Aetna "Select Provider" Listing - High-Tech Radiology FLORIDA BREVARD COUNTY Indian Harbour Beach Beach Medical Imaging 7877560, 201589 2033 South Patrick Drive Indian Harbour Beach, FL 32937 Phone: 321-773-9898 / Fax: 321-773-3354 Coastline Imaging, Inc. 5937540, 5162664 1341 Medical Park Drive, Suite 101 Phone: 321-253-2700 5937540, 7270962 2290 West Eau Gallie Blvd., Suite 104, FL 32935 Phone: 321-253-2700 / Fax: 321-253-2267 7673748, 6693485 673748, 5794406 2222 South Harbor City Blvd., Suite 520 Phone: 321-409-9990 / Fax: 321-409-9995 University Center Imaging 4623394, 3530999 1800 West Hibiscus Blvd., Suite 100 Phone: 321-726-3800 / Fax: 321-726-3842 4623394, 2231053 6300 North Wickham Road, Suite 100, FL 32940 Phone: 321-775-7100 / Fax: 321-775-7101 Svcs: MR, CNM, CT Wuesthoff Baytree Imaging 7970 North Wickham Road, Suite 102, FL. 32940 Phone: 321-632-6880/Fax: 321-255-7734, PET Merritt Island Merritt Island 7759495, 821077 255 North Sykes Creek Pkwy. Merritt Island, FL 32953 Phone: 321-454-6335 / Fax: 321-454-4895 Palm Bay Florida Diagnostic Imaging, INC 5201 Babcock Street Northeast, Suite 5 Palm Bay, FL 32905 Phone: 321-676-5323 / Fax: 321-951-9253 8208068, 2360130 University Center Imaging 590 Malabar Road, Suite 6 Palm Bay, FL 32907 Phone: 321-726-3855 Svcs: MR, CNM, CT 4623394, 9683967 Port St. John Florida East Coast Imaging, 5005 Port St. John Pkwy. Port St. John, FL 32927 Phone: 321-636-9393 / Fax: 727-793-0052, PET 9583139, 5663282 Rockledge Open MRI of Rockledge 1978 Rockledge Blvd., Suite 101 Rockledge, FL 32955 Phone: 321-633-1600 / Fax: 321-633-0143 Rockledge MRI and PET Center, 1910 Rockledge Blvd., Suite 102 Rockledge, FL 32955 Phone: 321-636-6599 / Fax: 321-636-6614, PET 5779772, 1182550 9548086, 3883095 Viera Viera Diagnostic Center 7019473, 6832278 7000 Spyglass Court, Suite 260 Viera, FL 32940 Phone: 321-254-7880 / Fax: 321-254-7707 LAKE COUNTY Clermont 7731336, 8811056 262 Mohawk Road Clermont, FL 34715 Phone: 352-243-2111 / Fax: 352-243-2112 Clermont Radiology, 7993661, 4223877 871 Oakley Seaver Drive Clermont, FL 34711 Phone: 352-241-6100 / Fax: 352-241-6101, PET Treasure Coast Medical Services, Inc. 5277232, 3512596 1725 East Hwy. 50, Suite A Clermont, FL 34711 Phone: 352-243-3517 / Fax: 352-243-4091 Svcs: CNM Eustis Diagnostic Outpatient Center 2603 Kurt Street Eustis, FL 32726 Phone: 877-800-2450 5121179, 2841402 Lady Lake 7731336, 5843751 13940 U.S. Hwy. 441, Suite 201 Phone: 352-435-0111 / Fax: 352-243-2112 Leesburg 7731336, 8171763 211 North 1st Street Phone: 352-435-0111 / Fax: 352-435-0112 Diagnostic Outpatient Ctrs II, Inc. 7574559, 862051 704 Doctors Center Phone: 352-314-9333 / Fax: 352-314-9334 9499383, 9483783 Leesburg Regional Medical Center 600 East Dixie Avenue Phone: 352-323-5762 / Fax: 352-787-1776, PET 9499383, 5553810 801 East Dixie Avenue Phone: 352-365-0777 / Fax: 352-787-1776, PET and Breast 7768009, 9483783 Leesburg Regional Medical Center 600 East Dixie Avenue Phone: 352-323-5762, CNM, CT, PET 7768009, 5553810 801 East Dixie Avenue Phone: 352-787-5858 / Fax: 352-787-1776, CNM, CT, PET Radiology Associates of Central Florida 7855178, 9483783 Leesburg Regional Medical Center 600 East Dixie Avenue Phone: 352-323-5762 7855178, 5553810 801 East Dixie Avenue Phone: 352-787-5858 / Fax: 352-787-1776 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 4
Aetna "Select Provider" Listing - High-Tech Radiology Mt. Dora Physicians Imaging-Mt. Dora, 3615 Lake Center Drive Mt. Dora, FL 32757 Phone: 352-383-3716 / Fax: 352-383-7457 7803970, 9812918 Tavares Open MRI of, Inc. 1879 Nightingale Lane, Suite A1 Tavares, FL 32778 Phone: 352-742-9211 / Fax: 352-742-9406 5019582, 5621420 The Villages Lake Med Imaging and Breast Ctr 1400 US Hwy. 441 North Phone: 352-365-0777 / Fax: 352-753-7931, PET 9499383, 2693887 and Breast 7768009, 2693887 Lake Med Imaging and Breast Ctr 1400 US Hwy. 441 North Phone: 352-753-4115 / Fax: 352-753-7931, CNM, CT, PET Radiology Associates of Central Florida Lake Med Imaging and Breast Ctr 1400 US Hwy. 441 North Phone: 352-753-4115 / Fax: 352-753-7931 7855178, 2693887 ORANGE COUNTY Apopka Emery Medical Solutions 5930105, 2172856 2151 East Semoran Blvd. Apopka, FL 32703 Phone: 407-628-9100 / Fax: 407-628-0748 Svcs: MR, CNM, CT Maitland MD Diagnostic Specialist, 668 North Avenue, Suite 1005 Maitland, FL 32751 Phone: 407-740-8848 / Fax: 407-740-0324 9376098, 7170207 Ocoee A1 Imaging of Ocoee 9440 West Colonial Drive, Suite 12 Phone: 407-822-0999 / Fax: 407-822-0990 7545091, 8311293 Boston Diagnostic Imaging 8207299, 7062611 1193 Blackwood Avenue Phone: 407-656-6040 / Fax: 407-656-4431, PET 8207299, 1464293 572 Ocoee Commerce Parkway Phone: 407-228-6635 / Fax: 407-228-6636, PET 4510935, 7433050 Citrus Oaks Office Center 9582 West Colonial Drive Phone: 407-363-6700 / Fax: 407-363-5979, CNM, CT, PET 4510935, 1992858 A1 Imaging of 500 North Semoran Blvd., Suite 103, FL 32807 Phone: 407-275-6072 / Fax: 407-275-7301 7373074, 3111240 Advanced 3-D Diagnostics Inc. 930 South Orange Avenue, Suite 1 Phone: 407-770-0039 / Fax: 407-447-7509 9098081, 4773096 Advanced Diagnostic Group 6388 Silver Star Road, Suite 1-A, FL 32818 Phone: 888-234-5575 / Fax: 813-849-6349 Svcs: MR 7638003, 2612986 Altamonte Springs Diagnostic Imaging 5608754, 5182846 1150 S. Semoran Blvd., Suite D, FL 32807 Phone: 407-482-5253 5608754, 8573123 5608754, 7424470 6342 West Colonial Drive, Suite C, FL 32818 Phone: 407-523-0411 / Fax: 407-523-0412 5608754, 8384414 882 S. Kirkman Road, Suite 103-104, FL 32811 Phone: 407-288-8160 Boston Diagnostic Imaging- 1751 South Orange Avenue Phone: 877-800-2450 / Fax: 407-872-7742 7136446, 2321714 8720363, 7263857 1781 Park Center Drive, 110, FL 32835 Phone: 407-741-5400 / Fax: 407-253-7260 8720363, 18326 3849 Oakwater Circle Phone: 407-741-5400 / Fax: 407-850-6027 4510935, 9050779 51 West Kaley Street Phone: 407-999-9925 / Fax: 407-999-9926 4510935, 9411638 775 North Alafaya Trail, FL 32828 Phone: 407-363-8700 / Fax: 407-629-7475, CNM, CT, PET 4510935, 8403293 9964 University Blvd., FL 32817 Phone: 407-261-2915 / Fax: 407-657-6667, PET 7295541, 3830804 1315 South Orange Avenue Phone: 407-999-9977 / Fax: 407-999-9988 7806 Lake Underhill Road, Suite 101, FL 32822 Phone: 407-608-6800 / Fax: 407-608-6747 7554001, 9353305 Sand Lake Imaging, L.L.L.P. 9350 Turkey Lake Road, FL 32819 Phone: 407-363-2772 / Fax: 407-447-9966 7504636, 8842696 Stand-Up MRI of 2010 South Orange Avenue Phone: 877-800-2450 / Fax: 407-841-0922 5254192, 1050329 Park, P 7238325, 7603806 5907 Turkey Lake Road, 109, FL 32819 Phone: 407-206-5029 / Fax: 407-691-0316 Womens Center for Radiology, P.A. 1621 North Mills Avenue, FL 32803 Phone: 407-841-0822 / Fax: 407-581-4154 Svcs: MR 8204175, 5020980 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 4
Aetna "Select Provider" Listing - High-Tech Radiology 8204175, 3130780 1718 South Orange Avenue Phone: 407-841-0822 / Fax: 407-581-4154 Svcs: MR Winter Park Advanced Imaging Center of Winter Park, LTD. 5748690, 8033415 1110 West Fairbanks Avenue, MRI SUITE Phone: 407-629-7474 / Fax: 407-629-7475 1295 Orange Avenue, Suite 200 Phone: 407-628-5051 / Fax: 407-643-1394 8720363, 7161905 1110 West Fairbanks Avenue Phone: 407-629-7474 / Fax: 407-629-7475 4510935, 3202457 Florida Radiology Centers 483 North Semoran Blvd., Suite 104 Phone: 407-557-2896 / Fax: 407-937-2448 9079156, 6413247 NSI Winter Park 2111 Glenwood Drive, Suite 101 Phone: 407-478-1550 / Fax: 407-478-1540 7279440, 2611801 Park, P 7238325, 18260 111 North Lakemont Avenue Phone: 407-975-3315 OSCEOLA COUNTY Kissimmee A1 Imaging of Kissimmee 7415811, 7611551 810 North John Young Pkwy. Phone: 407-847-6745 / Fax: 407-847-8749 Advanced Diagnostic Group 56 West Oak Street Phone: 888-234-5575 / Fax: 813-849-6349 Svcs: MR 7638003, 6162927 Altamonte Springs Diagnostic Imaging 819 East Oak Street, Suite C Kissimmee, FL 34744 Phone: 407-932-0224 / Fax: 407-932-1012 5608754, 5091065 208 West Oak Street Phone: 800-767-6747 / Fax: 407-846-0868 4510935, 9531125 Health Imaging Services, 313 West Bass Street Phone: 877-800-2450 / Fax: 407-569-0354 9824084, 8563126 Diagnostic Center 506 West Cherry Street Phone: 321-207-0200 / Fax: 407-262-0924 7009519, 2382494 911 East Oak Street Kissimmee, FL 34744 Phone: 407-847-3070 / Fax: 407-847-2723 7554001, 569010 Soca Imaging, Inc. Kissimmee Outpatient Center 4632232, 556765 1503 West Oak Street Phone: 407-847-8864 / Fax: 407-847-5137 Svcs: MR, CNM, CT SEMINOLE COUNTY Altamonte Springs Altamonte Springs Diagnostic Imaging 5608754, 7972687 195 South Westmonte Drive, Suite 1118 Phone: 407-786-5877 / Fax: 407-786-5803 5608754, 1032599 Boston Diagnostic Imaging 398 East Altamonte Drive Altamonte Springs, FL 32701 Phone: 407-331-9355 / Fax: 407-331-9481, PET 8207299, 8480333 4510935, 990127 277 Douglas Avenue, Suite 1014 Phone: 407-788-2888 / Fax: 407-215-0168 4510935, 7823628 279 Douglas Avenue, Suite 1110 Phone: 407-788-2888 / Fax: 407-215-0168 Lake Mary Cyrus Diagnostic Imaging 165 Waymont Court Phone: 407-321-3012, CNM, CT, PET 5685115, 5131282 1343 South International Pkwy., Suite 1351 Phone: 407-304-1000 / Fax: 407-304-1001 7554001, 7363058 Soca Imaging, Inc. Lake Mary Imaging Center, Inc. 917 Rinehart Road, Suite 1051 Phone: 407-562-9170 / Fax: 407-562-9171 7911438, 5902681 Longwood Diagnostic Center 450 West State Road 434, Suite 102 Longwood, FL 32750 Phone: 321-207-0200 / Fax: 407-767-0476 7009519, 1523537 Park, P 7238325, 3693739 8325, 5094330 2160 West State Road 434, Suite 110 Longwood, FL 32779 Phone: 407-975-3315 / Fax: 407-691-0316 Oviedo 1000 West Broadway, Suite 104 Phone: 800-634-4064 8720363, 2511558 7424 Red Bug Lake Road Phone: 407-971-6344 / Fax: 407-971-6343 4510935, 4632198 Sanford Open MRI of Sanford 303 West 1st Street Sanford, FL 32771 Phone: 800-767-6747 / Fax: 407-330-7928 7660175, 5771445 Winter Springs 1049 Willa Springs Drive, Suite 1051 Winter Springs, FL 32708 Phone: 407-608-6800 / Fax: 407-608-6747 7554001, 5252088 Vincon Diagnostic Center 5732 Canton Cove Winter Springs, FL 32708 Phone: 877-800-2450 / Fax: 407-699-7963 7432203, 1681064 MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 3 of 4
Aetna "Select Provider" Listing - High-Tech Radiology SUMTER COUNTY The Villages 9499383, 6203858 The Villages Regional Hospital 1451 El Camino Real Phone: 352-751-8680 / Fax: 352-751-8635, PET 9499383, 6443730 910 Old Camp Road, Bldg. 120, Suite 122 Phone: 352-365-0777 / Fax: 352-391-9165, PET and Breast 7768009, 6203858 The Villages Regional Hospital 1451 El Camino Real Phone: 352-751-8000, CNM, CT, PET 7768009, 6443730 910 Old Camp Road, Bldg. 120, Suite 122 Phone: 352-391-9166 / Fax: 352-391-9165, CNM, CT, PET Radiological Inst of the Villages 11950 County Road 101 Phone: 352-391-6190 / Fax: 352-391-6199 Svcs: CT, PET 9480157, 1134239 9480157, 7973848 1580 Santa Barbara Blvd., Unit D Phone: 352-508-1512 / Fax: 352-259-5897 Svcs: CT, PET Radiology Associates of Central Florida 7855178, 6203858 The Villages Regional Hospital 1451 El Camino Real Phone: 352-751-8000 7855178, 6443730 910 Old Camp Road, Bldg. 120, Suite 122 Phone: 352-391-9166 / Fax: 352-391-9165 VOLUSIA COUNTY Daytona Beach Twin Lakes Imaging Center 7479544, 8002073 1890 LPGA Blvd., Suite 110 Daytona Beach, FL 32117 Phone: 386-274-7272 / Fax: 386-274-5440 Deltona LAD Imaging, - HCA Affiliate 1555 Saxon Blvd., Suite 401 Deltona, FL 32725 Phone: 386-860-9336 / Fax: 386-860-2225 8496089, 6122061 New Smyrna Beach New Smyrna Imaging, L.L.C. 405 East 3rd Avenue New Smyrna Beach, FL 32169 Phone: 386-426-1900 / Fax: 386-426-5939 Svcs: MR 7994476, 8322842 Orange City Mid Florida Radiology Centers P.A. 955 Town Center Drive, Suite 200 Orange City, FL 32763 Phone: 386-775-1612 / Fax: 386-775-1289, PET 7311929, 9992916 Ormond Beach Stand-Up MRI & Diagnostic Center, P.A. 5140323, 8232574 Stand-up MRI and Diagnostic Center, PA 555 West Granada Blvd. Phone: 386-677-7730 / Fax: 386-677-7731 Port Orange Port Orange Imaging Center 1195 Dunlawton Avenue Port Orange, FL 32127 Phone: 386-763-5300 / Fax: 386-322-5330 Svcs: MR, CNM, CT 7019548, 921980 Note(s): These procedures may require preauthorization. Aetna's radiology management vendors may have more current information that will replace the information contained within this List. Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider who performs these services but is not accredited at the time of service may not be eligible for payment. Aetna s radiology management vendors will offer alternative accredited providers in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 4 of 4
Aetna "Select Provider" Listing - Low-Tech Radiology FLORIDA BREVARD COUNTY Indian Harbour Beach Beach Medical Imaging 7877560, 201589 2033 South Patrick Drive Indian Harbour Beach, FL 32937 Phone: 321-773-9898 / Fax: 321-773-3354, FL, US, S Atlantis Diagnostic Center 1344 South Apollo Blvd., Suite 102 Phone: 321-722-1766 5631231, 971604 Coastline Imaging, Inc. 5937540, 5162664 1341 Medical Park Drive, Suite 101 Phone: 321-253-2700 5937540, 7270962 2290 West Eau Gallie Blvd., Suite 104, FL 32935 Phone: 321-253-2700 / Fax: 321-253-2267, FL, US, S, M Neuro Imaging Institute 27 East Hibiscus Blvd. Phone: 321-952-7300 / Fax: 321-729-0391, S, BD, M 4500918, 1420442 7673748, 6693485 673748, 5794406 2222 South Harbor City Blvd., Suite 520 Phone: 321-409-9990 / Fax: 321-409-9995 Tepas Breast Center 1140 Broadband Drive Phone: 321-473-1067 / Fax: 321-733-0443 Svcs: US, M 9491345, 6943287 University Center Imaging 4623394, 3530999 1800 West Hibiscus Blvd., Suite 100 Phone: 321-726-3800 / Fax: 321-726-3842 4623394, 2231053 6300 North Wickham Road, Suite 100, FL 32940 Phone: 321-775-7100 / Fax: 321-775-7101 Wuesthoff Baytree Imaging 7970 North Wickham Road, Suite 102, FL. 32940 Phone: 321-632-6880/Fax: 321-255-7734 Merritt Island Merritt Island 7759495, 821077 255 North Sykes Creek Pkwy. Merritt Island, FL 32953 Phone: 321-454-6335 / Fax: 321-454-4895, FL, US Palm Bay Florida Diagnostic Imaging, INC 5201 Babcock Street Northeast, Suite 5 Palm Bay, FL 32905 Phone: 321-676-5323 / Fax: 321-951-9253, BD, M University Center Imaging 590 Malabar Road, Suite 6 Palm Bay, FL 32907 Phone: 321-726-3855 8208068, 2360130 4623394, 9683967 Rockledge First Ultrasound, Inc. 138 South Woods Drive, Suite 101 Rockledge, FL 32955 Phone: 321-631-1636 / Fax: 321-631-1512 Svcs: US Rockledge MRI and PET Center, 1910 Rockledge Blvd., Suite 102 Rockledge, FL 32955 Phone: 321-636-6599 / Fax: 321-636-6614, S, M 9302219, 1633388 9548086, 3883095 Viera Viera Diagnostic Center 7019473, 6832278 7000 Spyglass Court, Suite 260 Viera, FL 32940 Phone: 321-254-7880 / Fax: 321-254-7707, S, BD, M LAKE COUNTY Clermont 7731336, 8811056 262 Mohawk Road Clermont, FL 34715 Phone: 352-243-2111 / Fax: 352-243-2112 Clermont Radiology, 7993661, 4223877 871 Oakley Seaver Drive Clermont, FL 34711 Phone: 352-241-6100 / Fax: 352-241-6101 Eustis Diagnostic Outpatient Center 2603 Kurt Street Eustis, FL 32726 Phone: 877-800-2450, BD 5121179, 2841402 Lady Lake 7731336, 5843751 13940 U.S. Hwy. 441, Suite 201 Phone: 352-435-0111 / Fax: 352-243-2112 Leesburg 7731336, 8171763 211 North 1st Street Phone: 352-435-0111 / Fax: 352-435-0112, S, M Diagnostic Outpatient Ctrs II, Inc. 7574559, 862051 704 Doctors Center Phone: 352-314-9333 / Fax: 352-314-9334, S, M 9499383, 9483783 Leesburg Regional Medical Center 600 East Dixie Avenue Phone: 352-323-5762 / Fax: 352-787-1776 9499383, 5553810 801 East Dixie Avenue Phone: 352-365-0777 / Fax: 352-787-1776 and Breast 7768009, 9483783 Leesburg Regional Medical Center 600 East Dixie Avenue Phone: 352-323-5762 7768009, 5553810 801 East Dixie Avenue Phone: 352-787-5858 / Fax: 352-787-1776 Mt. Dora Physicians Imaging-Mt. Dora, 3615 Lake Center Drive Mt. Dora, FL 32757 Phone: 352-383-3716 / Fax: 352-383-7457 7803970, 9812918 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 1 of 4
Aetna "Select Provider" Listing - Low-Tech Radiology The Villages Lake Med Imaging and Breast Ctr 1400 US Hwy. 441 North Phone: 352-365-0777 / Fax: 352-753-7931 9499383, 2693887 and Breast 7768009, 2693887 Lake Med Imaging and Breast Ctr 1400 US Hwy. 441 North Phone: 352-753-4115 / Fax: 352-753-7931 ORANGE COUNTY Apopka Emery Medical Solutions 5930105, 2172856 2151 East Semoran Blvd. Apopka, FL 32703 Phone: 407-628-9100 / Fax: 407-628-0748, S, M Maitland MD Diagnostic Specialist, 668 North Avenue, Suite 1005 Maitland, FL 32751 Phone: 407-740-8848 / Fax: 407-740-0324 9376098, 7170207 Ocoee Boston Diagnostic Imaging 8207299, 7062611 1193 Blackwood Avenue Phone: 407-656-6040 / Fax: 407-656-4431 8207299, 1464293 572 Ocoee Commerce Parkway Phone: 407-228-6635 / Fax: 407-228-6636 4510935, 1992858 510935, 7433050 Citrus Oaks Office Center 9582 West Colonial Drive Phone: 407-363-6700 / Fax: 407-363-5979, M Advanced 3-D Diagnostics Inc. 930 South Orange Avenue, Suite 1 Phone: 407-770-0039 / Fax: 407-447-7509 9098081, 4773096 Advanced Diagnostic Group 6388 Silver Star Road, Suite 1-A, FL 32818 Phone: 888-234-5575 / Fax: 813-849-6349 7638003, 2612986 Altamonte Springs Diagnostic Imaging 5608754, 5182846 1150 S. Semoran Blvd., Suite D, FL 32807 Phone: 407-482-5253 5608754, 8573123 08754, 7424470 6342 West Colonial Drive, Suite C, FL 32818 Phone: 407-523-0411 / Fax: 407-523-0412 5608754, 8384414 882 S. Kirkman Road, Suite 103-104, FL 32811 Phone: 407-288-8160 Boston Diagnostic Imaging- 1751 South Orange Avenue Phone: 877-800-2450 / Fax: 407-872-7742 7136446, 2321714 1781 Park Center Drive, 110, FL 32835 Phone: 407-741-5400 / Fax: 407-253-7260, FL, US, S, M 8720363, 7263857 4510935, 8070811 3400 Quadrangle Blvd., FL 32817 Phone: 407-384-1015 / Fax: 407-380-1086 4510935, 9050779 51 West Kaley Street Phone: 407-999-9925 / Fax: 407-999-9926 4510935, 9411638 775 North Alafaya Trail, FL 32828 Phone: 407-363-8700 / Fax: 407-629-7475 4510935, 8403293 9964 University Blvd., FL 32817 Phone: 407-261-2915 / Fax: 407-657-6667 7295541, 3830804 1315 South Orange Avenue Phone: 407-999-9977 / Fax: 407-999-9988, FL, US 7806 Lake Underhill Road, Suite 101, FL 32822 Phone: 407-608-6800 / Fax: 407-608-6747 7554001, 9353305 Sand Lake Imaging, L.L.L.P. 9350 Turkey Lake Road, FL 32819 Phone: 407-363-2772 / Fax: 407-447-9966 7504636, 8842696 Stand-Up MRI of 2010 South Orange Avenue Phone: 877-800-2450 / Fax: 407-841-0922 5254192, 1050329 Park, P 7238325, 7603806 5907 Turkey Lake Road, 109, FL 32819 Phone: 407-206-5029 / Fax: 407-691-0316 Womens Center for Radiology, P.A. 8204175, 5020980 1621 North Mills Avenue, FL 32803 Phone: 407-841-0822 / Fax: 407-581-4154, S, BD, M 8204175, 3130780 1718 South Orange Avenue Phone: 407-841-0822 / Fax: 407-581-4154, S, BD, M Winter Park 1295 Orange Avenue, Suite 200 Phone: 407-628-5051 / Fax: 407-643-1394 8720363, 7161905 1110 West Fairbanks Avenue Phone: 407-629-7474 / Fax: 407-629-7475 4510935, 3202457 Florida Radiology Centers 483 North Semoran Blvd., Suite 104 Phone: 407-557-2896 / Fax: 407-937-2448, BD 9079156, 6413247 NSI Winter Park 2111 Glenwood Drive, Suite 101 Phone: 407-478-1550 / Fax: 407-478-1540 7279440, 2611801 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 2 of 4
Aetna "Select Provider" Listing - Low-Tech Radiology Park, P 7238325, 18260 111 North Lakemont Avenue Phone: 407-975-3315 Weston Diagnostics 1320 South Avenue, Suite 4 Phone: 888-783-7818 Svcs: US 7134896, 6433677 OSCEOLA COUNTY Celebration Mammography Screening Centers, Inc. 7352990, 5283600 1530 Celebration Blvd., Suite 403 Celebration, FL 34747 Phone: 407-566-9314 / Fax: 407-540-9411 Svcs: M Kissimmee Advanced Diagnostic Group 56 West Oak Street Phone: 888-234-5575 / Fax: 813-849-6349 7638003, 6162927 Altamonte Springs Diagnostic Imaging 819 East Oak Street, Suite C Kissimmee, FL 34744 Phone: 407-932-0224 / Fax: 407-932-1012 5608754, 5091065 208 West Oak Street Phone: 800-767-6747 / Fax: 407-846-0868 4510935, 9531125 Health Imaging Services, 313 West Bass Street Phone: 877-800-2450 / Fax: 407-569-0354, S, M 9824084, 8563126 Medisound Inc. 301 North John Young Pkwy. Phone: 407-569-2152 / Fax: 407-569-2153 7433724, 2913231 Diagnostic Center 506 West Cherry Street Phone: 321-207-0200 / Fax: 407-262-0924 7009519, 2382494 911 East Oak Street Kissimmee, FL 34744 Phone: 407-847-3070 / Fax: 407-847-2723, S, M 7554001, 569010 Soca Imaging, Inc. Kissimmee Outpatient Center 1503 West Oak Street Phone: 407-847-8864 / Fax: 407-847-5137 7911438, 2292666 SEMINOLE COUNTY Altamonte Springs 608754, 7972687 195 South Westmonte Drive, Suite 1118 Phone: 407-786-5877 / Fax: 407-786-5803 Boston Diagnostic Imaging 398 East Altamonte Drive Altamonte Springs, FL 32701 Phone: 407-331-9355 / Fax: 407-331-9481 8207299, 8480333 4510935, 990127 277 Douglas Avenue, Suite 1014 Phone: 407-788-2888 / Fax: 407-215-0168 4510935, 7823628 279 Douglas Avenue, Suite 1110 Phone: 407-788-2888 / Fax: 407-215-0168 Casselberry Specialty Imaging Services, Inc. 2501 Howell Branch Road Casselberry, FL 32707 Phone: 407-678-7333 / Fax: 407-678-7008, S, BD 8207074, 980910 Geneva Women's Mobile Medical Services, 760 Valley Stream Drive Geneva, FL 32732 Phone: 407-349-2007 / Fax: 407-349-2006 Svcs: M 7118641, 4193632 Lake Mary Cyrus Diagnostic Imaging 165 Waymont Court Phone: 407-321-3012, BD, M 5685115, 5131282 1343 South International Pkwy., Suite 1351 Phone: 407-304-1000 / Fax: 407-304-1001 7554001, 7363058 Soca Imaging, Inc. Lake Mary Imaging Center, Inc. 917 Rinehart Road, Suite 1051 Phone: 407-562-9170 / Fax: 407-562-9171, S, BD, M 7911438, 5902681 Longwood Heart Study Center, Inc. 755 West State Road 434, Suite A Longwood, FL 32750 Phone: 407-834-1151 / Fax: 407-834-2232 Svcs: US 7975214, 4003335 Diagnostic Center 450 West State Road 434, Suite 102 Longwood, FL 32750 Phone: 321-207-0200 / Fax: 407-767-0476, BD 7009519, 1523537 Park, P238325, 369373 7325, 5094330 2160 West State Road 434, Suite 110 Longwood, FL 32779 Phone: 407-975-3315 / Fax: 407-691-0316 Oviedo 1000 West Broadway, Suite 104 Phone: 800-634-4064 8720363, 2511558 7424 Red Bug Lake Road Phone: 407-971-6344 / Fax: 407-971-6343 4510935, 4632198 Winter Springs 1049 Willa Springs Drive, Suite 1051 Winter Springs, FL 32708 Phone: 407-608-6800 / Fax: 407-608-6747 7554001, 5252088 Vincon Diagnostic Center 5732 Canton Cove Winter Springs, FL 32708 Phone: 877-800-2450 / Fax: 407-699-7963 7432203, 1681064 SUMTER COUNTY The Villages 9499383, 6203858 The Villages Regional Hospital 1451 El Camino Real Phone: 352-751-8680 / Fax: 352-751-8635 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 3 of 4
Aetna "Select Provider" Listing - Low-Tech Radiology 9499383, 6443730 910 Old Camp Road, Bldg. 120, Suite 122 Phone: 352-365-0777 / Fax: 352-391-9165 and Breast 7768009, 6203858 The Villages Regional Hospital 1451 El Camino Real Phone: 352-751-8000 7768009, 6443730 910 Old Camp Road, Bldg. 120, Suite 122 Phone: 352-391-9166 / Fax: 352-391-9165 Radiological Inst of the Villages 1580 Santa Barbara Blvd., Unit D Phone: 352-508-1512 / Fax: 352-259-5897, M 9480157, 7973848 11950 County Road 101 The Villages, FL. 32162 Phone: 352-508-1512 / Fax 352-259-5897, M VOLUSIA COUNTY Daytona Beach Twin Lakes Imaging Center 7479544, 8002073 1890 LPGA Blvd., Suite 110 Daytona Beach, FL 32117 Phone: 386-274-7272 / Fax: 386-274-5440 Deltona LAD Imaging, - HCA Affiliate 1555 Saxon Blvd., Suite 401 Deltona, FL 32725 Phone: 386-860-9336 / Fax: 386-860-2225 8496089, 6122061 Morningstar Medical, Inc. 840 Deltona Blvd., Suite O Deltona, FL 32725 Phone: 386-860-6115 / Fax: 386-860-2477 Svcs: US 5207223, 1022839 Orange City Mid Florida Radiology Centers P.A. 955 Town Center Drive, Suite 200 Orange City, FL 32763 Phone: 386-775-1612 / Fax: 386-775-1289, FL, US, S, M 7311929, 9992916 Ormond Beach Florida Hospital Imaging 335 Clyde Morris Blvd. Phone: 386-671-9090 / Fax: 386-671-9494, S, BD, M 7095836, 4682641 Stand-Up MRI & Diagnostic Center, P.A. 5140323, 8232574 Stand-up MRI and Diagnostic Center, PA 555 West Granada Blvd. Phone: 386-677-7730 / Fax: 386-677-7731 Port Orange Port Orange Imaging Center 1195 Dunlawton Avenue Port Orange, FL 32127 Phone: 386-763-5300 / Fax: 386-322-5330 7019548, 921980 Suncoast Imaging of Port Orange 1680 Dunlawton Avenue Port Orange, FL 32127 Phone: 386-763-4434 / Fax: 386-304-4432 7936076, 6501767 X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 4 of 4
FLORIDA BREVARD COUNTY Atlantic Surgery and Laser Center, 9114392, 9703286 8040 North Wickham Road, FL 32940 Phone: 321-757-7276 / Fax: 321-757-7273 Brevard Surgery Center 665 Apollo Blvd. Phone: 321-984-3200 4631074, 439397 GI Center 1051 South Hickory Street, Suite K Phone: 321-434-1919 / Fax: 321-434-1921 Svcs: EN, ENT 7136337, 8450818 Same Day Surgery 5076714, 4820660 1035 South Apollo Blvd. Phone: 321-434-7216 / Fax: 321-434-8584 Svcs: GEN, EN, LT, OPT, ORP, BA, UR, Nasal Endoscopy Surgery Center, LP 1340 Medical Park Drive, Suite 101 Phone: 321-729-9493 Svcs: GEN, EN, OPT, ORP, GYN 5059113, 1120864 The Eye Institute Surgery Center 1995 West Nasa Blvd., Suite 200, FL 32904 Phone: 321-722-4443 / Fax: 321-722-3657 The Surgery Center of 1401 Apollo Blvd. South, Suite B Phone: 321-725-5151 / Fax: 321-725-5157 Svcs: EN, ENT 5247524, 2612593 Merritt Island Ambulatory Surgical Care 1045 North Courtenay Pkwy. Merritt Island, FL 32953 Phone: 321-452-4448 8207389, 55822 Aetna "Select Provider" Listing - Ambulatory Surgery Courtenay Same Day Surgery 2400 North Courtenay Pkwy., Suite 2 Merritt Island, FL 32953 Phone: 321-454-4007 / Fax: 321-576-0257 Svcs: GEN, OPT 7496794, 9032901 Rockledge Space Coast Endoscop 1974 Rockledge Blvd., Suite 102 Rockledge, FL 32955 Phone: 321-504-4440 Svcs: EN 7163695, 5492432 INDIAN RIVER COUNTY Sebastian Riverside Surgery Center, Inc. 7610339, 3450968 14410 U.S. Hwy. 1 Sebastian, FL 32958 Phone: 772-589-8111 / Fax: 772-589-7561 LAKE COUNTY Clermont Clermont Ambulatory Surgical Center 7466770, 5132566 255 Citrus Tower Blvd., Suite 100 Clermont, FL 34711 Phone: 352-536-6340 / Fax: 352-536-1673 Lady Lake TLC Outpatient Surgery & Laser Center dba KZMSS Again, LLLP 9577230, 8583271 201 West Guava Street Phone: 352-391-5875 / Fax: 352-391-5875 Svcs: GEN, OPT, ORP, ENT,Podiatry Ophthalmology Ctr of Brevard, LP d/b/a ASC of Brev 4460927, 78368 719 East New Haven Avenue Leesburg Phone: 321-984-4405 / Fax: 321-728-3001 Lake Surgery & Endoscopy Center 5941113, 6171417 8110 County Road 44 Leg A Leesburg, FL 34788 7570698, 2762096 Phone: 352-323-1995 / Fax: 352-323-1691 Svcs: EN, EGD/Colonoscopy Mt. Dora Mid Florida Surgery Center 17564 US Hwy. 441 Mt. Dora, FL 32757 Phone: 352-735-4100 / Fax: 352-735-2444 7558072, 1473337 ORANGE COUNTY Maitland Children's Surgery Center,. 9304585, 4813957 790 Concourse Pkwy. South, Suite 100 Maitland, FL 32751 Phone: 407-691-3331 / Fax: 407-691-3332, UR MNH GI Surgical Center, 1101 North Maitland Avenue, Suite 2 Maitland, FL 32751 Phone: 407-644-4222 / Fax: 407-644-5073 Svcs: Gastro 5523701, 8411727 Park Place Surgery Center 2450 Maitland Center Pkwy., Suite 100 Maitland, FL 32751 Phone: 407-875-0296 / Fax: 407-875-0929 Svcs: ORP, Podiatry, ENT 7033620, 6962122 Citrus Ambulatory Surgery Center 2861 South Delaney Avenue, Suite B Phone: 407-472-5095 / Fax: 407-999-2226 Svcs: EN, Colonoscopy 5189606, 6301954 Filutowski Eye Institute, P.A. 2295 South Hiawassee Road, Suite 101, FL 32835 Phone: 407-902-2533 / Fax: 407-902-2535 5517071, 882835 Lakeside Surgery Center 8204915, 5520840 1825 North Mills Avenue, FL 32803 Phone: 407-206-2375 / Fax: 407-206-2377 Svcs: GEN, ORP, UR, Podiatry,ENT,GastroInterlology,GYN Millenia Surgery Center, 7877674, 3902138 4901 South Vineland Road, Suite 150, FL 32811 Phone: 407-370-3272 Svcs: Podiatry/ENT 7877674, 1962668 4901 Vineland Road, Suite 150, FL 32811 Phone: 407-370-3272 / Fax: 407-370-3028 Svcs: Podiatry/ENT Center for Outpatient Surgery 1405 South Orange Avenue, Suite 400 Phone: 407-426-8331 Svcs: EN, ORP, Podiatry 8206090, 177840 Ophthalmology Center, 105 Bonnie Loch Court Phone: 407-428-0040 / Fax: 407-428-0045 7750425, 4350587 Sand Lake Surgery Center, LP 9296180, 9233381 7477 Sandlake Commons Blvd., FL 32819 Phone: 407-264-9633 Svcs: GEN, OPT, ORP, GYN,ENT,GastroInterology GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 1 of 2
Aetna "Select Provider" Listing - Ambulatory Surgery Surgical Licensed Ward 110 West Underwood Street, Suite B Phone: 407-648-9151 / Fax: 407-426-7017 Svcs: Gastroenterology 4513911, 414876 Urological Ambulatory Surgery Center 1812 North Mills Avenue, FL 32803 Phone: 407-897-5499 Svcs: UR 8204050, 17986 Winter Park Birthing Cottage of Winter Park 434 Grove Avenue Phone: 407-644-5567, UR, ENT 5932187, 6870972 Physician's Surgical Care Center 2056 Aloma Avenue, Suite 200 Phone: 407-647-5100 Svcs: ORP, ENT 8207632, 6362278 University Surgical Center, LTD. 7251 University Blvd., Suite 100 Phone: 407-677-0066 Svcs: ENT/Plastic Surgery 5481709, 1401031 OSCEOLA COUNTY Celebration Celebration Surgery Center 9935155, 3173237 410 Celebration Place, Suite 408 Celebration, FL 34747 Phone: 321-939-1481, GastroIntestinal, ENT, Hand Kissimmee Doctors Surgery Center, L.L.P. 921 North Main Street Kissimmee, FL 34744 Phone: 407-933-7800 / Fax: 407-933-8657, GastroIntestinal 8208373, 111382 Kissimmee Endoscopy Center 715 Oak Commons Blvd. Phone: 407-931-2816 / Fax: 407-931-3485 Svcs: EN, Colonoscopy 7144367, 8751624 SEMINOLE COUNTY Altamonte Springs Florida Eye Clinic Ambulatory Surgery Center 8207032, 18040 160 Boston Avenue Altamonte Springs, FL 32701 Phone: 407-834-7776 / Fax: 407-260-1343 Palm Endoscopy Center 623 Maitland Avenue, Suite 1100 Altamonte Springs, FL 32701 Phone: 407-478-0871 / Fax: 407-478-0878 7775433, 5163360 Lake Mary Filutowski Eye Institute, P.A. 1070 Greenwood Blvd. Phone: 407-335-5111 / Fax: 407-333-2434 5517071, 7090643 Lake Mary Surgery Center, 460 St. Charles Court Phone: 407-585-0263 / Fax: 407-585-0264, ORP, UR, ENT/Plastic 7474601, 7892066 Lake Mary Surgical Center 1070 Greenwood Blvd. Phone: 407-333-5111 / Fax: 407-333-2434 5835658, 7090643 SUMTER COUNTY Lady Lake Endosurg Outpatient Center 7236228, 923200 13838 North US Hwy. 441 Phone: 352-753-1612 / Fax: 352-753-0200 Svcs: Endoscopy VOLUSIA COUNTY Daytona Beach Atlantic Surgery Center 4645901, 2110763 541 Health Blvd. Daytona Beach, FL 32114 Phone: 386-239-0021 / Fax: 386-248-8226 Svcs: GEN, LT, OPT, ORP, UR, Podiatry, Gynecology Filutowski Eye Institute, P.A. 110 Yorktowne Drive Daytona Beach, FL 32119 Phone: 386-788-6696 / Fax: 386-788-2219 5517071, 5040171 Sunrise Surgical Center 110 Yorktowne Drive Daytona Beach, FL 32119 Phone: 386-788-6696 / Fax: 386-788-2219 5635103, 5040171 Orange City Blue Springs Surgery Center 1053 Medical Center Drive, Suite 201 Orange City, FL 32763 Phone: 386-878-8080 / Fax: 386-878-8081 Svcs: GEN, OPT, ORP, ENT,Podiatry, GI 9300183, 6213457 Orange City Surgery Center, 975 Town Center Drive Orange City, FL 32763 Phone: 386-456-5247 / Fax: 386-456-0122, GI, Podiatry 9299169, 8113418 Ormond Beach Physicians Ambulatory Surgical Center 4626718, 5171546 300 Clyde Morris Blvd., Suite B Phone: 386-672-1080 / Fax: 386-672-8628 Svcs: EN, OPT, ORP, UR, Podiatry/Colonoscopy Tomoka Surgery Center, 345 Clyde Morris Blvd., Suite 300 Phone: 386-672-7575 / Fax: 386-677-2770 7707797, 4182703 VESC AKA Volusia Endoscopy and Surgery Center 4499062, 13678 550 Memorial Circle, Suite G Phone: 386-672-0017 / Fax: 386-676-0506 Svcs: Endoscopy Port Orange Port Orange Endoscopy & Surgery Center, Inc. 7611763, 5692500 1185 Dunlawton Avenue, Suite 100 Port Orange, FL 32127 Phone: 386-672-0017 / Fax: 386-756-8012 Svcs: GastroInterology The Surgery Center of Volusia, L.L.C. 3635 Clyde Morris Blvd., Suite 500 Port Orange, FL 32129 Phone: 386-760-8151 / Fax: 386-760-8185 Svcs: GEN, EN, ORP, Plastic/Colonoscopy 7156475, 9101864 Note(s): Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. GEN - General Surgery EN - Endoscopy INF - Infertility LT - Lithotripsy OPT - Opthalmology ORP - Orthopedics BA - Bariatric UR - Urology 2 of 2
Aetna "Select Provider" Listing - Sleep Studies FLORIDA BREVARD COUNTY Bay Area Sleep Associates, 7355523, 1911804 1101 West Hibiscus, Suite 100 Phone: 813-264-9050 / Fax: 813-264-4301 Space Coast Sleep Disorders Center, 7729847, 3442710 640 Classic Court, Suite 106 7376570, 2791049, FL 32940 Phone: 321-255-9901 / Fax: 321-255-9902 7376570, 1980182 20 East Avenue Phone: 321-984-8800 7376570, 1893835 2200 West Eau Gallie Blvd., FL 32935 Titusville 407 South Washington Avenue, Suite 2 Titusville, FL 32796 Phone: 321-383-8337 / Fax: 321-383-8233 7376570, 3792790 LAKE COUNTY Clermont Sleep Telemedicine Services 7259587, 8313398 1745 East Hwy. 50, Suite A Clermont, FL 34711 Phone: 352-243-5526 / Fax: 352-243-7725 Lady Lake Advanced Sleep Diagnostics Center 13940 Us Hwy. 441, Suite 905 Phone: 352-751-0235 / Fax: 352-751-6777 7936611, 1602340 Sleep Telemedicine Services Oakland Hills Professional Center 13940 U.S. 441, Bldg. 800 Suite 803 Phone: 407-898-7377 / Fax: 407-898-7374 7259587, 5043302 Umatilla 41444 State Road 19 Umatilla, FL 32784 Phone: 877-441-2411 7376570, 4154345 ORANGE COUNTY Ocoee Sleep Telemedicine Services 7259587, 18645 1554 Boren Drive, Suite 400 Phone: 407-654-2977 / Fax: 407-654-3977 Sleep Care Solutions of Central FL 11651 University Blvd., Suite 409, FL 32817 Phone: 407-513-9000 7628968, 6832958 Sleep Telemedicine Services 1900 North Mills Avenue, Suite 104, FL 32803 Phone: 407-898-7377 / Fax: 707-898-7374 7259587, 1203344 1910 North Orange Avenue, Suite B, FL 32804 7376570, 902732 2000 Cypress Crossing Drive, FL 32837 7376570, 6103631 942 Lake Baldwin Lane, FL 32814 Universal Sleep Disorder Centers, Inc. 6900 Turkey Lake Road, Suite 1-1, FL 32819 Phone: 407-903-9399 / Fax: 407-370-9784 7564303, 5523633 Winter Park Sleep Care Solutions of Central FL 1561 West Fairbanks Avenue Mri Suite Phone: 800-830-4321 / Fax: 407-249-1005 7628968, 2704006 OSCEOLA COUNTY Kissimmee Central Florida Sleep Centers 7768096, 8952801 1121 North Central Avenue Phone: 407-483-7667 / Fax: 407-483-7668 7768096, 117136 700 West Oak Street Phone: 407-483-7667 / Fax: 407-483-7668 Sleep Telemedicine Services 721 Oak Commons Blvd., Suite C Phone: 407-944-1311 / Fax: 407-898-7374 7259587, 18003 SEMINOLE COUNTY Altamonte Springs Sleepmed, Inc. Dba Digitrace Care Services 9513801, 1104106 851 Douglas Avenue, Suite 101 Phone: 407-834-1023 / Fax: 407-834-6515 9513801, 2924087 851 Douglas Avenue, Suite 109 Phone: 407-682-1808 / Fax: 407-834-6515 Oviedo Falcon Sleep Center 120 Alexandria Blvd., Suite 19 Phone: 407-365-3033 / Fax: 407-365-3034 9361106, 3553261 110 Burnsed Place, Suite 1020 7376570, 6103074 VOLUSIA COUNTY Daytona Beach Shores Advanced Sleep Diagnostics Center 7936611, 9483368 3506 South Atlantic Avenue Daytona Beach Shores, FL 32118 Phone: 386-615-0900 / Fax: 385-615-0902 Deland 901 North Stone Street Deland, FL 32720 7376570, 2491381 Orange City 201 South Volusia Avenue Orange City, FL 32763 Phone: 386-775-0201 / Fax: 386-775-6711 7376570, 1810954 Ormond Beach Advanced Sleep Diagnostics Center 26 North Beach Street, Suite C Phone: 386-675-6589 7936611, 8830571 1 of 1