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

AGENCY FOR HEALTH CARE ADMINISTRATION HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 38

10/1/2021 3:02 PM

ST COUNTY

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

ALACHUA BROWARD

CLAY DUVAL

4247 100204

4286 100113 4128 100039 4020 100086 4411 100038 4354 100226 4448 100088 4493 100151

NORTH FLORIDA REGIONAL MEDICAL CENTER

6500 NEWBERRY RD

UF HEALTH SHANDS HOSPITAL

1600 SW ARCHER RD

BROWARD HEALTH MEDICAL CENTER

1600 S ANDREWS AVE

BROWARD HEALTH NORTH

201 E SAMPLE RD

MEMORIAL REGIONAL 3501 JOHNSON ST HOSPITAL

ORANGE PARK MEDICAL 2001 KINGSLEY AVE CENTER

BAPTIST MEDICAL

800 PRUDENTIAL DR

CENTER JACKSONVILLE

MAYO CLINIC

4500 SAN PABLO RD

4063 100001

ESCAMBIA

4433 100025

HILLSBOROUGH 4035 100173

UF HEALTH JACKSONVILLE

655 W 8TH ST

ASCENSION SACRED HEART PENSACOLA

5151 N NORTH NINTH AVENUE

ADVENTHEALTH TAMPA 3100 E FLETCHER AVE

LEE LEON

4403 100243 4292 100075 4044 100128 4301 100220

4080 100135

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

ST CITY GAINESVILLE

ST ZIP 32605

PROVIDER PHONE NBR

(352) 333-4000

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 11/22/16 Center

GAINESVILLE

32610

FORT LAUDERDALE

33316

POMPANO BEACH 33064

HOLLYWOOD

33021

ORANGE PARK 32073

JACKSONVILLE 32207

JACKSONVILLE 32224

JACKSONVILLE 32209

PENSACOLA

32504

TAMPA

33613

BRANDON

33511

TAMPA

33607

TAMPA

33606

FORT MYERS

33912

(352) 627-9045 (954) 355-5610 (954) 786-6950 (954) 987-2000 (904) 639-8500 (904) 202-2000 (904) 953-2000 (904) 244-0411 8504167000 (813) 971-6000 (813) 681-5551 (813) 870-4000 (813) 844-7000 (239) 343-1000

Comprehensive Stroke 08/28/09 Center

Comprehensive Stroke 05/16/14 Center

Comprehensive Stroke 07/24/06 Center

Comprehensive Stroke 03/06/19 Center

Comprehensive Stroke 06/10/16 Center

Comprehensive Stroke 07/25/19 Center

Comprehensive Stroke 04/22/21 Center

Comprehensive Stroke 09/13/06 Center

Comprehensive Stroke 01/22/21 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 04/28/15 Center

TALLAHASSEE

32308

(850) 431-5380 Comprehensive Stroke 05/09/16 Center

HOSU Licensed Programs

Page 1 of 3

ST COUNTY MANATEE MARION MIAMI-DADE

ORANGE PALM BEACH

PASCO

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:02 PM

HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 38

LIC NBR 4323 4146 4001 4085 3998 4133 4313 4369 4393

3983 4439 4368 4072 4058 4159 4312

FILE NBR PROVIDER NAME

ST ADDRESS

100213 100035 100212 100008 100022 100029 100187 100007 100006

100168 100258 100080

BLAKE MEDICAL CENTER

2020 59TH ST W

MANATEE MEMORIAL HOSPITAL

206 2ND ST E

OCALA REGIONAL MEDICAL CENTER

1431 SW 1ST AVE

BAPTIST HOSPITAL OF 8900 N KENDALL DRIVE MIAMI

JACKSON MEMORIAL HOSPITAL

1611 NW 12TH AVE

Steward North Shore Medical Center

1100 NW 95TH ST

Steward Palmetto General 2001 W 68TH ST Hospital

ADVENTHEALTH ORLANDO

601 E ROLLINS ST

ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER

52 W UNDERWOOD 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

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

ST CITY

BRADENTON BRADENTON OCALA MIAMI MIAMI MIAMI HIALEAH ORLANDO ORLANDO

BOCA RATON DELRAY BEACH ATLANTIS JUPITER WEST PALM BEACH WELLINGTON HUDSON

ST ZIP

34209 34208 34474 33176 33136 33150 33016 32803 32806

33486 33484 33462 33458 33407 33414 34667

PROVIDER PHONE NBR (941) 798-6110 (941) 746-5111 (352) 401-1000 (786) 596-5002 (305) 585-1111 (305) 835-6000 (305) 823-5000 (407) 303-5600 (321) 841-5111

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

Comprehensive Stroke 06/23/20 Center

Comprehensive Stroke 10/02/20 Center

Comprehensive Stroke 02/28/19 Center

Comprehensive Stroke Center

Comprehensive Stroke 03/24/09 Center

Comprehensive Stroke 12/11/10 Center

Comprehensive Stroke 06/11/13 Center

Comprehensive Stroke 04/19/10 Center

Comprehensive Stroke 10/16/13 Center

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

Comprehensive Stroke 03/06/12 Center

Comprehensive Stroke 02/24/09 Center

Comprehensive Stroke 04/01/21 Center

Comprehensive Stroke 08/31/21 Center

Comprehensive Stroke 01/21/09 Center

Comprehensive Stroke 09/30/16 Center

Comprehensive Stroke 06/15/18 Center

HOSU Licensed Programs

Page 2 of 3

ST COUNTY PINELLAS

POLK SARASOTA ST. LUCIE

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:02 PM

HOSPITAL LICENSED PROGRAMS

Comprehensive Stroke Center: 38

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

4303 100032 4064 100127 4324 100238

BAYFRONT HEALTH ST PETERSBURG

MORTON PLANT HOSPITAL

NORTHSIDE HOSPITAL

701 6TH ST S 300 PINELLAS ST 6000 49TH ST N

4413 100157 4191 100087 4144 100246

LAKELAND REGIONAL 1324 LAKELAND HILLS

MEDICAL CENTER

BLVD

SARASOTA MEMORIAL 1700 S TAMIAMI TRL HOSPITAL

LAWNWOOD REGIONAL 1700 S 23RD ST MEDICAL CENTER AND HEART INSTITUTE

ST CITY

SAINT PETERSBURG CLEARWATER

SAINT PETERSBURG LAKELAND

SARASOTA

FORT PIERCE

ST ZIP

33701 33756 33709 33805 34239 34950

PROVIDER PHONE NBR (727) 893-6015 (727) 462-7000 (727) 521-4411 (863) 687-1100 (941) 917-9000 (772) 468-4500

PROGRAM TYPE

PROGRAM EFFECTIVE DATE

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

Comprehensive Stroke 09/01/21 Center

HOSU Licensed Programs

Page 3 of 3

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