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The majority of the work done at the Law Offices of Karl David Acuff involves governmental and administrative law. Though most of the firm's administrative work involves Florida’s Agency for Health Care Administration, the Department of Health and the Department of Environmental Protection, the firm has experience ranging from work with the South Florida Water Management District, the Department of Education, the Department of Community Affairs, various County property appraisers and Value Adjustment Boards, local governments, various professional licensing boards, and federal agencies such as the Centers for Medicare & Medicaid Services, Environmental Protection Agency and the Department of Justice. The firm is experienced with proceedings under Florida’s Administrative Procedure Act and has extensive experience before the Division of Administrative Hearings and appeals from DOAH to the various District Courts of Appeal.