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DSH100007AE Florida Hospital (Terminated)
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Main Details
Name
Florida Hospital
Subdivision Name
Florida Hospital Center for Thrombosis Research
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007AE
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2013
Participating Start Date
10/1/2013
Participating Approval Date
7/15/2013
Last Recertification Date
8/25/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
Florida Hospital
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Addresses
Street Address
2566 Lee Road
Winter Park, FL 32789
Billing Address
Florida Hospital Orlando
601 E. Rollins St.
Orlando, FL 32803-1248
Comments
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