340B Drug Pricing Program Database
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DSH100132 SOUTH FLORIDA BAPTIST HOSPITAL (Active)
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Main Details
Name
SOUTH FLORIDA BAPTIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100132
Medicare Provider Number
100132
Additional Details
Current Program Status
Active
Registration Date
9/10/2007
Participating Start Date
1/1/2004
Participating Approval Date
9/10/2007
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Baycare Health System
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Primary Contact
BayCare Health System
Kyle J Brauer, Manager, BayCare Pharmacy Supply Chain
(813) 901-6376
Addresses
Street Address
3202 N Park Rd
PLANT CITY, FL 33563
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/1/2009 - DOC RECD TO CONFIRM ELIG DSH ADJ %
10/19/2009
April 2025
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