Alachua ACORN Clinic 23320 N. State Road 235, Brooker, FL 32622 (352)485-33 2/5/02 Secretary Alachua Alachua County Health Department 730 NE Waldo Rd, Gainesville, FL 3264 352-955-2356 - Alachua Clinic - Family Services Center - Hawthorne Clinic - High Springs Clinic - Newberry Clinic 3630 N. W. 5 Place, Alachua, FL 3264 3600 N. E. 5 Street, Gainesville, FL 32609 22000 S. E. 65 Ave., Hawthorne, FL 32640 30 S. W. First Avenue, High Springs, FL 32643 25435 W. Newberry Road, Newberry, FL 32669 386-462-2542 352-955-7220 352-48-2388 386-454-242 352-472-60 Alachua Helping Hands Clinic, Inc. First United Methodist Church, 49 NE st St, Gainesville, 352-372-8523 0/07 VHCPP FL 3260 Alachua Eftim Adhami, M.D., Lupus Foundation of 945 NW 4 th Way, Gainesville, FL 32606 352-275-87 6/23/09 Secretary Gainesville Alachua Westside Samaritans Clinic 0000 W. Newberry Road, Gainesville, FL 32606 352-333-7700 05/7/2 SSG x3 Alachua The Primary Care Clinic of Gainesville, PA 026-C SW 2 nd Avenue, Gainesville, FL 3260 352-284-3669 08/0/2 SSG Alachua North Florida Evaluation and Treatment Center 200 NE 55 th Blvd., Gainesville, FL 3264 08/26/3 SSG Baker Baker County Health Department 657 S. 6 th Street, Macclenny, FL 32063 904-259-629 Bay Bay County Council of Aging 6 Frankford Ave., Panama City, FL 3240 904-769-3468 4/9/94 VHCPP Bay St. Andrews Community Medical Center 66 Cincinnati Ave., Panama City, FL 3240 850-785-49 6/5/04 VHCPP Bay Bay County Health Department 597 W. th St., Panama City, FL 3240 850-872-4455 Bay PanCare of Florida, Inc. DBA Community 707-A Jenks Avenue, Panama City, FL 3240 (dental only) 850-872-428 s. 330 Health Center Bay County 2309 E 5 th St, Panama City (Cedar Grove), FL 32405 Bay Gulf Coast Holistic and Primary Care 756 Harrison Avenue, Panama City, FL 3240 05/28/3 SSG Bradford Bradford County Health Department 80 North Temple Ave. Starke, FL 3209 904-964-7732 Brevard Brevard Health Alliance 270 Babcock Street NE, #, Palm Bay, FL 32905 32-733-202 s. 330 Brevard Brevard County Health Department - Melbourne Clinic, Melbourne - PATH Clinic, Rockledge - Rockledge Clinic, Rockledge - Titusville Clinic, Titusville 2575 N. Courtenay Pkwy, Merritt Island, FL 32953-447 2275 S. Babcock St., Melbourne, FL 3290 744 Cedar St., Rockledge, FL 32955 744 Cedar St., Rockledge, FL 32955 6 Singleton Av., Titusville, FL 32796 407-454-7 32-726-2920 32-690-6494 32-634-6305 32-383-2795 4/8/94 Brevard Brevard County Jail 860 Camp Road, Cocoa, FL 32927 32-690-500 05/02/2 SSG Brevard George Idiculla, M.D., P.A. Internal Medicine 029 South Florida Avenue, Rockledge, FL 32955 32-638-0888 0/30/2 SSG Broward Broward Community & Family Health Centers, Inc. -Thomas N. Anthony Medical Center -Broward Community & Family Health 258 N. SR 7, Hollywood, FL 3302 88 N. Powerline Rd, Pompano Beach, FL 33026 954-967-0028 954-970-8805 s. 330 Revised 09-26-203 Page of 27
Broward Broward County Health Department - Ft. Lauderdale Health Center 242-A SW 6th Ave., Ft. Lauderdale, FL 335-263 954-467-4938 - Hughes Health Center 205 NE 6 th Ave., Pompano Beach, FL 33060 954-788-640 - North Regional Public Health Center 60 W. Atlantic Blvd., Pompano Bch, FL 33060 - Northwest Health Center 624 NW 5 Way, Ft. Lauderdale, FL 333 954-467-453 - South Regional Health Center 405 Pembroke Rd., Hollywood, FL 33020 954-985-4800 - Sunrise Health Center 900 NW 3 st Ave., Ft. Lauderdale, FL 333 954-327-6000 Broward Project Access 8000 Biscayne Blvd, Miami, FL 3338 865 SW 26 th ST, Unit G-0, Miami, FL 3374 6830 Pines Blvd, Pembroke Pines, FL 33024 609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62 nd Ave, Ste 300, S. Miami, FL 3343 5240 West Flagler St, Miami, FL 3324 700 SW 8 Street, Miami, FL 3330 305-759-4778 305-559-8333 954-987-500 407-944-39 83-933-2800 Secretary /25/06 Broward Living Water Care Center, North Site 039 NE 3 rd Ave, Ft. Lauderdale, FL 33304 8/8/06 VHCPP Board approved pursuant to 458.37 Broward Living Water Care Center, South Site 360 SW 48 th Ave, Pembroke Pines, FL 33023 8/8/06 VHCPP Board approved pursuant to 458.37 Broward Centro Medico Familiar Buen Pastor, Inc. 4440 Sheridan St, Ste C, Hollywood, FL 3302 8/6/09 Secretary Broward Elite Medical 3429 W Oakland Park Blvd, Lauderdale, FL 333 5/3/20 SSG Broward Miguel A. Aponte, MD 7300 West McNab Road, Ste. 3, Tamarac, FL 3332 954-582-200 9/8/ SSG Broward L & M Medical Clinic 200 E. Hallandale Beach Blvd., #202, Hallandale, FL 954-239-0578 0/9/2 SSG 33009 Broward Cintex Medical Center and Urgent Care 6245 Miramar Parkway, Ste. 0, Miramar, FL 33023 05/03/2 SSG Broward Broward Outreach Center Hollywood 2056 Scott Street, Hollywood, FL 33022 305-572-2026 05/7/2 SSG Broward Kumar Rajagoplan MD PA 386 Hollywood Blvd., 02, Hollywood, FL 3302 0/08/2 SSG Broward Zion Clinic Pharmacy 205 E Hallandale Beach Blvd., Hallandale Beach, FL 33009 954-367-5365 0/30/2 SSG Broward Sunset Strip Medical Center 4269 NW 88 th Avenue, Sunrise, FL 3335 05/28/3 SSG Broward Emerald Hills Medical Center 3990 Sheridan Street, Ste. 0, Hollywood, FL 3302 05/28/3 SSG Broward Premier Total Healthcare, Inc. 250 E. Hallandale Beach Blvd, 2 nd Floor, Hallandale 06/28/3 SSG Beach, FL 33009 Calhoun Calhoun County Health Department 507 W. Central Ave, Blountstown, FL 32424-85 850-674-5645 Revised 09-26-203 Page 2 of 27
Revised 09-26-203 Charlotte Charlotte County Health Department 54 E. Grace St., Punta Gorda, FL 33950-698 94-639-8 N/A 200 Peachland Blvd., Pt Charlotte, FL 33954 6868 San Casa Rd., Englewood, FL 34223 94-255-7424 94-474-3240 Charlotte St. Vincent de Paul Community Health Clinic 2450 Gibralter Dr, Port Charlotte, FL 33952 94-766-3570 2/3/07 VHCPP (address from Sunbiz: 282 Market Circle, Unit 6, Port Charlotte, FL 33953) Charlotte St. Vincent De Paul Community Health Care, 2297-B Olean Blvd., Port Charlotte, FL 33952 09/06/3 SSG Inc. Citrus Citrus County Health Department 3700 W. Sovereign Path, Lecanto, FL 3446-807 352-527-288 Citrus Nature Coast Ministries 838 N. Citrus Avenue, Crystal River, FL 34429 352-563-860 06/2/2 SSG Clay Clay County Health Department - Bear Run Clinic 305 Idlewild Ave., Green Cove Sgs, FL 32043 3229 Bear Run Blvd., Orange Park, FL 32073 904-529-2277 904-272-377 VHCPP - Keystone Heights Clinic - Women s Health Clinic 5 Commercial Dr., Keystone Heights, 32656 3229 Bear Run Blvd., Orange Park, FL 32073 904-473-472 904-272-4529 Clay Penney Retirement Community P.O. Box 555, Penney Farms, FL 32079 (3495 Hoffman St, 904-284-853 Penny Farms, FL 32079) Clay The Way Free Medical Clinic, Inc Martin Luther King Jr. Blvd, Green Cove Springs, FL 904-25-0624 VHCPP 32079 Collier Collier County Health Department P.O. Box 429, Naples, FL 33939-0428 94-774-820 2/6/93 Collier Collier Health Services, Inc. - Central Naples Pediatrics - Creekside Pediatrics - Golden Gate Pediatrics - Mike Davis Medical Center - Immokalee Family Care Center - Marco Island Pediatrics - Marion E. Feather Medical Center 49 N. First St., Immokalee, FL 33934 454 W. Madison Ave., Immokalee, FL 3442 3425 0 th Street, N., Naples, FL 3403 284 Creekside St., #07, Naples, FL 3408 5262 Golden Gate Parkway, Naples, FL 346 755 Heritage Trail, Ste. 604, Naples, FL 342 502 Lake Trafford Road, Immokalee, FL 3442 40 Heathwood Drive, Marco Island, FL 3445 454 W. Madison Ave., Immokalee, FL 3442 Page 3 of 27 94-657-220 239-658-3000 239-262-3669 239-59-755 239-353-40 239-657-6363 239-394-0693 239-658-3000 2/8/96 s. 330 9/22/ Collier David Lawrence Cntr and Collier Health Svc., 6075 Goldengate Parkway, Naples 94-435-0035 VHCPP Inc. Columbia Columbia County Health Department 249 East Franklin Street, Lake City, FL 32055 386-758-037 - Fort White Clinic Dortch Street, Fort White, FL 32038 386-497-4899 Dade Borinquen Health Care Center 360 Federal Highway N., Miami, FL 3337 305-576-66 s. 330 Dade Camillus Health Concern 336 NW 5 th St., Miami, FL 330 305-577-4840 VHCPP - Better Way of Greater Miami 800 NW 28 th Street, Miami, FL 3327 305-634-4797 s. 330 - Salvation Army 907 NW 38 th Street, Miami, FL 3342 305-637-6700
Dade North Miami Beach Medical Center, Inc. 4450 NW 35 th St, Opa-Locka, FL 33054 (786) 888-8800 VHCPP Dade Citrus Health Network (Administration) 425 W. 20 th Avenue, Hialeah, FL 3302 305-825-0300 s. 330 - Citrus Health Network Clinic 475 W. 20 th Avenue, Hialeah, FL 3302 305-424-320 Dade Community Health of South Florida, Inc. (previously Community Health of South Dade, Inc.) 0300 SW 26 th St., Miami, FL 3390 305-253-500 2/8/96 s. 330 Revised 09-26-203 - Women s Center - Copes South - Doris Ison Health Center - Everglades Health Center - Martin Luther King Jr. Clinic Campesina - Naranja Health Center - West Perrine Health Center - Marathon Health Center Community Health of South Florida, Inc. School Based Health Locations - HA Ammons Middle School - John Ferguson Senior High School - G. Holmes Braddock Sr High School - West Miami Middle School - Campbell Drive Elementary School - West Homestead Elementary School - Laura Saunders Elementary School - R.R. Morton Elementary School - Dorothy Wallace COPE South - South Wood Middle School - Royal Green Elementary - William S. Chapman Elementary - Dr. Bowman Foster Ashe Elementary - Jane Roberts Elementary - Flagami Elementary School - Campbell Drive Middle School - South Dade Sr. High School - Homestead Senior High School - Colonial Drive Elementary School - Perrine Elementary 820 SW st ST, Homestead, FL 33030 0225 SW 47 th St, Miami, FL 3376 0300 SW 26 th St., Miami, FL 3390 9300 SW 376 th St., Florida City, FL 33034 80 W. Mowry St., Homestead, FL 33030 3805 SW 264 th St., Naranja, FL 33032 8255 Homestead Ave, Perrine, FL 3357 2855 Overseas hwy, Marathon, FL 33050 7990 SW 42 nd Ave, Miami, FL 3377 5900 SW 56 th St, Miami, FL 3385 360 SW 47 th Ave, Miami, FL 3385 7525 SW 24 th St, Miami, FL 3335 5790 SW 307 th St, Leisure City, FL 33033 550 SW 6 th St, Homestead, FL 33030 505 SW 8 th St, Homestead, FL 33030 8050 Homestead Ave, Perrine, FL 3357 0225 SW 47 th Terrace, Miami, FL 3376 630 SW 80 Ave, Miami, FL 3357 3047 SW 47 th St, Miami, FL 3375 2790 SW 40 Ave, Homestead, FL 33032 660 SW 52 nd Ave, Miami, FL 3393 4850 SW Cottonwood Circle, Miami, FL 3385 920 SW 76 th Ave, Miami, FL 3344 900 NE 23 rd Ave, Homestead, FL 33033 2840 SW 67 th Ave, Homestead, FL 33030 235 SE 2 th Ave, Homestead, FL 33034 0755 SW 60 St, Miami, FL 3357 885 SW 68 th St, Perrine, FL 3357 Page 4 of 27 305-247-3087 305-253-8073 305-253-500 305-246-4607 305-248-4334 305-258-683 305-234-7676 305-743-4000 305-252-293 305-752-0834 305-552-6205 305-26-9986 305-246-567 305-245-368 305-242-0973 305-238-9520 305-233-044 305-25-536 305-22-4452 305-245-33 305-382-8760 305-220-8254 305-26-84 305-245-875 305-247-4244 305-242-2244 305-235-7284 305-235-2442
- Howard D. McMillan Middle School 300 SW 59 th St, Miami, FL 3383 305-385-6877 - Redondo Elementary 8480 SW 304 th St, Homestead, FL 33030 305-247-5943 - Leisure City K-8 4950 SW 288 th St, Homestead, FL 33033 305-247-543 - Avocado Elementary 6969 SW 294 th St, Homestead, FL 33030 305-247-4942 - Florida City Elementary 364 NW 6 th Ave, Florida City, FL 33034 305-247-4676 - Airbase Elementary 2829 SW 272 nd St, Homestead, FL 33032 305-258-3676 - Homestead Middle School 650 NW 2 nd Ave, Homestead, FL 33030 305-247-422 Dade Dade County Health Department 350 NW 4 th Street, Miami, FL 3325-696 305-324-2400 Revised 09-26-203 Page 5 of 27
Revised 09-26-203 Dade Economic Opportunity Family Health Center 700 S. Royal Poinciana Blvd., #300, Miami, FL 3366 305-805-700 4/8/94 s. 330 (now called Jessie Trice Community Health Center, Inc) - Charles R. Drew Elementary - Charles R. Drew Middle School - Cope Center North - EOFHC, Inc./North - Family Health Center at Citrus Health - Hialeah Medical Ctr at Flamingo Plaza - Florida Memorial College - James E. Scott Satellite Center - Women s Residential Center - Jessie Trice Center for Community Health - Lilly C. Evans Elementary - Poinciana Park Elementary - Brownsville Middle School - Miami Edison Sr/Children s School Clinic - Miami Edison Middle School - Norland Healthcare Center - OB/GYN Services (Women s Service Ctr) - Miami Central Cr. High - Broadmoor Elementary - Madison Middle School - Gratigny Elementary School - Miami Park Elementary - Phillis Wheatley Elementary - Toussaint L Ouverture Elementary - Earlington Heights Elementary - Orchard Villa Elementary - Shadowlawn Elementary - Olinda Park Elementary 775 NW 60 th St., Miami, FL 3347 80 NW 60 th St, Miami, FL 3347 9950 NW 9 th Ave., Miami, FL 3347 220 NW 95 th St, Miami, FL 3350 475 W. 20 th Ave., Miami, FL 3302 90 E. 0 th Ave., #39, Miami, FL 3300 5800 NW 42 nd Ave., Miami, FL 33056 7200 NW 22 nd Ave., Miami, FL 3347 2985 NW 54 th St., Miami, FL 3342 536 NW 22 nd Ave., Miami, FL 3342 895 NW 75 th St., Miami, FL 3347 6745 NW 23 rd Ave., Miami, FL 3347 4899 NW 24 th Ave, Miami, FL 3342 66 NW 5 th Ct, Miami, FL 3327 60 NW 2 nd Ave, Miami, FL 3327 8360 NW 7 th Ave, Miami, FL 3369 90 NW 95 th St, Ste 0, Miami, FL 3350 78 NW 95 th St, Miami, FL 3347 340 NW 83 rd St, Miami, FL 3347 3400 NW 87 th St, Miami, FL 3347 905 N Miami Ave, Miami, FL 3368 2225 NW 03 rd St, Miami, FL 3347 80 NW st Pl, Miami, FL 3336 20 NE 59 St, Maimi, FL 3337 4750 NW 22 nd Ave, Miami, FL 3342 5720 NW 3 th Ave, Miami, FL 3342 49 NW 49 th St, Miami, FL 3342 5536 NW 2 st Ave, Miami, FL 3342 305-694-2362 305-694-2362 305-69-4547 305-694-6900 305-558-05 305-887-0004 305-626-3760 305-759-3700 305-887-0004 305-835-822 305-637-6498 305-637-6400 305-694-2366 305-696-50 305-635-7505 305-754-7044 305-754-3570 305-696-50 305-696-7759 305-696-46 305-69-086 305-696-7759 305-68-6685 305-69-636 305-573-2638 305-758-2600 305-635-7505 305-696-7759 Dade Helen B. Bentley Family Health Center, Inc. 3090 37 th Ave., SW, Coconut Grove, FL 3333 305-35-36 s. 330 Dade Little Havana Activities and Nutrition Center 700 SW 8 th Street, Miami, FL 3330-3300 305-858-0887 6/5/92 Dade Miami Dade County Health Department 350 N.W. 4 th St, Miami, FL 3325 305-3242454 Dade Miami Beach Community Health Center (Stanley C. Myers) - Beverly Press Satellite Center - Dr. Solomon-Lichter Hi-Tides Hlth Ctr 70 Alton Road, Miami, FL 3339 22 7 st St., Miami Beach, FL 334 223 Prairie Ave., Miami Beach, FL 3339 305-538-8835 305-538-8835 305-534-4004 2/6/96 s. 330 Page 6 of 27
Revised 09-26-203 - North Miami Center - Center for Haitian Studies 2340 NE 6 th Court, North Miami, FL 336 8260 NE 2 nd Ave, Miami, FL 3338 Dade Project Access 8000 Biscayne Blvd, Miami, FL 3338 305-759-4778 Secretary /25/06 865 SW 26 th ST, Unit G-0, Miami, FL 3374 6830 Pines Blvd, Pembroke Pines, FL 33024 609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62 nd Ave, Ste 300, S. Miami, FL 3343 5240 West Flagler St, Miami, FL 3324 700 SW 8 Street, Miami, FL 3330 305-559-8333 954-987-500 407-944-39 83-933-2800 Dade Center for Haitian Services, Health & Human 8260 NE 2 nd Ave, Miami, FL 3338 (305) 757-9555 6/3/06 Board approved Services, Inc. Dade Panamerican Health Center, Inc. 4750 NW 7 th St, Ste 3, Miami, FL 3326 305-567-0060 8/6/2009 Secretary Dade Latin Foundation for Health, Inc. 8260 W Flagler St, Ste 2-M, Miami, FL 3344 85 NW 57 th Avenue, Ste. 44, Miami, FL 3326 305-903-97 0/30/09 SSC 05/28/3 SSG Dade Miami Rescue Mission 2025 NW st Ave, Miami, FL 3324 305-57-2273 2//20 VHCPP 0 Dade Medical Consulting Center 759 NW 22 nd Avenue, Miami, FL 3325 305-649-0492 2/7/ SSG Dade Larkin Community Hospital 703 SW 62 nd Ave, S. Miami, FL 3343 0/5/20 SSG 0 Dade Larkin Community Hospital Clinic, 640 SW 70 th St, S. Miami, FL 3343 0/5/20 SSG Comprehensive Medical Access (CMA), Inc 0 Dade Anchor Medical Center 278 Bird Rd, Miami, FL 3375 278 S.W. Bird Rd., Ste. H, Miami, FL 3375 786-953-822 2/8/0 SSG 02/22/3 SSG Dade St. John Clinic Medical Center 6 NW 29 Street, Miami, FL 3327 2/8/20 SSG 0 Dade A&F Medical Services, Inc. 4726 West Flagler St, Miami, FL 3334 3//20 SSG Dade Primary Wellness Center 6445 SW 8 th St, Miami, FL 3344 4/7/20 SSG Dade J.O. Medical Center, Inc. 42 NW 27 th Ave, Ste 303, Miami, FL 3325 4/3/20 SSG Dade Paradigm Medical Center 250 NW 7 th St, Ste 0, Miami, FL 3325 4/3/20 SSG Dade Clear Image Aesthetic Center, LLC 260 SW 37 th Avenue, Suite 90, Miami, FL 3333 786-953-5355 0/26/ SSG Dade Group of Miami, LLC 394 Coral Way, Miami, FL 3345 4/8/20 SGG Dade Better Health Systems, Inc 85 Grand Canal Dr, Ste 209, Miami, FL 3344 4/9/20 Page 7 of 27 SSG
Revised 09-26-203 Dade Archy s Diagnostic Center 35 SW 4 th Ave, Ste 20, Miami, FL 3374 5/8/20 SSG Dade Roig Ortho & Rehab Center 932 SW 82 nd Avenue, Miami, FL 3344 938 SW 82 nd Avenue, Miami, FL 3344 305-26-9480 305-26-9480 9/9/ SSG 06/06/2 SSG Dade Express Medical Center, Inc. 250 SW 27 th Ave, Ste 30, Miami, FL 3335 5/8/20 SSG Dade Care Plus Center, LLC 8260 W Flagler St, Ste 2B, Miami, FL 3344 5/8/20 SSG Dade Vega Medical Center 3720 SW 07 th Ave, Ste, Miami, FL 3365 6/8/20 SSG Dade Vega Medical Center 3720 SW 07 th Ave., Miami, FL 3365 7/3/20 SSG Dade Orthopedic Traumatology & Rehab Center 9950 SW 40 th Street, Miami, FL 3365 06/08/ SSG Dade Flare Medical Services 8370 SW Flagler Street, Suite 20, Miami, FL 3344 06/08/ SSG Dade Sanchez Cazau Medical Group 77 Coral Way, Suite 200, Miami, FL 3355 344 West 65 th Street, Ste. 202, Hialeah, FL 3302 305-889-6670 08/04/ SSG 03/06/3 SSG Dade LMG Medical Center, Inc. 720 SW 8 th Street, Miami, FL 3344 8/6/ SSG Dade Medical Center of West Miami, Inc. 6469 SW 8 th Street, Miami FL 3344 8/6/ SSG Dade RP Comprehensive Health Care, Inc. 7500 Southwest 8 th Street, Ste 30, Miami, FL 3344 8/6/ SSG Dade All Future Medical Center 3237 NW 7 th Street, Ste. 0, Miami, FL 3325 7376 N.W. 35 th Terrace, Ste. 04, Miami, FL 3322 8/6/ SSG 05/08/3 SSG Dade Mariano M. Martinez M.D., P.A. 7000 SW 62 nd Avenue, Ste 300, Miami, FL 3343 8/6/ SSG Dade Selem Medical Center 4800 West Flagler Street, Miami, FL 3334 8/6/ SSG Dade Med-Care Quality Medical Centers, LLC 7200 Northwest 7 th Street, Miami, FL 3343 8/30/ SSG Dade GMC Group of Miami, LLC 260 Southwest 37 th Avenue, Ste. 90, Miami, FL 3333 8/3/ SSG Dade Romeu Clinical Enterprises 393 SW st Street, Ste. 320, Miami, FL 3335 305-544-0977 9/8/ SSG Dade CAN Physician Group Corp. 7490 SW 23 rd Street, Ste. 20-A, Miami, FL 3355 786-649-0492 /0/ SSG Dade CAN Roig s Orthopaedic Center 7500 SW 8 th Street, Ste. 303, Miami, FL 3344 0/05/2 SSG Dade Comfort Health Management 8300 West Flagler Street, Suite 20, Miami, FL 3344 305-553-0270 0/9/2 SSG Dade Dr. Rafael A. Penalver Clinic, Inc. 97 NW 2 nd Street, Miami, FL 3328 305-545-7737 0/9/2 SSG Dade RCD Medical Center, Inc. 973 SW 8 th Street, Miami, Fl 3330 786-533-959 03/0/2 SSG Dade Discovery Therapy, Inc. 24 SW st Street, Ste. 206, Miami, FL 3335 305-643-0488 03/0/2 SSG Dade First Choice Pain Management, LLC 450 NW 7 th Street, Ste. 205, Miami, FL 3326 786-536-585 03/20/2 SSG Dade Nova Health Center, Corp. 8900 SW 24 th Street, Ste. 202, Miami, FL 3365 04/03/2 SSG Dade The Wellness Center of Miami Group, Inc. 7640 N.W. 25 th Street, Ste. 03, Miami, FL 3322 04/04/2 SSG Dade Universal Professional Care, Inc. 35 SW 4 th Avenue, Ste. 05, Miami, FL 3374 305-554-952 04/20/2 SSG Dade MIA Medical Dental Center Inc. 394 SW Coral Way (22 nd Street), Miami, FL 3345 305-778-566 05//2 SSG Page 8 of 27
Revised 09-26-203 Dade Private Medical Center, Inc. 0 NW 42 nd Avenue, Ste. 300, Miami, FL 3326 305-774-0742 05/7/2 SSG Dade Caribe Medical Center of Homestead, Inc. 26799 S. Dixie Highway A, Naranja, FL 33032 305-258-6070 06/2/2 SSG Dade Sunshine Medical & Pain Management Inc. 3990 West Flagler Street, Ste. 406, Miami, FL 3334 305-456-3879 06/22/2 SSG Dade Gold Coast Physicians Partners, LLC d/b/a 97 NW 2 nd Street, Miami, FL 3328 305-545-7737 06/5/2 SSG Penalver Clinic Medical Group Dade March Medical Center LLC 674 W. Flagler Street, Miami, FL 3344 954-424-873 07/0/2 SSG Dade Prestige Medical Services 2905 SW 42 nd Street, Ste. 0, Miami, FL 3375 305-260-5404 07/27/2 SSG Dade MED-Plan Clinic LLC 7200 Northwest 7 th Street, Suite 202, Miami, FL 3326 305-262-60 08/28/2 SSG Dade Aballi Medical Care, Inc. 593 SW 8 th Street, Miami, FL 3344 305-263-656 09/06/2 SSG Dade IM Orthopedics & General Medicine Inc. 850 SW 8 th Street, Ste. 205, Miami, FL 3344 786-275-484 09/3/2 SSG Dade Professional Rehabilitation Service, Inc. 285 SW 2 Street, Ste. 20, Miami, FL 3389 09/25/2 SSG Dade Health Medical Center of Miami Inc. 868 SW st Street, Miami, FL 3330-208 0/08/2 SSG Dade Policlinico Pastorita Inc SW 8 th Street, Ste. 203, Miami, FL 3330-3639 0/08/2 SSG Dade A & L Clinic Center, Inc. 295 Park Blvd., Miami, FL 3326 305-26-7979 0/30/2 SSG Dade Gables Medical Care, Inc 85 Grand Canal Drive 400, Miami, FL 3344 954-465-7489 0/30/2 SSG Dade Miami Community Health Center 2324 SW 8 th Street, Miami, FL 3335 305-487-2720 /07/2 SSG Dade Comfort Health Group Inc. 590 NW 67 th St., Ste. 09, Miami, FL 3304 305-384-6450 2/0/2 SSG Dade Coral Way Rehab Center 2260 SW 8 th St., Ste.232, Miami, FL 3385 305-303-4389 02/22/3 SSG Dade Renato C. Dominguez MD/Dba Real Family 285 NW 27 Ave., Ste. 4, Miami, FL 3325 305-642-4444 02/22/3 SSG Medical Center Dade Liberty Bell Group, Inc. 2740 SW 97 th Ave., Ste., Miami, FL 3365 305-25-4488 02/22/3 SSG Dade Salud Medical Center, Inc. 338 SW 8 th Street, Miami, FL 3335 305-854-4443 02/22/3 SSG Dade Clinical Research of Miami, Inc. 7200 NW 7 th Street, Ste. 206, Miami, FL 3326 305-264-3025 03/06/3 SSG Dade JAGS Medical Office, Inc. 8748 SW 8 th Street, Miami, FL 3374 305-220-2338 03/06/3 SSG Dade JO Medical Center, Inc. 2260 SW 8 th Street, Ste. 200, Miami, FL 3335 305-642-7704 03/06/3 SSG Dade Megatesting, Inc. 2322 NSW 28 th Street, Miami, FL 3342 9600 SW 8 th Street, Ste. 30, Miami, FL 3374 305-633-3667 03/06/3 SSG 04/8/3 SSG Dade Interamerican Medical Center Group LLC 7900 NW 27 th Avenue, Ste. D0, Miami, FL 3347 04/03/3 SSG DBA Health First Medical Center Dade Interamerican Medical Center Group LLC 348 Quail Roost Dr., Miami, FL 3357 04/03/3 SSG Dade Lavandera Medical Center 28 NW 6 th Street, Ste., D-2, Miami, FL 3325 04/03/3 SSG Dade San Francis Community Care 4055 West Dixie Highway, North Miami, FL 336 05/08/3 SSG Dade Med Plus Inc. 3500 NW 7 th Avenue, Miami, FL 3342-5540 05/08/3 SSG Dade MedRehab of Florida 8700 West Flagler St., Ste. 260, Miami, FL 3374 07/7/3 SSG Dade Physicians Associates PA 606 W. Flagler St. Miami, FL 3330 07/7/3 SSG Dade New Health Research Clinic 0346 West Flagler St., Miami, FL 3374 07/26/3 SSG Page 9 of 27
Revised 09-26-203 DeSoto DeSoto County Health Department 34 South Baldwin Avenue, Arcadia, FL 34266 94-993-460 DeSoto G. Pierce Wood Memorial Hospital-Arcadia 5847 SE Hwy 3, Arcadia, FL 34266 94-494-3323 Mental Institution Dixie Dixie County Health Department 530 SE 2 th Ave., Cross City, FL 32628 352-498-360 Dixie Franklin Gadsden Lafayette Madison Wakulla Gulf Taylor Duval North Florida Medical Centers, Inc. Coop. Office - Family Medical Practice - Eastpoint Medical Center - Gadsden Medical & Dental Services - Mayo Health Services - Tri-County Family Health Care - Wakulla Medical Center - Wewahitchka Medical Center - Taylor Dental - Taylor Medical Center - Crestview Health Center Duval County Health Department - Agape Community Health Center - Beaches Family Health Center - Boulevard Comprehensive Care Center - Center for Prevention Services - Immunization Center - Marietta Family Health Center - Northwest Dental - South Jacksonville Family Health Center - Southside Immunizations - The Bridge - West Jacksonville Family Health Center - Westconnett Family Health Center - Woodland Acres Clinic 535 John Knox Road, Tallahassee, FL 32303 35 Horseshoe Bch Rd., Cross City, FL 32628 35 Island Drive, # 4, Eastpoint, FL 32328 278 La Salle Lefalle Drive, Quincy, FL 3235 Route 44 SW Virginia Circle, Mayo, FL 32066 93 NW US 22, Greenville, FL 3233 328 Coastal Highway, Panacea, FL 32346 255 W. River Rd., Wewahitchka, FL 32465 409 E. Ash Street, Perry, FL 32347 709 S Jefferson St, perry, FL 32348 400 S Ferdon Blvd, Ste C-5, Crestview, FL 32536 55 West Sixth St., Jacksonville, FL 322 760 Edgewood Avenue, Jacksonville, FL 32208 522 Penman Road, Jacksonville Beach, FL 32250 833 Boulevard, Jacksonville, FL 32206 597 05 th Street, Jacksonville, FL 32244 55 West 6 th Street, Jacksonville, FL 32206 8299-0 W. Beaver St., Jacksonville, FL 32220 830 West 45 th St., Jacksonville, FL 32209 736 University Blvd. South, Jacksonville, FL 3226 PERMANENTLY CLOSED 824 Pearl Street, Jacksonville, FL 32206 20 King Street, Jacksonville, FL 32204 597 05 th Street, Jacksonville, FL 32244 MEDICAL SERVICES TRANSFERRED TO SOUTH Page 0 of 27 850-385-4494 352-498-3349 850-670-8585 850-875-9500 386-294-226 850-948-2840 850-984-4735 850-639-5828 850-223-2578 904-630-3300 904-30-4900 904-270-2555 904-665-3040 904-573-494 904-665-2666 904-630-3390 904-924-783 904-727-6540 N/A 904-798-4672 904-665-2785 904-357-5899 N/A JACKSONVILLE FAMILY HEALTH CENTER. Duval Duval County/Jacksonville Dept. of Corrections 4/6/97 DOC Duval Duval Pre-Trial Detention Facility 4/6/97 Duval I.M. Sulzbacher Hlth Care for the Homeless 6 E. Adams Street, Jacksonville, FL 32202 904-359-0457 VHCPP Duval Jacksonville Community Health Center 5375 Vernon Road, Jacksonville, FL 32209 904-924-237 0//94 Duval Legacy of Care Health Clinic, Inc 6665 Banbury Rd, Jacksonville, FL 322 0/5/09 VHCPP Duval St. Vincent s Mobile Health Outreach Ministry 259 Oak St, Jacksonville, FL 32204 904-308-79 0/30/09 SSC Duval Diabetico Internacional 5290 Norwood Avenue, Suite 4, Jacksonville, FL 32208 06/08/ SSG s. 330
Revised 09-26-203 Duval Jacksonville Pediatric Associates, M.D., P.A. 95 Boulevard, Jacksonville, FL 32206 08/04/ SSG Duval Holy Trinity Community Medical Center 400 Confederate Point Road, Jacksonville, FL 3220 904-860-424 9/27/ SSG Duval MCCI Group Holdings, LLC, Gateway Medical 5238-6 Norwood Avenue, Jacksonville, FL 32208 904-86-222 2/7/ SSG Center Duval Emed Urgent & Primary Care PA 2570 Atlantic Blvd., Jacksonville, FL 32207 904-647-8576 06/5/2 SSG Duval Volunteers in Medicine-Jacksonville 4 East Duval Street, Jacksonville, FL 32202 904-399-2766 04/8/3 SSG x23 Duval Jacksonville Multispecialty Group, LLC 3720 Beach Blvd., Jacksonville, FL 32207 06/28/3 SSG Escambia Escambia County Health Department 295 W. Fairfield Dr., Pensacola, FL 3250 850-595-6500 - Century Health Department - Molino Health Department - WIC Westside 50 Church St., Century, FL 32535 3470 Hwy 29 N, Molino, FL 32533 20 Chief s Way, Pensacola, FL 32507 850-256-6203 850-587-329 850-453-7588 Escambia Our Lady of Angels Clinic (St. Joseph Medical 40 W. Government St., Pensacola, FL 3250 850-436-646 2/6/04 VHCPP Clinic) Escambia Health & Hope Clinic 9999 Chemstrand Rd, Pensacola, FL 3254 850-479-4456 2/09 VHCPP Escambia Health & Hope Clinic 50 Church Street, Century, FL 32535 850-47-3430 03/22/2 SSG Flagler Flagler County Health Department 30 South Lemon Street, Bunnell, FL 320 904-437-7350 Flagler Medical Specialists of Northeast Florida, PLLC 260 Dr. Carter Blvd, Bunnell, FL 320 4/8/20 SSG Flagler Pediatrics in North Florida, P.A. 385 Palm Coast Parkway SW, Ste. 5, Palm Coast, FL 386-446-8333 03/0/2 SSG 3237 Flagler Bushnell Medical Clinic 7 W. Belt Avenue, Ste. A, Bushnell, FL 3353 0/08/2 SSG Franklin Franklin County Health Department 37 2 th Street, Apalachicola, FL 32320 850-653-2 - Franklin County Health Department 06 NE 5 th Street, Carrabelle, FL 32322 850-697-42 Franklin Primary Care 4 All 00 Gray Avenue, Carrabelle, FL 32322 73-828-3973 0/20/ SSG Gadsden Florida State Hospital-Chattahoochee P.O. Box 000, Chattahoochee, FL 32324 850-663-700 Mental Gadsden Gadsden County Health Department - Gadsden County Health Department - Gadsden County Health Department Dr. LaSalle LaFalle Dr., Quincy, FL 32353 604 E. 5 th Avenue, Havana, FL 32333 680 Maple Street, Chattahoochee, FL 32324 Page of 27 850-875-7200 850-539-656 850-663-224 Gadsden Gadsden Correctional Facility 6044 Greensboro Highway, Quincy, FL 3235 850-875-970 03/5/2 SSG x2230 Gadsden Gadsden Family Clinic 05 E. Jefferson Street, Quincy, FL 3235 850-566-904 09/06/2 SSG Gadsden Gadsden County Medical & Mental Health 324 Mine Road, Midway, FL 32343 05/28/3 SSG Outpatient Services, LLC Gilchrist Gilchrist County Health Department 9 NE st St., Trenton, FL 32693 352-463-320 Gilchrist Trenton Medical Center, Inc. 9 S. Main Street, Trenton, FL 32693 352-463-2374 s. 330 Institution
- Kid Care Pediatrics 39 W. Wade Street, Trenton, FL 32693 352-463-6292 Glades Glades County Health Department Bldg 998, Hwy 27 N., Moore Haven, FL 3347 863-946-0707 Gulf Gulf County Health Department 502 4 th Street, Port St. Joe, FL 32456 850-227-276 - Gulf County Health Department 232 E. Lake Avenue, Wewahitchka, FL 32465 850-639-2644 Hamilton Hamilton County Health Department 209 SE Central Avenue, Jasper, FL 32052 904-792-44 Hardee Hardee County Health Department 5 K.D. Revell Road, Wauchula, FL 33873 94-773-46 Hendry Martin Okeechobee St. Lucie Florida Community Health Centers, Inc. - Clewiston Center - Ft. Pierce Center - Indiantown Center - Lakeshore Medical - Lakeshore Pediatrics & Dental - Lakeshore Pediatrics Annex - St. Lucie Women & Children - Port St. Lucie Children s Health Ctr - Pahokee Center 4450 S. Tiffany Drive, W. Palm Bch, FL 33407 35 S. WC Owen Ave., Clewiston, FL 33440 505 Delaware Ave., Ft. Pierce, FL 34950 5858 SW Warfield Blvd., Indiantown, FL 34956 308 NW 5 th Ave, Okeechobee, FL 34972 00 N Parrott Ave, Okeechobee, FL 34972 03 NE 9 th Dr, Okeechobee, FL 34972 87 SE Tiffany Ave, Ste 200, Port St. Lucie, FL 34952 70 SE Hillmoor Dr, Ste 9, Port St. Lucie, FL 34952 70 S Barfield Hwy, Ste 03, Pahokee, FL 33476 Hendry Hendry-Glades Mental Health Clinic, Inc. 80 Euclid Place, LaBelle, FL 33975 60 W. Alverdez Ave, Clewiston, FL 33975 Hendry Hendry County Health Department P.O. Box 70, 325 Pratt Blvd., Labelle, FL 33935 - Hendry County Health Department 00 South Olympia, Clewiston, FL 33440 56-844-9443 863-983-783 772-46-402 772-597-3596 863-763-748 863-763-95 863-467-620 772-337-4000 772-335-8455 56-924-600 863-674-4050 863-983-423 863-674-404 863-983-408 8/03 8/03 s. 330 Secretary Hernando Hernando County Health Department 300 S. Main St., Brooksville, FL 3460 352-754-4067 Hernando Hernando Doctor s Clinic 2395 Cortez Blvd, Brooksville, FL 3463 352-596-8599 Hernando Pasco P.O. Box 428, New Port Richey, FL 34646-0428 727-84-4200 Secretary Revised 09-26-203 The Harbor Behavioral Health Care Institute, Inc. (formerly Professional Therapy Center, formerly Hernando Co. Mental Health Center) - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute - Harbor Behavioral Health Care Institute 7809 Massachusetts Ave, New Port Richey, FL 34653 8002 King Helie Blvd, New Port Richey, FL 34643 4527 7 th St, Dade City, FL 33523 7074 Grove Rd, Brooksville, FL 34609 Page 2 of 27 727-84-4200 727-84-4430 352-52-474 352-540-9335 Hernando Ridge Manor Medical Clinic 34498 Cortez Blvd., Ridge Manor, FL 33523 0/08/2 SSG Highlands Polk Hardee s. 330 Central Florida Health Care, Inc. - Central FL Health Care - Dundee - Central FL Health Care - Frostproof - Central FL Health Care Wauchula - Lakeland OB/GYN 950 CR 7A, West, Avon Park, FL 33825 96 State Road 542, Dundee, FL 33838 09 W. Wall St., Frostproof, FL 33843 204 E. Palmetto St., Wauchula, FL 33873 729 Lakeland Hills Blvd, Lakeland, FL 33805 863-452-3000 863-49-3330 863-635-489 863-773-2 863-686-0082 /04 /04 /04 /04
Revised 09-26-203 - Lakeland Primary Care 936 E Parker St, Lakeland, FL 3380 863-43-8600 Highlands Highlands County Health Department 7205 S. George Blvd., Sebring, FL 33875-5847 863-386-6040 - Avon Park Clinic 400 S Lake Ave, Avon Park, FL 33825 863-452-64 - Lake Placid Clinic 07 N. Main St., Lake Placid, FL 33852 863-465-2252 Highlands Providence Community Health Center, Inc 44 US HWY N, Ste 7, Sebring, FL 33870 954-46-598 Hillsborough Hillsborough County Health Department - Joyce Ely Health Center - Kelton Health Center - North Hillsborough Health Center - Plant City Health Center - Sulphur Springs Health Center West Tampa Health Center Hillsborough Center for Family Health (previously 05 E. Kennedy Blvd, Tampa, FL 33602-359 205 4 th Ave. S.E., Ruskin, FL 33570 4420 Montgomery Ave., Tampa, FL 3366 9827 N. Sheldon Road, Tampa, FL 3365 302 N. Michigan Ave., Plant City, FL 33566 8605 N. Mitchell, Tampa, FL 33604 203 N. Rome Ave., Tampa FL 33607 Page 3 of 27 305-609-92 83-307-8008 83-67-7755 83-307-8055 83-307-8053 83-307-8057 83-307-8054 83-307-8058 6/23/09 Secretary 92 E. Sligh Ave, Tampa, FL 33674-9384 83-237-6988 2/6/92 VHCPP ELDERMED) Hillsborough Project Access 8000 Biscayne Blvd, Miami, FL 3338 865 SW 26 th ST, Unit G-0, Miami, FL 3374 6830 Pines Blvd, Pembroke Pines, FL 33024 609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62 nd Ave, Ste 300, S. Miami, FL 3343 5240 West Flagler St, Miami, FL 3324 700 SW 8 Street, Miami, FL 3330 Hillsborough Suncoast Community Health Centers, Inc. - Dover Health Center - Plant City Family Care - Ruskin Health Center Hillsborough Tampa Community Health Centers, Inc. - Central Park Health Center - Lee Davis Health Center - North Tampa Community Health Center - Oak Park Health Center - Peter Davis Health Center - Sine Domus Health Center P.O. Box 349, Ruskin, FL 33570 468 SR 574, Dover, FL 33527 508 N. Maryland Ave., Plant City, FL 33566 284 4 th Ave, SE, Ruskin, FL 33570 229 E. 3 st Avenue, Tampa, FL 3362 00 India Street, Tampa, FL 33602 3402 N. 22 nd Street, Tampa, FL 33605 229 E. 3 Avenue, Tampa, FL 3362 496 E. 0 th Avenue, Tampa, FL 33605 40 E. 22 nd Avenue, Tampa, FL 33605 549 Franklin Street, Tampa, FL 33602 305-759-4778 305-559-8333 954-987-500 407-944-39 83-933-2800 83-349-7568 83-349-7700 83-349-7600 83-866-0930 83-229-3585 83-227-6240 83-866-0950 83-248-5 83-248-6263 83-277-9227 Hillsborough West Tampa Medical Clinic, Inc 2309 W Martin Luther King, Jr, Blvd, Unit 5, Tampa, FL /5/200 SSG 33607 Hillsborough Tampa Family Physicians, Inc. 4603 N Armenia Ave, Tampa, FL 33603 6/8/200 SSG Hillsborough Orlando Rangel, MD, PA 4060 Armenia Ave, Tampa, FL 33607 /4/20 SSG Secretary /25/06 s. 330 s. 330
Revised 09-26-203 0 Hillsborough Kenaday Medical Clinic 800 N Dale Mabry Hwy, Bldg. 70-80, Tampa, FL 2/3/20 SSG 3364 0 Hillsborough Horizon Medical Center 3956 W Hillsborough Ave, Tampa, FL 3364 /0/20 SSG Hillsborough Raul Ayala, M.D., PA 0508 Gibsonton Dr, Riverview, FL 33578 2//20 SSG Hillsborough Raul Ayala Internal Medicine 043 S County Rd 39, Lithia, FL 33547 2//20 SSG Hillsborough Doctors N Us Walk-In Clinic 682 W Hillsborough Ave, Tampa, FL 33634 5/6/20 SSG Hillsborough Medical Arts Center 4600 North Habana Avenue, Tampa, FL 3364 8/6/ SSG Hillsborough Pain and Wellness Institute, P.A. 4509 North Armenia Avenue, Tampa, FL 33603 8/6/ SSG Hillsborough B& T Medical Center, LLC 530 North Habana Ave., Ste., Tampa, FL 3364 407-944-99 /0/ SSG Hillsborough Florida Care Centers 7208 Sterling Avenue, Tampa, FL 3364 305-384-7277 /8/ SSG Hillsborough Florida Care Centers 8488 West Hillsborough Avenue, Tampa, FL 3365 83-889-9800 2/3/2 SSG Hillsborough Foundation Consultant Services, Inc. 5535 Memorial Highway, Tampa, FL 33634 83-574-4869 /28/ SSG DBA Foundational Health Hillsborough Your Place Health Systems, LLC dba/your 793 West Hillsborough Avenue, Tampa, FL 33603 83-579-403 0/9/2 SSG Place Medical & Fitness Center Hillsborough Synergy Health Centers, Inc. 38 E. Martin Luther King Blvd., Tampa, FL 33603 83-238-498 03/05/2 SSG Hillsborough Tampa Family 468 N. Armenia, Tampa, FL 33603 83-32-9583 04/20/2 SSG Hillsborough Dr. Vincent Farrier 223 W. Dr. Martin Luther King Jr. Blvd., Ste. 0, Tampa, 05/03/2 SSG Fl 33607 Hillsborough Foundational Consultant Services, Inc. 303 W. Cypress Street, Ste. A, Tampa, FL 33607 83-527-0445 0/30/2 SSG DBA Foundational Health Hillsborough Douglas G. Stein, MD, PA 3000 East Fletcher Avenue, Tampa, FL 3363 83-972-365 2/0/2 SSG Hillsborough Jay Care Medical Center 509 West Reynolds Street, Plant City, FL 33563 09/25/3 SSG Holmes Holmes County Health Department P O Box 337, Bonifay, FL 32425-0337 850-547-369 Holmes Community Health Center Bruce 278 Church Road, Bruce, FL 32455 850-835-05 0/24/2 SSG Indian River Treasure Coast Community Health Center 296 CR 52, Fellsmere, FL 32948 772-57-8828 s. 330 Indian River Indian River County Health Department 900 27th St., Vero Beach, FL 32960 56-794-7400 - Gifford Health Center 4690 28th Court, Gifford, FL 32967 56-770-55 Indian River Dick Parvus, M.D., P.A. 32-B North Broadway Street, Fellsmere, FL 32948 06/22/ SSG Jackson Jackson County Health Department P O Box 30, Marianna, FL 32447-030 850-482-9862 Jackson Marianna Family Care Center, LLC 2928 Daniels Street, Marianna, FL 32446 850-25-9558 /28/ SSG Jefferson Jefferson County Health Department 255 W. Washington St., Monticello, FL 32344 850-342-070 Page 4 of 27
Lafayette Lafayette County Health Department Route 3, Box 8, Highway 27, Mayo, FL 32066 904-787-8489 Lake Community Medical Care Center of Leesburg 20 W Main St, Leesburg, FL 34748 352-34-8686 2/4/00 VHCPP Lake Florida Hospital Waterman, Inc. Community 2300 Kurt Street, Eustis, FL 32726 352-589-250 /3/04 VHCPP Primary Health Clinic Lake Lake County Health Department 249 East Collins Street, Umatilla, FL 32784 352-669-264 - Lake County Health Department - Lake County Health Department 640 US Hwy 44, Eustis, FL 32726 9836 US Hwy 44, Leesburg, FL 34788 4 Eustis St, Eustis, FL 32726 Lake South Lake Hospital, Inc: South Lake Health 835 7 th St, Bldg B, Ste 5, Clermont, FL 347 352-243-6280 4/8/06 VHCPP Clinic Lake Kidsville Pediatrics III 804 Oakley Seaver Dr, Clermont, FL 347 0/26/20 SSG 0 Lake Silverlake Pediatrics, PA 3307 Professional Dr, Leesburg, FL 34788 /20/2 SSG Lake Shatineketan 999 David Walker Drive, Tavares, FL 32778 06/22/ SSC Lake Clermont Medical Center, P.A. 35 Lake Avenue, Clermont, FL 347 04/03/2 SSG Lake Permier Medical Associates 004 N 4 th St., Ste. 09, Leesburg, FL 34748 352-25-259 02/22/3 SSG Lake Institute of Cardiovascular Excellence, P.L.L.C. 733 US Highway 466, Lady Lake, FL 3259-6340 04/03/3 SSG Lake Clark Clinic, Inc. 07 W. Central Avenue, Howey-in-the-Hills, FL 34737 07/7/3 SSG Lake Florida Family Physicians 255 Citrus Tower Blvd., Ste. 206, Clermont, FL 347 08/20/3 SSG Lake Florida Medical Associates, LLC 3940 US Highway 44, Ste. 02, Lady Lake, FL 3259 08/20/3 SSG Lee Hendry Charlotte Family Health Centers of SW Florida - Cape Coral Medical Office - Broadway Family Practice - Cape Coral Medical Office - Downtown Ft. Myers Center - Paul Laurence Dunbar Medical Office - - Labelle Medical Office - Lehigh Acres Medical Office - Pine Island Medical Office - South Ft Myers Medical Office - Salvation Army/Healthcare for the Homeless 2256 Heitman Street, Ft. Myers, FL 3390 305 SW 2 nd Terrace, Cape Coral, FL 33990 3594 Broadway Ave, Ft. Myers, FL 3390 305 SW 2 nd Terrace, Cape Coral, FL 33900 2232 Grand Ave, Ft. Myers, FL 3390 35 Dr. Martin Luther King, Jr. Blvd, Ft. Myers, FL 3396 930 S Main St, Labelle, FL 33935 39 Lee Blvd, Unit 200, Lehigh Acres, FL 33936 Aqualand Office Pk, 8359 Stringfellow Rd, St. James City, FL 33956 9800 S Healthpark Dr, Ste 0, Ft. Myers, FL 33908 2400 Edison Ave, Ft. Myers, FL 3390 239-278-3600 239-344-2320 239-344-2330 239-344-2320 239-332-047 239-332-0954 239-332-047 239-344-2305 239-344-2393 239-267-629 s. 330 VHCPP Lee Lee County Health Department - Lee County Health Department - Lee County Health Department 3920 Michigan Avenue, Ft. Myers, FL 3396 83 Pondella Rd., North Ft. Myers, FL 33903 39 Lee Blvd., Ste 00, Lehigh Acres, FL 33936 94-332-950 94-332-950 94-369-4020 Lee Lee Mental Health Center/dba Ruth Cooper 2789 Ortiz Ave., Ft. Myers, FL 33905 94-275-3222 Revised 09-26-203 Page 5 of 27
Lee Bonita Springs Lions Club Clinic 0370 Pennsylvania Ave, Bonita Springs, FL 3435 VHCPP Lee G & C Medical Center, Inc. 4048 Evans Avenue, Ste. 208, Ft. Myers, FL 3390 239-93-4640 03/0/2 SSG Leon Bond Community Health Center, Inc. 70 W. Orange Avenue, Tallahassee, FL 3230 850-576-4073 s. 330 Leon Florida Department of Corrections 260 Blairstone Road, Tallahassee, FL 32399-2500 850-40-4567 Leon Leon County Health Department - Roberts/Stevens Clinic - Southside Clinic 2965 Municipal Way, Tallahassee, FL 32304 55 Old Bainbridge Rd. Tallahassee, FL 32303 872 Orange Ave. Tallahassee, FL 3230 850-487-386 850-488-2223 850-44-7845 Leon Neighborhood Health Services, Inc. 438 W. Brevard Street, Tallahassee, FL 32399 850-224-2469 0/4/96 Physicians under VHCPP Leon Apalachee Center, Inc. 2634-J Capital Circle NE, Tallahassee, FL 32308 04/03/2 SSG Levy Levy County Health Department 66 W. Main Street, Bronson, FL 3262 352-486-5305 Levy Tri County Hospital Williston 25 SW 7 th St, Williston, FL 32696 2/8/20 SSG 0 Levy Institute of Cardiovascular Excellence, P.L.L.C. 42 West Noble Avenue, Williston, FL 32696-2072 352-433-9302 /07/2 SSG Liberty Liberty County Health Department 247 N. Central St., Bristol, FL 3232 850-643-245 Madison Madison County Public Health Unit 80 SW Smith Street, Madison, FL 32340 850-973-5000 Manatee Community Coalition on Homeless 70 7 th Ave W, Bradenton, FL 34205 94-747-509 6/6/09 VHCPP Manatee Desoto Hardee Sarasota Revised 09-26-203 Manatee County Rural Services, Inc. - AIDS Council of Manatee - Arcadia Family Healthcare Center - Community Care Family Clinic - East Manatee Health and Wellness Center - Just for Her - Lawton Chiles Children & Family Health Care Center - Manatee Pediatrics & Westgate OBGYN - Michael C. Bach Treatment Center - - North Manatee Health Center - Palmetto Family Healthcare Center - Parrish Health Center - Southeast Family Health Care Center P.O. Box 06, Parrish, FL 3429 2703 9 th St. Ct. E., #2, Bradenton, FL 34208 707 East Oak Street, Arcadia, FL 34266 0 East Gibson St., Arcadia, FL 34266 32 Manatee Ave., East, Bradenton, FL 34208 47 Carlton Street, Wauchula, FL 33873 55 26 th Ave., East, Bradenton, FL 34208 72 39th Street West, Bradenton, FL 34205 2703 9 th St. Ct. E., Bradenton, FL 34208 5600 Bayshore Rd., Palmetto, FL 3422 404 7th Street West, Palmetto, FL 3422 224 US Hwy 30 North, Parrish, FL 3429 99 53 rd Ave. E., Bradenton, FL 34203 Page 6 of 27 94-776-4000 94-744-9204 863-49-5345 863-494-6222 94-708-8706 863-773-0336 94-708-8600 94-748-4602 94-708-8500 94-72-2020 94-729-3856 94-776-4000 94-75-800 0//94 s. 330 Manatee Manatee County Health Department 40 Sixth Ave. East, Bradenton, FL 34208-986 94-748-0747 Manatee Manatee Glens 39 6 th Ave W, Bradenton, FL 34205) P.O. Box 9478, 94-782-4299 0//94 Bradenton, FL 34206-9478 Manatee We Care Manatee, Inc. 4808 26 th Street West, Bradenton, FL 34207 94-755-3952 VHCPP Manatee Manatee Memorial Hospital 206 Second Street East Avenue, Bradenton, FL 34208 94-746-5 04/20/2 SSG
Revised 09-26-203 Manatee Jaime F. Rubio, MD, Clinica Dr. Rubio 24 Manatee Avenue E., Bradenton, FL 34208 94-776-3967 04/8/3 SSG Marion Marion County Health Department 80 S.E. 32 nd Ave., Ocala, FL 34478 352-629-037 - Marion County Health Department - Marion County Health Department - Marion County Health Department 7055 S.E. 0 th St. Rd., Belleview, FL 34420 2049 The Granda, #5, Dunnellon, FL 3443 4500 N.W. 52 nd Lane, Reddick, FL 32686 352-245-7520 352-489-3828 352-59-2470 Marion Project Health, Inc. 9305 SE Maricamp Rd, Ocala, FL 34472 /0/20 SSG 0 Marion Heart of Florida Health Center 025 SW st Avenue, Ocala, FL 3447 8/6/ SSG Marion LaFamilia Medical Clinic, LLC 7625 SW 62 nd Court, Ste. 00, Ocala, FL 34476 352-237-8903 03/06/3 SSG Marion Children s Medical Group 749 SE 28 th Loop, Ocala, FL 3347 05/08/3 SSG Marion Institute of Cardiovascular Excellence, PLLC 0435 SE 70 th Place, Summerfield, FL 3449 05/28/3 SSG 8750 SW Highway 200, Ste. 02, Ocala, FL 3448 4730 SW 49 th Road, Ocala, FL 34474 05/3/3 SSG 07/7/3 SSG Marion Community Family Health Care 392 East Highway 36, Ft. McCoy, FL 3234-84 07/26/3 SSG Marion Florida Medical Associates, LLC 6600 SW Highway 200, Ste. 200, Ocala, FL 34476 2955 SE 3 rd Court, Ocala, FL 3447 08/20/3 SSG 08/20/3 SSG Martin Martin County Health Department 620 S. Dixie Highway, Stuart, FL 34994 56-22-4000 - Martin County Hlth Dept, Indiantown Martin Volunteers in Medicine Clinic 47 Balboa Ave., Stuart, FL 34994 772-463-430 4/7/95 VHCPP Miami-Dade Good News Care Center 0 S Redland Rd, Florida City, FL 33034 5/6/20 SSG Miami-Dade Regenerate Primary Medical, LLC 66 Southwest 72 nd Street, Ste. B, South Miami, FL 8/30/ SSG Miami-Dade The Wellness Center of NMB, LLC 899 NE 64 th Street, North Miami Beach, FL 3362 786-274-990 03/0/2 SSG Miami-Dade Josefa L. Binker, M.D., P.A. 70 N.W. 8 th Street, Homestead, FL 33030 305-242-5225 09/04/2 SSG Miami-Dade Urban Mercy Clinics of Miami, Inc. 3899 Biscayne Blvd., Ste. 32, N. Miami Beach, Fl 338 305-68-050 2/0/2 SSG Miami-Dade New Life Polyclinics Inc. 6 Hook Square, Miami Springs, FL 3366 305-884-8880 2/0/2 SSG Miami-Dade RiverSide Wellness Center 79 NW 72 nd Avenue #4, Medley, FL 3366 305-525-7956 2/0/2 SSG Miami-Dade Interamerican Medical Center Group LLC 437 NE 8 th Street, Homestead, FL 33033 04/03/3 SSG Miami-Dade Work Injury Solutions of Dade County, Inc 79 NW 72 nd Avenue, Ste., Medley, FL 3366 05/28/3 SSG D/B/A Health Care Center of Miami Miami-Dade Med One Medical Center Inc. 486 Fisherman, Opa Locka, FL 33054 06/7/3 SSG Miami-Dade Continuum Medical Group 8373 NW 27 th Avenue, Miami Gardens, FL 33055 08/07/3 SSG Miami-Dade Latino Medical Center, Inc. 6600 NE 8 th Avenue, North Miami Beach, FL 3362 08/07/3 SSG Miami-Dade Fox Medical Plaza of Homestead 555 N. Krome Avenue, Homestead, FL 33030 08/20/3 SSG Monroe Monroe County Health Department 500 College Road, Key West, FL 3304 305-293-7544 4/23/04 Nassau Barnabas Center, Inc. S. th St, Fernandina Beach, FL 32034 (904) 26-7000 4/8/06 VHCPP Nassau Nassau County Health Department 30 S. 4 th Street, Fernandina Beach, FL 32035 904-548-800 Page 7 of 27
- Fernandina Beach Clinci - Callahan Clinic - Hilliard Clinic - Yulee Clinic - Dental Clinical 620 Nectarine St, Fernandina Bch, FL 45377 Mickler St, Callahan, FL 320 37203 Pecan St, Hilliard, FL 32046 528 Page s Dairy Rd, Yulee, FL 32097 Yulee Full Service School, 479 Felmore Rd, Yulee, FL 904-548-860 904-879-2306 904-845-476 904-548-880 904-548-849 32097 Nassau MCCI Group Holdings, Callahan Medical 44962 US Highway 30, Ste. 0, Callahan, FL 320 904-507-2692 2/7/ SSG Center Okaloosa Okaloosa County Health Department 22 Hospital Drive, NE, Ft. Walton Beach, FL 32458 850-389-305 Okaloosa Crossroads Center Medical Clinic 444 Valparaiso Pkwy, Bldg C, Valparaiso, FL 32580 850-226-6928 VHCPP Okaloosa Coast Family Clinic 400 S. Ferdon Blvd., Ste. A-4, Crestview, FL 32536 850-867-033 05//2 SSG Okeechobee Okeechobee County Health Department 728 NW 9th Avenue, Okeechobee, FL 34972 94-462-589 Orange Lake Community Health Centers, Inc. - Apopka Children s Health Center - Apopka Family Health Center - Eatonville Dental Facility - Leesburg Community Health Center - Pine Hills Family Health Center - S. Lake Family Health Center - Winter Garden Children s Health Center - Winter Garden Family Health Center - Lake Ellenor Dental 0 S. Woodland Street, Winter Garden, FL 34787 68 Forest Ave., Apopka, FL 32703 225 E. Seventh Street, Apopka, FL 32703 434 W. Kennedy Blvd., # D, Eatonville, FL 3280 225 N. st St., Leesburg, FL 34748 800 Mercy Drive, Ste 200, 2 nd Floor, Orlando, FL 32808 296 Broad St., Groveland, FL 34736 0 S. Woodland St., Winter Garden, FL 34787 0 S. Woodland St., Winter Garden, FL 34787 60 Lake Ellenor Dr, Orlando, FL 32809 407-905-8827 407-886-620 407-886-620 407-645-3959 352-360-0490 407-209-3202 352-429-404 407-877-4340 407-877-4340 Orange Ombudsman Council District 7 FL Dept. of Children and Families, Dist. 7, Orlando 407-245-0640 Orange Orange County Public Health Department - Orange County Health Department - Orange County Health Department, Central - Orange County Health Dept, Eastside - Orange County Health Department - Orange County Health Department - Lila Mitchell, Orlando - Oak Ridge, Orlando 604 Courtland St., # 200, Orlando, FL 32804 N. Rock Springs Rd., Apopka, FL 3272 832 W. Central Blvd., Orlando, FL 32805 2050 E. Colonial Dr., Orlando, FL 32826 475 W. Story Rd., Ocoee, FL 3476 94 W. Morse Blvd., Winter Park, FL 32789 55 Raleigh St., Orlando, FL 328 2346 W. Oak Ridge Rd., Orlando, FL 32809 407-623-80 407-654-072 407-836-2600 407-296-577 407-667-6262 407-623-5 407-296-577 407-858-473 2/4/94 s. 330 4/8/94 Orange Shepherd's Hope, Inc. 485 S. Apopka-Vineland Road, Orlando, FL 3289 407-876-6729 2/4/00 VHCPP Orange Special Care, Inc. 0 S. Westmoreland Drive, Orlando, FL 32805 407-836-259 2/5/05 VHCPP Orange Health Care Center for the Homeless, Inc. Administrative Offices 232 N Orange Blossom Trail, Orlando, FL 32805 407-428-575 s. 330 Revised 09-26-203 Page 8 of 27
Revised 09-26-203 Orange Blossom Family Care Center Orange Orlando Family Physicians 30S. Semoran Blvd, Orlando, FL 32807 407-382-376 /3/07 Secretary Jorge L. Garcia, President/CEI Orange Catholic Charities of Central Florida, Inc.; St. 77 N Semoran Blvd, Orlando, FL 32807 mailing 407-658-88 8/3/08 VHCPP Thomas Aquinas Free Medical Clinic 50 Brown Chapel Rd, St. Cloud, FL 34769 Orange Central Florida Family Health Center, Inc. 2400 SR 45, Sanford, FL3277 88-A E Colonial Dr, Orlando, FL 32826 5449 S Semoran Blvd, #5, Orlando, FL 32822 5730 Lake Underhill Rd, Orlando, FL 32807 60 Lake Ellenor Dr #05, Orlando, FL 32809 407-322-8645 407-275-4048 407-207-7756 407-956-4320 407-956-4680 9/7/08 Board approved Orange Orlando Family Medical Center 78 Woolco Way, Orlando, FL 32822 /4/20 SSG 0 Orange Kenaday Medical Clinic 600 Silver Star Rd, Ste A-B, Orlando, FL 32808 2/3/20 SSG 0 Orange Miracle Health Center of Winter Garden 32 Dillard St, Winter Garden, FL 34787 2//20 SSG Orange Central Florida Primary Physicians, LLC 790 Kingspointe Pkwy, Ste, Orlando, FL 3289 4/3/20 SSG Orange Central Florida Primary Physicians, LLC 7806 Lake Underhill Road, Ste 05, Orlando, FL 32822 7/3/20 SSG Orange Physicians Care Plus of Orlando 600 N Hart Blvd, Orlando, FL 3288 4/3/20 SSG Orange Dr. Borges Medicine and More 800 W Oakridge Rd, Orlando, FL 32809 5/3/20 SSG Orange USA Medical Care LLC 5608 Pershing Ave, Orlando, FL 32822 407-935-0623 03/06/3 SSG Orange American HealthCare Clinic American HealthCare Clinic 00 S Semoran Blvd, Orlando, FL 32807 7975 Lake Underhill Rd., Ste. 240, Orlando, FL 32822 6/0/ SSG 09/25/2 SSG Orange Threshold Center for Autism 3550 North Goldenrod Road, Winter Park, FL 32792 8/6/ SSG Orange R. Rosario-Medina, M.D., L.L.C. 47 Curry Ford Road, Orlando, FL 3282 407-382-9703 0/9/ SSG Orange Grace Medical Home 5 Pennsylvania Street, Orlando, FL 32806 407-936-2785 2/2/ SSG Orange Primary Healthcare Associates 5273 Curry Ford Road, Orlando, FL 3282 407-933-760 05/7/2 SSG Orange Unique Healthcare of Orlando Family Medicine 4978 Millenia Blvd., Orlando, FL 32839 407-60-7840 05/7/2 SSG Orange My Family Doctor of Orlando, LLC 5575 South Semoran Blvd., Ste. 26, Orlando, FL 32822 407-40-8637 06/5/2 SSG Orange Lahens Medical Center, Inc. 40 S. Semoran Blvd., Ste. E, Orlando, FL 32807 407-384-965 2/0/2 SSG Orange Gutierrez Medical Center, LLC 5804 Lake Underhill Rd., Ste. A, Orlando, FL 32807 787-505-9989 02/22/3 SSG Orange PCA Medical Group 40 S. Semoran Blvd., Ste. C, Orlando, FL 32807 6003 Silver Star Rd., Ste. 2, Orlando, FL 32808 407-28-905 407-522-53 02/22/3 SSG 02/22/3 SSG Page 9 of 27
Orange Florida Family Physicians LLC 2840 North Hiawassee Rd., Ste. 428, Orlando, Florida 3288 04/03/3 SSG Orange Sand Lake Health and Wellness Center, LLC 2345 Sand Lake Rd., Ste. 200, Orlando, FL 32809 08/30/3 SSG Orange Pinero Preventive Medical Care PA 720 S. Orange Avenue, Ste. 500, Orlando, FL 32806 09/0/3 SSG Osceola American Healthcare Clinic 833 East Oak Street, Kissimmee, FL 34746 407-427-0844 07/9/2 SSG Osceola Health Group Center Inc. 3358 W. Southport, Kissimmee, FL 34746 407-267-8823 07/9/2 SSG Osceola Mental Health Services of Osceola County, Inc. 97 Emmett Street, Kissimmee, FL 34742-826 407-846-0023 6/6/92 Osceola Orlando Family Medical, Inc. 93 W Oak St, Ste 03, Kissimmee, FL 3474 407-93-0444 3/9/04 Secretary Osceola Poinciana Primary Health Care 05 N. Dover Plum Avenue, Poinciana, FL 34758 407-943-8600 s. 330 Osceola Osceola County Health Department - Center for Women and Family Health at Stadium Place Osceola County Hlth Dept, St. Cloud 875 Boggy Crk Rd, P.O. B. 450309,Kissimmee, FL 34745 505 Bill Beck Blvd., Kissimmee, FL 34744 050 Grape Ave., St. Cloud, FL 34769 407-343-2020 407-343-2050 407-892-2973 Osceola Project Access 8000 Biscayne Blvd, Miami, FL 3338 865 SW 26 th ST, Unit G-0, Miami, FL 3374 6830 Pines Blvd, Pembroke Pines, FL 33024 609 E Vine St, Kissimmee, FL 34744 7206 N Armenia Ave, Tampa, FL 33603 7000 SW 62 nd Ave, Ste 300, S. Miami, FL 3343 5240 West Flagler St, Miami, FL 3324 700 SW 8 Street, Miami, FL 3330 Revised 09-26-203 Page 20 of 27 305-759-4778 305-559-8333 954-987-500 407-944-39 83-933-2800 Secretary /25/06 Osceola Osceola County Council on Aging 099 Shady Lane, Kissimmee, FL 34744 406-846-8550 8/3/02 VHCPP Osceola Latin Foundation for Health, Inc 72 Oak Commons Blvd, Ste B, Kissimmee, FL 3474 305-228-940 9//200 SSG Osceola Kenaday Medical Clinic 90 S John Young Parkway, Ste 03, Kissimmee, FL 2/3/20 SSG 3474 0 Osceola Kenaday Medial Clinic 966 S. John Young Parkway, Kissimmee, FL 3474 2/3/20 SSG 0 Osceola Kenaday Medical Clinic 22 N Main St, Kissimmee, FL 34744 2/3/20 SSG 0 Osceola Kenaday Medical Clinic 84 N John Young Parkway, Kissimmee, FL 3474 /5/ SSG Osceola Kidsville Pediatrics II 050 W Carroll St, Kissimmee, FL 3474 0/26/20 SSG 0 Osceola Orlando Family Physicians 505 W Oak St, Kissimmee, FL 3474 2/4/20 SSG Osceola Orlando Family Physicians 04 Buenaventura Ave, Kissimmee, FL 3474 2/4/20 SSG Osceola Central Florida Primary Physicians, LLC 4545 Pleasant Hill Rd, Ste 2, Kissimmee, FL 34759 2/2/20 SSG
Revised 09-26-203 Osceola Dr. Borges Medicine and More 207 E Vine St, Kissimmee, FL 34744 5/3/20 SSG Osceola I Care Clinic, LLC 3262 Vineland Rd, Ste 02, Kissimmee, FL 34746 5/6/20 SSG Osceola I Care Clinic, LLC 962 N John Young Parkway, Kissimmee, FL 3474 5/6/20 SSG Osceola Gutierrez-Perez Family Medicine 907A N Central Ave, Kissimmee, FL 3474 5/8/ SSG Osceola Best of Health Medical Clinic 524 3 th Street, St. Cloud, FL 34769 3900 South Goldenrod Road, Ste. 42, Orlando, FL 32822 407-593-284 06/22/ SSG 04/8/3 SSG Osceola B & T Medical Center, LLC 988 East Osceola Parkway, Kissimmee, FL 34744 7/3/20 SSG Osceola Quality Life Health Center 804 Emmett Street, Kissimmee, FL 3474 8/3/ SSG Osceola Osceola MediClinic 2497 Trafalgar Blvd., Kissimmee, FL 34758 407-350-4844 06/06/2 SSG Osceola Providence Community Health Center 20 Hilda Street, Kissimmee, FL 3474 954-46-598 0/05/2 SSG Osceola Primary Health Care Associates, Inc. 308 W. Bass Street, Kissimmee, FL 3474 407-933-760 06/2/2 SSG Osceola Acute Patient Care 032 Mann Street, Kissimmee, FL 3474 863-585-9627 /07/2 SSG Osceola VIP Family Practice 40 West Oak Street, Kissimmee, FL 3474 407-730-99 0/4/3 SSG Osceola Florida Sports & Family Health Center 309 West Bass Street, Kissimmee, FL 3474 407-483-087 04/8/3 SSG Osceola USA Medical Care LLC 962 North John Young Parkway, Kissimmee, FL 3474 05/08/3 SSG Osceola Carrousel Therapy Center Corporation & 4898 East Irlo Bronson Memorial Hwy., 2 nd Floor, St. 08/26/3 SSG Carrousel Behavioral Health Services Cloud, FL 3477 Palm Beach The Jerome Golden Center for Behavioral 04 45th Street, West Palm Beach, FL 33407 56-383-8000 04/29/3 SSG Health, Inc. Palm Beach Child Protection Team of Palm Beach 2840 Sixth Ave., South, Lake Worth, FL 33407 56-433-3544 7/7/99 Under contract w/ DOH Palm Beach Hospice of Palm Beach County, Inc. 5300 E Ave., West Palm Beach 33407-2387 407-848-5200 0/2/94 Palm Beach Caridad Center (previously Migrant Association 8645 W. Boynton Beach Blvd, Boynton Beach, FL 33437 56-737-6336 VHCPP of South Florida, Inc. /Caridad Health Campus) Palm Beach Palm Beach County Health Department 826 Evernia St., West Palm Beach, FL 3340 56-355-320 - C.L. Brumback Health Center - Delray Beach Health Clinic - Jupiter Health Center - Lantana/Lake Worth Health Center - Riviera Beach Health Center - West Palm Beach Health Center 38754 State Rd. 80, Belle Glade, FL 33430 225 S. Congress Avenue, Delray Beach, FL 33444 6405 Indiantown Road, Jupiter, FL 33458 250 Southwinds Drive, Lantana, FL 33462 7289 Gardens Rd, Riviera, FL 33404 50 45th Street, West Palm Beach, FL 33407 56-882-3200 56-996-600 56-274-300 56-746-675 56-547-6800 56-653-2000 56-54-5300 Palm Beach Brito Medical Center 2070 S Military Trl, West Palm Beach, FL 3345 2/4/20 SSG Palm Beach Physician s Care Plus of Lake Worth, LLC 6432 Lake Worth Rd, Lake Worth, FL 33463 5/8/20 SSG Page 2 of 27
Revised 09-26-203 Palm Beach Fatima Medical Center 800 Forest Hill Blvd, Ste B-9, West Palm Beach, FL 7/3/20 SSG 33406 Palm Beach ACN Baromedical, LLC 702 South Dixie Highway, Unit 2, Lake Worth, FL 33460 954-328-252 0/05/2 SSG Palm Beach Community Health Center 2823 N. Australian Avenue, West Palm Beach, FL 33407 56-840-868 09/04/2 SSG Palm Beach Lake Ida Medical Center 2605 W. Atlantic Ave., Ste.D0, Delray Beach, FL 33445 56-279-099 2/0/2 SSG Palm Beach Guadalupe Medical Center, Inc. 4469 South Congress Ave, Ste. 06, Lake Worth, FL 3346 954-292-627 0/30/2 SSG Page 22 of 27 Palm Beach Drug Abuse Foundation of Palm Beach County, 400 South Swinton Avenue, Delray Beach, FL 33444 56-278-0000 0/4/3 SSG Inc. x398 Palm Beach MD Chiro Zone 395 N. Haverhill Rd, Ste. 28, West Pam Beach, FL 3347 06//3 SSG Pasco CARES (Community Aging & Retirement Services, Inc.) 7505 Rottingham Rd, Pt. Richey, FL 34668-2648 727-862-929 or 352-523- 6/6/92 VHCPP Pasco Pasco Premier Community Healthcare Group - Dade City Family & Dental Health Center - Summit Women s Health Center - Zephyrhills Children s Health Center - Zephyrhills Family Health Center Pasco County Health Department - Family Services - Family Health Services - Family Health Services - Family Health Services - Family Health Services - Family Health Services 37946 Church Avenue, Dade City, FL 33525 37944 Church Avenue, Dade City, FL 33525 0605 US Hwy. 30, Dade City, FL 33525 3798 Medical Arts Ct., Zephyrhills, FL 3354 37922 Medical Arts Ct., Zephyrhills, FL 3354 084 Little Rd, New Pt Richey, FL 34654-2533 Bldg. A, 084 Little Rd., New Pt Richey, FL 34654 670 Forest Ave., New Port Richey, FL 34652 5 Denton Ave., Hudson, FL 34667 394 5 th St., Dade City, FL 33525 477 Airport Road, Zephyrhills, FL 33540 435 Land O Lakes Blvd., Land O Lakes, FL 34639 500 352-58-2000 352-58-2006 352-567-2606 83-780-037 83-782-2350 83-869-3900 727-862-0782 727-86-00 727-863-2444 352-52-450 83-782-740 83-588-573 Pasco Good Samaritan Health Clinic of Pasco, Inc. 5334 Aspen St., New Port Richey, FL 34652 727-848-7789 2/08 VHCPP Pasco Wesley Chapel Medical Clinic 589 Argerian Drive, Wesley Chapel, FL 33545 0/08/2 SSG Pasco PCA Medical Group 660 Embassy Rd., Ste. B, Pt. Richey, FL 34668 6239 Fort King Rd., Zephyrhills, FL 33542 727-87-0239 83-783-3020 02/22/3 SSG 02/22/3 SSG Pasco Esteban Alfonzo Ruiz, M.D., P.A. 883 River Crossing Blvd., New Port Richey, FL 34655 08/23/3 SSG Pinellas Clearwater Free Clinic 707 N. Fort Harrison Ave, Clearwater, FL 33755 727-447-304 6//90 VHCPP Pinellas Willa Carson Health Resource Center, Inc (previously Greenwood Comm. Health Resource Center) 08 N Martin Luther King Ave, Clearwater, FL 33755 727-467-94 8/3/02 VHCPP Pinellas Community Health Centers of Pinellas - Johnnie Ruth Clarke - - Community Health Centers at Tarpon Springs 344 22nd Street South, St. Petersburg, FL 3372 344 22nd Street South, St. Petersburg, FL 3372 30 S. Disston Avenue, Tarpon Springs, FL 34689 727-82-670 727-82-670 727-944-3828 s. 330 s. 330
Pinellas Pinellas County Department of Social Services 647 First Avenue, North, St. Petersburg, 3370 727-582-7595 s. 330 (Homeless Center) Pinellas Pinellas County Health Department 500 7th Ave., S., St. Petersburg, FL 3370-4820 727-824-693 - Clearwater Center - Largo Health Center - Northeast High Clinic - Pinellas Park Center - St. Petersburg Center - Tarpon Springs Center 30 N. Myrtle Ave., Clearwater, FL 2420 30 th Ave. North, Largo, FL 33774 77 54 th Ave. North, St. Petersburg, FL 3374 6350 76 th Ave. North, Pinellas Park, FL 3378 500 7 th Ave. South, St. Petersburg, FL 3370 30 S. Disston Ave., Tarpon Springs, FL 34689 727-469-5800 727-588-4040 727-570-35 727-547-7780 727-824-6900 727-9425457 Pinellas St. Petersburg Free Clinic 863 3rd Ave. N., St. Petersburg, FL 3370 727-82-200 4/8/94 Pinellas La Clinica Guadalupana, Inc. 000 Lakeview Rd, Ste 4, Clearwater, FL 33756 727-46-7730 2/08 VHCPP Pinellas Pinellas County Jail 0750 Ulmerton Rd, Largo, FL 33779 727-582-6200 0/200 Statute Pinellas First Knight Medical, Inc. 6279 Park Blvd. Pinellas Park, FL 3378 727-548-232 0/9/2 SSG Pinellas PCA Medical Group 50 Alternate 9, Ste. D, Tarpon Springs, FL 34689 727-934-5575 02/22/3 SSG Pinellas Clearwater Scope Healthcare, LLC 300 U.S. 9 th North, Clearwater, FL 33764 08/05/3 SSG Polk Lakeland Volunteers in Medicine 02 Lakeland Hills Blvd, Lakeland, FL 33805 863-688-5846 6/4/0 VHCPP Polk Polk County Health Department - AIDS Clinic, Lakeland - Auburndale Clinic, Auburndale - Bartow Clinic, Bartow - Haines City Clinic, Haines City - Lake Wales Clinic, Lake Wales - Mary Sand Clinic, Auburndale 290 Golfview Ave. 4 th Fl, Bartow, FL 33830 805 Hobbs Road, Auburndale, FL 33823 2020 E. Georgia Ave., Bartow, FL 33830 th St., Haines City, FL 33844 305 West Central Ave., Lake Wales, FL 33853 805 Hobbs Road, Auburndale, FL 33823 863-59-7900 863-965-5400 863-59-796 863-42-3204 863-678-403 863-965-5400 Polk Central Florida Health Care Lakeland 729 Lakeland Hills Blvd, Lakeland, FL 33805 863-688-528 9-07 Polk Central Florida Health Care 950 CR 7A West, Avon Park, FL 33825 863-452-3004 9-07 Lakeland Primary Care Polk Polk General Hospital Bartow 200 E. Georgia St., Bartow, FL 33830 94-533- Polk Trinity Medical Center 064 N Broadway Ave, Bartow, FL 33830 863-59-9797 9//20 SSG Polk Kidsville Pediatrics I 220 North Boulevard W, Davenport, FL 33837 0/26/20 SSG 0 Polk Parkview Medical Clinic 205 Dr. Martin Luther King, Jr., Way, Haines City, FL 4/3/20 SSG Polk Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC Doctor Today TLC LLC 33844 380 South Florida Avenue, Lakeland, FL 3383 4435 US 98 North, Lakeland, FL 33809 602 Avenue K SE, Winter Haven, FL 33880 429 Lakeland Hills Blvd., Lakeland, FL 33805 700 First Street South, Winter Haven, FL 33880 863-69-500 863-687-0200 863-40-2807 863-687-0200 863-687-0200 05//2 05//2 05//2 05//2 08/0/2 SSG SSG SSG SSG SSG Revised 09-26-203 Page 23 of 27
Polk Physician s Services LLC Physician s Services LLC Physician s Services LLC 35600 US Highway 27 North, Haines City, FL 33844 43 SR 60 East, Lake Wales, FL 33853 6800 Cypress Gardens Blvd., Winter Haven, FL 33884 863-679-885 863-679-885 863-679-885 08/0/2 SSG 08/0/2 SSG 08/0/2 SSG Polk Acupuncture & Oriental Medicine 306 Avenue C, NE, Winter Haven, FL 3388 407-234-8780 0/9/2 SSG Polk Jay Care Medical Center 35 East First Street, Lakeland, FL 33805 5985 S. Florida Avenue, Lakeland, FL 3383 950 First Street S., Winter Haven, FL 33880 3 Webb Drive, Davenport, FL 33898 08/28/3 SSG 08/30/3 SSG 08/30/3 SSG 09/7/3 SSG Polk Central Florida Cancer Institute, P.A. 4007 Highway 27, Davenport, FL 33837 08/30/3 SSG Putnam Alachua Clay Family Medical & Dental Centers, Inc. - Crescent City Family Medical Center - Hawthorne Family Medical Center - Interlachen Family Medical Center - Palatka Family Dental Center - Palatka Family Medical Center - Keystone Heights 302 River Street, Palatka, FL 3277 306 Union Ave., Crescent City, FL 322 2208 SE 7 st Ave., Hawthorne, FL 32640 23 SR 20, Unit B, Interlachen, FL 3248 2503 President St., Palatka, FL 3277 2503 President St., Palatka, FL 3277 00 Commercial Dr, Keystone Heights, FL 32656 386-328-008 386-698-232 352-48-2700 386-684-494 386-328-7638 386-328-837 352-473-6595 2/8/96 s. 330 Putnam Putnam County Health Department 280 Kennedy Street, Palatka, FL 3277-400 386-326-3200 4/8/94 Putnam Medical Specialists of Northeast Florida 800 Zeagler Dr, Ste 50, Palatka, FL 3277 2/4/20 SSG Putnam Broward Outreach Center Pompano 700 Blount Road, Pompano Beach, FL 33069 305-572-2026 05/7/2 SSG Putnam Santa Rosa Premier Urgent Care Center/Internal Medical/Urgent Care Santa Rosa County Health Department - Gulf Breeze Health Department - Jay Health Department -Santa Rosa Beach Clinic 2400 W. Sample Rd., Ste. 4, Pompano Beach, FL 33073-3035 P.O. Box 929, Milton, FL 32572-0929 5840 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 25 Alabama St., Jay, FL 32565 94 N Cnty Hwy 393, Santa Rosa Bch, FL 32459 Sarasota Sarasota County Health Department P.O. Box 2658, Sarasota, FL 34230-2658 750 7 th St., Sarasota, FL 34234 2400 Colson Ave., Sarasota, FL 34234 7820 S. Tamiami Trail, Bldg. B2, Venice, FL 34293 850-983-5200 850-934-4074 850-675-42 850-267-35982 94-954-2900 94-36-05 94-36-6934 94-493-3830 05/08/3 SSG N/A Sarasota Genesis Health Services, Inc. 3333 N Washington Blvd., Ste. 3, Sarasota, FL 34234 94-363-852 2/0/0 SSG Sarasota Community Medical Clinic (Sarasota Memorial 700 S. Tamiami Trail, FL 34239 94-97-6364 2/3/93 Hospital) Sarasota Lee Collier Senior Friendship Centers, Inc. 888 Brother Geenen Way, Sarasota, FL 34236 900 Brother Geenen Way, Sarasota, FL 94-955-222 94-556-3220 4/8/94 Revised 09-26-203 Page 24 of 27
2350 Scenic Dr, Venice, FL 94-584-004 27420 Voyageur Dr, Harbor Heights, FL 33983 27 Pine Ridge Road, Suite F, Naples, FL 3409 23 N Polk Ave, Arcadia, FL 34266 3600 Evans Ave, Ft. Myers, FL 3390 94-743-5353 239-566-7425 863-494-5965 239-275-88 08/22/2 SSG Seminole Seminole County Health Department 400 W. Airport Boulevard, Sanford, FL 32773 Goodings Plaza Office Center, 32 Sausalito Boulevard, Casselberry, FL 32707-5764 Seminole John E. Polk Correctional Facility-Seminole Seminole Orange Revised 09-26-203 County Sheriff s Office Central Florida Family Health Center, Inc. - Central FL Family Health Center - Hoffner - Central FL Family Health Center - Alafaya Page 25 of 27 407-322-2724 407-665-3400 2 Bush Blvd., Sanford, FL 32773 8/9/ SSG 2400 CR 45-A, Sanford, FL 3277 5549 S. Semoran Blvd., #4, Orlando, FL 32822 88-A East Colonial Drive, Orlando, FL 32826 407-322-8645 407-207-7756 407-275-4048 Seminole First Choice Pediatrics Sanford 403 Medical Plaza Drive, Suite #04, Sanford, FL 3277 407-249-234 0/9/2 SSG St. Johns St. Johns County Health Department 955 US Highway, #00, St. Augustine, FL 32086 904-825-5054 St. Johns Good Samaritan Health Centers, Inc PO Box 005, St. Augustine, FL 904-829-962 2/09 VHCPP St. Johns Medical Specialists of Northeast Florida Medical Specialists of Northeast Florida, PLLC 665 SR 207, Ste 02, St. Augustine, FL 32084 680 Osceola Elementary Blvd., Ste. A, St. Augustine, FL 32084 2/4/20 SSG 09/25/2 SSG St. Johns Avanti Wellness Center 3574 US Hwy South, St. Augustine, FL 32086 2//20 SSG St. Johns Medi MD 67 Palencia Village Drive, Ste 0, St. Augustine, FL 8/6/ SSG 32095 St. Johns Dr. James R. Conner PA 85 Old Moultrie Road, Ste. A, St. Augustine, FL 32084 904-824-8088 06/5/2 SSG St. Johns Pediatrics in North Florida 09 Whitehall Drive, Ste. 7, St. Augustine, FL 32086 286-446-8333 06/22/2 SSG St. Johns Global Health Records Inc. 85 Old Moultrie Road, St. Augustine, FL 32086 904-794-7830 06/22/2 SSG St. Lucie St. Lucie County Health Department 74 Ave C., Ft. Pierce, FL 34954 56-873-4924 St. Lucie Florida Medical Center 066 South Federal Highway, Pt. St. Lucie, FL 32452 06/08/ SSG St. Lucie Andrelica, 066 South Federal Highway, Port St. Lucie, FL 34952 8/6/ SSG Sumter Sumter County Health Department 45 E. Noble Ave., P.O. Box 98, Bushnell, FL 3353 352-793-270 04 Rutland St., Wildwood, FL 34785 Sumter Lazarus Free Medical Clinic (previously 20 Wonders St, Wildwood, FL 34785 352-748-4567 4/6/08 VHCPP 2 s. 330
Revised 09-26-203 Catholic Charities of Central Florida, Inc) Sumter Project Health, Inc 389 S US Hwy 30, Sumterville, FL 33585 /0/20 SSG Sumter The Clark Clinic, Inc. 22 S Florida Street, Bushnell, FL 3353 352-793-244 9/9/ SSG Sumter Rural Medical Associates, Inc. DBA Wildwood 4 Webster Street, Wildwood, FL 34785 08/24/3 SSG Medical Center Sumter Florida Medical Associates, LLC 950 Laurel Manor Dr., Bldg. 20, The Villages, FL 3262 08/20/3 SSG Sumter Children s Medical Group 950 Laurel Manor Dr., Bldg. 240, The Villages, FL 3262 08/26/3 SSG Suwannee Suwannee County Health Department P.O. Drawer 6030, Live Oak, FL 32064 904-362-2708 Taylor Taylor County Health Department 25 Peacock Street, Perry, FL 32347-27 850-584-5087 Taylor Taylor County Health Department and Veterans 25 N Peacock Ave, Perry, FL 32347 2/8/20 SSG Affairs Outreach Clinic 0 Taylor Premier Medical Pediatric Clinic 35 E. Ash Street, Perry, FL 32347 850-584-3278 9/8/ SSG Union Union County Health Department 495 E. Main St., Lake Butler, FL 32054-73 904-496-32 Union Marvin W. Johnson, MD 850 E Main St, Lake Butler, FL 32054 0/5/20 SSG 0 Union Lake Butler Hospital 850 Main St, Lake Butler, FL 32054 /4/20 SSG 0 Volusia NE Florida Health Services Volusia - Pierson Medical Center 4 N. Volusia Avenue, Pierson, FL 3280 386-749-9449 s. 330 Volusia County Health Department - Care Center 50 S. Clyde Morris Blvd. Daytona Beach, FL 324-3997 2 S. Palmetto Ave., Daytona Bch, FL 324 330 S. Woodland Blvd., Deland, FL 32720 77 W. Canal St., New Smyrna Bch, FL 3268 00 Wolf Pack Run, Deltona, FL 32725 Page 26 of 27 386-947-344 386-255-009 386-822-625 386-424-2066 386-789-840 Volusia Good Samaritan Clinic 32 W New York Ave, Deland, FL 32720 386-738-6990 2/08 VHCPP Volusia Central Florida Primary Physicians, LLC 55 Saxon Blvd, Ste 30, Deltona, FL 32725 4/3/20 SSG Volusia Florida Family Healthcare 80 Spring Vista Drive, Suite 00 386-320-037 9/28/ SSG Wakulla Wakulla County Health Department 3093 Crawfordville Hgwy, Crawfordville, FL 32327 850-926-359 Walton Walton County Health Department 493 N. 9th St., DeFuniak Spgs, FL 32433-940 850-892-8027 - Paxton Clinic, Paxton 2872 US Hwy 33North, Paxton, FL 32538 850-892-805 Walton Community Health Center Walton 479 E. Highway 20, Freeport, FL 32439 850-880-6568 0/24/2 SSG Washington Washington County Health Department 338 South Boulevard, Chipley, FL 32428-2208 850-638-6240 Community Corrections Division 4/6/97 DOC Montgomery Correctional Center 4/6/97 DOC Northeast Florida State Hospital /30/95 Mental
Institution NOTE: The County Health Departments specifically listed above are currently employing limited license holders. Pursuant to Code 64B8-2.00(4), Florida Administrative Code, the Board defines the areas of critical needs, areas of critical medical need, and medically underserved areas as used in Sections 458.35() and 458.37()(d), F.S., respectively, shall include but not be limited to the following: Areas designated by the Department of Health and Human Services as health professional shortage areas; State mental institutions; State institutions for the mentally retarded; or State prison ALL State Department of Health facilities and County Health Departments are approved to employ limited license & temporary certificate holders. Revised 09/27/05 Revised 09-26-203 Page 27 of 27