Purchase Order Information

Summary

Agency Name: DEPARTMENT OF HEALTH	Purchase Order Number: C76C3D
Purchase Order Title: 643652 -BO FY 2026-2027 - LEAVITT MEDICAL ASSOC OF FL INC dba ADVANCED DERM TJ	Vendor Name: LEAVITT MEDICAL ASSOCIATES OF F
Total Purchase Order Amount: $42,500.00	Total Budgetary Amount: $42,500.00
Total Payment To Date: $2,328.13	Order Date: 07/01/2026

Details
Deliverables
Payments
Documents

Main Information

Purchase Order Number: C76C3D

Purchase Order Status: Ordered

Order Date: 07/01/2026

Purchase Order Beginning Date: 07/01/2026

Purchase Order Ending Date: 06/30/2027

Purchase Order Fiscal Year: 2026-2027

Purchase Order Title: 643652 -BO FY 2026-2027 - LEAVITT MEDICAL ASSOC OF FL INC dba ADVANCED DERM TJ

Vendor Information

Name Line 1: LEAVITT MEDICAL ASSOCIATES OF F

Name Line 2:

City State Zip: MAITLAND FL 327510000

Minority Vendor Designation: Non-Minority

Budget Information

Total Purchase Order Amount: $42,500.00

Total Budgetary Amount: $42,500.00

Download Budget Information

Budgetary Amount	Account Code	FY
$42,500.00	64-20-2-141001-64200700-52-100777-00	2026-2027

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LINE ITEM NUMBER

COMMODITY TYPE

STATE TERM CONTRACT ID

AGENCY SOLICITATION NUMBER

Quantity

Unit Price

Total Unit Price

Anesthesiology and resuscitation service

42500.0000

$1.0000

$42,500.00

Compensation: Payments under this Agreement will be on a reimbursement basis for covered services at 86% of Medicare rates for Specialty Provider professional services. Also, services for Ancillary, I...

Line Item Description: Compensation: Payments under this Agreement will be on a reimbursement basis for covered services at 86% of Medicare rates for Specialty Provider professional services. Also, services for Ancillary, Imaging and (J) codes will be reimbursed at 101% of Medicaid rates following Medicaid guidelines and limits. Initial Purchase Order amount may be increased according to reimbursement needs. Authorized by Dr. U. Choe. Provide services to clients based on Current Procedural Terminology (CPT) codes. The prices in our HMS system are fixed and can be found at the websites: medicare.fcso.com.url and http://ahca.myflorida.com/ for Medicaid. Purchase order necessary to cover Specialty Care medical services for clients to aid with the Department of Health mission To protect, promote & improve the health of all people in Florida through integrated state, county and community efforts.

Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.]

Line Split Details:

Split Accounting Line Number: 1

FLAIR Contract ID:

Org. Code and Description: 64365277237 -

Object Code and Description: 132012 -

Account Code: 64-20-2-141001-64200700-52-100777-00

Split Amount: $42,500.00

Displaying 1 to 1 of 1

Payments, also known as expenditures, refer to the creation or incurrence of a legal obligation to disburse money. They also encompass disbursements, which are the actual payments of expenditures, as well as accounting adjustments made on a contract. Payments always reflect positive amounts, whereas accounting adjustments may be positive or negative, depending on the nature of the adjustment. Not all adjustments are reflected in FACTS.

Payment Details

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"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued. An agency may have recorded payments associated with a contract on both a Contract and a Purchase Orders in FACTS.

Fiscal Year

Total Amount

2026-2027

$2,328.13

If a payment or adjustment to a purchase order was made before July 1, 2013, the information may not be posted in this system.

Purchase Order Document

No Purchase document records found for this purchase order.