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Final Order No. DOH180419MQASTATE OF FLORIDA BOARD OF MEDICINEFILED DATE.,9 Department of Heal that) 18B: epulyAClerDEPARTMENT OF HEALTH, Petitioner, DOH CASE NO.: 201702083 LICENSE NO.: ME0064640
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04
Provide the details of the healthcare facility or provider where the patient received the medical service.
05
Specify the dates of service and the type of medical service received.
06
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07
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Doh-18-0419 is typically needed by individuals or patients who have received medical services and are required to provide details about those services. This form is often used for documentation, reporting, or billing purposes by healthcare facilities, insurance companies, government agencies, or other relevant organizations.
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What is doh-18-0419?
doh-18-0419 is a form used by the Department of Health for reporting certain healthcare information.
Who is required to file doh-18-0419?
Healthcare facilities and providers are required to file doh-18-0419.
How to fill out doh-18-0419?
doh-18-0419 can be filled out online or submitted via mail. It requires specific healthcare information to be reported.
What is the purpose of doh-18-0419?
The purpose of doh-18-0419 is to gather important healthcare data for analysis and regulatory purposes.
What information must be reported on doh-18-0419?
doh-18-0419 requires information such as patient demographics, medical procedures, and outcomes.
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