Covered Entity Details

RWIID32304 FLORIDA DEPARTMENT OF HEALTH (Active)

Main Details

Name

FLORIDA DEPARTMENT OF HEALTH

Subdivision Name

AIDS Drug Assistance Program (ADAP)

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID32304

Grant Number

X07HA00057

Additional Details

Current Program Status

Active

Registration Date

12/15/2008

Participating Start Date

1/1/2009

Participating Approval Date

12/15/2008

Last Recertification Date

2/18/2025

Time Period the Assistance was Received

4/1/2022 - 3/31/2027

Contacts

Authorizing Official

Florida Department of Health
LaCandria Churchill, Operations & Management Consultant Manager
(850) 245-4096

Primary Contact

Florida Department of Health
Niaz Siddiqui, Bureau Chief
(850) 922-9036 Ext: 3010

Addresses

Street Address

4052 BALD CYPRESS WAY
BIN A-09
TALLAHASSEE, FL 32399

Billing Address
Same as Street Address

Comment	Last Updated On
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3/22/11 SHIP TO ADDED - 3/9/11 SHIP TO CHANGED (WAS COLLIER AT BLDG H, 3301 TAMIAMI TR, EAST) - 7/8/10 SHIP TO ADDED - 11/13/09 ADDED SHIP TO; 01/30/09 UPDATED ADDR (WAS SUITE #104) 9/20 Change shipping address 22 from 4105 Penbroke Road STE 107 Hollywood, Fl to 900 NW 31 Avenue, suite 2300, Ft. Lauderdale	09/20/2011
3/22/11 SHIP TO ADDED - 3/9/11 SHIP TO CHANGED (WAS COLLIER AT BLDG H, 3301 TAMIAMI TR, EAST) - 7/8/10 SHIP TO ADDED - 11/13/09 ADDED SHIP TO; 01/30/09 UPDATED ADDR (WAS SUITE #104)	03/22/2011

340B Drug Pricing Program Database