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DSH100007BF Florida Hospital (Terminated)
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Main Details
Name
Florida Hospital
Subdivision Name
Florida Hospital Orlando Infusion & Observation Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007BF
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/5/2014
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
2501 N. Orange Ave.
Suite 481 and 800
Orlando, FL 32803
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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