AGENCY FOR HEALTH CARE ADMINISTRATION STANDARD CONTRACTStandard Contract • October 11th, 2006
Contract Type FiledOctober 11th, 2006THIS CONTRACT is entered into between the State of Florida, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency", whose address is 2727 Mahan Drive, Tallahassee, Florida 32308, and [VENDOR’S NAME], hereinafter referred to as the "Vendor", whose address is [ADDRESS], [CITY], [STATE] [ZIP CODE], a Florida profit organization, to provide dental services to Medicaid beneficiaries in Dade County.