Public Reporting

ACO Name and Location

Pathways Accountable Care, LLC. d/b/a Pathways Health Partners
700 W Main St.
Leesburg, FL 34748

ACO Primary Contact

Primary Contact

Ricardo Matos

Primary Phone Number

(800) 632-6228

Primary Email Address

ricardo.matos@pathwayshp.com

ACO Participant Providers and Preferred Providers

Performance Year	Provider Type	Provider Class	Provider Legal Business Name	Individual NPI	Individual First Name	Individual Last Name	Organization NPI	Base Provider TIN	Base Provider TIN Status	CCN	Specialty
PY2025	Organizational Provider	Participant Provider	360 DEGREE MEDICAL CARE PA				1.760.916.696	821.053.002	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	ACCESSREHAB, LLC				1.891.932.463	262.411.860	Approved	109.742
PY2025	Organizational Provider	Participant Provider	ADVANCED REHAB SPECIALTIES P.A.				1.295.124.329	464.586.160	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	ALL FOR HEALTH PLLC				1.083.307.060	923.196.136	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	ANU R TATAMBHOTLA MD PA				1.114.152.188	593.617.413	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	ASHLEY K SHARMA MD PA				1.194.115.980	593.601.538	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	AVANTE AT INVERNESS, INC.				1.750.464.830	650.234.652	Approved	105.308
PY2025	Facility and Institutional Provider	Preferred Provider	AVANTE AT LEESBURG, INC.				1.538.223.722	650.222.785	Approved	105.304
PY2025	Facility and Institutional Provider	Preferred Provider	AVANTE AT MT. DORA, INC.				1.922.162.163	651.034.192	Approved	105.333
PY2025	Facility and Institutional Provider	Preferred Provider	AVANTE AT OCALA, INC.				1.518.116.706	263.324.490	Approved	106.084
PY2025	Facility and Institutional Provider	Preferred Provider	AVANTE AT ORLANDO, INC.				1.750.445.912	593.600.371	Approved	106.027
PY2025	Facility and Institutional Provider	Preferred Provider	BAYVIEW CENTER, LLC				1.215.925.581	431.988.458	Approved	105.324
PY2025	Facility and Institutional Provider	Preferred Provider	BC SNF, LLC				1.740.949.122	861.216.162	Approved	106.114
PY2025	Organizational Provider	Preferred Provider	BLISS SPECIALTY HEALTHCARE GROUP				1.164.192.381	872.627.314	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	CARESOUTH HHA HOLDINGS OF THE BAY AREA ,LLC				1.477.506.780	800.820.776	Approved	107.540
PY2025	Facility and Institutional Provider	Preferred Provider	CARETENDERS VISITING SERVICES OF HERNANDO COUNTY, LLC				1.578.728.242	205.826.497	Approved	108.235
PY2025	Facility and Institutional Provider	Preferred Provider	CARETENDERS VISITING SERVICES OF OCALA, LLC				1.578.512.927	204.522.444	Approved	107.736
PY2025	Facility and Institutional Provider	Preferred Provider	CARETENDERS VISITING SERVICES OF PINELLAS COUNTY, LLC				1.104.081.876	205.826.531	Approved	107.539
PY2025	Organizational Provider	Participant Provider	CARLOS CHANG MD PA				1.598.795.221	201.325.238	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	CCRC-FREEDOM POINTE AT THE VILLAGES, LLC				1.457.587.818	562.530.903	Approved	106.083
PY2025	Facility and Institutional Provider	Preferred Provider	CCRC - LAKE PORT SQUARE LLC				1.073.927.331	320.441.123	Approved	105.705
PY2025	Facility and Institutional Provider	Preferred Provider	CCRC - REGENCY OAKS, LLC				1.164.836.425	352.507.932	Approved	105.744
PY2025	Facility and Institutional Provider	Preferred Provider	CCRC OPCO-FREEDOM SQUARE LLC				1.780.098.202	465.732.957	Approved	106.042
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.194.918.854	113.454.105	Approved	109.102
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.518.996.461	113.454.105	Approved	107.112
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.841.229.515	113.454.105	Approved	107.512
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.972.533.180	113.454.105	Approved	107.330
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.982.634.101	113.454.105	Approved	107.200
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.083.648.950	113.454.105	Approved	107.275
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.700.821.097	113.454.105	Approved	107.136
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.023.045.390	113.454.105	Approved	107.234
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.003.844.655	113.454.105	Approved	107.171
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.114.955.713	113.454.105	Approved	107.338
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.114.956.349	113.454.105	Approved	107.486
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.689.603.870	113.454.105	Approved	107.290
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.518.991.215	113.454.105	Approved	107.240
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.427.082.122	113.454.105	Approved	107.166
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.134.153.836	113.454.105	Approved	108.045
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.689.608.382	113.454.105	Approved	107.132
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.497.789.192	113.454.105	Approved	107.017
PY2025	Facility and Institutional Provider	Preferred Provider	CENTERWELL HEALTH SERVICES CERTIFIED, INC.				1.669.406.377	113.454.105	Approved	107.420
PY2025	Organizational Provider	Preferred Provider	SERGIO L BALINGIT JR MD PA				1.386.994.135	593.670.272	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	CITRUS HILLS NURSING AND REHAB LLC				1.922.756.436	881.010.251	Approved	106.036
PY2025	Facility and Institutional Provider	Preferred Provider	CITRUS NURSING CENTER LLC				1.962.895.086	473.250.739	Approved	105.858
PY2025	Organizational Provider	Participant Provider	CITRUS PREFERRED CLINIC,LLC				1.750.976.874	851.997.192	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	CLEAR WATER CARE ACQUISITION LLC				1.982.195.111	825.504.073	Approved	105.453
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.649.785.064	341.853.567	Approved	686.945
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.942.702.766	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.962.990.317	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.568.952.042	341.853.567	Approved	686.943
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.356.801.104	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.467.013.581	341.853.567	Approved	106.886
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.427.603.729	341.853.567	Approved	686.945
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.417.384.686	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.225.445.521	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.346.516.887	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.699.074.187	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.063.709.152	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.972.989.630	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.346.626.009	341.853.567	Approved	686.930
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.639.540.867	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.730.531.302	341.853.567	Approved	686.945
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.629.597.463	341.853.567	Approved	686.702
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.548.772.049	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.437.661.683	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.982.117.446	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.689.194.326	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.427.579.291	341.853.567	Approved	686.930
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.306.037.924	341.853.567	Approved	686.711
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.942.352.257	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.194.859.165	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.174.633.283	341.853.567	Approved	686.709
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.902.996.333	341.853.567	Approved	686.691
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.801.986.237	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.235.163.312	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.033.143.110	341.853.567	Approved	686.715
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.508.881.350	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.225.061.872	341.853.567	Approved	106.886
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.689.607.236	341.853.567	Approved	106.677
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.497.788.046	341.853.567	Approved	686.709
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.124.051.776	341.853.567	Approved	106.677
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.851.324.404	341.853.567	Approved	686.691
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.114.950.763	341.853.567	Approved	106.886
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.487.687.034	341.853.567	Approved	106.886
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.003.849.654	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.467.484.618	341.853.567	Approved	686.930
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.518.999.812	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.104.858.356	341.853.567	Approved	686.702
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.194.754.747	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.447.289.095	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.265.461.818	341.853.567	Approved	686.715
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.073.542.627	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.790.714.343	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.972.532.521	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.326.077.975	341.853.567	Approved	686.691
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.598.794.141	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.225.067.879	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.134.158.785	341.853.567	Approved	686.925
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.861.421.414	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.215.966.874	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.730.118.399	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.275.562.845	341.853.567	Approved	686.711
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.790.711.943	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.518.993.765	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.336.175.587	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.972.539.120	341.853.567	Approved	686.709
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.881.620.037	341.853.567	Approved	686.695
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.235.165.499	341.853.567	Approved	686.702
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.124.054.382	341.853.567	Approved	106.677
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.881.620.052	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.265.478.689	341.853.567	Approved	686.715
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.184.660.599	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.801.832.217	341.853.567	Approved	686.686
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.851.323.091	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.215.969.472	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.538.192.182	341.853.567	Approved	686.702
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.629.001.284	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.700.819.364	341.853.567	Approved	686.709
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.730.112.905	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.639.102.809	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.700.819.976	341.853.567	Approved	686.943
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.790.718.963	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.609.809.870	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.508.899.774	341.853.567	Approved	686.943
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.225.061.492	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.043.243.215	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.134.152.317	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.124.051.305	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.851.324.032	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.396.778.577	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.568.495.745	341.853.567	Approved	686.651
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.710.910.997	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.952.334.146	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.205.869.492	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.568.495.752	341.853.567	Approved	686.708
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.194.758.383	341.853.567	Approved	686.702
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.366.475.550	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.992.738.181	341.853.567	Approved	106.690
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.437.182.623	341.853.567	Approved	686.722
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.881.627.073	341.853.567	Approved	686.925
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.336.172.535	341.853.567	Approved	686.925
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.699.708.891	341.853.567	Approved	686.925
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.952.334.153	341.853.567	Approved	686.637
PY2025	Facility and Institutional Provider	Preferred Provider	CORA HEALTH SERVICES, INC.				1.689.604.639	341.853.567	Approved	686.720
PY2025	Facility and Institutional Provider	Preferred Provider	CORNERSTONE HOSPICE & PALLIATIVE CARE INC				1.619.028.313	592.330.114	Approved	101.525
PY2025	Organizational Provider	Preferred Provider	ELITE IMAGING LLC				1.376.819.888	651.091.915	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	ELITE IMAGING LLC				1.346.516.853	651.091.915	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	ELITE IMAGING LLC				1.942.208.319	651.091.915	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	EMPATH HOME HEALTH LLC				1.083.010.805	300.836.487	Approved	107.220
PY2025	Facility and Institutional Provider	Preferred Provider	EH HOME HEALTH OF THE SOUTHEAST, LLC				1.750.775.003	471.159.229	Approved	108.449
PY2025	Facility and Institutional Provider	Preferred Provider	EH HOME HEALTH OF THE SOUTHEAST, LLC				1.457.767.006	471.159.229	Approved	109.775
PY2025	Facility and Institutional Provider	Preferred Provider	EH HOME HEALTH OF THE SOUTHEAST, LLC				1.477.969.020	471.159.229	Approved	109.494
PY2025	Facility and Institutional Provider	Preferred Provider	EH HOME HEALTH OF THE SOUTHEAST, LLC				1.134.535.545	471.159.229	Approved	109.687
PY2025	Facility and Institutional Provider	Preferred Provider	EH HOME HEALTH OF THE SOUTHEAST, LLC				1.487.032.397	471.159.229	Approved	109.532
PY2025	Facility and Institutional Provider	Preferred Provider	FLORIDA HOMECARE SPECIALISTS INCORPORATED LLC				1.609.924.265	204.733.182	Approved	109.071
PY2025	Organizational Provider	Preferred Provider	FLORIDA ONCOLOGY TAVARES LLC				1.629.461.371	472.779.617	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	FLORIDA SPORTS AND FAMILY HEALTH CENTER PA				1.972.671.527	593.275.101	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC				1.982.642.922	800.006.481	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	GASTROENTEROLOGY AND NUTRITION OF CENTRAL FLORIDA LLC				1.316.996.945	204.622.819	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	GEORGE R IKELER, M.D P.A.				1.508.097.759	591.450.812	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	HARTFORD HEALTH SERVICES, LLC				1.942.238.506	203.612.660	Approved	108.320
PY2025	Facility and Institutional Provider	Preferred Provider	HORIZON HOME CARE LLC				1.801.098.066	202.269.649	Approved	108.428
PY2025	Facility and Institutional Provider	Preferred Provider	HORIZON HOME CARE LLC				1.942.255.716	202.269.649	Approved	108.223
PY2025	Facility and Institutional Provider	Preferred Provider	HORIZON HOMECARE OF CENTRAL FLORIDA LLC				1.003.371.287	833.395.670	Approved	687.086
PY2025	Facility and Institutional Provider	Preferred Provider	INNOVATIVE SENIOR CARE HOME HEALTH OF OCALA LLC				1.679.721.625	263.102.340	Approved	109.581
PY2025	Organizational Provider	Participant Provider	JEFFREY A CARAMEROS PLLC				1.326.434.234	471.344.452	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	CITRUS CARDIOLOGY CONSULTANTS, PLLC				1.669.405.379	592.123.944	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	KEY WEST HHA, LLC				1.053.833.368	371.862.951	Approved	109.772
PY2025	Facility and Institutional Provider	Preferred Provider	KEYSTONE HOME HEALTH, INC.				1.609.976.950	510.541.030	Approved	108.469
PY2025	Organizational Provider	Participant Provider	L.A. OLIVERIO,MD ENTERPRISES, INC.				1.194.042.556	593.114.297	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA				1.255.314.704	840.611.484	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA HOLDINGS				1.215.914.288	133.757.370	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA HOLDINGS				1.033.196.001	133.757.370	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA HOLDINGS				1.538.144.910	133.757.370	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA HOLDINGS				1.932.184.322	133.757.370	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	LABORATORY CORPORATION OF AMERICA HOLDINGS				1.902.809.940	133.757.370	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Participant Provider	LAKE COUNTY PRIMARY MEDICAL CARE LLC				1.568.451.888	841.688.762	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	LAKE GASTROENTEROLOGY ASSOCIATES LLC				1.972.801.827	274.317.031	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	LAKE INTERNAL MEDICINE ASSOCIATES				1.679.595.649	593.375.267	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	LCO GROUP PA				1.124.037.783	592.953.521	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	LHCG CLV, LLC				1.649.804.220	844.829.877	Approved	107.236
PY2025	Organizational Provider	Participant Provider	LOWELL F. CLARK MD PA				1.326.671.256	593.688.532	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	LOWELL F. CLARK MD PA				1.629.278.882	593.688.532	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	MANOOGIAN ORTHOPEDIC CENTER PA				1.205.945.763	593.736.719	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	MED-TECH SERVICES OF PALM BEACH, INC.				1.639.125.263	650.644.307	Approved	107.526
PY2025	Facility and Institutional Provider	Preferred Provider	MED-TECH SERVICES OF SOUTH FLORIDA, INC.				1.700.832.060	650.277.280	Approved	107.168
PY2025	Organizational Provider	Preferred Provider	MEDICAL IMAGING& THERAPEUTICS LLC				1.528.308.350	270.609.291	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	MEDICAL SCANNING CONSULTANTS PA				1.871.560.201	411.410.766	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	MID FLORIDA PHYSICIANS GROUP INC				1.629.565.932	824.694.026	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	NCRNC INC				1.326.479.452	464.044.482	Approved	105.621
PY2025	Organizational Provider	Participant Provider	NEAL C LUMAPAS MD PA				1.619.127.008	593.754.453	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	NICOLE M BISHKO DO PA				1.154.578.235	262.255.391	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	NORMAN S NOVIS MD PA				1.316.290.042	461.166.247	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL, LLC				1.720.286.651	203.376.952	Approved	107.207
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL, LLC				1.891.747.952	203.376.952	Approved	108.013
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL, LLC				1.851.343.842	203.376.952	Approved	108.149
PY2025	Organizational Provider	Participant Provider	NURSE PRACTITIONERS OF PINELLAS, LLC.				1.851.878.094	831.142.955	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL HOME CARE, LLC				1.902.881.642	593.621.609	Approved	107.612
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL OF BROWARD, LLC				1.497.707.541	571.222.623	Approved	108.253
PY2025	Facility and Institutional Provider	Preferred Provider	NURSE ON CALL OF SOUTH FLORIDA, LLC				1.922.083.666	650.174.227	Approved	107.271
PY2025	Organizational Provider	Participant Provider	OCALA FAMILY MEDICAL CENTER INC				1.871.589.192	593.158.481	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	OCALA FAMILY PRACTICE LLC				1.760.866.164	474.426.509	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	OCALA SURGICAL CENTER				1.669.720.439	842.579.958	Approved		AMBULATORY SURGICAL CENTER
PY2025	Facility and Institutional Provider	Preferred Provider	ODYSSEY HEALTHCARE OF MARION COUNTY, LLC				1.528.439.700	753.238.731	Approved	101.540
PY2025	Facility and Institutional Provider	Preferred Provider	ODYSSEY HEALTHCARE OF MARION COUNTY, LLC				1.114.159.902	753.238.731	Approved	101.548
PY2025	Facility and Institutional Provider	Preferred Provider	OPTIMAL PATIENT CARE OF THE NATURE COAST, LLC				1.073.905.832	471.794.969	Approved	109.503
PY2025	Organizational Provider	Preferred Provider	ORLANDO DERMATOLOGY CLINIC, LLC				1.891.257.655	832.905.038	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	PARK MEADOWS HEALTHCARE & REHABILITATION CENTER LLC				1.891.444.345	881.315.878	Approved	105.193
PY2025	Organizational Provider	Participant Provider	PATHWAYS CLINICAL PARTNERS, LLC				1.477.124.790	871.565.802	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	PETER AMOS ANKOH MD PA				1.225.154.289	208.073.619	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	PREMIER SURGICAL CENTER LLC				1.467.783.688	261.807.944	Approved		AMBULATORY SURGICAL CENTER
PY2025	Organizational Provider	Participant Provider	PROFESSIONAL HEALTHCARE OF PINELLAS LLC				1.881.647.253	593.440.564	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	PULMONARY GROUP OF CENTRAL FLORIDA LLC				1.346.409.802	262.711.927	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	QUALITY PHYSICIAN GROUP PLLC				1.164.906.871	831.187.767	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	QUEST DIAGNOSTICS CLINICAL LABORATORIES INC				1.891.731.626	382.084.239	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Organizational Provider	Preferred Provider	QUEST DIAGNOSTICS CLINICAL LABORATORIES INC				1.518.903.350	382.084.239	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Facility and Institutional Provider	Preferred Provider	RETIREMENT FIVE, LLC				1.639.719.081	822.627.090	Approved	106.139
PY2025	Facility and Institutional Provider	Preferred Provider	ROCKLEDGE HEALTHCARE & REHABILITATION CENTER LLC				1.295.484.749	881.342.885	Approved	105.251
PY2025	Organizational Provider	Participant Provider	ROGER C ROQUE MD PA				1.932.215.043	205.321.608	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	ROGER ROQUE MD LLC				1.205.571.015	881.809.414	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	ROSE RADIOLOGY CENTERS LLC				1.629.162.904	593.698.438	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	RULEME CENTER LLC				1.275.521.213	431.988.471	Approved	105.855
PY2025	Organizational Provider	Participant Provider	SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC				1.104.311.315	830.787.459	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	SARA M DOWNS DO PA				1.831.392.778	208.498.446	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	SARAH A DIGBY DO PA				1.912.208.091	273.650.935	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	SEASONS HOSPICE & PALLIATIVE CARE OF PINELLAS COUNTY LLC				1.821.503.756	473.708.162	Approved	101.559
PY2025	Organizational Provider	Preferred Provider	SELECT LABORATORIES-MARION COUNTY				1.790.262.962	301.039.808	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.699.726.620	593.080.333	Approved	107.684
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.194.776.138	593.080.333	Approved	107.547
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.255.382.297	593.080.333	Approved	107.687
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.235.180.274	593.080.333	Approved	107.534
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.679.524.615	593.080.333	Approved	107.739
PY2025	Facility and Institutional Provider	Preferred Provider	SENIOR HOME CARE, INC				1.437.100.450	593.080.333	Approved	107.792
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.477.830.818	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.912.576.869	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.255.900.445	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.790.354.983	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.518.537.455	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.023.688.967	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.538.739.479	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.356.911.291	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.366.012.353	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.891.365.888	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.528.638.509	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.457.921.439	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.265.002.240	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.073.183.042	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.457.921.421	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.033.789.011	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.114.597.184	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.023.688.090	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.619.547.601	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.659.941.631	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.912.577.990	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.043.983.752	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.629.741.327	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.578.236.287	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	SIMONMED IMAGING FLORIDA LLC				1.063.041.655	453.727.094	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	SOLEX LLC				1.285.680.660	203.392.467	Approved	686.879
PY2025	Facility and Institutional Provider	Preferred Provider	SOUTH CAMPUS NURSING AND REHAB LLC				1.487.302.824	880.878.381	Approved	105.375
PY2025	Organizational Provider	Participant Provider	SUNSHINE STATE MEDICAL CLINIC PA				1.063.683.126	593.525.982	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	TAMARA LOPEZ DIAZ MD PA				1.124.579.974	811.690.622	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	TERRACE HEALTHCARE & REHABILITATION CENTER LLC				1.336.898.527	881.372.983	Approved	106.046
PY2025	Organizational Provider	Preferred Provider	TEXAS DIAGNOSTIC LABORATORIES LLC				1.801.492.558	853.138.773	Approved		INDEPENDENT CLINICAL LABORATORIES (CLIA)
PY2025	Facility and Institutional Provider	Participant Provider	CLARK CLINIC INC				1.639.693.492	542.078.370	Approved	683.832
PY2025	Facility and Institutional Provider	Participant Provider	CLARK CLINIC INC				1.376.733.857	542.078.370	Approved	108.972
PY2025	Facility and Institutional Provider	Participant Provider	CLARK CLINIC INC				1.467.642.942	542.078.370	Approved	108.973
PY2025	Facility and Institutional Provider	Preferred Provider	THE CLUB HEALTHCARE AND REHABILITATION CENTER AT THE VILLAGES LLC				1.225.787.419	881.373.152	Approved	106.095
PY2025	Facility and Institutional Provider	Preferred Provider	THE LODGE HEALTHCARE AND REHABILITATION CENTER LLC				1.326.798.711	881.398.455	Approved	105.196
PY2025	Facility and Institutional Provider	Preferred Provider	THE ROSES HOME HEALTHCARE LLC				1.629.262.449	260.637.339	Approved	109.771
PY2025	Organizational Provider	Participant Provider	VILLAGES INTERNAL MEDICINE AND SENIOR CLINIC PA				1.801.939.277	760.739.954	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	TIERRA PINES CENTER, LLC				1.487.642.427	431.988.462	Approved	105.398
PY2025	Organizational Provider	Participant Provider	TRICOUNTY PHYSICIANS LLC				1.891.084.406	275.560.419	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	TRINITY FAMILY MEDICAL CENTER, PA				1.598.782.401	202.976.782	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Facility and Institutional Provider	Preferred Provider	UNITY HOME HEALTH SERVICES, LLC				1.265.439.491	200.112.878	Approved	108.048
PY2025	Facility and Institutional Provider	Preferred Provider	VIERA NURSING AND REHAB LLC				1.730.837.170	881.027.475	Approved	105.885
PY2025	Facility and Institutional Provider	Preferred Provider	VITAS HEALTHCARE CORPORATION OF FLORIDA				1.528.113.792	650.160.635	Approved	101.545
PY2025	Facility and Institutional Provider	Preferred Provider	VITAS HEALTHCARE CORPORATION OF FLORIDA				1.669.548.053	650.160.635	Approved	101.545
PY2025	Facility and Institutional Provider	Preferred Provider	WATERMAN COMMUNITIES, INC.				1.063.588.226	592.867.652	Approved	105.796
PY2025	Facility and Institutional Provider	Preferred Provider	WATERMAN COMMUNITIES, INC.				1.750.458.709	592.867.652	Approved	109.450
PY2025	Individual Participant	Participant Provider	RENA MEHTA	1356590293	RENA	MEHTA		821.053.002	Approved		INTERNAL MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	ADVANCED NURSING CONCEPTS ,LLC				1.942.601.737	10.638.291	Approved	108.314
PY2025	Facility and Institutional Provider	Preferred Provider	ADVANCED NURSING CONCEPTS ,LLC				1.720.006.414	10.638.291	Approved	107.728
PY2025	Individual Participant	Participant Provider	DAVID CURRY	1932199197	DAVID	CURRY		464.586.160	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SHEYLA ZELAYA ARAGON	1518285139	SHEYLA	ZELAYA ARAGON		923.196.136	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ANU TATAMBHOTLA	1477619559	ANU	TATAMBHOTLA		593.617.413	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ASHOK SHARMA	1740201136	ASHOK	SHARMA		593.601.538	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Preferred Provider	KINGSLEY ALIU	1275769556	KINGSLEY	ALIU		872.627.314	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	CARLOS CHANG	1922005016	CARLOS	CHANG		201.325.238	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	SERGIO BALINGIT	1669405312	SERGIO	BALINGIT		593.670.272	Approved		PULMONARY DISEASE
PY2025	Individual Participant	Participant Provider	WILLIAM WEAVER	1699701565	WILLIAM	WEAVER		10.640.237	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	BRUCE WEAVER	1548244700	BRUCE	WEAVER		10.640.237	Approved		FAMILY MEDICINE
PY2025	Organizational Provider	Participant Provider	CFCF INC				1.740.206.127	10.640.237	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	RONDA SPILLIARD	1447910062	RONDA	SPILLIARD		10.640.237	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOSENIE DESAMOUR	1144402538	JOSENIE	DESAMOUR		851.997.192	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LOUIS BOIS	1508127002	LOUIS	BOIS		851.997.192	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	ADRIANA FOX	1003260654	ADRIANA	FOX		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	OMAR CID	1609220300	OMAR	CID		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL AIDI	1386024354	MICHAEL	AIDI		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JONATHAN STERN	1255725214	JONATHAN	STERN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOSEPH SURACE	1194062620	JOSEPH	SURACE		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANASTASIA BARRON	1003161993	ANASTASIA	BARRON		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ALEX LEWIS	1932336435	ALEX	LEWIS		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NICHOLAS STARKEY	1245542588	NICHOLAS	STARKEY		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NEELIMA REDDY	1194045799	NEELIMA	REDDY		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DANIEL GIANELLA	1306026133	DANIEL	GIANELLA		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOEL MORRIS	1376727321	JOEL	MORRIS		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROSS BORZYKOWSKI	1184886582	ROSS	BORZYKOWSKI		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LAURA LEVIN	1629205398	LAURA	LEVIN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PRIYA RASTOGI	1023025640	PRIYA	RASTOGI		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KENNETH MANDELL	1245257724	KENNETH	MANDELL		650.378.614	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	JOHN STASZEL	1922196773	JOHN	STASZEL		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EDWARD DENSTMAN	1578573606	EDWARD	DENSTMAN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SABRINA SAIDA	1144302498	SABRINA	SAIDA		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	HEATHER BOO	1972700177	HEATHER	BOO		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SURYA VAIDYANATHAN	1104033950	SURYA	VAIDYANATHAN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOE HARB	1548477060	JOE	HARB		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRIAN FLETCHER	1972729226	BRIAN	FLETCHER		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	IVAN ZUCKER	1730179763	IVAN	ZUCKER		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	YALE POLLAK	1992772479	YALE	POLLAK		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRADLEY COHEN	1619948387	BRADLEY	COHEN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DAVID JANNOTTA	1609856285	DAVID	JANNOTTA		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RAVINDER MAHAL	1235112152	RAVINDER	MAHAL		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAMES SHELBY	1538102074	JAMES	SHELBY		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GERALD ROTH	1740227594	GERALD	ROTH		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CRAIG SILVERMAN	1932154994	CRAIG	SILVERMAN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WILLIAM MCFEE	1962456863	WILLIAM	MCFEE		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DANIEL RUDENSKY	1376597252	DANIEL	RUDENSKY		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MATTHEW SAADY	1841243599	MATTHEW	SAADY		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JONATHAN WIENER	1376599258	JONATHAN	WIENER		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEVEN NEEDELL	1710930433	STEVEN	NEEDELL		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JULIETTE THE	1912950429	JULIETTE	THE		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOSEPH KLEINMAN	1649225228	JOSEPH	KLEINMAN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CARLOS JIMENEZ	1669427241	CARLOS	JIMENEZ		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ERIC BAUMEL	1326093816	ERIC	BAUMEL		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GEORGE KHORIATY	1295789188	GEORGE	KHORIATY		650.378.614	Approved		INTERVENTIONAL RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARC LEVINE	1144273400	MARC	LEVINE		650.378.614	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	BABITA SETHI	1215985486	BABITA	SETHI		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WENDY WHITTICK	1952361941	WENDY	WHITTICK		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RICHARD LEVINE	1972566982	RICHARD	LEVINE		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARK CULTON	1841255569	MARK	CULTON		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOEL BERMAN	1356301477	JOEL	BERMAN		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	IRA BRAUNSCHWEIG	1013909175	IRA	BRAUNSCHWEIG		650.378.614	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Participant Provider	ROBERTO CORVO-BEQUER	1427582642	ROBERTO	CORVO-BEQUER		593.275.101	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ADELIMELID SANTOS ACEVEDO	1952521221	ADELIMELID	SANTOS ACEVEDO		593.275.101	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	JOSEPH TORRES	1023115383	JOSEPH	TORRES		593.275.101	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Preferred Provider	ROGER MADORE	1699834358	ROGER	MADORE		800.006.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	DAN NESMITH	1982761615	DAN	NESMITH		800.006.481	Approved		CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
PY2025	Individual Participant	Preferred Provider	MATTHEW LOUGHLIN	1255307401	MATTHEW	LOUGHLIN		800.006.481	Approved		UROLOGY
PY2025	Individual Participant	Preferred Provider	LALBAHADUR NAGABHAIRU	1013956473	LALBAHADUR	NAGABHAIRU		800.006.481	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	SHAMS TABREZ	1215902184	SHAMS	TABREZ		800.006.481	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	BRANDON TUCKER	1316489669	BRANDON	TUCKER		204.622.819	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	NISHA PATEL	1083175236	NISHA	PATEL		204.622.819	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	HEATHER ANDERSON	1093288045	HEATHER	ANDERSON		204.622.819	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	JAMES ALLEN	1073592812	JAMES	ALLEN		204.622.819	Approved		PATHOLOGY
PY2025	Individual Participant	Preferred Provider	NEHME GABRIEL	1366493652	NEHME	GABRIEL		204.622.819	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	ROBERT FECHTENBURG	1871519652	ROBERT	FECHTENBURG		204.622.819	Approved		CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
PY2025	Individual Participant	Preferred Provider	CHRIS KECHRIOTIS	1891721627	CHRIS	KECHRIOTIS		204.622.819	Approved		PATHOLOGY
PY2025	Individual Participant	Preferred Provider	MARCUS BETHEA	1659308773	MARCUS	BETHEA		204.622.819	Approved		PATHOLOGY
PY2025	Individual Participant	Preferred Provider	DEBORAH ZEAGLER	1417991746	DEBORAH	ZEAGLER		204.622.819	Approved		PATHOLOGY
PY2025	Individual Participant	Preferred Provider	RAJESAMBHAJI BORADE	1598904153	RAJESAMBHAJI	BORADE		204.622.819	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	TRI HUYNH	1164687042	TRI	HUYNH		204.622.819	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Participant Provider	GEORGE IKELER	1013944933	GEORGE	IKELER		591.450.812	Approved		FAMILY MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	HESTIA HEALTHCARE AT HOME, LLC				1.659.555.951	30.613.220	Approved	108.467
PY2025	Facility and Institutional Provider	Preferred Provider	HESTIA HEALTHCARE AT HOME, LLC				1.194.874.776	30.613.220	Approved	107.656
PY2025	Facility and Institutional Provider	Preferred Provider	HESTIA HEALTHCARE AT HOME, LLC				1.710.036.397	30.613.220	Approved	108.119
PY2025	Individual Participant	Participant Provider	JEFFREY CARAMEROS	1457604860	JEFFREY	CARAMEROS		471.344.452	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	STEVEN SYWENKI	1336532381	STEVEN	SYWENKI		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	SUSAN NEAL	1467704031	SUSAN	NEAL		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	MARIA BYRD	1922359207	MARIA	BYRD		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	BHAVESH BARAD	1336464841	BHAVESH	BARAD		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	BERNARD TOPI	1811175391	BERNARD	TOPI		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	HARI KANNAM	1952542375	HARI	KANNAM		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	ABEL RIVERO	1659531937	ABEL	RIVERO		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	RAKESH PRASHAD	1992800155	RAKESH	PRASHAD		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	SUMAN PASUPULETI	1851503809	SUMAN	PASUPULETI		592.123.944	Approved		CARDIAC ELECTROPHYSIOLOGY
PY2025	Individual Participant	Preferred Provider	VINOD MIRYALA	1891996880	VINOD	MIRYALA		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	NISHANT NERELLA	1467659599	NISHANT	NERELLA		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	RUPA BALA	1417983123	RUPA	BALA		592.123.944	Approved		CARDIAC ELECTROPHYSIOLOGY
PY2025	Individual Participant	Preferred Provider	EZE UCHE	1972558146	EZE	UCHE		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	BRIAN SALUCK	1295796902	BRIAN	SALUCK		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	MOHAMMAD ANSARI	1578528428	MOHAMMAD	ANSARI		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	CHANDRANATH DAS	1366490823	CHANDRANATH	DAS		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	DENNIS WALKER	1972587269	DENNIS	WALKER		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	JAVIER GONZALEZ	1689658809	JAVIER	GONZALEZ		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	SRINIVAS ATTANTI	1902889413	SRINIVAS	ATTANTI		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	GISELA TRIGO	1366426561	GISELA	TRIGO		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	HECTOR GARCIA	1114910031	HECTOR	GARCIA		592.123.944	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	MARK ROTHSCHILD	1811983083	MARK	ROTHSCHILD		592.123.944	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	SATISH GOEL	1932101334	SATISH	GOEL		592.123.944	Approved		CARDIAC ELECTROPHYSIOLOGY
PY2025	Individual Participant	Preferred Provider	REBECCA HEBARD	1821708520	REBECCA	HEBARD		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	DUANE HOSTETLER	1508505017	DUANE	HOSTETLER		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	CORY SANTERO	1740900174	CORY	SANTERO		592.123.944	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	AKASH PRASHAD	1194398164	AKASH	PRASHAD		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	KAYLA PHILLIPS	1831852235	KAYLA	PHILLIPS		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	JASON KLOSS	1235707373	JASON	KLOSS		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	KACI DYMOND	1699360370	KACI	DYMOND		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	LAURA KNAPP	1174118350	LAURA	KNAPP		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	JOCELYN EDGELL	1639753551	JOCELYN	EDGELL		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	GABRIEL DASCANIO	1083215529	GABRIEL	DASCANIO		592.123.944	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	JOSHUA COON	1982213708	JOSHUA	COON		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	DANIEL MARINELLI	1841813300	DANIEL	MARINELLI		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	ASHLEY DAVIS	1396230504	ASHLEY	DAVIS		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	KENDRA YERRINGTON	1013492156	KENDRA	YERRINGTON		592.123.944	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	SEYCHELLE PRENTICE	1275091928	SEYCHELLE	PRENTICE		592.123.944	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	TIMOTHY ROBERTS	1588106934	TIMOTHY	ROBERTS		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	CARRIE ANIELLO	1134630916	CARRIE	ANIELLO		592.123.944	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LUZVIMINDA VILLANEUVO	1528002714	LUZVIMINDA	VILLANEUVO		593.114.297	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	PATTI OSBORNE	1902117716	PATTI	OSBORNE		593.114.297	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SUJATHA BASKAR	1699764910	SUJATHA	BASKAR		841.688.762	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	BHARATHI RAMAIAH	1164411484	BHARATHI	RAMAIAH		274.317.031	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	SOUNDARAPANDIAN BASKAR	1952390288	SOUNDARAPANDIAN	BASKAR		274.317.031	Approved		GASTROENTEROLOGY
PY2025	Individual Participant	Preferred Provider	AMANDA SELLERS	1831633692	AMANDA	SELLERS		274.317.031	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	CAITLIN ORIS	1457972663	CAITLIN	ORIS		274.317.031	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ELIZABETH SHIRLEY	1659904761	ELIZABETH	SHIRLEY		593.375.267	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SARAH SELLERS	1164013975	SARAH	SELLERS		593.375.267	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TINA WALKER	1588308860	TINA	WALKER		593.375.267	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	CARL OLLIVIERRE	1346230596	CARL	OLLIVIERRE		592.953.521	Approved		ORTHOPEDIC SURGERY
PY2025	Individual Participant	Participant Provider	LAURA PAIGE	1669132445	LAURA	PAIGE		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SCOTT MENARD	1417579244	SCOTT	MENARD		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	TEQUILA GOLDEN	1518430032	TEQUILA	GOLDEN		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NOELLE MOONEYHAM	1154893477	NOELLE	MOONEYHAM		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MARY BODENHEIMER	1154804615	MARY	BODENHEIMER		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MICHAEL AUL	1912303256	MICHAEL	AUL		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	RONNIE-JANE BOEKEMA	1669897377	RONNIE-JANE	BOEKEMA		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	AKRAM YOUSSEF	1942648803	AKRAM	YOUSSEF		593.688.532	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	MARIZEL VASQUEZ	1104259001	MARIZEL	VASQUEZ		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CESAR OROZCO	1003228404	CESAR	OROZCO		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	CANDACE CHAPUSEAUX	1174517510	CANDACE	CHAPUSEAUX		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MIGDALIS MATOS GONZALEZ	1679566277	MIGDALIS	MATOS GONZALEZ		593.688.532	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	GEORGE IKELER	1013944933	GEORGE	IKELER		593.688.532	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	SARA YERMAL	1659320844	SARA	YERMAL		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	RAMON PEREZ	1659322089	RAMON	PEREZ		593.688.532	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LOWELL CLARK	1336103563	LOWELL	CLARK		593.688.532	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	STEVEN CAPPS	1932215662	STEVEN	CAPPS		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BETTY STAPLETON	1356427967	BETTY	STAPLETON		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	HOPE MADDIX	1487754073	HOPE	MADDIX		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	YVONNE BUCHANAN	1083646830	YVONNE	BUCHANAN		593.688.532	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	HILBERT ZEBALLOS EVANGELISTA	1700807526	HILBERT	ZEBALLOS EVANGELISTA		593.688.532	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	LUIS ORTIZ-TORRES	1710911243	LUIS	ORTIZ-TORRES		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	MARIA ECHAVEZ-ARROYO	1952506925	MARIA	ECHAVEZ-ARROYO		593.688.532	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	DONNA O'HARA	1710186267	DONNA	O'HARA		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ANGEL BRUNO	1881713600	ANGEL	BRUNO		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	VIRGINIA NORTON	1154544989	VIRGINIA	NORTON		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ELAINE KINDER	1316002249	ELAINE	KINDER		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ROBERT CARRAWAY	1245317635	ROBERT	CARRAWAY		593.688.532	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	TANYA PIKE	1780980615	TANYA	PIKE		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	GERARDO SOTO	1902197445	GERARDO	SOTO		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	YANIRA LARA	1306108022	YANIRA	LARA		593.688.532	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	DANIEL DSTTEFFANO	1740531011	DANIEL	DSTTEFFANO		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	SANGEETA HANS	1447488978	SANGEETA	HANS		593.688.532	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	NORA JO GREENIA	1326288366	NORA JO	GREENIA		593.688.532	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	EHRENTRAUD EICHELBAUM	1255518486	EHRENTRAUD	EICHELBAUM		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	JOSE RIVAS	1952588188	JOSE	RIVAS		593.688.532	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Preferred Provider	LINDA STEWARD	1851622617	LINDA	STEWARD		593.736.719	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	VREJ MANOOGIAN	1275529455	VREJ	MANOOGIAN		593.736.719	Approved		ORTHOPEDIC SURGERY
PY2025	Individual Participant	Preferred Provider	JEFFREY PRICE	1437523099	JEFFREY	PRICE		593.736.719	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	AZALEE BROWN	1811407448	AZALEE	BROWN		593.736.719	Approved		NURSE PRACTITIONER
PY2025	Facility and Institutional Provider	Preferred Provider	ACCESS HOME HEALTH OF FLORIDA, LLC				1.821.027.780	61.451.363	Approved	107.383
PY2025	Facility and Institutional Provider	Preferred Provider	ACCESS HOME HEALTH OF FLORIDA, LLC				1.831.129.162	61.451.363	Approved	107.586
PY2025	Individual Participant	Preferred Provider	CHARLES ZACHAR	1124009949	CHARLES	ZACHAR		270.609.291	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RICCARDO DE GIROLAMI	1588646558	RICCARDO	DE GIROLAMI		270.609.291	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARK JACOBSON	1306894423	MARK	JACOBSON		270.609.291	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PETER BOVE	1003884461	PETER	BOVE		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	TORE DETLIE	1841240686	TORE	DETLIE		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RUSSELL NUSYNOWITZ	1588661532	RUSSELL	NUSYNOWITZ		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROBERT POSNIAK	1376526137	ROBERT	POSNIAK		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHRISTOPHER JOHNS	1306815410	CHRISTOPHER	JOHNS		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ELIZABETH LINDGREN	1053603381	ELIZABETH	LINDGREN		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	OMAR EISSA	1720366974	OMAR	EISSA		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DANIEL ROURA	1225327554	DANIEL	ROURA		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	HASSAN SHAHID	1508090895	HASSAN	SHAHID		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOSEPH MULLEN	1871721167	JOSEPH	MULLEN		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KAREN BRAVO	1376610444	KAREN	BRAVO		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOHN HOWELL	1063548105	JOHN	HOWELL		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KEVIN SAWYER	1003013848	KEVIN	SAWYER		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KEVIN MCLEAN	1932302866	KEVIN	MCLEAN		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	AMISH PARIKH	1902820830	AMISH	PARIKH		411.410.766	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	USAMA HASAN	1780099267	USAMA	HASAN		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANNE CLAIBORNE	1790781433	ANNE	CLAIBORNE		411.410.766	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Participant Provider	JERROLD ECKLIND	1851390322	JERROLD	ECKLIND		824.694.026	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	STEPHEN ROSS	1194700823	STEPHEN	ROSS		30.374.583	Approved		INTERVENTIONAL RADIOLOGY
PY2025	Individual Participant	Participant Provider	RAVI GUPTA	1922077338	RAVI	GUPTA		30.374.583	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LOUIS BOIS	1508127002	LOUIS	BOIS		30.374.583	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JEWELL CONWAY	1184227779	JEWELL	CONWAY		30.374.583	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SHANNAN VEIT	1619613437	SHANNAN	VEIT		30.374.583	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DEANNA KOENEN	1538591888	DEANNA	KOENEN		30.374.583	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	YUN MI SUNG	1003390014	YUN MI	SUNG		30.374.583	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DHARMA DEEKSHITA RAO	1144785882	DHARMA DEEKSHITA	RAO		30.374.583	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	AMANDA METZGER	1245730621	AMANDA	METZGER		30.374.583	Approved		PHYSICIAN ASSISTANT
PY2025	Organizational Provider	Participant Provider	MID FLORIDA PRIMARY CARE PA				1.104.251.370	30.374.583	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	MID FLORIDA PRIMARY CARE PA				1.235.328.592	30.374.583	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	MID FLORIDA PRIMARY CARE PA				1.598.827.479	30.374.583	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	VIVIENE LUMAPAS	1770855678	VIVIENE	LUMAPAS		593.754.453	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NEAL LUMAPAS	1013075894	NEAL	LUMAPAS		593.754.453	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	NICOLE BISHKO	1982879201	NICOLE	BISHKO		262.255.391	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	OLIVER RAMOSO	1265944987	OLIVER	RAMOSO		461.166.247	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ELIZABETH TAYLOR	1073051827	ELIZABETH	TAYLOR		461.166.247	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CAROLYN MACIAS	1851908677	CAROLYN	MACIAS		461.166.247	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MELINDA WILMOT	1629783519	MELINDA	WILMOT		461.166.247	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NORMAN NOVIS	1235331125	NORMAN	NOVIS		461.166.247	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JANITA WARD	1609343524	JANITA	WARD		831.142.955	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	RONSHA BROWN	1801285051	RONSHA	BROWN		831.142.955	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	COREY WEST	1720530702	COREY	WEST		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BRITTANI LUCIN	1669842225	BRITTANI	LUCIN		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TYLER LINDSEY	1629420096	TYLER	LINDSEY		593.158.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	JOSEPH JAVIER	1417295957	JOSEPH	JAVIER		593.158.481	Approved		PHYSICAL THERAPIST IN PRIVATE PRACTICE
PY2025	Individual Participant	Preferred Provider	THEA TANI	1225381122	THEA	TANI		593.158.481	Approved		PHYSICAL THERAPIST IN PRIVATE PRACTICE
PY2025	Individual Participant	Participant Provider	KAREN LARSEN	1154762409	KAREN	LARSEN		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JENNIFER SINQUEFIELD	1972079770	JENNIFER	SINQUEFIELD		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SAMANTHA WESTON	1154809101	SAMANTHA	WESTON		593.158.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	MELISSA FORMELLA	1558871186	MELISSA	FORMELLA		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ANDREW CUSHENBERY	1467958967	ANDREW	CUSHENBERY		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NICOLE DUMONT	1710759519	NICOLE	DUMONT		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ADAM ALPERS	1184629321	ADAM	ALPERS		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	SHEKEITA PERRY	1205434024	SHEKEITA	PERRY		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LUCAS PLACE	1497376263	LUCAS	PLACE		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	SAHANA ARAVIND	1730749052	SAHANA	ARAVIND		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	SARAH YANNONE	1336882273	SARAH	YANNONE		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JUSTS GRINVALDS	1619687084	JUSTS	GRINVALDS		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CINDY SARDUY	1891376240	CINDY	SARDUY		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	NATESHA VAILLANCOURT	1124161559	NATESHA	VAILLANCOURT		593.158.481	Approved		CERTIFIED NURSE MIDWIFE (CNM)
PY2025	Individual Participant	Preferred Provider	EVETTE HEARN	1568549392	EVETTE	HEARN		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	SESHURAO KRUTHIVENTI	1235214610	SESHURAO	KRUTHIVENTI		593.158.481	Approved		NEUROLOGY
PY2025	Individual Participant	Participant Provider	MIMI BALCH	1396811410	MIMI	BALCH		593.158.481	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	LAUREL BRYANT	1144242694	LAUREL	BRYANT		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ROBERT WILLIAMS	1982635173	ROBERT	WILLIAMS		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Preferred Provider	PHILIP JOHNSON	1811913866	PHILIP	JOHNSON		593.158.481	Approved		OBSTETRICS/GYNECOLOGY
PY2025	Individual Participant	Preferred Provider	YASMIN AMIN	1629005392	YASMIN	AMIN		593.158.481	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Participant Provider	MARK MONICAL	1063506368	MARK	MONICAL		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Preferred Provider	DAVID COHEN	1699783514	DAVID	COHEN		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BIPUL ROY	1659539997	BIPUL	ROY		593.158.481	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Participant Provider	BRIAN PECORARO	1578717989	BRIAN	PECORARO		593.158.481	Approved		OSTEOPATHIC MANIPULATIVE MEDICINE
PY2025	Individual Participant	Preferred Provider	EDUARDO CRUZ COLON	1568613552	EDUARDO	CRUZ COLON		593.158.481	Approved		PHYSICAL MEDICINE AND REHABILITATION
PY2025	Individual Participant	Preferred Provider	MATTHEW OTA	1588844351	MATTHEW	OTA		593.158.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	LOURDES VARELA-BATISTA	1649535063	LOURDES	VARELA-BATISTA		593.158.481	Approved		INTERVENTIONAL PAIN MANAGEMENT
PY2025	Individual Participant	Preferred Provider	CARLY CARRION OLMEDA	1154671444	CARLY	CARRION OLMEDA		593.158.481	Approved		ENDOCRINOLOGY
PY2025	Individual Participant	Preferred Provider	AMBER STARLING	1851697098	AMBER	STARLING		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	STACEY GRAHAM	1043526155	STACEY	GRAHAM		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	JAMES LONDON	1235191719	JAMES	LONDON		593.158.481	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Participant Provider	ALLEN WINSTON	1275571044	ALLEN	WINSTON		593.158.481	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Preferred Provider	FELIX ESAREY	1265488043	FELIX	ESAREY		593.158.481	Approved		PODIATRY
PY2025	Individual Participant	Participant Provider	ALEXIS NIBE	1598711913	ALEXIS	NIBE		593.158.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	SHAKILA PYLE	1558368290	SHAKILA	PYLE		593.158.481	Approved		PHYSICAL THERAPIST IN PRIVATE PRACTICE
PY2025	Individual Participant	Preferred Provider	VALENTINA BRADLEY	1902898083	VALENTINA	BRADLEY		593.158.481	Approved		DERMATOLOGY
PY2025	Individual Participant	Preferred Provider	KAMAL MODY	1679574784	KAMAL	MODY		593.158.481	Approved		PHYSICAL THERAPIST IN PRIVATE PRACTICE
PY2025	Individual Participant	Preferred Provider	WAYNE POOLE	1336119080	WAYNE	POOLE		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NANJAPPA CHANDRAMOHAN	1699772574	NANJAPPA	CHANDRAMOHAN		593.158.481	Approved		ENDOCRINOLOGY
PY2025	Individual Participant	Participant Provider	MARIA ATKINSON	1538182787	MARIA	ATKINSON		474.426.509	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	TAREK SHAATH	1366823775	TAREK	SHAATH		832.905.038	Approved		DERMATOLOGY
PY2025	Individual Participant	Participant Provider	STEPHANIE BUCKLE	1164099800	STEPHANIE	BUCKLE		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SUZANNE PASCO	1942963335	SUZANNE	PASCO		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ASHLEY TYCE	1558073924	ASHLEY	TYCE		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	HIAM COLLAR	1457006231	HIAM	COLLAR		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MELLONEY WILLIAMS	1205426087	MELLONEY	WILLIAMS		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	PILAR SMITH	1437495215	PILAR	SMITH		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JENNIFER ANTOINE	1346756897	JENNIFER	ANTOINE		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	COURTNEY BARRETT	1730699026	COURTNEY	BARRETT		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KIMBERLEY DRURY	1063785178	KIMBERLEY	DRURY		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	WEENA FAVIS	1356523435	WEENA	FAVIS		871.565.802	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LUBNA RASHID	1760626337	LUBNA	RASHID		871.565.802	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ROGER ROQUE	1437156916	ROGER	ROQUE		871.565.802	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	PETER ANKOH	1720044241	PETER	ANKOH		208.073.619	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ETHAN REID	1265951891	ETHAN	REID		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOSE PERALTA	1215462007	JOSE	PERALTA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TIFFANY JAMES	1093245185	TIFFANY	JAMES		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ERIC SCHECK	1215467642	ERIC	SCHECK		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MARCELLA CARO	1124529094	MARCELLA	CARO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOHN STRATTON	1508388307	JOHN	STRATTON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOSHUA ROSENWASSER	1730614868	JOSHUA	ROSENWASSER		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	CIRLY ALEYAS	1649707951	CIRLY	ALEYAS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CORI BRODSKY	1265973820	CORI	BRODSKY		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KORY TURNOW	1205372844	KORY	TURNOW		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SUSAN KISS	1083159446	SUSAN	KISS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NATALIE BROOKS	1588019913	NATALIE	BROOKS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	GREGORY DUNGAN	1144671710	GREGORY	DUNGAN		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	KEITH ROMANOV	1619411881	KEITH	ROMANOV		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TOLULOPE ODUYEJO-WILLIAMS	1720524531	TOLULOPE	ODUYEJO-WILLIAMS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	REGINA SHEARS-MCCLOUD	1700322781	REGINA	SHEARS-MCCLOUD		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DAVID LIM	1700319662	DAVID	LIM		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	BRITTANY COLLINS	1063945830	BRITTANY	COLLINS		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	KAELA HARRON	1720511587	KAELA	HARRON		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	CHARLES DUGAN	1215478649	CHARLES	DUGAN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BONITA CLARK	1639686363	BONITA	CLARK		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	URVI PATEL	1568974046	URVI	PATEL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DIANA TIWARI	1538674700	DIANA	TIWARI		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ELIZABETH KURMAN	1114401007	ELIZABETH	KURMAN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ADAM SALOMON	1063909422	ADAM	SALOMON		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JOSEPH CISZEWSKI	1366937856	JOSEPH	CISZEWSKI		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	MARY KAWALYA	1497256861	MARY	KAWALYA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JACQUELINE HARANG	1831690650	JACQUELINE	HARANG		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BEVERLY CIAMPA	1780189654	BEVERLY	CIAMPA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NICKOLE BACON	1215432224	NICKOLE	BACON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SAM SAMARRAI	1972000461	SAM	SAMARRAI		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	KATELYN PEWORCHIK	1912489519	KATELYN	PEWORCHIK		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JENNIFER PETERSON	1366948861	JENNIFER	PETERSON		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	CHRISTOPHER COOKE	1205323797	CHRISTOPHER	COOKE		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	BARBARA SIMEON	1013491711	BARBARA	SIMEON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	RICARDO PINEDA GAYOSO	1437619566	RICARDO	PINEDA GAYOSO		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	SAFIYA ARTHUR	1962747659	SAFIYA	ARTHUR		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KAVEH GHAEDI	1235576224	KAVEH	GHAEDI		593.440.564	Approved		PSYCHIATRY
PY2025	Individual Participant	Participant Provider	BRANDON STEINBERG	1902247596	BRANDON	STEINBERG		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	ERIKA HALL	1497093165	ERIKA	HALL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	RUBEN RAYA CAMPOS	1285976027	RUBEN	RAYA CAMPOS		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	MARY BOURBEAU	1255672796	MARY	BOURBEAU		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CAMILLE ALFONSO	1912312794	CAMILLE	ALFONSO		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	DIANE RIGGLEMAN	1336565753	DIANE	RIGGLEMAN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KRISTINE SFERRA	1558790949	KRISTINE	SFERRA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	AMIR AL-DABAGH	1609293901	AMIR	AL-DABAGH		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ALEXANDER SCHREIL	1295152486	ALEXANDER	SCHREIL		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	BERNARD PHILIPPE	1548648561	BERNARD	PHILIPPE		593.440.564	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	SUZANNA VANACORE	1982023917	SUZANNA	VANACORE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JESSE PING	1609286079	JESSE	PING		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	SHELLEY ALVAREZ	1134509748	SHELLEY	ALVAREZ		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JAMES ANDJELIC	1861871717	JAMES	ANDJELIC		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CRYSTAL THOMAS	1265824817	CRYSTAL	THOMAS		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	NOUSHIN YAZDANI	1215318936	NOUSHIN	YAZDANI		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	NORA SIEGEL	1114328069	NORA	SIEGEL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CASEY HERSCHELL	1932517034	CASEY	HERSCHELL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	GREGORY WILKERSON	1699171538	GREGORY	WILKERSON		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	SHARON TREUSDELL	1184020943	SHARON	TREUSDELL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KAREN SINNI	1386032282	KAREN	SINNI		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NICOLE ADDISON	1134530041	NICOLE	ADDISON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	WINAY VIRKUD	1356761472	WINAY	VIRKUD		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	FITZWILLIAM MUSOKO	1003360058	FITZWILLIAM	MUSOKO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	APRIL KIMBLE	1831554906	APRIL	KIMBLE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	VIRGINIA BASNIGHT	1093169849	VIRGINIA	BASNIGHT		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DANITA DIXON	1083078208	DANITA	DIXON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DE AN WANG	1568825099	DE AN	WANG		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KATINA AVERETTE	1902278153	KATINA	AVERETTE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JASMINA KATINIC	1811362650	JASMINA	KATINIC		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KRISTEN RYAN	1508226283	KRISTEN	RYAN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DANIEL CARTER	1053774893	DANIEL	CARTER		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	CHARLOTTE PHILLIPS	1700260999	CHARLOTTE	PHILLIPS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ARIANNE BYERS	1245822378	ARIANNE	BYERS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	PATRICK BENGSTON	1770177446	PATRICK	BENGSTON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MELISSA POLEY	1871195362	MELISSA	POLEY		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	HILESCA HIDALGO	1376158246	HILESCA	HIDALGO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SARAH BURGESS	1275147696	SARAH	BURGESS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ERICKA HERING	1447878129	ERICKA	HERING		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ALIYA MAY	1902466402	ALIYA	MAY		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	CORY BURNS	1144868753	CORY	BURNS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KATHLEEN DAVIS	1780219998	KATHLEEN	DAVIS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ALISHA GRIMMAGE	1679137863	ALISHA	GRIMMAGE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KRYSTLE JAYNES	1881258713	KRYSTLE	JAYNES		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ALAUDDIN EL-HAG	1144884040	ALAUDDIN	EL-HAG		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	OLTA PLUNKETT	1629695002	OLTA	PLUNKETT		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	VICKI CROSS	1346895000	VICKI	CROSS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ANGELA THERESA GREEN	1134774045	ANGELA THERESA	GREEN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BETZY MIRANDA	1811644735	BETZY	MIRANDA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CHRISTINE COBB-OSBORNE	1154071363	CHRISTINE	COBB-OSBORNE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MARIA CATALANO	1073186193	MARIA	CATALANO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MOHAMMAD DWARY	1366195240	MOHAMMAD	DWARY		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ERIKA KORBAJ	1518602028	ERIKA	KORBAJ		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	BRITTNAI BOLDT	1881262376	BRITTNAI	BOLDT		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	HEATHER TYSON	1609448539	HEATHER	TYSON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MELISSA STANILKA	1003409608	MELISSA	STANILKA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BRIANA GORMAN	1467147389	BRIANA	GORMAN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MARIETA FRYER	1235849258	MARIETA	FRYER		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ROGELIO DEL VALLE VALLADARES	1497486484	ROGELIO	DEL VALLE VALLADARES		593.440.564	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	NIVINE GRANNIS	1831825744	NIVINE	GRANNIS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LAUREN KITENPLON	1205562121	LAUREN	KITENPLON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ADRIANNA LESZCZYNSKA	1194452318	ADRIANNA	LESZCZYNSKA		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	HISHAM HANAI	1801851332	HISHAM	HANAI		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	MIRCEA CRISTESCU	1992758700	MIRCEA	CRISTESCU		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	STEPHEN BURTON	1902850001	STEPHEN	BURTON		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	RALPH DEMATTEIS	1346219698	RALPH	DEMATTEIS		593.440.564	Approved		GENERAL SURGERY
PY2025	Individual Participant	Participant Provider	GERARDO GARCIA	1568424539	GERARDO	GARCIA		593.440.564	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Participant Provider	SAYYED HUSSAIN	1295798759	SAYYED	HUSSAIN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	GAIL QUAIL	1992751713	GAIL	QUAIL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LUIS YCAZA	1366480311	LUIS	YCAZA		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LELILA MURPHY	1174572648	LELILA	MURPHY		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MASHARIA CLARK	1235185042	MASHARIA	CLARK		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MICHAEL WALD	1467429837	MICHAEL	WALD		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	NINO KURTSIKIDZE	1376516724	NINO	KURTSIKIDZE		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JEFFREY GELBER	1407857089	JEFFREY	GELBER		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	FADI SABA	1588658348	FADI	SABA		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	FRANK AMATO	1417940347	FRANK	AMATO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	PERCY LO	1518954288	PERCY	LO		593.440.564	Approved		PLASTIC AND RECONSTRUCTIVE SURGERY
PY2025	Individual Participant	Participant Provider	STEPHEN THOMASON	1255325833	STEPHEN	THOMASON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOHN SHOVER	1518948017	JOHN	SHOVER		593.440.564	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	HEATHER GERMANN	1841288925	HEATHER	GERMANN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ELLENA BODDIE	1689673790	ELLENA	BODDIE		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LYDIA VAN	1326277369	LYDIA	VAN		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	FRED LESLIE	1245466325	FRED	LESLIE		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	OLIVIA POP	1700013034	OLIVIA	POP		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	WENDY KEHL-PRUETT	1790965242	WENDY	KEHL-PRUETT		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ALFREDO DAVILA-RIVERA	1477713303	ALFREDO	DAVILA-RIVERA		593.440.564	Approved		PHYSICAL MEDICINE AND REHABILITATION
PY2025	Individual Participant	Participant Provider	LEONARD CONFIDENT	1275733024	LEONARD	CONFIDENT		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	CAMERON ESMKHANI	1396922415	CAMERON	ESMKHANI		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	WAYNE SHERMAN	1609135110	WAYNE	SHERMAN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	TERESA ZIPETO	1366727570	TERESA	ZIPETO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TATIANA ARKHIPENKO	1881978708	TATIANA	ARKHIPENKO		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JOSEPH PARUOLO	1639461742	JOSEPH	PARUOLO		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	SCOTT ROLSTON	1407159536	SCOTT	ROLSTON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LEIGH TESAR	1356645972	LEIGH	TESAR		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KERRY CADOGAN	1265743058	KERRY	CADOGAN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	RAVIINDER PARMAR	1881983500	RAVIINDER	PARMAR		593.440.564	Approved		ANESTHESIOLOGY
PY2025	Individual Participant	Participant Provider	HAZEM AL ANDARY	1275847071	HAZEM	AL ANDARY		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ANDREW WEITZMAN	1104139237	ANDREW	WEITZMAN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	LISA SPIEGEL	1750696563	LISA	SPIEGEL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ARNALDO BUCKLEY	1700195732	ARNALDO	BUCKLEY		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	AHSAN AFZAL	1316263692	AHSAN	AFZAL		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	PATRICK MELLA	1982915781	PATRICK	MELLA		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	BELINDA SCHWARTZ	1134450620	BELINDA	SCHWARTZ		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	NADINE AZZI	1891925301	NADINE	AZZI		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	GEORGETTE BOUWHUIS	1700112786	GEORGETTE	BOUWHUIS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DARIA DZEMBO	1407871312	DARIA	DZEMBO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KIMBERLY VANDER HEUVEL	1780607309	KIMBERLY	VANDER HEUVEL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	TED ELLQUIST	1770516734	TED	ELLQUIST		593.440.564	Approved		PHYSICAL THERAPIST IN PRIVATE PRACTICE
PY2025	Individual Participant	Participant Provider	JACQUELINE SAEGER	1619903275	JACQUELINE	SAEGER		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LUIS APONTE	1437230505	LUIS	APONTE		593.440.564	Approved		PLASTIC AND RECONSTRUCTIVE SURGERY
PY2025	Individual Participant	Participant Provider	SVETLANA KOVTUNOVA	1033226899	SVETLANA	KOVTUNOVA		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	PEDRO MORALES	1023128865	PEDRO	MORALES		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	WILLIAM MCGROGAN	1093820334	WILLIAM	MCGROGAN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	MUHAMMAD SALMANULLAH	1952312381	MUHAMMAD	SALMANULLAH		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	CRYSTAL JONES	1053323584	CRYSTAL	JONES		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JAE SHIN	1619064326	JAE	SHIN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	TARIQ KUTOB	1497844120	TARIQ	KUTOB		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	HARISH PATEL	1093818460	HARISH	PATEL		593.440.564	Approved		NEUROLOGY
PY2025	Individual Participant	Participant Provider	KOZHIMALA JOHN	1891890638	KOZHIMALA	JOHN		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	KATHERINE CHIU	1518040575	KATHERINE	CHIU		593.440.564	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Participant Provider	LEE SMITH	1982779856	LEE	SMITH		593.440.564	Approved		PODIATRY
PY2025	Individual Participant	Participant Provider	DAMON STAFFORD	1770650574	DAMON	STAFFORD		593.440.564	Approved		CHIROPRACTIC
PY2025	Individual Participant	Participant Provider	MIHEE HWANG	1427191576	MIHEE	HWANG		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KAREN JOHNSON	1417090523	KAREN	JOHNSON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MICHAEL COLEMAN	1164590428	MICHAEL	COLEMAN		593.440.564	Approved		PHYSICAL MEDICINE AND REHABILITATION
PY2025	Individual Participant	Participant Provider	AMY BUMGARNER	1952512048	AMY	BUMGARNER		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	AJOY KUMAR	1528267457	AJOY	KUMAR		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	STEVEN REYES	1144429366	STEVEN	REYES		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	RABEE KORBAJ	1932392073	RABEE	KORBAJ		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ANA KAROVSKA VUCHIDOLOV	1518271436	ANA	KAROVSKA VUCHIDOLOV		831.187.767	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ROGER ROQUE	1437156916	ROGER	ROQUE		205.321.608	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	ROGER ROQUE	1437156916	ROGER	ROQUE		881.809.414	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	ANGELA KING	1164187977	ANGELA	KING		881.809.414	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ASHLEY TYCE	1558073924	ASHLEY	TYCE		881.809.414	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JENNIFER ANTOINE	1346756897	JENNIFER	ANTOINE		881.809.414	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	ROBERT POSNIAK	1376526137	ROBERT	POSNIAK		200.186.891	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Participant Provider	ADAMASTOR SANTOS	1972577377	ADAMASTOR	SANTOS		830.787.459	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	MARK SBARRO	1629028196	MARK	SBARRO		830.787.459	Approved		EMERGENCY MEDICINE
PY2025	Individual Participant	Participant Provider	JOHN SANTOS	1114160272	JOHN	SANTOS		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ASHLEY DAVIS	1396230504	ASHLEY	DAVIS		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ANNALEE RUSS	1750855649	ANNALEE	RUSS		830.787.459	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	FRANCISCA PERDOMO	1770026924	FRANCISCA	PERDOMO		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	GEORGIA GONZALEZ	1457874711	GEORGIA	GONZALEZ		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	STEPHANIE CESAREC	1902331192	STEPHANIE	CESAREC		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SARAH TATE	1740715911	SARAH	TATE		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ASHLEY HILGER	1588021083	ASHLEY	HILGER		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	VICKIE HODGES	1275151227	VICKIE	HODGES		830.787.459	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SARA DOWNS	1548384480	SARA	DOWNS		208.498.446	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	SARAH DIGBY	1417024704	SARAH	DIGBY		273.650.935	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	SENTHIL SUNDARAM	1831195049	SENTHIL	SUNDARAM		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	ANGELA DAVIS	1851992994	ANGELA	DAVIS		453.727.094	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	LATOYA BROWNLEE	1831782705	LATOYA	BROWNLEE		453.727.094	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	KIMBERLIE WANG	1275107351	KIMBERLIE	WANG		453.727.094	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	ALEXANDRA PINEDA	1518532795	ALEXANDRA	PINEDA		453.727.094	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	ROSE JOSEPH	1811587918	ROSE	JOSEPH		453.727.094	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	JAMES EAST	1952763575	JAMES	EAST		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHELLE LEASE	1841653276	MICHELLE	LEASE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GREGORY NGO	1972966604	GREGORY	NGO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHAD COX	1518385384	CHAD	COX		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MELISSA KWAN	1396163978	MELISSA	KWAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	OMID YEGANEH	1194143602	OMID	YEGANEH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MYLES MITSUNAGA	1437577517	MYLES	MITSUNAGA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JASON CHU	1831504158	JASON	CHU		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	AYUSHMAN SHARMA	1104263839	AYUSHMAN	SHARMA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHIKANELE EMEKAUWA	1629410899	CHIKANELE	EMEKAUWA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANH WOHLER	1699113928	ANH	WOHLER		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ALYSHA VARTEVAN	1962748574	ALYSHA	VARTEVAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ZACHARY THWING	1639600042	ZACHARY	THWING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SUMITA JOSEPH	1225584550	SUMITA	JOSEPH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DAVID RITCHIE	1407201916	DAVID	RITCHIE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KRISTOPHER AGHEMO	1972091742	KRISTOPHER	AGHEMO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHRISTINA WILSON	1861991564	CHRISTINA	WILSON		453.727.094	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Preferred Provider	AFOLABI SANGOSANYA	1194808022	AFOLABI	SANGOSANYA		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	DMITRI SEGAL	1427117886	DMITRI	SEGAL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRUCE LINDER	1023189214	BRUCE	LINDER		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	COREY GOLDING	1417020967	COREY	GOLDING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAMES AMEND	1649341637	JAMES	AMEND		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ALBERT CHO	1306924923	ALBERT	CHO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHRISTIAN ARTMAN	1710064126	CHRISTIAN	ARTMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHARLES WENNOGLE	1396835054	CHARLES	WENNOGLE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	VIMAL PATEL	1912058561	VIMAL	PATEL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	VIJITHA REDDY	1245381896	VIJITHA	REDDY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARK SEIGH	1487705968	MARK	SEIGH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BARRY SADEGI	1841343431	BARRY	SADEGI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	HEATHER BURBANK	1417009549	HEATHER	BURBANK		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAMES CHATHAM JR	1629130141	JAMES	CHATHAM JR		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JEAN DELBRUNE	1609939735	JEAN	DELBRUNE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROGER NOCERA	1306905237	ROGER	NOCERA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANNELISE CARLSON	1720153075	ANNELISE	CARLSON		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MEGAN DE CECCHIS	1902002645	MEGAN	DE CECCHIS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SARAH KAO	1568660538	SARAH	KAO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARCUS COX	1922298868	MARCUS	COX		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	DAVID WILD	1013112671	DAVID	WILD		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	JEFFREY MARKHAM	1487858569	JEFFREY	MARKHAM		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KRISTA MICHELIN	1245436377	KRISTA	MICHELIN		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	ALEJANDRO BUGNONE	1477761369	ALEJANDRO	BUGNONE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRIAN SCHWARTZ	1225246366	BRIAN	SCHWARTZ		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	IDAN ALKALAY	1114129293	IDAN	ALKALAY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAMES THOMPSON	1043438625	JAMES	THOMPSON		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GEOFFREY SAKELLIS	1376757757	GEOFFREY	SAKELLIS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANGELA FRIED	1811037013	ANGELA	FRIED		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KEITH CAULEY	1811039464	KEITH	CAULEY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PEJMAN HEDAYATI	1336278431	PEJMAN	HEDAYATI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SABRINA BROWNING	1548399249	SABRINA	BROWNING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RICHARD CONNIN	1811088859	RICHARD	CONNIN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MATTHEW HESH	1386755833	MATTHEW	HESH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FREDERICK MINER	1376655829	FREDERICK	MINER		453.727.094	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Preferred Provider	RYAN TOMPKINS	1619064623	RYAN	TOMPKINS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KIRK BANERIAN	1891882536	KIRK	BANERIAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROBERT AIZENSTEIN	1467460402	ROBERT	AIZENSTEIN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	POYA HEDAYATI	1063523587	POYA	HEDAYATI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FRANK GRAYBEAL	1073615068	FRANK	GRAYBEAL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JEFFREY GAGE	1659476794	JEFFREY	GAGE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL MESSING	1740219351	MICHAEL	MESSING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	OLGA DURAN CASTRO	1841228418	OLGA	DURAN CASTRO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SHERI SCHWEITZER	1053346999	SHERI	SCHWEITZER		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MAURICE PETERS	1922032564	MAURICE	PETERS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAY RADHAKRISHNAN	1245266972	JAY	RADHAKRISHNAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KRISTINA SIDDALL	1023022399	KRISTINA	SIDDALL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PAUL MACCHI	1093759086	PAUL	MACCHI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRIAN HOLTAN	1265469399	BRIAN	HOLTAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NILA ALSHEIK	1972548964	NILA	ALSHEIK		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JEROME MOLITOR	1104845916	JEROME	MOLITOR		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANDREW WEST	1487660007	ANDREW	WEST		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KENNETH GOLDBERG	1265451603	KENNETH	GOLDBERG		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHARIF SIDANI	1265676910	CHARIF	SIDANI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NOAH FELDMAN	1770717258	NOAH	FELDMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MEGHNA KRISHNAN	1376781914	MEGHNA	KRISHNAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FARGOL BOOYA	1043451461	FARGOL	BOOYA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHRISTOPHER MAROULES	1285861708	CHRISTOPHER	MAROULES		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	TRAVIS SNYDER	1396973376	TRAVIS	SNYDER		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NIDHI SHARMA	1306072400	NIDHI	SHARMA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LU ANNE DINGLASAN	1356592323	LU ANNE	DINGLASAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL ROZENFELD	1891937454	MICHAEL	ROZENFELD		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LUKE GRAUKE	1972751709	LUKE	GRAUKE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EDWARD GREENBERG	1780836528	EDWARD	GREENBERG		453.727.094	Approved		INTERVENTIONAL RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LLOYD HEILMAN	1790946291	LLOYD	HEILMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANJALY CURLEY	1891957569	ANJALY	CURLEY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CHANDANA KURRA	1548422827	CHANDANA	KURRA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEVEN BREAULT	1922274034	STEVEN	BREAULT		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRIAN BRUNE	1568639185	BRIAN	BRUNE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	OMAR USMANI	1013177419	OMAR	USMANI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JUSTIN CAUGHRON	1477711919	JUSTIN	CAUGHRON		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANDRES ABREU	1851569701	ANDRES	ABREU		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SIEGFRIED HOLZ	1932388915	SIEGFRIED	HOLZ		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SUDHA THOTA	1407047228	SUDHA	THOTA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SHOBI ZAIDI	1073707253	SHOBI	ZAIDI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHELLE OMURA	1780870956	MICHELLE	OMURA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CAROL ANN BROWNING	1780864033	CAROL ANN	BROWNING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SAMI SIBAI	1740478494	SAMI	SIBAI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ELIOT BUDNICK	1982857363	ELIOT	BUDNICK		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LIZZA LEBRON ZAPATA	1740445204	LIZZA	LEBRON ZAPATA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SCOTT KUO	1245486729	SCOTT	KUO		453.727.094	Approved		INTERVENTIONAL RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WINSTON IRVING	1770739260	WINSTON	IRVING		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SCOTT BRANDMAN	1770765729	SCOTT	BRANDMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DANIEL COUSIN	1548446909	DANIEL	COUSIN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DIMPLE SHAH	1306023809	DIMPLE	SHAH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL COORDS	1457677114	MICHAEL	COORDS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	AJAY WADGAONKAR	1720307317	AJAY	WADGAONKAR		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SAMER HARMOUSH	1447561683	SAMER	HARMOUSH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	TAKESH SAZMAND	1285947861	TAKESH	SAZMAND		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EDGARDO AGRAIT-BERTRAN	1952618324	EDGARDO	AGRAIT-BERTRAN		453.727.094	Approved		HOSPITALIST
PY2025	Individual Participant	Preferred Provider	BENJAMIN HARRIS	1386954014	BENJAMIN	HARRIS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	AMMAR TAHA	1992032577	AMMAR	TAHA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ERICA YANG	1679701460	ERICA	YANG		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ASIF ABDULLAH	1861620601	ASIF	ABDULLAH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SHAUN SMITHSON	1073744520	SHAUN	SMITHSON		453.727.094	Approved		INTERVENTIONAL CARDIOLOGY
PY2025	Individual Participant	Preferred Provider	COURTNEY MASSE	1760613160	COURTNEY	MASSE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	TRAVIS SCHARNWEBER	1740507839	TRAVIS	SCHARNWEBER		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PENELOPE BLOCK	1285962068	PENELOPE	BLOCK		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	VIKRAM SOBTI	1851608756	VIKRAM	SOBTI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NEAL HATCH	1609167790	NEAL	HATCH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EVAN HOWARD	1063702520	EVAN	HOWARD		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SEAN RAJ	1306137252	SEAN	RAJ		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ADRIAN MORA	1467748392	ADRIAN	MORA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MINDY YANG	1114214178	MINDY	YANG		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROY BRYAN	1396021648	ROY	BRYAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KAVYA REDDY	1962760777	KAVYA	REDDY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DIANA WILSON	1790059970	DIANA	WILSON		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JANINE KEUSKAMP	1629343348	JANINE	KEUSKAMP		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ARTHUR CLARK	1902864341	ARTHUR	CLARK		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NEIL ROSENQUIST	1760443915	NEIL	ROSENQUIST		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	NAIYER IMAM	1992768147	NAIYER	IMAM		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JANET MARTIN	1821046707	JANET	MARTIN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARLENA JBARA	1922075365	MARLENA	JBARA		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GRANT LINNELL	1891762332	GRANT	LINNELL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SNEHA PATEL	1376504472	SNEHA	PATEL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LANCE COHEN	1992769954	LANCE	COHEN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	LAURA TAYLOR	1104894096	LAURA	TAYLOR		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ALEXANDER VENNOS	1558339580	ALEXANDER	VENNOS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DEAN MOESCH	1508819970	DEAN	MOESCH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GAGANDEEP MANGAT	1275586729	GAGANDEEP	MANGAT		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MANDAR JOSHI	1114971736	MANDAR	JOSHI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SHAYA ANSARI	1003851726	SHAYA	ANSARI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEVEN BRAFF	1558302794	STEVEN	BRAFF		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ANDREW AKERMAN	1013959220	ANDREW	AKERMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEPHEN JOHNSTON	1336187673	STEPHEN	JOHNSTON		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEPHEN SHINAULT	1477590966	STEPHEN	SHINAULT		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL ILLOVSKY	1023097441	MICHAEL	ILLOVSKY		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	MICHAEL PONT	1184698037	MICHAEL	PONT		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RICHARD TOOTHMAN	1487629143	RICHARD	TOOTHMAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JERRY CHANDLER	1598739856	JERRY	CHANDLER		453.727.094	Approved		CARDIOVASCULAR DISEASE (CARDIOLOGY)
PY2025	Individual Participant	Preferred Provider	JEFFREY BERNFIELD	1144207416	JEFFREY	BERNFIELD		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EDWARD TRAPANI	1245206887	EDWARD	TRAPANI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BADREDDINE BENCHERIF	1255303491	BADREDDINE	BENCHERIF		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	THOMAS BROWN	1053383786	THOMAS	BROWN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	STEVEN PIETRUSZYNSKI	1801862701	STEVEN	PIETRUSZYNSKI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	COOPER GUNDRY	1659348431	COOPER	GUNDRY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ROBERT ROACH	1295725398	ROBERT	ROACH		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SHAMIT SARANGI	1619951837	SHAMIT	SARANGI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WILLIAM ZINN	1912984238	WILLIAM	ZINN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	TIMOTHY SANDERS	1205818127	TIMOTHY	SANDERS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WILLIAM KELLEY	1780666560	WILLIAM	KELLEY		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	HARESHKUMAR SOLANKI	1437139540	HARESHKUMAR	SOLANKI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	KARIN OHLIG	1780654699	KARIN	OHLIG		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DAVID KASSEN	1427028323	DAVID	KASSEN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MATTHEW EISENSTEIN	1700863925	MATTHEW	EISENSTEIN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	CRAIG LYLES	1801871199	CRAIG	LYLES		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WILLIAM WALL	1508844093	WILLIAM	WALL		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BRETT SKIDMORE	1528048394	BRETT	SKIDMORE		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JAYSON LORD	1285625046	JAYSON	LORD		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FAISAL SAMI	1154312676	FAISAL	SAMI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	BILAL MIAN	1679563647	BILAL	MIAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SAYED ALI	1578552469	SAYED	ALI		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DAVID LEFKOWITZ	1306832332	DAVID	LEFKOWITZ		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MADHAVAN KRISHNAN	1275515728	MADHAVAN	KRISHNAN		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JEREMY HAVAS	1043203003	JEREMY	HAVAS		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	WAYNE WINDHAM	1467459107	WAYNE	WINDHAM		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	JOSEPH IZZO	1760480586	JOSEPH	IZZO		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	GARY FELSBERG	1700883022	GARY	FELSBERG		453.727.094	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Participant Provider	UDAY MISHRA	1275636474	UDAY	MISHRA		593.525.982	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	TAMARA LOPEZ DIAZ	1023478880	TAMARA	LOPEZ DIAZ		811.690.622	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	WINSTON EVALLE	1265444202	WINSTON	EVALLE		760.739.954	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	PAMELA TAYLOR	1558054718	PAMELA	TAYLOR		275.560.419	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DESIREE HARTZELL	1275128241	DESIREE	HARTZELL		275.560.419	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	IMMACULA NEZIER	1942955091	IMMACULA	NEZIER		275.560.419	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BRIANA PAGLIA	1205432267	BRIANA	PAGLIA		275.560.419	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BRIANNE BECHARD	1699316836	BRIANNE	BECHARD		275.560.419	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MARIVIC VILLA	1629092564	MARIVIC	VILLA		275.560.419	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	STEPHEN YOUNG	1306844964	STEPHEN	YOUNG		202.976.782	Approved		FAMILY MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	HILLSIDE OPERATIONS LLC				1.295.440.568	921.740.354	Approved	105.599
PY2025	Facility and Institutional Provider	Preferred Provider	MEADOWPARK OPERATIONS, LLC				1.235.844.713	921.587.801	Approved	105.436
PY2025	Facility and Institutional Provider	Preferred Provider	OAKPARK OPERATIONS, LLC				1.982.319.240	921.663.179	Approved	105.708
PY2025	Individual Participant	Participant Provider	GOAR DELAMERENS	1447281530	GOAR	DELAMERENS		262.913.971	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ANGELA JONES	1598823486	ANGELA	JONES		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CARL BROPHY	1740713429	CARL	BROPHY		352.184.410	Approved		NEUROSURGERY
PY2025	Individual Participant	Participant Provider	JONATHAN DISMUKE	1255990693	JONATHAN	DISMUKE		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JOSEPH JONES	1316015423	JOSEPH	JONES		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KETHEESWARAN KATHIRIPILLAI	1972549368	KETHEESWARAN	KATHIRIPILLAI		352.184.410	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	MARY BODENHEIMER	1154804615	MARY	BODENHEIMER		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	NICHOLAS DORSEY	1417375502	NICHOLAS	DORSEY		352.184.410	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	STEVEN CAPPS	1932215662	STEVEN	CAPPS		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CATHY VERGARA	1548520596	CATHY	VERGARA		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LINDA STRUVE-DOERFLEIN	1235298522	LINDA	STRUVE-DOERFLEIN		352.184.410	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	STEPHANIE ANDERSON	1114423142	STEPHANIE	ANDERSON		352.184.410	Approved		FAMILY MEDICINE
PY2025	Organizational Provider	Participant Provider	PRIMARY CARE PROVIDERS INC				1.083.989.438	352.184.410	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	AMIR ETEMADNIA	1003115098	AMIR	ETEMADNIA		813.176.022	Approved		INTERNAL MEDICINE
PY2025	Organizational Provider	Participant Provider	ASSOCIATES IN INTERNAL MEDICINE PA				1.184.874.745	262.913.971	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Participant Provider	FAMILY INTERNAL MEDICINE OF OCALA				1.619.257.961	452.988.446	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	HERMA BAKER	1770568339	HERMA	BAKER		452.988.446	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	IAN FIGUEROA	1841446911	IAN	FIGUEROA		452.988.446	Approved		GENERAL PRACTICE
PY2025	Individual Participant	Participant Provider	KUCHAKULLA REDDY	1255325171	KUCHAKULLA	REDDY		452.988.446	Approved		INTERNAL MEDICINE
PY2025	Organizational Provider	Participant Provider	KANAN MEDICAL, LLC				1.003.369.661	813.176.022	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	ALESSANDRO CAVALCANTE	1376719336	ALESSANDRO	CAVALCANTE		813.176.022	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	MARY CRAMER	1598823999	MARY	CRAMER		813.176.022	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MICHAEL LAMB	1356607196	MICHAEL	LAMB		452.988.446	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ALISTAIR CO	1194971028	ALISTAIR	CO		923.042.097	Approved		FAMILY MEDICINE
PY2025	Organizational Provider	Participant Provider	ACE PRIMARY CARE LLC				1.588.445.514	923.042.097	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	NORA JO GREENIA	1326288366	NORA JO	GREENIA		452.988.446	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	POONAM WARMAN	1871508549	POONAM	WARMAN		452.988.446	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ROSAMMA BABYJOSEPH	1952704082	ROSAMMA	BABYJOSEPH		452.988.446	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CHELSEY CHRISTENSEN	1013419423	CHELSEY	CHRISTENSEN		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	THOMAS MOHAN	1679566558	THOMAS	MOHAN		452.988.446	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ZULFIQAR FAZAL	1972575215	ZULFIQAR	FAZAL		452.988.446	Approved		PAIN MANAGEMENT
PY2025	Individual Participant	Participant Provider	ASHLEY DAVIS	1710446083	ASHLEY	DAVIS		593.158.481	Approved		INTERNAL MEDICINE
PY2025	Organizational Provider	Participant Provider	CENTER FOR ADDICTION AND PAIN MANAGEMENT LLC				1.295.196.459	811.624.365	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	OBED SAINT LOUIS	1558541839	OBED	SAINT LOUIS		811.624.365	Approved		FAMILY MEDICINE
PY2025	Organizational Provider	Participant Provider	CITY HEALTHCARE LLC				1.346.740.214	822.894.531	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Preferred Provider	LAUREN DAVIS	1609490986	LAUREN	DAVIS		593.158.481	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	AASMA RIAZ	1497981187	AASMA	RIAZ		822.894.531	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	HYOSUN PARK	1306232392	HYOSUN	PARK		593.158.481	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ADAM MARTIN	1427779008	ADAM	MARTIN		822.894.531	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	ASHLEY CONCEPCION	1063094514	ASHLEY	CONCEPCION		822.894.531	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	BUSE YUCEER	1376273011	BUSE	YUCEER		822.894.531	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	LYNNZIE KIPP	1679189153	LYNNZIE	KIPP		822.894.531	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	ANDREW MCGREEVY	1225807977	ANDREW	MCGREEVY		822.894.531	Approved		NURSE PRACTITIONER
PY2025	Organizational Provider	Participant Provider	CASSANDRA HAGGERT DO PLLC				1.023.716.750	922.170.569	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Individual Participant	Participant Provider	CASSANDRA HAGGERT	1679100804	CASSANDRA	HAGGERT		922.170.569	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Preferred Provider	PALAM ANNAMALAI	1972529584	PALAM	ANNAMALAI		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PAUL BAEZ	1982654976	PAUL	BAEZ		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	DAVID BIGELOW	1891765806	DAVID	BIGELOW		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	RAJAT CHAND	1730566654	RAJAT	CHAND		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	ALEXANDER FERNANDEZ	1063639342	ALEXANDER	FERNANDEZ		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MANUEL FORTES	1962639757	MANUEL	FORTES		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MARK GIRGUIS	1477591154	MARK	GIRGUIS		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	SUPRIYA GUPTA	1548521883	SUPRIYA	GUPTA		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FENG JIANG	1558603803	FENG	JIANG		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MAHARSHI RAJDEV	1427412014	MAHARSHI	RAJDEV		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	FAEZEH RAZJOUYAN	1881040384	FAEZEH	RAZJOUYAN		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MICHAEL ROGOFF	1104803436	MICHAEL	ROGOFF		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	COSTAS STAVRAKIS	1578825196	COSTAS	STAVRAKIS		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	PEJMAN TAGHAVI	1902282304	PEJMAN	TAGHAVI		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	MEHDI TAGHIPOUR FARD ARDEKANI	1356873939	MEHDI	TAGHIPOUR FARD ARDEKANI		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	AMMAR TAHA	1992032577	AMMAR	TAHA		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Preferred Provider	EMAD YACOUB	1982803532	EMAD	YACOUB		593.158.481	Approved		DIAGNOSTIC RADIOLOGY
PY2025	Individual Participant	Participant Provider	JANELLE ALFANO	1548856974	JANELLE	ALFANO		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DEREK BEDAMI	1346977261	DEREK	BEDAMI		593.440.564	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	MOBOLA CAMPBELL	1295940138	MOBOLA	CAMPBELL		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	JOHN DOEHRING	1306223698	JOHN	DOEHRING		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	DEJA MANDY	1538926993	DEJA	MANDY		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CARIDAD MARTINEZ WATSON	1710744529	CARIDAD	MARTINEZ WATSON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	KELLI MCCRAY	1891942207	KELLI	MCCRAY		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	THOMAS MCDANNEL	1932985801	THOMAS	MCDANNEL		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SHAWNTAE MUNN	1275171860	SHAWNTAE	MUNN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	LAUREN NGUYEN	1972843035	LAUREN	NGUYEN		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	CARLINE PAJOTTE	1508570276	CARLINE	PAJOTTE		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	SAGARIKA SABBAGH	1205177698	SAGARIKA	SABBAGH		593.440.564	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	GAIL SMITH	1053374009	GAIL	SMITH		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JEFFREY STROUD	1225319288	JEFFREY	STROUD		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	AJA TAYLOR	1164172516	AJA	TAYLOR		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DONALD THOMAS	1124454079	DONALD	THOMAS		593.440.564	Approved		EMERGENCY MEDICINE
PY2025	Individual Participant	Participant Provider	ANN THREATTE	1174952469	ANN	THREATTE		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	SABRINA URS	1295362648	SABRINA	URS		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	SWATI VANAPARTHY	1598393365	SWATI	VANAPARTHY		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ANTHONY WASHINGTON	1093002768	ANTHONY	WASHINGTON		593.440.564	Approved		FAMILY MEDICINE
PY2025	Individual Participant	Participant Provider	JONESIA WILLIAMS	1255022703	JONESIA	WILLIAMS		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	JAMIE WILSON	1104557206	JAMIE	WILSON		593.440.564	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DANIA BALLICH	1689201535	DANIA	BALLICH		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ADLI KARADSHEH	1952458101	ADLI	KARADSHEH		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ROBINSON PENA	1437739729	ROBINSON	PENA		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	DANIEL SEGARRA	1255913869	DANIEL	SEGARRA		593.440.564	Approved		INTERNAL MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	ABLE PALMS HOME & HEALTH CARE SERVICES, INC.				1.245.272.038	411.753.931	Approved	109.565
PY2025	FQHC Individual	Participant Provider	ANGEL BRUNO	1881713600	ANGEL	BRUNO	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	YVONNE BUCHANAN	1083646830	YVONNE	BUCHANAN	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	CARLOS CARRANZA	1689777955	CARLOS	CARRANZA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	LOWELL CLARK	1336103563	LOWELL	CLARK	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	DANIEL DSTTEFFANO	1740531011	DANIEL	DSTTEFFANO	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	YANIRA LARA	1306108022	YANIRA	LARA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	SCOTT MENARD	1417579244	SCOTT	MENARD	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	RAMON PEREZ	1659322089	RAMON	PEREZ	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	JOSE RIVAS	1952588188	JOSE	RIVAS	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	ANGEL BRUNO	1881713600	ANGEL	BRUNO	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	GERARDO SOTO	1902197445	GERARDO	SOTO	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	YVONNE BUCHANAN	1083646830	YVONNE	BUCHANAN	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	CARLOS CARRANZA	1689777955	CARLOS	CARRANZA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	LOWELL CLARK	1336103563	LOWELL	CLARK	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	DANIEL DSTTEFFANO	1740531011	DANIEL	DSTTEFFANO	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	YANIRA LARA	1306108022	YANIRA	LARA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	BENROE BLOUNT	1821193772	BENROE	BLOUNT	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	SCOTT MENARD	1417579244	SCOTT	MENARD	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	RAMON PEREZ	1659322089	RAMON	PEREZ	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	JOSE RIVAS	1952588188	JOSE	RIVAS	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	GERARDO SOTO	1902197445	GERARDO	SOTO	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	AKRAM YOUSSEF	1942648803	AKRAM	YOUSSEF	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	BENROE BLOUNT	1821193772	BENROE	BLOUNT	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	AKRAM YOUSSEF	1942648803	AKRAM	YOUSSEF	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	RONNIE-JANE BOEKEMA	1669897377	RONNIE-JANE	BOEKEMA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	RONNIE-JANE BOEKEMA	1669897377	RONNIE-JANE	BOEKEMA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	CANDACE CHAPUSEAUX	1174517510	CANDACE	CHAPUSEAUX	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	HOPE MADDIX	1487754073	HOPE	MADDIX	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	CANDACE CHAPUSEAUX	1174517510	CANDACE	CHAPUSEAUX	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	NOELLE MOONEYHAM	1154893477	NOELLE	MOONEYHAM	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	HOPE MADDIX	1487754073	HOPE	MADDIX	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	VIRGINIA NORTON	1154544989	VIRGINIA	NORTON	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	BETTY STAPLETON	1356427967	BETTY	STAPLETON	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	TEQUILA GOLDEN	1518430032	TEQUILA	GOLDEN	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	NOELLE MOONEYHAM	1154893477	NOELLE	MOONEYHAM	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	RACHEL TUCKER	1952015588	RACHEL	TUCKER	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	VIRGINIA NORTON	1154544989	VIRGINIA	NORTON	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	MARIZEL VASQUEZ	1104259001	MARIZEL	VASQUEZ	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	KRISTI LIPPS	1275977761	KRISTI	LIPPS	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	MARIA ROPHELIA PARAS	1720654395	MARIA ROPHELIA	PARAS	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	BETTY STAPLETON	1356427967	BETTY	STAPLETON	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	LAURA PAIGE	1669132445	LAURA	PAIGE	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	STACEY RIVERA	1922497601	STACEY	RIVERA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	TEQUILA GOLDEN	1518430032	TEQUILA	GOLDEN	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	JOYCE GREENE	1881353951	JOYCE	GREENE	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	RACHEL TUCKER	1952015588	RACHEL	TUCKER	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	MARIZEL VASQUEZ	1104259001	MARIZEL	VASQUEZ	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	KRISTI LIPPS	1275977761	KRISTI	LIPPS	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	MARIA ROPHELIA PARAS	1720654395	MARIA ROPHELIA	PARAS	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	LAURA PAIGE	1669132445	LAURA	PAIGE	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	STACEY RIVERA	1922497601	STACEY	RIVERA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	JOYCE GREENE	1881353951	JOYCE	GREENE	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	ANGEL BRUNO	1881713600	ANGEL	BRUNO	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	YVONNE BUCHANAN	1083646830	YVONNE	BUCHANAN	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	CARLOS CARRANZA	1689777955	CARLOS	CARRANZA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	JOYCE GREENE	1881353951	JOYCE	GREENE	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	LOWELL CLARK	1336103563	LOWELL	CLARK	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	STACEY RIVERA	1922497601	STACEY	RIVERA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	LAURA PAIGE	1669132445	LAURA	PAIGE	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	DANIEL DSTTEFFANO	1740531011	DANIEL	DSTTEFFANO	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	MARIA ROPHELIA PARAS	1720654395	MARIA ROPHELIA	PARAS	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	YANIRA LARA	1306108022	YANIRA	LARA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	KRISTI LIPPS	1275977761	KRISTI	LIPPS	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	MARIZEL VASQUEZ	1104259001	MARIZEL	VASQUEZ	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	SCOTT MENARD	1417579244	SCOTT	MENARD	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	RACHEL TUCKER	1952015588	RACHEL	TUCKER	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	RAMON PEREZ	1659322089	RAMON	PEREZ	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	TEQUILA GOLDEN	1518430032	TEQUILA	GOLDEN	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	BETTY STAPLETON	1356427967	BETTY	STAPLETON	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	JOSE RIVAS	1952588188	JOSE	RIVAS	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	VIRGINIA NORTON	1154544989	VIRGINIA	NORTON	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	GERARDO SOTO	1902197445	GERARDO	SOTO	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	NOELLE MOONEYHAM	1154893477	NOELLE	MOONEYHAM	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	HOPE MADDIX	1487754073	HOPE	MADDIX	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	CANDACE CHAPUSEAUX	1174517510	CANDACE	CHAPUSEAUX	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	BENROE BLOUNT	1821193772	BENROE	BLOUNT	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	RONNIE-JANE BOEKEMA	1669897377	RONNIE-JANE	BOEKEMA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	AKRAM YOUSSEF	1942648803	AKRAM	YOUSSEF	1.639.693.492	542.078.370	Approved	683.832
PY2025	Facility and Institutional Provider	Preferred Provider	ARBOR NURSING AND REHAB LLC				1.639.811.128	880.818.131	Approved	105.649
PY2025	Individual Participant	Participant Provider	ZAEEM QURESHI	1780244327	ZAEEM	QURESHI		883.151.402	Approved		FAMILY MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	LEGACY HOME HEALTH CARE				1.477.067.502	822.305.038	Approved	687.027
PY2025	Individual Participant	Participant Provider	MICHAEL SMITH	1467196295	MICHAEL	SMITH		824.694.026	Approved		NURSE PRACTITIONER
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF THE VILLAGES INC				1.134.716.970	271.477.157	Approved	108.499
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF THE VILLAGES INC				1.982.933.321	271.477.157	Approved	109.702
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF SPRING HILL, INC.				1.467.488.999	421.651.197	Approved	108.068
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF PINELLAS, INC.				1.689.600.082	203.277.979	Approved	108.290
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF HILLSBOROUGH INC				1.245.811.876	474.053.504	Approved	108.262
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF HILLSBOROUGH INC				1.437.663.465	474.053.504	Approved	683.149
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE OF HILLSBOROUGH INC				1.730.647.041	474.053.504	Approved	103.127
PY2025	Facility and Institutional Provider	Preferred Provider	PINNACLE HOME CARE, INC.				1.902.871.031	450.502.569	Approved	107.797
PY2025	Individual Participant	Participant Provider	LISA BORK	1013008390	LISA	BORK		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	MICHELLE COPP	1811349590	MICHELLE	COPP		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	DONNA JACKSON SHARPE	1881274355	DONNA	JACKSON SHARPE		871.565.802	Approved		NURSE PRACTITIONER
PY2025	Individual Participant	Participant Provider	IRENE MAYER	1073601944	IRENE	MAYER		871.565.802	Approved		HOSPITALIST
PY2025	Individual Participant	Participant Provider	VIJAYALAKSHMI POLAVARAPU	1790766756	VIJAYALAKSHMI	POLAVARAPU		871.565.802	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	ZAEEM QURESHI	1780244327	ZAEEM	QURESHI		871.565.802	Approved		INTERNAL MEDICINE
PY2025	Individual Participant	Participant Provider	PAUL KILPATRICK	1780620278	PAUL	KILPATRICK		10.640.237	Approved		PHYSICIAN ASSISTANT
PY2025	Individual Participant	Participant Provider	RHONDA RINGER	1871548891	RHONDA	RINGER		10.640.237	Approved		FAMILY MEDICINE
PY2025	Facility and Institutional Provider	Preferred Provider	CLEARSKY REHABILITATION HOSPITAL OF LECANTO, LLC				1.487.380.796	880.743.847	Approved	103.061
PY2025	Facility and Institutional Provider	Preferred Provider	HAWTHORNE OCALA OPERATIONS LLC				1.841.881.323	861.723.436	Approved	105.602
PY2025	Facility and Institutional Provider	Preferred Provider	PARKLANDS NURSING AND REHAB LLC				1.942.958.384	880.878.489	Approved	105.638
PY2025	Facility and Institutional Provider	Preferred Provider	COURTYARDS NURSING AND REHAB LLC				1.821.746.330	880.818.238	Approved	105.431
PY2025	Facility and Institutional Provider	Preferred Provider	WILLISTON NURSING AND REHAB LLC				1.811.645.260	880.768.188	Approved	105.467
PY2025	Facility and Institutional Provider	Preferred Provider	LADY LAKE SPECIALTY CARE CENTER AND REHAB LLC				1.013.666.551	881.251.152	Approved	106.003
PY2025	FQHC Individual	Participant Provider	MARY BODENHEIMER	1154804615	MARY	BODENHEIMER	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	MICHAEL AUL	1912303256	MICHAEL	AUL	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	CESAR OROZCO	1003228404	CESAR	OROZCO	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	MIGDALIS MATOS GONZALEZ	1679566277	MIGDALIS	MATOS GONZALEZ	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	GEORGE IKELER	1013944933	GEORGE	IKELER	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	SARA YERMAL	1659320844	SARA	YERMAL	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	STEVEN CAPPS	1932215662	STEVEN	CAPPS	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	HILBERT ZEBALLOS EVANGELISTA	1700807526	HILBERT	ZEBALLOS EVANGELISTA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	LUIS ORTIZ-TORRES	1710911243	LUIS	ORTIZ-TORRES	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	DONNA O'HARA	1710186267	DONNA	O'HARA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	ELAINE KINDER	1316002249	ELAINE	KINDER	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	ROBERT CARRAWAY	1245317635	ROBERT	CARRAWAY	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	TANYA PIKE	1780980615	TANYA	PIKE	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	SANGEETA HANS	1447488978	SANGEETA	HANS	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	NORA JO GREENIA	1326288366	NORA JO	GREENIA	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	EHRENTRAUD EICHELBAUM	1255518486	EHRENTRAUD	EICHELBAUM	1.467.642.942	542.078.370	Approved	108.973
PY2025	FQHC Individual	Participant Provider	EHRENTRAUD EICHELBAUM	1255518486	EHRENTRAUD	EICHELBAUM	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	NORA JO GREENIA	1326288366	NORA JO	GREENIA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	SANGEETA HANS	1447488978	SANGEETA	HANS	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	TANYA PIKE	1780980615	TANYA	PIKE	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	ROBERT CARRAWAY	1245317635	ROBERT	CARRAWAY	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	ELAINE KINDER	1316002249	ELAINE	KINDER	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	DONNA O'HARA	1710186267	DONNA	O'HARA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	LUIS ORTIZ-TORRES	1710911243	LUIS	ORTIZ-TORRES	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	HILBERT ZEBALLOS EVANGELISTA	1700807526	HILBERT	ZEBALLOS EVANGELISTA	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	STEVEN CAPPS	1932215662	STEVEN	CAPPS	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	SARA YERMAL	1659320844	SARA	YERMAL	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	GEORGE IKELER	1013944933	GEORGE	IKELER	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	MIGDALIS MATOS GONZALEZ	1679566277	MIGDALIS	MATOS GONZALEZ	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	CESAR OROZCO	1003228404	CESAR	OROZCO	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	MICHAEL AUL	1912303256	MICHAEL	AUL	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	MARY BODENHEIMER	1154804615	MARY	BODENHEIMER	1.376.733.857	542.078.370	Approved	108.972
PY2025	FQHC Individual	Participant Provider	MARY BODENHEIMER	1154804615	MARY	BODENHEIMER	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	MICHAEL AUL	1912303256	MICHAEL	AUL	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	CESAR OROZCO	1003228404	CESAR	OROZCO	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	MIGDALIS MATOS GONZALEZ	1679566277	MIGDALIS	MATOS GONZALEZ	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	GEORGE IKELER	1013944933	GEORGE	IKELER	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	SARA YERMAL	1659320844	SARA	YERMAL	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	STEVEN CAPPS	1932215662	STEVEN	CAPPS	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	HILBERT ZEBALLOS EVANGELISTA	1700807526	HILBERT	ZEBALLOS EVANGELISTA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	LUIS ORTIZ-TORRES	1710911243	LUIS	ORTIZ-TORRES	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	DONNA O'HARA	1710186267	DONNA	O'HARA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	ELAINE KINDER	1316002249	ELAINE	KINDER	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	ROBERT CARRAWAY	1245317635	ROBERT	CARRAWAY	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	TANYA PIKE	1780980615	TANYA	PIKE	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	SANGEETA HANS	1447488978	SANGEETA	HANS	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	NORA JO GREENIA	1326288366	NORA JO	GREENIA	1.639.693.492	542.078.370	Approved	683.832
PY2025	FQHC Individual	Participant Provider	EHRENTRAUD EICHELBAUM	1255518486	EHRENTRAUD	EICHELBAUM	1.639.693.492	542.078.370	Approved	683.832
PY2025	Organizational Provider	Preferred Provider	DIAGNOSTIC CENTERS OF AMERICA, LLP				1.730.125.261	650.378.614	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE
PY2025	Organizational Provider	Preferred Provider	DIAGNOSTIC CENTERS OF AMERICA, LLP				1.083.491.237	650.378.614	Approved		SINGLE OR MULTISPECIALTY CLINIC OR GROUP PRACTICE

Pathways Accountable Care, LLC. does not have any joint ventures to disclose.

ACO Key Clinical and Administrative Leadership

Yesenia Salvadore-Backer

Board Chair

Pathways Health Partners

William Weaver, DO

Medical Director

CFCF, Inc.

Roger Roque, MD

Chief Medical Director

Roger Roque, MD PA

David P Wagner, MHCM, CHC, CMPE

Chief Compliance Officer

Pathways Health Partners

Judy Obregon, RN

Director of Clinical Operations

Pathways Health Partners

ACO Governing Body

Yesenia Salvadore-Backer

Board Chair

Pathways Health Partners

Susan McPhail-Taylor

Member

Consumer Advocate

Lowell F. Clark, MD

Member

The Clark Clinic, a ACO participant

Roger Roque, MD

Member

Roger Roque, MD, a ACO participant

William Weaver, MD

Member

CFCF, INC, a ACO participant

Guy Sulfaro

Member

Beneficiary Advocate

Adam Alpers, DO

Member

Ocala Family Care

Fadi Saba, MD

Member

Professional Health Care of Pinellas, LLC, a ACO participant

Performance Year 2021

Performance Year 2022

Performance Year 2023

Performance Year 2021

Performance Year 2022

Performance Year 2023