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3035 Lakeland Hills Blvd
Lakeland, Fl. 33805-2222




                           Revised March 2011
                                 PPO Directory
University Community Health Network is a not-for-profit community health network
serving Hillsborough, Pasco, and Pinellas Counties. This health care network offers the
latest treatment options and state-of-the-art technology at its four hospital locations:

   •   Helen Ellis Memorial Hospital
   •   University Community Hospital
   •   University Community Hospital – Carrollwood
   •   Pepin Heart Hospital & Dr. Kiran C. Patel Research Institute

For more information about University Community Health Network, visit their web site
at www.uch.org .

This directory lists all participating providers in the University Community Health
Network. This directory is printed by County. Within each county section providers are
sorted alphabetically by specialty.

   •   Please note that Provider contracting is an on-going effort. If your physician or
       other provider is not listed within the pages of this directory and you would like to
       confirm his or her participation for 2010, please contact First Service
       Administrators, Inc. at 1.800.226.3155.

University Community Health Network makes every effort to maintain accurate and up-
to-date information however changes in provider information, new providers and
provider terminations are daily occurrences. Please confirm provider participation prior
to your visit.
                                  Important Notice:
ALL In-Patient confinements including Mental Health admissions must be pre-
certified by calling PPHA at 1.888.522.7742

Out-patientMental Health Providers
For Plan Participants in need of out-patient Mental Health providers, please contact
Evolutions at 800-308-2749 or visit their website at www.ehsppo.com for participating
providers.

Out of Area Services
For Plan Participants traveling outside the core network service area of Hillsborough,
Pasco and Pinellas Counties and eligible students attending school who may be in need of
medical services, please contact Evolutions at 800-308-2749 or visit their website at
www.ehsppo.com for participating providers.
 Commonly Asked Questions for Network Utilization
 How can I verify if my healthcare provider (physician/hospital) is in the University Community Health Network?

 To verify any provider in the network, you can refer to the Provider Directory or you may contact First Service
 Administrators, Inc., 1.800.226.3155.


My provider is not listed in the directory or is not in network. How can I get them in the network?

If your provider is not in network, and you would like them to be considered for participation please remove the form on the last
page of this directory. Have your provider complete the form and return it o the Network Manager at First Services
Administrators, Inc. Mailing and fax information is located on the form.

My provider is listed in the directory, however, my provider says he/she does not participate with UCHN. What
should I do?
If you are visiting your provider and are informed that they are not in the UCHN network, ask to use their telephone and
contact First Service Administrators, Inc. at 1.800.226.3155 extension 2306. The Network Manager will speak with the
provider's staff and answer any questions they may have. It is very important that you contact First Service with any problems
that may occur with regard to your provider.

My provider was listed in a previous directory, but not in the new directory. What does this mean?
Participating physicians, hospitals and other providers are subject to change. It is very important to verify your provider's
participation status prior to your visit.

I confirmed that my provider was in the University Community Health Network, but at my next visit I was advised that
they were no longer in the network. What should I do?

Because participating physicians, hospitals, and other providers are subject to change, you should contact First Service
Administrators, Inc., Customer Service Department to reconfirm that your provider is still participating in the UCHN
network. If your provider is no longer participating, you can select another in-network provider.


Can I continue to see my provider even if he/she is no longer participating in EHS's network?
You may continue to see your non-participating provider. However, this can affect your insurance benefits and co-pays. Please
contact First Service Administrators, Inc. for benefit information regarding out-of-network providers.

Who do I call to verify my benefit coverage and/or co-pay amounts?
To verify benefit information, contact First Service Administrators. It is very important that you present your identification
card to your provider.

My provider states that the insurance administrator has not paid my medical claim, whom do I contact?
Please contact First Service Administrators Customer Service Department at 1-800-226-3155 and a representative will be glad
to assist you.
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                                                   Table of Contents
                                     University Community Health Provider Network

Hospitals and their Services
       University Community Hospital Main Campus ...............................................................1
       University Community Hospital - Carrollwood ...............................................................2
       The Women’s Center at University Community Hospital...............................................3
       Pepin Heart Hospital & Dr. Kiran C. Patel Research Institute ………………………..4
       Helen Ellis Memorial Hospital............................................................................................5
Physician Listings
       Hillsborough County Physician Listing ............................................................................7
       Pinellas County Physician Listing ......................................................................................36
       Hernando, Pasco and Polk County Physicians..................................................................57
Urgent Care – Walk-In Centers…………………………………………………………………..66
Ancillary Services ............................................................................................................................69
     •    Dexa Scan                                                             •    Lithotripsy
     •    Diabetic Infusion                                                     •    MRI/Open
     •    Diagnostic Services                                                   •    Orthotics/Prosthetics
     •    Dialysis                                                              •    Pediatric DME
     •    Durable Medical Equipment/Ostomy Supplies                             •    Pediatric Multi-Spec Clinics
     •    Home Health Services/Infusion                                         •    PET/CT
     •    Laboratory Services                                                   •    Physical Therapy/Speech/Occupational
     •    Lithotripsy                                                           •    Physical Rehab
     •    MRI                                                                   •    Specialty Lab
     •    Orthotics/Prosthetics                                                 •    Pediatric Durable Medical Equip

Index ………………………………………………………………………………………………73
Provider Network Participation Request Form............................................................................ii


IMPORTANT NOTICES:
ANY PROVIDER SPECIALTY OR SERVICE WITHIN THE CORE NETWORK SERVICE AREA THAT IS NOT LISTED
WITHIN THIS DIRECTORY MUST BE AUTHORIZED BY CONTACTING FIRST SERVICE ADMINISTRATORS, INC.
AT 800-226-3155 PRIOR TO OBTAINING SERVICES.


     •    ALL INPATIENT SERVICES, INCLUDING MENTAL HEALTH CONFINEMENTS MUST BE AUTHORIZED BY
          CALLING KePro (formerly known as PPHA) AT 1.888.522.7742.
                                                                     University Community Hospital
                                                       3100 East Fletcher Avenue, Tampa, Florida 33613-4688
                                                                           (813) 971-6000
                                                                    Web Address: www.uch.org
Central Scheduling ............................. 615-7795
                                                                                             •     3012 US Hwy 301
Registration..........................................558-7430                                     Brandon..............................615-7676
                                                                                             •     13787 S Belcher Rd
Outpatient Registration ..................... 615-7430                                              Largo………………...727-533-0660
Patient Information ............................ 615-7222                                    •     2280 US 19 North……727-942-2518

Pre-Admission Services ...................... 615-7407                                  Physical/Occupational Therapy ......615-7253

                                                                                             •     Worker’s Comp MCC

Center For Cancer Care .................... 615-7387                                         •     Pre-Placement Physical Exams

          •     Inpatient/Outpatient Program                                                 •      Drug Screening

          •     Patient Education                                                            •     Immunizations

  Radiology Services........................... 615-7225                                     •     Hazardous Materials Screening

          •     Mammography .................. 615-7946                                      •     OSHA Compliance Exams

          •     Fluoroscopy                                                             Occupational Medicine ....................615-7840

          •     Radiation Therapy ............. 615-7238                                     •     Business Program Development

          •     Cat Scan............................. 615-7225                          One Day Surgery ..............................615-7433

          •     MRI ................................... 615-7273                             •     Endoscopy ..........................615-7827

          •     Nuclear Medicine .............. 615-7267                                Orthopaedic Center..........................615-7714

          •     Ultrasound ......................... 615-7820                                •     General Orthopaedic Surgery

Diabetes Care Institute                                                                      •     Neuro Surgery

      Inpatient/Outpatient Program                                                           •     Hand & Spine Surgery

      13901 Bruce B. Downs                                                              Pediatric Care Center ......................615-7235

      •       Patient Education .................. 615-7262                             Pepin Heart Hospital .......................615-7822

      •       Physician Appointments ....... 615-7620                                   & Research Center

Dialysis................................................. 615-7297                           •     Cardiac Cath Lab................615-7810

24 hr Emergency Care ....................... 615-7272                                        •     Cardiac Rehabilitation........615-7306

Health Source...................................... 615-7300                                 •     Cardiology..........................615-7264

          •     Toll Free…...…………800-326-4325                                                •     Electrophysiology Lab .......615-7544

          •     Physician Referral                                                           •     Cardiac Surgery..................615-7835

          •     Health Education & Information                                               •     Noninvasive Cardiac Care..615-7250

          •     Wellness Screenings                                                          •     Patient Education

          •     Support Groups

          •     Community Outreach Program                                             Rehabilitation Services......................615-7565

Home Health Care...............................615-7700                                Speech Pathology...............................615-7223

Neurodiagnostics (EEG)..................... 615-7279                                   Respiratory/Pulmonary Services .....615-7233

Occupational Health Service                                                            The Sleep Center

          •     3100 E Fletcher Ave .......... 615-7840                                      •     Sleep Studies Lab ...............615-7410

          •     7001 N Dale Mabry Hwy .. 558-8095                                      Wound Care Brandon.........................615-7100

                                                                                   1
                                              University Community Hospital–Carrollwood
                                                     7171 North Dale Mabry Avenue, Tampa, Florida 33614
                                                                       (813) 932-2222
                                                                 Web Address: www.uch.org


Central Scheduling ............................. 615-8000                                •    13787 S Belcher Rd
                                                                                         •     Largo…………….…..727-533-0660
Registration......................................... 558-8087

Outpatient Registration ..................... 558-8077                                   •    2280 US 19 North……727-942-2518

Patient Information ............................ 615-7222                          Physical/Occupational Therapy ......558-8063

Pre-Admission Services ...................... 615-7407                                   •    Worker’s Comp MCC

                                                                                         •    Pre-Placement Physical Exams

Center For Wound Care .................... 558-4900                                      •    Drug Screening
& Hyperbaric Medicine                                                                    •    Immunizations

                                                                                         •    Hazardous Materials Screening
24 hr Emergency Care ....................... 558-8090                                    •    OSHA Compliance Exams

                                                                                         •    Occupational Medicine
Health Source...................................... 615-7300                             •    Business Program Development
  Toll Free ............................................ 800-326-4325

        •      Physician Referral                                                Outpatient Services
        •      Health Education & Information                                            •    Diagnostic Laboratory........558-8044
        •      Wellness Screenings                                                       •    Diagnostic Radiology .........558-8025
        •      Support Groups                                                            •    Surgery ...............................558-8070
        •      Community Outreach Program                                                •    Endoscopy ..........................558-8083


Home Health Care.............................. 558-4910                          Radiology Services ..............................558-8025

                                                                                         •    Cat Scan
Lithotripsy........................................... 615-7795                          •    Magnetic Resonance Imaging/MRI
Occupational Health Service                                                              •    Nuclear Medicine
        •      3100 E Fletcher Ave .......... 615-7840                                   •    Ultrasound
        •      7001 N Dale Mabry Hwy .. 558-8095                                         •    Fluoroscopy
        •      3012 US Hwy……….. 301615-7676
               Brandon                                                                   •    Mammography




                                                                             2
                                  The Women’s Center at University Community Hospital
                                                    3100 East Fletcher Avenue, Tampa, Florida 33613-4688
                                                                        (813) 615-7922
                                                                 Web Address: www.uch.org


                                                                                 Imaging Department ...........................615-7946
24hr Information Desk ....................... 615-7922
                                                                                        •     Mammography

                                                                                        •     Ultrasound
Registration......................................... 615-7940
                                                                                        •     Prenatal Tests
Health Source...................................... 615-7300
                                                                                        •     Amniocentesis
        •      Toll Free ............................ 800-326-4325                      •     Sonogram
        •      Physician Referral

        •      Health Education & Information                                    Obstetric Service
        •      Wellness Screenings                                                      •     Labor & Delivery ...............615-7901
        •      Support Groups                                                           •     Mother/Baby Unit .............615-7930
        •      Community Outreach Program                                               •     Nursery & Neonatal ...........615-7935
        •      Seniorcare Program                                                             Intensive Care (Level III NICU)
                                                                                 Patient Information.............................615-7922

Gynecological Services ....................... 615-7920
                                                                                 Pediatric Care Center .........................615-7235
        •      Medical/Surgical Unit


Lactation Center................................. 615-7958

        •      Breastfeeding Information

        •      Patient Education




                                                                             3
                                                              University Community Hospital
                                    Pepin Heart Hospital & Dr. Kiran C. Patel Research Institute
                                                 3100 East Fletcher Avenue, Tampa, Florida 33613-4688
                                                                     (813) 971-6000
                                                              Web Address: www.uch.org


Concierge Pepin PH............................ ext 50014, 50015

Registration......................................... ext 50021, 50022, 50023

Reception Recovery PH...................... ext 50326

Patient Information ............................ 615-7222



        •     Cardiac Cath Lab ............... 615-7810

        •     Cardiac Rehabilitation ....... 615-7306

        •     Cardiology ......................... 615-7264

        •     Electrophysiology Lab....... 615-7544

        •     Cardiac Surgery ................. 615-7835

        •     Noninvasive Cardiac Care . 615-7250

        •     Patient Education




                                                                                4
                                                            Helen Ellis Memorial Hospital
                                                                1395 So. Pinellas Avenue
                                                                Tarpon Springs, Fl 34689
                                                                     727-942-5000
                                                                Web Address: www.uch.org


24 Hour Emergency Care............. 942-5008                                   Imaging Services ........................... 942-5012
Admission Office ........................... 942-5034                               •       MRI/ CAT Scan
Patient Information ...................... 942-5000                                 •       Mammography
                                                                                    •       Nuclear Medicine
Center for Wound Care and Hyperbaric                                                •       Radiology
Medicine........................................ 943-3640                           •       Ultrasound
1501 S. Pinellas Ave, Tarpon Springs                                           Dexa Scan ...................................... 942.5180
     •    Topical Therapy                                                               •    2114 Seven Springs Blvd,
     •    Compression Therapy                                                                New Port Richey
     •    Infection Control                                                    Occupational Health..................... 942-2518
     •    Patient and Caregiver Education                                                   2508 US 19 N, Holiday, Fl
     •    Edema Management                                                     Pain Treatment Center ................ 942-5050
     •    Debridement
     •    Nutritional/Antibiotic Management                                    Pepin Heart & Vascular Institute ......800-735-7772

     •    Hyberbaric Oxygen Therapy
     •    Special Needs for Pressure relief                                    Private Home Health Services ..... 756-7602
     •    (beds, seat cushions, footwear, etc)
                                                                               Rehabilitation Center ................... 942-5033
Continence Center ........................ 756-7627                                 •       Physical/Occupational Therapy
Diabetes Center ............................ 943-3459                               •       Speech and Hearing
   1501 So. Pinellas Ave
     •    Comprehensive Diabetes Management                                    Rehab & Infusion Center............. 937-4200
                                                                               2508 US 19 N, Holiday , Fl
Day Surgery................................... 942-5178
OR                                                                             The Sleep Center .......................... 756-7660
Outpatient Registration…………942-5163                                            The Women’s Center.................... 942-5152
Home Health Services................... 944-4300




                                                                           5
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                6
    University Community Health Network Provider Listing For Hillsborough County
             Allergy/Immunology                        Ledford, Dennis K MD                                    Cardiac Electrophysiology
                                                       University Community Hospital

                                                       13801 Bruce B Downs Blvd #50     (813) 971-9743
 Dominguez Jr, Jose C MD                                                                                 Dilip, Mathew         MD
 University Community Hospital                         Tampa, FL 33613-                                  University Community Hospital

 3645 Madaca Ln                       (813) 960-1116                                                     4446 E Fletcher Ave Ste D        (813) 386-3333
 Tampa, FL 33618-                                      Lockey, Richard F MD                              Tampa, FL 33613-
                                                       University Community Hospital

 4600 N Habana Ave #8                 (813) 874-1305   13801 Bruce B Downs Blvd #50     (813) 971-9743
                                                                                                                             Cardiology
 Tampa, FL 33614-                                      Tampa, FL 33613-

                                                                                                         Applebaum, Hal J MD
 503 Eichenfeld Dr #103               (813) 655-9736   Pae, Susan S MD                                   University Community Hospital
                                                       *****See Footnote
 Brandon, FL 33511-                                                                                      14320 Bruce B Downs Blvd         (813) 971-4544
                                                       3658 Lithia Pinecrest Rd         (813) 681-6537
                                                                                                         Tampa, FL 33613
                                                       Valrico, FL 33594-
 Downes, Sandra            MD
 *****See Footnote
                                                       4307 N Habana Ave #3             (813) 681-6537
                                                                                                         Bowerman, Richard E MD
 3645 Madaca Ln                       (813) 960-1116                                                     University Community Hospital
 Tampa, FL 33618-                                      Tampa, FL 33607-
                                                                                                         14320 Bruce B Downs Blvd         (813) 971-4544
                                                                                                         Tampa, FL 33613
 4600 N Habana Ave #8                 (813) 874-1305   Parrino, Jack         MD
                                                       *****See Footnote
 Tampa, FL 33614-
                                                       5128 N Habana Ave                (813) 877-0550
                                                                                                         Bramlet, Dean A MD
                                                                                                         *****See Footnote
 503 Eichenfeld Dr #103               (813) 655-9736   Tampa, FL 33614-
                                                                                                         4730 N Habana Ave #201           (813) 890-8004
 Brandon, FL 33511-                                                                                      Tampa, FL 33614
                                                       Rohatgi, Nalini         MD
                                                       University Community Hospital
 Fox, Roger W MD                                                                                         Canedo, Mario I MD
 University Community Hospital                         2798 W Virginia Ave              (813) 875-7088
                                                                                                         University Community Hospital
 3000 Medical Park Drive              (813) 978-8315   Tampa, FL 33607-
                                                                                                         13701 Bruce B Downs Blvd #101    (813) 971-2600
 Tampa, FL 33613-                                                                                        Tampa, FL 33613
                                                       17514 Preserve Walk Ln           (813) 632-7111
                                                       Tampa, FL 33647-
 Glaum, Mark C MD                                                                                        Cohen, Adam J MD
 University Community Hospital
                                                                                                         University Community Hospital
 13801 Bruce B Downs Blvd #50         (813) 971-9743   Ward, Carla          MD                           2727 W Dr MLK Jr Blvd #800       (813) 875-1177
                                                       University Community Hospital
 Tampa, FL 33613-                                                                                        Tampa, FL 33607
                                                       3645 Madaca Ln                   (813) 960-1116
                                                       Tampa, FL 33618-
 Hernandez, Lizette              MD                                                                      Elchahal, Sami          MD
 *****See Footnote
                                                                                                         University Community Hospital
 3709 W Hamilton Ave #1               (813) 933-4826                        Audiology                    3000 E Fletcher Ave #220         (813) 972-5090
 Tampa, FL 33514-                                                                                        Tampa, FL 33613-
                                                       Boger, Janice A CCC-A
 Jerez-Martin, Diana             MD                    *****See Footnote
                                                                                                         Garcia, Juan A MD
 University Community Hospital                         12901 Bruce B Downs Blvd         (813) 974-4683   University Community Hospital
 1918 W Dr MLK Jr Blvd                (813) 873-1177   Tampa, FL 33612-                                  13701 Bruce B Downs Blvd #101    (813) 971-2600
 Tampa, FL 33607                                                                                         Tampa, FL 33613
                                                       Sullivan, Janet E CCC-A
 King, Monroe J DO                                     *****See Footnote
                                                                                                         Gupta, Sunil         MD
 *****See Footnote                                     12901 Bruce B Downs Blvd         (813) 259-8705   University Community Hospital
 500 Vonderburg Dr #103E              (813) 689-1288   Tampa, FL 33612-                                  3228 Cove Bend Rd                (813) 788-1400
 Brandon, FL 33511                                                                                       Tampa, FL 33613-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  7
    University Community Health Network Provider Listing For Hillsborough County
 Hopkins, Jordan E MD                             Pascual, Eduardo E MD                                 Bufkin, Bradley L MD
 University Community Hospital                    University Community Hospital                         *****See Footnote*****

 3000 Medical Park Dr #500       (813) 971-2424   7001 N Dale Mabry Hwy Ste B          (813) 931-7708   3005 W Dr MLK Jr Blvd #102           (813) 544-8343
 Tampa, FL 33613-                                 Tampa, FL 33614                                       Tampa, FL 33607-


 Jimenez, Raul          MD                        Postler, Gilbert         MD                           Jimenez, Ernesto              MD
 University Community Hospital                    *****See Footnote                                     University Community Hospital

 300 E Fletcher Ave              (813) 972-5248   38135 Market Square                  (813) 788-5575   3000 E Fletcher Ave #320             (813) 910-0027
 Tampa, FL 33613-                                 Zephryhills, FL 33542-                                Tampa, FL 33613


 Klein, Kevin L DO                                27343 State Rd 54                    (813) 929-3516   Morrison, Richard               MD
 University Community Hospital                    Wesley Chapel, FL 33543-                              University Community Hospital

 3450 E Fletcher Ave #110        (813) 971-2424                                                         3000 E Fletcher Ave #320             (813) 910-0027
 Tampa, FL 33613                                  Ramirez, John D MD                                    Tampa, FL 33613
                                                  Terminates on 3/8/10

 Leche, Carlos B MD                               509 S Armenia Ave #200               (813) 875-1177            Chiropractic Neurology
 University Community Hospital                    Tampa, FL 33607
 3000 E Fletcher Ave             (813) 972-5060
                                                                                                        Wilson, Steven A DC
 Tampa, FL 33613-                                 Randall, Rodney R MD
                                                  University Community Hospital
                                                                                                        303 Bryan Rd #2                      (813) 681-4418
 Maniscalco, Benedict S MD                        2727 W Dr MLK Jr Blvd #418           (813) 875-9900   Brandon, FL 33511-
 University Community Hospital                    Tampa, FL 33607
 4370 N Habana Ave # 201         (813) 873-0000
                                                                                                                          Chiropractor
 Tampa, FL 33614-                                 Sawar, Asad            MD
                                                  University Community Hospital

                                                  3010 E 138th Ave #12                 (813) 975-2800
                                                                                                        Aprile, Joseph            DC
 Marinelli, Carlos C MD
 University Community Hospital                    Tampa, FL 33613-
                                                                                                        1868 - A Highland Oaks Blvd          (813) 909-1644
 2727 W Dr MLK Jr Blvd #800      (813) 875-1177
                                                                                                        Lutz, FL 33559-
 Tampa, FL 33607                                  2106 Ashley Oaks Cir #101            (813) 975-2800
                                                  Wesley Chapel, FL 33544-
                                                                                                        Barry, Scott             DC
 Martin, Raquel          MD
 University Community Hospital                    Smith, James O MD                                     4624 N Armenia Ave                   (813) 874-2646
 3000 E Fletcher Ave #220        (813) 972-5090   University Community Hospital
                                                                                                        Tampa, FL 33603-
 Tampa, FL 33613-                                 3450 E Fletcher Ave                  (813) 971-2424
                                                  Tampa, FL 33613
                                                                                                        Ciccarello, Joseph              DC
 Michel, Alejandro I MD
 University Community Hospital
                                                           Cardiovascular Surgery                       1011 S Hwy 301                       (813) 621-3180
 13701 Bruce B Downs Blvd #101   (813) 971-2600
                                                                                                        Tampa, FL 33619
 Tampa, FL 33613
                                                  Belisle, Julian          MD
                                                  University Community Hospital
                                                                                                        Esenberg, Scott               DC
 Mulingtapang, Reynaldo          MD               3000 E Fletcher Ave #320             (813) 910-0027
 University Community Hospital
                                                  Tampa, FL 33613                                       24426 State Rd 54                    (813) 948-4440
 14320 Bruce B Downs Blvd        (813) 971-4544
                                                                                                        Lutz, FL 33559-
 Tampa, FL 33613-
                                                  Bloom, Marc            MD
                                                  University Community Hospital
                                                                                                        Fisher-Esenberg, Deborah                DC
 O'Hara, Mitchell B DO                            3000 E Fletcher Ave #320             (813) 910-0027
 University Community Hospital
                                                  Tampa, FL 33613                                       24426 State Rd 54                    (813) 948-4440
 13701 Bruce B Downs Blvd #101   (813) 971-2600
                                                                                                        Lutz, FL 33559-
 Tampa, FL 33613
                                                  Bronleewe, Scott                MD
                                                  University Community Hospital

                                                  3000 E Fletcher Ave #320             (813) 910-0027
                                                  Tampa, FL 33613



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                              8
    University Community Health Network Provider Listing For Hillsborough County
 Jones, Gary D DC                                      Marcet, Jorge E MD                                    Rinker, Margaret              MD
                                                       *****See Footnote                                     University Community Hospital

 14003 N Dale Mabry Hwy Ste C         (813) 963-3055   12901 Bruce B Downs Blvd             (813) 259-0929   15310 Amberly Dr #150                (813) 978-8888
 Tampa, FL 33618-                                      Tampa, FL 33612-                                      Tampa, FL 33647-


 Lasswell, David          DC                                               Dermatology                       Rose, Paul T MD
                                                                                                             *****See Footnote*****

 101 MacDill Ave                      (813) 877-1999                                                         5210 Webb Rd                         (813) 882-9986
                                                       Belongie, Iriana P MD
 Tampa, FL 33609                                                                                             Tampa, FL 33615-

                                                       5210 Webb Rd                         (813) 882-9986
 Magnano, David C DC                                   Tampa, FL 33615-                                      Sotomayer, Maria                MD
                                                                                                             University Community Hospital

 3974 Tampa Rd Ste B                  (813) 854-6200                                                         15310 Amberly Dr #150                (813) 978-8888
                                                       Bowman, Paul H MD
 Oldsmar, FL 34677-                                    University Community Hospital                         Tampa, FL 33647-

                                                       3216 Cove Bend Dr                    (813) 977-2040
 Redwood, Aliya M DC                                   Tampa, FL 33613                                       Tawil, Robert            MD
                                                                                                             University Community Hospital

 27210 Foamflower Blvd                (813) 973-2261                                                         3741 Neptune St                      (813) 254-4262
                                                       Calderone, Diana                MD
 Wesley Chapel, FL 33647-                              *****See Footnote                                     Tampa, FL 33629-

                                                       1939 Highland Oaks Blvd              (813) 948-1498
 Reina, David           DC                             Lutz, FL 33559-                                       Trunnell, Thomas N MD
                                                                                                             University Community Hospital

 13020 Telecom Pkwy N                 (813) 978-9700                                                         13801 Bruce B Downs Blvd #306        (813) 977-1024
                                                       Donelan, Peter A MD
 Temple Terrace, FL 33637-                             University Community Hospital                         Tampa, FL 33613

                                                       3000 E Fletcher Ave #200             (813) 972-1229
 St Hilaire, Nicholas J DC                             Tampa, FL 33613                                       Vasiloudes, Panos               MD
                                                                                                             Helen Ellis Memorial Hospital

 1442 W Busch Blvd                    (813) 935-1118                                                         5210 Webb Rd                         (813) 882-9986
                                                       Forman, Seth            MD
 Tampa, FL 33612-                                      University Community Hospital                         Tampa, FL 33615

                                                       3622 Madaca Lane                     (813) 960-2400
 Wages, David           DC                             Tampa, FL 33618-                                                       Endocrinology

 710 Oakfield Dr #266                 (813) 655-1310
                                                       Hanno, Ruth           MD                              Baig, Mohammed                  MD
 Brandon, FL 33511-                                    University Community Hospital                         University Community Hospital
    advancedcarechiro@msn.com                          15310 Amberly Dr #150                (813) 978-8888   3226 Cove Bend Dr                    (813) 977-0778
 Williams, Gregory               DC                    Tampa, FL 33647-                                      Tampa, FL 33613-


 4602 N Nebraska Ave                  (813) 237-3791
                                                       Lam, David A MD                                       Bianchi, Antonella              MD
 Tampa, Fl 33603-                                      Helen Ellis Memorial Hospital                         University Community Hospital

                                                       5210 Webb Rd                         (813) 882-9986   13901 Bruce B Downs Blvd             (813) 615-7620
          Colon & Rectal Surgery                       Tampa, FL 33615                                       Tampa, FL 33613-


 Cromwell, John W MD                                   Malane, Susan L DO                                    Chandra, Sumesh                 MD
 *****See Footnote                                     Helen Ellis Memorial Hospital                         University Community Hospital

 12901 Bruce B Downs Blvd             (813) 974-4115   5210 Webb Rd                         (813) 882-9986   3000 E Fletcher Ave #350             (813) 977-5557
 Tampa, FL 33612-                                      Tampa, FL 33615                                       Tampa, FL 33613
                                                                                                                Not Accepting Diabetic PT's at this time

 Hashmi, Hasan            MD                           Norman, Robert             DO                         Gilling, Lucia E MD
 University Community Hospital                                                                               University Community Hospital

 3450 E Fletcher Ave                  (813) 558-9035   8002 Gunn Hwy                        (813) 880-7546   3000 E Fletcher Ave #350             (813) 977-5557
 Tampa, FL 33614-                                      Tampa, FL 33626-                                      Tampa, FL 33613
                                                                                                                Not Accepting Diabetic PT's at this time



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  9
    University Community Health Network Provider Listing For Hillsborough County
 Koshy, Saji          MD                               Boghdadi, Mona S MD                                   Davis, Michael             MD
 University Community Hospital                         University Community Hospital                         University Community Hospital

 13901 Bruce B Downs Blvd             (813) 615-7620   8907 Regents Park Dr #370            (813) 907-7680   414 W Robertson St                  (813) 684-5255
 Tampa, FL 33613-                                      Tampa, FL 33647                                       Brandon, FL 33511


 Kumbkarni, Yuvraj               MD                    Braun, Edward W MD                                    Davis, George             DO
 University Community Hospital                         University Community Hospital                         University Community Hospital

 3010 E 138th Ave #10                 (813) 977-2020   7171 N Dale Mabry Hwy #501           (813) 935-3221   13311 N 56th St                     (813) 899-2015
 Tampa, FL 33613-                                      Tampa, FL 33614                                       Tampa, FL 33617-


 Lilienfeld, Howard S MD                               Bugarin-Viera, Magdalena                 MD           Elder, Kevin          MD
 University Community Hospital                         *****See Footnote                                     *****See Footnote

 13901 Bruce B Downs Blvd             (813) 615-7620   4726 N Habana #202                   (813) 870-6422   1202 S Church Ave #100              (813) 792-9541
 Tampa, FL 33613                                       Tampa, FL 33614-                                      Tampa, FL 33626-


 O'Malley, Brendan C MD                                Camejo, Lionel          MD                            Ford, Martha              DO
 University Community Hospital                         University Community Hospital                         University Community Hospital

 3450 E Fletcher Ave #320             (813) 615-7620   7001 N Dale Mabry Hwy                (813) 915-9000   15320 Amberly Dr Ste A              (813) 977-2091
 Tampa, FL 33613                                       Tampa, FL 33614-                                      Tampa, FL 33647
                                                          Primary Care & Walk-In Clinic; Ages 2 and up

 Shah, Shuchi             MD                           Cekan, Pilar         MD                               Frank, Pier D MD
 *****See Footnote*****                                *****See Footnote                                     University Community Hospital

 15045 Bruce B Downs Blvd             (813) 972-1067   3954 Premier North Dr                (813) 969-4444   15511 N Florida Ave Ste A-2         (813) 890-8004
 Tampa, FL 33647-                                      Tampa, FL 33618-                                      Tampa, FL 33613-


 Troya, Pedro             MD                           Checkver, Mitchell D DO                               Frazier, Daniel            MD
 *****See Footnote                                     University Community Hospital                         University Community Hospital

 38051 Market Square                  (813) 780-1673   7211 N Dale Mabry Hwy #100           (813) 933-2841   15320 Amberly Dr Ste A              (813) 977-2090
 Zephryhills, FL 33542-                                Tampa, FL 33614                                       Tampa, FL 33647


                 Family Practice                       Chiaramonte, Joseph                 MD                Gold, Tanya           MD
                                                       University Community Hospital                         *****See Footnote

                                                       9270 Bay Plaza Blvd #620             (813) 627-3222   1202 S Church Ave #100              (813) 792-9541
 Ahmed, Farid             MD
 University Community Hospital                         Tampa, FL 33619-                                      Tampa, FL 33626-

 3954 Premier North Dr                (813) 969-4440
 Tampa, FL 33618-                                      Chipman, Howard                MD                     Goodchild III, Carl W MD
                                                       *****See Footnote                                     *****See Footnotes*****

                                                       3705 Tampa Rd #22                    (813) 891-6343   10909 W Linebaugh Ave #100          (813) 792-9541
 Barker, James H DO
 University Community Hospital                         Oldsmar, FL 34677-                                    Tampa, FL 33626-

 13124 N Florida Ave                  (813) 932-5389
 Tampa, FL 33612                                       Corrao, Phillip         MD                            Gunn, Annilea             MD
                                                       University Community Hospital                         University Community Hospital

                                                       11924 Sheldon Rd                     (813) 926-2177   4450 E Fletcher Ave Ste C           (813) 975-1727
 Beach, Colin S MD
 University Community Hospital                         Tampa, FL 33625-                                      Tampa, FL 33613-

 15285 Amberly Dr                     (813) 979-6978
 Tampa, FL 33647                                       Cromer, Michael A MD                                  Hebblewhite, Jon               DO
                                                       University Community Hospital                         University Community Hospital

                                                       4278 W Linebaugh Ave Ste B           (813) 960-3321   13124 N Florida Ave                 (813) 932-5389
 Belof-Jasko, Beth             MD
 University Community Hospital                         Tampa, FL 33624                                       Tampa, FL 33612-

 11966 Boyette Rd                     (813) 672-0408
 Riverview, FL 33569-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                 10
    University Community Health Network Provider Listing For Hillsborough County
 Ina, Richard          MD                                Meyer, Stephen P MD                                   Patel, Mangesh B MD
 University Community Hospital                           University Community Hospital                         University Community Hospital

 3000 E Fletcher Ave #300               (813) 975-1727   4278 W Linebaugh Ave                 (813) 960-3321   7871 Palm River Rd                    (813) 740-0646
 Tampa, FL 33613                                         Tampa, FL 33624-                                      Tampa, FL 33619


 Jaime-Williams, Nancy M MD                              Monroy-Alba, Scarlett Y MD                            Perez-Velasco, Octavio                MD
 University Community Hospital                           University Community Hospital                         University Community Hospital

 4211 VanDyke Rd                        (813) 960-4026   17653 N Dale Mabry Hwy               (813) 908-0483   1312 W Fletcher Ave Ste A             (813) 964-0595
 Lutz, FL 33558-                                         Lutz, FL 33548-                                       Tampa, FL 33612-


 Kay, Richard            MD                              Morris, Darren          MD                            Pfeffer, Sean C MD
 University Community Hospital                           University Community Hospital                         Helen Ellis Memorial Hospital

 2718 windguard Cr #101                 (813) 944-0611   21748 State Rd 54 #102               (813) 909-7273   10714 Countryway Blvd                 (813) 854-1919
 Wesley Chapel, FL 33544-                                Lutz, FL 33549-                                       Tampa, FL 33626


 Korte, Brian J MD                                       5251 Village Market                  (813) 991-6000   Pila, Kalman          MD
 *****See Footnote                                       Wesley Chapel, FL 33544-                              University Community Hospital

 507 W Alexander                        (813) 707-1302                                                         3000 E Fletcher Ave #300              (813) 979-6134
 Plant City, FL 33563-                                   Neufeld, Laurence T MD                                Tampa, FL 33613
                                                         University Community Hospital

 Laganella, Vincent              DO                      7550 N Dale Mabry Hwy                (813) 885-4706   Pudol, Christopher               DO
 *****See Footnote                                       Tampa, FL 33614                                       University Community Hospital

 901 Apollo Beach Blvd                  (813) 645-2517                                                         14924 Casey Rd                        (813) 956-8698
 Apollo Beach, FL 33572-                                 Norman, T. Gail MD                                    Tampa, FL 33624-
                                                         University Community Hospital

 Lane, Walter            MD                              3000 E Fletcher Ave #300             (813) 971-1079   Ray, Sandhini           MD
 University Community Hospital                           Tampa, FL 33613                                       *****See Footnote

 13301 N Dale Mabry Hwy Ste F           (813) 962-0355                                                         21748 State Rd 54 #102                (813) 909-7273
 Tampa, FL 33618                                         Norton, Christine H DO                                Lutz, FL 33549-
                                                         *****See Footnote

 Lynch, Louis            DO                              1903 E State Rd 60                   (813) 655-8096   Rodriguez, Albert               MD
 University Community Hospital                           Valrico, FL 33594-                                    University Community Hospiatl

 13124 N Florida Ave                    (813) 932-5389                                                         3353 W Bearss Ave                     (813) 908-5827
 Tampa, FL 33612-                                        Paltoo, Catherine           MD                        Tampa, FL 33618
                                                         University Community Hospital

 Lynn, Lon D DO                                          2312 Crestover Lane #102             (813) 991-7323   Rose, Joel B DO
 University Community Hospital                           Wesley Chapel, FL 33544-                              University Community Hospital

 3910 Northdale Blvd #206               (813) 264-7922      familytreemedicalcare@yahoo.com                    6101 Webb Rd #207                     (813) 882-3331
 Tampa, FL 33624                                         Panchigar, Nimesh N MD                                Tampa, FL 33615
                                                         University Community Hospital

 Malibiran, Frederick              DO                    4543 S Manhattan Ave #103            (813) 831-8888   Rosequist, Robert               MD
 University Community Hospital                           Tampa, FL 33611-                                      University Community Hospital

 11531 N 56th St                        (813) 988-1984                                                         1942 Highland Oaks Blvd Ste A         (813) 947-3838
 Tampa, FL 33617-                                        Pansara, Limba J MD                                   Lutz, FL 33559-
                                                         University Community Hospital

 Mardo, Veronica              MD                         3304 E Giddens Ave                   (813) 238-9111   5251 Village Market                   (813) 991-6000
 *****See Footnote                                       Tampa, FL 33610                                       Wesley Chapel, FL 33544-
 27343 State Rd 54                      (813) 991-9355
 Wesley Chapel, FL 33543-                                Parasher, Kanchan               MD                    Santiago, Ramon                 MD
                                                         University Community Hospital                         University Community Hospital

                                                         11017 N Dale Mabry Hwy Ste B         (813) 968-1727   11531 N 56th St                       (813) 988-1984
                                                         Tampa, FL 33618                                       Tampa, FL 33617



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  11
    University Community Health Network Provider Listing For Hillsborough County
 Santoscoy, Rene                                        Taylor, Frederick E DO                                Cahmi, Tawfik N MD
 *****See Footnote                                      *****See Footnote                                     University Community Hospital

 236 e Bearrs Ave                      (813) 264-4325   901 Apollo Beach Blvd                (813) 645-2517   14547 Bruce B Downs Blvd             (813) 632-9665
 Tampa, FL 33613-                                       Apollo Beach, FL 33572-                               Tampa, FL 33613


 Saxena, Shilpa P MD                                    Ubani, Agnes            MD                            38135 Market Sq                      (813) 632-9665
 University Community Hospirtal                         University Community Hospital                         Zephyrhills, FL 33542-
 19105 US Hwy 41 N #100                (813) 269-2700   10320 56th Street #120               (813) 969-0166
 Lutz, FL 33549                                         Temple Terrace, FL 33617-                             Caradonna, Joseph S MD
                                                                                                              University Community Hospital

 Schweinshaupt, Steven                 MD               Walsh Sr, Douglas               MD                    14547 Bruce B Downs Blvd Ste A       (813) 977-8985
 *****See Footnote                                      *****See Footnote                                     Tampa, FL 33613
 6502 Gunn Hwy                         (813) 969-2030   3040 State Rd 674                    (813) 645-5167
 Tampa, FL 33624                                        Ruskin, FL 33570-                                     Chami, Tawfik            MD
                                                                                                              *****See Footnote

 Scolaro, Sam E DO                                      Watson, Peggy             MD                          14547 Bruce B Downs Blvd             (813) 632-9665
 University Community Hospital                          University Community Hospital                         Tampa, FL 33613-
 143 N Oakwood Ave                     (813) 685-4617   20615 Amberfield Dr #102             (813) 949-2950
 Brandon, FL 33510-                                     Land O' Lakes, FL 34638-                              Chang, John          MD
                                                                                                              University Community Hospital

 Scudder, Lisa A DO                                     Weissman, Mark              MD                        11912 Sheldon Rd                     (813) 920-8882
 University Community Hospital                          University Community Hospital                         Tampa, FL 33626-
 8910 N Dale Mabry Hwy #3              (813) 931-3999   15320 Amberly Dr Ste A               (813) 977-2090
 Tampa, FL 33614                                        Tampa, FL 33647                                       Crespo, Israel           MD
                                                                                                              University Community Hospital

 Snyder, Michelle Lee             do                    Werden, William             DO                        7001 N Dale Mabry Hwy #10            (813) 930-8816
 University Community Hospital                          *****See Footnote                                     Tampa, FL 33614
 4278 W Linebaugh Ave Ste B            (813) 960-3321   1903 E State Rd 60                   (813) 655-8096
 Tampa, FL 33624-                                       Valrico, FL 33594-                                    Eisner, Mark S MD
                                                                                                              University Community Hospital

 Sosa, John P MD                                        Wu, Amanda M MD                                       14547 Bruce B Downs Blvd             (813) 632-9665
 University Community Hospital                          Helen Ellis Memorial Hospital                         Tampa, FL 33613
 12780 Race Track Rd #400              (813) 321-6262   3980 Tampa Rd #206                   (813) 814-9088
 Tampa, FL 33626-                                       Oldsmar, FL 34677                                     Eubanks, W. Hunter              MD
                                                                                                              University Community Hospital

 Sultan, Larnel P DO                                         Family Practice/Urgent Care                      14547 Bruce B Downs Blvd Ste A       (813) 977-8985
 University Community Hospital                                                                                Tampa, FL 33613
 20615 Amberfield Dr #102              (813) 949-2950
                                                        Forman, Mitchell T MD
 Land O' Lakes, FL 34638-                               University Community Hospital                         Feldman, Dennis            MD
                                                                                                              *****See Footnote
                                                        18101 Highwoods Preserve Pkwy        (813) 972-1030
 Talero, Guillermo           MD                         Tampa, FL 33647                                       14547 Bruce B Downs Blvd Ste A       (813) 971-2324
 *****See Footnote                                                                                            Tampa, FL 33613-
 7208 Sterling Ave                     (813) 933-6030
                                                                      Gastroenterology
 Tampa, FL 33641-                                                                                             Frank, Barry         MD
                                                                                                              University Community Hospital
                                                        Alvaranga, Denise               MD                    14547 Bruce B Downs Blvd Ste A       (813) 972-2324
 Tawil, Albert        MD                                University Community Hospital
 *****See Footnote                                                                                            Tampa, FL 33613-
                                                        3450 E Fletcher Ave #310             (813) 972-1654
 508 S Habana Ave #360                 (813) 876-5548
                                                        Tampa, FL 33613-
 Tampa, FL 33607-                                                                                             Gilbert, Robert P MD
                                                                                                              University Community Hospital

                                                                                                              14547 Bruce B Downs Blvd Ste A       (813) 977-8985
                                                                                                              Tampa, FL 33613



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   12
    University Community Health Network Provider Listing For Hillsborough County
 Jaggers, Terri L MD                                        General & Bariatric Surgery                      Dietrick, John A MD
 University Community Hospital                                                                               University Community Hospital

 14547 Bruce B Downs Blvd Ste B       (813) 632-9665                                                         13801 Bruce B Downs Blvd #104     (813) 971-2470
                                                       Fernandez, Alfredo              MD
 Tampa, FL 33613                                       University Community Hospital                         Tampa, FL 33606-

                                                       6101 Webb Rd #101                    (813) 496-9663      Bariatric Program

 Lopez, Luis         MD                                Tampa, FL 33615-                                      Ferris, Vijay         MD
 University Community Hospital                                                                               University Community Hospital

 7001 N Dale Mabry Hwy #10            (813) 930-8816                                                         3450 E Fletcher Ave               (813) 558-9035
                                                                     General Practice
 Tampa, FL 33614-                                                                                            Tampa, FL 33614-


 11033 Countryway Blvd                (813) 854-9933
                                                       Tanus, Deborah S DO
                                                       University Community Hospital
                                                                                                             Johnson, Denis             MD
 Tampa, FL 33626-                                                                                            University Community Hospital
                                                       14924 Casey Rd                       (813) 963-1982
                                                                                                             5111 N Armenia Ave                (813) 877-6800
                                                       Tampa, FL 33624-
 Maldanado, Martin               MD                                                                          Tampa, FL 33603-
 University Community Hospital

 14547 Bruce B Downs Blvd Ste B       (813) 632-9665                 General Surgery
                                                                                                             McAllister, Earl W MD
 Tampa, FL 33613                                                                                             University Community Hospital
                                                       Andersen, Philip H MD                                 13801 Bruce B Downs Blvd #506     (813) 977-2200
                                                       University Community Hospital
 Mehta, Ashwin           MD                                                                                  Tampa, FL 33613
 University Community Hospital                         13801 Bruce B Downs Blvd #506        (813) 977-2200

 3709 W Hamilton Ave #5               (813) 934-4430   Tampa, FL 33613
                                                                                                             Temple, Donald F MD
 Tampa, FL 33614                                                                                             University Community Hospital
                                                       Atalla, Sameh          MD                             508 W Dr MLK Jr Blvd #A           (813)229-1924
                                                       University Community Hospital
 Mompi, Emmanuel                 MD                                                                          Tampa, FL 33603
 University Community Hospital                         14547 Bruce B Downs Blvd Ste B       (813) 977-8275

 341 E Bullard Pkwy Ste A&B           (813) 983-0700   Tampa, FL 33613-
                                                                                                             Waltzer, Arthur          MD
 Tampa, FL 33617-                                                                                            University Community Hospital
                                                       Cannella, Xavier          MD                          10549 N Florida Ave Ste I         (813) 933-9000
                                                       University Community Hospital
 Nakshabendi, Imad               MD                                                                          Tampa, FL 33613-
 University Community Hospital                         10549 N Florida Ave                  (813) 933-9666

 5383 Primrose Lake Cr Ste B-1        (813) 972-3750   Tampa, FL 33612-
                                                                                                                     General Surgery (Breast)
 Tampa, FL 33647-
                                                       Citrin, Paul       MD
                                                       University Community Hospital
                                                                                                             Bridge, Donna M MD
 Prasad, Ishwani           MD                                                                                University Community Hospital
 University Community Hospital                         14547 Bruce B Downs Blvd Ste B       (813) 977-8275
                                                                                                             608 Medical Care Dr               (813) 684-2506
 14447 Bruce B Downs Blvd             (813) 632-8819   Tampa, FL 33613-
                                                                                                             Brandon, FL 33511-
 Tampa, FL 33613
                                                       Coughlin, John P MD
                                                       University Community Hospital                                General/Vascular Surgery
 Rosario, Angel M MD
 University Community Hospital                         12220 Bruce B Downs Blvd             (813) 631-5034

 7001 N Dale Mabry Hwy #10            (813) 930-8816   Tampa, FL 33612                                       Butterick, John K MD
                                                                                                             *****See Footnote
 Tampa, FL 33614
                                                       2617 W Kennedy Blvd                  (813) 631-5034   303 Bryan Rd #4                   (813) 681-7512

                                                       Tampa, FL 33609-                                      Brandon, FL 33511-
 11033 Countryway Blvd                (813) 854-9933
                                                                                                                Specializing in Vein Surgery
 Tampa, FL 33626-
                                                                                                             2111 W Swann Ave #101             (813) 681-7512
                                                       Cox, John M MD
                                                       University Community Hospital                         Tampa, FL 33606-
 Ward, Eugene           MD                                                                                      Specializing in Vein Surgery
 University Community Hospital                         3000 Medical Park Dr #140            (813) 978-8315

 3450 E Fletcher Ave #310             (813) 972-1654   Tampa, FL 33613-                                      Castillenti, Thomas A DO
                                                                                                             *****See Footnote
 Tampa, FL 33613-
                                                                                                             38135 Market Sq                   (813) 788-8160
                                                                                                             Zephryhills, FL 33542-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                13
    University Community Health Network Provider Listing For Hillsborough County
 Hall Jr, Wynton L MD                                  Josey, Mary Lee             MD                        Fink, Matthew            MD
 *****See Footnote                                     *****See Footnote                                     *****See Footnote

 303 Bryan Rd #4                      (813) 681-7512   508 W Habana                         (813) 873-1426   4612 N Habana Ave                    (813) 875-2341
 Brandon, FL 33511-                                    Tampa, FL 33609-                                      Tampa, FL 33614-
    Specializing in Vein Surgery
 2111 W Swann Ave #101                (813) 681-7512   Kline, Sarah         MD                               Kawauchi, Ronald                MD
 Tampa, FL 33606-                                      University Community Hospital                         *****See Footnote

    Specializing in Vein Surgery                       13601 Bruce B Downs Blvd #211        (813) 632-7070   14547 Bruce B Downs Blvd Ste B       (813) 979-6178

 Patel, Ravindra R MD                                  Tampa, FL 33613                                       Tampa, FL 33613-
 University Community Hospital

 7171 N Dale Mabry Hwy # 401          (813) 933-3324   Padilla, Pamela          MD                           Kerr, Jody Z MD
 Tampa, FL 33614                                       *****See Footnote                                     *****See Footnote*****

                                                       2502 W St Isabel St Ste B            (813) 873-7106   12220 Bruce B Downs Blvd             (813) 631-5000

 Patel, Sharad         MD                              Tampa, FL 33607-                                      Tampa, FL 33612-
 University Community Hospital

 7171 N Dale Mabry Hwy #402           (813) 933-3324   Trehy, Deborah            MD                          Loung, Don D MD
 Tampa, FL 33614-                                      *****See Footnote                                     University Community Hospital

                                                       2502 W St Isabel St Ste B            (813) 873-7106   4612 N Habana Ave 2nd Floor          (813) 875-2341

 Patel, Ajay P MD                                      Tampa, FL 33607-                                      Tampa, FL 33614-
 University Community Hospital

 7171 N Dale Mabry Hwy #402           (813) 933-3324             Gynecology Oncology                         Melchert, Magda
 Tampa, FL 33614-                                                                                            University Community Hospital

                                                                                                             4612 N Habana Ave 2nd Floor          (813) 875-2341
                                                       Messina, Anthony                MD
  Gyn/Reproductive Endocrinology                       *****See Footnote                                     Tampa, FL 33614-

                                                       2502 W St Isabel St Ste A            (813) 879-0233

 Cowart, Catherine               MD                    Tampa, FL 33607-                                      Mendez, Pedro E MD
                                                                                                             University Community Hospital
 *****See Footnote

 2919 Swann Ave #307                  (813) 872-0018                                                         4700 N Habana Ave #702               (813) 872-0613
                                                                 Hand & Wrist Surgery
 Tampa, FL 33609-                                                                                            Tampa, FL 33614-

                                                       Aird, Cecil C MD
                     Gynecology                        University Community Hospital
                                                                                                             Obzut, Dana A MD
                                                                                                             *****See Footnote
                                                       13905 Bruce B Downs Blvd Ste B       (813) 978-9494
                                                                                                             3001 W Dr MLK Jr Blvd                (813) 870-4824
 Gelpi, Margarita          MD                          Tampa, FL 33613
                                                                                                             Tampa, FL 33607-
 University Community Hospital

 13701 Bruce B Downs Blvd #104        (813) 977-4426   Raturi, Umesh I MD
 Tampa, FL 33613-                                      University Community Hospital
                                                                                                             Park, Peter          MD
                                                                                                             University Community Hospital
                                                       13701 Bruce B Downs Blvd #110        (813) 977-4767
                                                                                                             4910 N Armenia Ave                   (813) 876-0035
 Gitomer, Steven           MD                          Tampa, FL 33613
                                                                                                             Tampa, FL 33603-
 *****See Footnote

 6516 Gunn Hwy                        (813) 969-2340             Hematology/Oncology
 Tampa, FL 33625-
                                                                                                             Schiff, Ron D MD
                                                                                                             University Community Hospital
                                                       Al-Hassani, Yasir           MD                        3238 Cove Bend Dr                    (813) 632-7547
 Henandez, Lazarro               MD                    University Community Hospital
                                                                                                             Tampa, FL 33613
 *****See Footnote
                                                       3450 E Fletcher Ave #280             (813) 971-5012
 2309 W Dr MLK Jr Blvd #1             (813) 879-2778   Tampa, FL 33613
 Tampa, FL 33607-
                                                                                                             Shah, Ramesh K MD
                                                                                                             University Community Hospital
                                                       Beg, Rasha          MD                                4910 N Armenia Ave                   (813) 876-0035
 Hernandez, Lazaro A MD                                University Community Hospital
                                                                                                             Tampa, FL 33603
 *****See Footnote
                                                       4612 N Habana Ave 2nd Floor          (813) 875-2341
 2309 W Dr MLK Jr Blvd #1             (813) 879-2778   Tampa, FL 33614-
 Tampa, FL 33607-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                14
    University Community Health Network Provider Listing For Hillsborough County
 Shah, Shalin          DO                                        Internal Medicine                     Bhat, Ashok          MD
 University Community Hospital                                                                         University Community Hospital

 4910 N Armenia Ave               (813) 876-0035                                                       613 W Dr MLK Jr Blvd            (813) 237-1958
                                                   Agresta, Gia             MD
 Tampa, FL 33603-                                  *****See Footnote                                   Tampa, FL 33603-

                                                   1202 S Church Ave #100             (813) 792-9541
 Weaver, R Waide MD                                Tampa, FL 33626-                                    4941 E Busch Blvd               (813) 985-2333
 *****See Footnote                                                                                     Tampa, FL 33617-
 4612 N Habana Ave                (813) 875-2341
                                                   Alarcon, Rene A MD
 Tampa, FL 33614-                                  University Community Hospital                       Bhatia, Anil M MD
                                                                                                       University Community Hospital
                                                   1901 Haverford Ave #101            (813) 634-9284
 Wright, David D MD                                Sun City Center, FL 33573-                          14447 Bruce B Downs Blvd        (813) 975-1501
 *****See Footnote                                                                                     Tampa, FL 33613
 4612 N Habana Ave                (813) 875-2341
                                                   Ali, Syed           MD
 Tampa, FL 33614-                                  *****See Footnote                                   Blasini, Rafael A MD
                                                                                                       University Community Hospital
                                                   1930 Land O'Lakes Blvd #6          (813) 948-1146
 Zayas, Egberto J MD                               Lutz, FL 33549-                                     4700 N Habana Ave #201          (813) 879-5485
 University Community Hospital                                                                         Tampa, FL 33614
 13601 Bruce B Downs Blvd #310    (813) 615-0777
                                                   Alvarez, Jose            MD
 Tampa, FL 33613                                   University Community Hospital                       Blazejowski, Christopher         MD
                                                                                                       *****See Foot Note
                                                   7001 N Dale Mabry Hwy              (813) 932-2848
              Infectious Disease                   Tampa, FL 33614-                                    3043 W Cleveland St             (813) 876-9961
                                                                                                       Tampa, FL 33609

 Gedia, Lakhabhai            MD                    Amoah, Edward                 MD
 University Community Hospital                     University Community Hospital                       Bocado, Claudio V MD
                                                                                                       University Community Hospital
 10616 Main St                    (813) 986-1346   27455 Cashford Cr                  (813) 948-5180
 Thonotosassa, FL 33592-                           Wesley Chapel, FL 33544-                            13701 Bruce B Downs Blvd #113   (813) 971-2351
                                                                                                       Tampa, FL 33613

 Han, John K MD                                    Araiya, Ashok            MD
 University Community Hospital                     University Community Hospital                       Bueno, Jocelyn             MD
                                                                                                       University Community Hospital
 4020 State Rd 674 #2             (813) 633-6616   10616 Main St                      (813) 986-1346
 Sun City Center, FL 33573                         Thonotosassa, FL 33592-                             819 Cypress Village Blvd        (813) 386-8168
                                                                                                       Ruskin, FL 33572-

 Klauber, Enid          MD                         Bapna, Chandra P MD
 University Community Hospital                     University Community Hospital                       Burchett, Robert B MD
                                                                                                       University Community Hospital
 605 Medical Care Dr              (813) 681-6474   6408 N Armenia Ave Ste B           (813) 931-2366
 Brandon, FL 33511-                                Tampa, FL 33604                                     8004 N Armenia Ave              (813) 933-9131
                                                                                                       Tampa, FL 33604-

 Martinez, Juan M MD                               Barbour, Ronald L MD
 University Community Hospital                     University Community Hospital                       Capri, Patrick         MD
                                                                                                       University Community Hospital
 4600 N Habana Ave #18            (813) 875-6520   341 E Bullard Pkwy Ste A&B         (813) 983-0700
 Tampa, FL 33614                                   Tampa, FL 33617                                     14003 N Dale Mabry Hwy Ste A    (813) 961-9174
                                                                                                       Tampa, FL 33618

 Prieto, Jose         MD                           Behnke, Donald                MD
 University Community Hospital                     *****See Footnote                                   Cariaga, Maria-Luisa C MD
                                                                                                       University Community Hospital
 605 Medical Care Dr              (813) 681-6474   1901 Haverford Ave #101            (813) 634-9284
 Brandon, FL 33511-                                Sun City Center, FL 33573                           11211 N Nebraska Ave Ste A-5    (813) 514-2333
                                                                                                       Tampa, FL 33612-

 Vasquez, Jose           MD                        Bhadja, Kantilal N MD
 University Community Hospital                     University Community Hospital                       Casanas, Robert J MD
                                                                                                       University Community Hospital
 605 Medical Care Dr              (813) 681-6474   4223 El Prado Blvd                 (813) 839-5253
 Brandon, FL 33511-                                Tampa, FL 33629                                     11011 Countryway Blvd           (813) 855-6530
                                                                                                       Tampa, FL 33626-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             15
    University Community Health Network Provider Listing For Hillsborough County
 Chambers, Nelly            MD                         Farmer, Sheila          MD                        Kirkman, Lee            MD
 *****See Footnote                                     University Community Hospital                     *****See Footnote

 4211 VanDyke Rd                      (813) 960-4026   5101 N armenia Ave Ste B         (813) 414-0279   2550 W Dr MLK Jr Blvd Ste B          (813) 872-7737
 Lutz, FL 33558-                                       Tampa, FL 33603-                                  Tampa, FL 33607-


 Clayton III, M Dexter           MD                    Figliola, Donald         MD                       Kumbkarni, Anjum                MD
 *****See Footnote                                     University Community Hospital                     University Community Hospital

 236 E Bearrs Ave                     (813) 264-4326   13301 N Dale Mabry Hwy Ste F     (813) 962-0355   14701 N Florida Ave                  (813) 265-2066
 Tampa, FL 33613-                                      Tampa, FL 33618                                   Tampa, FL 33613-


 Conteh, Abib          MD                              Gajera, Jayant C MD                               Lebowitz, Charles               MD
 *****See Footnote                                     University Community Hospital                     University Community Hospital

 3954 Premier North Dr                (813) 969-4400   14801 Bruce B Downs Blvd         (813) 971-4400   3242 Cove Bend Dr                    (813) 978-1100
 Tampa, FL 33618-                                      Tampa, FL 33613                                   Tampa, FL 33613-


 Cruse, Laura M MD                                     Gelia, Charles         MD                         Lynch, Barrington               MD
 University Community Hospital                         University Community Hospital                     UCH

 4700 N Habana Ave #201               (813) 879-5485   13301 N Dale Mabry Hwy Ste F     (813) 962-0355   1601 Timbrelane Dr #300              (813) 754-4611
 Tampa, FL 33614                                       Tampa, FL 33618                                   Plant City, FL 33567-


 Cuevas, Anibal           MD                           Helms, Stuart          MD                         Mehta, Shital           MD
 University Community Hospital                         *****See Footnote                                 University Community Hospital

 16121 Brecon Palm Pl                 (813) 558-0775   10909 W Linebaugh Ave #100       (813) 792-9541   14701 N Florida Ave                  (813) 265-2006
 Tampa, FL 33647                                       Tampa, FL 33626-                                  Tampa, FL 33613-


 Curley, Gerald          DO                            Herrero, Belen          MD                        6328 Gunn Hwy                        (813) 964-8526
 University Community Hospital                         University Community Hospital                     Tampa, FL 33625-
 3665 Madaca Ln                       (813) 960-7533   17417 Bridge Hill Ct             (813) 972-7900
 Tampa, FL 33618                                       Tampa, FL 33647-                                  Mole', Jose         MD
                                                                                                         University Community Hospital

 Dhaliwal, Parminder             MD                    Hussain, Shafaq           MD                      7001 N Dale Mabry #6                 (813) 930-0930
 University Community Hospital                         *****See Footnote                                 Tampa, FL 33614-
 908 S Parsons Ave Ste A              (813) 681-3400   236 E Bearrs Ave                 (813) 264-4326
 Brandon, FL 33511                                     Tampa, FL 33613-                                  Molloy, Richard           MD
                                                                                                         University Community Hospital

 Dieguez, Gerardo            MD                        Jacobson, Peter           MD                      13801 Bruce B Downs Blvd #202        (813) 971-0195
 *****See Footnote                                     *****See Footnote                                 Tampa, FL 33613-
 3954 Premier North Dr                (813) 969-4400   500 Vonderburg Dr #303E          (813) 681-5702
 Tampa, FL 33618-                                      Brandon, FL 33511                                 Mosquera, Gonzalo               MD
                                                                                                         *****See Footnote

 Dunn, Michael           MD                            Kahan, Bruce           MD                         500 Vonderburg Dr #303E              (813) 681-5702
 *****See Footnote                                     University Community Hospital                     Brandon, FL 33511
 4205 S MacDill Ave Ste A             (813) 902-8600   3665 Madaca Ln                   (813) 960-7533
 Tampa, FL 33611-                                      Tampa, FL 33618                                   Nomula, Suvarna              MD
                                                                                                         University Community Hospital

 Durojaiye, Babatola             MD                    Kankotia, Jerambhai             MD                20431 Bruce B Downs Blvd             (813) 994-9995
 University Community Hospital                         University Community Hospital                     Tampa, FL 33647-
 17503 Preserve Walk                  (813) 514-0686   607 W Dr MLK Jr Blvd Ste C       (813) 949-0709
 Tampa, FL 33647-                                      Tampa, FL 33603-                                  O'Neal, Henry J MD
                                                                                                         University Community Hospital

                                                       24014 SR 54                      (813) 948-1234   13701 Bruce B Downs Blvd #113        (813) 971-2351
                                                       Lutz, FL 33559-                                   Tampa, FL 33613



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                16
    University Community Health Network Provider Listing For Hillsborough County
 Overman, Mark            MD                        Rosenthal, Todd K MD                                   Sonkin, Alexander               MD
 *****See Footnote                                  University Community Hospital                          University Community Hospital

 1901 Haverford Ave #101           (813) 634-9284   8004 N Armenia Ave                    (813) 933-9131   13301 N Dale Mabry Hwy Ste F         (813) 968-9298
 Sun City Center, FL 33573                          Tampa, FL 33604                                        Tampa, FL 33618


 Patel, Rohit        MD                             Santayana, Ricardo               MD                    Soto, Yamira           MD
 University Community Hospital                      University Community Hospital                          *****See Footnote

 3709 W Hamilton Ave Ste 7& 8      (813) 931-2500   3201 W Waters Ave Ste B               (813) 932-7303   17417 Bridge Hill Ct                 (813) 972-7900
 Tampa, FL 33614-                                   Tampa, FL 33614                                        Tampa, FL 33647-


 Patel, Chandravadan              MD                Santiago, Yvonne                MD                     Stephens, Ronald            MD
 University Community Hospital                      University Community Hospital                          *****See Footnote

 116 W Bougainvillea Ave           (813) 932-4381   16590 N Dale Mabry Hwy                (813) 960-7959   4211 VanDyke Rd                      (813) 960-4026
 Tampa, FL 33612-                                   Tampa, FL 33618-                                       Lutz, FL 33558-


 Patel, Krunal          MD                          Saprounova-Hopf, Vera                 MD               Torres, Christine           MD
 University Community Hospital                      University Community Hospital                          *****See Footnote

 18928 N Dale Mabry Hwy #101       (813) 600-5040   1426 E Bloomingdale Ave               (813) 653-9867   3043 W Cleveland St                  (813) 876-9961
 Lutz, FL 33548-                                    Valrico, FL 33594                                      Tampa, FL 33609


 Patel, Rajnikant          MD                       Shah, Vipul R MD                                       Venkataram, Kathariguppa S MD
 University Community Hospital                      University Community Hospital                          University Community Hospital

 10616 Main St                     (813) 986-1346   10311 Cross Creek Blvd Ste B          (813) 994-2282   208 Crystal Grove Blvd               (813) 949-4991
 Thonotosassa, FL 33592-                            Tampa, FL 33647                                        Lutz, FL 33548-


 Quimbayo, Jose A MD                                Shah, Vrajesh           MD                             Veve, Vanessa            MD
 University Community Hospital                      Helen Ellis Memorial Hospital                          University Community Hospital

 3201 W Waters Ave Ste A           (813) 915-0055   15915 N Florida Ave                   (813) 960-4894   13801 Bruce B Downs Blvd #104        (813) 972-5420
 Tampa, FL 33614                                    Lutz, FL 33549                                         Tampa, FL 33613-


 Reza, Samina           MD                          Shah, Dipak           MD                               Walsh Jr, Douglas               MD
 *****See Footnote                                  University Community Hospital                          *****See Footnote

 1930 Land O'Lakes Blvd #6         (813) 948-1146   14701 N Florida Ave                   (813) 265-2006   3040 State Rd 674                    (813) 645-5167
 Lutz, FL 33549-                                    Tampa, FL 33613-                                       Ruskin, FL 33570-


 Rivera, Mayra          MD                          6328 Gunn Hwy                         (813) 964-8526   Watkins, Stanley            MD
 University Community Hospital                      Tampa, FL 33625-                                       University Community Hospital

 17417 Bridge Hill Ct              (813) 972-7900                                                          1942 Highland Oaks Blvd Ste A        (813) 947-3838
 Tampa, FL 33647-                                   Shingala, Ashvin B MD                                  Lutz, FL 33549-
                                                    University Community Hospital

 Rodriguez, Cres             MD                     10616 Main St                         (813) 986-1346   5251 Village Market                  (813) 991-6000
 University Community Hospital                      Thonotosassa, FL 33592-                                Wesley Chapel, FL 33544-
 7001 N Dale Mabry                 (813) 945-5555
 Tampa, FL 33614-                                   Silva, Carlos          MD                              Watson, Patrick G MD
                                                    University Community Hospital                          University Community Hospital

 Roque, Diana           MD                          4446 E Fletcher Ave Ste D             (813) 972-2974   8751 N 30th Street                   (813) 980-2422
 University Community Hospital                      Tampa, FL 33613-                                       Tampa, FL 33604-
 414 W Robertson St                (813) 684-5255
 Brandon, FL 33511                                  Soloranzo, Martin               MD                     White, Deborah           MD
                                                    *****See Footnote                                      *****See Footnote

                                                    3954 Premier North Dr                 (813) 969-4400   10909 W Linebaugh Ave #100           (813) 792-9541
                                                    Tampa, FL 33618-                                       Tampa, FL 33626-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                               17
    University Community Health Network Provider Listing For Hillsborough County
 Wilbur, Jimmie J MD                                        Mental Health Providers                       Ruiz-Ramon, Pablo F MD
 University Community Hospital                                                                            University Community Hospital

 208 E Fowler Ave Ste E            (813) 984-9700                                                         3500 E Fletcher Ave #301             (813) 910-8708
                                                    Evolutions HealthCare System,
 Tampa, FL 33617                                    www.ehsppo.com                                        Tampa, FL 33613

                                                    For Mental Health or Substance       (800) 308-2749
 Zloto, Alan E DO                                   Abuse Providers,                                                          Neurology
 University Community Hospital

 61001 Webb Rd #104                (813) 290-0422
                                                         Mohs Micrographic Surgery                        Bencze, Katherine               MD
 Tampa, FL 33165-                                                                                         University Community Hospital

                                                                                                          13601 Bruce B Downs Blvd #261        (813) 972-3654
                                                    Bowman, Paul H MD
 Zuber, Amy          DO                             University Community Hospital                         Tampa, FL 33613-
 *****See Footnote
                                                    3216 Cove Bend Dr                    (813) 977-2040
 10909 W Linebaugh Ave #100        (813) 792-9541
                                                    Tampa, FL 33613                                       Berges, Eddy E MD
 Tampa, FL 33626-                                                                                         University Community Hospital

                                                                                                          2706 W St Isabel St                  (813) 870-3665
                                                                        Nephrology
          Maternal Fetal Medicine                                                                         Tampa, FL 33607

                                                    Carvallo, Alejandro             MD
 Angel, Jeffrey L MD                                *****See Footnote
                                                                                                          Borra, Sujath            MD
 *****See footnote                                                                                        University Community Hospital
                                                    14547 Bruce B Downs Blvd Ste B       (813) 632-8810
 13601 Bruce B Downs Blvd #250     (813) 971-6909                                                         13391 N 56th St                      (813) 404-8596
                                                    Tampa, FL 33613-
 Tampa, FL 33613-                                                                                         Tampa, FL 33617-

                                                    Joseph, David          MD
 Fontenot, M Todd            MD                     University Community Hospital
                                                                                                          Brock, Charles W MD
 *****See Footnote                                                                                        *****See Footnote
                                                    3500 E Fletcher Ave #301             (813) 910-8708
 13601 Bruce B Downs Blvd #250     (813) 971-6909                                                         12901 Bruce B Downs Blvd             (813) 974-4115
                                                    Tampa, FL 33613-
 Tampa, FL 33613-                                                                                         Tampa, FL 33612-

                                                    Kahn, Sohail          MD
 Kalter, Craig S MD                                 *****See Footnote
                                                                                                          Bunch, Shirley T MD
 *****See Footnote                                                                                        *****See Footnote*****
                                                    14547 Bruce B Downs Blvd Ste B       (813) 632-8810
 13601 Bruce B Downs Blvd #250     (813) 971-6909                                                         2508 W Virginia Ave                  (813) 878-2191
                                                    Tampa, FL 33613-
 Tampa, FL 33613-                                                                                         Tampa, FL 33607-

                                                    Patel, Vijay        MD
 Morales, Walter J MD                               University Community Hospital
                                                                                                          Carlucci, Cheryl M MD
 *****See Footnote                                                                                        *****See Footnote
                                                    14547 Bruce B Downs Blvd Ste B       (813) 632-8810
 13601 Bruce B Downs Blvd #250     (813) 971-6909                                                         12901 Bruce B Downs Blvd             (813) 974-4115
                                                    Tampa, FL 33613-
 Tampa, FL 33613-                                                                                         Tampa, FL 33612-

                                                    Pedregal, Arthur           MD
 Ramos-Santos, Edgar              MD                University Community Hospital
                                                                                                          Cases, Hector            MD
 *****See Footnote                                                                                        University Community Hospital
                                                    4710 N Habana Ave #502               (813) 879-7940
 13601 Bruce B Downs Blvd #250     (813) 971-6909                                                         3010 E 138th Avenue                  (813) 971-2100
                                                    Tampa, FL 33614
 Tampa, FL 33613-                                                                                         Tampa, FL 33613-

                                                    Ramierz, German             MD
               Medical Oncology                     University Community Hospital
                                                                                                          Dunne, Peter B MD
                                                                                                          *****See Footnote
                                                    4705 N Armenia Ave Ste A             (813) 353-8775
                                                                                                          12901 Bruce B Downs Blvd             (813) 974-2918
 Cogburn, Julia           MD                        Tampa, FL 33603
 University Community Hospital                                                                            Tampa, FL 33612-

 12902 Magnolioa Dr                (813) 875-2341
                                                    Rothschild, Jason               MD
 Tampa, FL 33612-                                   University Community Hospital
                                                                                                          Grant, Edmund G MD
                                                                                                          University Community Hospital
                                                    3500 E Fletcher Ave #301             (813) 910-8708
                                                                                                          13801 Bruce B Downs Blvd #401        (813) 971-8811
                                                    Tampa, FL 33613-
                                                                                                          Tampa, FL 33613




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             18
    University Community Health Network Provider Listing For Hillsborough County
 Kamat, Shrinath            MD                      Love, Lucy C MD                                  1503 Reynolds St                (813) 752-4103
 University Community Hospital                      University Community Hospital                    Plant City, FL 33563-
 2908 W Waters Ave #102            (813) 931-9294   3000 E Fletcher Ave #230        (813) 971-2888
 Tampa, FL 33614-                                   Tampa, FL 33613-                                 125 N Moon Ave Ste A            (813) 643-6690
                                                                                                     Brandon, FL 33510-

 Kavilaveettil, Reena J MD                          Rydell, Ralph E MD
 University Community Hospital                      University Community Hospital                    13149 Elk Mountain Dr           (813) 675-8326
 14201 Bruce B Downs #3            (813) 972-5414   5106 N Armenia Ave #1           (813) 879-8080   Riverview, FL 33579-
 Tampa, FL 33613-                                   Tampa, FL 33603

                                                                                                     Armstrong, Rufus S MD
 Khan, Allauddin            MD                                                                       University Community Hospital
                                                                         OB/GYN
 University Community Hospital                                                                       4150 N Armenia Ave #200         (813) 876-0914
 3228 Cove Bend Dr                 (813) 985-1000                                                    Tampa, FL 33607
                                                    Brauner, Robert E MD
 Tampa, FL 33613-                                   University Community Hospital

                                                    13601 Bruce B Downs Blvd #121   (813) 979-9100   3268 Cove Bend Dr               (813) 876-0914

 Krolczyk, Stanley J DO                             Tampa, FL 33613                                  Tampa, FL 33612
 *****See Footnote

 12901 Bruce B Downs Blvd          (813) 974-4115                                                    Arnold, Heidi H MD
                                                    Polender, Allison I MD
 Tampa, FL 33612-                                                                                    University Community Hospital
                                                    University Community Hospital

                                                    15260 Amberly Dr                (813) 769-2778   425 S Parsons Ave #101          (727) 681-6625

 Reddy, Anoop            MD                         Tampa, FL 33647-                                 Brandon, FL 33511
 University Community Hospital

 4446 E Fletcher Ave Ste E         (813) 558-8878                                                    1503 Reynolds St                (813) 752-4103
                                                    Segall, Kristen H MD
 Tampa, FL 33613-                                   University Community Hospital                    Plant City, FL 33563-

                                                    13601 Bruce B Downs #321        (813) 972-9300
 Rodgers-Neame, Nancy              MD               Tampa, FL 33613-                                 125 N Moon Ave Ste A            (813) 643-6690
 University Community Hospital                                                                       Brandon, FL 33510-
 3500 E Fletcher Ave #302          (813) 903-9200   3321 W Bearss Ave               (813) 269-2528
 Tampa, FL 33613-                                   Tampa, FL 33618-                                 13149 Elk Mountain Dr           (813) 675-8326
    Epilepsy & Seizure Disorders                                                                     Riverview, FL 33579-

 Winters, Paul R MD                                 26823 Tanic Dr                  (813) 929-7377
 University Community Hospital                                                                       Asghar, Pamela            MD
                                                    Wesley Chapel, FL 33622-
 13801 Bruce B Downs Blvd #401     (813) 971-8811                                                    University Community Hospital

 Tampa, FL 33613                                                                                     731 S Parsons Ave               (727) 681-9171
                                                             Obstetrics/Gynecology
                                                                                                     Brandon, FL 33511

                     Neurosurgery
                                                    Amoroso, Michelle K MD                           103 Southern Oaks               (813) 754-7561
                                                    University Community Hospital
                                                                                                     Plant City, FL 33566-
 DeWeese, William             MD                    4202 N Habana Ave               (727) 878-2211
 University Community Hospital
                                                    Tampa, FL 33607
 13801 Bruce B Downs Blvd          (813) 971-8101                                                    Baker, Marisa           MD
                                                                                                     University Community Hospital
 Tampa, FL 33613                                    108 S Pebble Beach Rd           (813) 633-3002
                                                                                                     4321 N MacDill Ave #205         (813) 961-7440
                                                    Sun City Center, FL 33573-
 5106 N Armenia Ave #1             (813) 971-8101                                                    Tampa, FL 33607-

 Tampa, FL 33603-                                   619 Eichenfeld Dr               (813) 685-0232
                                                    Brandon, FL 33511-
                                                                                                     Baron, James E MD
                                                                                                     University Community Hospital
 Inga, Jorge          MD
 University Community Hospital                                                                       425 S Parsons Ave #101          (727) 681-6625
                                                    Armas, Ignacio           MD                      Brandon, FL 33511
 6701 Hanley Rd                    (813) 888-5000   University Community Hospital
 Tampa, FL 33634                                    425 S Parsons Ave #101          (727) 681-6625
                                                                                                     1503 Reynolds St                (813) 752-4103
                                                    Brandon, FL 33511
                                                                                                     Plant City, FL 33563-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             19
    University Community Health Network Provider Listing For Hillsborough County
 125 N Moon Ave Ste A            (813) 643-6690   Butler, Madelyn E MD                              727 W Fletcher Ave                   (813) 908-2229
 Brandon, FL 33510-                               University Community Hospital                     Tampa, FL 33612-
                                                  2716 W Virginia Ave              (813) 875-8032
 13149 Elk Mountain Dr           (813) 675-8326   Tampa, FL 33607                                   Fernandez, Maruja               MD
 Riverview, FL 33579-                                                                               University Community Hospital

                                                  15260 Amberly Dr                 (813) 769-2778   731 S Parsons Ave                    (727) 681-9171

 Barrerio, Judith           MD                    Tampa, FL 33647-                                  Brandon, FL 33511
 University Community Hospital

 15260 Amberly Dr                (813) 769-2778   Chamorro, Zayda             MD                    13123 Kings Lake Dr #102             (866) 418-3489
 Tampa, FL 33647-                                 University Community Hospital                     Gibsonton, FL 33534-
                                                  116 Parson Park Dr               (813) 681-6625
 2716 W Virginia Ave             (813) 875-8032   Brandon, FL 33511-                                103 Southern Oaks                    (813) 754-7561
 Tampa, FL 33607-                                                                                   Plant City, FL 33566-
                                                  13149 Elk Mountain Dr            (813) 675-8326

 Bevilacqua, Lorraine B MD                        Riverview, FL 33579-                              Gooden, Natasha K MD
 University Community Hospital                                                                      University Community Hospital

 4321 N MacDill Ave #205         (813) 961-7440   Cohen, Deborah             MD                     4150 N Armenia Ave #200              (813) 876-0914
 Tampa, FL 33607-                                 University Community Hospital                     Tampa, FL 33607-
                                                  2716 W Virginia Ave              (813) 872-8032
 10909 W Linebaugh Ave #104      (813) 961-7440   Tampa, FL 33607-                                  3268 Cove Bend Dr                    (813) 971-4555
 Tampa, FL 33626-                                                                                   Tampa, FL 33613-

                                                  Den Haese, Greg             MD
 Bevilacqua, Sylvia A MD                          University Community Hospital                     3743 Maryweather Ln                  (813) 973-0398
 University Community Hospital                    731 S Parsons Ave                (727) 681-9171   Wesley Chapel, FL 33543-
 2727 W Dr MLK Jr Blvd #640      (813) 875-8032   Brandon, FL 33511-
 Tampa, FL 33607                                                                                    Greenberg, Steven L MD
                                                  13123 Kings Lake Dr #102         (866) 418-3489   University Community Hospital

 Botelho, Jill         MD                         Gibsonton, FL 33534-                              3743 Maryweather Ln                  (813) 973-0398
 University Community Hospital                                                                      Wesley Chapel, FL 33543-
 10909 W Linebaugh Ave #104      (813) 920-1808   103 Southern Oaks                (813) 754-7561
 Tampa, FL 33626-                                 Plant City, FL 33566-                             Gutierrez, Armando N MD
                                                                                                    University Community Hospital

 4321 N MacDill Ave #205         (813) 961-7440   5470 Lithia Pinecrest Rd         (813) 699-1006   13701 Bruce B Downs Blvd #104        (813) 977-4426
 Tampa, FL 33607-                                 Lithia, FL 33547-                                 Tampa, FL 33613-


 Bray, Caryn L MD                                 Dillon, Richard S MD                              Hardy-Hunter, Eleanine               MD
 University Community Hospital                    University Community Hospital                     University Community Hospital

 13601 Bruce B Downs Blvd #160   (813) 972-4488   13601 Bruce B Downs Blvd #321    (813) 972-9300   4321 N MacDill Ave #305              (813) 877-1502
 Tampa, FL 33563                                  Tampa, FL 33613                                   Tampa, FL 33607-


 4730 N Habana Ave #205          (813) 874-0430   26823 Tanic Dr                   (813) 929-7377   Hershberger, Jonathon M MD
 Tampa, FL 33614-                                 Wesley Chapel, FL 33544-                          University Community Hospital

                                                                                                    2818 W Virginia Ave                  (813) 872-8551

 Brown, Kathleen D MD                             3321 W Bearss Ave                (813) 269-2528   Tampa, FL 33607
 University Community Hospital                    Tampa, FL 33618-
 2818 W Virginia Ave             (813) 872-8551                                                     Hyatt, Henry          MD
 Tampa, FL 33607                                  Fallieras, Nicholas G MD                          University Community Hospital

                                                  University Community Hospital                     13801 Bruce B Downs Blvd #201        (727) 977-4876
 727 W Fletcher Ave              (813) 908-2229   2818 W Virginia Ave              (813) 872-8551   Tampa, FL 33563
 Tampa, FL 33612-                                 Tampa, FL 33607




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             20
    University Community Health Network Provider Listing For Hillsborough County
 Irani, Jennifer         MD                            Llewellyn, Patricia             MD                    Mechanik, Valerie           MD
 University Community Hospital                         University Community Hospital                         *****See Footnote

 3743 Maryweather Ln                  (813) 973-0398   13061 W Linebaugh Ave Bldg K         (813) 749-1595   2901 St Isabel St                    (813) 870-3890
 Wesley Chapel, FL 33543-                              Tampa, FL 33626-                                      Tampa, FL 33607-


 Irvin-Rahaim, Kiera M MD                              Marks, Jeffrey          MD                            Minton, David C MD
 University Community Hospital                         University Community Hospital                         University Community Hospital

 7171 N Dale Mabry Hwy #301           (813) 961-7440   13061 W Linebaugh Ave Bldg K         (813) 749-1595   2818 W Virginia Ave                  (813) 872-8551
 Tampa, FL 33614                                       Tampa, FL 33626-                                      Tampa, FL 33607


 Jaeger, Michael W MD                                  Marley, Janet A MD                                    Morris, Michael A MD
 University Community Hospital                         University Community Hospital                         University Community Hospital

 2818 W Virginia Ave                  (813) 872-8551   5516 Hanley Rd                       (813) 885-1418   13601 Bruce B Downs Blvd #160        (727) 972-4488
 Tampa, FL 33607                                       Tampa, FL 33634                                       Tampa, FL 33563


 Johnson II, Howard U MD                               Marston, John H MD                                    Newton, William A MD
 University Community Hospital                         University Community Hospital                         University Community Hospital

 13801 Bruce B Downs Blvd #201        (813) 977-4876   2818 W Virginia Ave                  (813) 872-8551   4150 N Armenia Ave #200              (813) 876-0914
 Tampa, FL 33613-                                      Tampa, FL 33607                                       Tampa, FL 33607


 Jones, Galen B MD                                     Matthews, Richard A MD                                Nirgudkar, Pranita              MD
 University Community Hospital                         University Community Hospital                         University Community Hospital

 4150 N Armenia Ave #200              (813) 876-0914   4321 N MacDill Ave #205              (813) 961-7440   15260 Amberly Dr                     (813) 769-2778
 Tampa, FL 33607                                       Tampa, FL 33607-                                      Tampa, FL 33647-


 Jones, Allyson          MD                            McCain, Francine F MD                                 Patel, Anjana D MD
 University Community Hospital                         UCH                                                   University Community Hospital

 13149 Elk Mountain Dr                (813) 675-8326   13123 Kings Lake Dr #102             (866) 418-3489   13061 W Linebaugh Ave Bldg K         (813) 749-1595
 Riverview, FL 33579-                                  Gibsonton, FL 33534-                                  Tampa, FL 33626-


 Kapitz, Martha E MD                                   103 Southern Oaks                    (813) 754-7561   Patel, Niraj        MD
 University Community Hospital                         Plant City, FL 33566-                                 University Community Hospital

 4202 N Habana Ave                    (813) 878-2211                                                         2734 Windguard Cr                    (813) 929-4999
 Tampa, FL 33607-                                      5470 Lithia Pinecrest Rd             (813) 699-1006   Wesley Chapel, FL 33544-
                                                       Lithia, FL 33547-
 108 S Pebble Beach Blvd              (813) 633-3002                                                         Perkins, Sonja           MD
 Sun City, FL 33573-                                   731 S Parsons Ave                    (813) 681-9171   University Community Hospital

                                                       Brandon, FL 33511-                                    13601 Bruce B Downs Blvd #160        (727) 972-4488
 619 Eichenfeld Dr                    (813) 685-0232                                                         Tampa, FL 33563
 Brandon, FL 33511-                                    McNulty, Brian M MD
                                                       University Community Hospital                         Pimentel, Maria          MD
 Kilbride, Kathleen              MD                    13601 Bruce B Downs Blvd # 321       (813) 972-9300   University Community Hospital

 University Community Hospital                         Tampa, FL 33613                                       13061 W Linebaugh Ave                (813) 749-1595
 2818 W Virginia Ave                  (813) 872-8551                                                         Tampa, FL 33626-
 Tampa, FL 33607                                       26823 Tanic Dr                       (813) 929-7377
                                                       Wesley Chapel, FL 33544-                              Pitt, Catherine C MD
 Levine, Joseph P MD                                                                                         University Community Hospital

 University Community Hospital                         3321 W Bearss Ave                    (813) 269-2528   425 S Parsons Ave #101               (727) 681-6625
 4321 N MacDill Ave #205              (813) 961-7440   Tampa, FL 33618-                                      Brandon, FL 33511
 Tampa, FL 33607-
                                                                                                             13149 Elk Mountain Dr                (813) 675-8326
                                                                                                             Riverview, FL 33579-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  21
    University Community Health Network Provider Listing For Hillsborough County
 Qureshi, Vicar            MD                         Serrano, Evelyn           MD                     Whitehead, Keith D MD
 University Community Hospital                        University Community Hospital                    University Community Hospital

 13601 Bruce B Downs Blvd #321       (813) 972-9300   2716 W Virginia Ave             (813) 875-8032   731 S Parsons Ave               (727) 681-9171
 Tampa, FL 33613                                      Tampa, FL 33607-                                 Brandon, FL 33511


 26823 Tanic Dr                      (813) 929-7377   Solomon, Amy L MD                                13123 Kings Lake Dr #102        (866) 418-3489
 Wesley Chapel, FL 33544-                             University Community Hospital                    Gibsonton, FL 33534-
                                                      13601 Bruce B Downs Blvd #160   (727) 972-4488
 3321 W Bearss Ave                   (813) 269-2528   Tampa, FL 33563                                  Wilkerson, W. Gregory MD
 Tampa, FL 33618-                                                                                      University Community Hospital

                                                      Suarez, Adriana P MD                             4150 N Armenia Ave #200         (813) 876-0914

 Reiss, Marina         MD                             University Community Hospital                    Tampa, FL 33607
 University Community Hospital                        4202 N Habana Ave               (727) 878-2211
 2818 W Virginia Ave                 (813) 872-8551   Tampa, FL 33607                                  Yelverton, Robert W MD
 Tampa, FL 33607                                                                                       University Community Hospital

                                                      Ta, Alyssa          MD                           2818 W Virginia Ave             (813) 872-8551

 Riemer, Ira A MD                                     University Community Hospital                    Tampa, FL 33607
 University Community Hospital                        13601 Bruce B Downs Blvd #150   (813) 979-9100
 4202 N Habana Ave                   (727) 878-2211   Tampa, FL 33613                                             Ophtalmology/Retina
 Tampa, FL 33607

                                                      Thacker, Clifford          MD                    Berger, Todd           MD
 Roberts, Suzanne               MD                    *****See Footnote                                *****See Footnote
 University Community Hospital                        2901 St Isabel St               (813) 870-3890   3000 W Dr MLK Jr Blvd           (813) 877-2020
 4321 N MacDill Ave #205             (813) 961-7440   Tampa, FL 33607-                                 Tampa, FL 33607-
 Tampa, FL 33607-                                                                                         tampaeyeclinic.com
                                                      Von Thron, James C MD                            Kasper, Jeffrey          MD
 Rodriguez, Jose            MD                        University Community Hospital

 University Community Hospital                        4150 N Armenia Ave #200         (813) 876-0914   3000 W Dr MLK Jr Blvd           (813) 877-2020
 2901 St Isabel St Ste E             (813) 878-2229   Tampa, FL 33607                                  Tampa, FL 33607-
 Tampa, FL 33607-                                                                                         tampaeyeclinic.com
                                                      Wahba, Irene N MD                                Orlick, Martin         MD
 Roush, Catherine            MD                       University Community Hospital
                                                                                                       *****See Footnote
 University Community Hospital                        2716 W Virginia Ave             (813) 875-8032   3000 W Dr MLK Jr Blvd           (813) 877-2020
 2716 W Virginia Ave                 (813) 872-8032   Tampa, FL 33607                                  Tampa, FL 33607-
 Tampa, FL 33607-                                                                                         tampaeyeclinic.com
                                                      Watkins, Antoinina C MD                                         Ophthalmology
 Saavedra, Joseph J MD                                University Community Hospital

 University Community Hospital                        425 S Parsons Ave #101          (727) 681-6625
 4202 N Habana Ave                   (727) 878-2211   Brandon, FL 33511
                                                                                                       Altenburg, John           MD
                                                                                                       *****See Footnote
 Tampa, FL 33607
                                                                                                       4600 N Habana Ave #7            (813) 877-7265
                                                      13149 Elk Mountain Dr           (813) 675-8326
                                                                                                       Tampa, FL 33614-
 Sanchez, Jennifer              DO                    Riverview, FL 33579-
 University Community Hospital
                                                                                                       6101 Webb Rd #205               (813) 877-7265
 15260 Amberly Dr                    (813) 769-2778   Weiss, Michael           MD                      Tampa, FL 33615-
 Tampa, FL 33647-                                     University Community Hospital

                                                      731 S Parsons Ave               (727) 681-9171
                                                      Brandon, FL 33511
                                                                                                       Arey, Mark L MD
 Schwartz-Miller, Tracey             MD
 University Community Hospital
                                                                                                       13602 N 46th St                 (813) 972-4444
 4150 N Armenia Ave #200             (813) 876-0914   Whitcomb, Wendy L MD                             Tampa, FL 33613-
 Tampa, FL 33607                                      University Community Hospital

                                                      7560 Red Bug Rd #1014           (407) 645-5565
                                                      Oviedo, FL 32765-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                               22
    University Community Health Network Provider Listing For Hillsborough County
 Cortelli Jr., Leonard E MD                            Pusateri, Thomas J MD                                  Clare, Michael          MD
 University Community Hospital                         University Community Hospital                          University Community Hospital

 13602 N 46th St                      (813) 972-4444   13602 N 46th St                       (813) 972-4444   13020 Telecom Pkwy N                (813) 978-9700
 Tampa, FL 33613                                       Tampa, FL 33613                                        Temple Terrace, FL 33637-
                                                                                                                 Foot & Ankle Surgery

 Creighton, James                MD                    Reynolds, William               MD                     7171 N Dale Mabry #502              (813) 936-5075
 *****See Footnote                                     *****See Footnote                                      Tampa, FL 33614-
 3000 W Dr MLK Jr Blvd                (813) 877-2020   3000 W Dr MLK Jr Blvd                 (813) 877-2020      Foot & Ankle Surgery
 Tampa, FL 33607-                                      Tampa, FL 33607-                                       Companioni, George R MD
    tampaeyeclinic.com                                    tampaeyeclinic.com                                  University Community Hospital

 Diego-Wright, Marianne               MD               Scheiner, Adam            MD                           13701 Bruce B Downs Blvd #115       (813) 977-4767
 University Community Hospital                         *****See Footnote                                      Tampa, FL 33613
 3246 Cove Bend Dr                    (813) 632-1900   3000 W Dr MLK Jr Blvd                 (813) 877-2020
 Tampa, FL 33613-                                      Tampa, FL 33607-                                       21756 State Rd 54 #102 A            (813) 909-2161
                                                          tampaeyeclinic.com                                  Lutz, FL 33549-

 Kulyk, Teofil           MD                            Seeley, Ronald          MD
 Helen Ellis Memorial Hospital                         *****See Footnote                                      Davison, Thomas              MD
 105 Southern Oaks Dr                 (813) 754-1869   3000 W Dr MLK Jr Blvd                 (813) 877-2020   *****See Footnote

 Plant City, FL 33566-                                 Tampa, FL 33607-                                       305 Brandon Blvd                    (813) 657-8448
                                                          tampaeyeclinic.com                                  Brandon, FL 33511-

 Layden, William              MD                                 Ophthalmology/Retina
 University Community Hospital                                                                                139 Pebble Beach Blvd               (813) 633-5232
 4444 E Fletcher Ave Ste C            (813) 972-9040                                                          Sun City Center, FL 33573-
                                                       Billiris-Findlay, Karina             MD
 Tampa, FL 33613                                       University Community Hospital

                                                       4600 N Habana Ave #3                  (813) 879-5795   Dispasquale, Thomas               DO
 Leach, David            MD                                                                                   *****See Footnote
                                                       Tampa, FL 33614
 *****See Footnote                                                                                            13020 Telecom Pkwy N                (813) 978-9700
 3000 W Dr MLK Jr Blvd                (813) 877-2020                                                          Temple Terrace, FL 33637-
                                                       Pautler, Scott E MD
 Tampa, FL 33607-                                      University Community Hospital                             Trauma
    tampaeyeclinic.com                                 4600 N Habana Ave #3                  (813) 879-5795   2727 W Dr MLK Jr Blvd               (813) 978-9700

 Lopresto, Christopher                MD               Tampa, FL 33614                                        Tampa, FL 33607-
 University Community Hospital                                                                                   Trauma
 13801 Bruce B Downs Blvd #301        (813) 971-2715                                                          Frankle, Mark         MD
                                                             Oral & Maxilofacial Surgery
 Tampa, FL 33613-                                                                                             University Community Hospital

                                                                                                              13020 Telecom Pkwy N                (813) 978-9700
                                                       Castellano, Nelson              DDS                    Temple Terrace, FL 33637-
 Lorenzen, Timothy               MD                    *****See Footnote
 *****See Footnote                                                                                               Adult Reconstruction & Arthritis Surgery
                                                       3302 W Azeele                         (813) 877-8066
 3000 W Dr MLK Jr Blvd                (813) 877-2020                                                          Gutske, Kenneth            MD
                                                       Tampa, FL 33607-
 Tampa, FL 33607-                                                                                             *****See Footnote

    tampaeyeclinic.com                                                                                        13020 Telecom Pkwy N                (813) 978-9700
                                                       500 Vonderburg Dr #103E               (813) 689-4039
 Nogales, Anna            MD                                                                                  Temple Terrace, FL 33637-
                                                       Brandon, FL 33511-
 *****See Footnote                                                                                               Adult Reconstruction & Arthritis Surgery
 3000 W Dr MLK Jr Blvd                (813) 877-2020                                                          139 Pebble Beach Blvd               (813) 633-5232
 Tampa, FL 33607-                                                 Orthopaedic Surgery                         Sun City Center, FL 33573-
    tampaeyeclinic.com                                                                                           Adult Reconstruction & Arthritis Surgery

 Older, J Justin          MD                           Bernasek, Thomas                MD                     2106 Lois Ave                       (813) 287-9370
                                                       University Community Hospital
 University Community Hospital                                                                                Tampa, FL 33629-
 4444 E Fletcher Ave Ste D            (813) 971-3846   13020 Telecom Pkwy N                  (813) 978-9700      Adult Reconstruction & Arthritis Surgery
 Tampa, FL 33613-                                      Temple Terrace, FL 33637-
                                                                                                              Guttentag, Ira         MD
                                                          Adult Reconstruction & Arthritis                    University Community Hospital
                                                       305 Brandon Blvd                      (813) 657-8448   14547 Bruce B Downs Blvd Ste C      (813) 979-0440
                                                       Brandon, FL 33511-                                     Tampa, FL 33613
                                                          Adult Reconstruction & Arthritis


*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                23
    University Community Health Network Provider Listing For Hillsborough County
 Haidukewych, George                  MD                Sagi, Henry          MD                               Stone, Jeffrey         Md
 University Community Hospital                          *****See Footnote                                     University Community Hospital

 13020 Telecom Pkwy N                  (813) 978-9700   2106 Lois Ave                        (813) 287-9370   13020 Telecom Pkwy N             (813) 978-9700
 Temple Terrace, FL 33637-                              Tampa, FL 33629-                                      Temple Terrace, FL 33637-
   Trauma & Adult Reconstruction                                                                                 Hand & Microscopic

 Herscovici, Dolifi           DO                        Schulak, David J MD                                   7171 N Dale Mabry #502           (813) 936-5075
 University Community Hospital                          University Community Hospital                         Tampa, FL 33614-
 13020 Telecom Pkwy N                  (813) 978-9700   3000 E Fletcher Ave #370             (813) 977-4767      Hand & Microscopic
 Temple Terrace, FL 33637-                              Tampa, FL 33613                                          Orthopaedic Surgery/Oncology
   Trauma & Foot Ankle Surgery

 Infante, Anthony           DO                          21756 State Rd 54 #102 A             (813) 909-2161
                                                                                                              Walling, Arthur           MD
 University Community Hospital                          Lutz, FL 33549-                                       University Community Hospital
 305 Brandon Blvd                      (813) 657-8448                                                         13020 Telecom Pkwy N             (813) 978-9700
 Brandon, FL 33511-                                     Welsh, Scott         MD                               Temple Terrace, FL 33637-
                                                        *****See Footnote
                                                                                                                 Foot/Ankle & Oncology
 139 Pebble Beach Blvd                 (813) 633-5232   305 Brandon Blvd                     (813) 657-8448   2727 W Dr MLK Jr Blvd            (813) 978-9700
 Sun City Center, FL 33573-                             Brandon, FL 33511-                                    Tampa, FL 33607-
                                                           Sports Medicine                                       Foot/Ankle & Oncology
 Knezevich, Steven               MD                     139 Pebble Beach Blvd                (813) 633-5232
                                                                                                                    Orthopaedic Surgery/Spine
 University Community Hospital                          Sun City Center, FL 33573-
 3820 North Dale Blvd #105A            (813)960-1655       Sports Medicine
 Tampa, FL 33624
                                                                                                              Billys, James         MD
                                                        Wood, Judson            MD                            *****See Footnote
                                                        University Community Hospital
                                                                                                              305 Brandon Blvd                 (813) 657-8448
 Lyons, Steven T MD                                     14547 Bruce B Downs Blvd Ste C       (813) 979-0440
                                                                                                              Brandon, FL 33511-
 University Community Hospital                          Tampa, FL 33613-
 13020 Telecom Pkwy N                  (813) 978-9700
 Temple Terrace, FL 33637-
                                                                                                              Castellvi, Antonio          MD
                                                              Orthopaedic Surgery/Hand                        University Community Hospital
   Adult Reconstruction & Arthritis Surgery
                                                                                                              2727 W Dr MLK Jr Blvd            (813) 978-9700
 139 Pebble Beach Blvd                 (813) 633-5232
                                                        Beatty, M Ellen           MD                          Tampa, FL 33607-
 Sun City Center, FL 33573-                             University Community Hospital
   Adult Reconstruction & Arthritis Surgery             13020 Telecom Pkwy N                 (813) 978-9700
 7171 N Dale Mabry #502                (813) 936-5075
                                                                                                              Small, John          MD
                                                        Temple Terrace, FL 33637-                             University Community Hospital
 Tampa, FL 33614-                                          Hand & Microsurgery                                13020 Telecom Pkwy N             (813) 978-9700
   Adult Reconstruction & Arthritis Surgery             7171 N Dale Mabry #502               (813) 936-5075   Temple Terrace, FL 33637-
 Mighell, Mark         MD                               Tampa, FL 33614-
 University Community Hospital
                                                           Hand & Mircosurgery
 13020 Telecom Pkwy N                  (813) 978-9700
                                                                                                              Webb, Scott          DO
                                                        Cassandra, James                DO                    *****See Footnote
 Temple Terrace, FL 33637-                              University Community Hospital
                                                                                                              4450 E Fletcher Ave Ste C        (813) 830-6656
   Adult Reconstruction & Arthritis Surgery             2727 W Dr MLK Jr Blvd                (813) 978-9700   Tampa, FL 33613-
 2106 Lois Ave                         (813) 287-9370   Tampa, FL 33607-
 Tampa, FL 33629-                                          Hand & Upper Extremity
   Adult Reconstruction & Arthritis Surgery
                                                                                                              Weinstein, Marc           MD
                                                        Hess, Alfred         MD                               University Community Hospital
 Pullen, Phillip        DO                              *****See Footnote
                                                                                                              13020 Telecom Pkwy N             (813) 978-9700
 University Community Hospital
                                                        13020 Telecom Pkwy N                 (813) 978-9700   Temple Terrace, FL 33637-
 11809 N Dale Mabry Hwy                (813) 960-0440   Temple Terrace, FL 33637-
 Tampa, FL 33618-
                                                                                                              305 Brandon Blvd                 (813) 657-8448
                                                        305 Brandon Blvd                     (813) 657-8448   Brandon, FL 33511-
 Raterman, Stephen               MD                     Brandon, FL 33511-
 University Community Hospital
                                                                                                              2106 Lois Ave                    (813) 287-9370
 14547 Bruce B Downs Blvd Ste C        (813) 979-0440   2106 Lois Ave                        (813) 287-9370   Tampa, FL 33629-
 Tampa, FL 33613-                                       Tampa, FL 33629-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  24
    University Community Health Network Provider Listing For Hillsborough County
                     Orthopaedics                  Siebler, Justin C MD                              Saraceno, Carmelo               MD
                                                   University Community Hospital                     University Community Hospital

                                                   13020 Telecom Pkwy               (813) 978-9700   3000 E Fletcher Ave                   (813) 932-2222
 Gasser, Seth           MD
 University Community Hospital                     Tampa, FL 33637-                                  Tampa, FL 33613-

 13020 Telecom Pkwy N             (813) 978-9700
 Temple Terrace, FL 33637-                         Vettichira, Susan           MD                    Seper, Janet L MD
                                                   *****See Footnote                                 University Community Hospital
    Sports Medicine
 2106 Lois Ave                    (813) 287-9370   4450 E Fletcher Ave Ste C        (813) 830-6656   3450 E Fletcher Ave #120B             (813) 972-3353

 Tampa, FL 33629-                                  Tampa, FL 33613-                                  Tampa, FL 33613

    Sports Medicine

 Gray, Richard M MD                                Walker, Matthew H MD                              Tabesh, Amanollah               MD
                                                   University Community Hospital                     University Community Hospital
 University Community Hospital

 14547 Bruce B Downs Blvd Ste C   (813) 979-0440   13020 Telecom Pkwy               (813) 978-9700   7001 N Dale Mabry Hwy #3              (813) 932-0804

 Tampa, FL 33613                                   Tampa, FL 33637-                                  Tampa, FL 33614-


 38135 Market Sq                  (813) 780-7534                  Otolaryngology                      Otology/Neurotology/Skull Base
 Zephryhills, FL 33542-                                                                                          Surgery
                                                   Agnello, Peter F MD                               Danner, Christopher              MD
 Hogan, Jeremy P MD                                University Community Hospital                     University Community Hospital

 *****See Footnote                                 3450 E Fletcher Ave              (813) 972-3353   4 Columbus Dr                         (813) 844-4900
 13020 N Telecom Pkwy             (813) 978-9700   Tampa, FL 33613                                   Tampa, FL 33606-
 Temple Terrace, FL 33637-

                                                   Bartels, Loren         MD                                       Pain Management
 Leffers, David           MD                       University Community Hospital

 University Community Hospital                     4 Columbia Dr #610               (813) 844-4900
                                                                                                     Chowdhari, Shaukat               MD
 13020 Telecom Pkwy N             (813) 978-9700   Tampa, FL 33606-                                  University Community Hospital
 Temple Terrace, FL 33637-                                                                           14501 Bruce B Downs Blvd              (813) 977-2222
    Sports Medicine                                Farrior III, Jay       MD                         Tampa, FL 33613-
 2106 Lois Ave                    (813) 287-9370   University Community Hospital

 Tampa, FL 33629-                                  2727 W Dr MLK Jr Blvd #520       (813) 879-0810
                                                                                                     Dennison, Stanley               MD
    Sports Medicine                                Tampa, FL 33607-                                  University Community Hospital
 Morse, Adam            MD                                                                           1921 W Dr MLK Jr Blvd                 (813) 876-7600
 University Community Hospital                     McKernan, Peter B MD                              Tampa, FL 33607-
 13020 Telecom Pkwy N             (813) 978-9700   University Community Hospital

 Temple Terrace, FL 33637-                         6101 Webb Rd #202                (813) 884-4967
                                                                                                     Derasari, Manjul D MD
    Sports Medicine                                Tampa, FL 33615                                   University Community Hospital
 7171 N Dale Mabry #502           (813) 936-5075                                                     1912 E Busch Blvd                     (813) 933-5900
 Tampa, FL 33614-                                  Meyerson, Lance             MD                    Tampa, FL 33612
    Sports Medicine                                University Community Hospital

 O'Dell, Jason B MD                                27634 Cashford Cr                (813) 907-9992
                                                                                                     Dominguez, Roberto D MD
 University Community Hospital                     Wesley Chapel, FL 33544-                          University Community Hospital
 13020 Telecom Pkwy               (813) 978-9700                                                     2914 N Blvd                           (813) 228-7696
 Tampa, FL 33637-                                  Nofsinger, Yoon C MD                              Tampa, FL 33602-
                                                   University Community Hospital
                                                                                                       Rehabilitation & Electrodiagnostics
 Parcel, Ted W DO                                  3450 e Fletcher Ave #350         (813) 972-3353   500 Vonderberg Dr East Tower #20 (813) 228-7696
 University Community Hospital                     Tampa, FL 33613-                                  Brandon, FL 33511-
 13020 Telecom Pkwy               (813) 978-9700                                                       Rehabilitation & Electrodiagnostics
 Tampa, FL 33637-                                  Patel, Nalin J MD                                 4051 Upper Creek Dr #105              (813) 228-7696
                                                   University Community Hospital
                                                                                                     Sun City Center, FL 33573-
                                                   3450 E Fletcher Ave #350         (813) 972-3353     Rehabilitation & Electrodiagnostics
                                                   Tampa, FL 33613




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                            25
    University Community Health Network Provider Listing For Hillsborough County
 Herson, David            MD                          Kalik, Craig A MD                                 John, J. Blaine MD
 University Community Hospital                        *****See Footnote                                 University Community Hospital

 13020 Telecom Pkwy N                (813) 978-9700   4307 N Habana Ave #3             (813) 681-6537   3001 W Dr MLK Blvd                   (813) 554-8701
 Temple Terrace, FL 33637-                            Tampa, FL 33607                                   Tampa, FL 33607-


 305 Brandon Blvd                    (813) 657-8448               Pediatric Cardiology                  Kurtz, Stephanie           MD
 Brandon, FL 33511-                                                                                     University Community Hospital

                                                                                                        3001 W Dr MLK Blvd                   (813) 554-8701
                                                      Asante-Korang, Alfred           MD
 139 Pebble Beach Blvd               (813) 633-5232   University Community Hospital                     Tampa, FL 33607-
 Sun City Center, FL 33573-                           12220 Bruce B Downs Blvd         (813) 631-5000
                                                      Tampa, FL 33612-                                  Martinez, Richard M MD
 Kabaria, Vipul           MD                                                                            University Community Hospital

 University Community Hospital                                                                          3001 W Dr MLK Blvd                   (813) 544-8701
                                                      3001 W Dr MLK Jr Blvd            (813) 554-8701
 13910 N Dale Mabry Hwy #1           (813) 963-2200   Tampa, FL 33607-                                  Tampa, FL 33607-
 Tampa, FL 33618-

                                                      Crawford, Marguerite            MD                McCormack, Jorge                MD
 Neninger, Yamilet             MD                                                                       University Community Hospital
                                                      University Community Hospital
 University Community Hospital                                                                          3001 W Dr MLK Blvd                   (813) 554-8701
                                                      12220 Bruce B Downs Blvd         (727) 767-4200
 4160 N Armenia Ave Ste B            (813) 873-7777   Tampa, FL 33613-                                  Tampa, FL 33607-
 Tampa, FL 33607-

                                                      Dadlani, Gul H MD                                 McKenna, Daniel E MD
 Perez-Millan, Roberto              MD                University Community Hospital                     University Community Hospital
 University Community Hospital                                                                          3001 W Dr MLK Blvd                   (813) 554-8701
                                                      12220 Bruce B Downs Blvd         (727) 767-3333
 2914 N Blvd                         (813) 228-7696   Tampa, FL 33612-                                  Tampa, FL 33607-
 Tampa, FL 33602-
    Rehabilitation & Electrodiagnostics                                                                 Stapleton, Gary E MD
                                                      Epstein, Mark L MD
 500 Vonderberg Dr East Tower #20 (813) 228-7696                                                        University Community Hospital
                                                      *****See Footnote
 Brandon, FL 33511-                                   12220 Bruce B Downs Blvd         (727) 767-4200   12220 Bruce B Downs Blvd             (727) 767-3333
    Rehabilitation & Electrodiagnostics               Tampa, FL 33613-                                  Tampa, FL 33612-
 4051 Upper Creek Dr #105            (813) 228-7696
 Sun City Center, FL 33573-                                                                             Suh, Elsa J MD
                                                      Epstein, Michael L MD
    Rehabilitation & Electrodiagnostics                                                                 University Community Hospital
                                                      *****See Footnote*****
 Weisman, Neil            MD                          12220 Bruce B Downs Blvd         (727) 767-3333   3001 W Dr MLK Jr Blvd                (813) 554-8701
 *****See Footnote                                                                                      Tampa, FL 33607
                                                      Tampa, FL 33612-
 6836 Medical View Lane              (813) 782-3678
 Zephryhills, FL 33542-                                                                                 Vega-Arrillaga, Frances              MD
                                                      Giroud, Jorge M MD
                                                                                                        University Community Hospital
                                                      University Community Hospital
 2100 Via Bella Blvd                 (813) 712-5700   3001 W Dr MLK Jr Blvd            (813) 554-8701   880 6th Street S #280                (727) 767-4200
 Land O'Lakes, FL 34639-                              Tampa, FL 33607-                                  St Petersburg, FL 33607-


 15303 Amberly Dr                    (813) 977-6688                                                     3001 W Dr MLK Blvd                   (813) 554-8701
                                                      Henry, James G MD
 Tampa, FL 33647-                                     University Community Hospital                     Tampa, FL 33607-

                                                      3001 W Dr MLK Blvd               (813) 554-8701
     Pediatric Allergy/Immunology                     Tampa, FL 33607-                                          Pediatric Endocrinology

 Halsey, Alan B MD                                    Huhta, James C MD                                 DeClue, Terry J MD
 *****See Footnote                                    University Community Hospital                     *****See Footnote

 4307 N Habana Ave #3                (813) 681-6537   3001 W Dr MLK Blvd               (813) 554-8701   3001 W Dr MLK Jr Blvd                (813) 554-8420
 Tampa, FL 33607                                      Tampa, FL 33607-                                  Tampa, FL 33607


 3658 Lithia Pinecrest Rd            (813) 681-6537
 Valrico, FL 33594-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                               26
    University Community Health Network Provider Listing For Hillsborough County
 Dhana, Leila          MD                           Barbosa, Jerry L MD                                 Wynn, Tung T MD
 *****See Footnote                                  University Community Hospital                       *****See Footnote

 3003 W Dr MLK Jr Blvd             (813) 870-4948   12220 Bruce B Downs Blvd           (813) 631-5000   3001 W Dr MLK Jr Blvd           (813) 870-4824
 Tampa, FL 33607                                    Tampa, FL 33612-                                    Tampa, FL 33607


 Lin, Tsu-Hui J MD                                  Grana, Nanette H MD                                            Pediatric Nephrology
 *****See Footnote                                  University Community Hospital

 3001 W Dr MLK Jr Blvd             (813) 554-8420   12220 Bruce B Downs Blvd           (813) 631-5000
                                                                                                        Flores, Francisco X MD
 Tampa, FL 33607                                    Tampa, FL 33612-                                    *****See Footnote

                                                                                                        12901 Bruce B Downs Blvd        (813) 974-4115
       Pediatric Gastroenterology                   Hale, Gregory A MD                                  Tampa, FL 33612-
                                                    *****See Footnote*****

                                                    12220 Bruce B Downs Blvd           (813) 631-5000
 Arasu, Thiru S MD                                                                                                  Pediatric Neurology
 University Community Hospital                      Tampa, FL 33612-

 3003 W Dr MLK Jr Blvd             (813) 870-4439
                                                                                                        Andrews, Ena           MD
 Tampa, FL 33607-                                   Kumar, Mudra K MD                                   *****See Footnote
                                                    *****See Footnote
                                                                                                        2508 West Virginia Ave Ste B    (813) 878-2191
                                                    12901 Bruce B Downs Blvd           (813) 974-2201
 Condino, Adria A MD                                                                                    Tampa, FL 33607-
 *****See Footnote                                  Tampa, FL 33612-

 3003 Dr MLK Jr Blvd               (813) 870-4948
                                                                                                        Bercu, Barry B MD
 Tampa, FL 33607-                                   Obzut, Dana              MD                         *****See Footnote
                                                    *****See Footnote
                                                                                                        12901 Bruce B Downs Blvd        (813) 259-8760
 5202 E Fletcher Ave               (813) 987-2911   3001 W Dr MLK Jr Blvd              (813) 870-4824
                                                                                                        Tampa, FL 33612-
 Tampa, FL 33617-                                   Tampa, FL 33607-

                                                                                                        Casadonte, Joseph A MD
 Irizarry, Karina        MD                         Reed, Damon R MD                                    *****See Footnote
                                                    University Community Hospital
 University Community Hospital
                                                                                                        2508 West Virginia Ave Ste B    (813) 878-2191
 3003 Martin Luther King Jr Blvd   (813) 870-4948   12220 Bruce B Downs Blvd           (813) 631-5000
                                                                                                        Tampa, FL 33607-
 Tampa, FL 33607-                                   Tampa, FL 33612-

                                                                                                        Fernandez, Raymond J MD
 5205 E Fletcher Ave               (813) 987-2911   Rossbach, Hans-Christoph               MD           *****See Footnote
                                                    *****See Footnote
 Tampa, FL 33617-                                                                                       2508 West Virginia Ave Ste B    (813) 878-2191
                                                    3001 W Dr MLK Jr Blvd              (813) 870-4824
                                                                                                        Tampa, FL 33607-
                                                    Tampa, FL 33607
        Pediatric General Surgery
                                                                                                        Gieron-Korthais, Maria A MD
                                                    Sawczyn, Kelly            MD                        *****See Footnote
 Albert, Deborah L MD                               University Community Hospital
 *****See Footnote                                                                                      12901 Bruce B Downs Blvd        (813) 974-2583
                                                    12220 Bruce B Downs Blvd           (813) 631-5000
 3003 W Dr MLK Jr Blvd             (813) 554-8983                                                       Tampa, FL 33612-
                                                    Tampa, FL 33612-
 Tampa, FL 33607

                                                                                                        Jacinto, Sergio          MD
                                                    Stapleton, Stacie             MD                    University Community Hospital
 Martinez, Luis A MD                                University Community Hospital
 *****See Footnote                                                                                      4507 N Armenia Ave              (813) 875-4100
                                                    12220 Bruce B Downs Blvd           (813) 631-5000
 3003 W Dr MLK Jr Blvd             (813) 554-8983                                                       Tampa, FL 33603-
                                                    Tampa, FL 33612-
 Tampa, FL 33607

                                                                                                                 Pediatric Neurosurgery
                                                    Tebbi, Cameron K MD
   Pediatric Hematology/Oncology                    *****See Footnote

                                                    3001 W Dr MLK Jr Blvd              (813) 870-4824   Gunderman, J Richard            MD
 Ayala, Irmel A MD                                                                                      *****See Footnote
                                                    Tampa, FL 33607
 University Community Hospital                                                                          5106 N Armenia Ave #5           (813) 879-7186
 12220 Bruce B Downs Blvd          (813) 631-5000                                                       Tampa, FL 33603-
 Tampa, FL 33612-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                              27
    University Community Health Network Provider Listing For Hillsborough County
 Millan, Ernesto           MD                              Pediatric Pulmonology                        Adler, Philip         MD
 *****See Footnote                                                                                      *****See Footnote

 5106 N Armenia Ave #5           (813) 879-7186                                                         10909 W Linebaugh Ave #100       (813) 792-8878
                                                  Assefa, Dagnachew               MD
 Tampa, FL 33603-                                 *****See Footnote                                     Tampa, FL 33626-

                                                  12220 Bruce B Downs Blvd             (727) 767-4146
         Pediatric Ophthalmology                  Tampa, FL 33612-                                      Albanna, Issam I MD
                                                                                                        University Community Hospital

                                                                                                        14521 Bruce B Downs Blvd #103    (813) 979-4435
 Guggino, Giacomo S MD                            Ewig, Jeffrey M MD
 Pediatric Services ONLY                          *****See Footnote                                     Tampa, FL 33613

 3115 W Swann Ave                (813) 879-7711   12220 Bruce B Downs Blvd             (727) 767-4146
 Tampa, FL 33609                                  Tampa, FL 33612-                                      American, Nadine            MD
                                                                                                        *****See Footnote
    Pediatric Services ONLY
 15045 Bruce B Downs Blvd        (813) 879-7711                                                         5009 N Central Ave               (813) 231-9191
                                                  Gondor, Magdalen I MD
 Tampa, FL 33647-                                 *****See Footnote                                     Tampa, FL 33603

                                                  12220 Bruce B Downs Blvd             (727) 767-4146

          Pediatric Opthalmology                  Tampa, FL 33612-                                      Arana, Julia          MD
                                                                                                        University Community Hospital

                                                                                                        18055 Highwoods Preserve Pkwy    (813) 631-7788
 Williams-Wallace, Nancy E MD                     Prpich, John           MD
                                                  *****See Footnote                                     Tampa, FL 33647-
 Pediatric Services ONLY

 3115 W Swann Ave                (813) 879-7711   4714 N Armenia Ave                   (813) 870-1995

 Tampa, FL 33609                                  Tampa, FL 33607-                                      Baade, Melody N MD
                                                                                                        *****See Footnote
    Pediatric Services ONLY
                                                                                                        2803 W St Isabel St              (813) 875-3896
 Pediatric Orthopaedic & Scoliosis                Rosenberg, David              MD
                                                  University Community Hospital                         Tampa, FL 33607
              Surgery
                                                  4714 N Armenia Ave                   (813) 870-1995
 Beck, Scott W MD                                 Tampa, FL 33607                                       Badillo, Salvador G MD
 University Community Hospital
                                                                                                        *****See Footnote
 2727 W Dr MLK Jr Blvd #720      (813) 879-2663                                                         14499 N Dale Mabry Hwy #230      (813) 963-7788
                                                  10817 Bloomingdale Ave               (813) 870-1995
 Tampa, FL 33607-                                                                                       Tampa, FL 33618-
                                                  Riverview, FL 33569-

 Hahn, Gregory V MD                                                                                     Baker, Marcy          MD
 *****See Footnote                                              Pediatric Urology
                                                                                                        *****See Footnote
 2727 W Dr MLK Jr Blvd #720      (813) 879-2663                                                         1202 S Church Ave                (813) 254-7079
 Tampa, FL 33607-                                 Polsky, Ethan G MD                                    Tampa, FL 33629-
                                                  *****See Footnote

                                                  2727 W Dr MLK Jr Blvd #200           (813) 874-7500
 Neustadt, Jeffrey B MD                                                                                 Banks, Elizabeth E MD
 *****See Footnote                                Tampa, FL 33607-
                                                                                                        *****See Footnote
 2727 W Dr MLK Jr Blvd #720      (813) 879-2663                                                         250 Pine Ave Ste B               (727) 447-6458
 Tampa, FL 33607-                                 10817 Bloomingdale Ave               (813) 874-7500
                                                                                                        Oldsmar, FL 34677-
                                                  Riverview, FL 33569-

         Pediatric Otolaryngology                                                                       Barriga, Julia        MD
                                                                      Pediatrics                        University Community Hospital

 Hotchkiss, Karin           MD                                                                          5001 E Busch Blvd                (813) 984-8846
 *****See Footnote                                Abaunza-Fiallos, Yanina              MD               Tampa, FL 33617
                                                  University Community Hospital
 5105 N Armenia Ave              (813) 879-3288
 Tampa, FL 33603-                                 18572 N Dale Mabry Hwy               (813) 964-1800
                                                                                                        Boneta, Myrna M MD
                                                  Lutz, FL 33548-                                       ****See Footenote

 500 Vonderberg Dr #116W         (813) 685-7761                                                         14499 N Dale Mabry Hwy #230      (813) 963-7788
 Brandon, FL 33511-                               Acevedo, Martha T MD                                  Tampa, FL 33618-
                                                  University Community Hospital

                                                  18055 Highwoods Preserve Pkwy        (813) 631-7788
                                                  Tampa, FL 33647-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                           28
    University Community Health Network Provider Listing For Hillsborough County
 Borden, Mark A MD                                     Curtin, Patricia A MD                            5259 Village Market                   (813) 973-0333
 *****See Footnote                                     *****See Footnote                                Wesley Chapel, FL 33544-
 2506 W Virginia Ave                  (813) 870-3720   110 S Parsons Ave               (813) 689-7139
 Tampa, FL 33607-                                      Brandon, FL 33511-                               Greene, Carol U MD
                                                                                                        University Community Hospital

 Boreman, Kathryn M MD                                 Daily, Wilfred J MD                              3638 Madaca Ln                        (813) 968-6610
 *****See Footnote                                     *****See Footnote                                Tampa, FL 33618
 250 Pine Ave Ste B                   (727) 447-6458   3222 W Azeele St                (813) 872-8491
 Oldsmar, FL 34677-                                    Tampa, FL 33607-                                 3222 W Azeele St                      (813) 872-8491
                                                                                                        Tampa, FL 33607-

 Borkowf, Shirley P MD                                 3638 Madaca Ln                  (813) 968-6610
 University Community Hospital                         Tampa, FL 33618                                  Griffith, Christopher            MD
 6550 Gunn Hwy                        (813) 968-2710                                                    *****See Footnote

 Tampa, FL 33625                                       Davis, Mark          MD                          2550 W Dr MLK Jr Blvd                 (813) 876-4902
                                                       University Community Hospital                    Tampa, FL 33607-
 13601 Bruce B Downs Blvd #1          (813) 971-6700   2901 St Isabel St Ste A-2       (813) 876-6000
 Tampa, FL 33613-                                      Tampa, FL 33607                                  Hartman, Jacqueline V MD
                                                                                                        University Community Hospital

 Buzzeo, Robert A MD                                   Dekle, Julie        MD                           13601 Bruce B Downs Blvd #151         (813) 971-6700
 University Community Hospital                         *****See Footnote                                Tampa, FL 33613-
 1932 Highland Oaks Blvd              (813) 948-6133   110 S Parsons Ave               (813) 689-7139
 Lutz, FL 33549                                        Brandon, FL 33511-                               Hiben, Eugene E MD
                                                                                                        University Community Hospital

 3222 W Azeele St Ste A               (813) 872-8491   Emara, Magdi M MD                                13389 N 56th St                       (813) 983-9495
 Tampa, FL 33609-                                      University Community Hospital                    Tampa, FL 33617
                                                       5415 Busch Blvd                 (813) 984-6200

 Canody, Christina               MD                    Temple Terrace, FL 33617                         Hosemann, Gabrielle I MD
 *****See Footnote                                                                                      University Community Hospital

 5124 W Armenia Ave                   (813) 879-5716   Gaynor, Michael D MD                             602 Vonderberg Rd #101                (813) 685-4553
 Tampa, FL 33603-                                      University Community Hospital                    Brandon, FL 33511
                                                       3638 Madaca Ln                  (813) 968-6610

 Castellvi, Jorge I MD                                 Tampa, FL 33618                                  Hough, Gerard R MD
 *****See Footnote                                                                                      University Community Hospital

 1202 S Church Ave                    (813) 254-7079   3222 W Azeele St                (813) 872-8491   602 Vonderberg Rd #101                (813) 685-4553
 Tampa, FL 33629-                                      Tampa, FL 33607-                                 Brandon, FL 33511


 Champoux-Rhoden, Lisa M MD                            Gilling, Dalys M MD                              Hoyos, Santiago             MD
 *****See Footnote                                     *****See Footnote                                University Community Hospital

 110 S Parsons Ave                    (813) 689-7139   10909 W Linebaugh Ave #100      (813) 792-8878   18055 Highwoods Preserve Pkwy         (813) 631-7788
 Brandon, FL 33511-                                    Tampa, FL 33626-                                 Tampa, FL 33647-


 Chau, Thuy-Van            MD                          Gomes, Anthony F G MD                            Hughes, Teena           MD
 *****See Footnote                                     *****See Footnote                                *****See Footnote

 24630State Rd 54                     (813) 948-9303   14499 N Dale Mabry Hwy #230     (813) 963-7788   4444 E Fletcher Ave Ste B             (813) 903-0060
 Lutz, FL 33559-                                       Tampa, FL 33618-                                 Tampa, FL 22613-


 Colon, Jose E MD                                      Grant, Dena G MD                                 Jacobson, Robyn W MD
 *****See Footnote                                     University Community Hospital                    *****See Footnote

 4211 Van Dyke Rd #101A               (813) 968-7171   13601 Bruce B Downs Blvd #151   (813) 971-6700   2506 W Virginia Ave                   (813) 870-3720
 Lutz, FL 33558-                                       Tampa, FL 33613                                  Tampa, FL 33607-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                 29
    University Community Health Network Provider Listing For Hillsborough County
 Jeansonne, Patricia N MD                          Lipschutz, Fred I MD                                  Mendez, Ovidio           MD
 University Community Hospital                     University Community Hospital                         *****See Footnote

 602 Vonderberg Rd #101           (813) 685-4553   13601 Bruce B Downs Blvd #151        (813) 971-6700   14499 N Dale Mabry Hwy #230      (813) 963-7788
 Brandon, FL 33511                                 Tampa, FL 33613                                       Tampa, FL 33618-


 Johnson-Towson, Michelle             MD           Mallah, Jamie A MD                                    Mook Sang, Brent D MD
 University Community Hospital                     *****See Footnote                                     *****See Footnote

 1338 W Fletcher Ave              (813) 264-2288   4211 VanDyke Rd                      (813) 968-7171   110 S Parsons Ave                (813) 689-7139
 Tampa, FL 33612-                                  Lutz, FL 33558-                                       Brandon, FL 33511-


 Kamisetty, Sudarsan R MD                          Mankodi, Meesha K MD                                  Morales, Frances            MD
 *****See Footnote                                 *****See Footnote                                     *****See Footnote

 681 Lumsden Blvd                 (813) 655-7726   873 E Bloomingdale Ave               (813) 643-8300   24630 State Rd 54                (813) 948-3903
 Brandon, FL 33511                                 Brandon, FL 33511-                                    Lutz, FL 33559-


 Kelly, Karen          MD                          Marandi, Hossain M MD                                 Oertel, Andrea M MD
 *****See Footnote                                 *****See Footnote                                     University Community Hospital

 250 Pine Ave Ste B               (727) 447-6458   2550 W Dr MLK Jr Blvd                (813) 876-4902   4211 VanDyke Rd #101C            (813) 960-1813
 Oldsmar, FL 34677-                                Tampa, FL 33607-                                      Lutz, FL 33558-


 Kolb, Michelle E MD                               Marasco, Carolyn              MD                      Ortiz-Tweed, Maria S MD
 University Community Hospital                     *****See Footnote                                     University Community Hospital

 18055 Highwoods Preserve Pkwy    (813) 631-7788   14499 N Dale Mabry Hwy #230          (813) 963-7788   6550 Gunn Hwy                    (813) 968-2710
 Tampa, FL 33647-                                  Tampa, FL 33618-                                      Tampa, FL 33625


 Korman, Shlomo G MD                               Martin, Tracy L MD                                    Patel, Jaydeep J MD
 University Community Hospital                     University Community Hospital                         University Community Hospital

 13601 Bruce B Downs Blvd #151    (813) 971-6700   314 E Bloomingdale Ave               (813) 689-8129   10311 Cross Creek Blvd Ste B     (813) 994-7670
 Tampa, FL 33613                                   Brandon, FL 33511                                     Tampa, FL 33647


 Kulek-Luzey, Karalee            MD                Martin, Agustin A MD                                  Patel, Roopal A MD
 University Community Hospital                     *****See Footnote                                     University Community Hospital

 3222 W Azeele St                 (813) 872-8491   2906 Cordella St                     (813) 879-2508   3638 Madaca Ln                   (813) 968-6610
 Tampa, FL 33609                                   Tampa, FL 33615                                       Tampa, FL 33618


 Lam, Yim F MD                                     Martin, Agustin          MD                           Patel, Daksha          MD
 University Community Hospital                     University Community Hospital                         University Community Hospital

 6550 Gunn Hwy                    (813) 968-2710   1922 W Dr MLK Jr Blvd                (813) 849-5437   1213 W Hillsborough Ave          (813) 234-1315
 Tampa, FL 33625                                   Tampa, FL 33607-6510                                  Tampa, FL 33603-


 Lane, James R MD                                  Masterman, Caryn                MD                    Perkins, Emily T MD
 University Community Hospital                     University Community Hospital                         University Community Hospital

 3222 W Azeele St                 (813) 872-8491   18055 Highwoods Preserve Pkwy        (813) 631-7788   13601 Bruce B Downs Blvd #151    (813) 971-6700
 Tampa, FL 33609                                   Tampa, FL 33647-                                      Tampa, FL 33613


 Lewis, Katherine J MD                             McElroy, Luisa          MD                            Pesce, Robert J MD
 University Community Hospital                     *****See Footnote                                     *****See Footnote

 2803 W St Isabel St              (813) 875-3896   10909 W Linebaugh Ave #100           (813) 792-8878   2506 W Virginia Ave              (813) 870-3720
 Tampa, FL 33607                                   Tampa, FL 33626-                                      Tampa, FL 33607-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                            30
    University Community Health Network Provider Listing For Hillsborough County
 Piduru, Suseela           MD                     Savel, Greg H MD                                 Torres, Margarita P MD
 *****See Footnote                                *****See Footnote                                University Community Hospital

 4927 Van Dyke Rd                (813) 960-3919   250 Pine Ave Ste B              (727) 447-6458   2803 W St Isabel St                   (813) 875-3896
 Lutz, FL 33558-                                  Oldsmar, FL 34677-                               Tampa, FL 33607


 Pitisci, Gilbert J MD                            Shaw, Maurice H MD                               Trublehorn, Marianne T MD
 *****See Footnote                                University Community Hospital                    University Community Hospital

 1202 S Church Ave               (813) 254-7079   13601 Bruce B Downs Blvd #151   (813) 971-6700   602 Vonderberg Rd #101                (813) 685-4553
 Tampa, FL 33629-                                 Tampa, FL 33613                                  Brandon, FL 33511


 Pitsci, Donald F MD                              Silva, Nancy M MD                                Vega-Quiros, Marife              MD
 *****See Footnote                                *****See Footnote                                ****See Footnote

 2506 W Virginia Ave             (813) 870-3720   873 E Bloomingdale Ave          (813) 643-8300   10909 W Linebaugh Ave #100            (813) 792-8878
 Tampa, FL 33607-                                 Brandon, FL 33511-                               Tampa, FL 33626-


 Placencia, Daniel J MD                           Smith, Earl          MD                          White, Cynthia Wood MD
 *****See Footnote                                ******See Footnote                               University Community Hospital

 3003 W Dr MLK Jr Blvd           (813) 554-8094   5124 W Armenia Ave              (813) 879-5716   3222 W Azeele St                      (813) 872-8491
 Tampa, FL 33607                                  Tampa, FL 33603-                                 Tampa, FL 33609


 Qureshi, Rizwan A MD                             Smoak, Kimberly G MD                             Williams, Edward T. MD
 *****See Footnote                                *****See Footnote                                *****See Footnote

 16536 N Dale Mabry              (813) 964-9100   873 E Bloomingdale Ave          (813) 643-8300   3638 Madaca Ln                        (813) 968-6610
 Tampa, FL 33618-                                 Brandon, FL 33511-                               Tampa, FL 33618


 Reina, Domenick P MD                             Surti, Neil          MD                          Wolff, Richard          MD
 *****See Footnote                                *****See Footnote                                University Community Hospital

 2506 W Virginia Ave             (813) 870-3720   24630 State Rd 54               (813) 948-3903   13389 N 56th St                       (813) 983-9495
 Tampa, FL 33607-                                 Lutz, FL 33559-                                  Tampa, FL 33617-


 Reiner, Christopher D MD                         Tan, Ignatius I MD                               Yee, Patrick C MD
 University Community Hospital                    University Community Hospital                    University Community Hospital

 2803 W St Isabel St             (813) 875-3896   1932 Highland Oaks Blvd         (813) 948-6133   2803 W St Isabel St                   (813) 875-3896
 Tampa, FL 33607                                  Lutz, FL 33549                                   Tampa, FL 33607


 Richards-Rowley, Toni           MD               Tappan, Christopher L MD                                       Physical Medicine
 *****See Footnote                                University Community Hospital

 4343 Lynx Paw Tr #110           (813) 246-5437   314 E Bloomingdale Ave          (813) 689-8129
                                                                                                   Eichberg, Rudolfo               MD
 Valrico, FL 33594                                Brandon, FL 33511                                University Community Hospital

                                                                                                   2914 N Blvd                           (813) 228-7696
 Rosenthal, Stanley A MD                          Terrone, Linda            MD                     Tampa, FL 33602-
 *****See Footnote                                *****See Footnote
                                                                                                      Rehabilitation & Electrodiagnostics
 11410 N 56th St                 (813) 988-5141   4927 Van Dyke Rd                (813) 960-3919
                                                                                                   Kornberg, Paul B MD
 Tampa, FL 33617                                  Lutz, FL 33558-                                  University Community Hospital

                                                                                                   2914 N Blvd                           (813) 228-7696
 Sams, Monica R MD                                Thole, Heather S MD                              Tampa, FL 33602-
 *****See Footnote                                *****See Footnote
                                                                                                      Pediatric Rehabilitation & Electrodiagnostics
 11410 N 56th St                 (813) 988-5141   11347 Big Bend Rd               (813) 236-9000   3001 W Dr MLK Jr Blvd MAB 3rd Fl (813) 228-7696
 Tampa, FL 33617                                  Riverview, FL 33569-                             Tampa, FL 33602-
                                                                                                      Pediatric Rehabilitation & Electrodiagnostics




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                            31
    University Community Health Network Provider Listing For Hillsborough County
 Zhao, Diane         MD                               Shields, John          MD                              Plastic/Reconstructive Surgery
                                                      *****See Footnote

 3000 E Fletcher Ave #240            (813) 910-1606   13020 Telecom Pkwy N               (813) 978-9700
                                                                                                          Hirschfeld, Joseph              MD
 Tampa, FL 33613-                                     Temple Terrace, FL 33637-                           University Community Hospital

                                                                                                          3000 E Fletcher Ave #260             (813) 972-2299
         Physical Medicine/Rehab                      Torres, Francisco             MD                    Tampa, FL 33613-2
                                                      *****See Footnote

                                                      4450 E Fletcher Ave Ste C          (813) 830-6656
 Batas, V I MD                                                                                            Mosiello, Gerard           MD
 University Community Hospital                        Tampa, FL 33613-                                    University Community Hospital

 2914 N Blvd                         (813) 228-7696                                                       15243 Amberly Dr                     (813) 631-1500
 Tampa, FL 33602-                                                   Physical Therapy                      Tampa, FL 33647
    Rehabilitation & Electrodiagnostics

 Botwin, Kenneth P MD                                 Hisamoto, John            PT                                             Podiatry
 *****See Footnote                                    University Community Hospital

 4450 E Fletcher Ave Ste C           (813) 830-6656   13801 Bruce B Downs Blvd #303      (813) 979-4819
                                                                                                          Baker, Steven           DPM
 Tampa, FL 34695-                                     Tampa, FL 33613-                                    University Community Hospital

                                                                                                          2511 W Dr MLK Jr Blvd                (813) 879-7850
 Bouchlas, Constantine              MD                                Plastic Surgery                     Tampa, FL 33607
 *****See Footnote

 4450 E Fletcher Ave Ste C           (813) 830-6656
                                                      Albear, Paul R MD                                   Blass, Barry C DPM
 Tampa, FL 33613-                                     University Community Hospital                       University Community Hospital

                                                      2306 Ashley Oaks Circle #101       (813) 929-7811   1020 W Hillsborough Ave              (813) 238-3631
 Dela Torre, Jose           MD                        Wesley Chapel, FL 33544-                            Tampa, FL 33603
 University Community Hospital

 13020 Telecom Pkwy N                (813) 978-9700
                                                      Bridge, Peter         MD                            Creighton, Jr., Robert           DPM
 Temple Terrace, FL 33637-                            University Community Hospital                       *****See Footnote

                                                      608 Medical Care Dr                (813) 684-2506   1408 Reynolds St                     (813) 754-9876
 2727 W Dr MLK Jr Blvd               (813) 978-9700   Brandon, FL 33511-                                  Plant City, FL 33566-
 Tampa, FL 33607-

                                                      Coberly, Dana M MD                                  Friedman, Kenneth H DPM
 7171 N Dale Mabry #502              (813) 936-5075   *****See Footnote                                   University Community Hospital
 Tampa, FL 33614-                                     603 South Blvd                     (813) 259-1550   13907 N Dale Mabry Hwy #103          (813) 963-1833
                                                      Tampa, FL 33606                                     Tampa, FL 33618
 Gruber, Robert          DO
 *****See Footnote
                                                      Ruas, Ernesto J MD                                  Johnson, Brandi            DPM
 4450 E Fletcher Ave Ste C           (813) 830-6656   *****See Footnote                                   University Community Hospital
 Tampa, FL 33613-                                     603 South Blvd                     (813) 259-1550   206 Buckingham Place #101            (813) 657-9669
                                                      Tampa, FL 33606                                     Brandon, FL 33511-
 Jackson, Howard             MD
 *****See Footnote
                                                      Soler, Pedro M MD                                   Kaplan, Stanley           DPM
 13020 Telecom Pkwy N                (813) 978-9700   *****See Footnote                                   University Community Hospital
 Temple Terrace, FL 33637-                            4144 N Armenia Ave #250            (813) 878-9889   4202 W Waters Ave                    (813) 887-5511
                                                      Tampa, FL 33607-                                    Tampa, FL 33614-
 2727 W Dr MLK Jr Blvd               (813) 978-9700
 Tampa, FL 33607-
                                                                 Plastic Surgery/Hand                     LaBohn, Scott           DPM
                                                                                                          University Community Hospital
 Patterson, James R MD                                                                                    6610 E Fowler Ave Ste D              (813) 989-2424
 University Community Hospital
                                                      Gargasz, Scott          MD
                                                      University Community Hospital                       Tampa, FL 33617-
 3102 138th Ave #512                 (813) 979-4094
                                                      13601 Bruce B Downs Blvd #251      (813) 866-4425
 Tampa, FL 33613-
                                                      Tampa, FL 33614-
    Rehabilitation & Electrodiagnostics




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                               32
    University Community Health Network Provider Listing For Hillsborough County
 Leitner, Mark          DPM                             Andrews, David A MD                                   Patel, Nirav B MD
 University Community Hospital                          ***** See Footnote                                    University Community Hospital

 128 S Moon Ave                        (813) 571-2977   12901 Bruce B Downs Blvd             (813) 974-4115   2810 W Waters Ave               (813) 935-5501
 Brandon, FL 33511-                                     Tampa, FL 33612-                                      Tampa, FL 33614-


 3638 Lithia Pinecrest Rd              (813) 657-9669   Bernal, Hernando              MD                                  Radiation Oncology
 Valrico, FL 33596-                                     University Community Hospital

                                                        13801 Bruce B Downs Blvd #104        (813) 971-3564
                                                                                                              Bishay, Sawsan            MD
 Levin, Stephen F DPM                                   Tampa, FL 33613                                       *****See Footnote
 University Community Hospital
                                                                                                              38010 Medical Center Ave        (813) 783-1676
 26827 Foggy Creek Rd                  (813) 973-3535   Cardona, Jerges J MD                                  Zephryhills, FL 33540-
 Wesley Chapel, FL 33544-                               University Community Hospital

                                                        2810 W Waters Ave                    (813) 935-5501
                                                                                                              Blanco, Rafael W MD
 Levy, Joel           DPM                               Tampa, FL 33614                                       University Community Hospital
 University Community Hospital
                                                                                                              13801 Bruce B Downs #106        (813) 977-2003
 2511 W Dr MLK Jr Blvd                 (813) 879-7850   Cevallos, Juan          MD                            Tampa, FL 33613-
 Tampa, FL 33607                                        University Community Hospital

                                                        14547 Bruce B Downs Blvd Ste B       (813) 615-1740
                                                                                                              Elsayyad, Nagy            MD
 Loebell, James D DPM                                   Tampa, FL 33613-                                      *****See Footnote
 University Community Hospital
                                                                                                              717 W Robertson St              (813) 661-6339
 232 Bullard Pkwy                      (813) 985-2811   Ebel, Theron A MD                                     Brandon, FL 33510-
 Tampa, FL 33617                                        University Community Hospital

                                                        3000 E Fletcher Ave #270             (813) 977-7794
                                                                                                              Gandle, Larry            MD
 Patel, Ripal Y DPM                                     Tampa, FL 33613                                       *****See Footnote
 University Community Hospital
                                                                                                              38010 Medical Center Ave        (813) 783-1676
 232 Bullard Pkwy                      (813) 985-2811   Giraldo, Herman            MD                         Zephryhills, FL 33540-
 Tampa, FL 33617                                        University Community Hospital

                                                        13801 Bruce B Downs Blvd #204        (813) 971-3564
                                                                                                              George, Christopher B MD
 Shama, Stanley             MD                          Tampa, FL 33613                                       University Community Hospital
 University Community Hospital
                                                                                                              4301 N Habana Ave               (813) 879-0327
 232 Bullard Pkwy                      (813) 985-2811   3101 Webb Rd #208                    (813) 885-5365   Tampa, FL 33607
 Tampa, FL 33617-                                       Tampa, FL 33615-

                                                                                                              Greenberg, Harvey M MD
 Tjamaloukas, George               DPM                  Hubaykah, Joseph                MD                    University Community Hospital
 Helen Ellis Memorial Hospital                          University Community Hospital
                                                                                                              4031 Upper Creek Dr             (813) 633-2733
 2650 Narnia Way#101                   (813) 909-0865   14547 Bruce B Downs Blvd Ste B       (813) 615-1740   Sun City Center, FL 33573-
 Land O'Lakes, FL 34638-                                Tampa, FL 33613-

                                                                                                              823 S Parsons Ave               (813) 685-2440
 Trabulsi, William               DPM                    Mandaliya, Naishadh                MD                 Brandon, FL 33511-
 University Community Hospital                          University Community Hospital

 18928 N Dale Mabry Hwy #101           (813) 634-0668   2810 W Waters Ave                    (813) 935-5501   5931 Webb Rd                    (813) 866-9277
 Lutz, FL 33548-                                        Tampa, FL 33614                                       Tampa, FL 33612-


                      Pulmonology                       Modh, Ashok M MD                                      Hoffe, Sarah E MD
                                                        University Community Hospital
                                                                                                              University Community Hospital
                                                        2810 W Waters Ave                    (813) 935-5501   4031 Upper Creek Dr             (813) 633-2733
 Anderson, W. McDowell                 MD
 ***** See Footnote                                     Tampa, FL 33614                                       Sun City Center, FL 33573
 12901 Bruce B Downs Blvd              (813) 974-2201
 Tampa, FL 33612-                                       Newton, Michael N MD                                  Kahn, Randy           MD
                                                        University Community Hospital                         University Community Hospital
                                                        14523 Bruce B Downs Blvd #401        (813) 975-4300   4031 Upper Creek Dr             (813) 633-2733
                                                        Tampa, FL 33613                                       Sun City Center, FL 33573



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                 33
    University Community Health Network Provider Listing For Hillsborough County
 Kepes, Kathryn R MD                                   Silverfield, Joel C MD                               Doctors Walk-In Clinic - Brandon,
 University Community Hospital                         University Community Hospital

 717 W Robertson St                   (813) 633-5513   4700 N Habana Ave #201            (813) 879-5485     206 E Brandon Blvd                   (813) 681-5571
 Brandon, FL 33511-                                    Tampa, FL 33614                                      Brandon, FL 33511
                                                                                                               Mon-Fri 8am - 8pm; Sat/Sun 8am - 5:30pm
 303 N Alexander St                   (813) 719-7705   Smith, Kimberly M MD                                 Doctors Walk-In Clinic - Buffalo,
 Plant City, FL 33563-                                 University Community Hospital

                                                       13801 Bruce B Downs #406          (813) 971-5550     2810 W Dr MLK Jr Blvd                (813) 877-8450
 720 Cortaro Dr                       (813) 633-5513   Tampa, FL 33613-                                     Tampa, FL 33607
 Sun City Center, FL 33573-                                                                                    Mon-Fri 8am - 8pm; Sat/Sun 8am - 4pm

                                                       Zable, Eliabeth           MD                         Doctors Walk-In Clinic - Carrollwood,
 2715 W Virginia Ave                  (813) 870-0162   *****See Footnote

 Tampa, FL 33607-                                      16594 N Dale Mabry Hwy            (813) 933-1944     13856 N Dale Mabry                   (813) 264-1885
                                                       Tampa, FL 33618-                                     Tampa, FL 33618
 7315 Green Slope Dr                  (813) 783-8614                                                           Mon-Fri 8am - 8pm; Sat/Sun 8am - 5:30pm
 Zephryhills, FL 33541-                                                Sleep Medicine                       Doctors Walk-In Clinic - Lutz,

 Lautersztain, Julio             MD                                                                         22945A State Rd 54                   (813) 909-9099
                                                       Schwartz, Daniel J MD
 University Community Hospital                                                                              Lutz, FL 33549-
                                                       University Community Hospital
 13801 Bruce B Downs #106             (813) 977-2003   3100 E Fletcher Ave #601          (813) 615-1544        Mon-Fri 8am - 8pm; Sat-Sun 8am-4pm
 Tampa, FL 33613-                                      Tampa, FL 33613                                      Doctors Walk-In Clinic - Seffner,

 Steel, John R MD                                                                                           801 W Dr MLK Jr Blvd                 (813) 684-4424
                                                                     Thoracic Surgery
 University Community Hospital                                                                              Seffner, FL 33584
 4031 Upper Creek Dr                  (813) 633-2733                                                           Mon-Fri 8am - 8pm; Sat 9am - 4pm
 Sun City Center, FL 33573
                                                       Angell, William W MD
                                                       Helen Ellis Memorial Hospital
                                                                                                            Doctors Walk-In Clinic - Temple Terrace
                                                       3905 W Horatio St                 (813) 871-5151
                  Rheumatology                                                                              5015 Busch Blvd                      (813) 985-2784
                                                       Tampa, FL 33609-
                                                                                                            Tampa, FL 33617
                                                                                                               Mon-Fri 8am - 6pm; Sat 9am - 2pm
 Burnette, Michael C MD                                                    Urgent Care
 University Community Hospital                                                                              Fast Track Walk-In Clinic,
 4700 N Habana Ave #201               (813) 879-5485
 Tampa, FL 33614
                                                       10 To 10 Urgent Care,                                11969 Sheldon Rd                     (813) 925-1903
                                                                                                            Tampa, FL 33626-
                                                       24420 State Rd 54                 (813) 949-4100        Mon-Fri 8am - 8pm; Sat/Sun 8am - 8pm
 Carter, John D MD                                     Lutz, FL 33559-
 *****See Footnote                                                                                          Strait, Stephen          DO
                                                          Mon-Fri 10am - 10pm; Sat/Sun 10am - 10pm          NowCare Walk-in Clinic
 12901 Bruce B Downs Blvd             (813) 974-4115
 Tampa, FL 33612-
                                                       After Hours Pediatrics,                              1009 Bakers St                       (813) 759-1232
                                                                                                            Plant City, FL 33563
                                                       15043 Bruce B Downs Blvd          (813) 910-8888        Mon-Fri 8am - 8pm; Sat/Sun 9am - 5pm
 Germain, Bernard F MD                                 Tampa, FL 33647
 University Community Hospital                                                                                              Urogynecology
                                                          Mon-Fri 5pm - 11pm; Sat/Sun & Holidays 1pm - 11
 13801 Bruce B Downs Blvd #101        (813) 978-1500
 Tampa, FL 33613
                                                       After Hours Pediatrics,
                                                                                                            Hart, Stuart        MD
                                                                                                            University Community Hospital
                                                       3838 W Neptune Ste D6             (813) 254-4209
 McIlwain, Harris H MD                                                                                      4 Columbia Dr #500                   (813) 259-8500
                                                       Tampa, FL 33629
 University Community Hospital                                                                              Tampa, FL 33606-
                                                          Mon-Fri 5pm - 11pm; Sat/Sun & Holidays 1pm - 11
 13801 Bruce B Downs Blvd #406        (813) 971-5550
 Tampa, FL 33613
                                                       After Hours Pediatrics,
                                                                                                            Messina, Anthony                MD
                                                                                                            *****See Footnote
                                                       131 West Robertson                (813) 655-8880
                                                                                                            2502 W St Isabel St Ste A            (813) 879-0233
                                                       Brandon, FL 33511
                                                                                                            Tampa, FL 33607-
                                                          Mon-Fri 5pm - 11pm; Sat/Sun & Holidays 1pm - 11




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  34
    University Community Health Network Provider Listing For Hillsborough County
                     Urology

 Acosta, Rudolph             MD
 University Community Hospital

 12408 N 56th Street #1           (813) 980-3104
 Tampa, FL 33617-


 Dora, Chandler D MD
 University Community Hospital

 2727 W Dr MLK Jr Blvd #590       (813) 870-1014
 Tampa, FL 33607-


 Lastarria, Emilio          MD
 University Community Hospital

 14547 Bruce B Downs Blvd Ste D   (813) 979-7732
 Tampa, FL 33613-


 Patel, Mahesh R MD
 University Community Hospital

 403 E Dr MLK Jr Blvd             (813) 224-9025
 Tampa, FL 33603


 Senay, Bruce           MD
 University Community Hospital

 14547 Bruce B Downs Blvd Ste D   (813) 979-7732
 Tampa, FL 33613-


 Starling, Jeffrey B MD
 University Community Hospital

 3450 E Fletcher Ave #100         (813) 558-9091
 Tampa, FL 33613


 Sullivan, Brent          MD
 University Community Hospital

 14547 Bruce B Downs Blvd Ste D   (813) 979-7732
 Tampa, FL 33613-


              Vascular Medicine

 Hunt, Jeffrey A DO
 *****See Footnote

 3001 Rocky Point Dr #125         (813) 282-0223
 Tampa, FL 33607-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                           35
    University Community Health Network Provider Listing For Pinellas County
             Allergy/Immunology                        Fernandez, Aland R MD                            Kudelko II, Paul E DO
                                                       *****See Footnote                                *****See Footnote

                                                       1840 Mease Dr #202              (727) 725-6246   455 S Pinellas St #400           (727) 445-1911
 Chamarthy, Latha                MD
 Helen Ellis Memorial Hospital                         Safety Harbor, FL 34695                          Clearwater, FL 33756

 6233 66th St N                       (727) 544-8100
 Pinellas Park, FL 33781                               Gallestegui, Jose L MD                           Kudelko Sr., Paul E DO
                                                       *****See Footnote                                *****See Footnote

 2695 Tampa Rd Ste Q                  (727) 799-5039   455 S Pinellas St #400          (727) 445-1911   455 S Pinellas St #400           (727) 445-1911

 Palm Harbor, FL 34684-                                Clearwater, FL 33756                             Clearwater, FL 33756



 King, Monroe J DO                                     Garcia, Gerardo            MD                    Lenz, Frederico E MD
                                                       *****See Footnote                                *****See Footnote
 *****See Footnote

 11200 Seminole Blvd #310             (727) 397-8557   6006 49th Street N #200         (727) 545-3864   455 S Pinellas St #400           (727) 445-1911

 Seminole, FL 33778                                    Pinellas Park, FL 33709                          Clearwater, FL 33756



 Phillips, J Wayne MD                                  Hakki, A Hamid MD                                Leonelli, Fabio M MD
                                                       Helen Ellis Memorial Hospital                    *****See Footnote
 Helen Ellis Memorial Hospital

 2445 Tampa Rd Ste C                  (727) 787-2092   1840 Mease Dr #200              (727) 724-8611   455 S Pinellas St #310           (727) 724-8611

 Palm Harbor, FL 33683                                 Safety Harbor, FL 34695                          Clearwater, FL 33756



                     Cardiology                        Hazlitt, H. Andrew MD                            Lin, Lang           MD
                                                       *****See Footnote                                Helen Ellis Memorial Hospital

                                                       455 S Pinellas St #400          (727) 445-1911   1840 Mease Dr #200               (727) 724-8611
 Abbott, Norman S MD                                   Clearwater, FL 33756                             Safety Harbor, FL 34695
 Helen Ellis Memorial Hospital

 2626 Tampa Rd #104                   (727) 787-4875
 Palm Harbor, FL 34684
                                                       Hepp, Mark J MD                                  Lucarella, Vanessa J MD
                                                       *****See Footnote                                *****See Footnote

                                                       1840 Mease Dr #202              (727) 725-6246   455 S Pinellas St #400           (727) 445-1911
 Amin, Jay K MD                                        Safety Harbor, FL 34695                          Clearwater, FL 33756
 *****See Footnote

 455 S Pinellas St #400               (727) 445-1911
 Clearwater, FL 33756
                                                       Jimenez, Raul            MD                      Mithani, Vimesh K MD
                                                       University Community Hospital                    University Community Hospital

                                                       3890 Tampa Rd                   (727) 784-6992   2626 Tampa Rd                    (727) 786-1000
 8787 Bryan Dairy Rd #210             (727) 394-1911
                                                       Palm Harbor, FL 34684-                           Palm Harbor, FL 34684-
 Largo, FL 33777-

                                                       Kalani, Equbal E MD                              1264 S Pinellas Ave              (727) 786-1000
 Cambier, Patrick            MD                        Helen Ellis Memorial Hospital                    Tarpon Springs, FL 34689-
 Helen Ellis Memorial Hospital
                                                       1510 S Pinellas Ave Ste B       (727) 943-2880
 1840 Mease Dr #200                   (727) 724-8611
                                                       Tarpon Springs, FL 34689                         Navas, Jorge P MD
 Safety Harbor, FL 34695
                                                                                                        *****See Footnote

                                                       Kovach, Todd             MD                      455 S Pinellas St #400           (727) 445-1911
 Colleran, John            DO                          Helen Ellis Memorial Hospital                    Clearwater, FL 33756
 *****See Footnote
                                                       1840 Mease Dr #200              (727) 724-8611
 6445 102nd Ave N                     (727) 490-2020
                                                       Safety Harbor, FL 34695                          Pastore, Christopher            MD
 Pinellas Park, FL 33782
                                                                                                        Helen Ellis Memorial Hospital

                                                       Krolick, Merrill A DO                            1840 Mease Dr #200               (727) 724-8611
 Dieterich, David D DO                                 *****See Footnote                                Safety Harbor, FL 34695-
 *****See Footnote
                                                       455 S Pinellas St #310          (727) 441-8200
 8787 Bryan Dairy Rd #210             (727) 394-1911
                                                       Clearwater, FL 33756                             Phillips, L. Paul MD
 Largo, FL 33777
                                                                                                        *****See Footnote

                                                                                                        455 S Pinellas St #400           (727) 445-1911
                                                                                                        Clearwater, FL 33756



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  36
    University Community Health Network Provider Listing For Pinellas County
 Roca, Jose R MD                                       Walsh, Ronald L DO                                  Ordiway, Lester C MD
 Helen Ellis Memorial Hospital                         *****See Footnote                                   Helen Ellis Memorial Hospital

 1501 US Alt 19 S Ste G               (727) 939-1737   1345 West Bay Dr #101              (727) 581-3550   3905 W Horatio St                     (813) 871-5151
 Tarpon Springs, FL 34689                              Largo, FL 33770                                     Tampa, FL 33609


 Sabatino, Kenneth C MD                                Williamson, Michael D MD                            Pruitt, J Creighton MD
 *****See Footnote                                     *****See Footnote                                   *****See Footnote

 1840 Mease Dr #202                   (727) 725-6246   455 S Pinellas St #400             (727) 445-1911   455 S Pinellas St #320                (727) 446-2273
 Safety Harbor, FL 34695                               Clearwater, FL 33756                                Clearwater, FL 33756


 Sanchez, Robert             DO                        Zelenka, Jason T MD                                          Cardiovascular Surgery
 *****See Footnote                                     *****See Footnote

 6006 49th St N #200                  (727) 490-2020   455 S Pinellas St #400             (727) 445-1911
                                                                                                           Bufkin, Bradley L MD
 Pinellas Park, FL 33709                               Clearwater, FL 33756                                *****See Footnote*****

                                                                                                           625 6th St S #475                     (727) 822-6666
 Sharma, Rakesh              MD                            Cardiology/Electrophysiology                    St Petersburg, FL 33701-
 *****See Footnote

 1840 Mease Dr #200                   (727) 724-8611
                                                       Norris, John F MD                                   Campbell, James                 MD
 Safety Harbor, FL 34695                               *****See Footnote                                   *****See Footnote

                                                       1345 West Bay Dr #405              (727) 587-6999   1000 Lakeview Rd #3                   (727) 442-4178
 Sola, Richard           MD                            Largo, FL 33770                                     Clearwater, FL 33756
 *****See Footnote

 1840 Mease Dr #202                   (727) 725-6246
                                                                Cardiothoracic Surgery                     George, Kristopher M MD
 Safety Harbor, FL 34695                                                                                   *****See Footnote

                                                                                                           603 7th Street S #450                 (727) 822-6666
                                                       Chapa, Liberato          MD
 Spriggs, Douglas J MD                                 *****See Footnote                                   St Petersburg, FL
 *****See Footnote
                                                       455 S Pinellas St #320             (727) 446-2273
 455 S Pinellas St #400               (727) 445-1911
                                                       Clearwater, FL 33756                                Lindberg, Harald L MD
 Clearwater, FL 33756                                                                                      ***** See Footnote

                                                                                                           603 7th St S                          (727) 822-6666
                                                       Dworkin, Gary P MD
 Stark, Stephen H MD                                   *****See Footnote                                   St Petersburg, FL 33709-
 Helen Ellis Memorial Hospital
                                                       455 S Pinellas St #320             (727) 446-2273
 2626 Tampa Rd #104                   (727) 787-4875
                                                       Clearwater, FL 33756                                         Chiropractic Neurology
 Palm Harbor, FL 34684

                                                       Heric, Blaine       MD                              Hollstrom II, Gregory                DC
 Stein, Bernardo            MD                         *****See Footnote
 *****See Footnote
                                                       455 S Pinellas St #320             (727) 446-2273   5288 Seminole Blvd                    (727) 391-4300
 455 S Pinellas St #400               (727) 445-1911
                                                       Clearwater, FL 33756                                St Petersburg, FL 33708
 Clearwater, FL 33756

                                                       Murbach, Richard              MD                                         Chiropractor
 Steinhoff, Jeffery              MD                    *****See Footnote
 Helen Ellis Memorial Hospital
                                                       455 S Pinellas St #320             (727) 446-2273
 1345 West Bay Dr                     (727) 581-3550                                                       Alepa, Christopher              DC
                                                       Clearwater, FL 33756
 Largo, FL 33770
                                                                                                           2200 West Bay Dr                      (727) 518-2977
                                                       Ofenloch, John           MD                         Largo, FL 33770
 Walsh, John           MD                              *****See Footnote
 *****See Footnote
                                                       455 S Pinellas St #320             (727) 446-2273   2495 US Hwy 19 N                      (727) 726-1460
 603 7th Street S #400                (727) 329-1600
                                                       Clearwater, FL 33756                                Clearwater, FL 33763-
 St Petersburg, FL 33701




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                37
    University Community Health Network Provider Listing For Pinellas County
 Bettan-Lange, Anna                   DC                                        Dermatology                       Mahoney, Matthew H MD

 528 S Pinellas Ave                        (727) 934-6500                                                         13121 66th St N                      (727) 530-0920
                                                            Albergo, Robert            MD
 Tarpon Springs, FL 34689-                                  Helen Ellis Memorial Hospital                         Largo, FL 33733-

                                                            4132 Woodlands Pkwy                  (727) 786-5100
 DiDonato, L. Frank DC                                      Palm Harbor, FL 34685                                 Miller, Richard          DO
                                                                                                                  *****See Footnote

 1200 S Pinellas Ave #14                   (727) 934-5604                                                         8220 US Hwy 19 N                     (727) 841-8505
                                                            Altman, Roger W MD
 Tarpon Springs, FL 34698                                   Helen Ellis Memorial Hospital                         Port Richey, FL 34668

                                                            32615 US Hwy 19 N #1                 (727) 785-7667
 Fallon, Sean          DC                                   Palm Harbor, FL 34684                                 1559 Indian Rocks Rd                 (727) 587-9044
                                                                                                                  Largo, FL 33774-
 5288 Seminole Blvd                        (727) 391-4300
                                                            Armstrong, Frank                DO
 St Petersburg, FL 33708-                                   *****See Footnote                                     Soe, Kathleen           DO
                                                                                                                  *****See Footnote
                                                            2525 S Pasadena Ave                  (727) 363-6688
 Goodman, Jamie A DC                                        St Petersburg, FL 33707-                              725 Virginia St                      (727) 734-4551
 Helen Ellis Memorial Hospital                                                                                    Dunedin, FL 34698
 2323 Curlew Rd #6C                        (727) 772-7788
                                                            Dorton, David           DO
 Dunedin, FL 34698                                          *****See Footnote                                                       Endocrinology
                                                            8220 US Hwy 19 N                     (727) 841-8505
 Johnston, Larry J DC                                       Port Richey, FL 34668                                 Drucker, Jerry           MD
                                                                                                                  Helen Ellis Memorial Hospital
 905 E Dr MLK Jr Blvd #212                 (727) 943-7246   1559 Indian Rocks Rd                 (727) 587-9044   34041 US Hwy 19 N Ste B              (727) 784-3366
 Tarpon Springs, FL 34689                                   Largo, FL 33774-                                      Palm Harbor, FL 34684


 Marcell, Mike R DC                                         Esguerra, David             DO                        Ibrahim, Hossam                 MD
 Helen Ellis Memorial Hospital
                                                            *****See Footnote                                     *****See Footnote
 1245 Pinellas Ave                         (727) 937-2086   8220 US Hwy 19 N                     (727) 844-8505   613 S Myrtle Ave                     (727) 461-7000
 Tarpon Springs, FL 34689-                                  Port Richey, FL 34668                                 Clearwater, FL 33756


 Nickse, Stephen             DC                             1559 Indian Rocks Rd                 (727) 587-9044                     Family Practice
                                                            Largo, FL 33774-
 10875 Park Blvd Ste B-2                   (727) 399-2229
 Seminole, FL 33776
                                                                                                                  Auerbach, Donald                DO
                                                            Fett, Debra          MD                               *****See Footnote
                                                            *****See Footnote
                                                                                                                  7477 9th St N                        (727) 521-2424
 Rice, Robert          DC                                   1559 Indian Rocks Rd                 (727) 587-9044   St Petersburg, FL 33702
                                                            Largo, FL 33774
 1116 Belcher Rd                           (727) 733-0433
 Dunedin, FL 34698
                                                                                                                  Beamer, Robert K DO
                                                            Kelly, Timothy W MD                                   *****See Footnote
                                                            Helen Ellis Memorial Hospital
                                                                                                                  8250 Bryan Dairy Rd #300             (727) 545-4444
 Roberts, Michael                DC                         32615 US Hwy 19 N #1                 (727) 785-7667   Largo, FL 33777
                                                            Palm Harbor, FL 34684
 2001 West Bay Dr                          (727) 584-5737
 Largo, FL 33770
                                                                                                                  Berg, Shari A DO
                                                            Krutchik, Michael               DO                    *****See Footnote
                                                            *****See Footnote
                                                                                                                  2191 9th Ave N                       (727) 321-7001
              Clinical Cardiac EP                           8220 US Hwy 19 N                     (727) 841-8505   St Petersburg, FL 33713-
                                                            Port Richey, FL 34668

 Leonelli, Fabio M MD                                                                                             1745 S Highland Ave                  (727) 587-0527
 *****See Footnote                                          1559 Indian Rocks Rd                 (727) 587-9044   Clearwater, FL 33756
 455 S Pinellas St #310                    (727) 724-8611   Largo, FL 33774-
 Clearwater, FL 33756




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                       38
    University Community Health Network Provider Listing For Pinellas County
 Boyd, William           DO                        DeCosmo III, John               DO                    Haley, Bobby J DO
 *****See Footnote                                 *****See Footnote                                     *****See Footnote

 9375 US Hwy 19 N Ste A           (727) 577-1722   5088 66th St N                       (727) 541-2675   180 Patricia Ave                  (727) 733-4193
 Pinellas Park, FL 33782                           St Petersburg, FL 33709                               Dunedin, FL 34698


 Bunnell, Larry L DO                               DeFoe, James             DO                           Hampilos, Speros G DO
 *****See Footnote                                 *****See Footnote                                     *****See Footnote

 13540 Walsingham Rd              (727) 593-5492   11200 Seminole Blvd #306             (727) 393-3468   8500 113th St N                   (727) 391-1200
 Largo, FL 33774                                   Largo, FL 33778                                       Seminole, FL 33772


 1559 Indian Rocks Rd             (727) 587-9044   DiLella, Vincent J DO                                 Howard, Jason           DO
 Largo, FL 33774-                                  *****See Footnote                                     *****See Footnote

                                                   703 Virginia St                      (727) 783-4193   13787 Belcher Rd #100             (727) 535-9899

 Burnett, James            DO                      Dunedin, FL 34698                                     Largo, FL 33771-
 *****See Footnote

 3321 Tampa Rd                    (727) 784-2234   DiMasi, E MD                                          James, Gregory J DO
 Palm Harbor, FL 34684                             *****See Footnote*****                                *****See Footnote

                                                   703 Virginia St                      (727) 783-4193   13540 Walsingham Rd               (727) 593-5492

 Burns, Craig W DO                                 Dunedin, FL 34698-                                    Largo, FL 33774
 Helen Ellis Memorial Hospital

 1259 S Pinellas Ave              (727) 938-1908   Dunkelberger, George R               DO               1559 Indian Rocks Rd              (727) 587-9044
 Tarpon Springs, FL 34689                          *****See Footnote                                     Largo, FL 33774-
                                                   7995 66th Street N                   (727) 577-1722

 Capone, Edward              DO                    Pinellas Park, FL 33781-                              Kappeler, Keith         DO
 *****See Footnote                                                                                       *****See Footnote

 11528 US Hwy 19 N                (727) 868-2151   Finkelstein, Allen              DO                    13201 Walsingham Rd               (727) 595-5600
 Port Richey, FL 34668                             *****See Footnote                                     Largo, FL 33774
                                                   9021 Oakhurst Rd Ste H               (727) 596-2066

 Carson, Thomas E MD                               Seminole, FL 33776                                    Kay, Walter J DO
 Helen Ellis Memorial Hospital                                                                           *****See Footnote

 1259 S Pinellas Ave              (727) 938-1908   Fitzgerald, Gerald              DO                    818 Chestnut St                   (727) 443-7478
 Tarpon Springs, FL 34689                          *****See Footnote                                     Clearwater, FL 33756
                                                   12464 Indian Rocks Rd                (727) 596-5446

 Christman, Dorothy T MD                           Largo, FL 33774                                       Keith, Krista        DO
 Helen Ellis Memorial Hospital                                                                           *****See Footnote

 2122 US Alt 19 Ste B             (727) 785-1988   Gittinger, Juliette             DO                    13020 Park Blvd                   (727) 393-3404
 Palm Harbor, FL 34683                             Helen Ellis Memorial Hospital                         Seminole, FL 33776
                                                   3007 Ridgeline Rd Ste B              (727) 945-7122

 Clarkson, Frederick W DO                          Tarpon Springs, FL 34688                              Keweshan, William T DO
 *****See Footnote                                                                                       *****See Footnote

 13020 Park Blvd                  (727) 393-3404   Gross, Andrew S DO                                    12294 Indian Rocks Rd             (727) 595-2534
 Seminole, FL 33776                                *****See Footnote                                     Largo, FL 33774
                                                   9555 Seminole Blvd #204              (727) 392-6776

 Dallman, John J MD                                Seminole, FL 33772                                    Kidd, Richard          DO
 Helen Ellis Memorial Hospital                                                                           *****See Footnote

 1501 S Pinellas Ave Ste C        (727) 937-9070   Grove, Ronald            DO                           13020 Park Blvd                   (727) 393-3404
 Tarpon Springs, FL 34689                          *****See Footnote                                     Seminole, FL 33776
                                                   360 N Clearwater/Largo Rd

 Dean, Kimberly             DO                     Largo, FL 33770                                       Kinney Sr., James            DO
 *****See Footnote                                                                                       *****See Footnote

 13787 Belcher Rd S #100          (727) 535-9899                                                         2780 East Bay Dr                  (727) 535-3489
 Largo, FL 33771                                                                                         Largo, FL 33771



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                              39
    University Community Health Network Provider Listing For Pinellas County
 Koser, Jerome             DO                      Patterson, Russell              DO                    Urich, Norman            DO
 *****See Footnote                                 *****See Footnote                                     *****See Footnote

 1064 Keene Rd                    (727) 736-8926   12020 Seminole Blvd                  (727) 588-9572   1762 N Ft Harrison              (727) 447-2267
 Dunedin, FL 34698                                 Largo, FL 33770                                       Clearwater, FL 33755


 Kostamo, Paul             MD                      Patterson, Christopher               DO               Witt, Kevin         MD
 *****See Footnote                                 *****See Footnote                                     *****See Footnote

 2191 9th Ave N #200              (727) 327-0990   12294 Indian Rocks Rd                (727) 595-2534   6350 Central Ave                (727) 381-1144
 St Petersburg, FL 33713                           Largo, FL 33774                                       St Petersburg, FL 33707


 Lewis, Maha           MD                          Pettina, Samuel A DO                                  Yantz, Cindi A. MD
 Helen Ellis Memorial Hospital                     *****See Footnote                                     Helen Ellis Memorial Hospital

 28100 US Hwy 19 N #401           (727) 723-1910   13425 S Belcher Rd                   (727) 536-5575   1200 S Pinellas #10             (727) 942-8900
 Clearwater, FL 33761                              Largo, FL 33771                                       Tarpon Springs, FL 34689-


 Loux, Jeffrey          DO                         Reynolds, Michael Bryan DO                                          Gastroenterology
 *****See Footnote                                 *****See Footnote

 4900 95th Ave N                  (727) 546-4400   10225 Ulmerton Rd #1-A               (727) 593-5492
                                                                                                         Amin, Sanjiv P DO
 Pinellas Park, FL 33782                           Largo, FL 33771-                                      Helen Ellis Memorial Hospital

                                                                                                         34041 US 19 N Ste A             (727) 786-0017
 Mall, Ronald M DO                                 1559 Indian Rocks Rd                 (727) 587-9044   Palm Harbor, FL 34684-
 *****See Footnote                                 Largo, FL 33774-
 3800 East Bay Dr                 (737) 539-0505
                                                                                                         Beljic, Steve         DO
 Largo, FL 33771                                   Serag, Sherif M MD                                    *****See Footnote
                                                   Helen Ellis Memorial Hospital
                                                                                                         8250 Byran Dairy Rd #200        (727) 544-1600
 Markou, Michael             DO                    1152 62nd Ave S                      (727) 866-6306   Largo, FL 33777
 *****See Footnote                                 St Petersburg, FL 33705
 921 S Missouri Ave               (727) 446-0176
                                                                                                         Berman, Arthur L DO
 Clearwater, FL 33756                              Shover, John            DO                            *****See Footnote
                                                   *****See Footnote
                                                                                                         8250 Byran Dairy Rd #200        (727) 544-1600
 Masani, Shama A MD                                8133 54th Ave N                      (727) 541-4458   Largo, FL 33777
 Helen Ellis Memorial Hospital                     St Petersburg, FL 33709
 1200 S Pinellas Ave #7           (727) 943-9080
                                                                                                         Daly, Joseph M MD
 Tarpon Springs, FL 34689                          Southard, Paul K MD                                   Helen Ellis Memorial Hospital
                                                   Helen Ellis Memorial Hospital
                                                                                                         33920 US Hwy 19 N #124          (727) 785-7654
 Morse, Linda           DO                         36318 US Hwy 19 N                    (727) 785-8400   Palm Harbor, FL 34684
 *****See Footnote                                 Palm Harbor, FL 34684
 5800 49th St N #201              (727) 525-4699
                                                                                                         Goyal, Anoop K MD
 Pinellas Park, FL 33709                           Springle, Joseph                MD                    Helen Ellis Memorial Hospital
                                                   *****See Footnote
                                                                                                         34653 US Hwy 19 N               (727) 771-6135
 Okeson, Nicholas Z DO                             6350 Central Ave                     (727) 381-1144   Palm Harbor, FL 34684
 *****See Footnote                                 St Petersburg, FL 33707
 13787 Belcher Rd S #100          (727) 535-9899
                                                                                                         Hallgren, Scott E DO
 Largo, FL 33771                                   Strikowsky, Stuart B DO                               *****See Footnote
                                                   *****See Footnote
                                                                                                         8250 Byran Dairy Rd #200        (727) 544-1600
 Pappageorge, Vicki G DO                           2724 Park Dr                         (727) 796-2444   Largo, FL 33777
 *****See Footnote                                 Clearwater, FL 33763
 1603 Indian Rocks Rd             (727) 585-5155
                                                                                                         Klibanoff, Alan R MD
 Largo, FL 33774                                   Taldone, Johanna D MD                                 Helen Ellis Memorial Hospital
                                                   Helen Ellis Memorial Hospital
                                                                                                         33920 US Hwy 19 N #124          (727) 785-7654
                                                   2835 US Alt 19 N                     (727) 786-3866   Palm Harbor, FL 34684
                                                   Palm Harbor, FL 34683



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                              40
    University Community Health Network Provider Listing For Pinellas County
 LaCamera, Richard G MD                                              General Medicine                        Jessee, Tiffany           DO
 Helen Ellis Memorial Hospital                                                                               *****See Footnote

 33920 US Hwy 19 N #124               (727) 785-7654                                                         2039 Indian Rocks Rd                 (727) 584-7666
                                                       Arboleda, Victor            MD
 Palm Harbor, FL 34684                                 *****See Footnote                                     Largo, FL 33774

                                                       2531 Landmark Dr #104                (727) 723-3921
 Maxfield, Dane L DO                                   Clearwater, FL 33761                                  Lowery, David G DO
 *****See Footnote                                                                                           *****See Footnote

 13644 Walsingham Rd                  (727) 595-2519                                                         2025 Indian Rocks Rd                 (727) 584-7666
                                                       DeLaCruz, Marijo                DO
 Largo, FL 33774                                       *****See Footnote                                     Largo, FL 33773

                                                       1016 Ponce DeLeon Blvd #6            (727) 449-1773
 Peebles, Michael W MD                                 Bellair, FL 33756                                     1559 Indian Rocks Rd                 (727) 587-9044
 Helen Ellis Memorial Hospital                                                                               Largo, FL 33774-
 33920 US Hwy 19 N #124               (727) 785-7654
                                                       Diamandis, Themistocles J MD
 Palm Harbor, FL 34684                                 Helen Ellis Memorial Hospital                         Rodriguez, Richard              DO
                                                                                                             *****See Footnote
                                                       136 Country Club Ct                  (727) 937-6211
 Schulman, Michael               DO                    Tarpon Springs, FL 34689                              1305 S Ft Harrison Ave Bldg H        (727) 443-7797
 *****See Footnote                                                                                           Clearwater, FL 33756
 8250 Byran Dairy Rd #200             (727) 544-1600
                                                       King, Mary          DO
 Largo, FL 33777                                       *****See Footnote                                            General/Vascular Surgery
                                                       12685 Ulmerton Rd                    (727) 593-8700
 Steckler, Eric          MD                            Largo, FL 33774                                       Blackshear, Jr, William              MD
 Helen Ellis Memorial Hospital                                                                               *****See Footnote
 33920 US Hwy 19 N #124               (727) 785-7654                                                         7292 4th St N St Ste B               (727) 896-8149
                                                       Kolettis, Elias         DO
 Palm Harbor, FL 34684                                 *****See Footnote                                     St Petersburg, FL 33702
                                                       13787 Belcher Rd S #100              (727) 535-9899
 Taunk, Jawahar L MD                                   Largo, FL 33771                                       Case, Brad          MD
 Helen Ellis Memorial Hospital
                                                                                                             Helen Ellis Memorial Hospital
 34041 US 19 N Ste A                  (727) 786-0017                                                         2626 Tampa Rd #204                   (727) 773-2273
                                                       Schwartzberg, Roger K DO
 Palm Harbor, FL 34684-                                *****See Footnote                                     Palm Harbor, FL 34684
                                                       13020 Park Blvd                      (727) 393-3404
 Zeitlin, Laurence H MD                                Seminole, FL 33776                                    Castillenti, Thomas A DO
 Helen Ellis Memorial Hospital
                                                                                                             *****See Footnote
 33920 US Hwy 19 N #124               (727) 785-7654                                                         1559 Indian Rocks Rd                 (727) 587-9044
                                                                      General Practice
 Palm Harbor, FL 34684                                                                                       Largo, FL 33774-

                                                       Occhipinti, Marc            MD
 Zelig, Michael P MD                                   Helen Ellis Memorial Hospital                         DiNapoli, Peter T MD
 Helen Ellis Memorial Hospital
                                                                                                             Helen Ellis Memorial Hospital
                                                       312 E Tarpon Ave                     (727) 938-6366
 34041 US 19 N Ste A                  (727) 786-0017                                                         34629 US Hwy 19 N                    (727) 785-7674
                                                       Tarpon Springs, FL 34689-
 Palm Harbor, FL 34684-                                                                                      Palm Harbor, FL 34684

                                                                      General Surgery
     Gastroenterology/Hepatology                                                                             Emerson, James David MD
                                                                                                             Helen Ellis Memorial Hospital
                                                       Chandler, Nicole            MD                        34629 US Hwy 19 N                    (727) 788-7674
 Sondhi, Satinderpal             MD                    *****See Footnote
 Helen Ellis Memorial Hospital                                                                               Palm Harbor, FL 34684
                                                       880 6th Street S #210                (727) 767-4170
 1831 N Belcher Rd Ste F-1            (727) 796-4544
                                                       St Petersburg, FL 33701-
 Clearwater, FL 33756                                                                                        Iyer, Venkit        MD
                                                                                                             Helen Ellis Memorial Hospital
                                                       Danielson, Paul D MD                                  32615 US Hwy 19 N #3                 (727) 785-4478
                                                       *****See Footnote
                                                                                                             Palm Harbor, FL 34684
                                                       880 6th Street S #210                (727) 767-4170
                                                       St Petersburg, FL 33701-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  41
    University Community Health Network Provider Listing For Pinellas County
                      Genetics                         Ball, Jennifer E DO                                   Hajdenberg, Julio J MD
                                                       *****See Footnote                                     Helen Ellis Memorial Hospital

                                                       1840 Mease Dr #309                   (727) 450-0493   1744 US Alt 19 S                (727) 942-1259
 Loscalzo, Melissa L MD
 *****See Footnote                                     Safety Harbor, FL 34684                               Tarpon Springs, FL 34689

 880 6th St S #240                    (727) 767-8491
 St Petersburg, FL 33701                               8787 Bryan Dairy Rd #320             (727) 397-9641   Hano, Andrew E DO
                                                       Largo, FL 33777-                                      *****See Footnote

                                                                                                             8787 Bryan Dairy Rd #320        (727) 397-9641
              Geriatric Medicine
                                                       Bergier, Gregoire               MD                    Largo, FL 33777
                                                       *****See Footnote
 Boyd, William C DO                                    100 Highland Ave                     (727) 683-2900
 *****See Footnote
                                                                                                             Kerr, Jody Z MD
                                                       Largo, FL 33770-                                      *****See Footnote*****
 9375 US Hwy 19 N Ste A               (727) 577-1722
                                                                                                             880 6th Street S                (727) 767-4176
 Pinellas Park, FL 33782
                                                       1840 Mease Dr #309                   (727) 216-1141   St Petersburg, FL 33701-
                                                       Safety Harbor, FL 34695-
  Gyn/Reproductive Endocrinology
                                                                                                             knipe, Richard            MD
                                                       Chamberlain, Kerry E DO                               *****See Footnote
 Cowart, Catherine               MD                    *****See Footnote                                     1201 5th Ave N #505             (727) 821-8194
 *****See Footnote
                                                       100 Highland Ave                     (727) 683-2900   St Petersburg, FL 33705-
 2695 Ulmerton Rd                     (727) 572-5300   Largo, FL 33770-
 Clearwater, FL 33762-
                                                                                                             Marte, Idelfia A MD
                                                       Drapkin, Robert L MD                                  Helen Ellis Memorial Hospital

                     Gynecology                        Helen Ellis Memorial Hospital                         3850 Tampa Rd                   (727) 784-6779
                                                       3253 McMullen Booth Rd #100          (727) 725-8102   Palm Harbor, FL 34684

 Cappiello, Gerard A MD                                Clearwater, FL 33761
 Helen Ellis Memorial Hospital                                                                               McLaughlin, Timothy T MD
 1840 Mease Dr #200                   (727) 724-1966   Ettinger, Lawrence              MD                    Helen Ellis Memorial Hospital

 Safety Harbor, FL 34695                               ***See Footnote                                       3850 Tampa Rd                   (727) 784-6779
                                                       880 6th Street S                     (727) 767-4176   Palm Harbor, FL 34684

 Pagan, Jose A MD                                      St Petersburg, FL 33701-
 Helen Ellis Memorial Hospital                                                                               Paonessa, Jeffrey L MD
 6710 Embassy Blvd #105               (727) 845-4999   Flick, David A MD                                     *****See Footnote

 Port Richey, FL 34668-                                *****See Footnote                                     1201 5th Ave N #505             (727) 821-8194
                                                       1260 Greenwood Ave Ste B             (727) 446-4759   St Petersburg, FL 33705

 Vogler, James K DO                                    Clearwater, FL 33756
 *****See Footnote                                                                                           Patel, Hitesh            MD
 1559 Indian Rocks Rd                 (727) 587-9044   Gregoire, Bergier               MD                    University Community Hospital

 Largo, FL 33774                                       *****See Footnote                                     303 Pinellas St #330            (727) 447-8100
                                                       1840 Mease Dr #309                   (727) 450-0493   Clearwater, FL 33756

    Hand & Microvascular Surgery                       Safety Harbor, FL 34684-

                                                                                                             Ziegler, Lane D DO
                                                       8787 Bryan Dairy Rd #320             (727) 397-9641   *****See Footnote
 Williams, Brian R DO
 Helen Ellis Memorial Hospital                         Largo, FL 33777-                                      8787 Byran Dairy Rd #320        (727) 397-9641

 37026 US Hwy 19 N                    (727) 938-1935                                                         Largo, FL 33777

 Palm Harbor, FL 34684                                 900 Carillon Pkwy #402
                                                       St Petersburg, FL 33716-                                            Infectious Disease
           Hematology/Oncology
                                                       Gupta, Sneh L MD                                      Groom, Todd              MD
                                                       Helen Ellis Memorial Hospital
                                                                                                             Helen Ellis Memorial Hospital
 Araujo, Roberto A MD                                  34661 US Hwy 19 N                    (727) 784-1095
 Helen Ellis Memorial Hospital                                                                               1501 S Pinellas Ave Ste T       (727) 938-6800
                                                       Palm Harbor, FL 34684                                 Tarpon Springs, FL 34689-
 1744 Alt 19 S                        (727) 942-1259
 Tarpon Springs, FL 34689


*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  42
    University Community Health Network Provider Listing For Pinellas County
 Jankelevich, Shirley             MD                    Dean, Robert M MD                                     Kundra, Anita           MD
 *****See Footnote                                      Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 880 6th Street S #240                 (727) 767-4160   3830 Tampa Rd #500                   (727) 787-4383   2595 Tampa Rd Ste S&T            (727) 781-4299
 St Petersburg, FL 33701-                               Palm Harbor, FL 34684                                 Palm Harbor, FL 34684


 Laartz, Brent W MD                                     Durai, Palamadai S MD                                 Logrono, Luis A MD
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 1501 S Pinellas Ave Ste T             (727) 938-6800   1501 Alt 19 S Ste D                  (727) 934-5775   800 Tarpon Woods Blvd Ste #A-2   (727) 785-6779
 Tarpon Springs, FL 34689                               Tarpon Springs, FL 34689                              Clearwater, FL 33761


 Levenson, Jeffrey R MD                                 Evans, Kimberly D MD                                  McCormick, John D MD
 *****See Footnote                                      Helen Ellis Memorial Hospital                         University Community Hospital

 6798 Crosswinds Dr N                  (727) 384-2479   34637 US Hwy 19 N                    (727) 786-1673   3890 Tampa Rd #103               (727) 789-5811
 St Petersburg, FL 33710                                Palm Harbor, FL 34684                                 Palm Harbor, FL 34684-


 Phillips, Michael C             MD                     Fischer, James P MD                                   Moraitis, Evangelos J MD
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 1501 S Pinellas Ave Ste T             (727) 938-6800   34637 US Hwy 19 N                    (727) 786-1673   2626 Tampa Rd #202               (727) 781-5811
 Tarpon Springs, FL 34689-                              Palm Harbor, FL 34684                                 Palm Harbor, FL 34684


 Reddy, Nibeditha                MD                     Ghafoor, Halima             MD                        Namey Jr., Joseph J DO
 *****See Footnote*****                                 Helen Ellis Memorial Hospital                         *****See Footnote

 1840 Mease Dr                         (727) 669-6800   1200 S Pinellas Ave                  (727) 939-1199   13644 Walsingham Rd              (727) 595-2519
 Safety Harbor, FL 34695-                               Tarpon Springs, FL 34689-                             Largo, FL 33774


                Internal Medicine                       Goldstein, Gary M MD                                  Nazario, Ilka         MD
                                                        University Community Hospital                         Helen Ellis Memorial Hospital

                                                        3890 Tampa Rd #103                   (727) 789-5811   2114 Seven Springs Blvd          (727) 375-2719
 Azneer, Ira B DO
 *****See Footnote                                      Palm Harbor, FL 34684-                                New Port Richey, FL 34655-

 8250 Bryan Dairy Rd #310              (727) 541-4426
 Largo, FL 33777                                        Herror-Szostak, Iilleen              MD               Patel, Mehul K MD
                                                        Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

                                                        3820 Tampa Rd #102                   (727) 785-4540   2323 Curlew Rd #6E               (727) 789-2922
 Bagenski, Philip            MD
 Helen Ellis Memorial Hospital                          Palm Harbor, FL 34684                                 Dunedin, FL 34698

 3820 Tampa Rd #102                    (727) 785-4540
 Palm Harbor, FL 34684                                  Hyrniewicz, Henry A MD                                Patel, Bhanu J MD
                                                        *****See Footnote                                     Helen Ellis Memorial Hospital

                                                        2191 9th Ave N                       (727) 321-7001   3820 Tampa Rd #102               (727) 785-4540
 Beaman, Thomas F DO
 *****See Footnote                                      St Petersburg, FL 33713-                              Palm Harbor, FL 34684

 626 Lakeview Rd Ste A                 (727) 462-0225
 Clearwater, FL 33756                                   1745 S Highland Ave                  (727) 587-0527   Polin, Arthur R MD
                                                        Clearwater, FL 33756                                  Helen Ellis Memorial Hospital

                                                                                                              34637 US Hwy 19 N                (727) 786-1673
 Bilirakis, Emmanuel M MD
 Helen Ellis Memorial Hospital                          Joshi, Pankajkumar K MD                               Palm Harbor, FL 34684
                                                        Helen Ellis Memorial Hospital
 2626 Tampa Rd #202                    (727) 781-5811
 Palm Harbor, FL 34684                                  2595 Tampa Rd Ste D                  (727) 773-8884   Rosario, Cristobal R MD
                                                        Palm Harbor, FL 34684                                 Helen Ellis Memorial Hospital

                                                                                                              3890 Tampa Rd                    (727) 786-6155
 Browne-King, Esther U MD
 Helen Ellis Memorial Hospital                          Kudelko, Jennifer               DO                    Palm Harbor, FL 34655-
                                                        *****See Footnote
 36503 US Hwy 19 N                     (727) 787-5151
 Palm Harbor, FL 34684                                  13644 Walsingham Rd                  (727) 595-2519
                                                        Largo, FL 33774



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   43
    University Community Health Network Provider Listing For Pinellas County
 Rutledge, Hugh A MD                                                Medical Oncology                          Zelesnik, Cynthia               ARNP
 Helen Ellis Memorial Hospital                                                                                *****See Footnote

 34637 US Hwy 19 N                    (727) 786-1673                                                          401 Corbett St                         (727) 462-2229
                                                       Jooma, Nuruddin             MD
 Palm Harbor, FL 34684                                 University Community Hospital                          Clearwater, FL 33756-

                                                       303 Pinellas St #330                  (727) 447-8100
 Sagar, Sheila V MD                                    Clearwater, FL 33756-                                       Mohs Micrographic Surgery
 Helen Ellis Memorial Hospital

 2323 Curlew Rd                       (727) 669-9700   100 Highland Ave                      (727) 683-2900   Altman, Roger W MD
 Dunedin, FL 34698-                                    Largo, FL 33770-                                       Helen Ellis Memorial Hospital

                                                                                                              32615 US Hwy 19 N #1                   (727) 785-7667
 Scheer, Michael L DO                                  Peterson, John A MD                                    Palm Harbor, FL 34684
 Helen Ellis Memorial Hospital
                                                       *****See Footnote
 6610 Embassy Blvd Ste A              (727) 849-7300   1201 5th Ave N #505                   (727) 821-8194        Neonatal-Perinatal Medicine
 Port Richey, FL 34668                                 St Petersburg, FL 33705-

                                                                                                              Escoto, Danilo T MD
 Scherer, Marie-France            MD                           Mental Health Providers                        *****See Footnote
 *****See Footnote
                                                                                                              880 6th St S #470                      (727) 892-4313
 1551 West Bay Dr                     (727) 581-8767
                                                       Evolutions HealthCare System,                          St Petersburg, FL 33701
 Largo, FL 33770
                                                       www.ehsppo.com

                                                       For Mental Health or Substance        (800) 308-2749   Lilly, Van S MD
 Schlau, Aron           MD                             Abuse Providers,                                       *****See Footnote
 Helen Ellis Memorial Hospital
                                                                                                              880 6th St S #470                      (727) 892-4313
 3820 Tampa Rd #102                   (727) 785-4540
                                                                               Midwife                        St Petersburg, FL 33701
 Palm Harbor, FL 34684


                                                       Landis-Nussbaum, Debbie                  ARNP          Sosa, Roberto A MD
 Trevino, Miguel            MD                                                                                *****See Footnote
                                                       *****See Footnote
 *****See Footnote
                                                       401 Corbett St                        (727) 462-2229   880 6th St S #470                      (727) 892-4313
 360 N Clearwater/Largo Rd            (727) 584-8777
                                                       Clearwater, FL 33756-                                  St Petersburg, FL 33701
 Largo, FL 33770


                                                       McNamara, Nancy                 ARNP                   Stromquist, Carine I MD
 Turpin, Matt S DO                                                                                            *****See Footnote
                                                       *****See Footnote
 Helen Ellis Memorial Hospital
                                                       401 Corbett St                        (727) 462-2229   880 6th St S #470                      (727) 892-4313
 2855 Alt 19 S                        (727) 786-1824
                                                       Clearwater, FL 33756-                                  St Petersburg, FL 33701
 Palm Harbor, FL 34683


                                                       Tinny, Jacqueline              ARNP                                        Nephrology
 Wingfield Jr., David            DO
                                                       *****See Footnote
 *****See Footnote

 13644 Walsingham Rd                  (727) 595-2519   401 Corbett St                        (727) 462-2229   Awwad, Abraham                  DO
                                                       Clearwater, FL 33756-                                  *****See Footnote
 Largo, FL 33774
                                                                                                              4206 Central Ave                       (727) 322-0245

                                                       Trick, Susan M CNM                                     St Petersburg, FL 33771
 Worth, Randall G DO
                                                       Morton Plant Hospital
 *****See Footnote

 13644 Walsingham Rd                  (727) 595-2519   1243 Lakeview Rd                      (727) 446-1795   Dewberry, F Lawrence MD
                                                       Clearwater, FL 33756                                   Helen Ellis Memorial Hospital
 Largo, FL 33774
                                                                                                              30522 US Hwy 19 N #110                 (727) 789-1737

                                                       Whittingham, Zerica              ARNP                  Palm Harbor, FL 34684
 Yamani, M. Ilyas MD
                                                       *****See Footnote
 *****See Footnote

 2191 9th Ave N                       (727) 321-7001   401 Corbett St                        (727) 462-2229   Littlefield, Jerry M DO
                                                       Clearwater, FL 33756-                                  *****See Footnote
 St Petersburg, FL 33713-
                                                                                                              13644 Walsingham Rd                    (727) 595-2519

 1745 S Highland Ave                  (727) 587-0377                                                          Largo, FL 33774

 Clearwater, FL 33756



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                 44
    University Community Health Network Provider Listing For Pinellas County
 Lotfi, Michael           MD                                           Neuro-Opthalmology                         Daminani, Carmen                DO
 Helen Ellis Memorial Hospital                                                                                    Morton Plant Hospital

 30522 US Hwy 19 N #110                    (727) 789-1737                                                         1243 Lakeview Rd                     (727) 446-1795
                                                            Rush, James            MD
 Palm Harbor, FL 34684                                      Consulting Only                                       Clearwater, FL 33756

                                                            2515 Countryside Blvd Ste F          (727) 726-1060
 Needham Jr., Gerald                  DO                    Clearwater, FL 33763-                                 Diner, Beth C MD
 *****See Footnote                                                                                                UCH

 11465 Ulmerton Rd                         (727) 518-7017                                                         1600 Martin Luther King St N         (727) 456-0750
                                                                                 OB/GYN
 Largo, FL 33778                                                                                                  St Petersburg, FL 33704-

                                                            Flantroy, Kesha            MD
 Neuwirth, Robert                MD                         *****See Footnote
                                                                                                                  Dolskaya, Elena             MD
 Helen Ellis Memorial Hospital                                                                                    *****See Footnote
                                                            603 7th Street S #300                (727) 456-6200
 1121 Overcash Dr                          (727) 734-0555                                                         625 6th Ave S #350                   (727) 456-0080
                                                            St Petersburg, FL 33701-
 Dunedin, FL 34698                                                                                                St Petersburg, FL 33701-


                                                                     Obstetrics/Gynecology
 Rekhi, Avin D MD                                                                                                 Evans, Jennifer            MD
 Helen Ellis Memorial Hospital                                                                                    *****See Footnote

 1124 Lakeview Rd #2                       (727) 441-3724   Acosta, Romeo             MD                          1501 S Pinellas Ave Ste T            (727) 973-2229
                                                            *****See Footnote
 Clearwater, FL 33756                                                                                             Tarpon Springs, FL 34689-
                                                            6700 Crosswinds Dr                   (727) 344-4651
                                                            St Petersburg, FL 33710-
 Sagar, Vidya E MD                                                                                                Fosnot, Susan            DO
 Helen Ellis Memorial Hospital                                                                                    *****See Footnote

 1121 Overcash Dr                          (727) 734-0555   Ancheta, Arleigh I DO                                 401 Corbett St                       (727) 462-2229
                                                            Helen Ellis Memorial Hospital
 Dunedin, FL 34698                                                                                                Clearwater, FL 33756
                                                            2595 Tampa Rd Ste G                  (727) 781-3448
                                                            Palm Harbor, FL                                       7601 Seminole Blvd                   (727) 399-9922
 Schwartz, Steven                MD
 Helen Ellis Memorial Hospital                                                                                    Seminole, FL 33772-
 1121 Overcash Dr                          (727) 734-0555   Bliss, Kimberly           MD
                                                            *****See Footnote
 Dunedin, FL 34698                                                                                                Foster, George            MD
                                                            603 7th Street S #500                (727) 553-7500   *****See Footnote
                                                            St Petersburg, FL 33701                               603 7th Street S #500                (727) 553-7500
 Shetye, Kedar            MD
 University Community Hospital                                                                                    St Petersburg, FL 33701
 13644 Walsingham Rd                       (727) 863-5418   Caldron, Guillermo              MD
                                                            *****See Footnote
 Largo, FL 33774-                                                                                                 Funkhauser, Carrie              MD
                                                            6700 Crosswinds Dr                   (727) 344-4651   *****See Footnote
                                                            St Petersburg, FL 33710-                              1055 S Ft Harrison                   (727) 447-7786
 Siedlecki, Michael              MD
 *****See Footnote                                                                                                Clearwater, FL 33756-
 1201 5th Ave N #302                       (727) 821-2388   Connor, Dianne             MD
                                                            *****See Footnote
 St Petersburg, FL 33705                                                                                          Gallagher, James D MD
                                                            4150 Woodlands Pkwy                  (727) 461-2757   Helen Ellis Memorial Hospital
                                                            Palm Harbor, FL 34685-                                3820 Tampa Rd #202                   (727) 786-8678
                     Neurology
                                                                                                                  Palm Harbor, FL 34684
                                                            900 Carillon Pkwy                    (727) 461-2757
 Bunch, Shirley T MD                                        St Petersburg, FL 33716-
 *****See Footnote*****                                                                                           Hamid, Cherine A MD
                                                                                                                  Helen Ellis Memorial Hospital
 880 6th St S                              (727) 767-4149
 St Petersburg, FL 33701-
                                                            Dadisman, Katherine              DO                   3820 Tampa Rd #202                   (727) 786-8678
                                                            *****See Footnote
                                                                                                                  Palm Harbor, FL 34684
                                                            401 Corbett St                       (727) 462-2229
 Ritch, Mark          DO                                    Clearwater, FL 33756
 *****See Footnote                                                                                                Hargrove, Donna A DO
                                                                                                                  *****See Footnote
 13787 Belcher Rd                          (727) 536-2340
                                                            7601 Seminole Blvd                   (727) 399-9922   603 7th St S #300                    (727) 553-7500
 Largo, FL 33771-
                                                            Seminole, FL 33772-                                   St Petersburg, FL 33701



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                       45
    University Community Health Network Provider Listing For Pinellas County
 Hayes, Jennifer            DO                         McCance, Georgette J MD                          Rudolph, Richard B MD
 *****See Footnote                                     *****See Footnote                                *****See Footnote

 401 Corbett St                       (727) 462-2229   508 Jeffords St Ste C           (727) 461-2757   508 Jeffords St Ste C                 (727) 461-2757
 Clearwater, FL 33756                                  Clearwater, FL 33756                             Clearwater, FL 33756


 Jain, Meena          MD                               4150 Woodlands Pkwy             (727) 461-2757   4150 Woodlands Pkwy                   (727) 461-2757
 University Community Hospital                         Palm Harbor, FL 34685-                           Palm Harbor, FL 34685-
 3275 66th Street N                   (727) 343-2568
 St Petersburg, FL 33710-                              900 Carillon Pkwy               (727) 461-2757   900 Carillon Pkwy                     (727) 461-2757
                                                       St Petersburg, FL 33716-                         St Petersburg, FL 33716-

 Jensen, Jeffrey E DO
 *****See Footnote                                     Miller, Nancy S MD                               Saravanos, Karen                MD
 1055 S Ft Harrison                   (727) 447-7786   *****See Footnote                                *****See Footnote

 Clearwater, FL 33756                                  1055 S Ft Harrison              (727) 447-7786   508 Jeffords St Ste C                 (727) 461-2757
                                                       Clearwater, FL 33756                             Clearwater, FL 33756

 Lerner, Saul R MD
 *****See Footnote                                     Nault, Su Parker MD                              4150 Woodlands Pkwy                   (727) 461-2757
 508 Jeffords St Ste C                (727) 461-2757   *****See Footnote                                Palm Harbor, FL 34685-
 Clearwater, FL 33756                                  508 Jeffords St Ste C           (727) 461-2757
                                                       Clearwater, FL 33756                             900 Carillon Pkwy                     (727) 461-2757
 4150 Woodlands Pkwy                  (727) 461-2757                                                    St Petersburg, FL 33716-
 Palm Harbor, FL 34685-                                Olmstead, Roseanne Marie MD
                                                       *****See Footnote                                Slaton, Brooke            MD
 900 Carillon Pkwy                    (727) 461-2757   1055 S Ft Harrison              (727) 447-7786   Helen Ellis Memorial Hospital

 St. Petersburg, FL 33716-                             Clearwater, FL 33756                             1501 S Pinellas Ave Ste T             (727) 943-2229
                                                                                                        Tarpon Springs, FL 34689-

 Lesser, Steven E MD                                   Paniello, Santo J MD
 *****See Footnote                                     *****See Footnote                                St. John, Patricia A MD
 1055 S Ft Harrison                   (727) 447-7786   1055 S Ft Harrison              (727) 447-7786   *****See Footnote

 Clearwater, FL 33756                                  Clearwater, FL 33756                             1055 S Ft Harrison                    (727) 447-7786
                                                                                                        Clearwater, FL 33756

 Lorenzo, Wilfredo               MD                    Perez-Artiles, Hugo L MD
 *****See Footnote                                     Helen Ellis Memorial Hospital                    Struthers, Lindsay              MD
 6700 Crosswinds Dr                   (727) 344-4651   28960 US Hwy 19 N #109          (727) 785-7686   *****See Footnote

 St Petersburg, FL 33710-                              Clearwater, FL 33761                             603 7th Street S #300                 (727) 553-7500
                                                                                                        St Petersburg, FL 33701

 MacAgy, Ian D MD                                      Peterfreund, David O MD
 Helen Ellis Memorial Hospital                         *****See Footnote                                Tijerino, Linda          MD
 3 Cypress St                         (727) 937-9797   1055 S Ft Harrison              (727) 447-7786   *****See Footnote

 Palm Harbor, FL 34684                                 Clearwater, FL 33756                             603 7th Street S #300                 (727) 553-7500
                                                                                                        St Petersburg, FL 33701

 Marcelli, Susan            MD                         Ritter, Brooke E DO
 *****See Footnote                                     *****See Footnote                                Todd, Gregory L MD
 4150 Woodlands Pkwy                  (727) 461-2757   401 Corbett St #400             (727) 462-2229   *****See Footnote

 Palm Harbor, FL 34685-                                Clearwater, FL 33756-                            1055 S Ft Harrison                    (727) 447-7786
                                                                                                        Clearwater, FL 33756
 900 Carillon Pkwy                    (727) 461-2757   7601 Seminole Blvd              (727) 399-9922
 St Petersburg, FL 33716-                              Seminole, FL 33772-                              Van Zandt, Stephanie                 MD
                                                                                                        *****See Footnote

                                                                                                        401 Corbett St                        (727) 462-2229
                                                                                                        Clearwater, FL 33756




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  46
    University Community Health Network Provider Listing For Pinellas County
 7601 Seminole Blvd                    (727) 399-9922   Gills III, James P MD                                 Shettle, Philip L DO
 Seminole, FL 33772-                                    Helen Ellis Memorial Hospital                         *****See Footnote

                                                        43309 US Hwy 19 N                    (727) 938-2020   670 Clearwater/Largo Rd N            (727) 581-8755

 Weinstock, Katharine V. MD                             Tarpon Springs, FL 34689                              Largo, FL 33770
 *****See Footnote

 508 Jeffords St Ste C                 (727) 461-2757   3160 5th Ave N #135                  (727) 328-7700   Shettle, Lee         DO
 Clearwater, FL 33756                                   St Petersburg, FL 33713-                              *****See Footnote

                                                                                                              670 Clearwater/Largo Rd N            (727) 581-8755
 4150 Woodlands Pkwy                   (727) 461-2757   Gills Jr., James P MD                                 Largo, FL 33770
 Palm Harbor, FL 34685-                                 Helen Ellis Memorial Hospital

                                                        43309 US Hwy 19 N                    (727) 938-2020            Ophthalmology/Cornea
 900 Carillon Pkwy                     (727) 461-2757   Tarpon Springs, FL 34689
 St Petersburg, FL 33716-
                                                                                                              Rowsey, James              MD
                                                        3160 5th Ave N #135                  (727) 328-7700   Helen Ellis Memorial Hospital
 Williams, Trent A MD                                   St Petersburg, FL 33713-                              43309 US Hwy 19 N                    (727) 938-2020
 Helen Ellis Memorial Hospital
                                                                                                              Tarpon Springs, FL 34689-
 1501 US Alt 19 S Ste T                (727) 943-2229   Hamilton, Warren                MD
 Tarpon Springs, FL 34689                                                                                     3160 5th Ave N #135                  (727) 328-7700
                                                        3160 5th Ave N #135                  (727) 328-7700   St Petersburg, FL 33713-
 Young, Shelley            MD                           St Petersburg, FL 33713-
 *****See Footnote
                                                                                                                        Ophthalmology/Retina
 401 Corbett St                        (727) 462-2229   Kiskaddon, Bruce M MD
 Clearwater, FL 33756                                   Helen Ellis Memorial Hospital

                                                        43309 US Hwy 19 N                    (727) 938-2020
                                                                                                              Agia, Raymond             MD
 7601 Seminole Blvd                    (727) 399-9922   Tarpon Springs, FL 34689
                                                                                                              3160 5th Ave N #135                  (727) 328-7700
 Seminole, FL 33772-
                                                                                                              St Petersburg, FL 33713-
                                                        3160 5th Ave N #135                  (727) 328-7700

                     Oncology                           St Petersburg, FL 33713-
                                                                                                              Billiris-Findlay, Karina             MD
                                                                                                              University Community Hospital
 Miranda, Edgar            MD                           Mendelblatt, David J MD                               4344 Central Ave                     (727) 323-0077
 Helen Ellis Memorial Hospital
                                                                                                              St Petersburg, FL 33711-
 3850 Tampa Rd                         (727) 784-6779   600 6th Ave S                        (727) 822-6763

 Palm Harbor, FL 34684-                                 St Petersburg, FL 33701
                                                                                                              Menosky, Matthew M MD
                                                                                                              Helen Ellis Memorial Hospital

                  Ophthalmology                         Mendelblatt, Frank I MD                               505 Druid Rd E                       (747) 447-8008
                                                                                                              Clearwater, FL 33756
                                                        600 6th Street S                     (727) 822-6763
 Burns, Christine L MD                                  St Petersburg, FL 33701
 Helen Ellis Memorial Hospital                                                                                Mines, Jonathan A MD
 34911 US Hwy 19 N #525                (727) 787-7990                                                         *****See Footnote

 Palm Harbor, FL 34684
                                                        Nassif, John          MD                              505 Druid Rd E                       (727) 447-8008
                                                                                                              Clearwater, FL 33756
                                                        3160 5th Ave N #135                  (727) 328-7700
 Depperman, Stephen                   MD                St Petersburg, FL 33713-
                                                           Occular Plastics
                                                                                                              Newsome, David                  MD
 3160 5th Ave N #135                   (727) 328-7700
 St Petersburg, FL 33713-
                                                        Repke, Kurt           MD                              43309 US Hwy 19 N                    (727) 938-2020
                                                                                                              Tarpon Springs, FL 34689-
                                                        43309 US Hwy 19 N                    (727) 938-2020
 Gamero, Gustavo                 MD                     Tarpon Springs, FL 34689-
                                                                                                              3160 5th Ave N #135                  (727) 328-7700
 3160 5th Ave N #135                   (727) 328-7700                                                         St Petersburg, FL 33713-
                                                        3160 5th Ave N #135                  (727) 328-7700
 St Petersburg, FL 33713-
                                                        St Petersburg, FL 33713-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   47
    University Community Health Network Provider Listing For Pinellas County
 Pautler, Scott E MD                                   Bowlin, Walter Q DDS                             Moreno, Anthony P MD
 University Community Hospital                         Helen Ellis Memorial Hospital                    *****See Footnote

 4344 Central Ave                     (727) 323-0077   30522 US Hwy 19 N #220          (727) 784-4202   1800 Mease Dr
 St Petersburg, FL 33711-                              Palm Harbor, FL 34684                            Safety Harbor, FL 33765-


 Phillpotts, Brian A MD                                Chuong, Robert             MD                    34661 US Hwy 19 N               (727) 797-7463
                                                       *****See Footnote                                Palm Harbor, FL 34684-
 43309 US Hwy 19 N                    (727) 938-2020   2140 16th St N                  (727) 894-1442
 Tarpon Springs, FL 34689-                             St Petersburg, FL 33704                          Piazza, Michael A MD
                                                                                                        *****See Footnote

 3160 5th Ave N #135                  (727) 328-7700   2610 West Bay Dr                (727) 586-3300   1011 Jeffords St Ste C          (727) 446-5993
 St Petersburg, FL 33713-                              Largo, FL 33770-                                 Clearwater, FL 33756-


 Shelton, Phillip         MD                                      Orthopaedic Surgery                   430 Morton Plant St #409        (727) 449-2599
                                                                                                        Clearwater, FL 33756-
 43309 US Hwy 19 N                    (727) 938-2020
                                                       Christ, Philip W DO
 Tarpon Springs, FL 34689-                             *****See Footnote                                646 Virginia St #201            (727) 736-9595

                                                       13787 Belcher Rd S #330         (727) 535-9393   Dunedin, FL 34698-
 3160 5th Ave N #135                  (727) 328-7700   Largo, FL 33771
 St Petersburg, FL 33713-                                                                               Van Winkle, Barbara A MD
                                                                                                        Helen Ellis Memorial Hospital
                                                       Graves, Alan           MD
            Opthalmology/Retina                        Helen Ellis Memorial Hospital                    37026 US Hwy 19 N               (727) 938-1935

                                                       37026 US Hwy 19 N               (727) 938-1935   Palm Harbor, FL 34684

 Evangelista, Jason              MD                    Palm Harbor, FL 34684
 *****See Footnote                                                                                      Wood, Stephen R DO
                                                                                                        *****See Footnote
 43309 US Hwy 19 N                    (727) 938-2020   Harker, John N DO
 Tarpon Springs, FL 34689-                             *****See Footnote                                13211 Walsingham Rd             (727) 596-8900

                                                       701 N Hercules Ave              (727) 562-9317   Largo, FL 33774

 3160 5th Ave N #135                  (727) 328-7700   Clearwater, FL 33761
 St Petersburg, FL 33713-                                                                                     Orthopaedic Surgery/Spine
                                                       Jones, Dennis            MD
                                                       Helen Ellis Memorial Hospital                    Webb, Scott            DO
                     Optometry
                                                       1200 S Pinellas Ave #1          (727) 942-7876   *****See Footnote

                                                       Tarpon Springs, FL 34689-                        2250 Drew St                    (727) 797-7463
 Dina, Frank         OD
                                                                                                        Clearwater, FL 33765-

 43309 US Hwy 19 N                    (727) 938-2020   Kiesel, Vincent E MD
                                                       Helen Ellis Memorial Hospital                    1840 Mease Dr #404              (727) 797-7463
 Tarpon Springs, FL 34689-
                                                       1200 S Pinellas Ave #1          (727) 938-1581   Safety Harbor, FL 34695-
                                                       Tarpon Springs, FL 34689
 Kokoska, Michael            OD
                                                                                                        430 Morton Plant St #405        (727) 797-7463

 43309 US Hwy 19 N                    (727) 938-2020   Maiocco, Brian            MD                     Clearwater, FL 33765-
                                                       Helen Ellis Memorial Hospital
 Tarpon Springs, FL 34689-
                                                       37026 US Hwy 19 N               (727) 938-1935   34661 US Hwy 19 N               (727) 797-7463
                                                       Palm Harbor, FL 34684                            Palm Harbor, FL 34684-
       Oral & Maxilofacial Surgery

                                                       Maser, Andrew C DO                               Zak, Paul J MD
 Boland, Thomas J MD                                   Helen Ellis Memorial Hospital                    *****See Footnote
 *****See Footnote
                                                       37026 US Hwy 19 N               (727) 938-1935   7800 66th Street N #302         (727) 548-4880
 2610 West Bay Dr                     (727) 584-3822
                                                       Palm Harbor, FL 34684                            Pinellas Park, FL 33781
 Largo, FL 33770


 6540 4th St N                        (727) 525-0155
 St Petersburg, FL 33702-6839


*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  48
    University Community Health Network Provider Listing For Pinellas County
                     Orthopaedics                                    Pain Management                          Kratz, Jaime             MD
                                                                                                              *****See Footnote

                                                                                                              11031 US Hwy 19 N #1-2           (727) 819-1610
 Carroll, III, Edmund T DO                             Carr Columbus, Lynne                 DO
 *****See Footnote                                     Helen Ellis Memorial Hospital                          Port Richey, FL 34668

 13211 Walsingham Rd                  (727) 596-8900   3890 Tampa Rd                         (727) 789-0891
 Largo, FL 33774                                       Palm Harbor, FL 34684                                  Olivero, Maria T MD
                                                                                                              *****See Footnote

                                                                                                              5405 Park St N                   (727) 544-1827
 Vettichira, Susan               MD                    Duvoisin, Jan            MD
 *****See Footnote                                     *****See Footnote                                      St Petersburg, FL 33709

 2250 Drew St                         (727) 797-7463   646 Virginia St 4th Fl                (727) 734-6934
 Clearwater, FL 33765-                                 Dunedin, FL 34698                                      Sher, Mandel R DO
                                                                                                              *****See Footnote

 1840 Mease Dr #404                   (727) 797-7463                                                          11200 Seminole Blvd St #310      (727) 397-8557
                                                       Friedman, Charles               MD
 Safety Harbor, FL 34965-                              *****See Footnote                                      Seminole, FL 33778

                                                       8250 Bryan Dairy Rd #250              (727) 518-8660
 430 Morton Plant St #405             (727) 797-7463   Largo, FL 33777                                                    Pediatric Cardiology
 Clearwater, FL 33756-

                                                       Hanna, Ashraf            MD                            Asante-Korang, Alfred           MD
 34661 US Hwy 19 N                    (727) 797-7463   *****See Footnote                                      University Community Hospital

 Palm Harbor, FL 34684-                                2250 Drew St                          (727) 797-7463   880 6th St S #280                (727) 767-4200
                                                       Clearwater, FL 33765                                   St Petersburg, FL 33701

 Osteopathic Manipulative Therapy
                                                       Panagakos, George                MD                    Crawford, Marguerite            MD
                                                       *****See Footnote                                      University Community Hospital
 Napier Jr., James A DO
 *****See Footnote                                     646 Virginia St 4th Fl                (727) 734-6934   880 6th St S CHC 3 North         (727) 767-3333

 1603 Indian Rocks Rd                 (727) 585-5155   Dunedin, FL 34698                                      St Petersburg, FL 33701-

 Largo, FL 33774
                                                       Solomon, Michael                MD                     Dadlani, Gul H MD
                                                       *****See Footnote                                      University Community Hospital
                 Otolaryngology
                                                       646 Virginia St 4th Fl                (727) 734-6934   880 6th St S CHC 3 North         (727) 767-3333
                                                       Dunedin, FL 34698                                      St Petersburg, FL 33701
 Berrios, Jose A MD
 Helen Ellis Memorial Hospital
                                                       3190 McMullen Booth Rd #202           (727) 734-6805   Epstein, Mark L MD
 3007 Ridgeline Rd Ste A              (727) 942-4005
                                                       Clearwater, FL 33761-                                  *****See Footnote
 Tarpon Springs, FL 34688
                                                                                                              880 6th St S #280                (727) 767-4200
                                                       3253 McMullen Booth Rd                (727) 734-6805   St Petersburg, FL 33701-
 Lynskey, Elisa M MD                                   Clearwater, FL 33761-
 *****See Footnote*****
                                                                                                              36458 US Hwy 19 N                (727) 767-4200
 625 6th Ave S #385                   (727) 553-7100
                                                           Pediatric Allergy/Immunology                       Palm Harbor, FL 34684-
 St Petersburg, FL 33701-


                                                       Gubernick, Samuel               DO                     Epstein, Michael L MD
 Margolin, Jerry A MD                                                                                         *****See Footnote*****
                                                       *****See Footnote
 Helen Ellis Memorial Hospital
                                                       13145 66th St N                       (727) 345-6653   880 6th St S CHC 3 North         (727) 767-3333
 501 S Lincoln Ave #11                (727) 442-2193
                                                       Largo, FL 33773-                                       St Petersburg, FL 33701-
 Clearwater, FL 33756


                                                       Guttridge, Randall J MD                                Giroud, Jorge M MD
 Riley, Michael           DO                                                                                  University Community Hospital
                                                       *****See Footnote
 *****See Footnote
                                                       5405 Park St N                        (727) 544-1827   880 6th St S #280                (727) 767-4200
 13042 Indian Rocks Rd                (727) 596-3441
                                                       St Petersburg, FL 33709                                St Petersburg, FL 33701
 Largo, FL 33774




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  49
    University Community Health Network Provider Listing For Pinellas County
 Henry, James G MD                                     Ignacio, Joseph R MD                                        Pediatric General Surgery
 University Community Hospital                         *****See Footnote

 880 6th St S #280                    (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                            Harmel, Richard P MD
 St Petersburg, FL 33701                               St Petersburg, FL 33701                              *****See Footnote

                                                                                                            880 6th St S #210                (727) 767-4170
 Huhta, James C MD                                     Kasier, Greg C MD                                    St Petersburg, FL 33701
 University Community Hospital                         *****See Footnote

 880 6th St S #280                    (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                              Pediatric Hematology/Oncology
 St Petersburg, FL 33701                               St Petersburg, FL 33701

                                                                                                            Ayala, Irmel A MD
 John, J. Blaine MD                                    McClenathan, Daniel T MD                             University Community Hospital
 University Community Hospital                         *****See Footnote
                                                                                                            880 6th St S #140                (727) 892-4176
 880 6th St S #280                    (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                            St Petersburg, FL 33701
 St Petersburg, FL 33701                               St Petersburg, FL 33701

                                                                                                            Barbosa, Jerry L MD
 Kurtz, Stephanie           MD                         Wilsey Jr., Michael            MD                    University Community Hospital
 University Community Hospital                         *****See Footnote
                                                                                                            880 6th St S #140                (727) 892-4176
 880 6th Street S #280                (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                            St Petersburg, FL 33701
 St Petersburg, FL 33701-                              St Petersburg, FL 33701

                                                                                                            Grana, Nanette H MD
 Martinez, Richard M MD                                Winesett, Michele P MD                               University Community Hospital
 University Community Hospital                         *****See Footnote
                                                                                                            880 6th St S #140                (727) 892-4176
 880 6th St S #280                    (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                            St Petersburg, FL 33701
 St Petersburg, FL 33701                               St Petersburg, FL 33701

                                                                                                            Nieder, Michael L MD
 McCormack, Jorge                MD                    Wood-Meyers, Laura M MD                              *****See Footnote
 University Community Hospital                         *****See Footnote
                                                                                                            880 6th St S #100                (727) 767-6856
 880 6th St S #280                    (727) 767-4200   480 7th Ave S                       (727) 822-4300
                                                                                                            St Petersburg, FL 33701-
 St Petersburg, FL 33701                               St Petersburg, FL 33701

                                                                                                            Petrovic, Aleksandra            MD
 McKenna, Daniel E MD                                        Pediatric Gastroenterology                     *****See Footnote
 University Community Hospital
                                                                                                            880 6th St S #100                (727) 767-6856
 880 6th Street S #280                (727) 767-4200
                                                       Condino, Adria A MD                                  St Petersburg, FL 33701
 St Petersburg, FL 33701-                              *****See Footnote

                                                       480 7th Ave S                       (727) 822-4300
                                                                                                            Reed, Damon R MD
 Stapleton, Gary E MD                                  St Petersburg, FL 33701-                             University Community Hospital
 University Community Hospital
                                                                                                            880 6th Street S                 (727) 767-4176
 800 6th St S CHC 3 North             (727) 767-3333
                                                       Pruitt, Rebecca C MD                                 St Petersburg, FL 33701-
 St Petersburg, FL 33701-                              *****See Footnote

                                                       480 7th Ave S                       (727) 822-4300
                                                                                                            Sawczyn, Kelly            MD
 Suh, Elsa J MD                                        St Petersburg, FL 33701                              University Community Hospital
 University Community Hospital
                                                                                                            880 6th St S #140                (727) 892-4176
 880 6th Street S                     (727) 767-4200
                                                       Weerasooriya, Viraine           MD                   St Petersburg, FL 33701-
 St Petersburg, FL 33701-                              *****See Footnote

                                                       501 S Dr MLK Jr St                  (727) 822-7344
                                                                                                            Stapleton, Stacie          MD
         Pediatric Endocrinology                       St Petersburg, FL 33705-                             University Community Hospital

                                                                                                            880 6th St S #140                (727) 892-4176
 Dhana, Leila         MD                                                                                    St Petersburg, FL 33701-
 *****See Footnote

 501 W Dr MLK Jr Blvd                 (813) 870-4948
 St Petersburg, FL 33705-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                 50
    University Community Health Network Provider Listing For Pinellas County
      Pediatric Infectious Disease                   Pediatric Otolaryngology                     Hoover, Dennis L MD
                                                                                                  *****See Footnote

                                                                                                  880 6th St S #410                (727) 456-1055
 Berman, David M DO                          Espinola, Trina E MD
 *****See Footnote                           *****See Footnote                                    St Petersburg, FL 33701

 880 6th St S #240          (727) 767-4160   1615 Pasadena Blvd #200             (727) 341-0551
 St Petersburg, FL 33701                     St Petersburg, FL 33707                              Kolligian, Mark E MD
                                                                                                  *****See Footnote

                                                                                                  880 6th St S #410                (727) 456-1055
 Dumois, Juan A MD                           Jaquish, Shelley S MD
 *****See Footnote                           *****See Footnote                                    St Petersburg, FL 33701

 880 6th St S #240          (727) 767-4160   1615 Pasadena Blvd #200             (727) 341-0551
 St Petersburg, FL 33701                     St Petersburg, FL 33707                              Polsky, Ethan G MD
                                                                                                  *****See Footnote

                                             603 7th St S #580                   (727) 341-0551   880 6th St S #410                (727) 456-1055
             Pediatric Neurology
                                             St Petersburg, FL 33707-                             St Petersburg, FL 33701-

 Andrews, Ena         MD                                                                          1700 McMullen Booth Rd           (727) 456-1055
 *****See Footnote                                    Pediatric Pulmonology
                                                                                                  Clearwater, FL 33759-
 880 6th St S #430          (727) 767-4149
 St Petersburg, FL 33701-                    Assefa, Dagnachew              MD
                                             *****See Footnote
                                                                                                  Reisman, E. Michael MD
                                                                                                  *****See Footnote
 Casadonte, Joseph A MD                      880 6th St S #390                   (727) 767-4146
                                                                                                  880 6th St S #410                (727) 456-1055
 *****See Footnote                           St Petersburg, FL 33701
                                                                                                  St Petersburg, FL 33701
 880 6th St S #430          (727) 767-4149
 St Petersburg, FL 33701                     Ewig, Jeffrey M MD
                                             *****See Footnote                                                        Pediatrics
 Fernandez, Raymond J MD                     880 6th St S #390                   (727) 767-4146
 *****See Footnote                           St Petersburg, FL 33701                              Adnan, Khan A MD
                                                                                                  *****See Footnote
 880 6th St S #430          (727) 767-4149
 St Petersburg, FL 33701                                                                          400 N Ft Harrison                (727) 461-1439
                                             Gondor, Magdalen I MD
                                             *****See Footnote                                    Clearwater, FL 33756

          Pediatric Opthalmology             880 6th St S #390                   (727) 767-4146
                                             St Petersburg, FL 33701                              1020 Lakeview Rd                 (727) 461-1439
                                                                                                  Clearwater, FL 33756
 Gross, Steven A MD
 *****See Footnote                           Kriseman, Anthony D MD
 32615 US Hwy 19 N #6       (727) 772-7712
                                             *****See Footnote                                    Alvarez, Alfred F MD
                                                                                                  Helen Ellis Memorial Hospital
 Palm Harbor, FL 34684                       880 6th St S #390                   (727) 767-4146
                                             St Petersburg, FL 33701                              4930 Ridgemoor Blvd              (727) 773-8860
                                                                                                  Palm Harbor, FL 34685
 Hess, J. Bruce MD
 *****See Footnote                           Martinez-Fernandez, Tanya M MD
 880 6th St S #350          (727) 767-4393
                                             *****See Footnote                                    Banks, Elizabeth E MD
                                                                                                  *****See Footnote
 St Petersburg, FL 33701                     880 6th St S #390                   (727) 767-4146
                                             St Petersburg, FL 33701                              1230 S Myrtle Ave #205           (727) 447-6458
                                                                                                  Clearwater, FL 33756
 Hess, Derek B MD
 *****See Footnote                                         Pediatric Urology
 880 6th St S #350          (727) 767-4393
                                                                                                  Black, Janet K MD
                                                                                                  Helen Ellis Memorial Hospital
 St Petersburg, FL 33701                     Homsy, Yves L MD                                     4930 Ridgemoor Blvd              (727) 773-8860
                                             *****See Footnote
                                                                                                  Palm Harbor, FL 34685
                                             880 6th St S #410                   (727) 456-1055
                                             St Petersburg, FL 33701
                                                                                                  Blacker, Barry F MD
                                                                                                  *****See Footnote

                                                                                                  5353 1st Ave S                   (727) 321-1515
                                                                                                  St Petersburg, FL 33707



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                       51
    University Community Health Network Provider Listing For Pinellas County
 Boreman, Kathryn M MD                                  Gadea, Shayne M MD                               Hirschfield, Jeffrey A MD
 *****See Footnote                                      University Community Hospital                    *****See Footnote

 1230 S Myrtle Ave #205                (727) 447-6458   10099 Seminole Ave Ste A-3      (727) 321-1515   6499 38th Ave N Ste A-2           (727) 381-4305
 Clearwater, FL 33756                                   Seminole, FL 33772                               St Petersburg, FL 33710-


 Cano, Carlos           MD                              Gallagher, Pamela J MD                           Hughes, Natasha             MD
 *****See Footnote                                      *****See Footnote                                *****See Footnote

 1395 West Bay Dr                      (727) 584-6802   2855 5th Ave N                  (727) 323-1610   1344 22nd Street S                (727) 821-6701
 Largo, FL 33770                                        St Petersburg, FL 33713                          St Petersburg, FL 33712-


 Cavanaugh, Lara M MD                                   Gardner, Pia J MD                                6237                              (727) 544-2284
 Helen Ellis Memorial Hospital                          *****See Footnote                                66th St, FL 33781-
 31860 US Hwy 19 N                     (727) 787-6335   1020 Lakeview Rd                (727) 461-1439
 Palm Harbor, FL 34684                                  Clearwater, FL 33756                             1020 Lakeview Rd                  (727) 461-1439
                                                                                                         Clearwater, FL 33758-

 Cheek-Weiland, Julie                 MD                Grover, Alpana A MD
 *****See Footnote                                      Helen Ellis Memorial Hospital                    Huneycutt, Bousay L MD
 1020 Lakeview Rd                      (727) 461-1439   4930 Ridgemoor Blvd             (727) 773-8860   *****See Footnote

 Clearwater, FL 33756                                   Palm Harbor, FL 34685                            1020 Lakeview Rd                  (727) 461-1439
                                                                                                         Clearwater, FL 33756

 Class, Michelle M MD                                   Habib, Marcelle G MD
 *****See Footnote                                      *****See Footnote                                Jackson-Curtis, Danuta T MD
 405 S Pasadena Ave                    (727) 345-2212   34068 US Hwy 19 N               (727) 789-0777   *****See Footnote

 St Petersburg, FL 33707                                Palm Harbor, FL 34684                            28960 US Hwy 19 N #115            (727) 771-8282
                                                                                                         Clearwater, FL 33761

 Colon, Yaritza           MD                            Harbage, Amy N DO
 *****See Footnote                                      *****See Footnote                                Jobe, Naushin K MD
 1020 Lakeview Rd                      (727) 461-1439   1013 Lotus Path                 (727) 446-1161   *****See Footnote

 Clearwater, FL 33756                                   Clearwater, FL 33756-                            405 S Pasadena Ave                (727) 345-2212
                                                                                                         St. Petersburg, FL 33707-

 Cross, Kelli A MD                                      Harvey, Jay M MD
 *****See Footnote                                      Helen Ellis Memorial Hospital                    Johnson, Julie D MD
 2855 5th Ave N                        (727) 323-1610   3033 Ridgeline Blvd Ste B       (727) 938-3800   *****See Footnote

 St Petersburg, FL 33713                                Tarpon Springs, FL 34688                         2855 5th Ave N                    (727) 323-1610
                                                                                                         St Petersburg, FL 33713

 DiMarco, Celia P MD                                    Haynes, Sheryl            DO
 *****See Footnote                                      *****See Footnote                                Kagan, Brian M MD
 1105 S Ft Harrison                    (727) 461-3163   1559 Indian Rocks Rd            (727) 587-9044   *****See Footnote

 Clearwater, FL 33756                                   Largo, FL 33774                                  4957 38th Ave N Ste A             (727) 526-7420
                                                                                                         St Petersburg, FL 33710

 Fauber, Dean H MD                                      12020 Seminole Blvd
 Helen Ellis Memorial Hospital                          Largo, FL 33774-                                 Kelly, Karen         MD
 4930 Ridgemoor Blvd                   (727) 773-8860                                                    *****See Footnote

 Palm Harbor, FL 34685                                  Hennessy, Thomas N MD                            1230 S Myrtle Ave #205            (727) 447-6458
                                                        Helen Ellis Memorial Hospital                    Clearwater, FL 33756

 French, Deborah                 MD                     31860 US Hwy 19 N               (727) 787-6335
 *****See Footnote                                      Palm Harbor, FL 34684                            Kharbanda, Monica            MD
 1013 Lotus Path                       (727) 446-1161                                                    *****See Footnote

 Clearwater, FL 33756                                   Hicks, Mary A MD                                 1033 Dr MLK Jr Blvd #108          (727) 456-3288
                                                        *****See Footnote*****                           St Petersburg, FL 33701-
                                                        2370 Drew St Ste B              (727) 461-1543
                                                        Clearwtare, FL 33765-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   52
    University Community Health Network Provider Listing For Pinellas County
 Klein, Jay H MD                                  Morris, Mark W MD                                     Salazar, Guillermo E MD
 Helen Ellis Memorial Hospital                    *****See Footnote                                     *****See Footnote

 31860 US Hwy 19 N               (727) 787-6335   1800 9th St N Ste A                  (727) 821-2121   1020 Lakeview Rd                        (727) 461-1439
 Palm Harbor, FL 34684                            St Petersburg, FL 33704                               Clearwater, FL 33756


 Kumar, Sujata            MD                      Nazario, Ilka         MD                              Savel, Greg H MD
 *****See Footnote                                Helen Ellis Memorial Hospital                         *****See Footnote

 1020 Lakeview Rd                (727) 461-1439   2114 Seven Springs Blvd              (727) 375-2719   1230 S Myrtle Ave #205                  (727) 447-6458
 Clearwater, FL 33756                             New Port Richey, FL 34655-                            Clearwater, FL 33756


 Lee, Christina E MD                              Nelson, Stephen G MD                                  Smith, Sally             MD
 University Community Hospital                    *****See Footnote                                     *****See Footnote

 5353 1st Ave S                  (727) 321-1515   8269 113th St N                      (727) 525-2161   2855 5th Ave N                          (727) 323-1610
 St Petersburg, FL 33707                          Seminole, FL 33722                                    St Petersburg, FL 33713


 Lopez-McCormack, Celia M MD                      Neri, Karena A MD                                     Sperber, Donna                MD
 *****See Footnote                                University Community Hospital                         *****See Footnote

 8269 113th St N                 (727) 525-2161   3890 Tampa Rd #103                   (727) 789-5811   1800 9th St N Ste A                     (727) 821-2121
 Seminole, FL 33722                               Palm Harbor, FL 34684-                                St Petersburg, FL 33704


 McAuliffe, Lori          MD                      Pai, Raj K MD                                         Sterling, Fran           DO
 *****See Footnote                                *****See Footnote                                     *****See Footnote

 405 S Pasadena Ave              (727) 345-2212   2370 Drew St #101                    (727) 461-1543   1395 West Bay Dr                        (727) 584-6802
 St Petersburg, FL 33707                          Clearwater, FL 33765                                  Largo, FL 33770


 McNeely, Kathryn B MD                            Pantages, Efstrtios             MD                    Swaka, Jennifer A MD
 *****See Footnote                                Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 1105 S Ft Harrison              (727) 461-3163   31860 US Hwy 19 N                    (727) 787-6335   31860 US Hwy 19 N                       (727) 787-6335
 Clearwater, FL 33756                             Palm Harbor, FL 34684                                 Palm Harbor, FL 34684


 Meyer, Ernesto A MD                              Patranella, Pamela M MD                               Threadgill, Nichelle               MD
 *****See Footnote                                *****See Footnote                                     *****See Footnote*****

 1013 Lotus Path                 (727) 446-1161   2855 5th Ave N                       (727) 323-1610   1344 22nd Street S                      (727) 821-6701
 Clearwater, FL 33756-                            St Petersburg, FL 33713                               St Petersburg, FL 33712-


 Meyer, Laura M MD                                Razman, Dolores G MD                                  1020 Lakeview Rd                        (727) 461-1439
 *****See Footnote                                Helen Ellis Memorial Hospital                         Clearwater, FL 33758-
 1013 Lotus Path                 (727) 446-1161   31860 US Hwy 19 N                    (727) 787-6335
 Clearwater, FL 33756-                            Palm Harbor, FL 34684                                 6237                                    (727) 544-2284
                                                                                                        66th St, FL 33781-

 Milas, Audrey           DO                       Richardson, Athena L MD
 *****See Footnote                                University Community Hospital                         Vaughan, Timothy                MD
 1395 West Bay Dr                (727) 584-6802   5353 1st Ave S                       (727) 321-1515   *****See Footnote

 Largo, FL 33770                                  St Petersburg, FL 33707                               1725 Ste A East Bay Drive               (727) 584-9810
                                                                                                        Largo, FL 33771-

 Morgan, Steven             DO                    Rommel, Duane A MD
 *****See Footnote                                Helen Ellis Memorial Hospital                         Voltarel, Stephen M MD
 1395 West Bay Dr                (727) 584-6802   31860 US Hwy 19 N                    (727) 787-6335   University Community Hospital

 Largo, FL 33770                                  Palm Harbor, FL 34684                                 6601 9th Ave                            (727) 381-1147
                                                                                                        St Petersburg, FL 33710




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             53
    University Community Health Network Provider Listing For Pinellas County
 Weber, Charlene M MD                              Brown, Lee Ann             DO                               Physical Therapy/ Speech
 Helen Ellis Memorial Hospital                     University Community Hospital
                                                                                                                 Therapy/Occ Therapy
 4930 Ridgemoor Blvd              (727) 773-8860   2250 Drew St                        (727) 797-7463
                                                                                                        Sun Coast Hospital,
 Palm Harbor, FL 34685                             Clearwater, FL 33765-

                                                                                                        2025 Indian Rocks Rd
 Weinberger, Alyssa Z MD                           Gruber, Robert            DO                         Largo, FL 33774-
 *****See Footnote                                 *****See Footnote
                                                                                                           See Hospital Page for Phone Numbers
 8269 113th St N                  (727) 525-2161   2250 Drew St                        (727) 797-7463
                                                                                                                        Plastic Surgery
 Seminole, FL 33722                                Clearwater, FL 33765


                                                   1840 Mease Dr #404                  (727) 797-7463
                                                                                                        Moraitis, Isidoros J MD
 Winkler, Ann R MD                                                                                      Helen Ellis Memorial Hospital
 *****See Footnote                                 Clearwater, FL 34695-
                                                                                                        3890 Tampa Rd #406                    (727) 773-9796
 2855 5th Ave N                   (727) 323-1610
                                                                                                        Palm Harbor, FL 34684
 St Petersburg, FL 33713                           430 Morton Plant St #405            (727) 797-7463
                                                   Clearwater, FL 33756-
                                                                                                        Schaffer, Christopher J MD
                      Physiatry                                                                         *****See Footnote
                                                   34661 US Hwy 19 N                   (727) 797-7463
                                                                                                        148 13th St SW                        (727) 559-9811
                                                   Palm Harbor, FL 34684-
 Cusumano, Matt              DO                                                                         Largo, FL 33770-
 *****See Footnote

 2200 West Bay Dr                 (727) 518-2977   Le, Thanh           MD                               1295 West Bay Dr                      (727) 559-9811
                                                   *****See Footnote
 Largo, FL 33770                                                                                        Largo, FL 33770
                                                   8250 Bryan Dairy Rd #250            (727) 518-8660
                                                   Largo, FL 33777
         Physical Medicine/Rehab                                                                                 Plastic Surgery (Facial)
                                                   Lockett, Ricky P DO
 Botwin, Kenneth P MD                              *****See Footnote                                    Swerdloff, Jason                MD
 *****See Footnote
                                                                                                        Helen Ellis Memorial Hospital
                                                   1501 5th Ave N                      (727) 896-8686
 2250 Drew St                     (727) 797-7463                                                        34041 US 19 N Ste E                   (727) 781-7080
                                                   St Petersburg, FL 33705
 Clearwater, FL 33765                                                                                   Palm Harbor, FL 34684-


 1840 Mease Dr #404               (727) 797-7463
                                                   Torres, Francisco              MD
                                                   *****See Footnote                                                          Podiatry
 Safety Harbor, FL 34695-
                                                   2250 Drew St                        (727) 797-7463
                                                   Clearwater, FL 33765-                                Behrmann, Todd S DPM
 430 Morton Plant St #405         (727) 797-7463
                                                                                                        Helen Ellis Memorial Hospital
 Clearwater, FL 33756-
                                                   1840 Mease Dr #404                  (727) 797-7463   651 E Tarpon Ave                      (727) 944-2522
                                                   Safety Harbor, FL 34695-                             Tarpon Springs, FL 34689
 34661 US Hwy 19 N                (727) 797-7463
 Palm Harbor, FL 34684-
                                                   430 Morton Plant Dr #405            (727) 797-7463   Creighton, Jr., Robert               DPM
                                                   Clearwater, FL 33756-                                *****See Footnote
 Bouchlas, Constantine            MD                                                                    5750 5th Ave N                        (727) 384-5540
 *****See Footnote
                                                   34661 US Hwy 19 N                   (727) 797-7463   St Petersburg, FL 33710
 2250 Drew St                     (727) 797-7463
                                                   Palm Harbor, FL 34684-
 Clearwater, FL 33765-
                                                                                                        DeLellis, Salvatore L DPM
                                                   Weot, Christine           MD                         Helen Ellis Memorial Hospital
 1840 Mease Dr #404               (727) 797-7463
                                                   *****See Footnote                                    1264 S Pinellas Ave                   (727) 937-6398
 Safety Harbor, FL 34695-
                                                   1609 S Pasadena Ave #3-H            (727) 376-6578   Tarpon Springs, FL 34689
                                                   St Petersburg, FL 33707-
 430 Morton Plant St #405         (727) 797-7463
 Clearwater, FL 34756-
                                                                                                        Epstein, Joel          DPM
                                                                                                        Helen Ellis Memorial Hospital

                                                                                                        2595 Tampa Rd Ste O                   (727) 785-5611
 34661 US Hwy 19 N                (727) 797-7463
                                                                                                        Palm Harbor, FL 34684
 Palm Harbor, FL 34684-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             54
    University Community Health Network Provider Listing For Pinellas County
 Levine, Bruce J DPM                                    Bhaskar, Varun             MD                    Tralins, Kevin S MD
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital                    Helen Ellis Memorial Hospital

 2521 Countryside Blvd                 (727) 797-5008   2595 Tampa Rd Ste P             (727) 772-0949   8787 Bryan Dairy Rd #120             (727) 320-0200
 Clearwater, FL 33763                                   Palm Harbor, FL 34684                            Largo, FL 33777


 Loiselle, David           DPM                          Bhattacharje, Lakshmi           MD               West, John           MD
 *****See Footnote                                      *****See Footnote                                *****See Footnote

 14219 Walsingham Rd                   (727) 596-9703   13787 Belcher Rd                (727) 532-8400   1835 Indian Rocks Rd                 (727) 586-2273
 Largo, FL 33774                                        Largo, FL 33771                                  Largo, FL 33774


 Long, James P DPM                                      Kundra, Navnit            MD                                      Rheumatology
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital

 210 Patricia Ave                      (727) 734-4665   2595 Tampa Rd Ste S&T           (727) 781-4299
                                                                                                         DiGiovanni, Robert I DO
 Dunedin, FL 34698                                      Palm Harbor, FL 34684                            *****See Footnote

                                                                                                         13644 Walsingham Rd                  (727) 595-2519
 Lowrey, Russell J DPM                                  Linares-Mera, Reinerio          MD               Largo, FL 33774
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital

 2521 Countryside Blvd                 (727) 797-5008   1501 Alt 19 Ste Q               (727) 943-2020
                                                                                                         Lowenstein, Mitchell B MD
 Clearwater, FL 33763                                   Tarpon Springs, FL 34689                         Helen Ellis Memorial Hospital

                                                                                                         32615 US Hwy 19 N #2                 (727) 789-2784
 Mason, Peter M DPM                                     Whims-Squires, Lisa A DO                         Palm Harbor, FL 34684
 *****See Footnote                                      *****See Footnote

 2700 East Bay Dr                      (727) 535-1919   401 Corbett St #310             (727) 466-9847
                                                                                                         Sankoorikal, Antony             MD
 Largo, FL 33771                                        Clearwater, FL 33756                             Helen Ellis Memorial Hospital

                                                                                                         2655 State Rd 580 #201               (727) 797-7410
 Monast, Dale           DPM                                         Radiation Oncology                   Clearwater, FL 33761
 *****See Footnote

 1680 West Bay Dr                      (727) 586-3668
                                                        Brodsky, Norman J MD                             Sebba, Anthony I MD
 Largo, FL 33770                                        Helen Ellis Memorial Hospital                    Helen Ellis Memorial Hospital

                                                        3155 N McMullen Booth Rd        (727) 669-9018   36338 US Hwy 19 N                    (727) 773-9793
 Ratner, Seth W DPM                                     Clearwater, FL 33761                             Palm Harbor, FL 34684
 Helen Ellis Memorial Hospital

 34921 US Hwy 19 N #400                (727) 785-8338
                                                        Gauwitz, Michael D MD                                          Thoracic Surgery
 Palm Harbor, FL 34684                                  *****See Footnote

                                                        3155 N McMullen Booth Rd        (727) 669-9018
                                                                                                         Hakki, Hadi          MD
 Rothschild, Allan W DPM                                Clearwater, FL 33761                             Helen Ellis Memorial Hospital
 Helen Ellis Memorial Hospital
                                                                                                         10333 Seminole Blvd #8               (727) 394-8100
 1022 Main St Ste L                    (727) 734-5575
                                                        Geisler, Robert F MD                             Largo, FL 33778
 Dunedin, FL 34698                                      *****See Footnote

                                                        3155 N McMullen Booth Rd        (727) 669-9018
                                                                                                                             Urgent Care
 Savidakis Jr, John              DPM                    Clearwater, FL 33761
 Helen Ellis Memorial Hospital

 2701 Park Drive & State Rd 580 #2 (727) 796-1490                                                        After Hours Pediatrics,
                                                        Miercort, Craig R MD
 Clearwater, FL 33763                                   *****See Footnote
                                                                                                         3450 East Lake Rd                    (727) 789-8887
                                                        1835 Indian Rocks Rd            (727) 586-2273
                                                                                                         Palm Harbor, FL 34685
            Pulmonary Medicine                          Largo, FL 33774-
                                                                                                            Mon-Fri 5pm - 11pm; Sat/Sun & Holidays 1pm - 11

                                                                                                         Bayfront Convenient Care Center - Beac
 Averill, Francis          MD                           Solc, Zucel         MD
 *****See Footnote                                      *****See Footnote
                                                                                                         3455 Gulf Blvd                       (727) 367-5666
 1551 West Bay Dr                      (727) 581-8767   6449 38th Ave N Ste C-3         (727) 384-3735
                                                                                                         St Petersburg Beach, FL 33706
 Largo, FL 33770                                        St Petersburg, FL 33710
                                                                                                            Mon-Fri 9am - 6pm; Sat 9am - 3pm




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   55
    University Community Health Network Provider Listing For Pinellas County
 Bayfront Convenient Care Center - Larg              DiPiazza, David J MD
                                                     Helen Ellis Memorial Hospital

 13163 66th Street N              (727) 531-2273     2148 Duck Slough Blvd #102           (727) 842-9561
 Largo, FL 34643                                     New Port Richey, FL 34655-
    Mon-Fri 8am - 7pm; Sat 9am - 3pm

 Bayfront Convenient Care Center - Nort              Hale, Brian D MD
                                                     Helen Ellis Memorial Hospital

 7676 4th St N                    (727) 526-3627     1200 S Pinellas Ave #11              (727) 939-9551
 St Petersburg, FL 33702                             Tarpon Springs, FL 34689
    Mon-Fri 9am - 8pm; Sat/Sun 9am - 6pm

 Bayfront Convenient Care Center - Pasa              Jacob, David           MD
                                                     Helen Ellis Memorial Hospital

 1550 S Pasadena Ave              (727) 381-3627     1200 S Pinellas Ave #11              (727) 939-9551
 St Petersburg, FL 33707                             Tarpon Springs, FL 34689
    Mon-Fri 9am - 7pm

 Bayfront Convenient Care Center - Semi              Klein, Lonnie T MD
                                                     *****See Footnote

 7601 Seminole Blvd               (727) 397-5666     33920 US Hwy 19 N #241               (727) 785-6011
 Seminole, FL 33772                                  Palm Harbor, FL 34684
    Mon-Fri 8am - 7pm; Sat 9am - 3pm

 Bayfront Convenient Care Center - Tyro              Lombard, Jeffrey                DO
                                                     *****See Footnote

 3251 66th Street N               (727) 344-3627     13201 Walsingham Rd                  (727) 596-9652
 St Petersburg, FL 33710                             Largo, FL 33774-
    Mon-Sat 8am - 8pm; Sun 10am - 6pm

 Doctors Walk-In Clinic - Clearwater,                Shehata, Sobhy D MD
                                                     Helen Ellis Memorial Hospital

 26812 US Hwy 19 N                (727) 799-2727     34645 US Hwy 19 N                    (727) 787-4595
 Clearwater, FL 33761-                               Palm Harbor, FL 34684
    Mon-Fri 8am - 8pm; Sat 8am-5:30pm; Sun 8am-5:3

                       Urology                       Szostak, Michael J MD
                                                     *****See Footnote

                                                     33920 US Hwy 19 N #241               (727) 785-6011
 Abreu, Cesar           MD
 *****See Footnote                                   Palm Harbor, FL 34684

 501 S Lincoln Ave #11            (727) 443-4505
 Clearwater, FL 33756                                Vazguez, Paul            DO
                                                     *****See Footnote

                                                     13201 Walsingham Rd                  (727) 596-9652
 Arnold, Paul D MD
 University Community Hospital                       Largo, FL 33774-

 1200 S Pinellas Ave #11          (727) 939-9551
 Tarpon Springs, FL 34689                            Zachary, J Mark MD
                                                     Helen Ellis Memorial Hospital

                                                     33920 US Hwy 19 N #241               (727) 785-6011
 Bassel, Yaser           MD
 Helen Ellis Memorial Hospital                       Palm Harbor, FL 34684

 2148 Duck Slough Blvd #102       (727) 842-9561
 New Port Richey, FL 34655-                                        Vascular Surgery

 Bergner, Donald M MD                                Mackay, Edward G MD
 *****See Footnote                                   *****See Footnote

 33920 US Hwy 19 N #241           (727) 785-6011     2863 US Alt 19 S                     (727) 781-5652
 Palm Harbor, FL 34684                               Palm Harbor, FL 34683-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                56
    University Community Health Network Provider Listing For Hernando County
             Allergy/Immunology                                     Oncology/Medical                          Kiskaddon, Bruce M MD
                                                                                                              Helen Ellis Memorial Hospital

                                                                                                              1180 Mariner Blvd                     (352) 683-7778
 Glaum, Mark C MD                                      Caradonna, Richard               MD
 University Community Hospital                         *****See Footnote                                      Spring Hill, FL 34609-

 11373 Cortez Blvd #301               (352) 597-3130   7154 Medical Center Dr                (352) 596-1926
 Springhill, FL 34606                                  Spring Hill, FL 34608-                                 Nassif, John          MD
    Tuesdays only at this location
                                                                                                              1180 Mariner Blvd                     (352) 683-7778
 Ledford, Dennis K MD                                  Li, Mary        MD
 University Community Hospital                         *****See Footnote                                      Spring Hill, FL 34609-

 11373 Cortez Blvd #301               (352) 597-3130   11063 County Line Rd                  (352) 683-8178      Occular Plastics

 Springhill, FL 34606                                  Spring Hill, FL 34609-                                 Repke, Kurt           MD
    Tuesdays only at this location
                                                                                                              1180 Mariner Blvd                     (352) 683-7778
 Lockey, Richard F MD                                  Rosen, Joseph             MD
 University Community Hospital                         *****See Footnote                                      Spring Hill, FL 34609-

 11373 Cortez Blvd #301               (352) 579-3130   11063 County Line Rd                  (352) 683-8178
 Springhill, FL 34606                                  Spring Hill, FL 34609-                                          Ophthalmology/Cornea
    Tuesdays only at this location

           Hematology/Oncology                                         Ophthalmology                          Rowsey, James              MD
                                                                                                              Helen Ellis Memorial Hospital

                                                                                                              1180 Mariner Blvd                     (352) 683-7778
 Acevedo, Patrick           MD                         Depperman, Stephen                   MD
 *****See Footnote                                                                                            Spring Hill, FL 34609-

 7154 Medical Center Dr               (352) 596-1926   1180 Mariner Blvd                     (352) 683-7778
 Spring Hill, FL 34608-                                Spring Hill, FL 34609-                                           Ophthalmology/Retina

 Malhotra, Vikas          MD                           Gamero, Gustavo                 MD                     Agia, Raymond              MD
 *****See Footnote

 10441 Quality Dr #203                (352) 688-7744   1180 Mariner Blvd                     (352) 683-7778   1180 Mariner Blvd                     (352) 683-7778
 Spring Hill, FL 34609-                                Spring Hill, FL 34609-                                 Spring Hill, FL 34609-


 Tang, Huayang            MD                           Gills III, James P MD                                  Newsome, David                  MD
 *****See Footnote                                     Helen Ellis Memorial Hospital

 7154 Medical Center Dr               (352) 596-1926   1180 Mariner Blvd                     (352) 683-7778   1180 Mariner Blvd                     (352) 683-7778
 Spring Hill, FL 34608-                                Spring Hill, FL 34609-                                 Spring Hill, FL 34609-


 10441 Quality Dr #203                (352) 688-7744   Gills Jr., James P MD                                  Phillpotts, Brian A MD
 Spring Hill, FL 34609-                                Helen Ellis Memorial Hospital

                                                       1180 Mariner Blvd                     (352) 683-7778   1180 Mariner Blvd                     (352) 683-7778

   Hospice and Palliative Medicine                     Spring Hill, FL 34609-                                 Spring Hill, FL 34609-



 Glicksman, Howard               MD                    Hamilton, Warren                MD                     Shelton, Phillip           MD
 *****See Footnote

 7154 Medical Center Dr               (352) 596-1926   1180 Mariner Blvd                     (352) 683-7778   1180 Mariner Blvd                     (352) 683-7778

 Spring Hill, FL 34608-                                Spring Hill, FL 34609-                                 Spring Hill, FL 34609-



         Mental Health Providers                       Kayani, Muhammed                 MD                               Opthalmology/Retina

                                                       1180 Mariner Blvd                     (352) 683-7778
 Evolutions HealthCare System,                                                                                Evangelista, Jason               MD
                                                       Spring Hill, FL 34609-                                 *****See Footnote
 www.ehsppo.com

 For Mental Health or Substance       (800) 308-2749                                                          1180 Mariner Blvd                     (352) 683-7778

 Abuse Providers,                                                                                             Spring Hill, FL 34609-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  57
    University Community Health Network Provider Listing For Hernando County
                     Orthopaedics

 Higgins, Michael              DO

 10429 Springhill Dr                (352) 688-6035
 Springhill, FL 34608-


                      Pediatrics

 Jandali, Imad            MD
 *****See Footnote

 225 Mariner Blvd                   (352) 688-0100
 Springhill, FL 34609


 Sami, Muhammed K MD
 *****See Footnote

 225 Mariner Blvd                   (352) 688-0100
 Springhill, FL 34609


 Wong, Cyril C MD
 *****See Footnote

 11335 Cortez Blvd                  (352) 597-7373
 Brooksville, Fl 34613


 Zuhdi, Ahmad             MD
 *****See Footnote

 225 Mariner Blvd                   (352) 688-0100
 Springhill, FL 34609


             Radiation Oncology

 Bishay, Sawsan            MD
 *****See Footnote

 7154 Medical Center Dr             (352) 596-1926
 Spring Hill, FL 34608-


 Gandle, Larry            MD
 *****See Footnote

 7154 Medical Center Dr             (352) 596-1926
 Spring Hill, FL 34608-




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                           58
    University Community Health Network Provider Listing For Pasco County
             Allergy/Immunology                         Parekh, Dipak M MD                                                     Endocrinology
                                                        Helen Ellis Memorial Hospital

                                                        5812 State Rd 54                      (727) 845-8593
 Reichmuth, Daniel                MD                                                                           Faris, Talal        MD
 *****See Footnote                                      New Port Richey, FL 34652                              Helen Ellis Memorial Hospital

 38135 Market Sq                       (813) 779-8194                                                          14100 Fivay Rd #250              (727) 869-7822
 Zephryhills, FL 33542-                                 Torres, Ramon L MD                                     Hudson, FL 34667
                                                        Helen Ellis Memorial Hospital

                                                        54111 Grand Blvd #104                 (727) 842-9486
                     Cardiology                                                                                Janicka, Ania            MD
                                                        New Port Richey, FL 34652                              Helen Ellis Memorial Hospital

                                                                                                               14100 Fivay Rd #250              (727) 869-7822
 Agarwal, Sudhir             MD
 Helen Ellis Memorial Hospital                           Cardiovascular/Thoracic Surgery                       Hudson, FL 34667-

 4738 Grand Blvd Ste E                 (727) 848-6400
 New Port Richey, FL 34652                              Astra, Louis          MD                               Loman, Lusiana              MD
                                                        Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital

                                                        6636 Forest Ave                       (727) 844-7944   14100 Fivay Rd #250              (727) 869-7822
 Chalavarya, Gopal K MD
 Helen Ellis Memorial Hospital                          New Port Richey, FL 34665-3                            Hudson, FL 34667

 4738 Grand Blvd Ste E                 (727) 848-6400
 New Port Richey, FL 34652                                                  Chiropractor                       Penabad, Jesus L MD
                                                                                                               Helen Ellis Memorial Hospital

                                                                                                               14100 Fivay Rd #250              (727) 869-7822
 Farooqi, Shafqat P MD                                  Kuryliw, Dennis M DC
 University Community Hospital                                                                                 Hudson, FL 34667

 38135 Market Sq                       (813) 972-5090   11004 Little Rd                       (727) 863-7502
 Zephryhills, FL 33542                                  New Port Richey, FL 34654-                             Pinero-Pilona, Antonio           MD
                                                                                                               Helen Ellis Memorial Hospital

 27343 State Rd 54                     (813) 929-3516                                                          14100 Fivay RD #250              (727) 869-7822
                                                                 Colon & Rectal Surgery
 Wesley Chapel, FL 33543-                                                                                      Hudson, FL 34667

                                                        Hashmi, Hasan             MD
 Fontanet, Hector                MD                     University Community Hospital                                          Family Practice
 *****See Footnote
                                                        38021 Market Sq                       (813) 780-1543
 38135 Market Sq                       (813) 788-7651   Zephryhills, FL 33542-                                 Akhtar, Salma            DO
 Zephryhills, FL 33542-                                                                                        *****See Note

                                                                                                               38135 Market Sq                  (813) 788-7651
                                                                            Dermatology
 27343 State Rd 54                     (813) 929-3516                                                          Zephryhills, FL 33542-
 Wesley Chapel, FL 33543-
                                                        Armstrong, Frank                DO                     13417 US Hwy 301 S Ste D         (352) 567-8640
                                                        *****See Footnote
 Gupta, Sunil          MD                                                                                      Dade City, FL 33525-
                                                        8200 US Hwy 19 N                      (727) 841-8505
 University Community Hospital
                                                        Port Richey, FL 34668-
 38029 Medical Center Ave              (813) 788-1400                                                          Barnes, Cathy            MD
 Zephryhills, FL 33540-                                                                                        Helen Ellis Memorial Hospital
                                                        Esperanza, Lowella               MD                    2114 Seven Springs Blvd          (727) 375-1004
                                                        *****See Footnote
 Jimenez, Raul            MD                                                                                   New Port Richey, FL 34655
                                                        38051 Market Sq                       (813) 780-8085
 University Community Hospital
                                                        Zephryhills, FL 33542-
 14100 Fivay Rd #310                   (727) 862-3202                                                          Barnes, Elbert H MD
 Hudson, FL 34667-                                                                                             Helen Ellis Memorial Hospital
                                                        Hamil, John R MD                                       2114 Seven Springs Blvd          (727) 375-1004
                                                        Helen Ellis Memorial Hospital
 Khuu, Huy           MD                                                                                        New Port Richey, FL 34655
                                                        7547 Jacque Rd                        (727) 862-8561
 *****See Footnote
                                                        Hudson, FL 34698
 38135 Market Sq                                                                                               Borachi, Shamimara N MD
 Zephryhills, FL 33542-                                                                                        Helen Ellis Memorial Hospital

                                                                                                               3314 US Hwy 19 N                 (727) 845-0588
                                                                                                               Holiday, FL 34691




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   59
    University Community Health Network Provider Listing For Pasco County
 Cozzolino, Joseph               MD                    Katz, Donald           MD                             Tedesco, John             DO
 *****See Footnote                                     *****See Footnote                                     ***See Footnote

 27343 State Rd 54                    (813) 991-9355   38034 Medical Center Ave             (813) 788-5531   27343 State Rd 54               (813) 991-9355
 Wesley Chapel, FL 33543-                              Zephryhills, FL 33540-                                Wesley Chapel, FL 33543-


 Esposito, Anthony               DO                    Khan, Shahnaz             MD                          Templeman-Wilder, D Louise MD
 *****See Footnote                                     *****See Footnote                                     Helen Ellis Memorial Hospital

 13417 US Hwy 301 S                   (352) 567-8640   38135 Market Sq                      (813) 788-7651   2114 Seven Springs Blvd         (727) 376-7066
 Dade City, FL 33525-                                  Zephryhills, FL 33542-                                New Port Richey, 34655


 Fetchik, Andrew A DO                                  13417 US Hwy 301 S Ste D             (352) 567-8640        Family Practice/Urgent Care
 Helen Ellis Memorial Hospital                         Dade City, FL 33525-
 2739 US Hwy 19 N #225                (727) 944-3500
                                                                                                             Dean, David           MD
 Holiday, FL 34691                                     LaRue, Todd            MD                             Helen Ellis Memorial Hospital
                                                       *****See Footnote
                                                                                                             2404 US Hwy 19 N                (727) 945-0100
 Fetchik, Kathy L DO                                   13417 US Hwy 301 S Ste D             (352) 567-8640   Holiday, FL 34691-
 Helen Ellis Memorial Hospital                         Dade City, FL 33525-
 2739 US Hwy 19 N #225                (727) 944-3500
                                                                                                                           Gastroenterology
 Holiday, FL 34691                                     Levine, Gary           DO
                                                       Helen Ellis Memorial Hospital

                                                       7249 US Hwy 19 N                     (727) 848-3377
                                                                                                             Chami, Tawfik            MD
 Finnerty, Nancy            MD                                                                               *****See Footnote
 *****See Footnote                                     New Port Richey, FL 34652-
                                                                                                             38135 Market Sq                 (813) 780-7534
 13417 US Hwy 301 S Ste D             (352) 567-8640      Practice limited to 5yrs and up
                                                                                                             Zephryhills, FL 33542-
 Dade City, FL 33525-                                  Lura, Glenn          MD
                                                       Helen Ellis Memorial Hospital

                                                       2114 Seven Springs Blvd              (727) 375-1044
                                                                                                             Crespo, Israel           MD
 Garcia, Christopher             MD                                                                          University Community Hospital
 *****See Note                                         New Port Richey, FL 34655
                                                                                                             3633 Little Rd #104             (727) 372-5547
 38135 Market Sq                      (813) 788-7651
                                                                                                             New Port Richey, FL 34655-
 Zephryhills, FL 33542-                                Mankodi, Kshemal P MD
                                                       University Community Hospital

 13417 US Hwy 301 S Ste D             (352) 567-8640   28959 State Rd 54                    (813) 994-4749
                                                                                                             Eisner, Mark S MD
                                                                                                             University Community Hospital
 Dade City, FL 33525-                                  Wesley Chapel, FL 33543-
                                                                                                             38135 Market Sq                 (813) 780-7534
                                                                                                             Zephryhills, FL 33542-
 Gonzalez, Dominic               MD                    March, Paul F MD
 *****See Footnote                                     *****See Footnote

 38135 Market Sq                      (813) 788-7651   38034 Medical Center Ave             (813) 788-5531
                                                                                                             Freedland, Curtis P DO
                                                                                                             Helen Ellis Memorial Hospital
 Zephryhills, FL 33542-                                Zephryhills, FL 33540-
                                                                                                             5622 Marine Pkwy #14            (727) 846-7031
                                                                                                             New Port Richey, FL 34652
 13417 US Hwy 301 S Ste D             (352) 567-8640   Noohani, Chhavi             MD
 Dade City, FL 33525-                                  *****See Footnote

                                                       38021 Market Sq                      (813) 780-1543
                                                                                                             Ghanekar, Dilip V MD
                                                                                                             Helen Ellis Memorial Hospital
 Hughes, Paul            MD                            Zephryhills, FL 33542-
                                                                                                             5622 Marine Pkwy #14            (727) 846-7031
 *****See Footnote
                                                                                                             New Port Richey, FL 34652
 38135 Market Sq                      (813) 788-7651   Rodriguez, Roque                MD
 Zephryhills, FL 33542-                                *****See Footnote

                                                       38034 Medical Center Ave             (813) 788-5531
                                                                                                             Jaggers, Terri L MD
                                                                                                             University Community Hospital
 13417 US Hwy 301 S Ste D             (352) 567-8640   Zephryhills, FL 33540-
                                                                                                             38135 Market Sq                 (813) 780-7534
 Dade City, FL 33525-
                                                                                                             Zephryhills, FL 33542-
                                                       Saurinkumar, Shah               MD
                                                       University Community Hospital

                                                       5347 Main St #302                    (727) 845-3333
                                                       New Port Richey, FL 34652-



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  60
    University Community Health Network Provider Listing For Pasco County
 Patel, Satish           MD                                           Gynecology                        Dominguez, Emilio                MD
 Helen Ellis Memorial Hospital                                                                          *****See Footnote

 5340 Gulf Dr #105               (727) 849-0222                                                         38051 Market Sq                       (813) 780-8085
                                                  Cappiello, Gerard A MD
 New Port Richey, FL 34652                        Helen Ellis Memorial Hospital                         Zephryhills, FL 33542-

                                                  4937 Mile Stretch Rd                 (727) 938-3332
 Rosario, Angel M MD                              Holiday, FL 34690-                                    Jankelevich, Shirley             MD
 University Community Hospital                                                                          *****See Footnote

 3633 Little Rd #104             (727) 372-5547                                                         4443 Rowan Blvd                       (727) 767-4160
                                                            Hematology/Oncology
 New Port Richey, FL 34655-                                                                             New Port Richey, FL 34653-

                                                  Ayub, Jorge           MD
 Staffetti, Joseph F MD                           *****See Footnote
                                                                                                        Rosenbach, Keith                MD
 Helen Ellis Memorial Hospital                                                                          *****See Footnote
                                                  7651 Medical Dr                      (727) 842-2923
 5622 Marine Pkwy #14            (727) 846-7031                                                         38051 Market Sq                       (813) 780-8085
                                                  Hudson, FL 34677-
 New Port Richey, FL 34652                                                                              Zephryhills, FL 33542-

                                                  Choksi, Mamta             MD
 Vangara, Sreenivas P MD                          *****See Footnote
                                                                                                        Tsambiras, Petros               MD
 Helen Ellis Memorial Hospital                                                                          *****See Footnote
                                                  8763 River Crossing Blvd             (727) 842-2923
 5515 Gulf Dr Ste B              (727) 848-3995                                                         38051 Market Sq                       (813) 780-8085
                                                  New Port Richey, FL 34655-
 New Port Richey, FL 34652                                                                              Zephryhills, FL 33542-

                                                  Kawauchi, Ronald                MD
               General Medicine                   *****See Footnote                                                   Internal Medicine
                                                  38135 Market Sq                      (813) 780-2642
 Turro, Jose M MD                                 Zephryhills, FL 33542-                                Ahmed, Mahmud                   MD
 Helen Ellis Memorial Hospital                                                                          *****See Footnote

 5010 Mile Stretch Dr            (727) 938-1906                                                         5504 Gateway Blvd                     (813) 994-8481
                                                  Killeen, Robert B MD
 Holiday, FL 34690                                Helen Ellis Memorial Hospital                         Wesley Chapel, FL 33543-

                                                  2520 US Hwy 19                       (727) 945-0515
                General Surgery                   Holiday, FL 34691                                     Cappiello, Angelo M MD
                                                                                                        Helen Ellis Memorial Hospital

                                                                                                        4915 Mile Stretch Dr                  (727) 937-3280
 Atalla, Sameh            MD                      Robbins, Gerald             MD
 University Community Hospital                    *****See footnote                                     Holiday, FL 34690

 38135 Market Sq                 (813) 788-8160   8763 River Crossing Blvd             (727) 842-2923
 Zephryhills, FL 33542-                           New Port Richey, FL 34655-                            Choksi, Tarak            MD
                                                                                                        Helen Ellis Memorial Hospital

                                                  2102 Trinity Oaks Blvd #205A         (727) 372-4080   2114 Seven Springs Blvd #100          (727) 375-8528
 Citrin, Paul         MD
 University Community Hospital                    New Port Richey, FL 34655-                            New Port Richey, FL 34655

 38135 Market Sq                 (813) 788-8160
 Zephryhills, FL 33542-                           Sennabaum, Joseph                MD                   Daryanani, Roshan                MD
                                                                                                        *****See Footnote
                                                  *****See Footnote

                                                  7651 Medical Dr                      (727) 842-2923   38029 Arbor Ridge Dr                  (813) 783-3118
 Coughlin, John P MD
 University Community Hospital                    Hudson, FL 34677-                                     Zephryhills, FL 33540-

 10461 Quality Dr                (813) 631-5054
 Springhill, FL 34609-                                         Infectious Disease                       Davis, Jeffrey M MD
                                                                                                        Helen Ellis Memorial Hospital

                                                                                                        4642 Darlington Rd                    (727) 938-2474
 Ferris, Vijay         MD                         Agarwal, Usha            MD
 University Community Hospital                                                                          Holiday, FL 34690
                                                  Helen Ellis Memorial Hospital
 38021 Market Sq                 (813) 780-1543   4738 Grand Blvd Ste C                (727) 846-9419
 Zephryhills, FL 33542-                           New Port Richey, FL 34652
                                                                                                        Drevon, Sheilah            MD
                                                                                                        *****See Footnote

                                                                                                        5341 Grand Blvd #108                  (727) 848-3448
                                                                                                        New Port Richey, FL 34652-
                                                                                                           16 yrs & Older



*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                             61
    University Community Health Network Provider Listing For Pasco County
 Gonzalez, Eduardo               MD                    Patel, Rajesh V MD                                          Mohs Micrographic Surgery
 *****See Footnote                                     Helen Ellis Memorial Hospital

 38051 Market Sq                      (813) 780-8692   1162 Alt 19                           (727) 937-3010
                                                                                                              Cherpelis, Basil R MD
 Zephryhills, FL 33540-                                Holiday, FL 34691                                      Helen Ellis Memorial Hospital

                                                                                                              7547 Jacque Rd                       (727) 862-8561
 Hashmi, Arjumand                MD                    Patel, Navnit U MD                                     Hudson, FL 34698
 *****See Footnote                                     Helen Ellis Memorial Hospital

 6725 Cedar Ridge Dr                  (813) 788-0401   2254 US Hwy 19 N                      (727) 943-7710
                                                                                                              Hamil, John R MD
 Zephryhills, FL 33542-                                Holiday, FL 34691                                      Helen Ellis Memorial Hospital

                                                                                                              7547 Jacque Rd                       (727) 862-8561
 Hussain, Shafaq             MD                        Patel, Pritesh          MD                             Hudson, FL 34698
 *****See Footnote                                     Helen Ellis Memorial Hospital

 38051 Market Sq                      (813) 780-8692   2114 Seven Springs Blvd #100          (727) 375-8528
                                                                                                                                  Nephrology
 Zephryhills, FL 33542-                                New Port Richey, FL 34655

                                                                                                              Acharya, Muralidhar K MD
 Javeed, Hayath            MD                          Pitroda, Parag           MD                            Helen Ellis Memorial Hospital
 Helen Ellis Memorial Hospital                         *****See Footnote
                                                                                                              14134 Nephron Ln                     (727) 863-5418
 4904 Moog Rd                         (727) 934-5765   13417 US Hwy 301 S Ste A              (352) 567-5136
                                                                                                              Hudson, FL 34667
 Holiday, FL 34690                                     Dade City, FL 33525-

                                                                                                              Badillo, Linda J MD
 Javeed, Shahina             MD                        Rathmore, Aliya             MD                         Helen Ellis Memorial Hospital
 Helen Ellis Memorial Hospital                         *****See Footnote
                                                                                                              5622 Marine Pkwy #8                  (727) 847-1011
 4904 Moog Rd                         (727) 934-5765   5504 Gateway Blvd                     (813) 994-8481
                                                                                                              New Port Richey, FL 34652
 Holiday, FL 34690                                     Wesley Chapel, FL 33543-

                                                                                                              Carvallo, Alejandro             MD
 Lindberg, David S MD                                  Ruiz, William          MD                              *****See Footnote
 Helen Ellis Memorial Hospital                         *****See Fotnote
                                                                                                              38135 Market Sq                      (813) 782-3727
 5304 Mile Stretch Dr                 (727) 934-0856   38051 Market Sq                       (813) 780-8692
                                                                                                              Zephryhills, FL 33542-
 Holiday, FL 34690                                     Zephryhills, FL 33540-

                                                                                                              38135 Market Sq                      (813) 780-7534
 Mehta, Dipti D MD                                     Saraiya, Chandresh               MD                    Zephryhills, FL 33542-
 Helen Ellis Memorial Hospital                         *****See Footnote

 5622 Marine Pkwy #1                  (727) 847-7900   38029 Arbor Ridge Dr                  (813) 783-3118
 New Port Richey, FL 34652                             Zephryhills, FL 33540-
                                                                                                              Hariachar, Srinivas K MD
                                                                                                              Helen Ellis Memorial Hospital

                                                                                                              14134 Nephron Ln                     (727) 863-5418
 Michael, Ehab            MD                           Shah, Hemant N MD                                      Hudson, FL 34667
 Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 5411 Grand Blvd #101                 (727) 842-3600   3306 US Hwy 19 N                      (727) 849-6850
 New Prot Richey, FL 34652-                            Holiday, FL 34691
                                                                                                              Kahn, Sohail           MD
                                                                                                              *****See Footnote

                                                                                                              38135 Market Sq                      (813) 782-3727
 Miller, Richard A DO                                  Vangara, Malleswari S MD                               Zephryhills, FL 33542-
 Helen Ellis Memorial Hospital                         Helen Ellis Memorial Hospital

 4642 Darlington Rd                   (727) 938-2474   5352 Gulf Dr                          (727) 843-9200
 Holiday, FL 34690                                     New Port Richey, FL 34652
                                                                                                              Patel, Vijay        MD
                                                                                                              University Community Hospital

                                                                                                              38135 Market Sq                      (813) 780-3727
 Nawaz, Muhammad                 MD                             Mental Health Providers                       Zephryhills, FL 33542-
 *****See Footnote

 5504 Gateway Blvd                    (813) 994-8481
                                                       Evolutions HealthCare System,                          Read, Sonia           MD
 Wesley Chapel, FL 33543-                              www.ehsppo.com
                                                                                                              Helen Ellis Memorial Hospital
                                                       For Mental Health or Substance        (800) 308-2749   5411 Brand Blvd #106                 (727) 845-1652
                                                       Abuse Providers,                                       New Port Richey, FL 34652




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                  62
    University Community Health Network Provider Listing For Pasco County
 Reddy, Purushottam M MD                                2754 Windguard Cr # 102              (813) 783-9799   Slaton, Brooke            MD
 Helen Ellis Memorial Hospital                          Wesley Chapel, FL 33544-                              Helen Ellis Memorial Hospital

 14134 Nephron Ln                      (727) 863-5418                                                         2114 Seven Springs Blvd #300         (727) 376-7734
 Hudson, FL 34667                                       Shah, Rakesh K MD                                     New Port Richey, FL 34655-
                                                        Helen Ellis Memorial Hospital

 Shetye, Kedar            MD                            4754 US Hwy 19 N                     (727) 848-0800   Umstead, Thomas J MD
 University Community Hospital                          New Port Richey, FL 34652                             Helen Ellis Memorial Hospital

 14134 Nephron Ln                      (727) 863-5418                                                         2102 Trinity Oaks Blvd #203          (727) 376-2229
 Hudson, FL 34667-                                      Shah, Siddharth H MD                                  New Port Richey, FL 34655
                                                        Helen Ellis Memorial Hospital

 Sreedhara, Rajanna               MD                    4754 US Hwy 19 N                     (727) 848-0800   Williams, Trent A MD
 Helen Ellis Memorial Hospital                          New Port Richey, FL 34652                             Helen Ellis Memorial Hospitl

 14134 Nephron Ln                      (727) 863-5418                                                         2114 Seven Springs Blvd #300         (727) 376-7734
 Hudson, FL 34667                                       Subramanian, Thondikulam A MD                         New Port Richey, FL 34655
                                                        Helen Ellis Memorial Hospital

 Wong, Lawrence                  MD                     5622 Marine Pkwy                     (727) 841-7993                 Oncology/Medical
 *****See Footnote*****                                 New Port Richey, FL 34652
 4738 Grand Blvd Ste D                 (727) 848-1274
                                                                                                              Jensen, Cynthia                DO
 New Port Richey, FL 34652-                             Terzigni, Douglas E DO                                *****See Footnote
                                                        Helen Ellis Memorial Hospital
                                                                                                              8763 River Crossing Blvd             (727) 842-2923
 Wu, Ming J MD                                          3006 US Hwy 19 N                     (727) 942-6511   New Port Richey, FL 34655-
 Helen Ellis Memorial Hospital                          Holiday, FL 34691
 4738 Grand Blvd Ste D                 (727) 848-1274                                                         2102 Trinity Oaks Blvd #205A         (727) 372-4080
 New Port Richey, FL 34652                              Zubillaga, Carlos A MD                                New Port Richey, FL 34655-
                                                        Helen Ellis Memorial Hospital

                     Neurology                          3006 US Hwy 19 N                     (727) 942-6511
                                                                                                              Wright, Gail         MD
                                                        Holiday, FL 34691                                     *****see Footnote

 Bunch, Shirley T MD                                                                                          7651 Medical Dr                      (727) 842-2923
 *****See Footnote*****                                                     Neurosurgery                      Hudson, FL 34677-
 4443 Rowan Rd                         (727) 767-4149
 New Port Richey, FL 34653-                             Delgado, Tomas E MD                                   8763 River Crossing Blvd             (727) 842-2923
                                                        University Community Hospital                         New Port Richey, FL 34655-

 Horton, Larry W MD                                     6747 Gall Blvd                       (813) 782-1070
 Helen Ellis Memorial Hospital                          Zephyrhills, FL 33541                                                 Ophthalmology
 3006 US Hwy 19 N                      (727) 942-6511
 Holiday, FL 34691                                               Obstetrics/Gynecology                        Cohen, Steven M MD
                                                                                                              Helen Ellis Memorial Hospital
 Khan, Allauddin             MD                         Ancheta, Arleigh I DO                                 5462 Grand Blvd #105                 (727) 938-2879
 University Community Hospital
                                                        Helen Ellis Memorial Hospital                         New Port Richey, FL 34652
 37227 Medical Dr                      (352) 567-7364   4419 Rowan Rd                        (727) 845-4999
 Dade City, FL 33525                                    New Port Richey, FL 34653-                            Depperman, Stephen                  MD

 Malka, David W MD                                      Evans, Jennifer            MD                         43309 US Hwy 19 N                    (727) 938-2020
 Helen Ellis Memorial Hospital
                                                        *****See Footnote                                     Tarpon Springs, FL 34689-
 7539 Medical Dr                       (727) 869-2115   2114 Seven Springs Blvd #300         (727) 376-7734
 Hudson, FL 34667                                       New Port Richey, FL 34655-                            Foster, Thomas             OD

 Patel, Prakashkumar N MD                               Goldman, Joshua                 MD                    38135 Market Sq                      (813) 715-0195
 Helen Ellis Memorial Hospital
                                                        Helen Ellis Memorial Hospital                         Zephryhills, FL 33542-
 38240 Daughtery Rd                    (813) 783-9799   2114 Seven Springs Blvd #300         (727) 376-7734
 Zephryhills, FL 33540                                  New Port Richey, FL 34655




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   63
    University Community Health Network Provider Listing For Pasco County
 Gamero, Gustavo                 MD                     Spanich, Christopher G MD                                         Orthopaedic Surgery
                                                        University Community Hospital

 43309 US Hwy 19 N                     (727) 938-2020   38135 Market Sq                       (813) 715-0195
                                                                                                               Candelora, Peter D MD
 Tarpon Springs, FL 34689-                              Zephyrhills, FL 33542                                  Helen Ellis Memorial Hospital

                                                                                                               5604 Gulf Dr                          (727) 848-1417
 Gills III, James P MD                                  Taldone, William L MD                                  New Port Richey, FL 34652
 Helen Ellis Memorial Hospital                          Helen Ellis Memorial Hospital

 7509 State Rd 52 #110                 (727) 861-2020   5305 Grand Blvd                       (727) 942-2273
                                                                                                               Guttentag, Ira           MD
 Bayonet Point, FL 34667-                               New Port Richey, FL 34652                              University Community Hospital

                                                                                                               38135 Market Sq                       (813) 780-1555
 Hamilton, Warren                MD                     Williams, Dennis L MD                                  Zephryhills, FL 33542-
                                                        Helen Ellis Memorial Hospital

 43309 US Hwy 19 N                     (727) 938-2020   5413 US Hwy 19 N                      (727) 842-2020
                                                                                                               Herscovici, Dolifi              DO
 Tarpon Springs, FL 34689-                              New Port Richey, FL 34652                              University Community Hospital

                                                                                                               11373 Cortez Blvd #303                (352) 596-1831
 Hauber, Frederick A MD                                           Ophthalmology/Retina                         Brooksville, FL 34613-
 Helen Ellis Memorial Hospital
                                                                                                                  Trauma & Foot Ankle Surgery
 5347 Main St #100                     (727) 847-4448
                                                        Agia, Raymond              MD                          Raterman, Stephen                MD
 New Port Richey, FL 34652                                                                                     University Community Hospital

                                                        43309 US Hwy 19 N                     (727) 938-2020   38135 Market Sq                       (813) 780-1555
 Heath, D Heather MD                                    Tarpon Springs, FL 34689-                              Zephryhills, FL 33542-
 Helen Ellis Memorial Hospital

 1109 US Hwy 19 Ste B                  (727) 934-5705
                                                        Phillpotts, Brian A MD                                                Pain Management
 Holiday, FL 34691

                                                        7509 State Rd 52 #110                 (727) 861-2020
                                                                                                               Solomon, Michael                MD
 Hunter, J. Matthew MD                                  Bayonet Point, FL 34667-                               *****See Footnote
 *****See Footnote
                                                                                                               5604 Gulf Dr                          (727) 734-6805
 5413 US Hwy 19 N                      (727) 842-2020
                                                        Powers, James             MD                           New Port Richey, FL 34552-
 New Port Richey, FL 34652                              Helen Ellis Memorial Hospital

                                                        5347 Main St #100                     (727) 847-4448
                                                                                                                           Pediatric Neurology
 Kayani, Muhammed                 MD                    New Port Richey, FL 34652

 43309 US Hwy 19 N                     (727) 938-2020                                                          Andrews, Ena             MD
                                                                            Optometry                          *****See Footnote
 Tarpon Springs, FL 34689-
                                                                                                               4443 Rowan Rd                         (727) 767-4149
                                                        Frit Streeter, Rachel            OD                    New Port Richey, FL 34653-
 Lazenby, G William MD
 Helen Ellis Memorial Hospital
                                                        43309 US Hwy 19 N                     (727) 938-2020
 1109 US Hwy 19 Ste B                  (727) 934-5705                                                          Casadonte, Joseph A MD
                                                        Tarpon Springs, FL 34689-                              *****See Footnote
 Holiday, FL 34691
                                                                                                               4443 Rowan Rd                         (727) 767-4149
                                                        Loulourgas, Maria               OD                     New Port Richey, FL 34653-
 Montzka, Dan P MD
 Helen Ellis Memorial Hospital
                                                        43309 US Hwy 19 N                     (727) 938-2020
 6325 State Rd 54                      (727) 846-0707                                                          Fernandez, Raymond J MD
                                                        Tarpon Springs, FL 34689-                              *****See Footnote
 New Port Richey, FL 34653
                                                                                                               4443 Rowan Rd                         (727) 767-4149
                                                        Murphy, Kenneth                 OD                     New Port Richey, FL 34653-
 Nassif, John          MD
                                                        43309 US Hwy 19 N                     (727) 938-2020
 43309 US Hwy 19 N                     (727) 938-2020
                                                        Tarpon Springs, FL 34689-
 Tarpon Springs, FL 34689-
    Occular Plastics




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                                   64
    University Community Health Network Provider Listing For Pasco County
                     Pediatrics                    Lokesh, Haravu D MD                                   Wilde, Richard A MD
                                                   *****See Footnote                                     University Community Hospital

                                                   5347 Main St #202                    (727) 848-2525   5259 Village Market                   (813) 973-0333
 Allison, Joanna M MD
 Helen Ellis Memorial Hospital                     New Port Richey, FL                                   Wesley Chapel, FL 33544

 5500 Little Rd #5508             (727) 376-8404
 New Port Richey, FL 34655                         Lokesh, Haravu D MD                                              Pulmonary Medicine
                                                   Helen Ellis Memorial Hospital

                                                   5347 Main St #202                    (727) 848-2525
 Armstrong, Christine B MD                                                                               Akram, Zahid M MD
 Helen Ellis Memorial Hospital                     New Port Richey, FL 34652                             Helen Ellis Memorial Hospital

 5500 Little Rd #5508             (727) 376-8404                                                         5341 Grand Blvd #5                    (727) 842-1012
 New Port Richey, FL 34655                         Mitchell, Paul E MD                                   New Port Richey, FL 34652
                                                   Helen Ellis Memorial Hospital

                                                   5500 Little Rd #5508                 (727) 376-8404
 Desai, Rupal A MD                                                                                       Noorani, Amir A MD
 Helen Ellis Memorial Hospital                     New Port Richey, FL 34655                             Helen Ellis Memorial Hospital

 5347 Main Street #202            (727) 848-2525                                                         5341 Grand Blvd #5                    (727) 842-1012
 New Port Richey, FL 34652-                        Peled, Dror M MD                                      New Port Richey, FL 34652
                                                   Helen Ellis Memorial Hospital

                                                   4929 Mile Stretch Dr                 (727) 944-2005
 Dhingra, Ratna            MD                                                                                                Pulmonology
 *****See Footnote                                 Holiday, FL 34690

 5622 Marine Pkwy #5 & 6          (727) 849-2535
                                                                                                         Cevallos, Juan            MD
 New Port Richey, FL                               Pham, Thuy T MD                                       University Community Hospital
                                                   Helen Ellis Memorial Hospital
                                                                                                         38135 Market Sq                       (813) 782-1329
                                                   2114 Seven Springs Blvd #250         (727) 375-5437
 Dondero, Aldo C MD                                                                                      Zephryhills, FL 33542-
 Helen Ellis Memorial Hospital                     New Port Richey, FL 34655

 6352 River Rd                    (727) 844-3551                                                         27343 State Rd 54                     (813) 615-1740
 New Port Richey, FL 34652                         Qureshi, Rizwan A MD                                  Wesley Chapel, FL 33543-
                                                   *****See Footnote

                                                   11373 Cortez Blvd #308               (352) 592-2003
 Dwyer, James A MD                                                                                       Hubaykah, Joseph                MD
 Helen Ellis Memorial Hospital                     Brooksville, FL 34613
                                                                                                         University Community Hospital
 5500 Little Rd #5508             (727) 376-8404                                                         38135 Market Sq                       (813) 782-1329
 New Port Richey, FL 34655                         Shah, Manish N MD                                     Zephryhills, FL 33542-
                                                   University Community Hospital

                                                   2038 Ashley Oaks Dr #102             (813) 862-0276
 Gellady, Andrew M MD                                                                                    27343 State Rd 54                     (813) 615-1740
 *****See Footnote                                 Wesley Chapel, FL 33543-
                                                                                                         Wesley Chapel, FL 33543-
 5323 Grand Blvd                  (727) 848-4878
 New Port Richey, FL 34652                         Sichelman, Alan K MD
                                                   *****See Footnote                                                 Radiation Oncology
                                                   5323 Grand Blvd                      (727) 848-4878
 Hartman, Jacqueline V MD
 University Community Hospital                     New Port Richey, FL 34652                             Hochman, Lawrence D DO
                                                                                                         Helen Ellis Memorial Hospital
 5259 Village Market              (813) 973-0333
                                                                                                         5334 Aspen St                         (727) 842-8411
 Wesley Chapel, FL 33544                           Sokol, Gerald M MD
                                                   *****See Footnote                                     New Port Richey, FL 34652

                                                   11063 County Line Rd                 (352) 683-8178
 Hasell, Douglass M MD
 Helen Ellis Memorial Hospital                     Spring Hill, FL 34609-                                Hochman, Lawrence                DO
                                                                                                         *****See Footnote
 2114 Seven Springs Blvd #250     (727) 375-5437
                                                                                                         8763 River Crossing Blvd              (727) 842-2923
 New Port Richey, FL 34655                         Sreedhara, Malathi              MD
                                                   Helen Ellis Memorial Hospital                         New Port Richey, FL 34655-

                                                   5347 Main St #202                    (727) 848-2525
 Jacob, Salil G MD                                                                                       2102 Trinity Oaks Blvd #205A          (727) 372-4080
 University Community Hospital                     New Port Richey, FL 34652
                                                                                                         New Port Richey, FL 34655-
 5259 Village Market              (813) 973-0333
 Wesley Chapel, FL 33544




*****ALL HOSPITALIZATIONS, OUTPATIENT SERVICES AND ANCILLARY SERVICES MUST BE PROVIDED BY A UNIVERSITY COMMUNITY HEALTH
SYSTEM FACILITY OR OTHERWISE PRE-AUTHORIZED BY PPHA AT 1-888-522-7742. SEE YOUR SUMMARY PLAN DESCRIPTION FOR DETAILS OR
CALL FIRST SERVICE ADMINISTRATORS AT 1-800-226-3155.

                                                                              65
            University Community Health Network Urgent Care Walk-In Centers

10 To 10 Urgent Care                                                After Hours Pediatrics
24420 State Rd 54                                                   3450 East Lake Rd
Lutz, FL 33559-                                                     Palm Harbor, FL 34685
(813) 949-4100                                                      (727) 789-8887
Hillsborough County                                                 Pinellas County
Hours::                                                             Hours::
Mon-Fri 10am - 10pm; Sat/Sun 10am - 10pm                            Mon-Fri 5pm - 11pm; Weekends and Holidays 1pm - 11pm

After Hours Pediatrics                                              After Hours Pediatrics
131 West Robertson                                                  3838 W Neptune Ste D6
Brandon, FL 33511                                                   Tampa, FL 33629
(813) 655-8880                                                      (813) 254-4209
Hillsborough County                                                 Hillsborough County
Hours::                                                             Hours::
Mon-Fri 5pm - 11pm; Weekends and Holidays 1pm - 11pm                Mon-Fri 5pm - 11pm; Weekends and Holidays 1pm - 11pm

After Hours Pediatrics                                              Bay Area Urgent Care
15043 Bruce B Downs Blvd                                            5504 Gateway Blvd
Tampa, FL 33647                                                     Wesley Chapel, FL 33543-
(813) 910-8888                                                      (813) 948-5400
Hillsborough County                                                 Pasco County
Hours::                                                             Hours::
Mon-Fri 5pm - 11pm; Weekends and Holidays 1pm - 11pm                Mon-Fri 9am - 8:45pm; Sat/Sun 9am - 8:45pm

Bayfront Convenient Care Center - Beach                             Bayfront Convenient Care Center - Largo
3455 Gulf Blvd                                                      13163 66th Street N
St Petersburg Beach, FL 33706                                       Largo, FL 34643
(727) 367-5666                                                      (727) 531-2273
Pinellas County                                                     Pinellas County
Hours::                                                             Hours::
Mon-Fri 9am - 6pm; Sat 9am - 3pm                                    Mon-Fri 8am - 7pm; Sat 9am - 3pm

Bayfront Convenient Care Center - Northeast                         Bayfront Convenient Care Center - Pasadena
7676 4th St N                                                       1550 S Pasadena Ave
St Petersburg, FL 33702                                             St Petersburg, FL 33707
(727) 526-3627                                                      (727) 381-3627
Pinellas County                                                     Pinellas County
Hours::                                                             Hours::
Mon-Fri 9am - 8pm; Sat & Sun 9am - 6pm                              Mon-Fri 9am - 7pm




 *** If additional diagnostic services are required after a visit to an urgent care center, your plan requires that the servicves
 be obtained at a UCH or HEMH facility
 *** If you are referred to a specialist for further treatment, please utilize the providers listed within the pages of your provider
 directory

 ***Services at the above facilities are subject to your $1000 HRA, then a 20% co-insurance once that is exhausted
***Services obtained at other Urgent Care or Walk-In facilities will be considered out-of-network and will be subject to the
out-of-network deductible and co-insurance




                                                                       66
             University Community Health Network Urgent Care Walk-In Centers

Bayfront Convenient Care Center - Seminole                           Bayfront Convenient Care Center - Tyrone
7601 Seminole Blvd                                                   3251 66th Street N
Seminole, FL 33772                                                   St Petersburg, FL 33710
(727) 397-5666                                                       (727) 344-3627
Pinellas County                                                      Pinellas County
Hours::                                                              Hours::
Mon-Fri 8am - 7pm; Sat 9am - 3pm                                     Mon-Sat 8am - 8pm; Sun 10am - 6pm

MedExpress Urgent Care - Brandon                                     MedExpress Urgent Care- Buffalo
206 E Brandon Blvd                                                   2810 W Dr MLK Jr Blvd
Brandon, FL 33511                                                    Tampa, FL 33607
(813) 681-5571                                                       (813) 877-8450
Hillsborough County                                                  Hillsborough County
Hours::                                                              Hours::
Mon-Fri 8am - 8pm; Sat 8am - 5:30pm; Sun 8am - 5:30pm                Mon-Fri 8am - 8pm; Sat 8am - 4pm; Sun 8am - 4pm

MedExpress Urgent Care - Carrollwood                                 MedExpress Urgent Care - Clearwater
13856 N Dale Mabry                                                   26812 US Hwy 19 N
Tampa, FL 33618                                                      Clearwater, FL 33761-
(813) 264-1885                                                       (727) 799-2727
Hillsborough County                                                  Pinellas County
Hours::                                                              Hours::
Mon-Fri 8am - 8pm; Sat 8am - 5:30pm; Sun 8am - 5:30pm                Mon-Fri 8am - 8pm; Sat 8am - 5:30pm; Sun 8am - 5:30pm

MedExpress Urgent Care - Lutz                                        MedExpress Urgent Care - Seffner
22945A State Rd 54                                                   801 W Dr MLK Jr Blvd
Lutz, FL 33549-                                                      Seffner, FL 33584
(813) 909-9099                                                       (813) 684-4424
Hillsborough County                                                  Hillsborough County
Hours::                                                              Hours::
Mon-Fri 8am - 8pm; Sat-Sun 8am-4pm                                   Mon-Fri 8am - 8pm; Sat 9am - 4pm

MedExpress Urgent Care - New Tampa                                   MedExpress Urgent Care - Northside USF
20677 Bruce B Downs Blvd                                             13210 N Bruce B Downs Blvd
Tampa, FL 33647                                                      Tampa, FL 33612-
(813) 973-9731                                                       (813) 977-2777
Hillsborough County                                                  Hillsborough County
Hours::                                                              Hours::
Mon-Sun 8am - 8pm                                                    Mon-Sun 8:00 am to 8:00 pm




  *** If additional diagnostic services are required after a visit to an urgent care center, your plan requires that the servicves
  be obtained at a UCH or HEMH facility
  *** If you are referred to a specialist for further treatment, please utilize the providers listed within the pages of your provider
  directory

  ***Services at the above facilities are subject to your $1000 HRA, then a 20% co-insurance once that is exhausted
 ***Services obtained at other Urgent Care or Walk-In facilities will be considered out-of-network and will be subject to the
 out-of-network deductible and co-insurance

***MedExpress Urgent Care is formerly known as Doctors Walk-in Clinic




                                                                        67
            University Community Health Network Urgent Care Walk-In Centers

NowCare Walk-in Clinic                                                   s
                                                                        Fast Track Walk In Clinic
1009 Bakers St                                                         11969 Sheldon Rd
Plant City, FL 33563                                                   Tampa, FL 33626
(813) 759-1232                                                         (813) 925-1903
Hillsborough County                                                    Hillsborough County
Hours: Mon-Fri 8am - 8pm; Sat/Sun 9am - 5pm                            Hours: Mon-Sun 8:00 am to 8:00 pm
.




 ***Ifadditional diagnostic services are required after a visit to an urgent care center, your plan requires thatthe servicves
 be obtained at a UCH or HEMH facility
 *** If you are referred to a specialist for further treatment, please utilize the providers listed within the pages of your provider
 directory

 ***Services at the above facilities are subject to your $1000 HRA, then a 20% co-insurance once that is exhausted
***Services obtained at other Urgent Care or Walk-In facilities will be considered out-of-network and will be subject to the
out-of-network deductible and co-insurance




                                                                           68
                                       University Community Health Network Ancillary Provider Listing

                                                                         Bio-Medical Applications,
                      Breast Diagnostics
                                                                         8601 4th Street N                           (727) 576-0259
                                                                         St Petersburg, FL 33702-
      Breast Diagnostic Center
      4700 N Habana Ave #104                       (813) 845-3787
      Tampa, FL 33614                                                    Bio-Medical Applications,
      May NOT be used for well screening exams                           3242 Henderson Blvd #200                    (813) 932-9063
                                                                         Tampa, FL 33609-
                            Dexa Scan

                                                                         Bio-Medical Applications,
      Helen Ellis Memorial Hospital,
                                                                         1602 N 21st St                              (813) 247-5720
      2114 Seven Springs Blvd                      (727) 942-5180
                                                                         Tampa, FL 33605-
      New Port Richey, FL 34689


                                                                         Bio-Medical Applications,
                 Diabetic Infusion Services                              2565 Enterprise Rd                          (727) 769-9122
                                                                         Clearwater, FL 33763-
      Medtronic MiniMed,
      18000 Devonshire St                          (800) 843-6687
      Northridge, CA 91325                                               USF Dialysis Ctr,
                                                                         13101 Bruce B Downs Blvd                    (813) 975-1811
      Supply re-order 800.843.6687; 24-Hour Pump Help Line
      800.826.2099; New Pump Orders 800.999.9859                         Tampa, FL 33612

                     Diagnostic Services
                                                                                   Durable Medical Equipment
      Precise Ultrasound, Inc.,
      500 Park St N                                (727) 549-8000
                                                                         Austin Medical Equipment
      St Petersburg, FL 33709
                                                                         1676 N Belcher Rd
                                                                         Clearwater, FL 33765

                             Dialysis
                                                                         BayCare Home Care,
      Bio-Medical Applications,                                          8452 118th Ave N                            (800) 673-4534

      4553 Gunn Hwy Ste G3, G4, H1                 (813) 265-9733        Largo, FL 33773-
      Tampa, FL 33624-                                                   Custom Rehab/Specialty Equipment; Ostomy Supplies


                                                                         Suncoast Medicare Supply Co., Inc.,
      Bio-Medical Applications,                                          656 Central Ave                             (727) 821-7015

      3251 3rd Ave N #125                          (727) 321-2527        St Petersburg, FL 33701
      St Petersburg, FL 33713-

                                                                         Suncoast Medicare Supply Co., Inc.,
      Bio-Medical Applications,                                          1145 53rd Ave W                             (941) 758-7768

      634 Oakfield Dr                              (813) 685-5229        Bradenton, FL 34207
      Brandon, FL 33511-

                                                                         Suncoast Medicare Supply Co., Inc.,
                                                                         3811 Market Square                          (813) 788-7646
                                                                         Zephryhills, FL 33540




ANY PROVIDER SPECIALTY OR PROVIDER NOT LISTED WITHIN THIS DIRECTORY MUST BE AUTHORIZED BY CONTACTING FIRST SERVICE
ADMINISTRATORS INC., (FSAI) PRIOR TO OBTAINING SERVICES. PLEASE HAVE YOUR ATTENDING PHYSICIAN CONTACT FSAI FOR
AUTHORIZATION AS MEDICAL DOCUMENTATION MAY BE REQUIRED FOR APPROVAL.
                                                                    69
                                       University Community Health Network Ancillary Provider Listing

                                                                            Quest Laboratories
                   Home Health Services
                                                                            Locations are available on the order form
                                                                            Specimen Pick-up Available, FL
      Helen Ellis Home Health,                                              www.questdiagnostics.com
      1395 S Pinellas Ave                             (727) 933-4300
      Tarpon Springs, FL 34689                                              University Community Hospital Medical Center,
                                                                            3100 E Fletcher Ave                                (813) 615-7275
                                                                            Tampa, FL 33613
      UCH Home Health of Pasco
      2416-A Land O'Lakes Blvd                        (813) 909-4931
      Lando O'lakes, FL 34629                                               University Community Hospitall Carrollwood,
                                                                            7171 N Dale Mabry Hwy                              (813) 558-8044
                                                                            Tampa, FL 33614
      University Community Hospital,
      3100 E Fletcher Ave                             (813) 944-4300
      Tampa, FL 33613-
                                                                                                  Lithotripsy

                                                                            Bay Area Renal Stone Center,
                   Home Infusion Therapy
                                                                            6002 49th St N                                     (727) 521-3645
                                                                            St Petersburg, FL 33709
      BayCare Home Care,
      8452 118th Ave N                                (800) 673-4534
      Largo, FL 33773-
      Infusion Only.Home Health Provided by UCHS Home Health                                          MRI
      Services

      Option Care Inc.,                                                     Helen Ellis MRI,
                                                      (727) 592-0045        1395 S Pinellas Ave
      St Petersburg, FL                                                     Tarpon Springs, FL 34689
      Infusion Only..Home Health Provided by UCHS Home Health
      Services
                                                                            Premier Imaging (at UCH Carrollwood),
      Outpatient Infusion Systems,
                                                                            7171 N Dale Mabry Hwy # 101
      5950 Shiloh Rd E Ste U                          (678) 513-3849
                                                                            Tampa, FL 33614
      Alpharetta, Ga 30005
      For services please call 1-888-640-2704; Infusion Only..Home
      Health Provided by UCHS Home Health Services
                                                                            University Community Hospital Medical Center,
                     Laboratory Services                                    3100 E Fletcher Ave                                (813) 615-7273
                                                                            Tampa, FL 33613

      Helen Ellis Memorial Hospital,
      1395 S Pinellas Ave                             (727) 942-5018
      Tarpon Springs, FL 34689                                                                    MRI/Open

                                                                            Stand-Up MRI,
      LabCorp                                                                                                                  (813) 876-7200
                                                                            2605 W Kennedy Blvd
      Locations are available on the order form;
                                                                            Tampa, FL 33609-
      www.labcorp.com
                                                                            Provider requires authorization prior to services being obtained
      Specimen Pick-up Available, FL
      www.labcorp.com




ANY PROVIDER SPECIALTY OR PROVIDER NOT LISTED WITHIN THIS DIRECTORY MUST BE AUTHORIZED BY CONTACTING FIRST SERVICE
ADMINISTRATORS INC., (FSAI) PRIOR TO OBTAINING SERVICES. PLEASE HAVE YOUR ATTENDING PHYSICIAN CONTACT FSAI FOR
AUTHORIZATION AS MEDICAL DOCUMENTATION MAY BE REQUIRED FOR APPROVAL.
                                                                       70
                                      University Community Health Network Ancillary Provider Listing

                                                                              All Children's Specialty Care Clinics,
                    Orthotics/Prosthetics
                                                                              12220 Bruce B Downs Blvd                          (813) 631-5000
                                                                              Tampa, FL 33912-
      Clearwater Limb and Brace,                                              Provider must be authorized prior to obtaining services
      516 Lakeview Rd Villa #1                          (727) 446-9485
      Clearwater, FL 33756-                                                   All Children's Specialty Care Clinics,
      a/k/a Tampa Bay Brace & Limb: Mobile Units Service                      4443 Rowan Rd                                     (727) 846-9900
      Hillsborough, Hernando, Pasco and Pinellas Counties
                                                                              New Port Richey, FL 33912-
      Faklis Orthopedic Services, Inc.,                                       Provider must be authorized prior to obtaining services
      139 E Tarpon Ave                                  (727) 938-1525
      Tarpon Springs, FL 4689                                                 All Children's Specialty Care Clinics,
                                                                              3444 East Lake Rd #418                            (727) 786-5482
                                                                              Palm Harbor, FL 34685-
      Kast Orthotics & Prosthetics,                                           Provider must be authorized prior to obtaining services
      825 Clearwater/Largo Rd
      Largo, FL 33770-                                                        All Children's Specialty Care Clinics,
                                                                              1725 East Bay Dr Ste C                            (727) 582-9665
                                                                              Largo, FL 33771-
      Kast Orthotics & Prosthetics,                                           Provider must be authorized prior to obtaining services
      1200 S Pinellas Ave #10
      Tarpon Springs, FL 34689-
                                                                                                PET/CT Imaging

      Kast Orthotics & Prosthetics,                                           VyMed Diagnostic Imaging,
      12126 Cortez Blvd                                                       10010 N Dale Mabry #160                           (813) 264-7176

      Brooksville, FL 34613-                                                  Tampa, FL 33618
                                                                              Provider must be Authorized prior to obtaining services


      Westcoast Brace & Limb,                                                            Physical Therapy/ Speech
      5311 E Fletcher Ave                               (813) 985-5000
                                                                                           Therapy/Occ Therapy
      Tampa, FL 33613-
                                                                              Helen Ellis Memorial Hospital,
                                                                              1395 S Pinellas Ave                               (727) 942-5033
                                                                              Tarpon Springs, FL 34689-
                         Pediatric DME

      Pediatric Health Choice,                                                University Community Hospital,
                                                        (813) 880-0320                                                          (813) 944-4300
                                                                              3100 E Fletcher Ave
      Tampa, FL 33634                                                         Tampa, FL 33613-
                                                                              See Hospital Page for Phone Numbers


               Pediatric Multispecialty Clinic                                University Community Hospital,
                                                                              7171 N Dale Mabry
                                                                              Tampa, FL 33614-
      All Children's Specialty Care Clinics,
                                                                              See Hospital Page for Phone Numbers
      885 S Parsons Ave                                 (813) 436-5900
      Brandon, FL 33511-
      Provider must be authorized prior to obtaining services




ANY PROVIDER SPECIALTY OR PROVIDER NOT LISTED WITHIN THIS DIRECTORY MUST BE AUTHORIZED BY CONTACTING FIRST SERVICE
ADMINISTRATORS INC., (FSAI) PRIOR TO OBTAINING SERVICES. PLEASE HAVE YOUR ATTENDING PHYSICIAN CONTACT FSAI FOR
AUTHORIZATION AS MEDICAL DOCUMENTATION MAY BE REQUIRED FOR APPROVAL.
                                                                         71
                                      University Community Health Network Ancillary Provider Listing


                   Physical/Rehab Therapy

      CP Motion, Inc,
      7211 SW 62nd Ave #120                      (866) 808-6699
      Miami, FL
      Services ordered by Physician


                  Post Mastectomy Supplies

      A Perfect Fit,
      634 East Bay Dr #1                         (727) 518-6218
      Largo, FL 33770




                           Specialty Lab

      Genzyme Genetics,
      2000 Vivigen Way
      Santa Fe, NM 87505




ANY PROVIDER SPECIALTY OR PROVIDER NOT LISTED WITHIN THIS DIRECTORY MUST BE AUTHORIZED BY CONTACTING FIRST SERVICE
ADMINISTRATORS INC., (FSAI) PRIOR TO OBTAINING SERVICES. PLEASE HAVE YOUR ATTENDING PHYSICIAN CONTACT FSAI FOR
AUTHORIZATION AS MEDICAL DOCUMENTATION MAY BE REQUIRED FOR APPROVAL.
                                                                  72
PROVIDER INDEX BY LAST NAME

Abaunza-Fiallos, Yanina       M          28    Amoroso, Michelle K MD                       19    Baker, Marcy       MD                28
Abbott, Norman S MD                      36    Ancheta, Arleigh I DO                        63    Baker, Marisa      MD                19
Abreu, Cesar      MD                     56    Andersen, Philip H MD                        13    Baker, Steven       DPM              32
Acevedo, Martha T MD                     28    Anderson, W. McDowell             M          33    Ball, Jennifer E DO                  42
Acevedo, Patrick       MD                57    Andrews, David A MD                          33    Banks, Elizabeth E MD            28, 51
Acharya, Muralidhar K MD                 62    Andrews, Ena        MD                27, 51, 64   Bapna, Chandra P MD                  15
Acosta, Romeo       MD                   45    Angel, Jeffrey L MD                          18    Barbosa, Jerry L MD           27, 50, 68
Acosta, Rudolph       MD                 35    Angell, William W MD                         34    Barbour, Ronald L MD                 15
Adler, Philip   MD                       28    Applebaum, Hal J MD                           7    Barker, James H DO                   10
Adnan, Khan A MD                         51    Aprile, Joseph      DC                        8    Barnes, Cathy       MD               59
Agarwal, Sudhir      MD                  59    Araiya, Ashok       MD                       15    Barnes, Elbert H MD                  59
Agarwal, Usha       MD                   61    Arana, Julia       MD                        28    Barrerio, Judith       MD            20
Agia, Raymond       MD            47, 57, 64   Arasu, Thiru S MD                            27    Barriga, Julia     MD                28
Agnello, Peter F MD                      25    Araujo, Roberto A MD                         42    Barry, Scott      DC                  8
Agresta, Gia     MD                      15    Arboleda, Victor        MD                   41    Bartels, Loren     MD                25
Ahmed, Farid      MD                     10    Arey, Mark L MD                              22    Bassel, Yaser      MD                56
Ahmed, Mahmud          MD                61    Armas, Ignacio      MD                       19    Batas, V I MD                        32
Aird, Cecil C MD                         14    Armstrong, Christine B MD                    65    Baum, Jordan       MD                66
Akhtar, Salma      DO                    59    Armstrong, Frank         DO              38, 59    Beach, Colin S MD                    10
Akram, Zahid M MD                        65    Armstrong, Rufus S MD                        19    Beaman, Thomas F DO                  43
Alarcon, Rene A MD                       15    Arnold, Heidi H MD                           19    Beamer, Robert K DO                  38
Albanna, Issam I MD                      28    Arnold, Paul D MD                            56    Beatty, M Ellen        MD            24
Albear, Paul R MD                    32, 68    Asante-Korang, Alfred         MD 26, 49, 67        Beck, Scott W MD                     28
Albergo, Robert      MD                  38    Asghar, Pamela          MD                   19    Beg, Rasha        MD                 14
Albert, Deborah L MD                     27    Assefa, Dagnachew            MD          28, 51    Behnke, Donald          MD           15
Alepa, Christopher       DC              37    Astra, Louis       MD                        59    Behrmann, Todd S DPM                 54
Al-Hassani, Yasir      MD                14    Atalla, Sameh       MD                   13, 61    Belisle, Julian    MD                 8
Ali, Syed   MD                           15    Auerbach, Donald         DO                  38    Beljic, Steve      DO                40
Allison, Joanna M MD                     65    Averill, Francis    MD                       55    Belof-Jasko, Beth       MD           10
Altenburg, John      MD                  22    Awwad, Abraham           DO                  44    Belongie, Iriana P MD                 9
Altman, Roger W MD                       44    Ayala, Irmel A MD                     27, 51, 67   Bencze, Katherine        MD          18
Alvaranga, Denise        MD              12    Aylward, Theodore D MD                       66    Bercu, Barry B MD                    27
Alvarez, Alfred F MD                     51    Ayub, Jorge        MD                        61    Berg, Shari A DO                     38
Alvarez, Jose     MD                     15    Azneer, Ira B DO                             43    Berger, Todd       MD                22
Alvarez, Pedro M MD                      67    Baade, Melody N MD                           28    Berges, Eddy E MD                    18
American, Nadine        MD               28    Badillo, Linda J MD                          62    Bergier, Gregoire       MD           42
Amin, Jay K MD                           36    Badillo, Salvador G MD                       28    Bergner, Donald M MD                 56
Amin, Sanjiv P DO                        40    Bagenski, Philip        MD                   43    Berman, Arthur L DO                  40
Amoah, Edward        MD                  15    Baig, Mohammed           MD                   9    Berman, David M DO                   51




                                                                       73
PROVIDER INDEX BY LAST NAME

Bernal, Hernando       MD               33    Bouchlas, Constantine          MD          32    Canedo, Mario I MD                           7
Bernasek, Thomas           MD           23    Bouchlas, Constantine          MD          54    Cannella, Xavier       MD                   13
Berrios, Jose A MD                      49    Bowerman, Richard E MD                      7    Cano, Carlos      MD                        52
Bettan-Lange, Anna          DC          38    Bowlin, Walter Q DDS                       48    Canody, Christina       MD                  29
Bevilacqua, Lorraine B MD               20    Bowman, Paul H MD                        9, 18   Capone, Edward         DO                   39
Bevilacqua, Sylvia A MD                 20    Boyd, William      DO                      39    Cappiello, Angelo M MD                      61
Bhadja, Kantilal N MD                   15    Boyd, William C DO                         42    Cappiello, Gerard A MD                  42, 61
Bhaskar, Varun       MD                 55    Bramlet, Dean A MD                          7    Capri, Patrick     MD                       15
Bhat, Ashok       MD                    15    Braun, Edward W MD                         10    Caradonna, Joseph S MD                      12
Bhatia, Anil M MD                       15    Brauner, Robert E MD                       19    Caradonna, Richard          MD              57
Bhattacharje, Lakshmi        MD         55    Bray, Caryn L MD                           20    Cardona, Jerges J MD                        33
Bianchi, Antonella      MD               9    Bridge, Donna M MD                         13    Cariaga, Maria-Luisa C MD                   15
Bilirakis, Emmanuel M MD                43    Bridge, Peter    MD                        32    Carlucci, Cheryl M MD                       18
Billiris-Findlay, Karina     MD      23, 47   Brock, Charles W MD                        18    Carr Columbus, Lynne            DO          49
Billys, James     MD                    24    Brodsky, Norman J MD                       55    Carroll, III, Edmund T DO                   49
Bishay, Sawsan         MD            33, 58   Bronleewe, Scott      MD                    8    Carson, Thomas E MD                         39
Black, Janet K MD                       51    Brown, Kathleen D MD                       20    Carter, John D MD                           34
Blacker, Barry F MD                     51    Brown, Lee Ann       DO                    54    Carvallo, Alejandro        MD           18, 62
Blackshear, Jr, William         MD      41    Browne-King, Esther U MD                   43    Casadonte, Joseph A MD               27, 51, 64
Blanco, Rafael W MD                     33    Bueno, Jocelyn      MD                     15    Casanas, Robert J MD                        15
Blasini, Rafael A MD                    15    Bufkin, Bradley L MD                     8, 37   Case, Brad       MD                         41
Blass, Barry C DPM                      32    Bugarin-Viera, Magdalena                   10    Cases, Hector      MD                       18
Blazejowski, Christopher         M      15    Bunch, Shirley T MD                 18, 45, 63   Cassandra, James           DO               24
Bliss, Kimberly    MD                   45    Bunnell, Larry L DO                        39    Castellano, Nelson         DDS              23
Bloom, Marc       MD                     8    Burchett, Robert B MD                      15    Castellvi, Antonio      MD                  24
Bocado, Claudio V MD                    15    Burnett, James     DO                      39    Castellvi, Jorge I MD                       29
Boger, Janice A CCC-A                    7    Burnette, Michael C MD                     34    Castillenti, Thomas A DO                13, 41
Boghdadi, Mona S MD                     10    Burns, Christine L MD                      47    Cavanaugh, Lara M MD                        52
Boland, Thomas J MD                     48    Burns, Craig W DO                          39    Cekan, Pilar     MD                         10
Boneta, Myrna M MD                      28    Butler, Madelyn E MD                       20    Cevallos, Juan        MD                33, 65
Borachi, Shamimara N MD                 59    Butterick, John K MD                       13    Chalavarya, Gopal K MD                      59
Borden, Mark A MD                       29    Buzzeo, Robert A MD                        29    Chamarthy, Latha        MD                  36
Boreman, Kathryn M MD                   29    Cahmi, Tawfik N MD                         12    Chamberlain, Kerry E DO                     42
Boreman, Kathryn M MD                   52    Calderone, Diana        MD                  9    Chambers, Nelly        MD                   16
Borkowf, Shirley P MD                   29    Caldron, Guillermo        MD               45    Chami, Tawfik      MD                   12, 60
Borra, Sujath     MD                    18    Cambier, Patrick      MD                   36    Chamorro, Zayda         MD                  20
Botelho, Jill   MD                      20    Camejo, Lionel     MD                      10    Champoux-Rhoden, Lisa M                     29
Botwin, Kenneth P MD                    32    Campbell, James         MD                 37    Chandler, Nicole       MD                   41
Botwin, Kenneth P MD                    54    Candelora, Peter D MD                      64    Chandra, Sumesh         MD                   9




                                                                   74
PROVIDER INDEX BY LAST NAME

Chang, John       MD                12    Crawford, Marguerite         MD    26, 49   Dennison, Stanley      MD              25
Chapa, Liberato       MD            37    Creighton, James        MD            23    Depperman, Stephen          MD 47, 57, 63
Chau, Thuy-Van         MD           29    Creighton, Jr., Robert       DPM   32, 54   Derasari, Manjul D MD                  25
Checkver, Mitchell D DO             10    Crespo, Israel     MD              12, 60   Desai, Rupal A MD                      65
Cheek-Weiland, Julie        MD      52    Cromer, Michael A MD                  10    Dewberry, F Lawrence MD                44
Cherpelis, Basil R MD               62    Cromwell, John W MD                    9    DeWeese, William       MD              19
Chiaramonte, Joseph         MD      10    Cross, Kelli A MD                     52    Dhaliwal, Parminder        MD          16
Chipman, Howard         MD          10    Cruse, Laura M MD                     16    Dhana, Leila     MD                 27, 50
Choate, David     DC                67    Cuevas, Anibal        MD              16    Dhingra, Ratna        MD               65
Choksi, Mamta         MD            61    Curley, Gerald     DO                 16    Diamandis, Themistocles J              41
Choksi, Tarak     MD                61    Curtin, Patricia A MD                 29    DiDonato, L. Frank DC                  38
Chowdhari, Shaukat          MD      25    Cusumano, Matt        DO              54    Diego-Wright, Marianne          M      23
Christ, Philip W DO                 48    Dadisman, Katherine         DO        45    Dieguez, Gerardo       MD              16
Christman, Dorothy T MD             39    Dadlani, Gul H MD                  26, 49   Dieterich, David D DO                  36
Chuong, Robert        MD            48    Daily, Wilfred J MD                   29    Dietrick, John A MD                    13
Ciccarello, Joseph         DC        8    Dallman, John J MD                    39    DiGiovanni, Robert I DO                55
Citrin, Paul     MD              13, 61   Daly, Joseph M MD                     40    DiLella, Vincent J DO                  39
Clare, Michael    MD                23    Damian, Gracia M MD                   67    Dilip, Mathew     MD                    7
Clarkson, Frederick W DO            39    Daminani, Carmen           DO         45    Dillon, Richard S MD                   20
Class, Michelle M MD                52    Danielson, Paul D MD                  41    DiMarco, Celia P MD                    52
Clayton III, M Dexter       MD      16    Danner, Christopher        MD         25    DiMasi, E MD                           39
Coberly, Dana M MD                  32    Daryanani, Roshan          MD         61    Dina, Frank      OD                    48
Cogburn, Julia        MD            18    Davis, George      DO                 10    DiNapoli, Peter T MD                   41
Cohen, Adam J MD                     7    Davis, Jeffrey M MD                   61    Diner, Beth C MD                       45
Cohen, Deborah         MD           20    Davis, Mark      MD                   29    DiPiazza, David J MD                   56
Cohen, Steven M MD                  63    Davis, Michael     MD                 10    Dispasquale, Thomas         DO         23
Colleran, John     DO               36    Davison, Thomas         MD            23    Dolskaya, Elena       MD               45
Colon, Jose E MD                    29    Dean, David      MD                   60    Dominguez Jr, Jose C MD                 7
Colon, Yaritza    MD                52    Dean, Kimberly        DO              39    Dominguez, Emilio          MD          61
Companioni, George R MD             23    Dean, Robert M MD                     43    Dominguez, Roberto D MD                25
Condino, Adria A MD              27, 50   DeClue, Terry J MD                    26    Dondero, Aldo C MD                     65
Connor, Dianne        MD            45    DeCosmo III, John          DO         39    Donelan, Peter A MD                     9
Conteh, Abib      MD                16    DeFoe, James       DO                 39    Dora, Chandler D MD                    35
Corrao, Phillip   MD                10    Dekle, Julie     MD                   29    Dorton, David     DO                   38
Cortelli Jr., Leonard E MD          23    Dela Torre, Jose      MD              32    Downes, Sandra        MD                7
Coughlin, John P MD              13, 61   DeLaCruz, Marijo       DO             41    Drapkin, Robert L MD                   42
Cowart, Catherine          MD    14, 42   DeLellis, Salvatore L DPM             54    Drevon, Sheilah       MD               61
Cox, John M MD                      13    Delgado, Tomas E MD                   63    Drucker, Jerry    MD                   38
Cozzolino, Joseph          MD       60    Den Haese, Greg        MD             20    Dumois, Juan A MD                      51




                                                                75
PROVIDER INDEX BY LAST NAME

Dunkelberger, George R            D      39    Feldman, Dennis         MD          12    Gajera, Jayant C MD                    16
Dunn, Michael       MD                   16    Fernandez, Aland R MD               36    Gallagher, James D MD                  45
Dunne, Peter B MD                        18    Fernandez, Alfredo          MD      13    Gallagher, Pamela J MD                 52
Durai, Palamadai S MD                    43    Fernandez, Maruja           MD      20    Gallestegui, Jose L MD                 36
Durojaiye, Babatola          MD          16    Fernandez, Raymond J MD 27, 51, 64        Gamero, Gustavo         MD      47, 57, 64
Duvoisin, Jan       MD                   49    Ferris, Vijay     MD             13, 61   Gandle, Larry      MD              33, 58
Dworkin, Gary P MD                       37    Fetchik, Andrew A DO                60    Garcia, Christopher        MD          60
Dwyer, James A MD                        65    Fetchik, Kathy L DO                 60    Garcia, Gerardo        MD              36
Ebel, Theron A MD                        33    Fett, Debra     MD                  38    Garcia, Juan A MD                       7
Eichberg, Rudolfo        MD              31    Figliola, Donald       MD           16    Gardner, Pia J MD                      52
Eisner, Mark S MD                     12, 60   Fink, Matthew        MD             14    Gargasz, Scott        MD               32
Elchahal, Sami          MD                7    Finkelstein, Allen      DO          39    Gasser, Seth       MD                  25
Elder, Kevin       MD                    10    Finnerty, Nancy        MD           60    Gauwitz, Michael D MD                  55
Elsayyad, Nagy          MD               33    Fischer, James P MD                 43    Gaynor, Michael D MD                   29
Emara, Magdi M MD                        29    Fisher-Esenberg, Deborah             8    Gedia, Lakhabhai        MD             15
Emerson, James David MD                  41    Fitzgerald, Gerald        DO        39    Geisler, Robert F MD                   55
Epstein, Joel       DPM                  54    Flantroy, Kesha        MD           45    Gelia, Charles        MD               16
Epstein, Mark L MD                    26, 49   Flick, David A MD                   42    Gellady, Andrew M MD                   65
Epstein, Michael L MD                 26, 49   Flores, Francisco X MD              27    Gelpi, Margarita      MD               14
Escoto, Danilo T MD                      44    Fontanet, Hector        MD          59    George, Christopher B MD               33
Esenberg, Scott         DC                8    Fontenot, M Todd          MD        18    George, Kristopher M MD                37
Esguerra, David         DO               38    Ford, Martha       DO               10    Germain, Bernard F MD                  34
Esperanza, Lowella           MD          59    Forman, Mitchell T MD               12    Ghafoor, Halima        MD              43
Espinola, Trina E MD                     51    Forman, Seth       MD                9    Ghanekar, Dilip V MD                   60
Esposito, Anthony         DO             60    Fosnot, Susan        DO             45    Gieron-Korthais, Maria A M             27
Ettinger, Lawrence           MD          42    Foster, George       MD             45    Gilbert, Robert P MD                   12
Eubanks, W. Hunter           MD          12    Foster, Thomas         OD           63    Gilling, Dalys M MD                    29
Evangelista, Jason           MD       48, 57   Fox, Roger W MD                      7    Gilling, Lucia E MD                     9
Evans, Jennifer         MD            45, 63   Frank, Barry      MD                12    Gills III, James P MD           47, 57, 64
Evans, Kimberly D MD                     43    Frank, Pier D MD                    10    Gills Jr., James P MD              47, 57
Evolutions HealthCare Syste 57, 62, 67         Frankle, Mark      MD               23    Giraldo, Herman        MD              33
Ewig, Jeffrey M MD                    28, 51   Frazier, Daniel      MD             10    Giroud, Jorge M MD              26, 49, 67
Fallieras, Nicholas G MD                 20    Freedland, Curtis P DO              60    Gitomer, Steven        MD              14
Fallon, Sean       DC                    38    French, Deborah         MD          52    Gittinger, Juliette     DO             39
Faris, Talal       MD                    59    Friedman, Charles           MD      49    Glaum, Mark C MD                     7, 57
Farmer, Sheila          MD               16    Friedman, Kenneth H DPM             32    Glicksman, Howard          MD          57
Farooqi, Shafqat P MD                    59    Frit Streeter, Rachel       OD      64    Gold, Tanya      MD                    10
Farrior III, Jay    MD                   25    Funkhauser, Carrie          MD      45    Goldman, Joshua         MD             63
Fauber, Dean H MD                        52    Gadea, Shayne M MD                  52    Goldstein, Gary M MD                   43




                                                                      76
PROVIDER INDEX BY LAST NAME

Gomes, Anthony F G MD                      29    Hakki, A Hamid MD                         36    Heric, Blaine    MD                        37
Gondor, Magdalen I MD                  28, 51    Hakki, Hadi     MD                        55    Hernandez, Lizette        MD             7, 14
Gonzalez, Dominic        MD                60    Hale, Brian D MD                          56    Herrero, Belen       MD                    16
Gonzalez, Eduardo        MD                62    Hale, Gregory A MD                    27, 68    Herror-Szostak, Iilleen        MD          43
Gonzalez-Rodriguez, Angel                  67    Haley, Bobby J DO                         39    Herscovici, Dolifi    DO               24, 64
Goodchild III, Carl W MD                   10    Hall Jr, Wynton L MD                      14    Hershberger, Jonathon M                    20
Gooden, Natasha K MD                       20    Hallgren, Scott E DO                      40    Herson, David        MD                    26
Goodman, Jamie A DC                        38    Halsey, Alan B MD                         26    Hess, Alfred     MD                        24
Goyal, Anoop K MD                          40    Hamid, Cherine A MD                       45    Hess, Derek B MD                           51
Grana, Nanette H MD                27, 50 , 68   Hamil, John R MD                      59, 62    Hess, J. Bruce MD                          51
Grant, Dena G MD                           29    Hamilton, Warren       MD          47, 57, 64   Hiben, Eugene E MD                         29
Grant, Edmund G MD                         18    Hampilos, Speros G DO                     39    Hicks, Mary A MD                           52
Graves, Alan     MD                        48    Han, John K MD                            15    Higgins, Michael      DO                   58
Gray, Richard M MD                         25    Hanna, Ashraf      MD                     49    Hirschfeld, Joseph        MD               32
Greenberg, Harvey M MD                     33    Hanno, Ruth       MD                       9    Hirschfield, Jeffrey A MD                  52
Greenberg, Steven L MD                     20    Hano, Andrew E DO                         42    Hisamoto, John       PT                    32
Greene, Carol U MD                         29    Harbage, Amy N DO                         52    Hochman, Lawrence          DO              65
Gregoire, Bergier       MD                 42    Hardy-Hunter, Eleanine         M          20    Hoffe, Sarah E MD                          33
Griffith, Christopher    MD                29    Hargrove, Donna A DO                      45    Hogan, Jeremy P MD                         25
Groom, Todd      MD                        42    Hariachar, Srinivas K MD                  62    Hollstrom II, Gregory      DC              37
Gross, Andrew S DO                         39    Harker, John N DO                         48    Homsy, Yves L MD                           51
Gross, Steven A MD                         51    Harmel, Richard P MD                      50    Hoover, Dennis L MD                        51
Grove, Ronald       DO                     39    Hart, Stuart    MD                        34    Hopkins, Jordan E MD                        8
Grover, Alpana A MD                        52    Hartman, Jacqueline V MD              29, 65    Horton, Larry W MD                         63
Gruber, Robert      DO                 32, 54    Harvey, Jay M MD                          52    Hosemann, Gabrielle I MD                   29
Gubernick, Samuel        DO                49    Hasell, Douglass M MD                     65    Hotchkiss, Karin      MD                   28
Guggino, Giacomo S MD                      28    Hashmi, Arjumand          MD              62    Hough, Gerard R MD                         29
Gunderman, J Richard          MD           27    Hashmi, Hasan        MD                 9, 59   Howard, Jason        DO                    39
Gunn, Annilea       MD                     10    Hauber, Frederick A MD                    64    Hoyos, Santiago       MD                   29
Gupta, Sneh L MD                           42    Hayes, Jennifer      DO                   46    Hubaykah, Joseph          MD           33, 65
Gupta, Sunil     MD                     7, 59    Haynes, Sheryl       DO                   52    Hughes, Natasha         MD                 52
Gutierrez, Armando N MD                    20    Hazlitt, H. Andrew MD                     36    Hughes, Paul       MD                      60
Gutske, Kenneth         MD                 23    Heath, D Heather MD                       64    Hughes, Teena        MD                    29
Guttentag, Ira    MD                  23, 64     Hebblewhite, Jon       DO                 10    Huhta, James C MD                   26, 50, 67
Guttridge, Randall J MD                    49    Helms, Stuart     MD                      16    Huneycutt, Bousay L MD                     52
Habib, Marcelle G MD                       52    Henandez, Lazarro         MD              14    Hunt, Jeffrey A DO                         35
Hahn, Gregory V MD                         28    Hennessy, Thomas N MD                     52    Hunter, J. Matthew MD                      64
Haidukewych, George          MD            24    Henry, James G MD                  26, 50, 67   Hussain, Shafaq       MD                   16
Hajdenberg, Julio J MD                     42    Hepp, Mark J MD                           36    Hussain, Shafaq       MD                   62




                                                                      77
PROVIDER INDEX BY LAST NAME

Hyatt, Henry       MD                    20    Johnson, Brandi        DPM          32    Kepes, Kathryn R MD                      34
Hyrniewicz, Henry A MD                   43    Johnson, Denis         MD           13    Kerr, Jody Z MD                   14, 42, 67
Ibrahim, Hossam         MD               38    Johnson, Julie D MD                 52    Keweshan, William T DO                   39
Ignacio, Joseph R MD                     50    Johnson-Towson, Michelle            30    Khan, Allauddin         MD           19, 63
Ina, Richard       MD                    11    Johnston, Larry J DC                38    Khan, Shahnaz          MD                60
Infante, Anthony        DO               24    Jones, Allyson     MD               21    Kharbanda, Monica            MD          52
Inga, Jorge       MD                     19    Jones, Dennis      MD               48    Khuu, Huy         MD                     59
Irani, Jennifer    MD                    21    Jones, Galen B MD                   21    Kidd, Richard      DO                    39
Irizarry, Karina    MD                   27    Jones, Gary D DC                     9    Kiesel, Vincent E MD                     48
Irvin-Rahaim, Kiera M MD                 21    Jooma, Nuruddin         MD          44    Kilbride, Kathleen       MD              21
Iyer, Venkit      MD                     41    Joseph, David      MD               18    Killeen, Robert B MD                     61
Jacinto, Sergio        MD                27    Josey, Mary Lee        MD           14    King, Mary        DO                     41
Jackson, Howard         MD               32    Joshi, Pankajkumar K MD             43    King, Monroe J DO                      7, 36
Jackson-Curtis, Danuta T                 52    Kabaria, Vipul     MD               26    Kinney Sr., James           DO           39
Jacob, David       MD                    56    Kagan, Brian M MD                   52    Kirkman, Lee       MD                    16
Jacob, Salil G MD                        65    Kahan, Bruce      MD                16    Kiskaddon, Bruce M MD                47, 57
Jacobson, Peter         MD               16    Kahn, Randy       MD                33    Klauber, Enid      MD                    15
Jacobson, Robyn W MD                     29    Kahn, Sohail      MD             18, 62   Klein, Jay H MD                          53
Jaeger, Michael W MD                     21    Kalani, Equbal E MD                 36    Klein, Kevin L DO                         8
Jaggers, Terri L MD                  13, 60    Kalik, Craig A MD                   26    Klein, Lonnie T MD                       56
Jaime-Williams, Nancy M                  11    Kalter, Craig S MD                  18    Klibanoff, Alan R MD                     40
Jain, Meena        MD                    46    Kamat, Shrinath        MD           19    Kline, Sarah       MD                    14
James, Gregory J DO                      39    Kamisetty, Sudarsan R MD            30    Knezevich, Steven           MD           24
Jandali, Imad      MD                    58    Kankotia, Jerambhai         MD      16    knipe, Richard         MD                42
Janicka, Ania      MD                    59    Kapitz, Martha E MD                 21    Kohler, William        MD                66
Jankelevich, Shirley         MD   43, 61, 67   Kaplan, Stanley        DPM          32    Kokoska, Michael         OD              48
Jaquish, Shelley S MD                    51    Kappeler, Keith    DO               39    Kolb, Michelle E MD                      30
Javeed, Hayath         MD                62    Kasier, Greg C MD                   50    Kolettis, Elias    DO                    41
Javeed, Shahina         MD               62    Kasper, Jeffrey    MD               22    Kolligian, Mark E MD                     51
Jeansonne, Patricia N MD                 30    Katz, Donald      MD                60    Korman, Shlomo G MD                      30
Jensen, Cynthia         DO               63    Kavilaveettil, Reena J MD           19    Kornberg, Paul B MD                      31
Jensen, Jeffrey E DO                     46    Kawauchi, Ronald        MD       14, 61   Korte, Brian J MD                        11
Jerez-Martin, Diana          MD           7    Kay, Richard      MD                11    Koser, Jerome          DO                40
Jessee, Tiffany        DO                41    Kay, Walter J DO                    39    Koshy, Saji       MD                     10
Jimenez, Ernesto        MD                8    Kayani, Muhammed            MD      57    Kostamo, Paul          MD                40
Jimenez, Raul       MD             8, 36, 59   Kayani, Muhammed            MD      64    Kovach, Todd       MD                    36
Jobe, Naushin K MD                       52    Keith, Krista     DO                39    Kratz, Jaime       MD                    49
John, J. Blaine MD                26, 50, 67   Kelly, Karen      MD             30, 52   Kriseman, Anthony D MD                   51
Johnson II, Howard U MD                  21    Kelly, Timothy W MD                 38    Krolczyk, Stanley J DO                   19




                                                                      78
PROVIDER INDEX BY LAST NAME

Krolick, Merrill A DO                      36    Leonelli, Fabio M MD                  36, 38   Loung, Don D MD                  14
Krutchik, Michael        DO                38    Lerner, Saul R MD                        46    Loux, Jeffrey     DO             40
Kudelko II, Paul E DO                      36    Lesser, Steven E MD                      46    Love, Lucy C MD                  19
Kudelko Sr., Paul E DO                     36    Levenson, Jeffrey R MD                   43    Lowenstein, Mitchell B MD        55
Kudelko, Jennifer         DO               43    Levin, Stephen F DPM                     33    Lowery, David G DO               41
Kulek-Luzey, Karalee           MD          30    Levine, Bruce J DPM                      55    Lowrey, Russell J DPM            55
Kulyk, Teofil    MD                        23    Levine, Gary      DO                     60    Lucarella, Vanessa J MD          36
Kumar, Mudra K MD                          27    Levine, Joseph P MD                      21    Lura, Glenn     MD               60
Kumar, Sujata        MD                    53    Levy, Joel     DPM                       33    Lynch, Barrington      MD        16
Kumbkarni, Anjum          MD               16    Lewis, Katherine J MD                    30    Lynch, Louis      DO             11
Kumbkarni, Yuvraj         MD               10    Lewis, Maha       MD                     40    Lynn, Lon D DO                   11
Kundra, Anita       MD                     43    Li, Mary     MD                          57    Lynskey, Elisa M MD              49
Kundra, Navnit       MD                    55    Lilienfeld, Howard S MD                  10    Lyons, Steven T MD               24
Kurtz, Stephanie       MD           26, 50, 67   Lilly, Van S MD                          44    MacAgy, Ian D MD                 46
Kuryliw, Dennis M DC                       59    Lin, Lang     MD                         36    Mackay, Edward G MD              56
Laartz, Brent W MD                         43    Lin, Tsu-Hui J MD                        27    Magnano, David C DC               9
LaBohn, Scott        DPM                   32    Linares-Mera, Reinerio           MD      55    Mahoney, Matthew H MD            38
LaCamera, Richard G MD                     41    Lindberg, David S MD                     62    Maiocco, Brian      MD           48
Laganella, Vincent        DO               11    Lindberg, Harald L MD                    37    Malane, Susan L DO                9
Lam, David A MD                             9    Lipschutz, Fred I MD                     30    Maldanado, Martin        MD      13
Lam, Yim F MD                              30    Littlefield, Jerry M DO                  44    Malhotra, Vikas      MD          57
Landis-Nussbaum, Debbie                    44    Llewellyn, Patricia     MD               21    Malibiran, Frederick      DO     11
Lane, James R MD                           30    Lockett, Ricky P DO                      54    Malka, David W MD                63
Lane, Walter      MD                       11    Lockey, Richard F MD                   7, 57   Mall, Ronald M DO                40
LaRue, Todd       MD                       60    Loebell, James D DPM                     33    Mallah, Jamie A MD               30
Lasswell, David       DC                    9    Logrono, Luis A MD                       43    Mandaliya, Naishadh         MD   33
Lastarria, Emilio     MD                   35    Loiselle, David     DPM                  55    Maniscalco, Benedict S MD         8
Lautersztain, Julio       MD               34    Lokesh, Haravu D MD                      65    Mankodi, Kshemal P MD            60
Layden, William       MD                   23    Loman, Lusiana         MD                59    Mankodi, Meesha K MD             30
Lazenby, G William MD                      64    Lombard, Jeffrey        DO               56    Marandi, Hossain M MD            30
Le, Thanh       MD                         54    Long, James P DPM                        55    Marasco, Carolyn       MD        30
Leach, David        MD                     23    Lopez, Luis       MD                     13    Marcell, Mike R DC               38
Lebowitz, Charles         MD               16    Lopez-McCormack, Celia M                 53    Marcelli, Susan      MD          46
Leche, Carlos B MD                          8    Lopresto, Christopher        MD          23    Marcet, Jorge E MD                9
Ledford, Dennis K MD                     7, 57   Lorenzen, Timothy           MD           23    March, Paul F MD                 60
Lee, Christina E MD                        53    Lorenzo, Wilfredo       MD               46    Mardo, Veronica        MD        11
Leffers, David       MD                    25    Loscalzo, Melissa L MD                   42    Margolin, Jerry A MD             49
Leitner, Mark       DPM                    33    Lotfi, Michael     MD                    45    Marinelli, Carlos C MD            8
Lenz, Frederico E MD                       36    Loulourgas, Maria       OD               64    Markou, Michael        DO        40




                                                                        79
PROVIDER INDEX BY LAST NAME

Marks, Jeffrey    MD                   21    Mendelblatt, Frank I MD          47   Morris, Darren     MD                   11
Marley, Janet A MD                     21    Mendez, Ovidio         MD        30   Morris, Mark W MD                       53
Marston, John H MD                     21    Mendez, Pedro E MD               14   Morris, Michael A MD                    21
Marte, Idelfia A MD                    42    Menosky, Matthew M MD            47   Morrison, Richard      MD                8
Martin, Agustin     MD                 30    Messina, Anthony        MD       14   Morse, Adam       MD                    25
Martin, Raquel    MD                    8    Messina, Anthony        MD       34   Morse, Linda     DO                     40
Martin, Tracy L MD                     30    Meyer, Ernesto A MD              53   Mosiello, Gerard      MD                32
Martinez, Juan M MD                    15    Meyer, Laura M MD                53   Mosquera, Gonzalo        MD             16
Martinez, Luis A MD                    27    Meyer, Stephen P MD              11   Mulingtapang, Reynaldo           M       8
Martinez, Richard M MD          26, 50, 67   Meyerson, Lance         MD       25   Murbach, Richard       MD               37
Martinez-Fernandez, Tanya              51    Michael, Ehab      MD            62   Murphy, Kenneth        OD               64
Masani, Shama A MD                     40    Michel, Alejandro I MD            8   Nakshabendi, Imad        MD             13
Maser, Andrew C DO                     48    Miercort, Craig R MD             55   Namey Jr., Joseph J DO                  43
Mason, Peter M DPM                     55    Mighell, Mark      MD            24   Napier Jr., James A DO                  49
Masterman, Caryn       MD              30    Milas, Audrey      DO            53   Nassif, John     MD                     47
Matthews, Richard A MD                 21    Millan, Ernesto        MD        28   Nassif, John     MD                  57, 64
Matzkowitz, Arthur     MD              66    Miller, Nancy S MD               46   Nault, Su Parker MD                     46
Maxfield, Dane L DO                    41    Miller, Richard    DO            38   Navas, Jorge P MD                       36
McAllister, Earl W MD                  13    Miller, Richard A DO             62   Nawaz, Muhammad            MD           62
McAuliffe, Lori   MD                   53    Mines, Jonathan A MD             47   Nazario, Ilka    MD                  43, 53
McCain, Francine F MD                  21    Minton, David C MD               21   Needham Jr., Gerald         DO          45
McCance, Georgette J MD                46    Miranda, Edgar         MD        47   Nelson, Stephen G MD                    53
McClenathan, Daniel T MD               50    Mitchell, Paul E MD              65   Neninger, Yamilet      MD               26
McCormack, Jorge         MD     26, 50, 67   Mithani, Vimesh K MD             36   Neri, Karena A MD                       53
McCormick, John D MD                   43    Modh, Ashok M MD                 33   Neufeld, Laurence T MD                  11
McElroy, Luisa    MD                   30    Mole', Jose       MD             16   Neustadt, Jeffrey B MD                  28
McIlwain, Harris H MD                  34    Molloy, Richard        MD        16   Neuwirth, Robert      MD                45
McKenna, Daniel E MD            26, 50, 67   Mompi, Emmanuel             MD   13   Newsome, David         MD            47, 57
McKernan, Peter B MD                   25    Monast, Dale       DPM           55   Newton, Michael N MD                    33
McLaughlin, Timothy T MD               42    Monroy-Alba, Scarlett Y M        11   Newton, William A MD                    21
McNamara, Nancy          ARNP          44    Montzka, Dan P MD                64   Nickse, Stephen       DC                38
McNeely, Kathryn B MD                  53    Mook Sang, Brent D MD            30   Nieder, Michael L MD                    50
McNulty, Brian M MD                    21    Moraitis, Evangelos J MD         43   Nirgudkar, Pranita      MD              21
Mechanik, Valerie      MD              21    Moraitis, Isidoros J MD          54   Nixon, Jennifer M MD                    67
Mehta, Ashwin     MD                   13    Morales, Frances        MD       30   Nofsinger, Yoon C MD                    25
Mehta, Dipti D MD                      62    Morales, Walter J MD             18   Nogales, Anna       MD                  23
Mehta, Shital     MD                   16    Moreno, Anthony P MD             48   Nomula, Suvarna        MD               16
Melchert, Magda                        14    Moreno, Zaira J MD               67   Noohani, Chhavi       MD                60
Mendelblatt, David J MD                47    Morgan, Steven         DO        53   Noorani, Amir A MD                      65




                                                                    80
PROVIDER INDEX BY LAST NAME

Norman, Robert        DO          9   Pastore, Christopher         MD         36    Perez-Velasco, Octavio        M           11
Norman, T. Gail MD               11   Patel, Ajay P MD                        14    Perkins, Emily T MD                       30
Norris, John F MD                37   Patel, Anjana D MD                      21    Perkins, Sonja      MD                    21
Norton, Christine H DO           11   Patel, Bhanu J MD                       43    Pesce, Robert J MD                        30
Obzut, Dana       MD             27   Patel, Chandravadan          MD         17    Peterfreund, David O MD                   46
Obzut, Dana A MD                 14   Patel, Daksha      MD                   30    Peterson, John A MD                       44
Occhipinti, Marc       MD        41   Patel, Hitesh      MD                   42    Petrovic, Aleksandra         MD           50
O'Dell, Jason B MD               25   Patel, Jaydeep J MD                     30    Pettina, Samuel A DO                      40
Oertel, Andrea M MD              30   Patel, Krunal      MD                   17    Pfeffer, Sean C MD                        11
Ofenloch, John        MD         37   Patel, Mahesh R MD                      35    Pham, Thuy T MD                           65
O'Hara, Mitchell B DO             8   Patel, Mangesh B MD                     11    Phillips, J Wayne MD                      36
Okeson, Nicholas Z DO            40   Patel, Mehul K MD                       43    Phillips, L. Paul MD                      36
Older, J Justin     MD           23   Patel, Nalin J MD                       25    Phillips, Michael C      MD               43
Olivero, Maria T MD              49   Patel, Navnit U MD                      62    Phillpotts, Brian A MD             48, 57, 64
Olmstead, Roseanne Marie         46   Patel, Niraj     MD                     21    Piazza, Michael A MD                      48
O'Malley, Brendan C MD           10   Patel, Nirav B MD                       33    Piduru, Suseela         MD                31
O'Neal, Henry J MD               16   Patel, Prakashkumar N MD             63, 67   Pila, Kalman       MD                     11
Ordiway, Lester C MD             37   Patel, Pritesh     MD                   62    Pimentel, Maria         MD                21
Orlick, Martin     MD            22   Patel, Rajesh V MD                      62    Pinero-Pilona, Antonio        MD          59
Ortiz-Tweed, Maria S MD          30   Patel, Rajnikant      MD                17    Pitisci, Gilbert J MD                     31
Overman, Mark         MD         17   Patel, Ravindra R MD                    14    Pitroda, Parag      MD                    62
Padilla, Pamela       MD         14   Patel, Ripal Y DPM                      33    Pitsci, Donald F MD                       31
Pae, Susan S MD                   7   Patel, Rohit     MD                     17    Pitt, Catherine C MD                      21
Pagan, Jose A MD                 42   Patel, Roopal A MD                      30    Placencia, Daniel J MD                    31
Pai, Raj K MD                    53   Patel, Satish      MD                   61    Polender, Allison I MD                    19
Paltoo, Catherine       MD       11   Patel, Sharad      MD                   14    Polin, Arthur R MD                        43
Panagakos, George           MD   49   Patel, Vijay     MD                  18, 62   Polsky, Ethan G MD                    28, 51
Panchigar, Nimesh N MD           11   Patranella, Pamela M MD                 53    Postler, Gilbert    MD                     8
Paniello, Santo J MD             46   Patterson, Christopher          DO      40    Powers, James         MD                  64
Pansara, Limba J MD              11   Patterson, James R MD                   32    Prasad, Ishwani         MD                13
Pantages, Efstrtios        MD    53   Patterson, Russell         DO           40    Prieto, Jose       MD                     15
Paonessa, Jeffrey L MD           42   Pautler, Scott E MD                  23, 48   Prpich, John       MD                     28
Pappageorge, Vicki G DO          40   Pedregal, Arthur        MD              18    Pruitt, J Creighton MD                    37
Parasher, Kanchan          MD    11   Peebles, Michael W MD                   41    Pruitt, Rebecca C MD                      50
Parcel, Ted W DO                 25   Peled, Dror M MD                        65    Pudol, Christopher       DO               11
Parekh, Dipak M MD               59   Pena, Max R MD                          66    Pullen, Phillip    DO                     24
Park, Peter      MD              14   Penabad, Jesus L MD                     59    Puretz, Jeffrey L MD                      67
Parrino, Jack      MD             7   Perez-Artiles, Hugo L MD                46    Pusateri, Thomas J MD                     23
Pascual, Eduardo E MD             8   Perez-Millan, Roberto           MD      26    Quimbayo, Jose A MD                       17




                                                            81
PROVIDER INDEX BY LAST NAME

Qureshi, Rizwan A MD                 31, 65    Robbins, Gerald      MD              61    Sagi, Henry    MD                          24
Qureshi, Vicar     MD                    22    Roberts, Michael       DC            38    Salazar, Guillermo E MD                    53
Ramierz, German         MD               18    Roberts, Suzanne       MD            22    Sami, Muhammed K MD                        58
Ramirez, John D MD                        8    Roca, Jose R MD                      37    Sams, Monica R MD                          31
Ramos-Santos, Edgar          MD          18    Rodgers-Neame, Nancy          M      19    Sanchez, Jennifer     DO                   22
Randall, Rodney R MD                      8    Rodriguez, Albert      MD            11    Sanchez, Robert       DO                   37
Rapke, Stephanie L MD                    66    Rodriguez, Cres      MD              17    Sankoorikal, Antony       MD               55
Raterman, Stephen          MD        24, 64    Rodriguez, Jose      MD              22    Santayana, Ricardo        MD               17
Rathmore, Aliya       MD                 62    Rodriguez, Richard       DO          41    Santiago, Ramon       MD                   11
Ratner, Seth W DPM                       55    Rodriguez, Roque       MD            60    Santiago, Yvonne      MD                   17
Raturi, Umesh I MD                       14    Rohatgi, Nalini     MD                7    Santoscoy, Rene                            12
Ray, Sandhini      MD                    11    Rommel, Duane A MD                   53    Saprounova-Hopf, Vera          M           17
Razman, Dolores G MD                     53    Roque, Diana      MD                 17    Saraceno, Carmelo         MD               25
Read, Sonia      MD                      62    Rosario, Angel M MD               13, 61   Saraiya, Chandresh        MD               62
Reddy, Anoop       MD                    19    Rosario, Cristobal R MD              43    Saravanos, Karen      MD                   46
Reddy, Nibeditha       MD                43    Rose, Joel B DO                      11    Saurinkumar, Shah         MD               60
Reddy, Purushottam M MD                  63    Rose, Paul T MD                       9    Savel, Greg H MD                       31, 53
Redwood, Aliya M DC                       9    Rosen, Joseph       MD               57    Savidakis Jr, John    DPM                  55
Reed, Damon R MD                  27, 50, 68   Rosenbach, Keith       MD            61    Sawar, Asad      MD                         8
Reichmuth, Daniel       MD               59    Rosenberg, David       MD         28, 68   Sawczyn, Kelly      MD              27, 50, 68
Reina, David      DC                      9    Rosenthal, Stanley A MD              31    Saxena, Shilpa P MD                        12
Reina, Domenick P MD                     31    Rosenthal, Todd K MD                 17    Schaffer, Christopher J MD                 54
Reiner, Christopher D MD                 31    Rosequist, Robert      MD            11    Scheer, Michael L DO                       44
Reisman, E. Michael MD                   51    Rossbach, Hans-Christoph             27    Scheiner, Adam       MD                    23
Reiss, Marina      MD                    22    Rothschild, Allan W DPM              55    Scherer, Marie-France          MD          44
Rekhi, Avin D MD                         45    Rothschild, Jason      MD            18    Schiff, Ron D MD                           14
Repke, Kurt      MD                  47, 57    Roush, Catherine       MD            22    Schlau, Aron     MD                        44
Reynolds, Michael Bryan D                40    Rowsey, James       MD            47, 57   Schulak, David J MD                        24
Reynolds, William       MD               23    Ruas, Ernesto J MD                   32    Schulman, Michael         DO               41
Reza, Samina       MD                    17    Rudolph, Richard B MD                46    Schwartz, Daniel J MD                      34
Rice, Robert     DC                      38    Ruiz, William     MD                 62    Schwartz, Steven      MD                   45
Richardson, Athena L MD                  53    Ruiz-Ramon, Pablo F MD               18    Schwartzberg, Roger K DO                   41
Richards-Rowley, Toni        MD          31    Rush, James       MD                 45    Schwartz-Miller, Tracey        M           22
Riemer, Ira A MD                         22    Rutledge, Hugh A MD                  44    Schweinshaupt, Steven          M           12
Riley, Michael     DO                    49    Rydell, Ralph E MD                   19    Scolaro, Sam E DO                          12
Rinker, Margaret       MD                 9    Saavedra, Joseph J MD                22    Scudder, Lisa A DO                         12
Ritch, Mark      DO                      45    Sabatino, Kenneth C MD               37    Sebba, Anthony I MD                        55
Ritter, Brooke E DO                      46    Sagar, Sheila V MD                   44    Seeley, Ronald       MD                    23
Rivera, Mayra      MD                    17    Sagar, Vidya E MD                    45    Segall, Kristen H MD                       19




                                                                   82
PROVIDER INDEX BY LAST NAME

Senay, Bruce       MD                35    Smith, James O MD                        8    Sterling, Fran       DO                53
Sennabaum, Joseph            MD      61    Smith, Kimberly M MD                    34    Stone, Jeffrey       Md                24
Seper, Janet L MD                    25    Smith, Sally     MD                     53    Strait, Stephen       DO               34
Serag, Sherif M MD                   40    Smoak, Kimberly G MD                    31    Strikowsky, Stuart B DO                40
Serrano, Evelyn         MD           22    Snyder, Michelle Lee        do          12    Stromquist, Carine I MD                44
Shah, Dipak        MD                17    Soe, Kathleen        DO                 38    Struthers, Lindsay         MD          46
Shah, Hemant N MD                    62    Sokol, Gerald M MD                      65    Suarez, Adriana P MD                   22
Shah, Manish N MD                    65    Sola, Richard     MD                    37    Subramanian, Thondikulam               63
Shah, Rakesh K MD                    63    Solc, Zucel      MD                     55    Suh, Elsa J MD                  26, 50, 67
Shah, Ramesh K MD                    14    Soler, Pedro M MD                       32    Sullivan, Brent       MD               35
Shah, Shalin       DO                15    Solomon, Amy L MD                       22    Sullivan, Janet E CCC-A                 7
Shah, Shuchi       MD                10    Solomon, Michael          MD        49, 64    Sultan, Larnel P DO                    12
Shah, Siddharth H MD                 63    Soloranzo, Martin         MD            17    Surti, Neil     MD                     31
Shah, Vipul R MD                     17    Sondhi, Satinderpal        MD           41    Swaka, Jennifer A MD                   53
Shah, Vrajesh       MD               17    Sonkin, Alexander          MD           17    Swerdloff, Jason       MD              54
Shama, Stanley          MD           33    Sosa, John P MD                         12    Szostak, Michael J MD                  56
Sharma, Rakesh          MD           37    Sosa, Roberto A MD                      44    Ta, Alyssa       MD                    22
Shaw, Maurice H MD                   31    Soto, Yamira      MD                    17    Tabesh, Amanollah          MD          25
Shehata, Sobhy D MD                  56    Sotomayer, Maria          MD             9    Taldone, Johanna D MD                  40
Shelton, Phillip     MD           48, 57   Southard, Paul K MD                     40    Taldone, William L MD                  64
Sher, Mandel R DO                    49    Spanich, Christopher G MD               64    Talero, Guillermo         MD           12
Shettle, Lee       DO                47    Sperber, Donna        MD                53    Tan, Ignatius I MD                     31
Shettle, Philip L DO                 47    Spriggs, Douglas J MD                   37    Tang, Huayang         MD               57
Shetye, Kedar       MD            45, 63   Springle, Joseph       MD               40    Tanus, Deborah S DO                    13
Shields, John      MD                32    Sreedhara, Malathi         MD           65    Tappan, Christopher L MD               31
Shingala, Ashvin B MD                17    Sreedhara, Rajanna          MD          63    Taunk, Jawahar L MD                    41
Shover, John       DO                40    St Hilaire, Nicholas J DC                9    Tawil, Albert     MD                   12
Sichelman, Alan K MD                 65    St. John, Patricia A MD                 46    Tawil, Robert     MD                    9
Siebler, Justin C MD                 25    Staffetti, Joseph F MD                  61    Taylor, Frederick E DO                 12
Siedlecki, Michael        MD         45    Stanton, Karin K DO                     67    Tebbi, Cameron K MD                    27
Sikes, David       MD                66    Stapleton, Gary E MD                26, 50    Tedesco, John         DO               60
Silva, Carlos      MD                17    Stapleton, Stacie      MD        27, 50, 68   Temple, Donald F MD                    13
Silva, Nancy M MD                    31    Stark, Stephen H MD                     37    Templeman-Wilder, D Louis              60
Silverfield, Joel C MD               34    Starling, Jeffrey B MD                  35    Terrone, Linda        MD               31
Sinha, Purendra P MD                 66    Steckler, Eric    MD                    41    Terry, Christopher         DC          67
Slaton, Brooke       MD           46, 63   Steel, John R MD                        34    Terzigni, Douglas E DO                 63
Sligh, Stephen       DC              67    Stein, Bernardo       MD                37    Thacker, Clifford      MD              22
Small, John      MD                  24    Steinhoff, Jeffery     MD               37    Thole, Heather S MD                    31
Smith, Earl     MD                   31    Stephens, Ronald          MD            17    Threadgill, Nichelle       MD          53




                                                                 83
PROVIDER INDEX BY LAST NAME

Tijerino, Linda     MD                   46    Wages, David       DC                     9    Williams, Dennis L MD             64
Tinny, Jacqueline        ARNP            44    Wahba, Irene N MD                        22    Williams, Edward T. MD            31
Tjamaloukas, George           DPM        33    Walker, Matthew H MD                     25    Williams, Gregory        DC        9
Todd, Gregory L MD                       46    Walling, Arthur    MD                    24    Williams, Trent A MD           47, 63
Torres, Amarilis     MD                  66    Walsh Jr, Douglas           MD           17    Williamson, Michael D MD          37
Torres, Christine       MD               17    Walsh Sr, Douglas           MD           12    Williams-Wallace, Nancy E         28
Torres, Francisco        MD           32, 54   Walsh, John       MD                     37    Wilsey Jr., Michael      MD       50
Torres, Margarita P MD                   31    Walsh, Ronald L DO                       37    Wilson, Steven A DC                8
Torres, Ramon L MD                       59    Waltzer, Arthur     MD                   13    Winesett, Michele P MD            50
Trabulsi, William       DPM              33    Ward, Carla       MD                      7    Wingfield Jr., David      DO      44
Tralins, Kevin S MD                      55    Ward, Eugene       MD                    13    Winkler, Ann R MD                 54
Trehy, Deborah       MD                  14    Watkins, Antoinina C MD                  22    Winters, Paul R MD                19
Trevino, Miguel      MD                  44    Watkins, Stanley       MD                17    Witt, Kevin    MD                 40
Trick, Susan M CNM                       44    Watson, Patrick G MD                     17    Wolff, Richard      MD            31
Troya, Pedro       MD                    10    Watson, Peggy       MD                   12    Wong, Cyril C MD                  58
Trublehorn, Marianne T MD                31    Weaver, R Waide MD                       15    Wong, Lawrence         MD         63
Trunnell, Thomas N MD                     9    Webb, Scott       DO                  24, 48   Wood, Judson        MD            24
Tsambiras, Petros        MD              61    Weber, Charlene M MD                     54    Wood, Stephen R DO                48
Turpin, Matt S DO                        44    Weerasooriya, Viraine            MD      50    Wood-Meyers, Laura M MD           50
Turro, Jose M MD                         61    Weinberger, Alyssa Z MD                  54    Worth, Randall G DO               44
Ubani, Agnes        MD                   12    Weinstein, Marc        MD                24    Wright, David D MD                15
Umstead, Thomas J MD                     63    Weinstock, Katharine V. M                47    Wright, Gail     MD               63
Urich, Norman       DO                   40    Weisman, Neil      MD                    26    Wu, Amanda M MD                   12
Van Winkle, Barbara A MD                 48    Weiss, Michael      MD                   22    Wu, Ming J MD                     63
Van Zandt, Stephanie          MD         46    Weissman, Mark         MD                12    Wynn, Tung T MD                   27
Vangara, Malleswari S MD                 62    Welsh, Scott      MD                     24    Yamani, M. Ilyas MD               44
Vangara, Sreenivas P MD                  61    Weot, Christine     MD                   54    Yantz, Cindi A. MD                40
Vasiloudes, Panos        MD               9    Werden, William        DO                12    Yee, Patrick C MD                 31
Vasquez, Jose       MD                   15    West, John     MD                        55    Yelverton, Robert W MD            22
Vaughan, Timothy         MD              53    Whims-Squires, Lisa A DO                 55    Young, Shelley      MD            47
Vazguez, Paul       DO                   56    Whitcomb, Wendy L MD                     22    Zable, Eliabeth     MD            34
Vega-Arrillaga, Frances           M   26, 67   White, Cynthia Wood MD                   31    Zachary, J Mark MD                56
Vega-Quiros, Marife          MD          31    White, Deborah         MD                17    Zak, Paul J MD                    48
Venkataram, Kathariguppa S               17    Whitehead, Keith D MD                    22    Zayas, Egberto J MD               15
Vettichira, Susan       MD            25, 49   Whittingham, Zerica         ARNP         44    Zeitlin, Laurence H MD            41
Veve, Vanessa       MD                   17    Wilbur, Jimmie J MD                      18    Zelenka, Jason T MD               37
Vogler, James K DO                       42    Wilde, Richard A MD                      65    Zelesnik, Cynthia      ARNP       44
Voltarel, Stephen M MD                   53    Wilkerson, W. Gregory MD                 22    Zelig, Michael P MD               41
Von Thron, James C MD                    22    Williams, Brian R DO                     42    Zhao, Diane       MD              32




                                                                      84
PROVIDER INDEX BY LAST NAME

Ziegler, Lane D DO       42
Zloto, Alan E DO         18
Zuber, Amy     DO        18
Zubillaga, Carlos A MD   63
Zuhdi, Ahmad    MD       58




                              85
                     University Community Health Network
                        Network Participation Request
In order to become a participating provider you must have privileges at one of those facilities.
If you do not have privileges at a UCHS facility, please contact network services at First
Service Administrators, Inc. for additional information.

Please complete the following and fax it to Network Services at 1.863.295.9742.

**Name: _________________________________________________________

**Specialty: ______________________________________________________

**Hospital Affiliation(s): ___________________________________________

**Address: ______________________________________________________

**Phone number: _________________________________________________

**Fax number: ___________________________________________________


If you have questions regarding participation, you may contact the Network Services
 directly at 1.800.226.3155.

**REQUIRED INFORMATION

				
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