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  Ref-04946 Application for Exemption from Licensure as a Health Care Clinic, AHCA Form 3110-0014, July 2014  

 
FINAL AHCA 3110-0014 Health Care Clinic Exemption July 2014.docx
Application form used to apply for a certificate of exemption from licensure as a health care clinic.   1/7/2015
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Agency:

Agency for Health Care Administration
59A. Health Facility and Agency Licensing

Description:

Application form used to apply for a certificate of exemption from licensure as a health care clinic.

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