Florida Department of State and Division of Library and Information Services

Reference: Ref-05268

Reference Name: Home Medical Equipment Provider, Request to Amend License for Change of Name and/or Address, AHCA Form 3110-1020, October 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s): No Modified document(s).
Adopted Document(s):
3/25/2015 Form needed for change of name and/or address for Home Medical Equipment Provider
Proposed Document(s):
3/24/2015 Form needed for change of name and/or address for Home Medical Equipment Provider
Description: Form needed for change of name and/or address for Home Medical Equipment Provider

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-25.002 		Licensure Requirements 15916456 Effective:
05/04/2015



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