| Entity Name: | CAREBRIDGE MEDICAL GROUP, P.C., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 19 May 2020 (5 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 04 Nov 2020 (4 years ago) |
| Document Number: | F20000002320 |
| FEI/EIN Number | 842590508 |
| Address: | 926 MAIN STREET, NASHVILLE, TN, 37206, US |
| Mail Address: | 926 MAIN STREET, NASHVILLE, TN, 37206, US |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619557790 | 2021-04-12 | 2024-09-20 | 926 MAIN ST, NASHVILLE, TN, 372063614, US | 100 S ASHLEY DR STE 600, TAMPA, FL, 336025300, US | |||||||||||||||||||||||||||
|
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| Phone | +1 615-436-9060 |
| Fax | 6152359725 |
Authorized person
| Name | MELINDA SHAW HENDERSON |
| Role | PRESIDENT |
| Phone | 6155851181 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Henderson Melinda MD | President | 926 MAIN STREET, NASHVILLE, TN, 37206 |
| Name | Role | Address |
|---|---|---|
| Olson Eric | Secretary | 926 MAIN STREET, NASHVILLE, TN, 37206 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2020-11-04 | CAREBRIDGE MEDICAL GROUP, P.C., INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-20 |
| Name Change | 2020-11-04 |
| Foreign Profit | 2020-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
