MaleNemours Childrens SpecialtyCare, P8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsNemours Childrens HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stall, Alec MDProvider ID: 1635964Gender: MaleNemours Childrens SpecialtyCare, P8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/18 YrsNemours Childrens HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pain Management

Ali, Danish DOProvider ID: 1775750Gender: MaleDynamic Pain & Wellness4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ali, Danish DOProvider ID: 1860023Gender: MaleWest Florida InternalMedicine LLC8391 N Davis HwyPensacola, FL 32514(850) 494-3917Fax: (850) 494-396000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Middendorf, Christopher DO

Provider ID: 1238160Gender: MaleSacred Heart Medical Group1549 Airport Blvd Ste 200EPensacola, FL 32504(850) 416-1932Fax: (850) 416-268418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Middendorf, Christopher MD

Provider ID: 1583514Gender: MaleDynamic Pain and WellnessLLC4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Allergy &Immunology

Dorion, Brandon MDProvider ID: 224635Gender: MaleNemours Childrens Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4730Fax: (850) 505-478700 Yrs/17 YrsLanguages: Spanish, HindiM-F 8:30 AM - 4:30 PMPCMH: No

Pediatric Cardiology

Arevalo, Alejandro MDProvider ID: 1652061Gender: MaleNemours Childrens SpecialtyCare P8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-477200 Yrs/17 YrsNemours Childrens HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Arevalo, Alejandro MDProvider ID: 1652061Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-714100 Yrs/17 YrsNemours Childrens HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bingler, Michael MDProvider ID: 1413289Gender: MaleNemours Childrens SpecialtyCare, P5153 North 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chrysostomou, ConstantinosMD

Provider ID: 1189799Gender: MaleNemours Children Clinic,Pensacola5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-472600 Yrs/18 YrsLanguages: GreekM-F 8:00 AM - 5:00 PMPCMH: No

Furst, Matthew MD

Provider ID: 1483918Gender: MaleSacread Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-672900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Furst, Matthew MD

Provider ID: 1483918Gender: MaleSacread Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-138600 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roca, Theresa MDProvider ID: 1483916Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1385Fax: (850) 416-138600 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roca, Theresa MDProvider ID: 1483916Gender: FemaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-138600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Temple, Joel MDProvider ID: 540856Gender: MaleNemours8331 North Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/130 YrsArnold Palmer Hospital ForChildrenOrlando Health OrlandoRegional MedLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Weeks, Bevin MDProvider ID: 1469406Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1572Fax: (850) 416-157400 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatric Cardiology -cont.

Weeks, Bevin MDProvider ID: 1469406Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-1572Fax: (850) 416-157400 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Weeks, Bevin MDProvider ID: 1469406Gender: FemaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-138600 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Ear, Nose &Throat

Clark, William MDProvider ID: 1606977Gender: MaleNemours Childrens SpecialtyCare Pe8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471400 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Clark, William MDProvider ID: 1606977Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-7141Fax: (850) 416-612500 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Clark, William MDProvider ID: 1606977Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Coticchia, James MDProvider ID: 1654787Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1575Fax: (850) 416-142600 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Coticchia, James MDProvider ID: 1654787Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-211800 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kluka, Evelyn MDProvider ID: 717049Gender: FemaleBaptist Medical Park SurgeryCenter9400 University PkwyPensacola, FL 32514(850) 208-6300Fax: (850) 505-471100 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Kluka, Evelyn MDProvider ID: 717049Gender: FemaleNemours Children's Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4700Fax: (850) 505-471400 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kluka, Evelyn MDProvider ID: 717049Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 505-471100 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Lebeau, Jacque MD

Provider ID: 686085Gender: MaleBaptist Medical Park SurgeryCenter9400 University PkwyPensacola, FL 32514(850) 208-6300Fax: (850) 505-471100 Yrs/21 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Lebeau, Jacque MD

Provider ID: 686085Gender: MaleLebeau Clinic1020 N Palafox StPensacola, FL 32501(850) 308-1738Fax: (850) 308-542000 Yrs/21 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Lebeau, Jacque MD

Provider ID: 686085Gender: MaleNemours Childrens ClinicPensacola5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4735Fax: (850) 505-475600 Yrs/21 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Lebeau, Jacque MD

Provider ID: 686085Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 505-471100 Yrs/21 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No


Desmangles, Jeanclaude MD

Provider ID: 1321631Gender: MaleNemours Childrens SpecialtyCare, P5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4700Fax: (850) 505-475600 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Drawdy, Martina MDProvider ID: 1851668Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1575Fax: (850) 416-212000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatric Endocrinology -cont.

Drawdy, Martina MDProvider ID: 1851668Gender: FemaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-212000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Drawdy, Martina MDProvider ID: 1851668Gender: FemaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-212000 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ergun Longmire, Berrin MD

Provider ID: 1603092Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1575Fax: (850) 416-212000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1603092Gender: FemaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-212000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No




Barragan Gomez, Myriam MD

Provider ID: 1579908Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bonfante, Esteban MD

Provider ID: 856096Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-714100 Yrs/17 YrsWest Florida HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Bonfante, Esteban MD

Provider ID: 856096Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 416-612500 Yrs/17 YrsWest Florida HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Dillard, Robert MDProvider ID: 1513293Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-2280Fax: (850) 416-225900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dillard, Robert MDProvider ID: 1513293Gender: MaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-2280Fax: (850) 416-225900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dorsey, Jill MDProvider ID: 475207Gender: FemaleNemours Specialty CarePensacola5153 North 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsBaptist Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

George, Donald MD

Provider ID: 210759Gender: MaleNemours Childrens SpecialtyClinic5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsLanguages: FrenchM-F 8:00 AM - 5:00 PMPCMH: No

George, Donald MDProvider ID: 210759Gender: MaleNemours Foundation8383 North Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsLanguages: FrenchM-F 8:00 AM - 5:00 PMPCMH: No

McGoogan, Katherine MDProvider ID: 591696Gender: FemaleNemours Specialty CarePensacola5153 North 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Taufiq, Salik MDProvider ID: 210782Gender: MaleNemours Specialty CarePensacola5153 North 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Cohen, Debra MDProvider ID: 1517565Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1890Fax: (850) 416-189100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Cohen, Debra MDProvider ID: 1517565Gender: FemaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-188900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Strobel, Amanda MDProvider ID: 1469555Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1575Fax: (850) 416-189100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Strobel, Amanda MDProvider ID: 1469555Gender: FemaleSacred Heart Medical Group5153 N 9th Ave 4th FlPensacola, FL 32504(850) 416-2280Fax: (850) 416-225900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Strobel, Amanda MDProvider ID: 1469555Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 403Pensacola, FL 32504(850) 416-1890Fax: (850) 416-188900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wynn, Tung MDProvider ID: 1654791Gender: MaleSacred Heart Meical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-189100 Yrs/18 YrsLanguages: Vietnamese,AmericanM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric InfectiousDisease

Shapiro, David ODProvider ID: 1517566Gender: FemaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1785Fax: (850) 416-178400 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Shapiro, David ODProvider ID: 1517566Gender: FemaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1785Fax: (850) 416-178400 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Nephrology

Kurady, Ali MDProvider ID: 1654788Gender: MaleSacred Heart Meical Group1675 Trinity DrPensacola, FL 32504(850) 416-1575Fax: (850) 416-225900 Yrs/18 YrsLanguages: Vietnamese,AmericanM-F 8:00 AM - 5:00 PMPCMH: No

Zaritsky, Joshua MD

Provider ID: 1198494Gender: MaleNemours Childrens Clinic,Pensacola5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Pearson, Matthew MDProvider ID: 791280Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/21 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Ophthalmology

Kentra Gorey, Elizabeth MD

Provider ID: 1553106Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Orthopaedics

Lewis, Ronald MDProvider ID: 1495060Gender: MaleBaptist Hospital1000 W. Moreno StPensacola, FL 32501(850) 434-401100 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lewis, Ronald MDProvider ID: 1495060Gender: MaleNemours Childrens SpecialtyCare, P5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-472600 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Reynolds, Richard MD

Provider ID: 1104378Gender: MaleNemours Childrens Clinic,Pensacola5153 N 9th AvePensacola, FL 32504(850) 505-4720Fax: (850) 505-472600 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatric Orthopaedics -cont.


Provider ID: 1104378Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 505-471100 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatric Pulmonology

Com, Gulnur MDProvider ID: 1788701Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1110Fax: (850) 416-119200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Com, Gulnur MDProvider ID: 1788701Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1110Fax: (850) 416-119200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Rheumatology

Dorion, Brandon MDProvider ID: 224635Gender: MaleNemours Childrens Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4730Fax: (850) 505-478700 Yrs/17 YrsLanguages: Spanish, HindiM-F 8:30 AM - 4:30 PMPCMH: No

Pediatric Surgery

Anderson, Christopher MD

Provider ID: 1173362Gender: MalePediatric Surgery5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Attorri, Robert MDProvider ID: 799669Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 307Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nakayama, Don MDProvider ID: 1149284Gender: MalePediatric Surgery5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nakayama, Don MDProvider ID: 1149284Gender: MalePediatric Surgery5153 N 9th Ave Ste 307Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Papic, Jonathan MDProvider ID: 1493046Gender: MaleSacred Heart Medical Group5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wallender, Aaron MDProvider ID: 1751204Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-614200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Weidner, Bryan MDProvider ID: 755937Gender: MalePediatric Surgery5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Urology

Caesar, Richard MDProvider ID: 1553706Gender: MaleNemours Childrens SpecialtyCare8331 North Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Caesar, Richard MD

Provider ID: 1553706Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-7141Fax: (850) 416-612500 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Caesar, Richard MD

Provider ID: 1553706Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Chang, Barry MDProvider ID: 1576704Gender: MaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chang, Barry MDProvider ID: 1576704Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-714100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatric Urology - cont.

Chang, Barry MDProvider ID: 1576704Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 416-612500 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Corbett, Sean MDProvider ID: 1540275Gender: MaleNemours Childrens SpecialtyCare8383 North Davis HwyPensacola, FL 3251400 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Corbett, Sean MDProvider ID: 1540275Gender: MaleNemours Childrens SpecialtyCare P5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Henderson, Charles MD

Provider ID: 1450746Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-2280Fax: (850) 410-152400 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McKenna, Patrick MD

Provider ID: 1750710Gender: MaleNemours Childrens SpecialtyCare, P8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McKenna, Patrick MD

Provider ID: 1750710Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mevorach, Robert MD

Provider ID: 1476826Gender: MaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mevorach, Robert MD

Provider ID: 1476826Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-7141Fax: (850) 416-612500 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mevorach, Robert MD


Roth, Christopher MD

Provider ID: 1476832Gender: MaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 1476832Gender: MaleThe Childrens Hospital AtSacred He5151 N 9th AvePensacola, FL 32504(850) 416-7141Fax: (850) 416-612500 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Stuhldreher, Peter MD

Provider ID: 1790574Gender: MaleNemours Childrens SpecialtyCare, P8331 North Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stuhldreher, Peter MD

Provider ID: 1790574Gender: MaleWest Florida Hospital8383 North Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Vandersteen, David MD

Provider ID: 1748759Gender: MaleNemours Childrens SpecialtyCare, P8331 North Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wehry, Mark MDProvider ID: 1450748Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-7000Fax: (850) 416-611900 Yrs/18 YrsPCMH: No



Updated: 07/03/2019


Pediatrics

Battistini, Stephanie MD

Provider ID: 1695363Gender: FemaleUniversity Pediatric ProgramAt Sac1675 Trinity DrPensacola, FL 32504(850) 416-7658Fax: (850) 416-767700 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Donahue, Brian MDProvider ID: 1854378Gender: MaleSacred Heart Medical Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Donahue, Brian MDProvider ID: 1854378Gender: MaleSacred Heart Medical Group1675 Trinity DrPensacola, FL 32504(850) 416-1890Fax: (850) 416-189100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Donahue, Brian MDProvider ID: 1854378Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-119200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Maurtua Neumann, Paola MD

Provider ID: 1829518Gender: FemaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-178400 Yrs/18 YrsM 8:00 AM - 5:00 PMPCMH: No

Maurtua Neumann, Paola MD


Simo, Salvador MDProvider ID: 1852245Gender: MaleMetro Treatment of Florida,LP2420 S Hwy 29Cantonment, FL 32533(850) 968-3565Fax: (850) 968-357500 Yrs/21 YrsPCMH: No

Smith, Erlyn MDProvider ID: 1748837Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-189100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Waite, Sarah MDProvider ID: 1576750Gender: Female2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/21 YrsM-F 8:00 AM - 4:30 PMPCMH: Yes, Level 1

Wilkinson, Diane MDProvider ID: 1005586Gender: Female1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-447400 Yrs/18 YrsSacred Heart HospitalPCMH: No


Ali, Danish DOProvider ID: 1860023Gender: MaleWest Florida InternalMedicine LLC8391 N Davis HwyPensacola, FL 32514(850) 494-3917Fax: (850) 494-396000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Botner, Bryan MDProvider ID: 1734730Gender: MaleWest Florida Inpatient Rehab8391 N Davis HwyPensacola, FL 32514(850) 494-4994Fax: (850) 698-489518 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Burton, Christopher MD

Provider ID: 1365950Gender: MaleWest Florida Inpatient Rehab8391 N Davis HwyPensacola, FL 32514(850) 494-4994Fax: (850) 494-396018 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Duncan, Suzanne MD

Provider ID: 1703164Gender: FemaleDr Suzanne Duncan MD LLC3298 Summit Blvd Ste 4Pensacola, FL 32503(508) 680-4864Fax: (508) 374-008800 Yrs/130 YrsLanguages: SpanishM-W 8:00 AM - 1:00 PMPCMH: No


Kotlarz, Jack MDProvider ID: 162683Gender: MaleKotlarz ENT and Facial PlasticSurg6100 N Davis HwyPensacola, FL 32504(850) 471-2377Fax: (850) 471-997500 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Plastic & ReconstructiveSurgery - cont.

Ortega, Marcos MDProvider ID: 205819Gender: Male5080 Bayou BlvdPensacola, FL 32503(850) 477-4074Fax: (850) 476-923400 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalLanguages: TagalogM-F 8:00 AM - 5:00 PMPCMH: No

Ortega, Marcos MDProvider ID: 205819Gender: Male5151 N 9th AvePensacola, FL 32504(850) 416-700000 Yrs/130 YrsNorth Florida Surgical CenterSacred Heart HospitalLanguages: TagalogPCMH: No

Ortega, Teodoro MDProvider ID: 195141Gender: Male5080 Bayou BlvdPensacola, FL 32503(850) 477-4074Fax: (850) 476-923400 Yrs/130 YrsSacred Heart HospitalLanguages: TagalogM-F 8:00 AM - 5:00 PMPCMH: No

Shaddix, Kyle MDProvider ID: 1100387Gender: MaleNovo Plastic Surgery, LLC5147 N 9th Ave Ste 203Pensacola, FL 32504(850) 476-7100Fax: (850) 479-604200 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Podiatry

Rickoff, Scott DPMProvider ID: 626674Gender: MaleRickoff Scott DPM2110 N Palafox StPensacola, FL 32501(850) 433-5488Fax: (850) 434-908600 Yrs/130 YrsSacred Heart HospitalM-F 8:15 AM - 4:30 PMPCMH: No

Weiland, Jeffrey DPMProvider ID: 1364967Gender: MaleEvolve Podiatry LLC1717 N E St Ste 116 APensacola, FL 32501(847) 899-0215Fax: (866) 935-094300 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Garver, Robert MDProvider ID: 643296Gender: Male5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 477-9253Fax: (850) 494-984312 Yrs/120 YrsSacred Heart HospitalPCMH: No

Radiation Oncology

Carden, Veronica MDProvider ID: 1278699Gender: FemaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 1000Pensacola, FL 32504(850) 416-6700Fax: (850) 416-777000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Carden, Veronica MDProvider ID: 1278699Gender: FemaleSacred Heart MedicalOncology Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-6700Fax: (850) 416-777000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lowrey, Gerald MDProvider ID: 1091763Gender: Male5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-6700Fax: (850) 416-777000 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Lowrey, Gerald MDProvider ID: 1091763Gender: MaleShmog Radiation Oncology1545 Airport Blvd Ste 1000Pensacola, FL 32504(850) 416-6700Fax: (850) 416-777000 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Radiology - Interventional& Vascular

Montgomery, Aaron MD

Provider ID: 511170Gender: MaleCoastal Vascular andInterventional1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8843Fax: (850) 432-080200 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No




Provider ID: 511170Gender: MaleCoastal Vascular andInterventional8333 N Davis Hwy Fl 10Pensacola, FL 32514(850) 474-8300Fax: (850) 969-214800 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Rheumatology

Graybiel, Ashton MDProvider ID: 1131661Gender: MaleShmg Rheumatology2441 N 9th Ave Ste APensacola, FL 32503(850) 434-9992Fax: (850) 435-252518 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Orth, Ruth MDProvider ID: 1131659Gender: FemaleShmg Rheumatology2441 N 9th Ave Ste APensacola, FL 32503(850) 434-9992Fax: (850) 435-252518 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Sports Medicine

Kujawski, Eric DOProvider ID: 627981Gender: MalePain Management At DavisHwy4521 N Davis HwyPensacola, FL 32503(850) 494-9002Fax: (850) 416-124800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Paape, Kerry MDProvider ID: 1149275Gender: FemaleCardilogy Pensacola5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wyatt, Charles MDProvider ID: 1126108Gender: MaleCardilogy Pensacola5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496918 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wyatt, Charles MD

Provider ID: 1845644Gender: MaleCardiothoracic Vascular Surg5147 N 9th Ave Ste 318Pensacola, FL 32504(904) 384-3343Fax: (904) 400-334300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Urology

King, Ashley MDProvider ID: 1100385Gender: FemaleSeton Shh University Obgy5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246718 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

King, Ashley MDProvider ID: 1100385Gender: FemaleWoodlands MedicalSpecialists, PA4724 N Davis Hwy Fl 2Pensacola, FL 32503(850) 696-4000Fax: (850) 696-293518 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kogan, Stanley MD

Provider ID: 105066Gender: MaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Martin, Howell MDProvider ID: 209080Gender: MaleMartin Plunkett & Wehry MDLLC545 Brent LnPensacola, FL 32503(850) 477-5437Fax: (850) 477-338000 Yrs/130 YrsSanta Rosa Medical CenterLanguages: GermanM-F 9:00 AM - 5:00 PMPCMH: No

Plunkett, Joseph MDProvider ID: 209090Gender: MaleMartin Plunkett & Wehry MDLLC545 Brent LnPensacola, FL 32503(850) 477-5437Fax: (850) 484-428300 Yrs/130 YrsLanguages: GermanM-F 8:00 AM - 5:30 PMPCMH: No

Vascular Surgery

Kafie, Fernando MDProvider ID: 177909Gender: MaleCoastal Vascular andInterventiona8333 N Davis Hwy Fl 10Pensacola, FL 32514(850) 479-1805Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Kafie, Fernando MDProvider ID: 177909Gender: MaleCoastal VascularInterventional5149 N 9th Ave Ste G21Pensacola, FL 32504(850) 969-1491Fax: (850) 969-144318 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Kafie, Fernando MDProvider ID: 177909Gender: MaleLifeline Pensacola LLC1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8847Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 471679Gender: MaleCoastal Vascular andInterventiona8333 N Davis Hwy Fl 10Pensacola, FL 32514(850) 479-1805Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No





Updated: 07/03/2019


Vascular Surgery - cont.


Provider ID: 471679Gender: MaleLifeline Pensacola LLC DBACoastal1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8843Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Lytle, Mark MDProvider ID: 1241869Gender: MaleCoastal VascularInterventional Pl5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: MaleCoastal Vascular andInterventional5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: MaleLifeline Vascular CenterNiceville1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8847Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl1851 N 9th Ave Ste BPensacola, FL 32503(850) 912-8847Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-836700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl8333 N Davis Hwy Ste 10Pensacola, FL 32514(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Risley, Geoffrey MDProvider ID: 1574706Gender: MaleCoastal VascularInterventional Pl5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roland, Lincoln MD

Provider ID: 1776892Gender: Male8333 N Davis Hwy 10th FlPensacola, FL 32514(850) 437-3777Fax: (850) 437-331800 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No


Specialty PhysiciansHolmes

Updated: 07/03/2019


Cardiology

Bhatt, Dinesh MDProvider ID: 757317Gender: MaleHeart South2600 Hospital DrBonifay, FL 32425(850) 547-8003Fax: (850) 547-800600 Yrs/130 YrsGulf Coast Medical CentercNorthwest FloridaCommunity HospitalM 12:00 AM - 4:00 PMPCMH: No

Bhatt, Nayan MDProvider ID: 580949Gender: MaleHeart South2600 Hospital DrBonifay, FL 32425(850) 547-8003Fax: (850) 547-800600 Yrs/130 YrsGulf Coast Medical CentercM 12:00 AM - 4:00 PMPCMH: No

Chiropractic

Owens, John DCProvider ID: TPV10177-01Gender: MaleOwens Chiropractic Clinic1604 S Waukesha StBonifay, FL 32425(850) 547-2244Fax: (850) 547-242200 Yrs/99 YrsMW 8:00 AM - 6:00 PMT 8:00 AM - 4:00 PMTH 8:00 AM - 5:00 PMPCMH: No

General Surgery

Mitchum, Dale MDProvider ID: 316391Gender: Male2600 Hospital DrBonifay, FL 32425(334) 684-3007Fax: (334) 684-305900 Yrs/130 YrsDoctors Memorial HospitalIncM-TH 11:30 AM - 2:00 PMPCMH: No


Arevalo, Alejandro MDProvider ID: 1652061Gender: MaleNemours Childrens SpecialtyCare B2600 Hospital DrBonifay, FL 32425(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsNemours Childrens HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No


Specialty PhysiciansOkaloosa

Updated: 07/03/2019



Neuland, Michael MDProvider ID: 565795Gender: Male4100 S Ferdon Blvd Ste C6Crestview, FL 32536(850) 423-4501Fax: (850) 863-124100 Yrs/130 YrsFt Walton Beach MedicalCenterNorth Okaloosa MedicalCenterPCMH: No

Neuland, Michael MDProvider ID: 565795Gender: MaleAllergy Partners of TheEmerald COA339 Racetrack Rd NW Ste 17Fort Walton Beach, FL 32547(850) 863-1189Fax: (850) 863-124100 Yrs/130 YrsFt Walton Beach MedicalCenterNorth Okaloosa MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Cardiology

Holder, Kevin MDProvider ID: 1549500Gender: MaleSacred Heart Medical Group4586 E Hwy 20 Ste CNiceville, FL 32578(850) 267-1603Fax: (850) 622-334218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Marling, Ray MDProvider ID: 1513394Gender: MaleLeeward Medical LLC4566 E Hwy 20 Ste 102Niceville, FL 32578(850) 215-2337Fax: (850) 279-461512 Yrs/130 YrsLanguages: Spanish, RussianM-F 8:00 AM - 5:00 PMPCMH: No

Powell, Rodney MDProvider ID: 1121631Gender: Male1000 Mar Walt DrFort Walton Beach, FL 32547(850) 862-111118 Yrs/130 YrsPCMH: No

Powell, Rodney MD

Provider ID: 1121631Gender: MaleWhite Wilson Medical CenterPA965 Mar Walt DrFort Walton Beach, FL 32547(850) 862-6934Fax: (850) 862-689918 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMPCMH: No

Dermatology


Provider ID: 1600125Gender: MaleAdvanced Dermatology andSkin Care4400 E Hwy 20 Ste 209Niceville, FL 32578(850) 389-495500 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Gross, William MDProvider ID: 1217411Gender: MaleWhite-Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Siefker, Joseph MDProvider ID: 577965Gender: Male1000 Mar Walt Dr Ste 266Fort Walton Beach, FL 32547(850) 862-111100 Yrs/130 YrsColumbia Twin Cities HospitalFt Walton Beach MedicalCenterPCMH: No


Ergin, Ahmet MDProvider ID: 1443773Gender: MaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MDestin, FL 32541(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ergin, Ahmet MDProvider ID: 1443773Gender: MaleNorth Okaloosa MedicalComplex127 Redstone DrCrestview, FL 32539(850) 522-549000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Goodman, Ralph MDProvider ID: 1149277Gender: MaleShmg Endocrinology @ Destin36500 Emerald Coast PkwyDestin, FL 32541(850) 278-3742Fax: (850) 278-377918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hammoud, Ramadan MD

Provider ID: 1442781Gender: MaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MDestin, FL 32541(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Gastroenterology

Abrasley, Christopher MD

Provider ID: 492346Gender: MaleWhite-Wilson Medical Center1032 Mar Walt Dr Ste 210Fort Walton Beach, FL 32547(850) 863-8260Fax: (850) 862-609818 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 4:30 PMPCMH: No

Riggenbach, Charles MD

Provider ID: 756030Gender: MaleWhite Wilson Medical Center1032 Mar Walt Dr Unit 210Fort Walton Beach, FL 32547(850) 863-8260Fax: (850) 862-609818 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Ringel, Andrew MD

Provider ID: 1308358Gender: MaleEmerald Coast DigestiveHealth Spec417 Racetrack Rd NW Ste 2Fort Walton Beach, FL 32547(850) 863-5990Fax: (850) 862-004118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ringel, Andrew MD

Provider ID: 1308358Gender: MaleEmerald Coast DigestiveHealth Spec4554 E Hwy 20Niceville, FL 32578(850) 863-5990Fax: (850) 862-004118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Burkland, David MD

Provider ID: 758308Gender: MaleWhite Wilson Medical CenterPA999 Mar Walt Dr WhiteWilson East BldgFort Walton Beach, FL 32547(850) 863-8182Fax: (850) 862-796500 Yrs/130 YrsColumbia Twin Cities HospitalFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Dali, John MDProvider ID: 191147Gender: MaleWhite Wilson Medical CenterPA999 Mar Walt Dr WhiteWilson East BldgFort Walton Beach, FL 32547(850) 863-8182Fax: (850) 862-796500 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Herf, David MDProvider ID: 210880Gender: MaleDavid A Herf MD435 Brookmeade DrCrestview, FL 32539(850) 682-0409Fax: (850) 689-169600 Yrs/130 YrsColumbia Twin Cities HospitalMWF 9:00 AM - 5:00 PMTTH 9:00 AM - 4:30 PMPCMH: No

Herrbold, Francis MD

Provider ID: 1217055Gender: MaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 230Fort Walton Beach, FL 32547(850) 862-3194Fax: (850) 862-442318 Yrs/130 YrsFt Walton Beach MedicalCenterMT 12:30 AM - 5:00 PMPCMH: No

Miller, Quintessa MDProvider ID: 1230829Gender: FemaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 250Fort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Moody, James MDProvider ID: 1303797Gender: MaleDestin Surgery Clinic, PA415 Mountain Dr Ste 6Destin, FL 32541(850) 837-8831Fax: (850) 837-913700 Yrs/130 YrsLanguages: FrenchM-TH 8:30 AM - 5:00 PMF 8:30 AM - 3:00 PMPCMH: No

Rogers, Robert MD

Provider ID: 760703Gender: MaleWhite Wilson Medical CenterPA999 Mar Walt DR WhiteWilson East BldgFort Walton Beach, FL 32547(850) 863-8182Fax: (850) 862-796500 Yrs/130 YrsColumbia Twin Cities HospitalFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Gynecology

Bankert, Glenn DOProvider ID: 989750Gender: Male151 E Redstone AveCrestview, FL 32539(850) 689-810018 Yrs/130 YrsSacred Heart HospitalPCMH: No

Bankert, Glenn DOProvider ID: 989750Gender: MaleSacred Heart Medical Group4586 E Hwy 20 Ste CNiceville, FL 32578(850) 689-2223Fax: (850) 897-162618 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Bankert, Glenn DOProvider ID: 989750Gender: MaleSacred Heart Medical Group550 Redstone Ave W Ste 450Crestview, FL 32536(850) 689-2223Fax: (850) 689-220418 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Le, Francis MDProvider ID: 1163675Gender: MaleNicevillefamily Practice4400 E Hwy 20 Ste. 201Niceville, FL 32578(850) 897-3678Fax: (850) 897-370800 Yrs/130 YrsGulf Coast Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Le, Francis MDProvider ID: 1163675Gender: MaleNorthwest Florida UrgentCare-Denti4418 Commons Dr EDestin, FL 32541(850) 650-3148Fax: (850) 650-389500 Yrs/130 YrsGulf Coast Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No


Roque, Henry MDProvider ID: 1654150Gender: MaleSacred Heart Medical Group1025 Beal Pkwy NW Ste DFort Walton Beach, FL 32547(850) 416-2477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Maternal Fetal Medicine -cont.

Schwartz, William MDProvider ID: 965713Gender: MaleSacred Heart Medical Group928 Mar Walt DrFort Walton Beach, FL 32547(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nephrology

Arbogast, Charles DO

Provider ID: 1247667Gender: MaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8122Fax: (850) 314-615218 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Bunting Jr, Douglas MD

Provider ID: 1476369Gender: MaleFresenius Vascular CarePensacola L925 Mar Walt Dr Ste 1Fort Walton Beach, FL 32547(850) 864-4005Fax: (850) 864-127918 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Nagrani, Nicholas MDProvider ID: 295551Gender: Male151 E Redstone AveCrestview, FL 32539(850) 689-810012 Yrs/130 YrsFt Walton Beach MedicalCenterPCMH: No

Nagrani, Nicholas MDProvider ID: 295551Gender: MalePensacola Nephrology PA36474A Emrld Cst Pkwy Ste1102Destin, FL 32541(850) 862-2385Fax: (850) 862-048212 Yrs/130 YrsFt Walton Beach MedicalCenterM 8:30 AM - 4:30 PMPCMH: No

Reid, Christopher MDProvider ID: 222938Gender: Male1000 Mar Walt DrFort Walton Beach, FL 32547(850) 862-111112 Yrs/130 YrsNorth Okaloosa MedicalCenterPCMH: No

Reid, Christopher MDProvider ID: 222938Gender: Male151 E Redstone AveCrestview, FL 32539(850) 689-810012 Yrs/130 YrsNorth Okaloosa MedicalCenterPCMH: No

Reid, Christopher MDProvider ID: 222938Gender: Male36474A Emrld Cst Pkwy Ste1102Destin, FL 32541(850) 862-2385Fax: (850) 862-048212 Yrs/130 YrsNorth Okaloosa MedicalCenterM 8:30 AM - 4:30 PMPCMH: No

Reid, Christopher MDProvider ID: 222938Gender: Male925 Mar Walt Dr Ste 1Fort Walton Beach, FL 32547(850) 862-2385Fax: (850) 862-048212 Yrs/130 YrsNorth Okaloosa MedicalCenterPCMH: No

Neurology

Aubert, Fred MDProvider ID: 291149Gender: Male1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/130 YrsFt Walton Beach MedicalCenterPCMH: No

Aubert, Fred MDProvider ID: 291149Gender: MaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-633500 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 5:00 PMF 9:00 AM - 4:30 PMPCMH: No

Bradley, Nina DOProvider ID: 1606848Gender: FemaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-816918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Neill, Terry MDProvider ID: 628237Gender: MaleSacred Heart Medical GroupDestin N36500 Emerald Coast PkwyDestin, FL 32541(850) 416-2554Fax: (850) 278-377900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Piacente, Gregory MDProvider ID: 537896Gender: Male1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/130 YrsFt Walton Beach MedicalCenterPCMH: No

Piacente, Gregory MD

Provider ID: 537896Gender: MaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-633500 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 5:00 PMPCMH: No

White, Judy MDProvider ID: 977216Gender: Female1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/130 YrsFt Walton Beach MedicalCenterPCMH: No



Updated: 07/03/2019


Neurology - cont.

White, Judy MDProvider ID: 977216Gender: FemaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-633500 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 5:00 PMPCMH: No

Neurosurgery

Converse, Noah DOProvider ID: 1404268Gender: MaleNorthwest FloridaMultispecialty369 Main St NorthCrestview, FL 32536(850) 862-3194Fax: (850) 862-442300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Converse, Noah DOProvider ID: 1404268Gender: MaleNorthwest FloridaMultispecialty Ph965 Mar Walt DrFort Walton Beach, FL 32547(850) 863-3463Fax: (850) 315-605100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Obstetrics

Whitaker, Donald MDProvider ID: 766307Gender: Male924 Mar Walt DrFort Walton Beach, FL 32547(850) 863-1000Fax: (850) 863-080012 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No


Caywood, Stephanie MD

Provider ID: 1603099Gender: FemaleNorthwest FloridaMultispecialty Ph928E Mar Walt Dr Ste 201Fort Walton Beach, FL 32547(850) 315-8360Fax: (850) 315-426200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Decotis Smith, Diana MD

Provider ID: 1804434Gender: FemaleNorthwest Florida PhysiciansFor Wo928 Mar Walt Dr Ste 201Ft Walton Bch, FL 32547(850) 315-8360Fax: (850) 315-426212 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Hennessey, Michael MD

Provider ID: 752957Gender: MaleGarniers LLC907 Mar Walt Dr Ste 2024Fort Walton Beach, FL 32547(850) 243-2229Fax: (850) 862-012400 Yrs/130 YrsFt Walton Beach MedicalCenterLanguages: SpanishM-TH 8:00 AM - 4:45 PMF 8:00 AM - 12:00 PMPCMH: No

Hood, Kimberly MDProvider ID: 280253Gender: FemaleSacred Heart Medical GroupDestin4586 E Hwy 20 Ste ANiceville, FL 32578(850) 897-0110Fax: (850) 897-162612 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Reynolds, James MD

Provider ID: 1576466Gender: MaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8264Fax: (850) 863-829812 Yrs/130 YrsM 8:00 AM - 5:30 PMTWTHF 8:00 AM - 5:00 PMPCMH: No

Ruis, Kristy MDProvider ID: 1855154Gender: MaleSacred Heart Medical Group1025 Beal Pkwy NW Ste DFort Walton Beach, FL 32547(850) 416-2477Fax: (850) 416-752000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ruis, Kristy MDProvider ID: 1855154Gender: MaleSacred Heart Medical Group550 Redstone Ave W Ste 320Crestview, FL 32536(850) 416-2477Fax: (850) 416-752000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, William MDProvider ID: 965713Gender: MaleSacred Heart Medical Group928 Mar Walt DrFort Walton Beach, FL 32547(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sledge, Robert MDProvider ID: 1695354Gender: MaleSacred Heart Medical Group4586 E Hwy 20 Ste ANiceville, FL 32578(850) 897-0110Fax: (850) 897-162600 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Ophthalmology

Gabriel, Larry MDProvider ID: TPV1184637282-0Gender: MaleEmerald Coast Eye InstituteLLC1034 Mar Walt Dr Ste 200Ft Walton Beach, FL 32547(850) 862-4001Fax: (850) 862-161210 Yrs/99 YrsNo Hospital Privileges-Covering ArrangemM-F 8:00 AM - 4:30 PMPCMH: No



Updated: 07/03/2019


Ophthalmology - cont.

Gupta, Sunil MDProvider ID: TPV1063489383-0Gender: MaleSunil Gupta MD LLC2000 Lewis Turner Blvd Ste AFort Walton Beach, FL 32547(850) 664-7887Fax: (850) 664-772418 Yrs/99 YrsWest Florida HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Henkel, Austin MDProvider ID: TPV1184966699-0Gender: MaleEye Partners PC151 Regions Way Bldg 1Destin, FL 32541(850) 650-6550Fax: (850) 650-654000 Yrs/99 YrsNo Hospital Privileges-Covering ArrangemM-F 8:00 AM - 5:00 PMPCMH: No

Kruger, Tiffany DOProvider ID: 911966Gender: FemaleNorth Okaloosa Clinic CorpDBA Nort1299 Industrial Dr Ste 200Crestview, FL 32539(850) 689-8100Fax: (850) 683-022700 Yrs/130 YrsNorth Okaloosa MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Kruger, Tiffany DOProvider ID: TPV1295981066-0Gender: FemaleOkaloosa OphthalmologyPediatrics and Adult Eye CareCorp1299 Industrial Dr Ste 200Crestview, FL 32539(850) 683-3937Fax: (850) 683-022700 Yrs/99 YrsFort Walton Beach MedicalCenterM-TH 7:30 AM - 5:00 PMF 7:30 AM - 11:30 PMPCMH: No

Kruger, Tiffany DOProvider ID: TPV1295981066-0Gender: FemaleOkaloosa OphthalmologyPediatrics and Adult Eye CareCorp4100 S Ferdon Blvd Ste C2Crestview, FL 32536(850) 683-3937Fax: (850) 683-022700 Yrs/99 YrsFort Walton Beach MedicalCenterM-F 7:30 AM - 4:00 PMPCMH: No

Myers, John MDProvider ID: TPV1881661585-0Gender: MaleSunil Gupta MD LLC2000 Lewis Turner Blvd Ste AFort Walton Beach, FL 32547(850) 664-7887Fax: (850) 664-772418 Yrs/99 YrsGulf Breeze HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Planchard, Brian MDProvider ID: TPV1639377096-0Gender: MaleEmerald Coast Eye InstituteLLC1034 Mar Walt Dr Ste 200Ft Walton Beach, FL 32547(850) 862-4001Fax: (850) 862-161210 Yrs/99 YrsNo Hospital Privileges-Covering ArrangemM-F 8:00 AM - 4:30 PMPCMH: No

Poppell, Samuel MDProvider ID: TPV1972567089-0Gender: MaleEmerald Coast Eye InstituteLLC1034 Mar Walt Dr Ste 200Ft Walton Beach, FL 32547(850) 862-4001Fax: (850) 862-161210 Yrs/99 YrsSacred Heart Hospital ofPensacolaM-F 8:00 AM - 4:30 PMPCMH: No

Tarantola, Ryan MDProvider ID: TPV1316094139-0Gender: MaleSunil Gupta MD LLC1299 Industrial DrCrestview, FL 32539(850) 634-4342Fax: (850) 634-435318 Yrs/99 YrsBaptist HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Tarantola, Ryan MDProvider ID: TPV1316094139-0Gender: MaleSunil Gupta MD LLC2000 Lewis Turner Blvd Ste AFort Walton Beach, FL 32547(850) 664-7887Fax: (850) 664-772418 Yrs/99 YrsBaptist HospitalLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Willingham, Christopher MD

Provider ID: TPV1225096183-0Gender: MaleSouthern VitreoretinalAssociates Pl36086 Emerald Coast PkwyDestin, FL 32541(850) 763-7007Fax: (850) 763-700218 Yrs/99 YrsBay Medical CenterM-F 8:00 AM - 6:00 PMPCMH: No

Optometry

Bazarte, Joseph ODProvider ID: TPV1639229271-0Gender: MalePrimary Eye Care Center323 Page Bacon Rd Ste 13Mary Esther, FL 32569(850) 243-2020Fax: (850) 243-655504 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 1:00 PMPCMH: No

Goette, Jennifer ODProvider ID: TPV1396721650-0Gender: FemaleJennifer R Goette OD PA350 Racetrack Rd NW Ste CFt Walton Beach, FL 32547(850) 244-1828Fax: (850) 226-819705 Yrs/99 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hendrix, Rhonda ODProvider ID: TPV1811963630-0Gender: FemaleDr Rhonda A Hendrix PA748 Beal Pkwy NWFt Walton Beach, FL 32547(850) 862-9543Fax: (850) 863-548605 Yrs/99 YrsM-F 9:00 AM - 5:30 PMSat 9:00 AM - 2:30 PMPCMH: No



Updated: 07/03/2019


Orthopaedic Surgery

Brothers, Anthony MDProvider ID: 1537710Gender: MaleHughston OrthopaedicSoutheast PC2190 Hwy 85 NNiceville, FL 32578(850) 678-4131Fax: (706) 494-300800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Brothers, Anthony MD

Provider ID: 1537710Gender: MaleHughston OrthopaedicSoutheast PC341 Racetrack Rd NW Ste BFort Walton Beach, FL 32547(850) 226-8112Fax: (706) 494-300800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Capra, Samuel MDProvider ID: 753553Gender: MaleWhite-Wilson Medical Center1110 Hospital RdFort Walton Beach, FL 32547(850) 863-8235Fax: (850) 863-661900 Yrs/130 YrsFt Walton Beach MedicalCenterM-TH 9:00 AM - 5:00 PMF 9:00 AM - 12:00 PMPCMH: No

Dean, David DOProvider ID: 1339570Gender: Male151 E Redstone AveCrestview, FL 32539(850) 689-810016 Yrs/130 YrsLanguages: SpanishPCMH: No

Dean, David DOProvider ID: 1339570Gender: MaleNorth Okaloosa Clinic1200 Henley LnBaker, FL 32531(850) 682-2209Fax: (850) 682-252816 Yrs/130 YrsLanguages: SpanishM 9:00 AM - 2:00 PMPCMH: No

Dean, David DOProvider ID: 1339570Gender: MaleNorth Okaloosa Clinic550 Redstone Ave W Ste 370Crestview, FL 32536(850) 682-2209Fax: (850) 682-252816 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Wingo, Charles MD

Provider ID: 1498909Gender: MaleLeeward Medical LLC155 Crystal Beach Dr Ste 200Destin, FL 32541(850) 460-2350Fax: (866) 490-151712 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Pain Management

Hughes, Shawn DOProvider ID: 1368392Gender: MaleWhite Wilson Medical CenterPA999 Mar Walt Dr East BldgFort Walton Beach, FL 32547(850) 863-8182Fax: (850) 863-961418 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McCune, Mathew MD

Provider ID: 1223778Gender: MaleDynamic Pain and Wellness,PLLC930 Mar Walt Dr Unit B and CFort Walton Beach, FL 32547(850) 226-6801Fax: (850) 215-709600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Middendorf, Christopher MD

Provider ID: 1583514Gender: MaleDynamic Pain and WellnessLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mitchell, Baker MD

Provider ID: 1603499Gender: MaleDynamic Pain and Wellness600 Hospital DrCrestview, FL 32539(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mitchell, Baker MD

Provider ID: 1603499Gender: MaleDynamic Pain and Wellness930 Mar Walt Dr Unit CFt Walton Bch, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Bingler, Michael MDProvider ID: 1413289Gender: MaleFort Walton Beach MedicalCenter341 Racetrack Rd NWFort Walton Beach, FL 32547(850) 505-4775Fax: (850) 505-477200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Furst, Matthew MD

Provider ID: 1483918Gender: MaleSacread Heart Medical Group550 Redstone Ave W Ste 220Crestview, FL 32536(850) 416-1575Fax: (850) 416-138600 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Roca, Theresa MDProvider ID: 1483916Gender: FemaleSacred Heart Medical Group550 Redstone Ave W Ste 220Crestview, FL 32536(850) 416-1575Fax: (850) 416-138600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Weeks, Bevin MDProvider ID: 1469406Gender: FemaleSacred Heart Medical Group550 Redstone Ave W Ste 220Crestview, FL 32536(850) 416-1575Fax: (850) 416-138600 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatric Urology

Mevorach, Robert MDProvider ID: 1476826Gender: MaleFort Walton Beach MedicalCenter341 Racetrack Rd NWFort Walton Beach, FL 32547(850) 226-8290Fax: (850) 505-477200 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wehry, Mark MDProvider ID: 1450748Gender: MaleSacred Heart Medical Group36500 Emerald Coast PkwySte ADestin, FL 32541(850) 269-0301Fax: (850) 269-020300 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatrics

Ramirez, Sadi MDProvider ID: 1737510Gender: MaleCrestview Health Center800 Hospital DrCrestview, FL 32539(850) 682-1164Fax: (850) 682-530200 Yrs/18 YrsLanguages: SpanishM-F 7:30 AM - 5:00 PMPCMH: No

Tanaka, Mary MDProvider ID: 1851674Gender: FemaleSacred Heart Medical Group332 Medcrest DrCrestview, FL 32536(850) 683-5100Fax: (850) 683-510200 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Patel, Pritesh MDProvider ID: 1522898Gender: MaleLeeward Medical LLC155 Crystal Beach Dr Ste 200Destin, FL 32541(850) 460-2350Fax: (781) 645-716412 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Dress, Christopher MD

Provider ID: 669176Gender: MaleDress Cosmetic Surgery PA11 Racetrack Rd NE Ste E4Fort Walton Beach, FL 32547(850) 200-4575Fax: (850) 200-457612 Yrs/130 YrsFt Walton Beach MedicalCenterLanguages: SpanishM-F 8:00 AM - 4:00 PMPCMH: No

Scroggs III, William MD

Provider ID: 1816908Gender: MaleMid Florida DermatologyAssociates1001 College Blvd W Ste GNiceville, FL 32578(407) 299-7333Fax: (407) 293-204900 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Pulmonary Disease

Chaney, John MDProvider ID: 571037Gender: MaleWhite Wilson Medical CenterPA1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 4:00 PMPCMH: No

Given, Michael MDProvider ID: 1092104Gender: Male1000 Mar Walt DrFort Walton Beach, FL 32547(850) 862-111100 Yrs/130 YrsFt Walton Beach MedicalCenterPCMH: No

Given, Michael MDProvider ID: 1092104Gender: MaleShmg Pulmonology @ Fwb2010 Lewis Turner BlvdFort Walton Beach, FL 32547(850) 863-3000Fax: (850) 862-162100 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Nunez, Angel MDProvider ID: 1783355Gender: MaleWhite-Wilson Medical Center,PA1005 Mar Walt DrFt Walton Bch, FL 32547(850) 243-0118Fax: (850) 243-059418 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:30 AM - 4:30 PMPCMH: No


Montgomery, Aaron MDProvider ID: 511170Gender: Male327 Medcrest DrCrestview, FL 32536(850) 682-003200 Yrs/130 YrsSacred Heart HospitalPCMH: No


Provider ID: 511170Gender: MaleCoastal VascularInterventional155 Crystal Beach Dr Ste 200Destin, FL 32541(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 511170Gender: MaleLifeline Vascular CenterNiceville4585 E Hwy 20 Ste 125Niceville, FL 32578(850) 678-0184Fax: (850) 678-015500 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Herrbold, Francis MD

Provider ID: 1217055Gender: MaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 230Fort Walton Beach, FL 32547(850) 862-3194Fax: (850) 862-442318 Yrs/130 YrsFt Walton Beach MedicalCenterMT 12:30 AM - 5:00 PMPCMH: No

Patel, Amit MDProvider ID: 1851750Gender: MaleNorthwest FloridaMultispeciality P1032 Mar Walt Dr Unit 230Ft Walton Bch, FL 32547(850) 862-3194Fax: (850) 862-442300 Yrs/130 YrsM 8:00 AM - 8:00 PMTWTHF 8:00 AM - 5:00 PMPCMH: No

Sandwith, Eric MDProvider ID: 245675Gender: Male369 Main St NorthBaker, FL 32531(850) 862-3194Fax: (850) 862-442316 Yrs/130 YrsFt Walton Beach MedicalCenterLanguages: SwedishM-F 9:00 AM - 5:00 PMPCMH: No

Sandwith, Eric MDProvider ID: 245675Gender: MaleNorth Florida Heart Institute1032 Mar Walt Dr Ste 230Fort Walton Beach, FL 32547(850) 862-3194Fax: (850) 862-442316 Yrs/130 YrsFt Walton Beach MedicalCenterLanguages: SwedishM-F 9:00 AM - 5:00 PMPCMH: No

Urology

Oelrich, Beibei MDProvider ID: 1790817Gender: FemaleNorthwest Florida Urology1032 Mar Walt Dr Unit 250Ft Walton Bch, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stiles, William DOProvider ID: 1559058Gender: MaleNorthwest FloridaMultispecialty Ph928 B Mar Walt DRFort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018818 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stiles, William DOProvider ID: 1559058Gender: MaleNorthwest Florida Urology1032 Mar Walt Dr Unit 250Ft Walton Bch, FL 32547(850) 863-0883Fax: (850) 862-018818 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stringer, Matthew DOProvider ID: 1352225Gender: MaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 250Fort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Stringer, Matthew DOProvider ID: 1352225Gender: MaleNorthwest FlroidaMultispecialty Ph928B Mar Walt DrFort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Umbreit, Eric MDProvider ID: 1126072Gender: MaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 250Fort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 8:00 AM - 5:00 PMPCMH: No

Zachos, Athanasios MDProvider ID: 1449553Gender: MaleNorthwest FloridaMultispecialty Ph928B Mar Walt DrFort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsLanguages: GreekM-F 9:00 AM - 5:00 PMPCMH: No

Zachos, Athanasios MD

Provider ID: 1449553Gender: MaleNorthwest Florida Urology341 Racetrack Rd NW Ste BFort Walton Beach, FL 32547(850) 863-0883Fax: (850) 862-018800 Yrs/130 YrsLanguages: GreekM-F 8:00 AM - 5:00 PMPCMH: No

Urology/Gynecology

Feldman, Robert MDProvider ID: 541628Gender: MaleNorthwest FloridaMultispecialty Ph965 Mar Walt DrFort Walton Beach, FL 32547(850) 863-3463Fax: (850) 315-605118 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Vascular Surgery

Kafie, Fernando MDProvider ID: 177909Gender: MaleLifeline Pensacola LLC4585 E Hwy 20 Ste 125Niceville, FL 32578(850) 912-8847Fax: (850) 912-886418 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Vascular Surgery - cont.

Manos, Ginger MDProvider ID: 1074158Gender: FemaleArtery and Vein Specialist ofThe E492 N Wilson StCrestview, FL 32536(850) 398-8815Fax: (850) 398-882600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: Male11 Racetrack Rd NE Ste E4Fort Walton Beach, FL 32547(850) 682-003218 Yrs/130 YrsSacred Heart HospitalPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: Male327 Medcrest DrCrestview, FL 32536(850) 682-0032Fax: (850) 479-182918 Yrs/130 YrsSacred Heart HospitalPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: MaleLifeline Vascular CenterNiceville4585 E Hwy 20 Ste 125Niceville, FL 32578(850) 678-0184Fax: (850) 678-015518 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No


Specialty PhysiciansSanta Rosa

Updated: 07/03/2019


Cardiology

Celigoj, Micheleanne MD

Provider ID: 594146Gender: FemaleWest Florida CardiologyPhysicians4513 Woodbine RdPace, FL 32571(850) 969-7979Fax: (850) 476-935200 Yrs/130 YrsLanguages: PortugueseM-F 9:00 AM - 5:00 PMPCMH: No

Lee, Licheng MDProvider ID: 900207Gender: MaleWest Florida CardiologyPhysicians4252 Woodbine RdPace, FL 32571(850) 969-7979Fax: (850) 476-935200 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Moses, Andrew MD

Provider ID: 1819673Gender: MaleWest Florida CardiologyPhysicians4244 Avalon BlvdMilton, FL 32583(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Moses, Andrew MD

Provider ID: 1819673Gender: MaleWest Florida CardiologyPhysicians4252 Woodbine RdPace, FL 32571(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Singh, Balraj MDProvider ID: 1289491Gender: MaleSacred Heart Medical Group5992 Berryhill Rd Ste 302Milton, FL 32570(850) 416-4620Fax: (850) 623-354118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stewart, Martha MD

Provider ID: 1695356Gender: FemaleSacred Heart Medical Group5992 Berryhill Rd Ste 302Milton, FL 32570(850) 416-4620Fax: (850) 623-354118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Child Neurology

Mauney III, Weldon MD

Provider ID: 1645464Gender: MaleEmerald Coast Pediatric SleepConsu400 Gulf Breeze Pkwy Ste 204Gulf Breeze, FL 32561(850) 932-3830Fax: (850) 932-383900 Yrs/18 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Mauney III, Weldon MD

Provider ID: 1758351Gender: MaleChild Neurology Center ofNW Florida, PA400 Gulf Breeze Pkwy Ste 300Gulf Breeze, FL 32561(850) 932-5055Fax: (850) 932-140400 Yrs/18 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Renfroe, James MDProvider ID: 148437Gender: MaleChild Neurology Center NWFlorida400 Gulf Breeze Pkwy Ste 300Pensacola, FL 32561(850) 932-5055Fax: (850) 932-140400 Yrs/18 YrsSacred Heart HospitalLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Winchester, Sara MD

Provider ID: 647499Gender: FemaleChild Neurology ofNorthwest Florid400 Gulf Breeze Pkwy Ste 300Gulf Breeze, FL 32561(850) 932-5055Fax: (850) 932-140400 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 4:00 PMPCMH: No

Chiropractic

Brooks, Michael DCProvider ID: TPV10421-01Gender: MaleBrooks Chiropractic Clinic5261 Hwy 90Pace, FL 32571(850) 994-1147Fax: (850) 994-110400 Yrs/99 YrsM-TH 8:00 AM - 6:00 PMF 8:00 AM - 12:00 PMPCMH: No

Snellgrove, David DCProvider ID: TPV10119-03Gender: MaleReturn To Health MedicalHome and Wellness Center6341 Hwy 90Milton, FL 32570(850) 623-2111Fax: (850) 626-681200 Yrs/99 YrsMT 9:00 AM - 5:00 PMPCMH: No

Dermatology

Phillips, John MDProvider ID: 1571143Gender: MaleDermatology Specialists ofFlorida3089 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Family Practice

Henson, Andrew MDProvider ID: 1128346Gender: MaleUrgent Care Pace4435 Hwy 90 Ste APace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/130 YrsMTWTHFSat 7:00 AM - 7:00PMPCMH: No



Updated: 07/03/2019



Henson, Andrew MDProvider ID: 1128346Gender: MaleUrgent Care Pace4435 Hwy 90 Ste BPace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/130 YrsMTWTHFSat 7:00 AM - 7:00PMPCMH: No

Long, Kenneth MDProvider ID: 1360945Gender: Male1395 El Rito DrGulf Breeze, FL 32563(850) 932-9251Fax: (850) 932-919900 Yrs/130 YrsPCMH: No

Long, Kenneth MDProvider ID: 1360945Gender: MaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-7272Fax: (850) 416-727400 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PMPCMH: No

Payne-Johnson, Ann MDProvider ID: 1360951Gender: FemaleSacred Heart Medical Group3754 Hwy 90 Ste 200Pace, FL 32571(850) 416-5200Fax: (850) 416-520100 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:0 AM - 4:30 PMPCMH: No

Smith, Cleatious MDProvider ID: 414429Gender: MaleJay Medical Clinic14088 Alabama StJay, FL 32565(850) 675-4546Fax: (850) 675-454800 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Smith, John-Stewart MD

Provider ID: 678278Gender: MaleJohn Stewart Michael SmithMD14088 Alabama St Ste AJay, FL 32565(850) 675-4546Fax: (850) 675-454803 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wray, Michael DOProvider ID: 1489930Gender: MaleSacred Heart Medical Group2569 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 934-0932Fax: (850) 934-073700 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Gastroenterology

Cartee, Wayne MDProvider ID: 148268Gender: MaleGastroenterology Associates1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Newman, Frederic MDProvider ID: 1199921Gender: MaleGastroenterologyassociatesof Pensa14114 Alabama StJay, FL 32565(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Newman, Frederic MDProvider ID: 1199921Gender: MaleGastroenterologyassociatesof Pensa8880 Navarre Pkwy Ste 201Navarre, FL 32566(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pabby, Ajay MDProvider ID: 832213Gender: MaleGastroenterology Associatesof Pens14112 Alabama StJay, FL 32565(850) 436-4563Fax: (850) 436-457012 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Soued, Mounzer MDProvider ID: 148420Gender: Male5907 Berryhill Rd Ste 100Milton, FL 32570(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsLanguages: ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Soued, Mounzer MDProvider ID: 148420Gender: MaleGastroenterology Associates6002 Berryhill RdMilton, FL 32570(850) 436-4563Fax: (850) 436-457018 Yrs/130 YrsLanguages: ArabicM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Foles, Van MDProvider ID: 1654005Gender: MaleSanta Rosa Hma PhysicianManagement5992 Berryhill Rd Ste 203Milton, FL 32570(850) 626-5391Fax: (850) 626-538812 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lecroy, Christopher MDProvider ID: 471679Gender: Male6002 Berryhill RdMilton, FL 32570(850) 626-776218 Yrs/130 YrsSacred Heart HospitalPCMH: No


Provider ID: 471679Gender: MaleCoastal Vascular andInterventional5992 Berryhill Rd Ste 200Milton, FL 32570(850) 479-1805Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Mohammed, Ricardo DO

Provider ID: 1654007Gender: MaleSanta Rosa Hma PhysicianManagement5992 Berryhill Rd Ste 203Milton, FL 32570(850) 626-5391Fax: (850) 626-538812 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Moore, Jon MDProvider ID: 651532Gender: MaleWest Florida General Surgery4252 Woodbine Rd Ste CPace, FL 32571(850) 494-3749Fax: (850) 494-397418 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Stockamp, Kurt MDProvider ID: 210490Gender: Male1040 Gulf Breeze Pkwy Ste 100Gulf Breeze, FL 32561(850) 916-3700Fax: (850) 916-850900 Yrs/130 YrsSacred Heart HospitalPCMH: No


Boatright, Mark MD

Provider ID: 228114Gender: MaleSacred Heart OncologyGroup5992 Berryhill Rd Ste 301Milton, FL 32570(850) 416-6933Fax: (850) 626-028112 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Infectious Disease

Clements, James MDProvider ID: 164341Gender: Male6002 Berryhill RdMilton, FL 32570(850) 626-776218 Yrs/130 YrsPCMH: No

Erickson, Jay MDProvider ID: 165083Gender: Male1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-2000Fax: (850) 934-206918 Yrs/130 YrsPCMH: No

Internal Medicine

Anwar, David DOProvider ID: 1816875Gender: MaleWest Florida CardiologyPhysicians4244 Avalon BlvdMilton, FL 32583(850) 969-7979Fax: (850) 969-183918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Laenger, Susan MDProvider ID: 217928Gender: FemaleSacred Heart Medical Group4033 Gulf Breeze Pkwy Ste BGulf Breeze, FL 32563(850) 932-9251Fax: (850) 932-919900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nephrology

Humeda, Humam MDProvider ID: 150373Gender: MalePensacola Nephrology PA1118 Gulf Breeze Pkwy Ste 200Gulf Breeze, FL 32561(850) 444-4700Fax: (850) 434-814400 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalWest Florida HospitalLanguages: French, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Humeda, Humam MDProvider ID: 150373Gender: MalePensacola Nephrology PA5934 Berryhl Med Pk Dr Ste 1Milton, FL 32570(850) 623-4771Fax: (850) 623-393800 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalWest Florida HospitalLanguages: French, ArabicM-F 8:00 AM - 5:00 PMPCMH: No

Nashed, Maged MDProvider ID: 240676Gender: MalePensacola Nephrology PA14114 Alabama StJay, FL 32565(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Nashed, Maged MDProvider ID: 240676Gender: MalePensacola Nephrology PA5934 Berryhl Med Pk Dr Ste 1Milton, FL 32570(850) 623-4771Fax: (850) 623-393812 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Nashed, Maged MDProvider ID: 240676Gender: MalePensacola Nephrology PADBA Renalus4583 Watkins StMilton, FL 32571(850) 889-4152Fax: (850) 623-393812 Yrs/130 YrsSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PMPCMH: No

Qader, Haitham MDProvider ID: 586437Gender: MalePensacola Nephrology5934 Berryhl Med Pk Dr Ste 1Milton, FL 32570(850) 623-4771Fax: (850) 623-393812 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Nephrology - cont.

Qader, Haitham MDProvider ID: 586437Gender: MalePensacola Nephrology PA1118 Gulf Breeze Pkwy Ste 200Gulf Breeze, FL 32561(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Qader, Haitham MDProvider ID: 586437Gender: MalePensacola Nephrology PADBA Renalus4583 Watkins StMilton, FL 32571(850) 889-4152Fax: (850) 623-393812 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: Male2583 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 934-1951Fax: (850) 934-699812 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology1118 Gulf Breeze Pkwy Ste 200Gulf Breeze, FL 32561(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology14114 Alabama StJay, FL 32565(850) 444-4700Fax: (850) 434-814412 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Wiles, Ronnie MDProvider ID: 152309Gender: MalePensacola Nephrology PADBA Renalus4583 Watkins StMilton, FL 32571(850) 889-4152Fax: (850) 623-393812 Yrs/130 YrsBaptist Medical CenterSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Neurology

Sultan, Mohamed MD

Provider ID: 665914Gender: MaleSanta Rosa Hma PhysicianManagement5992 Berryhill Rd Ste 205Milton, FL 32570(850) 626-5324Fax: (850) 626-512418 Yrs/130 YrsSanta Rosa Medical CenterLanguages: ArabicM-F 8:00 AM - 4:30 PMPCMH: No


Barber, Michael MDProvider ID: 214280Gender: Male6072 Doctors ParkMilton, FL 32570(850) 626-5447Fax: (850) 936-580812 Yrs/130 YrsPCMH: No

Barber, Michael MDProvider ID: 214280Gender: MaleSanta Rosa Hma PhyManagement LLC5978 Berryhill Medical Park DrMilton, FL 32570(850) 626-5447Fax: (850) 936-580812 Yrs/130 YrsM 8:00 AM - 4:30 PMT 8:00 AM - 12:30 PMPCMH: No

Barber, Michael MDProvider ID: 214280Gender: MaleSanta Rosa Hma PhyicianManagement1929 Ortega StNavarre, FL 32566(850) 626-5447Fax: (850) 936-580812 Yrs/130 YrsM 8:00 AM - 4:30 PMT 8:00 AM - 12:30 PMPCMH: No

Bernal Blair, Ileana MDProvider ID: 1692786Gender: FemaleSacred Heart Medical Group3754 Hwy 90 Ste 220Pace, FL 32571(850) 416-5050Fax: (850) 416-502212 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Bruce, Lakeema MDProvider ID: 1331434Gender: FemaleUniv OB/GYN Program AtSacred Heart1399 Country Club RdGulf Breeze, FL 32563(850) 416-4709Fax: (850) 416-474916 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Decesare, Julie MDProvider ID: 201594Gender: FemaleUniv OB/GYN Program AtSacred Heart1399 Country Club RdGulf Breeze, FL 32563(850) 416-4709Fax: (850) 416-474912 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Duke Elmore, Jairan DOProvider ID: 245654Gender: FemaleSacred Heart Med Grp-OB-GYN3754 Hwy 90 Ste 220Pace, FL 32571(850) 416-5050Fax: (850) 416-502212 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Duke Elmore, Jairan DO

Provider ID: 245654Gender: FemaleSacred Heart Medical Group8888 Navarre PkwyNavarre, FL 32566(850) 939-3326Fax: (850) 994-556912 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



George, Sue MDProvider ID: 147875Gender: FemaleSanta Rosa Hma PhysicianMgt LLC5978 Berryhill RdMilton, FL 32570(850) 626-6363Fax: (850) 626-141400 Yrs/130 YrsSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Kennedy, Karen MD

Provider ID: 1600146Gender: FemaleAccurate OB/GYN Specialists1118 Gulf Breeze Pkwy Ste 201Gulf Breeze, FL 32561(850) 916-7766Fax: (850) 916-514400 Yrs/130 YrsM-W 7:00 AM - 4:00 PMTHF 7:00 AM - 12:00 PMPCMH: No

Lile, William DOProvider ID: 151163Gender: MaleSacred Heart Medical Group3754 Hwy 90Pace, FL 32571(850) 416-5050Fax: (850) 416-502200 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Medlock, Charles MD

Provider ID: 538989Gender: MaleSacred Heart Medical Group3754 Hwy 90 Ste 220Milton, FL 32571(850) 416-5050Fax: (850) 416-502200 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Osterrieder, Benjamin MDProvider ID: 1238157Gender: MaleSacred Heart Medical GroupOB/GYN3754 Hwy 90 Ste 220Pace, FL 32571(850) 416-5050Fax: (850) 416-502200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Payne, Jennifer MDProvider ID: 1110359Gender: FemaleWest Florida Obstetrics andGynecol4244 Avalon BlvdMilton, FL 32583(850) 494-4600Fax: (850) 969-203712 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Peterson, Joseph MDProvider ID: 457303Gender: MaleUniv OB/GYN Program AtSacred Heart1399 Country Club RdGulf Breeze, FL 32563(850) 416-4709Fax: (850) 416-474900 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Ross, Ann MDProvider ID: 1571192Gender: FemaleUniversity OB/GYN ProgramAt Sacred1399 Country Club RdGulf Breeze, FL 32563(850) 416-4709Fax: (850) 416-474912 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Stalnaker, Todd DOProvider ID: 203650Gender: MaleSacred Heart Medical Group4033 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 416-2433Fax: (850) 416-253900 Yrs/130 YrsSacred Heart HospitalM 8:00 AM - 5:00 PMPCMH: No

Webb, Laura DOProvider ID: 1304970Gender: FemaleWest Florida Obstetrics andGynecol4252 Woodbine RdMilton, FL 32571(850) 432-9536Fax: (850) 433-894012 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No

Ophthalmology

Rifai, Aref MDProvider ID: TPV1265428270-0Gender: MaleRetina Center of Pensacola PA5992 Berryhill Rd Ste 301Milton, FL 32570(850) 607-6841Fax: (850) 637-105400 Yrs/99 YrsBaptist HospitalGulf Breeze HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Optometry

Bell, Troy ODProvider ID: TPV1174537690-0Gender: MaleDr Gene Terrezza ODAssociates PA5593 Stewart StMilton, FL 32570(850) 623-0319Fax: (850) 626-968605 Yrs/99 YrsLanguages: ItalianM-F 8:00 AM - 5:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Cobb, Jonathan ODProvider ID: TPV1538455985-0Gender: MaleDr Gene Terrezza ODAssociates PA5593 Stewart StMilton, FL 32570(850) 623-0319Fax: (850) 626-968605 Yrs/99 YrsLanguages: ItalianM-F 8:00 AM - 5:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Heaton, Gregory ODProvider ID: TPV1588605059-0Gender: MaleGregory D Heaton OD PA14088 Alabama StJay, FL 32565(850) 675-0625Fax: (850) 675-392101 Yrs/99 YrsM-TH 9:00 AM - 5:00 PMF 9:00 AM - 12:00 PMPCMH: No



Updated: 07/03/2019


Optometry - cont.

McDonald, Stacey ODProvider ID: TPV1518927052-0Gender: FemaleDr Gene Terrezza ODAssociates PA5593 Stewart StMilton, FL 32570(850) 623-0319Fax: (850) 626-968604 Yrs/99 YrsLanguages: ItalianM-F 8:00 AM - 5:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Reed, Richard ODProvider ID: TPV1285712737-0Gender: MaleDr Gene Terrezza ODAssociates PA5593 Stewart StMilton, FL 32570(850) 623-0319Fax: (850) 626-968602 Yrs/99 YrsLanguages: ItalianM-F 8:00 AM - 5:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Terrezza, Gene ODProvider ID: TPV1295929933-0Gender: MaleDr Gene Terrezza ODAssociates PA5593 Stewart StMilton, FL 32570(850) 623-0319Fax: (850) 626-968603 Yrs/99 YrsLanguages: ItalianM-F 8:00 AM - 5:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Orthopaedic Surgery

Dimick, Robert MD

Provider ID: 1776873Gender: Male6007 Berryhill RdMilton, FL 32570(850) 626-1461Fax: (850) 626-316110 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:30 PMPCMH: No

Elliott, Mark MDProvider ID: 1595053Gender: MaleSacred Heart Medical Group4033 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 494-9002Fax: (850) 932-919918 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Szymoniak, Peter MDProvider ID: 162530Gender: Male6002 Berryhill RdMilton, FL 32570(850) 626-776200 Yrs/130 YrsSanta Rosa Medical CenterPCMH: No

Szymoniak, Peter MDProvider ID: 162530Gender: MaleSanta Rosa Hma PhysicianManagement6007 Berryhill RdMilton, FL 32570(850) 626-1461Fax: (844) 560-126400 Yrs/130 YrsSanta Rosa Medical CenterM-F 9:00 AM - 5:00 PMPCMH: No

Pain Management

Ali, Danish DOProvider ID: 1775750Gender: MaleDynamic Pain Wellness6072 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McCune, Mathew MD

Provider ID: 1223778Gender: MaleDynamic Pain and Wellness,PLLC5950 Berryhill Medical Park DrMilton, FL 32570(850) 226-680100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Kluka, Evelyn MDProvider ID: 717049Gender: FemaleAndrews Institute ForOrthopaedics1040 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 916-8700Fax: (850) 505-471400 Yrs/17 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Provider ID: 1104378Gender: MaleAndrews Institute ForOrthopedics A1040 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 916-8700Fax: (850) 505-471100 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 1104378Gender: MaleGulf Breeze Hospital1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-2000Fax: (850) 505-471100 Yrs/17 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Barker, Heidi DOProvider ID: 1029470Gender: FemaleSh Pediatrics After Hours @Pace4435 Hwy 90Pace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/18 YrsM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 10:00 PMPCMH: No

Klein, Pamela MDProvider ID: 214089Gender: FemalePensacola Pediatrics1368 Country Club RdGulf Breeze, FL 32563(850) 934-9876Fax: (850) 916-073600 Yrs/18 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Pediatrics - cont.

Stewart, Marian MDProvider ID: 1149273Gender: FemaleSh Pediatrics After Hours@pace4435 Hwy 90Milton, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/18 YrsM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 10:00 PMPCMH: No

Tate, Jessica MDProvider ID: 1279606Gender: FemaleSacred Heart Pediatrics AfterHours4435 Hwy 90Milton, FL 32571(850) 416-5205Fax: (850) 416-524400 Yrs/18 YrsM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 10:00 PMPCMH: No


Provider ID: 1279609Gender: FemaleSacred Heart Pediatrics AfterHours4435 Hwy 90Milton, FL 32571(850) 416-5202Fax: (850) 416-520400 Yrs/18 YrsM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 10:00 PMPCMH: No

Wilkinson, Diane MD

Provider ID: 1005586Gender: FemaleSacred Heart Medical Group4435 Hwy 90Pace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/18 YrsSacred Heart HospitalM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 10:00 PMPCMH: No

Yurttutan Engin, Nesrin MD

Provider ID: 1220556Gender: FemaleSacred Heart Pediatrics AfterHours4435 Hwy 90Pace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/18 YrsM-F 5:00 AM - 11:00 PMSat-Sun 12:00 AM - 11:00 PMPCMH: No

Pulmonary Disease

Simpson, Bobby DOProvider ID: 1436788Gender: MaleSanta Rosa Hma PhysicianManagement5992 Berryhill Rd Ste 206Milton, FL 32570(850) 626-5375Fax: (850) 626-537612 Yrs/130 YrsM-TH 1:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Urology

Martin, Howell MDProvider ID: 209080Gender: MaleMartin Plunkett & Wehry MDLLC5992 Berryhill Rd Ste 102Milton, FL 32570(850) 981-8174Fax: (850) 981-816900 Yrs/130 YrsSanta Rosa Medical CenterLanguages: GermanM-F 8:00 AM - 5:00 PMPCMH: No

Plunkett, Joseph MDProvider ID: 209090Gender: MaleMartin Plunkett & Wehry MDLLC5992 Berryhill Rd Ste 102Milton, FL 32570(850) 981-8174Fax: (850) 981-816900 Yrs/130 YrsLanguages: GermanM-F 8:00 AM - 5:00 PMPCMH: No

Vascular Surgery

Lecroy, Christopher MDProvider ID: 471679Gender: Male6002 Berryhill RdMilton, FL 32570(850) 626-776218 Yrs/130 YrsSacred Heart HospitalPCMH: No


Provider ID: 471679Gender: MaleCoastal Vascular andInterventional5992 Berryhill Rd Ste 200Milton, FL 32570(850) 479-1805Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

McDaniel, Huey MDProvider ID: 953912Gender: Male8880 Navarre Pkwy Ste 101Navarre, FL 32566(850) 434-733118 Yrs/130 YrsSacred Heart HospitalPCMH: No


Specialty PhysiciansWalton

Updated: 07/03/2019



Foreman, Jason DO

Provider ID: 1289515Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Cardiology

Ahmed, Amna MDProvider ID: 1450751Gender: FemaleSacred Heart Medical Group12805 US Hwy 98 E Unit G201Inlet Beach, FL 32461(850) 278-3390Fax: (850) 278-338900 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Ahmed, Amna MDProvider ID: 1450751Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 278-3390Fax: (850) 622-334200 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Chapman, Brent MDProvider ID: 1272038Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334218 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Holder, Kevin MDProvider ID: 1549500Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334218 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Incorvati, Dennis DOProvider ID: 1302478Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 267-186218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mayes, Charles MDProvider ID: 900609Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 267-186218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chiropractic

Morris, Joseph DCProvider ID: TPV11469-01Gender: MaleMorris Family Chiropractic1080 US Hwy 331 S Ste BDefuniak Springs, FL 32435(850) 892-4636Fax: (888) 781-912600 Yrs/99 YrsM-F 8:00 AM - 5:30 PMSat 8:00 AM - 12:00 PMPCMH: No

Soroka, Brian DCProvider ID: TPV10312-01Gender: MaleFamily Chiropractic Center35 Clayton Lane Ste ASanta Rosa Beach, FL 32459(850) 231-2011Fax: (850) 231-600600 Yrs/99 YrsLanguages: SpanishMW 7:30 AM - 6:00 PMTTH 7:00 AM - 12:00 PMF 7:30 AM - 5:00 PMSat 8:00 AM - 10:00 PMPCMH: No

Dermatology

Cottam, John MDProvider ID: 162223Gender: MaleDr John Cottam Dermatologyand Cuta12889 US Hwy 98 W Ste 10783Miramar Beach, FL 32550(813) 962-4210Fax: (813) 962-056600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Dobrescu, Adrian MD

Provider ID: 1450464Gender: MaleMid Florida DermatologyAssociates91 Scenic Gulf Dr Ste 200Miramar Beach, FL 32550(850) 842-4563Fax: (850) 842-460600 Yrs/130 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No


Provider ID: 1600125Gender: MaleAdvanced Dermatology andSkin Care7720 US Hwy 98 W Ste 240Miramar Beach, FL 32550(850) 502-5989Fax: (850) 266-630100 Yrs/130 YrsMT 8:00 AM - 5:00 PMPCMH: No

Stickler, Michael MD

Provider ID: 456442Gender: MaleGulf Coast Dermatology PA82 Mack Bayou LoopSanta Rosa Beach, FL 32459(850) 233-3376Fax: (850) 522-835402 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

McWilliams, Sean MDProvider ID: 279824Gender: Male7800 US Hwy 98 WMiramar Beach, FL 32550(850) 278-300000 Yrs/21 YrsSacred Heart HospitalEmeraldPCMH: No

McWilliams, Sean MD

Provider ID: 279824Gender: MaleSacred Heart Hospital On TheEmeral7720 US Hwy 98 W Ste 370Destin, FL 32550(850) 622-5148Fax: (850) 622-514900 Yrs/21 YrsSacred Heart HospitalEmeraldM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Goodman, Ralph MDProvider ID: 1149277Gender: MaleShmg Endocrinology @ DestinMob7720 US Hwy 98 W Ste 230Miramar Beach, FL 32550(850) 278-3742Fax: (850) 278-375318 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Family Practice

Clark, Steven MDProvider ID: 1698495Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 350Miramar Beach, FL 32550(850) 622-3393Fax: (850) 622-337118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Kinzelman, Matthew MDProvider ID: 653394Gender: MaleSacred Heart Medical Group9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3940Fax: (850) 278-394100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

General Surgery

Herrbold, Francis MDProvider ID: 1217055Gender: MaleNorthwest FloridaMultispecialty Ph870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 862-3194Fax: (850) 862-442318 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl7720 US Hwy 98 W Ste 240Destin, FL 32550(850) 479-1805Fax: (580) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Tenewitz, Francis MD

Provider ID: 1238015Gender: MaleFrancis Edward Tenewitz4415 US Hwy 331 SDefuniak Springs, FL 32435(850) 951-4556Fax: (850) 951-452700 Yrs/130 YrsHealthmark Regional MedicalCenterLanguages: SpanishMT 9:00 AM - 4:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 872-3939Fax: (850) 872-393800 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Hayes, Mose MDProvider ID: 648925Gender: Male27 Mack Bayou Loop Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsSacred Heart HospitalPCMH: No

Hayes, Mose MDProvider ID: 648925Gender: Male7800 US Hwy 98 WMiramar Beach, FL 32550(850) 278-300000 Yrs/130 YrsSacred Heart HospitalPCMH: No

Hayes, Mose MDProvider ID: 648925Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 140Miramar Beach, FL 32550(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Kyi, Khin MDProvider ID: 1854278Gender: MaleSacred Heart MedicalOncology Group27 Mack Bayou Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mann, David MDProvider ID: 1829482Gender: MaleSacred Heart MedicalOncology Group27 Mack Bayou Loop Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Nance, Amy MDProvider ID: 1469378Gender: FemaleSacred Heart Medical Group27 Mack Bayou Loop Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-105400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Restrepo, Maria MDProvider ID: 1751203Gender: FemaleSacred Heart MedicalOncology Group27 Mack Bayou Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Schwartz, William MD

Provider ID: 965713Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 210Miramar Beach, FL 32550(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Nephrology

Nagrani, Nicholas MDProvider ID: 295551Gender: Male1299 US Hwy 90 W Ste 1Defuniak Springs, FL 32433(850) 398-6606Fax: (850) 398-642412 Yrs/130 YrsFt Walton Beach MedicalCenterMT 8:30 AM - 4:30 PMPCMH: No

Neurosurgery

Converse, Noah DOProvider ID: 1404268Gender: Male870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 863-3463Fax: (850) 315-605100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Esses, Ellen MDProvider ID: 433200Gender: Female7800 US Hwy 98 WMiramar Beach, FL 32550(850) 278-300000 Yrs/130 YrsPCMH: No

Esses, Ellen MDProvider ID: 433200Gender: FemaleWomen and Children First31 E Mack Bayou Dr Ste DSanta Rosa Beach, FL 32459(850) 267-2292Fax: (850) 267-395700 Yrs/130 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 12:00 PMPCMH: No

Graham, Melinda MDProvider ID: 499436Gender: FemaleSacred Hearrt Medical Group7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 278-3495Fax: (850) 622-563400 Yrs/130 YrsSacred Heart HospitalSacred Heart Hospital On TheGulfM-F 9:00 AM - 5:00 PMPCMH: No

Hood, Kimberly MD

Provider ID: 280253Gender: Female27 Mack Bayou Loop Ste 2000Santa Rosa Beach, FL 32459(850) 267-2961Fax: (850) 622-563412 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Hood, Kimberly MDProvider ID: 280253Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 267-2961Fax: (850) 622-563412 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Medlock, Charles MD

Provider ID: 538989Gender: MaleSacred Heart Medical Group@ Destin7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 267-2961Fax: (850) 622-563400 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Ruis, Kristy MDProvider ID: 1855154Gender: MaleSacred Heart Medical Group7720 US Hwy 98 WMiramar Beach, FL 32550(850) 416-2477Fax: (850) 416-752000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Schwartz, William MD

Provider ID: 965713Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 210Miramar Beach, FL 32550(850) 416-2477Fax: (850) 416-752016 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Sledge, Robert MDProvider ID: 1695354Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 267-2961Fax: (850) 622-563400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Tidwell, Brett DOProvider ID: 1239519Gender: MaleSacred Hearrt Medical Group7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 267-2961Fax: (850) 622-563400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optometry

Stevenson, Charles ODProvider ID: TPV1003999756-0Gender: MaleChuck Stevenson OD PA770 Hwy 331 S Ste 1Defuniak Springs, FL 32435(850) 892-5514Fax: (850) 892-018900 Yrs/99 YrsMTTH 8:00 AM - 5:00 PMW 8:00 AM - 4:00 PMF 8:00 AM - 1:00 PMPCMH: No


Roca, Theresa MDProvider ID: 1483916Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 416-1575Fax: (850) 416-138600 Yrs/18 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Weeks, Bevin MDProvider ID: 1469406Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 416-1575Fax: (850) 416-138600 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019



Ergun Longmire, Berrin MDProvider ID: 1603092Gender: Female7720 US Hwy 98 W. Ste 210Miramar Beach, FL 32550(850) 416-1575Fax: (850) 416-211800 Yrs/21 YrsPCMH: No


De Leon Dial, Sheryl MD

Provider ID: 1469382Gender: FemaleSacred Heart Medical Group9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3940Fax: (850) 278-394100 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lawrence, Nicole MDProvider ID: 1450749Gender: FemaleSacred Heart Medical Group9375 US Hwy 98 W Ste 1Miramar Beach, FL 32550(850) 278-3940Fax: (850) 278-394100 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Surgery

Taylor, Michael MDProvider ID: 401740Gender: MaleGulf Coast MultispecialtyServices870 Mack BayouSanta Rosa Beach, FL 32459(850) 872-3939Fax: (850) 872-393800 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 872-3939Fax: (850) 872-393800 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Pediatrics

Tidwell, Crystal DOProvider ID: 1302475Gender: FemaleSacred Heart Medical Group23 Mack Bayou Loop Ste 200Santa Rosa Beach, FL 32459(850) 278-3920Fax: (850) 278-391900 Yrs/18 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pulmonary Disease

Matysik, Gerard DOProvider ID: 654675Gender: MaleSacred Heart Medical GroupAt Desti7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 278-3667Fax: (850) 278-369700 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No



Provider ID: 511170Gender: MaleCoastal Vascular andInterventional7720 US Hwy 98 W Ste 240Destin, FL 32550(850) 479-1805Fax: (850) 479-836700 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 511170Gender: MaleCoastal Vascular andInterventional7720 US Hwy 98 W Ste 340Destin, FL 32550(850) 654-8970Fax: (850) 479-182900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PMPCMH: No

Rheumatology

Graybiel, Ashton MDProvider ID: 1131661Gender: MaleShmg Rheumatology Destin7720 US Hwy 98 W Ste 260Miramar Beach, FL 32550(850) 434-9992Fax: (850) 435-252518 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Martin, David MDProvider ID: 1195202Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 230Miramar Beach, FL 32550(850) 278-3742Fax: (850) 278-375316 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Herrbold, Francis MDProvider ID: 1217055Gender: MaleNorthwest FloridaMultispecialty Ph870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 862-3194Fax: (850) 862-442318 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Paape, Kerry MDProvider ID: 1149275Gender: FemaleSacred Heart Medical GroupCardiolo7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334218 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No



Updated: 07/03/2019


Urology/Gynecology

Feldman, Robert MDProvider ID: 541628Gender: MaleNorthwest FloridaMultispecialty Ph870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 863-3463Fax: (850) 315-605118 Yrs/130 YrsFt Walton Beach MedicalCenterM-F 9:00 AM - 5:00 PMPCMH: No

Vascular Surgery

Kafie, Fernando MDProvider ID: 177909Gender: MaleCoastal VascularInterventional7720 US Hwy 98 W Ste 240Destin, FL 32550(850) 479-1805Fax: (850) 479-836718 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Patel, Shonak MDProvider ID: 1304373Gender: MaleCoastal VascularInterventional Pl7720 US Hwy 98 W Ste 240Destin, FL 32550(850) 479-1805Fax: (580) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Specialty PhysiciansWashington

Updated: 07/03/2019


Chiropractic

Taylor, Mark DCProvider ID: TPV11168-01Gender: MaleTaylor Chiropractic691 Seventh StChipley, FL 32428(850) 638-7500Fax: (850) 638-533300 Yrs/99 YrsM-TH 7:00 AM - 5:00 PMPCMH: No

Dermatology

Kovaleski, Charles MDProvider ID: 464159Gender: MaleDermatology Associates877 3rd St Ste 3Chipley, FL 32428(850) 769-1668Fax: (850) 785-212300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Siragusa, Robert MDProvider ID: 454461Gender: MaleDermatology Associates877 3rd St Ste 3Chipley, FL 32428(850) 769-7546Fax: (850) 215-232300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Ear, Nose & Throat

Beggs, James MDProvider ID: 1149233Gender: MaleNorthwest Florida FamilyHealth and1360 Brickyard RdChipley, FL 32428(850) 415-8185Fax: (850) 415-818700 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Toner, Stephen MDProvider ID: 1149231Gender: MaleNorthwest Florida FamilyHealth and1360 Brickyard RdChipley, FL 32428(850) 415-8185Fax: (850) 415-818700 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Family Practice

Porter, Annette MDProvider ID: 1207517Gender: Female1360 Brickyard RdChipley, FL 32428(850) 638-161000 Yrs/130 YrsPCMH: No

Porter, Annette MDProvider ID: 1207517Gender: FemaleVernon Clinic-NorthwestFlorida Com3250 Main StVernon, FL 32462(850) 535-2096Fax: (850) 535-215200 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Washington ChdProvider ID: 487587Washington County HealthDept1338 South BlvdChipley, FL 32428(850) 638-624000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Washington ChdProvider ID: 487589Washington County HealthDept1338 South BlvdChipley, FL 32428(850) 638-246000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Surgery

Berry, Gabriel MDProvider ID: 398396Gender: MaleNorthwest Florida SpecialtyCenter1360 Brickyard RdChipley, FL 32428(850) 415-8180Fax: (850) 415-816002 Yrs/130 YrsNorthwest FloridaCommunity HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices1360 Brickyard RdChipley, FL 32428(850) 784-185600 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Internal Medicine

Byrd, John MDProvider ID: 1479122Gender: MaleNorthwest Florida HealthcareInc1360 Brickyard RdChipley, FL 32428(850) 638-1610Fax: (850) 638-062200 Yrs/130 YrsNorthwest FloridaCommunity HospitalMT 9:00 AM - 5:00 PMPCMH: No

Khan, Sohail MDProvider ID: 942324Gender: MaleThe Health Clinic LLC1351 South BlvdChipley, FL 32428(850) 638-1230Fax: (850) 638-976612 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No

Malik, Amer MDProvider ID: 942323Gender: MaleThe Health Clinic LLC1351 South BlvdChipley, FL 32428(850) 638-1230Fax: (850) 638-976612 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PMPCMH: No


Washington ChdProvider ID: 4896651338 South Blvd1338 South BlvdChipley, FL 32428(850) 638-624000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Specialty PhysiciansWashington

Updated: 07/03/2019


Optometry

Aker, Anthony ODProvider ID: TPV1174555619-0Gender: MaleThe Eye Center of NorthFlorida PA1400 Main StChipley, FL 32428(850) 638-7333Fax: (850) 638-972704 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Edinger, David ODProvider ID: TPV1144245200-0Gender: MaleThe Eye Center of NorthFlorida PA1400 Main StChipley, FL 32428(850) 638-7333Fax: (850) 638-972704 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Jones, Mark ODProvider ID: TPV1003831165-0Gender: MaleThe Eye Center of NorthFlorida PA1400 Main StChipley, FL 32428(850) 638-7333Fax: (850) 638-972704 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Lisa ODProvider ID: TPV1013192350-0Gender: FemaleThe Eye Center of NorthFlorida PA1400 Main StChipley, FL 32428(850) 638-7333Fax: (850) 638-972700 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

McKim, Scott ODProvider ID: TPV1356335319-0Gender: MaleThe Eye Center of NorthFlorida PA1400 Main StChipley, FL 32428(850) 638-7333Fax: (850) 638-972705 Yrs/99 YrsLanguages: ChineseM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Surgery

Taylor, Michael MDProvider ID: 401740Gender: MaleGulf Coast MultispecialtyServices1360 Brickyard RdChipley, FL 32428(850) 784-185600 Yrs/130 YrsGulf Coast Medical CentercLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Walford, Nebbie MDProvider ID: 1561816Gender: FemaleGulf Coast MultispecialtyServices1360 Brickyard RdChipley, FL 32428(850) 784-185600 Yrs/21 YrsM-F 9:00 AM - 5:00 PMPCMH: No


HospitalsBay

Updated: 07/03/2019


Hospital

Bay Medical CenterProvider ID: 20457Sub Specialty: PhysicalTherapy Fac Service, CardiacSurgery Program, CardiacCatherization Services,Diagnostic Radiology, CriticalCare Services ICU,Mammography615 North Bonita AvePanama City, FL 32401(850) 769-1511Fax: (850) 872-120700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gulf Coast Medical Centerc

Provider ID: 21276449 W 23rd StPanama City, FL 32405(850) 769-8341Fax: (850) 747-710700 Yrs/130 Yrs


HospitalsEscambia

Updated: 07/03/2019


Hospital

Sacred Heart HospitalProvider ID: 20213Sub Specialty: SurgicalServices, Cardiac SurgeryProgram, Critical Care ServicesICU, Mammography,Outpatient Infusion/Chemo,Outpatient Dialysis, PhysicalTherapy Fac Service, CardiacCatherization Services,Diagnostic Radiology,Occupational Therapy FacServ, Speech Therapy FacilityServ1549 Airport Blvd Ste 200Pensacola, FL 32504(850) 416-6886Fax: (850) 416-688600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Sacred Heart HospitalProvider ID: 20213Sub Specialty: SurgicalServices, Cardiac SurgeryProgram, Critical Care ServicesICU, Mammography,Outpatient Infusion/Chemo,Outpatient Dialysis, PhysicalTherapy Fac Service, CardiacCatherization Services,Diagnostic Radiology,Occupational Therapy FacServ, Speech Therapy FacilityServ5151 N 9th AvePensacola, FL 32504(850) 416-760000 Yrs/130 Yrs

Sacred Heart Hospital On TheGulf

Provider ID: 6174331549 Airport Blvd Ste 200Pensacola, FL 32504(850) 416-6886Fax: (850) 416-688600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West Florida HospitalProvider ID: 204078383 N Davis HwyPensacola, FL 32514(850) 494-4000Fax: (850) 494-507300 Yrs/130 Yrs


HospitalsHolmes

Updated: 07/03/2019



Doctors Memorial Hospital

Provider ID: 7780412600 Hospital DrBonifay, FL 32425(850) 547-8000Fax: (850) 547-800600 Yrs/130 Yrs


HospitalsOkaloosa

Updated: 07/03/2019


Hospital

Columbia Twin Cities Hospital

Provider ID: 210712190 Hwy 85 NNiceville, FL 32578(850) 678-413100 Yrs/130 Yrs

Ft Walton Beach MedicalCenter

Provider ID: 203281000 Mar Walt DrFt Walton Bch, FL 32547(850) 862-1111Fax: (844) 465-604000 Yrs/130 Yrs

North Okaloosa MedicalCenter

Provider ID: 067151 E Redstone AveCrestview, FL 32539(850) 689-8100Fax: (850) 689-843300 Yrs/130 Yrs


HospitalsSanta Rosa

Updated: 07/03/2019


Hospital

Santa Rosa Medical Center

Provider ID: 160271Sub Specialty: CardiacCatherization Services,Physical Therapy Fac Service,Diagnostic Radiology, SurgicalServices, Critical Care ServicesICU, Mammography6002 Berryhill RdMilton, FL 32570(850) 626-7762Fax: (941) 341-370500 Yrs/130 Yrs


HospitalsWalton

Updated: 07/03/2019


Hospital

Healthmark Regional MedicalCenter

Provider ID: 3481074413 US Hwy 331 SDefuniak Springs, FL 32435(850) 951-4500Fax: (850) 892-707900 Yrs/130 Yrs

Sacred Heart HospitalEmerald

Provider ID: 2713547800 US Hwy 98 WDestin, FL 32550(850) 278-300000 Yrs/130 Yrs


HospitalsWashington

Updated: 07/03/2019



Northwest FloridaCommunity Hospital

Provider ID: 213821360 Brickyard RdChipley, FL 32428(850) 638-1610Fax: (855) 276-444300 Yrs/130 Yrs


Behavioral HealthBay

Updated: 07/03/2019


Advance RegisteredNurse Practitioner

Psychiatrist

Grover, Jerris APRNProvider ID: 1837407Gender: FemaleFlorida Therapy Services Inc2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600318 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Behavioral HealthCounseling

Allen, Cassie LCSWProvider ID: 1637718Gender: FemaleBeach Counseling12133 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9636Fax: (850) 249-963500 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Keip, Erin LMHCProvider ID: 1635123Gender: FemaleLife Management Center ofNorthwest12133 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9636Fax: (850) 249-963500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

McMaken, Brooke LMHC

Provider ID: 1637717Gender: FemaleBeach Counseling andPsychological12133 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9636Fax: (850) 249-963500 Yrs/130 YrsM-TH 8:00 AM - 6:00 PMF 8:00 AM - 12:00 PMPCMH: No

Prather, Joel LMHCProvider ID: 512292Gender: MaleBeach Counseling andPsychological12133 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9636Fax: (850) 249-963500 Yrs/130 YrsM-F 8:00 AM - 6:00 PMPCMH: No

Sanchez-Rodriguez, LourdesLMHC

Provider ID: 944977Gender: Female2636 Jenks AvePanama City, FL 32405(850) 248-792500 Yrs/21 YrsLanguages: SpanishPCMH: No

Tiller, Willowdean LMHC

Provider ID: 1199920Gender: FemaleWillowdean D. Tiller, Inc.801 Jenks Ave Ste CPanama City, FL 32401(850) 640-1020Fax: (850) 640-102205 Yrs/130 YrsM-F 9:00 AM - 6:00 PMPCMH: No


Emerald Coast BehavioralHospital

Provider ID: 529167Emerald Coast BehavioralHospital L1940 Harrison AvePanama City, FL 32405(850) 763-0017Fax: (850) 785-058002 Yrs/130 YrsLanguages: Spanish, Russian,Italian, JapaneseM-F 8:00 AM - 5:00 PMPCMH: No

Community MentalHealth Center

Chemical Addictions RecoveryEffort Inc

Provider ID: 7924944000 E 3rd StPanama City, FL 32404(850) 872-7676Fax: (850) 872-920212 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Florida Therapy Services Inc

Provider ID: 493843Sub Specialty: Geriatric/AgingIssues, Sexual/Physical Abuse(Adult), Post-Traumatic StressSyndrome, Dual Diagnosis-MH/Dev Disable, EatingDisorders, Expert WitnessTestimony, Sexual/PhysicalAbuse (Child), DomesticAbuse (Child), Court OrderedMental Eval, Adoption/Attachment Issues,Adolescent/Children Issues,Bi-Lingual, Domestic Abuse(Adult), Gender/Sexual Issues,Separation/Grief/Loss459 Grace AvePanama City, FL 32401(850) 215-6007Fax: (850) 215-600305 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Licensed Clinical SocialWorker

Tingler, Yolanda LCSWProvider ID: 1639154Gender: FemaleHelping Hands CounselingAnd Interp7334 Hwy 2311Panama City, FL 32404(850) 303-814702 Yrs/130 YrsLanguages: American SignLanguageM-F 9:00 AM - 5:00 PMPCMH: No

Licensed ProfessionalCounselor

Hughley, Marvin LMHC

Provider ID: 1261767Gender: MaleHughleys Mental HealthServices205 Forest Park CirPanama City, FL 32405(850) 628-932600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pediatric Psychiatry

Mhatre, Umesh MDProvider ID: 230564Gender: MaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600300 Yrs/130 YrsLake City Medical CenterLanguages: HindiM-F 8:00 AM - 5:30 PMPCMH: No


Behavioral HealthBay

Updated: 07/03/2019


Pediatric Psychiatry -cont.

Nallapula, Kishan MD

Provider ID: 1450465Gender: MaleChildrens Home Society ofFlorida914 Harrison AvePanama City, FL 32401(850) 747-5411Fax: (850) 747-566200 Yrs/18 YrsLanguages: Hindi, Tamil,Telugu, KannadaM-F 8:00 AM - 5:00 PMPCMH: No

Vandewalle, Michael DO

Provider ID: 1135289Gender: MaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600305 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No

Psychiatry

Anderson, Willard APRNProvider ID: 1349665Gender: Male2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600300 Yrs/18 YrsPCMH: No

Billingsley, John MDProvider ID: 1135232Gender: MaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600318 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No

De Jesus, Miriam APRN

Provider ID: 1135212Gender: FemaleFlorida Therapy Services Inc2711 W 15th StPanama City, FL 32401(850) 769-600100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Deal, Roy MDProvider ID: 377567Gender: MaleEmerald Coast BehavioralHospital1940 Harrison AvePanama City, FL 32405(850) 763-0017Fax: (850) 785-058002 Yrs/130 YrsMTWTHFSat 9:00 AM - 5:00PMPCMH: No

Hayes, John MDProvider ID: 1135219Gender: MaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600318 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No

Hussey, Judith APRNProvider ID: 1135210Gender: FemaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600300 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Mhatre, Umesh MDProvider ID: 230564Gender: MaleFlorida Therapy Services2711 W 15th StPanama City, FL 32401(850) 769-6001Fax: (850) 769-600300 Yrs/130 YrsLake City Medical CenterLanguages: HindiM-F 8:00 AM - 5:30 PMPCMH: No


Provider ID: 1450465Gender: MaleChildrens Home Society ofFlorida914 Harrison AvePanama City, FL 32401(850) 747-5411Fax: (850) 747-566200 Yrs/18 YrsLanguages: Hindi, Tamil,Telugu, KannadaM-F 8:00 AM - 5:00 PMPCMH: No

Pichardo Soto, Nelson MD

Provider ID: 1052595Gender: MaleEmerald Coast BehavioralHospital1940 Harrison AvePanama City, FL 32405(850) 763-0017Fax: (850) 785-058002 Yrs/130 YrsPCMH: No

Psychology

Wheeler, Cara PsyDProvider ID: 955950Gender: FemaleBeach Counseling Center12133 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9636Fax: (850) 249-963500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Chemical Addictions RecoveryEffort Inc

Provider ID: 7924944000 E 3rd StPanama City, FL 32404(850) 872-7676Fax: (850) 872-920212 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMPCMH: No

Life Management Center ofNW Florida

Provider ID: 376066525 E 15th StPanama City, FL 32405(850) 522-4485Fax: (850) 522-448400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 376066Life Management Center ofNorthwest525 E 15th St Bldg EPanama City, FL 32405(850) 522-4485Fax: (850) 522-448400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 376066Life Management Center ofNorthwest525 E 15th St Bldg A B DPanama City, FL 32405(850) 522-4485Fax: (850) 522-448400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Behavioral HealthEscambia

Updated: 07/03/2019


Advance RegisteredNurse Practitioner

Psychiatrist

Grover, Jerris APRNProvider ID: 1837407Gender: FemaleFlorida Therapy Services Inc6425 Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000918 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Smith, Sonia APRNProvider ID: 1854374Gender: FemaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-119200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Smith, Sonia APRNProvider ID: 1854374Gender: FemaleSacred Heart Medical Group5375 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-119200 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Donovan, Wyette LCSW

Provider ID: 516346Gender: FemaleSub Specialty: Bi-Lingual, DualDiagnosis-MH/Dev Disable,Adolescent/Children Issues,Post-Traumatic StressSyndrome, Court OrderedMental Eval, Eating Disorders,Sexual/Physical Abuse (Child),Adoption/Attachment Issues,Separation/Grief/Loss,Gender/Sexual Issues, ExpertWitness Testimony, Geriatric/Aging Issues, Sexual/PhysicalAbuse (Adult), DomesticAbuse (Adult), DomesticAbuse (Child)1521 N 14th AvePensacola, FL 32503(850) 375-563000 Yrs/130 YrsM-TH 7:00 AM - 7:30 PMF 8:00 AM - 3:00 PMPCMH: No

Gage, Shelley LMHCProvider ID: 206262Gender: FemaleShelley Gage LMHCSub Specialty: ComprehensiveAssessment, Domestic Abuse(Adult), Separation/Grief/Loss, Behavioral Analysis,Personality Disorders, Severe/Persistent Mentally Ill,Trauma-Focused Treatment,Adoption/Attachment Issues,Sexual/Physical Abuse (Adult),Co-Occuring Disorders,Serious Mental Illness,Domestic Abuse (Child),Adolescent/Children Issues,Court Ordered Mental Eval,Geriatric/Aging Issues,Gender/Sexual Issues, DualDiagnosis-MH/Dev Disable,Bi-Lingual, Eating Disorders,Expert Witness Testimony,Post-Traumatic StressSyndrome, Sexual/PhysicalAbuse (Child)6706 N 9th Ave Ste B5Pensacola, FL 32504(850) 471-1799Fax: (850) 471-179012 Yrs/130 YrsM-W 10:00 AM - 5:00 PMPCMH: No

Hager, Regan LMHCProvider ID: 913690Gender: FemaleSub Specialty: EatingDisorders, Gender/SexualIssues, Adoption/AttachmentIssues, Dual Diagnosis-MH/Dev Disable, Adolescent/Children Issues, Bi-Lingual,Expert Witness Testimony,Post-Traumatic StressSyndrome, Sexual/PhysicalAbuse (Child), DomesticAbuse (Child), Separation/Grief/Loss, Court OrderedMental Eval, Sexual/PhysicalAbuse (Adult), DomesticAbuse (Adult), Geriatric/AgingIssues4300 Bayou Blvd Ste 25BPensacola, FL 32503(850) 462-3595Fax: (850) 607-271100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Harrison, Michelle LMHCProvider ID: 206274Gender: FemaleMichelle D Harrison LMHC1576 Airport BlvdPensacola, FL 32504(850) 478-3888Fax: (850) 478-091400 Yrs/130 YrsMTH 8:00 AM - 6:00 PMTW 8:00 AM - 8:00 PMPCMH: No

Menda, Cathleen LMHC

Provider ID: 962343Gender: Female6706 N 9th Ave Ste A2Pensacola, FL 32504(850) 380-0440Fax: (850) 471-179000 Yrs/130 YrsM 8:00 AM - 7:00 PMTWTH 8:00 AM - 5:00 PMF 9:00 AM - 2:00 PMPCMH: No

Shemaria, Marci LMHC

Provider ID: 279390Gender: FemaleSub Specialty: Geriatric/AgingIssues, Domestic Abuse(Child), Sexual/Physical Abuse(Adult), Sexual/Physical Abuse(Child), Separation/Grief/Loss,Eating Disorders, Post-Traumatic Stress Syndrome,Domestic Abuse (Adult),Adolescent/Children Issues,Court Ordered Mental Eval,Expert Witness Testimony,Dual Diagnosis-MH/DevDisable, Adoption/Attachment Issues, Bi-Lingual,Gender/Sexual Issues1318 Dunmire St Ste 3Pensacola, FL 32504(850) 477-2799Fax: (850) 477-279605 Yrs/130 YrsM-F 8:00 AM - 8:00 PMPCMH: No



Updated: 07/03/2019


Behavioral HealthCounseling - cont.

Winterberry, Edna LMHC

Provider ID: 458491Gender: FemaleSub Specialty: Gender/SexualIssues, Dual Diagnosis-MH/Dev Disable, Post-TraumaticStress Syndrome, Adoption/Attachment Issues4300 Bayou Blvd Ste 35Pensacola, FL 32503(850) 384-6283Fax: (850) 479-389100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Adult & Child Mental HealthCare LLC

Provider ID: 914588Adult Child Mental HealthCare112 W Cervantes StPensacola, FL 32501(850) 466-3200Fax: (850) 466-320300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Duval Metro TreatmentCenter

Provider ID: 1338129Pensacola Metro TreatmentCenter2420 South Hwy 29Cantonment, FL 32533(850) 968-3565Fax: (850) 968-357518 Yrs/130 YrsM-F 5:00 AM - 1:30 PMSat-Sun 5:00 AM - 9:00 PMPCMH: No


Provider ID: 909096Flordia Therapy Services IncSub Specialty: DomesticAbuse (Adult), Expert WitnessTestimony, Post-TraumaticStress Syndrome, Sexual/Physical Abuse (Adult), DualDiagnosis-MH/Dev Disable,Gender/Sexual Issues,Domestic Abuse (Child),Geriatric/Aging Issues,Separation/Grief/Loss,Sexual/Physical Abuse (Child),Adolescent/Children Issues,Eating Disorders, Bi-Lingual,Court Ordered Mental Eval,Adoption/Attachment Issues4400 Bayou Blvd Ste 38Pensacola, FL 32503(850) 471-0017Fax: (850) 471-000905 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Carr, Pamela LCSWProvider ID: 1508234Gender: FemaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Carr, Pamela LCSWProvider ID: 1508234Gender: FemaleEscambia Community ClinicsInc2510 N 12th AvePensacola, FL 32503(850) 471-0509Fax: (850) 471-051000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Denham, Catherine LCSW

Provider ID: 1508226Gender: FemaleEscambia Community ClinicsInc470 S Hwy 29 Ste 2Cantonment, FL 32533(850) 780-0111Fax: (850) 436-209500 Yrs/21 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Dupre, Danette LCSWProvider ID: 1508228Gender: FemaleEscambia Community ClinicsInc14 W Jordan StPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleBaptist Hospital1000 W. Moreno StPensacola, FL 32501(850) 434-401100 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleBaptist Medical Park SurgeryCenter9400 University PkwyPensacola, FL 32514(850) 208-630000 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleNemours Childrens SpecialtyCare Pe8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Garza, Niesia LCSWProvider ID: 1508237Gender: FemaleEscambia Community ClinicsInc5868 Creek Station Dr Bldg APensacola, FL 32504(850) 478-1244Fax: (850) 478-189400 Yrs/18 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Jones, Ashley LCSWProvider ID: 1508232Gender: FemaleEscambia Community ClinicsInc14 W Jordan StPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No



Updated: 07/03/2019


Licensed Clinical SocialWorker - cont.

Nutt, Andrea LCSWProvider ID: 1500583Gender: FemaleEscambia Community ClinicsInc14 W Jordan StPensacola, FL 32501(850) 436-4630Fax: (850) 436-209518 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Sanchez, Frankie LCSW

Provider ID: 1544301Gender: Male9160 Roe St Ste 5Pensacola, FL 32514(850) 417-9231Fax: (850) 792-611802 Yrs/130 YrsLanguages: SpanishM-TH 7:00 AM - 7:00 PMF 8:00 AM - 5:00 PMPCMH: No

Pediatric Psychiatry


Provider ID: 1450465Gender: MaleChildrens Home Society ofFlorida1300 N Palafox StPensacola, FL 32501(850) 266-2700Fax: (850) 595-058100 Yrs/18 YrsLanguages: Hindi, Tamil,Telugu, KannadaM-F 9:00 AM - 5:00 PMPCMH: No

Wilson, Crystal MDProvider ID: 1472807Gender: FemaleChildrens Home Society ofFlorida1300 N Palafox StPensacola, FL 32501(850) 266-2700Fax: (850) 595-018000 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Wilson, Crystal MDProvider ID: 1472807Gender: FemaleThe Childrens Home Societyof Florida914 Harrison AvePanama City, FL 32501(850) 747-5411Fax: (321) 397-302400 Yrs/21 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Psychiatry

Andem, Margaret APRNProvider ID: 1349601Gender: FemaleFlorida Therapy Services, Inc.6425 Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000912 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No

Anderson, Willard APRNProvider ID: 1349665Gender: MaleFlorida Therapy Services Inc6425 Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000900 Yrs/18 YrsMT 8:00 AM - 5:00 PMPCMH: No

Billingsley, John MDProvider ID: 1135232Gender: Male6425 Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000918 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No

Bizri, Ahmad MDProvider ID: 1448136Gender: Male6425 N Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000905 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Durrance, Scott APRNProvider ID: 1352211Gender: MaleFlorida Therapy Services Inc6425 Pensacola Blvd Ste 1 2and 3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000905 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Hayes, John MDProvider ID: 1135219Gender: MaleFlorida Therapy Services6425 Pensacola Blvd Ste 1-3Pensacola, FL 32505(850) 471-0017Fax: (850) 471-000918 Yrs/130 YrsM-F 8:00 AM - 5:30 PMPCMH: No


Provider ID: 1450465Gender: MaleChildrens Home Society ofFlorida1300 N Palafox StPensacola, FL 32501(850) 266-2700Fax: (850) 595-058100 Yrs/18 YrsLanguages: Hindi, Tamil,Telugu, KannadaM-F 9:00 AM - 5:00 PMPCMH: No

Psychology

Davidson, James PHDProvider ID: 1816159Gender: MaleJames Lewis Davidson, PHDSub Specialty: Early Steps1019 E Gadsden StPensacola, FL 32501(850) 450-801500 Yrs/18 YrsM-W 8:00 AM - 5:00 PMTH 8:00 AM - 12:00 PMPCMH: No


Behavioral HealthHolmes

Updated: 07/03/2019


Substance Abuse


Provider ID: 376066Life Management Center ofNorthwest310 E Byrd AveBonifay, FL 32425(850) 522-4485Fax: (850) 547-170900 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Provider ID: 376066Life Management Center ofNorthwest801 S Weeks StBonifay, FL 32425(850) 522-448500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Behavioral HealthOkaloosa

Updated: 07/03/2019



Emerald Coast BehavioralHospital

Provider ID: 529167Okaloosa Outpatient Center2004 Lewis Turner BlvdFort Walton Beach, FL 32547(850) 226-7893Fax: (850) 226-808102 Yrs/130 YrsLanguages: Spanish, Russian,Italian, JapaneseM-F 8:00 AM - 5:00 PMPCMH: No

Gulf Coast Treatment Center

Provider ID: 708903Sub Specialty: OutpatientServices, Substance AbuseTreatment Ctr, State InpatientPsych Program, InpatientServices1015 Mar Walt DrFort Walton Beach, FL 32547(850) 689-1984Fax: (850) 863-857600 Yrs/130 YrsPCMH: No


Bridgeway Center IncProvider ID: 901892137 Hospital Dr NEFort Walton Beach, FL 32548(850) 833-7545Fax: (850) 833-752800 Yrs/130 YrsMTWTHFSatSun 8:00 AM -5:00 PMPCMH: No

Bridgeway Center IncProvider ID: 901892299 W Railroad AveCrestview, FL 32536(850) 689-7810Fax: (850) 689-747400 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No

Bridgeway Center IncProvider ID: 901892Southside WellnessConsultants Sout205A Shell Ave SEFort Walton Beach, FL 32548(850) 226-8585Fax: (850) 833-747000 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No

Childrens Home Society ofFlorida

Provider ID: 274874176 Harris Rd NEFort Walton Beach, FL 32547(850) 266-2700Fax: (850) 595-018100 Yrs/130 YrsLanguages: Spanish, CreoleM-F 8:30 AM - 5:30 PMPCMH: No

Psychiatry

Burgess, April APRNProvider ID: 1867991Gender: FemaleBridgeway Center Inc137 Hospital Dr NEFort Walton Beach, FL 32548(850) 833-7500Fax: (850) 833-752800 Yrs/130 YrsM-TH 9:00 AM - 6:00 PMPCMH: No

Calabrese, Therese APRN

Provider ID: 1862928Gender: FemaleBridgeway Center Inc299 W Railroad AveCrestview, FL 32536(850) 689-7810Fax: (850) 689-747400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Michaels, Marla MDProvider ID: 1167395Gender: FemaleBridgeway Center Inc137 Hospital Dr NEFort Walton Beach, FL 32548(850) 833-7500Fax: (850) 833-752802 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Psychology

Oas, Peter PHDProvider ID: 558105Gender: MaleSub Specialty: Dual Diagnosis-MH/Dev Disable, Adoption/Attachment Issues, Bi-Lingual,Domestic Abuse (Adult),Expert Witness Testimony,Gender/Sexual Issues,Separation/Grief/Loss,Domestic Abuse (Child),Adolescent/Children Issues,Eating Disorders, Geriatric/Aging Issues, Sexual/PhysicalAbuse (Adult), Post-TraumaticStress Syndrome, Sexual/Physical Abuse (Child), CourtOrdered Mental Eval707 Bayshore DrNiceville, FL 32578(850) 729-3117Fax: (850) 729-314200 Yrs/130 YrsM 7:00 AM - 5:00 PMTTH 7:00 AM - 8:00 PMW 11:00 AM - 8:00 PMF 7:00 AM - 6:00 PMPCMH: No

Substance Abuse

Bridgeway Center IncProvider ID: 901892137 Hospital Dr NEFort Walton Beach, FL 32548(850) 833-7545Fax: (850) 833-752800 Yrs/130 YrsMTWTHFSatSun 8:00 AM -5:00 PMPCMH: No

Bridgeway Center IncProvider ID: 901892299 W Railroad AveCrestview, FL 32536(850) 689-7810Fax: (850) 689-747400 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No

Bridgeway Center IncProvider ID: 901892Southside WellnessConsultants Sout205A Shell Ave SEFort Walton Beach, FL 32548(850) 226-8585Fax: (850) 833-747000 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMPCMH: No


Provider ID: 274874176 Harris Rd NEFort Walton Beach, FL 32547(850) 266-2700Fax: (850) 595-018100 Yrs/130 YrsLanguages: Spanish, CreoleM-F 8:30 AM - 5:30 PMPCMH: No

Gulf Coast Treatment Center

Provider ID: 7089031015 Mar Walt DrFort Walton Beach, FL 32547(850) 689-1984Fax: (850) 863-857600 Yrs/130 YrsPCMH: No


Behavioral HealthSanta Rosa

Updated: 07/03/2019



Davis, Jacob LMHCProvider ID: 1697072Gender: MaleSanta Rosa Counseling CenterL5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717112 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Maxwell, Candace LMHC

Provider ID: 972360Gender: FemaleSanra Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Willis, Brian LMHCProvider ID: 806746Gender: Male5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-TH 8:00 AM - 6:00 PMF 8:00 AM - 5:00 PMPCMH: No

Clinical Social Work

Ingram, Brandy CSWProvider ID: 1600191Gender: FemaleSanta Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Adult & Child Mental HealthCare LLC

Provider ID: 914588Adult Child Mental HealthCare LLC4622 Summerdale DrPace, FL 32571(850) 466-3200Fax: (850) 466-320300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Provider ID: 2748746480 Hwy 90 Ste CMilton, FL 32570(850) 266-2700Fax: (850) 595-018100 Yrs/130 YrsLanguages: Spanish, CreoleM-F 8:30 AM - 5:30 PMPCMH: No


Provider ID: 909099Flordia Therapy Services IncSub Specialty: Adoption/Attachment Issues, Geriatric/Aging Issues, Separation/Grief/Loss, Domestic Abuse(Adult), Dual Diagnosis-MH/Dev Disable, Bi-Lingual, EatingDisorders, Gender/SexualIssues, Adolescent/ChildrenIssues, Court Ordered MentalEval, Post-Traumatic StressSyndrome, Sexual/PhysicalAbuse (Child), DomesticAbuse (Child), Expert WitnessTestimony, Sexual/PhysicalAbuse (Adult)6107 Hwy 90Milton, FL 32570(850) 981-0017Fax: (850) 981-002105 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleAndrews Institute ForOrthopaedics1040 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 916-870000 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Fryou, Melanie LCSWProvider ID: 1787162Gender: FemaleGulf Breeze Hospital1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-200000 Yrs/01 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Garza, Niesia LCSWProvider ID: 1508237Gender: FemaleEscambia Community ClinicsInc5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/18 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Substance Abuse


Provider ID: 2748746480 Hwy 90 Ste CMilton, FL 32570(850) 266-2700Fax: (850) 595-018100 Yrs/130 YrsLanguages: Spanish, CreoleM-F 8:30 AM - 5:30 PMPCMH: No


Behavioral HealthWalton

Updated: 07/03/2019



Chautauqua Offices ofPsychotherapy and

Provider ID: 695398Cope CenterSub Specialty: InpatientServices, Substance AbuseTreatment Ctr, OutpatientServices, State Inpatient PsychProgram3686 US Hwy 331 SDefuniak Springs, FL 32435(850) 892-8045Fax: (850) 892-807400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


The Chrysalis Center Inc

Provider ID: 303776495 Grand Blvd Ste 206Miramar Beach, FL 32550(850) 971-6021Fax: (954) 587-008000 Yrs/130 YrsM-F 9:00 AM - 5:30 PMPCMH: No

Substance Abuse

Chautauqua Offices ofPsychotherapy and

Provider ID: 695398Cope Center3686 US Hwy 331 SDefuniak Springs, FL 32435(850) 892-8045Fax: (850) 892-807400 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Ancillary ProvidersAll

Updated: 07/03/2019


Durable MedicalEquipment

Durable Medical EquipmentFor Additional Providers andLocations Please Call:(866) 334-7927

Home Health Care

Home Health CareFor Additional Providers andLocations Please Call:(866) 334-7927

Laboratory PathologyTesting

Quest DiagnosticsFor Additional Providers andLocations Please Call:(888) 277-8772


Ancillary ProvidersBay

Updated: 07/03/2019


Ambulatory SurgeryCenter

Northwest Florida SurgeryCenter

Provider ID: 192069767 Airport RdPanama City, FL 32405(850) 747-0400Fax: (850) 913-974400 Yrs/130 YrsOcala Endoscopy ASCM-F 6:00 AM - 5:30 PM

Panama City Surgery CenterLLC

Provider ID: 328548Panama City Surgery Center1800 Jenks AvePanama City, FL 32405(850) 769-3191Fax: (850) 769-319200 Yrs/130 YrsMillenia Surgery CenterM-F 6:00 AM - 5:00 PM

Surgical Center For ExcellenceLLLP

Provider ID: 450604Surgical Center For Excellence202 Doctors DrPanama City, FL 32405(850) 522-1930Fax: (850) 522-194012 Yrs/130 YrsSurgical Center For ExcellenceLLLPM-F 7:00 AM - 5:00 PM

The Northwest Florida ASCLP

Provider ID: 421300204B E 19th StPanama City, FL 32405(850) 769-7599Fax: (850) 769-738918 Yrs/130 YrsThe Northwest Florida ASCLPLanguages: SpanishM-F 7:00 AM - 4:00 PM

Diagnostic Imaging

Florida Diagnostic Imaging Inc

Provider ID: 17030Panama City Open MRI &Imaging LLC106 Medical Center DrPanama City, FL 32405(850) 873-6900Fax: (850) 873-690200 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Medical EvaluatersProvider ID: 440092Medical Evaluaters Inc406 W 19th StPanama City, FL 32405(850) 784-0545Fax: (850) 215-404505 Yrs/130 YrsLanguages: FilipinoM-F 7:00 AM - 10:00 PM

Panama City Open MRI &Imaging

Provider ID: 150712Panama City Open MRI andImaging2525 M L King Jr BlvdPanama City, FL 32405(850) 873-6900Fax: (850) 873-690200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Suncoast Diagnostic Imaging

Provider ID: 381412511 E 23rd StPanama City, FL 32405(850) 747-8822Fax: (850) 747-866400 Yrs/130 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

Dialysis

Coastal Kidney CenterProvider ID: 380942510 N MacArthur AvePanama City, FL 32401(850) 914-0824Fax: (850) 914-996218 Yrs/130 YrsMTWTHFSat 6:00 AM - 2:00PM

Lynn Haven DialysisProvider ID: 1157804404 E 24th StLynn Haven, FL 32444(850) 271-2937Fax: (850) 271-032600 Yrs/130 YrsMTWTHFSat 6:00 AM - 5:00PM

Panama City Dialysis Center

Provider ID: 186446Renal Treatment Centers SELP615 N Hwy 231Panama City, FL 32405(850) 785-1233Fax: (850) 913-804800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West Beach Dialysis Center

Provider ID: 54392016201 PC Beach Pkwy Ste 102Panama City Beach, FL 32413(850) 233-0837Fax: (850) 233-843618 Yrs/130 YrsM-W 6:00 AM - 9:00 PM


Apria Healthcare LLCProvider ID: 12459263416 Jenks AvePanama City, FL 32405(850) 747-8070Fax: (850) 913-070400 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Barnes Healthcare of FloridaLLC

Provider ID: 6866742425 Martin Luther King JrBlvdPanama City, FL 32405(850) 785-2480Fax: (888) 276-788200 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Gulf Medical Services Inc

Provider ID: 5032881923 N East AvePanama City, FL 32405(850) 914-2489Fax: (850) 914-249000 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics &Orthotics Inc2907 Hwy 77Panama City, FL 32405(850) 872-2055Fax: (850) 872-9954M-F 9:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics andOrthotics In2851 Hwy 77 Ste 2907-2909Panama City, FL 32405(850) 872-2055Fax: (850) 872-9954M-F 9:00 AM - 5:00 PM

Millennium DME Sales LLC

Provider ID: 1189829Millennium DME Sales, LLC233 W 14th StPanama City, FL 32401(850) 215-7961Fax: (850) 215-584900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019


Durable MedicalEquipment - cont.

NumotionProvider ID: 173278110 Peachtree DrLynn Haven, FL 32444(850) 265-6839Fax: (850) 265-526100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Superiaire Oxygen andEquipment Inc

Provider ID: 437319405 W Oak AvePanama City, FL 32401(850) 769-0080Fax: (850) 785-366100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Dame, James HadProvider ID: TPV08331-01Gender: MaleGulf Coast Hearing CentersInc2232 St Andrews BlvdPanama City, FL 32405(855) 243-5508Fax: (850) 784-006021 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Locke, Kaitlyn HadProvider ID: TPV17479-01Gender: FemaleGulf Coast Hearing CentersInc2232 St Andrews BlvdPanama City, FL 32405(855) 243-5508Fax: (850) 784-006021 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Smith, Leslie HadProvider ID: TPV09050-01Gender: FemaleGulf Coast Hearing CentersInc2232 St Andrews BlvdPanama City, FL 32405(855) 243-5508Fax: (850) 784-006021 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Smith, Timothy HadProvider ID: TPV09051-01Gender: MaleGulf Coast Hearing CentersInc2232 St Andrews BlvdPanama City, FL 32405(855) 243-5508Fax: (850) 784-006021 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Gregory HadProvider ID: TPV07936-01Gender: MaleBeltone Hearing Center1031 W. 23rd St Ste APanama City, FL 32405(855) 243-5508Fax: (850) 769-199721 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Gregory HadProvider ID: TPV07936-02Gender: MaleBeltone12234 Pcb Pkwy Ste CPanama City Beach, FL 32407(855) 243-5508Fax: (850) 769-199721 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Sharon HadProvider ID: TPV17660-01Gender: FemaleBeltone Hearing Center1031 W. 23rd St Ste APanama City, FL 32405(855) 243-5508Fax: (850) 769-199721 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Home Health Care

Aveanna HealthcareProvider ID: 15939232581 Huntcliff LnPanama City, FL 32405(850) 387-7685Fax: (850) 785-205500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Interim Healthcare ofNorthwest Florida

Provider ID: 1637367Interim Healthcare2679 Jenks AvePanama City, FL 32405(850) 747-0080Fax: (850) 747-092000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lisenby Home Care Inc

Provider ID: 1131691412 N Cove BlvdPanama City, FL 32401(850) 769-0440Fax: (850) 784-021800 Yrs/130 YrsM-F 8:00 AM - 4:00 PM

Hospice

Covenant Hospice, IncProvider ID: 685548Covenant Hospice Inc107 W 19th StPanama City, FL 32405(850) 785-3040Fax: (850) 785-255200 Yrs/130 Yrs

Covenant Hospice, IncProvider ID: 685548Covenant Hospice InpatientUnit @ B615 N Bonita AvePanama City, FL 32401(850) 785-5550Fax: (850) 785-255200 Yrs/130 Yrs

Infusion Therapy


Provider ID: 6866742425 Martin Luther King JrBlvdPanama City, FL 32405(850) 785-2480Fax: (888) 276-788200 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Mammography


Provider ID: 17030Panama City Open MRI &Imaging LLC106 Medical Center DrPanama City, FL 32405(850) 873-6900Fax: (850) 873-690200 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Bay Quality Prosthetics LLC

Provider ID: 6717372195 Jenks Ave Ste CPanama City, FL 32405(850) 522-5343Fax: (850) 640-090100 Yrs/130 YrsMT 8:00 AM - 3:00 PMWTHF 8:00 AM - 2:00 PM

Gulf Coast Orthotics andProsthetics

Provider ID: 1843556Coast2315 Ruth Hentz AvePanama City, FL 32405(850) 784-0320Fax: (850) 784-366100 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 1:00 PM



Updated: 07/03/2019



Advance Rehab and HomeHealth LLC

Provider ID: 10440262316 W 23rd St Ste BPanama City, FL 32405(850) 522-4770Fax: (850) 522-476005 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Bay CenterProvider ID: 6327761336 Saint Andrews BlvdPanama City, FL 32405(850) 763-3911Fax: (850) 763-024218 Yrs/110 Yrs

Community Health & Rehab

Provider ID: 3849173611 Transmitter RdPanama City, FL 32404(850) 747-9688Fax: (850) 747-999200 Yrs/130 YrsLanguages: Spanish

Glencove Health andRehabilitation Center

Provider ID: 6853421027 E Hwy BusinessPanama City, FL 32401(850) 872-1438Fax: (850) 763-971100 Yrs/130 Yrs

Urgent Care Center

Pediatric Urgent Care PC LLC

Provider ID: 1091310Pediatric Urgent Care PC625 W Baldwin Rd Unit BPanama City, FL 32405(850) 522-7337Fax: (850) 763-498800 Yrs/21 YrsLanguages: Spanish, ArabicM-F 5:00 AM - 10:00 PMSat 9:00 AM - 2:00 PM


Ancillary ProvidersEscambia

Updated: 07/03/2019



Endoscopy Center ofPensacola,The

Provider ID: 6875054810 N Davis HwyPensacola, FL 32503(850) 474-8988Fax: (850) 476-531212 Yrs/130 YrsLanguages: Spanish, ArabicM-F 8:00 AM - 5:00 PM

Fresenius Vascular Care ofPensacola As

Provider ID: 1606639Fresenius Vascular Care ofPensaco1619 Creighton RdPensacola, FL 32504(850) 466-384318 Yrs/110 YrsM-W 8:00 AM - 5:00 PM

Henghold Surgery Center LLC

Provider ID: 1020944530 Fontaine StPensacola, FL 32503(850) 474-4775Fax: (850) 484-822300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy2090 S Hwy 29Cantonment, FL 32533(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy8100 N Davis HwyPensacola, FL 32514(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Diagnostic Center

Center For Sleep and MedicalDiagnostics

Provider ID: 618818Pensacola Sleep Disorder2413 Executive Plaza RdPensacola, FL 32504(850) 473-9709Fax: (850) 476-951900 Yrs/130 YrsM-TH 8:30 AM - 4:00 PMF 8:30 AM - 2:00 PMSat 8:00 AM - 6:00 PM

Diagnostic Imaging


Provider ID: 17030Pensacola Open MRI4511 N Davis Hwy Ste 1BPensacola, FL 32503(850) 484-8454Fax: (850) 484-775400 Yrs/130 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PM

PET CT Imaging Center ofNorthwest Flori

Provider ID: 527123Pet LLC5149 N 9th Ave Ste 124Pensacola, FL 32504(850) 478-6336Fax: (850) 478-636100 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Touchstone Imaging ofPensacola LLC

Provider ID: 179294The Imaging Center ofPensacola4996 N Davis HwyPensacola, FL 32503(850) 475-9040Fax: (850) 475-904900 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Dialysis

Downtown Pensacola Dialysis

Provider ID: 765522700 E Cervantes St Ste APensacola, FL 32501(850) 433-1534Fax: (850) 433-153818 Yrs/130 YrsM-W 5:00 AM - 4:00 PM

Home Options of Pensacola

Provider ID: 765376812 Creighton RdPensacola, FL 32504(850) 969-9082Fax: (850) 475-263518 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West Florida DialysisProvider ID: 3189528333 N Davis Hwy 1st FlPensacola, FL 32514(850) 474-8424Fax: (850) 969-287918 Yrs/130 YrsMWF 5:40 AM - 5:00 PMTTHSat 5:40 AM - 9:40 PM

West Pensacola DialysisProvider ID: 427031598 N Fairfield Dr Ste 100Pensacola, FL 32506(850) 453-6066Fax: (850) 453-668100 Yrs/130 YrsMW 6:00 AM - 6:30 PMTTHSatSun 8:30 AM - 1:59 PMF 6:00 AM - 12:30 PM


American Homepatient Inc

Provider ID: 8866667170 N 9th AvePensacola, FL 32504(850) 435-4778Fax: (850) 435-836600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Apria Healthcare LLCProvider ID: 124592633 Brent Ln Ste 100Pensacola, FL 32503(850) 433-7434Fax: (888) 492-001000 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Grace Medical IncProvider ID: 11354096923 N 9th Ave Ste APensacola, FL 32504(850) 476-0038Fax: (850) 478-990100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Gulf Medical Services IncProvider ID: 1511083103 N 12th AvePensacola, FL 32503(850) 438-7600Fax: (850) 438-413800 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics &Orthotics Inc2521C Creighton RdPensacola, FL 32504(850) 474-4737Fax: (850) 477-8523M-F 9:00 AM - 5:00 PM



Updated: 07/03/2019



Professional Health CareServices Inc Db

Provider ID: 1189745Professional Health CareServices I8101 University Pkwy Unit BPensacola, FL 32574(850) 858-2273Fax: (850) 858-227800 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Rehab Medical IncProvider ID: 1138389826 Creighton Rd St B 100Pensacola, FL 32504(317) 813-4206Fax: (866) 808-005000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Hancock, Howard HadProvider ID: TPV07998-02Gender: MaleHowmar Enterprises IncdbaBeltone Hearing Care6024 N 9th Ave Ste 3Pensacola, FL 32504(855) 243-5508Fax: (850) 477-593621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Hancock, Ronald HadProvider ID: TPV08805-01Gender: MaleHowmar Enterprises Inc6024 N 9th Ave Ste 3Pensacola, FL 32504(850) 477-5935Fax: (850) 477-593621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Hancock, Ronald HadProvider ID: TPV16750-01Gender: MaleHowmar Enterprises Inc6024 N 9th Ave Ste 3Pensacola, FL 32504(850) 477-5935Fax: (850) 477-593600 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Henson, Luann HadProvider ID: TPV17111-02Gender: FemaleHowmar Enterprises IncdbaBeltone Hearing Care6024 N 9th Ave Ste 3Pensacola, FL 32504(855) 243-5508Fax: (850) 477-593621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Russo, Patricia HadProvider ID: TPV17499-01Gender: FemaleChac Inc115 N Palafox StPensacola, FL 32502(855) 243-5508Fax: (850) 438-409502 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Home Health Care

Aveanna HealthcareProvider ID: 12346332065 Airport Blvd Ste 400Pensacola, FL 32504(850) 444-4365Fax: (850) 432-552900 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Provider ID: 1637329Interim Healthcare1331 Creighton Rd Ste APensacola, FL 32504(850) 474-0767Fax: (850) 474-076300 Yrs/110 YrsM-F 9:00 AM - 5:00 PM

Maxim Healthcare ServicesInc

Provider ID: 12176264900 Bayou Blvd Ste 103Pensacola, FL 32503(850) 473-0323Fax: (877) 394-217500 Yrs/130 YrsM-F 8:00 AM - 6:00 PM

Nursespring of Pensacola LLC

Provider ID: 14410805498 N Davis HwyPensacola, FL 32503(850) 479-8666Fax: (850) 479-866821 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Superior In Home Care Inc

Provider ID: 1131713Superior In Home Care, Inc2400 W Michigan Ave Ste 21Pensacola, FL 32526(850) 457-1601Fax: (850) 944-014600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hospice

Covenant Hospice, IncProvider ID: 685548Covenant Hospice Inc2001 N Palafox StPensacola, FL 32501(850) 202-0840Fax: (850) 202-117000 Yrs/130 Yrs

Covenant Hospice, IncProvider ID: 685548Covenant Hospice InpatientUnit @ W8383 N Davis HwyPensacola, FL 32514(850) 205-0920Fax: (850) 479-616700 Yrs/130 Yrs

Covenant Hospice, IncProvider ID: 685548Joyce Goldenberg HospiceInpatient10075 Hillview DrPensacola, FL 32514(850) 484-3529Fax: (850) 484-277000 Yrs/130 Yrs

Mammography


Provider ID: 17030Pensacola Open MRI4511 N Davis Hwy Ste 1BPensacola, FL 32503(850) 484-8454Fax: (850) 484-775400 Yrs/130 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PM


Fitting Designs IncProvider ID: 2154638800 University Pkwy Ste B1Pensacola, FL 32514(850) 484-9111Fax: (850) 484-919105 Yrs/130 YrsMTTHF 9:00 AM - 5:00 PMW 9:00 AM - 12:00 PM

Gulf Coast Orthotics andProsthetics

Provider ID: 1843088Gulf Coast Orthotics andProsthetic824 Creighton RdPensacola, FL 32504(850) 477-4880Fax: (850) 477-476602 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 1:00 PM



Updated: 07/03/2019


Orthotics & Prosthetics -cont.

Orthotic and ProstheticCenter of St PET

Provider ID: 165372Orthotic and ProstheticCenter of P3936 N Davis Hwy Ste CPensacola, FL 32503(850) 316-4494Fax: (850) 512-138400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Performance Prosthetics andOrthotics

Provider ID: 686658Performance Prosthetics andOrthoti3010 N 12th AvePensacola, FL 32503(850) 607-6126Fax: (850) 607-667400 Yrs/130 YrsM-TH 7:00 AM - 4:00 PMF 8:00 AM - 12:00 PM

Physical Therapy

Center For Pediatric RehabProvider ID: 1639391108 Airport Blvd Bldg APensacola, FL 32504(850) 471-1005Fax: (850) 484-952500 Yrs/21 YrsM-TH 8:00 AM - 5:00 PM


ARC Gateway Inc PearlNelson Center

Provider ID: 924050ARC Gateway Inc- PearlNelson Center916 E Fairfield DrPensacola, FL 32503(850) 434-7755Fax: (850) 469-085800 Yrs/14 YrsM-F 8:00 AM - 5:00 PM

Speech and NeurorehabCenter Inc

Provider ID: 1605851108 Airport Blvd Ste APensacola, FL 32504(850) 484-9292Fax: (850) 484-952500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Bayside Health andRehabilitation Center

Provider ID: 6849644343 Langley AvePensacola, FL 32504(850) 430-3300Fax: (850) 484-358300 Yrs/130 Yrs

Century Health and RehabCenter

Provider ID: 303140Century Care Center6020 Industrial BlvdCentury, FL 32535(850) 256-1540Fax: (850) 256-401900 Yrs/130 YrsLanguages: Spanish

Nf Pensacola Manor DBAArcadia Health An

Provider ID: 994938Arcadia Health and RehabCenter10095 Hillview DrPensacola, FL 32514(850) 479-4000Fax: (850) 479-403418 Yrs/110 Yrs

Olive Branch Health andRehab Center

Provider ID: 17881748325 University PkwyPensacola, FL 32514(850) 898-8000Fax: (850) 432-104718 Yrs/130 Yrs

Rosewood Health andRehabilitation Center

Provider ID: 6857043107 N H StPensacola, FL 32501(850) 435-0500Fax: (850) 433-660000 Yrs/130 YrsLanguages: Spanish

Solaris Healthcare Pensacola

Provider ID: 163476Managed Care ConsultantsLLC8475 University PkwyPensacola, FL 32514(850) 474-1252Fax: (850) 474-979500 Yrs/130 YrsLanguages: Spanish

Southern Oaks Care Center

Provider ID: 452501600 W Gregory StPensacola, FL 32502(850) 434-8071Fax: (850) 437-373340 Yrs/130 YrsLanguages: Spanish, French,Creole

Speech Therapy

Center For Pediatric RehabProvider ID: 1639391108 Airport Blvd Bldg APensacola, FL 32504(850) 471-1005Fax: (850) 484-952500 Yrs/21 YrsM-TH 8:00 AM - 5:00 PM

Urgent Care Center

Crestview Urgent Care IncProvider ID: 1170551Perdido Urgent Care12385 Sorrento RdPensacola, FL 32507(850) 466-8668Fax: (850) 607-648700 Yrs/130 YrsM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 5:00 PMSat 9:00 AM - 3:00 PM

Sacred Heart Medical GroupUrgent Care

Provider ID: 220505Sacred Heart - Urgent Care6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Ancillary ProvidersHolmes

Updated: 07/03/2019



Medical GalleryProvider ID: 1230845217 N Waukesha StBonifay, FL 32425(850) 547-6193Fax: (855) 899-572600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Ancillary ProvidersOkaloosa

Updated: 07/03/2019



Healthsouth Emerald CoastSurg

Provider ID: 1136484Emerald Coast Surgery Center995 Mar Walt DrFt Walton Bch, FL 32547(850) 863-7887Fax: (850) 863-495500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy302 E James Lee BlvdCrestview, FL 32539(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy4562 E Hwy 20Niceville, FL 32578(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy71 Mary Esther BlvdMary Esther, FL 32569(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Diagnostic Imaging

Center of Imaging ExcellenceCrestview

Provider ID: 1118722Crestview MRI Inc DBACenter of IMA700 Hospital DrCrestview, FL 32539(850) 398-8573Fax: (850) 398-857600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Crestview Open MRIProvider ID: 1029888194 E Redstone AveCrestview, FL 32539(850) 689-6705Fax: (850) 689-670900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dolphin Diagnostic Imaging

Provider ID: 1116615DBA Bluewater DiagnosticImaging4536 E Hwy 20Niceville, FL 32578(850) 729-6747Fax: (850) 729-727905 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dolphin Diagnostic Imaging

Provider ID: 1116615Open MRI of Fort Walton908 Mar Walt DrFort Walton Beach, FL 32547(850) 862-9394Fax: (850) 862-853305 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 17030Blue Water DiagnosticImaging LLC4536 E Hwy 20Niceville, FL 32578(850) 729-6747Fax: (850) 729-727900 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Dialysis

North Okaloosa DialysisProvider ID: 374416320 Redstone Ave WCrestview, FL 32536(850) 683-5700Fax: (850) 683-570418 Yrs/130 YrsM-W 5:45 AM - 2:00 PM


American HomepatientProvider ID: 886653American Home Patient115 Racetrack Rd NW Ste FFort Walton Beach, FL 32547(850) 863-1100Fax: (850) 435-836600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 6866743108 Adora Teal Way Bldg AUnit 103Crestview, FL 32539(850) 683-0888Fax: (888) 276-819900 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Gulf Medical Services Inc

Provider ID: 484676320 Racetrack Rd NEFort Walton Beach, FL 32547(850) 314-9955Fax: (850) 314-992700 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Hanger Prosthetics &Orthotics Inc28 Perry Ave SEFort Walton Beach, FL 32548(850) 243-5219Fax: (850) 244-0480M-F 9:00 AM - 5:00 PM

Lincare IncProvider ID: 378045American Home Patient115 Racetrack Rd NW Ste FFort Walton Beach, FL 32547(850) 863-1100Fax: (850) 435-836600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

McKesson Patient CareSolutions Inc

Provider ID: 117329011 Racetrack Rd NE Ste E2Fort Walton Beach, FL 32547(800) 451-6510Fax: (877) 252-617600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rehab Technologies LLCProvider ID: 1537934158 Alabama StCrestview, FL 32536(256) 532-4007Fax: (256) 532-400800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019



Sleepmed Therapy Services

Provider ID: 1144381Sleepmed Therapies Inc907 Mar Walt Dr Ste 2022Fort Walton Beach, FL 32547(850) 314-6574Fax: (850) 863-001200 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Dame, James HadProvider ID: TPV08331-02Gender: MaleGulf Coast Hearing CentersInc4400 Hwy 20 E Ste 211Niceville, FL 32578(855) 243-5508Fax: (850) 279-454621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Dame, James HadProvider ID: TPV08331-03Gender: MaleGulf Coast Hearing CentersInc906 A Mar Walt DRFort Walton Beach, FL 32547(855) 243-5508Fax: (850) 244-578921 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Locke, Kaitlyn HadProvider ID: TPV17479-02Gender: FemaleGulf Coast Hearing CentersInc4400 Hwy 20 E Ste 211Niceville, FL 32578(855) 243-5508Fax: (850) 279-454621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Smith, Leslie HadProvider ID: TPV09050-02Gender: FemaleGulf Coast Hearing CentersInc4400 Hwy 20 E Ste 211Niceville, FL 32578(855) 243-5508Fax: (850) 279-454621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Smith, Timothy HadProvider ID: TPV09051-02Gender: MaleGulf Coast Hearing CentersInc4400 Hwy 20 E Ste 211Niceville, FL 32578(855) 243-5508Fax: (850) 279-454621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Smith, Timothy HadProvider ID: TPV09051-03Gender: MaleGulf Coast Hearing CentersInc906 A Mar Walt DRFort Walton Beach, FL 32547(855) 243-5508Fax: (850) 244-578921 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Cameron HadProvider ID: TPV07937-02Gender: MaleBeltone22 Beal Pkwy SWFort Walton Beach, FL 32548(855) 243-5508Fax: (850) 244-926621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Cameron HadProvider ID: TPV07937-03Gender: MaleBeltone2670 S Ferdon Blvd Unit 105Crestview, FL 32536(855) 243-5508Fax: (850) 683-878521 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Gregory HadProvider ID: TPV07936-04Gender: MaleBeltone22 Beal Pkwy SWFort Walton Beach, FL 32548(855) 243-5508Fax: (850) 244-926621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Home Health Care


Provider ID: 1637370Interim Healthcare339 Racetrack Rd NW Ste 16Fort Walton Beach, FL 32547(850) 243-1152Fax: (850) 862-854800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Okaloosa County Council OnAging

Provider ID: 1431257207 Hospital DrFort Walton Beach, FL 32548(580) 833-9165Fax: (850) 833-917418 Yrs/130 YrsM-F 7:00 AM - 4:00 PM

Hospice

Covenant Hospice, IncProvider ID: 685548Covenant Hospice Inc220 Eglin Pkwy NEFort Walton Beach, FL 32547(850) 729-1800Fax: (850) 729-788300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Covenant Hospice, IncProvider ID: 685548Covenant Hospice Inc4100 S Ferdon Blvd Ste BCrestview, FL 32536(850) 628-3628Fax: (850) 682-843400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Infusion Therapy


Provider ID: 6866743108 Adora Teal Way Bldg AUnit 103Crestview, FL 32539(850) 683-0888Fax: (888) 276-819900 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Mammography


Provider ID: 17030Blue Water DiagnosticImaging LLC4536 E Hwy 20Niceville, FL 32578(850) 729-6747Fax: (850) 729-727900 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM


Creative Orthotic ProstheticServices

Provider ID: 1344510Creative Orthotic ProstheticServi120 E Redstone Ave Ste CCrestview, FL 32539(850) 398-8159Fax: (850) 398-816100 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 3:00 PM


Emerald Coast CenterProvider ID: 261789114 3rd St SEFt Walton Bch, FL 32548(850) 243-6134Fax: (850) 243-975900 Yrs/130 Yrs



Updated: 07/03/2019


Skilled Nursing Facility -cont.

The Manor At Blue Water Bay

Provider ID: 14774McCfl Network1500 White Point RdNiceville, FL 32578(850) 897-5592Fax: (850) 897-050100 Yrs/130 YrsLanguages: Spanish

Westwood Nursing and RehabCenter

Provider ID: 9371211001 Mar Walt DrFort Walton Beach, FL 32547(850) 863-5174Fax: (850) 863-479100 Yrs/130 Yrs

Urgent Care Center

Crestview Urgent Care Inc

Provider ID: 1170551Crestview Urgent Care,LLC2400 S Ferdon Blvd Ste ACrestview, FL 32536(850) 398-8668Fax: (904) 596-276100 Yrs/130 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PM


Ancillary ProvidersSanta Rosa

Updated: 07/03/2019



Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy225 Gulf Breeze PkwyGulf Breeze, FL 32561(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy3888 Hwy 90Pace, FL 32571(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Minuteclinic LLCProvider ID: 1129577Minuteclinic In CVS/Pharmacy6501 Caroline St Hwy 90Milton, FL 32570(866) 389-2727Fax: (401) 216-385400 Yrs/130 YrsM-F 8:30 AM - 7:30 PMSat 9:00 AM - 5:30 PMSun 10:00 AM - 5:30 PM

Diagnostic Imaging

Advanced ImagingProvider ID: 799783Aurora Open MRI4634 Summerdale DrMilton, FL 32571(850) 994-6702Fax: (850) 994-772200 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Dialysis

Santa Rosa DialysisProvider ID: 5554685819 Hwy 90Milton, FL 32583(850) 623-8299Fax: (850) 623-961618 Yrs/130 YrsMT 5:00 AM - 3:00 PMW 9:00 AM - 3:00 PM


Hoveround CorporationProvider ID: 11892735680 Gulf Breeze PkwyGulf Breeze, FL 32563(800) 771-6565Fax: (800) 517-820218 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Hancock, Howard HadProvider ID: TPV07998-03Gender: MaleHowmar Enterprises IncdbaBeltone6461 Hwy 90 Ste BMilton, FL 32570(855) 243-5508Fax: (850) 564-450721 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Hospice

Covenant Hospice, IncProvider ID: 685548Covenant Hospice Inc6479 Caroline St Ste BMilton, FL 32570(850) 202-5930Fax: (850) 202-593200 Yrs/130 Yrs


Bay Breeze Senior Living andRehabilitat

Provider ID: 6887833387 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 932-9257Fax: (850) 932-598900 Yrs/130 YrsLanguages: Spanish

Sandy Ridge Care CenterProvider ID: 2965955360 Glover LnMilton, FL 32570(850) 626-9225Fax: (850) 626-598300 Yrs/130 YrsLanguages: Spanish

Santa Rosa Health andRehabilitation Cen

Provider ID: 3031335386 Broad StMilton, FL 32570(850) 623-4661Fax: (850) 623-603900 Yrs/130 YrsLanguages: Spanish

Urgent Care Center

Sacred Heart Medical GroupUrgent Care

Provider ID: 220505Sacred Heart Medical GroupUrgent C4435 Hwy 90Milton, FL 32571(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Ancillary ProvidersWalton

Updated: 07/03/2019



Prescription Place ofDefuniak Springs

Provider ID: 1848342Prescription Place of DefuniakSpri1337 US Hwy 90 WDefuniak Springs, FL 32433(850) 892-6898Fax: (850) 892-689900 Yrs/130 YrsM-TH 8:00 AM - 5:30 PMF 8:00 AM - 12:00 PM


Wilder, Olivia HadProvider ID: TPV25340-01Gender: FemaleBeltone1756 US Hwy 90 W Ste 3Defuniak Springs, FL 32433(855) 243-5508Fax: (850) 892-059421 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Cameron HadProvider ID: TPV07937-01Gender: MaleBeltone1756 US Hwy 90 W Ste 3Defuniak Springs, FL 32433(855) 243-5508Fax: (850) 892-059421 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Cameron HadProvider ID: TPV07937-04Gender: MaleBeltone Hearing Center495 Grand Blvd Ste 206Miramar Beach, FL 32550(855) 243-5508Fax: (850) 244-926621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Cameron HadProvider ID: TPV07937-05Gender: MaleBeltone Hearing Center495 Grand Blvd Ste 206Miramar Beach, FL 32550(855) 243-5508Fax: (850) 244-926621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Sharon HadProvider ID: TPV17660-03Gender: FemaleBeltone1756 US Hwy 90 W Ste 3Defuniak Springs, FL 32433(855) 243-5508Fax: (850) 892-059421 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Sharon HadProvider ID: TPV17660-04Gender: FemaleBeltone1756 US Hwy 90 W Ste 3Defuniak Springs, FL 32433(855) 243-5508Fax: (850) 892-059421 Yrs/99 YrsM-F 9:00 AM - 5:00 PM


Chautauqua Rehabilitationand Nursing Center

Provider ID: 548240US Managed Care ServicesLLC785 S 2nd StDefuniak Springs, FL 32435(850) 892-2176Fax: (850) 892-078118 Yrs/130 YrsLanguages: Spanish


Ancillary ProvidersWashington

Updated: 07/03/2019


Dialysis

Chipley DialysisProvider ID: 271527877 3rd St Ste 2Chipley, FL 32428(850) 638-7783Fax: (850) 638-855000 Yrs/130 YrsMTWTHFSat 7:00 AM - 3:00PM


Blatzheim, Rebecca HadProvider ID: TPV25443-01Gender: FemaleBeltone Hearing Center1611 Main St Ste 4Chipley, FL 32428(855) 243-5508Fax: (850) 638-227621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Gregory HadProvider ID: TPV07936-03Gender: MaleBeltone Hearing Center1611 Main St Ste 4Chipley, FL 32428(855) 243-5508Fax: (850) 638-227621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Yordon, Sharon HadProvider ID: TPV17660-02Gender: FemaleBeltone Hearing Center1611 Main St Ste 4Chipley, FL 32428(855) 243-5508Fax: (850) 638-227621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM


Washington Rehabilitationand Nursing Center

Provider ID: 454648879 Usery RdChipley, FL 32428(850) 638-4654Fax: (850) 638-091800 Yrs/130 YrsLanguages: Spanish


Allied ProvidersBay

Updated: 07/03/2019


Audiology

Herbert, Linnea AUDProvider ID: TPV12654-01Gender: FemaleHearinglife2409 Jenks AvePanama City, FL 32405(855) 243-5508Fax: (850) 913-993621 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Kolmetz, Marcus AUDProvider ID: TPV05216-01Gender: MaleAudiology Consultants ofPanama City2518 S Hwy 77 Ste ALynn Haven, FL 32444(855) 243-5508Fax: (850) 769-109700 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Otwell, Larry AUDProvider ID: TPV02724-01Gender: MaleHometown Hearing Care Inc4297 3rd AveMarianna, FL 32446(855) 243-5508Fax: (850) 394-412021 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Certified NurseAnesthetist

Morgan, Laura CRNAProvider ID: 1533463Gender: FemaleAntebellum Anesthesia653 W 23rd St Ste 284Panama City, FL 32405(850) 896-879900 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMF 9:00 AM - 12:00 PM

Certified Nurse Midwife

Ball, Amanda CNMProvider ID: 1844807Gender: FemaleEmerald Coast OB/GYN ofThe Panhandl103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 640-219500 Yrs/130 YrsM-F 7:00 AM - 4:30 PMSat 9:00 AM - 12:00 PM

Dermatology

Alford, Allie PAProvider ID: 1530188Gender: FemaleGulf Coast Dermatology PA12907 Panama City BeachPkwyPanama City Beach, FL 32407(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Alford, Allie PAProvider ID: 1530188Gender: FemaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Byron, Charles PAProvider ID: 980662Gender: MaleDermatology Associates1900 Harrison AvePanama City, FL 32405(850) 769-1668Fax: (850) 785-212300 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-F 9:00 AM - 5:00 PM

Danley, Angela PAProvider ID: 1603047Gender: FemaleSoutheastern DermatologyGroup12907 Panama City BeachPkwyPanama City Beach, FL 32407(850) 231-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Danley, Angela PAProvider ID: 1603047Gender: FemaleSoutheastern DermatologyGroup2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Newton, Barry PAProvider ID: 696096Gender: MaleGulf Coast Dermatology12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsThe Northwest Florida ASCLPM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Newton, Barry PAProvider ID: 696096Gender: MaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 692-8921Fax: (850) 522-835400 Yrs/130 YrsThe Northwest Florida ASCLPM-F 8:00 AM - 5:00 PM

Perry, Ariel PAProvider ID: 1238204Gender: FemaleGulf Coast Dermatology PA12907 Panama City BeachPkwyPanama City Beach, FL 32407(850) 403-4783Fax: (850) 522-835400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Perry, Ariel PAProvider ID: 1238204Gender: FemaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 692-8921Fax: (850) 522-835400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Preisser, Heather PAProvider ID: 701787Gender: FemaleGulf Coast Dermatology PA12905 Panama City BeachPkwyPanama City Beach, FL 32407(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Preisser, Heather PAProvider ID: 701787Gender: FemaleGulf Coast Dermatology PA2505 Harrison AvePanama City, FL 32405(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Dermatology - cont.

Watson, Nancy PAProvider ID: 1276699Gender: FemaleDermatology Associates ofBay Count1900 Harrison AvePanama City, FL 32405(850) 769-1668Fax: (850) 785-212300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ear, Nose & Throat

Barnett, Diana APRNProvider ID: 479026Gender: FemaleHead & Neck Assoc of BayCounty PA724 W 19th StPanama City, FL 32405(850) 769-0278Fax: (850) 769-620200 Yrs/130 YrsBay Medical CenterGulf Coast Medical CentercM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Rowland, Gretel APRN

Provider ID: 1605559Gender: FemaleHead and Neck Associates ofBay Cou724 W 19th StPanama City, FL 32405(850) 769-0278Fax: (850) 769-620200 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM


Brooks, Ashli APRNProvider ID: 1202395Gender: FemaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549105 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Folyer, Cynthia APRNProvider ID: 1647017Gender: FemaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Folyer, Cynthia APRNProvider ID: 1647017Gender: FemaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gillman, Bethany APRN

Provider ID: 1282639Gender: FemaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-5490Fax: (850) 522-549105 Yrs/130 YrsM-F 7:00 AM - 4:00 PM


Provider ID: 1282639Gender: FemaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549105 Yrs/130 YrsM-F 7:00 AM - 4:00 PM


Provider ID: 1649791Gender: FemaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Lederer, Margaret ARNP

Provider ID: 1446478Gender: FemaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-549000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Family Practice

Fernandez, Carlos PAProvider ID: 1464329Gender: MalePronto Healthcare LLC515 Airport RdPanama City, FL 32405(850) 481-0894Fax: (850) 807-547600 Yrs/130 YrsGulf Coast Medical CenterSacred Heart HospitalLanguages: SpanishMTF 7:00 AM - 3:00 PMWTH 9:00 AM - 5:00 PM

Ford, Sandra APRNProvider ID: 1605737Gender: FemalePancare of Florida Inc.12427 Hwy 231Youngstown, FL 32466(850) 753-3246Fax: (850) 753-334202 Yrs/130 YrsM-F 8:00 AM - 9:00 PM

Rios, David PAProvider ID: 1208565Gender: MaleGulf Coast Medical CenterPrimary C16181 Panama City Beach PkwyPanama City Beach, FL 32413(850) 872-9701Fax: (850) 249-100900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019



Rios, David PAProvider ID: 1208565Gender: MaleGulf Coast Medical CenterPrimary C4121 W Hwy 98Panama City, FL 32401(850) 872-9701Fax: (850) 872-056700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Smith, Amy ARNPProvider ID: 1692069Gender: FemaleGulf Coast Medical CenterPrimary C16181 Panama City Beach PkwyP C Beach, FL 32413(850) 249-1000Fax: (850) 249-100900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Smith, Amy ARNPProvider ID: 1692069Gender: FemaleGulf Coast Medical CenterPrimary C4121 W Hwy 98Panama City, FL 32401(850) 249-1000Fax: (850) 872-100900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

St. Cere, Cynda APRNProvider ID: 1634263Gender: FemaleSacred Heart Health SystemInc23040 Panama City BeachPkwyPanama City Beach, FL 32413(850) 770-3230Fax: (850) 770-323500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Gastroenterology

Bass, Candice APRNProvider ID: 1654809Gender: FemaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Cook, Trevor APRNProvider ID: 1600336Gender: MaleDigestive Diseases Center ofFlorid204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Danielson, Katie APRN

Provider ID: 1551865Gender: FemaleDigestive Disease Center ofFlorida204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Palmer, Sandra APRNProvider ID: 1596327Gender: FemaleDigestive Disease Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rodriguez, Latino APRN

Provider ID: 1641166Gender: MaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Simmons, Matthew PAProvider ID: 1552009Gender: MaleDigestive Disease Center ofFlorida204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Stewart, Thomas PAProvider ID: 1563525Gender: MaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712912 Yrs/50 YrsM-F 8:00 AM - 5:00 PM

Wang, Yu PAProvider ID: 1552029Gender: MaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

General Surgery

Chadwick, Quin APRNProvider ID: 1500334Gender: FemaleFlorida Neuro Pain and SpineCenter PA1008 Jenks AvePanama City, FL 32401(850) 571-5252Fax: (850) 215-315018 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PM

Doss, Elizabeth APRNProvider ID: 1215027Gender: FemaleBay Medical Physician Group2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Farr, Audrey APRNProvider ID: 1569586Gender: FemaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Humphries, Jeri PAProvider ID: 1046067Gender: FemaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019



Purdessy, Kathy APRNProvider ID: 1637679Gender: FemaleSacred Heart Health SystemInc801 E 6th St Ste 604Panama City, FL 32401(850) 770-3030Fax: (850) 770-303500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Stroud, Jeffrey APRNProvider ID: 1582607Gender: MaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Rowe, Sarah ARNPProvider ID: 1758802Gender: FemaleOcala Oncology Center2100 State AvePanama City, FL 32405(850) 763-0036Fax: (850) 763-025900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Internal Medicine

Seay, Teresa ARNPProvider ID: 1848574Gender: FemaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Boehm, Laurie PAProvider ID: 1169183Gender: FemaleGulf Coast MultispecialtyServices2202 State Ave Ste 207Panama City, FL 32405(850) 872-3939Fax: (850) 872-390800 Yrs/130 YrsGulf Coast Medical CenterM-F 9:00 AM - 5:00 PM

Licensed Mental HealthCounselor

Blamasah, Julie LMHCProvider ID: 1604398Gender: FemaleLife Navigation CounselingServices2012 Lisenby AvePanama City, FL 32405(850) 397-4930Fax: (850) 231-126318 Yrs/130 YrsMT 8:00 AM - 4:00 PM

Brown, Beverly LMHCProvider ID: 1248343Gender: FemaleRenew Hypnosis Counseling714 E 4th StPanama City, FL 32401(850) 532-6406Fax: (850) 532-640612 Yrs/130 YrsM-F 4:30 AM - 7:30 PMSat-Sun 10:00 AM - 2:30 PM

Heppe, Dale LMHCProvider ID: 1419439Gender: MaleA Peace of Mind Therapy LLC114 Airport Rd Ste APanama City, FL 32405(850) 481-8189Fax: (850) 248-027700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Neurology

Brown, Laura PAProvider ID: 1320228Gender: Female2011 Harrison AvePanama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 Yrs

Brown, Laura PAProvider ID: 1320228Gender: FemaleBrain and Spine Center2202 State Ave Ste 201Panama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Watson-Globerman, KristenAPRN

Provider ID: 1232968Gender: FemaleThe Neuromedical Institute1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Neurosurgery

Hamm, Jeffrey PAProvider ID: 1465023Gender: MaleBay Medical Physician Group801 E 6th StPanama City Beach, FL 32401(850) 770-3250Fax: (850) 770-325500 Yrs/130 YrsBay Medical CenterM-F 8:00 AM - 5:00 PM

Nurse Midwife

Mott, Tammie CNMProvider ID: 1078564Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608812 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PM

Sims, Catherine CNMProvider ID: 1075632Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608812 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Nurse Practitioner

Bailey, Taylor APRNProvider ID: 1592248Gender: FemaleMustafa A Hammad MD PA1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bailey, Taylor APRNProvider ID: 1592248Gender: FemaleMustafa A Hammad MD PA645 N Hwy 231Panama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Nurse Practitioner - cont.

Boring, Lynnetta APRN

Provider ID: 1030232Gender: FemaleBay County Health SystemsLLC801 E 6th St Ste 309Panama City, FL 32401(850) 785-9559Fax: (850) 770-302600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Clark, Shelley ARNPProvider ID: 1537134Gender: FemaleThe Neuropain Center1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709618 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Farr, Audrey APRNProvider ID: 1569586Gender: FemaleBay Medical Physician Group801 E 6th St Ste 602Panama City, FL 32401(850) 913-6960Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Foran, Cassandra APRN

Provider ID: 1849921Gender: FemaleGulf Coast Regional MedicalCare4121 W Hwy 98Panama City, FL 32401(850) 249-1000Fax: (850) 872-100900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Roberts, Chelsey APRN

Provider ID: 1552008Gender: FemaleDigestive Diseases Center204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Thomas, Cynthia APRN


Williams, Jamie APRNProvider ID: 1443651Gender: FemaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City Beach, FL 32407(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 7:00 AM - 4:00 PM

Williams, Jamie APRNProvider ID: 1443651Gender: FemaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MPanama City, FL 32405(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 7:00 AM - 4:00 PM

Williams, Jamie APRNProvider ID: 1443651Gender: FemaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsM-F 7:00 AM - 4:00 PM

Williams, Jamie APRNProvider ID: 1582623Gender: FemaleBrain and Spine LLC2202 State Ave Ste 201Panama City, FL 32405(850) 785-0029Fax: (850) 785-760000 Yrs/130 YrsM 7:00 AM - 5:00 PMTWTHF 7:00 AM - 4:00 PM

Nurse Practitioner AdultHealth

Stroud, Jeffrey ARNPProvider ID: 1528018Gender: MaleInstitute of EndocrinologyDiabetes12111 Panama City Beach PkwyPanama City, FL 32407(850) 522-549000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stroud, Jeffrey ARNPProvider ID: 1528018Gender: MaleInstitute of EndocrinologyDiabetes633 E Baldwin RdPanama City, FL 32405(850) 522-5490Fax: (850) 522-549100 Yrs/130 YrsMTWTHFSat 7:00 AM - 4:00PM

Nurse Practitioner FamilyMedicine

German, Julie APRNProvider ID: 1783923Gender: FemaleGulf Coast MultispecialtyServices2202 State Ave Ste 207Panama City, FL 32405(850) 872-3939Fax: (850) 872-393800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Herbu, Angelo APRNProvider ID: 1600383Gender: MaleGulf Coast Medical CenterPrimary C16181 Panama City Beach PkwyPanama City Beach, FL 32413(850) 249-1000Fax: (850) 249-100900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Herbu, Angelo APRNProvider ID: 1600383Gender: MaleGulf Coast Medical CenterPrimary C229 Southwood DrPanama City, FL 32405(850) 769-1462Fax: (850) 784-197500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Herbu, Angelo APRNProvider ID: 1600383Gender: MaleGulf Coast Medical CenterPrimary C4121 W Hwy 98Panama City, FL 32401(850) 249-1000Fax: (850) 872-100900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Nurse Practitioner FamilyMedicine - cont.

Johnson, Stephen APRN

Provider ID: 1419297Gender: MaleMustafa A. Hammad MD PA1931 Martin Luther King BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Miller, Denise APRNProvider ID: 1719174Gender: FemalePancare of Florida2309 E 15th StPanama City, FL 32405(850) 747-527200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse PractitionerGerentology

Robinette, Jennifer APRNProvider ID: 1562432Gender: FemaleDigestive Disease Center ofFlorida204 E 19th StPanama City, FL 32405(850) 763-5409Fax: (850) 763-712916 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse PractitionerPediatric

Evers, Lindi APRNProvider ID: 1582621Gender: FemaleBaldwin Pediatrix PA528 W Baldwin RdPanama City, FL 32405(850) 522-1522Fax: (850) 522-592500 Yrs/18 YrsM-F 8:00 AM - 5:00 PM


Ball, Amanda CNMProvider ID: 1844807Gender: FemaleEmerald Coast OB/GYN ofThe Panhandl103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 640-219500 Yrs/130 YrsM-F 7:00 AM - 4:30 PMSat 9:00 AM - 12:00 PM

Burke, Noreen APRNProvider ID: 225392Gender: FemaleCoastal OB GYN25 Doctors DrPanama City, FL 32405(850) 785-0515Fax: (850) 763-840000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ivey, Deborah APRNProvider ID: 1076304Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608812 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PM

Lang, Michelle APRNProvider ID: 956393Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608812 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PM

Thomson, Donna CNM

Provider ID: 1163608Gender: FemaleFlorida Woman Care LLC103 E 23rd StPanama City, FL 32405(850) 769-0338Fax: (850) 785-608816 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Occupational Therapy

Goldie, Jeanne OTProvider ID: 1442831Gender: FemaleOT Playtime LLC905 E 2nd PlPanama City, FL 32401(850) 276-828200 Yrs/21 Yrs

Isenberg Hickman, Shelley OT

Provider ID: 1705928Gender: Female1241 N East AvePanama City, FL 32401(850) 258-6366Fax: (850) 522-802200 Yrs/21 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:30 PM

Isenberg Hickman, Shelley OT

Provider ID: 1705928Gender: Female5441 Nehi RdPanama City, FL 32404(850) 258-6366Fax: (850) 522-802200 Yrs/21 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:30 PM

Mills, Cassie OTProvider ID: 1299148Gender: FemaleAdvance Rehab and HomeHealth2316 W 23rd St Ste CPanama City, FL 32405(850) 522-477000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wolf, Laurie OTProvider ID: 1142169Gender: FemalePediatrics Plus Inc301 W 26th StLynn Haven, FL 32444(850) 769-5371Fax: (850) 872-955800 Yrs/18 YrsM-TH 8:00 AM - 5:30 PMF 8:00 AM - 12:30 PM

Orthopaedic Surgery

Leb, Ashley APRNProvider ID: 1652791Gender: MaleBay Medical Physician Group2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pain Management

Alston, Carmen APRNProvider ID: 1603496Gender: FemaleDynamic Pain and WellnessPLLC100 N Jackson Blvd Ste 120Panama City Beach, FL 32407(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsMTTHF 8:00 AM - 5:00 PMW 8:0 AM - 5:00 PM

Brune, Kimberly APRN

Provider ID: 1533364Gender: FemaleDynamic Pain and WellnessPLLC100 N Richard Jackson BlvdPanama City, FL 32407(850) 226-6801Fax: (877) 413-510418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Pediatrics

Carroll, Charnett APRN

Provider ID: 1476621Gender: FemaleDr Yahia A Rahim200 W 19th StPanama City, FL 32405(850) 872-0021Fax: (850) 872-808800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Colon, Carmen APRNProvider ID: 1692061Gender: FemaleRainbow Pediatrics2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Colon, Carmen APRNProvider ID: 1692061Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Colon, Carmen APRNProvider ID: 1692062Gender: FemaleRainbow Pediatrics10800 Panama City BeachPkwyPanama City, FL 32407(850) 249-3500Fax: (850) 249-353000 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Crawford, Beverly APRNProvider ID: 468216Gender: FemalePanama City Pediatrics621 W Baldwin Rd Ste APanama City, FL 32405(850) 747-3661Fax: (850) 747-019400 Yrs/21 YrsGulf Coast Medical CenterM-TH 8:00 AM - 5:00 PMF 8:00 AM - 4:00 PMSat 10:00 AM - 1:00 PM

Doster, Melanie APRNProvider ID: 1607738Gender: FemaleRainbow Pediatrics PC LLC10800 PC Beach Pkwy Ste 400Panama City, FL 32407(850) 257-5524Fax: (850) 257-563800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Holman, Derek PAProvider ID: 1185584Gender: MaleFuture Pediatrics12216 PC Beach Pkwy Ste BPanama City Beach, FL 32407(850) 236-0488Fax: (850) 249-091700 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Holman, Derek PAProvider ID: 1185585Gender: MaleFuture Pediatrics292 Forest Park CirPanama City, FL 32405(850) 767-4777Fax: (850) 763-498800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Linton, Alisha PAProvider ID: 1598103Gender: FemaleRainbow Pediatrics10800 Panama City BeachPkwyPanama City, FL 32407(850) 259-3500Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Linton, Alisha PAProvider ID: 1598103Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

McKenzie, Amber APRN

Provider ID: 1449131Gender: FemaleMustafa A Hammad MD PA1931 M L King Jr BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: Spanish, ArabicM-F 9:00 AM - 5:00 PM

McKenzie, Amber APRN

Provider ID: 1449131Gender: FemaleThe Neuropain Center645 N Hwy 231Panama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsLanguages: Spanish, ArabicM-F 9:00 AM - 5:00 PM

Perdomo, Brooke PA

Provider ID: 1467637Gender: FemaleRainbow Pediatrics10800 Panama City BeachPkwy Ste 400Panama City Beach, FL 32407(850) 249-3500Fax: (850) 249-353000 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Perdomo, Brooke PAProvider ID: 1467637Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Riggs, Karen APRNProvider ID: 1431419Gender: FemaleRainbow Pediatrics PC LLC2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Roberts, Tiffany APRN

Provider ID: 1169113Gender: FemaleRainbow Pediatrics2933 Hwy 77Panama City, FL 32405(850) 257-5524Fax: (850) 257-563800 Yrs/21 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Pediatrics - cont.

Roberts, Tiffany APRN

Provider ID: 1169113Gender: FemaleRainbow Pediatrics633 E Baldwin Rd Unit 400Panama City, FL 32405(850) 257-1204Fax: (850) 249-353000 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Physical Therapy

Butts, Caitlin PTProvider ID: 1600145Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Chmielowiec, Joanna PTProvider ID: 1706028Gender: FemaleJoanna Chmielowiec3201 Veranda AvePanama City, FL 32405(850) 819-3998Fax: (850) 522-875000 Yrs/21 YrsLanguages: PolishM-TH 8:30 AM - 4:30 PMF 8:30 AM - 3:30 PM

Cummins, Annabelle PTProvider ID: 1544133Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Dewitt, Abigail PTProvider ID: 1868039Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Farris, Jennifer PTProvider ID: 1562389Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Fourie, Leigh Anne PTProvider ID: 1544329Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsMTTHF 7:00 AM - 7:00 PMW 7:00 AM - 7:0 PM

Harris, Kathryn PTProvider ID: 1544154Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Harris, Lloyd PTProvider ID: 1544335Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Hock, Megan PTProvider ID: 1868449Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Lark, Jeanette PTProvider ID: 1562391Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Mayhan, Daniel PTProvider ID: 1562386Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

McClelland, Amy PTProvider ID: 1841499Gender: FemalePremier Rehab ManagemntLLC16201 PC Beach Pkwy Ste APanama City, FL 32413(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

McMullen, Adam PTProvider ID: 1839075Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Milligan, Jenna PTProvider ID: 1436763Gender: FemaleMustafa A Hammad MD PA1931 Martin Luther King BlvdPanama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Milligan, Jenna PTProvider ID: 1436763Gender: FemaleThe Neuropain Center645 N Hwy 231Panama City, FL 32405(850) 215-7093Fax: (850) 215-709600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Physical Therapy - cont.

Moss, Cameron PTProvider ID: 1562388Gender: FemalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Nelson, Paula PTProvider ID: 1143569Gender: FemalePediatrics Plus Inc301 W 26th StLynn Haven, FL 32444(850) 769-5371Fax: (850) 872-955800 Yrs/18 YrsM-F 8:00 AM - 5:30 PMSat 8:00 AM - 12:30 PM

Nicholson, Edward PTProvider ID: 1867436Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Powers, Adam PTProvider ID: 1868406Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Seaman, Chet PTProvider ID: 1868075Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Serlo, Matthew PTProvider ID: 1867375Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Szydlowski, Garrett PTProvider ID: 1868456Gender: MalePremier Rehab ManagementLLC16201 PC Beach Pkwy Ste APanama City Beach, FL 32413(850) 250-0826Fax: (850) 250-084000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Tochterman, Virginia PT

Provider ID: 1697225Gender: FemaleVirginia H Tochterman PT Inc318 W 34th CtPanama City, FL 32405(850) 527-8491Fax: (850) 769-386400 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Wooten, Richard PTProvider ID: 1004408Gender: MaleRehab Plus Physical Therapy5620B Cherry StCallaway, FL 32404(850) 215-0007Fax: (850) 215-000605 Yrs/130 YrsM-TH 8:00 AM - 6:00 PMF 8:00 AM - 12:00 PM

Physician Assistant

Trageser, Brandon PAProvider ID: 1563529Gender: MaleBay Medical Physican Group2943 Hwy 77Panama City, FL 32405(850) 914-7060Fax: (850) 914-706502 Yrs/130 YrsMTTHF 8:00 AM - 5:00 PMW 9:00 AM - 5:00 PM

Rheumatology

Rowe, Lakesha APRNProvider ID: 1431524Gender: FemaleBayarthritis Institute Inc2917 Martin Luther King Jr BlvdPanama City, FL 32405(850) 215-3062Fax: (850) 215-302400 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Speech Therapy

Ashley, Elizabeth SLPProvider ID: 1129472Gender: FemaleChildrens Home Society ofFlorida914 Harrison AvePanama City, FL 32401(850) 747-5411Fax: (850) 747-558300 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Majka, Kathleen SLPProvider ID: 1160727Gender: FemalePediatrics Plus Inc301 W 26th StLynn Haven, FL 32444(850) 769-5371Fax: (850) 872-955800 Yrs/21 YrsM-TH 8:00 AM - 5:30 PMF 8:00 AM - 1:20 PM

Nichols, Marabeth SLPProvider ID: 1118273Gender: FemaleMarabeth Nichols SLP215 Boca Shores DrPanama City, FL 32408(850) 774-3510Fax: (850) 238-898700 Yrs/21 YrsM-F 8:00 AM - 6:00 PM

Survant, Maureen SLPProvider ID: 546778Gender: FemaleThe Best Adult and ChildrensTherap8317 Front Beach Rd Ste 34CPanama City Beach, FL 32407(850) 233-3984Fax: (850) 233-339400 Yrs/130 YrsM-F 6:45 AM - 5:00 PM


Meiver, Brandy APRNProvider ID: 1533372Gender: FemaleBay Medical Physician Group801 E 6th St Ste 309Panama City, FL 32401(850) 785-9559Fax: (850) 770-302600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersBay

Updated: 07/03/2019


Urology

Martin, Christy APRNProvider ID: 1641918Gender: FemaleAdvanced Urology Institute80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wilkins, James PAProvider ID: 1641917Gender: MaleAdvanced Urology Institute80 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Allied ProvidersEscambia

Updated: 07/03/2019


Advanced PracticeRegistered Nurse

Burgess, Elizabeth APRN

Provider ID: 1829524Gender: FemaleUniversity Pediatric ProgramAt Sac1675 Trinity Dr.Pensacola, FL 32504(850) 416-7710Fax: (850) 416-571918 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Burgess, Elizabeth APRN

Provider ID: 1829524Gender: FemaleUniversity Pediatric ProgramAt Sac5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-157418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Burgess, Elizabeth APRNProvider ID: 1854280Gender: FemaleUniversity Pediatric ProgramAt Sac1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-571918 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Burgess, Elizabeth APRNProvider ID: 1854280Gender: FemaleUniversity Pediatric ProgramAt Sac5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-157418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Defee, Jenny APRNProvider ID: 1760894Gender: FemaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Denapoles, Cristina APRNProvider ID: 1829023Gender: FemalePensacola Primary Care IncDBA West4601 Spanish TrlPensacola, FL 32504(850) 494-4600Fax: (850) 433-894000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kelly, Melissa APRNProvider ID: 1829307Gender: FemaleSacred Heart Medical Group2237 W Nine Mile RdPensacola, FL 32534(850) 416-4740Fax: (850) 416-470500 Yrs/130 YrsM-F 8:00 AM - 7:00 PMSat 8:00 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Moore, Brian APRNProvider ID: 1829503Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Moore, Tonya APRNProvider ID: 1854279Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Parker, Michaelyn APRN

Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness1851 Saint Mary AvePensacola, FL 32501(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Phillips, Renee APRNProvider ID: 1854656Gender: MaleSacred Heart Medical Group5153 N 9th AvePensacola, FL 32504(850) 416-1575Fax: (850) 416-186100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Advanced RegisteredNurse Practioner

Aldridge, Christopher APRN

Provider ID: 1573993Gender: MaleSacred Heart Medical Group5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Christison, Melissa APRN

Provider ID: 1695350Gender: FemaleSacred Heart Medical Group2237 W Nine Mile RdPensacola, FL 32534(850) 416-4740Fax: (850) 416-470500 Yrs/130 YrsMTWTHFSat 8:30 AM - 5:00PMSun 10:00 AM - 4:30 PM


Provider ID: 1695350Gender: FemaleSacred Heart Medical Group6314 N 9th AvePensacola, FL 32504(850) 416-4730Fax: (850) 416-470300 Yrs/130 YrsMTWTHFSat 8:30 AM - 5:00PMSun 10:00 AM - 4:30 PM

Defee, Jenny ARNPProvider ID: 1748931Gender: FemaleSacred Heart Health SystemInc1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Advanced RegisteredNurse Practioner - cont.

Hattaway, Stephanie APRN

Provider ID: 1574701Gender: FemaleSacred Heart Medical Group4929 Mobile HwyPensacola, FL 32506(850) 530-0711Fax: (850) 453-449100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Jacks, Stephanie APRN

Provider ID: 1654789Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 201Pensacola, FL 32504(850) 416-2477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Johnson, Erin APRNProvider ID: 1720592Gender: FemaleSacred Heart Medical Group5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-7119Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Johnson, Lynn APRNProvider ID: 1508240Gender: MalePensacola Nephrology PADBA Renalus1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kania, Julia APRNProvider ID: 1707743Gender: FemaleEscambia Community ClinicsInc2510 N 12th AvePensacola, FL 32503(850) 471-0508Fax: (850) 471-051000 Yrs/18 YrsM 7:30 AM - 5:00 PMTWTH 7:30 AM - 4:00 PMF 7:30 AM - 1:00 PM

Krantz, Kyle APRNProvider ID: 1720595Gender: MaleSacrd Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lindsey, Paula APRNProvider ID: 1634990Gender: FemaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/18 YrsM-F 8:00 AM - 4:30 PM

Lunsford, Brandy ARNP

Provider ID: 1751201Gender: FemaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Paradise, Stacey APRNProvider ID: 1634358Gender: FemaleSacred Heart Medical Group2237 W Nine Mile RdPensalcola, FL 32534(850) 416-4740Fax: (850) 416-470500 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Powell, Kerry APRNProvider ID: 1629821Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-2554Fax: (850) 416-744218 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Robinson, Tiffany APRN

Provider ID: 1784628Gender: FemaleDynamic Pain Wellness4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Saiter, Cindy APRNProvider ID: 1647171Gender: FemaleCoastal VascularInterventional Pl5149 N 9th Ave Ste 120Pensacola, FL 32504(850) 479-1805Fax: (850) 479-182900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Senesac, Christina APRN

Provider ID: 1724632Gender: FemaleSacrd Heart Medical Group4313 Spanish TrailPensacola, FL 32504(850) 416-4323Fax: (850) 416-438000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Tyer, Collynne APRNProvider ID: 1483774Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 400Pensacola, FL 32504(850) 416-2554Fax: (850) 416-744200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Wade, Jessica APRNProvider ID: 1707725Gender: FemaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Audiology

Beverly, Tonia AUDProvider ID: 1755352Gender: FemaleNemours Childrens SpecialtyCare, P8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Audiology - cont.

Beverly, Tonia AUDProvider ID: 1755352Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Friend, Melanie AUDProvider ID: TPV08383-01Gender: FemaleHearinglife5147 N 9th Ave Ste 315Pensacola, FL 32504(855) 243-5508Fax: (850) 473-011821 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleBaptist Hospital1000 W Moreno StPensacola, FL 32501(850) 434-401100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleBaptist Medical Park SurgeryCenter9400 University PkwyPensacola, FL 32514(850) 208-630000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleNemours Childrens SpecialtyCare5153 N 9th AvePensacola, FL 32504(850) 505-4735Fax: (850) 505-471400 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Meche, Amber AUDProvider ID: TPV16710-01Gender: FemaleChac Inc115 N Palafox StPensacola, FL 32502(855) 243-5508Fax: (850) 438-409521 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleBaptist Hospital1000 W Moreno StPensacola, FL 32501(850) 434-401100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleBaptist Medical Park SurgeryCenter9400 University PkwyPensacola, FL 32514(850) 208-630000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleNemours Childrens Clinic5153 N 9th AvePensacola, FL 32504(850) 505-4735Fax: (850) 505-471400 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Payne, Stacy AUDProvider ID: 1476447Gender: FemaleNemours Childrens SpecialtyCare5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Sawaya, Kathleen AUDProvider ID: 1476454Gender: FemaleNemours Childrens SpecialtyCare5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Whitcomb-Powell, Carol AUD

Provider ID: TPV04025-01Gender: FemaleHearinglife5147 N 9th Ave Ste 315Pensacola, FL 32504(855) 243-5508Fax: (850) 473-011821 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Cardiology

Cartwright, Whitney APRN

Provider ID: 1583547Gender: FemaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 484-387500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Mosley, Caitlin PAProvider ID: 1349612Gender: FemaleSacred Heart Medical Grup4451 Bayou BlvdPensacola, FL 32503(850) 416-7619Fax: (850) 416-775300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Radford, Wanda APRNProvider ID: 654782Gender: FemaleWest Florida Cardiology LLC8333 N Davis Hwy Ste 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-920018 Yrs/130 YrsWest Florida HospitalM-F 8:00 AM - 5:00 PM

Sanford, Ruby APRNProvider ID: 1537457Gender: FemaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Cardiology - cont.

Wylie, Jenny APRNProvider ID: 974046Gender: FemaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496918 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Amato, Richard PAProvider ID: 1846459Gender: MaleCardiothoracic Vascular Surg5147 N 9th Ave Ste 318Pensacola, FL 32504(904) 384-3343Fax: (904) 400-667100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Certified NurseAnesthetist

Lewis, Carl CRNAProvider ID: 1697601Gender: MaleGastroenterology Associatesof Pens4810 N Davis HwyPensacola, FL 32503(850) 474-8988Fax: (850) 476-531218 Yrs/130 YrsM-F 7:00 AM - 5:00 PM

Certified Nurse Midwife

Pearce, Gina CNMProvider ID: 297888Gender: FemaleWest Florida InternalMedicine LLC8333 N Davis Hwy 7th FlPensacola, FL 32514(850) 969-2038Fax: (850) 969-202700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Seigh, Laurie APRNProvider ID: 1038340Gender: FemaleEscambia Community ClinicsInc14 W Jordan StPensacola, FL 32501(850) 436-4630Fax: (850) 436-209516 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Seigh, Laurie APRNProvider ID: 1038340Gender: FemaleEscambia Community ClinicsInc5855 Creek Station DrPensacola, FL 32504(850) 435-4352Fax: (850) 497-619516 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Crawford, Heather PA

Provider ID: 761383Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 340Pensacola, FL 32504(850) 416-2340Fax: (850) 416-233800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hammond, Stacie PAProvider ID: 648728Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 330Pensacola, FL 32504(850) 416-6450Fax: (850) 416-678300 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PM

Family Practice

Angle, Virginia APRNProvider ID: 1248372Gender: FemaleSacred Heart Medical4501 N Davis Hwy Ste CPensacola, FL 32503(850) 416-4960Fax: (850) 416-125000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bacon, Laura APRNProvider ID: 1308813Gender: Female151 W. Main StPensacola, FL 32502(850) 416-7544Fax: (850) 416-754500 Yrs/130 Yrs

Brighenti, Peter PAProvider ID: 607431Gender: MalePea Ridge Family Care Center5500 N Davis Hwy Ste 2Pensacola, FL 32503(850) 475-0867Fax: (850) 512-140500 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PM

Brown, Brittney PAProvider ID: 1469372Gender: FemaleSacred Heart Medical Group13137 Sorrento RdPensacola, FL 32507(850) 416-0020Fax: (850) 416-789600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Fowler, Abby PAProvider ID: 1474876Gender: FemaleSacred Heart Health MedicalGroup6665 Pensacola Blvd Ste APensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsMTWTHFSatSun 7:00 AM -7:00 PM

Fowler, Abby PAProvider ID: 1474876Gender: FemaleSacred Heart Medical Group4929 Mobile HwyPensacola, FL 32506(850) 453-3281Fax: (850) 453-449100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hansen, Kealie APRNProvider ID: 1514497Gender: FemaleSacred Heart Medical Group6314 N 9th AvePensacola, FL 32504(850) 416-4730Fax: (850) 416-470300 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Hansen, Kealie APRNProvider ID: 1514498Gender: FemaleSacred Heart Medical Group2237 W Nine Mile RdPensacola, FL 32534(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Hess, Don PAProvider ID: 665621Gender: MaleEscambia County Clinics Inc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 6:00 PM



Updated: 07/03/2019



Kennedy, Mamie APRN

Provider ID: 1355870Gender: FemaleEscambia Community ClinicsAdult Center2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Knight, Jennifer ARNPProvider ID: 1242251Gender: FemaleFirst Steps Pediatrics, PA5868 Creek Station Dr Bldg APensacola, FL 32504(850) 478-1244Fax: (850) 478-189400 Yrs/21 YrsLanguages: SpanishM-TH 8:30 AM - 4:00 PMF 8:30 AM - 12:30 PM

Lee, Jessica APRNProvider ID: 1361069Gender: FemaleSacred Heart Medical Group2237 W Nine Mile RdPensacola, FL 32534(850) 416-4740Fax: (850) 416-470500 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Lee, Jessica APRNProvider ID: 1361069Gender: FemaleSacred Heart Medical Group6314 N 9th AvePensacola, FL 32504(850) 416-4730Fax: (850) 416-470200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Light, Owen APRNProvider ID: 300707Gender: MaleCantonment Medical Center748 N Hwy 29Cantonment, FL 32533(850) 937-4004Fax: (850) 937-400600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Light, Owen APRNProvider ID: 300707Gender: MaleEscambia Community Clinics14 W Jordan St Ste 2GPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 6:00 PM

Maniscalco, Deronda APRNProvider ID: 1264774Gender: Female2156 W Nine Mile RdPensacola, FL 32534(850) 478-2333Fax: (850) 478-180900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Maniscalco, Deronda APRN

Provider ID: 1264774Gender: FemaleSacred Heart Medical Group400 Milestone BlvdCantonment, FL 32533(850) 478-2333Fax: (850) 478-180900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Merold, Vicki APRNProvider ID: 610232Gender: FemaleEscambia Community ClinicsInc14 W Jordan St Ste 2GPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 6:00 PM

Mines, Danniel APRNProvider ID: 605686Gender: MaleEscambia Community ClinicsInc14 W Jordan St Ste 2GPensacola, FL 32501(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 6:00 PM

Moore, Tonya APRNProvider ID: 1760896Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Prince, Jennifer APRNProvider ID: 1707721Gender: FemaleSouthern Practitioner LLC904 N 75th AvePensacola, FL 32506(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Smith, Kimberly APRNProvider ID: 1224559Gender: FemaleNorthwest Florida PrimaryCare LLC2120 E Johnson Ave Ste 100Pensacola, FL 32514(850) 494-3985Fax: (850) 897-370800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Spencer, Jennifer APRN

Provider ID: 613324Gender: FemaleEscambia Community ClinicInc2200 N Palafox StPensacola, FL 32501(850) 436-4630Fax: (850) 433-853000 Yrs/130 YrsM-F 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 6:00 PM

Wilhelm, Billie APRNProvider ID: 1464510Gender: FemaleEscambia Community ClinicsInc2315 W Jackson StPensacola, FL 32505(850) 436-4630Fax: (850) 436-209500 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PM

Williams, Larry APRNProvider ID: 1483727Gender: MaleWest Florida Primary Care7458 Pine Forest RdPensacola, FL 32526(850) 494-4600Fax: (850) 941-008400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gastroenterology

Aaron, Cathy PAProvider ID: 1509833Gender: Female4828 N Davis HwyPensacola, FL 32503(850) 474-898818 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019



Aaron, Cathy PAProvider ID: 1509833Gender: FemaleGastroenterology Associatesof Pens5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794118 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kingery, Mimi PAProvider ID: 642529Gender: Female4531 N Davis HwyPensacola, FL 32503(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kingery, Mimi PAProvider ID: 642529Gender: Female4828 N Davis HwyPensacola, FL 32503(850) 474-898816 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Kingery, Mimi PAProvider ID: 642529Gender: FemaleGastroenterology Associatesof Pens5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kingery, Mimi PAProvider ID: 642529Gender: FemaleGastroenterology Associatesof Pens8333 N Davis Hwy Ste 7003Pensacola, FL 32514(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM 8:00 AM - 5:00 PM

Smith, Christopher PAProvider ID: 632375Gender: Male4531 N Davis HwyPensacola, FL 32503(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Smith, Christopher PAProvider ID: 632375Gender: Male4828 N Davis HwyPensacola, FL 32503(850) 474-898800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Smith, Christopher PAProvider ID: 632375Gender: Male5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Thompson, Rachel PAProvider ID: 202754Gender: Female4531 N Davis HwyPensacola, FL 32503(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Thompson, Rachel PA

Provider ID: 202754Gender: Female4828 N Davis HwyPensacola, FL 32503(850) 474-898800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Thompson, Rachel PAProvider ID: 202754Gender: FemaleGastroente Assoc ofPensacola5147 N 9th Ave Ste 311Pensacola, FL 32504(850) 477-2597Fax: (850) 478-794100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: Female4828 N Davis HwyPensacola, FL 32503(850) 474-898800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: FemaleSacred Heart Medical4531 N Davis HwyPensacola, FL 32503(850) 436-4563Fax: (850) 436-457000 Yrs/130 Yrs

General Practice

Busby, Michael PAProvider ID: 639748Gender: MaleCantonment Medical Center748 N Hwy 29Cantonment, FL 32533(850) 937-4004Fax: (850) 937-400600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

General Surgery

Contigiani, Shaina PA

Provider ID: 1647145Gender: FemaleSacred Heart Medical GroupSub Spec5153 N 9th Ave Ste 305Pensacola, FL 32504(850) 416-6159Fax: (850) 416-719800 Yrs/130 YrsMF 7:30 AM - 5:00 PMTWTH 8:00 AM - 5:00 PM


Bianchi, Stephanie ARNP

Provider ID: 759687Gender: FemaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693402 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Cassady, Candace APRNProvider ID: 652880Gender: FemaleSacred Heart MedicalOncology Group1545 Airport BlvdPensacola, FL 32504(850) 416-6933Fax: (850) 416-693418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Helms, Lacee APRNProvider ID: 924491Gender: FemaleSacred Heart MedicalOncology Group1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Infectious Disease

Vaughan, William PAProvider ID: 1006750Gender: MaleAHF4300 Bayou Blvd Ste 17DPensacola, FL 32503(850) 476-3131Fax: (850) 476-484818 Yrs/130 YrsLanguages: Spanish, TagalogM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Internal Medicine

Jernigan, Tammy APRNProvider ID: 1053951Gender: Female4501 N Davis Hwy Ste CPensacola, FL 32503(850) 416-4960Fax: (850) 416-125000 Yrs/130 Yrs


Ray, Jeffrey LMHCProvider ID: 1771828Gender: MaleJeff L Ray, MS, LMHC5192 Bayou Blvd Ste 302Pensacola, FL 32503(850) 293-0702Fax: (850) 208-322402 Yrs/130 YrsM-F 8:00 AM - 5:30 PM

Nephrology

Rhone, Ethan PAProvider ID: 648831Gender: MalePensacola Nephrology PA1619 Creighton Rd Ste 1Pensacola, FL 32504(850) 444-4700Fax: (850) 434-814418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Neurosurgery

Jansen, Matilda APRNProvider ID: 643371Gender: Female5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsSacred Heart HospitalM-F 9:00 AM - 5:00 PM

Jansen, Matilda APRNProvider ID: 643371Gender: FemalePensacola Ortho & SportsMedicine5147 N 9th Ave Ste 322Pensacola, FL 32504(850) 474-9995Fax: (850) 477-602100 Yrs/130 YrsSacred Heart HospitalM 8:00 AM - 11:00 PM

Jansen, Matilda APRNProvider ID: 643371Gender: FemaleSacred Heart Medical GroupSub Spec5153 N 9th Ave Ste 404Pensacola, FL 32504(850) 416-4970Fax: (850) 416-496900 Yrs/130 YrsSacred Heart HospitalM-F 8:00 AM - 5:00 PM

Pierce, Rebekah PAProvider ID: 1279610Gender: FemaleSacred Heart Medical Group5151 N 9th Ave Ste G101Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pierce, Rebekah PA

Provider ID: 1279610Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 302Pensacola, FL 32504(850) 416-2250Fax: (850) 416-253600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse Practitioner

Brock, Heather APRNProvider ID: 1441045Gender: FemaleMid Florida DermatologyAssociates12385 Sorrento Rd Ste D4Pensacola, FL 32507(407) 299-7333Fax: (407) 293-204900 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Johnson, Linda APRNProvider ID: 1504192Gender: FemaleSacred Heart Medical Group1549 Airport Blvd Ste 320Pensacola, FL 32504(850) 416-2500Fax: (850) 416-255300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kloman, Sandra APRNProvider ID: 1237582Gender: FemaleNurse Practitioner On Calland Comp14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Prince, Jennifer APRNProvider ID: 1231422Gender: FemalePractitioner On Call andComprehens14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Self, Amanda APRNProvider ID: 1584240Gender: FemaleWest Florida CardiologyPhysicians8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 484-387500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Slevin, Kerry APRNProvider ID: 1023583Gender: FemaleNurse Practitioner On Calland Comp14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Thomas, Hannah APRN

Provider ID: 1504181Gender: FemaleSacred Heart Medical Group2237 W 9 Mile RdPensacola, FL 32534(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM



Updated: 07/03/2019



Thomas, Hannah APRN

Provider ID: 1504186Gender: FemaleSacred Heart Medical Group3614 N 9th AvePensacola, FL 32503(850) 416-4730Fax: (850) 416-470300 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Wade, Jessica APRN

Provider ID: 1426167Gender: FemaleNpoc LLC14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Duncan, Angela APRNProvider ID: 1365550Gender: FemaleAids Healthcare Foundation4300 Bayou Blvd Ste 17DPensacola, FL 32503(850) 476-3131Fax: (850) 476-484818 Yrs/130 YrsM-F 8:30 AM - 5:30 PM

Salter, Daniel APRN

Provider ID: 1426166Gender: MaleNpoc LLC14 W Jordan St Ste CPensacola, FL 32501(850) 434-0077Fax: (850) 434-022018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse Practitioner OB/GYN

Langston, Lydia ARNPProvider ID: 1647046Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Melissa, Greenspan APRNProvider ID: 1851662Gender: FemaleUniversity OB/GYN ProgramAt Sacred5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse PractitionerOncolgy

Crumley, Melissa APRN

Provider ID: 1483908Gender: FemaleSacred Heart Health SystemInc1545 Airport Blvd Ste 2000Pensacola, FL 32504(850) 416-6933Fax: (850) 416-693400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Slevinski, Octavia APRN

Provider ID: 1580280Gender: FemalePediatric Associates PA5190 Bayou Blvd Ste 7Pensacola, FL 32503(850) 478-1100Fax: (850) 478-428900 Yrs/18 YrsM-F 7:30 AM - 6:30 PMSat-Sun 9:00 AM - 12:00 PM


Langston, Lydia APRNProvider ID: 1648288Gender: FemaleUniversity OB GYN Program5045 Carpenter Creek DrPensacola, FL 32503(850) 416-2400Fax: (850) 416-246712 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Price, Mary APRNProvider ID: 947879Gender: FemaleWest Florida Obstetrics andGynecol8333 N Davis Hwy Ste 2Pensacola, FL 32514(850) 432-9536Fax: (850) 969-203700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Stilwell, Emily APRNProvider ID: 1065582Gender: FemaleSacred Heart Medical Group5153 N 9th Ave Ste 207Pensacola, FL 32504(850) 416-2671Fax: (850) 416-267212 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Spencer, Ruthmary OTProvider ID: 1840173Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6804Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Orthopaedic Surgery

Adair, James PAProvider ID: 653556Gender: Male4541 N Davis Hwy Ste APensacola, FL 32503(850) 494-9000Fax: (850) 416-124800 Yrs/130 YrsSacred Heart Hospital On TheGulfM-F 9:00 AM - 5:00 PM

Adair, James PAProvider ID: 653556Gender: Male4551 N Davis Hwy Ste APensacola, FL 32503(850) 494-9001Fax: (850) 416-124800 Yrs/130 YrsSacred Heart Hospital On TheGulfM-F 9:00 AM - 5:00 PM

Bryan, Patrick PAProvider ID: 405194Gender: MalePain Management At DavisHwy4521 N Davis HwyPensacola, FL 32503(850) 494-9002Fax: (850) 416-124800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Orthopaedic Surgery -cont.

Bryan, Patrick PAProvider ID: 405194Gender: MaleShmg Sub Specialists4551 N Davis Hwy Ste APensacola, FL 32503(850) 494-9001Fax: (850) 416-124800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Carter, Nathan APRNProvider ID: 1513294Gender: MaleSacred Heart Medial Group5147 N 9th Ave Ste 103Pensacola, FL 32504(850) 416-1900Fax: (850) 416-191100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Carter, Nathan APRNProvider ID: 1513294Gender: MaleSacred Heart Medical Group4541 N Davis Hwy Ste APensacola, FL 32503(850) 494-9000Fax: (850) 416-124800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pain Management

Berens, Keith PAProvider ID: 1642259Gender: MaleDynamic Pain Wellness4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness1851 Saint Mary AvePensacola, FL 32501(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vaughn, Ryan ARNPProvider ID: 1655351Gender: FemaleDynamic Pain and WellnessPLLC4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


McCutchen, Wayne PAProvider ID: 417204Gender: MaleNemours Childrens Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4700Fax: (850) 505-475600 Yrs/17 YrsM-F 9:00 AM - 5:00 PM


Hargadon, Susan APRN

Provider ID: 476034Gender: FemaleNemours Childrens Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4700Fax: (850) 505-475600 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Hudson, Sandra APRNProvider ID: 318934Gender: FemaleNemours Childrens Clinic5153 N 9th Ave Ste 202Pensacola, FL 32504(850) 505-4700Fax: (850) 505-475600 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

McDaniel, Riley APRNProvider ID: 1529570Gender: Female8383 North Davis HwyPensacola, FL 32514(850) 494-3212Fax: (850) 416-612500 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

McDaniel, Riley APRNProvider ID: 1529570Gender: FemaleWest Florida Hospital8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (772) 563-464100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM


Smith, Angela APRNProvider ID: 1523348Gender: FemaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM


Shaw, Kerrie PAProvider ID: 1572049Gender: FemaleNemours Childrens SpecialtyCare Pe5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Shehan, Joshua PAProvider ID: 1767313Gender: MaleNemours Childrens SpecialtyCare, P8331 N Davis HwyPensacola, FL 32514(850) 505-4700Fax: (850) 505-471100 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Shehan, Joshua PAProvider ID: 1767313Gender: MaleWest Florida Hospital8383 N Davis HwyPensacola, FL 32514(850) 494-321200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Pediatric Surgery

Willson, Catherine PAProvider ID: 1346395Gender: FemaleSacred Heart Medical Group5147 N 9th Ave Ste 318Pensacola, FL 32504(850) 416-2337Fax: (850) 416-614200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Pediatric Urology

McClure, Julie APRNProvider ID: 1529582Gender: FemaleNemours Childrens SpecialtyCare P5153 N 9th AvePensacola, FL 32504(850) 505-4700Fax: (850) 505-471100 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Pediatrics

Rockwell, Aliece APRNProvider ID: 648730Gender: FemaleUniversity Pediatric Prog1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-672900 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Van Benenden-Colley, KarenAPRN

Provider ID: 648735Gender: FemaleUniversity Pediatric Prog1675 Trinity DrPensacola, FL 32504(850) 416-7710Fax: (850) 416-972900 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Wert, Dana APRNProvider ID: 1195201Gender: FemaleSacred Heart Medical Group4541 N Davis Hwy Ste APensacola, FL 32503(850) 416-1575Fax: (850) 416-124800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Physical Therapy

Castro, Jonathan PTProvider ID: 1837261Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Cummns, Annabelle PT

Provider ID: 1838099Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Demahy, Michael PTProvider ID: 1547001Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Dewitt, Abigail PTProvider ID: 1836679Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Farris, Jennifer PTProvider ID: 1838177Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Feldman, Larry PTProvider ID: 1547005Gender: MalePT Solutions of Pensacola LLC5401 Corporate Woods DRSte 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 7:00 PMF 7:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

Fredette, Dennis PTProvider ID: 1549859Gender: MalePT Solutions of Pensacola LLC5401 Corporate Woods Dr Ste300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Harris, Lloyd PTProvider ID: 1839282Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Hernandez Jr, Luis PTProvider ID: 1836453Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 7:00 AM - 1:00 PM

Hock, Megan PTProvider ID: 1841074Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Jones, Jack PTProvider ID: 1836635Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Jones, Kevin PTProvider ID: 1546843Gender: MalePT Solutions of Pensacola5401 Corporate Woods DRSte 300Pensacola, FL 32503(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsMW 9:00 AM - 6:00 PMTTHF 8:00 AM - 5:00 PM



Updated: 07/03/2019



Kamm, Christopher PT

Provider ID: 1840100Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Lanceta, Sherrie PTProvider ID: 1546900Gender: FemalePT Solutions of Pensacola LLC5401 Corporate Woods Dr Ste300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lindsey, Lucas PTProvider ID: 1559714Gender: MalePT Solutions of Pensacola,LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Mackay, Allison PTProvider ID: 1546904Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Mayhan, Daniel PTProvider ID: 1837180Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

McAliley, Jeri PTProvider ID: 1546906Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

McClelland, Amy PTProvider ID: 1838088Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

McElhinney, Brian PTProvider ID: 1841545Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

McMullen, Adam PTProvider ID: 1838154Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Merz, Paul PTProvider ID: 1840140Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Moss, Cameron PTProvider ID: 1841024Gender: FemalePT Solutions of Pensacola,LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Nicholson, Edward PTProvider ID: 1838905Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Nunez, Gabriela PTProvider ID: 1841034Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Oruc, Igor PTProvider ID: 1840049Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 7:00 AM - 1:00 PM

Pickett, Tiffany PTProvider ID: 1549991Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Powers, Adam PTProvider ID: 1554969Gender: MalePT Solutions of Pensacola LLC5401 Corporate Woods Dr Ste300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Reinard, Amarae PTProvider ID: 1554971Gender: FemalePT Solutions of Pensacola LLC5401 Corporate Woods Dr Ste300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Scharpman Diaz, Tina PT

Provider ID: 1838044Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM



Updated: 07/03/2019



Seaman, Chet PTProvider ID: 1840034Gender: MalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Serlo, Matthew PTProvider ID: 1551855Gender: MalePT Solutions of Pensacola5401 Corporate Woods DRSte 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Smith, Tyler PTProvider ID: 1575019Gender: MalePT Solutions of Pensacola LLC5401 Corporate Woods Dr Ste300Pensacola, FL 32504(850) 912-684000 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Spees, Valerie PTProvider ID: 1836469Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Tack, Heather PTProvider ID: 1843316Gender: FemalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Talmage, Deborah PTProvider ID: 1841767Gender: FemalePT Solutions of Pensacola5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Watkins, Louie PTProvider ID: 1604396Gender: MaleLegendary Physical Therapyand Well4469 Mobile Hwy Ste CPensacola, FL 32506(850) 332-7681Fax: (850) 344-977800 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Wimberly, Katie PTProvider ID: 1843505Gender: Not AvailablePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Wise, William PTProvider ID: 1841490Gender: MalePT Solutions of Pensacola LLC5401 Corp Wds Dr Ste 300Pensacola, FL 32504(850) 912-6840Fax: (850) 912-684300 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Physician Assistant

Alaniz, Freida PAProvider ID: 1847549Gender: FemaleDynamic Pain and WellnessPLLC4457 Bayou BlvdPensacola, FL 32503(850) 226-6801Fax: (877) 413-510405 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Heaton, Emily PAProvider ID: 1720597Gender: FemaleSacrd Heart Medical Group1549 Airport Blvd Ste 310Pensacola, FL 32504(850) 416-7008Fax: (850) 416-700300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ingermann, Craig PAProvider ID: 1559143Gender: MaleSacred Heart Medical Group5151 N 9th Ave Ste 200Pensacola, FL 32504(850) 416-4970Fax: (850) 416-497900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kottler, Jordan PAProvider ID: 1731240Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsM-F 8:00 AM - 6:00 PMSat-Sun 9:00 AM - 3:00 PM

Kottler, Jordan PAProvider ID: 1854281Gender: MaleSacred Heart Medical GroupUrgent C6665 Pensacola BlvdPensacola, FL 32505(850) 416-2000Fax: (850) 416-208000 Yrs/130 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Lord, Luciane Vetori PA

Provider ID: 1695373Gender: FemaleSacred Heart Medical Group4541A N Davis Hwy Ste APensacola, FL 32503(850) 494-9000Fax: (850) 416-124818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Physician AssistantOrthopedics

Christopher, Watson PA

Provider ID: 1748933Gender: MaleSacred Heart Health SystemInc4551 A North Davis HwyPensacola, FL 32503(850) 494-9001Fax: (850) 473-275900 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hicks, Mason PAProvider ID: 1748838Gender: MaleSacred Heart Medical Group5147 N 9th Ave Ste 103Pensacola, FL 32504(850) 416-1900Fax: (850) 416-191200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Speech & LanguagePathology

Bevrotte, Christine SLP

Provider ID: 1567504Gender: FemaleTubes 2 Tables Inc1290 E 9 Mile Rd Ste BPensacola, FL 32514(850) 857-9343Fax: (850) 972-882300 Yrs/18 YrsM-F 8:30 AM - 5:00 PM

Ferguson, Neina SLPProvider ID: 1513392Gender: FemaleTubes 2 Tables Inc1290 E 9 Mile Rd Ste BPensacola, FL 32514(850) 857-9343Fax: (850) 972-882300 Yrs/18 YrsM-F 8:30 AM - 5:00 PM

Thigpen, Elizabeth SLPProvider ID: 1840554Gender: FemaleThe ARC Gateway, Inc. PearlNelson916 E Fairfield DrPensacola, FL 32503(850) 434-7755Fax: (850) 469-085800 Yrs/18 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 50:0 PM

Ward, Brandy SLPProvider ID: 1791857Gender: FemaleBrandy Ward MS Ccc-SLP7939 Woodbrook RdPensacola, FL 32526(757) 802-137800 Yrs/18 YrsM-F 7:30 AM - 2:00 PM

Weisskopf, Emily SLPProvider ID: 1840572Gender: FemaleARC Gateway Inc916 E Fairfield DrPensacola, FL 32503(850) 434-7755Fax: (850) 469-085800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM


Levitan, David PAProvider ID: 937873Gender: Male8333 N Davis Hwy Fl 4Pensacola, FL 32514(850) 969-7979Fax: (850) 476-920000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Levitan, David PAProvider ID: 937873Gender: Male8383 N Davis HwyPensacola, FL 32514(850) 494-649500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Allied ProvidersHolmes

Updated: 07/03/2019


Family Practice

Taylor, Meaghan APRNProvider ID: 715635Gender: FemaleHawkins Family Medicine3120 Southride LnBonifay, FL 32425(850) 547-4440Fax: (850) 547-444112 Yrs/35 YrsM-F 8:00 AM - 5:00 PM

Young, Sherry APRNProvider ID: 1349697Gender: FemaleSouthern Healthcare RuralHealth2910 Hospital DrBonifay, FL 32425(850) 547-8117Fax: (850) 547-809000 Yrs/130 YrsDoctors Memorial HospitalIncLanguages: SpanishM-F 8:00 AM - 5:00 PM

General Practice

Nobles Jr, Glen APRNProvider ID: 1087244Gender: MaleFlorida Department of Health603 Scenic Circle DrBonifay, FL 32425(850) 547-8500Fax: (850) 638-624400 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Nobles Jr, Glen APRNProvider ID: 974600Gender: MaleHolmes County HealthDepartment603 Scenic Circle DrBonifay, FL 32425(850) 547-8500Fax: (850) 547-851502 Yrs/130 YrsM-F 7:30 AM - 8:00 PM

Smith Johnson, Karen APRN

Provider ID: 973543Gender: FemaleHolmes County HealthDepartment603 Scenic Circle DrBonifay, FL 32425(850) 547-8500Fax: (850) 547-851502 Yrs/130 YrsM-F 7:30 AM - 8:00 PM


Ludwig, Jessica APRNProvider ID: 1243400Gender: FemaleHawkins Family Medicine3120 Southride LnBonifay, FL 32425(850) 547-4440Fax: (850) 547-444100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Stanley, Paula ARNPProvider ID: 1591410Gender: FemaleYunus Rural Health Clinic404 E Hwy 90Bonifay, FL 32425(850) 547-4284Fax: (850) 547-541502 Yrs/130 YrsM 9:00 AM - 5:00 PMTWTHFSun 8:00 AM - 5:00PMSat 7:30 AM - 5:00 PM


Allied ProvidersOkaloosa

Updated: 07/03/2019



Wilson, Jennifer APRNProvider ID: 1821415Gender: FemaleWhite-Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Provider ID: 1654789Gender: FemaleSacred Heart Medical Group1025 Beal Pkwy Ste DFt Walton Beach, FL 32547(850) 416-2477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1654789Gender: FemaleSacred Heart Medical Group550 W. Redstone Ave Ste 320Crestview, FL 32536(850) 416-2477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Devuyst, Peter PAProvider ID: 816774Gender: Male4100 S Ferdon Blvd Ste C6Crestview, FL 32536(850) 423-4501Fax: (850) 863-124100 Yrs/130 Yrs

Devuyst, Peter PAProvider ID: 816774Gender: MaleAllergy Partners of TheEmerald COA339 Racetrack Rd NW Ste 17Fort Walton Beach, FL 32547(850) 863-1189Fax: (850) 863-124100 Yrs/130 YrsMWF 7:30 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Audiology

Dethloff, Carver AUDProvider ID: TPV08840-01Gender: MaleEmerald Coast Audiology PA1032 Mar Walt DR Ste 100Fort Walton Beach, FL 32547(855) 243-5508Fax: (850) 226-824221 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Skinner, Timothy AUDProvider ID: 1207349Gender: MaleWhite Wilson Medical CenterPA1005 Mar Walt Dr AudiologyDeptFort Walton Beach, FL 32547(850) 863-8275Fax: (850) 314-683302 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

Cardiology

Boehm, Laurie PAProvider ID: 685602Gender: FemaleSacred Heart Medical GroupAt Desti550 Redstone Ave W Ste 200Crestview, FL 32536(850) 267-1603Fax: (850) 622-334215 Yrs/100 YrsM-F 9:00 AM - 5:00 PM

Dermatology

West, Amy PAProvider ID: 1311448Gender: Female4550 E Hwy 20 Ste KNiceville, FL 32578(850) 635-0512Fax: (850) 522-835400 Yrs/130 Yrs

West, Amy PAProvider ID: 1311448Gender: FemaleDermatology Specialists ofFlorida550 Redstone Ave W Ste 390Crestview, FL 32536(850) 634-0337Fax: (850) 522-835400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ear, Nose & Throat

Torrance, Naomi APRN

Provider ID: 1610282Gender: FemaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8275Fax: (850) 314-683300 Yrs/130 YrsM-F 8:30 AM - 4:30 PM


Folyer, Cynthia APRNProvider ID: 1647017Gender: FemaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MDestin, FL 32541(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 7:00 AM - 4:00 PM

Folyer, Cynthia APRNProvider ID: 1647017Gender: FemaleInstitute of EndocrinologyDiabetes369 N Main StCrestview, FL 32536(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1282639Gender: FemaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MDestin, FL 32541(850) 460-7090Fax: (850) 460-709305 Yrs/130 YrsM-F 7:00 AM - 4:00 PM


Provider ID: 1282639Gender: FemaleInstitute of EndocrinologyDiabetes369 N Main StCrestview, FL 32536(850) 460-7090Fax: (850) 460-709305 Yrs/130 YrsM-F 7:00 AM - 4:00 PM





Updated: 07/03/2019


Endocrinology, Diabetes,Metabolism - cont.


Provider ID: 1649791Gender: FemaleInstitute of EndocrinologyDiabetes369 N Main StCrestview, FL 32536(850) 460-7090Fax: (850) 460-709300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM




Provider ID: 1446478Gender: FemaleInstitute of EndocrinologyDiabetes127 E Redstone AveCrestview, FL 32539(850) 522-549000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Dawkins, Max PAProvider ID: 1257763Gender: MaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824905 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat-Sun 8:00 AM - 4:00 PM

Dawkins, Max PAProvider ID: 1257763Gender: MaleWhite Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062305 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM

Dawkins, Max PAProvider ID: 1257763Gender: MaleWhite Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958105 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sexton, Donald PAProvider ID: 648703Gender: MaleSacred Heart Medical Group550 Redstone Ave W Ste 200Crestview, FL 32536(850) 682-6122Fax: (850) 682-591700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Silva, Kate PAProvider ID: 1250945Gender: FemaleWhite Wilson Medical Center,PA1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824905 Yrs/130 YrsM-F 7:30 AM - 7:00 PMSat-Sun 8:00 AM - 4:00 PM

Silva, Kate PAProvider ID: 1250945Gender: FemaleWhite Wilson Medical Center,PA2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062305 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM

Silva, Kate PAProvider ID: 1250945Gender: FemaleWhite Wilson Medical Center,PA990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958105 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Smith, Kimberly APRN

Provider ID: 1224559Gender: FemaleNorthwest Florida PrimaryCare LLC4400 E Hwy 20 Ste 203 204Niceville, FL 32578(850) 897-3687Fax: (850) 897-370800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

General Practice

Graham, Gregg APRNProvider ID: 1249014Gender: MaleWhite Wilson Medical Center1110 Hospital RdFort Walton Beach, FL 32547(850) 863-8235Fax: (850) 863-661902 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Geriatric Medicine

Schwartz, Vicky APRNProvider ID: 1432583Gender: FemaleNorth Florida MedicalCenters, Inc.800 Hospital DrCrestview, FL 32539(850) 682-1164Fax: (850) 682-530216 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Internal Medicine

Jessen, Philip APRNProvider ID: 1249283Gender: MaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824918 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Neurology

Stuart, Katherine APRN

Provider ID: 1586114Gender: FemaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-633518 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

Neurosurgery

Ellison, Kenneth PAProvider ID: 796761Gender: Male369 N Main StCrestview, FL 32536(850) 862-3194Fax: (850) 862-442300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019


Neurosurgery - cont.

Ellison, Kenneth PAProvider ID: 796761Gender: MaleNorthwest FloridaMultisepcialty Ph1032 Mar Walt Dr Unit 250Fort Walton Beach, FL 32547(850) 863-3463Fax: (850) 315-605100 Yrs/130 YrsM-TH 9:00 AM - 5:00 PMF 9:00 AM - 11:30 PM

Nurse Practitioner

Lemoine, Alexandra APRN

Provider ID: 1853175Gender: FemaleNorthwest Florida HeartInstitute1032 Mar Walt Dr Unit 230Ft Walton Bch, FL 32547(850) 862-3194Fax: (866) 547-930316 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Marshall, Rachel ARNP

Provider ID: 1559130Gender: FemaleDynamic Pain Wellness600 Hospital DrCrestview, FL 32539(850) 226-6801Fax: (877) 413-510412 Yrs/130 YrsMTWF 8:00 AM - 5:00 PMTH 9:00 AM - 5:00 PM

Marshall, Rachel ARNP

Provider ID: 1559130Gender: FemaleDynamic Pain Wellness930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 331-2930Fax: (877) 413-510412 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Shelton, Heather APRN

Provider ID: 1274207Gender: FemaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824900 Yrs/18 YrsMT 11:00 AM - 7:00 PMW 8:00 AM - 12:00 PM

Shelton, Heather APRN

Provider ID: 1274207Gender: FemaleWhite Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/18 YrsM 8:30 AM - 5:00 PM

Slaughter, Connie APRN

Provider ID: 1840256Gender: FemaleWhite Wilson Medical Center1005 Mar Walt DrFt Walton Bch, FL 32547(850) 863-8219Fax: (850) 863-824900 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat-Sun 8:00 AM - 4:00 PM


Provider ID: 1840256Gender: FemaleWhite-Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062300 Yrs/130 YrsM 7:0 AM - 7:00 PMTWTHF 7:00 AM - 7:00 PMSat-Sun 8:00 AM - 4:00 PM

Stuart, Katherine APRN

Provider ID: 1586114Gender: FemaleWhite Wilson Medical CenterPA1106 Hospital RdFort Walton Beach, FL 32547(850) 863-8169Fax: (850) 863-633518 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

Nurse Practitioner AcuteCare

Disanto, Marlana APRN

Provider ID: 1308297Gender: FemaleDynamic Pain and Wellness,PLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse Practitioner AdultHealth

Stroud, Jeffrey ARNPProvider ID: 1528018Gender: MaleInstitute of EndocrinologyDiabetes1241 Airport Rd Ste MDestin, FL 32541(850) 460-709000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stroud, Jeffrey ARNPProvider ID: 1528018Gender: MaleInstitute of EndocrinologyDiabetes127 E Redstone Ave Ste CCrestview, FL 32539(850) 460-709000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Matthies, Heather APRN

Provider ID: 1465650Gender: FemaleWhite Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062300 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM


Provider ID: 1465650Gender: FemaleWhite Wilson Medical Center990 Airport RdDestin, FL 32541(850) 269-6400Fax: (850) 654-958100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1465650Gender: FemaleWhite-Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8219Fax: (850) 863-824900 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat-Sun 8:00 AM - 4:00 PM

Webster, Hannah APRN

Provider ID: 1737818Gender: FemaleWhite Wilson Medical Center1000 Mar Walt DrFort Walton Beach, FL 32547(850) 243-0118Fax: (850) 243-059418 Yrs/130 YrsM-F 8:30 AM - 4:30 PM



Updated: 07/03/2019



McDowell, Elizabeth APRN

Provider ID: 1815743Gender: FemaleWhite-Wilson Medical Center2001 E Hwy 20Niceville, FL 32578(850) 897-4400Fax: (850) 897-062300 Yrs/18 YrsM-F 8:00 AM - 4:30 PM


Anderson, Ashley OTProvider ID: 1783195Gender: FemaleTherapease LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Campbell, Emily OTProvider ID: 1851014Gender: FemalePediatric OccupationalTherapist PA266 Kidd StFort Walton Beach, FL 32548(850) 582-2689Fax: (850) 244-097100 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Hagar, Andrea OTProvider ID: 1847475Gender: FemaleKids Talk Place, LLC4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Hydle, Kim OTProvider ID: 1111107Gender: FemaleTriple E OT Inc4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Kersey, Carla OTProvider ID: 1817751Gender: FemalePediatric OccupationalTherapist P266 Kidd StFt Walton Bch, FL 32548(850) 582-2689Fax: (850) 244-097100 Yrs/18 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 1:00 PM

Lalic, Sarah OTProvider ID: 1783832Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Mills, Chantel OTProvider ID: 1783231Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 104HDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Pain Management

Alston, Carmen APRNProvider ID: 1603496Gender: FemaleDynamic Pain and WellnessPLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsMWTHF 8:00 AM - 5:00 PMT 80:0 AM - 5:00 PM

Berens, Keith PAProvider ID: 1642259Gender: MaleDynamic Pain Wellness930 Mar Walt Dr Unit CFt Walton Bch, FL 32547(850) 226-6801Fax: (877) 413-510418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Brown, Matthew PAProvider ID: 1605540Gender: MaleDynamic Pain and Wellness930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1533364Gender: FemaleDynamic Pain and WellnessPLLC600 Hospital DrCrestview, FL 32539(850) 226-6801Fax: (877) 413-510418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1533364Gender: FemaleDynamic Pain and WellnessPLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510418 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Crysell, Brandie ARNPProvider ID: 1490892Gender: FemaleDynamic Pain and WellnessPLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vaughn, Ryan ARNPProvider ID: 1655351Gender: FemaleDynamic Pain and WellnessPLLC600 Hospital DrCrestview, FL 32539(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Vaughn, Ryan ARNPProvider ID: 1655351Gender: FemaleDynamic Pain and WellnessPLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Pain Management - cont.

Webber Jr, Joseph ARNP

Provider ID: 1605524Gender: MaleDynamic Pain Wellness930 Mar Walt Dr Unit CFt Walton Bch, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Yang, Kelsie PAProvider ID: 1310505Gender: FemaleDynamic Pain and Wellness,PLLC930 Mar Walt Dr Unit CFort Walton Beach, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pediatrics

Skrabacz, Sharon APRN

Provider ID: 756110Gender: FemaleABC Pediatrics of Okaloosa1403 Catmar RdNiceville, FL 32578(850) 729-3575Fax: (850) 897-143600 Yrs/18 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Stroud, Lela APRNProvider ID: 758144Gender: FemaleABC Pediatrics of Okaloosa182 E Redstone Ave Ste BCrestview, FL 32539(850) 689-0900Fax: (850) 689-091200 Yrs/18 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Physical Therapy

Barnes, Alison PTProvider ID: 1782492Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Cruz, Virginia PTProvider ID: 1787684Gender: FemaleTherapease LLC4012 Commons Dr W Ste226CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/21 YrsM-F 9:00 AM - 2:00 PM

Elliott, Tracey PTProvider ID: 1783162Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 3:00 PM

Hobbs, Amy PTProvider ID: 1783470Gender: FemaleTherapease LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-137800 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Moser, Jennifer PTProvider ID: 1851921Gender: FemalePrime Therapy Inc4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:30 AM - 5:00 PM

Robertson, Tasia PTProvider ID: 1852621Gender: FemaleKids Talk Place, LLC4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Van Vrancken, Jennifer PT

Provider ID: 1018236Gender: FemalePrime Therapy Inc4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-TH 8:00 AM - 5:00 PM

Vlahos, Christopher PTProvider ID: 1531462Gender: MaleDynamic Pain and WellnessPhysical930 Mar Walt Dr Unit CFt Walton Bch, FL 32547(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Weston, Nicole PTProvider ID: 1198131Gender: FemalePrime Therapy Inc4100 S Ferdon Blvd Ste A-1Crestview, FL 32536(850) 682-838800 Yrs/130 YrsM-W 7:00 AM - 4:00 PMTH 7:00 AM - 3:00 PM

Physician Assistant

Cole, Christopher PAProvider ID: 1578061Gender: MaleSacred Heart Medical Group550 W. Redstone Ave Ste 200Crestview, FL 32536(850) 682-6122Fax: (850) 682-927800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Laird, Sunday PAProvider ID: 1840064Gender: FemaleWhite Wilson Medical Center1005 Mar Walt DrFt Walton Bch, FL 32547(850) 863-8203Fax: (850) 862-614818 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Stevens, Jessica PAProvider ID: 1791677Gender: FemaleSacred Heart Medical Group36500 Emerald Coast PkwyDestin, FL 32541(850) 837-0032Fax: (850) 278-382600 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sumner, Warren PAProvider ID: 1790812Gender: MaleNorthwest Florida HeartInstitute1032 Mar Walt Dr Unit 230Ft Walton Bch, FL 32547(850) 862-3194Fax: (850) 547-930316 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019


Pulmonary Disease

Gilmore, Deborah APRN

Provider ID: 1274126Gender: FemaleWhite Wilson Medical Center1005 Mar Walt DrFort Walton Beach, FL 32547(850) 863-8100Fax: (850) 863-824918 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Ammons, Amanda SLPProvider ID: 1847379Gender: FemaleKids Talk Place LLCSub Specialty: Early Steps4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Bargers, Jared SLPProvider ID: 1795232Gender: MaleComplete RehabilitationServic2104 Lewis Turner BlvdFort Walton Beach, FL 32547(850) 862-3728Fax: (850) 862-627000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bargers, Jared SLPProvider ID: 1795232Gender: MaleComplete RehabilitationServic575 Brookmeade DrCrestview, FL 32539(850) 306-2531Fax: (850) 862-627000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Bell, Emily SLPProvider ID: 1792402Gender: FemaleEmerald Coast SpeechServices301 S Ferdon Blvd Ste DCrestview, FL 32536(850) 306-1277Fax: (850) 897-014900 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Bell, Emily SLPProvider ID: 1792402Gender: FemaleEmerald Coast SpeechServices, LLC1069 John Sims Pkwy E Ste 4Niceville, FL 32578(850) 897-3013Fax: (850) 897-014900 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Borick, Laurie SLPProvider ID: 1783809Gender: FemaleTherapease LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Bowers, Kristen SLPProvider ID: 1818728Gender: FemaleEmerald Coast SpeechServices1069 John Sims Pkwy E Ste 4Niceville, FL 32578(850) 897-3013Fax: (850) 897-014900 Yrs/03 YrsM-TH 9:00 AM - 5:00 PMF 9:30 AM - 4:30 PM

Bowers, Kristen SLPProvider ID: 1818728Gender: FemaleEmerald Coast SpeechServices301 S Ferdon Blvd Ste DCrestview, FL 32536(850) 306-1277Fax: (850) 306-126300 Yrs/03 YrsM-TH 9:00 AM - 5:00 PM

Carr, Kelsey SLPProvider ID: 1817904Gender: FemaleEmerald Coast SpeechServices1069 John Sims Pkwy E Ste 4Niceville, FL 32578(850) 897-3013Fax: (850) 897-014900 Yrs/03 YrsM-TH 9:00 AM - 5:00 PMF 9:30 AM - 4:30 PM

Chilcott, Chelsi SLPProvider ID: 1783779Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Criswell, Karen SLPProvider ID: 1787114Gender: FemaleMagnolia Pediatric Therapy151 Regions Way Ste 2ADestin, FL 32541(850) 226-8279Fax: (850) 226-832600 Yrs/18 YrsM-TH 8:30 AM - 5:00 PM

Davis, Joanna SLPProvider ID: 1763451Gender: FemaleAbsolute Therapy, LLC914 N Ferdon Blvd Ste 2Crestview, FL 32536(850) 331-2987Fax: (850) 398-500800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Dyer, Shannon SLPProvider ID: 1763319Gender: FemaleAbsolute Therapy914 N Ferdon Blvd Ste 2Crestview, FL 32536(850) 331-2987Fax: (850) 398-500800 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Farmer, Heather SLPProvider ID: 1787636Gender: FemaleMagnolia Pediatric Therapy151 Regions Way Ste 2ADestin, FL 32541(850) 226-8279Fax: (850) 226-832600 Yrs/18 YrsM-TH 9:00 AM - 6:00 PM

Flowers, Janet SLPProvider ID: 1783794Gender: FemaleTherapease LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Hammond, Christina SLP

Provider ID: 1787648Gender: FemaleMagnolia Rehab Services151 Regions Way Ste 2ADestin, FL 32541(850) 226-8279Fax: (850) 226-832600 Yrs/18 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019


Speech & LanguagePathology - cont.

Holland, Megan SLPProvider ID: 1847377Gender: FemaleKids Talk Place LLC4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

King, Janelle SLPProvider ID: 1847515Gender: FemaleKids Talk Place, LLCSub Specialty: Early Steps4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

NIX, Mary SLPProvider ID: 1787642Gender: FemaleMagnolia Pediatric Therapy,LLC151 Regions Way Ste 2ADestin, FL 32541(850) 226-8279Fax: (850) 226-832600 Yrs/18 YrsM-TH 9:00 AM - 5:00 PM

Oreolt, Mary SLPProvider ID: 1783795Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 2:00 PM

Smith, Marjorie SLPProvider ID: 1852531Gender: FemaleKids Talk Place, LLC4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Vanrandwyk, Natalie SLP

Provider ID: 1787640Gender: FemaleMagnolia Pediatric Therapy151 Regions Way Ste 2ADestin, FL 32541(850) 226-8279Fax: (850) 226-832600 Yrs/18 YrsM-TH 9:00 AM - 5:30 PM

Wen, Wen SLPProvider ID: 1791496Gender: FemaleComplete RehabilitationServices, I575 Brookmeade DrCrestview, FL 32539(850) 306-2531Fax: (850) 862-627000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Werner, Emily SLPProvider ID: 1794815Gender: FemaleComplete RehabilitationServic2104 Lewis Turner BlvdFort Walton Beach, FL 32547(850) 862-3728Fax: (850) 862-627000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Werner, Emily SLPProvider ID: 1794815Gender: FemaleComplete RehabilitationServic575 Brookmeade DrCrestview, FL 32539(850) 306-2531Fax: (850) 862-627000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Speech Therapy

Freeland, Kristin SLPProvider ID: 1831031Gender: FemaleSpeech At The BeachSub Specialty: Early Steps1910 Oak AveNiceville, FL 32578(419) 651-6368Fax: (850) 279-329800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lambert, Lynn SLPProvider ID: 900354Gender: FemaleComplete Rehab Svcs Fwb2104 Lewis Turner BlvdFort Walton Beach, FL 32547(850) 862-3728Fax: (850) 862-627000 Yrs/130 YrsLanguages: SpanishM-F 7:30 AM - 5:30 PM

Lambert, Lynn SLPProvider ID: 900354Gender: FemaleComplete RehabilitationServices475 Brookmeade DrCrestview, FL 32539(850) 306-2531Fax: (850) 862-627000 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Mixson, Emily SLPProvider ID: 1847504Gender: FemaleKids Talk Place, LLC4100 S Ferdon Blvd Ste A1Crestview, FL 32536(850) 682-8388Fax: (850) 682-746300 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Reed, Rachel SLPProvider ID: 1783808Gender: FemaleTherapease, LLC4012 Commons Dr W Ste 226-CDestin, FL 32541(850) 337-1378Fax: (888) 852-627900 Yrs/18 YrsM-F 9:00 AM - 5:00 PM

Sherman, Tracy SLPProvider ID: 1822578Gender: FemaleTracy Sherman963 Holbrook CirFt Walton Bch, FL 32547(850) 503-4071Fax: (850) 999-745100 Yrs/03 YrsM-F 8:00 AM - 5:00 PM


Early, Joseph PAProvider ID: 1790813Gender: MaleNorthwest Florida HeartInstitute1032 Mar Walt DrFt Walton Bch, FL 32547(850) 862-3194Fax: (850) 862-442316 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Thoracic & CardiovascularSurgery - cont.

Murphy-Blount, Katia PA

Provider ID: 1285366Gender: FemaleNW Florida MultispecialtyPhysicians, LL1032 Mar Walt Dr Ste 230Fort Walton Beach, FL 32547(850) 862-3194Fax: (850) 862-442300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Reilly, Jennifer PAProvider ID: 1790816Gender: FemaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Unit 230Ft Walton Bch, FL 32547(850) 862-3194Fax: (850) 862-442316 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Smith, Paul PAProvider ID: 1804193Gender: MaleNorthwest FloridaMultispecialty Ph1032 Mar Walt Dr Ste 230Ft Walton Bch, FL 32547(850) 862-3194Fax: (850) 862-442316 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Allied ProvidersSanta Rosa

Updated: 07/03/2019



Forbes, Donna APRNProvider ID: 1856705Gender: FemaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-7272Fax: (850) 416-727400 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM


Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness6072 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Caughey, Autumn APRN

Provider ID: 1639121Gender: FemaleSacred Heart Medical Group5992 Berryhill Rd Ste 302Milton, FL 32570(850) 416-4620Fax: (850) 416-354118 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1695350Gender: FemaleSacred Heart Medical Group3909 Hwy 90Pace, FL 32571(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM


Provider ID: 1695350Gender: FemaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-7272Fax: (850) 897-162600 Yrs/130 YrsMTWTHFSat 8:30 AM - 5:00PMSun 10:00 AM - 4:30 PM

Robinson, Tiffany APRN

Provider ID: 1784628Gender: FemaleDynamic Pain & Wellness6072 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Audiology

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleAndrews Institute ForOrthopaedics1040 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 916-870000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Guttman, Sharon AUD

Provider ID: 1476430Gender: FemaleGulf Breeze Hospital1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-200000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleAndrews Institute ForOrthopaedics1040 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 916-870000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Oran, Keena AUDProvider ID: 1476444Gender: FemaleGulf Breeze Hospital1110 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-200000 Yrs/17 YrsM-F 8:00 AM - 5:00 PM

Cardiology

Radford, Wanda APRNProvider ID: 654782Gender: FemaleWest Florida Cardiology LLC4513 Woodbine RdMilton, FL 32571(850) 969-7979Fax: (850) 476-935218 Yrs/130 YrsWest Florida HospitalM-F 9:00 AM - 5:00 PM

Child Neurology

Ezelle, Tracy APRNProvider ID: 648741Gender: Female400 Gulf Breeze Pkwy Ste 300Gulf Breeze, FL 32561(850) 932-5055Fax: (850) 932-140400 Yrs/130 YrsM-F 8:00 AM - 4:00 PM

Dermatology

Shepard, Scott PAProvider ID: 918824Gender: Female3089 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 203-3790Fax: (850) 522-835400 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Shepard, Scott PAProvider ID: 918824Gender: Female5952 Berryhill RdMilton, FL 32570(850) 203-3801Fax: (850) 522-835400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Shepard, Scott PAProvider ID: 918824Gender: Female8880 Navarre Pkwy Ste 201Navarre, FL 32566(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

West, Amy PAProvider ID: 1311448Gender: FemaleDermatology Specialists ofFlorida3089 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 233-3376Fax: (850) 522-835400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Family Practice

Bisson, Jennifer PAProvider ID: 991370Gender: FemaleWhite Wilson Medical Center8990 Navarre Pkwy Ste ANavarre, FL 32566(850) 939-6110Fax: (850) 939-493300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019



Brighenti, Peter PAProvider ID: 607431Gender: MalePea Ridge Family Care Center5553 Hwy 90Milton, FL 32571(850) 995-8811Fax: (850) 512-140500 Yrs/130 YrsSacred Heart HospitalSanta Rosa Medical CenterM-F 8:00 AM - 5:00 PM

Dawkins, Max PAProvider ID: 1257763Gender: MaleWhite Wilson Medical Center8990 Navarre PkwyNavarre, FL 32566(850) 396-0424Fax: (850) 939-493305 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM

Fowler, Abby PAProvider ID: 1474876Gender: FemaleSacred Heart Health MedicalGroup4435 Hwy 90 Ste APace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/130 YrsMTWTHFSatSun 7:00 AM -7:00 PM

Hankins, Vicki APRNProvider ID: 1483732Gender: FemaleWest Florida Primary Care4262 Woodbine RdMilton, FL 32571(850) 995-4798Fax: (855) 712-263300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hansen, Kealie APRNProvider ID: 1514500Gender: FemaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-7272Fax: (850) 416-727400 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Hansen, Kealie APRNProvider ID: 1514501Gender: FemaleSacred Heart Medical Group3909 Hwy 90Pace, FL 32571(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Hess, Don PAProvider ID: 665621Gender: MaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Lee, Jessica APRNProvider ID: 1361069Gender: FemaleSacred Heart Medical Group3909 Hwy 90Pace, FL 32571(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Lee, Jessica APRNProvider ID: 1361069Gender: FemaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-7272Fax: (850) 416-727400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Levaugh, Michael APRNProvider ID: 611084Gender: MaleSanta Rosa Hma PhysicianManagement4944 Hwy 90Milton, FL 32571(850) 994-0431Fax: (855) 698-782000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Levaugh, Michael APRNProvider ID: 611084Gender: MaleSanta Rosa Hma PhysicianManagement5992 Berryhill Rd Ste 203Milton, FL 32570(850) 626-2131Fax: (850) 626-213300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Light, Owen APRNProvider ID: 300707Gender: MaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Merold, Vicki APRNProvider ID: 610232Gender: FemaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Mines, Danniel APRNProvider ID: 605686Gender: MaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/130 YrsM-F 8:00 AM - 5:00 PMSat-Sun 8:00 AM - 6:00 PM

Schneider, Casey APRNProvider ID: 914501Gender: FemaleSanta Rosa Hma Phys MgmntLLC4944 Hwy 90Milton, FL 32571(850) 994-0431Fax: (855) 698-782000 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat-Sun 9:00 AM - 2:00 PM

Schulz, Miranda APRNProvider ID: 1418220Gender: FemaleSacred Heart Medical Group3909 Hwy 90Pace, FL 32571(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Silva, Kate PAProvider ID: 1250945Gender: FemaleWhite Wilson Medical Center,PA8990 Navarre PkwyNavarre, FL 32566(850) 863-8219Fax: (850) 863-824905 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM



Updated: 07/03/2019



Spencer, Jennifer APRNProvider ID: 613324Gender: FemaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

White, Whitney APRNProvider ID: 705843Gender: FemaleSanta Rosa Community Clinic5520 Stewart StMilton, FL 32570(850) 981-9433Fax: (850) 981-943600 Yrs/18 YrsM-F 8:00 AM - 4:30 PM

Gastroenterology

Kingery, Mimi PAProvider ID: 642529Gender: FemaleGastroenterology Associatesof Pens3754 Hwy 90 Ste 230Pace, FL 32571(850) 477-2597Fax: (850) 478-794116 Yrs/130 YrsM 8:30 AM - 11:30 PMT 1:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: Female5907 Berryhill Rd Ste 100Milton, FL 32570(850) 436-4563Fax: (850) 436-457000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: FemaleGastroenterology Assoc ofPensacola1118 Gulf Breeze Pkwy Ste 203Gulf Breeze, FL 32561(850) 436-4563Fax: (850) 436-457000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: FemaleGastroenterology Assoc ofPensacola5992 Berryhill Rd Ste 300Milton, FL 32570(850) 436-4563Fax: (850) 436-457000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Williams, Laura APRNProvider ID: 164488Gender: FemaleGastroenterology Associatesof Pens8880 Navarre Pkwy Ste 201Navarre, FL 32566(850) 436-4563Fax: (850) 436-457000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Fillingim, Robert LMHC

Provider ID: 1418096Gender: MaleSanta Rosa Counseling CenterL5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717112 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Gessler, Susan LMHCProvider ID: 1419310Gender: FemaleSanta Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-F 8:00 AM - 6:00 PM

Mattingly, Ann LMHCProvider ID: 1513110Gender: FemaleSanta Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

McGuire, Hannah LMHCProvider ID: 1823480Gender: FemaleSanta Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Paquette, Brittany LMHC

Provider ID: 1419435Gender: FemaleSanta Rosa Counseling Center5642 Jones StMilton, FL 32570(850) 626-7779Fax: (850) 626-717100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Nurse Practitioner

Ramsey, Amber APRNProvider ID: 1459862Gender: FemaleDynamic Pain and WellnessPLLC5950 Berryhill Medical Park DrUnit BMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1840256Gender: FemaleWhite-Wilson Medical Center8990 Navarre PkwyNavarre, FL 32566(850) 396-0108Fax: (850) 939-493300 Yrs/130 YrsM-F 7:00 AM - 7:00 PMSat 8:00 AM - 4:00 PM

Summers, Sonja ARNPProvider ID: 1841149Gender: FemalePrimary Care House Calls PA3416 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 934-5713Fax: (850) 934-037918 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Thomas, Hannah APRN

Provider ID: 1504178Gender: FemaleSacred Heart Medical Group8220 Navarre PkwyNavarre, FL 32566(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM



Updated: 07/03/2019



Thomas, Hannah APRN

Provider ID: 1504184Gender: FemaleSacred Heart Medical Group3909 Hwy 90Pace, FL 32571(850) 416-6898Fax: (850) 416-690700 Yrs/130 YrsM-F 8:30 AM - 7:00 PMSat 8:30 AM - 5:00 PMSun 10:00 AM - 4:30 PM

Nurse Practitioner AcuteCare

Disanto, Marlana APRN

Provider ID: 1308297Gender: FemaleDynamic Pain and Wellness,PLLC5950 Berryhl Med Pk Dr Unit BMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Eriksson, Liza APRNProvider ID: 1842229Gender: FemaleWhite Wilson Medical Center8990 Navarre PkwyNavarre, FL 32566(850) 396-0108Fax: (850) 939-493305 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

McComak, Melissa APRN

Provider ID: 1610281Gender: FemaleWhite Wilson Medical Center8990 Navarre PkwyNavarre, FL 32566(850) 396-0108Fax: (850) 939-493302 Yrs/130 YrsM-F 8:30 AM - 4:30 PM


Langston, Lydia APRNProvider ID: 1648288Gender: FemaleUniversity OB GYN Program1399 Country Club RdGulf Breeze, FL 32563(850) 416-4709Fax: (850) 416-474912 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Murphy, Shirley APRNProvider ID: 1251368Gender: FemaleFlorida Department of Health,Santa5527 Stewart StMilton, FL 32572(850) 983-5200Fax: (850) 983-521500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Park, Sandra APRNProvider ID: 1238950Gender: FemaleFlorida Department of Health,Santa5527 Stewart StMilton, FL 32572(850) 983-5200Fax: (850) 983-454000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Price, Mary APRNProvider ID: 947879Gender: FemaleWest Florida Obstetrics andGynecol4244 Avalon BlvdMilton, FL 32583(850) 494-460000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Stilwell, Emily APRNProvider ID: 1065582Gender: FemaleSacred Heart Medical Group3754 Hwy 90 Ste 220Pace, FL 32571(850) 416-2671Fax: (850) 416-267212 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Atkins, Lisa OTProvider ID: 1522903Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Hagar, Andrea OTProvider ID: 1847475Gender: FemaleKids Talk Place, LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Hargis, Julia OTProvider ID: 1592247Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pedersen, Callie OTProvider ID: 1533311Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Orthopaedic Surgery

Adair, James PAProvider ID: 653556Gender: MaleShmg Sub Specialists1399 Country Club RdGulf Breeze, FL 32563(850) 494-9000Fax: (850) 474-412300 Yrs/130 YrsSacred Heart Hospital On TheGulfM-F 8:00 AM - 5:00 PM

Bryan, Patrick PAProvider ID: 405194Gender: MaleShmg Sub Specialists1399 Country Club RdGulf Breeze, FL 32563(850) 494-9000Fax: (850) 474-412300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Pain Management

Brown, Matthew PAProvider ID: 1605540Gender: MaleDynamic Pain and Wellness5950 Berryhl Med Pk Dr Unit BMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Updated: 07/03/2019


Pain Management - cont.

Crysell, Brandie ARNPProvider ID: 1490892Gender: FemaleDynamic Pain and WellnessPLLC5950 Berryhl Med Pk Dr Unit BMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Provider ID: 1789500Gender: FemaleDynamic Pain and Wellness6072 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Vaughn, Ryan ARNPProvider ID: 1655351Gender: FemaleDynamic Pain and WellnessPLLC6072 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Yang, Kelsie PAProvider ID: 1310505Gender: FemaleDynamic Pain and Wellness,PLLC5950 Berryhl Med Pk Dr Unit BMilton, FL 32570(850) 226-6801Fax: (850) 413-570400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pediatrics

Caulfeild-James, Susan APRN

Provider ID: 939342Gender: FemaleGrowing Child Pediatrics PA5565 Woodbine RdMilton, FL 32571(850) 994-5010Fax: (850) 994-027200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Evers, Lindi APRNProvider ID: 1439818Gender: FemaleEmerald Coast PediatricsSleep Cons400 Gulf Breeze Pkwy Ste 204Gulf Breeze, FL 32561(850) 932-383000 Yrs/21 YrsMT 8:00 AM - 4:00 PM

Smith, Sonia APRNProvider ID: 1160829Gender: FemaleEmerald Coast Pediatric SleepConsu400 Gulf Breeze Pkwy Ste 240Gulf Breeze, FL 32561(850) 932-3830Fax: (850) 932-140100 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Physical Therapy

Butts, Caitlin PTProvider ID: 1600145Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Cummins, Annabelle PTProvider ID: 1544133Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Deems, Caitlin PTProvider ID: 1847332Gender: FemaleKids Talk Place LLCSub Specialty: Early Steps4624 Summerdale DrMilton, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Dewitt, Abigail PTProvider ID: 1868039Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Farris, Jennifer PTProvider ID: 1562389Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Fourie, Leigh Anne PTProvider ID: 1544329Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Harris, Kathryn PTProvider ID: 1544154Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Harris, Lloyd PTProvider ID: 1544335Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Hock, Megan PTProvider ID: 1868449Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM



Updated: 07/03/2019



Jones, Kevin PTProvider ID: 1868287Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsMW 9:00 AM - 6:00 PMTTHF 8:00 AM - 5:00 PM

Lark, Jeanette PTProvider ID: 1562391Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Mayhan, Daniel PTProvider ID: 1562386Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

McClelland, Amy PTProvider ID: 1841499Gender: FemalePremier Rehab ManagemntLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

McMullen, Adam PTProvider ID: 1839075Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Moss, Cameron PTProvider ID: 1562388Gender: FemalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:00 AM - 4:00 PM

Nicholson, Edward PTProvider ID: 1867436Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Powers, Adam PTProvider ID: 1868406Gender: MalePremier Rehab ManagementLLC8199 Navarre Pakway Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Robertson, Tasia PTProvider ID: 1852621Gender: FemaleKids Talk Place, LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Seaman, Chet PTProvider ID: 1868075Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Serlo, Matthew PTProvider ID: 1867375Gender: MalePremier Rehab ManagementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Szydlowski, Garrett PTProvider ID: 1868456Gender: MalePremier Rehab MaangementLLC8199 Navarre Pkwy Ste 12ANavarre, FL 32566(850) 939-1233Fax: (850) 939-509700 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Whorton, Laurie PTProvider ID: 1536806Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Physician Assistant

Alaniz, Freida PAProvider ID: 1847549Gender: FemaleDynamic Pain and WellnessPLLC6044 Doctors ParkMilton, FL 32570(850) 226-6801Fax: (877) 413-510405 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Kottler, Jordan PAProvider ID: 1731240Gender: MaleSacred Heart Medical GroupUrgent C4435 Hwy 90Pace, FL 32571(850) 416-5205Fax: (850) 416-520400 Yrs/130 YrsM-F 8:00 AM - 6:00 PMSat-Sun 9:00 AM - 3:00 PM

Nguyen, Quynh PAProvider ID: 1552019Gender: FemaleChild Neurology Center ofNorth Wes400 Gulf Breeze Pkwy Ste 300Gulf Breeze, FL 32561(850) 932-5055Fax: (850) 932-140400 Yrs/18 YrsM-F 8:00 AM - 4:30 PM


Ammons, Amanda SLPProvider ID: 1847379Gender: FemaleKids Talk Place LLCSub Specialty: Early Steps4624 Summerdale DrMilton, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Speech & LanguagePathology - cont.

Brault, Allison SLPProvider ID: 1847058Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Broderick, Shannon SLP

Provider ID: 1582578Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 4:30 PM

Butler, Julie SLPProvider ID: 1847395Gender: FemaleKids Talk, PlSub Specialty: Early Steps4624 Summerdale BlvdPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Davis, Hayden SLPProvider ID: 1520831Gender: FemaleAcross The Board TherapyGroup, LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Goolsby, Melissa SLPProvider ID: 1528013Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Holland, Megan SLPProvider ID: 1847377Gender: FemaleKids Talk Place LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

King, Janelle SLPProvider ID: 1847515Gender: FemaleKids Talk Plac LLCSub Specialty: Early Steps4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Smith, Marjorie SLPProvider ID: 1852531Gender: FemaleKids Talk Place, LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Stewart, Sharon SLPProvider ID: 1528014Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Thigpen, Elizabeth SLPProvider ID: 1847474Gender: FemaleKids Talk Place LLCSub Specialty: Early Steps4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Speech Therapy

Clement, Kalli SLPProvider ID: 1533301Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Costley, Claire SLPProvider ID: 1533308Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Justice, Nikki SLPProvider ID: 1852600Gender: FemaleKids Talk Place, LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Mixson, Emily SLPProvider ID: 1847504Gender: FemaleKids Talk Place LLC4624 Summerdale DrPace, FL 32571(850) 994-3456Fax: (850) 994-347600 Yrs/21 YrsM-F 8:00 AM - 5:00 PM

Pala, Rebecca SLPProvider ID: 1531427Gender: FemaleAcross The Board TherapyGroup, LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pinto, Amanda SLPProvider ID: 1533313Gender: FemaleAcross The Board TherapyGroup LLC7552 Navarre Pkwy Unit 32Navarre, FL 32566(850) 939-3944Fax: (850) 939-394500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Whatley, Aja SLPProvider ID: 950872Gender: FemaleBright Futures SpeechTherapy LLC7552 Navarre Pkwy Unit 57Navarre, FL 32566(850) 428-0665Fax: (877) 215-796100 Yrs/130 YrsM-F 10:00 AM - 5:00 PM


Allied ProvidersWalton

Updated: 07/03/2019




Provider ID: 1654789Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W. Ste 210Miramar Beach, FL 32550(850) 416-2477Fax: (850) 416-752012 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Cardiology

Boehm, Laurie PAProvider ID: 685602Gender: FemaleSacred Heart Medical GroupAt Desti7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334215 Yrs/100 YrsM-F 8:00 AM - 4:30 PM

Boehm, Laurie PAProvider ID: 685602Gender: FemaleSacred Heart Medical Grup7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334215 Yrs/100 YrsM-F 9:00 AM - 5:00 PM

Jenkins, Eric APRNProvider ID: 1496972Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334200 Yrs/18 YrsM-F 8:00 AM - 5:00 PM

Dermatology

Reid, Rachel PAProvider ID: 1554964Gender: FemaleMid Florida DermatologyAssociates91 Scenic Gulf Dr Ste 200Miramar Beach, FL 32550(850) 842-4563Fax: (850) 842-460600 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Wells, Kristi PAProvider ID: 707693Gender: FemaleGulf Coast Dermatology PA82 Mack Bayou LoopSanta Rosa Beach, FL 32459(850) 344-1717Fax: (850) 522-835400 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PM

Family Practice

Dixon, Elizabeth APRNProvider ID: 190715Gender: FemaleWalton County Health Dept362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsLanguages: SpanishM-F 7:30 AM - 7:00 PMSat 9:00 AM - 2:00 PM

Fletcher, Patricia PAProvider ID: 1543143Gender: FemaleWalton County HealthDepartment362 State Hwy 83Defuniak Spgs, FL 32433(850) 892-801500 Yrs/130 YrsM-F 7:30 AM - 6:30 PM

Kemp, Bobby APRNProvider ID: 728180Gender: MaleWalton County Health Dept362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsLanguages: SpanishM-F 7:30 AM - 7:00 PMSat 9:00 AM - 2:00 PM

Knox, Robert PAProvider ID: 995382Gender: Male21 W Main AveDefuniak Springs, FL 32435(850) 892-2888Fax: (850) 892-240500 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:30 AM - 4:30 PM

Lawrence, Caroline PAProvider ID: 1442742Gender: FemaleWalton County HealthDepartment362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Necaise, William APRN

Provider ID: 1223021Gender: MaleWalton County Health Dept362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-845700 Yrs/130 YrsM-TH 7:30 AM - 6:00 PMF 7:30 AM - 5:00 PM

Neighbors Youtz, Lauren PA

Provider ID: 941646Gender: FemalePancare of Florida Inc479 Hwy 20 EFreeport, FL 32439(850) 880-6568Fax: (850) 880-658302 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Pritchett, Shandrika APRN

Provider ID: 1537922Gender: FemaleWalton County HealthDepartment362 State Hwy 83Defuniak Spgs, FL 32433(850) 401-6338Fax: (850) 892-282400 Yrs/130 YrsM-F 7:30 AM - 6:00 PM

Roberts, Thomas PAProvider ID: 1034536Gender: MaleHealthmark Regional MedicalCenter4415 US Hwy 331 SDefuniak Springs, FL 32435(850) 951-4556Fax: (850) 951-452700 Yrs/130 YrsHealthmark Regional MedicalCenterM-F 8:00 AM - 5:00 PM

Thursby, Trina APRNProvider ID: 1692060Gender: FemaleWalton County HealthDepartment362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsM-F 7:30 AM - 6:30 PM



Updated: 07/03/2019



Vorhis, Savannah APRN

Provider ID: 1276753Gender: FemaleDoctors Medical Center ofWalton CT21 W Main AveDefuniak Springs, FL 32435(850) 892-2888Fax: (850) 892-240500 Yrs/130 YrsM-TH 7:00 AM - 5:00 PMF 7:30 AM - 4:00 PM


Whigham, Brenda APRNProvider ID: 784270Gender: FemaleDestin Oncology27 Mack Bayou Loop Ste 1000Santa Rosa Beach, FL 32459(850) 622-0873Fax: (850) 622-191200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Boehm, Laurie PAProvider ID: 1169183Gender: FemaleGulf Coast MultispecialtyServices870 Mack BayouSanta Rosa Beach, FL 32459(850) 872-3938Fax: (850) 872-393800 Yrs/130 YrsGulf Coast Medical CenterM-F 9:00 AM - 5:00 PM


Blamasah, Julie LMHCProvider ID: 1604398Gender: FemaleLife Navigation CounselingServices5200 US Hwy 98 ESanta Rosa Beach, FL 32459(850) 397-4930Fax: (850) 231-126318 Yrs/130 YrsMWF 8:00 AM - 8:00 PMTTH 4:00 AM - 8:00 PMSat 9:00 AM - 2:00 PM

Neurosurgery

Ellison, Kenneth PAProvider ID: 796761Gender: Male870 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 863-3463Fax: (850) 315-605100 Yrs/130 YrsM-F 5:00 AM - 9:00 PM

Nurse Practitioner

Brock, Heather APRNProvider ID: 1441045Gender: FemaleMid Florida DermatologyAssociates91 Scenic Gulf Dr Ste 200Miramar Beach, FL 32550(407) 299-7333Fax: (407) 293-204900 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM


Matthies, Heather APRNProvider ID: 1352384Gender: FemaleWalton County HealthDepartment362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsMWTHF 73:0 AM - 5:00 PMT 7:30 AM - 5:00 PM


Block, Rebecca APRNProvider ID: 1053948Gender: FemaleSacred Heart Medical Group23 Mack Bayou Loop Ste 100Santa Rosa Beach, FL 32459(850) 278-3495Fax: (850) 278-349712 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Block, Rebecca APRNProvider ID: 1053948Gender: FemaleSacred Heart Medical Group7720 US Hwy 98 W Ste 310Miramar Beach, FL 32550(850) 278-3495Fax: (850) 622-563412 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Printz, Elizabeth OTProvider ID: 1791031Gender: FemaleSouth Walton Academy585 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 213-4595Fax: (850) 213-459600 Yrs/21 YrsM-F 7:30 AM - 6:00 PM

Pediatrics

Kemp, Bobby APRNProvider ID: 728180Gender: MaleWalton County Health Dept362 State Hwy 83Defuniak Springs, FL 32433(850) 892-8015Fax: (850) 892-802400 Yrs/130 YrsLanguages: SpanishM-F 7:30 AM - 7:00 PMSat 9:00 AM - 2:00 PM

Physical Therapy

Butts, Caitlin PTProvider ID: 1600145Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Cummins, Annabelle PTProvider ID: 1544133Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Dewitt, Abigail PTProvider ID: 1868039Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019



Farris, Jennifer PTProvider ID: 1562389Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Fourie, Leigh Anne PTProvider ID: 1544329Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Harris, Kathryn PTProvider ID: 1544154Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Harris, Lloyd PTProvider ID: 1544335Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Hock, Megan PTProvider ID: 1868449Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Lark, Jeanette PTProvider ID: 1562391Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Mayhan, Daniel PTProvider ID: 1562386Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

McClelland, Amy PTProvider ID: 1841499Gender: FemalePremier Rehab ManagemntLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

McMullen, Adam PTProvider ID: 1839075Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Moss, Cameron PTProvider ID: 1562388Gender: FemalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsMWF 7:00 AM - 5:00 PMTTH 8:00 AM - 5:00 PM

Nicholson, Edward PTProvider ID: 1867436Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Powers, Adam PTProvider ID: 1868406Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Seaman, Chet PTProvider ID: 1868075Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

Serlo, Matthew PTProvider ID: 1867375Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Szydlowski, Garrett PTProvider ID: 1868456Gender: MalePremier Rehab ManagementLLC249 Mack Bayou Loop Ste 101Santa Rosa Beach, FL 32459(850) 622-0842Fax: (850) 622-588000 Yrs/130 YrsM-F 7:00 AM - 6:00 PM

Physician Assistant

Mosley, Stephen PAProvider ID: 1854654Gender: MaleSacred Heart Medical Group7720 US Hwy 98 W. Ste 110Miramar Beach, FL 32550(850) 267-1603Fax: (850) 622-334200 Yrs/130 YrsM-F 8:00 AM - 5:00 PM



Updated: 07/03/2019


Speech Therapy

Maggio, Hannah SLPProvider ID: 1793238Gender: FemaleSouth Walton Academy, Inc.585 Mack Bayou RdSanta Rosa Beach, FL 32459(850) 213-4595Fax: (850) 213-459600 Yrs/18 YrsM-F 8:00 AM - 4:00 PM


Allied ProvidersWashington

Updated: 07/03/2019


Family Practice

Corbin, Wendy APRNProvider ID: 1264068Gender: FemaleChipley Medical Group1376 Brickyard Rd Ste 4Chipley, FL 32428(850) 638-7910Fax: (850) 638-050400 Yrs/130 YrsMTTH 8:00 AM - 7:00 PMWF 8:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

Dickson, Zachary APRN

Provider ID: 1222283Gender: MaleFamily Healthcare of Chipley1410 Brickyard RdChipley, FL 32428(850) 638-3400Fax: (866) 603-549300 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Frost, Dawn APRNProvider ID: 752954Gender: FemaleDawn Rene Inc DBA VernonFamily He3027 Main StVernon, FL 32462(850) 535-0703Fax: (850) 535-070500 Yrs/130 YrsM-TH 8:00 AM - 4:00 PM

Johnson, Karen APRNProvider ID: 908618Gender: FemaleWashington County HealthDepartment1338 South BlvdChipley, FL 32428(850) 638-6240Fax: (850) 638-624400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Sherrouse, Kayla APRN

Provider ID: 1465903Gender: FemalePancare of Florida Inc1414 Main St Ste 4Chipley, FL 32428(850) 747-5599Fax: (850) 872-413100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wahl, Mary APRNProvider ID: 1561851Gender: FemaleChipley Medical Group1376 Brickyard Rd Ste 4 and 5Chipley, FL 32428(850) 638-0552Fax: (850) 638-050400 Yrs/130 YrsM-F 7:00 AM - 7:00 PM

General Practice

Johnson, Karen APRNProvider ID: 908618Gender: FemaleWashington County HealthDepartment1338 South BlvdChipley, FL 32428(850) 638-6240Fax: (850) 638-624400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Voss, Megan APRNProvider ID: 1522787Gender: FemaleWashington County HealthDepartment1338 South BlvdChipley, FL 32428(850) 845-5064Fax: (850) 638-624400 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Davidson, Leann APRN

Provider ID: 1303813Gender: FemaleNorthwest FloridaCommunity Hospita3250 Main StVernon, FL 32462(850) 535-2096Fax: (850) 535-215200 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PM

Speech Therapy

Johnson Brown, Cindy SLP

Provider ID: 1097158Gender: FemaleTherapyworld of NorthwestFlorida L1367B S Railroad AveChipley, FL 32428(850) 638-1331Fax: (850) 676-480221 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


PharmacyBay

Updated: 07/03/2019


Retail

Adams PharmacyProvider ID: TPV1457458994-0922 Ohio AveLynn Haven, FL 32444(850) 265-2442Fax: (850) 271-867500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

Advanced Urology InstituteLLC

Provider ID: TPV1467801456-080 Doctors DrPanama City, FL 32405(850) 785-8557Fax: (850) 785-349700 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Callaway Gulf CoastPharmacy

Provider ID: TPV1790162311-0420 N Tyndall PkwyPanama City, FL 32404(850) 615-3000Fax: (850) 818-043300 Yrs/99 YrsLanguages: French, Hindi,ArabicM-F 9:00 AM - 6:00 PMSat 10:00 AM - 3:00 PM

Coastal Care PharmacyProvider ID: TPV1063824787-011939 Panama City Beach PkwyPanama City Beach, FL 32407(850) 249-9500Fax: (850) 249-655800 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PM

Coastalmed of Florida LLCProvider ID: TPV1528202447-0111 Harrison AvePanama City, FL 32401(850) 872-8900Fax: (850) 872-132100 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat-Sun 12:00 AM - 5:00 PM

Coopers DrugsProvider ID: TPV1568506582-0700 E Business Hwy 98Panama City, FL 32401(850) 785-0251Fax: (850) 769-960100 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

CVSProvider ID: TPV1043314966-01317 Ohio AveLynn Haven, FL 32444(850) 265-5041Fax: (850) 265-642800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1043392285-015555 Starfish StPanama City Beach, FL 32413(850) 236-3721Fax: (850) 636-652100 Yrs/99 YrsM-F 10:00 AM - 7:00 PMSat-Sun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1134422090-023208 Front Beach RdPanama City Beach, FL 32413(850) 230-1434Fax: (850) 230-143500 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1275637142-0955 W 23rd StPanama City, FL 32405(850) 769-3369Fax: (850) 769-801500 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1467556316-0302 N Tyndall PkwyPanama City, FL 32404(850) 871-5525Fax: (850) 871-630700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1578667499-07112 W Hwy 98Panama City Beach, FL 32407(850) 236-9889Fax: (850) 236-947400 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1588768493-017172 Front Beach RdPanama City Beach, FL 32413(850) 234-7876Fax: (850) 236-783400 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1649455726-011801 Panama City Beach PkwyPanama City Beach, FL 32407(850) 230-6023Fax: (850) 230-643300 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat-Sun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1811091788-0660 E Hwy 98Panama City, FL 32401(850) 522-9014Fax: (850) 522-942100 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1841394723-01347 W 15th StPanama City, FL 32401(850) 747-1124Fax: (850) 747-109200 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1922020544-02340 Martin Luther King Jr BlvPanama City, FL 32405(850) 785-9528Fax: (850) 532-657200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

Florida Medical SupplyProvider ID: TPV1548206055-05314 Frank Hough Rd Ste APanama City, FL 32404(850) 785-1900Fax: (850) 913-935200 Yrs/99 YrsM-F 9:00 AM - 4:00 PM

Genoa-QOL HealthcareProvider ID: TPV1487970034-0525 E 15th StPanama City, FL 32405(850) 522-0143Fax: (850) 522-053900 Yrs/99 YrsM-F 8:30 AM - 5:00 PM

Gulf Coast PharmacyProvider ID: TPV1164742334-0340 W 23rd St Ste D2Panama City, FL 32405(850) 615-1000Fax: (850) 215-334400 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM


PharmacyBay

Updated: 07/03/2019


Retail - cont.

Jay Care PharmacyProvider ID: TPV1083129175-01212 W 23rd StPanama City, FL 32405(850) 640-4810Fax: (850) 640-432900 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Mullins Pharmacy IncProvider ID: TPV1679540967-0830 Ohio AveLynn Haven, FL 32444(850) 265-3344Fax: (850) 271-105200 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Omnicare of Panama CityProvider ID: TPV1821033002-02605 W 23rd StPanama City, FL 32405(850) 763-4276Fax: (850) 785-014500 Yrs/99 YrsMTWTHFSatSun 7:00 AM -3:00 PM

Panama City DrugsProvider ID: TPV1285987982-03127 E Hwy 98Panama City, FL 32401(850) 615-5000Fax: (850) 640-233400 Yrs/99 YrsLanguages: Spanish, RussianM-F 9:00 AM - 6:00 PMSat 10:00 AM - 3:00 PM

RX Express PharmacyProvider ID: TPV1912347998-0540B E 6th StPanama City, FL 32401(850) 215-7455Fax: (850) 215-745700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

SAMS CLUBProvider ID: TPV1598782898-01707 W 23rd StPanama City, FL 32405(850) 769-4464Fax: (850) 769-445900 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Smiths PharmacyProvider ID: TPV1780712612-01108 Harrison AvePanama City, FL 32401(850) 785-0286Fax: (850) 785-937900 Yrs/99 YrsM-F 9:00 AM - 6:00 PM

Southeastern PharmacyProvider ID: TPV1871087882-02505 Harrison Ave Ste APanama City, FL 32405(850) 387-7780Fax: (850) 387-778100 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1134146509-0725 N Tyndall PkwyPanama City, FL 32404(850) 785-0021Fax: (850) 785-049500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 10:00 AM - 6:00 PMSun 9:00 AM - 7:00 PM

Walmart PharmacyProvider ID: TPV1245579564-015495 Panama City BeachPkwyPanama City Beach, FL 32413(850) 708-6971Fax: (850) 708-697200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1407873615-010270 Front Beach RdPanama City Beach, FL 32407(850) 235-1748Fax: (850) 235-217800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1578807350-0513 W 23rd StPanama City, FL 32405(850) 691-0719Fax: (850) 691-071900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1881611259-02101 S Hwy 77Lynn Haven, FL 32444(850) 265-2696Fax: (850) 785-144400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Winn-Dixie PharmacyProvider ID: TPV1114949757-0132 S Tyndall PkwyPanama City, FL 32404(850) 913-0076Fax: (850) 913-053000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1225059538-023200 Front Beach RdPanama City, FL 32413(850) 234-2001Fax: (850) 235-003800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 11:00 AM - 3:00 PM

Winn-Dixie PharmacyProvider ID: TPV1245251610-03151 W 23rd StPanama City, FL 32405(850) 747-0777Fax: (850) 747-901000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1265453575-03621 US Hwy 231 NPanama City, FL 32404(850) 914-0200Fax: (850) 914-912500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1356362735-01812 S Hwy 77Lynn Haven, FL 32444(850) 271-8016Fax: (850) 271-937900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1952322265-02533 Thomas DrPanama City Beach, FL 32408(850) 235-3200Fax: (850) 234-234100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 6:00 PM


PharmacyEscambia

Updated: 07/03/2019


Retail

AHF PharmacyProvider ID: TPV1558526848-04300 Bayou Blvd Ste 170Pensacola, FL 32503(850) 472-0962Fax: (888) 877-729300 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Ambient HealthcareProvider ID: TPV1356538771-0201 N Tarragona StPensacola, FL 32502(850) 430-1259Fax: (850) 430-127100 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PM

Baptist Medical ParkPharmacy

Provider ID: TPV1245333053-09400 University PkwyPensacola, FL 32514(850) 208-6100Fax: (850) 208-610900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PM

Century PharmacyProvider ID: TPV1245399732-07531 Mayo StCentury, FL 32535(850) 256-3472Fax: (850) 256-352900 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 5:00 PM

Coram Cvssplty Infusion Svcs

Provider ID: TPV1578866737-03439 N 12th Ave Ste A BPensacola, FL 32503(850) 469-4573Fax: (850) 469-909800 Yrs/99 YrsM-F 9:00 AM - 5:30 PM

CVSProvider ID: TPV1003910951-0811 N Fairfield DrPensacola, FL 32506(850) 453-3208Fax: (850) 453-286200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1003910977-013430 Innerarity Point RdPensacola, FL 32507(850) 492-3800Fax: (850) 492-104800 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1033216528-06025 Mobile HwyPensacola, FL 32526(850) 458-9818Fax: (850) 458-955700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1265536148-02090 S Hwy 29Cantonment, FL 32533(850) 937-0132Fax: (850) 937-016200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1306949052-02100 W Cervantes StPensacola, FL 32505(850) 438-1156Fax: (850) 437-193400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1386748234-044 Gulf Beach HwyPensacola, FL 32507(850) 455-1373Fax: (850) 455-917800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 6:00 PM

CVSProvider ID: TPV1497858146-01101 Scenic HwyPensacola, FL 32503(850) 438-0776Fax: (850) 437-182600 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1649374513-03880 N 9th AvePensacola, FL 32503(850) 433-6794Fax: (850) 436-491500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 10:00 AM - 5:00 PMSun 12:00 AM - 5:00 PM

CVSProvider ID: TPV1689696205-04711 Bayou BlvdPensacola, FL 32503(850) 494-9077Fax: (850) 466-466700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1780820126-02950 S Blue Angel PkwyPensacola, FL 32506(850) 454-3001Fax: (850) 454-301100 Yrs/99 YrsLanguages: Russian, Armenian,UkrainianM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1811091895-06888 N 9th AvePensacola, FL 32504(850) 476-0710Fax: (850) 478-355800 Yrs/99 Yrs

CVSProvider ID: TPV1831293752-01 E Nine Mile RdPensacola, FL 32534(850) 475-1000Fax: (850) 473-963300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1891717443-01749 E Nine Mile RdPensacola, FL 32514(850) 479-3496Fax: (850) 466-463400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1912001884-0225 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 934-0030Fax: (850) 934-619000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1922102888-05301 N Palafox StPensacola, FL 32505(850) 432-6099Fax: (850) 432-111200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 6:00 PM


PharmacyEscambia

Updated: 07/03/2019


Retail - cont.

CVSProvider ID: TPV1952404600-08361 N Century BlvdCentury, FL 32535(850) 256-4182Fax: (850) 256-093800 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 10:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1952408445-08100 N Davis HwyPensacola, FL 32514(850) 477-2466Fax: (850) 477-713500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Everwell Specialty Pharmacy

Provider ID: TPV1669667424-06506 N Davis HwyPensacola, FL 32504(850) 473-9190Fax: (850) 473-993500 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Gulf Breeze ApothecaryProvider ID: TPV1679738637-01177 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 677-9340Fax: (850) 677-908700 Yrs/99 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 2:00 PM

Jackson Pace PharmacyProvider ID: TPV1770591968-02256 W Nine Mile RdPensacola, FL 32534(850) 478-4450Fax: (850) 478-484200 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PM

Kims Family Pharmacy IncProvider ID: TPV1487694139-0740 N Hwy 29Cantonment, FL 32533(850) 968-5655Fax: (850) 968-256900 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Lakeview Center Pharmacy

Provider ID: TPV1265499453-01201 W Hernandez St Bldg EPensacola, FL 32501(850) 469-3719Fax: (850) 595-141200 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Pharmacy of The Gulf Coast

Provider ID: TPV1639680242-04531 N Davis Hwy Ste BPensacola, FL 32503(850) 475-4483Fax: (850) 476-828700 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Physician Specialty Pharmacy

Provider ID: TPV1922415140-06258 North W StPensacola, FL 32505(850) 462-9555Fax: (850) 462-955400 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

SAMS CLUBProvider ID: TPV1205853603-01250 Airport BlvdPensacola, FL 32504(850) 477-7974Fax: (850) 477-969200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Scotts Pharmacy LLCProvider ID: TPV1669418125-06505 Hwy 29 NMolino, FL 32577(850) 587-2511Fax: (850) 587-316900 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

The Medicine ShoppeProvider ID: TPV1932275690-02899 N 12th AvePensacola, FL 32503(850) 438-7568Fax: (850) 438-068300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

The Towers PharmacyProvider ID: TPV1851494660-01717 N E StPensacola, FL 32501(850) 434-4549Fax: (850) 434-479400 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Thrif-T DrugsProvider ID: TPV1639235526-014 W Jordan StPensacola, FL 32501(850) 433-2165Fax: (850) 433-340100 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Thrif-T Drugs At Echc LLCProvider ID: TPV1548777659-02315 W. Jackson StPensacola, FL 32505(850) 495-3955Fax: (850) 444-823000 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Thrif-T DrugsmarketplaceProvider ID: TPV1457417347-04350 Bayou BlvdPensacola, FL 32503(850) 484-4338Fax: (850) 484-049700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Walmart PharmacyProvider ID: TPV1033136403-08970 Pensacola BlvdPensacola, FL 32534(850) 484-3777Fax: (850) 484-377900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1093734071-02951 S Blue Angel PkwyPensacola, FL 32506(850) 458-5606Fax: (850) 458-566100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1184162455-01525 E Nine Mile RdPensacola, FL 32514(850) 462-6528Fax: (850) 462-652700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1326137977-0501 N Navy BlvdPensacola, FL 32507(850) 453-6434Fax: (850) 453-530200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1477971380-06670 Mobile HwyPensacola, FL 32526(850) 483-6175Fax: (850) 483-617600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM


PharmacyEscambia

Updated: 07/03/2019


Retail - cont.

Walmart PharmacyProvider ID: TPV1619247079-0334 Gulf Breeze PkwyGulf Breeze, FL 32561(850) 733-5069Fax: (850) 733-506600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1861419244-04600 Mobile Hwy Ste 122Pensacola, FL 32506(850) 455-3620Fax: (850) 455-381500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1932592052-09301 Pine Forest RdPensacola, FL 32534(850) 483-6009Fax: (850) 483-601200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1952328320-02650 Creighton RdPensacola, FL 32504(850) 479-2228Fax: (850) 479-199000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Winn-Dixie PharmacyProvider ID: TPV1356362669-0155 S Hwy 29Cantonment, FL 32533(850) 968-3318Fax: (850) 968-106400 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1578584942-05975 Mobile HwyPensacola, FL 32526(850) 453-3846Fax: (850) 453-715900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1659392025-0312 E Nine Mile RdPensacola, FL 32514(850) 478-1126Fax: (850) 478-109500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1669493037-050 S Blue Angel PkwyPensacola, FL 32506(850) 457-3293Fax: (850) 457-894500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1922029222-04751 Bayou BlvdPensacola, FL 32503(850) 479-9267Fax: (850) 479-921600 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Woodlands MedicalSpecialists

Provider ID: TPV1225274772-04724 N Davis HwyPensacola, FL 32503(850) 696-4000Fax: (850) 434-264700 Yrs/99 YrsM-F 8:00 AM - 5:00 PM


PharmacyHolmes

Updated: 07/03/2019


Retail

A Plus PharmacyProvider ID: TPV1245303031-0123 J Harvey Etheridge StBonifay, FL 32425(850) 547-5596Fax: (850) 547-553900 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Johnsons PharmacyProvider ID: TPV1053400606-0219 N Waukesha StBonifay, FL 32425(850) 547-2163Fax: (850) 547-573000 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PM


PharmacyOkaloosa

Updated: 07/03/2019


Retail

Crestview PharmacyProvider ID: TPV1407965262-01116 N Ferdon BlvdCrestview, FL 32536(850) 683-1111Fax: (850) 683-175300 Yrs/99 YrsLanguages: Spanish, GermanM-F 8:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

CVSProvider ID: TPV1043313794-0302 E James Lee BlvdCrestview, FL 32539(850) 682-1002Fax: (850) 683-532400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1194829044-0434 Racetrack Rd NEFort Walton Beach, FL 32547(850) 315-0474Fax: (850) 315-048700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1568566438-04562 E Hwy 20Niceville, FL 32578(850) 897-8550Fax: (850) 897-855500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1598787103-0853 Harbor BlvdDestin, FL 32541(850) 654-0852Fax: (850) 460-318600 Yrs/99 YrsM-F 10:00 AM - 7:00 PMSat 11:00 AM - 5:00 PMSun 12:00 AM - 5:00 PM

CVSProvider ID: TPV1639191273-0250 E Miracle Strip PkwyMary Esther, FL 32569(850) 243-9557Fax: (850) 659-328700 Yrs/99 YrsM-F 10:00 AM - 6:00 PMSat-Sun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1659475523-071 Mary Esther BlvdMary Esther, FL 32569(850) 301-0677Fax: (850) 301-068200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1710081682-01081 Beal Pkwy NWFort Walton Beach, FL 32547(850) 863-4400Fax: (850) 863-444500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1821192790-01100 John Sims Pkwy ENiceville, FL 32578(850) 678-1257Fax: (850) 678-637700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1871697789-0797 Harbor BlvdDestin, FL 32541(850) 837-8111Fax: (850) 837-543700 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat-Sun 10:00 AM - 5:00 PM

Emerald Coast Cancer Center

Provider ID: TPV1861421919-01024 Mar Walt DrFort Walton Beach, FL 32547(850) 863-3148Fax: (850) 863-313200 Yrs/99 YrsM-F 9:00 AM - 4:00 PM

Genoa-QOL HealthcareProvider ID: TPV1952686032-0137 Hospital Dr NE Ste QFort Walton Beach, FL 32548(850) 659-7471Fax: (850) 664-780700 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 5:00 PM

Guardian Pharmacy of NWFlorida LLC

Provider ID: TPV1861798613-0212 N Wilson StCrestview, FL 32536(850) 306-3003Fax: (850) 306-300400 Yrs/99 YrsMTWF 9:00 AM - 7:00 PMTH 9:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

Health-Smart DiscountPharmacy

Provider ID: TPV1386661254-05809 Hwy 189 NBaker, FL 32531(850) 537-6266Fax: (850) 537-635000 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

IV StatProvider ID: TPV1669583092-0533 Eglin Pkwy NEFt Walton Beach, FL 32547(850) 226-8162Fax: (850) 226-848500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Moultons Pharmacy ofCrestview Inc

Provider ID: TPV1871947499-0648 N Ferdon BlvdCrestview, FL 32536(850) 682-6136Fax: (850) 682-618500 Yrs/99 YrsMTWTHFSat 9:00 AM - 6:00PM

SAMS CLUBProvider ID: TPV1780601088-0740 Beal Pkwy NWFort Walton Beach, FL 32547(850) 862-0101Fax: (850) 862-033400 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PM

Synergy Specialty Pharmacy

Provider ID: TPV1154773950-0917 Mar Walt Dr Ste DFort Walton Bch, FL 32547(850) 312-3570Fax: (850) 312-309000 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

The Prescription PlaceProvider ID: TPV1891184859-01140 E John Sims Pkwy Ste 6Niceville, FL 32578(850) 389-8182Fax: (850) 389-818500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Walmart PharmacyProvider ID: TPV1043237258-0748 Beal Pkwy NWFort Walton Beach, FL 32547(850) 863-2204Fax: (850) 863-957200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 12:00 AM - 6:00 PM


PharmacyOkaloosa

Updated: 07/03/2019


Retail - cont.

Walmart PharmacyProvider ID: TPV1053338434-015017 Emerald Coast PkwyDestin, FL 32541(850) 654-1502Fax: (850) 654-178500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1134146343-03351 S Ferdon BlvdCrestview, FL 32536(850) 682-9107Fax: (850) 682-789500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1972803674-01300 John Sims Pkwy ENiceville, FL 32578(850) 389-3124Fax: (850) 389-301400 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Winn-Dixie PharmacyProvider ID: TPV1154342525-099 Eglin Pkwy NWFort Walton Beach, FL 32548(850) 244-1226Fax: (850) 244-841800 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 11:00 AM - 4:00 PM

Winn-Dixie PharmacyProvider ID: TPV1316968787-01326 N Ferdon BlvdCrestview, FL 32536(850) 689-1556Fax: (850) 689-150400 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1386665685-04512 E Hwy 20Niceville, FL 32578(850) 897-3968Fax: (850) 897-530300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM


PharmacySanta Rosa

Updated: 07/03/2019


Retail

CVSProvider ID: TPV1043317530-06501 Caroline StMilton, FL 32570(850) 623-0133Fax: (850) 623-613400 Yrs/99 Yrs

CVSProvider ID: TPV1114135639-04727 Hwy 90Milton, FL 32571(850) 995-7821Fax: (850) 995-783100 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1467556332-08422 Navarre PkwyNavarre, FL 32566(850) 936-1449Fax: (850) 936-145000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1477657336-03888 Hwy 90Milton, FL 32571(850) 994-2229Fax: (850) 994-116500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1689777336-03359 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 932-3581Fax: (850) 932-813700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Duramed PharmacyProvider ID: TPV1588134639-03877 Hwy 4Jay, FL 32565(850) 675-6850Fax: (850) 675-680500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

Dura-Med PharmacyProvider ID: TPV1871896951-03877 Hwy 4Jay, FL 32565(850) 675-6850Fax: (850) 675-680500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

Pace PharmacyProvider ID: TPV1205356086-04880 Woodbine RdPace, FL 32571(850) 463-4232Fax: (850) 463-423600 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

RX Express PharmacyProvider ID: TPV1073588380-08986 Ortega Park DrNavarre, FL 32566(850) 936-6446Fax: (850) 936-631400 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

RX Express PharmacyProvider ID: TPV1619240942-05987 Berryhill RdMilton, FL 32570(850) 623-6337Fax: (850) 623-633900 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Service Pro PharmacyProvider ID: TPV1700233368-06472 Hwy 90Milton, FL 32570(850) 564-0880Fax: (850) 564-088400 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Sheppard ApothecaryProvider ID: TPV1851647515-03793 Hwy 4Jay, FL 32565(850) 675-6990Fax: (850) 675-699100 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Thrif-T Drugs-PaceProvider ID: TPV1255781183-03818 Hwy 90Pace, FL 32571(850) 994-7005Fax: (850) 994-699600 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 8:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1124045331-04965 Hwy 90Milton, FL 32571(850) 995-5115Fax: (850) 995-897900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1164944104-07360 Navarre PkwyNavarre, FL 32566(850) 684-6043Fax: (850) 684-604400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1669537627-09360 Navarre PkwyNavarre, FL 32566(850) 939-3717Fax: (850) 939-371900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1760409155-03767 Gulf Breeze PkwyGulf Breeze, FL 32563(850) 934-3178Fax: (850) 934-393400 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

West Florida Community CareCenter

Provider ID: TPV1871682781-05500 Stewart StMilton, FL 32570(850) 983-5500Fax: (850) 983-553000 Yrs/99 YrsM-F 8:00 AM - 4:00 PM


PharmacyWalton

Updated: 07/03/2019


Retail

CVSProvider ID: TPV1518061498-060 S Holiday RdMiramar Beach, FL 32550(850) 269-7780Fax: (850) 269-163200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 10:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1861596785-0130 Scenic Gulf DrMiramar Beach, FL 32550(850) 837-3999Fax: (850) 837-360500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Fisher PharmacyProvider ID: TPV1861532145-0688 Baldwin AveDefuniak Springs, FL 32435(850) 892-5612Fax: (850) 892-508900 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PM

Santa Rosa PharmacyProvider ID: TPV1942509401-02050 W County Hwy 30ASanta Rosa Beach, FL 32459(850) 622-3313Fax: (850) 622-325500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Sowal Health DrugProvider ID: TPV1679053136-012671 Emerald Coast Pkwy Ste212Miramar Beach, FL 32550(850) 424-7438Fax: (850) 396-058700 Yrs/99 YrsLanguages: SpanishM-F 8:30 AM - 5:30 PMSat 8:30 AM - 12:00 PM

The Prescription PlaceProvider ID: TPV1457370520-01337 US Hwy 90 WDefuniak Springs, FL 32433(850) 892-6898Fax: (850) 892-689900 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1225055692-01130 US Hwy 331 SDefuniak Springs, FL 32435(850) 892-6914Fax: (850) 892-691600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1790075760-06712 US Hwy 98 WSanta Rosa Beach, FL 32459(850) 622-1319Fax: (850) 622-010900 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Weeks PharmacyProvider ID: TPV1104837608-0132 State Hwy 20 EastFreeport, FL 32439(850) 835-2028Fax: (850) 835-492300 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Winn-Dixie PharmacyProvider ID: TPV1205857513-01030 US Hwy 331 SDefuniak Springs, FL 32435(850) 892-9668Fax: (850) 892-092500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 12:00 AM - 5:00 PM


PharmacyWashington

Updated: 07/03/2019


Retail

CVSProvider ID: TPV1558465401-01037 Main StChipley, FL 32428(850) 638-7896Fax: (850) 638-722400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Kings Discount DrugProvider ID: TPV1902397946-01242 Main StChipley, FL 32428(850) 638-4875Fax: (850) 638-919500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:30 PMSat 8:00 AM - 1:00 PM

Kings Discount DrugsProvider ID: TPV1669481586-01242 Main StChipley, FL 32428(850) 638-4875Fax: (850) 638-919500 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMSat 8:00 AM - 1:00 PM

Vernon Discount DrugProvider ID: TPV1063497972-03248 Main StVernon, FL 32462(850) 535-2803Fax: (850) 535-015000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1770500167-01621 Main StChipley, FL 32428(850) 638-8308Fax: (850) 638-460500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM


ALTERNATE LANGUAGES INDEX


You can find a provider who speaks a different language in this index. First look for the language you need.Then check the specialty and provider name.

Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable otro idioma.Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre del proveedor.

Endeks pou lot lang: Ou ka jwenn yon pwofesyonel ki pale yon lang diferan nan lis sa a. Toudabo, cheche langou bezwen an. Lefini. verifye espesyalite a ak non pwofesyonel swen sante a.

American Sign Language

Licensed Clinical Social WorkerTingler, Yolanda LCSW

American

Pediatric Hematology/OncologyWynn, Tung MD

Pediatric NephrologyKurady, Ali MD

Arabic

Allergy & ImmunologyObid, Hind MD

Ambulatory Surgery CenterEndoscopy Center of Pensacola,The

Endocrinology, Diabetes,MetabolismKamel, Sherief MDMamish, Ziad MD

GastroenterologyAlbibi, Riyad MDSoued, Mounzer MD

NephrologyHumeda, Humam MDQader, Haitham MD

NeurologyHammad, Mustafa MDSultan, Mohamed MD

Pediatric GastroenterologyZeinomar, Mohammed MD

Pediatric Hematology/OncologyAbdul-Rahim, Mohammed MD

PediatricsAbdulrahim, Mohammed MDEbeid, Hasan MD

Ebeid, Samir MDJaalouk, Dina MDKenawy, Eehab MDMcKenzie, Amber APRNMohamed, Ahmed MDZeinomar, Mohammed MD

PodiatrySidani, Jalal DPM

RetailCallaway Gulf Coast Pharmacy

Thoracic & Cardiovascular SurgeryYazji, Ibrahim MD

Urgent Care CenterPediatric Urgent Care PC LLC

Armenian

RetailCVS

Bengali

Physical Medicine & RehabilitationRahman, Mohammad MD

Cambodian

Family PracticeTaing, David MD

Chinese

OphthalmologyPyne, Jeffrey DO

OptometryAker, Anthony ODEdinger, David ODJones, Mark ODMcKim, Lisa ODMcKim, Scott OD

Creole

Community Mental Health CenterChildrens Home Society of Florida

Skilled Nursing FacilitySouthern Oaks Care Center

Substance AbuseChildrens Home Society of Florida

Filipino

Diagnostic ImagingMedical Evaluaters

French

Endocrinology, Diabetes,MetabolismMamish, Ziad MD

General SurgeryMoody, James MD

NephrologyHumeda, Humam MD

OphthalmologyGupta, Sunil MDMyers, John MDTarantola, Ryan MD

OptometryWolf, Julie OD

Pediatric GastroenterologyGeorge, Donald MD

PediatricsJaalouk, Dina MDLanza, Quetheline MD


RetailCallaway Gulf Coast Pharmacy




French - cont.

Skilled Nursing FacilitySouthern Oaks Care Center

German

ChiropracticEdge, David DC

Endocrinology, Diabetes,MetabolismMamish, Ziad MD

Obstetrics/GynecologyMehta, David MD

OphthalmologyHansen, Winfried MDWillingham, Christopher MD

PediatricsBenny, Ulrike MDJaalouk, Dina MD

RetailCrestview Pharmacy

UrologyMartin, Howell MDPlunkett, Joseph MD

Greek

Pediatric CardiologyChrysostomou, Constantinos MD

UrologyZachos, Athanasios MD

Hindi

Endocrinology, Diabetes,MetabolismManzoor, Amir MD

Family PracticeGarg, Purushottam MD

GastroenterologyReddy, Sudhakar MD

General SurgeryBattula, Narendra MD

Infectious DiseaseHaq, Ikram MD


OphthalmologyGupta, Sunil MDMyers, John MDShuler, Magdalena MDTarantola, Ryan MD

Pediatric Allergy & ImmunologyDorion, Brandon MD

Pediatric PsychiatryMhatre, Umesh MDNallapula, Kishan MD

Pediatric RheumatologyDorion, Brandon MD

PsychiatryMhatre, Umesh MDNallapula, Kishan MD

RetailCallaway Gulf Coast PharmacyJay Care Pharmacy

Italian

Behavioral Health FacilityEmerald Coast Behavioral Hospital

OptometryBell, Troy ODCobb, Jonathan ODMcDonald, Stacey ODReed, Richard ODTerrezza, Gene OD


Japanese


Kannada

Pediatric PsychiatryNallapula, Kishan MD

PsychiatryNallapula, Kishan MD

Polish

GastroenterologyKlin, Mariusz MD

Physical TherapyChmielowiec, Joanna PT

Portuguese

Cardiac ElectrophysiologyBranco, Marcelo MD

CardiologyBranco, Marcelo MDCeligoj, Micheleanne MD

Punjabi



Russian


CardiologyMarling, Ray MD

PediatricsReno, Richard MD

RetailCVSPanama City Drugs

Spanish

Ambulatory Surgery CenterEndoscopy Center of Pensacola,TheThe Northwest Florida ASC LP

Behavioral Health CounselingSanchez-Rodriguez, Lourdes LMHC


CardiologyAmin, Rohit MDGuitian, Jose MDMarling, Ray MD




Spanish - cont.

Child NeurologyMauney III, Weldon MDRenfroe, James MD

ChiropracticSoroka, Brian DC

Community Mental Health CenterChemical Addictions RecoveryEffort IncChildrens Home Society of Florida

DermatologyDobrescu, Adrian MD

Diagnostic ImagingAdvanced ImagingFlorida Diagnostic Imaging Inc

Durable Medical EquipmentGulf Medical Services Inc

Ear, Nose & ThroatCaspary, Hans MDGibson, Brian MD

Family PracticeDixon, Elizabeth APRNFernandez, Carlos PAHudson, Diane MDJacobson, Thomas MDKemp, Bobby APRNKhan, Ashraf MDKnight, Jennifer ARNPKonell, Benjamin DOReams, Joshua MDWilhelm, Billie APRNYoung, Sherry APRN

General SurgeryDial, Patrick MDTenewitz, Francis MDWong, Larry DO

Infectious DiseaseHaq, Ikram MDLi-Espino, Edgardo MDVaughan, William PA

Licensed Clinical Social WorkerSanchez, Frankie LCSW

MammographyFlorida Diagnostic Imaging Inc

NephrologyJimenez, Derek MD

NeurologyBarrio, George MD

NeurosurgeryStringer, Douglas MDStringer, Merle MD

Nurse MidwifeMott, Tammie CNM

Obstetrics/GynecologyGeorge, Sue MDHennessey, Michael MDIvey, Deborah APRNLang, Michelle APRNMallory, Roslyn MDMaqueira, Jr, Justo MDMehta, David MDNavarro, Dina MDRamsden, Timothy MDTurner, David MD

OphthalmologyGupta, Sunil MDMyers, John MDShuler, Magdalena MDTarantola, Ryan MD

Orthopaedic SurgeryDean, David DORoberts, Tracy MD

Pediatric Allergy & ImmunologyDorion, Brandon MD

Pediatric CardiologyArevalo, Alejandro MDTemple, Joel MD

Pediatric GastroenterologyBarragan Gomez, Myriam MDBonfante, Esteban MD

Pediatric RheumatologyDorion, Brandon MD

Pediatric SurgeryTaylor, Michael MD

PediatricsBarbon-Guisasola, Alberto MDBenny, Ulrike MDKemp, Bobby APRNLanza, Quetheline MDManuel, Mervin MDMcKenzie, Amber APRNRamirez, Sadi MDReno, Richard MDSkrabacz, Sharon APRNSouthwick, Matthew MDStadden, Jennifer MDStroud, Lela APRN

Physical Medicine & RehabilitationDuncan, Suzanne MD

Plastic & Reconstructive SurgeryDress, Christopher MD


Pulmonary DiseaseGilmore, Deborah APRNRamirez, Jesus MD

RetailA Plus PharmacyAHF PharmacyAmbient HealthcareBaptist Medical Park PharmacyCrestview PharmacyGenoa-QOL HealthcareJackson Pace PharmacyKings Discount DrugKings Discount DrugsPanama City DrugsPhysician Specialty PharmacySowal Health Drug

Skilled Nursing FacilityBay Breeze Senior Living andRehabilitatCentury Health and Rehab CenterChautauqua Rehabilitation andNursing CenterCommunity Health & Rehab




Spanish - cont.

Skilled Nursing Facility - cont.Rosewood Health andRehabilitation CenterSandy Ridge Care CenterSanta Rosa Health andRehabilitation CenSolaris Healthcare PensacolaSouthern Oaks Care CenterThe Manor At Blue Water BayWashington Rehabilitation andNursing Center

Speech TherapyLambert, Lynn SLP

Substance AbuseChemical Addictions RecoveryEffort IncChildrens Home Society of Florida

Urgent Care CenterPediatric Urgent Care PC LLC

UrologyKogan, Stanley MD

Vascular SurgeryKafie, Fernando MD

Swahili

General SurgeryGill, Karanbir MD

Swedish

Thoracic & Cardiovascular SurgerySandwith, Eric MD

Tagalog

Family PracticeSamson, Rogelio MD

Infectious DiseasePatiag, Ronaldo MDVaughan, William PA

PediatricsManuel, Mervin MDVictoriano, Mylene MD

Plastic & Reconstructive SurgeryOrtega, Marcos MD

Ortega, Teodoro MD

Tamil



Telugu

GastroenterologyReddy, Shilpa DO

General SurgeryBattula, Narendra MD



Ukrainian

RetailCVS

Urdu

Colon & Rectal SurgeryAhmad, Aziz MD

General SurgeryAhmad, Aziz MD

HematologyMahmood, Syed MD


Medical OncologyMahmood, Syed MD

NeurologyElzawahry, Mohamed MDJaved Ebeid, Sana MD

Vietnamese

Ear, Nose & ThroatTran, Quang MD

Pediatric Hematology/OncologyWynn, Tung MD

Pediatric NephrologyKurady, Ali MD

PediatricsCordell, Jeneile MD


Specialty Provider At-A-Glance


You can find a specific kind of provider in this index. First look for the type of care you need. Then check thecounty and page number. You can go to that page to get the provider's information.

Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo específico deproveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el condado y el número depágina. Consulte esa página para obtener la información del proveedor.

Yon koutje sou pwofesyonel ki gen espesyalite: Ou ka jwenn yon kalite pwofesyonel an patikitye nan lis sa a.Toudabo. cheche kalite swen ou bezwen an. Lefini, verifye konte a ak nimewo paj la. Ou ka ale nan paj sa a poujwenn enfomasyon konsenan pwofesyonel la.

A

Adolescent MedicineEscambia 29

Advance Registered NursePractitioner PsychiatristBay 87Escambia 89

Advanced Practice RegisteredNurseEscambia 120Okaloosa 134Santa Rosa 142

Advanced Registered NursePractionerEscambia 120, 121Okaloosa 134Santa Rosa 142Walton 149

Allergy & ImmunologyBay 15Escambia 29Okaloosa 57, 134

Ambulatory Surgery CenterBay 97Escambia 100Okaloosa 104

AudiologyBay 110Escambia 121, 122Okaloosa 134Santa Rosa 142

B

Behavioral Health CounselingBay 87Escambia 89, 90

Santa Rosa 94

Behavioral Health FacilityBay 87Okaloosa 93Walton 95

C

Cardiac ElectrophysiologyEscambia 29Walton 73

CardiologyBay 15Escambia 29, 30, 122, 123Holmes 56Okaloosa 57, 134Santa Rosa 66, 142Walton 73, 149

Cardiovascular SurgeryEscambia 123

Certified Nurse AnesthetistBay 110Escambia 123

Certified Nurse MidwifeBay 110Escambia 123

Child NeurologySanta Rosa 66, 142

ChiropracticEscambia 30Holmes 56Santa Rosa 66Walton 73Washington 78

Clinical Social WorkSanta Rosa 94

Colon & Rectal SurgeryBay 15

Community Mental Health CenterBay 87Escambia 90Okaloosa 93Santa Rosa 94Walton 95

Convenient Care ClinicEscambia 100Okaloosa 104Santa Rosa 107

Critical Access HospitalHolmes 82Washington 86

D

DermatologyBay 15, 16, 110, 111Escambia 30Okaloosa 57, 134Santa Rosa 66, 142Walton 73, 149Washington 78

DermatopathologyBay 16

Diagnostic CenterEscambia 100

Diagnostic ImagingBay 97Escambia 100Okaloosa 104Santa Rosa 107

DialysisBay 97




D - cont.

Dialysis - cont.Escambia 100Okaloosa 104Santa Rosa 107Washington 109

Durable Medical EquipmentAll 96Bay 97, 98Escambia 100, 101Holmes 103Okaloosa 104, 105Santa Rosa 107Walton 108

E

Ear, Nose & ThroatBay 16, 111Escambia 30, 31Okaloosa 57, 134Walton 73Washington 78

Endocrinology, Diabetes,MetabolismBay 16, 17, 111Escambia 31, 123Okaloosa 57, 134, 135Walton 74

F

Family PracticeBay 1, 17, 111, 112Escambia 3, 4, 5, 31, 32, 123, 124Holmes 8, 133Okaloosa 9, 135Santa Rosa 11, 66, 67, 142, 143, 144Walton 13, 74, 149, 150Washington 14, 78, 153

G

GastroenterologyBay 17, 18, 112Escambia 32, 33, 124, 125Okaloosa 57, 58Santa Rosa 67, 144

General PracticeEscambia 125Holmes 133Okaloosa 135Washington 153

General SurgeryBay 18, 19, 112, 113Escambia 33, 34, 125Holmes 56Okaloosa 58Santa Rosa 67, 68Walton 74Washington 78

Geriatric MedicineOkaloosa 135

Gynecological OncologyEscambia 35

GynecologyOkaloosa 58

H

Hand SurgeryEscambia 35

Hearing Aid SupplierBay 98Escambia 101Okaloosa 105Santa Rosa 107Walton 108Washington 109

HematologyBay 19

Hematology & OncologyBay 113Escambia 35, 36, 125Santa Rosa 68Walton 74, 150

Home Health CareAll 96Bay 98Escambia 101Okaloosa 105

HospiceBay 98Escambia 101Okaloosa 105Santa Rosa 107

HospitalBay 80Escambia 81Okaloosa 83Santa Rosa 84Walton 85

I

Infectious DiseaseBay 20Escambia 36, 126Santa Rosa 68

Infusion TherapyBay 98Okaloosa 105

Internal MedicineBay 113Escambia 36, 37, 126Okaloosa 9, 135Santa Rosa 11, 68Walton 13Washington 78

Interventional CardiologyBay 20, 113Escambia 37Okaloosa 58Walton 150

L

Laboratory Pathology TestingAll 96

Licensed Clinical Social WorkerBay 87Escambia 90, 91Santa Rosa 94

Licensed Mental Health CounselorBay 113Escambia 126Santa Rosa 144




L - cont.

Licensed Mental Health Counselor- cont.Walton 150

Licensed Professional CounselorBay 87

M

MammographyBay 98Escambia 101Okaloosa 105

Maternal Fetal MedicineBay 20Escambia 37Okaloosa 58, 59Walton 75

Medical OncologyBay 20

N

NephrologyEscambia 37, 38, 39, 126Okaloosa 59Santa Rosa 68, 69Walton 75

NeurologyBay 20, 21, 113Escambia 39Okaloosa 59, 60, 135Santa Rosa 69

NeurosurgeryBay 21, 113Escambia 39, 40, 126Okaloosa 60, 135, 136Walton 75, 150

Nurse MidwifeBay 113

Nurse PractitionerBay 113, 114Escambia 126, 127Okaloosa 136Santa Rosa 144, 145Walton 150

Nurse Practitioner Acute CareOkaloosa 136Santa Rosa 145

Nurse Practitioner Adult HealthBay 114Okaloosa 136

Nurse Practitioner Family MedicineBay 114, 115Escambia 127Holmes 133Okaloosa 136Santa Rosa 145Walton 150Washington 153

Nurse Practitioner GerentologyBay 115

Nurse Practitioner OB/GYNEscambia 127

Nurse Practitioner OncolgyEscambia 127

Nurse Practitioner PediatricBay 115Escambia 127Okaloosa 137

O

ObstetricsOkaloosa 60

Obstetrics/GynecologyBay 21, 22, 23, 115Escambia 40, 41, 42, 43, 44, 127Okaloosa 60Santa Rosa 69, 70, 145Walton 75, 150Washington 78

Occupational MedicineEscambia 44

Occupational TherapyBay 115Escambia 127Okaloosa 137Santa Rosa 145Walton 150

OphthalmologyBay 23Escambia 44Okaloosa 60, 61Santa Rosa 70

OpticianEscambia 44

OptometryBay 23, 24Escambia 44, 45Okaloosa 61Santa Rosa 70, 71Walton 75Washington 79

Oral & Maxillofacial SurgeryBay 24

Orthopaedic SurgeryBay 24, 25, 115Escambia 45, 127, 128Okaloosa 62Santa Rosa 71, 145

Orthotics & ProstheticsBay 98Escambia 101, 102Okaloosa 105

P

Pain ManagementBay 25, 115Escambia 46, 128Okaloosa 62, 137, 138Santa Rosa 71, 145, 146

Pediatric Allergy & ImmunologyEscambia 46

Pediatric CardiologyEscambia 46, 47Holmes 56Okaloosa 62Walton 75

Pediatric Ear, Nose & ThroatEscambia 47, 128Santa Rosa 71




P - cont.

Pediatric EndocrinologyBay 25Escambia 47, 48, 128Walton 76

Pediatric GastroenterologyBay 25Escambia 48, 128Walton 76

Pediatric Hematology/OncologyBay 25Escambia 49

Pediatric Infectious DiseaseEscambia 49

Pediatric NephrologyBay 25Escambia 49

Pediatric NeurosurgeryEscambia 49

Pediatric OphthalmologyEscambia 49

Pediatric OrthopaedicsEscambia 49, 50, 128Santa Rosa 71

Pediatric PsychiatryBay 87, 88Escambia 91

Pediatric PulmonologyEscambia 50

Pediatric RheumatologyEscambia 50

Pediatric SurgeryBay 25, 26Escambia 50, 129Walton 76Washington 79

Pediatric UrologyEscambia 50, 51, 129Okaloosa 63

PediatricsBay 1, 2, 26, 116, 117

Escambia 5, 6, 7, 52, 129Okaloosa 9, 10, 63, 138Santa Rosa 11, 12, 71, 72, 146Walton 13, 76, 150

Physical Medicine & RehabilitationBay 26Escambia 52Okaloosa 63

Physical TherapyBay 117, 118Escambia 102, 129, 130, 131Okaloosa 138Santa Rosa 146, 147Walton 150, 151

Physician AssistantBay 118Escambia 131Okaloosa 138Santa Rosa 147Walton 151

Physician Assistant OrthopedicsEscambia 131

Plastic & Reconstructive SurgeryBay 26Escambia 52, 53Okaloosa 63

PodiatryBay 26Escambia 53

PsychiatryBay 88Escambia 91Okaloosa 93

PsychologyBay 88Escambia 91Okaloosa 93

Pulmonary DiseaseBay 26Escambia 53Okaloosa 63, 139Santa Rosa 72Walton 76

R

Radiation OncologyBay 26Escambia 53

Radiology - Interventional &VascularEscambia 53Okaloosa 63Walton 76

Rehabilitation FacilityBay 99Escambia 102

RetailBay 154, 155Escambia 156, 157, 158Holmes 159Okaloosa 160, 161Santa Rosa 162Walton 163Washington 164

RheumatologyBay 27, 118Escambia 53Walton 76

S

Skilled Nursing FacilityBay 99Escambia 102Okaloosa 105, 106Santa Rosa 107Walton 108Washington 109

Speech & Language PathologyEscambia 132Okaloosa 139, 140Santa Rosa 147, 148

Speech TherapyBay 118Escambia 102Okaloosa 140Santa Rosa 148Walton 152Washington 153




S - cont.

Sports MedicineEscambia 54

Substance AbuseBay 88Holmes 92Okaloosa 93Santa Rosa 94Walton 95

T

Thoracic & Cardiovascular SurgeryBay 27, 118Escambia 54, 132Okaloosa 64, 140, 141Walton 76

U

Urgent Care CenterBay 99Escambia 102Okaloosa 106Santa Rosa 107

UrologyBay 27, 28, 119Escambia 54Okaloosa 64Santa Rosa 72

Urology/GynecologyOkaloosa 64Walton 77

V

Vascular SurgeryBay 28Escambia 54, 55Okaloosa 64, 65Santa Rosa 72Walton 77


EXTENDED HOURS INDEX


You can find a provider who has longer office hours in this index. First look for the provider’s name. Then checkthe county and page number. You can go to that page to get the provider’s office hours.

En este índice, usted puede encontrar un proveedor con horario más prolongado de atención en el consultorio.Primero busque el nombre del proveedor, y luego verifique el condado y el número de página. Consulte esapágina para obtener el horario de atención del proveedor.

Gid pou le klinik ouvri apre le travay: Ou ka jwenn yon pwofesyonel ki travay apre le klinik femen nan lis sa a.Toudabo. cheche non pwofesyonel la. Lefini. verifye konte a ak nimewo paj la. Ou ka ale nan paj sa a pou jwennk, le pwofesyonel la travay nan klinik la.

Bay

Allergy & ImmunologyHumphreys, Randall MD 15

Behavioral Health CounselingMcMaken, Brooke LMHC 87Prather, Joel LMHC 87Tiller, Willowdean LMHC 87

Certified Nurse MidwifeBall, Amanda CNM 110

Colon & Rectal SurgeryAhmad, Aziz MD 15

DermatologyAlford, Allie PA 110Newton, Barry PA 110Preisser, Heather PA 110Stickler, Michael MD 15

Diagnostic ImagingSuncoast Diagnostic Imaging 97

DialysisCoastal Kidney Center 97Lynn Haven Dialysis 97West Beach Dialysis Center 97

Durable Medical EquipmentSuperiaire Oxygen and EquipmentInc 98

Family PracticeFord, Sandra APRN 111Jacobson, Thomas MD 1

General SurgeryAhmad, Aziz MD 18Richards, John MD 19

HospiceCovenant Hospice, Inc 98

HospitalGulf Coast Medical Centerc 80

Licensed Mental Health CounselorBrown, Beverly LMHC 113

NeurologyBarrio, George MD 20

Nurse Practitioner Adult HealthStroud, Jeffrey ARNP 114

Obstetrics/GynecologyBall, Amanda CNM 115Deruiter, James MD 21

Occupational TherapyGoldie, Jeanne OT 115

OphthalmologyWillingham, Christopher MD 23

PediatricsCrawford, Beverly APRN 116Kenawy, Eehab MD 1Mohamed, Ahmed MD 2

Physical Medicine & RehabilitationRahman, Mohammad MD 26

Physical TherapyButts, Caitlin PT 117Fourie, Leigh Anne PT 117Hock, Megan PT 117McClelland, Amy PT 117McMullen, Adam PT 117Nelson, Paula PT 118Nicholson, Edward PT 118Powers, Adam PT 118Seaman, Chet PT 118Serlo, Matthew PT 118Szydlowski, Garrett PT 118Wooten, Richard PT 118

PsychiatryDeal, Roy MD 88Pichardo Soto, Nelson MD 88

RetailAdams Pharmacy 154Callaway Gulf Coast Pharmacy 154Coastal Care Pharmacy 154Coastalmed of Florida LLC 154Coopers Drugs 154CVS 154Gulf Coast Pharmacy 154Jay Care Pharmacy 155Mullins Pharmacy Inc 155Omnicare of Panama City 155Panama City Drugs 155RX Express Pharmacy 155SAMS CLUB 155Smiths Pharmacy 155Walmart Pharmacy 155Winn-Dixie Pharmacy 155

Skilled Nursing FacilityBay Center 99Community Health & Rehab 99Glencove Health and RehabilitationCenter 99

Speech TherapyNichols, Marabeth SLP 118

Urgent Care CenterPediatric Urgent Care PC LLC 99

UrologyHealey, Denis MD 27

Escambia

Advanced Practice RegisteredNurseKelly, Melissa APRN 120




Escambia - cont.

Advanced Registered NursePractionerChristison, Melissa APRN 120Paradise, Stacey APRN 121

Allergy & ImmunologyWestbrook, Thomas MD 29

Behavioral Health CounselingDonovan, Wyette LCSW 89Harrison, Michelle LMHC 89Menda, Cathleen LMHC 89Shemaria, Marci LMHC 89

ChiropracticEdge, David DC 30Roberts, Edwin DC 30

Community Mental Health CenterDuval Metro Treatment Center 90

Convenient Care ClinicMinuteclinic LLC 100

Diagnostic CenterCenter For Sleep and MedicalDiagnostics 100

Diagnostic ImagingTouchstone Imaging of PensacolaLLC 100

DialysisWest Florida Dialysis 100West Pensacola Dialysis 100

Durable Medical EquipmentAmerican Homepatient Inc 100Grace Medical Inc 100

Family PracticeAlbrecht, Bruce MD 31Brandhorst, Michelle MD 31Denapoles, Christopher MD 3Fleming, Juanita MD 3Fowler, Abby PA 123Gahagan, James DO 31Gahagan, Kelli DO 31Hansen, Kealie APRN 123Hess, Don PA 123Lee, Jessica APRN 124Light, Owen APRN 124

May, John MD 32Merold, Vicki APRN 124Mines, Danniel APRN 124Mixon, Fred MD 32Moore, Gregory MD 4Ramos, Raul MD 32Robins, Ross MD 4Rush, Christopher MD 4Samson, Rogelio MD 32Spencer, Jennifer APRN 124Whitehead, Mitchell MD 5

GastroenterologyCartee, Wayne MD 32Reilly, Patrick MD 33Soued, Mounzer MD 33Speer, Carl MD 33Williams, Laura APRN 125

General SurgeryComitalo, Jeffrey MD 33Tenniswood, David MD 34

Home Health CareMaxim Healthcare Services Inc 101


HospitalSacred Heart Hospital 81West Florida Hospital 81

Infectious DiseaseWade, Barbara MD 36

Internal MedicineBaroco, Paul MD 37

Licensed Clinical Social WorkerSanchez, Frankie LCSW 91

Nurse PractitionerThomas, Hannah APRN 126, 127

Nurse Practitioner PediatricSlevinski, Octavia APRN 127

Occupational TherapySpencer, Ruthmary OT 127

OpticianVisionworks Inc 44

OptometryBell, Troy OD 44Charbonneau, Mary OD 44Cobb, Jonathan OD 45Colley, Floyd OD 45Leonard, Clare OD 45McDonald, Stacey OD 45Reed, Richard OD 45Terrezza, Gene OD 45

PediatricsAndrews, Carol MD 5Benny, Ulrike MD 5Ewert, Jessica MD 5Fitzharris, Susie MD 5Lanza, Quetheline MD 6Murray, Patrick MD 6Ravenel II, Samuel MD 6Sayre, Robert MD 6Stadden, Jennifer MD 6

Physical TherapyCastro, Jonathan PT 129Cummns, Annabelle PT 129Demahy, Michael PT 129Farris, Jennifer PT 129Feldman, Larry PT 129Harris, Lloyd PT 129Hernandez Jr, Luis PT 129Hock, Megan PT 129Jones, Kevin PT 129Kamm, Christopher PT 130Lindsey, Lucas PT 130Mayhan, Daniel PT 130McAliley, Jeri PT 130McClelland, Amy PT 130McElhinney, Brian PT 130McMullen, Adam PT 130Merz, Paul PT 130Moss, Cameron PT 130Nicholson, Edward PT 130Nunez, Gabriela PT 130Oruc, Igor PT 130Pickett, Tiffany PT 130Powers, Adam PT 130Reinard, Amarae PT 130Scharpman Diaz, Tina PT 130Seaman, Chet PT 131




Escambia - cont.

Physical Therapy - cont.Serlo, Matthew PT 131Smith, Tyler PT 131Spees, Valerie PT 131Tack, Heather PT 131Talmage, Deborah PT 131Watkins, Louie PT 131Wimberly, Katie PT 131Wise, William PT 131

Physician AssistantKottler, Jordan PA 131

RetailBaptist Medical Park Pharmacy 156Century Pharmacy 156CVS 156, 157Everwell Specialty Pharmacy 157Jackson Pace Pharmacy 157Kims Family Pharmacy Inc 157SAMS CLUB 157Scotts Pharmacy LLC 157The Medicine Shoppe 157The Towers Pharmacy 157Thrif-T Drugs 157Thrif-T Drugsmarketplace 157Walmart Pharmacy 157, 158Winn-Dixie Pharmacy 158

Skilled Nursing FacilityBayside Health and RehabilitationCenter 102Century Health and Rehab Center

102Nf Pensacola Manor DBA ArcadiaHealth An 102Olive Branch Health and RehabCenter 102Rosewood Health andRehabilitation Center 102Solaris Healthcare Pensacola 102Southern Oaks Care Center 102

Urgent Care CenterCrestview Urgent Care Inc 102

Holmes

ChiropracticOwens, John DC 56

Critical Access HospitalDoctors Memorial Hospital 82

General PracticeNobles Jr, Glen APRN 133Smith Johnson, Karen APRN 133

Nurse Practitioner Family MedicineStanley, Paula ARNP 133

RetailA Plus Pharmacy 159Johnsons Pharmacy 159

Okaloosa

Behavioral Health FacilityGulf Coast Treatment Center 93

Community Mental Health CenterBridgeway Center Inc 93


Durable Medical EquipmentAmerican Homepatient 104Lincare Inc 104Rehab Technologies LLC 104

Family PracticeDawkins, Max PA 135Silva, Kate PA 135

HospitalColumbia Twin Cities Hospital 83Ft Walton Beach Medical Center

83North Okaloosa Medical Center

83

Nurse PractitionerShelton, Heather APRN 136Slaughter, Connie APRN 136

Nurse Practitioner Family MedicineMatthies, Heather APRN 136

OphthalmologyWillingham, Christopher MD 61

OptometryBazarte, Joseph OD 61Hendrix, Rhonda OD 61

PediatricsChiles, John MD 9Meeks, Evan MD 9Simmers, Kyle MD 10

PsychiatryBurgess, April APRN 93

PsychologyOas, Peter PHD 93

RetailCrestview Pharmacy 160CVS 160Guardian Pharmacy of NW FloridaLLC 160Health-Smart Discount Pharmacy

160Moultons Pharmacy of CrestviewInc 160SAMS CLUB 160The Prescription Place 160Walmart Pharmacy 160, 161Winn-Dixie Pharmacy 161

Skilled Nursing FacilityEmerald Coast Center 105The Manor At Blue Water Bay 106Westwood Nursing and RehabCenter 106

Speech & Language PathologyFarmer, Heather SLP 139

Substance AbuseBridgeway Center Inc 93Gulf Coast Treatment Center 93

Thoracic & Cardiovascular SurgeryPatel, Amit MD 64

Urgent Care CenterCrestview Urgent Care Inc 106

Santa Rosa

Advanced Practice RegisteredNurseForbes, Donna APRN 142




Santa Rosa - cont.

Advanced Registered NursePractionerChristison, Melissa APRN 142

Behavioral Health CounselingWillis, Brian LMHC 94

ChiropracticBrooks, Michael DC 66


DermatologyShepard, Scott PA 142

Durable Medical EquipmentHoveround Corporation 107

Family PracticeDawkins, Max PA 143Fowler, Abby PA 143Garg, Purushottam MD 11Hansen, Kealie APRN 143Henson, Andrew MD 66, 67Long, Kenneth MD 67Mills, John MD 11Mines, Danniel APRN 143Payne-Johnson, Ann MD 67Schneider, Casey APRN 143Schulz, Miranda APRN 143Silva, Kate PA 143Smith, John-Stewart MD 11


HospitalSanta Rosa Medical Center 84

Internal MedicineKelley, Jeffery MD 11

Licensed Mental Health CounselorGessler, Susan LMHC 144

Nurse PractitionerSlaughter, Connie APRN 144Thomas, Hannah APRN 144, 145

OptometryBell, Troy OD 70Cobb, Jonathan OD 70

McDonald, Stacey OD 71Reed, Richard OD 71Terrezza, Gene OD 71

PediatricsBarker, Heidi DO 71Benny, Ulrike MD 12Cordell, Jeneile MD 12Fitzharris, Susie MD 12Lanza, Quetheline MD 12Ravenel II, Samuel MD 12Stewart, Marian MD 12, 72Tate, Jessica MD 72Thompson, Jennifer MD 12Vadlamani Simmers, Lalitha MD 72Wilkinson, Diane MD 72Yurttutan Engin, Nesrin MD 72

Physical TherapyHock, Megan PT 146Jones, Kevin PT 147McClelland, Amy PT 147McMullen, Adam PT 147Nicholson, Edward PT 147Powers, Adam PT 147Seaman, Chet PT 147Serlo, Matthew PT 147Szydlowski, Garrett PT 147

Physician AssistantKottler, Jordan PA 147

RetailCVS 162Duramed Pharmacy 162Dura-Med Pharmacy 162Pace Pharmacy 162RX Express Pharmacy 162Service Pro Pharmacy 162Thrif-T Drugs-Pace 162Walmart Pharmacy 162

Skilled Nursing FacilityBay Breeze Senior Living andRehabilitat 107Sandy Ridge Care Center 107Santa Rosa Health andRehabilitation Cen 107

Walton

ChiropracticMorris, Joseph DC 73Soroka, Brian DC 73

DermatologyWells, Kristi PA 149

Family PracticeDixon, Elizabeth APRN 149Fletcher, Patricia PA 149Kemp, Bobby APRN 149Morell, Venita MD 13Necaise, William APRN 149Pritchett, Shandrika APRN 149Thursby, Trina APRN 149

HospitalHealthmark Regional MedicalCenter 85Sacred Heart Hospital Emerald 85

Licensed Mental Health CounselorBlamasah, Julie LMHC 150

NeurosurgeryEllison, Kenneth PA 150

Occupational TherapyPrintz, Elizabeth OT 150

PediatricsKemp, Bobby APRN 150

Physical TherapyHock, Megan PT 151McClelland, Amy PT 151McMullen, Adam PT 151Nicholson, Edward PT 151Powers, Adam PT 151Seaman, Chet PT 151Serlo, Matthew PT 151Szydlowski, Garrett PT 151

RetailCVS 163Fisher Pharmacy 163Santa Rosa Pharmacy 163Sowal Health Drug 163The Prescription Place 163Walmart Pharmacy 163Winn-Dixie Pharmacy 163




Walton - cont.

Skilled Nursing FacilityChautauqua Rehabilitation andNursing Center 108

Washington

Critical Access HospitalNorthwest Florida CommunityHospital 86

DialysisChipley Dialysis 109

Family PracticeCorbin, Wendy APRN 153Wahl, Mary APRN 153

RetailCVS 164Kings Discount Drug 164Kings Discount Drugs 164Vernon Discount Drug 164Walmart Pharmacy 164

Skilled Nursing FacilityWashington Rehabilitation andNursing Center 109


PROVIDER INDEX


AA Plus Pharmacy 159Aaron, Cathy PA 124, 125Abdulrahim, Mohammed MD 1Abdul-Rahim, Mohammed MD 25Abrasley, Christopher MD 57Adair, James PA 127, 145Adams Pharmacy 154Adamski, John MD 18Adkisson, Kendral MD 32Adult & Child Mental Health CareLLC 90, 94Advance Rehab and Home HealthLLC 99Advanced Imaging 107Advanced Urology Institute LLC

154Aflak, Rafah MD 5Agha, Amir MD 27AHF Pharmacy 156Ahmad, Aziz MD 15, 18Ahmed, Amna MD 15, 73Aker, Anthony OD 23, 79Al Bitar, Issam MD 37Al Yahia, Musab MD 1Alaniz, Freida PA 131, 147Albibi, Riyad MD 17Albrecht, Bruce MD 31Aldridge, Christopher APRN 120Al-Farawi, Khaled MD 1Alford, Allie PA 110Ali, Danish DO 46, 52, 71Allen, Cassie LCSW 87Allison, Allessa MD 40Alston, Carmen APRN 115, 137Altenhofen, Dean MD 40Amato, Richard PA 123Ambient Healthcare 156American Homepatient 104American Homepatient Inc 100Amin, Rohit MD 29Ammons, Amanda SLP 139, 147Andem, Margaret APRN 91Anderson, Ashley OT 137Anderson, Christopher MD 50Anderson, Willard APRN 88, 91Andreoni, Kenneth MD 33Andrews, Carol MD 5

Angle, Virginia APRN 123Anglen, Jeffrey MD 24Antonetti, Ana MD 40Anwar, David DO 36, 68Apakama, Chukwuma MD 18Apria Healthcare LLC 97, 100Arbogast, Charles DO 59ARC Gateway Inc Pearl NelsonCenter 102Arevalo, Alejandro MD 46, 56Ashley, Elizabeth SLP 118Ates, Mark MD 11Atkins, Lisa OT 145Attorri, Robert MD 50Aubert, Fred MD 59Aveanna Healthcare 98, 101

BBacon, Laura APRN 123Bailey, Leisa MD 8Bailey, Taylor APRN 113Bain, Kimberly MD 21Ball, Amanda CNM 110, 115Bankert, Glenn DO 58Baptist Medical Park Pharmacy 156Barber, Michael MD 69Barbon-Guisasola, Alberto MD 9Bargers, Jared SLP 139Barker, Heidi DO 11, 71Barnes Healthcare of Florida LLC

97, 98, 104, 105Barnes, Alison PT 138Barnes, Ronald MD 9Barnett, Diana APRN 111Baroco, Paul MD 36, 37Barragan Gomez, Myriam MD 48Barrio, George MD 20Bass, Candice APRN 112Battistini, Stephanie MD 52Battula, Narendra MD 33Bay Breeze Senior Living andRehabilitat 107Bay Center 99Bay Medical Center 80Bay Quality Prosthetics LLC 98Bayside Health and RehabilitationCenter 102Bazarte, Joseph OD 23, 61

Beggs, James MD 16, 78Behari, Vishnu MD 31Beiswanger, Jay MD 27Bell, Emily SLP 139Bell, Troy OD 44, 70Benny, Ulrike MD 5, 12Benson, Mary MD 33Berens, Keith PA 128, 137Berger, Paul MD 12Bernal Blair, Ileana MD 40, 69Berry, Gabriel MD 78Beverly, Tonia AUD 121, 122Bevrotte, Christine SLP 132Bhatt, Dinesh MD 15, 56Bhatt, Nayan MD 15, 56Bianchi, Stephanie ARNP 125Billingsley, John MD 88, 91Bingler, Michael MD 46, 62Bisson, Jennifer PA 142Bizri, Ahmad MD 91Blair, Matthew DO 30Blamasah, Julie LMHC 113, 150Blatzheim, Rebecca Had 109Bleday, Raymond MD 24Block, Rebecca APRN 150Boatright, Mark MD 35, 68Boehm, Laurie PA 113, 134, 149, 150Bohn, Aimee MD 1Bolduc, Stephen MD 13Bone, William MD 20Bonfante, Esteban MD 48Borick, Laurie SLP 139Boring, Lynnetta APRN 114Botner, Bryan MD 52Bowers, Kristen SLP 139Boyett, Richard MD 31Bradley, Nina DO 59Branco, Marcelo MD 29Brandhorst, Michelle MD 3, 31Brault, Allison SLP 148Breland, Henry MD 21Brestan, Loretta MD 33Bridgeway Center Inc 93Brighenti, Peter PA 123, 143Brinker, Jeffrey MD 11Brock, Heather APRN 126, 150Broderick, Shannon SLP 148Brooks, Ashli APRN 111


PROVIDER INDEX


B - cont.Brooks, Kara MD 9Brooks, Michael DC 66Brothers, Anthony MD 62Brown, Alexander MD 35Brown, Beverly LMHC 113Brown, Brittney PA 123Brown, Laura PA 113Brown, Matthew PA 137, 145Bruce, Lakeema MD 40, 69Brune, Kimberly APRN 115, 137Bryan, Patrick PA 127, 128, 145Bryant, Ginger MD 24Bunting Jr, Douglas MD 59Burgess, April APRN 93Burgess, Elizabeth APRN 120Burke, Noreen APRN 115Burkland, David MD 58Burns, James MD 5, 29Burton, Christopher MD 52Busby, Michael PA 125Bush, Suzanne MD 41Butler, Julie SLP 148Butts, Caitlin PT 117, 146, 150Byrd, John MD 78Byron, Charles PA 110

CCaesar, Richard MD 50Cahill, Joseph MD 39Calabrese, Therese APRN 93Calhoun, Allison MD 41Calkins, Mark MD 24Callaway Gulf Coast Pharmacy 154Campbell, Emily OT 137Capra, Samuel MD 62Carden, Veronica MD 53Carr, Ann MD 39Carr, Kelsey SLP 139Carr, Pamela LCSW 90Carroll, Charnett APRN 116Cartee, Wayne MD 32, 67Carter, Nathan APRN 128Cartwright, Whitney APRN 122Caspary, Hans MD 16Cassady, Candace APRN 125Castro, Jonathan PT 129Caughey, Autumn APRN 142

Caulfeild-James, Susan APRN 146Cave, Christopher MD 11Caywood, Stephanie MD 60Celigoj, Micheleanne MD 29, 66Center For Pediatric Rehab 44, 102Center For Sleep and MedicalDiagnostics 100Center of Imaging ExcellenceCrestview 104Century Health and Rehab Center

102Century Pharmacy 156Chadwick, Quin APRN 112Chaney, John MD 63Chang, Barry MD 50, 51Chapman, Brent MD 73Charbonneau, Mary OD 44Chautauqua Offices ofPsychotherapy and 95Chautauqua Rehabilitation andNursing Center 108Chemical Addictions RecoveryEffort Inc 87, 88Chilcott, Chelsi SLP 139Childrens Home Society of Florida

93, 94Chiles, John MD 9Ching Companioni, Rafael MD 17Chipley Dialysis 109Chmielowiec, Joanna PT 117Christison, Melissa APRN 120, 142Christopher, Watson PA 131Chrysostomou, Constantinos MD

46Clark, Shelley ARNP 114Clark, Steven MD 74Clark, William MD 47Claussen, Eric DMD 24Clement, Kalli SLP 148Clements, James MD 36, 68Cleveland, Crawford MD 29Coastal Care Pharmacy 154Coastal Kidney Center 97Coastalmed of Florida LLC 154Cobb, Jonathan OD 45, 70Cohen, Debra MD 49Cole, Christopher PA 138Collette, Andrew DO 45

Colley, Floyd OD 45Colon, Carmen APRN 116Columbia Twin Cities Hospital 83Com, Gulnur MD 50Comitalo, Jeffrey MD 33Community Health & Rehab 99Contigiani, Shaina PA 125Converse, Noah DO 60, 75Cook, Trevor APRN 112Cooper, Mark MD 9Coopers Drugs 154Coram Cvssplty Infusion Svcs 156Corbett, Sean MD 51Corbin, Wendy APRN 153Cordell, Jeneile MD 5, 12Costley, Claire SLP 148Coticchia, James MD 47Cottam, John MD 73Covenant Hospice, Inc

98, 101, 105, 107Crawford, Beverly APRN 116Crawford, Heather PA 123Creative Orthotic ProstheticServices 105Crestview Open MRI 104Crestview Pharmacy 160Crestview Urgent Care Inc 102, 106Criswell, Karen SLP 139Critides, Samuel MD 40Crumley, Melissa APRN 127Cruz, Lorinda MD 37Cruz, Virginia PT 138Crysell, Brandie ARNP 137, 146Cummins, Annabelle PT 117, 146, 150Cummns, Annabelle PT 129Cundiff, Jason MD 18CVS 154, 156, 157, 160, 162, 163, 164

DDaley, David MD 36Dali, John MD 58Dame, James Had 98, 105Daniels, Matthew MD 37Danielson, Katie APRN 112Danley, Angela PA 110Davidson, James PHD 91Davidson, Leann APRN 153Davis, Don MD 15


PROVIDER INDEX


D - cont.Davis, Hayden SLP 148Davis, Jacob LMHC 94Davis, Joanna SLP 139Dawkins, Max PA 135, 143De Jesus, Miriam APRN 88De Leon Dial, Sheryl MD 76Deal, Roy MD 88Dean, David DO 62Decesare, Julie MD 41, 69Decesare, Steven MD 35Decotis Smith, Diana MD 60Deems, Caitlin PT 146Defee, Jenny APRN 120Defee, Jenny ARNP 120Demahy, Michael PT 129Denapoles, Christopher MD 3Denapoles, Cristina APRN 120Denham, Catherine LCSW 90Deruiter, James MD 21Desilva, Cyril MD 21Desmangles, Jeanclaude MD 47Dethloff, Carver AUD 134Devuyst, Peter PA 134Dewitt, Abigail PT 117, 129, 146, 150Dial, Patrick MD 33Dickson, Zachary APRN 153Dillard, Robert MD 48Dimick, Robert MD 71Disanto, Marlana APRN 136, 145Dissanayake, Ranjith MD 35Dixon, Elizabeth APRN 149Dobhan, Richard MD 32Dobrescu, Adrian MD 30, 73Doctors Memorial Hospital 82Dolphin Diagnostic Imaging 104Donahue, Brian MD 52Donovan, Wyette LCSW 89Dorion, Brandon MD 46, 50Dorsey, Jill MD 48Doss, Elizabeth APRN 112Doster, Melanie APRN 116Downtown Pensacola Dialysis 100Drawdy, Martina MD 25, 47, 48Dress, Christopher MD 63Duke Elmore, Jairan DO 41, 69Duncan, Angela APRN 127Duncan, Suzanne MD 52

Dupre, Danette LCSW 90Durable Medical Equipment 96Duramed Pharmacy 162Dura-Med Pharmacy 162Durrance, Scott APRN 91Duval Metro Treatment Center 90Dyer, Shannon SLP 139

EEarly, Joseph PA 140Ebeid, Hasan MD 1Ebeid, Samir MD 1Ebert, Andrew MD 24Eckert, Jeanne MD 41Edge, David DC 30Edgeworth, Deborah MD 21, 22Edinger, David OD 23, 79Eisa, Emad MD 37Eisenbrown, Jeanne MD 27El Sheikh, Omar MD 18Eldawy, Tarek MD 35Elder, Mark DO 11Elliott, Mark MD 45, 71Elliott, Tracey PT 138Ellison, Kenneth PA 135, 136, 150El-Sayah, Dany MD 35Elzawahry, Hoda MD 20Elzawahry, Mohamed MD 20Emerald Coast Behavioral Hospital

87, 93Emerald Coast Cancer Center 160Emerald Coast Center 105Endoscopy Center of Pensacola,The 100England, Gregory MD 27Ergin, Ahmet MD 16, 17, 57Ergun Longmire, Berrin MD 48, 76Erickson, Jay MD 36, 68Eriksson, Liza APRN 145Esses, Ellen MD 75Evers, Lindi APRN 115, 146Everwell Specialty Pharmacy 157Ewert, Jessica MD 5Ezelle, Tracy APRN 142

FFarmer, Heather SLP 139Farr, Audrey APRN 112, 114Farris, Jennifer PT 117, 129, 146, 151

Feldman, Larry PT 129Feldman, Robert MD 64, 77Ferguson, Neina SLP 132Fernandez, Carlos PA 111Fiedler, David MD 35Fillingim, Robert LMHC 144Finelstein, Steven MD 26Finkelstein, Steven MD 26Finlaw, Robert MD 17Fisher Pharmacy 163Fitting Designs Inc 101Fitzharris, Susie MD 5, 12Fleming, Juanita MD 3Fletcher, Patricia PA 149Florida Diagnostic Imaging Inc

97, 98, 100, 101, 104, 105Florida Medical Supply 154Florida Therapy Services Inc

87, 90, 94Flowers, Janet SLP 139Foles, Van MD 67Folyer, Cynthia APRN 111, 134Foran, Cassandra APRN 114Forbes, Donna APRN 142Ford, Sandra APRN 111Foreman, Jason DO 29, 73Fourie, Leigh Anne PT 117, 146, 151Fowler, Abby PA 123, 143Franck, Joel MD 21Fredette, Dennis PT 129Freeland, Kristin SLP 140Fresenius Vascular Care ofPensacola As 100Friedland, Edward MD 37, 38Friend, Melanie AUD 122Frost, Dawn APRN 153Fryou, Melanie LCSW 90, 94Ft Walton Beach Medical Center

83Furst, Matthew MD 46, 62

GGabriel, Larry MD 60Gage, Shelley LMHC 89Gahagan, James DO 3, 31Gahagan, Kelli DO 31Garg, Purushottam MD 3, 11Garver, Robert MD 53


PROVIDER INDEX


G - cont.Garza, Niesia LCSW 90, 94Genoa-QOL Healthcare 154, 160George, Donald MD 48George, Sue MD 70German, Julie APRN 114Gessler, Susan LMHC 144Geurin, Caitlin DO 31Gibson, Brian MD 16Gill, Karanbir MD 33Gilliam, Lynda MD 41Gillman, Bethany APRN 111, 134, 135Gilmore, Deborah APRN 139Gisbert, Celine MD 3Given, Michael MD 63Glencove Health and RehabilitationCenter 99Goette, Jennifer OD 61Golden, Keith MD 29Goldie, Jeanne OT 115Gomez, Luis MD 13Goodman, Ralph MD 57, 74Goolsby, Melissa SLP 148Gorton, Jung MD 37Grace Medical Inc 100Graham, Gregg APRN 135Graham, Melinda MD 75Grammer, John MD 41Grantham, Gregory DMD 24Graybiel, Ashton MD 53, 76Green, Kathy MD 9Greenlee, Samuel MD 3Grier-Hall, Pamela MD 5Griffin, David MD 25Gross, William MD 57Grover, Jerris APRN 87, 89Guardian Pharmacy of NW FloridaLLC 160Guitian, Jose MD 29Gulf Breeze Apothecary 157Gulf Coast Medical Centerc 80Gulf Coast Orthotics andProsthetics 98, 101Gulf Coast Pharmacy 154Gulf Coast Treatment Center 93Gulf Medical Services Inc

97, 100, 104Gupta, Ashish MD 28

Gupta, Sunil MD 44, 61Guttman, Sharon AUD 122, 142

HHagar, Andrea OT 137, 145Hager, Regan LMHC 89Ham, Philip DO 3Hamm, Jeffrey PA 113Hammad, Mustafa MD 20Hammond, Christina SLP 139Hammond, Stacie PA 123Hammoud, Ramadan MD 17, 57Hancock, Howard Had 101, 107Hancock, Ronald Had 101Hanger Clinic 97, 100, 104Hankins, Vicki APRN 143Hansen, Kealie APRN 123, 143Hansen, Winfried MD 44Haq, Ikram MD 20Hargadon, Susan APRN 128Hargis, Julia OT 145Harris, Kathryn PT 117, 146, 151Harris, Lloyd PT 117, 129, 146, 151Harrison, Michelle LMHC 89Hattaway, Stephanie APRN 121Hawkins, Patrick MD 8Hawthorne, Richard MD 31Hawthorne, Serda MD 3Hayes, John MD 88, 91Hayes, Mose MD 35, 74Healey, Denis MD 27Healthmark Regional MedicalCenter 85Health-Smart Discount Pharmacy

160Healthsouth Emerald Coast Surg

104Heaton, Emily PA 131Heaton, Gregory OD 70Heid, Michael DO 19Helms, Lacee APRN 125Henderson, Charles MD 51Hendrix, Rhonda OD 61Henghold Surgery Center LLC 100Henkel, Austin MD 23, 61Hennessey, Michael MD 60Henson, Andrew MD 11, 66, 67Henson, Luann Had 101

Henson, Roger MD 3Heppe, Dale LMHC 113Herbert, Linnea AUD 110Herbu, Angelo APRN 114Herf, David MD 58Hernandez Jr, Luis PT 129Herrbold, Francis MD 58, 64, 74, 76Herron, Warren MD 44Hess, Don PA 123, 143Hicks, Mason PA 131Hitt, Warren MD 27Hobbs, Amy PT 138Hock, Megan PT 117, 129, 146, 151Holder, Kevin MD 57, 73Holland, Megan SLP 140, 148Holman, Derek PA 116Home Health Care 96Home Options of Pensacola 100Hood, Kimberly MD 60, 75Hoveround Corporation 107Hudson, Diane MD 11Hudson, Janice MD 3Hudson, Kerrian MD 9Hudson, Sandra APRN 128Hughes, Shawn DO 62Hughley, Marvin LMHC 87Hultstrand, Victor MD 41Humeda, Humam MD 38, 68Humphreys, Randall MD 15Humphries, Jeri PA 112Hussey, Judith APRN 88Hydle, Kim OT 137Hysong, Rebecca MD 19

IIaquinto, John MD 25Incorvati, Dennis DO 73Ingermann, Craig PA 131Ingram, Brandy CSW 94Interim Healthcare of NorthwestFlorida 98, 101, 105Isenberg Hickman, Shelley OT 115IV Stat 160Ivey, Deborah APRN 115

JJaalouk, Dina MD 6Jacks, Stephanie APRN 121, 134, 149Jackson Pace Pharmacy 157


PROVIDER INDEX


J - cont.Jacobson, Thomas MD 1Jansen, Matilda APRN 126Javed Ebeid, Sana MD 21Jay Care Pharmacy 155Jenkins, Eric APRN 149Jenkins, Michael MD 27, 28Jernigan, Tammy APRN 126Jessen, Philip APRN 135Jimenez, Derek MD 38Jimenez, Lincoln MD 40Johnson Brown, Cindy SLP 153Johnson, Bret MD 17Johnson, Erin APRN 121Johnson, John MD 9Johnson, Jon MD 19Johnson, Karen APRN 153Johnson, Linda APRN 126Johnson, Lynn APRN 121Johnson, Stephen APRN 115Johnsons Pharmacy 159Johnston Jr, Ronald MD 15, 57, 73Jones, Ashley LCSW 90Jones, Jack PT 129Jones, Kevin PT 129, 147Jones, Mark OD 23, 24, 79Joyner, Patrick MD 25Justice, Nikki SLP 148

KKaderis, David DO 33Kafie, Fernando MD 54, 64, 77Kaleem, Zafar MD 21Kamel, Sherief MD 17Kamm, Christopher PT 130Kania, Julia APRN 121Karaman, Umar MD 28Kasabian, Michael DO 3Keip, Erin LMHC 87Keller, Curtis MD 39Kelley, Janet MD 41Kelley, Jeffery MD 11Kelly, Melissa APRN 120Kemp, Bobby APRN 149, 150Kenawy, Eehab MD 1Kennedy, Karen MD 70Kennedy, Mamie APRN 124Kentra Gorey, Elizabeth MD 49

Kern, Matthew MD 40Kersey, Carla OT 137Khan, Ashraf MD 1Khan, Sohail MD 78Kims Family Pharmacy Inc 157Kincaid, Robert DO 11King, Ashley MD 54King, Janelle SLP 140, 148Kingery, Mimi PA 125, 144Kings Discount Drug 164Kings Discount Drugs 164Kinzelman, Matthew MD 74Klein, Pamela MD 71Klin, Mariusz MD 17Kloman, Sandra APRN 126Kluka, Evelyn MD 47, 71Knight, Jennifer ARNP 124Knox, Robert PA 149Kogan, Stanley MD 54Kolmetz, Marcus AUD 110Konell, Benjamin DO 3Kortz, Andrew MD 44Kotlarz, Jack MD 31, 52Kottler, Jordan PA 131, 147Kovaleski, Charles MD 15, 78Krantz, Kyle APRN 121Kruger, Tiffany DO 61Kujawski, Eric DO 54Kumari, Pardeep MD 36Kurady, Ali MD 25, 49Kyi, Khin MD 74

LLabroo, Ajay MD 15Laenger, Susan MD 68Laird, Sunday PA 138Lakeview Center Pharmacy 157Lalic, Sarah OT 137Lambert, Lynn SLP 140Lanceta, Sherrie PT 130Lang, Michelle APRN 115Langston, Lydia APRN 127, 145Langston, Lydia ARNP 127Lanza, Quetheline MD 6, 12Lark, Jeanette PT 117, 147, 151Lasquety, Ludovic MD 34Lawrence, Caroline PA 149Lawrence, Nicole MD 76

Le, Francis MD 20, 58Leb, Ashley APRN 115Lebeau, Jacque MD 47Lecroy, Christopher MD

34, 54, 55, 67, 72Lederer, Margaret ARNP 111, 135Lee, Jessica APRN 124, 143Lee, Joanne MD 19Lee, Licheng MD 29, 66Leff, Ricky MD 22Lemoine, Alexandra APRN 136Lennen, William MD 25Leonard, Clare OD 45Levaugh, Michael APRN 143Levitan, David PA 132Lewis, Carl CRNA 123Lewis, Ronald MD 49Li-Espino, Edgardo MD 36Life Management Center of NWFlorida 88, 92Light, Owen APRN 124, 143Lile, William DO 41, 42, 70Lincare Inc 104Lindsey, Lucas PT 130Lindsey, Paula APRN 121Linton, Alisha PA 116Lisenby Home Care Inc 98Livingston, Jeffrey MD 20Locke, Kaitlyn Had 98, 105Long, Kenneth MD 67Lord, Luciane Vetori PA 131Lowrey, Gerald MD 53Ludwig, Jessica APRN 133Lunsford, Brandy ARNP 121Lurton, Jack MD 31Lynn Haven Dialysis 97Lytle, Mark MD 55

MMackay, Allison PT 130Mackinney, Mikael MD 13Maddox, Karin MD 21Maggio, Hannah SLP 152Mahaffey, Teresa MD 12Mahmood, Syed MD 19, 20Majka, Kathleen SLP 118Malik, Amer MD 78Mallenbaum, Sidney MD 39


PROVIDER INDEX


M - cont.Mallory, Roslyn MD 22Mamish, Ziad MD 31Maniscalco, Deronda APRN 124Mann, David MD 74Manos, Ginger MD 65Manuel, Ana MD 9Manuel, Mervin MD 9Manzoor, Amir MD 17Maqueira, Jr, Justo MD 22Marling, Ray MD 57Marshall, Rachel ARNP 136Martin, Christy APRN 119Martin, David MD 76Martin, Howell MD 54, 72Matthies, Heather APRN 136, 150Mattingly, Ann LMHC 144Matysik, Gerard DO 76Mauney III, Weldon MD 66Maurtua Neumann, Paola MD 52Maxim Healthcare Services Inc 101Maxwell, Candace LMHC 94May, John MD 32Mayes, Charles MD 30, 73Mayes, Wesley OD 45Mayhan, Daniel PT 117, 130, 147, 151McAliley, Jeri PT 130McAlpin, Lindsey MD 42McClelland, Amy PT 117, 130, 147, 151McClure, Julie APRN 129McComak, Melissa APRN 145McCune, Mathew MD 62, 71McCutchen, Wayne PA 128McDaniel, Huey MD 55, 65, 72McDaniel, Riley APRN 128McDonald, Stacey OD 45, 71McDowell, Elizabeth APRN 137McElhinney, Brian PT 130McGoogan, Katherine MD 48McGuire, Hannah LMHC 144McKenna, Patrick MD 51McKenzie, Amber APRN 116McKesson Patient Care SolutionsInc 104McKim, Lisa OD 24, 79McKim, Scott OD 24, 79McKissack, Randall MD 19McMaken, Brooke LMHC 87

McMullen, Adam PT 117, 130, 147, 151McWilliams, Sean MD 73Meche, Amber AUD 122Medical Evaluaters 97Medical Gallery 103Medlock, Charles MD 42, 70, 75Meeks, Evan MD 9Mehmood, Farhat MD 30Mehta, David MD 42Meiver, Brandy APRN 118Melissa, Greenspan APRN 127Melvin, Wade MD 14Menda, Cathleen LMHC 89Merold, Vicki APRN 124, 143Merz, Paul PT 130Messick Jr, Chester MD 11Mevorach, Robert MD 51, 63Mhatre, Umesh MD 87, 88Michaels, Marla MD 93Middendorf, Christopher DO 46Middendorf, Christopher MD

46, 62Millennium DME Sales LLC 97Miller, Denise APRN 115Miller, Lonnie MD 35Miller, Quintessa MD 58Milligan, Jenna PT 117Mills, Cassie OT 115Mills, Chantel OT 137Mills, David MD 44Mills, John MD 9, 11Mines, Danniel APRN 124, 143Miniat, Stephen MD 3Minuteclinic LLC 100, 104, 107Mitchell, Baker MD 25, 62Mitchum, Dale MD 56Mixon, Fred MD 32Mixson, Emily SLP 140, 148Mohamed, Ahmed MD 2, 26Mohammed, Ricardo DO 68Mohsin, Ata MD 25Molina, Claudia MD 13Montgomery, Aaron MD 53, 63, 76Moody, James MD 58Moore, Brian APRN 120Moore, Gregory MD 4Moore, Jon MD 34, 68Moore, Tonya APRN 120, 124

Morell, Venita MD 13Morelock, Christina MD 37Morgan, Laura CRNA 110Morgan, Michael MD 16Morris, Joseph DC 73Morrow, Gregory MD 22Moser, Jennifer PT 138Moses, Andrew MD 30, 66Mosley, Caitlin PA 122Mosley, Stephen PA 151Moss, Cameron PT 118, 130, 147, 151Mott, Tammie CNM 113Moultons Pharmacy of CrestviewInc 160Mullins Pharmacy Inc 155Murphy, Shirley APRN 145Murphy-Blount, Katia PA 141Murray, Patrick MD 6Myers, John MD 44, 61

NNagrani, Nicholas MD 38, 59, 75Nakayama, Don MD 50Nallapula, Kishan MD 88, 91Nance, Amy MD 74Nashed, Maged MD 38, 68Nation, Roman MD 1Navarro, Dina MD 42Nazir, Khurram MD 21Necaise, William APRN 149Neighbors Youtz, Lauren PA 149Neill, Terry MD 39, 59Nelson, Paula PT 118Neuland, Michael MD 57Newman, Frederic MD 32, 67Newton, Barry PA 110Nf Pensacola Manor DBA ArcadiaHealth An 102Nguyen, Quynh PA 147Nichols, Marabeth SLP 118Nicholson, Edward PT

118, 130, 147, 151NIX, Mary SLP 140Nobles Jr, Glen APRN 133North Okaloosa Dialysis 104North Okaloosa Medical Center

83


PROVIDER INDEX


N - cont.Northwest Florida CommunityHospital 86Northwest Florida Surgery Center

97Numotion 98Nunez, Angel MD 63Nunez, Gabriela PT 130Nunnery, Phillip MD 26Nursespring of Pensacola LLC 101Nutt, Andrea LCSW 91

OOas, Peter PHD 93Obid, Hind MD 15O'Connor, Robert MD 19Oelrich, Beibei MD 64Ogrady, Mary MD 6O'Grady, Mary MD 6Ohalloran, Kevin MD 25Okaloosa County Council OnAging 105Olive Branch Health and RehabCenter 102Omnicare of Panama City 155Oran, Keena AUD 122, 142Oreolt, Mary SLP 140Ortega, Marcos MD 53Ortega, Teodoro MD 53Orth, Ruth MD 53Orthotic and Prosthetic Center ofSt PET 102Oruc, Igor PT 130Osban, Wendy DO 4Osterrieder, Benjamin MD 42, 70Otwell, Larry AUD 110Ouellette, Bruce MD 39Owens, John DC 56

PPaape, Kerry MD 54, 76Pabby, Ajay MD 32, 67Pace Pharmacy 162Padden, Maureen MD 4Page, Michelle MD 12Pala, Rebecca SLP 148Palmer, Sandra APRN 112Panama City Dialysis Center 97Panama City Drugs 155

Panama City Open MRI & Imaging97

Panama City Surgery Center LLC97

Papic, Jonathan MD 50Papic, Lisa MD 37Paquette, Brittany LMHC 144Paradise, Stacey APRN 121Parikh, Katherine DO 34Park, Sandra APRN 145Parker, Michaelyn APRN

120, 128, 142, 146Parker, Michelle MD 9, 13Patel, Amit MD 64Patel, Pritesh MD 63Patel, Shonak MD 34, 55, 74, 77Patel, Vimal DO 37Patiag, Ronaldo MD 36Payne, Jennifer MD 42, 70Payne, Stacy AUD 122Payne-Johnson, Ann MD 11, 67Pearce, Gina CNM 123Pearson, Matthew MD 49Pedersen, Callie OT 145Pediatric Urgent Care PC LLC 99Peeterse, Cynthia OD 45Pennington, James MD 31Pennington, Toni MD 22Percy, Tricia DO 22Perdomo, Brooke PA 116Performance Prosthetics andOrthotics 102Perry, Ariel PA 110Person, Gary MD 42PET CT Imaging Center ofNorthwest Flori 100Peterson, Joseph MD 42, 43, 70Pharmacy of The Gulf Coast 157Phillips, John MD 30, 66Phillips, Renee APRN 120Physician Specialty Pharmacy 157Piacente, Gregory MD 59Pichardo Soto, Nelson MD 88Pickett, Tiffany PT 130Pierce, Rebekah PA 126Pinto, Amanda SLP 148Planchard, Brian MD 61Plunkett, Joseph MD 54, 72

Pocta, Melissa MD 4Poludnianyk, Kim DO 25Poppell, Samuel MD 61Porter, Annette MD 78Powell, Kerry APRN 121Powell, Rodney MD 57Powers, Adam PT 118, 130, 147, 151Prafke, Jill MD 43Prather, Joel LMHC 87Preisser, Heather PA 110Prescription Place of DefuniakSprings 108Price, Mary APRN 127, 145Prince, Jennifer APRN 124, 126Printz, Elizabeth OT 150Pritchett, Shandrika APRN 149Professional Health Care ServicesInc Db 101Purdessy, Kathy APRN 113Pyne, Jeffrey DO 23

QQader, Haitham MD 38, 68, 69Quest Diagnostics 96

RRadford, Wanda APRN 122, 142Rahman, Mohammad MD 26Ramie, George DO 22Ramirez, Jesus MD 26Ramirez, Sadi MD 63Ramos, Carlos MD 28Ramos, Raul MD 32Ramsden, Timothy MD 22Ramsey, Amber APRN 144Rao, Palep MD 18Ravenel II, Samuel MD 6, 12Ray, Jeffrey LMHC 126Reams, Joshua MD 1Reddy, Shilpa DO 18Reddy, Sudhakar MD 18Reed, Rachel SLP 140Reed, Richard OD 45, 71Rehab Medical Inc 101Rehab Technologies LLC 104Reid, Christopher MD 38, 59Reid, Rachel PA 149Reilly, Jennifer PA 141Reilly, Patrick MD 32, 33


PROVIDER INDEX


R - cont.Reinard, Amarae PT 130Renfroe, James MD 66Renfroe, Robin MD 12Reno, Richard MD 9Restrepo, Maria MD 74Reynolds, James MD 60Reynolds, Richard MD 49, 50, 71Rezk, Ahmed MD 2Rhone, Ethan PA 126Richards, John MD 19Rickoff, Scott DPM 53Rifai, Aref MD 44, 70Rigby, Douglas MD 9Riggenbach, Charles MD 57Riggs, Karen APRN 116Ringel, Andrew MD 33, 58Rios, David PA 111, 112Risley, Geoffrey MD 55Roberts, Chelsey APRN 114Roberts, Edwin DC 30Roberts, Eric DO 34Roberts, Thomas PA 149Roberts, Tiffany APRN 116, 117Roberts, Tracy MD 45Robertson, Tasia PT 138, 147Robinette, Jennifer APRN 115Robins, Ross MD 4Robinson, Tiffany APRN 121, 142Roca, Theresa MD 46, 62, 75Rockwell, Aliece APRN 129Rodriguez, Latino APRN 112Roelant, Geoffrey MD 19Rogers, Robert MD 58Rohan, Michael DO 25Roland, Lincoln MD 55Ronderos, Juan MD 40Roque, Henry MD 37, 58Rosewood Health andRehabilitation Center 102Ross, Ann MD 43, 70Roth, Christopher MD 51Rowe, Lakesha APRN 118Rowe, Sarah ARNP 113Rowland, Gretel APRN 111Ruis, Kristy MD 43, 60, 75Rush, Christopher MD 4Russo, Patricia Had 101

RX Express Pharmacy 155, 162

SSacred Heart Hospital 81Sacred Heart Hospital Emerald 85Sacred Heart Hospital On The Gulf

81Sacred Heart Medical GroupUrgent Care 102, 107Sadat, Mohammad MD 9Saguan, Dannette MD 4Saiter, Cindy APRN 121Salter, Daniel APRN 127Salvino, Christopher MD 19SAMS CLUB 155, 157, 160Samson, Rogelio MD 32Sanchez, Frankie LCSW 91Sanchez-Rodriguez, Lourdes LMHC

87Sandwith, Eric MD 64Sandy Ridge Care Center 107Sanford, Ruby APRN 122Santa Rosa Dialysis 107Santa Rosa Health andRehabilitation Cen 107Santa Rosa Medical Center 84Santa Rosa Pharmacy 163Sawaya, Kathleen AUD 122Sayre, Robert MD 6Scharpman Diaz, Tina PT 130Scherer, Jeremy DO 37Schneider, Casey APRN 143Schuka, Edward MD 4Schuler, Burton DPM 26Schulz, Miranda APRN 143Schwartz, Jeffrey MD 35Schwartz, Vicky APRN 135Schwartz, William MD

37, 43, 59, 60, 75Scotts Pharmacy LLC 157Scroggs III, William MD 63Seaman, Chet PT 118, 131, 147, 151Seay, Teresa ARNP 113Seidel, Sharon MD 43Seigh, Laurie APRN 123Self, Amanda APRN 126Senesac, Christina APRN 121Serlo, Matthew PT 118, 131, 147, 151

Service Pro Pharmacy 162Seto, Lynn MD 27Sexton, Donald PA 135Shaddix, Kyle MD 53Shanahan, William MD 34Shapiro, David OD 49Shaw, Kerrie PA 128Shehan, Joshua PA 128Shelton, Heather APRN 136Shelton, Robert MD 10Shemaria, Marci LMHC 89Shepard, Scott PA 142Sheppard Apothecary 162Sherman, Tracy SLP 140Sherrouse, Kayla APRN 153Shuler, Magdalena MD 23Sidani, Jalal DPM 26Siefker, Joseph MD 57Silva, Kate PA 135, 143Simmers, Kyle MD 10Simmons, Matthew PA 112Simo, Salvador MD 52Simpson, Bobby DO 72Sims, Catherine CNM 113Sinclair, David MD 21Sindhu, Pallavi MD 4Singh, Balraj MD 30, 66Siragusa, Robert MD 15, 78Skinner, Timothy AUD 134Skrabacz, Sharon APRN 138Slaughter, Connie APRN 136, 144Sledge, Robert MD 60, 75Sleepmed Therapy Services 105Slevin, Kerry APRN 126Slevinski, Octavia APRN 127Smith Johnson, Karen APRN 133Smith Sowell, Mollie MD 13Smith, Amy ARNP 112Smith, Angela APRN 128Smith, Christopher PA 125Smith, Cleatious MD 67Smith, Erlyn MD 52Smith, Irina MD 10Smith, John-Stewart MD 11, 67Smith, Kimberly APRN 124, 135Smith, Leslie Had 98, 105Smith, Marjorie SLP 140, 148Smith, Paul PA 141


PROVIDER INDEX


S - cont.Smith, Sonia APRN 89, 146Smith, Stephen MD 22Smith, Timothy Had 98, 105Smith, Tyler PT 131Smiths Pharmacy 155Snellgrove, David DC 30, 66Snow, Karen MD 4Solaris Healthcare Pensacola 102Sontag, Brian DO 43Soroka, Brian DC 73Soued, Mounzer MD 33, 67Southeastern Pharmacy 155Southern Oaks Care Center 102Southwick, Matthew MD 6Sowal Health Drug 163Speech and Neurorehab Center Inc

102Speer, Carl MD 33Spees, Valerie PT 131Spencer, Jennifer APRN 124, 144Spencer, Ruthmary OT 127Spinks, Theodore MD 40Sprenkle, Marilyn MD 2St. Cere, Cynda APRN 112Stadden, Jennifer MD 6Stall, Alec MD 45Stalnaker, Todd DO 43, 70Stanley, Paula ARNP 133Stevens, Jessica PA 138Stevenson, Charles OD 75Stewart, Marian MD 6, 12, 72Stewart, Martha MD 30, 66Stewart, Sharon SLP 148Stewart, Thomas PA 112Stickler, Michael MD 15, 16, 73Stiles, William DO 64Stilwell, Emily APRN 127, 145Stockamp, Kurt MD 34, 68Strahan, Richard MD 7Stringer, Douglas MD 21Stringer, Matthew DO 64Stringer, Merle MD 21Strobel, Amanda MD 49Stroud, Jeffrey APRN 113Stroud, Jeffrey ARNP 114, 136Stroud, Lela APRN 138Stuart, Katherine APRN 135, 136

Stuart, Ronald MD 43Stuhldreher, Peter MD 51Sultan, Mohamed MD 69Summers, Glenn MD 34Summers, Sonja ARNP 144Sumner, Warren PA 138Suncoast Diagnostic Imaging 97Sunnenberg, Thomas MD 36Superiaire Oxygen and EquipmentInc 98Superior In Home Care Inc 101Surgical Center For Excellence LLLP

97Survant, Maureen SLP 118Susong, Jason MD 30Susong, Rebecca MD 10Swaniker, Fresca MD 19Synergy Specialty Pharmacy 160Szydlowski, Garrett PT 118, 147, 151Szymoniak, Peter MD 71

TTack, Heather PT 131Taing, David MD 14Talmage, Deborah PT 131Tanaka, Mary MD 63Tarantola, Ryan MD 44, 61Tarnosky, Adam MD 4, 32Tate, Jessica MD 72Taufiq, Salik MD 48Taylor, Andrea MD 30Taylor, Mark DC 78Taylor, Meaghan APRN 133Taylor, Michael MD 25, 26, 76, 79Temple, Joel MD 46Tenewitz, Francis MD 74Tenniswood, David MD 34Terrezza, Gene OD 45, 71The Chrysalis Center Inc 95The Manor At Blue Water Bay 106The Medicine Shoppe 157The Northwest Florida ASC LP 97The Prescription Place 160, 163The Towers Pharmacy 157Thigpen, Elizabeth SLP 132, 148Thomas, Cynthia APRN 114Thomas, Hannah APRN

126, 127, 144, 145

Thompson, Jennifer MD 7, 12Thompson, Rachel PA 125Thomson, Donna CNM 115Thrif-T Drugs 157Thrif-T Drugs At Echc LLC 157Thrif-T Drugsmarketplace 157Thrif-T Drugs-Pace 162Thursby, Trina APRN 149Tidwell, Brett DO 75Tidwell, Crystal DO 76Tiller, Willowdean LMHC 87Tingler, Yolanda LCSW 87Tochterman, Virginia PT 118Toledo, Maria MD 40Toner, Stephen MD 16, 78Torrance, Naomi APRN 134Touchstone Imaging of PensacolaLLC 100Trageser, Brandon PA 118Tran, Quang MD 16Tucker, John MD 34Turner, David MD 43Tyer, Collynne APRN 121

UUmbreit, Eric MD 64

VVadlamani Simmers, Lalitha MD

2, 72Van Benenden-Colley, Karen APRN

129Van Der Kooi, Kaisa MD 16Van Vrancken, Jennifer PT 138Vandersteen, David MD 51Vandewalle, Michael DO 88Vannorsdall, Mark MD 37Vanrandwyk, Natalie SLP 140Vaughan, William PA 126Vaughn, Ryan ARNP 128, 137, 146Vernon Discount Drug 164Viator, Rickey MD 13Victoriano, Mylene MD 7Victoriano, Ronald MD 7Villar, Christopher MD 40Visionworks Inc 44Vlahos, Christopher PT 138Vorhis, Savannah APRN 150Voss, Megan APRN 153


PROVIDER INDEX

| 188

V - cont.Vroon, Tiffany MD 13

WWaddington, Eric MD 4Wade, Barbara MD 36Wade, Jessica APRN 121, 127Wahl, Mary APRN 153Waite, Sarah MD 52Wakefield, William MD 10Walford, Nebbie MD

19, 26, 74, 76, 78, 79Wallender, Aaron MD 50Walmart Pharmacy

155, 157, 158, 160, 161, 162, 163, 164Wang, Yu PA 112Ward, Brandy SLP 132Ward, Jon MD 16Washington Chd 78Washington Rehabilitation andNursing Center 109Watkins, James MD 36Watkins, Louie PT 131Watson, Nancy PA 111Watson-Globerman, Kristen APRN

113Webb, Laura DO 44, 70Webber Jr, Joseph ARNP 138Weber, Andrew MD 19, 20Webster, Hannah APRN 136Weeks Pharmacy 163Weeks, Bevin MD 46, 47, 62, 75Wehry, Mark MD 51, 63Weidner, Bryan MD 50Weiland, Jeffrey DPM 53Weiss, Prabha MD 13Weisskopf, Emily SLP 132Wells, Christopher MD 18Wells, Kristi PA 149Wen, Wen SLP 140Werner, Emily SLP 140Wert, Dana APRN 129West Beach Dialysis Center 97West Florida Community CareCenter 162West Florida Dialysis 100West Florida Hospital 81West Pensacola Dialysis 100

West, Amy PA 134, 142Westafer, Anita MD 11Westbrook, Thomas MD 29Weston, Nicole PT 138Westwood Nursing and RehabCenter 106Whatley, Aja SLP 148Wheeler, Cara PsyD 88Whibbs, William MD 5Whigham, Brenda APRN 150Whitaker, Donald MD 60Whitaker, Sonja MD 5Whitcomb-Powell, Carol AUD 122White, David DO 37White, Judy MD 59, 60White, Whitney APRN 144Whitehead, Mitchell MD 5Whorton, Laurie PT 147Wilder, Olivia Had 108Wiles, Ronnie MD 39, 69Wilhelm, Billie APRN 124Wilkins, James PA 119Wilkinson, Diane MD 7, 52, 72Williams, Jamie APRN 114Williams, Larry APRN 124Williams, Laura APRN 125, 144Willingham, Christopher MD 23, 61Willis, Brian LMHC 94Willis, William MD 5Willson, Catherine PA 129Wilson, Crystal MD 91Wilson, Jennifer APRN 134Wilson, William DO 5Wimberly, Katie PT 131Winchester, Sara MD 66Wingo, Charles MD 62Winn-Dixie Pharmacy

155, 158, 161, 163Winter, Mollie MD 13Winterberry, Edna LMHC 90Wise, William PT 131Wolf, Julie OD 24Wolf, Laurie OT 115Wolf, Samuel DO 22, 23Wong, Larry DO 19Woodlands Medical Specialists 158Wooten, Richard PT 118Wray, Michael DO 67

Wyatt, Charles MD 54Wylie, Jenny APRN 123Wynn, Tung MD 49

YYang, Kelsie PA 138, 146Yazji, Ibrahim MD 27Yordon, Cameron Had 105, 108Yordon, Gregory Had 98, 105, 109Yordon, Sharon Had 98, 108, 109Young, Sherry APRN 133Yurttutan Engin, Nesrin MD 7, 72

ZZachos, Athanasios MD 64Zaman Khan, Muhammad MD 21Zaritsky, Joshua MD 49Zeinomar, Mohammed MD 2, 25

www.wellcare.com/Florida


Discrimination Is Against the Law

Staywell Kids complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Staywell Kids does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Staywell Kids:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

– Qualified sign language interpreters

– Written information in other formats (large print, audio, Braille, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:

– Qualified interpreters

– Information written in other languages

If you need these services, contact Staywell Kids at 1-866-698-5437 (TTY: 711), Monday–Friday from 7 a.m. to 7 p.m., for help or you can ask Member Services to put you in touch with a Civil Rights Coordinator who works for Staywell Kids.

If you believe that Staywell Kids has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Staywell Kids, Grievance Department, P.O. Box 31384, Tampa, FL 33631-3384; Telephone: 1-866-530-9491; TTY number: 711; Fax: 1-866-388-1769; [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, a Staywell Kids Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Ave SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

CAD_08797E Internal Approved 12182017 ©WellCare 2017 FL7WHKINS08797E_1400

mailto:[email protected]

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-698-5437 (TTY: 711).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-698-5437 (TTY: 711).

1-866-698-5437 (TTY 711)www.wellcare.com/Florida


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