Approved Facilities 07-19-2017 · 2020-02-08 · Facilities Approved as Areas of Critical Need 07/19/2017 COUNTY FACILITY NAME FACILITY ADDRESS PHONE# DATE APPR. Method of Approval

Facilities Approved as Areas of Critical Need

07/19/2017

COUNTY FACILITY NAME FACILITY ADDRESS PHONE# DATE APPR.

Method of Approval

Alachua ACORN Clinic 23320 N. State Road 235, Brooker, FL 32622 (352)485-1133

02/05/02 Secretary

Alachua Alachua County Health Department - Alachua Clinic - Family Services Center - Hawthorne Clinic - High Springs Clinic - Newberry Clinic

730 NE Waldo Rd, Gainesville, FL 32641 13630 N. W. 151 Place, Alachua, FL 32641 3600 N. E. 15 Street, Gainesville, FL 32609 22000 S. E. 65 Ave., Hawthorne, FL 32640 30 S. W. First Avenue, High Springs, FL 32643 25435 W. Newberry Road, Newberry, FL 32669

352-955-2356 386-462-2542 352-955-7220 352-481-2388 386-454-2421 352-472-1160

CHD

Alachua Helping Hands Clinic, Inc. First United Methodist Church, 419 NE 1st St, Gainesville, FL 32601

352-372-8523 10/07 VHCPP

Alachua Eftim Adhami, M.D., Lupus Foundation of Gainesville

945 NW 114th Way, Gainesville, FL 32606 352-275-8171 06/23/09 Secretary

Alachua Westside Samaritans Clinic 10000 W. Newberry Road, Gainesville, FL 32606 352-333-7700 x113

05/17/12 SSG

Alachua The Primary Care Clinic of Gainesville, PA 1026-C SW 2nd Avenue, Gainesville, FL 32601 352-284-3669 08/10/12 SSG Alachua North Florida Evaluation and Treatment

Center 1200 NE 55th Blvd., Gainesville, FL 32641 08/26/13 SSG

Alachua Tacachale Developmental Disability Center 1621 NE Waldo Rd, Gainesville, FL 32609 352-955-5000 02/26/14 Auto Alachua Med Family Care, PLLC 3600 Northwest 43rd Street, Gainesville, FL 32606 04/23/14 SSG Alachua Samaritan OBGYN 1201 Northwest 64th Terrace, Gainesville, FL 32605 05/06/14

SSG

Alachua University of Florida Mobile Outreach Clinic 1600 S W Archer Rd, Ste. NG3, Gainesville, FL32610 07/14/14 SSG Alachua North Florida Woman Care DBA Samaritan

OBGYN 1201 Northwest 64th Terrace Gainesville, Florida 32605

03/31/15 SSG

Alachua Celebrate Primary Care, LLC 4400 Northwest 23rd Avenue, Suite B Gainesville, FL 32606 04/10/15 SSG Alachua Medical Injury Group of Gainesville 4410 West Newberry Road Suite A3 Gainesville, FL 32607 09/30/15 SSG Alachua Roy Hinman, MD, PA 7109 Northwest 11th Place, Suite E Gainesville, Florida 32605 352-363-6478 02/25/16 SSG Alachua Roy Hinman, MD, PA DBA Island Doctors 806 Northwest 16th Avenue, Unit A Gainesville, Florida 32601 352-727-4641 02/25/16 SSG Alachua Primary Care of Gainesville, LLC 6717 Northwest 11th Place, Suite B Gainesville, Florida 32605 352-505-0255 06/28/16 SSG Baker Baker County Health Department 480 West Lowder Street, Macclenny, FL 32063 904-259-6291 07/22/14 CHD Bay Bay County Council of Aging 1116 Frankford Ave., Panama City, FL 32401 904-769-3468 04/09/94 VHCPP Bay St. Andrews Community Medical Center 1616 Cincinnati Ave., Panama City, FL 32401 850-785-1419 06/05/04 VHCPP Bay Bay County Health Department 597 W. 11th St., Panama City, FL 32401 850-872-4455 CHD Bay PanCare of Florida, Inc. DBA Community 707-A Jenks Avenue, Panama City, FL 32401 (dental only) 850-872-4128 s. 330


07/19/2017


Method of Approval

Health Center – Bay County 2309 E 15th St, Panama City (Cedar Grove), FL 32405 Bay Gulf Coast Holistic and Primary Care 756 Harrison Avenue, Panama City, FL 32401 05/22/13 SSG Bay Bernier Family Practice DBA Emerald

Medical Center 1606 Tennessee Ave., Lynn Haven, FL 32444 10/21/14 SSG

Bay Bernier Family Practice DBA Emerald Medical Weight Loss Clinic 744 Harrison Ave. Panama City, FL 32404

10/20/15 SSG

Bay Life Management Center of Northwest Florida

525 East 15th Street, Panama City, FL 32405 850-522-4485 11/04/15 SSG

Bay Gulf Coast Holistic and Primary Care 105 Jazz Drive Panama City, Florida 32405 850-522-9719 05/16/16 SSG Bay Rainbow Pediatrics 2905 South Highway 77Lynn Haven, Florida 32444 850-257-5524 02/21/17 SSG Bay Rainbow Pediatrics 2933 Highway 77 Panama City, Florida 32405 850-257-5524 05/18/17 SSG Bay Gulf Coast Holistic and Primary Care 219 Forest Park Circle Panama City, Florida 32405 850-215-9418 06/21/17 SSG Bradford Bradford County Health Department 1801 North Temple Ave. Starke, FL 32091 904-964-7732 CHD Bradford Medical Injury Group of Starke, LLC 996 North Temple Avenue, Suite B Starke, Florida 32091 352-727-4835 03/30/16 SSG Brevard BHA Palm Bay Clinic 5270 Babcock Street NE, #1, Palm Bay, FL 32905 321-733-2021 07/18/17 s. 330 Brevard Brevard County Health Department

- Melbourne Clinic, Melbourne - PATH Clinic, Rockledge - Rockledge Clinic, Rockledge - Titusville Clinic, Titusville

2575 N. Courtenay Pkwy, Merritt Island, FL 32953-4147 2275 S. Babcock St., Melbourne, FL 32901 1744 Cedar St., Rockledge, FL 32955 1744 Cedar St., Rockledge, FL 32955 611 Singleton Av., Titusville, FL 32796

407-454-7111 321-726-2920 321-690-6494 321-634-6305 321-383-2795

04/08/94 CHD

Brevard Brevard County Jail 860 Camp Road, Cocoa, FL 32927 321-690-1500 05/02/12 SSG Brevard George Idiculla, M.D., P.A. Internal Medicine 1029 South Florida Avenue, Rockledge, FL 32955 321-638-0888 10/30/12 SSG Brevard Indian River Volunteers in Medicine, Inc.

DBA Space Coast Volunteers in Medicine 2555 Judge Fran Jamieson Way Viera, Florida 32940

321-639-5813 06/09/16 SSG

Brevard Armando O. Martinez, MD 1395 North Courtenay Parkway, Suite 200 Merritt Island, Florida 32953

321-459-1333 06/07/16 SSG

Brevard BHA Sarno Regional Clinic 2120 Sarno Road STE 2120, Melbourne FL 32935 321-241-6800 07/18/17 SSG Brevard BHA Barton Commons Medical Dental 220 Barton Blvd, Unit C14, Rockledge FL 32955 321-914-5864 07/18/17 SSG Brevard BHA Melbourne Clinic 17 Silver Palm Avenue, Melbourne FL 32901 321-733-2021 07/18/17 SSG Brevard BHA Titusville 500 N. Washington Ave STE 105, Titusville FL 32796 321-268-0267 07/18/17 SSG Brevard BHA Port St. John 7227 N. US Highway 1 Suite 300, Cocoa FL 32927 321-241-6868 07/18/17 SSG Brevard BHA Malabar Clinic 775 Malabar Road, Malabar FL 32950 321-733-0642 07/18/17 SSG Broward Broward Community & Family Health

Centers, Inc. -Thomas N. Anthony Medical Center -Broward Community & Family Health

5010 Hollywood Blvd. Suite 100, Hollywood FL. 33021 168 N. Powerline Rd, Pompano Beach, FL 33069

954-967-0028 954-970-8805

s. 330 SSG

Broward Broward County Health Department CHD


07/19/2017


Method of Approval

- Ft. Lauderdale Health Center - Hughes Health Center - North Regional Public Health Center - Northwest Health Center - South Regional Health Center - Sunrise Health Center

2421-A SW 6th Ave., Ft. Lauderdale, FL 33115-2613 205 NE 6th Ave., Pompano Beach, FL 33060 601 W. Atlantic Blvd., Pompano Bch, FL 33060 624 NW 15 Way, Ft. Lauderdale, FL 33311 4105 Pembroke Rd., Hollywood, FL 33020 900 NW 31st Ave., Ft. Lauderdale, FL 33311

954-467-4938 954-788-6140 954-467-4531 954-985-4800 954-327-6000

Broward Project Access 8000 Biscayne Blvd, Miami, FL 33138 11865 SW 26th ST, Unit G-10, Miami, FL 33174 6830 Pines Blvd, Pembroke Pines, FL 33024 1609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62nd Ave, Ste 300, S. Miami, FL 33143 5240 West Flagler St, Miami, FL 33124 700 SW 8 Street, Miami, FL 33130

305-759-4778 305-559-8333 954-987-5010 407-944-1319 813-933-2800

Secretary 1/25/06

Broward Living Water Care Center, North Site 1039 NE 3rd Ave, Ft. Lauderdale, FL 33304 08/18/06 VHCPP Board approved pursuant to 458.317

Broward Living Water Care Center, South Site 3610 SW 48th Ave, Pembroke Pines, FL 33023 08/18/06 VHCPP Board approved pursuant to 458.317

Broward Centro Medico Familiar Buen Pastor, Inc. 4440 Sheridan St, Ste C, Hollywood, FL 33021 08/06/09 Secretary Broward Elite Medical 3429 W Oakland Park Blvd, Lauderdale, FL 33311 5/3/2011 SSG Broward Miguel A. Aponte, MD 7300 West McNab Road, Ste. 113, Tamarac, FL 33321 954-582-1200 09/08/11 SSG Broward L & M Medical Clinic 2100 E. Hallandale Beach Blvd., #202, Hallandale, FL 33009 954-239-0578 01/19/12 SSG Broward Cintex Medical Center and Urgent Care 6245 Miramar Parkway, Ste. 101, Miramar, FL 33023 05/03/12 SSG Broward Broward Outreach Center Hollywood 2056 Scott Street, Hollywood, FL 33022 305-572-2026 05/17/12 SSG Broward Kumar Rajagoplan MD PA 3816 Hollywood Blvd., 102, Hollywood, FL 33021 10/08/12 SSG Broward Zion Clinic Pharmacy 205 E Hallandale Beach Blvd., Hallandale Beach, FL 33009 954-367-5365 10/30/12 SSG Broward Sunset Strip Medical Center 4269 NW 88th Avenue, Sunrise, FL 33351 05/22/13 SSG Broward Emerald Hills Medical Center 3990 Sheridan Street, Ste. 101, Hollywood, FL 33021 05/22/13 SSG Broward Premier Total Healthcare, Inc. 1250 E. Hallandale Beach Blvd, 2nd Floor, Hallandale Beach,

FL 33009 06/19/13 SSG

Broward American Care of South Florida, Inc. 6200 Pembroke Rd., Miramar, FL 33023 1600 W. Oakland Park Avenue, Oakland Park, FL 33311

10/30/13 10/30/13

SSG SSG

Broward Harmony Development Center, Inc. 3800 Inverrary Blvd., Ste. 100-C, Lauderhill, FL 33319 05/23/14 SSG


07/19/2017


Method of Approval

Broward Interamerican Medical Center Group, LLC 1225 NW 40th Avenue, Unit 2, Lauderhill, FL 33313 10/11/13 SSG Broward Spectrum Programs, Inc. 226 Southwest 2nd St. Pompano Beach, FL 33060

214 Southwest 2nd St. Pompano Beach, FL 33060 11/13/14

11/13/14 SSG

Broward Reliable Medical Services DBA Centro Medico Samaritano

1597 South State Road 7 North Lauderdale, Florida 33068

12/23/14 SSG

Broward JAS Medical Management, LLC 6151 Miramar Parkway, Suite 104 Miramar, Florida 33023 04/10/15 SSG Broward Care Optimum Family Health Services, LLC 4651 Sheridan Street, Suite 250 Hollywood, FL 33021 04/28/15 SSG Broward Oscar Mendez, MD 2951 Northwest 49th Avenue Suite 306 Lauderdale Lakes,

Florida 33313 06/23/15 SSG

Broward Happy Health Medical Group, Inc. 2651 West Atlantic Boulevard Pompano Beach, Florida 33069 05/25/15 SSG Broward Jean Rodney, MD., DBA Alliance Medical

Center, Inc. 6245 Miramar Parkway, Suite 102, Miramar, FL 33023 08/11/15 SSG

Broward Complete Local Specialty Care, Inc., DBA Jean Claude E. Bourque

1770 East Hallandale Beach Boulevard, Hallandale, FL 33009 08/19/15 SSG

Broward Christos Doctors Inn Walk-In Healthcare, LLC

4000 North State Road 7, Suite 105

Lauderdale Lakes, Florida 33319

08/12/15 SSG

Broward RMA Medical Centers of Florida, LLC DBA RMA of Margate, LLC

1316 North State Road 7, Margate, Florida 33063 08/25/15 SSG

Broward RMA Medical Centers of Florida DBA RMA of Pasadena Lakes/Gonzalez

2295 North University Drive, Pembroke Pines, FL 33024 08/26/15 SSG

Broward RMA Medical Centers of Florida, LLC DBA RMA of Hallandale, LLC

1460 East Hallandale Beach Boulevard, Hallandale, FL 33009 08/25/15 SSG

Broward Real Martin, MD, PA 175 South State Road 7 Margate, Florida 33068 09/17/15 SSG Broward Premier Urgent Care Center/Internal 2400 W. Sample Rd., Ste. 4, Pompano Beach, FL 33073 05/06/13 SSG Broward Doctors Plus Medical Center DBA Antonio

Ham Wong 320 South State Road 7, Suite 100, Plantation, FL 33317 954-714-8780 11/02/15 SSG

Broward Juan Carlos Rondon, MD, PA 3157 North University Drive Suite 103 Davie, Florida 33024 954-322-8985 12/15/15 SSG Broward Invictus Medical Center, Inc. 5920 Johnson Street, Suite #108, 109, 110 Hollywood, Florida

33021

305-649-8100 01/22/16 SSG

Broward Leung Healthcare Hollywood, Inc. 824 South Federal Highway Hollywood, Florida 33020 954-921-5553 2/08/16 SSG Broward Florida Primary Health, LLC 5890 Stirling Road, Suite 5-6 Hollywood, Florida 33021 786-318-8856 02/22/16 SSG Broward Walstein Medical Center, Inc. 4161 Northwest 5th Street, Suite 201 Plantation, Florida 33317 954-338-0014 02/23/16 SSG Broward Kumar Rajagopalan, MD 4850 West Oakland Park Boulevard, Suite 224

Lauderdale Lakes, Florida 33313 954-777-1773 04/21/16 SSG

Broward Better Care of Broward Medical Center 599 South Federal Highway Dania Beach, Florida 33004 954-368-7213 04/21/16 SSG Broward Urgent Med, Inc. 2337 South University Drive Davie, Florida 954- 423-9234 05/19/16 SSG


07/19/2017


Method of Approval

33324 Broward Bredy Physical Therapy and Sports Rehab,

LLC 4801 South University Drive, Suite 250 Davie, Florida 33328

954-530-6845 06/14/16 SSG

Broward Affiliated Pediatrics of Broward, PA 3829 Hollywood Boulevard, Suite A Hollywood, Florida 33021

786-464-1444 07/14/16 SSG

Broward Broward Community & Family Health Centers, Inc DBA Central Broward Community Health Center

1229 Northwest 40th Avenue Lauderhill, Florida 33311 954-214-8767 07/22/16 SSG

Broward Pedroso Pediatrics, PA 117 South 17th Avenue Hollywood, Florida 33020 954-923-9494 08/12/16 SSG Broward Centro Copas 19620 Pines Boulevard, Suite 217-11 Pembroke Pines, Florida

33029

954-999-4786 09/07/16 SSG

Broward Broward Palm Medical Center 6849 Taft Street Hollywood, Florida 33024 (954) 432-0578

10/05/16 SSG

Broward Modern Recovery & Wellness, LLC 3215 Northwest 10th Terrace #209B Oakland Park, FL 33309 954-451-3073 11/03/16 SSG Broward Doctor’s Medical Center, Inc. 368 East Dania Beach Boulevard Dania Beach, Florida 33004 305-685-5688 11/04/16 SSG Broward Broward Community & Family Health

Centers, Inc. DBA West Park Community & Family Health Center

5801 West Hallandale Beach Boulevard West Park, Florida 33023

954-214-8767 12/22/16 SSG

Broward Russ Marc Seger 2700 West Cypress Creek Road, C100 Fort Lauderdale, Florida 33309

954-974-3111 01/30/17 SSG

Broward Five Element Wellness Center 7310 West McNab Road, Suite 106-110 Tamarac, Florida 33321

954-657-8342 02/13/17 SSG

Broward Broward Physician Therapy 2440 North 59th Terrace Hollywood, Florida 33021 954-966-7054 03/27/17 SSG Broward Centro De Salud Primaria, LLC 4801 Hollywood Boulevard, Suite B Hollywood, Florida 33021 305-804-8229 03/29/17 SSG Broward Medi MD, LLC 7950 Southwest 30th Street, Suite 200 Davie, Florida 33328 888-674-0160 04/03/17 SSG Broward MD Now Medical Centers, Inc. 2502 North State Road 7 Hollywood, Florida 33021 561-420-8555 07/07/17 SSG Calhoun Calhoun County Health Department 1507 W. Central Ave, Blountstown, FL 32424-1815 850-674-5645 CHD Calhoun Calhoun Liberty Hospital 20370 Burns Ave, Blountstown, FL 32424 850-674-5411 1/31/17 SSG Charlotte Charlotte County Health Department

514 E. Grace St., Punta Gorda, FL 33950-6198 20101 Peachland Blvd., Pt Charlotte, FL 33954 6868 San Casa Rd., Englewood, FL 34223

941-639-1181 941-255-7424 941-474-3240

N/A CHD

Charlotte St. Vincent de Paul Community Health Clinic 21450 Gibralter Dr, Port Charlotte, FL 33952 (address from Sunbiz: 1282 Market Circle, Unit 6, Port Charlotte, FL 33953)

941-766-3570 12/13/07 VHCPP

Charlotte St. Vincent De Paul Community Health Care, 21297-B Olean Blvd., Port Charlotte, FL 33952 08/29/13 SSG


07/19/2017


Method of Approval

Inc., DBA Virginia B. Andes Volunteer Community clinic

Citrus Citrus County Health Department 3700 W. Sovereign Path, Lecanto, FL 34461-8071 352-527-1288 CHD

Citrus Nature Coast Ministries 838 N. Citrus Avenue, Crystal River, FL 34429 352-563-1860 06/12/12 SSG Citrus Eihab H.Tawfik, MD, PA DBA Christ

Medical Center 7562 West Gulf to Lake Highway Crystal River, FL 34429 04/01/15 SSG

Citrus Access Health Care Physicians, LLC 92 Cypress Boulevard West Homosassa, FLunited 34446 9/24/15 SSG Citrus PrimeCare Doctors, LLC 9030 West Fort Island Trail Suite 1 Crystal River, FL

34429 352-796-9994 12/09/15 SSG

Citrus Idicula Medical Associates, MD, PA 8281 South Suncoast Boulevard Homosassa, Fl 34446 352-596-4663 1/12/16 SSG Citrus Access Healthcare Physicians, LLC

401 North Central Avenue Inverness, Florida 34453 1903 West Highway 44 Inverness, Florida 34453

352-796-9994 02/11/16 SSG

Citrus Quick Care Med 1907 West Highway 44 Inverness, Florida 34453 325-344-2273 05/16/16 SSG

Citrus Quick Care Med, PL 3956 South Suncoast Boulevard Homosassa, Florida 34448 352-628-0911 05/24/16 SSG

Citrus Access Healthcare Physicians, LLC 9030 W. Fort Island Trail, Crystal River, FL 34429 352-228-8906 1/13/17 SSG

Citrus Primecare Doctors, LLC 9030 West Fort Island Trail, Suite 1 Crystal River, FL 34429 352-796-9994 02/22/17 SSG

Citrus Access Health Care Physicians, LLC 8365 South Suncoast Boulevard Homosassa, Florida 34446 352-382-0258 06/14/17 SSG

Clay Clay County Health Department - Bear Run Clinic - Keystone Heights Clinic

1305 Idlewild Ave., Green Cove Sgs, FL 32043 3229 Bear Run Blvd., Orange Park, FL 32073 115 Commercial Dr., Keystone Heights, 32656

904-529-2277 904-272-3177 904-473-4172

CHD VHCPP

Clay Penney Retirement Community P.O. Box 555, Penney Farms, FL 32079 (3495 Hoffman St, Penny Farms, FL 32079)

904-284-8531

Clay The Way Free Medical Clinic, Inc 11 Martin Luther King Jr. Blvd, Green Cove Springs, FL 32079 479 Houston St., Green Cove Springs, FL 32043

904-215-0624

10/07/13

VHCPP SSG

Clay Jacksonville Multispecialty Group, LLC 3052 Highway 17, Green Cove Springs, FL 32043 06/30/14 SSG Collier Collier County Health Department

P.O. Box 429, Naples, FL 33939-0428 419 N. First St., Immokalee, FL 33934

941-774-8210 941-657-2210

02/06/93 CHD

Collier Collier Health Services, Inc. - Central Naples Pediatrics - Creekside Pediatrics - Golden Gate Pediatrics - Mike Davis Medical Center - Immokalee Family Care Center - Marco Island Pediatrics

1454 W. Madison Ave., Immokalee, FL 34142 3425 10th Street, N., Naples, FL 34103 1284 Creekside St., #107, Naples, FL 34108 5262 Golden Gate Parkway, Naples, FL 34116 1755 Heritage Trail, Ste. 604, Naples, FL 34112 1502 Lake Trafford Road, Immokalee, FL 34142 40 Heathwood Drive, Marco Island, FL 34145

239-658-3000 239-262-3669 239-591-1755 239-353-4101 239-657-6363 239-394-0693

12/08/96

s. 330


07/19/2017


Method of Approval

- Marion E. Feather Medical Center 1454 W. Madison Ave., Immokalee, FL 34142 239-658-3000

09/22/11 Collier David Lawrence Cntr and Collier Health

Svc., Inc. 6075 Goldengate Parkway, Naples 941-435-0035 VHCPP

Collier Community Medical Care Center, Inc. 214 South 1st Street, Immokalee, FL 34142 03/25/11 SSG Collier Braden Clinic, LLC 5068 Annunciation Circle Suite 111 Ave Maria, FL 34142 9/18/15 SSG Collier Angel's Medical Company DBA Clinica Los

Angeles 5038 Coronado Parkway Naples, Florida 34116 239-234-6835 1/19/16 SSG

Collier Golden Gate Family Clinic, PL 5474 Golden Gate Parkway, #7 Naples, Florida 34116 239-293-3601 04/20/16 SSG Collier SW Florida Regional Medical Center 5580 19th Court Southwest, Unit 2 Naples, Florida 34116 (239) 304-

2471 09/15/16 SSG

Collier Hispanic Health Enterprises, LLC DBA Clinica Hispana

4990 Golden Gate Parkway, #2 Naples, Florida 34116

(239) 692-8309

11/15/16 SSG

Collier Senior Friendship Health Center 2355 Stanford Court, Unit 701, Naples, FL 34112 01/01/16 SSG Collier PANIRA Healthcare Clinic, Inc 5039 East Tamiami Trail Naples, Florida 34113 239-529-5580 02/27/17 SSG Collier Beal’s Injury Center, Inc. DBA Rehab Specialists

of Collier 5274 Golden Gate Parkway, Suite 2 Naples, Florida 34116

239-330-7783 05/05/17 SSG

Columbia Columbia County Health Department - Fort White Clinic

249 East Franklin Street, Lake City, FL 32055 Dortch Street, Fort White, FL 32038

386-758-1037 386-497-4899

CHD

Columbia North Central Florida Hospice, Inc./DBA Haven Hospice/Suwannee Valley Care Center

6037 West US Highway 90, Lake City, FL 32055 02/26/14 SSG

Columbia Dynamic Health Centers, Inc. 2806 West US Highway 90, Ste. 102, Lake City, FL 32055 04/23/14 SSG Columbia Origins Family Medical & Weight Loss

Clinic 194 SW Wall Terrace, Lake City, FL 32025 11/21/13 SSG

Columbia Medical Injury Group of Lake City 484 Southwest Commerce Drive Suite 155 Lake City, FL 32025

9/30/15 SSG

Columbia Island Doctors/Roy Hinman, MD 1037 West US Highway 90, Suite 130 Lake City, FL 32055 386-487-6484 1/20/16 SSG Columbia Stephen O. Izeiyamu, MD 187 Northwest Madison Street Lake City, Florida 32055 386-867-5457 10/21/16 SSG Dade Borinquen Health Care Center 3601 Federal Highway N., Miami, FL 33137 305-576-6611 s. 330 Dade Camillus Health Concern

- Better Way of Greater Miami - Salvation Army

336 NW 5th St., Miami, FL 33101 800 NW 28th Street, Miami, FL 33127 1907 NW 38th Street, Miami, FL 33142

305-577-4840 305-634-4797 305-637-6700

VHCPP s. 330

Dade North Miami Beach Medical Center, Inc. 4450 NW 135th St, Opa-Locka, FL 33054 (786) 888-8800

VHCPP

Dade Citrus Health Network (Administration) - Citrus Health Network Clinic

4125 W. 20th Avenue, Hialeah, FL 33012 4175 W. 20th Avenue, Hialeah, FL 33012

305-825-0300 305-424-3120

s. 330


07/19/2017


Method of Approval

Dade Community Health of South Florida, Inc. (previously Community Health of South Dade, Inc.) - Women’s Center - Doris Ison Health Center - Everglades Health Center - Martin Luther King Jr. Clinic Campesina - Naranja Health Center - West Perrine Health Center - Marathon Health Center Community Health of South Florida, Inc. School Based Health Locations - HA Ammons Middle School - John Ferguson Senior High School - G. Holmes Braddock Sr High School - West Miami Middle School - Campbell Drive Elementary School - West Homestead Elementary School - Laura Saunders Elementary School - R.R. Morton Elementary School - Dorothy Wallace COPE South - South Wood Middle School - Royal Green Elementary - William S. Chapman Elementary - Dr. Bowman Foster Ashe Elementary - Jane Roberts Elementary - Flagami Elementary School - Campbell Drive Middle School - South Dade Sr. High School - Homestead Senior High School - Colonial Drive Elementary School - Perrine Elementary - Howard D. McMillan Middle School - Redondo Elementary - Leisure City K-8 - Avocado Elementary

10300 SW 216th St., Miami, FL 33190 820 SW 1st ST, Homestead, FL 33030 10300 SW 216th St., Miami, FL 33190 19300 SW 376th St., Florida City, FL 33034 810 W. Mowry St., Homestead, FL 33030 13805 SW 264th St., Naranja, FL 33032 18255 Homestead Ave, Perrine, FL 33157 2855 Overseas hwy, Marathon, FL 33050 17990 SW 142nd Ave, Miami, FL 33177 15900 SW 56th St, Miami, FL 33185 3601 SW 147th Ave, Miami, FL 33185 7525 SW 24th St, Miami, FL 33135 15790 SW 307th St, Leisure City, FL 33033 1550 SW 6th St, Homestead, FL 33030 505 SW 8th St, Homestead, FL 33030 18050 Homestead Ave, Perrine, FL 33157 10225 SW 147th Terrace, Miami, FL 33176 16301 SW 80 Ave, Miami, FL 33157 13047 SW 47th St, Miami, FL 33175 27190 SW 140 Ave, Homestead, FL 33032 6601 SW 152nd Ave, Miami, FL 33193 14850 SW Cottonwood Circle, Miami, FL 33185 920 SW 76th Ave, Miami, FL 33144 900 NE 23rd Ave, Homestead, FL 33033 28401 SW 167th Ave, Homestead, FL 33030 2351 SE 12th Ave, Homestead, FL 33034 10755 SW 160 St, Miami, FL 33157 8851 SW 168th St, Perrine, FL 33157 13100 SW 59th St, Miami, FL 33183 18480 SW 304th St, Homestead, FL 33030 14950 SW 288th St, Homestead, FL 33033 16969 SW 294th St, Homestead, FL 33030

305-253-5100 305-247-3087 305-253-5100 305-246-4607 305-248-4334 305-258-6813 305-234-7676 305-743-4000 305-252-2193 305-752-0834 305-552-6205 305-261-9986 305-246-5617 305-245-1368 305-242-0973 305-238-9520 305-233-1044 305-251-5361 305-221-4452 305-245-1331 305-382-8760 305-220-8254 305-261-1184 305-245-8751 305-247-4244 305-242-2244 305-235-7284 305-235-2442 305-385-6877 305-247-5943 305-247-5431 305-247-4942

12/08/96 s. 330


07/19/2017


Method of Approval

- Florida City Elementary - Airbase Elementary - Homestead Middle School

364 NW 6th Ave, Florida City, FL 33034 12829 SW 272nd St, Homestead, FL 33032 650 NW 2nd Ave, Homestead, FL 33030

305-247-4676 305-258-3676 305-247-4221

Dade Dade County Health Department 1350 NW 14th Street, Miami, FL 33125-1696 305-324-2400 CHD Dade Economic Opportunity Family Health Center

(now called Jessie Trice Community Health Center, Inc) - Charles R. Drew Elementary - Charles R. Drew Middle School - Cope Center North - EOFHC, Inc./North - Family Health Center at Citrus Health - Hialeah Medical Ctr at Flamingo Plaza - Florida Memorial College - James E. Scott Satellite Center - Women’s Residential Center - Jessie Trice Center for Community Health - Lilly C. Evans Elementary - Poinciana Park Elementary - Brownsville Middle School - Miami Edison Sr/Children’s School Clinic - Miami Edison Middle School - Norland Healthcare Center - OB/GYN Services (Women’s Service Ctr) - Miami Central Cr. High - Broadmoor Elementary - Madison Middle School - Gratigny Elementary School - Miami Park Elementary - Phillis Wheatley Elementary - Toussaint L’Ouverture Elementary - Earlington Heights Elementary - Orchard Villa Elementary - Shadowlawn Elementary - Olinda Park Elementary

700 S. Royal Poinciana Blvd., #300, Miami, FL 33166 1775 NW 60th St., Miami, FL 33147 1801 NW 60th St, Miami, FL 33147 9950 NW 19th Ave., Miami, FL 33147 1220 NW 95th St, Miami, FL 33150 4175 W. 20th Ave., Miami, FL 33012 901 E. 10th Ave., #39, Miami, FL 33010 15800 NW 42nd Ave., Miami, FL 33056 7200 NW 22nd Ave., Miami, FL 33147 2985 NW 54th St., Miami, FL 33142 5361 NW 22nd Ave., Miami, FL 33142 1895 NW 75th St., Miami, FL 33147 6745 NW 23rd Ave., Miami, FL 33147 4899 NW 24th Ave, Miami, FL 33142 6161 NW 5th Ct, Miami, FL 33127 6101 NW 2nd Ave, Miami, FL 33127 18360 NW 7th Ave, Miami, FL 33169 1190 NW 95th St, Ste 110, Miami, FL 33150 1781 NW 95th St, Miami, FL 33147 3401 NW 83rd St, Miami, FL 33147 3400 NW 87th St, Miami, FL 33147 11905 N Miami Ave, Miami, FL 33168 2225 NW 103rd St, Miami, FL 33147 1801 NW 1st Pl, Miami, FL 33136 120 NE 59 St, Maimi, FL 33137 4750 NW 22nd Ave, Miami, FL 33142 5720 NW 13th Ave, Miami, FL 33142 149 NW 49th St, Miami, FL 33142 5536 NW 21st Ave, Miami, FL 33142

305-805-1700 305-694-2362 305-694-2362 305-691-4547 305-694-6900 305-558-0151 305-887-0004 305-626-3760 305-759-3700 305-887-0004 305-835-8122 305-637-6498 305-637-6400 305-694-2366 305-696-1501 305-635-7505 305-754-7044 305-754-3570 305-696-1501 305-696-7759 305-696-4161 305-691-0861 305-696-7759 305-681-6685 305-691-6361 305-573-2638 305-758-2600 305-635-7505 305-696-7759

04/08/94 s. 330

Dade Helen B. Bentley Family Health Center, Inc. 3090 37th Ave., SW, Coconut Grove, FL 33133 305-351-1316 s. 330 Dade Little Havana Activities and Nutrition Center 700 SW 8th Street, Miami, FL 33130-3300 305-858-0887 06/05/92


07/19/2017


Method of Approval

Dade Miami Dade County Health Department 1350 N.W. 14th St, Miami, FL 33125 305-3242454 CHD Dade Miami Beach Community Health Center

(Stanley C. Myers) - Beverly Press Satellite Center - Dr. Solomon-Lichter Hi-Tides Hlth Ctr - North Miami Center - Center for Haitian Studies

710 Alton Road, Miami, FL 33139 1221 71st St., Miami Beach, FL 33141 2231 Prairie Ave., Miami Beach, FL 33139 12340 NE 6th Court, North Miami, FL 33161 8260 NE 2nd Ave, Miami, FL 33138

305-538-8835 305-538-8835 305-534-4004

12/06/96 s. 330

Dade Project Access 8000 Biscayne Blvd, Miami, FL 33138 11865 SW 26th ST, Unit G-10, Miami, FL 33174 6830 Pines Blvd, Pembroke Pines, FL 33024 1609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62nd Ave, Ste 300, S. Miami, FL 33143 5240 West Flagler St, Miami, FL 33124 700 SW 8 Street, Miami, FL 33130

305-759-4778 305-559-8333 954-987-5010 407-944-1319 813-933-2800

Secretary 1/25/06

Dade Center for Haitian Services, Health & Human Services, Inc.

8260 NE 2nd Ave, Miami, FL 33138 (305) 757-9555

06/03/06 Board approved

Dade Panamerican Health Center, Inc. 4750 NW 7th St, Ste 13, Miami, FL 33126 305-567-0060 08/06/09 Secretary Dade Latin Foundation for Health, Inc. 8260 W Flagler St, Ste 2-M, Miami, FL 33144

815 NW 57th Avenue, Ste. 144, Miami, FL 33126 305-903-9711 10/30/09

05/22/13 SSC SSG

Dade Miami Rescue Mission 2025 NW 1st Ave, Miami, FL 33124 305-571-2273 02/11/10 VHCPP Dade Medical Consulting Center, Inc. 759 NW 22nd Avenue, Miami, FL 33125 305-649-0492 12/07/11 SSG Dade Larkin Community Hospital Clinic,

Comprehensive Medical Access (CMA), Inc

6140 SW 70th St, S. Miami, FL 33143 7031 Southwest 62nd Avenue, South Miami, FL 33143

10/15/10 10/15/10

SSG SSG

Dade Anchor Medical Center 12781 Bird Rd, Miami, FL 33175 12781 S.W. Bird Rd., Ste. H, Miami, FL 33175

786-953-8221

12/08/10 02/22/13

SSG SSG

Dade St. John Clinic Medical Center 161 NW 29 Street, Miami, FL 33127 12/08/10 SSG Dade A&F Medical Services, Inc. 4726 West Flagler St, Miami, FL 33134 03/11/11 SSG Dade Primary Wellness Center 6445 SW 8th St, Miami, FL 33144 04/07/11 SSG Dade J.O. Medical Center, Inc. 42 NW 27th Ave, Ste 303, Miami, FL 33125 04/13/11 SSG Dade Paradigm Medical Center 1250 NW 7th St, Ste 101, Miami, FL 33125 04/13/11 SSG Dade Clear Image Aesthetic Center, LLC 2601 SW 37th Avenue, Suite 901, Miami, FL 33133 786-953-5355 10/26/11 SSG Dade Group of Miami, LLC 1394 Coral Way, Miami, FL 33145 04/18/11 SGG Dade Better Health Systems, Inc 85 Grand Canal Dr, Ste 209, Miami, FL 33144 04/19/11 SSG Dade Archy’s Diagnostic Center 35 SW 114th Ave, Ste 201, Miami, FL 33174 05/18/11 SSG Dade Roig Ortho & Rehab Center 932 SW 82nd Avenue, Miami, FL 33144 305-261-9480 09/19/11 SSG


07/19/2017


Method of Approval

938 SW 82nd Avenue, Miami, FL 33144 305-261-9480 06/06/12 SSG Dade Express Medical Center, Inc. 1250 SW 27th Ave, Ste 301, Miami, FL 33135 05/18/11 SSG Dade Care Plus Center, LLC 8260 W Flagler St, Ste 2B, Miami, FL 33144 05/18/11 SSG Dade Vega Medical Center 3720 SW 107th Ave, Ste 1, Miami, FL 33165 6/8/2011 SSG Dade Vega Medical Center 3720 SW 107th Ave., Miami, FL 33165 07/13/11 SSG Dade Orthopedic Traumatology & Rehab Center 9950 SW 40th Street, Miami, FL 33165 06/08/11 SSG Dade Flare Medical Services 8370 SW Flagler Street, Suite 120, Miami, FL 33144 06/08/11 SSG Dade Sanchez Cazau Medical Group 7171 Coral Way, Suite 200, Miami, FL 33155

344 West 65th Street, Ste. 202, Hialeah, FL 33012 305-889-6670

08/04/11 03/06/13

SSG SSG

Dade LMG Medical Center, Inc. 7201 SW 8th Street, Miami, FL 33144 08/16/11 SSG Dade Medical Center of West Miami, Inc. 6469 SW 8th Street, Miami FL 33144 08/16/11 SSG Dade RP Comprehensive Health Care, Inc. 7500 Southwest 8th Street, Ste 301, Miami, FL 33144 08/16/11 SSG Dade All Future Medical Center 3237 NW 7th Street, Ste. 101, Miami, FL 33125

7376 N.W. 35th Terrace, Ste. 104, Miami, FL 33122

08/16/11 05/06/13

SSG SSG

Dade Mariano M. Martinez M.D., P.A. 7000 SW 62nd Avenue, Ste 300, Miami, FL 33143 08/16/11 SSG Dade Selem Medical Center 4800 West Flagler Street, Miami, FL 33134 08/16/11 SSG Dade Med-Care Quality Medical Centers, LLC 7200 Northwest 7th Street, Miami, FL 33143 08/30/11 SSG Dade GMC Group of Miami, LLC 2601 Southwest 37th Avenue, Ste. 901, Miami, FL 33133 08/31/11 SSG Dade Romeu Clinical Enterprises 1393 SW 1st Street, Ste. 320, Miami, FL 33135 305-544-0977 09/08/11 SSG Dade ACN Physician Group Corp. 7490 SW 23rd Street, Ste. 201-A, Miami, FL 33155 786-649-0492 11/10/11 SSG Dade ACN Roig’s Orthopaedic Center 7500 SW 8th Street, Ste. 303, Miami, FL 33144 01/05/12 SSG Dade Comfort Health Management 8300 West Flagler Street, Suite 210, Miami, FL 33144 305-553-0270 01/19/12 SSG Dade Dr. Rafael A. Penalver Clinic, Inc. 971 NW 2nd Street, Miami, FL 33128 305-545-7737 01/19/12 SSG Dade RCD Medical Center, Inc. 973 SW 8th Street, Miami, Fl 33130 786-533-1959 03/01/12 SSG Dade Discovery Therapy, Inc. 2141 SW 1st Street, Ste. 206, Miami, FL 33135 305-643-0488 03/01/12 SSG Dade First Choice Pain Management, LLC 4150 NW 7th Street, Ste. 205, Miami, FL 33126 786-536-5185 03/20/12 SSG Dade Nova Health Center, Corp. 8900 SW 24th Street, Ste. 202, Miami, FL 33165 04/03/12 SSG Dade The Wellness Center of Miami Group, Inc. 7640 N.W. 25th Street, Ste. 103, Miami, FL 33122 04/04/12 SSG Dade Universal Professional Care, Inc. 35 SW 114th Avenue, Ste. 105, Miami, FL 33174 305-554-1952 04/20/12 SSG Dade MIA Medical Dental Center Inc. 1394 SW Coral Way (22nd Street) , Miami, FL 33145 305-778-5166 05/11/12 SSG Dade Private Medical Center, Inc. 10 NW 42nd Avenue, Ste. 300, Miami, FL 33126 305-774-0742 05/17/12 SSG Dade Caribe Medical Center of Homestead, Inc. 26799 S. Dixie Highway A, Naranja, FL 33032 305-258-6070 06/12/12 SSG Dade Sunshine Medical Care Group, Inc. 3990 West Flagler Street, Ste. 406, Miami, FL 33134 305-456-3879 06/22/12 SSG Dade Gold Coast Physicians Partners, LLC d/b/a

Penalver Clinic Medical Group 971 NW 2nd Street, Miami, FL 33128 305-545-7737 06/15/12 SSG

Dade Prestige Medical Services 12905 SW 42nd Street, Ste. 101, Miami, FL 33175 305-260-5404 07/27/12 SSG


07/19/2017


Method of Approval

Dade MED-Plan Clinic LLC 7200 Northwest 7th Street, Suite 202, Miami, FL 33126 305-262-1610 08/28/12 SSG Dade Aballi Medical Care, Inc. 5931 SW 8th Street, Miami, FL 33144 305-263-6561 09/06/12 SSG Dade IM Orthopedics & General Medicine Inc. 8150 SW 8th Street, Ste. 205, Miami, FL 33144 786-275-4841 09/13/12 SSG Dade Professional Rehabilitation Service, Inc. 11285 SW 211 Street, Ste. 201, Miami, FL 33189 09/25/12 SSG Dade Health Medical Center of Miami Inc. 868 SW 1st Street, Miami, FL 33130-1208 10/08/12 SSG Dade Policlinico Pastorita Inc 1111 SW 8th Street, Ste. 203, Miami, FL 33130-3639 10/08/12 SSG Dade A & L Clinic Center, Inc. 295 Park Blvd., Miami, FL 33126 305-261-7979 10/30/12 SSG Dade Gables Medical Care, Inc 85 Grand Canal Drive 400, Miami, FL 33144 954-465-7489 10/30/12 SSG Dade Miami Community Health Center 2324 SW 8th Street, Miami, FL 33135 305-487-2720 11/07/12 SSG Dade Comfort Health Group Inc. 5190 NW 167th St., Ste. 109, Miami, FL 33014 305-384-6450 12/10/12 SSG Dade Coral Way Rehab Center 12260 SW 8th St., Ste.232, Miami, FL 33185 305-303-4389 02/22/13 SSG Dade Renato C. Dominguez MD/Dba Real Family

Medical Center 285 NW 27 Ave., Ste. 14, Miami, FL 33125 305-642-4444 02/22/13 SSG

Dade Salud Medical Center, Inc. 1338 SW 8th Street, Miami, FL 33135 305-854-4443 02/22/13 SSG Dade Clinical Research of Miami, Inc. 7200 NW 7th Street, Ste. 206, Miami, FL 33126 305-264-3025 03/06/13 SSG Dade JAGS Medical Office, Inc. 8748 SW 8th Street, Miami, FL 33174 305-220-2338 03/06/13 SSG Dade JO Medical Center, Inc. 2260 SW 8th Street, Ste. 200, Miami, FL 33135 305-642-7704 03/06/13 SSG Dade Megatesting, Inc. 2322 NSW 28th Street, Miami, FL 33142

9600 SW 8th Street, Ste. 30, Miami, FL 33174 305-633-3667

03/06/13 04/18/13

SSG SSG

Dade Interamerican Medical Center Group LLC DBA Health First Medical Center

7900 NW 27th Avenue, Ste. D10, Miami, FL 33147 04/03/13 SSG

Dade Interamerican Medical Center Group LLC 11348 Quail Roost Dr., Miami, FL 33157 291 Southwest 27th Avenue, Miami, FL 33135 7101 West Flagler Street, Miami, FL 33144 4155 Southwest 130th Avenue, Ste. 201, Miami, FL 33175

04/03/13 05/01/14 05/01/14 05/01/14

SSG SSG SSG SSG

Dade Lavandera Medical Center 1281 NW 6th Street, Ste., D-2, Miami, FL 33125 04/03/13 SSG Dade San Francis Community Care 14055 West Dixie Highway, North Miami, FL 33161 05/06/13 SSG Dade Med Plus Inc. 3500 NW 17th Avenue, Miami, FL 33142-5540 05/06/13 SSG Dade MedRehab of Florida 8700 West Flagler St., Ste. 260, Miami, FL 33174 07/10/13 SSG Dade Physicians Associates PA 606 W. Flagler St. Miami, FL 33130 07/12/13 SSG Dade New Health Research Clinic 10346 West Flagler St., Miami, FL 33174 07/23/13 SSG Dade Florida Rehabilitation Center, Corp. 815 NW 57th Avenue, Ste. 150, Miami, FL 33126 09/30/13 SSG Dade Coverall Medical Center Corp. 61 Hook Square, Miami Springs, FL 33166 10/09/13 SSG Dade New Life Medical Institute, Inc 861 SW 8th Street, Miami, FL 33130 10/31/13 SSG Dade Leal Medical Center, LLC 632 Washington Avenue, Homestead, FL 33030


07/19/2017


Method of Approval

Dade American Care of South Florida, Inc 11255 SW 211 Street, A, Miami, FL 33189 2315 W. Flagler Street, Miami, FL 33135 1521 NW 54th Street, Miami, FL 33142

10/30/13 12/12/13 12/12/13

SSG SSG SSG

Dade Miami Rescue Mission Health Clinic 955 N. W. 3rd Street, Ste. 105, Miami, FL 33128 11/25/13 SSG Dade Empower U, Inc. 7900 N. W. 27th Avenue, Ste. E-12, Miami, FL 33147-4909 12/23/13 SSG Dade Doctor’s Care & Research, Inc 9600 SW 8th Street, Ste. 18, Miami, FL 33174 12/20/13 SSG Dade Paradigm Medical Center, LLC 815 NW 57th Avenue, Miami, FL 33126 01/03/14 SSG Dade Ivan Rapado Viera, M.D. 7000 S W 62nd Ave., Ste. 300, South Miami, FL 33143 01/30/14 SSG Dade Orlando E. Leiva, c/o ACN Ceiva Medical

Center Corp. 7500 SW 8th Street, Ste. 303, Miami, FL 33144 01/28/14 SSG

Dade Jorge L. Garcia MD, PA 8300 Southwest 8th Street, Ste. 108, Miami, FL 33144 02/07/14 SSG Dade Advanced Clinical Research of Miami 7815 Southwest 24th Street, Ste. 108, Miami, FL 33155 02/13/14 SSG Dade First Chiropractic Care, Corp. 275 Fontainebleau Blvd. Ste. 245, Miami, FL 33172 02/13/14 SSG Dade Fraga Medical Center, Inc. 11865 Coral Way, Ste. B-7, Maimi, FL 33175 02/26/14 SSG Dade Lazaro Fraga MD, PA 4141 Southwest 6th Street, Miami, FL 33134 02/26/14 SSG Dade Alvarez & Associates Medical Group 3663 Southwest 8th Street, Ste. 214, Miami, FL 33135 03/04/14 SSG Dade Taylor Donovan MD, PA 250 Northwest 183rd Street, Miami Gardens, FL 33169 03/04/14 SSG Dade Discovery Medical Research, Inc. 4872 Northwest 7th Street, Miami, FL 33126 03/04/14 SSG Dade Dade County Jail 13850 NW 41st Street, Miami, FL 33178

1321 NW 13th Street, Miami, FL 33125 6950 NW 41st Street, Miami, FL 33166 7000 NW 41st Street, Miami, FL 33166 1401 NW 7th Avenue, Miami, FL 33136

Pursuant to Statutes

Pursuant to Statutes

Dade Manuel F. Fernandez, MD, PA 8420 West Flagler Street, Ste. 220, Miami, FL 33144 03/18/14 SSG Dade Premier Medical Center, LLC 6741 Southwest 24th Street, Ste. 38, Miami, FL 33155 08/01/14 SSG Dade Suncoast Medical Central Florida Kissimmee,

LLC 222 Broadway Bldg. C-301, Kissimmee, FL 34741 06/04/15 SSG

Dade Ziad E. Hawatmeh, MD., PA 8326 Southwest 8th Street, Miami, Fl 33144 08/04/15 SSG Dade Caremax Medical Group, LLC 833 North Homestead Boulevard, Homestead, FL 33030 08/13/15 SSG Dade Optima Medical Centers 4715 Northwest 157th Street, 124, Miami Gardens, FL 33014 08/27/15 SSG Dade Dixie Medical Center, Inc. 12429 West Dixie Highway, North Miami, Florida, 33161 08/25/15 SSG Dade Rodolfo Dumenigo, MD, PA 9611 Southwest 40th Street, Miami, Florida 33165

305-534-0076 02/05/16 SSG

DeSoto DeSoto County Health Department 34 South Baldwin Avenue, Arcadia, FL 34266 941-993-4601 CHD DeSoto G. Pierce Wood Memorial Hospital-Arcadia

5847 SE Hwy 31, Arcadia, FL 34266 941-494-3323 Mental

Institution DeSoto Florida Civil Commitment Center 13619 Southeast Highway 70 Arcadia, Florida 34266 04/10/15 SSG


07/19/2017


Method of Approval

Dixie Dixie County Health Department 1530 SE 12th Ave., Cross City, FL 32628 352-498-1360 CHD Dixie Franklin Gadsden Lafayette Madison Wakulla Gulf Taylor

North Florida Medical Centers, Inc. – Coop. Office - Family Medical Practice - Eastpoint Medical Center - Gadsden Medical & Dental Services - Mayo Health Services - Tri-County Family Health Care - Wakulla Medical Center - Wewahitchka Medical Center - Taylor Dental - Taylor Medical Center - Crestview Health Center

535 John Knox Road, Tallahassee, FL 32303 412 SW 351 HWY., Cross City, FL 32628 35 Island Drive, # 14, Eastpoint, FL 32328 278 La Salle Lefalle Drive, Quincy, FL 32351 Route 144 SW Virginia Circle, Mayo, FL 32066 193 NW US 221, Greenville, FL 32331 1328 Coastal Highway, Panacea, FL 32346 255 W. River Rd., Wewahitchka, FL 32465 409 E. Ash Street, Perry, FL 32347 1709 S Jefferson St, perry, FL 32348 4100 S Ferdon Blvd, Ste C-5, Crestview, FL 32536

850-385-4494 352-498-3349 850-670-8585 850-875-9500 386-294-1226 850-948-2840 850-984-4735 850-639-5828 850-223-2578

s. 330

Duval Duval County Health Department - Agape Community Health Center - Beaches Family Health Center - Boulevard Comprehensive Care Center - Center for Prevention Services - Immunization Center - Marietta Family Health Center - Northwest Dental - South Jacksonville Family Health Center - The Bridge - West Jacksonville Family Health Center - Westconnett Family Health Center

515 West Sixth St., Jacksonville, FL 32211 1760 Edgewood Avenue, Jacksonville, FL 32208 1522 Penman Road, Jacksonville Beach, FL 32250 1833 Boulevard, Jacksonville, FL 32206 5917 105th Street, Jacksonville, FL 32244 515 West 6th Street, Jacksonville, FL 32206 8299-10 W. Beaver St., Jacksonville, FL 32220 1830 West 45th St., Jacksonville, FL 32209 1736 University Blvd. South, Jacksonville, FL 32216 1824 Pearl Street, Jacksonville, FL 32206 120 King Street, Jacksonville, FL 32204 5917 105th Street, Jacksonville, FL 32244

904-630-3300 904-301-4900 904-270-2555 904-665-3040 904-573-4914 904-665-2666 904-630-3390 904-924-1783 904-727-6540 904-798-4672 904-665-2785 904-357-5899

CHD

Duval Duval County/Jacksonville Dept. of Corrections

04/06/97 DOC

Duval Duval Pre-Trial Detention Facility 04/06/97 Duval I.M. Sulzbacher Hlth Care for the Homeless 611 E. Adams Street, Jacksonville, FL 32202 904-359-0457 VHCPP Duval Jacksonville Community Health Center 5375 Vernon Road, Jacksonville, FL 32209 904-924-1237 10/01/94 Duval Legacy of Care Health Clinic, Inc 6665 Banbury Rd, Jacksonville, FL 32211 10/15/09 VHCPP Duval St. Vincent’s Mobile Health Outreach

Ministry 2591 Oak St, Jacksonville, FL 32204 904-308-7911 10/30/09 SSC

Duval Diabetico Internacional 5290 Norwood Avenue, Suite 4, Jacksonville, FL 32208 06/08/11 SSG Duval Jacksonville Pediatric Associates, M.D., P.A. 1951 Boulevard, Jacksonville, FL 32206 08/04/11 SSG Duval Holy Trinity Community Medical Center 4001 Confederate Point Road, Jacksonville, FL 32210 904-860-4124 09/27/11 SSG Duval MCCI Group Holdings, LLC, Gateway 5238-16 Norwood Avenue, Jacksonville, FL 32208 904-861-1222 12/07/11 SSG


07/19/2017


Method of Approval

Medical Center Duval Emed Urgent & Primary Care PA 2570 Atlantic Blvd., Jacksonville, FL 32207 904-647-8576 06/15/12 SSG Duval Volunteers in Medicine-Jacksonville 41 East Duval Street, Jacksonville, FL 32202 904-399-2766

x123

04/18/13 SSG

Duval Jacksonville Multispecialty Group, LLC 3720 Beach Blvd., Jacksonville, FL 32207 06/20/13 SSG Duval American Care of North Florida, Inc. 1918 Blanding Blvd, Jacksonville, FL 32210 11/18/13 SSG Duval The Doctors Center, PA 5915 Normandy Boulevard, Jacksonville, FL 32205 07/28/15 SSG Duval Medical Injury Group of Jacksonville, LL 3100 University Boulevard South Suite 104 Jacksonville,

Florida 32215 9/30/15 SSG

Duval Hinman, Roy H., MD, PA DBA Island Doctors

1375 Cassat Avenue, Jacksonville, FL 32210 904-388-2820 11/04/15 SSG

Duval Riverside Park Surgicenter 2001 College Street Jacksonville, Florida 32204 904-355-9800 02/09/16 SSG Duval Schnipper, Robert I. 2001 College Street Jacksonville, Florida 32204 904-355-5555 02/11/16 SSG Duval Jacksonville Multispecialty Group, LLC 3627 University Boulevard South, Suite 615 Jacksonville,

Florida 32216 02/11/16 SSG

Duval Medical Injury Group of Jacksonville, LLC 1395 Cassat Avenue, Suite 2 Jacksonville, Florida 32205 352-727-4835 3/29/16 SSG Duval True Care DOCS, LLC 8613 South Old Kings Road, Unit 303 Jacksonville, FL 32217 703-855-3423 07/28/16 SSG Duval Family Medicine & Rehab, Inc. 7685 103rd Street, Suite 1 Jacksonville, Florida 32210

904-608-0854 08/09/16 SSG

Duval ACN Baromedical, LLC 1585 North Blanding Boulevard Jacksonville, Florida 32244 561-281-2630 08/16/16 SSG Duval American Care of North Florida, Inc. 1100 Cesery Boulevard, Suite 1-6 Jacksonville, FL 32211 904-551-5884 03/13/17 SSG Escambia Escambia County Health Department

- Century Health Department - Molino Health Department - WIC Westside

1295 W. Fairfield Dr., Pensacola, FL 32501 501 Church St., Century, FL 32535 3470 Hwy 29 N, Molino, FL 32533 120 Chief’s Way, Pensacola, FL 32507

850-595-6500 850-256-6203 850-587-3129 850-453-7588

CHD

Escambia Our Lady of Angels Clinic (St. Joseph Medical Clinic)

140 W. Government St., Pensacola, FL 32501 850-436-6461 02/06/04 VHCPP

Escambia Health & Hope Clinic 9999 Chemstrand Rd, Pensacola, FL 32514 850-479-4456 02/09 VHCPP Escambia Health & Hope Clinic 501 Church Street, Century, FL 32535 850-471-3430 03/22/12 SSG Escambia Pensacola Medical Clinic, LLC 2407 W. Cervantes Street, Pensacola, FL 32505 12/20/13 SSG Escambia Escambia County Jail 2935 N. L Street, Pensacola, FL 32501 08/27/14 SSG Escambia Island Doctors 570 North Navy Boulevard Pensacola, Florida 32507 850-471-8960 02/23/17 SSG Escambia Island Doctors 461 East Ten Mile Road Pensacola, Florida 32534 850-443-0039 03/15/17 SSG Flagler Flagler County Health Department 301 South Lemon Street, Bunnell, FL 32110 904-437-7350 CHD Flagler Pediatrics in North Florida, P.A. 385 Palm Coast Parkway SW, Ste. 5, Palm Coast , FL 32137 386-446-8333 03/01/12 SSG Flagler Bushnell Medical Clinic 117 W. Belt Avenue, Ste. A, Bushnell, FL 33513 10/08/12 SSG


07/19/2017


Method of Approval

Flagler Island Doctors West Palm Coast 21 Hospital Drive Suite 240 Palm Coast, Florida 32164 10/21/15 SSG Flagler Rural Health Care, Inc. DBA Azalea Health 460 Palm Coast Parkway Southwest Suite 5 Palm Coast,

Florida 32137 386-326-7301 12/16/15 SSG

Flagler Hinman, Roy H. Island Doctors 308 North 2nd Street Flagler Beach, Florida 32136 386-693-4955 02/08/16 SSG Flagler Access Health Care Physicians, LLC 6279 North Lecanto Highway Beverly Hills, Florida 34465 352-796-9994 02/08/16 SSG Flagler Roy Hinman, MD, PA 264 Palm Coast Parkway Northeast, Unit A Palm Coast,

Florida 32137 386-446-5505 02/09/16 SSG

Franklin Franklin County Health Department - Franklin County Health Department

137 12th Street, Apalachicola, FL 32320 106 NE 5th Street, Carrabelle, FL 32322

850-653-2111 850-697-4121

CHD

Franklin Primary Care 4 All 1001 Gray Avenue, Carrabelle, FL 32322 713-828-3973 10/20/11 SSG Franklin Phoenix Family Health Care Center, Inc. 1581 West Highway 98 Carrabelle, Florida 32322 859-697-3420 12/14/15 SSG Gadsden Florida State Hospital-Chattahoochee P.O. Box 1000, Chattahoochee, FL 32324 850-663-7001 Mental

Institution Gadsden Gadsden County Health Department

- Gadsden County Health Department - Gadsden County Health Department

Dr. LaSalle LaFalle Dr., Quincy, FL 32353 604 E. 5th Avenue, Havana, FL 32333 680 Maple Street, Chattahoochee, FL 32324

850-875-7200 850-539-6516 850-663-2241

CHD

Gadsden Gadsden Correctional Facility 6044 Greensboro Highway, Quincy, FL 32351 850-875-9701 x2230

03/15/12 SSG

Gadsden Gadsden Family Clinic 105 E. Jefferson Street, Quincy, FL 32351 850-566-9014 09/06/12 SSG Gadsden Gadsden County Medical & Mental Health

Outpatient Services, LLC 324 Mine Road, Midway, FL 32343 05/22/13 SSG

Gadsden Gadsden County Medical Clinic 809 East Jefferson Street, Quincy, FL 32351 03/17/14 SSG Gadsden Helping Hands of North Florida

Incorporation. 355 Mine Road Midway, Florida 32343

850-284-6460 12/16/16 SSG

Gilchrist Gilchrist County Health Department 119 NE 1st St., Trenton, FL 32693 352-463-3120 CHD Gilchrist Trenton Medical Center, Inc.

- Kid Care Pediatrics 911 S. Main Street, Trenton, FL 32693 319 W. Wade Street, Trenton, FL 32693

352-463-2374 352-463-6292

s. 330

Glades Glades County Health Department Bldg 998, Hwy 27 N., Moore Haven, FL 33471 863-946-0707 CHD Gulf Gulf County Health Department

- Gulf County Health Department 502 4th Street, Port St. Joe, FL 32456 232 E. Lake Avenue, Wewahitchka, FL 32465

850-227-1276 850-639-2644

CHD

Hamilton Hamilton County Health Department 209 SE Central Avenue, Jasper, FL 32052 904-792-1414 CHD Hardee Hardee County Health Department 115 K.D. Revell Road, Wauchula, FL 33873 941-773-4161 CHD

Hardee Emmanuel Medical Center, LLC 10404 West Flagler Street, Suite 15, Sweetwater, FL 33174 06/08/15

Hardee Sonni’s Pediatrics, Inc. 1125 South 6th Avenue Wauchula, Florida 33873 12/23/14 SSG


07/19/2017


Method of Approval

Hendry Martin Okeechobee St. Lucie

Florida Community Health Centers, Inc. - Clewiston Center - Ft. Pierce Center - Indiantown Center - Lakeshore Medical - Lakeshore Pediatrics & Dental - Lakeshore Pediatrics Annex - St. Lucie Women & Children - Port St. Lucie Children’s Health Ctr - Pahokee Center

4450 S. Tiffany Drive, W. Palm Bch, FL 33407 315 S. WC Owen Ave., Clewiston, FL 33440 1505 Delaware Ave., Ft. Pierce, FL 34950 15858 SW Warfield Blvd., Indiantown, FL 34956 308 NW 5th Ave, Okeechobee, FL 34972 1100 N Parrott Ave, Okeechobee, FL 34972 103 NE 19th Dr, Okeechobee, FL 34972 1871 SE Tiffany Ave, Ste 200, Port St. Lucie, FL 34952 1701 SE Hillmoor Dr, Ste 19, Port St. Lucie, FL 34952 170 S Barfield Hwy, Ste 103, Pahokee, FL 33476

561-844-9443 863-983-7813 772-461-1402 772-597-3596 863-763-7481 863-763-1951 863-467-6120 772-337-4000 772-335-8455 561-924-6100

s. 330

Hendry Hendry-Glades Mental Health Clinic, Inc. 80 Euclid Place, LaBelle, FL 33975 601 W. Alverdez Ave, Clewiston, FL 33975

863-674-4050 863-983-1423

08/03 08/03

Secretary

Hendry Hendry County Health Department - Hendry County Health Department

P.O. Box 70, 325 Pratt Blvd., Labelle, FL 33935 1100 South Olympia, Clewiston, FL 33440

863-674-4041 863-983-1408

CHD

Hendry Gulf Coast Healthcare Systems, Inc./d.b.a Urgent and Convenient Care Center

700 South Main Street, Ste. A, LaBelle, FL 33935 03/04/14 SSG

Hernando Hernando County Health Department 300 S. Main St., Brooksville, FL 34601 352-754-4067 CHD Hernando Hernando Doctor’s Clinic 12395 Cortez Blvd, Brooksville, FL 34613 352-596-8599 Hernando Pasco

The Harbor Behavioral Health Care Institute, Inc. (formerly Professional Therapy Center , formerly Hernando Co. Mental Health Center) - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute

P.O. Box 428, New Port Richey, FL 34646-0428 7809 Massachusetts Ave, New Port Richey, FL 34653 8002 King Helie Blvd, New Port Richey, FL 34643 14527 7th St, Dade City, FL 33523 7074 Grove Rd, Brooksville, FL 34609

727-841-4200 727-841-4200 727-841-4430 352-521-1474 352-540-9335

11/04 11/04 11/04 11/04

Secretary

Hernando Ridge Manor Medical Clinic 34498 Cortez Blvd., Ridge Manor, FL 33523 352-583-4520 10/08/12 SSG Hernando Crescent of Hernando, Inc DBA Crescent

Community Clinic 5244 Commercial Way Spring Hill, Florida 34606

352-610-9916 1/19/16 SSG

Hernando Idicula Medical Associates, MD, PA 10081 Cortez Boulevard Weeki Wachee, Florida 34613

352-596-4663 1/27/16 SSG

Hernando Idicula Medical Associates, MD, PA 10065 Cortez Boulevard Weeki Wachee, Florida 34613 352-596-4663 01/27/16 SSG Hernando Primecare Doctors, LLC 31158 Cortez Boulevard Brooksville, Florida 34602 352-796-9994 02/11/16 SSG Hernando Lindo Medical Care, LLC. 12587 Spring Hill Drive Spring Hill, Florida 34609

10045 Cortez Boulevard, Suite 154 Brooksville, Florida 34613

352-596-6114 352-596-6114

04/29/16 05/02/16

SSG SSG


07/19/2017


Method of Approval

Hernando Sheth, Jatin N., MD 920 West Jefferson Street Brooksville, Florida 34601 352-277-5462 06/21/16 SSG Hernando Access Health Care Physicians, LLC 5350 Spring Hill Drive Spring Hill, Florida 34606

2173 Mariner Boulevard Spring Hill, Florida 34609 120 Medical Boulevard, Suite 102 Spring Hill, Florida 34609 3480 Deltona Boulevard Spring Hill, Florida 34606 5344 Spring Hill Drive Spring Hill, Florida 34606 7271 Spring Hill Drive Spring Hill, Florida 34606

352-688-8116 352-796-9994 352-686-0086 352-600-7900 352-200-2170 352-596-1770

03/02/17 03/03/17

03/13/17 03/13/17 03/13/17 03/13/17

SSG SSG SSG SSG SSG SSG

Highlands Polk Hardee

Central Florida Health Care, Inc. - Central FL Health Care - Dundee - Central FL Health Care - Frostproof - Central FL Health Care – Wauchula - Lakeland OB/GYN - Lakeland Primary Care

950 CR 17A, West, Avon Park, FL 33825 916 State Road 542, Dundee, FL 33838 109 W. Wall St., Frostproof, FL 33843 204 E. Palmetto St., Wauchula, FL 33873 1729 Lakeland Hills Blvd, Lakeland, FL 33805 936 E Parker St, Lakeland, FL 33801

863-452-3000 863-419-3330 863-635-4891 863-773-2111 863-686-0082 863-413-8600

s. 330

Highlands Highlands County Health Department - Avon Park Clinic - Lake Placid Clinic

7205 S. George Blvd., Sebring, FL 33875-5847 400 S Lake Ave, Avon Park, FL 33825 107 N. Main St., Lake Placid, FL 33852

863-386-6040 863-452-6411 863-465-2252

CHD

Highlands Providence Community Health Center, Inc 4141 US HWY N, Ste 7, Sebring, FL 33870 954-461-5981 305-609-9211

06/23/09 Secretary

Highlands Sebring Pediatrics, LLC 3201 Medical Way, Suite 101 Sebring, Florida 33870 02/24/15 SSG Highlands Heartland Pediatrics of Lake Placid, Inc. 344 East Royal Palm Street, Suite #3 Lake Placid, FL 33852 02/25/15 SSG Highlands Avon Park Pediatrics, Inc. 1571 US Highway 27 North Avon Park, Florida 33825 02/25/15 SSG Highlands Advanced Medical Service, Inc. 3324 Commerce Center Lane Sebring, Florida 33870 (407) 780-

5155 07/06/16 SSG

Highlands Samaritan’s Touch Care Center, Inc. 3015 Herring Avenue Sebring, Florida 33870 (863) 471-1870

07/06/16 SSG

Hillsborough Hillsborough County Health Department - Joyce Ely Health Center - Kelton Health Center - North Hillsborough Health Center - Plant City Health Center - Sulphur Springs Health Center West Tampa Health Center

1105 E. Kennedy Blvd, Tampa, FL 33602-3591 205 14th Ave. S.E., Ruskin, FL 33570 4420 Montgomery Ave., Tampa, FL 33616 9827 N. Sheldon Road, Tampa, FL 33615 302 N. Michigan Ave., Plant City, FL 33566 8605 N. Mitchell, Tampa, FL 33604 2103 N. Rome Ave., Tampa FL 33607

813-307-8008 813-671-7755 813-307-8055 813-307-8053 813-307-8057 813-307-8054 813-307-8058

CHD

Hillsborough Center for Family Health (previously ELDERMED)

912 E. Sligh Ave, Tampa, FL 33674-9384 813-237-6988 12/06/92 VHCPP

Hillsborough Project Access 8000 Biscayne Blvd, Miami, FL 33138 11865 SW 26th ST, Unit G-10, Miami, FL 33174 6830 Pines Blvd, Pembroke Pines, FL 33024

305-759-4778 305-559-8333 954-987-5010

Secretary 1/25/06


07/19/2017


Method of Approval

1609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62nd Ave, Ste 300, S. Miami, FL 33143 5240 West Flagler St, Miami, FL 33124 700 SW 8 Street, Miami, FL 33130

407-944-1319 813-933-2800

Hillsborough Suncoast Community Health Centers, Inc. - Dover Health Center - Plant City Family Care - Ruskin Health Center

P.O. Box 1349, Ruskin, FL 33570 14618 SR 574, Dover, FL 33527 508 N. Maryland Ave., Plant City, FL 33566 2814 14th Ave, SE, Ruskin, FL 33570

813-349-7568 813-349-7700 813-349-7600

s. 330

Hillsborough Tampa Community Health Centers, Inc. - Lee Davis Health Center - North Tampa Community Health Center - Oak Park Health Center - Peter Davis Health Center - Sine Domus Health Center

1229 E. 131st Avenue, Tampa, FL 33612 3402 N. 22nd Street, Tampa, FL 33605 1229 E. 131 Avenue, Tampa, FL 33612 4916 E. 10th Avenue, Tampa, FL 33605 1401 E. 22nd Avenue, Tampa, FL 33605 1549 Franklin Street, Tampa, FL 33602

813-866-0930 813-227-6240 813-866-0950 813-248-1151 813-248-6263 813-277-9227

s. 330

Hillsborough West Tampa Medical Clinic, Inc 2309 W Martin Luther King, Jr, Blvd, Unit 5, Tampa, FL 33607

01/05/10 SSG

Hillsborough Tampa Family Physicians, Inc. 4603 N Armenia Ave, Tampa, FL 33603 06/08/10 SSG Hillsborough Orlando Rangel, MD, PA 4160 N. Armenia Ave, Tampa, FL 33607 11/04/10 SSG Hillsborough Orlando Rangel, MD, PA 4543 South Manhattan Ave, Suite 1052, Tampa, FL 33611 06/08/15 SSG Hillsborough Kenaday Medical Clinic 8001 N Dale Mabry Hwy, Bldg. 701-801, Tampa, FL 33614 12/13/10 SSG Hillsborough Horizon Medical Center 3956 W Hillsborough Ave, Tampa, FL 33614 01/10/11 SSG Hillsborough Raul Ayala, M.D., PA 10508 Gibsonton Dr, Riverview, FL 33578 02/11/11 SSG Hillsborough Doctors N Us Walk-In Clinic 6821 W Hillsborough Ave, Tampa, FL 33634 05/16/11 SSG Hillsborough Medical Arts Center 4600 North Habana Avenue, Tampa, FL 33614 08/16/11 SSG Hillsborough Pain and Wellness Institute, P.A. 4509 North Armenia Avenue, Tampa, FL 33603 08/16/11 SSG Hillsborough B& T Medical Center, LLC 5301 North Habana Ave., Ste. 1, Tampa, FL 33614 407-944-9191 11/10/11 SSG Hillsborough Florida Care Centers 7208 Sterling Avenue, Tampa, FL 33614 305-384-7277 11/18/11 SSG Hillsborough Florida Care Centers 8488 West Hillsborough Avenue, Tampa, FL 33615 813-889-9800 02/03/12 SSG Hillsborough Foundation Consultant Services, Inc.

DBA Foundational Health 5535 Memorial Highway, Tampa, FL 33634 813-574-4869 11/28/11 SSG

Hillsborough Your Place Health Systems, LLC dba/Your Place Medical & Fitness Center

1793 West Hillsborough Avenue, Tampa, FL 33603 813-579-4013 01/19/12 SSG

Hillsborough Synergy Health Centers, Inc. 318 E. Martin Luther King Blvd., Tampa, FL 33603 813-238-4918 03/05/12 SSG Hillsborough Tampa Family 4618 N. Armenia, Tampa, FL 33603 813-312-9583 04/20/12 SSG Hillsborough Physicians Care Centers of Tampa Bay, LLC 2123 W. Dr. Martin Luther King Jr. Blvd., Ste. 101, Tampa, Fl 11/20/13 SSG


07/19/2017


Method of Approval

Formally-Dr. Vincent Farrier 33607 Hillsborough Foundational Consultant Services, Inc.

DBA Foundational Health 3031 W. Cypress Street, Ste. A, Tampa, FL 33609 813-527-0445 10/30/12 SSG

Hillsborough Douglas G. Stein, MD, PA 3000 East Fletcher Avenue, Tampa, FL 33613 813-972-1365 12/10/12 SSG Hillsborough Jay Care Medical Center 1509 West Reynolds Street, Plant City, FL 33563

5015 E. Busch Blvd. , Tampa, FL 33617 09/17/13

10/11/13 SSG SSG

Hillsborough American Care of Tampa, Inc. 8726 West Waters Avenue, Tampa, FL 33615 11211 N. Nebraska Avenue, Tampa, FL 33612

10/24/13 12/10/13

SSG SSG

Hillsborough Clear Scope Healthcare, LLC 1201 N. Clearview Avenue, Tampa, FL 33607 10/31/13 SSG Hillsborough Kennedy Walk in Clinic 3308 W. Kennedy Blvd., Tampa, FL 33609 12/11/13 SSG Hillsborough Holistic Medical Care Clinic, LLC 400 Frandorson Circle, Ste. 103, Apollo Beach, FL 33572 12/12/13 SSG Hillsborough Amerimed Diagnostic Services, Inc. 500 West Dr. Martin Luther King Jr. Blvd., Tampa, FL 33603 02/04/14 SSG Hillsborough Express Care of Tampa Bay, Inc. 11752 East Martin Luther King Blvd., Seffner, FL 33584

6015 Rex Hall Lane, Apollo Beach, FL 33572 03/25/14

08/01/14 SSG SSG

Hillsborough Causeway Medical Clinic MedCentral Corp. 7108 Causeway Blvd., Tampa, FL 33619 04/15/14 SSG Hillsborough Florida Family Primary Care Centers of

Tampa, LLC 6726 Hanley Road, Tampa, FL 33634 05/16/14 SSG

Hillsborough MPN Medical Center Plant City, LLC 1501 West Reynolds Street, Ste. 100, Plant City, FL 33566 07/24/14 SSG Hillsborough Agnes Ubani, MD/DBA Windsor Medical

Clinic 3558 North 29th Street, Tampa, FL 33605 08/01/14 SSG

Hillsborough Jose R. Mole, MD, PA 7001 North Dale Mabry Highway, Ste. B Tampa, FL 33614 2931 West Hillsborough Avenue Tampa, Florida 33614

10/16/14 05/25/15

SSG SSG

Hillsborough Comprehensive Medical Access, Inc. DBA Centros Medicos Las Americas

7206 North Armenia Avenue Tampa, Florida 33603 11/20/14 SSG

Hillsborough M&M Medical Clinic, LLC 2802 West Waters Avenue Tampa, Florida 33614 12/18/14 SSG Hillsborough

Shiloh Health Centers, LLC 8900 Armenia Avenue North, Suite 206 Tampa, FL 33604 12/17/14 SSG

Hillsborough CAC-Florida Medical Centers, LLC 8326 North Florida Avenue Tampa, Florida 33604 4340 West Hillsborough Avenue Tampa, Florida 33614

01/28/15 01/28/15

SSG

Hillsborough Ideal Medical Center, Inc. 6821 West Hillsborough Avenue Tampa, Florida 33634 02/10/15 SSG Hillsborough Juan C. Bayolo, MD, PA 3430 West Lambright Street, Unit 101 Tampa, Florida 33614 02/26/15 SSG Hillsborough Iditalya 10 Medical Center 4600 North Habana Avenue, Suite 20 Tampa, Florida 33614 03/13/15 SSG Hillsborough Dr. Camejo Primary Care and Walk-In Clinic,

LLC 4714 North Armenia Avenue, Suite 100 Tampa, FL 33603

04/10/15 SSG

Hillsborough Tatiana Hernandez, MD, PA DBA Trinity Family Health Care Center

7918 West Hillsborough Avenue Tampa, FL 33615

03/16/15 SSG


07/19/2017


Method of Approval

Hillsborough Palm Wellness Center, LLC 8900 North Armenia Avenue, Suite 212 Tampa, Florida 33604 04/30/15 SSG Hillsborough Tampa Family Medical Center, Inc 8313 West Hillsborough Ave. Suite 210-220 Tampa, FL 33615 05/19/15 SSG Hillsborough Memorial Therapy Center, LLC 3430 West Lambright Street Suite 104 Tampa, FL 33614 05/22/15 SSG Hillsborough Principle Healthcare Group, LLC 7208 North Sterling Avenue, Tampa, FL 33614 08/03/15 SSG Hillsborough Family Med Services, LLC 9309 North Florida Avenue Suite 111 Tampa, FL 33612 10/05/15 SSG Hillsborough Pain & Urgent Care Clinic 6802 North Armenia Avenue Tampa, Florida 33604 10/14/15 SSG Hillsborough Hess Spinal & Medical Centers, Inc. 2516 West Waters Avenue Tampa, Florida 33614 813-624-2160 12/21/15 SSG Hillsborough Hess Spinal & Medical Centers of Lutz, LLC 24650 State Road 54 Lutz, Florida 33559 813-624-2160 12/21/15 SSG Hillsborough Hess Spinal & Medical Centers of Plant City,

LLC 1408 West Reynolds Street Suite E Plant City, Florida 33567 12/29/15 SSG

Hillsborough Hess Spinal & Medical Centers, Inc 4809 East Busch Boulevard, Suite 107 Tampa, Florida 33617 813-624-2160 01/22/16 SSG Hillsborough Healthy Family Medical Group, PLLC1 1138 Nikki View Drive Brandon, Florida 33511 813-393-1500 02/17/16 SSG Hillsborough Your Place Health Systems, LLC DBA Your

Place Medical 4816 North Armenia Avenue Tampa, Florida 33603

813-579-4013 02/15/16 SSG

Hillsborough Foundation Consultant Services, Inc. 607 Martin Luther King Boulevard Tampa, Florida 33603 813-563-5816 03/15/16 SSG Hillsborough Agency for Community Treatment Services,

Inc. 4612 North 56th Street Tampa, Florida 33610

813-246-4899 04/29/16 SSG

Hillsborough Specialist Doctors' Group, LLC 1910 West Reynolds Street Plant City, Florida 33563 813-752-7222 05/19/16 SSG Hillsborough Specialist Doctors' Group, LLC 210 North Alexander Street, Suite B Plant City, Florida 33563 813-752-7222 05/19/16 SSG Hillsborough Your Place Health Systems, LLC 2822 West Virginia Avenue Tampa, Florida 33607 813-443-0866 05/31/16 SSG Hillsborough Robaina, A., MD, PA 230 Harbor Village Lane Apollo Beach, Florida 33572 813-751-3570 06/02/16 SSG Hillsborough The Place for Your Health, LLC 433 Lithia Pinecrest Road Brandon, Florida 33511 813-484-3238 06/13/16 SSG Hillsborough Villa La Esperanza III, LLC 8814 Sleepy Creek Court Tampa, Florida 33634 (813)240-338 06/08/16 SSG Hillsborough Palliative and Rehabilitation Medical Center,

Inc.

1931 West Doctor Martin Luther King, Jr., Boulevard Tampa, Florida 33607

(813)515-6676 06/17/16 SSG

Hillsborough Medical Home Alliance, LLC 4700 North Habana Avenue, Suite 101 Tampa, Florida 33614 863-588-1424 07/28/16 SSG Hillsborough Pain Rehabilitation Health Centers, Inc. 14495 University Cove Place Tampa, Florida 33613 08/02/16 SSG

Hillsborough Hess Spinal & Medical Centers of Riverview, LLC

9376 Balm Riverview Road Riverview, Florida 33569 (813) 624-2160

08/18/16 SSG

Hillsborough Hess Spinal & Medical Centers of Brandon, LLC

919 Parsons Avenue South Brandon, Florida 33511 (813) 624-2160

08/19/16 SSG

Hillsborough Tampa Bay Medical Center, LLC 5111 North Armenia Avenue Tampa, Florida 33603 813-952 3918 08/22/16 SSG Hillsborough Pritesh & Tarak, PA DBA SunMed Primary

Care 13701 North Nebraska Avenue, Suite 107

813-217-3353 08/25/16 SSG

Hillsborough Town & Country, LLC 5420 Webb Road, Suite B-2 Tampa, Florida 33615 (813) 624- 08/19/16 SSG


07/19/2017


Method of Approval

2160 Hillsborough Hacienda Villas 1510 East Palm Avenue Tampa, Florida 33605 813-245-1789 10/19/16 SSG Hillsborough Revello Medical Center DBA Town and Country

Medical Group, LLC 5901 Webb Road Tampa, Florida 33615

813-888-8215 01/27/17 SSG

Hillsborough Rodriguez, Cres Antonio 6919 North Dale Mabry Highway, Suite 100 Tampa, Florida 33614

813-915-5555 02/13/17 SSG

Hillsborough Top Wellness Center Corp. 610 West Waters Avenue, Suite J Tampa, Florida 33604 813-999-8034 02/23/17 SSG Hillsborough American Care of Tampa, Inc. 205 West Busch Boulevard Tampa, Florida 33612 813-915-1588 02/24/17 SSG Hillsborough Riverview Primary Care Associates, LLC

13007 Summerfield Square Drive Riverview, Florida 33578 813-269-6426 02/27/17 SS

Hillsborough Tampa Family Physicians 4816 North Armenia Avenue, Suite A Tampa, Florida 33603 813 876 0400 04/03/17 SSG Hillsborough Guidewell Sanitas I, LLC DBA CliniSanitas 3617 West Hillsborough Boulevard Tampa, Florida 33614 786-678-2541 04/24/17 SSG Hillsborough Town & Country Primary Care Doctors, LLC 6101 Webb Road, Suite 203 Tampa, Florida 33615 813-269-6426 05/18/17 SSG Hillsborough Orellana Medical Services Corp. 1248 East Hillsborough Avenue, Suite 233B Tampa, Florida

33604 954-478-6255 6/06/17 SSG

Hillsborough Nodal Medical Center, LLC 2123 West Martin Luther King Jr. Boulevard Suite 101 Tampa, FL 33607

813-235-5068 06/14/17 SSG

Hillsborough MediTech Medical Centers, LLC 1783 South Kings Avenue Brandon, Florida 33511 813-315-9896 6/20/17 SSG Hillsborough Santurce Medical Center, LLC 500 Vonderburg Drive, Suite 305 Brandon, Florida 33511 813-651-0005 07/05/17 SSG Hillsborough Florida Family Primary Care Centers of Tampa,

LLC 7444 Palm River Drive Tampa, Florida 33619 786-999-3749 07/07/17 SSG

Holmes Holmes County Health Department P O Box 337, Bonifay, FL 32425-0337 850-547-3691 CHD Holmes Community Health Center – Bruce 278 Church Road, Bruce, FL 32455 850-835-1015 10/24/12 SSG Indian River Treasure Coast Community Health Center 12196 CR 512, Fellsmere, FL 32948 772-571-8828 s. 330 Indian River Indian River County Health Department

- Gifford Health Center 1900 27th St., Vero Beach, FL 32960 4690 28th Court, Gifford, FL 32967

561-794-7400 561-770-5151

CHD

Indian River Dick Parvus, M.D., P.A. 32-B North Broadway Street, Fellsmere, FL 32948 06/22/11 SSG Indian River Gifford Health Center 4675 28th Court, Vero Beach, 32967 05/05/17 SSG Jackson Jackson County Health Department P O Box 310, Marianna, FL 32447-0310 850-482-9862 CHD Jackson Marianna Family Care Center, LLC 2928 Daniels Street, Marianna, FL 32446 850-215-9558 11/28/11 SSG Jackson Family Care Center Corp 2928 Daniels Street Marianna, Florida 32446 04/30/15 SSG Jackson Sunland Center Marianna Cox Medical Center, 3641 Connally Drive, Marianna, FL

32446 850-482-9485 10/20/15 SSG

Jefferson Jefferson County Health Department 1255 W. Washington St., Monticello, FL 32344 850-342-0170 CHD Lafayette Lafayette County Health Department Route 3, Box 8, Highway 27, Mayo, FL 32066

140 SW Virginia Circle, Mayo, FL 32066 904-787-8489 386-294-1321

01/22/14

CHD SSG

Lake Community Medical Care Center of Leesburg 1210 W Main St, Leesburg, FL 34748 352-314-8686 02/04/00 VHCPP


07/19/2017


Method of Approval

Lake Florida Hospital Waterman, Inc. – Community Primary Health Clinic

2300 Kurt Street, Eustis, FL 32726 352-589-2501 110/3/04 VHCPP

Lake Lake County Health Department - Lake County Health Department - Lake County Health Department

249 East Collins Street, Umatilla, FL 32784 16140 US Hwy 441, Eustis, FL 32726 9836 US Hwy 441, Leesburg, FL 34788 14 Eustis St, Eustis, FL 32726

352-669-2164

CHD

Lake South Lake Hospital, Inc: South Lake Health Clinic

835 7th St, Bldg B, Ste 5, Clermont, FL 34711 352-243-6280 04/08/06 VHCPP

Lake Kidsville Pediatrics III 1804 Oakley Seaver Dr, Clermont, FL 34711 10/26/10 SSG Lake Silverlake Pediatrics, PA 33017 Professional Dr, Leesburg, FL 34788 01/20/11 SSG Lake Clermont Medical Center, P.A. 1135 Lake Avenue, Clermont, FL 34711 04/03/12 SSG Lake Permier Medical Associates 1004 N 14th St., Ste. 109, Leesburg, FL 34748 352-25-2159 02/22/13 SSG Lake Institute of Cardiovascular Excellence,

P.L.L.C. 733 US Highway 466, Lady Lake, FL 32159-6340 04/03/13 SSG

Lake Clark Clinic, Inc. 107 W. Central Avenue, Howey-in-the-Hills, FL 34737 07/11/13 SSG Lake Florida Family Physicians 255 Citrus Tower Blvd., Ste. 206, Clermont, FL 34711 08/12/13 SSG Lake Florida Medical Associates, LLC 13940 US Highway 441, Ste. 102, Lady Lake, FL 32159 08/15/13 SSG Lake Louis J. Radnothy, DO, PA 390 South Central Avenue, Umatilla, FL 32784 03/25/14 SSG Lake A Plus Pediatrics, PLLC 706 East Grand Highway, Clermont, FL 34711 04/15/14 SSG Lake Suncoast Premier Medical, LLC 1239 US Hwy 27, Four Corners Area, Clermont, FL 34714 04/23/14 SSG Lake LifeStream Behavioral Center

201 East Magnolia Avenue, Eustis, FL 32726 2140 Don Wickham Dr., Clermont, FL 34711

09/24/14 09/29/14

SSG SSG

Lake LifeStream – Lop 215 North 3rd Street, Leesburg, FL 34748 09/24/14 SSG Lake Mid-Florida Primary Care, PA 401 North Blvd West Leesburg, Florida 34748 03/16/15 SSG Lake Margarita Correa, LLC DBA Physical

Medicine Institute 720 Almond Street Clermont, Florida 34711

9/09/15 SSG

Lake Express Care of Leesburg 2500 Citrus Boulevard Suite 2 Leesburg, Florida 34748 09/16/15 SSG Lake Gonzalez, Jaime, MD DBA Medical

Interventions 265 West Highway 50 Clermont, Florida 34711

407-733-0827 12/14/15 SSG

Lake Family Medicine at Mount Dora, LLC 6909 Old Highway 441, Suite 300 Mount Dora, Florida 32757 321-732-8491 03/04/16 SSG Lake Alejandro A. Victoria, MD, PA 235 Hatteras Avenue Clermont, Florida 34711 352-242-0676 04/20/16 SSG Lake Florida Medical Associates, LLC 601 East Dixie Avenue, #102 Leesburg, Florida 34748 352-622-7000 05/16/16 SSG Lake Lace Services, LLC 3145 Citrus Tower Boulevard, Suite B Clermont, Florida 34711 407-873-0004 11/22/16 SSG Lake LifeStream Hope & Recovery Center 2018 Tally Road Leesburg, Florida 34748 352-315-7527 02/01/17 SSG Lake Hosanna Medical Center, PLLC 16215 State Road 50, Suite 102 Clermont, Florida 34711 917-887-4941 06/20/17 SSG Lee Family Health Centers of SW Florida 2256 Heitman Street, Ft. Myers, FL 33901 239-278-3600 s. 330


07/19/2017


Method of Approval

Hendry Charlotte

- Cape Coral Medical Office - Broadway Family Practice - Cape Coral Medical Office - Downtown Ft. Myers Center - Paul Laurence Dunbar Medical Office - - Labelle Medical Office - Lehigh Acres Medical Office - Pine Island Medical Office - South Ft Myers Medical Office - Salvation Army/Healthcare for the Homeless

305 SW 2nd Terrace, Cape Coral, FL 33990 3594 Broadway Ave, Ft. Myers, FL 33901 305 SW 2nd Terrace, Cape Coral, FL 33900 2232 Grand Ave, Ft. Myers, FL 33901 3511 Dr. Martin Luther King, Jr. Blvd, Ft. Myers, FL 33916 930 S Main St, Labelle, FL 33935 391 Lee Blvd, Unit 200, Lehigh Acres, FL 33936 Aqualand Office Pk, 8359 Stringfellow Rd, St. James City, FL 33956 9800 S Healthpark Dr, Ste 110, Ft. Myers, FL 33908 2400 Edison Ave, Ft. Myers, FL 33901

239-344-2320 239-344-2330 239-344-2320 239-332-0417 239-332-0954 239-332-0417 239-344-2305 239-344-2393 239-267-6219

VHCPP

Lee Lee County Health Department - Lee County Health Department - Lee County Health Department

3920 Michigan Avenue, Ft. Myers, FL 33916 83 Pondella Rd., North Ft. Myers, FL 33903 391 Lee Blvd., Ste 100, Lehigh Acres, FL 33936

941-332-9501 941-332-9501 941-369-4020

CHD

Lee Lee Mental Health Center/dba Ruth Cooper 2789 Ortiz Ave., Ft. Myers, FL 33905 941-275-3222 Lee Bonita Springs Lions Club Clinic 10322 Pennsylvania Ave, Bonita Springs, FL 34135 VHCPP Lee G & C Medical Center, Inc. 4048 Evans Avenue, Ste. 208, Ft. Myers, FL 33901 239-931-4640 03/01/12 SSG Lee Gulf Coast Healthcare Systems, Inc./d.b.a

Urgent and Convenient Care Center 2718 Lee Blvd., Ste. B, Lehigh Acres, FL 33971 03/07/14 SSG

Lee The Medical Centre of Lehigh Acres, Inc 1303 Homestead Road N Ste., 102 Lehigh Acres, FL 33936 02/24/15 SSG Lee Bonita Medical Care Center, Inc. 26455 Old 41 Road, Unit 18 Bonita Springs, Florida 34135 07/01/15 SSG Lee Del Prado Medical Center, Inc 2500 Del Prado Boulevard South Cape Coral, Florida 33904 239-772-1195 02/02/16 SSG Lee Southwest General Healthcare Center, Corp 20 Barkley Circle, Suite 202 Fort Myers, Florida 33907 239-931-3368 02/16/16 SSG Lee Sunshine Family Doctor, LLC 4831 Coronado Parkway Cape Coral, Florida 33904 239-257-2154 04/06/16 SSG Lee North Cleveland Healthcare Center, LLC 13240 North Cleveland Avenue, Unit 9 North Fort Myers,

Florida 33903 239-652-3783 04/01/16 SSG

Lee A & C Primary Care Inc. 130 Lee Boulevard, Unit B Lehigh Acres, Florida 33936 239-303-3502 05/05/16 SSG Lee TLC Medical Center, LLC 2040 Collier Avenue, Suite A Fort Myers, Florida 33901 239-208-7756 10/26/16 SSG Lee Bonett Medical Center, Corp. 2675 Winkler Avenue, Suite #130 Fort Myers, Florida 33901 239-481-2200 11/08/16 SSG Lee The Salvation Army 3033 Winkler Avenue Fort Myers, Florida 33916 239-628-1459 03/27/17 SSG Lee Rehab Specialists of Collier 9250 College Parkway, Suite 3 Fort Myers, Florida 33919 239-243-8706 05/25/17 SSG Leon Bond Community Health Center, Inc. 710 W. Orange Avenue, Tallahassee, FL 32310 850-576-4073 s. 330 Leon Florida Department of Corrections 2601 Blairstone Road, Tallahassee, FL 32399-2500 850-410-4567 Leon Leon County Health Department

- Roberts/Stevens Clinic - Southside Clinic

2965 Municipal Way, Tallahassee, FL 32304 1515 Old Bainbridge Rd. Tallahassee, FL 32303 872 Orange Ave. Tallahassee, FL 32301

850-487-3186 850-488-2223 850-414-7845

CHD


07/19/2017


Method of Approval

Leon Neighborhood Health Services, Inc. 438 W. Brevard Street, Tallahassee, FL 32399 850-224-2469 10/04/96 Physicians under VHCPP

Leon Apalachee Center, Inc. 2634-J Capital Circle NE, Tallahassee, FL 32308 04/03/12 SSG Leon American Care of North Florida, Inc. 1707 South Gadsden, Tallahassee, FL 32301 11/18/13 SSG Levy Levy County Health Department 66 W. Main Street, Bronson, FL 32621 352-486-5305 CHD Levy Regional General Hospital 125 SW 7th St, Williston, FL 32696 12/08/10 SSG Levy Institute of Cardiovascular Excellence,

P.L.L.C. 412 West Noble Avenue, Williston, FL 32696-2072 352-433-9302 11/07/12 SSG

Levy North Central Florida Hospice, Inc/DBA Haven Hopsice/Tri-Counties Hospice Care Center

311 Northeast 9th Street, Chiefland, FL 32626 02/13/14 SSG

Levy Tri County Hospital - Williston 125 SW 7th Street, Williston, FL 32696 07/01/13 Liberty Liberty County Health Department 247 N. Central St., Bristol, FL 32321 850-643-2415 CHD Madison Madison County Public Health Unit 801 SW Smith Street, Madison, FL 32340 850-973-5000 CHD Manatee Turning Points 701 17th Ave W, Bradenton, FL 34205 941-747-1509 06/06/09 VHCPP Manatee Desoto Hardee Sarasota

Manatee County Rural Services, Inc. - AIDS Council of Manatee - Arcadia Family Healthcare Center - Community Care Family Clinic - East Manatee Health and Wellness Center - Just for Her - Lawton Chiles Children & Family Health Care Center - Manatee Pediatrics & Westgate OBGYN - Michael C. Bach Treatment Center - - North Manatee Health Center - Palmetto Family Healthcare Center - Parrish Health Center - Southeast Family Health Care Center

700 8th Avenue W, Suite 101, Palmetto, FL 34221 2703 19th St. Ct. E., #2, Bradenton, FL 34208 1707 East Oak Street, Arcadia, FL 34266 1110 East Gibson St., Arcadia, FL 34266 1312 Manatee Ave., East, Bradenton, FL 34208 417 Carlton Street, Wauchula, FL 33873 1515 26th Ave., East, Bradenton, FL 34208 712 39th Street West, Bradenton, FL 34205 2703 19th St. Ct. E., Bradenton, FL 34208 5600 Bayshore Rd., Palmetto, FL 34221 404 7th Street West, Palmetto, FL 34221 12214 US Hwy 301 North, Parrish, FL 34219 919 53rd Ave. E., Bradenton, FL 34203

941-776-4000 941-744-9204 863-491-5345 863-494-6222 941-708-8706 863-773-0336 941-708-8600 941-748-4602 941-708-8500 941-721-2020 941-729-3856 941-776-4000 941-751-8100

10/01/94 s. 330

Manatee Manatee County Health Department 410 Sixth Ave. East, Bradenton, FL 34208-1986 941-748-0747 CHD Manatee Manatee Glens 391 6th Ave W, Bradenton, FL 34205) P.O. Box 9478,

Bradenton, FL 34206-9478 941-782-4299 10/01/94

Manatee We Care Manatee, Inc. 4808 26thStreet West, Bradenton, FL 34207 941-755-3952 VHCPP Manatee Manatee Memorial Hospital 206 Second Street East Avenue, Bradenton, FL 34208 941-746-5111 04/20/12 SSG Manatee Jaime F. Rubio, MD, Clinica Dr. Rubio 2114 Manatee Avenue E., Bradenton, FL 34208 941-776-3967 04/18/13 SSG Manatee Concierge MedHealth Clinic, LLC 6060 26th Street West Bradenton, Florida 34207 941-755-5608 02/12/16 SSG Manatee First Harbour Medical Centers, LLC 712 53rd Avenue East, Suite C, Bradenton, Florida 34203 941-447-8223 01/31/17 SSG


07/19/2017


Method of Approval

Marion Marion County Health Department - Heart of Florida Health Center Clinics - Marion County Health Department

1801 S.E. 32nd Ave., Ocala, FL 34478 1801 S.E. 32nd Ave., Ocala, FL 34478 20491 The Granda, #5, Dunnellon, FL 34431

352-629-0137 352-489-3828

CHD

Marion Project Health, Inc. 9305 SE Maricamp Rd, Ocala, FL 34472 11/10/10 SSG Marion Heart of Florida Health Center 1025 SW 1st Avenue, Ocala, FL 34471 08/16/11 SSG Marion LaFamilia Medical Clinic, LLC 7625 SW 62nd Court, Ste. 100, Ocala, FL 34476 352-237-8903 03/06/13 SSG Marion Children’s Medical Group 1749 SE 28th Loop, Ocala, FL 34471 05/06/13 SSG Marion Institute of Cardiovascular Excellence, PLLC 10435 SE 170th Place, Summerfield, FL 34491

4730 SW 49th Road, Ocala, FL 34474 3515 SE 17th Street, Ste. 100, Ocala, FL 34471 10982 Southwest 184th St. Miami, Florida 33158

05/22/13 07/12/13 01/15/14 01/07/15

SSG SSG SSG SSG

Marion Community Family Health Care 11392 East Highway 316, Ft. McCoy, FL 32134-8114 07/23/13 SSG Marion Florida Medical Associates, LLC 6600 SW Highway 200, Ste. 200, Ocala, FL 34476

2955 SE 3rd Court, Ocala, FL 34471 08/15/13

08/15/13 SSG SSG

Marion Prompt Primary Care of Ocala Fomally- Institute of Cardiovascular Excellence, PLLC

8750 SW Highway 200, Ste. 102, Ocala, FL 34481 05/22/13 SSG

Marion Cala Hills Medical Center, Inc. 2131 Southwest 22nd Place, Ste. 100, Ocala, FL 34471 04/02/14 SSG Marion Weirsdale Family Health Center, Inc. 16400 South Highway 25, Weirsdale, FL 32195 05/14/14 SSG Marion Marion Heart Center, PA 10230 Southwest 86th Circle, Ocala, FL 34481 06/04/14 SSG Marion American Family Medical, LLC 1750 Southeast 28th Loop, Ocala, FL 34471 08/07/14 SSG Marion Urban Cardiology, LLC 4600 Southwest 46th Court, Bldg.220,Ste.250 Ocala, FL 34474

1800 Southeast 17th Street, Ste. 700, Ocala, FL 34471 2105 Southwest 20th Place, Ocala, FL 33471

09/16/14 09/16/14 09/16/14

SSG SSG SSG

Marion Gynecology Specialist of Ocala, PLLC Surgical Consultants of Central Fl. PA

1830 Southeast 18th Avenue, Ste.1, Ocala Fl. 34471 1830 Southeast 18th Avenue, Ste.3, Ocala Fl. 34471

10/07/14 10/07/14

SSG SSG

Marion Family Care Affiliates of Ocala, LLC 1830 Southeast 18th Ave., Suite 3, Ocala, FL 34471 10/22/14 SSG Marion Endeavor Physical Therapy Inc. DBA Geril

Therapy 4901 East Silver Springs Boulevard, #305 Ocala, FL 34470 10/29/14 SSG

Marion Marion Heart Center, PA 1040 Southwest 2nd Avenue Ocala, Florida 34471 01/28/15 SSG Marion West Marion Family Practice, PA 8599 Southwest Highway 200 Ocala, Florida 34481 02/26/15 SSG Marion Carlos Lopez, MD, PA 1133 Southeast 18th Place, Suite 2 Ocala, Florida 34471 04/13/15 SSG Marion Mid-Florida Primary Care, PA 17809 Southeast 109th Avenue Summerfield, FL 34491 04/10/15 SSG Marion Bridge At Life Care Center 2800 Southwest 41st Street, #200 Ocala, Florida 34474 06/19/15 SSG Marion Oakhurst Care & Rehabilitation 1501 Southeast 24th Road Ocala, Florida 34471 06/19/15 SSG


07/19/2017


Method of Approval

Marion TimberRidge Nursing and Rehab Center 9848 Southwest 110th Street Ocala, Florida 34481 07/01/15 SSG Marion Family Internal Medicine of Ocala, LLC

1623 Southwest 1st Avenue Ocala, Florida 34471 4840 South US Highway 41 Dunnellon, Florida 34432

06/29/15 06/29/15

SSG

Marion Ocala Oaks Rehab Center 3930 East Silver Spring Boulevard, Ocala, FL 34470 06/09/15 SSG Marion Florida Medial Associates, LLC 7502 Southwest 60th Avenue, Ocala, FL 34476 06/02/15 SSG Marion Institute of Cardiovascular Excellence, PLLC 40 Southwest 12th Street, Suite B-201, Ocala, FL 34471 12/31/14 SSG Marion Heart of Florida Health Centers Clinics

Heart of Florida Health Centers Clinics 7055 SE 110 Street Road, Belleview, FL 34420 4500 NW 152 Avenue, Reddick, FL 32686

Marion Heart of Florida Health Center WEST 6401 SW 54 Street, Ocala, FL 34474 Marion Heart of Florida Health Center

SOUTHWEST 100 Marion Oaks Boulevard, Ocala, FL 34473

Marion Super Urgent Care 1714 Southwest 17th Street, Unit 1, Ocala, FL 34471 08/19/15 SSG Marion Express Care of Belleview 10762 South US Highway 441 Belleview, Florida 34420 09/16/15 SSG Marion Medical Injury Group of Ocala, LLC 1740 Southeast 18th Street Suite 1102 Ocala, FL 34471 09/30/15 SSG Marion Trinity Healthcare Medical Center 2437 East Fort King Street Ocala, Florida 34471 352-512-0000 10/27/15 SSG Marion Florida Medical Associates, LLC 4011 East Silver Springs Boulevard Ocala, Florida 34470 352-622-7000 02/16/16 SSG Marion Sylvia’s Hospice House 2895 Southeast 62nd Street Ocala, Florida 34480 07/19/16 SSG Marion Estelle’s Hospice House 2897 Southeast 62nd Street Ocala, Florida 34480 07/19/16 SSG Marion The Brandley Hospice House 17395 Southeast 109th Terrace Road Ocala, Florida 34491 07/19/16 SSG Marion Hospice of Marion County, Inc. 3231 Southwest 34th Avenue Ocala, Florida 34474 07/19/16 SSG Marion Legacy Hospice House 9505 Southwest 110th Street Ocala, Florida 34481 07/19/16 SSG Marion Rehabilitation Health Centers of Florida 3002 Southeast 1st Avenue, Building 300 Ocala, Florida 34471 813-979-1780 08/09/16 SSG Marion Physician Partners Specialty Services, LLC 1714 Southwest 17th Street, Unit 1 Ocala, Florida 34471 352-274-9900 08/18/16 SSG Marion Premier Medical Associates 10250 South US Highway 441 Belleview, Florida 34420 352-259-2159 11/15/16 SSG Marion Summerfield Suites, LLC 17421 Southeast 109th Terrace Road Summerfield, FL 34491 352-873-7434 11/28/16 SSG Marion Three Angels Clinic 2140 Northeast 36th Avenue, Suite 300 Ocala, Florida 34470 352-537-2289 12/15/16 SSG Marion Trinity Healthcare Medical Center 321 Southeast 29th Place, Unit 101-102 352-512-0000 01/13/16 SSG Marion Premier Medical Associates 1800 Southeast 17th Street, # 700 Ocala, Florida 34471 352-259-2159 02/13/17 SSG Marion Universe Medical Center, Inc. 7811 Coral Way, Suite 103 Miami, Florida 33155 786-452-8604 02/13/17 SSG Marion Symphony Healthcare, Inc. 2100 Southeast 17th Street, Suite 901 Ocala, Florida 34471 352-629-5939 02/27/17 SSG Marion Florida Cardiology Associates of Ocala, LLC 40 Southwest 12th Street, Suite 201B-202B Ocala, FL 34471 352-291-0019 05/26/17 SSG Martin Martin County Health Department

- Martin County Hlth Dept, Indiantown 3441 SE Willoughby Blvd. Stuart, FL 34994 12/17/14 SSG

Martin Volunteers in Medicine Clinic 417 Balboa Ave., Stuart, FL 34994 772-463-4130 04/07/95 VHCPP Martin Light of the World Charities, Inc. 1508 Southwest Mapp Road Palm City, Florida 34990 (772) 223-

9785 09/06/16 SSG


07/19/2017


Method of Approval

Miami-Dade Good News Care Center 101 S Redland Rd, Florida City, FL 33034 05/16/11 SSG Miami-Dade Regenerate Primary Medical, LLC 6161 Southwest 72nd Street, Ste. B, South Miami, FL 08/30/11 SSG Miami-Dade The Wellness Center of NMB, LLC 1899 NE 164th Street, North Miami Beach, FL 33162 786-274-1990 03/01/12 SSG Miami-Dade Josefa L. Binker, M.D., P.A. 70 N.W. 8th Street, Homestead, FL 33030 305-242-5225 09/04/12 SSG Miami-Dade Urban Mercy Clinics of Miami, Inc. 13899 Biscayne Blvd., Ste. 132, N. Miami Beach, Fl 33181 305-681-1050 12/10/12 SSG Miami-Dade New Life Polyclinics Inc. 61 Hook Square, Miami Springs, FL 33166 305-884-8880 12/10/12 SSG Miami-Dade RiverSide Wellness Center 7911 NW 72nd Avenue #114, Medley, FL 33166 305-525-7956 12/10/12 SSG Miami-Dade Interamerican Medical Center Group LLC 1437 NE 8th Street, Homestead, FL 33033 04/03/13 SSG Miami-Dade Work Injury Solutions of Dade County, Inc

D/B/A Health Care Center of Miami 7911 NW 72nd Avenue, Ste. 111, Medley, FL 33166 05/22/13 SSG

Miami-Dade Med One Medical Center Inc. 486 Fisherman, Opa Locka, FL 33054 06/10/13 SSG Miami-Dade Continuum Medical Group 18373 NW 27th Avenue, Miami Gardens, FL 33055 07/30/13 SSG Miami-Dade Latino Medical Center, Inc. 16600 NE 8th Avenue, North Miami Beach, FL 33162 07/31/13 SSG Miami-Dade Fox Medical Plaza of Homestead 1555 N. Krome Avenue, Homestead, FL 33030 08/13/13 SSG Miami-Dade ABC Pediatrics, P.A. 695 N. Krome Avenue, Homestead, FL 33030 12/26/13 SSG Miami-Dade Celebrity Rehab & Medical Center 50 Northwest 15th Street, Ste. 101, Homestead, FL 33030 03/24/14 SSG Miami-Dade Florida Medical Center & Research, Inc. 1501 Northwest 36th Street, Miami, FL 33142 04/22/14 SSG Miami-Dade L.S.L. Medical Center, Inc. 7175 Southwest 8th St., Ste. 213 & 214, Miami, FL 33144 05/16/14 SSG Miami-Dade Saludmed Healthcare Center, LLC 8260 West Flagler Street, Ste. 1-A, Miami, FL 33144 05/19/14 SSG Miami-Dade Lissette Selem, MD, PA 909 North Krome Avenue, Homestead, FL 33030 05/20/14 SSG Miami-Dade Rodriguez-Garcia Fredesvindo, MD/DBA

Silver Medical Center 815 Northwest 57th Avenue, Ste. 150, Miami, FL 33126 05/30/14 SSG

Miami-Dade Physician Office of Florida City, Inc. 646 West Palm Drive, Florida City, FL 33034 06/24/14 SSG Miami-Dade 8th Street Medical Center, Inc. 825 Southwest 87th Avenue, Ste C2, Miami, FL 33174 06/30/14 SSG Miami-Dade Zair Medical Service, Inc. 8660 West Flagler Street, Ste. 205, Miami, FL 33144

1990 SW 1 Street, Suite 202, Miami, FL 33135 07/08/14

10/28/13 SSG

Miami-Dade New Health Rehabilitation Center, Corp. 8660 West Flagler Street, Ste. 121, Miami, FL 33144 1990 SW First Street, Miami, FL 33135

07/08/14 10/28/13

SSG

Miami-Dade Coral Medical Rehab. Center, Inc. 9776 Coral Way, Miami, FL 33165 07/08/14 SSG Miami-Dade Opa-Locka Pain Management, Corp.

DBA Opa Medical Group 1865 Northeast 163rd Street, North Miami Beach, FL 33162 07/07/14 SSG

Miami-Dade Blue Line Diagnostics/DBA Med Rehab of Florida

8660 West Flagler Street, Ste. 102, Miami, FL 33144

08/22/14 SSG

Miami-Dade Ramon Maldonado, MD, PA 45 Northeast 9th Court, Homestead, FL 33030 09/15/14 SSG Miami-Dade Liberty Bell Group, Inc. 8768 SW 8th St., Ste. 10, Miami, FL 33174 305-222-6002 09/25/14 SSG Miami-Dade Doctor’s Medical Center, Inc. 7900 Northwest 27th Avenue, Ste. 150, Miami, FL 33147 10/06/14 SSG


07/19/2017


Method of Approval

1272 Northwest 119th Street, Miami, Florida 33167 5521 Southwest 8th St, Miami, FL 33134 4105 Northwest 135th Street, Opa Locka, FL 33054 5535 Southwest 8th St, Miami, FL 33134 26085 South Dixie Highway, Naranja, FL 33032 4888 Northwest 183rd Street, Ste. 100, Miami, FL 33055 2901 Northwest 17th Ave. Miami, FL 33142 1240 Northwest 119th St. Miami, FL 33167

10/06/14 10/06/14 10/06/14 10/06/14 10/06/14 10/06/14 10/06/14

10/22/14

SSG SSG SSG SSG SSG SSG SSG SSG

Miami-Dade Doctors Care & Prevention, PLLC 9624 Southwest 24th St., Miami, FL 33165 10/23/14 SSG Miami-Dade Comprehensive Medical Access, Inc.

DBA Centros Medicos Las Americas 11865 Southwest 26th St., Ste. G10 Miami, FL 33175

10/28/14 SSG

Miami-Dade Open Door Health Center 151NW 11St. Suite W201 Homestead, FL 33030 305-246-2400 11/07/14 SSG Miami-Dade Family Care Rehab Group Corp. 3663 Southwest 8th St., Ste. 214 Miami, FL 33135 11/11/14 SSG Miami-Dade Miami Behavioral Health Center, Inc DBA

Bayan Health Systems 3850 West Flagler St., Miami, FL 33134 3800 West Flagler St., Miami, FL 33134

11/13/14 11/13/14

SSG

Miami-Dade Miami Behavioral Health Center, Inc

1566 Southwest First Street Miami, FL 33135 1560 Southwest First Street Miami, FL 33135 10720 Caribbean Blvd., Ste., 420 Cutler Bay, FL 33189

11/14/14 11/14/14 11/14/14

SSG

Miami-Dade Banyan Community Health Center, Inc. 3733 West Flagler Street Miami, FL 33134 10 Northwest 42nd Ave. Suite 500 Miami, FL 33126

11/13/14 11/14/14

SSG

Miami-Dade Spectrum Programs, Inc. 140 Northwest 59th St. Miami, FL 33127 120 Northwest 59th St. Miami, FL 33127

11/17/14 11/14/14

SSG

Miami-Dade South Psychological & Physical Rehabilitation, Inc

1408 Northeast 1st Avenue Homestead, Florida 33030

12/08/14 SSG

Miami-Dade Nemesis Medical Group, Inc. 1200 Northwest 78th Ave, Suite 212 Miami, Florida 33126 12/11/14 SSG Miami-Dade Dr. Jalal Taslimi Medical Center, Inc. 3940 West Flagler Street, Suite 202 Miami, Florida 33134 12/18/14 SSG Miami-Dade Comprehensive Medical Access, Inc.

8000 Biscayne Boulevard, First Floor Miami, Florida 33138

12/17/14 SSG

Miami-Dade La Benefica Medical Center 434 Southwest 12th Avenue, Suite 103 Miami, FL 33130

12/16/14 SSG

Miami-Dade Spring Medical Center, LLC 434 Southwest 12th Ave, Suite 402 Miami, Florida 33130 12/29/14 SSG Miami-Dade Med/Care Quality Medical Centers, LLC 10982 Southwest 184th St. Miami, FL 33158 01/07/15 SSG Miami-Dade CAC-Florida Medical Centers, LLC 6269 Northwest 7th Avenue Miami, Florida 33150

01/28/15 SSG


07/19/2017


Method of Approval

Miami-Dade CAC-Florida Medical Centers, LLC 650 North Homestead Boulevard Homestead, Florida 33030 01/28/15 Miami-Dade Providence Medical Center, Inc. 10348 West Flagler Street Miami, Florida 33174 02/10/15 SSG Miami-Dade Community Health and Wellness Center of

Miami, Inc. 759 Northwest 22nd Avenue, Suite 202 Miami, Florida 33125 02/10/15 SSG

Miami-Dade Primary Medical Care Center and Urgent Care Clinic, Inc.

11500 Northwest 7th Avenue Miami, Florida 33168

02/26/15 SSG

Miami-Dade Miami Rescue Mission Clinic, Inc. v 02/26/15 SSG Miami-Dade Miguel A. Aponte, MD 8100 West Flagler, Suite 101 Miami, Florida 33144 03/16/15 SSG Miami-Dade Advance Medical Research Center 330 Southwest 27th Avenue, Suite 701 Miami, FL 33135 03/23/15 SSG Miami-Dade Medcare Quality Medical Center, LLC 1149 Southwest 27th Avenue Miami, Florida 33135 04/20/15 SSG Miami-Dade Medical Clinic Services Corp. 2955 Southwest 8th Street, Suite 203 Miami, Florida 33135 04/21/15 SSG Miami-Dade Medplan Clinic, LLC 4767 Northwest 183rd Street Miami, Florida, 33055 04/22/15 SSG Miami-Dade Medcare Westchester Medical Center, LLC 11825 Southwest 26th Street Miami, Florida, 33175 04/20/15 SSG Miami-Dade Florida Doctors Services Corp. 1830 Northwest 7th Street, Suite 231 Miami, FL 33125 04/10/15 SSG Miami-Dade Brownsville Medical Center, Inc. 2525 Northwest 54th Street Miami, Florida 33142 05/06/15 SSG Miami-Dade Merch Medical Center LLC 6714 W. Flagler Street Miami, FL 33144 (786) 953-

7541 05/14/15 SSG

Miami-Dade Clinical Care, Inc. 789 Northwest 27th Avenue, Suite 1 Miami, Florida 33125 06/12/15 SSG Miami-Dade Clinical Care Services 3091 Southwest 22nd Street Miami, Florida 33145 06/15/15 SSG Miami-Dade Milton R. Bengoa, MD 925 Northeast 30th Terrace Suite 210 Homestead, Florida

33033 06/16/15 SSG

Miami-Dade Miami Beach Community Health Center, Inc. 11645 Biscayne Boulevard, #207 North Miami Beach, Florida 33181

06/29/15 SSG

Miami-Dade Clinical Care Center, Inc. 11200 West Flagler Street, Suite 101 Miami, Florida 33174 06/24/15 SSG Miami-Dade Florimed Medical Center 311 Northeast 8th Street, Suite 110 Homestead FL 33030 06/09/15 SSG Miami-Dade The Selem Center, LLC 3850 Southwest 87th Avenue, Suite 304 Miami, FL 33165

814 Ponce de Leon Boulevard, Suite 510 Coral Gables, Florida 33134

07/07/15 07/07/15

SSG

Miami-Dade HDH Medical Center, Inc.

7911 Northwest 72nd Avenue Suite 109 A/B Medley, Florida 33166

07/14/15 SSG

Miami-Dade Mercedes J. Vazquez, MD, PA

950 North Krome Avenue, Suite 203 Homestead, Florida 33030

07/14/15 SSG

Miami-Dade Ruben J. Nunez, MD, PA

15260 Southwest 280th Street, Suite 116, Miami, Florida 33032

07/28/15 SSG


07/19/2017


Method of Approval

Miami-Dade America Clinic Center, Inc

8260 West Flagler Street, 2K, Miami, Florida 33144 07/28/15 SSG

Miami-Dade Asclepius Medical, Inc. 8740 Southwest 8th Street, Miami, FL 33174 07/28/15 SSG Miami-Dade Clinical Care, Inc. 12700 West Dixie Highway, North Miami, FL 33161 06/09/15 SSG Miami-Dade Diagnostic Center of Medley 7911 Northwest 72nd Avenue Suite 105 Medley, FL 33166 9/15/15 SSG Miami-Dade Premium Medical Services, LLC 1281 Northwest 6th Street Miami, Florida 33125 09/18/15 SSG Miami-Dade Honor Health Center, Inc. 2500 Southwest 107th Avenue Suite # 48 Miami, FL 33165 9/18/15 SSG Miami-Dade United Med Care 27 Northeast 10th Street Homestead, Florida 33030 9/18/15 SSG Miami-Dade Select Medical Clinic, Inc 16601 Northeast 6th Avenue North Miami Beach, FL 33162 10/05/15 SSG Miami-Dade Clinica La Salud 8415 Southwest 24th Street Suite 203 Miami, Florida 33155 305-559-2121 10/27/15 SSG Miami-Dade PerfectFeet Care 922 North Krome Avenue Homestead, Florida 33030 305-318-1405 11/12/15 SSG Miami-Dade Maria J. Hache, MD, PA 7000 Southwest 62nd Avenue Suite PH-M South Miami,

Florida 33143 305-455-7437 11/19/15 SSG

Miami-Dade Lorites Medical Group, MD, PA & Associates

8300 West Flagler Street Suite 112 Miami, Florida 33144 786-615-2151 12/14/15 SSG

Miami-Dade Nostrum Medical Center, HMSTD 1235 North Krome Avenue Homestead, Florida 33030 786-615-2151 12/14/15 SSG Miami-Dade Community Medical Group of Perrine 12320 Quail Roost Drive Miami, Florida 33177

12376 Quail Roost Drive Miami, Florida 33177

786-237-3070 786-623-0994

12/17/15 SSG

Miami-Dade Community Medical Group of Florida City

745 West Palm Drive Florida City, Florida 33034 751 West Palm Drive Florida City, Florida 33034

786-279-0764 786-377-0120

12/17/15 12/17/15

SSG SSG

Miami-Dade Community Medical Group of Westchester 9750 Southwest 24th Street Miami, Florida 33165 1621 Southwest 107th Avenue Miami, FL 33165

786-422-6525 12/17/15 SSG

Miami-Dade Community Medical Group of Miami 1490 Northwest 27th Avenue, Suite 130 Miami, Florida 33125 12/17/15 SSG Miami-Dade Access Medical Group of Opa Locka, Inc. 321 Opa Locka Boulevard Opa Locka, Florida 33054 786-467-3333 12/17/15 SSG Miami-Dade Ana M. Acosta, MD, PA 330 Southwest 27th Avenue Suite 701 Miami, Florida 33135 786-360-4423 12/23/15 SSG Miami-Dade Choice One Medical Associates, LLC 16201 Northeast 13th Avenue North Miami Beach, FL 33162 786-657-2170 12/22/15 SSG Miami-Dade Life Med Center Assoc., Corp. 7171 Southwest 24th Street Suite 404 Miami, Florida 33155 12/22/15 SSG Miami-Dade Community Medical Group of North Miami

Beach 995 North Miami Beach Boulevard Suite 100 North Miami Beach, Florida 33162

12/22/15 SSG

Miami-Dade Ultra Care Medical Centers, LLC 6801 Southwest 8th Street Miami, Florida 33144 305-835-0413 1/11/16 SSG Miami-Dade Caremax of Miami, LLC 9100 Coral Way, # 6 Miami, Florida 33165 305-559-0278 1/19/16 SSG Miami-Dade Community Health Center of Mia 7000 Southwest 62nd Avenue, Suite 300 South Miami, FL

33143 305-455-7454 01/27/16 SSG

Miami-Dade Ramey Medical Group, Corp DBA Miguel A. Aponte, MD

1380 Northeast Miami Gardens Drive, Suite 140 Miami, Florida 33179

954-933-2970 01/27/16 SSG


07/19/2017


Method of Approval

Miami-Dade Nostrum Medical Center NW, LLC 2141 Northwest 7th Street, Suite 101 Miami, Florida 33125

786-615-2151 01/27/16 SSG

Miami-Dade Interamerican Medical Center Group, LLC 8530 Southwest 8th Street Miami, Florida 33144 305-649-8100 01/22/16 SSG Miami-Dade Davila Medical Center, Inc 782 Northwest 42nd Avenue, Suite 348 Miami, Florida 33126 786-657-3376 01/27/16 SSG Miami-Dade WMC Health Group, LLC 1380 Northeast Miami Gardens Drive, Suite 210 Miami, FL

33179 305-692-9009 1/29/16 SSG

Miami-Dade Miami Medical & Wellness Center, LLC 7500 Southwest 8th Street, Suites 101-103 & 104 Miami, Florida, 33144

305-534-0076 02/01/16 SSG

Miami-Dade Rodolfo Dumenigo, MD, PA 13220 Biscayne Boulevard North Miami, Florida 33181 305-534-0076 02/01/16 SSG

Miami-Dade Rodolfo Dumenigo , DBA Open Door Health Center

151 Northwest 11th Street, Suite W201 Homestead, Florida 33030

305-246-2400 02/02/16 SSG

Miami-Dade Rodolfo Dumenigo, MD, PA DBA Miami Beach Medical Group

2601 Southwest 37th Avenue Miami, Florida 33133

305-534-0076 02/09/16 SSG

Miami-Dade B & B Pro Health Rehabilitation, Inc. 8494 Southwest 8th Street Miami, Florida 33144 305-266-7772 02/22/16 SSG

Miami-Dade Clinica Venamer, LLC 1757 Southwest 22nd Street Miami, Florida 33145 786-442-1040 02/25/16 SSG

Miami-Dade Advance Medical Doctor, Inc 7237 Coral Way Miami, Florida 33155 786-536-2620 3/01/16 SSG

Miami-Dade Westchester General Hospital 2500 Southwest 75th Avenue Miami, Florida 33155 305-264-5252 3/01/16 SSG

Miami-Dade Guadalupana C.G., Inc. Miami, Florida 33165 8890 Southwest 24th Street, Suite 206

305-456-1295 03/04/16 SSG

Miami-Dade Sunset Physiotherapy Center, Inc. DBA Sunset Medical Center 2742 Southwest 8th Street, Suite 11 Miami, Florida 33135

786-447-6491 03/03/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. Behavioral Health

100 Northeast 38th Street, Suite # 5 Miami, Florida 33137-3654 305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. Specialty 100 Northeast 38th Street, Suite # 3 Miami, Florida 33137-3654

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. North Miami

708 Northeast 125th Street North Miami, Florida 33161-5612

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. Carrie Meek

7801 Northeast 2nd Avenue Miami, Florida 33138-4898

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. West-Dade Sweet Water

10528 Southwest 8th Street Miami, Florida 33174-2602

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. Flagami 5040 Northwest 7th Street Miami, Florida 33126-3425

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. Kendall 11880 Bird Road, Suite # 101 Miami, Florida 33175-3584

305-576-6611

03/11/16 SSG


07/19/2017


Method of Approval

Miami-Dade Borinquen Health Care Center, Inc. Woman’s Center

12603 Northeast 7th Avenue North Miami, Florida 33161-4813

305-576-6611

03/11/16 SSG

Miami-Dade Borinquen Health Care Center, Inc. The Village South

3180 Biscayne Boulevard Miami, Florida 33137-4213

305-576-6611

03/11/16 SSG

Miami-Dade Caremax of Miami, LLC 9605 West Flagler Street Miami, Florida 33174 305-559-0278

03/11/16 SSG

Miami-Dade Holy Medical Center, Inc. 2740 Southwest 97th Avenue, #A111 Miami, Florida 33165 786-616-8037 03/30/16 SSG

Miami-Dade A Med Practice, LLC 8181 Northwest 36th Street, 23 Doral, Florida 33166 786-801-1168 03/30/16 SSG

Miami-Dade StrongHealth Network, PLLC 815 Northwest 57th Avenue, Suite 343 Miami, Florida 33126 305-266-2286 04/06/16 SSG

Miami-Dade TA Medical Group, Inc. 6498 Coral Way West Miami, Florida 33 (305) 668-7199

04/04/16 SSG

Miami-Dade Sanchez - Cazau Medical Group, PA 777 East 25th Street, Suite 501 Hialeah, Florida 33013

305-889-6670 05/03/16 SSG

Miami-Dade Team Medical Research, Inc 4505 West Flagler Street, Suite 201 Miami, Florida 33134 305-441-9399 05/02/16 SSG

Miami-Dade Abuelitos Medical Center 600 East 25th Street, # A - F Hialeah, Florida 33013 (786) 422-7374

05/04/16 SSG

Miami-Dade Camillus Health Concern, Inc. 1545 Northwest 7th Avenue Miami, Florida 33136 305-533-2919 05/05/16 SSG

Miami-Dade Galeno Medical Group, PA 351 Northwest 42nd Avenue, Suite 204 Miami, Florida 33126 305-644-2212 05/12/16 SSG

Miami-Dade Latin Foundation for Health, Inc. 717 Ponce De Leon Boulevard, Suite 204 Coral Gables, Florida 33134

786-360 6225 05/16/16 SSG

Miami-Dade Doctor’s Medical Center, Inc. 1200 Northeast 125th Street North Miami, Florida 33161 305-685-5688 05/24/16 SSG Miami-Dade Waldo Acebo, MD, PA 9851 Northwest 58th Street, Unit 125 Doral, Florida 33178 305-403-1035 05/31/16 SSG Miami-Dade Lourdes Margarita Landron-Garcia of

Community Health Center of Miami, LLC 1350 Southwest 57th Avenue, Suite 101 West Miami, Florida 33144

305-455-7454 06/01/16 SSG

Miami-Dade Aurelio Torres-Consuegra, MD DBA Aurelio Torres, PA

3412 West 84th Street, Suite # 104 Hialeah Gardens, Florida 33018

305-512-9002 06/09/16 SSG

Miami-Dade R & R Rehab Corp DBA Gardens Health Center

11300 Northwest 87th Court, Suite 149 Hialeah Gardens, Florida 33018

786-518-3452 06/13/16 SSG

Miami-Dade Mariano M. Martinez, MD, PA of Advanced Medical Center, Corp.

1350 Southwest 57th Avenue, Suite 101 West Miami, Florida 33144

305-455-7431 06/07/16 SSG

Miami-Dade Advanced Care Medical Services, Corp. 1150 Northwest 72nd Avenue, Suite 580 Miami, Florida 33126 (787) 504-2466

06/07/16 SSG

Miami-Dade Peter Gutierrez, PA-C, PA DBA Gutierrez Family Care

5040 Northwest 7th Street, Suite 370 Miami, Florida, 33126

305-444-7121 06/28/16 SSG

Miami-Dade Premium Health Care Medical Center, Inc. 8260 West Flagler Street, Suite 2H Miami, Florida 33144 786-703-1240 06/28/16 SSG


07/19/2017


Method of Approval

Miami-Dade Comprehensive Health Center, LLC 671 73 Northwest 119th Street North Miami, Florida 33168 305-688-0811 06/29/16 SSG Miami-Dade Lissette Selem, MD, PA 922 North Krome Avenue Homestead, Florida 33030 786-504-8070 06/30/16 SSG Miami-Dade North Miami Medical & Rehab, Inc. 823 Northeast 125th Street North Miami, Florida 33161 305-895-7840 06/30/16 SSG Miami-Dade MMC Clinic Corp 7221 Southwest 24th Street, Suite # 207 Miami, Florida 33155 305-381-5310 07/05/16 SSG Miami-Dade Lucky Professional Services, Inc. 11180 West Flagler Street, Suite 14 Miami, Florida 33174 786-703-3876 07/05/16 SSG Miami-Dade Horizon Medical and Aesthetic Center, Corp 5366 Palm Avenue Hialeah, Florida 33012 786-523-1502 07/13/16 SSG Miami-Dade B & F Medical Center, Corp. 275 Fontainebleau Boulevard, Suite 210 Miami, Florida

33172 786-534-6876 07/15/16 SSG

Miami-Dade Personal Care Medical Group, LLC 1 Northeast 167th Street North Miami Beach, Florida 33162 305-912-8603

08/04/16 SSG

Miami-Dade Lemus Natural Medicine, Inc. 11401 Southwest 40th Street, Suite 120 Miami, Florida 33165 305-223-7393 08/08/16 SSG Miami-Dade Mr. Mario Ponce Garcia Your Care Health

Network, LLC 7171 Coral Way, Suite 305 Miami, Florida 33155

(305) 381-5369

08/08/16 SSG

Miami-Dade Tu Salud Medical Service, Inc. 900 Park Centre Boulevard, Suite 400 Miami Gardens, Florida 33169

305-912-8603 08/16/16 SSG

Miami-Dade Referral Medical Services, Inc. 330 Southwest 27th Avenue, Suite 306 Miami, Florida 33135 (954) 424-1873

08/24/16 SSG

Miami-Dade Med Plan Clinic, LLC 900 West 49th Street, Suite 308 Hialeah, Florida 33012 4218 East 4th Avenue Hialeah, Florida 33013

305-777-9217 305-777-9217

09/01/16 SSG

Miami-Dade Medcare Quality Medical Center, LLC 900 West 49th Street, Suite 101 Hialeah, Florida 33012 305-777-9217 09/01/16 SSG Miami-Dade Caremax Medical Center of Hialeah, LLC 1840 West 49th Street, Suite 105 Hialeah, FL 33012

786-200-8305 10/03/16 SSG

Miami-Dade Palm Medical Center, LLC 1251 Northwest 36th Street, A Miami, Florida 33142 (954) 432-0578

10/05/16 SSG

Miami-Dade V & R Medical Group, Inc. DBA La Quinta # 1 Medical Center

1923 West 60th Street Hialeah, Florida 33012

305-883-1060 10/10/16 SSG

Miami-Dade Doctor’s Medical Center, Inc. 777 East 25th Street, Suite 118 Hialeah, Florida 33013 305-685-5688 11/04/16 SSG Miami-Dade Doctor’s Medical Center, Inc. 10130 Southwest 40th Street Miami, Florida 33165 305-685-5688 11/04/16 SSG Miami-Dade Wellness Therapy & Medical Care Center 8206 Northwest 103rd Street Hialeah Gardens, Florida 33016 305-827-0208 11/15/16 SSG Miami-Dade Florida Behavioral Center, Inc. DBA Florida Healthcare System 1905 Northwest 82nd

Avenue Doral, Florida 33126 786-420-5924 11/15/16 SSG

Miami-Dade Pro-Health Wellness Center, Inc. 8300 West Flagler Street, Suite 124 Miami, Florida 33144 305-223-6874 11/23/16 SSG Miami-Dade Maray Rocher, MD 87th East 49th Street Hialeah, Florida 33013 786 536-5001 12/15/16 SSG Miami-Dade Garcia Saez Medical Group, Corp. 330 Southwest 27th Avenue, Suite 601 Miami, Florida 33135 786-327-6959 12/16/16 SSG Miami-Dade Salazar, Jacqueline, MD 16241 Biscayne Boulevard North Miami Beach, Florida 33162 954- 432-0578 12/21/16 SSG


07/19/2017


Method of Approval

Miami-Dade One Life Rehabcare Medical Center, Inc. 9100 Coral Way, Suite 7 Miami, Florida 33165 305-220-0084 12/28/16 SSG Miami-Dade Orex Medical Center, Corporation 4980 West 10th Avenue, #101 Hialeah, Florida 33012 305-556-4235 01/13/17 SSG Miami-Dade V & R Medical Group Inc. DBA La Quinta #

2 Medical Center 700 East 1st Avenue Hialeah, Florida 33010

305-883-1060 1/18/17 SSG

Miami-Dade Xtreme Rehab Services, Inc. 8890 Southwest 24th Street, Suite 213 Miami, Florida 33165 786-717-6304 01/24/17 SSG Miami-Dade Coral Medical Center, Corp. 10758 Southwest 24th Street Miami, Florida 33165 786-360-2306 01/24/17 SSG Miami-Dade Doctor's Medical Group, Inc. 8150 Southwest 8th Street, Suite 220 Miami, Florida 33144 786-453-3727 01/31/17 SSG Miami-Dade Artang Rehabilitation Center, LLC 10500 Northwest 26th Street, Suite A-101 Doral, Florida

33172 305-300-5059 01/30/17 SSG

Miami-Dade Mejias Medical Center 4800 West Flagler Street, Suite 213 Miami, Florida 33134 305-643-4122 02/13/17 SSG Miami-Dade UHI Community Care Clinic 4851 Northwest 183rd Street Opa Locka, Florida 33055 305-620-7797 03/02/17 SSG Miami-Dade Healing Touch C & C, Inc. 4385 West 16th Avenue Hialeah, Florida 33012

305-824-0637 03/13/17 SSG

Miami-Dade Javier Puentes, PA 1738 West 49th Street, Suite # 12 Hialeah, Florida 33012 786-261-3762 03/31/17 SSG Miami-Dade New Generation Rehabilitation Center, Inc. 7805 Coral Way, Suite 105 Miami, Florida 33155 (305)-267-2005 03/14/17 SSG Miami-Dade Sunset Physiotherapy Center Inc. DBA Sunset

Medical Center 2955 Southwest 8th Street, Suite 202 Miami, Florida 33135

305-642-4111 03/27/17 SSG

Miami-Dade Guidewell Sanitas 1, LLC DBA CliniSanitas 2601 Southwest 37th Avenue, Suite 806 Miami, Florida 33133 7100 West 20th Avenue, Suite 111 Hialeah, Florida 33016

786-678-2541 786-678-2541

03/29/17 03/29/17

SSG SSG

Miami-Dade Our Medical Community Center, LLC 6850 Coral Way, Suite 405 Miami, Florida 33155 786-409-3683 04/03/17 SSG Miami-Dade SCR Women & Family Clinic, LLC 7309 West Flagler Street Miami, Florida 33144 305-961-1180 04/13/17 SSG Miami-Dade Access Medical Group of Hialeah, Inc. DBA

Community Medical Group 3805 West 20th Avenue, Suite 105 Hialeah, Florida 33012

305-557-2277 04/13/17 SSG

Miami-Dade Bay Medical Group, LLC 931 Southwest 122nd Avenue Miami, Florida 33184 786-389-9691 04/24/17 SSG Miami-Dade AJC Medical Group, Inc. 1498 Northwest 54th Street C Miami, Florida 33142 305-603-8200 04/24/17 SSG Miami-Dade Access Medical Group of Hialeah, Inc. DBA

Community Medical Group 3520 West 18th Avenue, Suite 115 Hialeah, Florida 33012

786-837-0897 05/05/17 SSG

Miami-Dade Juan M. Garces, MD, PA 351 Northwest 42nd Avenue, Suite 503 Miami, Florida 33126 305-444-1244 05/18/17 SSG Miami-Dade Polyclinic Healthcare, LP 11648 Quail Roost Drive Miami, Florida 33157 786-701-9135 6/06/17 SSG Miami-Dade Cano Health, LLC 3825 West 16th Avenue, # 2 Hialeah, Florida 33012 786-547-2382 05/26/17 SSG Miami-Dade Genesis Medical Center Corp. 7171 Coral Way, Suite 303 Miami, Florida 33155 305-456-4419 06/14/17 SSG Miami-Dade Context Medical Group, Inc. 10550 Northwest 77th Court, Suite 305 Hialeah Gardens, Florida

33016 305-826-3072 06/14/17 SSG

Miami-Dade Latino Medical Center II, Inc. 7858 Northeast 2nd Avenue Miami, Florida 33138 516-850-9127 06/15/17 SSG Miami-Dade C’A Medical Center, Inc. 9600 Southwest 8th Street, Suite 25 Miami, Florida 33174 786-366-9843 07/03/17 SSG


07/19/2017


Method of Approval

Miami-Dade Clinica Las Mercedes III, Inc. 2750 West 68th Street, Suite 127-128 Hialeah, Florida 33016 786-233-6981 07/05/17 SSG Miami-Dade MD Now Medical Centers, Inc. 12555 Biscayne Boulevard North Miami, Florida 33181 561-420-8555 07/07/17 SSG Miami-Dade Epic Healthcare Systems, Inc. 7805 Southwest 24th Street, Suite 121 Miami, Florida 33155

305-269-6788 07/07/17 SSG

Monroe Monroe County Health Department 5100 College Road, Key West, FL 33041 305-293-7544 04/23/04 CHD Nassau Barnabas Center, Inc. 11 S. 11th St, Fernandina Beach, FL 32034 (904) 261-

7000 04/08/06 VHCPP

Nassau Nassau County Health Department - Fernandina Beach Clinic - Callahan Clinic - Hilliard Clinic - Yulee Clinic - Dental Clinical

30 S. 4th Street, Fernandina Beach, FL 32035 1620 Nectarine St, Fernandina Bch, FL 45377 Mickler St, Callahan, FL 32011 37203 Pecan St, Hilliard, FL 32046 528 Page’s Dairy Rd, Yulee, FL 32097 Yulee Full Service School, 479 Felmore Rd, Yulee, FL 32097

904-548-1800 904-548-1860 904-879-2306 904-845-4761 904-548-1880 904-548-1849

CHD;

Nassau MCCI Group Holdings, Callahan Medical Center

449621 US Highway 301, Ste. 110, Callahan, FL 32011 904-507-2692 12/07/11 SSG

Okaloosa

Okaloosa County Health Department

221 Hospital Drive, NE, Ft. Walton Beach, FL 32458 850-389-3015 CHD

Okaloosa Crossroads Center Medical Clinic 444 Valparaiso Pkwy, Bldg C, Valparaiso, FL 32580 850-226-6928 VHCPP Okaloosa Coast Family Clinic 4100 S. Ferdon Blvd., Ste. A-4, Crestview, FL 32536 850-867-0313 05/11/12 SSG Okeechobee Okeechobee County Health Department 1728 NW 9th Avenue, Okeechobee, FL 34972 941-462-5819 CHD Orange Lake

Community Health Centers, Inc. - Apopka Children’s Health Center - Apopka Family Health Center - Eatonville Dental Facility - Leesburg Community Health Center - Pine Hills Family Health Center - S. Lake Family Health Center - Winter Garden Children’s Health Center - Winter Garden Family Health Center - Lake Ellenor Dental

110 S. Woodland Street, Winter Garden, FL 34787 618 Forest Ave., Apopka, FL 32703 225 E. Seventh Street, Apopka, FL 32703 434 W. Kennedy Blvd., # D, Eatonville, FL 32810 225 N. 1st St., Leesburg, FL 34748 1800 Mercy Drive, Ste 200, 2nd Floor, Orlando, FL 32808 1296 Broad St., Groveland, FL 34736 110 S. Woodland St., Winter Garden, FL 34787 110 S. Woodland St., Winter Garden, FL 34787 6101 Lake Ellenor Dr, Orlando, FL 32809

407-905-8827 407-886-6201 407-886-6201 407-645-3959 352-360-0490 407-209-3202 352-429-4104 407-877-4340 407-877-4340

02/04/94 s. 330

Orange Ombudsman Council District 7 FL Dept. of Children and Families, Dist. 7, Orlando 407-245-0640

Orange Orange County Public Health Department - Orange County Health Department - Orange County Health Department, Central - Orange County Health Dept, Eastside - Orange County Health Department - Orange County Health Department

604 Courtland St., # 200, Orlando, FL 32804 1111 N. Rock Springs Rd., Apopka, FL 32712 832 W. Central Blvd., Orlando, FL 32805 12050 E. Colonial Dr., Orlando, FL 32826 475 W. Story Rd., Ocoee, FL 34761 941 W. Morse Blvd., Winter Park, FL 32789

407-623-1180 407-654-1072 407-836-2600 407-296-5177 407-667-6262 407-623-1151

04/08/94 CHD


07/19/2017


Method of Approval

- Lila Mitchell, Orlando - Oak Ridge, Orlando

5151 Raleigh St., Orlando, FL 32811 2346 W. Oak Ridge Rd., Orlando, FL 32809

407-296-5177 407-858-4731

Orange Shepherd's Hope, Inc. 4851 S. Apopka-Vineland Road, Orlando, FL 32819 407-876-6729 02/04/00 VHCPP

Orange Special Care, Inc. 101 S. Westmoreland Drive, Orlando, FL 32805 407-836-2519 02/05/05 VHCPP Orange Health Care Center for the Homeless, Inc.

Administrative Offices Orange Blossom Family Care Center

232 N Orange Blossom Trail, Orlando, FL 32805

407-428-5751

s. 330

Orange Orlando Family Physicians Jorge L. Garcia, President/CEI

1130 S. Semoran Blvd, Orlando, FL 32807 407-382-1376 11/13/07 Secretary

Orange Catholic Charities of Central Florida, Inc.; St. Thomas Aquinas Free Medical Clinic

1771 N Semoran Blvd, Orlando, FL 32807 mailing 510 Brown Chapel Rd, St. Cloud, FL 34769

407-658-1818

08/13/08 VHCPP

Orange Central Florida Family Health Center, Inc. 2400 SR 415, Sanford, FL32771 11881-A E Colonial Dr, Orlando, FL 32826 5449 S Semoran Blvd, #15, Orlando, FL 32822 5730 Lake Underhill Rd, Orlando, FL 32807 6101 Lake Ellenor Dr #105, Orlando, FL 32809

407-322-8645 407-275-4048 407-207-7756 407-956-4320 407-956-4680

09/17/08 Board approved

Orange Orlando Family Medical Center 1718 Woolco Way, Orlando, FL 32822 11/04/10 SSG Orange Kenaday Medical Clinic 6001 Silver Star Rd, Ste 1A-1B, Orlando, FL 32808 12/13/10 SSG Orange Miracle Health Center of Winter Garden 321 Dillard St, Winter Garden, FL 34787 02/11/11 SSG Orange Central Florida Primary Physicians, LLC 7806 Lake Underhill Road, Ste 105, Orlando, FL 32822 07/13/11 SSG Orange Physicians Care Plus of Orlando 600 N Hart Blvd, Orlando, FL 32818 04/13/11 SSG Orange Dr. Borges Medicine and More 1800 W Oakridge Rd, Orlando, FL 32809 05/03/11 SSG Orange USA Medical Care LLC 3900 South Goldenrod Street, Orlando, FL 32822

1800 West Oak Ridge Road, Orlando, FL 32809 09/05/14

09/04/14 SSG SSG

Orange American HealthCare Clinic American HealthCare Clinic

100 S Semoran Blvd, Orlando, FL 32807 7975 Lake Underhill Rd., Ste. 240, Orlando, FL 32822

06/10/11 09/25/12

SSG SSG

Orange Threshold Center for Autism 3550 North Goldenrod Road, Winter Park, FL 32792 08/16/11 SSG Orange R. Rosario-Medina, M.D., L.L.C. 4711 Curry Ford Road, Orlando, FL 32812 407-382-9703 10/19/11 SSG Orange Grace Medical Home 51 Pennsylvania Street, Orlando, FL 32806 407-936-2785 12/21/11 SSG Orange Primary Healthcare Associates 5273 Curry Ford Road, Orlando, FL 32812 407-933-1760 05/17/12 SSG Orange Unique Healthcare of Orlando Family

Medicine 4978 Millenia Blvd., Orlando, FL 32839 407-601-7840 05/17/12 SSG

Orange My Family Doctor of Orlando, LLC 5575 South Semoran Blvd., Ste. 26, Orlando, FL 32822 407-401-8637 06/15/12 SSG


07/19/2017


Method of Approval

Orange Lahens Medical Center, Inc. 1140 S. Semoran Blvd., Ste. E, Orlando, FL 32807 407-384-9165 12/10/12 SSG Orange Gutierrez Medical Center, LLC 5804 Lake Underhill Rd., Ste. A, Orlando, FL 32807 787-505-9989 02/22/13 SSG Orange PCA Medical Group 1140 S. Semoran Blvd., Ste. C, Orlando, FL 32807

6003 Silver Star Rd., Ste. 2, Orlando, FL 32808 407-281-9105 407-522-5311

02/22/13 02/22/13

SSG SSG

Orange Florida Family Physicians LLC 2840 North Hiawassee Rd., Ste. 428, Orlando, Florida 32818 04/03/13 SSG Orange Sand Lake Health and Wellness Center, LLC 2345 Sand Lake Rd., Ste. 200, Orlando, FL 32809 08/27/13 SSG Orange Pinero Preventive Medical Care PA 1720 S. Orange Avenue, Ste. 200, Orlando, FL 32806 09/05/13 SSG Orange Medical Home Alliance LLC

dba IMA Medical Center 1320 N. Semoran Blvd., Ste. 204, Orlando, FL 32807 7901 Kings Pointe Parkway, Ste. 1, Orlando, FL 32819 1277 North Semoran Boulevard, #104 Orlando, Florida 32807

10/31/13 03/25/14

03/16/15

SSG SSG SSG

Orange Integrated Chiropractic Healthcare, PA 1023 S. Dillard Street, Winter Garden, FL 34787 12/13/13 SSG Orange First Care Chiropractic & Family Practice

Center DBA First Care Pediatrics

1011 West Oak Ridge Road, Ste. A, Orlando FL 32809 03/28/14 SSG

Orange Piecar Community Health Care, LLC 6388 Silver Star Road, Orlando, FL 32818 10/17/13 SSG Orange Orlando Family Physicians, LLC 810 North Nowell Street, Orlando, FL 32808 05/07/14 SSG Orange Prime Care Family Health Centers, Inc. 1339 Arlington Street, Orlando, FL 32805

1706 East Semoran Blvd, Ste. 101, Apopka, FL 32703 37 South Semoran Blvd., Orlando, FL 32807

07/14/14 07/14/14 07/14/14

SSG SSG SSG

Orange Compassion Pediatrics, LLC 4442 Curry Ford Road, Orlando, FL 32812 07/14/14 SSG Orange Express Global Medical Services, LLC 12200 West Colonial Drive, Winter Garden, FL 34787 09/25/14 SSG Orange Integrated Medical Care 7824 Lake Underhill Rd, Ste. E Orlando, FL 32822 321-303-0440 10/22/14 SSG Orange AHCMC, LLC 672 North Semoran Blvd. #201, Orlando, FL 32807 08/27/14 SSG Orange Advanced Physical Medicine, Inc. 953 North Semoran Blvd. Orlando, FL 32807 11/07/14 SSG Orange Digestive and Liver Center of Florida, PA 100 North Dean, Ste. 101,Orlando, FL 32825 11/11/14 SSG Orange Unlimited Medical Services of Florida 5580 East Grant Street Orlando, Florida 32822 12/10/14 SSG Orange CAC-Florida Medical Centers, LLC 5235 West Colonial Drive Orlando, Florida 32808 01/28/15 SSG Orange Mid Florida Adult Medicine, LLC 7824 Lake Underhill Road, Suite B Orlando, Florida 32822 02/26/15 SSG Orange Hispanic Family Counseling, Inc. 6900 South Orange Blossom Trail Ste. 402 Orlando, FL 32809 04/01/15 SSG Orange My Endocrinologist, PA 213 South Dillard St, Suite 240 Winter Garden, FL 34787-

3596 04/01/15 SSG

Orange Vanitas Medical Group 9938 Universal Boulevard, Suite 102 Orlando, FL 32819 04/10/15 SSG Orange Medcare Management Group, LLC DBA

Medcare Xpress Walk-In Clinic of Semoran, LLC

3303 South Semoran Boulevard Suite 200 Orlando, FL 32822

05/01/15 SSG

Orange USA Rehab and Chiropractic Center, Inc. 6900 Silver Star Road, Suite 210 Orlando, Florida 32818 05/25/15 SSG


07/19/2017


Method of Approval

Orange Mount Sinai Urgent Care, Inc 5979 Vineland Road, Suite 109 Orlando, Florida 32819 05/27/15 SSG Orange West Orange Family Medical Care, PA

1002 South Dillard Street, Suite 102 Winter Garden, Florida 34787

07/14/15 SSG

Orange Pediatric Care Group, PA 7848 Lake Underhill Road, Orlando, FL 32822 08/07/15 SSG Orange XDDS, Inc., DBA X-celerated DNA & Drug

Screenings 5575 South Semoran Boulevard, Suite 6, Orlando, FL 32822 08/04/15 SSG

Orange Compass Counseling Services, LLC 1400 North Semoran Boulevard Suite E Orlando, Florida 32807

09/16/15 SSG

Orange Michael Moyer, MD, PA 3592 Aloma Avenue, Suite 5 Winter Park, Florida 32792 10/16/15 SSG Orange Piecar Community Health Care, LLC 885 North Powers Drive, Suite D, Orlando, FL 32818 407-704-8724 10/28/15 SSG Orange Advantage Medical Group, LLC DBA Parkes

Elly Benzaquez 1111 South Semoran Boulevard Suite B Orlando, Florida 32807

407-930-1112 11/30/15 SSG

Orange Pelican Beach Inc. DBA 33rd Street Family Medical Center

4382 LB McLeod Road Orlando, Florida 32811

407-548-0076 1/13/16 SSG

Orange Primary HealthCare Associates, Inc 431 North Semoran Boulevard Orlando, Florida 32807 321-443-1433 01/27/16 SSG Orange First Care Chiropractic and Family Practice

Center, Inc 115 East Lancaster Road Orlando, Florida 32809

407-888-8411 1/29/16 SSG

Orange Your Place Health Systems, LLC 2132 Bruton Boulevard Orlando, Florida 32805 813-579-4013 02/09/16 SSG Orange Physicians Next Door, LLC 1834 North Alafaya Trail, # A Orlando, Florida 32826 813-240-3388 02/22/16 SSG

Orange Healthwise Medical, LLC 2338 West Oak Ridge Road Orlando, Florida 32809 706-843-2883 02/22/16 SSG Orange Orlando Family Physicians, LLC 7200 Curry Ford Road Orlando, Florida 32822 407-575-9256 2/25/16 SSG Orange Florida Emergent Care, LLC 483 North Semoran Boulevard, Suite 103 Winter Park, Florida

32792 407-580-9653 04/05/16 SSG

Orange Orange Blossom Family Health Center DBA Health Care Center for the Homeless, Inc.

6001 Vineland Road, 112 Orlando, Florida 32819 407-428-5751 05/03/16 SSG

Orange Winter Garden Urgent Care, LLC 736 South Dillard Street, Unit A Winter Garden, Florida 34787

407-370-5357 05/05/16 SSG

Orange Pedro L. Ortega, MD 3727 North Goldenrod Road, Suite 106 Winter Park, Florida 32792

407-478-0028 05/20/16 SSG

Orange Gutierrez Medical Center, LLC 5660 Curry Ford Road Orlando, Florida 32822 407-203-6898 05/31/16 SSG Orange Health Specialists of Central Florida, Inc. 736 South Dillard Street, #B Winter Garden, Florida

34787

407-370-9783 06/08/16 SSG

Orange Medical Home Alliance DBA IMA Family Medical

1277 North Semoran Boulevard, Suite 112 Orlando, Florida 32807

863-588-1424 07/25/16 SSG

Orange NSDC Injury Medical Group, Inc. DBA 736 South Dillard Street, #A Winter Garden, Florida 34787 08/04/16 SSG


07/19/2017


Method of Approval

Health Group Center, Inc.

Orange Waleska Galindez, MD, PA 4311 Anderson Road Orlando, Florida 32812 407-737-8575 10/04/16 SSG

Orange Modern Recovery & Wellness, LLC 3215 Northwest 10th Terrace #209B Oakland Park, FL 33309 954-451-3073 11/03/16 SSG

Orange Comprehensive Health Center, Inc. 1018 West Oakridge Road, #S-D Orlando, Florida 32809 407-859-8789 11/03/16 SSG

Orange Orlando Family Physicians, LLC 5840 West Colonial Drive Orlando, Florida 32808 407-575-9256 12/15/16 SSG

Orange Orlando Family Physicians, LLC. 3162 South Conway Road Orlando, Florida 32812 407-575-9256 12/16/16 SSG

Orange Mid Florida Adult Medicine, LLC 7824 Lake Underhill Road, Suite B Orlando, Florida 32822 786-391-0187 12/12/16 SSG

Orange Orlando Family Physicians, LLC 1834 North Alafaya Trail, #3 Orlando, Florida 32826 407-575-9256 12/21/16 SSG

Orange Gutteridge JeanCharles, MD PA; D/B/A JC Medical, Inc.

453 North Kirkman Road Suite 203 Orlando, Florida 32811 407-914-2325 11/23/15 SSG

Orange Orlando Family Physicians, LLC 5979 Vineland Road, Suite 209 Orlando, Florida 32819 407-575-9256 01/24/17 SSG Orange Unlimited Medical Services of Florida 5564 East Grant Street Orlando, Florida 32822

321-961-5695 1/24/2017 SSG

Orange Pan American Medical Group, LLC 7802 Kingspointe Parkway, Suite 208-A Orlando, Florida 32819 407-900-9284 02/01/17 SSG Orange Prime Care Family Health Centers, Inc. 2840 North Hiawassee Road Orlando, Florida 32818 305-804-7947 03/13/17 SSG Orange The Integrative Health Solution, LLC 8809 Commodity Circle, Suite 2 Orlando, Florida 32819 407-227-8242 03/29/17 SSG Orange Orlando Family Medical, Inc. 5425 South Semoran Boulevard, Suite 7C Orlando, Florida 32822 407-922-4839 04/13/17 SSG Orange Medical Home Alliance LLC DBA IMA Medical

Center 7901 Kings Pointe Parkway, Suite 1 Orlando, Florida 32819

5/16/17 SSG

Orange Comprehensive Health Center of Orlando, LLC 3927 Rosewood Way Orlando, Florida 32808 407-292-2200 5/18/17 SSG Orange Primary Care of Central Florida, Inc 7824 Lake Underhill Road, #H Orlando, Florida 32822 321-235-0692 07/07/17 SSG Osceola Health Group Center Inc. 3358 W. Southport, Kissimmee, FL 34746 407-267-8823 07/19/12/ SSG Osceola Mental Health Services of Osceola County,

Inc.

917 Emmett Street, Kissimmee, FL 34742-1826

407-846-0023

06/06/92

Osceola Orlando Family Medical, Inc. 931 W Oak St, Ste 103, Kissimmee, FL 34741 407-931-0444 03/09/04 Secretary Osceola Poinciana Primary Health Care 105 N. Dover Plum Avenue, Poinciana, FL 34758 407-943-8600 s. 330

Osceola

Osceola County Health Department - Center for Women and Family Health at Stadium Place Osceola County Hlth Dept, St. Cloud

1875 Boggy Crk Rd, P.O. B. 450309,Kissimmee, FL 34745 1505 Bill Beck Blvd., Kissimmee, FL 34744 1050 Grape Ave., St. Cloud, FL 34769

407-343-2020 407-343-2050 407-892-2973

CHD

Osceola Project Access 8000 Biscayne Blvd, Miami, FL 33138 11865 SW 26th ST, Unit G-10, Miami, FL 33174 1609 E Vine St, Kissimmee, FL 34744

305-759-4778 305-559-8333 407-944-1319

Secretary 1/25/06


07/19/2017


Method of Approval

7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62nd Ave, Ste 300, S. Miami, FL 33143 5240 West Flagler St, Miami, FL 33124 700 SW 8 Street, Miami, FL 33130

813-933-2800

Osceola Osceola County Council on Aging 1099 Shady Lane, Kissimmee, FL 34744 406-846-8550 08/03/02 VHCPP Osceola Latin Foundation for Health, Inc 721 Oak Commons Blvd, Ste B, Kissimmee, FL 34741 305-228-1940 9/1/2010 SSG Osceola Kenaday Medical Clinic 1901 S John Young Parkway, Ste 103, Kissimmee, FL 34741 12/13/10 SSG Osceola Kenaday Medical Clinic 1955 S. John Young Parkway, Kissimmee, FL 34741 12/13/10 SSG Osceola Kenaday Medical Clinic 1122 N Main St, Kissimmee, FL 34744 12/13/10 SSG Osceola Kenaday Medical Clinic 814 N John Young Parkway, Kissimmee, FL 34741 11/15/11 SSG Osceola Kidsville Pediatrics II 1050 W Carroll St, Kissimmee, FL 34741 10/26/10 SSG Osceola Orlando Family Physicians 910 West Vine Street, Kissimmee, FL 34741 2/4/2011 SSG Osceola Orlando Family Physicians 104 Buenaventura Ave, Kissimmee, FL 34741 2/4/2011 SSG Osceola Orlando Family Physicians, LLC 790 Buenaventura Ave, Kissimmee, FL 34743 05/02/14 SSG Osceola Central Florida Primary Physicians, LLC 4545 Pleasant Hill Rd, Ste 112, Kissimmee, FL 34759 02/21/11 SSG Osceola Dr. Borges Medicine and More 1207 E Vine St, Kissimmee, FL 34744 05/03/11 SSG Osceola I Care Clinic, LLC 3262 Vineland Rd, Ste 102, Kissimmee, FL 34746 05/16/11 SSG Osceola Gutierrez-Perez Family Medicine 907A N Central Ave, Kissimmee, FL 34741 05/18/11 SSG Osceola Best of Health Medical Clinic 524 13th Street, St. Cloud, FL 34769

3900 South Goldenrod Road, Ste. 142, Orlando, FL 32822 407-593-2814

06/22/11 04/18/13

SSG SSG

Osceola B & T Medical Center, LLC 988 East Osceola Parkway, Kissimmee, FL 34744 07/13/11 SSG Osceola Quality Life Health Center 804 Emmett Street, Kissimmee, FL 34741 08/31/11 SSG Osceola Primary Health Care Associates, Inc. 308 W. Bass Street, Kissimmee, FL 34741 407-933-1760 06/12/12 SSG Osceola Acute Patient Care 1032 Mann Street, Kissimmee, FL 34741 863-585-9627 11/07/12 SSG Osceola VIP Family Practice 401 West Oak Street, Kissimmee, FL 34741 407-730-9911 01/14/13 SSG Osceola Florida Sports & Family Health Center 309 West Bass Street, Kissimmee, FL 34741 407-483-1087 04/18/13 SSG Osceola USA Medical Care LLC 1962 North John Young Parkway, Kissimmee, FL 34741 04/17/13 SSG Osceola Carrousel Therapy Center Corporation &

Carrousel Behavioral Health Services 4898 East Irlo Bronson Memorial Hwy., 2nd Floor, St. Cloud, FL 34771

08/26/13 SSG

Osceola Poinciana Medical Clinic, Inc. 51 N. Doverplum Avenue, Kissimmee, FL 34758 1952 East Osceola Parkway, Kissimmee, FL 34743

09/27/13 10/01/14

SSG SSG

Osceola The Family Physicians of BVL 3071 Michigan Avenue, Kissimmee, FL 34744 10/02/13 SSG Osceola Physicians Care Centers of Kissimmee, LLC 595 Oak Commons Blvd., Ste. A, Kissimmee, FL 34741 11/18/13 SSG Osceola USA Medical Care, LLC 524 13th Street, St. Cloud, FL 34769 09/12/14 SSG Osceola BVL Pediatrics Best Pediatrics Care, LLC 2535 Boggy Creek Road, Kissimmee, FL 34743 02/26/14 SSG Osceola Teamwork International, Corp. 1082 Cypress Parkway, Kissimmee, FL 34759 03/28/14 SSG


07/19/2017


Method of Approval

DBA HealthCareZone Osceola Medical Home Alliance, LLC,

dba IMA Medical Center 4543 Pleasant Hill Road, Ste. A, Kissimmee, FL 34759 1033 Plaza Drive, Kissimmee, FL 34743 3757 Pleasant Hill Rd., Kissimmee, FL 34746

04/29/14 06/03/14 11/21/13

SSG SSG

Osceola LPS Medical Group/LPS Medical Group, LLC

1310 North Main Street, Ste. 105, Kissimmee, FL 34744 05/14/14 SSG

Osceola Vineland Medical Care, LLC 1319 East Vine Street, Kissimmee, FL 34744 05/19/14 SSG Osceola Chappel Family Practice, LLC 222 Broadway Avenue, Ste. 301 Kissimmee, FL 34741 06/17/14 SSG Osceola Primary HealthCare Associates of Osceola

Parkway, Inc 1000 East Osceola Parkway, Kissimmee, FL 34744 06/27/14 SSG

Osceola Primary HealthCare Associates of BVL, Inc. 3071 Michigan Avenue, Kissimmee, FL 34744 06/30/14 SSG Osceola Asthma, Allergy & Immunology, PA 903 West Oak Street, Kissimmee, FL 34741 09/17/14 SSG Osceola Family Physicians of Saint Cloud, PA DBA

Pro Health Family Physicians 3100 17th St., Saint Cloud, FL 34769 7264 Harmony Square Drive South, Harmony, FL 34773

10/23/14

10/23/14

SSG SSG

Osceola AHCMC, LLC 833 East Oak Street, Kissimmee, FL 34744 08/27/14 SSG Osceola Pro Health Heritage Square, LLC DBA Pro

Health Family Physicians 819 East Oak Street Ste., A Kissimmee, FL 34744 11/24/14 SSG

Osceola Kissimmee Medical Specialties 701 East Oak Street, Suite A Kissimmee, FL 34744 11/24/14 SSG Osceola Aviva Health and Wellness Clinic DBA

Aviva Healthcare, Inc.

353 Cypress Parkway Kissimmee, Florida 34759

12/09/14 SSG

Osceola Family Health Clinic USA, LLC 323 West Oak Street, Suite A Kissimmee, Florida 34741

12/12/14 SSG

Osceola Comprehensive Medical Access, Inc. DBA Centros Medicos Las Americas

1609 East Vine Street Kissimmee, Florida 34744

12/17/14 SSG

Osceola BVL Family Practice & Specialty Center, dba BVL Family Medical Center

2551 Boggy Creek Road, Kissimmee, FL 34744 10/16/13 SSG

Osceola Medcare Xpress Walk-In Clinic of Kissimmee, LLC

1122 North Main St. Kissimmee, FL 34746

01/13/15 SSG

Osceola Vivian Charneco, MD, PA, LLC 719 East Oak Street Kissimmee, Florida 34744 04/01/15 SSG Osceola Belloc Care, LLC 102 Park Place Boulevard, Suite D1 Kissimmee, FL 34741 05/19/15 SSG Osceola Iglesia Bautista Central de Kissimmee, Inc.

DBA IBCK Family Health Care Center 2275 Fortune Road Kissimmee, Florida 34744

06/12/15 SSG

Osceola BVL Pediatrics, LLC 2200 East Irlo Bronson Memorial Highway Suite 101 Kissimmee, Florida 34744

07/02/15 SSG

Osceola Chappel Group, LLC 2711 North Orange Blossom Trail, Kissimmee, FL 34744 05/29/15 SSG


07/19/2017


Method of Approval

Osceola Citrus Family Medical Center, LLC DBA Legends Family Medical Center

1485 Legends Boulevard, Champions Gate, FL 33896 10/16/15

Osceola First Aid Medical Centers Inc. DBA Poinciana Family Medical Center

4551 Pleasant Hill Road, Poinciana, FL 34759 10/16/13

Osceola G & G Medical Group, Inc. 3284 North Greenwald Way, Kissimmee, FL 34741 10/21/13 Osceola Orlando Family Medical, Inc. 900 Towne Center Drive, Kissimmee, FL 34759 08/11/15 SSG Osceola Asians to the World, Inc., DBA Lifekeepers

Network 1144 East Donegan Avenue, Kissimmee, FL 34744 08/13/15 SSG

Osceola Professional Psychiatric Services, LLC 2521 13th Street Saint Cloud, Florida 34769 9/09/15 SSG Osceola Compass Counseling Services, LLC 201 Ruby Avenue Suite A Kissimmee, Florida 34741 09/16/15 SSG Osceola Family Physicians of BVL 2577 Simpson Road Kissimmee, Florida 34744 10/05/15 SSG Osceola Orlando Family Physicians, LLC 1502 Village Oak Lane Kissimmee, Florida 34746 10/14/15 SSG Osceola Optima Medical Centers of Central Florida,

LLC 3501 West Vine Street, Suite 226, Kissimmee, FL 34741 407-530-4802 11/06/15 SSG

Osceola Advanced Medical Service, Inc 825 East Oak Street Kissimmee, Florida 34744 321-442-8009 12/17/15 SSG Osceola Insight Behavioral Health Specialist, LLC 1320 North Main Street Suite B Kissimmee, FL 34744 407-343-6006 11/25/15 SSG Osceola Preservers of Destinies, Inc. 1156 East Vine Street Kissimmee, Florida 34744 407-483-3909 02/17/16 SSG Osceola Family Tree Medical Group, PA 1150 Cypress Glen Circle Kissimmee, Florida 34741 407-518-9775 04/20/16 SSG Osceola Orange Blossom Family Health Center DBA

Health Care Center for the Homeless, Inc. 2198 Four Winds Boulevard Kissimmee, Florida 34746 407-428-5751 05/03/16 SSG

Osceola Orlando Family Physicians, LLC 1931 South Narcoossee Road Saint Cloud, Florida 34771 407-575-9256 05/20/16 SSG Osceola Vivian Charneco, MD, PA, LLC 711 East Oak Street Kissimmee, Florida 34744 407-846-0533 07/07/16 SSG Osceola Behavioral Work DBA Papins Group, Corp. 1633 East Vine Street, Suite 204 Kissimmee, Florida 34744 407-738-3969 07/14/16 SSG Osceola Basharat Hussain, MD, PA 2901 East Irlo Bronson Memorial Highway Suite B

Kissimmee, Florida 34744 (407)792-2800

07/29/16 SSG

Osceola Poinciana Medical Clinic 3201 Budinger Avenue Saint Cloud, Florida 34769

407-572-8862 08/19/16 SSG

Osceola Quality Life Health Center, Inc. 705 North Main Street Kissimmee, Florida 34744 (407)504-5019

09/01/16 SSG

Osceola My Kids Doctor 319 West Oak Street Kissimmee, Florida 34741 407-343-5683 09/06/16 SSG Osceola G & G Medical Group, Inc. 1132 Cypress Glen Circle Kissimmee, Florida 34741 321-250-6759 09/14/16 SSG Osceola Advantage Medical Group, LLC 715 East Vine Street, Suite 1 & 2 Kissimmee, Florida 34744 407-930-1112 10/31/16 SSG Osceola Physician Partners Medical Group, LLC 833 East Oak Street Kissimmee, Florida 34744 561-385-0731 11/07/16 SSG Osceola Mindful Integrated Medicine, LLC 711 East Oak Street Kissimmee, Florida 34744 407-846-0533 12/15/16 SSG Osceola Mindful Behavioral Healthcare, LLC 717 East Oak Street Kissimmee, Florida 34744 407-846-0533 12/16/16 SSG Osceola Aegis Medical Group 3501 West Vine Street, #226 Kissimmee, Florida 34741 727-992-6658 12/27/16 SSG


07/19/2017


Method of Approval

Osceola Marsan Healthcare Clinic, Inc 4693 Old Pleasant Hill Road Kissimmee, Florida 34759 407-223-6915 12/22/16 SSG Osceola Dr. Carlos R. Cardona

Physician Partners Medical Group, LLC 833 East Oak Street Kissimmee, Florida 34744

561-385-0731 11/07/16 SSG

Osceola Your Health Pediatrics, Inc. 201 West Hilda Street, Unit 15 Kissimmee, Florida 34741 407-780-9836 02/23/16 SSG Osceola Family Physicians of Poinciana DBA Family

Physicians of Winter Park, PA 1050 Cypress Parkway Kissimmee, Florida 34759 407-253-3561 02/27/17 SSG

Osceola The Integrative Health Solution, LLC 1119 Mann Street Kissimmee, Florida 34741 407-227-8242 03/29/17 SSG Osceola USA Medical Care, LLC 1359 East Osceola Parkway Kissimmee, Florida 34744 (407)593-2816 03/14/17 SSG Osceola WMC Health Group of Kissimmee, LLC 3280 North John Young Parkway Kissimmee, Florida 34741 305-692-9009 4/03/17 SSG Osceola La Majesty Health Care, LLC 1674 Pleasant Hill Road Kissimmee, Florida 34746 407-744-2306 4/13/17 SSG Osceola MedVital Walk in Lab and Clinic, LLC 320 West Oak Street Kissimmee, Florida 34741 888-944-5227 04/13/17 SSG Osceola Hunter’s Creek Medical Associates, PA 1100 Cypress Glen Circle Kissimmee, Florida 34741 407-943-8883 05/26/17 SSG Palm Beach The Jerome Golden Center for Behavioral

Health, Inc. 1041 45th Street, West Palm Beach, FL 33407 561-383-8000 04/29/13 SSG

Palm Beach Child Protection Team of Palm Beach 2840 Sixth Ave., South, Lake Worth, FL 33407

561-433-3544 07/17/99 Under contract w/ DOH

Palm Beach Hospice of Palm Beach County, Inc. 5300 E Ave., West Palm Beach 33407-2387 407-848-5200 10/02/94 Palm Beach Caridad Center (previously Migrant

Association of South Florida, Inc. /Caridad Health Campus)

8645 W. Boynton Beach Blvd, Boynton Beach, FL 33437 561-737-6336 VHCPP

Palm Beach Palm Beach County Health Department - C.L. Brumback Health Center - MyClinic - Riviera Beach Health Center

826 Evernia St., West Palm Beach, FL 33401 38754 State Rd. 80, Belle Glade, FL 33430 6405 Indiantown Road, Ste.B, Jupiter, FL 33458 7289 Gardens Rd, Riviera, FL 33404

561-355-3120 561-882-3200 561-996-1600 561-746-6751 561-547-6800 561-653-2000 561-514-5300

02/26/14

CHD SSG

Palm Beach Brito Medical Center 2070 S Military Trl, West Palm Beach, FL 33415 02/04/11 SSG Palm Beach RMA Medical Centers of Florida, LLC 6432 Lake Worth Rd, Lake Worth, FL 33463 05/18/11 SSG

Palm Beach Fatima Medical Center 1800 Forest Hill Blvd, Ste B-9, West Palm Beach, FL 33406 07/13/11 SSG Palm Beach ACN Baromedical, LLC 1702 South Dixie Highway, Unit 2, Lake Worth, FL 33460 954-328-2521 01/05/12 SSG Palm Beach Community Health Center of West Palm

Beach 2100 West 45th Street, West Palm Beach, FL 33407 561-840-8681 09/04/12 SSG

Palm Beach Lake Ida Medical Center 2605 W. Atlantic Ave., Ste.D101, Delray Beach, FL 33445 561-279-0991 12/10/12 SSG Palm Beach Guadalupe Medical Center, Inc. 4469 South Congress Ave, Ste. 106, Lake Worth, FL 33461 954-292-6217 10/30/12 SSG Palm Beach Drug Abuse Foundation of Palm Beach

County, Inc. 400 South Swinton Avenue, Delray Beach, FL 33444 561-278-0000

x398 01/14/13 SSG


07/19/2017


Method of Approval

Palm Beach MD Chiro Zone 3951 N. Haverhill Rd, Ste. 218, West Pam Beach, FL 33417 05/29/13 SSG Palm Beach American Care of South Florida, Inc. 1301 South Main Street, Belle Glade, FL 33430

3342 Broadway, Riviera Beach, FL 33404 02/13/14

02/26/14 SSG SSG

Palm Beach Palm Beach County Medical Society, Inc. 3540 Forest Hill Blvd., Ste. 101, West Palm Beach, FL 33406 08/04/14 SSG Palm Beach Pasqual Health Services, LLC 1201 South Federal Highway Lake Worth, Florida 33460 03/23/15 SSG Palm Beach Soma Medical Center, PA 330 South Dixie Highway, Suite 3 Lake Worth, FL 33460 05/29/15 SSG Palm Beach Soma Medical Center, PA, #7 3580 Lake Worth Road, Lake worth, FL 33461 06/08/15 SSG Palm Beach Centro Medico Latinoamericano,dba CMLA

Medical Center 1217 C South Military Trail West Palm Beach, FL 33415

05/07/15 SSG

Palm Beach Soma Medical Center, PA 2135 South Congress Avenue, Suite 3C, Palm Springs, FL 33406

06/04/15 SSG

Palm Beach Israel Machin, M.D., P.A. 1511 Forest Hill Blvd., Ste. C, Lake Clarke Shores, FL 33406 06/28/13 Palm Beach American Care of South Florida, Inc. 818 South Dixie HWY, Lake WORTH, FL 33460 10/22/13 Palm Beach C.L. Brumback Primary Care Clinic Belle

Glade

38754 State Road 80 Belle Glade, Florida 33430 941 Southeast 1st Street Belle Glade, Florida 33430

9/25/15 9/24/15

SSG SSG

Palm Beach C.L. Brumback Primary Care Clinic Delray 225 South Congress Avenue Delray Beach, Florida 33445 9/25/15 SSG Palm Beach C.L. Brumback Primary Care Clinic Lantana 1250 Southwinds Drive Lantana, Florida 33462 9/25/15 SSG Palm Beach C.L. Brumback Primary Care Clinic West

Palm Beach 1150 45th Street West Palm Beach, Florida 33407

9/25/15 SSG

Palm Beach Gratitude House, Inc 317 North Lakeside Court West Palm Beach, Florida 33407 561-833-6826 1/22/16 SSG Palm Beach RMA Medical Centers of Florida, LLC 6803 Lake Worth Road, Suite 210 Lake Worth, Florida 33463 954-318-6590 09/06/16 SSG Palm Beach Drug Abuse Treatment Association, Inc.

1041 45th Street West Palm Beach, Florida 33407 1720 East Tiffany Drive, #102 Mangonia Park, Florida 33407

561-844-3556 561-844-3556

09/29/16 09/29/16

SSG SSG

Palm Beach CL Brumback Primary Care Clinic, Boca Raton

23123 State Rd. 7, Suite 108-1 Boca Raton FL 33428

561-642-1000

1/17/17

SSG

Palm Beach CL Brumback Primary Care Clinic, Lake Worth 7408 Lake Worth Rd. Lake Worth FL 33467

561-370-1320

1/17/17 SSG

Palm Beach CL Brumback Primary Care Clinic, Jupiter 411 W. Indiantown Rd. Jupiter FL 33458 561-642-1000 1/17/17 SSG Palm Beach Total MD DBA Central Palm Beach

Physicians & Urgent Care, Inc 4623 Forest Hill Boulevard, Suite 101-102 West Palm Beach, Florida 33415

561-967-8888 01/27/17 SSG

Palm Beach MyClinic 411 West Indiantown Road Jupiter, Florida 33458 561-602-6100 04/03/17 SSG Palm Beach Complete Local Specialty Care, Inc. 106 Northeast 2nd Street Boca Raton, Florida 33432 561-391-8086 05/15/17 SSG Palm Beach MD Now Medical Centers Inc. 601 Linton Boulevard Delray Beach, Florida 33444

2007 Palm Beach Lakes Boulevard West Palm Beach, Florida 33409

561-420-8555 561-420-8555

06/29/17 06/29/17

SSG SSG


07/19/2017


Method of Approval

Pasco CARES (Community Aging & Retirement Services, Inc.)

7505 Rottingham Rd, Pt. Richey, FL 34668-2648 727-862-9291 or 352-523-1500

06/06/92 VHCPP

Pasco Premier Community Healthcare Group - Dade City Family & Dental Health Center - Summit Women’s Health Center - Zephyrhills Children’s Health Center - Zephyrhills Family Health Center

37946 Church Avenue, Dade City, FL 33525 37944 Church Avenue, Dade City, FL 33525 10605 US Hwy. 301, Dade City, FL 33525 37918 Medical Arts Ct., Zephyrhills, FL 33541 37922 Medical Arts Ct., Zephyrhills, FL 33541

352-518-2000 352-518-2006 352-567-2606 813-780-1037 813-782-2350

s. 330

Pasco Pasco County Health Department - Family Services - Family Health Services - Family Health Services - Family Health Services - Family Health Services - Family Health Services

10841 Little Rd, New Pt Richey, FL 34654-2533 Bldg. A, 10841 Little Rd., New Pt Richey, FL 34654 6701 Forest Ave., New Port Richey, FL 34652 11511 Denton Ave., Hudson, FL 34667 13941 15th St., Dade City, FL 33525 4717 Airport Road , Zephyrhills, FL 33540 4135 Land O’ Lakes Blvd., Land O’ Lakes, FL 34639

813-869-3900 727-862-0782 727-816-1100 727-863-2444 352-521-1450 813-782-1740 813-588-5173

CHD

Pasco Good Samaritan Health Clinic of Pasco, Inc. 5334 Aspen St., New Port Richey, FL 34652 727-848-7789 12/08 VHCPP Pasco Wesley Chapel Medical Clinic 5819 Argerian Drive, Wesley Chapel, FL 33545 813-994-0800 10/08/12 SSG Pasco PCA Medical Group 6610 Embassy Rd., Ste. B, Pt. Richey, FL 34668

6239 Fort King Rd. , Zephyrhills, FL 33542 727-817-0239 813-783-3020

02/22/13 02/22/13

SSG SSG

Pasco Esteban Alfonzo Ruiz, M.D., P.A. 8813 River Crossing Blvd., New Port Richey, FL 34655 08/20/13 SSG Pasco S&Y Ventures DBA Bella Med Spa 1821 Bruce B. Downs Blvd., Unit 120, Wesley Chapel, FL

33544 12/30/13 SSG

Pasco Baby Steps Health, Inc. 6610 Embassy Boulevard, Suite A Port Richey, Florida 34668 12/09/14 SSG Pasco Tri-City Walk-in Clinic, LLC 33281 Cortez Boulevard, Dade City, FL 33523 08/05/14 Pasco Chowdappa, Jayadeva, MD 3535 Little Road, Trinity, FL 34655 727-375-0848 11/04/15 SSG Pasco Florida Family Primary Care Center of Pasco,

LLC 7463 State Road 52 Hudson, Florida 34667

786-999-3749 1/19/16 SSG

Pasco Hess Spinal & Medical Centers of NPR, LLC 5713 Main Street New Port Richey, Florida 34652 813-624-2160 1/22/16 SSG Pasco SunMed Primary Care DBA Pritesh & Tarak,

PA 1838 Health Care Drive, Unit 2 Trinity, Florida 34655 813-217-3353 04/20/16 SSG

Pasco Lifetime Family Urgent Care, LLC 5801 Argerian Drive, Suite 103 Wesley Chapel, Florida 33545 813-991-4991

06/02/16/ SSG

Pasco SunMed Primary Care 19409 Shumard Oak Drive, Suite 101 Land O lakes, FL 34636 813-217-3353 08/26/16 SSG Pasco Pritesh & Tarak, PA 7530 Congress Street New Port Richey, Florida 34653 813-217-3353 09/23/16 SSG Pasco Wesley Chapel Primary Care Associates,

LLC 2607 Windguard Circle, Suite 102 Wesley Chapel, Florida 33544

813-907-6767 02/13/17 SSG

Pasco Tatiana Hernandez, MD, PA DBA Trinity Family Health Care

3633 Little Road Suite, #103 New Port Richey, Florida 34655 03/16/17 SSG

Commented [LD1]:


07/19/2017


Method of Approval

Pinellas Clearwater Free Clinic 707 N. Fort Harrison Ave, Clearwater, FL 33755 727-447-3041 06/01/90 VHCPP Pinellas Willa Carson Health And Wellness Center,

Inc. 1108 N Martin Luther King Ave, Clearwater, FL 33755 727-467-9411 04/07/15 SSG

Pinellas Community Health Centers of Pinellas - Johnnie Ruth Clarke - - Community Health Centers at Tarpon Springs

1344 22nd Street South, St. Petersburg, FL 33712 1344 22nd Street South, St. Petersburg, FL 33712 301 S. Disston Avenue, Tarpon Springs, FL 34689

727-821-6701 727-821-6701 727-944-3828

s. 330

Pinellas Pinellas County Department of Social Services (Homeless Center)

647 First Avenue, North, St. Petersburg, 33701 727-582-7595 s. 330

Pinellas Pinellas County Health Department - Clearwater Center - Largo Health Center - Northeast High Clinic - Pinellas Park Center - St. Petersburg Center - Tarpon Springs Center

500 7th Ave., S., St. Petersburg, FL 33701-4820 310 N. Myrtle Ave., Clearwater, FL 12420 130th Ave. North, Largo, FL 33774 1717 54th Ave. North, St. Petersburg, FL 33714 6350 76th Ave. North, Pinellas Park, FL 33781 500 7th Ave. South, St. Petersburg, FL 33701 301 S. Disston Ave., Tarpon Springs, FL 34689

727-824-6931 727-469-5800 727-588-4040 727-570-3151 727-547-7780 727-824-6900 727-9425457

CHD

Pinellas St. Petersburg Free Clinic 863 3rd Ave. N., St. Petersburg, FL 33701 727-821-1200 04/08/94 Pinellas La Clinica Guadalupana, Inc. 1000 Lakeview Rd, Ste 4, Clearwater, FL 33756 727-461-7730 12/08 VHCPP Pinellas Pinellas County Jail 10750 Ulmerton Rd, Largo, FL 33779 727-582-6200 10/2010 Statute Pinellas First Knight Medical, Inc. 6279 Park Blvd. Pinellas Park, FL 33781 727-548-1232 10/19/12 SSG Pinellas Windmoor Healthcare 11300 U.S. 19th North, Clearwater, FL 33764 10/15/13 SSG Pinellas Florida Family Primary Care Centers of

Pinellas, LLC 6245 66th Street North, Pinellas Park, FL 33781 04/30/14 SSG

Pinellas Live Better Health Center, LLC 4423 Park Boulevard North Pinellas Park, FL 33781 11/12/14 SSG Pinellas HealthNow Primary and Urgent Care 7599 Park Boulevard Pinellas Park, Florida 33781 03/31/15 SSG Pinellas Professional Health Care of Pinellas, Inc.

1839 Central Avenue Saint Petersburg, Florida 33713 2191 9th Avenue North, Suite 220 Saint Petersburg, FL 33713

06/12/15 02/05/16

SSG SSG

Pinellas HealthNow Urgent and Family Care 2086 Gulf to Bay Boulevard, Clearwater, FL 33765 08/03/15 SSG Pinellas Hess Spinal & Medical Centers, Inc.

6129 Park Boulevard Pinellas Park, Florida 33781 901 North Hercules Avenue Suite C Clearwater, FL 33765

813-624-2160 813-624-2160

1/11/16 SSG

Pinellas Largo Clinic and Med Spa 10500 Ulmerton Road, Suite 360 Largo, Florida 33771 727-517-1500 09/23/16 SSG Pinellas Hess Spinal & Medical Centers, Inc. 8130 66th Street, Unit 1 Pinellas Park, Florida 33781 813-624-2160 04/17/17 SSG Pinellas St. Petersburg Primary Care Associates 780 4th Avenue S Saint Petersburg, Florida 33701 813-269-6426 05/05/17 SSG Pinellas Pinellas Park Primary Care Associates 6637 49th Street Pinellas Park, Florida 33781 813-269-6426 05/18/17 SSG Polk Lakeland Volunteers in Medicine 1021 Lakeland Hills Blvd, Lakeland, FL 33805 863-688-5846 06/04/01 VHCPP


07/19/2017


Method of Approval

Polk Polk County Health Department - AIDS Clinic, Lakeland - Auburndale Clinic, Auburndale - Bartow Clinic, Bartow - Haines City Clinic, Haines City - Lake Wales Clinic, Lake Wales - Mary Sand Clinic, Auburndale

1290 Golfview Ave. 4th Fl, Bartow, FL 33830 1805 Hobbs Road, Auburndale, FL 33823 2020 E. Georgia Ave., Bartow, FL 33830 111 11th St., Haines City, FL 33844 305 West Central Ave., Lake Wales, FL 33853 1805 Hobbs Road, Auburndale, FL 33823

863-519-7900 863-965-5400 863-519-7916 863-421-3204 863-678-4013 863-965-5400

CHD

Polk Central Florida Health Care – Lakeland 1729 Lakeland Hills Blvd, Lakeland, FL 33805 863-688-1528 09/07 Polk Central Florida Health Care

Lakeland Primary Care 950 CR 17A West, Avon Park, FL 33825 863-452-3004 09/07

Polk Polk General Hospital – Bartow 2010 E. Georgia St., Bartow, FL 33830 941-533-1111 Polk Trinity Medical Center 1064 N Broadway Ave, Bartow, FL 33830 863-519-9797 09/01/01 SSG Polk Kidsville Pediatrics I 2201 North Boulevard W, Davenport, FL 33837 10/26/10 SSG Polk Parkview Medical Clinic 1205 Dr. Martin Luther King, Jr., Way, Haines City, FL

33844 04/13/11 SSG

Polk Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC

3810 South Florida Avenue, Lakeland, FL 33813 4435 US 98 North, Lakeland, FL 33809 602 Avenue K SE, Winter Haven, FL 33880 1429 Lakeland Hills Blvd., Lakeland, FL 33805 700 First Street South, Winter Haven, FL 33880 101 Magnolia Avenue, Auburndale, FL 33823 602 US Highway 17-92 North, Haines City, FL 33844

863-619-5100 863-687-0200 863-401-2807 863-687-0200 863-687-0200

05/11/12 05/11/12 05/11/12 05/11/12 08/10/12 10/08/13 03/25/14

SSG SSG SSG SSG SSG SSG SSG

Polk Doctor Today TLC, LLC 1045 US Highway 17 South, Bartow, FL 33830 12/16/14 SSG Polk Physician’s Services LLC

Physician’s Services LLC Physician’s Services LLC

35600 US Highway 27 North, Haines City, FL 33844 1143 SR 60 East, Lake Wales, FL 33853 6800 Cypress Gardens Blvd., Winter Haven, FL 33884 1045 US Highway 17 South Bartow, Florida 33830

863-679-8815 863-679-8815 863-679-8815

08/10/12 08/10/12 08/10/12 12/18/14

SSG SSG SSG SSG

Polk Acupuncture & Oriental Medicine 306 Avenue C, NE, Winter Haven, FL 33881 407-234-8780 10/19/12 SSG Polk Jay Care Medical Center 135 East First Street, Lakeland, FL 33805

5985 S. Florida Avenue, Lakeland, FL 33813 950 First Street S., Winter Haven, FL 33880 131 Webb Drive, Davenport, FL 33898 127 Ridge Center Drive Davenport, Florida 33837 175 US Highway 17 North, Bartow, FL 33830

08/28/13 08/27/13 08/27/13 09/10/13 05/27/15 10/15/13

SSG SSG SSG SSG SSG

Polk Central Florida Cancer Institute, P.A. 40107 Highway 27, Davenport, FL 33837 08/27/13 SSG Polk Nuestra Sra. Del Carmen 306 S. 10th Street, Haines City, FL 33844 10/01/13 SSG Polk Nelson M. Pichardo, M.D., P.A./dba The 111 Webb Drive, Davenport, FL 33837 10/25/13 SSG


07/19/2017


Method of Approval

Pichardo Clinic Polk Premier Care Professionals, Inc 4725 US Highway 98 South, Ste. 102, Lakeland, FL 33812

10/30/13

SSG

Polk American Care of Tampa, Inc. 2791 Lake Alfred Road, Winter Haven, FL 33881 4467 US HWY 17 92 W, Haines City, FL 33844

12/26/13 11/18/13

SSG

Polk Advanced Internal Medicine Care, P.A. 5425 South Florida Avenue, Lakeland, FL 33813 1045 East County Road 540A Lakeland, Florida 33813 5245 US Highway 98 North Lakeland, Florida 33809

04/22/14 12/18/14

09/17/15

SSG SSG SSG

Polk Dr. Lama Medical Center 101 South Dixie Drive, Haines City, FL 33844 05/07/14 SSG Polk Internal Medicine Specialists Medical Group,

PA 427 East Central Avenue, Winter Haven, FL 33880 3655 Innovation Drive, Lakeland, FL 33812

05/30/14 05/29/14

SSG SSG

Polk MPN Medical Center of Dundee, LLC 1023 Dundee Road, Dundee, FL 33838 07/21/14 SSG Polk Heartland Pediatrics of Lake Wales, LLC 1354 State Road 60 East Lake Wales, Florida 33853 02/25/15 SSG Polk Soni Family Practice 2217 North Blvd West, Suite B Davenport, Florida 33837 06/30/15 SSG Polk Central Florida Internal Medicine Associates 4725 US Highway 98 South, Suite 101 Lakeland, FL 33812 07/07/15 SSG Polk Jay Care Medical Center, Inc. 127 Ridge Center Dr. Davenport, FL 33837 05/25/15 SSG Polk Suncoast Medical Central Florida 43378 US Highway 27, Davenport, FL 33837 06/04/15 SSG Polk IMA Medical Center 199 SE Avenue K, winter Haven, FL 33880 10/15/13 SSG Polk American Care of Tampa, Inc. 2600 Industrial Park Drive, Lakeland, FL 33801 10/22/13 Polk IMA Medical Center DBA Medical Home

Alliance, LLC 4120 US Highway 98 North Suite 400 Lakeland, Florida 33809

10/09/15 SSG

Polk American Care of Tampa, Inc. 502 East Hinson Avenue, Haines City, FL 33844 863-638-5601 02/27/14 SSG Polk Hess Spinal & Medical Centers of Lakeland,

LLC 1519 Lakeland Hills Boulevard Lakeland, Florida 33805

813-624-2160 12/22/15 SSG

Polk Hess Spinal & Medical Centers of Winter

475 East Central Avenue Winter Haven, Florida 33880

12/29/15 SSG

Polk IMA Medical Center DBA Medical Home Alliance, LLC

4120 US Highway 98 North, Suite 200 Lakeland, Florida 33809

863-588-1424 05/04/16 SSG

Polk Health Group Center, Inc. 337 South Rifle Range Road Winter Haven, Florida 33880 863-229-5580 05/04/16 SSG Polk Soni Family Practice 106 Park Place Boulevard, Suite C Davenport, Florida 33837 863-588-4775 05/09/16 SSG Polk Carrousel Therapy Center and Behavioral

Health SVC DBA Carrousel Therapy Center Corp.

2424 Sand Mine Road, Suite 2520 Davenport, Florida 33897

407-891-3054 08/16/16 SSG

Polk Favilli Family Practice Center 3650 Innovation Drive Lakeland, Florida 33812 863-588-1424 8/29/16 SSG Polk Michael G. Degnan, PA DBA Degnan Family

Medicine 181 Webb Drive, Suite A Davenport, Florida 33837 863-588-1424 9/27/16 SSG


07/19/2017


Method of Approval

Polk Ray Par, Inc. DBA Trinity Medical 550 Pope Avenue Northwest Winter Haven, Florida 33881 863-299-2636 12/28/16 SSG Polk IMA Family Medical Center DBA Medical Home

Alliance, LLC 3644 Innovation Drive Lakeland, Florida 33812

863-588-1424 02/02/17 SSG

Polk Raypar, Inc. 3242 South Florida Avenue Lakeland, Florida 33803 863-646-4000 01/30/17 SSG Polk American Care of Tampa, Inc. 1005 North Lake Parker Avenue Lakeland, Florida 33805 863-583-4053 02/27/17 SSG Polk Moes’s Family Practice and Kids, LLC 1507 Lakeland Hills Boulevard, Suite 105 Lakeland, FL 33805 863-937-7578 6/20/17 SSG Polk Pediatric Care of Four Corners, PLLC 2506 Sand Mine Road Davenport, Florida 33897 863-232-5527 07/06/17 SSG Putnam Alachua Clay

Rural Health Care, Inc. d/b/a Azalea Health - Crescent City - Hawthorne - Interlachen - Palatka Family Dental Center - Palatka Family Medical Center - Keystone Heights

1302 River Street, Palatka, FL 32177 306 Union Ave., Crescent City, FL 32112 22066 SE 71st Ave., Hawthorne, FL 32640 1213 State Road 20, Interlachen, FL 32148 2503 President St., Palatka, FL 32177 1302 President St., Palatka, FL 32177 100 Commercial Dr, Keystone Heights, FL 32656

386-328-0108 386-698-1232 352-481-2700 386-684-4914 386-328-7638 386-328-8371 352-473-6595

12/08/96 s. 330

Putnam Putnam County Health Department 2801 Kennedy Street, Palatka, FL 32177-4100 386-326-3200 04/08/94 CHD Putnam Medical Specialists of Northeast Florida 800 Zeagler Dr, Ste 510, Palatka, FL 32177 02/04/11 SSG Putnam Broward Outreach Center Pompano 1700 Blount Road, Pompano Beach, FL 33069 305-572-2026 05/17/12 SSG Putnam North Central Florida Hospice, Inc./DBA

Haven Hospice/Roberts Hospice Care Center 6400 Saint Johns Avenue, Palatka, FL 32177 03/07/14 SSG

Putnam Jean-Claude Dubois, MD, PA 601 East Sample Road, Ste. 110, Pompano Beach, FL 03/17/14 SSG Putnam South Putnam Church, LLC DBA Putnam

County Medical Mission 114 Amos Road Crescent City, Florida 32112

05/29/15 SSG

Putnam Roy H. Hinman II, MD, PA 199 US Highway 17 South Suite A East Palatka, FL 32131 386-312-0250 10/26/15 SSG Putnam Island Doctors DBA Island Doctors of

Interlachen 1114 State Road 20, Suite 300, Interlachen, FL 32148 386-684-0195 11/04/15 SSG

Putnam Best Affordable Healthcare Center, LLC 1008 Northeast 36th Street Pompano Beach, Florida 33064 954-545-1370 12/23/15 SSG Putnam Island Doctors 921 North Summit Street Crescent City, Florida 32112 386-698-2101 03/15/16 SSG Santa Rosa Santa Rosa County Health Department

- Gulf Breeze Health Department - Jay Health Department -Santa Rosa Beach Clinic

P.O. Box 929, Milton, FL 32572-0929 5840 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 215 Alabama St., Jay, FL 32565 194 N Cnty Hwy 393, Santa Rosa Bch, FL 32459

850-983-5200 850-934-4074 850-675-4211 850-267-3598

CHD

Santa Rosa Santa Rosa Community Clinic 5520 Stewart Street Milton, Florida 32570

01/21/15 SSG

Santa Rosa Joseph Rosado, MD, LLC 4291 Winners Gait Circle Pace, Florida 32571 07/16/15 SSG


07/19/2017


Method of Approval

Santa Rosa Santa Rosa Counseling Center, LLC 5643 Jones Street, Milton, FL 32570 11/15/13 Santa Rosa Roy H. Hinman, MD, PA 4542 Alba Street Pace, Florida 32571 850-320-4623 12/21/16 SSG Sarasota

Sarasota County Health Department P.O. Box 2658, Sarasota, FL 34230-2658 1750 17th St., Sarasota, FL 34234 2400 Colson Ave., Sarasota, FL 34234 7820 S. Tamiami Trail, Bldg. B2, Venice, FL 34293

941-954-2900 941-316-1015 941-361-6934 941-493-3830

N/A CHD

Sarasota Genesis Health Services, Inc. 3333 N Washington Blvd., Ste. 3, Sarasota, FL 34234 941-363-1852 12/01/01 SSG Sarasota Community Medical Clinic (Sarasota

Memorial Hospital) 1700 S. Tamiami Trail, Sarasota, FL 34239 941-917-6364 12/03/93

Sarasota Lee Collier

Senior Friendship Centers, Inc. 1888 Brother Geenen Way, Sarasota, FL 34236 1900 Brother Geenen Way, Sarasota, FL 2350 Scenic Dr, Venice, FL 27420 Voyageur Dr, Harbor Heights, FL 33983 23 N Polk Ave, Arcadia, FL 34266 3600 Evans Ave, Ft. Myers, FL 33901

941-955-2122 941-556-3220 941-584-0041 941-743-5353 863-494-5965 239-275-1881

04/08/94

Sarasota Senior Friendship Centers, Inc

2350 Scenic Dr. Venice, FL 34293-1510

SSG

Seminole Seminole County Health Department 400 W. Airport Boulevard, Sanford, FL 32773 Goodings Plaza Office Center, 132 Sausalito Boulevard, Casselberry, FL 32707-5764

407-322-2724 407-665-3400

CHD

Seminole John E. Polk Correctional Facility-Seminole County Sheriff’s Office

211 Bush Blvd., Sanford, FL 32773 08/19/11 SSG

Seminole Orange

Central Florida Family Health Center, Inc. - Central FL Family Health Center - Hoffner - Central FL Family Health Center - Alafaya

2400 CR 415-A, Sanford, FL 32771 5549 S. Semoran Blvd., #14, Orlando, FL 32822 11881-A East Colonial Drive, Orlando, FL 32826

407-322-8645 407-207-7756 407-275-4048

s. 330

Seminole First Choice Pediatrics – Sanford 1403 Medical Plaza Drive, Suite #104, Sanford, FL 32771 407-249-1234 10/19/12 SSG Seminole SAAFE Behavioral Services, LLC 3993 West 1st Street Sanford, Florida 32771 407-732-4272 09/27/16 SSG St. Johns St. Johns County Health Department 1955 US Highway 1, #100, St. Augustine, FL 32086 904-825-5054 CHD St. Johns Good Samaritan Health Centers, Inc PO Box 1005, St. Augustine, FL 904-829-1962 02/09 VHCPP


07/19/2017


Method of Approval

St. Johns Medical Specialists of Northeast Florida Medical Specialists of Northeast Florida, PLLC

665 SR 207, Ste 102, St. Augustine, FL 32084 1680 Osceola Elementary Blvd., Ste. A, St. Augustine, FL 32084

02/04/11 09/25/12

SSG SSG

St. Johns Medi MD 167 Palencia Village Drive, Ste 101, St. Augustine, FL 32095 8/16/11 SSG St. Johns Dr. James R. Connor PA 1851 Old Moultrie Road, Ste. A, St. Augustine, FL 32084 904-824-8088 06/15/12 SSG St. Johns Pediatrics in North Florida 109 Whitehall Drive, Ste. 117, St. Augustine, FL 32086 286-446-8333 06/22/12 SSG St. Johns Global Health Records Inc. 1851 Old Moultrie Road, St. Augustine, FL 32086 904-794-7830 06/22/12 SSG St. Johns Hastings 201 W. Lattin Street Hastings FL. 32145 904-692-1508 07/15/15 SSG St. Johns St. Augustine 105 Whitehall Drive Suite 109-114 St. Augustine, FL 32086 904-829-2782 07/15/15 SSG St. Johns Rural Health Care, Inc. DBA Azalea Health 201 West Lattin Street Hastings, Florida 32145 386-326-7301 12/14/15 SSG St. Johns Roy H. Hinman, II, MD 2460 Old Moultrie Road, Suite 5 St. Augustine, Florida 32086 561-801-1397 03/14/16 SSG St. Johns Good Samaritan Health Centers, Inc 268 Herbert Street Saint Augustine, Florida 32084 (904)-829-

1962 05/05/16 SSG

St. Johns Pediatrics in North Florida, PA 109 Whitehall Drive, Suite 117 Saint Augustine, Florida 32086

(904) 797-1707

07/25/16 SSG

St. Johns Jax Psychiatry, LLC

460 Town Plaza Avenue, Suite 230 Ponte Vedra, Florida 32081

607-232-3411 6/22/17 SSG

145 Hilden Road, Suite 108 Ponte Vedra, Florida 32081 607-232-3411 06/22/17 SSG St. Lucie St. Lucie County Health Department 714 Ave C., Ft. Pierce, FL 34954 561-873-4924 CHD St. Lucie Florida Medical Center 10616 South Federal Highway, Pt. St. Lucie, FL 32452 06/08/11 SSG St. Lucie Andrelica, 10616 South Federal Highway, Port St. Lucie, FL 34952 08/16/11 SSG St. Lucie American Care of South Florida, Inc. 1404 S. 28th Street, Ft. Pierce, FL 34947 12/13/13 SSG St. Lucie M Care Medical Center, Inc. 850 South 21st Street, Ste. B, Ft. Pierce, FL 34940 03/17/14 SSG St. Lucie Humayun Shareef, MDPA 601 North 7th Street, Ft. Pierce, FL 34950

320-322 Northwest Bethany Drive, Pt. St. Lucie, FL 34953 2401 Frist Blvd., Ste. 1, Ft. Pierce, FL 34950

06/04/14 07/28/14 07/28/14

SSG SSG SSG

St. Lucie Vital Chiropractic Wellness DBA Vital Wellness Center

2624 South Federal Highway Fort Pierce, Florida 34982 12/03/14 SSG

St. Lucie Internal Medicine Consultants of St Lucie County

2401 Frist Boulevard, Suite 1 Fort Pierce, Florida 34950

02/10/15 SSG

St. Lucie Muscle Injection Therapy, LLC 10692 South US 1, Suite C Port Saint Lucie, Florida 34952 10/05/15 SSG St. Lucie Cornerstone Pediatrics 380 Southwest Prima Vista Boulevard Port Saint Lucie,

Florida 34983 10/09/15 SSG

St. Lucie St. Lucie County Health Access Network, Inc.

3855 South US Highway 1, Suite B Fort Pierce, Florida 34982

772-344-2548 10/25/16 SSG

St. Lucie Medical Consultants of Florida, LLC 672 Southwest Prima Vista Blvd, Ste 101 Port Saint Lucie, FL 34983 9109 South US Highway 1, Suite 101 Port Saint Lucie, FL 34952

561-406-6080 561-406-6080

03/13/17 03/13/17

SSG SSG


07/19/2017


Method of Approval

St. Lucie Xpress Urgent Care, LLC 672 Southwest Prima Vista Boulevard, Suite 102 Port Saint Lucie, Florida 34983

561-406-6080 6/06/17 SSG

Sumter Sumter County Health Department 415 E. Noble Ave., P.O. Box 98, Bushnell, FL 33513 104 Rutland St., Wildwood, FL 34785

352-793-2701

CHD

Sumter Lazarus Free Medical Clinic (previously Catholic Charities of Central Florida, Inc)

210 Wonders St, Wildwood, FL 34785 352-748-4567 04/16/08 VHCPP

Sumter Project Health, Inc 1389 S US Hwy 301, Sumterville, FL 33585 11/10/01 SSG Sumter The Clark Clinic, Inc. 212 S Florida Street, Bushnell, FL 33513 352-793-2441 09/19/11 SSG Sumter Rural Medical Associates, Inc. DBA

Wildwood Medical Center 411 Webster Street, Wildwood, FL 34785 06/17/13 SSG

Sumter Florida Medical Associates, LLC 1950 Laurel Manor Dr., Bldg. 210, The Villages, FL 32162 08/15/13 SSG Sumter Children’s Medical Group 1950 Laurel Manor Dr., Bldg. 240, The Villages, FL 32162 08/26/13 SSG Sumter Premier Medical Associates 411 N. West Street, Bushnell, FL 33513 03/11/14 SSG Sumter LifeStream Behavioral Center 119 North Market Street, Bushnell, FL 33513

340 Heald Way, Ste. 208, The Villages, FL 32162 09/24/14

09/29/14 SSG SSG

Sumter Family Internal Medicine of Ocala, LLC 848 South Main Street Wildwood, Florida 34785 06/29/15 SSG Suwannee Suwannee County Health Department P.O. Drawer 6030, Live Oak, FL 32064 904-362-2708 CHD Suwannee Three Rivers Medical Center 208 Northwest Suwannee Ave, Branford, FL 32008 10/29/14 SSG Taylor Taylor County Health Department 1215 Peacock Street, Perry, FL 32347-2117 850-584-5087 CHD Taylor Taylor County Health Department and

Veterans Affairs Outreach Clinic 1215 N Peacock Ave, Perry, FL 32347 12/08/10 SSG

Taylor Premier Medical Pediatric Clinic 315 E. Ash Street, Perry, FL 32347 850-584-3278 09/08/11 SSG Union Union County Health Department 495 E. Main St., Lake Butler, FL 32054-1731 904-496-3211 CHD Union Marvin W. Johnson, MD 850 E Main St, Lake Butler, FL 32054 10/15/10 SSG Union Lake Butler Hospital 850 Main St, Lake Butler, FL 32054 11/04/10 SSG Union Dynamic Health Centers, Inc. 155 Southeast 6th Place, Lake Butler, FL 32054 04/29/14 SSG Volusia NE Florida Health Services

- Pierson Medical Center 114 N. Volusia Avenue, Pierson, FL 32180

386-749-9449

s. 330

Volusia

Volusia County Health Department - Care Center

501 S. Clyde Morris Blvd. Daytona Beach, FL 32114-3997 121 S. Palmetto Ave., Daytona Bch, FL 32114 1330 S. Woodland Blvd., Deland, FL 32720 717 W. Canal St., New Smyrna Bch, FL 32168 100 Wolf Pack Run, Deltona, FL 32725

386-947-3414 386-255-0019 386-822-6215 386-424-2066 386-789-8401

CHD

Volusia Good Samaritan Clinic 312 W New York Ave, Deland, FL 32720 386-738-6990 12/08 VHCPP Volusia Central Florida Primary Physicians, LLC 1515 Saxon Blvd, Ste 301, Deltona, FL 32725 04/13/11 SSG Volusia Florida Family Healthcare 80 Spring Vista Drive, Suite 100 386-320-0371 09/28/11 SSG


07/19/2017


Method of Approval

Volusia Family Medicine & Holistic Center, Inc. 887 Deltona Blvd., Deltona, FL 32725 06/26/14 SSG Volusia Island Doctors of New Smyrna Beach

Medical Center, LLC 406 Palmetto Street Ste., A&B New Smyrna Beach, FL 32168 11/07/14 SSG

Volusia Addiction Treatment Advocates, Inc. 2487 South Volusia Avenue, Suite 109, Orange City, FL 32763

08/24/15 SSG

Volusia Northeast FL Health Services 844 West Plymouth Avenue Deland, Florida 32720 9/10/15 SSG Volusia Northeast Florida Health Services, Inc. 2160 Howland Boulevard, Suite 110 Deltona, Florida 32720 9/10/15 SSG Volusia Carlos L. Dominguez, MD, PA 1857 Providence Boulevard Deltona, Florida 32725 10/16/15 SSG Volusia Central Florida Medical Associates, Inc. 2555 South Volusia Avenue Orange City, Florida 32763 386-774-0401 11/13/15 SSG Volusia Port Orange Urgent Care Center, LLC 1690 Dunlawton Avenue Port Orange, Florida 32127 386-481-6678 12/09/15 SSG Volusia Advanced Urgent Care, LLC 1240 East Normandy Boulevard Deltona, Florida 32725 386-481-6678 12/09/15 SSG Volusia Debary Family Practice 609 North US Highway 17-92 Debary, Florida 32713 386-837-5637 01/27/16 SSG Volusia Axis 1 Behavioral Center 2725 Rebecca Lane, Suite 103 Orange City, Florida 32763 386-775-0736 02/25/16 SSG Volusia Family Medicine at Debary, LLC 110 Pond Court, Suite 303 Debary, Florida 32713 321-732-8491 03/04/16 SSG Volusia SAAFE Behavioral Services, LLC 201 West Plymouth Avenue Deland, Florida 32720 386-873-2963 04/20/16 SSG Volusia Genesis Family Practice 1133 Saxon Boulevard, Suite 200 Orange City, Florida 32763 386-228-9700 05/05/16 SSG Volusia Island Doctors 700 Sterthaus Drive Ormond Beach, Florida 32174 386-301-4067 05/10/16 SSG Volusia Northeast Florida Health Services 216 North Frederick Street Pierson, Florida 32180 386-749-9449 06/08/16 SSG Volusia Stages Pediatric Care 947 Town Center Drive, #28 Orange City, Florida 32763 386-917-0075 06/28/16 SSG Volusia Prompt Care of Central Florida, LLC 1133 Saxon Boulevard, Suite 100 Orange City, Florida 32763 386-228-9700 07/15/16 SSG Volusia Bright Health, Inc. 933 North Woodland Boulevard Deland, Florida 32720 850-890-3228 07/22/16 SSG Volusia Roy Hinman, MD, PA DBA Island Doctors

1737 North Clyde Morris Boulevard, Suite 150 Daytona Beach, Florida 32117

386-256-2370 10/05/16 SSG

Volusia Darryl Strawberry Drug and Alcohol 2775 Big John Drive Deland, Florida 32724 386-337-7957 10/05/16 SSG Volusia Orlando Family Physicians, LLC 21 South Charles Richard Beall Boulevard Debary, Florida

32713 407-575-9256 12/21/16 SSG

Wakulla Wakulla County Health Department 3093 Crawfordville Hgwy, Crawfordville, FL 32327 850-926-3591 CHD Wakulla Wakulla Urgent Care and Diagnostic Center,

PLC 41 Feli Way Crawfordville, Florida 32327 850-926-3140 12/14/15 SSG

Walton Walton County Health Department - Paxton Clinic, Paxton

493 N. 9th St., DeFuniak Spgs, FL 32433-9401 21872 US Hwy 331North, Paxton, FL 32538

850-892-8027 850-892-8015

CHD

Walton Community Health Center – Walton 479 E. Highway 20, Freeport, FL 32439 850-880-6568 10/24/12 SSG Walton R and S Professional Corp. DBA DFS Walk-

In Clinic 9 West Orange Avenue Defuniak Springs, Florida 32435

850-557-4177 05/05/17 SSG

Washington Washington County Health Department 338 South Boulevard, Chipley, FL 32428-2208 850-638-6240 CHD Community Corrections Division 04/06/97 DOC


07/19/2017


Method of Approval

Montgomery Correctional Center 04/06/97 DOC Northeast Florida State Hospital 01/30/95 Mental

Institution Washington Northwest Florida Healthcare, Inc. DBA

Northwest Florida Community Hospital

1360 Brickyard Road Chipley, Florida 32428

850-638-1610 04/20/16 SSG

NOTE: The County Health Departments specifically listed above are currently employing limited license holders. Pursuant to Code 64B8-2.001(4), Florida Administrative Code, the Board defines the “areas of critical needs,” “areas of critical medical need”, and “medically underserved areas” as used in Sections 458.315(1) and 458.317(1)(d), F.S., respectively, shall include but not be limited to the following: • Areas designated by the Department of Health and Human Services as health professional shortage areas; • State mental institutions; • State institutions for the mentally retarded; or State prison

ALL State Department of Health facilities and County Health Departments are approved to employ limited license & temporary certificate holders. Revised 7/19/2017

Documents

Approved Facilities 07-19-2017 · 2020-02-08 · Facilities Approved as Areas of Critical Need 07/19/2017 COUNTY FACILITY NAME FACILITY ADDRESS PHONE# DATE APPR. Method of Approval