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DSH100006 ORLANDO HEALTH (Active)
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Main Details
Name
ORLANDO HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100006
Medicare Provider Number
100006
Additional Details
Current Program Status
Active
Registration Date
1/3/2008
Participating Start Date
4/1/2004
Participating Approval Date
1/3/2008
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Orlando Health
John Enoch Miller, SVP Finance
(321) 843-3180
Primary Contact
Orlando Health
Lacey Jory, 340B Program Supervisor
(321) 843-9045
Addresses
Street Address
52 W. Underwood St
ORLANDO, FL 32806
Billing Address
ORLANDO HEALTH
PO BOX 562008
ORLANDO, FL 32856
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
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11/19/10 ORLANDO HEALTH(WAS ORLANDO REGIONAL HEALTHCARE)05/09/11 ADDED SHIP TO ADDR; 12/06/2011 added ship to addr 2
12/06/2011
11/19/10 ORLANDO HEALTH(WAS ORLANDO REGIONAL HEALTHCARE)05/09/11 ADDED SHIP TO ADDR.
05/09/2011
May 2025
May 2025
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