STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION... 34 DYNAMIC MEDICAL SERVICES, INC., Petitioner, DOAH CASE NO. 04-3461 MPI AUDIT NO. C.I. 02-0785-000 v. STATE OF FLORIDA, AGENCY FOR 2 HEALTH CARE ADMINISTRATION, Respondent, / FINAL ORDER THIS CAUSE concerns a Petition for Formal Administrative Hearing that the Peiitioner filed on August 30, 2004. On September 23, 2004, the Petition was forwarded to the Division of Administrative Hearings (“DOAH”) by the Agency and assigned to an Administrative Law Judge ( “ALS”). On April 13, 2005, the Petitioner filed a Notification of Withdrawal of Petition for Administrative Hearing. On April 22, 2005, the ALJ issued an Order Closing File based on the Petitioner’s Notification of Withdrawal of Petition for Administrative Hearing. IT IS THEREFORE ORDERED AND ADJUDGED THAT: The Petition for Formal Administrative Hearing is dismissed. Unless payment has already been made, payment in full of $616,341.16, plus statutory interest, is now due from the petitioner as a result of the agency action. Such payment shall be made in full within 30 days of the filing of this Final Order. The payment shall be made by check payable to Agency for Health Care Administration, and shall be mailed to the Agency for Health Care Administration, Office of Finance and Accounting, Attn. Jean Lombardi, 2727 Mahan Drive, Fort Knox Building 2, Mail Stop 14, Tallahassee, FL 32308. DONE and ORDERED this a F day of MEY / , 2005, in Tallahassee, Florida. V hed ‘AICAN Oe Secretary AGENCY FOR HEALTH CARE ADMINISTRATION NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER JS ENTITLED TO JUDICIAL REVIEW, WHICH SHALL BE INSTITUTED BY FILING THE ORIGINAL NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A COPY ALONG WITH THE FILING FEE PRESCRIBED BY LAW WITH THE DISTRICT COURT OF APPEAL JIN 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 THE RENDITION OF THE ORDER TO BE REVIEWED. CERTIFICATE OF SERVICE | HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished by U.S. or interoffice mail to the persons named below on this Z —_ day of ye, 2005. RICHARD J. SHOOP, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, MS 3 Tallahassee, Florida 32308 (850) 922-5873 COPIES FURNISHED TO: Robert E. Meale Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Mark A. Dresnick, Esquire Dresnick & Rodriguez, P.A. SunTrust Plaza, Suite 701 201 Alhambra Circle Coral Gables, Florida 33134 David W. Nam, Esquire Assistant Creneral Counsel Agency for Health Care Administration 2727 Mahan Drive, MS#3 Tallahassee, Florida 32308 Medicaid Program Integrity Agency for Health Care Administration 2727 Mahan Drive, MS#4 Fort Knox Building II Tallahassee, Florida 32308 Jean Lombardi Finance & Accounting

Docket for Case No: 04-003461MPI