HOSU Licensed Programs

[Pages:6]ST COUNTY BAY BREVARD

BROWARD

CHARLOTTE

AGENCY FOR HEALTH CARE ADMINISTRATION HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

10/1/2021 3:13 PM

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

3982 4337 3948 4225 4503 4467 4132 4504 3954 3996 4121 4383 4384 4402 4340 4435 4352

100026 100242 100177 100019 120007

ASCENSION SACRED HEART BAY

615 N BONITA AVE

GULF COAST REGIONAL 449 W 23RD ST MEDICAL CENTER

CAPE CANAVERAL HOSPITAL

701 W COCOA BEACH CSWY

HOLMES REGIONAL MEDICAL CENTER

1350 S HICKORY ST

PALM BAY HOSPITAL 1425 MALABAR RD NE

100028 PARRISH MEDICAL CENTER

951 N WASHINGTON AVE

100092 ROCKLEDGE REGIONAL 110 LONGWOOD AVE MEDICAL CENTER

23960092 VIERA HOSPITAL

8745 N WICKHAM RD

110019 100200 100230 100189 100167 100224 100077 100047 100236

BROWARD HEALTH CORAL SPRINGS

BROWARD HEALTH IMPERIAL POINT

MEMORIAL HOSPITAL PEMBROKE

NORTHWEST MEDICAL CENTER

PLANTATION GENERAL HOSPITAL

UNIVERSITY HOSPITAL AND MEDICAL CENTER

BAYFRONT HEALTH PORT CHARLOTTE

BAYFRONT HEALTH PUNTA GORDA

FAWCETT MEMORIAL HOSPITAL

3000 CORAL HILLS DR 6401 N FEDERAL HWY 7800 SHERIDAN ST 2801 N STATE RD 7 401 NW 42ND AVE 7201 N UNIVERSITY DR 2500 HARBOR BLVD 809 E MARION AVE 21298 OLEAN BLVD

ST CITY

ST ZIP

PANAMA CITY 32401

PANAMA CITY 32405

COCOA BEACH 32931

MELBOURNE

32901

PALM BAY TITUSVILLE

32907 32796

ROCKLEDGE

32955

MELBOURNE

32940

CORAL SPRINGS 33065

FORT LAUDERDALE

PEMBROKE PINES

MARGATE

33308 33024 33063

PLANTATION

33317

TAMARAC

33321

PORT CHARLOTTE

PUNTA GORDA

33952 33950

PORT CHARLOTTE

33952

PROVIDER PHONE NBR

8507691511

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

03/21/05

(850) 769-8341 Primary Stroke Center 12/29/05

(321) 799-7111 Primary Stroke Center 06/08/21

(321) 434-7000 Primary Stroke Center 06/16/21

(321) 434-8000 Primary Stroke Center 06/16/21 (321) 268-6100 Primary Stroke Center 03/30/05

(321) 636-2211 Primary Stroke Center 10/17/19

(321) 434-9000 Primary Stroke Center 06/09/21 (954) 344-3121 Primary Stroke Center 03/30/09

(954) 776-8500 Primary Stroke Center 08/28/09

(954) 962-9650 Primary Stroke Center 11/18/20

(954) 978-4000 Primary Stroke Center 01/31/07

(954) 587-5010 Primary Stroke Center 06/30/06

(954) 721-2200 Primary Stroke Center 10/03/06

(941) 766-4122 Primary Stroke Center 03/27/21

(941) 637-3131 Primary Stroke Center 12/04/18

(941) 629-1181 Primary Stroke Center 08/17/19

HOSU Licensed Programs

Page 1 of 6

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:13 PM

HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

ST COUNTY CITRUS CLAY COLLIER DUVAL

ESCAMBIA

LIC NBR 4116 4233 4515

4113

4376 4494 4304 4448 4447 4456

FILE NBR PROVIDER NAME

ST ADDRESS

ST CITY

ST ZIP

100249 BAYFRONT HEALTH SEVEN RIVERS

100023 CITRUS MEMORIAL HOSPITAL

23960117 ASCENSION ST VINCENT'S CLAY COUNTY

120006

NCH HEALTHCARE SYSTEM NORTH NAPLES HOSPITAL CAMPUS

100040 ASCENSION ST VINCENT'S RIVERSIDE

23960088 ASCENSION ST VINCENT'S SOUTHSIDE

100117 BAPTIST MEDICAL CENTER - BEACHES

23960052 BAPTIST MEDICAL CENTER SOUTH

100179 MEMORIAL HOSPITAL JACKSONVILLE

100093 BAPTIST HOSPITAL

6201 N SUNCOAST BLVD 502 HIGHLAND BLVD 1670 ST VINCENTS WAY

11190 HEALTHPARK BLVD

1 SHIRCLIFF WAY 4201 BELFORT RD 1350 13TH AVE S 14550 OLD ST AUGUSTINE RD 3625 UNIVERSITY BLVD S 1000 W MORENO ST

CRYSTAL RIVER INVERNESS MIDDLEBURG

NAPLES

JACKSONVILLE JACKSONVILLE JACKSONVILLE BEACH JACKSONVILLE JACKSONVILLE PENSACOLA

34428 34452 32068

34110

32204 32216 32250 32258 32216 32501

PROVIDER PHONE NBR

(352) 795-6560

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

03/26/07

(352) 726-1551 Primary Stroke Center 06/15/07

9046021000 Primary Stroke Center 06/03/19

(239) 624-5000 Primary Stroke Center 08/02/18

9043087300 Primary Stroke Center 09/02/10 9042963700 Primary Stroke Center 04/27/19 (904) 627-2900 Primary Stroke Center 05/01/14 (904) 271-6000 Primary Stroke Center 12/09/06 (904) 702-6111 Primary Stroke Center 08/07/07 (850) 434-4011 Primary Stroke Center 08/23/07

FLAGLER HERNANDO

4318 100231 4465 100118 4315 100264

WEST FLORIDA HOSPITAL

ADVENTHEALTH PALM COAST

OAK HILL HOSPITAL

8383 N DAVIS HWY

60 MEMORIAL MEDICAL PKWY 11375 CORTEZ BLVD

PENSACOLA PALM COAST BROOKSVILLE

32514 32164 34613

(850) 494-4000 Primary Stroke Center 06/30/21 (386) 586-2000 Primary Stroke Center 02/07/06 (352) 596-6632 Primary Stroke Center 08/23/07

HIGHLANDS

4171 120013

4171 100109

HILLSBOROUGH 4179 100069

ADVENTHEALTH LAKE PLACID

ADVENTHEALTH SEBRING

ADVENTHEALTH CARROLLWOOD

1210 US 27 N

LAKE PLACID

4200 SUN N LAKE BLVD

SEBRING

7171 N DALE MABRY HWY TAMPA

33852 (863) 465-3777 Primary Stroke Center 05/20/21 33872 (863) 314-4466 Primary Stroke Center 08/10/10 33614 (813) 932-2222 Primary Stroke Center 11/08/13

HOSU Licensed Programs

Page 2 of 6

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:13 PM

HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

ST COUNTY

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

HILLSBOROUGH 4112

4198

4056

4292

4292

LAKE

4409

4180

4000

LEE

4366

100206 MEMORIAL HOSPITAL 2901 W SWANN AVE OF TAMPA

100259 SOUTH BAY HOSPITAL 4016 SUN CITY CENTER BLVD

100132 SOUTH FLORIDA BAPTIST HOSPITAL

301 N ALEXANDER ST

23960100 ST JOSEPHS HOSPITAL 4211 VAN DYKE RD NORTH

23960105 ST JOSEPHS HOSPITAL 6901 SIMMONS LOOP SOUTH

100057 ADVENTHEALTH WATERMAN

1000 WATERMAN WAY

100051 ORLANDO HEALTH

1900 DON WICKHAM DR

SOUTH LAKE HOSPITAL

100084 UF HEALTH LEESBURG 600 E DIXIE AVE HOSPITAL

100244 CAPE CORAL HOSPITAL 636 DEL PRADO BLVD

ST CITY

TAMPA SUN CITY CENTER PLANT CITY LUTZ RIVERVIEW TAVARES CLERMONT LEESBURG CAPE CORAL

ST ZIP 33609

PROVIDER PHONE NBR

(813) 873-6450

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

05/06/15

33573 (813) 634-3301 Primary Stroke Center 04/23/09

33563 (813) 757-1200 Primary Stroke Center 10/15/09

33558 (813) 443-7000 Primary Stroke Center 05/08/13

33578 (813) 302-8001 Primary Stroke Center 07/01/16

32778 (352) 253-3333 Primary Stroke Center 08/07/08

34711 (352) 394-4071 Primary Stroke Center 06/01/18

347485925

33990

(352) 323-5762 Primary Stroke Center 10/23/18 (239) 424-2000 Primary Stroke Center 09/09/13

LEON MANATEE MARION

4017 4476 4414

100254 CAPITAL REGIONAL MEDICAL CENTER

2626 CAPITAL MEDICAL BLVD

23960046 LAKEWOOD RANCH MEDICAL CENTER

8330 LAKEWOOD RANCH BLVD

100062 ADVENTHEALTH OCALA 1500 SW 1ST AVE

TALLAHASSEE BRADENTON OCALA

32308 34202 34471

(850) 325-5017 Primary Stroke Center 09/30/07 (941) 782-2100 Primary Stroke Center 05/25/06 (352) 351-7200 Primary Stroke Center 03/21/06

MARTIN MIAMI-DADE

4001 4102 4102 3998 3998

23960039 WEST MARION COMMUNITY HOSPITAL

100044

CLEVELAND CLINIC MARTIN NORTH HOSPITAL

120009

CLEVELAND CLINIC MARTIN SOUTH HOSPITAL

100114 JACKSON NORTH MEDICAL CENTER

100208 JACKSON SOUTH MEDICAL CENTER

1431 SW 1ST AVE 200 SE HOSPITAL AVE 2100 SE SALERNO RD 160 NW 170TH ST 9333 SW 152ND ST

OCALA STUART

344716500

34994

(352) 401-1000 Primary Stroke Center (772) 287-5200 Primary Stroke Center 11/07/07

STUART

34997 (772) 223-2300 Primary Stroke Center 05/04/09

NORTH MIAMI BEACH

MIAMI

33169 (305) 651-5050 Primary Stroke Center 08/13/08 33157 (305) 251-2500 Primary Stroke Center 08/25/17

HOSU Licensed Programs

Page 3 of 6

ST COUNTY MIAMI-DADE

MONROE OKALOOSA OKEECHOBEE ORANGE

OSCEOLA

PALM BEACH

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:13 PM

HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

LIC FILE NBR PROVIDER NAME NBR

ST ADDRESS

4384 100061

4066 100034 4033 100154

MERCY HOSPITAL, A CAMPUS OF PLANTATION GENERAL HOSPITAL

3663 S MIAMI AVE

MOUNT SINAI MEDICAL 4300 ALTON RD CENTER

SOUTH MIAMI HOSPITAL 6200 SW 73RD ST

ST CITY MIAMI

ST ZIP

331334253

PROVIDER PHONE NBR

(305) 854-4400

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

06/28/07

MIAMI BEACH MIAMI

331402948

33143

(305) 674-2520 Primary Stroke Center 11/19/19 (786) 662-4000 Primary Stroke Center 09/22/21

4347 100053 Steward Hialeah Hospital 651 E 25TH ST

HIALEAH

33013 (305) 693-6100 Primary Stroke Center 02/08/20

4074 100009

4302 100195 4363 100223 4320 100252

UNIVERSITY OF MIAMI 1400 NW 12TH AVE HOSPITAL AND CLINICSUHEALTH TOWER

LOWER KEYS MEDICAL 5900 COLLEGE RD CENTER

FORT WALTON BEACH 1000 MAR-WALT DR MEDICAL CENTER

RAULERSON HOSPITAL 1796 HWY 441 NORTH

MIAMI

33136- (305) 325-5511 Primary Stroke Center 1003

KEY WEST

33040 (305) 294-5531 Primary Stroke Center 04/27/20

FORT WALTON BEACH

OKEECHOBEE

32547 34972

(850) 862-1111 Primary Stroke Center 03/24/08 (863) 763-2151 Primary Stroke Center 07/10/21

4369 4369 4369 4393 4369 4484 4450 4452

120003 ADVENTHEALTH APOPKA

2100 OCOEE APOPKA RD

100021 ADVENTHEALTH EAST 7727 LAKE UNDERHILL RD ORLANDO

100162 ADVENTHEALTH WINTER PARK

200 N LAKEMONT AVE

120002 ORLANDO HEALTH DR P 9400 TURKEY LAKE RD PHILLIPS HOSPITAL

23960017 ADVENTHEALTH CELEBRATION

400 CELEBRATION PL

100074 ORLANDO HEALTH ST 2906 17th ST CLOUD HOSPITAL

100110 OSCEOLA REGIONAL MEDICAL CENTER

700 W OAK ST

100002 BETHESDA HOSPITAL 2815 S SEACREST BLVD EAST

APOPKA

32703

ORLANDO

32822

WINTER PARK 32792

ORLANDO

32819

CELEBRATION 34747

SAINT CLOUD 34769

KISSIMMEE

34741

BOYNTON BEACH 33435

(407) 609-7000 Primary Stroke Center 12/16/20 (407) 303-8110 Primary Stroke Center 12/18/20 (407) 646-7000 Primary Stroke Center 08/18/21 (407) 351-8500 Primary Stroke Center 07/30/21 (407) 764-4000 Primary Stroke Center (407) 892-2135 Primary Stroke Center 07/27/19 (407) 846-2266 Primary Stroke Center 02/03/18 (561) 737-7733 Primary Stroke Center 10/10/07

HOSU Licensed Programs

Page 4 of 6

ST COUNTY PALM BEACH PASCO PINELLAS

POLK

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:13 PM

HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

LIC NBR 4452 4368 4127 4164

FILE NBR PROVIDER NAME

ST ADDRESS

23960098 BETHESDA HOSPITAL 9655 W BOYNTON BEACH

WEST

BLVD

100234 JFK MEDICAL CENTER 2201 45TH ST NORTH CAMPUS

100176 PALM BEACH GARDENS 3360 BURNS RD MEDICAL CENTER

110006 PALMS WEST HOSPITAL 13001 SOUTHERN BLVD

ST CITY

ST ZIP

BOYNTON BEACH 33472

WEST PALM BEACH

PALM BEACH GARDENS

LOXAHATCHEE

33407 33410 33470

PROVIDER PHONE NBR

(561) 336-7000

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

01/24/13

(561) 842-6141 Primary Stroke Center 10/24/07

(561) 622-1411 Primary Stroke Center 12/19/08

(561) 798-3300 Primary Stroke Center 11/17/10

3935 4508 4445 4400 4216 4333 4398 4378 4378 4317 4215 3942 4385

100211 ADVENTHEALTH DADE 13100 FORT KING RD CITY

23960099 ADVENTHEALTH WESLEY CHAPEL

2600 BRUCE B DOWNS BLVD

100046 ADVENTHEALTH ZEPHYRHILLS

7050 GALL BLVD

100191 MEDICAL CENTER OF 9330 SR 54 TRINITY

100063 MORTON PLANT NORTH 6600 MADISON ST BAY HOSPITAL

100055 ADVENTHEALTH NORTH 1395 S PINELLAS AVE PINELLAS

100248 LARGO MEDICAL CENTER

201 14TH ST SW

110001 MEASE COUNTRYSIDE 3231 MCMULLEN BOOTH

HOSPITAL

RD

100043 MEASE DUNEDIN HOSPITAL

601 MAIN ST

100126 PALMS OF PASADENA 1501 PASADENA AVE S HOSPITAL

100067 ST ANTHONYS HOSPITAL

1200 SEVENTH AVE N

100180 ST PETERSBURG GENERAL HOSPITAL

6500 38TH AVE N

100137 ADVENTHEALTH HEART 40100 HIGHWAY 27 OF FLORIDA

DADE CITY

33525 (352) 521-1100 Primary Stroke Center 11/20/09

WESLEY CHAPEL 33544 (813) 929-5000 Primary Stroke Center 12/07/12

ZEPHYRHILLS TRINITY

335411347

34655

(813) 788-0411 Primary Stroke Center 01/20/15 (727) 834-4900 Primary Stroke Center 12/05/07

NEW PORT RICHEY

TARPON SPRINGS

LARGO

34652 (727) 842-8468 Primary Stroke Center 09/13/06 34689 (727) 942-5000 Primary Stroke Center 06/11/21 33770 (727) 588-5200 Primary Stroke Center 07/24/06

SAFETY HARBOR 34695 (727) 725-6111 Primary Stroke Center 09/16/06

DUNEDIN

34698 (727) 733-1111 Primary Stroke Center 09/16/06

SAINT PETERSBURG

SAINT PETERSBURG

SAINT PETERSBURG

DAVENPORT

33707 (727) 381-1000 Primary Stroke Center 10/30/08 33705 (727) 825-1100 Primary Stroke Center 01/23/06 33710 (727) 384-1414 Primary Stroke Center 09/19/07 33837 (863) 422-4971 Primary Stroke Center 10/22/08

HOSU Licensed Programs

Page 5 of 6

ST COUNTY POLK SANTA ROSA SARASOTA

SEMINOLE

ST. JOHNS ST. LUCIE SUMTER VOLUSIA

AGENCY FOR HEALTH CARE ADMINISTRATION

10/1/2021 3:13 PM

HOSPITAL LICENSED PROGRAMS

Primary Stroke Center: 97

LIC NBR 3974 4456 4307 4401 4140 4369 4393

3665 4193 4464 4201 4436 4408 4054

FILE NBR PROVIDER NAME

ST ADDRESS

ST CITY

ST ZIP

100052 110003 100166 110004 100070 120004 100263

100219

WINTER HAVEN HOSPITAL

200 AVE F NE

GULF BREEZE HOSPITAL

1110 GULF BREEZE PKWY

DOCTORS HOSPITAL OF 5731 BEE RIDGE RD SARASOTA

ENGLEWOOD

700 MEDICAL BLVD

COMMUNITY HOSPITAL

VENICE REGIONAL BAYFRONT HEALTH

540 THE RIALTO

ADVENTHEALTH

601 E ALTAMONTE DR

ALTAMONTE SPRINGS

ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL

555 W STATE RD 434

FLAGLER HOSPITAL

400 HEALTH PARK BLVD

100260 ST LUCIE MEDICAL CENTER

23960032 UF HEALTH THE VILLAGES HOSPITAL

100169 ADVENTHEALTH DAYTONA BEACH

100045 ADVENTHEALTH DELAND

100072 ADVENTHEALTH FISH MEMORIAL

100014 ADVENTHEALTH NEW SMYRNA BEACH

1800 SE TIFFANY AVE

1451 EL CAMINO REAL

301 MEMORIAL MEDICAL PKWY 701 W PLYMOUTH AVE

1055 SAXON BLVD

401 PALMETTO ST

WINTER HAVEN 33881

GULF BREEZE 32561

SARASOTA

34233

ENGLEWOOD

34223

VENICE

34285

ALTAMONTE SPRINGS

LONGWOOD

32701 32750

SAINT AUGUSTINE

PORT SAINT LUCIE

THE VILLAGES

32086 34952 32159

DAYTONA BEACH 32117

DELAND

32720

ORANGE CITY 32763

NEW SMYRNA BEACH

32168

PROVIDER PHONE NBR

(863) 293-1121

PROGRAM TYPE Primary Stroke Center

PROGRAM EFFECTIVE DATE

10/31/07

(850) 934-2000 Primary Stroke Center 07/12/13

(941) 342-1100 Primary Stroke Center 11/18/06

(941) 475-6571 Primary Stroke Center 06/28/12

(941) 483-7773 Primary Stroke Center 09/15/21

(407) 303-2200 Primary Stroke Center 10/27/20

(407) 767-1200 Primary Stroke Center 07/24/09

(904) 819-4400 Primary Stroke Center 04/28/18 (772) 335-4000 Primary Stroke Center 05/03/19 (352) 751-8000 Primary Stroke Center 10/24/18 (386) 231-6000 Primary Stroke Center 05/13/21 (386) 943-4522 Primary Stroke Center 07/05/11 (386) 917-5000 Primary Stroke Center 06/18/07 (386) 424-5100 Primary Stroke Center 07/19/10

HOSU Licensed Programs

Page 6 of 6

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