| Entity Name: | RAULERSON GYN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2007 (17 years ago) |
| Document Number: | L07000089731 |
| FEI/EIN Number | 870811814 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Mail Address: | ONE PARK PLAZA, LEGAL DEPT, NASHVILLE, TN, 37203 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356528210 | 2008-01-23 | 2009-05-06 | THREE MARYLAND, SUITE 250, BRENTWOOD, TN, 37027, US | 1713 HIGHWAY 441 NORTH, SUITE F, OKEECHOBEE, FL, 34972, US | |||||||||||||||||||||||||
|
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| Phone | +1 615-372-5024 |
| Fax | 8668995924 |
| Phone | +1 863-763-8000 |
| Fax | 8637638212 |
Authorized person
| Name | DR. JAMES BRADFIELD |
| Role | AUTHORIZE OFFICIAL |
| Phone | 8637638000 |
Taxonomy
| Taxonomy Code | 207VX0000X - Obstetrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000640400 |
| 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 |
|---|---|---|---|---|---|---|
| G21000077381 | HCA FLORIDA MIAMI-DADE SURGICAL SPECIALISTS | ACTIVE | 2021-06-09 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G21000076681 | HCA FLORIDA ADVANCED WOMEN'S OB/GYN | ACTIVE | 2021-06-08 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G14000104588 | HEART & FAMILY HEALTH INSTITUTE OB-GYN | EXPIRED | 2014-10-15 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G14000099998 | SURGICAL SPECIALISTS OF MIAMI | EXPIRED | 2014-10-01 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G10000035749 | OB/GYN SPECIALISTS AT KENDALL | ACTIVE | 2010-04-22 | 2025-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| G09000176970 | KENDALL OB/GYN GROUP | EXPIRED | 2009-11-19 | 2014-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| G09000166972 | ADVANCED WOMEN'S OB/GYN ASSOCIATES | EXPIRED | 2009-10-20 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| G08238900314 | HEALTHCARE SPECIALISTS OF RAULERSON | EXPIRED | 2008-08-25 | 2013-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-24 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-24 |
| 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 | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
