STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
2017 APR 17 p 3: trl
Petitioner,
vs.
FMC HOSPITAL LTD. D/B/A FLORIDA MEDICAL CENTER, A CAMPUS OF NORTH SHORE MEDICAL CENTER, INC.
DOAH CASE NO.: 16-3544MPI C.I. NO.: 14-0352-000
·o :t
MPI CASE NO.: 2015-0002042 PROVIDER ID NO.: 010214800 NPI NO.: 1265469605 LICENSE NO.:4207
RENDITION NO.: AHCA· r1 ).7 (\ · 1
Respondent.
I
FINAL ORDER
THE PARTIES resolved all disputed issue s 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 /'.f y of , 2017, in Tallahassee,
Florida.
Age ncy for Health Care Admini stration vs. FMC HOSPITAL , LTD. D/B/A FLORIDA MEDICAL CENT ER, A CAMPUS OF NORTH SHORE MEDIC AL CENTER, INC.
(C.I. No. : 1 4-0352-000
MPI CASE NO.: 201 5-0 0 02042)
Final Or der Page I of 3
Copies furnished to:
FMC Hospital, LTD
DBA Florida Medical Center, A Campus of North Shore Medical Center, Inc.
Attn: Oksana Baczyk, Hospital Compliance and Privacy Officer
5000 West Oakland Park Blvd. Lauderdale Lakes, Fl. 33313-1503 (U.S. Mail)
Kelly Bennett
Agency for Health Care Administration Chief of Medicaid Program Integrity (Electronic Mail)
Michael J. Glazer Ausley/McMullen 123 S. Calhoun Street Tallahassee, FL 32301
850-425-5474
mglazer@ausley.com (Electronic Mail)
Ephraim D. Livingston, Esquire Agency for Health Care Administration
Ephraim.Livingston.@ahca.myflorida.com (Electronic Mail)
Bureau of Financial Services
Agency for Health Care Administration (Electronic Mail)
Health Quality Assurance
Agency for Health Care Administration (Electronic Mail)
Agency for Health Care Administration vs. FMC HOSPIT AL, LTD. D/B/A FLORIDA MEDICAL CENTER, A CAMPUS OF NORTH SHORE MEDICAL CENTER, INC.
(C.I. No.: 14-0352-000
MP! CASE NO.: 2015-0002042)
Final Order Page 2 of 3
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 or other designated method on this the /
,2017.
Agency Clerk State of Florida
Agency for Health Care Administration 2727 Mahan Drive, MS #3
Tallahassee, Florida 32308-5403
(850) 412-3689/FAX (850) 921-0158
Agency for Health Care Administration vs. FMC HOSPITAL, LTD. D/B/A FLORIDA MEDICAL CENTER, A CAMPUS OF NORTH SHORE MEDICAL CENTER, INC.
(C.I. No.: 14-0352-000
MPI CASE NO.: 2015-0002042)
Final Order Page 3 of 3
Issue Date | Document | Summary |
---|---|---|
Apr. 17, 2017 | Agency Final Order |