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RWI33409A Midway Specialty Care Center Inc (Approved)
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Main Details
Name
Midway Specialty Care Center Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI33409A
Grant Number
H89HA00034
Additional Details
Current Program Status
Approved
Registration Date
4/15/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/12/2025
Last Recertification Date
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
Midway Specialty Care Center Inc
Kathryn E Hayden, CFO
(772) 742-9276
Primary Contact
Midway Specialty Care Center
Anand Sukhram, CEO
(772) 464-9746
Addresses
Street Address
5507 South Congress Ave
Ste 150
Atlantis, FL 33462
Billing Address
Midway Specialty Care Center Inc
356 East Midway Road
Fort Pierce, FL 34982
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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