X0303 4 2011-02-11 0 0001009379 METROPOLITAN HEALTH NETWORKS INC MDF 0001286068 PALENZUELA ROBERTO L 250 S. AUSTRALIAN AVE. SUITE 400 WEST PALM BEACH FL US 33401 0 1 0 0 Secretary/Gen. Counsel Common Stock 2011-02-11 4 S 0 1215 4.6501 D 138020 D These shares were sold pursuant to Rule 10b5-1 sales plan adopted by the reporting person, which plan is designed to, from time to time, provide the reporting person a sufficient amount of cash to satisfy any withholding taxes that may be associated with the vesting of certain equity awards. Represents the weighted-average sale price per share of a series of transactions, all of which were executed on February 11, 2011. The actual sale prices ranged from a low of $4.63 to a high of $4.67. The Reporting Person undertakes to provide upon request of the SEC Staff, Metropolitan Health Networks, Inc. or a Metropolitan Health Networks, Inc. security holder full information regarding the number of shares sold at each price within the range. /s/ Roberto L. Palenzuela 2011-02-11