| Entity Name: | LIVE OAK HMA MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2010 (15 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 25 Feb 2014 (11 years ago) |
| Document Number: | L10000056743 |
| FEI/EIN Number | 272691688 |
| 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740509991 | 2010-05-27 | 2012-11-26 | 5811 PELICAN BAY BLVD, SUITE 500, NAPLES, FL, 341082733, US | 1116 11TH ST SW, LIVE OAK, FL, 320643608, US | |||||||||||||||||||
|
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| Phone | +1 239-598-3131 |
| Fax | 2395920438 |
Authorized person
| Name | MR. MICHAEL L GINGRAS |
| Role | VICE PRESIDENT |
| Phone | 2395983131 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| 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 |
|---|---|---|---|---|---|---|
| G18000092462 | SHANDS LIVE OAK MEDICAL GROUP | EXPIRED | 2018-08-20 | 2023-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G16000057223 | SHANDS LIVE OAK PRIMARY CARE WELLBORN | EXPIRED | 2016-06-09 | 2021-12-31 | No data | 4345 EAST U.S. HWY. 90, WELLBORN, FL, 32094 |
| G13000008122 | SHANDS LIVE OAK GENERAL SURGERY | EXPIRED | 2013-01-23 | 2018-12-31 | No data | 1116 SW 11TH STREET, LIVE OAK, FL, 32064 |
| G11000086339 | SHANDS LIVE OAK CARDIOLOGY | EXPIRED | 2011-08-31 | 2016-12-31 | No data | 5811 PELICAN BAY BLVD, SUITE 500, ATTN: LEGAL DEPT, NAPLES, FL, 34108 |
| G10000091084 | SHANDS LIVE OAK PRIMARY CARE | EXPIRED | 2010-10-05 | 2015-12-31 | No data | 5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-01 | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-01 | 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 | 2022-04-23 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
