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HCA Order Form
Division North Florida Division
Site/Hospital Osceola Regional Med Ctr
Billing Delivery
Name dan.fran@hcahealthcare.com Name Stacy Russo – Nursing Education
Email George.Greene1@healthtrustpg.com Email Stacy.Russo@HCAhealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 700 Wesdt Oak St.
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Kissimmee
State TN State FL
ZIP 37203 ZIP 34741
Items to Order
Code Description Quantity Total ($)
S17011 Brayden Baby/Infant Artificial Lung Air Guide 10 $15.80
$0.00
  Sub-Total $15.80