12-001219MPI Agency For Health Care Administration vs. Elsa Pharmacy, Inc. Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, June 7, 2012.

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STATE OF FLORIDA Y CLERK A

AGENCY FOR HEALTH CARE ADMINISTRATION

1011 JUL -5A 8: 21

STATE OF FLORIDA, AGENCY FOR

HEAL TH CARE ADMINISTRATION,

Petitioner,

vs. CASE NO: 12-1219MPI

AUDIT NO: CI 12-1049-000

PROVIDER NO: 104286600

LICENSE NO: PH416

NPI NO: 1639243074

RENDITION NO.: AHCA-12-0c.v'i{L{ -S-MDO

ELSA PHARMACY, INC.,

Respondent.

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FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The

parties are directed to comply with the terms of the attached settlement agreement. Based on the

foregoing, this file is CLOSED.

DONE and ORDERED on this the of H , 2012, III

Tallahassee, Florida.

Filed July 5, 2012 1:31 PM Division of Administrative Hearings

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED

TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY

OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A

SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE

DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE

AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES.

REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE

FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED

WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Copies Furnished to:

Christopher A. Parrella Mike Blackburn, Bureau Chief

The Health Law Office of Anthony Medicaid Program Integrity

C. Vitale, P.A. 2727 Mahan Drive

2333 Brickell Avenue, Suite A-I Building 2, Mail Station 6

Miami, Florida 32129 Tallahassee, Florida 32308

(Via U.S. Mail) (Electronic Mail)

Julio 1. Martin Cathy M. Sellers

Elsa Pharmacy, Inc. Administrative Law Judge

555 East 25 th Street Division of Administrative Hearings

Hialeah, Florida 33013 The Desoto Building

1230 Apalachee Parkway

Jamie L. Jackson, Esquire Tallahassee, Florida 32399-3060

Agency for Health Care Administration (Via U.S. Mail)

(Electronic Mail)

Inspector General Finance & Accounting

(Electronic Mail) (Electronic Mail)

Health Quality Assurance Gordon McCleary

(Electronic Mail) (Electronic Mail)

Department of Health

(Electronic Mail)

•

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing document has been

furnished to the person(s) named the above by the indicated means of delivery, on this

of-:-..----'--")<-=7-=--=---¥- '="">

Richard S oop, EsqUIre

Agency Clerk

Agency for Health Care Administration

2727 Mahan Drive

Building 3, Mail Station 3

Tallahassee, Florida 32308

Telephone: [phone]

Fax: [phone]