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Medicaid Provider Directory Polk County

Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

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Page 1: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

 

 

 

 

Medicaid Provider Directory

Polk County

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1  

WELCOME TO SIMPLY HEALTHCARE PLANS!

First, you need to pick a doctor. The Dr. will send you to a specialist if you need one. There are a lot of doctors to pick from. You should also pick a doctor for each member of your family.

Next, make an appointment with your doctor. This will give him or her a chance to get to know your health. Remember, you do not want to wait until you are sick to pick a doctor.

All of your health care is provided at your doctor’s office or through written referrals from your doctor. In an emergency call 9-1-1 or go to the nearest Hospital Emergency Room. Sometimes you may have a medical problem that is not really serious and your doctor’s office is closed. For those times you can use an Urgent Care service. Check this book or call 305-408-5890 or 1-800-887-6888 outside Dade County for a list of offices.

At Simply Healthcare Plans, we want to get to know you, so that we may give you the best care.

The doctors in this do not work for Simply Healthcare Plans.

Some doctors may not perform services based on religious or moral beliefs.

Your book must be looked at to find out exact terms, coverage, limitations and exclusions.

Note: The doctors and hospitals in this book are updated as of the day the book is printed. Sometimes new doctors are added to our plan or others may leave our plan. We advise that you call us or visit our website at www.simplyhealthcareplans.com to make sure that the doctor is in the Plan.

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2  

REFERRALS

Your Primary Care Doctor is the doctor you will see first. If needed, he/she will send you to a specialist. They will work together for a treatment plan.

SELF-REFERRALS

The following specialty services do not need a referral from your doctor:

Chiropractic Care You can pick any doctor from this section for up to 20 visits within a 12- month period.

Dermatology Care You can pick any doctor from this section for up to 5 visits within a 12-month period.

Podiatry You can pick any doctor from this section for an evaluation. If you need more treatments, surgery, or tests, authorization is needed.

Gynecology You can pick any doctor from this section for the annual well-woman exam. Ask your doctor for a list of GYN’s. Any more visits require a referral.

 

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Table of Contents

Participating Hospitals ....................................................................................................................... 55MM

Primary Care Providers ...................................................................................................................... 7Family Practice .......................................................7MMGeneral Practice .....................................................8MM

Internal Medicine .....................................................9MMPediatrics ..............................................................11MM

Participating Specialists ................................................................................................................... 13Audiologist ............................................................13MMCardiovascular Medicine .......................................13MMChiropractor ..........................................................13MMDermatology ..........................................................13MMEndocrinology .......................................................13MMGastroenterology ..................................................13MMInternal Medicine ...................................................14MMNephrology ............................................................14MMNeurology ..............................................................14MMNurse Midwife .......................................................14MMOb-Gyn .................................................................14MMObstetrics ..............................................................15MMOncology ...............................................................15MMOptometrist ...........................................................15MMOrthopedic Surgery ...............................................16MM

Otolaryngologist ....................................................16MMPediatrics ..............................................................17MMPediatrics-Cardiology ............................................17MMPodiatrist ...............................................................17MMPulmonary Diseases .............................................17MMRadiation Oncology ...............................................18MMRadiology ..............................................................18MMRadiology - Radiation Oncology ............................18MMRadiology-Diagnostic ............................................18MMSpeech/Hearing Therapist ....................................18MMSurgery-General ....................................................19MMSurgery-Neurological ............................................19MMSurgery-Orthopedic ...............................................19MMSurgery-Vascular ..................................................19MMUrology ..................................................................19MM

Dental Providers ................................................................................................................................ 2121MM

Ancillary Providers............................................................................................................................ 22Ambulatory Surgical Center ..................................22MMHome Health Agency ............................................22MMPhysical Therapy ..................................................22MM

Prosthetics And Orthotics ......................................22MMRadiology-Diagnostic ............................................22MMSpeech/Hearing Therapist ....................................22MM

Behavioral Health .............................................................................................................................. 23Inpatient Facility ....................................................23MMLicensed Clinical Social Worker ............................23MMLicensed Marriage and Family Therapist ..............23MMLicensed Mental Health Counselor .......................23MM

Psychiatry - Adult ..................................................24MMPsychiatry - Child ..................................................24MMPsychiatry/Psychology ..........................................24MMPsychiatry-Child ....................................................25MM

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Table of Contents

Participating Pharmacies ................................................................................................................. 2626MM

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Participating Hospitals

SHP_Polk_01.18.2012 5

Directory is subject to change. Please call to make sure the provider still participates.

Heart Of Florida Regional Medical Center40100 Highway 27Davenport, FL 5906-5906Phone: (863) 422-4971

Winter Haven Hospital200 Ave F NEWinter Haven, FL 4131-4131Phone: (863) 293-1121

Hospital

Hospital Hospital

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Nite Owl Pediatrics Inc D/B/A, Nite Owl Pediatric Urgent Car3240 S Florida AveLakeland, FL 4574-4574Phone: (863) 644-7337

Premier Walk-In Clinic & Primary Care, LLC5676 S Florida AveLakeland, FL 2526-2526Phone: (863) 644-3400

Urgent Care Center

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Primary Care Providers

SHP_Polk_01.18.2012 7

Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Acuna, JosePedro Ruiz, MD, PA4740 Exploration AveLakeland, FL 3319-3319Ages Seen: All AgesLanguage(s): SpanishOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 666-9020

Arguedas, MarcelaFavilli Family Practice D/B/A Luis C. Favilli MD, PA25 N Lanier AveFort Meade, FL 2918-2918Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 285-7171

3650 Innovation DrLakeland, FL 4105-4105Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 646-6295

Concepcion, Maria NMaria Nina Concepcion MD, PA2302 N Blvd Ste DDavenport, FLAges Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 422-1400Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Dean, Tuan KDoctor Today TLC LLC3810 S Florida AveLakeland, FL 1105-1105Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 619-5100

Delikat, TerrenceAlner M. Quinonez MD, PA25 N Lanier AveFort Meade, FL 2918-2918Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 285-7171

3650 Innovation DrLakeland, FL 4105-4105Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 646-6295

Edmiston, John RCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 413-8600

Favilli, Luis CFavilli Family Practice D/B/A Luis C. Favilli MD, PA25 N Lanier AveFort Meade, FL 2918-2918Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 285-7171

3650 Innovation DrLakeland, FL 4105-4105Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 646-6295

Flores, Jose FFavilli Family Practice, D/B/A Luis C. Favilli MD, PA25 N Lanier AveFort Meade, FL 2918-2918Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 285-7171

3650 Innovation DrLakeland, FL 4105-4105Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 646-6295

Gondi, AvanticaLakeland Physicians Group, Lc1500 Lakeland Hills Blvd Ste 4Lakeland, FL 3257-3257Ages Seen: All AgesOffice Hours: M-F 9AM-5PMOffice Phone: (407) 331-6236

3234 S Florida Ave Ste FLakeland, FL 4564-4564Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 648-4275

Krishnamoorthy, AnandavalliCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Polk

Family Practice

Family Practice Family Practice

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Primary Care Providers

8Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.20128X = Providers with this symbol are not accepting new patients.

Lutz, HeatherCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Manchada, RajnishJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Myint, ZawJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Nelson-James, CaraCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: All AgesOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Quinonez, Alner MAlner M. Quinonez MD, PA25 N Lanier AveFort Meade, FL 2918-2918Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 285-7171

3650 Innovation DrLakeland, FL 4105-4105Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 646-6295

Rivera-Cruz, YvonneKidsville Pediatrics I PA2201 N Blvd WDavenport, FLAges Seen: All AgesLanguage(s): SpanishOffice Hours: M-F 8:30AM-5PMOffice Phone: (352) 242-1021

Sama, ShobaPhysicians Services LLC1143 SR 60 ELake Wales, FL 4320-4320Ages Seen: All AgesOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 679-8815

35600 US Hwy 27 NHaines City, FL 3731-3731Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

6800 Cypress Gardens BlvdWinter Haven, FL 3523-3523Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

Aguilera, ErnestoJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 2-99+Language(s): SpanishOffice Hours: M-F 8AM-8PMOffice Phone: (863) 686-2728

Demosthenes, Joseph RJ Roger Demosthenes MD, PA317 W Fifth StLakeland, FL 4446-4446Ages Seen: 2-99+Office Hours: M-F 9AM-5;30PMOffice Phone: (863) 686-3633

Lozada Perez, YanittCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 2-99+Language(s): SpanishOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 2-99+Language(s): SpanishOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 2-99+Language(s): SpanishOffice Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 2-99+Language(s): SpanishOffice Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Rajendran, VijaylakshamiJogi Walk In Clinic, Inc.1500 Lakeland Hills Blvd Ste 2Lakeland, FL 3257-3257Ages Seen: 2-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 682-8200

General Practice

Family Practice General Practice

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Primary Care Providers

SHP_Polk_01.18.2012 9Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Vasquez, KimberCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 2-99+Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 2-99+Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 2-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 2-99+Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Agans, GlenCitrus Family Health Center1485 Legends BlvdChampions Gate, FL 8393-8393Ages Seen: 18+Office Hours: M-F 9am - 5pmOffice Phone: (407) 390-6480

Bhatia, GitashreeCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 635-4891

916 Highway 542Dundee, FLAges Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Desgranges, Jean ClaudeJay Care Medical Center131 Webb DrDavenport, FL 3921-3921Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 421-7400

135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

950 1st St SEloise, FL 3665-3665Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Dias, TahaJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Feliciano, BenignoSalazar Family Health Care, Inc.708 N Church AveMulberry, FL 2034-2034Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 425-9309

Gill, Gurkirpal SGurkirpal S. Gill, MD, PA295 Patterson Rd Ste AHaines City, FL 6247-6247Ages Seen: 16-99+Office Hours: M-F 9AM-3PMOffice Phone: (863) 422-4338Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Issar, JeetendraDoctor Today TLC LLC1429 Lakeland Hills BlvdLakeland, FL 3206-3206Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 687-0200

3810 S Florida AveLakeland, FL 1105-1105Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 619-5100

602 Ave K S EWinter Haven, FL 4217-4217Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 401-2807

Issar, RekhaDoctor Today TLC LLC1429 Lakeland Hills BlvdLakeland, FL 3206-3206Ages Seen: 16-99+Office Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 687-0200

3810 S Florida AveLakeland, FL 1105-1105Ages Seen: 16-99+Office Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 619-5100

602 Ave K S EWinter Haven, FL 4217-4217Ages Seen: 16-99+Office Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 401-2807

Kattan, HalideJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

175 US Hwy 17 NBartow, FL 4140-4140Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 533-8215

Internal Medicine

General Practice Internal Medicine

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Primary Care Providers

10Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201210X = Providers with this symbol are not accepting new patients.

3522 S Florida AveLakeland, FL 4875-4875Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 644-8459

Kundlas, KulmeetPhysicians Services LLC1143 SR 60 ELake Wales, FL 4320-4320Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

35600 US Hwy 27 NHaines City, FL 3731-3731Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

6800 Cypress Gardens BlvdWinter Haven, FL 3523-3523Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

Latt, KhinJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Mathan, SukumarPhysicians Services LLC1143 SR 60 ELake Wales, FL 4320-4320Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

35600 US Hwy 27 NHaines City, FL 3731-3731Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

6800 Cypress Gardens BlvdWinter Haven, FL 3523-3523Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 679-8815

Min, ZawJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Palazzolo, Arlene MCitrus Family Medical Center LLC1485 Legends BlvdChampions Gate, FL 8393-8393Ages Seen: 16-99+Office Hours: M-F 8AM-6PMOffice Phone: (407) 390-6480

Patheja, HarpreetPedro Ruiz, MD, PA4740 Exploration AveLakeland, FL 3319-3319Ages Seen: 16-99+Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 666-9020

Perez, HumbertoPhysicians Services LLC1143 SR 60 ELake Wales, FL 4320-4320Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 679-8815

35600 US Hwy 17 NHaines City, FLAges Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 679-8815

6800 Cypress Gardens BlvdWinter Haven, FL 3523-3523Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 679-8815

Ranon, EricJay Care Medical Center131 Webb DrDavenport, FL 3921-3921Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 421-7400Hospital Affiliation(s)Winter Haven

Hospital

135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728Hospital Affiliation(s)Winter Haven

Hospital

Ruiz, PedroPedro Ruiz, MD, PA4740 Exploration AveLakeland, FL 3319-3319Ages Seen: 16-99+Language(s): SpanishOffice Hours: M-F 8AM-5:30PMOffice Phone: (863) 666-9020

Singh, JapinderJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

Sutherland, SashaJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 686-2728

175 US Hwy 17 NBartow, FL 4140-4140Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 533-8215

3522 S Florida AveLakeland, FL 4875-4875Ages Seen: 16-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 644-8459

Internal Medicine Internal Medicine

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Primary Care Providers

SHP_Polk_01.18.2012 11Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Anchundia, Maria MCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 0-21Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Arguello, RicardoRicardo Arguello, MD, PA1218 N Broadway AveBartow, FL 3343-3343Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 533-6528

Brar, Sardul SCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 0-21Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Cavero-Rankin, MariaCavero Pediatrics, PA4304 Highlands BlvdLakeland, FLAges Seen: 0-21Office Hours: M-F 8AM-5PMOffice Phone: (863) 644-9398

Cory, Matthew JLakeside Pediatrics PA5950 S Florida AveLakeland, FL 2532-2532Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 619-8441

Cosic, SanjaCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 0-21Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

De Padua, Maria ECentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 0-21Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 0-21Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

De Zayas, CherylHeart Of Florida Pediatrics19B N 6th StHaines City, FL 4205-4205Ages Seen: 0-21Language(s): SpanishOffice Hours: M-F 9AM-7PMOffice Phone: (863) 422-0924

El Sayed, EimanPediatric Partners Of Winter Haven, D/B/A Prq Inc409 Central Ave EWinter Haven, FL 3051-3051Ages Seen: 0-21Office Hours: M-TH 8AM-8PM, F 8AM-

6PMOffice Phone: (863) 293-2144

Ford, DeborahKids First Pediatrics5705 Us Highway 98 SLakeland, FL 4108-4108Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 577-3000

Pediatrics

Pediatrics Pediatrics

Page 13: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Primary Care Providers

12Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201212X = Providers with this symbol are not accepting new patients.

Gonzalez, AshleyPediatric Partners Of Winter Haven, D/B/A Prq Inc409 Central Ave EWinter Haven, FL 3051-3051Ages Seen: 0-21Language(s): SpanishOffice Hours: M-F 8AM-8PMOffice Phone: (863) 293-2144

Gonzalez, Francelis IKidsville Pediatrics I PA2201 N Blvd WDavenport, FLAges Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (352) 242-1021

Grant, StewartTotal Pediatrics Healthcare II PA930 Marcum Rd Ste 5Lakeland, FL 4308-4308Ages Seen: 0-21Office Hours: M-F 9AM-5PMOffice Phone: (863) 815-3775

Imtiaz, AzizPM Pediatrics- Davenport2231 N Blvd WDavenport, FLAges Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 422-1890PM Pediatrics PA1000 Cypress PkyKissimmee, FL 3328-3328Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (407) 483-0672

Kahlon, HarpreetRainbow Pediatrics, PA40124 Highway 27 Ste 102Davenport, FL 5905-5905Ages Seen: 0-21Office Hours: M-F 8:30AM-4:30PMOffice Phone: (863) 421-2799

Mazumder, ChandanKidsville Pediatrics I PA2201 N Blvd WDavenport, FLAges Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (352) 242-1021

Nimbargi, Stephen SLakeland Physicians Group, Lc1500 Lakeland Hills Blvd Ste 4Lakeland, FL 3257-3257Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (407) 331-6236

3234 S Florida Ave Ste FLakeland, FL 4564-4564Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 648-4275

Pillai, AnanthakrishnamPolk Pediatrics, PA1265 E Main StBartow, FL 5006-5006Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 534-3737

Premkanth, PhimaghamPolk Pediatrics, PA1265 E Main StBartow, FL 5006-5006Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 534-3737

Pruthi, JagdeepSunrise Pediatrics, LLC1143 SR 60 WLake Wales, FL 2905-2905Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 734-0344

35600 Us Highway 27 NHaines City, FL 3731-3731Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 734-0344

6800 Cypress Gardens BlvdWinter Haven, FL 3523-3523Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 734-0334

Ray, Dorothy JDorothy J Ray MD Inc dba Pediatric Associates Of Lakeland2140 E Edgewood DrLakeland, FL 3604-3604Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 669-1212

Dorothy J Ray MD Inc dba Pediatric Associates Of Lakeland II1920 Lakeland Hills BlvdLakeland, FL 2902-2902Ages Seen: 0-21Office Hours: M-F 9am - 5pmOffice Phone: (863) 683-4661

Ray, Rachel ADorothy J Ray MD Inc dba Pediatric Associates Of Lakeland2140 E Edgewood DrLakeland, FL 3604-3604Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 669-1212Dorothy J Ray MD Inc dba Pediatric Associates Of Lakeland II1920 Lakeland Hills BlvdLakeland, FL 2902-2902Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 683-4661

Schick, Karen BKaren B. Schick MD, PA601 S Florida Ave Ste 6Lakeland, FL 5237-5237Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 688-0841

Solorzano, MariaLake Wale Pediatric & Internal Medicine P.A.425 11th St Ste 2Lake Wales, FL 4239-4239Ages Seen: 0-21Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 676-8935

Tucker, Michele RDorothy J Ray MD Inc dba Pediatric Associates Of Lakeland2140 E Edgewood DrLakeland, FL 3604-3604Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 669-1212Dorothy J Ray MD Inc dba Pediatric Associates Of Lakeland II1920 Lakeland Hills BlvdLakeland, FL 2902-2902Ages Seen: 0-21Office Hours: M-F 8:30AM-5PMOffice Phone: (863) 683-4661

Pediatrics Pediatrics

Page 14: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

SHP_Polk_01.18.2012 13

Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.X = Providers with this symbol are not accepting new patients.

Curtis, SarahCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: 2-99Office Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Nunez, BorisAdvanced Interventional Cardiology Consultants, PA320 State Rd 60 ELake Wales, FL 3750-3750Ages Seen: 18-99 yearsLanguage(s): SpanishOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 679-7985

Talit, UziCardiology Associates Of Polk County, PA1417 Lakeland Hills Blvd Ste 106Lakeland, FL 3200-3200Ages Seen: 18-99 yearsOffice Hours: M-F 8:30AM-4:30PMOffice Phone: (863) 682-8401

Choate, David WSligh Clinic Of Chiropractic425 S Florida AveLakeland, FL 5226-5226Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 686-4149

Hopkins, John WLakeland Spine Center Inc3242 S Florida AveLakeland, FL 4574-4574Ages Seen: 12-99 yearsOffice Hours: M/W/F 8AM-6:30PM, T/

TH 9AM-12PMOffice Phone: (863) 644-0880

Ison, Scottie MCleveland Heights Chiropractic Clinic3740 Cleveland Heights BlvdLakeland, FL 1215-1215Ages Seen: 12-99 yearsOffice Hours: M-F 8:30AM-5:30PMOffice Phone: (863) 646-5707

Margolis, Allen MAllen M Margolis DC PA618 N Ingraham AveLakeland, FL 2033-2033Ages Seen: 12-99 yearsOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 686-2002

Parker, Dane VFamily Wellness Center1064 N Broadway AveBartow, FL 3301-3301Ages Seen: 12-99 yearsOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-9797Lakeland Spine Center Inc3242 S Florida AveLakeland, FL 4574-4574Ages Seen: 12-99 yearsOffice Hours: M/W/F 8AM-6:30PM, T/

TH 9AM-12PMOffice Phone: (863) 644-0880

Puentes, David RDavid Puentes Dc795 S BroadwayBartow, FL 5602-5602Ages Seen: 12-99 yearsLanguage(s): SpanishOffice Hours: M/T/W/F 8:30AM-6PMOffice Phone: (863) 533-2766

Sligh, Stephen ESligh Clinic Of Chiropractic425 S Florida AveLakeland, FL 5226-5226Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 686-4149

Terry, Christopher LSligh Clinic Of Chiropractic425 S Florida AveLakeland, FL 5226-5226Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 686-4149

Tucker, John OJohn O Tucker DC PA202 Allamanda DrLakeland, FL 2928-2928Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 682-4182

Cottam, JohnJohn Cottam MD, PA222 W Main StBartow, FL 4531-4531Ages Seen: 12-99 yearsOffice Hours: W 8AM-5PMOffice Phone: (863) 533-7999

Funieru, Lulia N.Lakeland Dermatology202 Lake Miriam Dr Ste 1Lakeland, FL 2180-2180Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 647-2333

Murray, David W.Lakeland Dermatology202 Lake Miriam Dr Ste 1Lakeland, FL 2180-2180Ages Seen: 12-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 647-2333

Al-Dabagh, HibaHeart Of Florida Diabetes & Endocrine Center, LLC171 Web Drive Ste 2Davenport, FL 3944-3944Ages Seen: 18-99 yearsOffice Hours: M-F 9am - 5pmOffice Phone: (863) 419-7509

Arasu, ThiruThiru S Arasu MD, PA1417 Lakeland Hills Blvd Ste 105Lakeland, FL 3200-3200Ages Seen: 18-99 yearsOffice Hours: W 8AM-5PMOffice Phone: (813) 870-4438

Polk

Audiologist

Cardiovascular Medicine

Chiropractor

Dermatology

Endocrinology

Gastroenterology

Audiologist Gastroenterology

Page 15: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

14Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201214X = Providers with this symbol are not accepting new patients.

Cuenca, RosaThiru S Arasu MD, PA1417 Lakeland Hills Blvd Ste 105Lakeland, FL 3200-3200Ages Seen: 18-99 yearsLanguage(s): SpanishOffice Hours: M-F 9am - 5pmOffice Phone: (813) 870-4438Hospital Affiliation(s)Brandon Regional

Medical Center

Haque, MahmudulDigestive Diseases Care For All LLC1255 SR 60 E Ste 200Lake Wales, FL 4310-4310Ages Seen: 18-99 yearsOffice Hours: M-F 9am - 5pmOffice Phone: (863) 802-1111

145 Ave G SWWinter Haven, FL 3435-3435Ages Seen: 18-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 802-1111

222 W Main St Ste 200Bartow, FL 4531-4531Ages Seen: 18-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 802-1111

2304 Lakeland Hills BlvdLakeland, FL 2910-2910Ages Seen: 18-99 yearsOffice Hours: M-F 8AM-5PMOffice Phone: (863) 687-8335

Kaiser, Greg CPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Ages Seen: 18-99 yearsOffice Hours: M-F 9am - 5pmOffice Phone: (813) 987-2911

Panara, Ned J.Digestive Health Physicians Of Central Florida, PA1350 E Main St Ste C-2Bartow, FL 5064-5064Ages Seen: 18-99 yearsLanguage(s): SpanishOffice Hours: M-F 9AM-4;30PMOffice Phone: (863) 519-0902

Vargas, David J.David J. Vargas, MD, PA1114 S Florida AveLakeland, FL 1308-1308Ages Seen: 18-99 yearsLanguage(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 687-8335

Williams, RobertThiru S Arasu MD, PA1417 Lakeland Hills Blvd Ste 105Lakeland, FL 3200-3200Ages Seen: 18-99 yearsOffice Hours: W 8AM-5PMOffice Phone: (813) 870-4438

Winesett, MichelePediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Ages Seen: 18-99 yearsOffice Hours: M-F 9am - 5pmOffice Phone: (813) 987-2911

Latt, KhinJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 8AM-8PMOffice Phone: (863) 686-2728

Min, ZawJay Care Medical Center135 E 1st StLakeland, FL 4609-4609Ages Seen: 16-99+Office Hours: M-F 8AM-8PMOffice Phone: (863) 686-2728

Aguayo, Jose J.Central Florida Kidney Care, PA1745 Lakeland Hills BlvdLakeland, FL 3016-3016Ages Seen: 0-99+Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 688-0576

Tapia, HugoCentral Florida Kidney Care, PA1745 Lakeland Hills BlvdLakeland, FL 3016-3016Ages Seen: 0-99+Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 688-0576

Vilches, RichardCentral Florida Kidney Care, PA1745 Lakeland Hills BlvdLakeland, FL 3016-3016Ages Seen: 0-99+Office Hours: M-F 8AM-5PMOffice Phone: (863) 688-0576

Mousli, HasanLake Wales Clinic Corporation1120 Carlton Ave Ste 1500Lake Wales, FL 4352-4352Ages Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 679-2702

Audette, CorinneCentral Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Ivy, JenniferCentral Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Alkass, MarkHeart Of Florida Ob/Gyn Associates, PA2221 N Blvd WDavenport, FLAges Seen: 12+Office Hours: M-F 8AM-5PMOffice Phone: (863) 421-7600

Internal Medicine

Nephrology

Neurology

Nurse Midwife

Ob-Gyn

Gastroenterology Ob-Gyn

Page 16: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

SHP_Polk_01.18.2012 15Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Alvarez, Pedro MCentral Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

San Martin, JulioHeart Of Florida Ob/Gyn Associates, PA2221 N Blvd WDavenport, FLAges Seen: 12+Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 421-7600

Turner, Patricia GPolk County Health Dept1290 Golfview AveBartow, FL 6703-6703Ages Seen: 12+Office Hours: M-F 9am - 5pm

Wagner, Stephen IExodus Womens Center215 Imperial Blvd Ste B-2Lakeland, FL 4689-4689Ages Seen: 12+Office Hours: M-F 8AM-5:30PMOffice Phone: (863) 687-2229

Whitehead, MelissaCentral Florida Health Care Inc1729 Lakeland Hills BlvdLakeland, FL 3016-3016Ages Seen: 12+Office Hours: M-F 8AM-5PMOffice Phone: (863) 686-0082

Andah, EdmundHeart Of Florida Ob/Gyn Associates, PA2221 N Blvd WDavenport, FLAges Seen: 12+Office Hours: M-F 8AM-5PMOffice Phone: (863) 421-7600

Damian, GraciaCentral Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Nixon, JenniferCentral Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Puretz, Jeffrey L.Central Florida Health Care Inc936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 9am - 5pmOffice Phone: (863) 413-8600

Qadri, SyedCentral Florida Health Care Inc109 W Wall StFrostproof, FL 2043-2043Ages Seen: 12+Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 635-4891

1514 1st St NWinter Haven, FLAges Seen: 12+Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 292-4280

916 Highway 542Dundee, FLAges Seen: 12+Office Hours: M-F 7:30AM-5:30PMOffice Phone: (863) 419-3330

936 E Parker StLakeland, FL 1968-1968Ages Seen: 12+Office Hours: M-F 8AM-6PMOffice Phone: (863) 413-8600

Salamanca, EdwinHeart Of Florida Ob/Gyn Associates, PA2221 N Blvd WDavenport, FLAges Seen: 12+Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 421-7600

Ross, SusanCentral Florida Cancer Institute PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Ages Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 284-6950

40107 Hwy 27Davenport, FLAges Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-0692

Eye Doctor's Optical Outlets (8009)4121 Us 98 N A-140Lakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 859-7100Eye Doctor's Optical Outlets (8018)410 Citi CentreWinter Haven, FL 3425-3425Office Hours: M-F 9AM-5PMOffice Phone: (863) 297-5067Eye Doctor's Optical Outlets (8030)762 Eagle Ridge DrLake Wales, FL 4740-4740Office Hours: M-F 9AM-5PMOffice Phone: (863) 676-0911Eye Doctor's Optical Outlets (8031)3654 Harden Blvd.Lakeland, FL 5968-5968Office Hours: M-F 9AM-5PMOffice Phone: (863) 644-7242Eye Doctor's Optical Outlets (8032)6901 22nd Ave. N Room 760St. Petersburg, FL 3943-3943Office Hours: M-F 9AM-5PMOffice Phone: (727) 343-3006Phillips Salomon & Parrish PA (149)119 Patterson RdHaines City, FL 7803-7803Office Hours: M-F 9AM-5PMOffice Phone: (863) 419-1300Phillips Salomon & Parrish PA (150)1251 Lakeland Hills BlvdLakeland, FL 4673-4673Office Hours: M-F 9AM-5PMOffice Phone: (863) 688-1545

Obstetrics

Oncology

Optometrist

Ob-Gyn Optometrist

Page 17: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

16Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201216X = Providers with this symbol are not accepting new patients.

Phillips Salomon & Parrish PA (151)215 1st St N Ste 100Winter Haven, FL 4507-4507Office Hours: M-F 9AM-5PMOffice Phone: (863) 299-1267Phillips Salomon & Parrish PA (152)4337 S Florida AveLakeland, FL 1654-1654Office Hours: M-F 9AM-5PMOffice Phone: (863) 619-2700Phillips Salomon & Parrish PA (153)5528 Us 98 NLakeland, FL 3104-3104Office Hours: M-F 9AM-5PMOffice Phone: (863) 853-2020Phillips Salomon & Parrish PA (174)1214 N. BroadwayBartow, FL 3343-3343Office Hours: M-F 9AM-5PMOffice Phone: (863) 534-2020

Arango, DavidRoyal Palm Orthopedic & Sports Medicine Institute, LLC1120 Carlton Ave Ste 1600Lake Wales, FL 4347-4347Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 324-6100Hospital Affiliation(s)Winter Haven

Hospital

1543 Lakeland Hills BlvdLakeland, FL 3246-3246Ages Seen: All AgesOffice Hours: M/T/TH/F 8AM-5PMOffice Phone: (863) 324-6100Hospital Affiliation(s)Winter Haven

Hospital

575 E Central AveWinter Haven, FL 3054-3054Ages Seen: All AgesOffice Hours: M/T/TH/F 8AM-5PMOffice Phone: (863) 324-6100Hospital Affiliation(s)Winter Haven

Hospital

Lamoreaux, David CMidflorida Orthopaedic Associates, PLLC42719 Highway 27 Ste 103Davenport, FL 6821-6821Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 877-2880

Bradfield, JosephThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808

Briggs, DeaneThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808

Brooker, Charles RThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251Hospital Affiliation(s)Heart of Florida

Regional Medical Center

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558Hospital Affiliation(s)Heart of Florida

Regional Medical Center

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676Hospital Affiliation(s)Heart of Florida

Regional Medical Center

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Lyle, GeorgeThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676

Orthopedic Surgery

Otolaryngologist

Optometrist Otolaryngologist

Page 18: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

SHP_Polk_01.18.2012 17Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808

Matallana, HermanHerman Matallana, MD, PA5420 Strickland AveLakeland, FL 4264-4264Ages Seen: All AgesLanguage(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 701-9510

Merritt, Robert MThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251Hospital Affiliation(s)Heart of Florida

Regional Medical Center

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558Hospital Affiliation(s)Heart of Florida

Regional Medical Center

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676Hospital Affiliation(s)Heart of Florida

Regional Medical Center

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Rooney, MichaelThe Barranco Clinic, PA160 E Lake Howard AveWinter Haven, FL 3155-3155Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 299-1251

175 Patterson RdHaines City, FL 7803-7803Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 421-4558

2410 S Florida AveLakeland, FL 3857-3857Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 306-9676

302 W Central AveLake Wales, FL 4016-4016Ages Seen: All AgesOffice Hours: M-F 8:30AM-5PMOffice Phone: (863) 678-3808

McRae, Chad EDaniel R Renuart MD, PA, dba Four Corners Pediatrics900 Ingraham AveHaines City, FL 4336-4336Ages Seen: 0-21Language(s): SpanishOffice Hours: M-F 8AM-5PMOffice Phone: (863) 421-6565Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Renuart, Daniel RDaniel R Renuart MD, PA, dba Four Corners Pediatrics900 Ingraham AveHaines City, FL 4336-4336Ages Seen: 0-21Office Hours: M-F 8AM-5PMOffice Phone: (863) 421-6565Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Reich, Jonathan D.Watson Clinic, LLP1600 Lakeland Hills BlvdLakeland, FL 3019-3019Ages Seen: 0-21Office Hours: M/W/TH/F 8:30AM-3PMOffice Phone: (863) 680-7000

Holland, Ann BDundee Podiatry Services PA28079 Highway 27 DundeeDundee, FLAges Seen: All AgesOffice Hours: M-W 9AM-3;30PM, TH

9AM-2;30PM, F 9AM-6PMOffice Phone: (863) 439-4000

Karr, JeffreyKarr Foot Care5421 S Florida AveLakeland, FL 2523-2523Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 646-5960

Wright, VictorVictor Wright, DPM, PA510 W Main StBartow, FL 3657-3657Ages Seen: All AgesOffice Hours: M-F 8AM-5PMOffice Phone: (863) 534-3668

Rahim, PerwaizPerwaiz Rahim, MD, PA2250 Osprey Blvd Ste 105Bartow, FL 4340-4340Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 534-3707

Pediatrics

Pediatrics-Cardiology

Podiatrist

Pulmonary Diseases

Otolaryngologist Pulmonary Diseases

Page 19: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

18Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201218X = Providers with this symbol are not accepting new patients.

Balfour, HarveyCentral Florida Cancer Institute PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Ages Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 284-6950Hospital Affiliation(s)Heart of Florida

Regional Medical Center

2 State Rd 60 WLake Wales, FL 4118-4118Ages Seen: 18-99+Office Hours: M-F 8AM-4;30PMOffice Phone: (863) 679-2960Hospital Affiliation(s)Heart of Florida

Regional Medical Center

40107 Hwy 27Davenport, FLAges Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-0692Hospital Affiliation(s)Heart of Florida

Regional Medical Center

Heysek, RandyCentral Florida Cancer Institute PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Ages Seen: 18-99+Office Hours: M-F 8AM-4;30PMOffice Phone: (863) 284-6950

2 State Rd 60 WLake Wales, FL 4118-4118Ages Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 679-2960

40107 Hwy 27Davenport, FLAges Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-0692

Sha, SandraCentral Florida Cancer Institute PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Ages Seen: 18-99+Office Hours: M-F 8AM-4;30PMOffice Phone: (863) 284-6950

2 State Rd 60 WLake Wales, FL 4118-4118Ages Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 679-2960

40107 Hwy 27Davenport, FLAges Seen: 18-99+Office Hours: M-F 9am - 5pmOffice Phone: (863) 419-0692

Stillerman, Ronald AWatson Clinic, LLP1600 Lakeland Hills BlvdLakeland, FL 3019-3019Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 680-7000

Kao, JohnnyFlorida Cancer Physicians Network LLC - Dept Of Radiation, O200 Ave F NeWinter Haven, FL 4131-4131Ages Seen: All AgesOffice Hours: M - F 8am - 5pmOffice Phone: (863) 297-1865

Chappel, Gary JRadiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 688-2334

Fargher, Scott ARadiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 688-2334

Lima, MarthaRadiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 688-2334

Radiology & Imaging Specialists Of Lakeland Pa, D/B/A CentraRadiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 688-2334

3021 Lakeland Highlands RdLakeland, FL 4339-4339Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 688-2334

Camacho, Cecilia GCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesLanguage(s): SpanishOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Forgue, KristenCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Radiation Oncology

Radiology

Radiology - Radiation Oncology

Radiology-Diagnostic

Speech/Hearing Therapist

Radiation Oncology Speech/Hearing Therapist

Page 20: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

SHP_Polk_01.18.2012 19Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Hanley, CharmaineCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 9am - 5pmOffice Phone: (863) 686-3189

Joyner, ShannonCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Kinsel, PatriciaCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Steed, Jennifer O.Central Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Taylor, DeborahCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Tyner, Amy C.Central Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Ages Seen: All AgesOffice Hours: M-F 8AM-6PMOffice Phone: (863) 686-3189

Medalle, GregorioGregorio Medalle, MD4740 Exploration AveLakeland, FL 3319-3319Office Hours: M-F 9am - 5pmOffice Phone: (863) 773-3773

Meyer, ChristopherLake Wales Clinic Corporation1120 Carlton Ave Ste 1500Lake Wales, FL 4352-4352Office Hours: M-F 9AM-4PMOffice Phone: (863) 679-2702

Patel, SnehalLake Wales Clinic Corporation1120 Carlton Ave Ste 1500Lake Wales, FL 4352-4352Office Hours: M-F 9AM-4PMOffice Phone: (863) 679-2702Hospital Affiliation(s)Central Florida

Regional Hospital

Sinclair, KarleneSinclair Surgical, PA131 Webb Dr Ste BDavenport, FL 3921-3921Office Hours: M-F 9am - 5pmOffice Phone: (863) 421-4407

Thomas, LarryLarry Thomas, MD, PA575 E Central AveWinter Haven, FL 3054-3054Office Hours: M-F 9am - 5pmOffice Phone: (863) 299-5424

Wehman, JosephSpine And Brain Neurosurgery Center, Inc.137 Patterson RdWinter Haven, FLOffice Hours: M-F 9am - 5pmOffice Phone: (863) 422-1650

Morgan, JesseJesse Morgan, MD, PA1350 E Main St Ste B5Bartow, FL 5065-5065Office Hours: M-F 8AM-4PMOffice Phone: (863) 804-0200

Nwobi, ObinnaRapha Vascular Specialists Inc1619 Harden BlvdLakeland, FL 1826-1826Office Hours: M-F 9AM-4PMOffice Phone: (863) 577-8346

Allen, ReginaldCentral Florida Cancer Institute PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Office Hours: M-F 9am - 5pmOffice Phone: (863) 284-6950Hospital Affiliation(s)Heart of Florida

Regional Medical Center, Winter Haven Hospital

2 State Rd 60 WLake Wales, FL 4118-4118Office Hours: M-F 9am - 5pmOffice Phone: (863) 679-2960Hospital Affiliation(s)Heart of Florida

Regional Medical Center, Winter Haven Hospital

4553 Pleasant Hill RdPoinciana, FL 3422-3422Office Hours: M-F 9am - 5pmOffice Phone: (407) 870-0300Hospital Affiliation(s)Heart of Florida

Regional Medical Center, Winter Haven Hospital

Homsy, Yves LPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 8AM-5PMOffice Phone: (813) 874-7500Hospital Affiliation(s)All Children's

Hospital

Surgery-General

Surgery-Neurological

Surgery-Orthopedic

Surgery-Vascular

Urology

Speech/Hearing Therapist Urology

Page 21: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Specialists

20Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201220X = Providers with this symbol are not accepting new patients.

Hoover, Dennis LPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 8AM-5PMOffice Phone: (813) 874-7500

Kolligian, Mark EPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 8AM-5PMOffice Phone: (813) 874-7500

Polsky, Ethan GPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 8AM-5PMOffice Phone: (813) 874-7500

Reisman, Elliot MPediatric Gastroenterology Hepatology & Nutrition Of Florida3310 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 8AM-5PMOffice Phone: (813) 874-7500

Urology Urology

Page 22: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Dental Providers

SHP_Polk_01.18.2012 21

Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Goldston, DavidArtistic Dental Of Polk City LLC120 Carter BlvdPolk City, FL 8908-8908Language(s): EnglishOffice Hours: T 8AM-5PM, F 1PM-5PMOffice Phone: (863) 984-0000

Johnson, WilliamSonrise Dental519 Bartow RdLakeland, FL 5466-5466Office Hours: M-F 10AM - 6PMOffice Phone: (863) 682-6531

Polk

Dentist

Dentist Dentist

Page 23: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Ancillary Providers

SHP_Polk_01.18.2012 22

Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.X = Providers with this symbol are not accepting new patients.

Surgicare Of Lakeland Ltd D/B/A Central Florida, Surgi CenteSurgicare Of Lakeland Ltd D/B/A Central Florida, Surgi Cente900 Griffin RdLakeland, FL 2442-2442Office Hours: M-F 9AM-5PMOffice Phone: (863) 686-3344

The Lakeland FL Endoscopy Asc, LLCThe Lakeland FL Endoscopy Asc, LLC3340 Lakeland Hills BlvdLakeland, FL 1974-1974Office Hours: M-F 9AM-5PMOffice Phone: (863) 682-3239

Winter Haven Ambulatory Surgical Center, LLCWinter Haven Ambulatory Surgical Center, LLC325 Ave B NWWinter Haven, FL 4651-4651Office Hours: M-F 7AM-5PMOffice Phone: (863) 299-9179

Interim Health Care Of Lakeland, IncRoyal Palm Orthopedic & Sports Medicine Institute, LLC1543 Lakeland Hills BlvdLakeland, FL 3246-3246Office Hours: M-F 9AM-5PMOffice Phone: (863) 619-8822

Pediatric Therapy Services, IncPediatric Therapy Services, Inc1215 E Orange StLakeland, FL 5762-5762Office Hours: M-F 9AM-5PMOffice Phone: (813) 662-1060

Prescribed Pediatric Extended Care, IncPrescribed Pediatric Extended Care, Inc3131 Lakeland Hills BlvdLakeland, FL 2222-2222Office Hours: M-F 9AM-5PMOffice Phone: (863) 603-0515

Hanger Prosthetics & OrthoticsHanger Prosthetics & Orthotics215 First St N Ste 300AWinter Haven, FL 4537-4537Office Hours: M-F 9AM-5PMOffice Phone: (863) 299-8555

Integrity Prosthetics And Orthotics, LLC.Integrity Prosthetics And Orthotics, LLC.1705 Lakeland Hills BlvdLakeland, FL 3001-3001Office Hours: M-F 9AM-5PMOffice Phone: (863) 937-9200

Advance Technological Radiology, PAAdvance Technological Radiology, PA2235 N Blvd WDavenport, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 421-9393

Radiology & Imaging Specialists Of Lakeland Pa, D/B/A UprighRadiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Office Hours: M-F 9AM-5PMOffice Phone: (863) 688-2334

Radiology & Imaging Specialists Of Lakeland Pa, D/B/A Women'Radiology & Imaging Specialists Of Lakeland PA1305 Lakeland Hills BlvdLakeland, FL 4542-4542Office Hours: M-F 9AM-5PMOffice Phone: (863) 688-2334

Central Florida Speech And Hearing CenterCentral Florida Speech And Hearing Center710 E Bella Vista StLakeland, FL 3009-3009Office Hours: M-F 9AM-5PMOffice Phone: (863) 686-3189

Polk

Ambulatory Surgical Center

Home Health Agency

Physical Therapy

Prosthetics And Orthotics

Radiology-Diagnostic

Speech/Hearing Therapist

Ambulatory Surgical Center Speech/Hearing Therapist

Page 24: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Behavioral Health

SHP_Polk_01.18.2012 23Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Peace River Center for Personal Dev.1255 Golfview AvenueBartow, FL 6736-6736Office Hours: Office Phone: (863) 519-0575

Winter Haven Hospital, Inc.200 Avenue F, NEWinter Haven, FL 4131-4131Office Hours: Office Phone: (863) 291-1121

Althafer, BrettCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Braunstein, Colette749 State Road 60 EastLake Wales, FL 4240-4240Office Hours: M-F 9AM-5PMOffice Phone: (863) 676-3136

Goldberg, LawrenceCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Hogan, DebraWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Kent, DonnaPeace River Center for Personal Development1255 Golfview AvenueBartow, FL 6736-6736Office Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

LeBlanc, PatrickWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Mohan, MeenakshiWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Sanders, KevinWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Sandler, StephenPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Tomko, KarenPeace River Center for Personal Development1255 Golfview AvenueBartow, FL 6736-6736Office Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Anyiam, EmekeaCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Cohen-Posey, Kate930 Alicia RoadLakeland, FL 2104-2104Office Hours: M-F 9AM-5PMOffice Phone: (863) 680-1950

Shearon, ScottCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Ammoun, LydiaCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Chambers, EugeneCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Clark, CristyCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Knight-Miller, PatriciaPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Mehnert, VivianPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Owen, Frances (Kay)Winter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Polk

Inpatient Facility

Licensed Clinical Social Worker

Licensed Marriage and Family Therapist

Licensed Mental Health Counselor

Inpatient Facility Licensed Mental Health Counselor

Page 25: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Behavioral Health

24Directory is subject to change. Please call to make sure the provider still participates in the network.

SHP_Polk_01.18.201224X = Providers with this symbol are not accepting new patients.

Trainor, MichaelCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

West, RobertPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Wilcox, SharonPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Mehta, Jitendra571 Ave K. SEWinter Haven, FL 4215-4215Office Hours: M-F 9AM-5PMOffice Phone: (863) 299-1498

Montero, Emilio1812 Lakeland Hills BlvdLakeland, FL 3004-3004Office Hours: M-F 9AM-5PMOffice Phone: (863) 682-2117

Winny, George1201 First Street, SouthWinter Haven, FL 3904-3904Ages Seen: 03Y-99YOffice Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Alsamman, MajdWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Ashby, Mark2821 Alt. US 27 SouthSebring, FL 4972-4972Office Hours: M-F 9AM-5PMOffice Phone: (863) 382-3914

Desai, DevyaniPeace River Center for Personal Development1239 East Main StreetBartow, FL 5058-5058Office Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Grissom, ChristineCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Jeewa, MohammedPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

King, AlicePeace River Center for Personal Development1255 Golfview AvenueBartow, FL 6736-6736Office Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Masferrer, MariaCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Mehta, Jitendra571 Avenue K. SoutheastWinter Haven, FL 4215-4215Office Hours: M-F 9AM-5PMOffice Phone: (863) 299-1498

Minto, MaxineCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Montero, Emilio1812 Lakeland Hills BoulevardLakeland, FL 3004-3004Office Hours: M-F 9AM-5PMOffice Phone: (863) 682-2117

Patel, Shodhan930 Alicia RoadLakeland, FL 2104-2104Office Hours: M-F 9AM-5PMOffice Phone: (863) 680-1950

Rao, TakkallapelliWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Rasul, IftikharWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Restrepo, AlvaroPeace River Center for Personal Development1835 North Gilmore AvenueLakeland, FLOffice Hours: M-F 9AM-5PMOffice Phone: (863) 519-0575

Rodriguez-Torres, JaimeCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Vangala, Vidyasagar2504 Sand Mine RoadDavenport, FL 3402-3402Office Hours: M-F 9AM-5PMOffice Phone: (863) 419-7645

Vega, HildaCoastal Mental Health Center, Inc.801 South Florida AvenueLakeland, FL 5242-5242Office Hours: M-F 9AM-5PMOffice Phone: (800) 614-4124

Psychiatry - Adult

Psychiatry - Child

Psychiatry/Psychology

Licensed Mental Health Counselor Psychiatry/Psychology

Page 26: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Behavioral Health

SHP_Polk_01.18.2012 25Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Winny, GeorgeWinter Haven Hospital, Inc. Behavioral Health Division1201 First Street, SouthWinter Haven, FL 3904-3904Office Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Dorta-Duque, Jorge1201 First Street, SouthWinter Haven, FL 3904-3904Ages Seen: 03Y-99YOffice Hours: M-F 9AM-5PM

Gluszak, Boguslaw1239 East Main StreetBartow, FL 5058-5058Ages Seen: 03Y-99YOffice Hours: M-F 9AM-5PM

Roberts, Malcolm1201 First Street, SouthWinter Haven, FL 3904-3904Ages Seen: 03Y-99YOffice Hours: M-F 9AM-5PMOffice Phone: (863) 294-7062

Psychiatry-Child

Psychiatry/Psychology Psychiatry-Child

Page 27: Medicaid Provider Directory Polk County Provider Directory Polk County . 1 ... you need to pick a doctor. The Dr. will send you to a specialist if you need one. ... Car 3240 S Florida

Participating Pharmacies

SHP_Polk_01.18.2012 26

Directory is subject to change. Please call to make sure the provider still participates in the network.

X = Providers with this symbol are not accepting new patients.

Bond Clinic PA500 E Central AveWinter Haven, FL 3053-3053Phone: (863) 293-1191

Careplus Pharmacy3020 Combee RdLakeland, FL 7306-7306Phone: (863) 668-8490

Central Pharmacy1671 E Hinson AveHaines City, FL 4908-4908Phone: (863) 419-7777

Clark And Daughtrey Med Grp, PA1730 Lakeland Hills BlvdLakeland, FL 3013-3013Phone: (863) 284-5040

Cleveland Heights Pharmacy3405 Cleveland Hts BlvdLakeland, FL 4807-4807Phone: (863) 646-5041

Clinic Prescription Shop1600 Lakeland Hills BlvdLakeland, FL 3019-3019Phone: (863) 680-7235

Covance Specialty Pharmacy, Lic500 Eagles Landing DrLakeland, FL 2899-2899Phone: (866) 842-2147

CVS Pharmacy120 W Van Fleet DrBartow, FL 3836-3836Phone: (863) 533-4153

1635 Bartow RdLakeland, FL 6585-6585Phone: (863) 686-5161

1701 E Hinson AveHaines City, FL 4957-4957Phone: (863) 422-1159

2041 George Jenkins BlvdLakeland, FL 3761-3761Phone: (863) 686-3131

2536 US Hwy 92 ELakeland, FL 2601-2601Phone: (863) 665-3171

3005 Sir 540 WWinter Haven, FLPhone: (863) 293-0193

35799 Hwy 27Haines City, FL 3734-3734Phone: (863) 422-4969

39902 Hwy 27Davenport, FL 7804-7804Phone: (863) 419-2721

400 6th St NWWinter Haven, FL 4062-4062Phone: (863) 294-4493

49581 US Hwy 27Davenport, FL 9507-9507Phone: (863) 420-7563

500 S 11th StLake Wales, FL 4901-4901Phone: (863) 676-2564

5010 S Florida AveLakeland, FL 2510-2510Phone: (863) 644-2411

5391 N Socrum Loop RdLakeland, FL 4272-4272Phone: (863) 858-6001

6105 US Hwy 98 NLakeland, FL 6223-6223Phone: (863) 858-4441

6170 Lakeland Highlands RdLakeland, FL 3850-3850Phone: (863) 619-6409

7009 Cypress Gardens BlvdWinter Haven, FL 3278-3278Phone: (863) 324-5873

7575 Osceola Polk Line RdDavenport, FL 9112-9112Phone: (321) 677-0531

970 Cypress Gardens BlvdWinter Haven, FL 4636-4636Phone: (863) 294-3138

99 Magnolia AveAuburndale, FL 4301-4301Phone: (863) 967-4451

Edge Pharmacy2039 E Edgewood DrLakeland, FL 3601-3601Phone: (863) 937-1050

Fast & Friendly Pharmacy13 W Broadway StFort Meade, FL 3303-3303Phone: (863) 622-2087

5100 US Hwy 98th NLakeland, FL 0534-0534Phone: (863) 937-9045

First Choice Pharmacy401 E Hinson AveHaines City, FL 5237-5237Phone: (863) 438-2799

Genoa Healthcare1201 1st St SWinter Haven, FL 3904-3904Phone: (863) 291-4707

Jay Care Med Center135 E 1st StLakeland, FL 4609-4609Phone: (863) 682-0843

K Mart Pharmacy4717 S Florida AveLakeland, FL 2126-2126Phone: (863) 648-9748

6015 Cyprus Gardens BlvdWinter Haven, FL 4115-4115Phone: (863) 326-1612

Kay Pharmacy637 1st St SWinter Haven, FL 3604-3604Phone: (863) 268-8218

King Pharmacy35930 US Hwy 27Haines City, FL 3737-3737Phone: (863) 422-1888

K-T Pharmacy490 E Summerlin StBartow, FL 4731-4731Phone: (863) 533-4102

Lakeland City Pharmacy2614 Lakeland Hills BlvdLakeland, FL 2249-2249Phone: (863) 637-9700

Lakeland Community Pharmacy3133 S Florida AveLakeland, FL 4563-4563Phone: (863) 646-2444

Polk

Pharmacy Pharmacy

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Participating Pharmacies

SHP_Polk_01.18.2012 27

Directory is subject to change. Please call to make sure the provider still participates in the network.

Lakeland Discount Pharmacy1755 E Edgewood DrLakeland, FL 3411-3411Phone: (863) 937-9715

Lakeland Pharmacy950-952 S Florida AveLakeland, FL 1153-1153Phone: (813) 935-4936

Lakeland Regional Medical Center Outpatient Pharmacy1324 Lakeland Hills BlvdLakeland, FL 4543-4543Phone: (863) 687-1100

Liddys Pharmacy4204 S Florida AveLakeland, FL 1669-1669Phone: (863) 647-9899

Martin Drug437 S Central AveLakeland, FL 4332-4332Phone: (863) 683-2807

Met Drug4969 Hwy 98 NLakeland, FL 3657-3657Phone: (863) 858-4444

Mulberry Long Term Care Pharmacy1011 N Church AveMulberry, FL 2039-2039Phone: (863) 425-1101

Mulberry Pharmacy1009 N Church AveMulberry, FL 2039-2039Phone: (863) 425-1497

Pharmacy One Pro Specialty Care Phc65 3rd St NWWinter Haven, FL 4670-4670Phone: (863) 401-9300

Pharmacyonepro-Miami2060 NW 22 AveWinter Haven, FL 7336-7336Phone: (305) 633-0808

Publix Pharmacy1090 Spirit Lake RdWinter Haven, FL 1226-1226Phone: (863) 293-5007

1395 6th St NWWinter Haven, FL 2364-2364Phone: (863) 294-8282

2040 Shepherd RdMulberry, FL 8699-8699Phone: (863) 644-5929

2175 E County Rd 540ALakeland, FL 3794-3794Phone: (863) 619-8332

2300 Griffin RdLakeland, FL 6760-6760Phone: (863) 858-5779

23965 US Hwy 27Lake Wales, FL 7812-7812Phone: (863) 676-1399

2424 Sand Mine RdDavenport, FL 3400-3400Phone: (863) 424-9973

2515 S Florida AveLakeland, FL 3858-3858Phone: (863) 686-4241

3636 Harden BlvdLakeland, FL 5938-5938Phone: (863) 647-3781

39883 Highway 27Davenport, FL 7802-7802Phone: (863) 421-9245

4730 S Florida AveLakeland, FL 2181-2181Phone: (863) 646-5471

5185 Us Highway 98 SLakeland, FLPhone: (863) 644-7969

5375 N Socrum Loop RdLakeland, FL 4272-4272Phone: (863) 859-6353

6031 Cypress Gardens BlvdWinter Haven, FL 4115-4115Phone: (863) 324-1557

606 Havendale BlvdAuburndale, FL 4687-4687Phone: (863) 551-9798

617 US Hwy 17-92 WHaines City, FL 5047-5047Phone: (863) 419-1231

6767 US Hwy 98Lakeland, FL 6226-6226Phone: (863) 859-5838

7800 Lake Wilson RdDavenport, FL 9605-9605Phone: (863) 420-3727

884 Cypress Gardens BlvdWinter Haven, FL 4726-4726Phone: (863) 293-2382

Rx Care Club500 Eagles Landing DrLakeland, FL 2899-2899Phone: (866) 336-4103

Sams Club Pharmacy4600 N Rd 98Lakeland, FLPhone: (863) 853-3701

Senior Care Pharmacy5309 Great Oak DrLakeland, FL 3113-3113Phone: (863) 577-1440

Sun And Lake Pharmacy Services Inc1231 Lakeland Hills BlvdLakeland, FL 4673-4673Phone: (863) 688-5427

Sunshine Pharmacy120 Carter BlvdPolk, FL 8908-8908Phone: (999) 999-9999

Sweetbay Supermarket Pharmacy6220 US Hwy 98 NLakeland, FL 3277-3277Phone: (863) 858-4088

Target3570 Harden BlvdLakeland, FL 5928-5928Phone: (863) 648-0512

4005 Hwy 98 NLakeland, FL 3815-3815Phone: (863) 815-9408

5000 Grandview PkwyDavenport, FL 2300-2300Phone: (863) 256-1052

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Participating Pharmacies

SHP_Polk_01.18.2012 28

Directory is subject to change. Please call to make sure the provider still participates in the network.

The Apothecary Shop437 S 11 StLake Wales, FL 4250-4250Phone: (863) 676-1174

Tri County Pharmacy & Ltc1807 Crystal Lake DrLakeland, FL 5979-5979Phone: (863) 937-0480

Walgreens101 Ariana StLakeland, FL 2159-2159Phone: (863) 688-5525

1093 US Hwy 27 NHaines City, FLPhone: (863) 422-6661

155 E Van Fleet DrBartow, FL 3829-3829Phone: (863) 533-6669

1903 State Rd 60 ELake Wales, FL 4329-4329Phone: (863) 676-9496

24170 Us Highway 27Lake Wales, FL 7801-7801Phone: (863) 676-7569

2425 US Hwy 92 ELakeland, FL 2649-2649Phone: (863) 666-6670

311 E Memorial BlvdLakeland, FL 1766-1766Phone: (863) 688-1386

3120 Kathleen RdLakeland, FL 6707-6707Phone: (863) 853-1087

40079 Hwy 27Davenport, FLPhone: (863) 547-3903

4340 S Florida AveLakeland, FL 1631-1631Phone: (863) 644-7549

4445 US Hwy 98 NLakeland, FL 0402-0402Phone: (863) 815-2343

501 S Havendale BlvdAuburndale, FL 4629-4629Phone: (863) 967-7518

5545 Cypress Gardens BlvdWinter Haven, FL 2243-2243Phone: (863) 318-8656

6210 Lakeland Highlands RdLakeland, FL 3844-3844Phone: (863) 647-3551

6710 Old Polk City RdLakeland, FL 8300-8300Phone: (863) 815-3373

6730 US Hwy 98 NLakeland, FL 3284-3284Phone: (863) 858-3829

6800 US Hwy 27 NDavenport, FLPhone: (863) 420-6120

6985 S Florida AveLakeland, FL 3318-3318Phone: (863) 647-1961

705 1st St SWinter Haven, FL 3602-3602Phone: (863) 294-7487

809 Havendale Blvd NWWinter Haven, FLPhone: (863) 293-9133

8265 Champions Gate BlvdDavenport, FL 8387-8387Phone: (321) 677-0487

Wal-Mart Pharmacy1050 Van Fleet DrBartow, FL 7618-7618Phone: (863) 533-2131

2000 State Rd 60 ELake Wales, FL 5182-5182Phone: (863) 676-9468

2120 US Hwy 92 WAuburndale, FL 3923-3923Phone: (863) 551-3536

3501 S Florida AveLakeland, FL 4860-4860Phone: (863) 644-0671

3530 Lakeland Highlands RdLakeland, FL 4313-4313Phone: (863) 644-9513

355 Cypress Garden BlvdWinter Haven, FL 4452-4452Phone: (863) 299-5131

36205 Us Highway 27Haines City, FL 3744-3744Phone: (863) 422-7582

5800 N Hwy 98Lakeland, FL 3110-3110Phone: (863) 859-3772

6745 N Church AveMulberry, FL 2080-2080Phone: (863) 701-8049

7450 Cypress Gardens BlvdWinter Haven, FL 6200-6200Phone: (863) 318-0252

904 Cypress PkwyPoinciana, FL 3456-3456Phone: (407) 870-2501

Watsons Pharmacy16 W Wall StFrostproof, FL 2042-2042Phone: (863) 635-4568

Webbs Square Pharmacy141 Webb DrDavenport, FL 3951-3951Phone: (863) 421-9200

Wilson Drug4977 US Hwy 98 NLakeland, FL 3657-3657Phone: (863) 858-4444

Winn-Dixie Pharmacy1305 W Ariana StLakeland, FL 1879-1879Phone: (863) 688-3117

1860 State Rd 60 ELake Wales, FL 4368-4368Phone: (863) 676-2266

243 US Hwy 27 SDundee, FLPhone: (863) 439-3941

2630 US Hwy 92Lakeland, FL 2654-2654Phone: (863) 665-5553

2700 Recker HwyWinter Haven, FL 1901-1901Phone: (863) 291-3522

2900 Lakeland Highlands RdLakeland, FL 4379-4379Phone: (863) 667-2711

345 Havendale BlvdAuburndale, FL 4513-4513Phone: (863) 967-7803

36019 US Hwy 27 NHaines City, FL 3740-3740Phone: (863) 421-0639

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Participating Pharmacies

SHP_Polk_01.18.2012 29

Directory is subject to change. Please call to make sure the provider still participates in the network.

6600 N Socrum Loop RdLakeland, FL 4181-4181Phone: (863) 859-3611

6902 S Florida AveLakeland, FL 3317-3317Phone: (863) 646-3617

Winterhaven Pharmacy1620 6th St SWinterhaven, FL 4604-4604Phone: (863) 291-0400