Amid a wide-ranging controversy about the state’s trauma system, the Florida Department of Health on Thursday ordered the closure of a Clay County hospital trauma center — while a judge heard arguments about whether another trauma facility should have been allowed to open in Marion County.

The department sent a notice to Orange Park Medical Center near Jacksonville denying approval to continue operating a trauma center that opened in late 2011. The original approval was given on what is known as a "provisional" basis, but the department said the Clay County hospital had not met standards needed to receive a more-permanent approval.