STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

KZMSS AGAIN, LLLP d/b/a TLC OUTPATIENT SURGERY AND LASER CENTER,

if:'·11Lfr·o•··

J\HCA

AGENCY CLERK

2014 JUN -5 A IQ: 11

Petitioner,

v.

AHCA NO.: 2014002695

DOAH NO.: 14-1572

RENDITION NO.: AHCA- ) - 0 '.=)Qg·S-OLC

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Respondent.

                                                                               I

FINAL ORDER

THIS CAUSE came on for consideration before the Agency for Health Care Administration ("the Agency"), which finds and concludes as follows:

1. The Agency issued the Petitioner ("the Applicant") the attached Notice of Intent to Deny (Ex. 1). The parties entered into the attached Settlement Agreement (Ex. 2), which is adopted and incorporated by reference.

   
   

2. The parties shall comply with the terms of the Settlement Agreement. If the Agency has not already completed its review of the application, it shall resume its review of the application. The Applicant shall pay the Agency an administrative fee of $2,000.00 within 30 days of the entry of this Final Order. A check made payable to the "Agency for Health Care Administration" containing the AHCA number(s) should be sent to:

Agency for Health Care Administration Office of Finance and Accounting Revenue Management Unit

2727 Mahan Drive, MS 14

Tallahassee, Florida 32308

ORDERED in Tallahassee, Florida, on this.      ::1_ day of ' 2014.

Eliz

Agency fi re Administration

Filed June 11, 2014 2:14 PM Division of AdmPinaigstera1tiovfe 2Hearings

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party that is adversely affected by this Final Order is entitled to seek 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 of 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.

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of this Final rder was served on the below­

named persons/entities by the method designated on this _S.:  day of_ll+ ' 2014.

Richard Shoop, Agehcy Clerk

Agency for Health Care Administration 2727 Mahan Drive, MS 3

Tallahassee, Florida 32308

Telephone (850) 412-3630

Page 2 of2

Docket for Case No: 14-001572

Orders for Case No: 14-001572