| Entity Name: | DOCTORS HOSPITAL OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Aug 1965 (59 years ago) |
| Document Number: | 296103 |
| FEI/EIN Number | 591149050 |
| Address: | 2750 BAHIA VISTA STREET, SARASOTA, FL, 33579 |
| Mail Address: | 2750 BAHIA VISTA STREET, SARASOTA, FL, 33579 |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225150444 | 2007-04-06 | 2022-03-29 | 5731 BEE RIDGE RD, SARASOTA, FL, 342335056, US | 5731 BEE RIDGE RD, SARASOTA, FL, 342335056, US | |||||||||||||||||||||||
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| Phone | +1 941-342-1100 |
Authorized person
| Name | CHARLES SCHWANER |
| Role | CFO |
| Phone | 9413421192 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | 4307 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0119954 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COGGAN, GEORGE M., M.D. | Agent | 2650 BAHIA VISTA ST, SARASOTA, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| ROLLS, KARL R | President | 2650 BAHIA VISTA ST, SARASOTA, FL |
| Name | Role | Address |
|---|---|---|
| ROLLS, KARL R | Director | 2650 BAHIA VISTA ST, SARASOTA, FL |
| COGGAN, GEORGE M | Director | 2650 BAHIA VISTA ST, SARASOTA, FL |
| GROCHOWSKI, ERNEST | Director | 2650 BAHIA VISTA ST, SARASOTA, FL |
| CHAPMAN, FORREST | Director | 2650 BAHIA VISTA ST, SARASOTA, FL |
| HOFFMAN, ROBERT W | Director | 2650 BAHIA VISTA ST, SARSSOTA, FL |
| O'NEAL, W. HAROLD | Director | 2750 BAHIA VISTA ST, SARASOTA, FL |
| Name | Role | Address |
|---|---|---|
| COGGAN, GEORGE M | Vice President | 2650 BAHIA VISTA ST, SARASOTA, FL |
| GROCHOWSKI, ERNEST | Vice President | 2650 BAHIA VISTA ST, SARASOTA, FL |
| HOFFMAN, ROBERT W | Vice President | 2650 BAHIA VISTA ST, SARSSOTA, FL |
| Name | Role | Address |
|---|---|---|
| COGGAN, GEORGE M | Secretary | 2650 BAHIA VISTA ST, SARASOTA, FL |
| Name | Role | Address |
|---|---|---|
| CHAPMAN, FORREST | Treasurer | 2650 BAHIA VISTA ST, SARASOTA, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 1982-02-01 | No data | MERGING INTO: 446504 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
