Florida Department of State and Division of Library and Information Services

Reference: Ref-06268

Reference Name: Birth Center Annual Report, AHCA Form 3130-3004
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s):
7/22/2016 A correction was made to the form section numbering. Section number 6 was relabeled section 5.
12/9/2016 Updated unused fax number to Agency's current fax number.
Original Document(s):
12/11/2015 Form used to file a birth center annual report
Description: Form used to file a birth center annual report

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-11.019 		Reports 17228866 Effective:
03/16/2016



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