Long-Term Care Ombudsman Council Request For Review Of Nursing Home Discharge Or Transfer Page 2
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3LONG-TERM CARE OMBUDSMAN COUNCIL DISTRICT OFFICE
1-888-831-0404 (Revised 11/2010)
NORTHWEST FLORIDA - 01
MID & SOUTH PINELLAS - 06
Quietwater Business Park, #119
11351 Ulmerton Road, Suite 303
1101 Gulf Breeze Parkway
Largo, FL 33778
Gulf Breeze, FL 32561
727-588-6912
850-916-6720
Fax: 727-588-3648
Fax: 850-916-6722
Serving: Mid & South Pinellas (Belleair Rd. in
Clearwater + South) – PSA 5
Serving: Escambia, Santa Rosa, Okaloosa, &
Walton – PSA 1
PASCO & NORTH PINELLAS - 07
2523 Seven Springs Blvd
PANHANDLE - 02
2002 Old St. Augustine Road, E49
New Port Richey, FL 34655
Tallahassee, FL 32301
727-376-2788
850-921-4703
Fax: 727-376-3443
Fax: 850-921-4804
Serving: Pasco & North Pinellas (north of
Belleair Rd. in Clearwater) – PSA 5
Serving: Holmes, Jackson, Washington, Bay,
Calhoun, Gadsden, Liberty, Gulf, Franklin,
Leon, Madison, Taylor, Jefferson, & Wakulla -
WEST CENTRAL FLORIDA - 08
701 W Fletcher Avenue, Suite C
PSA 2
Tampa, FL 33612
813-558-5591
NORTH CENTRAL FLORIDA - 03
th
3801 NW 40
Terrace, Suite A
Fax: 813-375-3932
Serving: Hillsborough and Manatee – PSA 6
Gainesville, FL 32606-6183
352-955-5015
Fax: 352-334-1695
EAST CENTRAL FLORIDA - 09
Serving: Hamilton, Suwannee, Columbia,
988 Woodcock Road, Suite 198
Lafayette, Dixie, Levy, Union, Putnam, Alachua,
Orlando, FL 32803
Bradford, & Gilchrist – PSA 3
407-228-7752
Fax: 407-228-7754
WITHLACOOCHEE AREA - 04
Serving: Orange, Seminole, Brevard, &
Osceola – PSA 7
1515 E Silver Springs Blvd., #203
Ocala, FL 34470
352-620-3088
SOUTHWEST FLORIDA - 10
Fax: 352-732-1797
2295 Victoria Ave. Room 152
Ft. Myers, FL 33901
Serving: Marion, Citrus, Hernando, Sumter, &
Lake – PSA 3
239-338-2563
Fax: 239-338-2549
FIRST COAST - 05
Serving: Sarasota, Desoto, Charlotte,
Glades, Lee, Hendry, & Collier – PSA 8
Midtown Center Office Center Park, #3300
4161 Carmichael Avenue, Suite 141
Jacksonville, FL 32207
PALM BEACH COUNTY - 11
904-391-3942
111 S. Sapodilla Avenue #125A-B-C
Fax: 904-391-3944
West Palm Beach, FL 33401
561-837-5038
Serving: Nassau, Baker, Duval, Clay, & St.
Fax: 561-650-6885
Johns PSA 4
Serving: Palm Beach County – PSA 9
AHCA Form 3120-0004 Nov. 2010
AHCA LTC, 2727 Mahan Dr, MS 33, Tallahassee, FL 32308 (850) 412-4303
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