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HV00603B Florida Department of Health (Active)
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Main Details
Name
Florida Department of Health
Subdivision Name
Lake
Type
Ryan White Part C
340B ID
HV00603B
Grant Number
H76HA00603
Additional Details
Current Program Status
Active
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/16/2019
Last Recertification Date
3/7/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2028
Contacts
Authorizing Official
Florida Department of Health-Lake
Aaron Kissler, Administrator
(352) 589-6484 Ext: 2264
Primary Contact
Florida Department of Health - Lake
Michael J Smith, Community Health Nursing Director - SES
(352) 901-7583
Addresses
Street Address
16140 US Hwy 441
Eustis, FL 32726
Billing Address
Florida Department of Health - Lake
PO Box 1305
Tavares, FL 32778
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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