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DSH100007AU Florida Hospital (Terminated)
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Main Details
Name
Florida Hospital
Subdivision Name
Florida Hospital 7525 Mills Avenue Urology Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007AU
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
7/17/2013
Last Recertification Date
8/22/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
AdventHealth Orlando
Daniel Myers, Senior Vice President Finance
(407) 303-5501
Primary Contact
Laura Dale, 340B Business Manager
(407) 303-2037
Addresses
Street Address
1812 N. Mills Avenue
Orlando, FL 32803
Billing Address
Florida Hospital Orlando
601 E. Rollins St.
Orlando, FL 32803-1248
Comments
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