340B Drug Pricing Program Database
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DSH100006CJ ORLANDO HEALTH (Active)
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Main Details
Name
ORLANDO HEALTH
Subdivision Name
15170 LMH LW Emergency Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100006CJ
Medicare Provider Number
100006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/18/2018
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
575 W SR 434
Longwood, FL 32750
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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