340B Drug Pricing Program Database

Name

Polk County Health Department

Subdivision Name

Haines City Clinic

Type

Sexually Transmitted Diseases

340B ID

STD33844

Grant Number

NH25PS005131

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

Direct Funding (dollars received from CDC or an intermediate organization)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

1/1/2024 - 2/28/2026

Current Program Status

Active

Registration Date

10/1/2014

Participating Start Date

1/1/2015

Participating Approval Date

10/30/2014

Last Recertification Date

5/7/2025

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS19-1901

Authorizing Official

Florida Department of Health
Nathan Scott Sjoblom, Assistant Director
(863) 578-2103

Primary Contact

FDOH Polk
Baipidi Edwards, APRN
(863) 256-1542

Street Address

1700 Baker Ave. East
Haines City, FL 33844-4325

Billing Address
Same as Street Address