STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

Fil.ED

M1CA

AGE CY CLERK

1013 MAY -1 A q: 03

STATE OF FLORIDA, AGENfv Jm DLTH CARE ADMINISTRATI P1AY B PP}J Z OZ

Petitioner,

ADMINISTRAT!Vt

Case No.: 13-0129MPI AHCA C.I. No.: 12-1694-000

Provider No.: 2562910-00

vs.

MARIO RUB, M.D.,

Respondent.

HEARINGS

....;/

NPI No.: 1790889996

License No.: ME69331 _

RENDITION NO.: AHCA- / J- 444 -5-MDO

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 the3,W day of

'711

, 2013, m

Tallahassee, Leon County, Florida.

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 BYLAW, 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:

Mario Rub, M.D. Pediatric Pulmonologist 20776 W. Dixie Highway Aventura, Florida 33180 (Via U.S. Mail)

Errol H. Powell Administrative Law Judge

Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060

Willis F. Melvin

Assistant General Counsel

Agency for Health Care Administration Office of the General Counsel

(Via Electronic Mail)

Ken Yon, Acting Bureau Chief, Medicaid Program Integrity Finance and Accounting

Health Quality Assurance (via email)

DOH (via email)

License number ME69331

2

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 zZCday of

---4,-+---CL..='-,/c    ,2013.

Richard Shoop, Esqmr Agency Clerk

State of Florida

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

Tallahassee, Florida 32308-5403

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

3

Docket for Case No: 13-000129MPI

Orders for Case No: 13-000129MPI