Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | North Florida Division | ||
| Site/Hospital | Lake City Med Ctr | ||
| Billing | Delivery | ||
| Name | dan.fran@hcahealthcare.com | Name | Ashley Welch – Clinical Education Team |
| George.Greene1@healthtrustpg.com | Laura.Welch@HCAhealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 340 NW Commerce Dr. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Clinical Education Team |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Lake City |
| State | TN | State | FL |
| ZIP | 37203 | ZIP | 32055 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 1 | $14.65 |
| S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 4 | $11.56 |
| Sub-Total | $26.21 | ||