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OGLETHORPE OF PORT ST. LUCIE, LLC

Company Details

Entity Name: OGLETHORPE OF PORT ST. LUCIE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 Oct 2005 (19 years ago)
Document Number: L05000103365
FEI/EIN Number 20-3654205
Address: 201 N. Franklin Street, Suite 1910, TAMPA, FL 33602
Mail Address: 201 N. Franklin Street, Suite 1910, TAMPA, FL 33602
ZIP code: 33602
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093748162 2006-07-09 2009-03-10 2550 SE WALTON RD, PORT ST LUCIE, FL, 349527168, US 18302 HIGHWOODS PRESERVE PKWY, SUITE 114, TAMPA, FL, 336471758, US

Contacts

Phone +1 772-335-0400
Fax 7723373124
Phone +1 813-978-1933
Fax 8139781951

Authorized person

Name MR. JAMES EDMUND O'SHEA
Role DIRECTOR/ADMINISTRATOR
Phone 8139781933

Taxonomy

Taxonomy Code 283Q00000X - Psychiatric Hospital
Is Primary Yes

Agent

Name Role Address
Raymond, J. Paul Agent 625 Court Street, Suite 200, Clearwater, FL 33756

Manager

Name Role Address
COHEN, ROBERT M Manager 201 N. Franklin Street, Suite 1910 TAMPA, FL 33602
O'SHEA, JAMES E Manager 201 N. Franklin Street, Suite 1910 TAMPA, FL 33602

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000070386 PORT ST. LUCIE HOSPITAL C/O OGLETHORPE OF PORT ST. LUCIE, LLC ACTIVE 2016-07-18 2026-12-31 No data 13406 CORTEZ BLVD., BROOKSVILLE, FL, 34613

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-04-23 Raymond, J. Paul No data
CHANGE OF PRINCIPAL ADDRESS 2017-03-22 201 N. Franklin Street, Suite 1910, TAMPA, FL 33602 No data
CHANGE OF MAILING ADDRESS 2017-03-22 201 N. Franklin Street, Suite 1910, TAMPA, FL 33602 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-22 625 Court Street, Suite 200, Clearwater, FL 33756 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-23

Date of last update: 03 Jan 2025

Sources: Florida Department of State