Ricky Test 1

Request a Cardiovascular Specialist Referral

First Name Last Name Email Home Phone Zip Code What type of doctor do you need? Cardiology Cardiothoracic Surgeon Clinical Cardiac Electrophysiology Interventional Cardiology Family Medicine Internal Medicine Other Vascular Surgeon What is your primary insurance? Aetna Aetna HMO Aetna - PPO AvMed BayCare Team Member Cigna Cigna Health Insurance Evolutions Healthcare Systems First Health Florida Blue BlueCare HMO Florida Blue Blue Choice PPO Florida Blue Blue Options PPO Florida Blue BlueSelect PPO Florida Blue FEP Federal PPO Florida Blue myBlue HMO Florida Blue Simply Blue HMO Florida Blue State Employees PPO Galaxy Health Network Government - CHAMPVA Government - Hillsborough County Health Plan Government - Pinellas County Health Plan Government - Polk County Health Plan Government - TRICARE - Prime Government - TRICARE - Select Government - VACCN Health Exchange Aetna Health Exchange Ambetter Health Exchange Ambetter Bronze Silver or Gold Health Exchange Ambetter Select Health Exchange - Avmed Health Exchange - Florida Blue - Blue Select Health Exchange - Florida Blue Blue Options Health Exchange - Florida Blue HMO Health Exchange - Florida Blue myBlue Health Exchange - Florida Blue PPO Health Exchange - Molina Medicaid - Aetna Better Health Medicaid - Clear Health Alliance Medicaid - CMS Sunshine Health Medicaid - Florida Healthy Kids Medicaid - Humana Medicaid - Molina Healthcare Medicaid - Original Medicaid - Share of Cost Medicaid - Simply Healthcare Medicaid Sunshine Health Medicaid SMI Sunshine Health Medicaid - United Healthcare Medicare AARP United Healthcare Medicare - Aetna Medicare - Aetna HMO Medicare - Aetna PPO Medicare - BayCare Plus Medicare - CarePlus Health Plans Medicare - Cigna Healthspring Medicare - Florida Blue Choice PPO Medicare - Florida Blue Classic Medicare - Freedom Health Medicare - Humana Medicare - Humana HMO Medicare - Humana PPO Medicare - Optimum HealthCare Medicare - Original Medicare - Simply Healthcare Medicare - Solis Medicare - Ultimate Medicare Unicare Medicare - United HealthCare Medicare - WellCare Health Plans MultiPlan PHCS Beech Street Provider Network of America United Healthcare Other How would you like to be contacted? Email Phone Preferred Callback Time Morning Afternoon Evening

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