Doctor tied to Bonita Springs pain clinic indicted in Jacksonville drug conspiracy case

Dr. Anthony Posca has been working at Southwest Florida Medical Solutions, 9240 Bonita Beach Road, since the previous physician, Dr. Lawrence Giventer, left the clinic in July. The clinic in Bonita Springs isn't listed as part of the indictment handed up in Jacksonville.

To read the indictment, click on documents below.

— A doctor who has been working three days a week at an embattled Bonita Springs pain management clinic is among five physicians facing federal charges in Jacksonville in a drug conspiracy case there.

Dr. Anthony Posca is one of five physicians, the owner of three pain management clinics and several employees in the Jacksonville area facing charges handed up recently by a federal grand jury. The overall case alleges drug conspiracy, aiding and abetting the distribution of Oxycodone resulting in death, and money laundering from December 2009 to July 2010.

Posca has been working at Southwest Florida Medical Solutions, 9240 Bonita Beach Road, since the previous physician, Dr. Lawrence Giventer, left the clinic in July. The clinic in Bonita Springs isn't listed as part of the indictment handed up in Jacksonville.

The Bonita Springs clinic has been closely monitored by the Lee County Sheriff's Office since it opened in December 2010. During the past 10 months, Lee sheriff's records show, deputies have visited the clinic's parking lot to make routine checks there or to respond to calls at the office complex where it's located more than 500 times.

After his indictment on a charge of overprescribing medication, Posca made an initial appearance Monday in court in Jacksonville, said one of his attorneys, Bernard Cassidy.

Cassidy said Posca's license hasn't been suspended or revoked and he still can practice medicine. Attempts by the Daily News to reach Posca for comment have been unsuccessful.

Cassidy said the indictment won't affect the operations of Southwest Florida Medical Solutions in the Sunshine Professional Center, about a half-mile east of Bonita Springs City Hall on Bonita Beach Road.

The Bonita Springs clinic has been closely monitored by the Lee County Sheriff's Office since it opened in December 2010. During the past 10 months, Lee sheriff's records show, deputies have visited the clinic's parking lot to make routine checks there or to respond to calls at the office complex where it's located more than 500 times.

If convicted of his charge of overprescribing medication in the drug conspiracy case, Posca faces up to 20 years in prison, a $1 million fine and at least three years of supervised release.

The indictment lists three pain management clinics from the Jacksonville area — First Coast Pain and Urgent Care, where Posca worked for a few months, Jacksonville Pain and Urgent Care, and Duval Wellness. All are closed now.

The indictment states that Posca, along with another First Coast Pain and Urgent Care physician, Dr. Marc Tafflin, "did knowingly and intentionally distribute and dispense and cause to be distributed and dispensed controlled substances not for a legitimate medical purpose."

The indictment states it was part of the conspiracy for Posca and Tafflin to see more than 100 patients per day. Some patients from out of the area would sleep in their car while parked in the lot outside the clinic, then line up as early as 5 a.m. to be seen, the indictment states.

The indictment states the patients would need to pay between $250 and $300 cash per visit. The clinic would require the patients to come with an MRI, which they could easily obtain from a trailer behind the clinic, for $200 to $300 cash. Then, the indictment states, patients would receive between 120 and 240 dosages per month of 30 milligram Oxycodone and-or 60 to 120 dosages per month of 15 milligram Oxycodone.

First Coast Pain and Urgent Care's daily cash deposits ranged from $12,130.00 to $92,613.00, the indictment states.

According to the charges, Posca and Tafflin prescribed 30 milligram and 15 milligram Oxycodone and Xanax tablets without a proper examination and maintained on-site dispensaries as well.

First Coast Pain and Urgent Care's daily cash deposits ranged from $12,130.00 to $92,613.00, the indictment states.

The physicians at First Coast Pain and Urgent Care obtained approximately 3.2 million units of Oxycodone using federal Drug Enforcement Administration (DEA) numbers from physicians who worked at the clinic, the indictment said.

Physicians are required to be authorized by the DEA to prescribe controlled medications like Oxycodone and Xanax.

As of Oct. 1, 2010, in Florida, patients no longer are allowed to have their prescriptions filled at a physician's office.

Posca isn't in jail as the case moves forward, but U.S. Magistrate James Klindt ruled that Posca will have to pay $100,000 as part of a surety bond if he isn't present for a case management hearing on Monday, Oct. 24.

The U.S. Attorney's Office in Florida declined to answer specific questions about the clinics, stating it wouldn't do so because the case is just in the indictment phase.

Amy Filjones, spokeswoman for the U.S. Attorney's Office, said Posca turned himself in to U.S. marshals on Monday after he heard his name in news reports.

Posca is listed in Florida Secretary of State records with connections to another now-closed clinic in the Jacksonville area named after him as well as a clinic that is still operational in Pensacola.

Dr. Donald Hall, one of the indicted physicians, is facing charges in the April 2010 death of Robert Lee Johnson, 25, who overdosed on Oxycodone in a Jacksonville motel room.

Others listed in the indictment are Zachary Rose, Dr. Todd Perla, Dr. Eldon Dale Brandt, Krystopher Legg, Ryan Young, Yevegeny Drubetskoy, Theodore Enquist, Brian Goldberg, Jason Votrobek and Teresa Faulker.

Four of the employees named in the indictment worked at First Coast Pain and Urgent Care. Rose owned all three clinics listed in the indictment, records show.

Each of the people named in the indictment have an arrest warrant issued or already have been arrested, records show.

© 2011 marconews.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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