| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457603078 | FLORIDA HEALTH CARE PLAN INC | PO BOX 11696 | DAYTONA BEACH | FL | 321201696 | |||
| 1013342617 | CIMMERER | TERRI | LYNN | 1340 RIDGEWOOD AVE | HOLLY HILL | FL | 321172320 | |
| 1316396492 | MILLER | JACKIE | S | 1340 RIDGEWOOD AVE | HOLLY HILL | FL | 321172320 |