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MEMORIAL NEUROSURGERY GROUP, LLC

Company Details

Entity Name: MEMORIAL NEUROSURGERY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Apr 2006 (19 years ago)
Document Number: L06000038037
FEI/EIN Number 030587335
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: PO BOX 750, NASHVILLE, TN, 37202
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487860284 2007-05-16 2008-01-21 3627 UNIVERSITY BLVD S, SUITE 355, JACKSONVILLE, FL, 322164230, US 3627 UNIVERSITY BLVD S, SUITE 355, JACKSONVILLE, FL, 322164230, US

Contacts

Phone +1 904-296-2522
Fax 9042968173

Authorized person

Name MICKEY PICKLER
Role VP
Phone 8505232117

Taxonomy

Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
FRANCK II JOHN M Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
Cuffe Michael S Manager 2000 HealthPark Drive, Brentwood, TN, 37027

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000147602 HCA FLORIDA NEUROSURGERY ACTIVE 2021-11-03 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000146371 HCA FLORIDA JACKSONVILLE NEUROSURGERY AND SPINE ACTIVE 2021-11-01 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G16000067976 MEMORIAL ORTHOPEDIC SURGERY & SPORTS MEDICINE EXPIRED 2016-07-11 2021-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G13000024307 MEMORIAL NEUROSPINE EXPIRED 2013-03-11 2018-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G11000041684 FIRST COAST NEUROSURGERY ACTIVE 2011-04-29 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2007-04-19 ONE PARK PLAZA, NASHVILLE, TN 37203 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State