Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | West Florida Division | ||
| Site/Hospital | HCA Center for Clinical Advancement | ||
| Billing | Delivery | ||
| Name | amy.vo@hcahealthcare.com | Name | Matt Moore |
| George.Greene1@healthtrustpg.com | Charles.Moore@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 560 S. Lakewood Dr. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Ste 210 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Brandon |
| State | TN | State | FL |
| ZIP | 37203 | ZIP | 33511 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| [980] | Brayden Baby/Infant Replacement Airway Tube (single) | 50 | $151.50 |
| [980] | Brayden Baby/Infant Replacement Lung (single) | 40 | $396.80 |
| [980] | Brayden Baby/Infant Artificial Lung Air Guide | 30 | $49.80 |
| Sub-Total | $598.10 | ||