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:COMPREHENSIVE
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

   

PHARMACY TRACE REPORT

Pharmacy

Rx
Filled

Additional Information

Records Ordering Info.

Walgreens
17511 Bruce B Downs Blvd
Tampa, FL

N

          

Kash N' Karry
17605 Bruce B Downs Blvd
Tampa, FL

N

        

Winn-Dixie
8702 Hunters Lake Dr.
Tampa, FL

N

    

CVS Pharmacy
8809 New Tampa Blvd.
Tampa, FL

Y

 3 Rx filled within past year. CVS Corporation.
PO box 123
Tampa, FL
Phone: 123-456-7890
Cost: $25.00
Specify Store #123
Make Checks Payable to: CVS Corp.

Publix Supermarkets
19034 Bruce B Downs Blvd
Tampa, FL

N

    

Medicine Shoppe Pharmacy
10010 Cross Creek Blvd.
Tampa, FL

N

    

Publix Super Market
16041 Tampa Palms Blvd W.
Tampa, FL

Y

 Would only verify that Rx have been filled here by subject Public Super Market
PO Box123
Lakeland, FL
Phone: 123-456-7890
Cost: $25.00
Make Checks Payable to:
Publix Super Market

Publix Super Market
10928 Cross Creek Blvd
Tampa, FL

N

    

RX Express Pharmacy
24718 State Rd. 54
Lutz, FL

N

    

Winn-Dixie
9535 E. Fowler Ave.
Thonotosassa, FL

 N    

KABS Pharmacy
2812 E Bearss Ave.
Tampa, FL

 N    

CVS Pharmacy
5502 E Fowler Ave
Tampa, FL

N

    

Kay Pharmacy
3500 E. Fletcher Ave #120
Tampa, FL

N

    

Winnn-Dixie
2540 E Bearss Ave
Tampa, FL

N

    

Publix Super Market
11502 N 53 St.
Tampa, FL

N

    

CVS Pharmacy
13528 University Plaza St.
Tampa, FL

Y

 Mult. Rx over past several years. CVS Corporation.
PO Box 123
Tampa, FL
Phone: 123-456-7890
Cost: $25.00
Specify Store #456
Make Checks Payable to:
CVS Corp.

Alpha Drugs Inc.
10750 N. 56 St.
Tampa, FL

N

    

Publix Pharmacy
15560 N. Nebraska Ave.
Lutz, FL

N

    

Publix Super Market
23048 State Road 54
Lutz, FL

N

    

Walgreens
2029 Collier Pkwy.
Land O Lakes, FL

N

    

Winn-Dixie
18407 US Highway 41 N
Lutz, FL

N

    

Walgreens
18469 US Highway 41 N
Lutz, FL

N

    

F&B Drugs
1515 E Fletcher Ave.
Tampa, FL

N

    

Eckerd
2911E Fowler Ave.
Tampa, FL

N

    

CVS Pharmacy
2911 E Fowler Ave
Tampa, FL

N

    

Kash N Karry
2770 E Fowler Ave
Tampa, FL

N

    

CVS Pharmacy
15027 N Florida Ave
Tampa, FL

N

    

Albertson's
14939 N Florida Ave
Tampa, FL

N

    

Medicine Shoppe Pharmacy
14936 N Florida Ave
Tampa, FL

N

    

Walgreens
9202 N 56th Street
Tampa, FL

N

    

CVS PHarmacy
110 Bullard Parkway
Tampa, FL

N

    

Publix Super Market
5450 E Busch Blvd
Temple Terrace, FL

N

    

Walgreens
1860 E Fowler Ave
Tampa, FL

N

    

Kash N Karry
8837 N 56 Street
Tampa, FL

N

    

Tampa, FL 33647 Area Map Showing Pharmacy 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
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(end of report)