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STATE AGENCY ACTION REPORT CON APPLICATION FOR CERTIFICATE OF NEED A. PROJECT IDENTIFICATION 1. Applicant/CON Action Number: Hands Jacksonville Medical Center, Inc. d/b/a OF Health Jacksonville/CON
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Start by collecting all necessary personal information such as name, date of birth, address, phone number, and emergency contact details. This information is crucial for proper identification and communication purposes.
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Shands Jacksonville Medical Center is a hospital located in Jacksonville, Florida.
Healthcare facilities and providers operating within the jurisdiction.
The form can be filled out electronically or manually, providing all required information accurately.
The purpose is to report healthcare data and statistics for regulatory and informational purposes.
Patient demographics, diagnoses, treatments, outcomes, and other relevant medical information.
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