| Entity Name: | HOSPITALISTS AT FORT WALTON BEACH MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jul 2008 (17 years ago) |
| Date of dissolution: | 11 Feb 2009 (16 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Feb 2009 (16 years ago) |
| Document Number: | L08000070656 |
| Address: | ONE PARK PLAZA, LEGAL DEPARTMENT, 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316184765 | 2009-01-07 | 2009-01-07 | 1000 MARWALT DRVIE, FORT WALTON BEACH, FL, 325471000, US | 1000 MAR WALT DR, FORT WALTON BEACH, FL, 325476708, US | |||||||||||||||
|
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| Phone | +1 850-315-4249 |
| Fax | 8669581809 |
Authorized person
| Name | MICKEY PICKLER |
| Role | PRESIDENT |
| Phone | 8505232117 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| MOORE A. BRUCE J | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| JOHNSON R. MILTON | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| HANKINS R. SAMUEL J | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-02-11 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-02-11 |
| Florida Limited Liability | 2008-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
