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HCA Order Form
Division North Florida Division
Site/Hospital Twin Cities Hospital
Billing Delivery
Name dan.fran@hcahealthcare.com Name Dee West – Nursing Education
Email George.Greene1@healthtrustpg.com Email Dee.West@HCAHealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 2190 Hwy 85 N.
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Niceville
State TN State FL
ZIP 37203 ZIP 32578
Items to Order
Code Description Quantity Total ($)
A99003 Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug 1 $14.65
  Sub-Total $14.65