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WEST FLORIDA PHYSICIAN NETWORK, LLC - Florida Company Profile

Company Details

Entity Name: WEST FLORIDA PHYSICIAN NETWORK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WEST FLORIDA PHYSICIAN NETWORK, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 May 2009 (16 years ago)
Document Number: L09000047024
FEI/EIN Number 800412061

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: ONE PARK PLAZA - LEGAL DEPT., NASHVILLE, TN, 37203
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376779496 2009-06-03 2020-10-21 2000 HEALTH PARK DR, BRENTWOOD, TN, 370274525, US 315 75TH ST W, BRADENTON, FL, 342093201, US

Contacts

Phone +1 615-373-7600
Fax 8663461426
Phone +1 941-761-1998
Fax 8775018537

Authorized person

Name WILLIAM TEDRICK JOHNSON
Role VICE PRESIDENT/AO
Phone 6153723375

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary No
Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary No
Taxonomy Code 207VG0400X - Gynecology Physician
Is Primary No
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary No
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary No
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary No
Taxonomy Code 208600000X - Surgery Physician
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Other Provider Identifiers

Issuer MEDICARE GROUP #
Number CD227A
State FL
Issuer BCBS GROUP PROVIDER #
Number 33271
State FL

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
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
G24000147514 HCA FLORIDA LEHIGH SURGICAL SPECIALISTS ACTIVE 2024-12-05 2029-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G24000126714 HCA FLORIDA FAWCETT SURGICAL SPECIALISTS ACTIVE 2024-10-14 2029-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G24000046227 HCA FLORIDA SARASOTA DOCTORS SURGICAL SPECIALISTS ACTIVE 2024-04-04 2029-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G23000062951 HCA FLORIDA SURGICAL SPECIALISTS ACTIVE 2023-05-19 2028-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G23000005206 HCA FLORIDA NEUROSURGERY ACTIVE 2023-01-11 2028-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G22000045732 HCA FLORIDA BURN AND PLASTIC SURGERY ACTIVE 2022-04-11 2027-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000076916 HCA FLORIDA FAWCETT SURGICAL SPECIALISTS ACTIVE 2021-06-08 2026-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000076810 HCA FLORIDA BLAKE MEDICAL SPECIALISTS ACTIVE 2021-06-08 2026-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000072144 HCA FLORIDA NEUROSURGERY ACTIVE 2021-05-27 2026-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000072369 HCA FLORIDA SURGICAL SPECIALISTS ACTIVE 2021-05-27 2026-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-10
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-30

Date of last update: 02 Mar 2025

Sources: Florida Department of State