Practices:
Our Hospitals:
Imaging Centers:
Freestanding Emergency Centers:
Urgent Care Locations:
Health & Wellness:
Outpatient Locations:
This service is only for NON-emergency appointments. If you have a medical emergency, please call 911.
1.) To request an appointment, complete the following form
2.) We will contact you within 2 business day to confirm your request, or to discuss alternative dates and times.
3.) By submitting your request via this web page, you are authorizing us to confirm the appointment using the e-mail address you provide below.
Select a Provider: Tolulope Adeyemo, MD Obaidullah Ahmed, MD Jeffry Altomare, MD, FAAP Sheena Anderson, DO Jess Arcenas, MD Bethany Atkins, MD Jonathan Balog, DO Mark Bedard, DO Regina Bielawski, MD Virginia Black, MD Jacob Blum, MD Charles Booras, MD, FAAFP Richard Bowles, MD Dale Boyd, MD Matthew Todd Braddock, DO April Brenes, MD Jerry Bridgham, MD Arthur Browning, MD Rustin Buffington, MD Patricia Calhoun, MD, FAAFP Perry Carlos, DO John Chan, MD Lara Church, MD Christy Conner, MD Aishah Covington Simms, MD Joseph Cronin, DO Joseph Czerkawski, MD Matthew DeBoer, DO Eufrocina Del Rosario, MD Sarfaraz Dhanji, MD Adam Dimitrov, MD H. Jackson Downey, MD Gigi Edralin, MD Christopher Emanuel, MD Samuel Fern, DO Tra'Chella Johnson Foy, MD Sonja France, MD Juan Fuentes, MD Fidel Garcia, MD Sharon Reinertsen Garland, MD, FAAFP Richard Gehret, MD Maurice Glick, MD Rajesh Gopal, MD Warren Groff, MD Catherine Hartley, MD Terry Hayes, MD Natasha Hunter, MD Valerie Jacobson, MD Robert James, MD Michael Janssen, MD Kevin Kasych, MD Jennifer Keen, MD Arpitha Ketty, MD Jeffrey Krenzer, MD Colin Lacroix, MD Louis Larmoyeux, DO Sandra Laurencin, MD James Lawlor, MD Donald Levine, MD Alan Lim, MD, FAAFP Catherine Lindsay, MD Elizabeth Marquez, MD Jaime McCormick-Kibler, DO Gregory McHugh, MD Joseph McQuade, MD Emmanuel Miel, MD Roger Miller, MD Matthew Modansky, MD Fara Nadal, MD Anthony Nioso, MD Baltazar Orallo, MD Mehul Parekh, MD Matt Paton, MD Amila Perera, MD Nicholas Peterkin, MD Todd Pinder, MD Iulia Platte, MD Anitha Police, MD Manuel Portalatin, MD Kiersten Prince, DO Kenneth R. Prince, DO Patricia Pulwers, MD Sofija Rak, MD Deepica Reddy, MD Ronald Renuart, DO Kyle Rezac, DO Tessa Ricci, MD Meredith Riddle, DO, MS Maritere Rochet, MD Ana Romero, MD Elicia Roos, DO Eric Rosemund, MD Charles Rust, MD Aristides Sastre, MD Shiree Sauer, MD Quincy Scarborough, MD Lynsey Schlotzer, MD Erich Schramm, MD Rashmi Schramm, MD Andrea Shah, MD Sonia Sharma, MD Raymond Silbar, MD Stephen Silberman, MD Dan Spearman, MD Michael Stephens, MD Mark Stich, DO Curtis Storm, MD Erica Tarbox, MD Britt Taylor, MD Payvand Tiurchy, MD Quirino Toledo, MD Richard Townsend, MD Alejandro Traveria, MD Diana Twiggs, MD Tracy Tyson, MD Richard Valenzuela, MD Tony Villena, MD Alison Vukich, MD James Waler, MD Kevin White, MD Bud Wolfson, MD Rhonda Woolwine, MD Peter Yalch, MD ________ Lori Austin-McDonald, PA-C Barbara Bayko, PA-C Kimberly Bibb, ACNP Noor Daoud, PA-C Marianne Davenport, ARNP Mekal Faciane, PA Melissa Fredrickson, PA Robin Johnson, ARNP Mary Mathis, PA-C Belynda McCurry, PA-C Frances Melville, PA-C Regina Nolting, ARNP Andre Nunley, ARNP Paula Page, ARNP Daniel Palmieri, ARNP Andrea Patterson, FNP Paula Peacock, ARNP Dana Preston, PHD Susan Smith, ARNP Diane Trent, ARNP Melissa White, ARNP
Are you a new patient?* Yes No
First Name:* Middle Initial:
Last Name:*
Street Address:
City, State Zip - AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MI MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY
Primary Phone Number:* Type: - Home Cell Work
Secondary Phone Number: Type: - Home Cell Work
Email Address:*
Preferred Contact Method:* (No preference) Daytime Phone Home Phone Cell/Mobile Phone Email A Mekal Faciane, PA Scheduling Agent will contact you to confirm your appointment. Please select the method you prefer for us to contact you.
Date of Birth:*
Insurance:* (Insurance not listed) (No insurance) Aetna HMO, POS, QPOS, Open Access, Select Aetna Open Choice PPO Aetna Elect Choice / Health Choices Aetna Managed Choice Aetna National Advantage Program Aetna Signature Administrator AvMed Beech Street PPO Blue Cross Blue Shield HMO (HOJ) Blue Cross Blue Shield Indemnity (PHS) Blue Cross Blue Shield PPO (PPC) Blue Cross Blue Options (Network Blue) Capital Health Plan CIGNA HMO CIGNA PPO CompCare Psych Evolutions Healthcare Systems FCCJ Student Insurance First Health PPO Great West Healthcare Humana EPO Humana HMO Humana PPO, POS & Open Access LifeSynch MDI Healthcare Multiplan Private Healthcare Systems Southcare United Behavioral Health United HMO United Open Access United POS United PPO Aetna Medicare HMO Blue Cross Blue Shield Advantage 65 United AARP Medicare Complete / SecureHorizons/ Evercare/ UnitedHealthcare Dual Complete (Community Plan)/ WellMed HMO & PPO USA Care Medicare PFFS Sunshine State Health Plan United Healthcare Community Plan Beech Street WC Blue Cross WC Coventry WC Focus WC Prime Comp Network WC Tricare Standard ValueOptions for Tricare Members Tricare Prime Value Options for commercial products Florida Self Directed Care Magellan PPO MHNet Blue Cross Blue Shield - BH Employees Medicare SmartHealth (Select offices) Staywell Healthy Kids *(Select Offices Only) Ped-I-Care (select offices) Medicare - Railroad Blue Cross Medicare PPO (BlueMedicare Regional PPO) Coventry Health Care of Florida HMO Prime Comp Network WC (select offices) Humana Medicare Heritage Summit WC Medicaid FL Aetna - ACA Exchange Plans Blue Cross Blue Shield HMO - ACA Exchange Plans Blue Cross Blue Options (Network Blue) - ACA Exchange Plans Sunshine State Health Plan (select offices) United Community Health Plan (select offices) United Healthy Kids (select offices) Coventry PPO, POS Humana Medicare - Select Offices Only Blue Cross Medicare HMO (Except BlueMedicare Preferred HMO/Alignment Health) First Coast Advantage United Compass - ACA Exchange Plans AvMed Engage HMO AvMed Empower POS Assurant Health - Aetna ASA - ACA Exchange Plans Blue Cross Blue Shield myBlue Choice Care PPO Multiplan WC Aetna Medicare PPO Cigna Behavioral Health Humana Behavioral Health Aetna Whole Health Molina Healthcare
Preferred Date #1:* at Any Time Early A.M. Late A.M. Early P.M. Late P.M.
Preferred Date #2: at Any Time Early A.M. Late A.M. Early P.M. Late P.M.
Preferred Date #3: at Any Time Early A.M. Late A.M. Early P.M. Late P.M.
Primary reason for visit:*
Primary Office
6353 Argyle Forest Boulevard - Suite 4 Jacksonville, FL 32244
Get directions to this location:ZIP Code: GO
904.908.0200
Main:904.908.0200
Fax:904.908.3915
Emergencies:911
Billing:904.202.1032
Billing:800.835.0788
Monday9:00 AM - 5:00 PM
Tuesday9:00 AM - 5:00 PM
Wednesday9:00 AM - 5:00 PM
Thursday9:00 AM - 5:00 PM
Friday9:00 AM - 5:00 PM
Other Office
2140 Smith Street Orange Park, FL 32073
904.269.2140
Fax:904.264.3018
Main:904.269.2140
Saturday9:00 AM - 12:00 PM