340B Drug Pricing Program Database
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DSH100006Z ORLANDO HEALTH (Active)
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Main Details
Name
ORLANDO HEALTH
Subdivision Name
15306 LMH OP WOUND CARE MANAGEMENT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100006Z
Medicare Provider Number
100006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/30/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Orlando Health
John Enoch Miller, SVP Finance
(321) 843-3180
Primary Contact
Orlando Health
Lacey Jory, 340B Program Supervisor
(321) 843-9045
Addresses
Street Address
380 Rinehart Rd.
Suite 101
Lake Mary, FL 32746
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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