HOSU Licensed Programs - FL Agency for Health Care ...

AGENCY FOR HEALTH CARE ADMINISTRATION HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 49

5/12/2021 1:21 PM

ST COUNTY

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

ST CITY

ST ZIP

ALACHUA BROWARD

CHARLOTTE CLAY COLLIER

DUVAL

4247

4286 4128 4020 4299 4133

4411 4352 4354 4113 4113

4463

4448 4493

100204

NORTH FLORIDA REGIONAL MEDICAL CENTER

6500 NEWBERRY RD

100113 UF HEALTH SHANDS HOSPITAL

1600 SW ARCHER RD

100039 BROWARD HEALTH MEDICAL CENTER

1600 S ANDREWS AVE

100086 BROWARD HEALTH NORTH

201 E SAMPLE RD

100056 CLEVELAND CLINIC HOSPITAL

3100 WESTON RD

100210

FLORIDA MEDICAL

5000 W OAKLAND PARK

CENTER - A CAMPUS OF BLVD

NORTH SHORE

100038 MEMORIAL REGIONAL 3501 JOHNSON ST HOSPITAL

100236 FAWCETT MEMORIAL HOSPITAL

21298 OLEAN BLVD

100226 ORANGE PARK MEDICAL 2001 KINGSLEY AVE CENTER

100018 NAPLES COMMUNITY HOSPITAL

350 7TH ST N

120006

NCH HEALTHCARE SYSTEM NORTH NAPLES HOSPITAL CAMPUS

11190 HEALTHPARK BLVD

23960025 PHYSICIANS REGIONAL 6101 PINE RIDGE RD MEDICAL CENTER - PINE RIDGE

100088 BAPTIST MEDICAL

800 PRUDENTIAL DR

CENTER JACKSONVILLE

100151 MAYO CLINIC

4500 SAN PABLO RD

GAINESVILLE

32605

GAINESVILLE

32610

FORT LAUDERDALE

33316

POMPANO BEACH 33064

WESTON

LAUDERDALE LAKES

333313602

33313

HOLLYWOOD

33021

PORT CHARLOTTE

ORANGE PARK

33952 32073

NAPLES NAPLES

341025754

34110

NAPLES

34119

JACKSONVILLE 32207 JACKSONVILLE 32224

4063 100001

HOSU Licensed Programs

UF HEALTH JACKSONVILLE

655 W 8TH ST

JACKSONVILLE 32209

PROVIDER PHONE NBR

(352) 333-4000

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 11/22/16 Center

(352) 627-9045 (954) 355-5610 (954) 786-6950 (954) 659-5000 (954) 735-6000

Comprehensive Stroke 08/28/09 Center

Comprehensive Stroke 05/16/14 Center

Comprehensive Stroke 07/24/06 Center

Comprehensive Stroke 10/01/14 Center

Comprehensive Stroke 08/10/12 Center

(954) 987-2000 (941) 629-1181 (904) 639-8500 (239) 624-4000 (239) 624-5000

Comprehensive Stroke 03/04/08 Center

Comprehensive Stroke 03/15/19 Center

Comprehensive Stroke 06/10/16 Center

Comprehensive Stroke 01/23/15 Center

Comprehensive Stroke 01/23/15 Center

(239) 304-5145 Comprehensive Stroke 02/01/19 Center

(904) 202-2000 (904) 953-2000 (904) 244-3477

Comprehensive Stroke 05/19/14 Center

Comprehensive Stroke 07/02/07 Center

Comprehensive Stroke 09/13/06 Center

Page 1 of 4

AGENCY FOR HEALTH CARE ADMINISTRATION

5/12/2021 1:21 PM

HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 49

ST COUNTY

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

ESCAMBIA

4433 100025

HILLSBOROUGH 4035 100173

ASCENSION SACRED HEART PENSACOLA

5151 N NORTH NINTH AVENUE

ADVENTHEALTH TAMPA 3100 E FLETCHER AVE

LEE LEON MANATEE

MARION MIAMI-DADE

4403 100243 4292 100075 4044 100128 4301 100220

4080 100135 4323 100213 4146 100035 4001 100212 4430 100131 4085 100008 3998 100022 4344 100209 4066 100034 4133 100029

BRANDON REGIONAL HOSPITAL

119 OAKFIELD DR

ST JOSEPHS HOSPITAL 3001 W MARTIN LUTHER KING JR BLVD

TAMPA GENERAL HOSPITAL

1 TAMPA GENERAL CIR

GULF COAST MEDICAL 13681 DOCTORS WAY CENTER LEE MEMORIAL HEALTH SYSTEM

TALLAHASSEE

1300 MICCOSUKEE RD

MEMORIAL HOSPITAL

BLAKE MEDICAL CENTER

2020 59TH ST W

MANATEE MEMORIAL HOSPITAL

206 2ND ST E

OCALA REGIONAL MEDICAL CENTER

1431 SW 1ST AVE

AVENTURA HOSPITAL 20900 BISCAYNE BLVD AND MEDICAL CENTER

BAPTIST HOSPITAL OF 8900 N KENDALL DRIVE MIAMI

JACKSON MEMORIAL HOSPITAL

1611 NW 12TH AVE

KENDALL REGIONAL MEDICAL CENTER

11750 BIRD RD

MOUNT SINAI MEDICAL 4300 ALTON RD CENTER

NORTH SHORE MEDICAL CENTER

1100 NW 95TH ST

ST CITY

PENSACOLA TAMPA BRANDON TAMPA TAMPA FORT MYERS

TALLAHASSEE BRADENTON BRADENTON OCALA AVENTURA MIAMI MIAMI MIAMI MIAMI BEACH MIAMI

ST ZIP

32504 33613 33511 33607 33606 33912

PROVIDER PHONE NBR (850) 416-7000 (813) 971-6000 (813) 681-5551 (813) 870-4000 (813) 844-7000 (239) 343-1000

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 07/27/16 Center

Comprehensive Stroke 07/03/12 Center

Comprehensive Stroke 07/06/20 Center

Comprehensive Stroke 01/25/08 Center

Comprehensive Stroke 05/30/06 Center

Comprehensive Stroke 07/29/14 Center

32308 34209 34208 34474 33180 33176 33136 33175 331402948 33150

(850) 431-5380 (941) 798-6110 (941) 746-5111 (352) 401-1000 (305) 682-7000 (786) 596-5002 (305) 585-1111 (305) 223-3000 (305) 674-2520 (305) 835-6000

Comprehensive Stroke 05/09/16 Center

Comprehensive Stroke 06/23/20 Center

Comprehensive Stroke 10/02/20 Center

Comprehensive Stroke 02/28/19 Center

Comprehensive Stroke 10/06/11 Center

Comprehensive Stroke 01/06/13 Center

Comprehensive Stroke 03/24/09 Center

Comprehensive Stroke 09/18/15 Center

Comprehensive Stroke 09/09/09 Center

Comprehensive Stroke 03/13/18 Center

HOSU Licensed Programs

Page 2 of 4

ST COUNTY MIAMI-DADE ORANGE OSCEOLA PALM BEACH

PASCO PINELLAS

POLK SARASOTA

AGENCY FOR HEALTH CARE ADMINISTRATION

5/12/2021 1:21 PM

HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 49

LIC NBR 4313 4369 4393

4450 3983 4439 4368 4072 4058 4159 4312

4303 4064 4324 4413 4191

FILE NBR PROVIDER NAME

ST ADDRESS

100187 100007 100006

100110 100168 100258 100080

PALMETTO GENERAL HOSPITAL

2001 W 68TH ST

ADVENTHEALTH ORLANDO

601 E ROLLINS ST

ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER

52 W UNDERWOOD ST

OSCEOLA REGIONAL MEDICAL CENTER

700 W OAK ST

BOCA RATON REGIONAL 800 MEADOWS RD HOSPITAL

DELRAY MEDICAL CENTER

5352 LINTON BLVD

JFK MEDICAL CENTER 5301 S CONGRESS AVE

100253 100010 110010 100256

100032 100127 100238

JUPITER MEDICAL CENTER

1210 S OLD DIXIE HWY

ST MARY'S MEDICAL CENTER

901 45TH ST

WELLINGTON REGIONAL 10101 FOREST HILL BLVD MEDICAL CENTER

REGIONAL MEDICAL CENTER BAYONET POINT

14000 FIVAY RD

BAYFRONT HEALTH ST 701 6TH ST S PETERSBURG

MORTON PLANT HOSPITAL

300 PINELLAS ST

NORTHSIDE HOSPITAL 6000 49TH ST N

100157 100087

LAKELAND REGIONAL MEDICAL CENTER

SARASOTA MEMORIAL HOSPITAL

1324 LAKELAND HILLS BLVD

1700 S TAMIAMI TRL

ST CITY

HIALEAH ORLANDO ORLANDO

KISSIMMEE BOCA RATON DELRAY BEACH ATLANTIS JUPITER WEST PALM BEACH WELLINGTON HUDSON

SAINT PETERSBURG CLEARWATER SAINT PETERSBURG LAKELAND SARASOTA

ST ZIP

33016 32803 32806

34741 33486 33484 33462 33458 33407 33414 34667

33701 33756 33709 33805 34239

PROVIDER PHONE NBR

(305) 823-5000

(407) 303-5600

(321) 841-5111

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 06/11/13 Center

Comprehensive Stroke 04/19/10 Center

Comprehensive Stroke 10/16/13 Center

(407) 846-2266 (561) 955-4200 (561) 498-4440 (561) 965-7300 (561) 263-2234 (561) 844-6300 (561) 798-8500 (727) 819-2929

Comprehensive Stroke 08/01/17 Center

Comprehensive Stroke 03/06/12 Center

Comprehensive Stroke 02/24/09 Center

Comprehensive Stroke 05/16/07 Center

Comprehensive Stroke 01/01/19 Center

Comprehensive Stroke 01/21/09 Center

Comprehensive Stroke 09/30/16 Center

Comprehensive Stroke 06/15/18 Center

(727) 893-6015 (727) 462-7000 (727) 521-4411 (863) 687-1100 (941) 917-9000

Comprehensive Stroke 05/30/13 Center

Comprehensive Stroke 07/30/08 Center

Comprehensive Stroke 07/07/11 Center

Comprehensive Stroke 04/02/18 Center

Comprehensive Stroke 05/02/06 Center

HOSU Licensed Programs

Page 3 of 4

ST COUNTY ST. LUCIE VOLUSIA

AGENCY FOR HEALTH CARE ADMINISTRATION

5/12/2021 1:21 PM

HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 49

LIC NBR 4144

4181

FILE NBR PROVIDER NAME

ST ADDRESS

ST CITY

ST ZIP

100246 100017

Lawnwood Regional Medical Center and Heart Institute

HALIFAX HEALTH MEDICAL CENTER

1700 S 23RD ST

FORT PIERCE 34950

303 N CLYDE MORRIS BLVD DAYTONA BEACH 32114

PROVIDER PHONE NBR

(772) 468-4500

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 09/20/16 Center

(386) 254-4000 Comprehensive Stroke 04/26/06 Center

HOSU Licensed Programs

Page 4 of 4

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