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Contact Us,The big news out of East Tennessee over the past three months has involved the federal takedown of a massive pill mill ring, with prosecutors alleging that up to 50 individuals were involved in moving prescriptions for high powered medications like oxycodone. Sitting at the center of the alleged criminal enterprise: a 51 year old grandmother from South Florida.

Prosecutors allege that Sylvia Hofstetter was a frontwoman for a $17.5 million operation that handed out an estimated 12 million prescriptions over a four year period. At least seven overdose deaths have been tied back to the operation.

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Hofstetter is originally from South Florida. Records link her to addresses in Broward, and this Facebook page says she is originally from Key Biscayne. The state says that after being involved in similar businesses in South Florida, Hofstetter relocated to East Tennessee in 2011, after Sunshine State officials began cracking down on pill mills.

There is a big market for narcotics in Tennessee. Huge numbers of people from that region had trekked to South Florida clinics for easier to get prescriptions in the early 2000s,
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when pill mills thrived here. attorney told a judge at a recent hearing.

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Hofstetter allegedly ran multiple clinics that focused on pain relief and had on staff doctors who prescribed narcotics. Feds say that some of the clinics took only cash a typical visit cost patients $350 and served up to 100 addicts a day, while others were more legitimate and took insurance. Hofstetter, they say, was backed by a group of guys she and others referred to as “the Italians.” Three South Floridians identified by prosecutors (but not yet charged) as Luca Sartini, Luigi Palma,
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and Benjamin Rodriguez allegedly financed Hofstetter’s operation in and around Knoxville. Prosecutors have suggested the men were tied to organized crime.