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RW4424788A Florida Department of Health (Active)
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Main Details
Name
Florida Department of Health
Subdivision Name
Orange County Health Department - Lila Mitchell Clinic
Type
Ryan White Part D
340B ID
RW4424788A
Grant Number
H12HA24788
Additional Details
Current Program Status
Active
Registration Date
10/7/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
8/1/2024 - 7/31/2025
Contacts
Authorizing Official
Florida Department of Health - Orange
Beth A. Paterniti, Assistant Director and Deputy Health Officer
(407) 723-4064
Primary Contact
Florida DOH-Orange
Christian M. Martin, Director of Operations
(407) 858-1455
Addresses
Street Address
5151 Raleigh Street
Orlando, FL 32811
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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