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

[Pages:7]COUNTY BAY BREVARD

BROWARD

AGENCY FOR HEALTHCARE ADMINISTRATION HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

12/1/2023 12:30 PM

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

3982 4337 3948 4225 4503 4467 4132

4504 3954 3996 4383

4537

4402

4480 4121

100026 ASCENSION

615 N BONITA AVE PANAMA CITY 32401

SACRED HEART BAY

100242 HCA FLORIDA GULF 449 W 23RD ST COAST HOSPITAL

PANAMA CITY 32405

100177 CAPE CANAVERAL 701 W COCOA

HOSPITAL

BEACH CSWY

COCOA BEACH 32931

100019 HOLMES REGIONAL 1350 S HICKORY ST MELBOURNE 32901 MEDICAL CENTER

120007 PALM BAY HOSPITAL

1425 MALABAR RD PALM BAY NE

32907

100028 PARRISH MEDICAL 951 N WASHINGTON TITUSVILLE

CENTER

AVE

32796

100092 ROCKLEDGE

110 LONGWOOD

REGIONAL MEDICAL AVE

CENTER

ROCKLEDGE 32955

2396009 VIERA HOSPITAL 2

8745 N WICKHAM RD MELBOURNE 32940

110019 BROWARD HEALTH 3000 CORAL HILLS CORAL

CORAL SPRINGS DR

SPRINGS

33065

100200 BROWARD HEALTH 6401 N FEDERAL IMPERIAL POINT HWY

FORT

33308

LAUDERDALE

100189 HCA FLORIDA NORTHWEST HOSPITAL

2801 N STATE RD 7 MARGATE

33063

100167 HCA FLORIDA UNIVERSITY HOSPITAL

3476 S University Dr DAVIE

33328

100224 HCA FLORIDA WOODMONT HOSPITAL

7201 N UNIVERSITY TAMARAC DR

33321

2396005 MEMORIAL

1901 SW 172ND AVE MIRAMAR

0

HOSPITAL MIRAMAR

33029

100230 MEMORIAL HOSPITAL PEMBROKE

7800 SHERIDAN ST PEMBROKE PINES

33024

PROVIDER PHONE NUMBER

(850) 769-1511 (850) 769-8341 (321) 799-7111 (321) 434-7000 (321) 434-8000 (321) 268-6100 (321) 636-2211

(321) 434-9000 (954) 344-3121 (954) 776-8500 (954) 978-1009

(954) 475-4000

(954) 721-2200

(954) 538-4800 (954) 962-9650

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

PROGRAM EFFECTIVE

DATE 3/21/2005 12/29/2005

6/8/2021 6/16/2021 6/16/2021 3/30/2005 10/17/2019

6/9/2021 3/30/2009 8/28/2009 1/29/2022

6/30/2006

2/27/2020

2/13/2023 11/18/2020

Hospital Stroke Programs Report

Page 1 of 7

AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

COUNTY CITRUS CLAY COLLIER

DUVAL

ESCAMBIA FLAGLER HERNANDO HIGHLANDS

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

4116 4233 4515 4113

4463 4376 4494 4304 4448 4447 4456

100249 BRAVERA HEALTH 6201 N SUNCOAST CRYSTAL

SEVEN RIVERS

BLVD

RIVER

34428

100023 HCA FLORIDA

502 W. HIGHLAND

CITRUS HOSPITAL BLVD

INVERNESS

34452

2396011 ASCENSION ST

7

VINCENT'S CLAY

COUNTY

1670 ST VINCENTS MIDDLEBURG 32068 WAY

120006

NCH HEALTHCARE SYSTEM NORTH NAPLES HOSPITAL CAMPUS

11190 HEALTHPARK NAPLES BLVD

34110

2396005 PHYSICIANS

8300 COLLIER BLVD NAPLES

7

REGIONAL MEDICAL

CENTER - COLLIER

34114

100040 ASCENSION ST VINCENT'S RIVERSIDE

1 SHIRCLIFF WAY JACKSONVILLE 32204

2396008 ASCENSION ST

8

VINCENT'S

SOUTHSIDE

4201 BELFORT RD JACKSONVILLE 32216

100117 BAPTIST MEDICAL 1350 13TH AVE S CENTER - BEACHES

JACKSONVILLE 32250 BEACH

2396005 BAPTIST MEDICAL 14550 OLD ST

2

CENTER SOUTH

AUGUSTINE RD

JACKSONVILLE 32258

100179 HCA FLORIDA MEMORIAL HOSPITAL

3625 UNIVERSITY BLVD S

JACKSONVILLE 32216

100093 BAPTIST HOSPITAL 123 Baptist Way

PENSACOLA 32503

4465 4217 4315 4171

100118 111525 100264 120013

ADVENTHEALTH PALM COAST

BRAVERA HEALTH SPRING HILL

HCA FLORIDA OAK HILL HOSPITAL

ADVENTHEALTH LAKE PLACID

60 MEMORIAL MEDICAL PKWY

10461 QUALITY DR

PALM COAST SPRING HILL

32164 34609

11375 CORTEZ BLVD BROOKSVILLE 34613

1210 US 27 N

LAKE PLACID 33852

PROVIDER PHONE NUMBER

(352) 795-6560 (352) 726-1551 (904) 602-1000

(239) 624-5000

(239) 354-6001

(904) 308-7300

(904) 296-3700

(904) 627-2900 (904) 271-6000 (904) 702-6111

(850) 434-4011 (386) 586-2000 (352) 688-8200 (352) 596-6632 (863) 465-3777

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

DNVGL

JC

JC JC JC

DNVGL JC JC JC JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center Primary Stroke Center Primary Stroke Center

Primary Stroke Center Primary Stroke Center Primary Stroke Center Primary Stroke Center Primary Stroke Center

PROGRAM EFFECTIVE

DATE 3/26/2007 6/15/2007

6/3/2019

8/2/2018

6/3/2021

8/1/2022

4/27/2019

5/1/2014 12/9/2006

8/7/2007

8/23/2007 2/7/2006 8/5/2021

8/23/2007 5/20/2021

Hospital Stroke Programs Report

Page 2 of 7



AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

COUNTY

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

HIGHLANDS

4171

HILLSBOROUGH 4179

4198

4112

INDIAN RIVER LAKE

4056 4292 4292 4375 4409 4180

4000

LEE

LEON MANATEE MARION

4366 4186 4017 4476 4414

100109 ADVENTHEALTH SEBRING

100069 ADVENTHEALTH CARROLLWOOD

100259 HCA FLORIDA SOUTH SHORE HOSPITAL

100206 HCA FLORIDA SOUTH TAMPA HOSPITAL

100132 SOUTH FLORIDA BAPTIST HOSPITAL

2396010 ST JOSEPHS

0

HOSPITAL NORTH

2396010 ST JOSEPHS

5

HOSPITAL SOUTH

100217 SEBASTIAN RIVER MEDICAL CENTER

100057 ADVENTHEALTH WATERMAN

100051 ORLANDO HEALTH SOUTH LAKE HOSPITAL

100084 UF HEALTH LEESBURG HOSPITAL

100244 CAPE CORAL HOSPITAL

100012 LEE MEMORIAL HOSPITAL

100254 HCA FLORIDA CAPITAL HOSPITAL

2396004 LAKEWOOD RANCH

6

MEDICAL CENTER

100062 ADVENTHEALTH OCALA

4200 SUN N LAKE BLVD

SEBRING

7171 N DALE MABRY TAMPA HWY

4016 SUN CITY CENTER BLVD

SUN CITY CENTER

2901 W SWANN AVE TAMPA

301 N ALEXANDER ST

4211 VAN DYKE RD

PLANT CITY LUTZ

6901 SIMMONS LOOP

RIVERVIEW

13695 US HIGHWAY SEBASTIAN 1

1000 WATERMAN WAY

TAVARES

1900 DON WICKHAM CLERMONT DR

600 E DIXIE AVE

LEESBURG

636 DEL PRADO BLVD

2776 CLEVELAND AVE

2626 CAPITAL MEDICAL BLVD

8330 LAKEWOOD RANCH BLVD

1500 SW 1ST AVE

CAPE CORAL FORT MYERS TALLAHASSEE BRADENTON OCALA

33872 33614 33573

33609

33563 33558 33578 329583230 32778 34711

347485925 33990 33901 32308 34202 34471

PROVIDER PHONE NUMBER

(863) 314-4466 (813) 932-2222 (813) 634-3301

(813) 873-6450

(813) 757-1200 (813) 443-7000 (813) 302-8001 (772) 589-3186 (352) 253-3333 (352) 394-4071

(352) 323-5001

(239) 424-2000 (239) 343-2000 (850) 325-5017 (941) 782-2100 (352) 351-7200

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

DNVGL DNVGL DNVGL JC JC JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

JC

Primary Stroke

Center

DNVGL DNVGL DNVGL JC JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

PROGRAM EFFECTIVE

DATE 8/10/2010 11/8/2013 4/23/2009

5/6/2015

10/15/2009 5/8/2013 7/1/2016

8/16/2023 8/7/2008 6/1/2018

10/23/2018

9/9/2013 12/6/2021 9/30/2007 5/25/2006 3/21/2006

Hospital Stroke Programs Report

Page 3 of 7

COUNTY MARION MARTIN MIAMI-DADE

MONROE OKALOOSA OKEECHOBEE

AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

4001

4102 4102 4384 3998 3998 4065 4033 4347 4074

4505 4302 4363 4320

2396003 HCA FLORIDA WEST 4600 SW 46TH

9

MARION HOSPITAL COURT

A PART OF HCA FL

OCALA HOSPITAL

OCALA

34474

100044 CLEVELAND CLINIC 200 SE HOSPITAL

MARTIN NORTH

AVE

HOSPITAL

STUART

34994

120009 CLEVELAND CLINIC 2100 SE SALERNO

MARTIN SOUTH

RD

HOSPITAL

STUART

34997

100061 HCA FLORIDA

3663 S MIAMI AVE

MERCY HOSPITAL

MIAMI

331334253

100114 JACKSON NORTH 160 NW 170TH ST MEDICAL CENTER

NORTH MIAMI 33169 BEACH

100208 JACKSON SOUTH 9333 SW 152ND ST MIAMI MEDICAL CENTER

33157

100050 LARKIN COMMUNITY 1475 W 49TH PL HOSPITAL PALM SPRINGS CAMPUS

HIALEAH

33012

100154 SOUTH MIAMI HOSPITAL

6200 SW 73RD ST MIAMI

33143

100053 STEWARD HIALEAH 651 E 25TH ST HOSPITAL

HIALEAH

33013

100009

UNIVERSITY OF MIAMI HOSPITAL AND CLINICSUHEALTH TOWER

1400 NW 12TH AVE MIAMI

331361003

2396006 WEST KENDALL

9555 SW 162ND AVE MIAMI

4

BAPTIST HOSPITAL

331966408

100195 LOWER KEYS

5900 COLLEGE RD KEY WEST

MEDICAL CENTER

33040

100223 HCA FLORIDA FORT 1000 MAR-WALT DR FORT WALTON 32547

WALTON-DESTIN

BEACH

HOSPITAL

100252 HCA FLORIDA RAULERSON HOSPITAL

1796 HWY 441 NORTH

OKEECHOBEE 34972

PROVIDER PHONE NUMBER

(352) 291-3000

(772) 287-5200

(772) 223-2300

(305) 854-4400 (305) 651-1100 (305) 251-2500 (305) 558-2500

(786) 662-4000 (305) 693-6100 (305) 325-5511

(786) 467-2011 (305) 294-5531 (850) 862-1111

(863) 763-2151

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

PROGRAM EFFECTIVE

DATE 12/7/2007

11/7/2007

5/4/2009

6/28/2007 8/13/2008 8/25/2017

4/1/2021

9/22/2021 2/8/2020

9/28/2011

3/9/2022 4/27/2020 3/24/2008

7/10/2021

Hospital Stroke Programs Report

Page 4 of 7

COUNTY ORANGE

OSCEOLA PALM BEACH

PASCO

AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

4369 4369 4369 4119

4393

4369 4452 4452 4368

4164

4127

3935 4508 4445 4400

120003 ADVENTHEALTH APOPKA

2100 OCOEE APOPKA RD

APOPKA

32703

100021 ADVENTHEALTH EAST ORLANDO

7727 LAKE UNDERHILL RD

ORLANDO

32822

100162 ADVENTHEALTH WINTER PARK

200 N LAKEMONT AVE

WINTER PARK 32792

100030 ORLANDO HEALTH - 10000 W COLONIAL OCOEE HEALTH CENTRAL DR HOSPITAL

34761

120002 ORLANDO HEALTH 9400 TURKEY LAKE ORLANDO

DR P PHILLIPS

RD

HOSPITAL

32819

100089 ADVENTHEALTH KISSIMMEE

2450 N ORANGE BLOSSOM TRL

KISSIMMEE

34744

100002 BETHESDA HOSPITAL EAST

2815 S SEACREST BOYNTON

BLVD

BEACH

33435

2396009 BETHESDA

8

HOSPITAL WEST

9655 W BOYNTON BOYNTON

BEACH BLVD

BEACH

33472

100234

HCA FLORIDA JFK 2201 45TH ST NORTH HOSPITAL A PART OF HCA FLORIDA JFK HOSP

WEST PALM BEACH

33407

110006 HCA FLORIDA PALMS WEST HOSPITAL

13001 SOUTHERN LOXAHATCHEE 33470 BLVD

100176 PALM BEACH

3360 BURNS RD

GARDENS MEDICAL

CENTER

PALM BEACH 33410 GARDENS

100211 ADVENTHEALTH DADE CITY

13100 FORT KING RD DADE CITY

33525

2396009 ADVENTHEALTH

9

WESLEY CHAPEL

2600 BRUCE B DOWNS BLVD

WESLEY CHAPEL

33544

100046 ADVENTHEALTH ZEPHYRHILLS

7050 GALL BLVD

ZEPHYRHILLS 335411347

100191 HCA FLORIDA

9330 SR 54

TRINITY HOSPITAL

TRINITY

34655

PROVIDER PHONE NUMBER

(407) 609-7000 (407) 303-8110 (407) 646-7000 (407) 296-1000

(407) 351-8500

(407) 846-4343 (561) 292-4895 (561) 336-7000 (561) 842-6141

(561) 798-3300

(561) 622-1411

(352) 521-1100 (813) 929-5000 (813) 788-0411 (727) 834-4900

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

DNVGL DNVGL DNVGL JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

JC

Primary Stroke

Center

DNVGL JC JC JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

JC

JC

JC DNVGL JC JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center Primary Stroke Center Primary Stroke Center Primary Stroke Center

PROGRAM EFFECTIVE

DATE 12/16/2020 12/18/2020

8/18/2021 10/16/2021

7/30/2021

7/26/2019 10/10/2007

1/24/2013 10/24/2007

11/17/2010

12/19/2008

11/20/2009 12/7/2012 1/20/2015 12/5/2007

Hospital Stroke Programs Report

Page 5 of 7

COUNTY PASCO PINELLAS

POLK PUTNAM SANTA ROSA SARASOTA

AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

4216 4333 4398 4317 3942 4378 4378 4215 4385 4350 4456 4401 4307

4536

100063 MORTON PLANT NORTH BAY HOSPITAL

6600 MADISON ST NEW PORT RICHEY

34652

100055 ADVENTHEALTH

1395 S PINELLAS

NORTH PINELLAS AVE

TARPON SPRINGS

34689

100248 HCA FLORIDA

201 14TH ST SW

LARGO HOSPITAL

LARGO

33770

100126 HCA FLORIDA PASADENA HOSPITAL

1501 PASADENA AVE SAINT

33707

S

PETERSBURG

100180 HCA FLORIDA ST PETERSBURG HOSPITAL

6500 38TH AVE N

SAINT

33710

PETERSBURG

110001 MEASE COUNTRYSIDE HOSPITAL

3231 MCMULLEN BOOTH RD

SAFETY HARBOR

34695

100043 MEASE DUNEDIN HOSPITAL

601 MAIN ST

DUNEDIN

34698

100067 ST ANTHONYS HOSPITAL

1200 SEVENTH AVE SAINT

33705

N

PETERSBURG

100137 ADVENTHEALTH

40100 HIGHWAY 27 DAVENPORT 33837

HEART OF FLORIDA

100232 HCA FLORIDA

611 ZEAGLER DR

PUTNAM HOSPITAL

PALATKA

32177

110003 GULF BREEZE HOSPITAL

1110 GULF BREEZE GULF BREEZE 32561 PKWY

110004 HCA FLORIDA ENGLEWOOD HOSPITAL

700 MEDICAL BLVD ENGLEWOOD 34223

100166

HCA FLORIDA SARASOTA DOCTORS HOSPITAL

5731 BEE RIDGE RD SARASOTA

34233

2396016 Sarasota Memorial

1

Hospital - Venice

2600 Laurel Rd E

NORTH VENICE 34275

PROVIDER PHONE NUMBER

(727) 842-8468

(727) 942-5000 (727) 588-5200 (727) 381-1000

(727) 384-1414

(727) 725-6111

(727) 733-1111 (727) 825-1100 (863) 422-4971 (386) 328-5711 (850) 934-2000 (941) 475-6571

(941) 342-1100

(941) 261-9000

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

DNVGL

Primary Stroke Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

DNVGL

Primary Stroke Center

DNVGL DNVGL JC

DNVGL JC

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

Primary Stroke Center

JC

Primary Stroke

Center

DNVGL

Primary Stroke Center

PROGRAM EFFECTIVE

DATE 9/13/2006

6/11/2021 7/24/2006 10/30/2008

9/19/2007

9/16/2006

9/16/2006 1/23/2006 10/22/2008

6/1/2023 7/12/2013 6/28/2012

11/18/2006

4/1/2022

Hospital Stroke Programs Report

Page 6 of 7

COUNTY SEMINOLE

ST. JOHNS ST. LUCIE SUMTER VOLUSIA

AGENCY FOR HEALTHCARE ADMINISTRATION

12/1/2023 12:30 PM

HOSPITAL STROKE PROGRAMS REPORT

Primary Stroke Center: 98

LIC NBR FILE NBR

PROVIDER NAME

ADDRESS

CITY

ZIP

4369

4032 4393

3665 4193 4464 4436 4408 4054

120004 ADVENTHEALTH ALTAMONTE SPRINGS

601 E ALTAMONTE ALTAMONTE

DR

SPRINGS

100161 HCA FLORIDA LAKE 1401 W SEMINOLE SANFORD MONROE HOSPITAL BLVD

100263 ORLANDO HEALTH 555 W STATE RD 434 LONGWOOD SOUTH SEMINOLE HOSPITAL

100219 FLAGLER HOSPITAL 400 HEALTH PARK SAINT

BLVD

AUGUSTINE

100260 HCA FLORIDA ST LUCIE HOSPITAL

1800 SE TIFFANY AVE

PORT SAINT LUCIE

2396003 UF HEALTH THE

1451 EL CAMINO

2

VILLAGES HOSPITAL REAL

THE VILLAGES

100045 ADVENTHEALTH DELAND

701 W PLYMOUTH DELAND AVE

100072 ADVENTHEALTH FISH MEMORIAL

1055 SAXON BLVD ORANGE CITY

100014 ADVENTHEALTH NEW SMYRNA BEACH

401 PALMETTO ST NEW SMYRNA BEACH

32701

32771 32750

32086 34952 32159 32720 32763 32168

PROVIDER PHONE NUMBER

(407) 303-2200

(407) 321-4500 (407) 767-1200

(904) 819-5155 (772) 398-3100 (352) 323-5001 (386) 943-4522 (386) 917-5000 (386) 424-5100

QUALIFYING

PROGRAM

ORGANIZATION

TYPE

DNVGL

Primary Stroke Center

AHCA JC

Primary Stroke Center

Primary Stroke Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

JC

Primary Stroke

Center

PROGRAM EFFECTIVE

DATE 10/27/2020

1/12/2023 7/24/2009

4/28/2018 5/3/2019

10/24/2018 7/5/2011

6/18/2007 7/19/2010

Hospital Stroke Programs Report

Page 7 of 7

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