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NORTHWEST FLORIDA PRIMARY CARE, LLC

Company Details

Entity Name: NORTHWEST FLORIDA PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Feb 2008 (17 years ago)
Document Number: L08000012057
FEI/EIN Number 061835881
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740429679 2009-02-17 2017-11-10 2000 HEALTH PARK DR, BRENTWOOD, TN, 370274525, US 4400 E HIGHWAY 20 STE 203, NICEVILLE, FL, 325787700, US

Contacts

Phone +1 615-372-5426
Fax 8668314898
Phone +1 850-897-3678
Fax 8508973708

Authorized person

Name JOHN MARK RODKEY
Role VICE PRESIDENT
Phone 8505233816

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
State FL
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
G23000054779 HCA FLORIDA FORT WALTON BEACH INTERNAL MEDICINE ACTIVE 2023-05-01 2028-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000147643 HCA FLORIDA NICEVILLE PRIMARY CARE ACTIVE 2021-11-03 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G11000070541 NORTHWEST FLORIDA URGENT CARE - DESTIN EXPIRED 2011-07-14 2016-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASVILLE, TN, 37203
G11000008391 NORTHWEST FLORIDA PEDIATRICS EXPIRED 2011-01-20 2016-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G11000001858 NORTHWEST FLORIDA-PEDIATRIC HOSPITALISTS EXPIRED 2011-01-04 2016-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G10000112404 NORTHWEST FLORIDA - WOMEN SERVICES EXPIRED 2010-12-09 2015-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G10000097741 NORTHWEST FLORIDA RHEUMATOLOGY EXPIRED 2010-10-25 2015-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G10000097753 NORTHWEST FLORIDA PRIMARY CARE - DESTIN EXPIRED 2010-10-25 2015-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G10000072195 DESTIN FAMILY CARE EXPIRED 2010-08-05 2015-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203
G10000018728 FORT WALTON PSYCHIATRIC HOSPITALISTS EXPIRED 2010-02-26 2015-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-05-04
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 Jan 2025

Sources: Florida Department of State