Florida Department of State and Division of Library and Information Services

Reference: Ref-04487

Reference Name: Health Care Licensing Application, Health Care Services Pool, AHCA form 3110-1010, July 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
8/4/2014 This is required for application for licensure as a Health Care Services Pool
Modified Document(s): No Modified document(s).
Description: This is required for application for licensure as a Health Care Services Pool

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-27.002 		Registration and Change in Registration Information 14924049 Effective:
08/28/2014



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