STATE OF FLORIDA

FILED

AHCA

AGENCY CLERK

2013 APR -5 A 9: Olt

AGENCY FOR HEArr Et!JDMINISTRATION

STATE oF FLORIDA, AGENcl1tdJM 8 PM 1 og

HEALTH CARE ADMINISTRATIONO/\r'lS/ON O.F

vs.

Petitioner, ADMINISTRATIVE HEARiNGS

PROVIDER NO.: 8878862-00 LICENSE NO.: SA6172 CASE NO.: 12-002297MPI C.I. NO.: 12-2162-000

JAMES R. HAMPTON,

Respondent.

NPI NO.: 1518083989

REf\lDITION NO.: AHCA-/J - (J,LfJ7 -5-MDO

./

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a settlement agreement, which is attached and incorporated by reference. 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 J y     of                      , 2013, in Tallahassee, 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.

Rafael A. Gaitan, Esquire

The Health and Business Law Group 1110 Brickell Avenue, Suite 407

Miami, Florida 33131-3135

Telephone: 305.443.8900

Facsimile: 786.264.5570

Email: rgaitan@healthandbizlaw.com (Via Facsimile and Email)

Tracie L. Hardin, Esquire

Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Agency for Health Care Administration Bureau of Finance and Accounting 2727 Mahan Drive

Building 2, Mail Station 14

Tallahassee, Florida 32308 (Interoffice Mail)

Bureau of Health Quality Assurance 2727 Mahan Drive, Mail Stop 9

Tallahassee, Florida 32308 (Interoffice Mail)

Mike Blackbum, Bureau Chief Medicaid Program Integrity 2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

Eric W. Miller, Inspector General Medicaid Program Integrity

2727 Mahan Drive

Building 2, Mail Station 6

Tallahassee, Florida 32308 (Interoffice Mail)

Division of Administrative Hearings The Desoto Building

1230 Apalachee Parkway

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

Florida Department of Health Medical License #SA6172 (Via Email Only)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing was served to the

above named addresses by U.S. Mail and interoffice mail this f                      

rp--,.-c.1-f-l-'_, 2013.

oop, Agency

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

Tallahassee, Florida 32308-5403

(850) 412-3671

Docket for Case No: 12-002297MPI

Orders for Case No: 12-002297MPI