The Agency for Health Care Administration / Profit Corporation Limited Liability Company Partnership / Agency for Persons / Agency for Health Care Administration Case / TITLE NAME TELEPHONE NUMBER E-MAIL / F.S. Laboratory / /
Department of State / Department of Financial Services / Joint Commission American Association for Accreditation of Ambulatory Surgery Facilities / American Osteopathic Association / State Division of Corporations / Licensee AUTHORITY / officers of Licensee / Ambulatory Surgical Center / Bureau of Plans and Construction / Outpatient Services Unit / Department of Health / Accreditation Association for Ambulatory Health Care / Division of Corporations / Medicare / / /
Position
Financial Officer / board member / Patient Safety Officer / Risk Manager / A. General Information Bed Capacity Number / Administrator and Financial Officer / Administrator / Financial Officer / Risk Manager / Administrator / Administrator /Managing Employee Financial Officer / Director BUSINESS ADDRESS TELEPHONE NUMBER /CEO President Vice President Secretary Treasurer / officer / Florida Secretary / Administrative Contractor / /
APPLICATION CHECKLIST Health Care Licensing Application AMBULATORY SURGICAL CENTER Applicants must include the following attachments as stated in Chapters 408, Part II, and 395, Florida Statutes (F.S.), and Chapters 59A-