2019 Directory of Florida Hospitals - FHA

FHA Eye on the Market

2019 Directory of Florida Hospitals

This is a quick reference guide on all hospitals in Florida and is updated annually. The Directory of Florida Hospitals includes information on CEOs, CFOs, COOs, CMOs, CNOs, hospital addresses, phone and fax numbers, licensed beds, and ownership status for all hospitals in Florida.

COST:

My Pricing Status:

FHA Member Hospitals

$15

FHA Professional or Corporate Members

$30

Non-Members

$60

$ ______________

Shipping and handling:

One copy Each additional copy

$6.00 $2.00

$ ______________

Sales Tax ____% Please indicate percentage and amount of tax applicable to your Florida county.

$ _____________

No sales tax applies to items shipped outside of Florida Tax exempt hospitals MUST provide a tax exemption number AND certificate if not already on file.

Total Due

$ _____________

SEND TO: (Please Print)

Name: ___________________________________________________ Title: _____________________________________________________ Organization: __________________________________________________________________________________________________________ Address: ______________________________________________________________________________________________________________ City: _____________________________________________________ State: ____________________ Zip: _________________________ Phone: _______________________________ E-mail: ______________________________________________________________________

Please contact FHA Data Services at (407) 841-6230 if you have any questions For faster service, fax your credit card order to (407) 422-5948

PAYMENT METHOD:

Check enclosed made payable to:

Florida Hospital Association 307 Park Lake Circle Orlando, FL 32803-3923

OR Bill my: American Express

MasterCard

Visa

Card Number & 3 Digit (4 digit on AmEx) Security Number on Back of Card

Expiration Date (MM/YY)

Telephone # w/Area Code

Cardholder's Name as it Appears on Card (Please Print)

Credit Card Billing Address City/State/Zip

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