Participating hospitals - fdhc.state.fl.us · XLS file · Web viewJay, FL 32565 10-0248 Beth...

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AGENCY FOR HEALTH CARE ADMINISTRATIONBureau of Central Services

Health Care Responsibility Act (HCRA) Participating Hospital ContactsOctober 1, 2018 - September 30, 2019

Partcipating Hospital NameBAPTIST MEDICAL CENTER BEACHES 10-0117

Name:Title:

Mailing Add:City,Zip:Phone:

Fax:Email:

BAPTIST MEDICAL CENTER JACKSONVILLE 10-0088Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BAPTIST MEDICAL CENTER NASSAU 10-0140Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BARTOW REGIONAL MEDICAL CENTER 10-0121Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL ALTAMONTE 12-0004Name:

Title:Mailing Add:

Hospital participation in the HCRA program is voluntary. Participating hospitals shall have its billing systems in place to accommodate DRGs; therefore, the county shall not be liable for payment of treatment of a certified resident who is a qualified indigent patient or spend-down provision eligible patient, until such time as that hospital has met its obligation to be able to provide the necessary information to the counties required to calculate the rate of reimbursement. The Agency

will not consider an eligible hospital as participating in the HCRA program for reimbursement of indigent emergency care from the counties until we receive contact information for hospital personnel. Hospital personnel (may NOT be representatives from collection agency) responsible for eligibility determinations and claims processing in regards to the HCRA program must have an email address and internet access in order to receive any HCRA updates, forms and/or other

information.

Hospital ID and AHCA File #

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Partcipating Hospital Name



information.


City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL APOPKA 12-0003Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL CELEBRATION HEALTH 2396-0017Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL EAST ORLANDO 10-0021Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER 10-0109Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:

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information.


Email:FLORIDA HOSPITAL KISSIMMEE 10-0089

Name:Title:


Fax:Email:

FLORIDA HOSPITAL ORLANDO 10-0007Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL WAUCHULA 10-0282Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

HALIFAX HEALTH MEDICAL CENTER 10-0017Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

JACKSON HEALTH SYSTEM 10-0022Name:

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information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LARGO MEDICAL CENTER 10-0248Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MEASE COUNTRYSIDE HOSPITAL 11-0001Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MORTON PLANT HOSPITAL 10-0127Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MORTON PLANT NORTH BAY HOSPITAL 10-0063Name:

Title:Mailing Add:

City,Zip:

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information.


Phone:Fax:

Email:SACRED HEART HOSPITAL 10-0025

Name:Title:


Fax:Email:Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

2396-0041Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SACRED HEART HOSPITAL ON THE GULF 2396-0084Name:

SACRED HEART HOSPITAL ON THE EMERALD COAST

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information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SOUTH FLORIDA BAPTIST HOSPITAL 10-0132Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. JOSEPH'S HOSPITAL 10-0075Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

TAMPA GENERAL HOSPITAL 10-0128Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:

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information.


Email:UF HEALTH SHANDS JACKSONVILLE 10-0001

Name:Title:


Fax:Email:

WINTER HAVEN HOSPITAL 10-0052Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Agency for Health Care Administration ContactsEnforcement Unit

HCRA LiaisonName:

Title:Agency:

Mailing Add:City,ZipPhone:

Fax:Email:

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Date Last Revised:

CEO HCRA Eligibility Determination

Joseph Mitrick Eileen HenderlitePresident Vice President - Revenue Cycle1350 13th Avenue South 3563 Philips Highway, Ste. 201Jacksonville Beach, FL 32250 Jacksonville, FL 32207(904) 627-2901 (904) 376-4130(904) 627-1008 (904) 391-5073

Michael Mayo Eileen HenderliteHospital President Vice President - Revenue Cycle800 Prudential Drive, Adult Tower 8th Floor 3563 Philips Highway, Ste. 201Jacksonville, FL 32207 Jacksonville, FL 32207(904) 202-2001 (904) 376-4130(904) 202-2285 (904) 391-5073

Philip Bpyce Linda WatkinsChief Revenue Officer Manager - Patient Financial Services841 Prudential Drive # 1602 3563 Philips Highway, Ste. 201Jacksonville, FL 32207 Jacksonville, FL 32207(904) 376-3760 (904) 376-4162(904) 391-5556 (904) 391-5074

Philip Minden Jessica Villafana OpydPresident Financial Assistance Coordinator2200 Osprey Blvd 2985 Drew Street, Mail Stop 1049Bartow, FL 33830 Clearwater, FL 33759(863) 519-1402 (727) 281-9159

(813) 635-7731

Daryl Tol Bonnie HachePresident Senior Director, Patient Access550 East Rollins Street 900 Winderley Place, Suite 2100



information.

[email protected] [email protected]




mailto:[email protected]








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Date Last Revised:




information.

Orlando, FL 32803 Maitland, FL 32751(407) 303-1531 (407) 200-9259(407) 303-7935 (407) 200-4965

Daryl Tol Bonnie HachePresident Senior Director, Patient Access550 East Rollins Street 900 Winderley Place, Suite 2100Orlando, FL 32803 Maitland, FL 32751(407) 303-1531 (407) 200-9259(407) 303-7935 (407) 200-4965



Bruce Bergherm Ira ArnanCEO Patient Financial Services Director4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 314-4466 (863) 386-6362(863) 402-3110 (863) 386-6473













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Date Last Revised:




information.




Jeff Feasel Ronda KennedyChief Executive Officer Manager, Billing303 North Clyde Morris Boulevard 303 North Clyde Morris BoulevardDaytona Beach, FL 32114 Daytona Beach, FL 32114(386) 425-4771 (386) 425-2078(386) 425-4772 (386) 239-2325

Carlos Migoya Denise Don
















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Date Last Revised:




information.

President CEO Associate Administrator 1611 NW 12 Ave West Wing #117 1611 NW 12th Ave Annex Bldg 2nd Floor #218Miami, FL 33136 Miami, FL 33136(305) 585-6754 (305) 585-7231

(305) 355-2273

Anthony Degina Beth WeekesChief Executive Officer Public Benefit Coordinator201 14th Street SW 201 14th Street SWLargo, FL 33770 Largo, FL 33770(727) 588-5200 (727) 588-5489(727) 588-5906

Lou Galdieri Jessica Villafana OpydPresident Financial Assistance Coordinator601 Main Street 2985 Drew Street, Mail Stop 1049Dunedin, FL 34698 Clearwater, FL 33759(727) 725-6222 (727) 281-9084(727) 725-6181 (813) 635-7731

Kris Hoce Jessica Villafana OpydSenior Vice President Financial Assistance Coordinator300 Pinellas Street 2985 Drew Street, Mail Stop 1049Clearwater, FL 33756 Clearwater, FL 33759(727) 462-7100 (727) 281-9084(727) 461-8101 (813) 635-7731

Sarah Naumowich Jessica Villafana OpydPresident Financial Assistance Coordinator6600 Madison Street 2985 Drew Street, Mail Stop 1049New Port Richey, FL 34652 Clearwater, FL 33759













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Date Last Revised:




information.

(727) 843-4599 (727) 281-9084(727) 848-8762 (813) 635-7731

Tom VanOsdol Michele NelsonCEO Patient Accounts Manager7800 US HWY 98 West 5151 North 9th AvenueMiramar Beach, FL 32550 Pensacola, FL 32504(850) 278-3001 (850) 416-7099(850) 278-3010 (850) 416-6192

Tom VanOsdol Michele NelsonCEO Patient Accounts Manager7800 US HWY 98 West 5151 North 9th AvenueMiramar Beach, FL 32550 Pensacola, FL 32504(850) 278-3001 (850) 416-7099(850) 278-3010 (850) 416-6192

Tom VanOsdol Michele Nelson










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Date Last Revised:




information.

CEO Patient Accounts Manager7800 US HWY 98 West 5151 North 9th AvenueMiramar Beach, FL 32550 Pensacola, FL 32504(850) 278-3001 (850) 416-7099(850) 278-3010 (850) 416-6192

Karen Kerr Jessica Villafana OpydPresident Financial Assistance Coordinator301 North Alexander Street 2985 Drew Street, Mail Stop 1049Plant City, FL 33563 Clearwater, FL 33759(813) 757-1205 (727) 281-9084(813) 757-8204 (813) 635-7731

Kimberly Guy Jessica Villafana OpydSenior Vice President Financial Assistance Coordinator3001 W. Dr Martin Luther King Jr. Blvd 2985 Drew Street, Mail Stop 1049Tampa, FL 33607 Clearwater, FL 33759(813) 870-4097 (727) 281-9084

(813) 635-7731

John Couris Anthony EscobioPresident & CEO Vice President, Patient Financial ServicesPO Box 1289 PO Box 1289Tampa, FL 33601-1289 Tampa, FL 33601-1289(813) 844-4520 (813) 844-4764(813) 844-4144 (813) 844-4144










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Date Last Revised:




information.

Leon Haley Jason HardwickPresident & CEO Admissions Director655 W 8th Street 655 W 8th StreetJacksonville, FL 32209 Jacksonville, FL 32209(904) 244-3002 (904) 244-7310

Stephen Nierman Jessica Villafana OpydPresident Financial Assistance Coordinator200 Ave F NE 2985 Drew Street, Mail Stop 1049Winter Haven, FL 33881 Clearwater, FL 33759(863) 297-1890 (727) 281-9084

(813) 635-7731

Agency for Health Care Administration ContactsEnforcement Unit Financial Analysis Unit

HCRA Liaison Hospital EligibilityKirsten Barrett Mills SmithMedical Health Care Program Analyst Regulatory Analyst SupervisorEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services2727 Mahan Drive, Mail Stop Code 26Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4333 (850) 412-4353(850) 414-6912 (850) 922-6964




2727 Mahan Drive, Mail Stop Code 28










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September 26, 2018

HCRA Claims Processing

Linda WatkinsManager - Patient Financial Services3563 Philips Highway, Ste. 201Jacksonville, FL 32207(904) 376-4130(904) 391-5074



Jessica Villafana OpydFinancial Assistance Coordinator2985 Drew Street, Mail Stop 1049Clearwater, FL 33759(727) 281-9159(813) 635-7731

Hendo PeterSenior Director, Patient Financial Services900 Winderley Place, Suite 2100



[email protected]

[email protected]

[email protected]

[email protected]





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September 26, 2018




Maitland, FL 32751(407) 200-9281(407) 200-4965

Hendo PeterSenior Director, Patient Financial Services900 Winderley Place, Suite 2100Maitland, FL 32751(407) 200-9281(407) 200-4965



Ira ArnanPatient Financial Services Director4200 Sun N' Lake BlvdSebring, FL 33872(863) 386-6362(863) 386-6473

[email protected]

[email protected]

[email protected]

[email protected]





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September 26, 2018







Kathleen MitchellSupervisor, Billing303 North Clyde Morris BoulevardDaytona Beach, FL 32114(386) 425-3823(386) 239-2325

Yorka Faldraga

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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September 26, 2018




Associate Administratior 1500 NW 12 Ave 10th Floor JMP-WestMiami, FL 33136(786) 466-8135

Kris PanettaMedicaid Eligibility Director6451 126th Avenue NorthLargo, FL 33773(727) 773-3410(727) 773-3411



Jessica Villafana OpydFinancial Assistance Coordinator2985 Drew Street, Mail Stop 1049Clearwater, FL 33759

[email protected]

[email protected]

[email protected]

[email protected]





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September 26, 2018




(727) 281-9084(813) 635-7731

Renica JohnsonFollow Up ManagerPO Box 2728Pensacola, FL 32513(317) 583-3835(317) 583-4111

Brandee Mays

PO Box 2728Pensacola, FL 32513(317) 583-3938(317) 583-4111

Renica JohnsonFollow Up ManagerPO Box 2728Pensacola, FL 32513(317) 583-3835(317) 583-4111

Brandee Mays


Renica Johnson

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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September 26, 2018




Follow Up ManagerPO Box 2728Pensacola, FL 32513(317) 583-3835(317) 583-4111

Brandee Mays




Anthony EscobioVice President, Patient Financial ServicesPO Box 1289Tampa, FL 33601-1289(813) 844-4764(813) 844-4144

[email protected]

[email protected]

[email protected]

[email protected]





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September 26, 2018




Tammy BrisbaneBilling Manager655 W 8th StreetJacksonville, FL 32209(904) 244-1877


Agency for Health Care Administration Contacts

[email protected]

[email protected]

[email protected]




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Partcipating Hospital NameAVENTURA HOSPITAL & MEDICAL CENTER 10-0131

Name:Title:


Fax:Email:

BAPTIST HOSPITAL 10-0093Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BAPTIST MEDICAL CENTER BEACHES 10-0117Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:



information.


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information.


City,Zip:Phone:

Fax:Email:

BLAKE MEDICAL CENTER 10-0213Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BRANDON REGIONAL HOSPITAL 10-0243Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

CENTRAL FLORIDA REGIONAL HOSPITAL 10-0161Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

CITRUS MEMORIAL HOSPITAL 10-0023Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

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information.


DOCTORS HOSPITAL SARASOTA 10-0166Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

DOCTORS MEMORIAL HOSPITAL 10-0078Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLAGLER HOSPITAL 10-0219Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

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information.


City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL CARROLLWOOD 10-0069Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:

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information.


Email:FLORIDA HOSPITAL KISSIMMEE 10-0089

Name:Title:


Fax:Email:

FLORIDA HOSPITAL NORTH PINELLAS 10-0055Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL ORLANDO 10-0007Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL TAMPA 10-0173Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


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information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL WESLEY CHAPEL 2396-0099Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL WINTER PARK 10-0162Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL ZEPHYRHILLS 10-0046Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

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information.


Fax:Email:

HENDRY REGIONAL MEDICAL CENTER 10-0098Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

JACKSON HEALTH SYSTEM 10-0022Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

JAY HOSPITAL 10-0048Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

KENDALL REGIONAL MEDICAL CENTER 10-0209Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LAKEWOOD RANCH MEDICAL CENTER 2396-0046Name:

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information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LEESBURG REGIONAL MEDICAL CENTER 10-0084Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LIFESTREAM BEHAVIORAL HEALTH 10-4018Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

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information.


Fax:Email:

MEDICAL CENTER OF TRINITY 10-0191Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MEMORIAL HOSPITAL OF TAMPA 10-0206Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

NORTHSIDE HOSPITAL 10-0238

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information.


Name:Title:


Fax:Email:

NORTHWEST MEDICAL CENTER 10-0189Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ORLANDO HEALTH 10-0006Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

PALMS OF PASADENA HOSPITAL 10-0126Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

PALMS WEST HOSPITAL 11-0006Name:

Title:Mailing Add:

City,Zip:

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information.


Phone:Fax:

Email:PLANTATION GENERAL HOSPITAL 10-0167

Name:Title:


Fax:Email:

RAULERSON HOSPITAL 10-0252Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

REGIONAL MEDICAL CENTER OF BAYONET POINT 10-0256Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SACRED HEART HOSPITAL 10-0025Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

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information.


Name:Title:


Fax:Email:

2396-0041Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:Name:

Title:Mailing Add:

City,Zip:Phone:


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information.


Fax:Email:

SHANDS JACKSONVILLE MEDICAL CENTER 10-0001Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SOUTH BAY HOSPITAL 10-0259Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. PETERSBURG GENERAL HOSPITAL 10-0180Name:

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information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. VINCENT'S MEDICAL CENTER CLAY COUNTY 2396-0117Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. VINCENTS MEDICAL CENTER RIVERSIDE 10-0040Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. VINCENT'S MEDICAL CENTER SOUTHSIDE 2396-0088Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

TALLAHASSEE MEMORIAL HOSPITAL 10-0135Name:

Title:Mailing Add:

City,Zip:

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information.


Phone:Fax:

Email:TAMPA COMMUNITY HOSPITAL 10-0255

Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

THE VILLAGES REGIONAL HOSPITAL 2396-0032Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

UF HEALTH SHANDS HOSPITAL 10-0113Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

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information.


UNIVERSITY HOSPITAL AND MEDICAL CENTER 10-0224Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

WESTSIDE REGIONAL MEDICAL CENTER 10-0228Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

WINTER HAVEN HOSPITAL 10-0052Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


HCRA LiaisonName:

Title:Agency:


Fax:

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information.


Email:

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Date Last Revised:

Administrator HCRA Eligibility Determination

Alisa Bert Isabel BurginInterim CEO Public Benefit Coordinator20900 Biscayne Boulevard 20900 Biscayne BoulevardAventura, FL 33180 Aventura, FL 33180(305) 682-7000 (305) 937-3961(305) 682-7042

Scott Raynes Norelis VrablikPresident Eligibility Supervisor1000 West Morino Street PO Box 17106Pensacola, FL 32501 Pensacola, FL 32522(850) 424-4011 (850) 434-4103

(850) 469-7255

Joseph Mitrick Eileen HenderlitePresident Vice President - Revenue Cycle1350 13th Avenue South 3563 Philips Highway, Ste. 201Jacksonville Beach, FL 32250 Jacksonville, FL 32207(904) 627-2901 (904) 376-4130(904) 627-1008 (904) 391-5073

Michael Mayo Eileen HenderliteHospital President Vice President - Revenue Cycle800 Prudential Drive, Adult Tower 8th Floor 3563 Philips Highway, Ste. 201Jacksonville, FL 32207 Jacksonville, FL 32207(904) 202-2001 (904) 376-4130(904) 202-2285 (904) 391-5073

Ed Hubel Eileen HenderliteHospital President Vice President - Revenue Cycle1250 South 18th Street 3563 Philips Highway, Ste. 201



information.













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Date Last Revised:




information.

Fernandina Beach, FL 32034 Jacksonville, FL 32207(904) 321-3502 (904) 376-4130(904) 321-3511 (904) 391-5073

Daniel J. Friedrich, III Debbie PancakeChief Executive Officer Public Benefit Coordinator2020 59th Street West 2020 59th Street WestBradenton, FL 34209 Bradenton, FL 34209(941) 792-6611 (941) 798-6001(941) 798-6209

Bland Eng Ana AlmodovarChief Executive Officer Public Benefit Coordinator119 Oakfield Drive 119 Oakfield DriveBrandon, FL 33511 Brandon, FL 33511(813) 681-5551 (813) 681-5551 Xt. 3366(813) 571-5125

Wendy H. Brandon Sonia MarerroChief Executive Officer Public Benefit Coordinator1401 West Seminole Boulevard 1401 West Seminole BoulevardSanford, FL 32771 Sanford, FL 32771(407) 321-4500 (407) 321-4500 Xt. 5259(407) [email protected] [email protected]

Rafael Aleman Tammi KampmanChief Executive Officer Public Benefit Coordinator502 West Highland Boulevard 502 West Highland BoulevardInverness, FL 34452 Inverness, FL 34452(352) 726-1551 (727) 773-3001(352) 344-6565













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Date Last Revised:




information.

Robert C. Meade Sandy WilliamsChief Executive Officer Public Benefit Coordinator5731 Bee Ridge Road 5731 Bee Ridge RoadSarasota, FL 34233 Sarasota, FL 34233(941) 342-1100 (941) 342-1126(941) 379-8342

JoAnn Baker Donna BoroughsAdministrator Business Office DirectorP.O. Box 188 P.O. Box 188Bonifay, FL 32425-0188 Bonifay, FL 32425(850) 547-8001 (850) 547-8015(850) 547-8025 (850) 547-8025

Joseph Gordy Murray S. March, Jr.CEO CFO/EVP400 Health Park Blvd. 400 Health Park Blvd.St. Augustine, FL 32086 St. Augustine, FL 32086(904) 819-4400 (904) 819-4400(904) 819-4472 (904) 819-4472


Daryl Tol Bonnie HachePresident Senior Director, Patient Access550 East Rollins Street 900 Winderley Place, Suite 2100













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Date Last Revised:




information.

Orlando, FL 32803 Maitland, FL 32751(407) 303-1531 (407) 200-9259(407) 303-7935 (407) 200-4965

Joe Johnson Coy L. IngramPresident & CEO Vice President of Revenue Cycle Operations7171 North Dale Mabry Highway 12470 Telecom Drive, Suite 500Carrollwood, FL 33614 Temple Terrace, FL 33637(813) 558-8001 (813) 615-7219(813) 558-8011 (813) 615-7704
















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Date Last Revised:




information.


Patricia Williams Coy L. IngramChief Executive Officer/President Vice President of Revenue Cycle Operations1395 South Pinellas Avenue 12470 Telecom Drive, Suite 500Tarpon Springs, FL 34689 Temple Terrace, FL 33637(727) 942-5107 (813) 615-7219(727) 942-5161 (813) 615-7704


Brian Adams Coy L. IngramChief Executive Officer/President Vice President of Revenue Cycle Operations3100 East Fletcher Avenue 12470 Telecom Drive, Suite 500Tampa, FL 33613 Temple Terrace, FL 33637(813) 615-7203 (813) 615-7219(813) 615-7580 (813) 615-7704

Bruce Bergherm Ira Arnan
















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Date Last Revised:




information.

CEO Patient Financial Services Director4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 314-4466 (863) 386-6362(863) 402-3110 (863) 386-6473

Denyse Bales-Chubb Coy L. IngramChief Executive Officer/President Vice President of Revenue Cycle Operations2600 Bruce B Downs Boulevard 12470 Telecom Drive, Suite 500Wesley Chapel, FL 33544 Temple Terrace, FL 33637(813) 929-5483 (813) 615-7219(813) 929-5475 (813) 615-7704


Amanda Maggard Coy L. IngramCEO/President Vice President, Revenue Cycle Operations7050 Gall Boulevard 12470 Telecom Drive, Suite 500Zephyrhills, FL 33541 Temple Terrace, FL 33637(813) 779-6201 (813) 615-7219(813) 783-6196 (813) 615-7704

Jeff Feasel Ronda KennedyChief Executive Officer Manager, Billing303 North Clyde Morris Boulevard 303 North Clyde Morris BoulevardDaytona Beach, FL 32114 Daytona Beach, FL 32114(386) 425-4771 (386) 425-2078













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Date Last Revised:




information.

(386) 425-4772 (386) 239-2325

Raymond D. Williams Jennifer LesleyChief Executive Officer PFS Director524 W Sagamore Avenue 524 W Sagamore AvenueClewiston, FL 33440 Clewiston, FL 33440(863) 983-9121 (863) 983-9121(863) 983-1809 (863) 983-3426

Carlos Migoya Denise Don President CEO Associate Administrator 1611 NW 12 Ave West Wing #117 1611 NW 12th Ave Annex Bldg 2nd Floor #218Miami, FL 33136 Miami, FL 33136(305) 585-6754 (305) 585-7231

(305) 355-2273

Michael Hutchins Norelis VrablikAdministrator Eligibility Supervisor14114 Alabama Street PO Box 17106Jay, FL 32505 Pensacola, FL 32522(850) 675-8015 (850) 434-4103(850) 675-8070 (850) 469-7255

Brandon Haushalter Rosa CansecoChief Executive Officer Public Benefit Coordinator11750 Bird Road 11750 SW 40 StreetMiami, FL 33175 Miami, FL 33175(305) 223-3000 (305) 227-5576(305) 229-2444

Andy Guz Tammy Grant
















of 233



Date Last Revised:




information.

Chief Executive Officer Director, Patient Access8330 Lakewood Ranch Boulevard 206 Second Street EastLakewood Ranch, FL 34202 Bradenton, FL 34208(941) 782-2104 (941) 745-7210(941) 782-2119 (941) 782-3575

Anthony Degina Beth WeekesChief Executive Officer Public Benefit Coordinator201 14th Street SW 201 14th Street SWLargo, FL 33770 Largo, FL 33770(727) 588-5200 (727) 588-5489(727) 588-5906

Don Henderson Nancy WisePresident Admitting Director600 East Dixie Drive 600 East Dixie DriveLeesburg, FL 34748 Leesburg, FL 34748(352) 323-5001 (352) 323-5042(352) 323-5009 (352) 323-5049

Jon Cherry Tracy CooperCEO SupervisorP.O. Box 491000 P.O. Box 491000Leesburg, FL 34749-1000 Leesburg, FL 34749-1000(352) 315-7500 (352) 315-7800(352) 360-6610 (352) 360-6656

Lou Galdieri Jessica Villafana OpydPresident Financial Assistance Coordinator601 Main Street 2985 Drew Street, Mail Stop 1049Dunedin, FL 34698 Clearwater, FL 33759(727) 725-6222 (727) 281-9084













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Date Last Revised:




information.

(727) 725-6181 (813) 635-7731

Leigh Massengill Pat CooperChief Executive Officer Public Benefit Coordinator9330 State Road 54 9330 State Road 54Trinity, FL 34655 Trinity, FL 34655(727) 834-4000 (727) 834-5720(727) 834-4912

Sonia Wellman Ananta BoodoosinghChief Executive Officer Public Benefit Coordinator2901 West Swann Ave 2901 West Swann Ave Tampa, FL 33609 Tampa, FL 33609813-873-6400 813-512-4851813-873-6486

Kris Hoce Jessica Villafana OpydSenior Vice President Financial Assistance Coordinator300 Pinellas Street 2985 Drew Street, Mail Stop 1049Clearwater, FL 33756 Clearwater, FL 33759(727) 462-7100 (727) 281-9084(727) 461-8101 (813) 635-7731

Sarah Naumowich Jessica Villafana OpydPresident Financial Assistance Coordinator6600 Madison Street 2985 Drew Street, Mail Stop 1049New Port Richey, FL 34652 Clearwater, FL 33759(727) 843-4599 (727) 281-9084(727) 848-8762 (813) 635-7731
















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Date Last Revised:




information.

Dia Nichols Cynthia BaconChief Executive Officer Public Benefit Coordinator6000 49th Steet North 6000 49th Steet NorthSt. Petersburg, FL 33709 St. Petersburg, FL 33709(727) 521-4411 (727) 521-5558(727) 521-5007

Erica Gulrich Chi SmarthChief Executive Officer Public Benefit Coordinator2801 North State Road 7 2801 North State Road 7Margate, FL 33063 Margate, FL 33063(954) 974-0400 (954) 956-3060(954) 978-4183

David Strong John GaspelinPresident / CEO Finance Director1414 Kuhl Avenue, MP #4 1414 Kuhl Avenue, MP #8Orlando, FL 32806 Orlando, FL 32806(321) 841-5015 (321) 841-6308(407) 237-6328 (321) 843-6797

Sharon D. Hayes Abbey DurrinChief Executive Officer Public Benefit Coordinator 1501 Pasandena Ave South 1501 Pasandena Ave SouthSt. Petersburg, FL 33707 St. Petersburg, FL 33707(727) 381-1000 (727) 341-7543(727) 341-7629

Eric Goldman Maria Cortes-BolivarChief Executive Officer Public Benefit Coordinator13001 Southern Boulevard 13001 Southern BoulevardLoxahatchee, FL 33470 Loxahatchee, FL 33470













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Date Last Revised:




information.

(561) 798-3300 (561) 798-6078(561) 791-8108

Joseph Melchiode Fabiola DicksonChief Executive Officer Public Benefit Coordinator401 Northwest 42nd Avenue 401 Northwest 42nd AvenuePlantation, FL 33317 Plantation, FL 33317(954) 587-5010 (954) 587-5010, ext 6650(954) 285-2173

Brian Melear Melinda HernandezChief Executive Officer Public Benefit Coordinator1796 Highway 441 North 1796 Highway 441 NorthOkeechobee, FL 34972 Okeechobee, FL 34972(863) 763-2151 (863) 824-2870(863) 824-2991

C. Shayne George Kathleen AlveloChief Executive Officer Public Benefit Coordinator14000 Fivay Road 14000 Fivay RoadHudson, FL 34667 Hudson, FL 34667(727) 819-2929 (727) 819-2929, ext. 5365(727) 869-5491

Susan Davis Michele NelsonPresdient and CEO Patient Accounts Manager5151 North 9th Avenue 5151 North 9th AvenuePensacola, FL 32504 Pensacola, FL 32504(850) 416-7010 (850) 416-7099(850) 416-7458 (850) 416-6192



Brian.Melear@hca healthcare.com [email protected]







mailto:Brian.Melear@hca%20healthcare.com






of 233



Date Last Revised:




information.

Roger Hall Michele NelsonPresident and CEO Patient Accounts Manager7800 US Hwy 98 West 5151 North 9th AvenueMiramar Beach, FL 32550 Pensacola, FL 32504(850) 278-3001 (850) 416-7099(850) 278-3010 (850) 416-6192

Roger Hall Michele NelsonPresident and CEO Patient Accounts Manager3801 East Hwy 98 5151 North 9th AvenuePort St Joe, FL 32456 Pensacola, FL 32504(850) 278-3001 (850) 416-7099(850) 278-3010 (850) 416-6192







of 233



Date Last Revised:




information.

Russell Armistead Jason HardwickChief Executive Officer Director655 West 8th Street 655 West 8th StreetJacksonville, FL 32209 Jacksonville, FL 32209(904) 244-4000 (904) 244-7310

Sharon L. Roush Veronica VargasChief Executive Officer Public Benefit Coordinator4016 Sun City Center Blvd 4016 Sun City Center BlvdSun City Center, FL 33573 Sun City Center, FL 33573(813) 634-3301 (813) 634-0488(813) 634-8712

Karen Kerr Jessica Villafana OpydPresident Financial Assistance Coordinator301 North Alexander Street 2985 Drew Street, Mail Stop 1049Plant City, FL 33563 Clearwater, FL 33759(813) 757-1205 (727) 281-9084(813) 757-8204 (813) 635-7731

Kimberly Guy Jessica Villafana OpydSenior Vice President Financial Assistance Coordinator3001 W. Dr Martin Luther King Jr. Blvd 2985 Drew Street, Mail Stop 1049Tampa, FL 33607 Clearwater, FL 33759(813) 870-4097 (727) 281-9084

(813) 635-7731

Janice Balzano Abbey Durrin













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Date Last Revised:




information.

Chief Executive Officer Public Benefit Coordinator 6500 38th Avenue North 6500 38th Avenue NorthSt. Petersburg, FL 33710 St. Petersburg, FL 33710(727) 384-1414 (727) 341-4929(727) 341-4889

Thomas J. Vanosdol Sheila BrentPresident and CEO HCRA Representative1 Shircliff Way 5505 E 13 Mile Road, Ste 300Jacksonville, FL 32204 Warren, MI 48092(904) 308-4027 (855) 551-5715(904) 308-2947 (312) 276-8630



G. Mark O' Bryant Rina MilanPresident/CEO Patient Access Manager1300 Miccosukee Road 1300 Miccosukee RoadTallahassee, FL 32308 Tallahassee, FL 32308













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Date Last Revised:




information.

850-431-5380 (850) 431-5220850-431-5883 (850) 656-9836

Jacob J. Fisher Robert AlcantaraChief Executive Officer Public Benefit Coordinator6001 Webb Road 6001 Webb RoadTampa, FL 33615 Tampa, FL 33618(813) 888-7060 (813) 512-5851(813) 261-0813

Steve Short Anthony EscobioActing President & CEO Vice President, Patient Financial ServicesPO Box 1289 PO Box 1289Tampa, FL 33601-1289 Tampa, FL 33601-1289(813) 844-4805 (813) 844-4764(813) 844-4144 (813) 844-4144

Don Henderson Nancy WisePresident Admitting Director1451 El Camino Road 1451 El Camino RoadThe Villages, FL 32159 The Villages, FL 32159(352) 323-5001 (352) 323-5042(352) 323-5009 (352) 323-5049

Edward Jimenez Grace ChesserChief Executive Officer Director, Admissions1600 SW Archer Road 1600 SW Archer RoadGainesville, FL 32610-3003 Gainesville, FL 32610-3003(352) 733-1500 (352) 594-4727(352) 265-0231 (352) 265-0624
















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Date Last Revised:




information.

Dana Oaks Jose MartinezChief Executive Officer Public Benefit Coordinator7201 North Unjiversity Drive 7201 North Unjiversity DriveTamarac, FL 33321 Tamarac, FL 33321(954) 721-2200 (954) 724-6144(954) 724-6567

Barbara J. Simmons Zac WilliamsChief Executive Officer Public Benefit Coordinator8201 West Broward Boulevard 8201 West Broward BoulevardPlantation, FL 33324 Plantation, FL 33324(954) 473-6600 (954) 916-5458(954) 452-2133

Stephen Nierman Jessica Villafana OpydPresident Financial Assistance Coordinator200 Ave F NE 2985 Drew Street, Mail Stop 1049Winter Haven, FL 33881 Clearwater, FL 33759(863) 297-1890 (727) 281-9084

(813) 635-7731


HCRA Liaison Hospital EligibilityKirsten Barrett Mills SmithMedical Health Care Program Analyst Regulatory Analyst SupervisorEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services2727 Mahan Drive, Mail Stop Code 26Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4333 (850) 412-4353(850) 414-6912 (850) 922-6964











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Date Last Revised:




information.




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December 14, 2017



Darlene CyrFollowup SupervisorPO Box 17106Pensacola, FL 32522(850) 469-2044(850) 469-7285



Linda WatkinsManager - Patient Financial Services3563 Philips Highway, Ste. 201



[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




Jacksonville, FL 32207(904) 376-4162(904) 391-5074



James GriffithDirector, Vendor Collection Management335 Crossing BoulevardOrange Park, FL 32073(904) 688-6488(904) 688-7488


[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017





Diane SandersPatient Access SupervisorP.O. Box 188Bonifay, FL 32425(850) 547-8030(850) 547-8025

Kaitia CobyInsurance/Reimbursement Manager400 Health Park Blvd.St. Augustine, FL 32086(904) 819-4527(904) 819-4906


Hendo PeterSenior Director, Patient Financial Services900 Winderley Place, Suite 2100

[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




Maitland, FL 32751(407) 200-9281(407) 200-4965

James SantanaRegional Director of Patient Financial Services12470 Telecom Drive, Suite 500Temple Terrace, FL 33637(813) 615-7893(813) 615-7704




[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017








Ira Arnan

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017




Patient Financial Services Director4200 Sun N' Lake BlvdSebring, FL 33872(863) 386-6362(863) 386-6473



James SantanaDirector, Patient Financial Services12470 Telecom Drive, Suite 500Temple Terrace, FL 33637(813) 615-7893(813) 615-7704

Kathleen MitchellSupervisor, Billing303 North Clyde Morris BoulevardDaytona Beach, FL 32114(386) 425-3823

[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




(386) 239-2325

Jennifer LesleyPFS Director524 W Sagamore AvenueClewiston, FL 33440(863) 983-9121(863) 983-3426

Yorka FaldragaAssociate Administratior 1500 NW 12 Ave 10th Floor JMP-WestMiami, FL 33136(786) 466-8135

Darlene CyrFollowup SupervisorPO Box 17106Pensacola, FL 32522(850) 469-2044(850) 469-7285


Tim Perrin

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017




Manager, Patient Accounts 206 Second Street EastBradenton, FL 34208(941) 745-7505(941) [email protected]


Sherina KanhaiPatient Access Manager600 East Dixie DriveLeesburg, FL 34748(352) 323-5073(352) 323-5439

Vickie AndersonBilling SupervisorP.O. Box 491000Leesburg, FL 34749-1000(352) 315-7537(352) 315-7587

Jessica Villafana OpydFinancial Assistance Coordinator2985 Drew Street, Mail Stop 1049Clearwater, FL 33759(727) 281-9084

[email protected]

[email protected]

[email protected]




of 233



December 14, 2017




(813) 635-7731





[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017






Mari Ann MoorePatient Financial Services Director3090 Caruso Court, Suite 20Orlando, FL 32806(407) 650-3750(407) 650-5040


James GriffithVendor Collection Management Director335 Crossing BoulevardOrange Park, FL 32073

[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




(904) 688-6488(904) 688-7488


James GriffithVendor Collection Management Director335 Crossing BoulevardOrange Park, FL 32073(904) 688-6488(904) 688-7488


Suzanne GlazerOffice Supervisor10330 N. Meridian Street, Suite 200Indianapolis, IN 46290(317) 583-3561(317) 583-4111

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017




Emily PerkinsOffice Supervisor10330 N. Meridian Street, Suite 200Indianapolis, IN 46290(317) 583-3834(317) 583-4148


Emily PerkinsOffice Supervisor10330 N. Meridian Street, Suite 200Indianapolis, IN 46290(317) 583-3834(317) 583-4148


Emily PerkinsOffice Supervisor10330 N. Meridian Street, Suite 200Indianapolis, IN 46290(317) 583-3834

[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




(317) 583-4148

Tammy BrisbaneBilling Manager655 West 8th StreetJacksonville, FL 32209




Kris Panetta

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017




Medicaid Eligibility Director6451 126th Avenue NorthLargo, FL 33773(727) 773-3410(727) 773-3411

Thomas MottOperations Lead26533 Evergreen Road, 7th FloorSouthfield, MI 48706(989) 859-4083



LaTrenda CooperBusiness Office Manager1309 Thomasville RoadTallahassee, FL 32303

[email protected]

[email protected]

[email protected]

[email protected]





of 233



December 14, 2017




(850) 431-6205(850) 431-6900


Anthony EscobioVice President, Patient Financial ServicesPO Box 1289Tampa, FL 33601-1289(813) 844-4764(813) 844-4144

Sherina KanhaiPatient Access Manager1451 El Camino RoadThe Villages, FL 32159(352) 323-5073(352) 323-5439

Jacob BruckDirector, Patient Financial Services4024 NW 22nd DriveGainesville, FL 32605(352) 594-2263(352) 265-9012

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



December 14, 2017








[email protected]

[email protected]

[email protected]




of 233




Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:



information.


of 233






information.


City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BROWARD HEALTH MEDICAL CENTER 10-0039Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

of 233






information.


DOCTORS HOSPITAL SARASOTA 10-0166Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ED FRASER MEMORIAL HOSPITAL 10-0134Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ENGLEWOOD COMMUNITY HOSPITAL 11-0004Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FAWCETT MEMORIAL HOSPITAL 10-0236Name:

Title:Mailing Add:

of 233






information.


City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL 10-0007Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

of 233






information.



Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL KISSIMMEE 10-0089Name:

Title:

of 233






information.



Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

FLORIDA HOSPITAL WESLEY CHAPEL 2396-0099Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:

of 233






information.


Email:FLORIDA HOSPITAL ZEPHYRHILLS 10-0046

Name:Title:


Fax:Email:

GULF COAST REGIONAL MEDICAL CENTER 10-0242Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

JACKSON MEMORIAL HOSPITAL 10-0022Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


of 233






information.


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

JFK MEDICAI CENTER 10-0080Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LAKE BUTLER HOSPITAL 10-0241Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LAKE CITY MEDICAL CENTER 10-0156Name:

Title:Mailing Add:

City,Zip:Phone:

of 233






information.


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LARKIN COMMUNITY HOSPITAL 10-0181Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

10-0246Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LEE MEMORIAL HOSPITAL 10-0012

LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE

of 233






information.


Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LIFESTREAM BEHAVIORAL HEALTH 10-4018Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MARTIN MEDICAL CENTER 10-0044Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:

of 233






information.


Phone:Fax:

Email:MEDICAL CENTER OF TRINITY 10-0191

Name:Title:


Fax:Email:

MEMORIAL HOSPITAL OF TAMPA 10-0206Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

NORTHSIDE HOSPITAL 10-0238

of 233






information.


Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

OAK HILL HOSPITAL 10-0264Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ORLANDO HEALTH 10-0006Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

PALMS OF PASADENA HOSPITAL 10-0126Name:

Title:Mailing Add:

City,Zip:

of 233






information.


Phone:Fax:

Email:PALMS WEST HOSPITAL 11-0006

Name:Title:


Fax:Email:

PLANTATION GENERAL HOSPITAL 10-0167Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

POINCIANA MEDICAL CENTER 2396-0111Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

PUTNAM COMMUNITY MEDICAL CENTER 10-0232Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

RAULERSON HOSPITAL 10-0252

of 233






information.


Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Back-Up Name:Title:


Fax:Email:

2396-0041Name:

Title:Mailing Add:


of 233






information.


City,Zip:Phone:

Fax:Email:

Back-Up Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Back-Up Name:Title:


Fax:Email:

SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA 10-0113Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SHANDS JACKSONVILLE MEDICAL CENTER 10-0001

of 233






information.


Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:

of 233






information.


Phone:Fax:

Email:ST. VINCENT'S MEDICAL CENTER CLAY COUNTY 2396-0117

Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

of 233






information.


TAMPA COMMUNITY HOSPITAL 10-0255Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

TWIN CITIES HOSPITAL 10-0054Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:

of 233






information.



Fax:Email:

WEST PALM HOSPITAL 10-0234Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

WINDMOOR 10-4017Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

WINTER PARK MEMORIAL HOSPITAL 10-0162Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:

of 233






information.


Email:


HCRA LiaisonName:

Title:Agency:


Fax:Email:

Back-up Name:Title:

Agency:Mailing Add:

City,ZipPhone:

Fax:Email:

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Date Last Revised:

HCRA Eligibility Determination HCRA Claims Processing

Isabel Burgin Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director20900 Biscayne Boulevard 6451 126th Avenue NorthAventura, FL 33180 Largo, FL 33773(305) 937-3961 (727) 773-3410

(727) 773-3411

Norelis Vrablik Darlene CyrEligibility Supervisor Followup SupervisorPO Box 17106 PO Box 17106Pensacola, FL 32522 Pensacola, FL 32522(850) 434-4013 (850) 469-2044(850) 469-7255 (850) 469-7285

Eileen Henderlite Eileen HenderliteVice President - Revenue Cycle Vice President - Revenue Cycle3563 Philips Highway, Ste. 201 3563 Philips Highway, Ste. 201Jacksonville, FL 32207 Jacksonville, FL 32207(904) 376-4153 (904) 376-4153(904) 391-5073 (904) 391-5073


Eileen Henderlite Eileen HenderliteVice President - Revenue Cycle Vice President - Revenue Cycle3563 Philips Highway, Ste. 201 3563 Philips Highway, Ste. 201



information.













of 233



Date Last Revised:




information.

Jacksonville, FL 32207 Jacksonville, FL 32207(904) 376-4130 (904) 376-4153(904) 391-5073 (904) 391-5073

Debbie Pancake Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director2020 59th Street West 6451 126th Avenue NorthBradenton, FL 34209 Largo, FL 33773(941) 798-6001 (727) 773-3410

(727) 773-3411

Ana Almodovar Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director119 Oakfield Drive 6451 126th Avenue NorthBrandon, FL 33511 Largo, FL 33773(813) 681-5551 Xt. 3366 (727) 773-3410

(727) 773-3411

Jodi Halpine Janice HalpineAssistant Patient Access Manager Administrative Director, Central Business Office1600 S. Andrews Avenue 1608 SE 3rd Avenue, CBO 3rd FloorFt. Lauderdale, FL 33316 Ft. Lauderdale, FL 33316(954) 355-5485 (954) 847-4540(954) 888-3576 (954) 888-3540

Sonia Marerro James GriffithPublic Benefit Coordinator Director, Vendor Collection Management1401 West Seminole Boulevard 335 Crossing BoulevardSanford, FL 32771 Orange Park, FL 32073(407) 321-4500 Xt. 5259 (904) 688-6488(407) 302-7351 (904) 688-7488
















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Date Last Revised:




information.

Sandy Williams Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director5731 Bee Ridge Road 6451 126th Avenue NorthSarasota, FL 34233 Largo, FL 33773(941) 342-1126 (727) 773-3410

(727) 773-3411

Donna Boroughs Diane SandersBusiness Office Director Patient RepresentativeP.O. Box 188 P.O. Box 188Bonifay, FL 32464-0188 Bonifay, FL 32464-0188(850) 547-8015 (850) 547-8030(850) 547-8025 (850) 547-8024

Leona Lowery Leona Lowery Director PFS Director PFS159 North 3rd Street 159 North 3rd StreetMacclenny, FL 32063 Macclenny, FL 32063904-259-3151 904-259-3151904-653-2102 904-653-2102

Katherine Winemann Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director700 Medical Boulevard 6451 126th Avenue NorthEnglewood, FL 34223 Largo, FL 33773(941) 629-1181 Xt.6890 (727) 773-3410

(727) 773-3411

Katherine Winemann Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director21298 Olean Boulevard 6451 126th Avenue North













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Date Last Revised:




information.

Port Charlotte, FL 33952 Largo, FL 33773(941) 629-1181 Xt.6890 (727) 773-3410

(727) 773-3411

Shay Miller Kaitia CobyPatient Services Director Business Office Supervisor400 Health Park Blvd. 400 Health Park Blvd.St. Augustine, FL 32086 St. Augustine, FL 32086(904) 819-4510 (904) 819-4527(904) 819-4906 (904) 819-4906

James English Sharda ParsaramVP Adm. Director900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100Maitland, FL 32751 Maitland, FL 32751(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965




[email protected]













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Date Last Revised:




information.

Coy L. Ingram Coy L. IngramAssistant Vice President of Patient Financial Services Assistant Vice President of Patient Financial Services3100 East Fletcher Avenue 3100 East Fletcher AvenueTampa, FL 33613 Tampa, FL 33613(813) 615-7219 (813) 615-7219(813) 615-7704 (813) 615-7704



Ira Arnan Ira ArnanPatient Financial Services Director Patient Financial Services Director4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 386-6362 (863) 386-6362(863) 386-6473 (863) 386-6473

James English Sharda ParsaramVP Adm. Director













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Date Last Revised:




information.

900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100Maitland, FL 32751 Maitland, FL 32751(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965

Coy L. Ingram Coy L. IngramAssistant Vice President, Patient Financial Svcs. Assistant Vice President, Patient Financial Svcs.3100 East Fletcher Avenue 3100 East Fletcher AvenueTampa, FL 33613 Tampa, FL 33613(813) 615-7219 (813) 615-7219(813) 615-7704 (813) 615-7704


Ira Arnan Ira ArnanDirector of Financial Services Director of Financial Services4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 386-6362 (863) 386-6362(863) 386-6473 (863) 386-6473














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Date Last Revised:




information.


Gina Bachuss James GriffithPublic Benefit Coordinator Director,Vendor Collection Management449 West 23rd Street 335 Crossing Blvd Panama City, FL 32405 Orange Park, FL 32073 (850)747-7860 904-688-6488

904-688-7488James. [email protected]

Glen Stockhammer Alysone CaponeManager, Collection Services Collector 303 North Clyde Morris Boulevard 303 North Clyde Morris BoulevardDaytona Beach, FL 32114 Daytona Beach, FL 32114

386-223-4590386-232-2395 386-232-2395

Denise Don Yorka FaldragaAssociate Administrator Associate Administratior 1611 NW 12th Ave Annex Bldg 2nd Floor Rm218 1500 NW 12 Ave 10th Floor JMP-WestMiami, FL 33136 Miami, FL 33136305-585-7231 786-466-8135305-355-2273

Norelis Vrablik Darlene Cyr



[email protected]












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Date Last Revised:




information.

Eligibility Supervisor Followup SupervisorPO Box 17106 PO Box 17106Pensacola, FL 32522 Pensacola, FL 32522(850) 434-4013 (850) 469-2044(850) 469-7255 (850) 469-7285

Anne Johnson James GriffithPublic Benefit Coordinator Director, Vendor Collection Management5301 South Congress 33462 335 Crossing Blvd Atlantis, FL 33462 Orange Park, FL 32073861-548-1357 904-688-6488

904-688-7488

Rosa Canseco Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director11750 SW 40 Street 6451 126th Avenue NorthMiami, FL 33175 Largo, FL 33773305-223-3000 (727) 773-3410305-229-2444 (727) 773-3411

Ashlee Hodges Tina GosebruchPatient Access Supervisor Patient Accounts SupervisorP.O. Box 748 P.O. Box 748Lake Butler, FL 32054 Lake Butler, FL 32054(386) 496-2323 (386) 496-9200(386) 496-1611 (386) 496-4734

James Griffith Public Benefit Coordinatror Vendor Collection Management Director340 Northwest Commerce Drive 335 Crossing BlvdLake City, FL 32055 Orange Park, 32073

904-688-6488













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Date Last Revised:




information.

904-688-7488

Tammy Grant Tim PerrinDirector, Patient Access Manager, Patient Accounts 206 Second Street East 206 Second Street EastBradenton, FL 34208 Bradenton, FL 34208(941) 745-7210 (941) 745-7505(941) 782-3575 (941) 745-6836

Beth Weekes Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director201 14th Street SW 6451 126th Avenue NorthLargo, FL 33770 Largo, FL 33773(727) 588-5489 (727) 773-3410

(727) 773-3411

Kenia Mendoza Kenia MendozaRevenue Cycle Director Revenue Cycle Director7031 SW 62nd Avenue 7031 SW 62nd AvenueSouth Miami, FL 33143 South Miami, FL 33143(305) 284-7623 (305) 284-7623(305) 284-7545 (305) 284-7545

Guadelupe Deloera James GriffithPublic Benefit Coordinator Vendor Collection Management Director1700 South 23rd Street 335 Crossing BoulevardFort Pierce, FL 34950 Orange Park, FL 32073(772) 467-2851 (904) 688-6488

904-688-7488

[email protected]














of 233



Date Last Revised:




information.

Courtney Murray Debbie YeaterRegistration Services Director Central Business Office SupervisorP.O. Box 2218 224 Santa Barbara Boulevard, Suite 203Fort Myers, FL 33902-2218 Cape Coral, FL 33991(239) 343-2036 (239) 424-1510(239) 343-3967 239-424-1599

Sherina Kanhai Phillip HagerPatient Access Manager Administrative Director600 East Dixie Avenue 600 East Dixie AvenueLeesburg, FL 34748 Leesburg, FL 34748(352) 323-5905 (352) 323-5515(352) 323-5439 (352) 323-5039

Vickie Anderson Vickie AndersonBusiness Office Supervisor Business Office SupervisorP.O. Box 491000 P.O. Box 491000Leesburg, FL 34749-1000 Leesburg, FL 34749-1000(352) 315-7532 (352) 315-7537(352) 360-6595 (352) 315-7587

Carol Plato Carol PlatoAssistant Vice President Assistant Vice PresidentP.O. Box 9010 P.O. Box 9010Stuart, FL 34995-9010 Stuart, FL 34995-9010(772) 223-5656 (772) 223-5656(772) 223-5622 (772) 223-5622

Jessica Villafana Opyd Jessica Villafana OpydFinancial Assistance Department Supervisor Financial Assistance Department Supervisor3986 Tampa Road 3986 Tampa RoadOldsmar, FL 34677 Oldsmar, FL 34677













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Date Last Revised:




information.

(813) 852-3305 (813) 852-3305(813) 635-7731 (813) 635-7731

Pat Cooper Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director9330 State Road 54 6451 126th Avenue NorthTrinity, FL 34655 Largo, FL 33773(727) 834-5720 (727) 773-3410

(727) 773-3411

Ananta Boodoosingh Kris Panetta Public Benefit Coordinator Medicaid Eligibility Director2901 West Swann Ave 6451 126th Avenue NorthTampa, FL 33609 Largo, FL 33773813-512-4851 (727) 773-3410

(727) 773-3411

Jessica Villafana Opyd Jessica Villafana OpydFinancial Assistance Department Supervisor Financial Assistance Department Supervisor3986 Tampa Road 3986 Tampa RoadOldsmar, FL 34677 Oldsmar, FL 34677(813) 852-3305 (813) 852-3305(813) 635-7731 (813) 635-7731

















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Date Last Revised:




information.

Cynthia Bacon Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director6000 49th Steet North 6451 126th Avenue NorthSt. Petersburg, FL 33709 Largo, FL 33773(727) 521-5558 (727) 773-3410

(727) 773-3411

Robb Hurlock Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director2801 North State Road 7 6451 126th Avenue NorthMargate, FL 33063 Largo, FL 33773(954) 956-3060 (727) 773-3410

(727) 773-3411

Linda Murphy Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director11375 Cortez Boulevard 6451 126th Avenue NorthBrooksville, FL 34613 Largo, FL 33773(352) 597-6371 (727) 773-3410

(727) 773-3411

David Walker Bridget WaltersFinancial Assistance Manager Patient Accounting Director3090 Caruso Court, Suite 20 3090 Caruso Court, Suite 20Orlando, FL 32806 Orlando, FL 32806(407) 650-3760 (407) 650-3771(321) 843-6427 (321) 843-6579

Jennifer Tolisano Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director1501 Pasandena Ave South 6451 126th Avenue NorthSt. Petersburg, FL 33707 Largo, FL 33773













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Date Last Revised:




information.

727-341-7543 (727) 773-3410(727) 773-3411

Maria Cortes-Bolivar James GriffithPublic Benefit Coordinator Vendor Collection Management Director13001 Southern Boulevard 335 Crossing BoulevardLoxahatchee, FL 33470 Orange Park, FL 32073(561) 798-6078 (904) 688-6488

904-688-7488

Fabiola Dickson Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director401 Northwest 42nd Avenue 6451 126th Avenue NorthPlantation, FL 33317 Largo, FL 33773(954) 587-5010, ext 6650 (727) 773-3410

(727) 773-3411

Wilfredo Gonzalez James GriffithPublic Benefit Coordinator Vendor Collection Management Director325 Cypress Parkway 335 Crossing BoulevardKissimmee, FL 34758 Orange Park, FL 32073(407) 518-3658 904-688-6488

904-688-7488

VACANT James GriffithPublic Benefit Coordinator Vendor Collection Management Director611 Zeagler Drive 335 Crossing Blvd Palatka, FL 32177 Orange Park, FL 32073

904-688-6488904-688-7488





[email protected]










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Date Last Revised:




information.

Melinda Hernandez James GriffithPublic Benefit Coordinator Vendor Collection Management Director1796 Highway 441 North 335 Crossing BoulevardOkeechobee, FL 34972 Orange Park, FL 32073(863) 824-2870 (904) 688-6488

904688-7488

Kathleen Troutwine Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director14000 Fivay Road 6451 126th Avenue NorthHudson, FL 34667 Largo, FL 33773(727) 819-2929, ext. 5365 (727) 773-3410

(727) 773-3411

Michele Nelson Linda OwensPatient Accounts Manager Patient Financial Services Manager5151 North 9th Avenue P.O. Box 2728Pensacola, FL 32504 Pensacola, FL 32513-2728(850) 416-7099 (850) 416-6961(850) 416-6921 (850) 416-7453

Vivian McClellandPatient Financial Services RepresentativeP.O. Box 2728Pensacola, FL 32513-2728(850) 416-4097(850) 416-7453

Michele Nelson Linda OwensPatient Accounts Manager Patient Financial Services Manager5151 North 9th Avenue P.O. Box 2728




[email protected]








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Date Last Revised:




information.

Pensacola, FL 32504 Pensacola, FL 32513-2728(850) 416-7099 (850) 416-6961(850) 416-6921 (850) 416-7453


Michele Nelson Linda OwensPatient Accounts Manager Patient Financial Services Manager5151 North 9th Avenue P.O. Box 2728Pensacola, FL 32504 Pensacola, FL 32513-2728(850) 416-7099 (850) 416-6961(850) 416-6921 (850) 416-7453


Grace Chesser Barabara SouthwellDirector, Admissions Manager, Government Team1600 SW Archer Road 4024 NW 22nd DriveGainesville, FL 32610 Gainesville, FL 32605(352) 594-4727 (352) 594-2354(352) 265-0624 (352) 265-9018


[email protected]


[email protected]










of 233



Date Last Revised:




information.

Shakawn Jones Shakawn Jones Patient Financial Services Manager Patient Financial Services Manager655 West 8th Street-PFS Business Office 655 West 8th Street-PFS Business OfficeJacksonville, FL 32209 Jacksonville, FL 32209904-244-1879 904-244-1879

Veronica Vargas Kris Panetta Public Benefit Coordinator Medicaid Eligibility Director4016 Sun City Center Blvd 6451 126th Ave North Sun City Center, FL 33573 Largo, FL 33773813-634-0488 727-773-3410813-634-8712 727-773-3411



Dawn Sandusky Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director6500 38th Avenue North 6451 126th Avenue NorthSt. Petersburg, FL 33710 Largo, FL 33773













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Date Last Revised:




information.

(727) 341-4929 (727) 773-3410(727) 773-3411

Sheila Brent Thomas MottHCRA Representative Operations Lead5505 E 13 Mile Road, Ste 300 26533 Evergreen Road, 7th FloorWarren, MI 48092 Southfield, MI 48706(855) 551-5715 (989) 859-4083(312) 276-8630



Jeff Sherman Jeff ShermanDirector, Patient Fin.Svcs. Director, Patient Fin.Svcs.1300 Miccosukee Road 1300 Miccosukee RoadTallahassee, FL 32308 Tallahassee, FL 32308850-431-6202 850-431-6202850-431-6017 850-431-6017


[email protected] TMott@accretivehealth,com







mailto:TMott@accretivehealth,com







of 233



Date Last Revised:




information.

Robert Alcantara Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director 6001 Webb Road 6451 126th Ave NorthTampa, FL 33618 Largo, FL 33773813-512-5851 727-773-3410

727-773-3411

Lindy Esposito Patricia OsborneFinancial Assistance Supervisor Billing ManagerPO Box 1289 PO Box 1289Tampa, FL 33601-1289 Tampa, FL 33601-1289(813) 844-8913 (813) 844-4798(813) 844-8920 (813) 844-4799

Sherina Kanhai Phillip HagerPatient Access Manager Administrative Director600 East Dixie Avenue 600 East Dixie AvenueLeesburg, FL 34748 Leesburg, FL 34748(352) 323-5905 (352) 323-5515(352) 323-5439 (352) 323-5039

Lisa Wilson James GriffithPublic Benefit Coordinator Vendor Collection Management Director2190 Highway 85 North 335 Crossing Blvd Niceville, FL 32578 Orange Park, FL 32073850-729-9423 904-688-6488

904-688-7488

Jose Martinez Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director













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Date Last Revised:




information.

7201 North Unjiversity Drive 6451 126th Avenue NorthTamarac, FL 33321 Largo, FL 33773(954) 724-6144 (727) 773-3410

(727) 773-3411

Carol Palevoda James GriffithPublic Benefit Coordinator Vendor Collection Managerment Director2201 45th Street 335 Crossing Boulevard West Palm Beach, FL 33407 Orange Park, FL 32073561-863-3842 904-688-6488

904-688-7488

Zac Williams Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director8201 West Broward Boulevard 6451 126th Avenue NorthPlantation, FL 33324 Largo, FL 33773(954) 916-5458 (727) 773-3410

(727) 773-3411

Mike Neumann Jeff Dale Chief Executive Officer Bus Office Manager 1130 US Hwy 19 N 11300 US HWY 19 NClearwater, FL 33764 Clearwater, FL 33764727-541-2646 727-541-2646727-541-4402 727-541-4402














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Date Last Revised:




information.


HCRA Liaison Hospital EligibilityKirsten Jacobson Mills SmithMedical Health Care Program Analyst Regulatory Analyst SupervisorEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services2727 Mahan Drive, Mail Stop Code 26Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4333 (850) 412-4353(850) 414-6912 (850) 922-6964

Mia Westbrook Felton BradleyMedical Health Care Program Analyst Economic AnalystEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services

Tallahassee, FL 32308 Tallahassee, FL 32308850412-4291 (850) 412-4350(850) 414-6912 (850) 922-6964




2727 Mahan Drive, Mail Stop Code 26 2727 Mahan Drive, Mail Stop Code 28








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August 29, 2016

Administrator

Dianne GoldenbergChief Executive Officer20900 Biscayne BoulevardAventura, FL 33180(305) 682-7000(305) 682-7042

Scott RaynesPresident1000 West Morino StreetPensacola, FL 32501(850) 424-4011(850) 434-4841

Joseph MitrickHospital President1350 13th Avenue SouthJacksonville Beach, FL 32250(904) 627-2901(904) 627-1008

Michael MayoHospital President800 Prudential Drive, Adult Tower 8th FloorJacksonville, FL 32207(904) 202-2001(904) 202-2285

Stephen LeeHospital President1250 South 18th Street



[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



Fernandina Beach, FL 32034(904) 321-3502(904) 321-3511

Daniel J. Friedrich, IIIChief Executive Officer2020 59th Street WestBradenton, FL 34209(941) 792-6611(941) 798-6209

Bland EngChief Executive Office119 Oakfield DriveBrandon, FL 33511(813) 681-5551(813) 571-5125

Calvin GlidewellChief Executive Office1600 S. Andrews AvenueFt. Lauderdale, FL 33316(954) 355-5610(954) 355-4797

Wendy H. BrandonChief Executive Officer1401 West Seminole BoulevardSanford, FL 32771(407) 302-7392(407) 324-4790

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 29, 2016

Administrator



Robert C. MeadeChief Executive Officer5731 Bee Ridge RoadSarasota, FL 34233(941) 342-1100(941) 379-8342

JoAnn BakerCEO/AdministratorP.O. Box 188Bonifay, FL 32464-0188(850) 547-8001(850) 547-8004

Dennis R. MarkosCEO159 North 3rd StreetMacclenny, FL 32063904-259-3151904-653-2102

Dale F. AlwardChief Executive Officer700 Medical BoulevardEnglewood, FL 34223(941) 475-6571(941) 473-5015

William HawleyChief Executive Officer21298 Olean Boulevard

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



Port Charlotte, FL 33952(941) 629-1181(941) 627-6142

Joseph GordyCEO400 Health Park Blvd.St. Augustine, FL 32086(904) 819-4400

Lars HoumannPresident & CEO601 East Rollins StreetOrlando, FL 32803(407) 303-2527(407) 200-4965



[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 29, 2016

Administrator



Joe JohnsonPresident & CEO7171 North Dale Mabry HighwayCarrollwood, FL 33614(813) 558-8001(813) 558-8011



Bruce BerghermPresident/CEO4200 Sun N' Lake BlvdSebring, FL 33872(863) 402-3366(863) 402-3110

Lars HoumannPresident & CEO

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



601 East Rollins StreetOrlando, FL 32803(407) 303-2527(407) 200-4965

Bruce BerghernChief Executive Officer/President1395 South Pinellas AvenueTarpon Springs, FL 34689(727) 942-5107(727) 942-5161

Brian AdamsChief Executive Officer/President3100 East Fletcher AvenueTampa, FL 33613(813) 615-7203(813) 615-7580

Bruce BerghermCEO/President4200 Sun N' Lake BlvdSebring, FL 33872(863) 402-3366(863) 402-3110

Denyse Bales-ChubbChief Executive Officer/President2600 Bruce B Downs BoulevardWesley Chapel, FL 33544(813) 929-5490(813) 929-5475

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



Randall SurberPresident CEO7050 Gall BoulevardZephyrhills, FL 33541813-779-6201813-783-6196

Carlton UlmerChief Executive Officer449 West 23rd Street Panama City, FL 32405850-769-8341850-747-7107

Jeff Feasel Chief Executive Officer303 North Clyde Morris BoulevardDaytona Beach, FL 32114386-425-4771386-425-4772

Carlos Migoya President CEO1611 NW 12 Ave West Wing 117Miami, FL 33136305-585-6754

Michael Hutchins

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 29, 2016

Administrator



Administrator14114 Alabama StreetJay, FL 32505(850) 675-8015(850) 675-8070

Gina A. MelbyChief Executive Officer5301 South Congress AveAtlantis, FL 33462561-965-7300561-642-3685

Scott A. CihakChief Executive Officer11750 Bird RoadMiami, FL 33175(305) 223-3000(305) 229-2444

Pam HowardCEOP.O. Box 748Lake Butler, FL 32054(386) 496-2323(386) 496-1611

Mark A. MillerChief Executive Officer340 Northwest Commerce DriveLake City, FL 32055386-719-9000

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



386-719-7787

Richard FletcherChief Executive Officer8330 Lakewood Ranch BoulevardLakewood Ranch, FL 34202(941) 782-2104(941) 782-2119

Anthony DeginaChief Executive Officer201 14th Street SWLargo, FL 33770(727) 588-5200(727) 588-5906

Sondy Sosa-GuerreroChief Executive Officer7031 SW 62nd AvenueSouth Miami, FL 33143(305) 284-7700(305) 284-7545

Greg LoweChief Executive Officer1700 South 23rd StreetFort Pierce, FL 34950(772) 461-4000(772) 460-1353

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 29, 2016

Administrator



James NathanCEO2776 Cleveland AvenueFort Myers, FL 33901(239) 343-6502(239) 343-6991

Don HendersonPresident410 Childs StreetLeesburg, FL 34748(352) 323-5001(352) 323-5009

Jonathan CherryPresident/CEOP.O. Box 491000Leesburg, FL 34749-1000(352) 315-7500(352) 360-6595

Robert L. Lord, Jr.President and CEO200 SE Hospital AvenueStuart, FL 34994(772) 223-5955 ext. 13014(772) 223-5946

Louis GaldieriPresident601 Main StreetDunedin, FL 34698

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



(727) 734-6365(727) 734-6887

Leigh MassengillChief Executive Officer9330 State Road 54Trinity, FL 34655(727) 834-4000(727) 834-4912

Ward Boston lllChief Executive Officer2901 West Swann AveTampa, FL 33609813-873-6400813-873-6486

Kris HocePresident300 Pinellas StreetClearwater, FL 33756(727) 462-7100(727) 461-8101

Kris HocePresident300 Pinellas StreetClearwater, FL 33756(727) 462-7100(727) 461-8101

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 29, 2016

Administrator



Dia NicholsChief Executive Officer6000 49th Steet NorthSt. Petersburg, FL 33709(727) 521-4411(727) 521-5007

Erica GulrichChief Executive Officer2801 North State Road 7Margate, FL 33063(954) 974-0400(954) 978-4183

Jesse G. SmithChief Executive Officer11375 Cortez BoulevardBrooksville, FL 34613(352) 596-6632(352) 597-3024

David StrongPresident / CEO65 Strurtevant StreetOrlando, FL 32806(321) 841-5299(321) 841-1280

Sharon D. HayesChief Executive Officer1501 Pasandena Ave SouthSt. Petersburg, FL 33707

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



727-381-1000727-341-7629

Eric GoldmanChief Executive Officer13001 Southern BoulevardLoxahatchee, FL 33470(561) 798-3300(561) 791-8108

Randy GrossChief Executive Officer401 Northwest 42nd AvenuePlantation, FL 33317(954) 587-5010(954) 587-3220

Joanna ConleyChief Executive Officer325 Cypress ParkwayKissimmee, FL 34758(407) 530-2000(407) 530-2020

Chris MosleyChief Executive Officer611 Zeagler DrivePalatka, FL 32177386-328-5711386-325-8178

[email protected]

[email protected]

[email protected]

Joanna.Conley@hca healthcare.com

[email protected]




mailto:Joanna.Conley@hca%20healthcare.com


of 233



August 29, 2016

Administrator



Robert H. LeeChief Executive Officer1796 Highway 441 NorthOkeechobee, FL 34972(863) 763-2151(863) 824-2991

C. Shayne GeorgeChief Executive Officer14000 Fivay RoadHudson, FL 34667(727) 819-2929(727) 869-5491

Susan DavisCEO5151 North 9th AvenuePensacola, FL 32504(850) 416-7010(850) 416-6119

Roger HallCEO7800 US Hwy 98 West

Robert.Lee@hca healthcare.com

[email protected]

[email protected]

mailto:Robert.Lee@hca%20healthcare.com



of 233



August 29, 2016

Administrator



Miramar Beach, FL 32550(850) 278-3001(850) 278-3010

Roger HallCEO7800 US Hwy 98 WestMiramar Beach, FL 32550(850) 278-3001(850) 278-3010

Edward JimenezChief Operating Officer1600 SW Archer RoadGainesville, FL 32610(352) 733-1500(352) 265-0231

[email protected]

[email protected]

[email protected]




of 233



August 29, 2016

Administrator



Russell ArmisteadChief Executive Officer655 West 8th StreetJacksonville, FL 32209904-244-4000

Sharon L. RoushChief Executive Officer4016 Sun City Center BlvdSun City Center, FL 33573813-634-3301813-634-8712

Karen KerrChief Operating Officer/President301 North Alexander StreetPlant City, FL 33566(813) 757-1205(813) 757-8204

Lorraine LuttonChief Operating Officer6500 38th Ave NorthSt. Petersburg, FL 33710727-384-1414727-341-4889

Janice BalzanoChief Executive Officer6500 38th Avenue NorthSt. Petersburg, FL 33710

[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator



(727) 384-1414(727) 341-4889

Kim HodgkinsonCFO1670 St. Vincent's WayMiddleburg, FL 32068-8447(904) 602-1151(904) 602-2700



G. Mark O' BryantPresident/CEO1300 Miccosukee RoadTallahassee, FL 32308850-431-5380850-431-5883

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 29, 2016

Administrator



Jacob J. FisherChief Executive Officer6001 Webb RoadTampa, FL 33615813-888-7060813-261-0813

James BurkhartPresident & CEO1 Tampa General CircleTampa, FL 33606(813) 844-4520(813) 844-4144

Don HendersonPresident410 Childs StreetLeesburg, FL 34748(352) 323-5001(352) 323-5009

David A. Whalen Chief Executive Officer2190 Highway 85 NorthNiceville, FL 32578850-678-4131850-729-9306

Joseph MelchiodeChief Executive Officer

[email protected]

[email protected]

[email protected]

[email protected]





of 233



August 29, 2016

Administrator



7201 North Unjiversity DriveTamarac, FL 33321(954) 721-2200(954) 724-6567

Dana C. OaksChief Executive Officer2201 45th Street West Palm Beach, FL 33407561-863-3842561-844-8955

Barbara J. SimmonsChief Executive Officer8201 West Broward BoulevardPlantation, FL 33324(954) 473-6600(954) 452-2133

Wendy Merson Chief Executive Officer11300 US HWY 19 NClearwater, FL 33764727-541-2646727-541-4402


[email protected]

[email protected]

[email protected]

[email protected]





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August 29, 2016

Administrator




[email protected]


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BAPTIST MEDICAL CENTER SOUTH 2396-0052Name:

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BROWARD HEALTH MEDICAL CENTER 10-0039Name:

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DOCTORS MEMORIAL HOSPITAL, INC. 10-0106Name:

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EDWARD WHITE HOSPITAL 10-0239Name:

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FAWCETT MEMORIAL HOSPITAL 10-0236Name:

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Email:FLORIDA HOSPITAL WESLEY CHAPEL 2396-0099

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FLORIDA HOSPITAL ZEPHYRHILLS 10-0046Name:

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H. LEE MOFFITT CANCER CENTER 11-0009Name:

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HALIFAX MEDICAL CENTER 10-0017Name:

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JACKSON MEMORIAL HOSPITAL 10-0022Name:

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LAKE BUTLER HOSPITAL HAND SURGERY CENTER 10-0241Name:

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Email:LAKEWOOD RANCH MEDICAL CENTER 2396-0046

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10-0246Name:

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LEE MEMORIAL HOSPITAL 10-0012Name:

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LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE

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LIFESTREAM BEHAVIORAL HEALTH Oct-18Name:

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MARTIN MEMORIAL MEDICAL CENTER 10-0044Name:

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MEASE DUNEDIN HOSPITAL 10-0043Name:

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MT. SINAI MEDICAL CENTER 10-0034Name:

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NAPLES COMMUNITY HOSPITAL 10-0018Name:

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NORTHSIDE HOSPITAL 10-0238Name:

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OAK HILL HOSPITAL 10-0264Name:

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POINCIANA MEDICAL CENTER 2396-0111Name:

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Email:SACRED HEART HOSPITAL 10-0025

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2396-0041Name:

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SHANDS JACKSONVILLE MEDICAL CENTER 10-0001


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ST. VINCENT'S MEDICAL CENTER 2396-0117Name:

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UNIVERSITY HOSPITAL 10-0224Name:

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UNIVERSITY OF MIAMI HOSPITAL 10-0009Name:

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Date Last Revised:


Isabel Burgin Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director20900 Biscayne Boulevard 6451 126th Avenue NorthAventura, FL 33180 Largo, FL 33773(305) 937-3961 (727) 773-3410

(727) 773-3411

Amy Purvis Robyn MathewsSenior Manager AR Coordinator100 West Garden Street, Ste. 200 100 West Garden Street, Ste. 200Pensacola, FL 32502 Pensacola, FL 32502(850) 469-2462 (850) 469-2011(850) 469-7411 (850) 469-7285



Eileen Henderlite Eileen HenderliteVice President - Revenue Cycle Vice President - Revenue Cycle3563 Philips Highway, Ste. 201 3563 Philips Highway, Ste. 201



information.













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Date Last Revised:




information.

Jacksonville, FL 32207 Jacksonville, FL 32207(904) 376-4153 (904) 376-4153(904) 391-5073 (904) 391-5073


Debbie Pancake Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director2020 59th Street West 6451 126th Avenue NorthBradenton, FL 34209 Largo, FL 33773(941) 798-6001 (727) 773-3410

(727) 773-3411

Ana Almodovar Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director119 Oakfield Drive 6451 126th Avenue NorthBrandon, FL 33511 Largo, FL 33773(813) 681-5551 Xt. 3366 (727) 773-3410

(727) 773-3411

Jodi Halpine Janice HalpineAssistant Patient Access Manager Administrative Director, Central Business Office1600 S. Andrews Avenue 1608 SE 3rd Avenue, CBO 3rd FloorFt. Lauderdale, FL 33316 Ft. Lauderdale, FL 33316(954) 355-5485 (954) 847-4540(954) 888-3576 (954) 888-3540
















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Date Last Revised:




information.

Sonia Marerro Lisa PrincePublic Benefit Coordinator Self Pay/Agency Director1401 West Seminole Boulevard 335 Crossing BoulevardSanford, FL 32771 Orange Park, FL 32073(407) 321-4500 Xt. 5259 (904) 688-6614

Donna Boroughs Brandi StewartBusiness Office Director Patient Account Representative2600 Hospital Drive 2600 Hospital DriveBonifay, FL 32425 Bonifay, FL 32425(850) 547-8015 (850) 547-8016(850) 547-8025 (850) 547-8025

Debbie Howard Sara GramblingRegistration Coordinator PFS Director333 N. Byron Butler Pkwy 333 N. Byron Butler PkwyPerry, FL 32347 Perry, FL 32347(850) 584-0154 (850) 584-0860(850) 584-2524 (850) 584-0679

Milady Santana-Burgos Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director2323 9th Avenue Notth 6451 126th Avenue NorthSt. Petersburg, FL 33713 Largo, FL 33773(727) 328-6162 (727) 773-3410

(727) 773-3411

Katherine Winemann Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director700 Medical Boulevard 6451 126th Avenue North













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Date Last Revised:




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Englewood, FL 34223 Largo, FL 33773(941) 629-1181 Xt.6890 (727) 773-3410

(727) 773-3411

Katherine Winemann Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director21298 Olean Boulevard 6451 126th Avenue NorthPort Charlotte, FL 33952 Largo, FL 33773(941) 629-1181 Xt.6890 (727) 773-3410

(727) 773-3411

Shay Miller Kaitia CobyPatient Director Business Office Supervisor400 Health Park Blvd. 400 Health Park Blvd.St. Augustine, FL 32086 St. Augustine, FL 32086(904) 819-4510 (904) 819-4527(904) 819-4906 (904) 819-4906

James English Sharda ParsaramAsst. VP Adm. Director900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100Maitland, FL 32751 Maitland, FL 32751(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965

















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Date Last Revised:




information.


Coy L. Ingram Coy L. IngramAssistant Vice President of Patient Financial Services Assistant Vice President of Patient Financial Services3100 East Fletcher Avenue 3100 East Fletcher AvenueTampa, FL 33613 Tampa, FL 33613(813) 615-7219 (813) 615-7219(813) 615-7704 (813) 615-7704



Maria Perez Maria PerezManager - MEDS Manager - MEDS













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Date Last Revised:




information.

4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 402-3366 (863) 402-3366(863) 402-3110 (863) 402-3110


Coy L. Ingram Coy L. IngramRegional Director Regional Director3100 East Fletcher Avenue 3100 East Fletcher AvenueTampa, FL 33613 Tampa, FL 33613(813) 615-7219 (813) 615-7219(813) 615-7704 (813) 615-7704


Maria Perez Maria PerezManager - MEDS Manager - MEDS4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 402-3366 (863) 402-3366(863) 402-3110 (863) 402-3110













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Date Last Revised:




information.



Robert Coughlin Andy TaifordReimbursement Manager Director Patient Financial Services12902 Magnolia Drive 12902 Magnolia DriveTampa, FL 33612 Tampa, FL 33612(813) 745-7888 (813) 745-1668(813) 745-7831 (813) 745-7831

Glen Stockhammer Aylson CaponeManager, Collection Services Collector303 North Clyde Morris Boulevard 303 North Clyde Morris BoulevardDaytona Beach, FL 32114 Daytona Beach, FL 32114(386) 425-4597 (386) 226-4590(386) 258-3887 (386) 232-2395

Jennifer Lesley Jennifer Lesley
















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information.

PFS Director PFS Director524 W Sagamore Ave 524 W Sagamore AveClewiston, FL 33440 Clewiston, FL 33440(863) 902-3069 (863) 902-3069(863) 983-3426 (863) 983-3426

Carmen Fernandez Pamela FellDirector of Treasury and Reimbursement Corporate Director169 E. Flagler Street, 5th Floor 169 E. Flagler Street, 4th FloorMiami, FL 33131 Miami, FL 33131(786) 466-8006 (786) 466-8595(305) 372-0347

Linda Pillar Megan PorterPatient Service Representative Senior Manager Biller14114 Alabama Street 1720 NE StreetJay, FL 32505 Pensacola, FL 32501(850) 675-8188 (850) 469-2109(850) 675-8203 (850) 469-7477

Rosa Canseco Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director11750 Bird Road 6451 126th Avenue NorthMiami, FL 33175 Largo, FL 33773(305) 227-5576 (727) 773-3410

(727) 773-3411

Samantha Tillman Eva AtwoodDirector of Financial Services/Patient Accounts Billing SpecialistP.O. Box 748 P.O. Box 748Lake Butler, FL 32054 Lake Butler, FL 32054













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Date Last Revised:




information.

(386) 496-9200 (386) 496-2323, ext. 9203(386) 496-4734 (386) 496-4734


Beth Weekes Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director201 14th Street SW 6451 126th Avenue NorthLargo, FL 33770 Largo, FL 33773(727) 588-5489 (727) 773-3410

(727) 773-3411

Guadelupe Deloera Lisa PrincePublic Benefit Coordinator Self Pay/Agency Director1700 South 23rd Street 335 Crossing BoulevardFort Pierce, FL 34950 Orange Park, FL 32073(772) 467-2851 (904) 688-6614

Courtney Murray Debbie YeaterRegistration Services Director Central Business Office SupervisorP.O. Box 2218 224 Santa Barbara Boulevard, Suite 203Fort Myers, FL 33902-2218 Cape Coral, FL 33991(239) 343-2036 (239) 242-6015(239) 343-3967 (239) 242-6088
















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information.

Lyz Bermudez Lyz BermudezDirector, Patient Financial Services Director, Patient Financial Services600 E. Dixie Avenue 600 E. Dixie AvenueLeesburg, FL 34748 Leesburg, FL 34748(352) 323-5094 (352) 323-5094(352) 323-5239 (352) 323-5239

Carol Dozier Vickie AndersonCFO Business Office SupervisorP.O. Box 491000 P.O. Box 491000Leesburg, FL 34749-1000 Leesburg, FL 34749-1000(352) 315-7532 (352) 315-7537(352) 360-6595 (352) 315-7587

Karen Kennedy Carol PlatoDirector of Revenue Cycle Assistant VP of Revenue Cycle301 SE Hospital Avenue 301 SE Hospital AvenueStuart, FL 34995 Stuart, FL 34995(772) 223-4903 (772) 223-5656(772) 223-5622 (772) 223-5622


Pat Cooper Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director9330 State Road 54 6451 126th Avenue North













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Date Last Revised:




information.

Trinity, FL 34655 Largo, FL 33773(727) 834-5720 (727) 773-3410

(727) 773-3411



Linda Lujan Linda LujanBusiness Office Director Business Office Director4300 Alton Road 4300 Alton RoadMiami Beach, FL 33140 Miami Beach, FL 33140(305) 695-7607 (305) 695-7607(305) 674-2118 (305) 674-2118

Sandy Wood Sue O'TooleOperations Director Revenue Cycle Lead Medicaid BillerP.O. Box 8569 P.O. Box 8569Naples, FL 34109 Naples, FL 34109(239) 624-6407 (239) 624-6394(239) 624-6411 (239) 624-6411

Sue.O'toole.nchmd.org





[email protected]










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Date Last Revised:




information.

Cynthia Bacon Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director6000 49th Steet North 6451 126th Avenue NorthSt. Petersburg, FL 33709 Largo, FL 33773(727) 521-5558 (727) 773-3410

(727) 773-3411

Robb Hurlock Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director2801 North State Road 7 6451 126th Avenue NorthMargate, FL 33063 Largo, FL 33773(954) 956-3060 (727) 773-3410

(727) 773-3411

Linda Murphy Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director11375 Cortez Boulevard 6451 126th Avenue NorthBrooksville, FL 34613 Largo, FL 33773(352) 597-6371 (727) 773-3410

(727) 773-3411

Maria Cortes-Bolivar Lisa PrincePublic Benefit Coordinator Self Pay/Agency Director13001 Southern Boulevard 335 Crossing Boulevard










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Date Last Revised:




information.

Loxahatchee, FL 33470 Orange Park, FL 32073(561) 798-6078 (904) 688-6614

Fabiola Dickson Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director401 Northwest 42nd Avenue 6451 126th Avenue NorthPlantation, FL 33317 Largo, FL 33773(954) 587-5010, ext 6650 (727) 773-3410

(727) 773-3411

Wilfredo Gonzalez Lisa PrincePublic Benefit Coordinator Self Pay/Agency Director325 Cypress Parkway 335 Crossing BoulevardKissimmee, FL 34758 Orange Park, FL 32073(407) 518-3658 (904) 688-6614

Melinda Hernandez Lisa PrincePublic Benefit Coordinator Self Pay/Agency Director1796 Highway 441 North 335 Crossing BoulevardOkeechobee, FL 34972 Orange Park, FL 32073(863) 824-2870 (904) 688-6614

Kathleen Alvelo Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director14000 Fivay Road 6451 126th Avenue NorthHudson, FL 34667 Largo, FL 33773(727) 819-2929, ext. 5365 (727) 773-3410

(727) 773-3411













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Date Last Revised:




information.

Michele Nelson Linda OwensPatient Accounts Manager Patient Accounts Manager5130 Bayou Blvd 5130 Bayou BlvdPensacola, FL 32503 Pensacola, FL 32503(850) 416-7099 (850) 416-6961(850) 416-7453 (850) 416-7453



Grace Chesser Barabara SouthwellDirector, Admissions Manager, Government Team1600 SW Archer Road 4024 NW 22nd DriveGainesville, FL 32610 Gainesville, FL 32605(352) 594-4727 (352) 594-2354(352) 265-0624 (352) 265-9018
















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Date Last Revised:




information.

Jason Hardwick Shakawn JonesAdmissions Director Patient Financial Services Manager655 West 8th Street 655 West 8th StreetJacksonville, FL 32209 Jacksonville, FL 32209(904) 244-7310 (904) 244-1878



Dawn Sandusky Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director6500 38th Avenue North 6451 126th Avenue NorthSt. Petersburg, FL 33710 Largo, FL 33773(727) 341-4929 (727) 773-3410

(727) 773-3411

Sheila Brent Thomas MottHCRA Representative Operations Lead5505 E 13 Mile Road, Ste 300 26533 Evergreen Road, 7th FloorWarren, MI 48092 Southfield, MI 48706













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Date Last Revised:




information.

(855) 551-5715 (989) 859-4083(312) 276-8630



Jeff Sherman Jeff ShermanDirector, Patient Financial Services Director, Patient Financial Services1300 Miccosukee Road 1300 Miccosukee RoadTallahassee, FL 32308 Tallahassee, FL 32308(850) 431-6202 (850) 431-6202(850) 431-6017 (850) 431-6017

Lindy Esposito Patricia OsborneFinancial Assistance Supervisor Billing ManagerPO Box 1289 PO Box 1289Tampa, FL 33601-1289 Tampa, FL 33601-1289(813) 844-8913 (813) 844-4798(813) 844-8920 (813) 844-4799
















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Date Last Revised:




information.

Sherina Kanhai Elizabeth BermudezPatient Access Manager PFS System Director600 East Dixie Avenue 600 East Dixie AvenueLeesburg, FL 34748 Leesburg, FL 34748(352) 323-5905 (352) 323-5094

(352) 435-9042

Jose Martinez Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director7201 North Unjiversity Drive 6451 126th Avenue NorthTamarac, FL 33321 Largo, FL 33773(954) 724-6144 (727) 773-3410

(727) 773-3411

Darryl Caulton Karen FryChief Financial Officer Chief Operating Officer1400 NW 12th Avenue 6451 126th Avenue NorthMiami, FL 33136 Largo, FL 33733(305) 689-4515 (727) 773-3024(305) 689-4673 (727) 773-3025

Zac Williams Kris PanettaPublic Benefit Coordinator Medicaid Eligibility Director8201 West Broward Boulevard 6451 126th Avenue NorthPlantation, FL 33324 Largo, FL 33773(954) 916-5458 (727) 773-3410

(727) 773-3411

James English Sharda ParsaramAsst. VP Adm. Director900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100













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information.

Maitland, FL 32751 Maitland, FL 32751(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965


HCRA Liaison Hospital EligibilityKirsten Jacobson Mills SmithMedical Health Care Program Analyst Regulatory Analyst SupervisorEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services2727 Mahan Drive, Mail Stop Code 26Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4333 (850) 412-4353(850) 414-6912 (850) 922-6964

Mia Westbrook Felton BradleyMedical Health Care Program Analyst Economic AnalystEnforcement Unit, Bureau of Central Services Financial Analysis Unit, Bureau of Central Services

Tallahassee, FL 32308 Tallahassee, FL 32308850412-4291 (850) 412-4350(850) 414-6912 (850) 922-6964












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August 3, 2015

Administrator

Dianne GoldenbergChief Executive Officer20900 Biscayne BoulevardAventura, FL 33180(305) 682-7000(305) 682-7042

Scott RaynesPresident1000 West Morino StreetPensacola, FL 32501(850) 469-2319(850) 434-4841



Stephen LeeHospital President1250 South 18th Street



[email protected]

[email protected]

[email protected]

[email protected]





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August 3, 2015

Administrator



Fernandina Beach, FL 32034(904) 321-3502(904) 321-3511

Ron RobinsonHospital President14550 Old St. Augustine RoadJacksonville, FL 32258(904) 271-6002(904) 271-6650

Daniel J. Friedrich, IIIChief Executive Officer2020 59th Street WestBradenton, FL 34209(941) 792-6611(941) 798-6209

Bland EngChief Executive Office119 Oakfield DriveBrandon, FL 33511(813) 681-5551(813) 571-5125

Calvin GlidewellChief Executive Office1600 S. Andrews AvenueFt. Lauderdale, FL 33316(954) 355-5610(954) 355-4797

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Wendy H. BrandonChief Executive Officer1401 West Seminole BoulevardSanford, FL 32771(407) 321-4500(407) 324-2155

JoAnn BakerAdministrator2600 Hospital DriveBonifay, FL 32425(850) 547-8001(850) 547-8025

Mary LescaferInterim CEO333 N. Byron Butler PkwyPerry, FL 32347(850) 584-0885(850) 223-2308

Sharon D. HayesChief Executive Officer2323 9th Avenue NotthSt. Petersburg, FL 33713(727) 323-1111(727) 328-6159

Dale F. AlwardChief Executive Officer700 Medical Boulevard

[email protected]

[email protected]

[email protected]

[email protected]





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August 3, 2015

Administrator



Englewood, FL 34223(941) 475-6571(941) 473-5015

Thomas J. RiceChief Executive Officer21298 Olean BoulevardPort Charlotte, FL 33952(941) 629-1181(941) 627-6142




[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator




Joe JohnsonPresident & CEO7171 North Dale Mabry HighwayCarrollwood, FL 33614(813) 558-8001(813) 558-8011



Eric StevensCEO

[email protected]

[email protected]

[email protected]

[email protected]





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August 3, 2015

Administrator



4200 Sun N' Lake BlvdSebring, FL 33872(863) 402-3366(863) 402-3110


Bruce BerghermPresident/Chief Executive Officer1395 South Pinellas AvenueTarpon Springs, FL 34689(727) 942-5107(727) 942-5161

Brian AdamsChief Executive Officer/President3100 East Fletcher AvenueTampa, FL 33613(813) 615-7203(813) 615-7580

Denise GrimsleyAdministrator533 West Carlton StreetWauchula, FL 33873(863) 767-8342(863) 773-0126

[email protected]

[email protected]

[email protected]

[email protected]





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August 3, 2015

Administrator



Denyse Bales-ChubbChief Executive Officer/President2600 Bruce B Downs BoulevardWesley Chapel, FL 33544(813) 929-5490(813) 929-5475

Bill HeinrichVice President/Chief Financial Officer7050 Gall BoulevardZephyrhills, FL 33541(813) 779-6201(813) 783-6196

Jack KoloskyPresident/CEO12902 Magnolia DriveTampa, FL 33612(813) 745-7222(813) 745-3090

Jeff FeaselChief Executive Officer303 North Clyde Morris BoulevardDaytona Beach, FL 32114(386) 425-4771(386) 425-1575

Raymond Williams

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Chief Executive Officer524 W Sagamore AveClewiston, FL 33440(863) 902-3076(863) 983-1809

Carlos MigoyaChief Executive Officer1611 NW 12th Avenue, WW 117Miami, FL 33136(305) 585-6754

Michael HutchinsAdministrator14114 Alabama StreetJay, FL 32505(850) 675-8015(850) 675-8070


Pam HowardCEOP.O. Box 748Lake Butler, FL 32054

[email protected]

[email protected]

[email protected]

[email protected]





of 233



August 3, 2015

Administrator



(386) 496-2323(386) 496-1611

Richard FletcherChief Executive Officer8330 Lakewood Ranch BoulevardLakewood Ranch, FL 34202(941) 782-2104(941) 782-2119

Anthony DeginaChief Executive Officer201 14th Street SWLargo, FL 33770(727) 588-5200(727) 588-5906

Greg LoweChief Executive Officer1700 South 23rd StreetFort Pierce, FL 34950(772) 461-4000(772) 460-1353

James NathanCEO2776 Cleveland AvenueFort Myers, FL 33901(239) 343-6502(239) 343-6991

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Don HendersonPresident and CEO600 E. Dixie AvenueLeesburg, FL 34748(352) 323-5001(352) 323-5009

Jonathan CherryPresident/CEOP.O. Box 491000Leesburg, FL 34749-1000(352) 315-7500(352) 360-6595

Mark E. RobitailleChief Executive Officer301 SE Hospital AvenueStuart, FL 34995

Louis GaldieriPresident601 Main StreetDunedin, FL 34698(727) 734-6365(727) 734-6887

Leigh MassengillChief Executive Officer9330 State Road 54

[email protected]

[email protected]

[email protected]

[email protected]





of 233



August 3, 2015

Administrator



Trinity, FL 34655(727) 834-4000(727) 834-4912

Kristopher HoceChief Operating Officer300 Pinellas StreetClearwater, FL 33756(727) 462-7100(727) 461-8101

Michael YungmannPresident6600 Madison StreetNew Port Richey, FL 34652(727) 843-4599(727) 848-8762

Wayne ChutkanSenior VP of Finance4300 Alton RoadMiami Beach, FL 33140(305) 674-2662(305) 674-2007

Allen S. Weiss, MDChief Executive Officer350 7th Street NorthNaples, FL 34102(239) 624-4013(239) 624-4001

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Dia NicholsChief Executive Officer6000 49th Steet NorthSt. Petersburg, FL 33709(727) 521-4411(727) 521-5007

W. Mark RaderChief Executive Officer2801 North State Road 7Margate, FL 33063(954) 974-0400(954) 978-4183

Jesse G. SmithChief Executive Officer11375 Cortez BoulevardBrooksville, FL 34613(352) 596-6632(352) 597-3024

Eric GoldmanChief Executive Officer13001 Southern Boulevard

[email protected]

[email protected]

[email protected]




of 233



August 3, 2015

Administrator



Loxahatchee, FL 33470(561) 798-3300(561) 791-8108

Barbara SimmonsChief Executive Officer401 Northwest 42nd AvenuePlantation, FL 33317(954) 587-5010(954) 587-3220

Joanna ConleyChief Executive Officer325 Cypress ParkwayKissimmee, FL 34758(407) 530-2000(407) 530-2020

Robert H. LeeChief Executive Officer1796 Highway 441 NorthOkeechobee, FL 34972(863) 763-2151(863) 824-2991


[email protected]

[email protected]

Joanna.Conley@hca healthcare.com

Robert.Lee@hca healthcare.com



mailto:Joanna.Conley@hca%20healthcare.com

mailto:Robert.Lee@hca%20healthcare.com

of 233



August 3, 2015

Administrator



Susan DavisPresident5151 North 9th AvenuePensacola, FL 32504(850) 416-7681(850) 416-6119



Edward JimenezChief Operating Officer1600 SW Archer RoadGainesville, FL 32610(352) 733-1500(352) 265-0231

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Russ ArmisteadCEO655 West 8th StreetJacksonville, FL 32209(904) 244-5013

Karen KerrChief Operating Officer/President301 North Alexander StreetPlant City, FL 33566(813) 757-1205(813) 757-8204

Lorraine LuttonChief Operating Officer3001 W. Dr. M.L. King Jr. Blvd.Tampa, FL 33607(813) 870-4020(813) 870-4639

Robert Conroy, Jr.Chief Executive Officer6500 38th Avenue NorthSt. Petersburg, FL 33710(727) 384-1414(727) 341-4889

Kim HodgkinsonCFO1670 St. Vincent's WayMiddleburg, FL 32068-8447

[email protected]

[email protected]

[email protected]

[email protected]





of 233



August 3, 2015

Administrator



(904) 602-1151(904) 602-2700



G. Mark O'BryantPresident and Chief Executive Officer1300 Miccosukee RoadTallahassee, FL 32308(850) 431-5380(850) 431-5883

James BurkhartPresident & CEO1 Tampa General CircleTampa, FL 33606(813) 844-4520(813) 844-4144

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






of 233



August 3, 2015

Administrator



Don HendersonChief Executive Officer1451 El Camino RealThe Villages, FL 32159(352) 323-5001

Joseph MelchiodeChief Executive Officer7201 North Unjiversity DriveTamarac, FL 33321(954) 721-2200(954) 724-6567

David ZambranaChief Executive Officer1400 NW 12th AvenueMiami, FL 33136(305) 689-4515(305) 689-4673

Barbara J. SimmonsChief Executive Officer8201 West Broward BoulevardPlantation, FL 33324(954) 473-6600(954) 452-2133

Lars HoumannPresident & CEO601 East Rollins Street

[email protected]

[email protected]

[email protected]

[email protected]





of 233



August 3, 2015

Administrator



Orlando, FL 32803(407) 303-2527(407) 200-4965


[email protected]


of 233

AGENCY FOR HEALTH CARE ADMINISTRATIONBureau of Managed Health Care



Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Back-up Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Hospital participation in the HCRA program is voluntary. The Agency will not consider an eligible hospital as participating in the HCRA program for reimbursement of indigent emergency care from the counties until we receive contact information for hospital personnel. Hospital personnel responsible for eligibility determinations and claims processing in regards to the HCRA program must have an email address and internet access in order to receive any HCRA updates, forms

and/or other information.


of 233








Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BAPTIST MEDICAL CENTER SOUTH 2396-0052Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BAYFRONT HEALTH BROOKSVILLE 10-0071Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

BAYFRONT HEALTH - ST PETERSBURG 10-0032Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:

of 233







Email:BRANDON REGIONAL HOSPITAL 10-0243

Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

DOCTOR'S MEMORIAL HOSPITAL 10-0106Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

EDWARD WHITE HOSPITAL 10-0239Name:

Title:Mailing Add:

City,Zip:Phone:

of 233







Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

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Title:Mailing Add:

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Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

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City,Zip:

of 233







Phone:Fax:

Email:FLORIDA HOSPITAL CELEBRATION HEALTH 2396-0017

Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:

of 233








Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Back-up Name:Title:

of 233








Fax:Email:

JFK MEDICAL CENTER 10-0080Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LAKE BUTLER HOSPITAL HAND SURGERY CENTER 10-0241Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LARGO MEDICAL CENTER 10-0248

of 233







Name:Title:


Fax:Email:

LAWNWOOD REGIONAL MEDICAL CENTER 10-0246Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LEE MEMORIAL HOSPITAL 10-0012Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

LIFESTREAM BEHAVIORAL CENTER 10-4018Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

of 233







MARTIN MEMORIAL MEDICAL CENTER 10-0044Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

MEASE DUNEDIN HOSPITAL 10-0043Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:

of 233







Email:MT. SINAI MEDICAL CENTER 10-0034

Name:Title:


Fax:Email:

NAPLES COMMUNITY HOSPITAL 10-0018Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

NORTHSIDE HOSPITAL 10-0238Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

NORTHWEST FLORIDA COMMUNITY HOSPITAL 10-0147Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:

of 233







Phone:Fax:

Email:OAK HILL HOSPITAL 10-0264

Name:Title:


Fax:Email:

ORLANDO REGIONAL 10-0006Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

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Title:Mailing Add:

of 233







City,Zip:Phone:

Fax:Email:

REGIONAL MEDICAL CENTER BAYONET POINT 10-0256Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

2396-0041Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


of 233








Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SHANDS JACKSONVILLE MEDICAL CENTER 10-0001Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

SPRING HILL REGIONAL HOSPITAL 11-1525Name:

Title:Mailing Add:

City,Zip:Phone:

of 233







Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

ST. VINCENT'S MEDICAL CENTER RIVERSIDE 10-0040Name:

Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

of 233







City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Back-up Name:Title:


Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:


Title:

of 233








Fax:Email:


Title:Mailing Add:

City,Zip:Phone:

Fax:Email:

Agency for Health Care Administration ContactsBureau of Managed Health Care

HCRA LiaisonName:

Title:Agency:


Fax:Email:

Back-up Name:Title:

Agency:Mailing Add:

City,ZipPhone:

Fax:Email:

of 233



Date Last Revised:


Venise Caven Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services20900 Biscayne Boulevard 6451 126th Avenue NorthAventura, FL 33180 Largo, FL 33773(305) 937-3961 (727) 773-3410

(727) 773-3411

Roberta Thompson Roberta ThompsonPatient Account Representative Patient Account RepresentativeP.O. Box 17106 P.O. Box 17106Pensacola, FL 32522 Pensacola, FL 32522(850) 469-2023 (850) 469-2023(850) 434-4683 (850) 434-4683

David Pezewski David PezewskiReimbursement Director Reimbursement Director1717 N E Street, Tower 1, Suite 303 1717 N E Street, Tower 1, Suite 303Pensacola, FL 32522 Pensacola, FL 32522(850) 434-4651 (850) 434-4651(850) 434-4682 (850) 434-4682




















of 233



Date Last Revised:






Vickie Norris Beth ThomasBusiness Office Director Business Office Manager17240 Cortez Boulevard 17240 Cortez BoulevardBrooksville, FL 34601 Brooksville, FL 34601(352) 544-6183 (352) 544-6129(352) 754-3215 (352) 754-3215

Beata Mach Beata MachMedicaid Lead Medicaid Lead101 Paramount Drive, Suite 320 101 Paramount Drive, Suite 320Sarasota, FL 34232 Sarasota, FL 34232(941) 444-8238 (941) 444-8238

Debbie Pancake Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services2020 59th Street West 6451 126th Avenue NorthBradenton, FL 34209 Largo, FL 33773(941) 798-6001 (727) 773-3410

(727) 773-3411













of 233



Date Last Revised:




Ana Almodovar Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services119 Oakfield Drive 6451 126th Avenue NorthBrandon, FL 33511 Largo, FL 33773(813) 681-5551, ext. 3366 (727) 773-3410

(727) 773-3411

Ivellys Gonzalez Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services1401 West Seminole Blvd 6451 126th Avenue NorthSanford, FL 32771 Largo, FL 33773(407) 321-4500, ext. 5259 (727) 773-3410

(727) 773-3411

Donna Boroughs Brandi StewartBusiness Office Director Billing2600 Hospital Drive 2600 Hospital DriveBonifay, FL 32425 Bonifay, FL 32425(850) 547-8015 (850) 547-8121(850) 547-8025 (850) 547-8090

Debbie Howard Debbie HowardRegistration Coordinator Registration Coordinator333 North Byron Butler Parkway 333 North Byron Butler ParkwayPerry, FL 32347 Perry, FL 32347(850) 584-0154 (850) 584-0154(850) 584-2524 (850) 584-2524

Milady Santana-Burgos Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services2323 9th Avenue North 6451 126th Avenue NorthSt. Petersburg, FL 33713 Largo, FL 33773(727) 328-6162 (727) 773-3410
















of 233



Date Last Revised:




(727) 773-3411

Katherine Weinmann Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services700 Medical Boulevard 6451 126th Avenue NorthEnglewood, FL 34223 Largo, FL 33773(941) 629-1181, ext. 6890 (727) 773-3410

(727) 773-3411

Jackie Shugart Stephanie SmithPatient Director Business Office Supervisor400 Health Park Blvd. 400 Health Park Blvd.St. Augustine, FL 32086 St. Augustine, FL 32086(904) 849-5155 (904) 849-5155(904) 819-4906 (904) 819-4906

Tammie Rikansrud Sharda ParsaramAsst. VP Asst. Director900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100Maitland, FL 32751 Maitland, FL 32751(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965


Tammie Rikansrud Sharda ParsaramAsst. VP Asst. Director900 Winderley Place, Suite 2100 900 Winderley Place, Suite 2100Maitland, FL 32751 Maitland, FL 32751
















of 233



Date Last Revised:




(407) 200-2307 (407) 200-2644(407) 200-4965 (407) 200-4965



Tracy Goodwin Tracy GoodwinManager - MEDS Manager - MEDS4200 Sun N' Lake Blvd 4200 Sun N' Lake BlvdSebring, FL 33872 Sebring, FL 33872(863) 402-5329 (863) 402-5329(863) 402-3197 (863) 402-3197


Coy Ingram Coy IngramRegional Director Regional Director
















of 233



Date Last Revised:




3102 East 138th Avenue 3102 East 138th AvenueTampa, FL 33612 Tampa, FL 33612(813) 615-7219 (813) 615-7219(813) 615-7704 (813) 615-7704

Tracy Goodwin Tracy GoodwinManager - MEDS Manager - MEDS533 West Carlton Street 533 West Carlton StreetWauchula, FL 33873 Wauchula, FL 33873(863) 402-5329 (863) 402-5329(863) 402-3197 (863) 402-3197

Doug Duncan Joni RahnReimbursement Specialist Supervisor303 N. Clyde Morris Boulevard 303 N. Clyde Morris BoulevardDaytona Beach, FL 32114 Daytona Beach, FL 32114(386) 226-4567 (386) 254-4000, ext. 12080(386) 253-7593 (386) 253-7593

Heather Giddens Nicole GreenRegistration Supervisor Billing Supervisor524 W Sagamore Ave 524 W Sagamore AveClewiston, FL 33440 Clewiston, FL 33440(863) 983-9121 (863) 983-9121(863) 983-1809 (863) 983-1809

Roberta Thompson Roberta ThompsonPatient Account Representative Patient Account RepresentativeP.O. Box 17106 P.O. Box 17106Pensacola, FL 32522 Pensacola, FL 32522(850) 469-2023 (850) 469-2023(850) 434-4683 (850) 434-4683

David Pezewski David PezewskiReimbursement Director Reimbursement Director
















of 233



Date Last Revised:




1717 N E Street, Tower 1, Suite 303 1717 N E Street, Tower 1, Suite 303Pensacola, FL 32522 Pensacola, FL 32522(850) 434-4651 (850) 434-4651(850) 434-4682 (850) 434-4682

Anne Johnson Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services5301 South Congress Avenue 6451 126th Avenue NorthAtlantis, FL 33462 Largo, FL 33773(561) 548-1357 (727) 773-3410

(727) 773-3411

Rosa Canseco Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services11750 Bird Road 6451 126th Avenue NorthMiami, FL 33175 Largo, FL 33773(305) 227-5576 (727) 773-3410

(727) 773-3411

Maria Yarley Eva AtwoodPatient Account Representative Patient Account Insurance BillerP.O. Box 748 P.O. Box 748Lake Butler, FL 32054 Lake Butler, FL 32054(386) 496-2323, ext. 9201 (386) 496-2323, ext. 9203(386) 496-4734 (386) 496-4734

















of 233



Date Last Revised:




Beth Weekes Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services201 14th Street Southwest 6451 126th Avenue NorthLargo, FL 33770 Largo, FL 33773(727) 588-5489 (727) 773-3410

(727) 773-3411

Guadelupe Deloera Kris PanettaPublic Benefit Coordinator Director, Medicaid Eligibility & Support Services1700 South 23rd Street 6451 126th Avenue NorthFort Pierce, FL 34950 Largo, FL 33773(772) 467-2851 (727) 773-3410

(727) 773-3411

Courtney Murray Debbie YeaterRegistration Services Director Central Business Office SupervisorP.O. Box 2218 224 Santa Barbara Boulevard, Suite 203Fort Myers, FL 33902-2218 Cape Coral, FL 33991(239) 343-2036 (239) 242-6015(239) 343-3967


Susan Gregory Vickie AndersonProgram Director - HIM Billing Office SupervisorP.O. Box 491000 P.O. Box 491000Leesburg, FL 34749-1000 Leesburg, FL 34749-1000(352) 315-7462 (352) 315-7537(352) 360-6610 (352) 315-7587



[email protected]












of 233



Date Last Revised:




Luis Cabrera Carol PlatoSenior Reimbursement Analyst Assistant Vice President, Revenue Cycle301 SE Hospital Avenue 301 SE Hospital AvenueStuart, FL 34995 Stuart, FL 34995(772) 223-2828 (772) 223-5656(772) 223-5621 (772) 223-5622

Jessica Villafana Opyd Jessica Villafana OpydFinancial Assistance Deprtment Financial Assistance Deprtment3986 Tampa Road 3986 Tampa RoadOldsmar, FL 34677 Oldsmar, FL 34677(813) 852-3305 (813) 852-3305(813) 635-7731 (813) 635-7731



Pat Cooper Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director9330 State Road 54 6451 126th Avenue NorthTrinity, FL 34655 Largo, FL 33773(727) 834-5720 (727) 773-3410

(727) 773-3411













of 233



Date Last Revised:




Linda Lujan Linda LujanBusiness Office Director Business Office Director4300 Alton Road 4300 Alton RoadMiami Beach, FL 33140 Miami Beach, FL 33140(305) 695-7607 (305) 695-7607(305) 674-2118 (305) 674-2118

Lynn Thorn Sandy WoodPatient Business Services Supervisor Operations Director - Revenue CyclePO Box 413001 PO Box 8569Naples, FL 34101 Naples, FL 34109(239) 624-3619 (239) 624-6407(239) 624-3621 (239) 624-6411

Cynthia Bacon Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director6000 49th Street North 6451 126th Avenue NorthSt. Petersburg, FL 33709 Largo, FL 33773(727) 521-5558 (727) 773-3410

(727) 773-3411

Chrissy Sims Dena CooperFinancial Counselor ControllerPO Box 889 PO Box 889Chipley, FL 32428 Chipley, FL 32428(850) 415-8165 (850) 415-8188(850) 415-8108 (850) 638-0622

Robb Hurlock Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director2801 North State Road 7 6451 126th Avenue NorthMargate, FL 33063 Largo, FL 33773
















of 233



Date Last Revised:




(954) 956-3060 (727) 773-3410(727) 773-3411

Linda Murphy Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director11375 Cortez Boulevard 6451 126th Avenue NorthBrooksville, FL 34613 Largo, FL 33773(352) 597-6371 (727) 773-3410

(727) 773-3411

Bridget Walters Bridget WaltersCorporate Director, Patient Accounting Corporate Director, Patient Accounting3090 Caruso Court, Suite 20 3090 Caruso Court, Suite 20Orlando, FL 32806 Orlando, FL 32806(407) 650-3771 (407) 650-3771(321) 843-6579 (321) 843-6579

Maria Cortes-Bolivar Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director13001 Southern Boulevard 6451 126th Avenue NorthLoxahatchee, FL 33470 Largo, FL 33773(561) 798-6078 (727) 773-3410

(727) 773-3411

Fabiola Dickson Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director401 Northwest 42nd Avenue 6451 126th Avenue NorthPlantation, FL 33317 Largo, FL 33773(954) 587-5010, ext. 6650 (727) 773-3410

(727) 773-3411

Melinda Hernandez Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director1796 Highway 441 North 6451 126th Avenue North
















of 233



Date Last Revised:




Okeechobee, FL 34972 Largo, FL 33773(863) 824-2870 (727) 773-3410

(727) 773-3411

Kathleen Troutwine Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director14000 Fivay Road 6451 126th Avenue NorthHudson, FL 34667 Largo, FL 33773(727) 819-2929, ext. 5365 (727) 773-3410

(727) 773-3411

Michele Nelson Ivette VargasPatient Accounts Manager Follow-up Specialist5151 North 9th Avenue 2315 LaSallePensacola, FL 32504 Chicago, IL 60604(850) 416-7099 (312) 931-3028(850) 416-6921 (312) 462-6291


















of 233



Date Last Revised:




Barbara Southwell Nathaniel ThomasManager Claims Processor (Patient Financial Services)P.O. Box 334 P.O. Box 100334Gainesville, FL 32610 Gainesville, FL 32610(352) 594-2354 (352) 265-0680, ext. 42137(352) 265-9012 (352) 265-9018

Shakawn Jones Shakawn JonesManager - PFS Manager - PFS655 West 8th Street 655 West 8th StreetJacksonville, FL 32209 Jacksonville, FL 32209(904) 244-1877 (904) 244-1877(904) 244-1874 (904) 244-1874

Veronica Vargas Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director4016 Sun City Center Boulevard 6451 126th Avenue NorthSun City Center, FL 33573 Largo, FL 33773(813) 634-0488 (727) 773-3410

(727) 773-3411


Vickie Norris Beth ThomasBusiness Office Director Business Office Manager17240 Cortez Boulevard 17240 Cortez BoulevardBrooksville, FL 34601 Brooksville, FL 34601(352) 544-6183 (352) 544-6129













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Date Last Revised:




(352) 754-3215 (352) 754-3215


Evelyn Noguez Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director6500 38th Avenue North 6451 126th Avenue NorthSt. Petersburg, FL 33710 Largo, FL 33773(727) 341-4929 (727) 773-3410

(727) 773-3411

Malik Salaam Molly RodenbeckSenior Operations Lead Billing Follow Up Manager5505 E 13 Mile Road, Ste 300 231 LaSalle Street 5th FloorWarren, MI 48092 Chicago, IL 60604(855) 551-5715 (312) 931-3067(586) 698-0071 (312) 462-6293

Malik Salaam Molly RodenbeckSenior Operations Lead Billing Follow Up Manager5505 E 13 Mile Road, Ste 300 231 LaSalle Street 5th FloorWarren, MI 48092 Chicago, IL 60604(855) 551-5715 (312) 931-3067(586) 698-0071 (312) 462-6293

Jeff Sherman Jeff ShermanDirector, Patient Financial Services Director, Patient Financial Services1300 Miccosukee Road 1300 Miccosukee Road
















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Date Last Revised:




Tallahassee, FL 32308 Tallahassee, FL 32308(850) 431-6202 (850) 431-6202(850) 431-6017 (850) 431-6017

Lindy Esposito Eugene MartineauFinancial Assistance Supervisor Patient Accounts SpecialistPO Box 1289 PO Box 1289Tampa, FL 33601 Tampa, FL 33601(813) 844-8913 (813) 844-4798(813) 844-8920 (813) 844-4799

Kim Shepherd Kim ShepherdPatient Access Manager Patient Access ManagerPO Box 1289 PO Box 1289Tampa, FL 33601 Tampa, FL 33601(813) 844-7406 (813) 844-7406(813) 844-4391 (813) 844-4391


Jose Martinez Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director7201 North University Drive 6451 126th Avenue NorthTamarac, FL 33321 Largo, FL 33773(954) 724-6144 (727) 773-3410

(727) 773-3411

Zac Williams Kris PanettaPublic Benefit Coordinator Medicaid Eligibility & Support Services Director
















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Date Last Revised:




8201 West Broward Boulevard 6451 126th Avenue NorthPlantation, FL 33324 Largo, FL 33773(954) 916-5458 (727) 773-3410

(727) 773-3411


Agency for Health Care Administration ContactsBureau of Managed Health Care Bureau of Certificate of Need/Financial Analysis

HCRA Liaison Hospital EligibilityKirsten Jacobson Mills SmithMedical Health Care Program Analyst Regulatory Analyst SupervisorBureau Chief's Office Bureau of Certificate of Need/Financial Analysis2727 Mahan Drive, Mail Stop Code 26Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4333 (850) 412-4353(850) 414-6912 (850) 922-6964

Karin Jacobson Felton BradleyMedical Health Care Program Analyst Economic AnalystMedicaid Compliance Unit II Bureau of Certificate of Need/Financial Analysis

Tallahassee, FL 32308 Tallahassee, FL 32308(850) 412-4312 (850) 412-4350(850) 414-6912 (850) 922-6964















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August 15, 2014

Administrator

Dianne GoldenbergChief executive Officer20900 Biscayne BoulevardAventura, FL 33180(305) 682-7000

David WildebrandtAdministrator1000 W. Moreno StreetPensacola, FL 32501(850) 434-4011




[email protected]

[email protected]

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August 15, 2014

Administrator


Stephen LeeHospital President1250 South 18th StreetFernandina Beach, FL 32034(904) 321-3502(904) 321-3511

Ron RobinsonHospital President14550 Old St. Augustine RoadJacksonville, FL 32258(904) 271-6002(904) 271-6650

Kenneth WickerChief Executive Officer17240 Cortez BoulevardBrooksville, FL 34601(352) 799-5111(352) 754-3215

Kathryn GilletteCEO701 6th Street SouthSt. Petersburg, FL 33701

Daniel Friedrich, IIIChief executive Officer2020 59th Street WestBradenton, FL 34209(941) 792-6611(941) 798-6209

[email protected]

[email protected]

[email protected]




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August 15, 2014

Administrator


Bland EngChief Executive Officer119 Oakfield DriveBrandon, FL 33511(813) 681-5551(813) 571-5125

Wendy BrandonChief Executive Officer1401 West Seminole BlvdSanford, FL 32771(407) 321-4500(407) 324-2155

JoAnn BakerAdministrator2600 Hospital DriveBonifay, FL 32425(850) 547-8003(850) 547-8006

Geri ForbesCEO333 North Byron Butler ParkwayPerry, FL 32347(850) 584-0800(850) 223-2308

Sharon HayesChief Executive Officer2323 9th Avenue NorthSt. Petersburg, FL 33713(727) 323-1111

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


(727) 328-6135

Dale F. AlwardChief Executive Officer700 Medical BoulevardEnglewood, FL 34223(941) 475-6571(941) 473-5015



Lars HoumannPresident & CEO601 East Altamonte DriveAltamonte Springs, FL 32701(407) 303-4321(407) 200-4965

Lars HoumannPresident & CEO201 N. Park AvenueApopka, FL 32703

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


(407) 889-1000(407) 200-4965

Lars HoumannPresident & CEO400 Celebration PlaceCelebration, FL 34747(407) 303-4000(407) 200-4965

Lars HoumannPresident & CEO7727 Lake Underhill DriveOrlando, FL 32822(407) 303-8110(407) 200-4965

Warren SantanderInterim CEO4200 Sun N' Lake BlvdSebring, FL 33872(863) 402-3108(863) 402-3110

Lars HoumannPresident & CEO200 Hilda StreetKissimmee, FL 34741(407) 846-4343(407) 200-4965

Bruce BerghermPresident & CEO

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


1395 South Pinellas AvenueTarpon Springs, FL 34689(727) 942-5107(727) 942-5161

Denise GrimsleyAdministrator533 West Carlton StreetWauchula, FL 33873(863) 767-8342(863) 773-0126

Eric PeburnCFO303 N. Clyde Morris BoulevardDaytona Beach, FL 32114(386) 254-4000(386) 253-7593

RD WilliamsCEO524 W Sagamore AveClewiston, FL 33440(863) 983-9121(863) 983-1809

Mike HutchinsAdministrator14114 Alabama StreetJay, FL 32565(850) 675-8015

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


Gina A. MelbyChief Executive Officer5301 South Congress AvenueAtlantis, FL 33462(561) 965-7300(561) 642-3685


Pam HowardCEOP.O. Box 748Lake Butler, FL 32054(386) 496-2323(386) 496-1611

Richard FletcherChief Executive Officer8330 Lakewood Ranch Blvd.Lakewood Ranch, FL 34202(941) 782-2104(941) 782-2119

[email protected]

[email protected]

[email protected]

[email protected]





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August 15, 2014

Administrator


Anthony DeginaChief Executive Officer201 14th Street SouthwestLargo, FL 33770(727) 588-5200(727) 588-5906

Steve DaughertyChief Executive Officer - Interim1700 South 23rd StreetFort Pierce, FL 34950(772) 461-4000(772) 460-1353

Lisa SgarlataChief Administrative Officer2776 Cleveland AvenueFort Myers, FL 33901(239) 343-2000


Rick HankeySenior Vice PresidentP.O. Box 491000Leesburg, FL 34749-1000(352) 315-7815(352) 360-6610

[email protected]

[email protected]

[email protected]

[email protected]





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August 15, 2014

Administrator


Mark RobitaillePresident & CEO301 SE Hospital AvenueStuart, FL 34995

Louis GalderiChief Operating Officer601 Main StreetDunedin, FL 34698(727) 734-6395(727) 734-6887

Kristopher HoceChief Operating Officer300 Pinellas StreetClearwater, FL 33756(727) 462-7100(727) 461-8101

Harrell ZiecheckChief Operating Officer6600 Madison StreetNew Port Richey, FL 34652(727) 843-4599(727) 848-8762

Leigh MassengillChief Executive Officer9330 State Road 54Trinity, FL 34655(727) 834-4000(727) 834-4912

[email protected]

[email protected]

[email protected]

[email protected]





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August 15, 2014

Administrator


Wayne ChutkanSenior VP of Finance4300 Alton RoadMiami Beach, FL 33140(305) 674-2662(305) 674-2007

Dr. Allen WeissCEOPO Box 413001Naples, FL 34101(239) 624-4002(239) 624-4001

Dia NicholsChief Executive Officer6000 49th Street NorthSt. Petersburg, FL 33709(727) 521-4411(727) 521-5007

Patrick SchlenkerCEOPO Box 889Chipley, FL 32428(850) 415-8103(850) 638-5764

W. Mark RaderChief Executive Officer2801 North State Road 7Margate, FL 33063

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


(954) 974-0400(954) 978-4183

Jesse SmithChief Executive Officer11375 Cortez BoulevardBrooksville, FL 34613(352) 596-6632(352) 597-3024

Thomas YoesleChief Operating Officer, Revenue Management3160 Southgate Commerce Blvd., Suite 40Orlando, FL 32806(407) 650-3768(321) 843-6520

Eric GoldmanChief Executive Officer13001 Southern BoulevardLoxahatchee, FL 33470(561) 798-3300(561) 791-8108

Randy GrossChief Executive Officer401 Northwest 42nd AvenuePlantation, FL 33317(954) 587-5010(954) 587-3220

Robert H. LeeChief Executive Officer1796 Highway 441 North

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


Okeechobee, FL 34972(863) 763-2151(863) 824-2991


Henry StovallPresident5151 North 9th AvenuePensacola, FL 32504(850) 416-7681(850) 416-7618

Roger HallPresident7800 U.S. Highway 98 WestMiramar Beach, FL 32550(850) 278-3006(850) 278-3010

Roger HallPresident7800 U.S. Highway 98 WestMiramar Beach, FL 32550(850) 278-3006(850) 278-3010

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


Tim GoldfarbCEO1600 SW Archer RoadGainesville, FL 32606(352) 265-0111

Russ ArmisteadCEO655 West 8th StreetJacksonville, FL 32209(904) 244-3002(904) 244-4027

Sharon RoushChief Executive Officer4016 Sun City Center BoulevardSun City Center, FL 33573(813) 634-3301(813) 634-8712

Karen KerrChief Operating Officer - Interim301 North Alexander StreetPlant City, FL 33566(813) 757-1205(813) 757-8204

Kenneth WickerChief Executive Officer17240 Cortez BoulevardBrooksville, FL 34601(352) 799-5111

[email protected]

[email protected]

[email protected]

[email protected]





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August 15, 2014

Administrator


(352) 754-3215

Lorraine LuttonChief Operating Officer3001 W. Dr. M.L. King Jr. Blvd.Tampa, FL 33607(813) 870-4020(813) 870-4639

Robert Conroy, Jr.Chief Executive Officer6500 38th Avenue NorthSt. Petersburg, FL 33710(727) 384-1414(727) 341-4889

Cathy WamblesPFS ManagerPO Box 45167Jacksonville, FL 32232(904) 308-5919(904) 308-2903

Cathy WamblesPFS ManagerPO Box 45167Jacksonville, FL 32232(904) 308-5919(904) 308-2903

G. Mark O'BryantPresident and Chief Executive Officer1300 Miccosukee Road

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]






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August 15, 2014

Administrator


Tallahassee, FL 32308(850) 431-5380(850) 431-5883

James BurkhartPresident & Chief Executive Officer1 Tampa General CircleTampa, FL 33606(813) 844-4520(813) 844-4144


Joseph D. MelchiodeChief Executive Officer7201 North University DriveTamarac, FL 33321(954) 721-2200(954) 724-6567

Lee B. ChaykinChief Executive Officer

[email protected]

[email protected]

[email protected]

[email protected]





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August 15, 2014

Administrator


8201 West Broward BoulevardPlantation, FL 33324(954) 473-6600(954) 452-2133

Lars HoumannPresident & CEO200 N. Lakemont AvenueWinter Park, FL 32792(407) 646-7000(407) 200-4965


[email protected]

[email protected]



Participating hospitals - fdhc.state.fl.us · XLS file · Web viewJay, FL 32565 10-0248 Beth...

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