340B Drug Pricing Program Database
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DSH100032 BAYFRONT HEALTH ST. PETERSBURG (Active)
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Main Details
Name
BAYFRONT HEALTH ST. PETERSBURG
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100032
Medicare Provider Number
100032
Additional Details
Current Program Status
Active
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/26/2022
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
701 SIXTH STREET SOUTH
ST PETERSBURG, FL 33701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 10/1/2004, Termination Date 10/1/2013, Reinstatement 10/1/2022
07/26/2022
April 2025
April 2025
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