| Entity Name: | PHYAMERICA HOSPITAL SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Aug 2009 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L09000076300 |
| FEI/EIN Number | 270707127 |
| Address: | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| Mail Address: | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| ZIP code: | 34229 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710119458 | 2009-08-13 | 2009-08-13 | 21298 OLEAN BLVD, PORT CHARLOTTE, FL, 339526705, US | 21298 OLEAN BLVD, PORT CHARLOTTE, FL, 339526705, US | |||||||||||||||||||||||||
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| Phone | +1 941-468-2719 |
| Fax | 9414927184 |
Authorized person
| Name | CLAUDE J MASON |
| Role | OWNER |
| Phone | 9414682719 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| License Number | ME79271 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | ME 79271 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COOPER FRANCES G | Agent | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| Name | Role | Address |
|---|---|---|
| MASON CLAUDE J | Managing Member | 154 LOOKOUT POINT DRIVE, OSPREY, FL, 34229 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-17 | 154 LOOKOUT POINT DRIVE, OSPREY, FL 34229 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-01-07 |
| Florida Limited Liability | 2009-08-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
