340B Drug Pricing Program Database

Name

Doctor's Goodwill Foundation

Subdivision Name

Omni - Indian Harbour Clinic

Type

Sexually Transmitted Diseases

340B ID

STD32937

Grant Number

5H25PS004342

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

Current Program Status

Terminated

Registration Date

10/14/2019

Participating Start Date

1/1/2020

Participating Approval Date

12/4/2019

Last Recertification Date

Notice of Funding Opportunity (NOFO) Number

Termination Date
Termination Reason

4/1/2020
Business decision by the Covered Entity

Authorizing Official

Doctor's Goodwill Foundation, Inc
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212

Primary Contact

Doctor's Goodwill Foundation
Sue Gail Tindall, Officer
(321) 298-5531

Street Address

2181 South Patrick Dr.
Indian Harbour Beach, FL 32937

Billing Address

Doctor's Goodwill Foundation
3 Indian River Drive
Titusville, FL 32796