| Entity Name: | ST. LUCIE HOSPITALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Dec 2007 (17 years ago) |
| Document Number: | L07000121072 |
| FEI/EIN Number | 830501001 |
| 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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790955060 | 2008-03-03 | 2010-05-04 | 3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN, 370275005, US | 1800 SE TIFFANY AVE, PORT ST LUCIE, FL, 349527521, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 800-661-3365 |
| Fax | 8666894661 |
| Phone | +1 772-398-1969 |
| Fax | 7728076229 |
Authorized person
| Name | GARY DUNCAN |
| Role | VP |
| Phone | 9547675716 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DO8648 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000775400 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| FRANCK II JOHN M | Manager | ONE PARK PLAZA, NASHVILLE, FL, 37203 |
| WYATT CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, FL, 37203 |
| Cuffe Michael S | Manager | 2000 HealthPark Drive, Brentwood, TN, 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000007453 | LAWNWOOD HOSPITALISTS | ACTIVE | 2011-01-18 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-24 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| 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 | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
