| Entity Name: | SPRING HILL HMA MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Nov 2009 (15 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 25 Feb 2014 (11 years ago) |
| Document Number: | L09000108936 |
| FEI/EIN Number | 271314809 |
| Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US |
| Mail Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194053264 | 2009-11-30 | 2022-03-18 | 5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL, 341082704, US | 120 MEDICAL BLVD, SUITE 106, SPRING HILL, FL, 346090220, US | |||||||||||||||||
|
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| Phone | +1 239-598-3131 |
| Fax | 2395920438 |
| Fax | 2395989433 |
Authorized person
| Name | MS. JENNIFER JACKSON |
| Role | SENIOR DIRECTOR PROVIDER ENROLLMENT |
| Phone | 6154653334 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| HAMMONS KEVIN J | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| Pitt Justin D | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| Cash W. B | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000136491 | BRAVERA MEDICAL GROUP | ACTIVE | 2021-10-11 | 2026-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G21000136494 | BRAVERA OBSTETRICS AND GYNECOLOGY | ACTIVE | 2021-10-11 | 2026-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G21000136506 | BRAVERA PRIMARY CARE | ACTIVE | 2021-10-11 | 2026-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G15000030889 | BAYFRONT HEALTH MEDICAL GROUP | ACTIVE | 2015-03-25 | 2025-12-31 | No data | 4000 MERDIAN BLVD., FRANKLIN, TN, 37067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 | No data |
| LC STMNT OF RA/RO CHG | 2014-02-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-25 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
