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STATE OF FLORIDA
BOARD OF MEDICINEFinal Order No. DOH120674FILED DAT
Deputy Agency ClerkDEPARTMENT OF HEALTH,
Petitioner,
VS.DOH CASE NO.: 200809013
LICENSE NO.: ME0085585
ROGER BASIN, M.D.,
Respondent.
/
FINAL
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What is doh-12-0674filed dat?
doh-12-0674filed dat is a specific form that needs to be filled out and submitted to the Department of Health.
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Healthcare providers and facilities are required to file doh-12-0674filed dat.
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Information such as patient demographics, treatment received, and outcome must be reported on doh-12-0674filed dat.
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