STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

.l,tiCA

1\GENCY CLER!{

ZOil JUN -S A 9: 21.l

Petitioner,

vs. CASE NO. 12-0862MPI

Audit No.: 12-1549-000 YARIT KROYTORO, H. FLORIDIAN CORP., Provider No.: 1409131-00

RENDITION NO.: AHCA-ft'._-('!Q'llr-5-MDO

Respondent. NPI No.:

                                                                          I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of the attached settlement agreement. Based on the

foregoing, this file is CLOSED.

DONE and ORDERED on this the !/ I,( day of                  

, 2012, m

Tallahassee, Florida.

f

   )tfl:cTARY

Agency for Health Care Administration

1

Filed June 6, 2012 2:28 PM Division of Administrative Hearings

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Copies furnished to:

Beverly H. Smith Assistant General Counsel

Agency for Health Care Administration Office of the General Counsel (Interoffice)

Yarit Kroytoro, Owner

H. Floridian Corporation 1831 Plunkett Street Hollywood, Florida 33020 (U.S. Mail)

June C. McKinney Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

Mike Blackbum, Bureau Chief, Medicaid Program Integrity Finance and Accounting

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail, Laserfiche or electronic mail on this the<cf  of

:J ,2012.

Richard Shoop, Esquire Agency Clerk

State of Florida

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Agency for Health Care Administration 2727 Mahan Drive, MS #3

Tallahassee, Florida 32308-5403

(850) 412-3630/FAX (850) 921-0158

Docket for Case No: 12-000862MPI

Orders for Case No: 12-000862MPI