STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

FILED

AHCA

AGE NCY CLERK

20!0 JUL I q P 2: 2 I ..

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

vs.

Petitioner,

CASE NO .: 10-1725MPI PROVIDER NO.: 2683890-00

C.I. NO.: 09-9092-000 LICENSE NO.: ME0037970

RENDITION NO.: AHCA-10- i \ -5-MDO

KATHLEEN R. MONTEMAYOR, M.D.,

Respondent.

/

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 dayo   f  _... =  -· -   - -   - ' 2010, in Tallahassee, Florida.

Thomas W. Arnold, Secretar-Y,

Agency for Health Care Administration

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

Filed July 20, 2010 9:57 AM Division of Administrative Hearings.

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:

Monica Ryan, Assistant General Counsel Agency for Health Care Administration (Interoffice Mail)

Kathleen R. Montemayor, M.D. 6352 River Road

New Port Richey, FL 34652 (U.S. Mail)

The Honorable Daniel M. Kilbride Division of Administrative Hearings The DeSoto Building

1230 Apalachee Parkway

Tallahassee, Florida 32399-3060 (U.S. Mail)

Mike Blackburn, Bureau Chief, Medicaid Program Integrity Agency for Health Care Administration

(Interoffice Mail)

Finance and Accounting

Agency for Health Care Administration (Interoffice Mail)

Health Quality Assurance

Agency for Health Care Administration (Interoffice Mail)

Department of Health License No.: ME0037970 (E-Mail)

CERTIFICATE OF SERVICE

9 ,

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail and/or interoffice

mail on this the Lf1ay of                       

2010.

Richard oop, Esquire Agenc Clerk

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop #3

Tallahassee, Florida 32308-5403

Phone: (850) 412-3650

Fax: (850) 921-0158

Docket for Case No: 10-001725MPI

Orders for Case No: 10-001725MPI