E-MedicalTrace Report
a service of Washington Research Associates, Inc.

Name:John Doe
Possible Alias:None found
Address Reported:123 Main St., Tampa, FL 33647
Date of Birth:05/01/1967
SSN:123-45-6789
Criterion:HOSPITAL Trace Report

IDENTITY VERIFICATION AND ADDRESS HISTORY:
Identity Information Found in Public Records:
Name:  John Doe
SSN:123-45-6789
DOB:05/01/1967
Address History: 
   123 Main Street
   Tampa, FL 33647
   1990 to Present
      
   123 Elm Street
   Tampa, FL
   1985 to 1990

HOSPITAL TRACE REPORT

Facility

Treat-ment

Type

Additional Information

Medical Records Ordering Info.

North Tampa Specialty/Rehab
15045 Bruce B Downs Blvd
Tampa, FL

N

     

University Community Hospital
3100 E. Fletcher Ave.
Tampa, FL

Y

ER

01/01/1999

University Community Hospital Copy Center
PO Box 123
Tampa, FL
Phone: 123-456-7890
Cost: $45.00
Number of Pages: 35
Make Checks Payable to: Copy Center

H. Lee Moffitt Cancer Center
12902 Magnolia Dr. #3057
Tampa, FL

N

     

James A. Haley Veterans Hosp.
13000 Bruce B Downs Blvd #131
Tampa, FL

N

     

Shriners Hospital
12502 Pine Dr.
Tampa, FL

N

     

Tampa Outpatient Surgical
5013 N. Armenia Ave.
Tampa, FL

N

     

Kindred Hospital Central Tampa
4801 N. Howard Ave.
Tampa, FL

N

     

Tampa Children’s Hospital
3001 W. Martin Luther King
Jr. Blvd
Tampa, FL

N

     

St. Joseph’s Hospital
3001 W. Martin Luther King Jr. Blvd.
Tampa, FL

N

     

Pasco Surgery Center
Sue Morrison
5923 7th Street
Zephyrhills, FL

       

Brandon Regional Hospital
119 Oakfield Dr.
Brandon, FL

       

Tampa General Hospital
2 Columbia Dr.
Tampa, FL

Y

Admit

Subject was admitted on 04/04/2004

Tampa General Hospital
PO Box 123
Tampa, FL
Phone: 123-456-7890
Cost: $178.00
Number of Pages: 222
Make Check Payable to: Tampa General Hospital

Catholic Health East
4211 Boy Scout Blvd #160
Tampa, FL

N

     

Memorial Hospital of Tampa
2901 W Swann Ave
Tampa, FL

N

     

South Florida Baptist Hospital
301 N. Alexander St.
Plant City, FL

N

     

Community General Hospital
13100 Fort King Rd.
Dade City, FL

N

     

Pasco Regional Medical Center
13100 Fort King Rd.
Dade City, FL

N

     

Vencor Hospital Tampa
4555 S Manhattan Ave.
Tampa, FL

N

     

Tampa, FL 33647 Area Map Showing Hospital Coverage

   

Disclaimer:  The information used in the development of this report is obtained from sources believed to be reliable; however, errors and omissions are possible in the development of a report of this kind. Washington Research Associates Inc. provides this report “as is,” without warranty of accuracy, completeness, or fitness or a particular purpose.

Report Prepared by:

Washington Research Associates, Inc.
1090 Vermont Ave., NW, Ste. 800
Washington DC 20005
(202) 408-7025
info@washresearch.com

(end of report)