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EVERNORTH CARE PROVIDERS - TENNESSEE PC CORPORATION - Florida Company Profile

Company Details

Entity Name: EVERNORTH CARE PROVIDERS - TENNESSEE PC CORPORATION
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 05 Sep 2023 (a year ago)
Document Number: F23000005095
FEI/EIN Number 93-2013571

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4700 Millenia Blvd, Suite 500, 5th Floor, Orlando, FL 32839
Mail Address: 4700 Millenia Blvd, Suite 500, 5th Floor, Orlando, FL 32839
ZIP code: 32839
County: Orange
Place of Formation: TENNESSEE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316726730 2023-09-25 2024-02-14 730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN, 370677331, US 4700 MILLENIA BLVD STE 5005TH, ORLANDO, FL, 328396013, US

Contacts

Phone +1 773-292-4800
Fax 3125644059

Authorized person

Name GRACE V BLUE
Role CREDENTIALING SR. MANAGER
Phone 7732924800

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
Hilton, Cheryl Director 4700 Millenia Blvd, Suite 500, 5th Floor Orlando, FL 32839
Alsop, Shannon Director 4700 Millenia Blvd, Suite 500, 5th Floor Orlando, FL 32839
Hilton, Cheryl President 4700 Millenia Blvd, Suite 500, 5th Floor Orlando, FL 32839
Alsop, Shannon Treasurer 4700 Millenia Blvd, Suite 500, 5th Floor Orlando, FL 32839
Alsop, Shannon Secretary 4700 Millenia Blvd, Suite 500, 5th Floor Orlando, FL 32839

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-10 4700 Millenia Blvd, Suite 500, 5th Floor, Orlando, FL 32839 -
CHANGE OF MAILING ADDRESS 2024-04-10 4700 Millenia Blvd, Suite 500, 5th Floor, Orlando, FL 32839 -

Documents

Name Date
ANNUAL REPORT 2024-04-10
Foreign Profit 2023-09-05

Date of last update: 09 Feb 2025

Sources: Florida Department of State