| Entity Name: | ST. LUCIE MEDICAL SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2007 (17 years ago) |
| Document Number: | L07000087644 |
| FEI/EIN Number | 412250823 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Mail Address: | ONE PARK PLAZA - LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548447535 | 2008-01-22 | 2011-03-04 | 3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN, 370275005, US | 1700 SE HILLMOOR DR, PORT ST LUCIE, FL, 349527539, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 800-661-3365 |
| Fax | 8666894661 |
| Phone | +1 772-335-9600 |
| Fax | 7723359699 |
Authorized person
| Name | GARY DUNCAN |
| Role | VP |
| Phone | 9547675716 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE DME |
| Number | 6458380001 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Franck II John M | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Cuffe Michael S | Manager | 2000 HealthPark Drive, Brentwood, TN, 37027 |
| WYATT CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000078019 | HCA FLORIDA TREASURE COAST MEDICAL SPECIALISTS | ACTIVE | 2021-06-10 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G21000077560 | HCA FLORIDA ST. LUCIE MEDICAL SPECIALISTS | ACTIVE | 2021-06-09 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G21000077356 | HCA FLORIDA HIGHLANDS MEDICAL SPECIALISTS | ACTIVE | 2021-06-09 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G20000048136 | HEART AND FAMILY HEALTH INSTITUTE - LAWNWOOD | ACTIVE | 2020-05-01 | 2025-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G19000097522 | INSTITUTE FOR ORTHOPAEDIC INNOVATIONS | EXPIRED | 2019-09-05 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G17000102179 | HIGHLANDS MEDICAL SPECIALISTS | EXPIRED | 2017-09-11 | 2022-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G16000005178 | TREASURE COAST MEDICAL SPECIALISTS | ACTIVE | 2016-01-13 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G13000092991 | HEART & FAMILY HEALTH INSTITUTE FAMILY MEDICINE FACULTY PRACTICE | EXPIRED | 2013-09-19 | 2018-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G10000103912 | HEART & FAMILY HEALTH INSTITUTE AT JENSEN BEACH | EXPIRED | 2010-11-12 | 2015-12-31 | No data | 1109 JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957 |
| G09000158288 | HEART & FAMILY HEALTH INSTITUTE AT ST. LUCIE WEST | EXPIRED | 2009-09-23 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
