¥7F oi ~—t wt STATE OF FLORIDA 72099 DIVISION OF ADMINISTRATIVE HEARINGS os PALM BEACH PHARMACY INC. d/b/a SOUTH FLORIDA PHARMACY, FSi 5 | €v Petitioner, aa ? CASE NO: 02-0023MPI v. JUDGE: F.S. RIVAS AGENCY FOR HEALTH CARE ADMINISTRATION, ~ Respondent. / = rv] coo) FINAL ORDER ° On October 22, 2001, Petitioner was notified that an Audit resulted if as mi Pnad overpayment in the amount of $338,048.21. On November 8, 2001, Petitioner requested a Formal Hearing. On March 15, 2002, the Petitioner filed a Notice of Voluntary Dismissal with the Division of Administrative Hearings. On March 18, 2002, the Division of Administrative Hearings issued an Order Closing File. Based on the foregoing, Palm Beach Pharmacy, Inc. d/b/a South Florida Pharmacy is ordered to pay the amount of $338,048.21, the finding of the final agency audit report are adopted, and the file is CLOSED. DONE and ORDERED on this the // 2° day of iff VA , 2002, in Tallahassee, Florida. ESE MD, Secretary Agency for Health Care Administration A PARTY WHOIS 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: Richard Baron, Esquire Baron and Cliff 11077 Biscayne Blvd, Ste 307 Miami, FL. 33161 Anthony L. Conticello, Esquire Attorney for Agency Agency for Healthcare Administration 2727 Mahan Drive Fort Knox Building 3, Mail Stop 3 Tallahassee, Florida 32308 Florence Snyder Rivas Administrative Law Judge Division of Administrative Hearings The Desoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Gloria Collins, Finance and Accounting Joann D. Jackson, Medicaid Program Integrity CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furpished to the above named addressees by U.S. Mail on this the otf day of Lap bv , 2002. Vv) Agency Clerk State of Florida Agency for Health Care Administration 2727 Mahan Drive, Building #3, Mail Stop 3 Tallahassee, Florida 32308-5403

Docket for Case No: 02-000023MPI