10-000417MPI
Agency For Health Care Administration vs.
Dr. Conchita Jackson
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Monday, May 3, 2010.
Settled and/or Dismissed prior to entry of RO/FO on Monday, May 3, 2010.
1FILED
2STATE OF FLORIDA AHCA
6DIVISION OF ADMINISTRATIVE HEARINGS AGENCY CLERK
12STATE OF FLORIDA 2010 JUN I U A 8 25
22AGENCY FOR HEALTH CARE
26ADMINISTRATION
27Petitioner
28vs CASE NO 10 0417MPI
33Audit No 10 1058 200
38CONCHITA JACKSON M D Provider No 271096000
45Fla License ME91449
48Respondent
49FINAL ORDER
51THIS CAUSE is before me for issuance of a Final Order In a letter dated
66December 28 2009 Conchita Jackson M D Respondent was informed that the State of
80Florida Agency for Health Care Administration Agency was seeking a 500 00 fine for
94violation of Rule 59G 9 070 7 e F A C
105On January 21 2010 the Respondent requested a Formal Administrative Hearing
116The request was forwarded to the Division of Administrative Hearings DOAH on
128January 27 2010 by the Agency and assigned to an Administrative Law Judge ALF
142On April 30 2010 the Respondent withdrew the hearing request and agreed to
155pay the 500 00 fine
160On May 3 2010 the ALJ issued an Order Closing File based on the Respondent s
176correspondence dated April 30 2010 withdrawing her hearing request
185ORDER
186BASED on the forgoing it is ORDERED and ADJUDGED that Respondent
197submit payment in form of a certified check in the amount of 500 00 in accordance with
214Section 409 913 Florida Statutes and Rule 59G 9 070 Florida Administrative Code
227Respondent shall make payment in full within 30 days of the rendition of this
241final order
243w
244DONE and ORDERED this q day of 1 twrQ 2010 in Tallahassee
256Florida
257Thomas W Arnold Secretar
261Agency for Health Care Administration
266A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS
277ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY
287FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK
299OF AHCA AND A SECOND COPY ALONG WITH FILING FEE AS
310PRESCRIBED BY LAW WITH THE DISTRICT COURT OF APPEAL IN THE
321APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS
328HEADQUARTERS OR WHERE A PARTY RESIDES REVIEW PROCEEDINGS
336SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA
344APPELLATE RULES THE NOTICE OF APPEAL MUST BE FILED WITHIN
35430 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED
364Copies furnished to
367June C McKinney
370Administrative Law Judge
373Division of Administrative Hearings
377The DeSoto Building
3801230 Apalachee Parkway
383Tallahassee Florida 32399 3060
387Conchita Jackson M D
391881 East 2nd Avenue
395Hialeah Florida 33010
398Karen Dexter
400Assistant General Counsel
403Agency for Health Care Administration
4082727 Mahan Drive MS 3
413Tallahassee Florida 32308
416Laserfiche
417Horace Dozier
419Field Office Manager
422Office of Inspector General Medical Program Integrity
429Interoffice mail
431Finance Accounting
433Interoffice mail
435Health Quality Assurance
438E Mail
440Department of Health
443E mail
445CERTIFICATE OF SERVICE
448I HEREBY CERTIFY that a true and correct copy of the foregoing has been
462served onthe above named persons by Electronic Mail or Laserfiche as indicated on this
476the e day of 2010
481Richard Shoop Agency Clerk
485State of Florida
488Agency for Health Care Administration
4932727 Mahan Drive Building 3
498Tallahassee Florida 32308 5403
502850 5873 922
- Date
- Proceedings
- PDF:
- Date: 05/10/2010
- Proceedings: Transmittal letter from Claudia Llado forwarding Petitioner's pre-filed exhibits, to the agency.
- PDF:
- Date: 04/30/2010
- Proceedings: Letter to Judge McKinney from C.Jackson regarding sanctions filed.
- PDF:
- Date: 04/29/2010
- Proceedings: Petitioner's Second Amended Exhibit List (exhibits not attached) filed.
- PDF:
- Date: 04/21/2010
- Proceedings: Petitioner's Exhibits (exhibits not available for viewing) filed.
- PDF:
- Date: 04/21/2010
- Proceedings: Order Granting Continuance and Re-scheduling Hearing by Video Teleconference (hearing set for May 5, 2010; 1:00 p.m.; Miami and Tallahassee, FL).
- Date: 04/21/2010
- Proceedings: CASE STATUS: Hearing Partially Held; continued to May 5, 2010; 1:00 p.m., Miami, FL.
Case Information
- Judge:
- JUNE C. MCKINNEY
- Date Filed:
- 01/27/2010
- Date Assignment:
- 01/28/2010
- Last Docket Entry:
- 06/15/2010
- Location:
- Miami, Florida
- District:
- Southern
- Agency:
- Other
- Suffix:
- MPI
Counsels
-
Karen Dexter, Esquire
Address of Record -
Dr. Conchita Jackson
Address of Record -
Conchita Jackson
Address of Record