340B Drug Pricing Program Database
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DSH100007BD Florida Hospital (Terminated)
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Main Details
Name
Florida Hospital
Subdivision Name
Florida Hospital 7470-7474/7480/7482/7490-7493/7495/7496/7512-7516/7592/7595/7596/7572 Transplant Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007BD
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
8/28/2013
Last Recertification Date
8/25/2015
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
Alexsandra Rosello, 340B Business Manager
(321) 578-4744
Addresses
Street Address
2415 N. Orange Avenue
Suite 600 & 700
Orlando, FL 32804
Billing Address
Florida Hospital Orlando
601 E. Rollins St.
Orlando, FL 32803-1248
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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