STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

2014 JUN 20 A IQ: 20

THE HEALTH CENTER OF BLUE WATER BAY, INC.,

Petitioner,

vs. CASE No.:

AUDIT No.: PROVIDER No.:

14-0523

NH16658 22604100

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

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FINAL ORDER

The Petitioner, The Health Center of Blue Water Bay, Inc. filed a Notice of Dismissal on April 1, 2014, attached as Exhibit "I." Based on the foregoing, this file is CLOSED.

j_§    

t.lr I.

DONE and ORDERED on the day of _ cl_tU_IJ_i      

, 2014, in Tallahassee,

Florida.

ELIZA

Agency for Health Care Administration

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Filed June 24, 2014 12:08 PM 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 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:

Peter A Lewis, Esquire

302 North Shannon Lakes Drive Suite 101

Tallahassee, Florida 32309 (Via U.S. Mail)

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

Tallahassee, Florida 32308 (Interoffice Mail)

Stuart Williams, General Counsel Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Kim Kellum, Chief Medicaid Counsel Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Shena Grantham, Esquire

Agency for Health Care Administration 2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308 (Interoffice Mail)

Karen Chang, Bureau Chief Medicaid Program Analysis 2727 Mahan Drive

Building 2, Mail Station 21

Tallahassee, Florida 32308 (Interoffice Mail)

Zainab Day, Medicaid Audit Services Agency for Health Care Administration 2727 Mahan Drive, Mail Station 21

Tallahassee, Florida 32308 (Interoffice Mail)

State of Florida, Division of Administrative Hearings

The Desoto Building 1230 Apalachee Parkway

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

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

Building 2, Mail Station 14

Tallahassee, Florida 32308 (Interoffice Mail)

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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 on this the J.[}day of      , 2014.

Ri

Agen

State of Florida

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

Tallahassee, Florida 32308-5403

(850) 922-5873

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Docket for Case No: 14-000523

Orders for Case No: 14-000523