Contact
Department Contacts
- Cindy Seidman
x58357
seidmc@shands.ufl.edu
Director, Medical Staff Administration
For information regarding provider enrollment management and the Credentialing and Provider enrollment website please contact:
- Laura Dervinis (Manager)
x58354
dervil@shands.ufl.edu
For information regarding reports from the credentialing database please contact:
- Jamie Rush (Information Systems Specialist)
x58352
rushjl@shands.ufl.edu
To request a credentialing application please contact:
- Jeannie Harris
x50301
credentials@shands.ufl.edu
For information regarding, credentialing applications, temporary privileges and provider enrollment applications for federal and state payors please contact:
- Amy Johnson
x58356
johnaj@shands.ufl.edu - Kat Burgin
x58335
burgik@shands.ufl.edu - Leah MacWilliam
x58342
macwil@shands.ufl.edu - Carole Seffrin
x58345
seffrc@shands.ufl.edu
For information regarding recredentialing applications please contact:
- Lorrie Kantor
x58336
kantol@shands.ufl.edu
For information regarding Focused Practitioner Proformance Evaluations (FPPE) or Ongoing Practitioner Proformance Evaluations (OPPE), expiring documents (license, DEA, board certification) or status changes (resignations, additional privilege requests, etc) please contact:
- Nesa Graham
x58332
grahjl@shands.ufl.edu
For information regarding hospital verifications, and approval letters please contact:
- Jeannie Harris
x58331
harjea@shands.ufl.edu
Mailing Address
Credentialing and Provider Enrollment
Box 100371
Gainesville, FL 32610-0371
Physical Address
Credentialing and Provider Enrollment
1329 SW 16th Street
Gainesville, FL 32608
Telephone: (352)265-0301
Fax: (352)265-0627