Reference: Ref-12123
| Reference Name: | Annual Report, AHCA Form 3140-5005 OL, May 2018 |
| Agency: | 59 Agency for Health Care Administration 59A Health Facility and Agency Licensing |
| Original Document(s): |
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| Modified Document(s): | No Modified document(s). | |||||
| Description: | Online annual report form for use by Hospitals and ambulatory surgical centers. | |||||
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference Material| Notice / Adopted |
Description | ID | Publish Date |
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|---|---|---|---|---|
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Reporting Requirements; Electronic Submission | 25038724 |
Effective: 10/04/2021 |
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Reporting Requirements; Electronic Submission | 24115866 |
Effective: 02/02/2021 |
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