Covered Entity Details

DSH100007LK AdventHealth Orlando (Terminated) - information as of 4/23/2025 10:53:51 PM

Main Details

Name

AdventHealth Orlando

Subdivision Name

AdventHealth East Orlando - Cardiac Rehab

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH100007LK

Medicare Provider Number

100007

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/6/2020

Participating Start Date

10/1/2020

Participating Approval Date

7/16/2020

Last Recertification Date

8/25/2021

Termination Date
Termination Reason

10/1/2022
Site closure

Contacts

Authorizing Official

AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501

Primary Contact

AdventHealth Orlando
Billy Taer, Reimbursement Manager
(407) 379-1507

Addresses

Street Address

7727 Lake Underhill Rd
Orlando, FL 32822

Billing Address

AdventHealth Finance Shared Services AP
902 Inspiration Ave
Suite 9100
Altamonte Springs, FL 32714

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
FL	0101290-01,0101290-04	1306938071

Shipping Addresses

Shipping Address 1

AdventHealth East Orlando
7727 Lake Underhill Rd
Orlando, FL 32822

Shipping Address 2

AdventHealth Central Fill Pharmacy Orlando
3071 N. Orange Blossom Trail
Suite F
Orlando, FL 32804

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH100007A	Child	DSH	AdventHealth Orlando	AdventHealth Winter Park	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007AA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING MEDICAL PLAZA ORLANDO MRI CT	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007AB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING ALTAMONTE SPRINGS	661 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007AC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	661 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007AD	Child	DSH	Florida Hospital	Florida Hospital Cellular Therapy Laboratory	2501 N. Orange Avenue	Orlando	FL	Terminated
DSH100007AE	Child	DSH	Florida Hospital	Florida Hospital Center for Thrombosis Research	2566 Lee Road	Winter Park	FL	Terminated
DSH100007AF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH REHABILITATION & SPORTS MEDICINE: METROWEST	1603 S. Hiawassee Road	Orlando	FL	Active
DSH100007AG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB RDV	8701 Maitland Summit Blvd	Orlando	FL	Active
DSH100007AH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB WINTER PARK PEDIATRICS	1311 Minnesota Ave	Winter Park	FL	Active
DSH100007AJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PELVIC HEALTH ORLANDO	2520 N. Orange Avenue	Orlando	FL	Active
DSH100007AK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB KISSIMMEE	2400 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007AL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB LAKE MARY	100 Waymont Court	Lake Mary	FL	Active
DSH100007AM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB OVIEDO	8000 Red Bug Lake Road	Oviedo	FL	Active
DSH100007AN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB WINTER PARK SOUTH	2005 Mizell Avenue	Winter Park	FL	Active
DSH100007AP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB EAST ORLANDO/EAST ORLANDO PEDIATRICS	7975 Lake Underhill Road	Orlando	FL	Active
DSH100007AQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA REHABILITATION CENTER	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007AR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB ALTAMONTE SPRINGS	711 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007AS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB ADANSON	5165 Adanson Street	Orlando	FL	Active
DSH100007AT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION HAND THERAPY	410 Celebration Place	Celebration	FL	Active
DSH100007AU	Child	DSH	Florida Hospital	Florida Hospital 7525 Mills Avenue Urology Surgery Center	1812 N. Mills Avenue	Orlando	FL	Terminated
DSH100007AV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER CELEBRATION	410 Celebration Place	Celebration	FL	Active
DSH100007AW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH DIABETES INSTITUTE ORLANDO	2415 N. Orange Avenue	Orlando	FL	Active
DSH100007AX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER SHERMAN OUTPATIENT	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007AY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PAIN MEDICINE ORLANDO	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007AZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PRETESTING EVALUATION CENTER ORLANDO	2501 N. Orange Avenue	Orlando	FL	Terminated
DSH100007B	Child	DSH	AdventHealth Orlando	AdventHealth Altamonte Springs	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SLEEP CENTER WINTER PARK	1925 Mizell Avenue	Winter Park	FL	Terminated
DSH100007BB	Child	DSH	Florida Hospital	Florida Hospital 7371 Eden Spa	2501 N. Orange Avenue	Orlando	FL	Terminated
DSH100007BC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO PEDIATRIC OUTPATIENT CLINIC	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007BD	Child	DSH	Florida Hospital	Florida Hospital 7470-7474/7480/7482/7490-7493/7495/7496/7512-7516/7592/7595/7596/7572 Transplant Center	2415 N. Orange Avenue	Orlando	FL	Terminated
DSH100007BE	Child	DSH	Florida Hospital	Florida Hospital 4200 Kissimmee Clinical Services	201 Hilda Street	Kissimmee	FL	Terminated
DSH100007BF	Child	DSH	Florida Hospital	Florida Hospital Orlando Infusion & Observation Center	2501 N. Orange Ave.	Orlando	FL	Terminated
DSH100007BG	Child	DSH	Florida Hospital	Florida Hospital 9730 Genetic Counseling	2501 N. Orange Ave	Orlando	FL	Terminated
DSH100007BH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB UCF	4098 Libra Drive	Orlando	FL	Terminated
DSH100007BJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH INFUSION CENTER KISSIMMEE	1300 West Oak St.	Kissimmee	FL	Active
DSH100007BK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH INFUSION CENTER ALTAMONTE SPRINGS	894 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007BL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH INFUSION CENTER EAST ORLANDO	7975 Lake Underhill Rd.	Orlando	FL	Active
DSH100007BN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING CELEBRATION	380 Celebration Place	Celebration	FL	Active
DSH100007BP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS EKG	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS ECHOCARDIOLOGY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS CATH LAB	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS STRESS	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS EMERGENCY CENTER	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS RECOVERY ROOM	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS ANESTHESIOLOGY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS RIO	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007BZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS SURGERY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007C	Child	DSH	AdventHealth Orlando	AdventHealth Apopka	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007CA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS RESPIRATORY CARE	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CB	Child	DSH	Florida Hospital	Altamonte / 7374 EDEN REHAB-LYMPHEDEMA	601 E. Altamonte Dr.	Altamonte Springs	FL	Terminated
DSH100007CC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS IP SPEECH THERAPY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS OCCUPATIONAL THERAPY IP	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS IP PHYSICAL THERAPY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS OP ULTRASOUND	601 E. Altamonte Dr.	Altamonte Springs	FL	Terminated
DSH100007CG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS OP DIAG IMAGING	601 E. Altamonte Dr.	Altamonte Springs	FL	Terminated
DSH100007CH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS ULTRASOUND	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS NUC MED	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS DIAG IMAGING	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS CT	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS RADIOLOGY - THERAPEUTIC	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CN	Child	DSH	Florida Hospital	Altamonte / 1180 ALT INTRAVENOUS THERAPY	601 E. Altamonte Dr.	Altamonte Springs	FL	Terminated
DSH100007CP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS DIALYSIS	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS LABOR AND DELIVERY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS IV THERAPY NURSING	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS SLEEP LAB	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS ELECTROENCEPHALOGRAPHY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS ENDOSCOPY	601 E. Altamonte Dr.	Altamonte Springs	FL	Active
DSH100007CV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION PAIN MANAGEMENT	400 Celebration Place	Celebration	FL	Active
DSH100007CW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION ANESTHESIA	400 Celebration Place	Celebration	FL	Active
DSH100007CX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION PACU	400 Celebration Place	Celebration	FL	Active
DSH100007CY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION SURGERY	400 Celebration Place	Celebration	FL	Active
DSH100007CZ	Child	DSH	Florida Hospital	Celebration / 4770 CH RIO	400 Celebration Place	Celebration	FL	Terminated
DSH100007D	Child	DSH	AdventHealth Orlando	AdventHealth Celebration	400 Celebration Place	Celebration	FL	Active
DSH100007DA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION RESPIRATORY CARE	400 Celebration Place	Celebration	FL	Active
DSH100007DB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION PULMONARY REHAB	400 Celebration Place	Celebration	FL	Active
DSH100007DC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION OP SPEECH THERAPY	400 Celebration Place	Celebration	FL	Active
DSH100007DD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION IP OCCUPATIONAL THERAPY	400 Celebration Place	Celebration	FL	Active
DSH100007DE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION IP SPEECH THERAPY	400 Celebration Place	Celebration	FL	Active
DSH100007DF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION IP PHYSICAL THERAPY	400 Celebration Place	Celebration	FL	Active
DSH100007DG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION OP PHYSICAL THERAPY	400 Celebration Place	Celebration	FL	Active
DSH100007DH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION NUC MED	400 Celebration Place	Celebration	FL	Active
DSH100007DJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION MAMMO	400 Celebration Place	Celebration	FL	Active
DSH100007DK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION ULTRASOUND	400 Celebration Place	Celebration	FL	Active
DSH100007DL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION CT	400 Celebration Place	Celebration	FL	Active
DSH100007DM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION MRI	400 Celebration Place	Celebration	FL	Active
DSH100007DN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION DIAG IMAGING	400 Celebration Place	Celebration	FL	Active
DSH100007DP	Child	DSH	Florida Hospital	Celebration / 9060 CH IV THERAPY	400 Celebration Place	Celebration	FL	Terminated
DSH100007DQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION VENOUS ACCESS SERVICES	400 Celebration Place	Celebration	FL	Active
DSH100007DR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION DIALYSIS	400 Celebration Place	Celebration	FL	Active
DSH100007DS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION LABOR & DELIVERY UNIT	400 Celebration Place	Celebration	FL	Active
DSH100007DT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION SLEEP LAB/EEG	400 Celebration Place	Celebration	FL	Active
DSH100007DU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	400 Celebration Place	Celebration	FL	Active
DSH100007DV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION ENDOSCOPY	400 Celebration Place	Celebration	FL	Active
DSH100007DW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION EMERGENCY DEPARTMENT	400 Celebration Place	Celebration	FL	Active
DSH100007DX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION EKG	400 Celebration Place	Celebration	FL	Active
DSH100007DY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION CATH LAB	400 Celebration Place	Celebration	FL	Active
DSH100007DZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION ECHO	400 Celebration Place	Celebration	FL	Active
DSH100007E	Child	DSH	AdventHealth Orlando	AdventHealth East Orlando	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION CARDIAC REHAB/STRESS LAB	400 Celebration Place	Celebration	FL	Active
DSH100007EB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO PREADMISSION TESTING	7727 Lake Underhill Dr.	Orlando	FL	Terminated
DSH100007EC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO ANESTHESIA	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007ED	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO SHORT STAY PROCEDURES	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO SURGERY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO PAIN MANAGEMENT	7727 Lake Underhill Dr.	Orlando	FL	Terminated
DSH100007EH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO RECOVERY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO RESPIRATORY CARE	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO IP OCCUPATIONAL THERAPY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO IP SPEECH THERAPY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO IP PHYSICAL THERAPY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO MRI	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO NUC MED	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO CT	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007ER	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO DIAG IMAGING	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007ES	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO MOB ULTRASOUND	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007ET	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO ULTRASOUND	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH RADIATION ONCOLOGY EAST ORLANDO	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EV	Child	DSH	Florida Hospital	East Orlando / 3280 EAST - IV THERAPY	7727 Lake Underhill Dr.	Orlando	FL	Terminated
DSH100007EW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO DIALYSIS	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO PICC	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO SLEEP LAB	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007EZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO EEG	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007F	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007FA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO ENDOSCOPY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO EMERGENCY ROOM	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO CARDIAC CATH LAB	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO ORLANDO ECHOCARDIOLOGY	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO STRESS TESTING	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO EKG	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007FH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK ANESTHESIA	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK PACU	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK PHASE 2 RECOVERY	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007FL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK RIO	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK SURGERY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK RESPIRATORY CARE	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FP	Child	DSH	Florida Hospital	Winter Park / 3160 WPMH PULMONARY REHABILITATION	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007FQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK IP SPEECH THERAPY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK OCCUPATIONAL THERAPY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK IP PHYSICAL THERAPY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK ULTRASOUND	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK INTERVENTIONAL LAB	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007FV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK NUC MED	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK DIAG IMAGING	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK CT	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK MRI	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007FZ	Child	DSH	Florida Hospital	Winter Park / 1037 WPMH PET	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007G	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING ALTAMONTE SPRINGS PET CT	601 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007GA	Child	DSH	Florida Hospital	Winter Park / 6777 WPMH IV THERAPY	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007GB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK DIALYSIS	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK VENOUS ACCESS SERVICE	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK OP INFUSION THERAPY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK DELIVERY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK EEG	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK ENDOSCOPY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK EMERGENCY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK ECHOCARDIOLOGY	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK CARDIAC CATH LAB	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK CARDIAC STRESS	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK EKG	200 N. Lakemont Ave.	Winter Park	FL	Active
DSH100007GP	Child	DSH	FLORIDA HOSPITAL	Winter Park / 5807 WP CARDIAC REHAB	200 N. Lakemont Ave.	Winter Park	FL	Terminated
DSH100007GQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE OUTPATIENT SURGERY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE ANESTHESIA	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE RECOVERY ROOM	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE SURGERY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE RAPID IN & OUT	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE RESPIRATORY CARE	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE IP PHYSICAL THERAPY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE IP OCCUPATIONAL THERAPY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE ULTRASOUND	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007GZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE NUC MED	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007H	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING EAST ORLANDO	7975 Lake Underhill Road	Orlando	FL	Active
DSH100007HA	Child	DSH	Florida Hospital	Kissimmee / 8221 KSM - NUCLEAR CARDIOLOGY	2450 N. Orange Blossom Trail	Kissimmee	FL	Terminated
DSH100007HB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE MRI	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE MAMMOGRAPHY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE PET	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HE	Child	DSH	Florida Hospital	Kissimmee / 5020 KSM - IV THERAPY	2450 N. Orange Blossom Trail	Kissimmee	FL	Terminated
DSH100007HF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE DIALYSIS	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE PICC	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE EEG EMG	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE ENDOSCOPY	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE EMERGENCY ROOM	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE EKG-STRESS-ECHO	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007HN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA IMAGING	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SLEEP CENTER APOPKA	203 N. Park Ave., Suite 104	Apopka	FL	Terminated
DSH100007HQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA RESPIRATORY CARE	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA INPATIENT PT	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA MRI	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA NUC CARD	2100 Ocoee-Apopka Road	Apopka	FL	Terminated
DSH100007HU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA CT	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HV	Child	DSH	Florida Hospital	Apopka / 180 APK INTRAVENOUS THERAPY	201 N. Park Ave.	Apopka	FL	Terminated
DSH100007HW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA DIALYSIS	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA IV THERAPY NURSING	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007HZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA ENDOSCOPY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007J	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WOMEN'S CENTER WINTER PARK	100 N. Edinburgh	Winter Park	FL	Active
DSH100007JA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA EMERGENCY CENTER	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007JB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA STRESS LAB	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007JC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA ECHOCARDIOLOGY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007JD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA ELECTROCARDIOLOGY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007JE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB LAKE NONA	9975 TAVISTOCK LAKES BLVD, STE 140	ORLANDO	FL	Active
DSH100007JF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH INFUSION CENTER CELEBRATION	380 Celebration Place	Celebration	FL	Active
DSH100007JG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ER CLINICAL DECISION UNIT	950 Rinehart Road	Lake Mary	FL	Active
DSH100007JH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ER	950 Rinehart Road	Lake Mary	FL	Active
DSH100007JJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN CLINICAL DECISION UNIT	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN ER	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH TRANSPLANT PROCEDURE AND INFUSION	2415 N. Orange Ave	Orlando	FL	Active
DSH100007JM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB WATERFORD LAKES	626 North Alafaya Trail	Orlando	FL	Active
DSH100007JN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB WINTER GARDEN	2200 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ER RESPIRATORY THERAPY	950 Rinehart Road	Lake Mary	FL	Active
DSH100007JQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN RESPIRATORY THERAPY	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	950 Rinehart Road	Lake Mary	FL	Active
DSH100007JS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAB	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE CATH LAB	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007JU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN MRI	2000 Fowler Grove Blvd	Winter Garden	FL	Terminated
DSH100007JV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ER CT	950 Rinehart Road	Lake Mary	FL	Active
DSH100007JW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN CT	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007JX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN MAMMOGRAPHY	2000 Fowler Grove Blvd	Winter Garden	FL	Terminated
DSH100007JY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ER ULTRASOUND/DIAGNOSTIC IMAGING	950 Rinehart Rd	Lake Mary	FL	Active
DSH100007JZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER WINTER GARDEN	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007K	Child	DSH	AdventHealth Orlando	ADVENTHEALTH RADIATION ONCOLOGY & PET CT KISSIMMEE	1300 West Oak Street	Kissimmee	FL	Active
DSH100007KA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN X-RAY	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007KB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN ULTRASOUND	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007KC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA RECOVERY ROOM	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA IP SPEECH THERAPY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN PAIN MANAGEMENT	2000 Fowler Grove Blvd	Winter Garden	FL	Terminated
DSH100007KF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA ANESTHESIA	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA IP OCCUPATIONAL THERAPY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA CATH LAB	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SPORTS MED & REHAB ORANGE AVENUE	2519 S. Orange Ave	Orlando	FL	Active
DSH100007KK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SLEEP CENTER ORLANDO	501 E. King St.	Orlando	FL	Active
DSH100007KL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO - IMAGING NURSING	7727 LAKE UNDERHILL RD	ORLANDO	FL	Active
DSH100007KM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - WC STONE CLINIC	2501 N ORANGE AVE	ORLANDO	FL	Terminated
DSH100007KN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING MEDICAL PLAZA - IMAGING	2501 N ORANGE AVE	ORLANDO	FL	Active
DSH100007KP	Child	DSH	AdventHealth Orlando	Orlando - West Campus Anesthesiology	2501 N. Orange Ave	Orlando	FL	Active
DSH100007KQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - Surgery RIO	400 CELEBRATION PL	CELEBRATION	FL	Terminated
DSH100007KR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA IMAGING - MAMMOGRAPHY	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER EAST OR - ENDOSCOPY	258 S CHICKASAW TRL	ORLANDO	FL	Active
DSH100007KT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING MEDICAL PLAZA - CT	2501 N ORANGE AVE	ORLANDO	FL	Active
DSH100007KU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA - Electroencephalography	2100 OCOEE APOPKA RD	APOPKA	FL	Active
DSH100007KV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING KISSIMMEE - DIAGNOSTIC IMAGING	2400 N ORANGE BLOSSOM TRL	KISSIMMEE	FL	Active
DSH100007KW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING CELEBRATION - ULTRASOUND	380 CELEBRATION PL	CELEBRATION	FL	Active
DSH100007KX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER CELEBRA - ENDOSCOPY	410 CELEBRATION PL	CELEBRATION	FL	Active
DSH100007KY	Child	DSH	AdventHealth Orlando	Apopka - Surgery	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007KZ	Child	DSH	AdventHealth Orlando	AdventHealth Altamonte Springs - Preadmission Testing	601 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007L	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER EAST ORLANDO	258 South Chickasaw Trail	Orlando	FL	Active
DSH100007LA	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Echo	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007LB	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - Respiratory Therapy	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007LC	Child	DSH	AdventHealth Orlando	AdventHealth Altamonte Springs - PCU Clinical Observation	601 E. Altamonte Drive	Altamonte Springs	FL	Active
DSH100007LD	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - PCU Clinical Observation	13691 E Colonial Drive	Orlando	FL	Active
DSH100007LE	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - Lab	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007LF	Child	DSH	AdventHealth Orlando	AdventHealth Apopka - PCU Clinical Observation	2100 Ocoee-Apopka Road	Apopka	FL	Active
DSH100007LG	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - Diabetes Weight Management Program	400 Celebration Place	Celebration	FL	Active
DSH100007LH	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - Peds Emergency Department	400 Celebration Place	Celebration	FL	Active
DSH100007LJ	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - ER	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007LK	Child	DSH	AdventHealth Orlando	AdventHealth East Orlando - Cardiac Rehab	7727 Lake Underhill Rd	Orlando	FL	Terminated
DSH100007LL	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - PCU Clinical Observation	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007LM	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - PreSurgery	400 Celebration Place	Celebration	FL	Active
DSH100007LN	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee - PCU Clinical Observation	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007LP	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - Respiratory Therapy	13691 E Colonial Drive	Orlando	FL	Active
DSH100007LQ	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - ER	13691 E Colonial Drive	Orlando	FL	Active
DSH100007LS	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - PCU Clinical Observation	400 Celebration Place	Celebration	FL	Active
DSH100007LT	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee - Speech Therapy	2450 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007LU	Child	DSH	AdventHealth Orlando	AdventHealth East Orlando - PCU Clinical Observation	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007LV	Child	DSH	AdventHealth Orlando	AdventHealth Winter Park - PCU Clinical Observation	200 N. Lakemont Ave	Winter Park	FL	Active
DSH100007LW	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - Radiation Oncology	380 Celebration Place	Celebration	FL	Active
DSH100007LX	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee - Nuclear Med Cardiology	2450 N. Orange Blossom Trail	Kissimmee	FL	Terminated
DSH100007LY	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - CT	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007LZ	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - Diagnostic Imaging	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007M	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PAIN MEDICINE ALTAMONTE SPRINGS	711 East Altamonte Drive	Altamonte Springs	FL	Active
DSH100007MA	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - Ultrasound	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007MB	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - CT	13691 E Colonial Drive	Orlando	FL	Active
DSH100007MC	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - Diagnostic Imaging	13691 E Colonial Drive	Orlando	FL	Active
DSH100007MD	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - Ultrasound	13691 E Colonial Drive	Orlando	FL	Active
DSH100007ME	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Surgery Recovery	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007MF	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee - Wound Care	201 Hilda St	Kissimmee	FL	Terminated
DSH100007MG	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - Diagnostic Imaging	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MH	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - ER	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MJ	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - Ultrasound	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MK	Child	DSH	AdventHealth Orlando	AdventHealth Kissimmee - Imaging Nursing	2450 N Orange Blossom Trail	Kissimmee	FL	Active
DSH100007ML	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Ultrasound	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MM	Child	DSH	AdventHealth Orlando	AdventHealth Oviedo - Lab	13691 E Colonial Drive	Orlando	FL	Active
DSH100007MN	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - ER	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MP	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - Respiratory Therapy	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MQ	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Diagnostic Imaging	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MR	Child	DSH	AdventHealth Orlando	AdventHealth Winter Park - Occupational Therapy 2	200 N Lakemont Ave	Winter Park	FL	Active
DSH100007MS	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - Laboratory	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MT	Child	DSH	AdventHealth Orlando	AdventHealth Winter Park - Speech Therapy	200 N Lakemont Ave	Winter Park	FL	Active
DSH100007MU	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Computerized Tomography	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MV	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Respiratory Therapy	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MW	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - Computerized Tomography	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007MX	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Laboratory	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007MY	Child	DSH	AdventHealth Orlando	AdventHealth Altamonte Springs - Pulmonary Rehab	661 E Altamonte Dr	Altamonte Springs	FL	Active
DSH100007MZ	Child	DSH	AdventHealth Orlando	AdventHealth Apopka - Presurgery	2100 Ocoee-Apopka Rd	Apopka	FL	Terminated
DSH100007N	Child	DSH	AdventHealth Orlando	ADVENTHEALTH SURGERY CENTER ALTAMONTE SPRINGS	661 East Altamonte Drive	Altamonte Springs	FL	Active
DSH100007NA	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - PCU Clinical Observation	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007NB	Child	DSH	AdventHealth Orlando	AdventHealth Lake Nona - PCU Clinical Observation	10080 Lake Nona Blvd	Orlando	FL	Active
DSH100007NC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA - ADVENTHEALTH APOPKA CARDIOLOGY REHAB STRESS LAB	2100 Ocoee Apopka Rd	Apopka	FL	Terminated
DSH100007ND	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPK - ADVENTHEALTH APOPKA PULMONARY REHABILITATION	2100 Ocoee Apopka Rd	Apopka	FL	Active
DSH100007NE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE - ADVENTHEALTH KISSIMMEE CARDIOLOGY REHAB STRESS LAB	2450 North Orange Blossom Trail	Kissimmee	FL	Active
DSH100007NF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA - ADVENTHEALTH APOPKA NUCLEAR MEDICINE	2100 Ocoee Apopka Rd	Apopka	FL	Active
DSH100007NH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - ADVENTHEALTH CELEBRATION M/S OBSERVATION UNIT	400 Celebration Place	Celebration	FL	Active
DSH100007NJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN - ADVENTHEALTH WINTER GARDEN ANESTHESIOLOGY	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007NK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN - ADVENTHEALTH WINTER GARDEN ENDOSCOPY (GI LAB)	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007NL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK - ULTRASOUND OUTPATIENT	100 N. Edinburgh Drive	Winter Park	FL	Active
DSH100007NM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - DIAGNOSTIC IMAGING	7823 Palm Pkwy	Orlando	FL	Active
DSH100007NN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - ULTRASOUND	7823 Palm Pkwy	Orlando	FL	Active
DSH100007NP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - RESPIRATORY THERAPY	7823 Palm Pkwy	Orlando	FL	Active
DSH100007NQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CLERMONT - RESPIRATORY THERAPY	1919 E Highway 50	Clermont	FL	Active
DSH100007NR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - PRE-CARDIOLOGY	601 East Rollins St	Orlando	FL	Active
DSH100007NS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS - CARDIAC REHAB	661 E Altamonte Dr	Altamonte Springs	FL	Active
DSH100007NT	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - COMPUTERIZED TOMOGRAPHY	7823 Palm Pkwy	Orlando	FL	Active
DSH100007NU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CLERMONT - DIAGNOSTIC IMAGING	1919 E Highway 50	Clermont	FL	Active
DSH100007NV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CLERMONT - EMERGENCY DEPARTMENT	1909 E Highway 50	Clermont	FL	Active
DSH100007NW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - PRE-SURGERY 5	601 East Rollins St	Orlando	FL	Active
DSH100007NX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - PCU CLINICAL OBSERVATION	7823 Palm Parkway	Orlando	FL	Active
DSH100007NY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - EMERGENCY DEPARTMENT OB	601 East Rollins St	Orlando	FL	Active
DSH100007NZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - MEDICAL SURGICAL OBSERVATION UNIT 3	601 East Rollins st	Orlando	FL	Terminated
DSH100007P	Child	DSH	AdventHealth Orlando	ADVENTHEALTH RADIATION ONCOLOGY WINTER PARK	2100 Glenwood Drive	Winter Park	FL	Active
DSH100007PA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - EMERGENCY DEPARTMENT	7823 Palm Pkwy	Orlando	FL	Active
DSH100007PB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - PEDIATRICS OBSERVATION UNIT	400 Celebration Place	Celebration	FL	Active
DSH100007PC	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Renal Dialysis	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PD	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Neurology EEG	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PE	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Occupational Therapy	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PF	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Speech Therapy	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PG	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Physical Therapy	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PH	Child	DSH	AdventHealth Orlando	AdventHealth Celebration - OP Medication Management Clinic	400 Celebration Place	Celebration	FL	Active
DSH100007PJ	Child	DSH	AdventHealth Orlando	AdventHealth East Orlando - OP Medication Management Clinic	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007PK	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Venous Access Services	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PL	Child	DSH	AdventHealth Orlando	AdventHealth Waterford Lakes - Lab Point of Care Testing	13691 E Colonial Drive	Orlando	FL	Active
DSH100007PM	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Nuclear Medicine	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PN	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Cardiology EKG	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PP	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Cardiology Rehab Stress Lab	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PQ	Child	DSH	AdventHealth Orlando	AdventHealth Partin Settlement - Lab Point of Care Testing	2500 E Irlo Bronson Memorial Hwy	Kissimmee	FL	Active
DSH100007PR	Child	DSH	AdventHealth Orlando	AdventHealth Winter Garden - Imaging Nursing	2000 Fowler Grove Blvd	Winter Garden	FL	Active
DSH100007PS	Child	DSH	AdventHealth Orlando	AdventHealth East Orlando - Cardiology Diagnostic	7727 Lake Underhill Rd	Orlando	FL	Active
DSH100007PT	Child	DSH	AdventHealth Orlando	AdventHealth Clermont - Lab Point of Care Testing	1919 Highway 50	Clermont	FL	Active
DSH100007PU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO INFUSION ANNEX - INFUSION	2415 North Orange Avenue	Orlando	FL	Active
DSH100007PV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CLERMONT - PCU OBSERVATION	1909 State Rte 50	Clermont	FL	Active
DSH100007PW	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - SURGERY AMBULATORY	400 Celebration Place	Celebration	FL	Active
DSH100007PX	Child	DSH	AdventHealth Orlando	ADVENTHEALTH EAST ORLANDO - SURGERY AMBULATORY	7727 Lake Underhill Road	Orlando	FL	Active
DSH100007PY	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE - SURGERY ROOM AMBULATORY	2450 N Orange Blossom Trail	Kissimmee	FL	Active
DSH100007PZ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - EMERGENCY	13323 Hartzog Rd.	Winter Garden	FL	Active
DSH100007Q	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING MEDICAL PLAZA ORLANDO MRI CT	2501 N. Orange Ave	Orlando	FL	Active
DSH100007QA	Child	DSH	AdventHealth Orlando	ADVENTHEALTH KISSIMMEE - CARDIOLOGY ECHO	2450 N Orange Blossom Trail	Kissimmee	FL	Active
DSH100007QB	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO - WOUND CARE	601 E Rollins St.	Orlando	FL	Active
DSH100007QC	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - RESPIRATORY	13323 Hartzog Rd.	Winter Garden	FL	Active
DSH100007QD	Child	DSH	AdventHealth Orlando	ADVENTHEALTH PALM PARKWAY - LABORATORY	7823 Palm Parkway	Orlando	FL	Active
DSH100007QE	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - LABORATORY	13323 Hartzog Rd.	Winter Garden	FL	Active
DSH100007QF	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - CARDIOLOGY RECOVERY	400 Celebration Place	Celebration	FL	Active
DSH100007QG	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER GARDEN - CATH LAB	2000 Fowler Grove Blvd.	Winter Garden	FL	Active
DSH100007QH	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ALTAMONTE SPRINGS - CARDIO RECOVERY	601 E Altamonte Drive	Altamonte Springs	FL	Active
DSH100007QJ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - COMPUTERIZED TOMOGRAPHY	13323 Hartzog Rd.	Winter Garden	FL	Active
DSH100007QK	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CLERMONT - COMPUTERIZED TOMOGRAPHY	1909 State Rte. 50	Clermont	FL	Active
DSH100007QL	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - POSITRON EMISISON TOMOGRAPHY	400 Celebration Place	Celebration	FL	Active
DSH100007QM	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - ULTRASOUND	13323 Hartzog Rd	Winter Garden	FL	Active
DSH100007QN	Child	DSH	AdventHealth Orlando	ADVENTHEALTH FLAMINGO CROSSING - DIAGNOSTIC IMAGING	13323 Hartzog Rd	Winter Garden	FL	Active
DSH100007QP	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE NONA - EMERGENCY IMAGING	10080 LAKE NONA BLVD.	ORLANDO	FL	Active
DSH100007QQ	Child	DSH	AdventHealth Orlando	ADVENTHEALTH LAKE MARY ED - LABORATORY POINT OF CARE TESTING	950 Rinehart Road	Lake Mary	FL	Active
DSH100007QR	Child	DSH	AdventHealth Orlando	ADVENTHEALTH APOPKA - INFUSION CENTER	2100 Ocoee Apopka Road	Apopka	FL	Active
DSH100007QS	Child	DSH	AdventHealth Orlando	ADVENTHEALTH WINTER PARK - MEDICAL/SURGICAL OBSERVATION UNIT	200 N Lakemont Ave.	Winter Park	FL	Active
DSH100007QT	Child	DSH	AdventHealth Orlando	AdventHealth Infusion Center Winter Park	2100 Glennwood Drive	Winter Park	FL	Active
DSH100007QU	Child	DSH	AdventHealth Orlando	ADVENTHEALTH OVIEDO ED - LABORATORY POINT OF CARE TESTING	8100 Red Bug Lake Road	Oviedo	FL	Active
DSH100007QV	Child	DSH	AdventHealth Orlando	ADVENTHEALTH CELEBRATION - PRESURGERY 1	400 Celebration Place	Celebration	FL	Active
DSH100007R	Child	DSH	AdventHealth Orlando	ADVENTHEALTH INFUSION CENTER ORLANDO	2501 North Orange Avenue	Orlando	FL	Active
DSH100007S	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ENDOSCOPY CENTER ORLANDO	2415 North Orange Avenue	Orlando	FL	Active
DSH100007T	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING KISSIMMEE	2400 North Orange Blossom Trail	Kissimmee	FL	Active
DSH100007U	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ENDOSCOPY CENTER KISSIMMEE	2400 N. Orange Blossom Trail	Kissimmee	FL	Active
DSH100007V	Child	DSH	Florida Hospital	Florida Hospital 4210/4290 Orlando Diagnostic Imaging	2501 N. Orange Avenue	Orlando	FL	Terminated
DSH100007W	Child	DSH	AdventHealth Orlando	ADVENTHEALTH RADIATION ONCOLOGY ORLANDO	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007X	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO GAMMA KNIFE CENTER	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007Y	Child	DSH	AdventHealth Orlando	ADVENTHEALTH ORLANDO KIDNEY STONE CENTER	2501 N. Orange Avenue	Orlando	FL	Active
DSH100007Z	Child	DSH	AdventHealth Orlando	ADVENTHEALTH IMAGING ALTAMONTE SPRINGS	661 E. Altamonte Drive	Altamonte Springs	FL	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2022 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		8/31/2022 12:00:00 AM	9/2/2022 7:02 AM
Details	State	Update	Recertification	Active	To Be Terminated	9/2/2022 7:02 AM
Terminations	Termination Date	Update	Recertification		10/1/2022 12:00:00 AM	9/2/2022 7:02 AM
Terminations	Termination Effective Date	Update	Recertification		8/31/2022 12:00:00 AM	9/2/2022 7:02 AM
Terminations	Termination Reason	Update	Recertification		Site closure	9/2/2022 7:02 AM
Addresses	Main Address	Update	Change Request	7727 Lake Underhill Drive Orlando, FL 32822	7727 Lake Underhill Rd Orlando, FL 32822	10/4/2021 9:38 AM
Addresses	Shipping Address	Update	Change Request	AdventHealth East Orlando 7727 Lake Underhill Drive Orlando, FL 32822	AdventHealth East Orlando 7727 Lake Underhill Rd Orlando, FL 32822	10/4/2021 9:38 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1306938071 ( )		8/25/2021 2:56 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1306938071	8/25/2021 2:56 PM
Medicaid Billing	NPI: State	Insert	Recertification		FL	8/25/2021 2:56 PM
Details	Last Recertification Date	Update	Recertification		8/25/2021 2:56:32 PM	8/25/2021 2:56 PM
Details	State	Update		Approved	Active	10/1/2020 12:01 AM
Contacts	Signed By	Insert	New Registration		Myers, Daniel Senior Vice President Finance AdventHealth Orlando 4073035501	7/16/2020 8:41 AM
Details	340B ID	Update	New Registration		DSH100007LK	7/16/2020 8:41 AM
Details	Entity Name	Update	New Registration	ADVENTHEALTH ORLANDO	AdventHealth Orlando	7/16/2020 8:41 AM
Details	Entity Subname	Update	New Registration	AdventHealth East Orlando	AdventHealth East Orlando - Cardiac Rehab	7/16/2020 8:41 AM
Dates	Participating Approval Date	Update	New Registration		7/16/2020 8:41:11 AM	7/16/2020 8:41 AM
Details	State	Update	New Registration	Pending	Approved	7/16/2020 8:41 AM
Dates	Signed By Date	Update	New Registration		7/9/2020 7:57:56 AM	7/16/2020 8:41 AM
Dates	Start Date	Update	New Registration		10/1/2020 12:00:00 AM	7/16/2020 8:41 AM
Addresses	Main Address	Insert	New Registration		7727 Lake Underhill Drive Orlando, FL 32822	7/6/2020 1:12 PM
Addresses	Billing Address	Insert	New Registration		AdventHealth Finance Shared Services AP 902 Inspiration Ave Suite 9100 Altamonte Springs, FL 32714	7/6/2020 1:12 PM
Addresses	Shipping Address	Insert	New Registration		AdventHealth East Orlando 7727 Lake Underhill Drive Orlando, FL 32822	7/6/2020 1:12 PM
Addresses	Shipping Address	Insert	New Registration		AdventHealth Central Fill Pharmacy Orlando 3071 N. Orange Blossom Trail Suite F Orlando, FL 32804	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0101290-01	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		FL	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0101290-04	7/6/2020 1:12 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		FL	7/6/2020 1:12 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1306938071	7/6/2020 1:12 PM
Contacts	Primary Contact	Insert	New Registration		Taer, Billy Reimbursement Manager AdventHealth Orlando 4073791507	7/6/2020 1:12 PM
Contacts	Authorizing Official	Insert	New Registration		Myers, Daniel Senior Vice President Finance AdventHealth Orlando 4073035501	7/6/2020 1:12 PM
Details	Last Recertification Date	Insert	New Registration			7/6/2020 1:12 PM
Details	Grant Number	Insert	New Registration			7/6/2020 1:12 PM
Details	340B ID	Insert	New Registration			7/6/2020 1:12 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/6/2020 1:12 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/6/2020 1:12 PM
Details	Medicare Provider Number	Insert	New Registration		100007	7/6/2020 1:12 PM
Details	Entity Name	Insert	New Registration		ADVENTHEALTH ORLANDO	7/6/2020 1:12 PM
Details	Program Code	Insert	New Registration		DSH	7/6/2020 1:12 PM
Details	Entity Subname	Insert	New Registration		AdventHealth East Orlando	7/6/2020 1:12 PM
Dates	Participating Approval Date	Insert	New Registration			7/6/2020 1:12 PM
Details	State	Insert	New Registration		Pending	7/6/2020 1:12 PM
Dates	Registration Date	Insert	New Registration		7/6/2020 1:12:24 PM	7/6/2020 1:12 PM
Dates	Signed By Date	Insert	New Registration			7/6/2020 1:12 PM
Dates	Start Date	Insert	New Registration			7/6/2020 1:12 PM
Terminations	Termination Comments	Insert	New Registration			7/6/2020 1:12 PM
Terminations	Termination Date	Insert	New Registration			7/6/2020 1:12 PM
Terminations	Termination Effective Date	Insert	New Registration			7/6/2020 1:12 PM
Terminations	Termination Reason	Insert	New Registration			7/6/2020 1:12 PM