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HV33830A FDOH Polk (Active)
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Main Details
Name
FDOH Polk
Subdivision Name
Sebring Satellite Clinic
Type
Ryan White Part C
340B ID
HV33830A
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
7205 South George Blvd
Sebring, FL 33875
Billing Address
Polk County Health Department
1290 Golfview Ave 4th Floor
Bartow, FL 33830
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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