Entity Name: | NORTH FLORIDA GI CENTER, LTD. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Limited Partnership |
Status: | Active |
Date Filed: | 13 Jan 1998 (27 years ago) |
Document Number: | A98000000130 |
FEI/EIN Number | 621727350 |
Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
Mail Address: | P.O. BOX 750, LEGAL DEPT., NASHVILLE, TN, 37202, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740251909 | 2006-01-27 | 2023-02-08 | 6400 W NEWBERRY RD, SUITE 201, GAINESVILLE, FL, 326056605, US | 6400 W NEWBERRY RD, SUITE 201, GAINESVILLE, FL, 326056605, US | |||||||||||||||||||||||||
|
Phone | +1 352-333-5900 |
Fax | 3523335901 |
Authorized person
Name | BRANDI PARKER |
Role | DIRECTOR |
Phone | 3523335999 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | 1085 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 070571300 |
State | FL |
Name | Role | Address |
---|---|---|
CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G98363900111 | NORTH FLORIDA ENDOSCOPY CENTER | ACTIVE | 1998-12-29 | 2028-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State