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HCA Order Form |
Division | North Florida Division | ||
Site/Hospital | Ocala Regional Med Ctr | ||
Billing | Delivery | ||
Name | dan.fran@hcahealthcare.com | Name | Sarah Hogan (Clinical Education Team) |
George.Greene1@healthtrustpg.com | Sarah.Hogan2@HCAhealthcare.com | ||
Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 40 SW 12th St. Suite 102-B |
Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
Address Line 3 | Suite 1100 | Address Line 3 | |
City | Nashville | City | Ocala |
State | TN | State | FL |
ZIP | 37203 | ZIP | 34471 |
Items to Order | |||
Code | Description | Quantity | Total ($) |
A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 4 | $61.52 |
Sub-Total | $61.52 |