340B Drug Pricing Program Database
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DSH100007CN Florida Hospital (Terminated)
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Main Details
Name
Florida Hospital
Subdivision Name
Altamonte / 1180 ALT INTRAVENOUS THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100007CN
Medicare Provider Number
100007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/19/2015
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
601 E. Altamonte Dr.
Altamonte Springs, FL 32701-4802
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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