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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)
Email George.Greene1@healthtrustpg.com Email 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