Every specialty exposed to live fluoroscopy, the five people inside a hospital who actually decide, and a ranked list of Florida facilities and named leaders to work in order. Built around one fact: this is a capital sale that closes on dosimetry data, not on a demo.
Same box, three arguments. Lead with whichever one matches the person in front of you — and never lead with physics to a CFO.
A 65-year-old interventionalist in 2 lb of lead plus half a pound of leaded glasses does fewer cases per day than one who isn't. Lighter or no apron converts directly into 1–2 additional cases on a heavy day, and into a career that lasts longer.
Cath lab RNs and RTs leave over orthopedic injury and pregnancy. Every replacement hire is months of vacancy and travel-rate coverage. Protection that works without lead is a retention and recruiting instrument.
Cumulative-dose and back-injury claims from lab staff are foreseeable and documented in the badge record. An EP physician sidelined 3+ months from a failed apron is not a hypothetical — it is a workers' comp file with a paper trail.
Published peer-reviewed figures first, physics second. The physics is what earns you the second meeting with the Radiation Safety Officer.
Everything above protects the operator. Nobody protects the nurse, the tech, the rep, the fellow, or the anesthesiologist. That is the entire pitch, and it is also why Risk Management — not Cardiology — is the right first door.
Tiered by scatter dose and deal size, not by prestige. Tier 1 is where a Florida launch pays for itself; Tier 2 is where the volume hides; Tier 3 is expansion once you have a reference site.
CTO and complex PCI are the longest-fluoro cases in medicine. Lead with case-length dose and the CTO operator's back.
Ablation, lead extraction, CRT. Long cases, operator stands for hours. The apron-failure story lands hardest here.
TAVR, TEER/MitraClip, LAAO/Watchman, ASD/PFO. Big teams — echo, anesthesia, surgery, industry — all unprotected. Most people in the room = most compelling ROI.
EVAR/TEVAR, aortoiliac, fem-pop. Aortoiliac is the highest-scatter procedure family you can name — use it as your opening data point.
Embolization, TIPS, Y-90, PAE/UFE, drains. Highly dose-literate audience — they will read the paper, so bring it.
Thrombectomy, coiling, flow diversion. Biplane doubles the scatter geometry. Florida has 51 comprehensive stroke centers — a dense, mappable list.
AV fistula/graft maintenance. Very high repeat case counts in small rooms. Under-served by every competitor.
CLI, atherectomy, limb salvage. Physician-owned — the doctor is also the CFO, so the decision cycle is weeks not quarters.
ESI, RFA, SCS, kyphoplasty. Dozens of short cases a day, often with minimal shielding habits. Florida has a dense private-practice market and its own society (FSIPP).
MIS fusion, percutaneous pedicle screws, navigation. Surgeons who already have back problems treating back problems.
PCNL, fluoro-guided ureteroscopy, stone. Rarely on anyone's radiation-safety radar.
ERCP puts the endoscopist and the nurse beside an active beam with the weakest shielding culture in the hospital. Blue-ocean.
Dose sensitivity is not an argument here — it is the entire specialty ethic. Fastest yes, strongest reference.
Surgeons newly exposed to fluoro via TAVR and hybrid revascularization — often with no lead habit at all.
Navigational bronchoscopy with fluoro and cone-beam CT. Growing fast alongside lung-screening programs.
Heavy C-arm use, young staff, long career horizon. Level I trauma centers have the risk-management culture already built.
UFE and tubal work. Pregnancy and fertility is the single most persuasive angle in the entire portfolio — and it applies to staff, not just patients.
Ablation, chemoembolization, Y-90. Institutional safety culture is already strong — push on the open door.
Diabetic limb salvage in Florida is a volume business. Small rooms, mini C-arms, close operator proximity.
Lower per-case dose, very high case counts. Chain operators buy once and deploy across many sites.
Physicians who work in labs they don't control and can't fix. They carry their own protection philosophy from site to site.
EggNest is capital equipment. That means a Value Analysis Committee, which means you need a clinical champion holding a physicist's data and a risk manager's endorsement before the finance conversation. Work these five in this sequence at every account.
A highest volume, centrally contracted, or a named champion already identified · B strong regional program worth a first-quarter call · C expansion and fill-in once you have a reference site.
| Facility | System | Region | Why it matters | Entry point |
|---|---|---|---|---|
| Tampa General Hospital / USF Health | TGH | Tampa Bay | Top-ranked FL adult cardiology; Interventional Cardiology Center of Excellence with a published, named leadership team. Academic — will engage with the data. | Named: Bezerra, Adams, Vasaiwala, Mohanty |
| BayCare St. Joseph's Hospital | BayCare | Tampa Bay | Reported 4,800+ cath/EP cases in 2025 — one of the highest-volume labs in the state. BayCare contracts across 16 hospitals. | Cath lab director + BayCare system supply chain |
| AdventHealth Orlando | AdventHealth | Central | 1,300 beds, six cardiac cath labs, ~500 valve interventions/yr plus growing structural volume. AdventHealth contracts centrally from Altamonte Springs. | Fellowship + IC leadership; then division contracting |
| Baptist Health Miami Cardiac & Vascular Institute | Baptist Health SF | South | Largest and most comprehensive heart/vascular program in South Florida, 35+ year institute. Named CTO/complex-PCI directorship established 2025. | Named: Alfonso (CTO/complex PCI), Fialkow, Nguyen |
| Cleveland Clinic Florida — Weston | Cleveland Clinic | South | DNV Comprehensive Stroke Center + structural/interventional program with a long-tenured cath lab director. Brand halo across the whole state. | Named: Fromkin (Dir. Invasive & Interventional Cardiology) |
| Memorial Regional Hospital | Memorial Healthcare | South | Comprehensive Stroke Center; separate named cath lab medical directors at Regional and West means two doors into one system. | Named: Pastor-Cervantes, Perryman, Roberts |
| Mount Sinai Medical Center, Miami Beach | Mount Sinai | South | Cath lab director also runs structural heart and the IC fellowship — one relationship covers three programs. Strong named EP center. | Named: Beohar (cath lab + structural), Weiss (EP) |
| NCH Rooney Heart Institute, Naples | NCH | Southwest | 4,000+ caths and 1,000+ angioplasties annually; newly expanded cath/EP labs at North Naples means fresh capital and an open mind on room design. | Named: Cubeddu (President), Malik (Cath Lab Director) |
| Mayo Clinic Florida, Jacksonville | Mayo | North / Jax | Research-forward quaternary center. A Mayo dose study is a national reference, not just a Florida one. | Radiation safety / physics first, then IC |
| Baptist Health Jacksonville | Baptist Jax | North / Jax | Structural heart volumes above national medians; regional referral magnet for North Florida and South Georgia. | Structural heart program director |
| Orlando Health Heart & Vascular Institute (ORMC) | Orlando Health | Central | Large interventional and structural roster across multiple Orlando Health hospitals; system-level contracting. | Heart Valve & Structural Heart Center team page |
| Nicklaus Children's Heart Institute | Nicklaus | South | New Chief of Cardiovascular Medicine (2025) who previously ran a major pediatric cath lab — a leader who thinks about dose by training. Fastest likely yes in the state. | Named: Sathanandam |
| UF Health Central Florida (Leesburg / The Villages) | UF Health | Central | EP program described as one of the busiest in the Southeast — 1,000+ procedures/yr. Ablation is your longest-fluoro use case. | EP lab director |
| Florida Electrophysiology Associates | Independent group | South | Largest EP group in Florida with the highest catheter-ablation volume in the Southeast. Physician-owned decision-making, multi-site deployment. | Managing partner direct |
| Palm Vascular Centers (6 OBL sites) | Independent OBL | South | Six South Florida office-based labs, 6 physicians, 100+ staff, spanning multiple counties. Owner-operators — short sales cycle, multi-room order. | Founding physician / practice administrator |
| AdventHealth Tampa (Pepin Heart Institute) | AdventHealth | Tampa Bay | Named heart institute inside a centrally contracted system; second AdventHealth door if Orlando stalls. | Cath lab director |
| BayCare Morton Plant Hospital, Clearwater | BayCare | Tampa Bay | Long-established high-volume heart program on the Pinellas side. | CV service line director |
| Sarasota Memorial Hospital | SMH | Tampa Bay | Hybrid OR with integrated cath lab; consistently top CMS-rated. Department of Cardiology chair is a long-tenured former cath lab director. | Chair, Dept. of Cardiology verify name |
| Moffitt Cancer Center | Moffitt | Tampa Bay | Interventional oncology and IR volume; NCI center with a mature radiation-safety apparatus that will engage on data. | RSO / IR section chief |
| James A. Haley VA Medical Center, Tampa | VA | Tampa Bay | VA has a federal occupational-safety mandate and separate capital channel — see the VA channel play below. | RSO + VA contracting officer |
| HCA Florida St. Petersburg Hospital | HCA | Tampa Bay | HCA West Florida Division cath lab. Any HCA win opens HealthTrust. | Division CV director |
| Lakeland Regional Health Medical Center | LRH | Tampa Bay | Comprehensive Stroke Center with the county's only biplane neurointerventional suite — biplane is your highest-scatter geometry. | Neurointerventional director + RSO |
| HCA Florida Blake Hospital, Bradenton | HCA | Tampa Bay | Stroke and cardiac program serving Manatee; HCA division access. | Cath lab manager |
| AdventHealth Celebration / Altamonte | AdventHealth | Central | High-volume satellites of the Orlando campus; useful for a multi-room pilot inside one system. | Division CV service line |
| Orlando VA Medical Center, Lake Nona | VA | Central | Newer facility, federal channel, strong occupational health posture. | RSO + contracting |
| Halifax Health, Daytona Beach | Halifax | Central | Independent regional system with its own capital process — no corporate gate to clear. | CV service line director |
| Health First, Melbourne | Health First | Central | Independent Space Coast system; cardiac program plus a dense local interventional pain market around it. | Cath lab director |
| HCA Florida Osceola / Central Florida Regional | HCA | Central | HCA North Florida Division cath labs. | Division CV director |
| Memorial Hospital West, Pembroke Pines | Memorial Healthcare | South | Its own named cath lab medical director — a separate, parallel entry to the Memorial system. | Named: Ibrahim |
| Jackson Memorial / University of Miami Health | Jackson / UM | South | Academic quaternary center with a named AFib center director. Teaching hospital — fellows and staff are the exposed population. | Named: Lambrakos (AFib Center) |
| Broward Health Medical Center | Broward Health | South | Public district system with its own board and capital process; Level I trauma means heavy C-arm use beyond cardiology. | CV service line + risk management |
| Jupiter Medical Center | Independent | South | Named AFib Center of Excellence with a named EP medical director; independent, fast-moving, affluent donor base for capital. | Named: Weisman (EP) |
| Baptist Health Boca Raton Regional Hospital | Baptist Health SF | South | Second Baptist door; strong cardiac program and philanthropy pipeline. | Cath lab director |
| Delray Medical Center | Tenet | South | Tenet's Palm Beach cardiac and neuro hub; Tenet contracts regionally. | CV director |
| HCA Florida JFK Hospital, Atlantis | HCA | South | Major HCA East Florida cardiac program. | Division CV director |
| HCA Florida Aventura / Kendall / Westside | HCA | South | Three HCA East Florida cath labs within an hour of each other — efficient day of calls. | Division CV director |
| Holy Cross Health, Fort Lauderdale | Trinity Health | South | Established cardiac program; Trinity is a national IDN with a separate national contracting path. | Cath lab director |
| Miami VA Healthcare System | VA | South | Federal channel with an active cath lab. | RSO + contracting |
| West Palm Beach VA Medical Center | VA | South | Federal channel; pairs with Miami VA on a single VISN approach. | RSO + contracting |
| Ascension St. Vincent's Riverside, Jacksonville | Ascension | North / Jax | Reported the highest TAVR volume in the Jacksonville market; Ascension contracts nationally. | Structural heart director |
| UF Health Shands, Gainesville | UF Health | North / Jax | Academic center with an ACGME EP fellowship — trainees are a protected-population argument and future champions statewide. | EP + IC program directors |
| UF Health Jacksonville | UF Health | North / Jax | Endovascular and structural heart fellowship program — high complexity, high fluoro. | Endovascular/structural fellowship director |
| HCA Florida North Florida Hospital, Gainesville | HCA | North / Jax | First facility in Florida and 7th nationally ACC-certified for TAVR — a program that competes on accreditation and will value a safety credential. | Structural heart + division CV |
| Tallahassee Memorial HealthCare | TMH | North / Jax | Dominant structural heart program in Northwest Florida; independent capital process. | Structural heart director |
| Malcom Randall VA, Gainesville | VA | North / Jax | Federal channel, academic affiliation with UF. | RSO + contracting |
| Lee Health HealthPark Medical Center, Fort Myers | Lee Health | Southwest | Southwest Florida's largest cardiac referral center; public system with its own board. | CV service line director verify leadership |
| HCA Florida West Hospital, Pensacola | HCA | Panhandle | Named a Premier 50 Top Cardiovascular Hospital — a program that markets on quality metrics will hear a dose-reduction metric. | Cath lab director + division CV |
| Ascension Sacred Heart, Pensacola | Ascension | Panhandle | Regional cardiac and neuro referral center for the western Panhandle. | CV director |
| Johns Hopkins All Children's, St. Petersburg | Johns Hopkins | Tampa Bay | Second pediatric cath program in the state — pair with Nicklaus for a peds dose story. | Peds cath lab director |
| Physicians Regional / Cape Coral Hospital | HCA / Lee Health | Southwest | Secondary Southwest Florida labs; efficient add-ons to a Naples or Fort Myers day. | Cath lab manager |
| Bay Pines VA Healthcare System | VA | Southwest | Federal channel serving the Gulf Coast. | RSO + contracting |
| White-Wilson OBL (Fort Walton Beach / Destin / Niceville) | Independent OBL | Panhandle | Multi-site office-based lab doing arterial, venous and dialysis-access work — the Panhandle OBL beachhead. | Practice administrator |
| United Vein & Vascular Centers / Vein & Vascular Institute of Tampa Bay | Independent OBL | Tampa Bay | Chain and independent OBLs doing PAD and vascular access. Chain operators standardize across sites. | Medical director / corporate ops |
Every name below is drawn from a public institutional page or press release as of September 2026. Re-verify the title before you use it in an email — interventional leadership rotates constantly and a stale title is the fastest way to lose a first meeting.
| Name | Title (as published) | Organization | Why this person, first |
|---|---|---|---|
| Hiram Bezerra, MD, PhD | Medical Director, Interventional Cardiology COE; Director, Minimally Invasive Valve Program | Tampa General / USF Health | Runs the state's top-ranked interventional program and is academically published — the ideal author of your Florida dose study. |
| Anthony Adams, MBA, BSN, RN | Manager, Interventional Cardiology Center of Excellence | Tampa General | The operational gatekeeper. Nurse-manager level, owns workflow and staffing pain. Arguably your single best first call in Florida. |
| Samip Vasaiwala, MD, MSc | Director, Coronary Programs | Tampa General | Owns coronary/CTO volume — the longest-fluoro cases in the building. |
| Bibhu Mohanty, MD | Director, NeuroCardiac Program; Interventional Director, LAAO | Tampa General | Structural/LAAO volume plus neuro crossover — two specialties, one relationship. |
| Fadi Matar, MD | Medical Director, Heart & Vascular Research and Innovation COE | Tampa General | Runs the research arm — the path to a funded evaluation rather than a capital request. |
| David Wilson, MD | EP Section Chief; Medical Director, Lead Extraction | Tampa General | Lead extraction is long-fluoro, high-stakes, standing-room-only. Natural EP champion. |
| Carlos E. Alfonso, MD, FACC, FSCAI | Director, Chronic Total Occlusion & Complex PCI (appointed 2025) | Baptist Health Miami Cardiac & Vascular | Newly appointed to run the highest-dose procedure category in the largest South Florida program. New leaders buy new equipment. |
| Jonathan Fialkow, MD, FACC | Chief of Cardiology; Chief Medical Executive, Integrated Services | Baptist Health Miami Cardiac & Vascular | Executive sponsor with system reach across Baptist Health South Florida. |
| Tom C. Nguyen, MD | Chief Medical Executive; Director, Minimally Invasive Valve Surgery | Baptist Health Miami Cardiac & Vascular | Surgeon executive — owns the hybrid OR, where the most unprotected people stand. |
| Kenneth R. Fromkin, MD, FACC, FSCAI | Director of Invasive and Interventional Cardiology (since 2007) | Cleveland Clinic Florida, Weston | Two decades in the same lab. Long tenure means he has personally watched aprons fail and staff leave. |
| Nirat Beohar, MD | Director, Cardiac Cath Lab; Medical Director, Structural Heart; PD, IC Fellowship; Vice Chief of Cardiology | Mount Sinai Medical Center, Miami Beach | Four hats, one meeting. Fellowship director means trainee protection is his explicit responsibility. |
| Juan A. Pastor-Cervantes, MD, FACC, FSCAI | Medical Director, Cardiac Cath Lab | Memorial Regional Hospital | Flagship lab of a large public system with an active Comprehensive Stroke Center. |
| Bassel B. Ibrahim, MD | Medical Director, Cardiac Cath Lab | Memorial Hospital West | Parallel entry into Memorial — two independent champions, one contract. |
| Jonathan Roberts, MD, FACC, FSCAI | Medical Director, Interventional Cardiology Research & Education | Memorial Healthcare System | Owns the research and fellowship path — route to an evaluation protocol. |
| Richard Perryman, MD | Medical Director, Cardiac & Vascular Institute; Chief of Cardiac Surgical Services | Memorial Healthcare System | Institute-level executive sponsor covering hybrid OR. |
| Robert J. Cubeddu, MD | President, Rooney Heart Institute | NCH, Naples | Runs a 4,000+ cath/yr program that just built new cath and EP labs — capital cycle is open right now. |
| Sarah Malik | Director, Cardiac Cath Lab, North Naples | NCH | Operational owner of the newly expanded labs. Pair with Cubeddu — champion plus operator. |
| Shyam K. Sathanandam, MD, FACC, FSCAI | Chief of Cardiovascular Medicine; Co-Director, Heart Institute (joined 2025) | Nicklaus Children's Hospital | Ran a major pediatric cath lab before this; pediatric dose stewardship is his professional identity. Likeliest early adopter in the state and a national reference name. |
| Litsa K. Lambrakos, MD | Director, Center for Atrial Fibrillation; Professor of Medicine | University of Miami Health System | Academic AFib volume; ablation is your longest-exposure procedure. |
| Raul L. Weiss, MD, FACC, FHRS | Director, William E. & Molly Ford Cardiac Electrophysiology Center | Mount Sinai Medical Center, Miami Beach | Named EP center in the same building as Beohar — one visit, two programs. |
| David Weisman, MD | Medical Director, Cardiac Electrophysiology | Jupiter Medical Center | Independent hospital with an AFib Center of Excellence and a fast local capital process. |
| Rodrigo Lago, MD · Nipun Arora, MD | Program Director / Associate PD, Interventional Cardiology Fellowship | AdventHealth Orlando | Fellowship leadership is the softest entry into a six-lab, 1,300-bed campus — trainee protection is a duty they can't dismiss. |
HCA Florida (~50 hospitals, buys through HealthTrust), AdventHealth, Baptist Health South Florida, Orlando Health, BayCare, Memorial, Ascension and Trinity all contract above the hospital. Land one lab with dosimetry proof, then take that evidence to system supply chain. A single site win is a lever on dozens of labs — so choose your first site for its reference value, not its order size.
In an office-based lab the physician is the champion, the operator and the CFO. No Value Analysis Committee, no capital cycle — decisions in weeks. Multi-site groups (Palm Vascular, United Vein, Florida Electrophysiology Associates, pain-management ASC chains) then standardize across every room they own. This is where a new rep books early revenue while hospital deals mature.
Florida has VA medical centers in Tampa, Orlando, Miami, West Palm Beach, Gainesville and Bay Pines, each with cath and IR capability. The VA carries an explicit federal occupational-safety obligation, has its own contracting vehicles, and is largely uncontested by device reps chasing private-sector volume. Start with the facility RSO.
Florida ACC runs FL-QUIC (Florida Quality Improvement in Cardiology). Dose reduction is a legitimate QI metric with a clean before/after measurement. Positioning EggNest as a QI project rather than a purchase changes who sponsors it and which budget it comes from — and accreditation-proud programs (like the ACC-certified TAVR sites) are pre-sold on the framing.
Recommended strategy: prove-it cluster. Do not spray the state. Pick one metro, land two or three reference accounts with badge-verified before/after dose data, then use that data as the wedge into every centrally contracted system. Tampa Bay is the recommended cluster — highest volume density, a published leadership roster you can name today, and an academic center that will co-author the data.
Flagship-first — going straight at Baptist MCVI or Mayo Jacksonville for the marquee logo — produces a better reference if it lands, but quaternary centers have the longest capital cycles and the most crowded vendor queues in the state. As a new rep with no Florida install base, cluster-first gets you badge data in 60 days. Switch to flagship-first only if a warm relationship from Larry's fitting list already sits inside one of those buildings.
"Where Science Meets Patient Care." The 2026 meeting ran July 31–August 2 at Disney's Yacht Club, Orlando — already past. Registration typically opens mid-February, so get on the 2027 exhibitor list now while the planning committee is forming. Exhibitor information is published at accfl.org.
Florida Quality Improvement in Cardiology, run by the FL ACC chapter. The right venue to position dose reduction as a measurable QI initiative rather than a capital purchase — and it puts you in front of service-line leadership, not just physicians.
FSIPP is the single most efficient way to reach the Tier 2 pain and spine market, which is fragmented across hundreds of private ASCs that are otherwise impossible to map. Verify 2027 meeting dates
Long associated with the Miami Cardiac & Vascular Institute and held in South Florida. National endovascular audience on your home turf. Verify 2027 dates and venue
Egg Medical presented CRT 2026 data on the path to light-lead and apron-free protection. Track which Florida physicians attend and present — the ones publishing on dose are your champions before you ever call them.
Florida chapters of AAPM (medical physicists) and ASRT/SVU (technologists). Nobody sells to these audiences — and they are precisely the people who own the badge data and stand in the scatter cloud all day.
Larry's list of physicians already sold or fitted for x-ray gowns is not in this document — it wasn't available when this was built. Those are warm relationships with people who have already bought radiation protection from him personally. Every name on that list outranks every name on this page. Merge it in and re-rank.
Names here come from public institutional pages and press releases as of September 2026. Interventional leadership changes constantly. Confirm each title on the org's own site or LinkedIn the morning you reach out — addressing someone by a title they left is an avoidable loss.
Named cath lab leadership at Lee Health, the Tenet Florida hospitals and several Panhandle programs wasn't published in accessible sources. These need a phone call to the lab or a LinkedIn pass — worth an afternoon.
Facility rankings here are built from published program descriptions and quality awards, not from claims data. CMS and state AHCA discharge data, or a commercial dataset, would let you rank all 52 by actual annual PCI, ablation and endovascular volume — which is the ranking that really matters.