MONDAY- JUNE 26, 2023
South Florida Hospital News and Healthcare Report
a Healthcare Media Company Charles Felix
Publisher/ Owner READ THE JUNE 2023 PUBLICATION |
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CARMEL BARRAU, M.D. INSTALLED AS PRESIDENT OF THE DADE COUNTY MEDICAL ASSOCIATION
June 22, 2023 – With families, friends, and colleagues gathered at the JW Marriott for the 2023 Presidential Inauguration, the Dade County Medical Association installed Dr. Carmel Barrau as the 113th President of the organization. The recognition marks a career of service Dr. Barrau has provided to the community and his patients.
Dr. Barrau’s Haitian heritage was honored throughout the evening as attendees experienced the Caribbean Carnival theme with a selection of traditional menu items and drinks and the sound of batucada. The evening culminated with Dr. Barrau, accompanied by his family, being sworn in as the new President of the association by outgoing President, Dr. Rafael Fernandez, Jr.
In his acceptance message, Dr. Barrau emphasized his commitment to work hand-in-hand with health care professionals throughout the community to find solutions to improve the well-being and rights of patients and physicians. Promoting three crucial aspects that form the foundation of medicine: the art and science of medicine, promoting collaboration and communication among our members; the business of medicine, ensuring that everyone in our community has access to the care they need; and the politics of medicine, being a strong advocate for healthcare policy at the local, state, and national level. Dr. Barrau encouraged those in attendance to join him in an effort to accomplish his goals. “To whom much is given, much is expected.”
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DO YOU KNOW WHERE YOUR ELECTRONIC HEALTH RECORDS ARE STORED?
June 22, 2023 – SB 264, signed into law by Governor DeSantis on May 8, 2023, is most notable for the provision that bars citizens of a foreign country of concern who are not lawful US residents from buying agricultural land or property within 10 miles of a military base. While most of the 29-page bill is of little concern to FMA members, tucked in the back is a section that amends the “Florida Electronic Health Records Exchange Act” and affects physicians, hospitals, pharmacies, and most other health care providers.
The key change is the addition of section (3) to the Act, “Security and Storage of Personal Medical Information.” This new language requires health care providers that utilize certified electronic health record technologyi to ensure that all patient information stored in an offsite physical or virtual environment, including through a third-party or subcontracted computing facility or an entity providing cloud computing services, is physically maintained in the continental United States or its territories or Canada.
This requirement to store electronic health records in the US or Canada “applies to all qualified electronic health recordsii that are stored using any technology that can allow information to be electronically retrieved, accessed, or transmitted.”
The amendment to Florida’s Electronic Health Records Exchange Act becomes effective on July 1, 2023. Before then, physicians with a qualified electronic health record system should consult with their vendors to ensure that patient information is not stored outside of the United States, its territories or Canada.
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↓ Additional News Below ↓ |
UPCOMING NETWORKING MEETINGS AND
EDUCATIONAL WEBINARS |
ACHE MEMBERS - 1.5 FACE TO FACE CREDITS WILL BE AVAILABLE AT THE EDUCATION EVENT WITH A FOCUS FOR POST ACUTE HEALTHCARE PROFESSIONALS ON JUNE 29, 2023 SPACE IS LIMITED REGISTER TODAY
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AUGUST 15 2023
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" "So, I Signed a Non-Compete, Now What?""
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UPDATED INFORMATION FROM THE LAST FOUR DAYS IN SOUTH FLORIDA |
BAPTIST HEALTH MIAMI NEUROSCIENCE INSTITUTE NOW OFFERING TRANSCRANIAL MAGNETIC STIMULATION TREATMENT FOR PATIENTS WITH CLINICAL DEPRESSION
June 20, 2023 – Baptist Health Miami Neuroscience Institute is now offering a new treatment for patients suffering from clinical depression. Transcranial Magnetic Stimulation (TMS) is a procedure using magnetic fields to stimulate nerve cells in the brain to improve symptoms of major depression. It is a non-invasive treatment, requiring no sedation or surgery, and delivers targeted personalized doses to the patient allowing optimal therapy.
“TMS gives physicians a new treatment option for patients who may not respond to traditional medications to control their depression,” said Rachel Rohaidy, M.D., a neuropsychiatrist at Miami Neuroscience Institute. “Mental health is important in every stage of life, and we want to make sure anyone who is dealing with a mental illness has access to some of the newest and innovative treatments that can provide patients with a new lease on life.”
The TMS procedure uses pulses of electromagnetic energy to target specific areas of the brain commonly associated with depression. With an MRI scan and the TMS unit’s sophisticated navigation tools, doctors are able to deliver electromagnetic energy to the precise location they target.
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A MINIMALLY INVASIVE APPROACH TO ANKLE FUSIONS ONLY AT MOUNT SINAI MEDICAL CENTER
June 22, 2023 – Dr. Ettore Vulcano, Chief of Orthopedic Surgery and Director, Foot and Ankle Surgery at Mount Sinai Medical Center is once again at the forefront of foot and ankle care. Last week, Dr. Vulcano was a lead author on a published paper on one of the journals of the American Orthopaedic Foot & Ankle Society. The paper outlined a real life study of a minimally invasive approach to ankle fusions.
The study showed a positive outcome for a fully percutaneous ankle fusion.
Ankle fusions are usually done through a very large incision, (up to 6 inches), and are occasionally done arthroscopically, which can be time consuming and prolong surgery time, and therefore time under anesthesia—this is dangerous for certain patient populations.
Dr. Vulcano utilizes a percutaneous “keyhole” approach, where a 2-millimeter incision is made, and through that incision, the ankle is prepared and then fused.
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Dr. Justin Muskovich
HCA FLORIDA ST. LUCIE HOSPITAL CELEBRATES 100 ROBOTIC-ASSISTED PROCEDURES ON ENLARGED PROSTATES
June 15, 2023 – Port St. Lucie, FL – The surgical services team at HCA Florida St. Lucie Hospital recently completed 100 robotic-assisted procedures that treat benign prostatic hyperplasia (BPH.) This health issue is when the prostate and surrounding tissue grow large enough to cause bladder, urinary tract or kidney problems such as weak stream or incomplete emptying.
From left: Nicole Garlinghouse, chief financial officer at HCA Florida St. Lucie Hospital, Michael Barbera, chief operating officer at HCA Florida St. Lucie Hospital, Dr. Justin Muskovich, a urologist affiliated with HCA Florida St. Lucie Hospital, Corey Lovelace, chief executive officer at HCA Florida St. Lucie Hospital, and Dr. Jorge Gonzalez Jirau, chief medical officer at HCA Florida St. Lucie Hospital.
While this was the surgical team’s 100th robotic-assisted procedure using this special technology, half of them were completed by Dr. Justin Muskovich, a urologist affiliated with HCA Florida St. Lucie Hospital, whose 50th procedure also coincided with this occasion.
“We are thrilled to reach this milestone achievement with Dr. Muskovich and the entire surgical team here at St. Lucie. Investing in this state-of-the-art equipment allows our physicians and colleagues to provide an advanced level care to our patients” said Corey Lovelace, chief executive officer of HCA Florida St. Lucie Hospital.
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TENET ANNOUNCES CHIEF FINANCIAL OFFICER TRANSITION
June 23 2023 – — Tenet Healthcare Corporation (NYSE: THC) announced the appointment of Sun Park as Executive Vice President & Chief Financial Officer of the Company, effective January 1, 2024, as part of the Company’s planned Chief Financial Officer transition. Mr. Park will serve as an Executive Vice President of the Company from July 11, 2023 through December 31, 2023.
As previously announced, Dan Cancelmi, Executive Vice President & Chief Financial Officer, will retire at the end of 2023. Mr. Park will succeed Mr. Cancelmi in that capacity and report to Saum Sutaria, M.D., Chief Executive Officer of Tenet.
Mr. Park is an experienced healthcare executive with a track record of driving results. He has strong leadership experience in corporate finance, operational finance, strategy, and corporate development. Most recently, Mr. Park served as Executive Vice President and Group Chief Financial Officer for Pharmaceutical Distribution and Strategic Global Sourcing of AmerisourceBergen. In this role since 2018, he was most recently responsible for commercial and operational finance for all of AmerisourceBergen’s global business units, which represents over $240 billion in annual revenues and serves healthcare providers, manufacturers, and patients. Prior to joining AmerisourceBergen in 2012 to lead Strategy and Development, Mr. Park held progressive leadership roles at several global biotechnology and pharmaceutical companies.
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START-UP NATION CENTRAL JOINS FORCES WITH U.S.-BASED BAPTIST HEALTH SOUTH FLORIDA AND ARC INNOVATION AT SHEBA MEDICAL CENTER TO LAUNCH TECH CHALLENGE ADDRESSING CLINICAL CAPACITY
June 21, 2023 – Start-Up Nation Central (SNC), a non-profit that promotes the Israeli innovation ecosystem around the world, is launching a new initiative that brings together hospitals from Israel and the U.S. to better address health sector challenges with the help of Israeli innovative solutions. This initiative, called Hospital2Hospital, is the result of a partnership with Baptist Health Innovations, part of Baptist Health South Florida, and ARC Innovation at Sheba Medical Center, Israel’s largest medical center and one of world’s best hospitals. These organizations will collaborate to find innovative solutions for improving hospital care delivery and clinical capacity in a cost-effective manner via a tech challenge for emerging startups.
Healthcare providers are confronting increasing demand for services, limited resources and a shortage of skilled healthcare professionals. This necessitates practical and economically viable solutions to ensure the effective delivery of patient care. These may originate from the health tech sector, but also from enterprise, fintech and other innovation verticals.
The first challenge launched by SNC with Baptist Health Innovations and ARC Innovation seeks to leverage technology and innovative staffing strategies to enhance clinical outcomes and patient experiences. The competition invites applications from early-stage startup innovators developing solutions that reduce administrative tasks for healthcare providers and effectively manage supplies and staffing.
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LIJAH LOKENAUTH OF TAMPA GENERAL HOSPITAL NAMED A TOP UP AND COMER IN TAMPA BAY
The academic health system’s vice president of accounting and finance is recognized for his role in advancing Tampa General’s financial leadership and innovation.
June 19, 2023 – Tampa General Hospital (TGH) has announced that Lijah Lokenauth, vice president of accounting and finance, has been recognized by Tampa Bay Business & Wealth as part of its 2023 “Up & Comers” list. Lokenauth’s inclusion on the list reflects his efforts to transform financial technologies at Tampa General, including implementing new productivity and financial reporting tools.
“Lijah’s work is critical in continuing to shape Tampa General as a health care system with outstanding financial accountability and responsibility,” said John Couris, Tampa General’s president and CEO. “His ingenuity and passion for educating people about the connection between finance and real-world patient care impacts have substantially contributed to our academic health system’s growth, and we are proud to see him recognized by our community.”
Lokenauth joined Tampa General’s financial team in 2018 as a corporate controller and has since grown through the ranks to vice president of accounting and finance. In his leadership role, he oversees the areas of general ledger, reporting, tax, payroll, treasury, grant compliance, accounts payable and decision support. Lokenauth is also responsible for driving robust financial technology transformation within Tampa General.
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BAPTIST HEALTH SOUTH MIAMI HOSPITAL EARNS GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION
June 19, 2023 – Baptist Health South Miami Hospital has earned Geriatric Emergency Department Accreditation (GEDA) from the American College of Emergency Physicians. The three-year accreditation is awarded to emergency departments that provide the highest level of older adult care and ensure optimal transitions of care. South Miami Hospital’s Emergency Department achieved the silver standard — Level 2 GEDA.
The voluntary GEDA program provides specific geriatric-focused criteria and goals for emergency clinicians and administrators to target. As an Accredited Geriatric Emergency Department, South Miami Hospital follows more than two dozen best practices for geriatric care, offers enhanced staffing, uses geriatric appropriate equipment and supplies, manages transitions of care and delivers interdisciplinary geriatric education.
“South Miami Hospital is dedicated to providing senior patients with well-coordinated, personalized, quality care,” said Bill Duquette, CEO of South Miami Hospital. “Seniors who visit our emergency department can be assured that our facility has the necessary personnel, expertise and equipment in place to provide optimal care.”
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PORTABLE TOOL TO DIAGNOSE AND MONITOR SICKLE CELL DISEASE RECEIVES U.S. PATENT
Novel FAU Invention Developed by Researcher in the College of Engineering and Computer Science
BOCA RATON, Fla. June 22, 2023 – In the United States, sickle cell disease affects about 100,000 people and about 2 million Americans carry this genetic mutation. The most common and serious problems caused by sickle cell disease are anemia, pain and organ failure – stroke affects about 10 out of 100 children who have this disease. The national median life expectancy for people who have sickle cell disease can reach up to age 50.
This inherited, lifelong blood disorder is characterized by rigid and sickle-shaped red blood cells due to a dramatic change in their morphology. They stick to blood vessels, blocking blood flow. Patients with sickle cell disease suffer from unpredictable and painful events when sickled red blood cells block blood flow to the point that tissues become deprived of oxygen.
The main goal of managing sickle cell disease is preventing these acute, painful crises. To do so requires diagnostic and monitoring tools under a physician’s supervision. However, current tools are bulky, expensive and require technical training. Moreover, the gold standards used to monitor and diagnose sickle cell disease rely primarily on genetic tests and optical microscopy of sickle-shaped red blood cells, which are time-consuming, cause delays and do not capture changes in real time.
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CANCER RESEARCHERS JOIN TGH CANCER INSTITUTE TO SPEARHEAD BASIC SCIENCES AND TRANSLATIONAL RESEARCH
Renowned as cancer research pioneers Dr. Warren J. Pledger, a molecular cell biologist, and Dr. Timothy Yeatman, a world-renowned translational investigator, will be leading the scientific and translational research endeavors at TGH Cancer Institute.
June 20, 2023 – Tampa General Hospital is announcing the appointments of Dr. Warren Jackson “Jack” Pledger, a distinguished cancer researcher, as associate director of Basic Sciences, and Dr. Timothy Yeatman, a world-class physician-scientist, as associate director of Translational Research at TGH Cancer Institute.
“During the first two years of the TGH Cancer Institute we have successfully built world-class and compassionate multidisciplinary clinical care programs and established the pillars upon which we are rapidly building an innovative clinical research enterprise,” said Dr. Eduardo M. Sotomayor, director of TGH Cancer Institute. “As we are entering into our third year, our focus has expanded to the areas of basic sciences, and more importantly on how to translate scientific discoveries to the patient’s bedside. The recruitment of experienced cancer researchers and leaders of the stature of Dr. Jack Pledger and Dr. Timothy Yeatman will speed up the growth of these two areas at the TGH Cancer Institute, which are essential as we embark on a journey to achieve coveted designations at the state and federal level in the next few years,” Sotomayor said.
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NAACOS TELLS CONGRESS TO INCENTIVIZE ACO PARTICIPATION IN HOUSE HEARING
Hearing Gave Opportunity to Share How ACOs Are Improving Patient Care
June 22, 2023 – The National Association of ACOs (NAACOS), represented by Senior Vice President Aisha Pittman, testified today before the House Energy and Commerce oversight and investigations subcommittee on the ways to bring better value to Medicare through lower costs and higher quality.
The hearing, titled “MACRA Checkup: Assessing Implementation and Challenges That Remain for Patients and Doctors,” provided a chance to speak about how payments to doctors should incentivize providing better quality care that effectively uses taxpayer dollars and makes Medicare more sustainable.
“While MACRA was a step in the right direction, more needs to be done to drive long-term system transformation,” Pittman wrote in her testimony. “Lawmakers must work to stabilize Medicare’s payment system. This means ensuring adequate provider payment is paired with appropriate financial incentives and regulatory flexibility that will encourage more participation in payment models where the value of care provided is rewarded over volume.”
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TGH PHYSICIANS FIRST IN HILLSBOROUGH TO USE SAME-DAY PROCEDURE TO DIAGNOSE AND TREAT LUNG CANCER
Two different robotic devices are used to first identify, then remove tumors from the lungs of early-stage cancer patients while the patient is under anesthesia.
June 21, 2023 – For the first time in Hillsborough County, Tampa General Hospital (TGH) physicians diagnosed and removed a cancerous tumor from a patient’s lung during a single surgery, saving critical time between procedures that might otherwise be weeks apart.
Using two highly precise surgical robots, a doctor first used one robot to identify and diagnose the cancerous tumor. Another doctor then used the second robot to remove the tumor, all in the same day while the patient remained in the surgical suite.
“The robot provides superior navigation, stability, accuracy and precision,” said Dr. Alberto Goizueta, medical director of Interventional Pulmonology at Tampa General and assistant professor in the Division of Pulmonary, Critical Care and Sleep Medicine in the USF Health Morsani College of Medicine. Goizueta performed the first part of the procedure – a bronchoscopy and biopsy. “The earlier we diagnose, the better the prognosis for the patient. The longer it takes to obtain a diagnosis and undergo surgery, the chances are higher that the cancer will spread, which then may result in a very different outcome for the patient,” Goizueta said.
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NEW AQUABLATION THERAPY HELPS PATIENTS PRESERVE SEXUAL FUNCTION WHILE TREATING ENLARGED PROSTATES OF ALL SIZES
Cutting-edge Aquablation therapy now available at Lee Health
June 21, 2023 — Lee Health is now able to offer an advanced treatment called Aquablation therapy for benign prostatic hyperplasia (BPH) that can preserve a patient’s sexual function and offer a faster, smoother recovery.
Benign prostatic hyperplasia, or an enlarged prostate, is the number one reason men visit the urologist and an estimated one in two men who are 51 to 60 years old have it.
An enlarged prostate can cause symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems. Eventually, it could lead to urinary retention, chronic urinary tract infections, bladder stones and, in severe cases, kidney damage.
Aquablation therapy is a minimally invasive treatment option that uses the AquaBeam Robotic System, which allows urologists to treat any sized prostate while preserving sexual function. It does this by combining real-time, multidimensional imaging, automated robotics and heat-free waterjet ablation.
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CAREMAX RELEASES 2022 IMPACT REPORT
CareMax’s 2022 Impact Report highlights its commitment to improving the health of underserved populations and sustaining its positive effect on communities, patients and their families, team members, and stakeholders.
Miami, FL – June 1, 2023 – CareMax, Inc. (“CareMax”) (NASDAQ: CMAX; CMAXW), a leading technology-enabled value-based care delivery system, has released its 2022 Impact Report. CareMax’s 2022 Impact Report highlights the strides CareMax has made in a short period of time and the stories behind its success.
“Our approach to healthcare extends beyond traditional medicine and incorporates a whole-person view of the patient, designed to address their physical, emotional, and social needs,” said Carlos de Solo, Co-Founder and CEO of CareMax. “Through our impact report, we proudly share the stories of how we are making a difference by improving the health and well-being of our patients, empowering individuals, and serving our communities. Together, we are driving change and building a brighter future for all.”
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POTENTIAL TREATMENT FOR RARE AUTOIMMUNE DISORDER ADAPTED FROM CAR-T THERAPY
NIH-supported trial first step in developing new approach to treat myasthenia gravis.
June 22, 2023 – Evidence from a small-scale clinical trial suggests that a variation of the advanced blood cancer immunotherapy known as CAR-T could be adapted to treat myasthenia gravis, an autoimmune disorder of the nervous system. The modified CAR-T therapy, short for chimeric antigen receptor T-cell, used by scientists offers the potential for a longer-lasting reduction in myasthenia gravis symptoms and was well-tolerated without significant adverse effects. The study, published in The Lancet Neurology, was supported by a small business grant from the National Institute of Neurological Disorders and Stroke (NINDS), a part of the National Institutes of Health, and sponsored by Cartesian Therapeutics, Gaithersburg, Maryland.
“Repurposing a groundbreaking therapy such as CAR-T to potentially treat a neurological disorder shows the versatility of immunotherapies in instances where there are limited to no treatment options,” said Emily Caporello, Ph.D., director of the NINDS Small Business Program.
Myasthenia gravis is a chronic autoimmune disorder most often caused when the body’s immune system attacks a protein found where nerve cells communicate with muscles. The disease is marked by muscle weakness that worsens after periods of activity and can improve somewhat after rest. Current treatments focus on controlling symptoms, primarily muscle weakness.
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Events are Listed Below |
MARKETING AND PUBLIC RELATIONS CAMPAIGNS SHOULD BE USING THE RESOURCES OF SFHN&HR ARTICLES AND ADS FOR THE AUGUST 2023 will focus on the following topics:
"Education Update – New Programs in Healthcare Education"
“Profiles in Leadership & Administration”
Including our Annual Salute to Healthcare Leadership
(Call for special discounted prices for advertising)
“Healthcare Professionals Associations”
“Outsourcing Update”
“Revenue Cycle Software Trends”
“Diagnosing & Using Data”
“Using Population Health in Patient Care”
“Long Term Care Insurance Products & Guide” DISCOUNTED BUNDLED
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JUNE 29, 2023
Please join us for a 1.5 Face-to-Face credit on June 29, 2023 - Integrating Acute to Post Acute Care Settings: Where Do We Go From Here? Take advantage of this special rate offered by ACHE of South Florida.
ACHE OF SF is encouraging leaders in the post-acute healthcare industry to come, and learn more about the benefits of ACHE membership.
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Annual Golf Tournament
Venue: Fort Lauderdale Country Club
Starts: Mon Oct 30 2023, 07:30am EDT |
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JUNE 28 South Florida Delegation to the FMA Annual Meeting, 7:00 pm via Zoom 29 BCMA Board of Directors, 6:30 pm via Zoom |
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Indian River County Hospital District (the District) is seeking a new Executive Director, located in Vero Beach with a competitive salary range and a fully paid benefits plan with paid time off and generous holidays. The primary function of the Executive Director is to ensure that the vision, mission and strategies of the District are conducted in accordance with the Special Act and policies established by the Board of Trustees. To learn more about this position and instructions to apply visit Home - Indian River County Hospital District (irchd.com). |
Primary Care Focus
20th Annual JULY 2023
Overview: The primary care practitioner has the special and important responsibility to diagnose and manage patients with every category of ailment, injury and disease. This symposium will provide practical, evidence-based strategies to strengthen healthcare competencies. Expert faculty will explain recent advances in diagnosis, management and treatment and address compelling issues as they relate to sleep disorders, diabetes treatment, stroke, pain management, chronic kidney disease, human trafficking and orthopedic examinations in the primary care setting.
Target Audience: Family physicians, general internists, psychologists, hospitalists, neurologists, cardiologists, oncologists, gastroenterologists, psychiatrists, infectious disease specialists, physician assistants, nurse practitioners, nurses, pharmacists, dietitians and respiratory therapists.
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JUNE 14, 2023 READ THE CURRENT NEWSLETTER FROM CANNABIS NEWS FLORIDA
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TRULIEVE OPENING RELOCATED MEDICAL MARIJUANA DISPENSARY IN FORT MYERS, FL
New dispensary hosts grand opening event and expands patient access to medical cannabis
TALLAHASSEE, Fla., June 20, 2023 — Trulieve Cannabis Corp. (CSE: TRUL) (OTCQX: TCNNF) (“Trulieve” or “the Company”), a leading and top-performing cannabis company in the United States, announced the relocation of a medical dispensary in Fort Myers, Florida. Located at 5660 Bayshore Rd., the new dispensary will be open 9 AM – 8:30 PM Monday through Saturday and 11 AM – 8 PM on Sunday.
Trulieve will host a grand opening celebration on Friday, June 23 at 9 AM with partner giveaways, music, food, specials, discounts and more.
“Trulieve is proud to strengthen our footprint in Florida, one of our core markets, with a new dispensary in north Fort Myers to provide access to medical cannabis in a convenient location for registered patients,” said Trulieve’s Chief Executive Officer Kim Rivers, “Our leading presence in Florida allows us to build scale and depth to serve medical patients for the long term.”
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Over 828,000 Patients in Florida are using Cannabis as their Medicine FOR LATEST OMMU REPORTS FROM OFFICE OF MEDICAL MARIJUANA USE IN THE STATE OF FLORIDA
CLICK HERE Highlights from JUNE 23, 2023 Report BY THE NUMBERS Qualified Patients: (Active ID Card): Jun 23 2023- 828,560 Jun 16 2023- 827,090 June 9 2023- 825,109 June 2 2023- 822,818 May 26 2023- 820,823
Patients Added Last Week: 1,455
Qualified Ordering Physicians: 2,527
New Doctors added Last Week: 18 Reporting Period:
June 16 - JUNE 22 2023 Amount of Medical Marijuana Dispensed - (mgs THC) 304,655,808
Amount of Low-THC Cannabis Dispensed - (mgs CBD ) 3,320,897 Amount of Marijuana in a Form for Smoking (oz) 106,213.866 Approved Dispensing Locations: 578 Added Last Week: 3
COOKIES - GAINSVILLE TRULIEVE - NORTH FORT MYERS FLUENT - CRESTVIEW |
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