| Entity Name: | ST. LUKE'S EMERGENCY CARE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2008 (17 years ago) |
| Document Number: | L08000006298 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 6700 Collier Road, St. Augustine, FL, 32092, US |
| Mail Address: | 6700 COLLIER ROAD, ST. AUGUSTINE, FL, 32092 |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871762013 | 2008-02-21 | 2023-05-22 | 6700 COLLIER ROAD, ST. AUGUSTINE, FL, 320922104, US | 1 SLEIMAN PKWY STE 210, JACKSONVILLE, FL, 322168046, US | |||||||||||||||||||||||||
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| Phone | +1 904-716-0508 |
Authorized person
| Name | KATHERINE CONSIDINE |
| Role | PRESIDENT |
| Phone | 9047160508 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280697500 |
| State | FL |
| Issuer | BCBS |
| Number | 24319 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CONSIDINE TRACY J | Agent | 1 SLEIMAN PARKWAY, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| CONSIDINE KATHERINE VM.D. | Manager | 6700 Collier Road, St. Augustine, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 6700 Collier Road, St. Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-03-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
