340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HV33830B FDOH Polk (Active)
Print
Main Details
Name
FDOH Polk
Subdivision Name
Lakeland satellite clinic
Type
Ryan White Part C
340B ID
HV33830B
Grant Number
H76HA00596
Additional Details
Current Program Status
Active
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/4/2016
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
3/1/2016 - 3/31/2025
Contacts
Authorizing Official
Florida Department of Health
Nathan Scott Sjoblom, Assistant Director
(863) 578-2103
Primary Contact
Florida Department of Health
Gabriella Amador, Health Center Administrator
(863) 578-2243
Addresses
Street Address
3241 Lakeland Hills Blvd
Lakeland, FL 33805
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session