| Entity Name: | LIVE OAK IMMEDIATE CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2008 (16 years ago) |
| Document Number: | L08000114003 |
| FEI/EIN Number | 364645552 |
| 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407085244 | 2009-07-14 | 2011-03-23 | 1150 US HIGHWAY 41 NW, JASPER, FL, 320525888, US | 1150 US HIGHWAY 41 NW, JASPER, FL, 320525888, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 615-373-7600 |
Authorized person
| Name | MICKEY PICKLER |
| Role | VP |
| Phone | 8055232117 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| 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 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000107756 | PRIMARY CARE CENTER OF LIVE OAK | EXPIRED | 2009-05-15 | 2014-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| G09057900149 | PRIMARY CARE CENTER OF JASPER | EXPIRED | 2009-02-26 | 2014-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| G08352900202 | JASPER IMMEDIATE CARE CENTER | EXPIRED | 2008-12-17 | 2013-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-04-25 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-01 |
| 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: 01 Feb 2025
Sources: Florida Department of State
