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CAREBRIDGE MEDICAL GROUP, P.C., INC. - Florida Company Profile

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Company Details

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 (5 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

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
Henderson Melinda MD President 926 MAIN STREET, NASHVILLE, TN, 37206
Olson Eric Secretary 926 MAIN STREET, NASHVILLE, TN, 37206

National Provider Identifier

NPI Number:
1619557790
Certification Date:
2024-09-20

Authorized Person:

Name:
MELINDA SHAW HENDERSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6152359725

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2020-11-04 CAREBRIDGE MEDICAL GROUP, P.C., INC. -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State