Florida Department of State and Division of Library and Information Services

Reference: Ref-04946

Reference Name: Application for Exemption from Licensure as a Health Care Clinic, AHCA Form 3110-0014, July 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s): No Modified document(s).
Adopted Document(s):
1/9/2015 Application form used to apply for a certificate of exemption from licensure as a health care clinic.
Proposed Document(s):
1/7/2015 Application form used to apply for a certificate of exemption from licensure as a health care clinic.
Description: Application form used to apply for a certificate of exemption from licensure as a health care clinic.

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-33.006 		Certificates of Exemption and Exempt Status 15590051 Effective:
02/12/2015



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