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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 |
George.Greene1@healthtrustpg.com | 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 |