Florida Department of State and Division of Library and Information Services

Reference: Ref-04452

Reference Name: Health Care Licensing Application, Ambulatory Surgical Centers, AHCA Form 3130-2001 July 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
7/17/2014 This form is required for application for licensure as an Ambulatory Surgical Center
Modified Document(s): No Modified document(s).
Description: This form is required for application for licensure as an Ambulatory Surgical Center

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-5.003 		Licensure Procedure 15007372 Effective:
09/17/2014



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