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Filing # 165253505 E-Filed 01/23/2023 02:36:42 PM
109101-10
IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT, IN AND FOR DUVAL
COUNTY, FLORIDA
ELISA CRUZ, an individual, CIRCUIT CIVIL DIVISION
Plaintiff, CASE NO. 2022-CA-007029 Division CV-B
v.
DCC LEE ENTERPRISES, INC.
Defendant.
____________________________/
NOTICE OF PRODUCTION FROM NON-PARTIES
YOU ARE NOTIFIED that after (10) days from the date of service of this notice,
if service is by delivery or e-mail, or (15) days from the date of service, if service is by
mail, and if no objection is received from any party, the undersigned will issue or apply to
the clerk of this court for issuance of the attached subpoenas directed to the following
providers:
Active Medical & Chiropractic Baptist Health
2570 Atlantic Blvd Baptist Medical Center Downtown
Jacksonville, FL 32207 Release of Information
P.O. Box 10757
Ascension St. Vincent’s Medical Center Jacksonville, FL 32247
Riverside
Attn: Medical Records Department Baptist Health for
1 Shircliff Way Baptist Medical Center Beaches
Jacksonville, FL 32204 Release of Information
P.O. Box 10757
Ascension St.Vincent’s Hospital Southside Jacksonville, FL 32247
& St. Luke’s Hospital
Attn: Medical Records Department Baptist Health for
4201 Belfort Road Baptist Medical Center South
Jacksonville, FL 32216 Release of Information
P.O. Box 10757
Jacksonville, FL 32247
ACCEPTED: DUVAL COUNTY, JODY PHILLIPS, CLERK, 01/24/2023 09:27:55 AM
CareSpot Corporate f/k/a Solantic HCA Florida Orange Park Hospital
Office/Express Healthcare Attn: Ciox Medical Records
115 East Park Drive, Suite 300 P.O. Box 290789
Brentwood, TN 37027 Nashville, TN 37229
Century Ambulance Service, Inc. Integrity Spine & Orthopedics
740 Greeland Ave 14785 Old St. Augustine Rd Suite 100
Jacksonville, FL 32221 Jacksonville, FL 32204
CVS Privacy Office Jacksonville Diagnostic Imaging
Legal Department 3550 University Blvd S
1 CVS Drive Jacksonville, FL 32216
Woonsocket, RI 02895
Jacksonville Fire & Rescue Department
Florida Department of Financial Services Records Section - 1st Floor
(Workers Compensation) 515 North Julia Street
Larson Building Jacksonville, Florida 32202
Service of Process Section
200 East Gaines Street Liberty Ambulance
Tallahassee, FL 32399 1626 Atlantic University Circle
Jacksonville, FL 32207
Florida Department of Health –Duval
County Mayo Clinic & Hospital Jacksonville
Office of Chief Legal Counsel Campus Support Center
921 N. Davis Street, Building B, Suite Attn: Medical Records Department
315 4500 San Pablo Road South
Jacksonville, FL 32209 Jacksonville, FL 32224
HCA Florida Memorial Hospital Mayo Clinic & Hospital Jacksonville
Attn: Medical Records Department Campus Support Center
3625 University Boulevard South Attn: Patient Accounts Department
Jacksonville, Florida 32216 4500 San Pablo Road South
Jacksonville, FL 32224
HCA Florida Memorial Hospital
Attn: Patient Account Department Mayo Clinic & Hospital Jacksonville
3625 University Boulevard South Campus Support Center
Jacksonville, Florida 32216 Attn: Radiology Department
4500 San Pablo Road South
HCA Florida Memorial Hospital Jacksonville, FL 32224
Attn: Radiology Department
3625 University Boulevard South Northeast Florida Endocrine & Diabetes
Jacksonville, Florida 32216 Associates
915 W Monroe St Ste 200
Jacksonville, FL 32204
Publix Super Markets, Inc. Walgreen Co.
Attn: Privacy Officer Privacy Office
3300 Publix Corporate Parkway 1901 East Voorhees Street
Lakeland, FL 33811 P.O. Box 4039, MS #735
Danville, IL 61832-4039
Shands Jacksonville Medical Center, Inc.
DeBardeleben, Jon, Esq. Walmart, Inc.
C/o Medical records Department C/o CT Corporation System
655 West 8th Street 1200 S Pine Island Rd #250,
Jacksonville, FL 32209 Plantation, FL 33324
Sunshine Spine & Pain Winn Dixie, Inc.
1825 Kingsley Ave Suite 260 c/o Corporation Service Company
Orange Park, Florida 32073 1201 Hays Street
Tallahassee, FL 32301
To produce the items listed at the time and place specified in the subpoenas.
CERTIFIACTE OF SERVICE
WE HEREBY CERTIFY that a copy hereof has been electronically served via Florida
ePortal to: Michael G. Balangue, Esquire, pleadings@campionelawpa.com,
mb@campionelawpa.com, ma@campionelawpa.com; on this 23rd day of January, 2023.
/s/ Rufus I. Peace
Rufus I. Peace, Esquire
Florida Bar No. 1028559
WICKER SMITH O'HARA MCCOY & FORD, P.A.
Attorneys for McDonald's Corporation
50 N. Laura St., Suite 2700
Jacksonville, FL 32202
Phone: (904) 355-0225
Fax: (904) 355-0226
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Filing # 165253505 E-Filed 01/23/2023 02:36:42 PM 109101-10 IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT, IN AND FOR DUVAL COUNTY, FLORIDA ELISA CRUZ, an individual, CIRCUIT CIVIL DIVISION Plaintiff, CASE NO. 2022-CA-007029 Division CV-B v. DCC LEE ENTERPRISES, INC. Defendant. ____________________________/ NOTICE OF PRODUCTION FROM NON-PARTIES YOU ARE NOTIFIED that after (10) days from the date of service of this notice, if service is by delivery or e-mail, or (15) days from the date of service, if service is by mail, and if no objection is received from any party, the undersigned will issue or apply to the clerk of this court for issuance of the attached subpoenas directed to the following providers: Active Medical & Chiropractic Baptist Health 2570 Atlantic Blvd Baptist Medical Center Downtown Jacksonville, FL 32207 Release of Information P.O. Box 10757 Ascension St. Vincent’s Medical Center Jacksonville, FL 32247 Riverside Attn: Medical Records Department Baptist Health for 1 Shircliff Way Baptist Medical Center Beaches Jacksonville, FL 32204 Release of Information P.O. Box 10757 Ascension St.Vincent’s Hospital Southside Jacksonville, FL 32247 & St. Luke’s Hospital Attn: Medical Records Department Baptist Health for 4201 Belfort Road Baptist Medical Center South Jacksonville, FL 32216 Release of Information P.O. Box 10757 Jacksonville, FL 32247 ACCEPTED: DUVAL COUNTY, JODY PHILLIPS, CLERK, 01/24/2023 09:27:55 AM CareSpot Corporate f/k/a Solantic HCA Florida Orange Park Hospital Office/Express Healthcare Attn: Ciox Medical Records 115 East Park Drive, Suite 300 P.O. Box 290789 Brentwood, TN 37027 Nashville, TN 37229 Century Ambulance Service, Inc. Integrity Spine & Orthopedics 740 Greeland Ave 14785 Old St. Augustine Rd Suite 100 Jacksonville, FL 32221 Jacksonville, FL 32204 CVS Privacy Office Jacksonville Diagnostic Imaging Legal Department 3550 University Blvd S 1 CVS Drive Jacksonville, FL 32216 Woonsocket, RI 02895 Jacksonville Fire & Rescue Department Florida Department of Financial Services Records Section - 1st Floor (Workers Compensation) 515 North Julia Street Larson Building Jacksonville, Florida 32202 Service of Process Section 200 East Gaines Street Liberty Ambulance Tallahassee, FL 32399 1626 Atlantic University Circle Jacksonville, FL 32207 Florida Department of Health –Duval County Mayo Clinic & Hospital Jacksonville Office of Chief Legal Counsel Campus Support Center 921 N. Davis Street, Building B, Suite Attn: Medical Records Department 315 4500 San Pablo Road South Jacksonville, FL 32209 Jacksonville, FL 32224 HCA Florida Memorial Hospital Mayo Clinic & Hospital Jacksonville Attn: Medical Records Department Campus Support Center 3625 University Boulevard South Attn: Patient Accounts Department Jacksonville, Florida 32216 4500 San Pablo Road South Jacksonville, FL 32224 HCA Florida Memorial Hospital Attn: Patient Account Department Mayo Clinic & Hospital Jacksonville 3625 University Boulevard South Campus Support Center Jacksonville, Florida 32216 Attn: Radiology Department 4500 San Pablo Road South HCA Florida Memorial Hospital Jacksonville, FL 32224 Attn: Radiology Department 3625 University Boulevard South Northeast Florida Endocrine & Diabetes Jacksonville, Florida 32216 Associates 915 W Monroe St Ste 200 Jacksonville, FL 32204 Publix Super Markets, Inc. Walgreen Co. Attn: Privacy Officer Privacy Office 3300 Publix Corporate Parkway 1901 East Voorhees Street Lakeland, FL 33811 P.O. Box 4039, MS #735 Danville, IL 61832-4039 Shands Jacksonville Medical Center, Inc. DeBardeleben, Jon, Esq. Walmart, Inc. C/o Medical records Department C/o CT Corporation System 655 West 8th Street 1200 S Pine Island Rd #250, Jacksonville, FL 32209 Plantation, FL 33324 Sunshine Spine & Pain Winn Dixie, Inc. 1825 Kingsley Ave Suite 260 c/o Corporation Service Company Orange Park, Florida 32073 1201 Hays Street Tallahassee, FL 32301 To produce the items listed at the time and place specified in the subpoenas. CERTIFIACTE OF SERVICE WE HEREBY CERTIFY that a copy hereof has been electronically served via Florida ePortal to: Michael G. Balangue, Esquire, pleadings@campionelawpa.com, mb@campionelawpa.com, ma@campionelawpa.com; on this 23rd day of January, 2023. /s/ Rufus I. Peace Rufus I. Peace, Esquire Florida Bar No. 1028559 WICKER SMITH O'HARA MCCOY & FORD, P.A. Attorneys for McDonald's Corporation 50 N. Laura St., Suite 2700 Jacksonville, FL 32202 Phone: (904) 355-0225 Fax: (904) 355-0226