STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

..:·. : f •", , ,

i · ', i t L, : ,,

/ 1 GE\ :·'/ C'... E r::\

'U18 JUiJ -W ,6.. !Q: 33

vs.

Petitioner,

MPI CASE NO.: 2016-0006667 PROVIDER NO.: 3757269-00

NPI NO.: 1124128103 LICENSE NO.: ME66271

SERGIO JACINTO, M.D.,

RENDITION NO.: AHCA· I ·O 3:J) -S-MDO

Respondent.

                                                                       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 thie Florida .

day of_L

,2018, in Tallahassee,

OR, SECRETARY

Agency for Health Care Administration

State of Florida, Agency for Health Ca re Admin is tratio n vs. Sergio Jacint o, M. D. ( MP I C ase No.: 2016-0 006667)

Fin al O rder Page I of 3

Filed June 20, 2018 10:54 AM 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 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:

Sergio Jacinto, M.D. 4507 N. Armenia Avenue Tampa, FL 33603-2703 (U.S. Mail)

Kelly Bennett, Chief, MPI (Electronic Mail)

Timothy Wombles, Esquire Broad and Cassel twombles@broadandcassel.com (Electronic Mail)

Bureau of Financial Services (Electronic Mail)

Division of Health Quality Assurance Bureau of Health Facility Regulation (Electronic Mail)

Kevin D. Dewar, Esquire Assistant General Counsel (Electronic Mail)

Shena L. Grantham, Esquire MAL & MPI Chief Counsel (Electronic Mail)

Division of Health Quality Assurance Bureau of Central Services

CSMU-86@ahca.myflorida.com

State of Florida, Agency for Health Care Administrntion vs. Sergio Jacinto, M.D.

(MP! Case No.: 2016-0006667)

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 or other designated method on this the f

.- =,       ,2018.

Richar oop, Esquire Agency Clerk

State of Florida

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

Tallahassee, Florida 32308-5403

(850) 412-3689/FAX (850) 921-0158

State of Florida, Agency for Health Care Administration vs. Sergio Jacinto, M.D.

(MPI Case No.: 2016-0006667)

Docket for Case No: 18-002031MPI

Orders for Case No: 18-002031MPI