MELBOURNE HMA MEDICAL GROUP, LLC

Company Details

Entity Name:	MELBOURNE HMA MEDICAL GROUP, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Inactive
Date Filed:	26 Jul 2010 (15 years ago)
Date of dissolution:	20 Oct 2023 (a year ago)
Last Event:	LC VOLUNTARY DISSOLUTION
Event Date Filed:	20 Oct 2023 (a year ago)
Document Number:	L10000078586
FEI/EIN Number	273142516
Address:	4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067, US
Mail Address:	4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067, US
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1962717058

2010-08-12

2014-07-31

PO BOX 689022, FRANKLIN, TN, 370689022, US

8055 SPYGLASS HILL RD, MELBOURNE, FL, 329408564, US

Contacts

Phone	+1 239-598-3131
Fax	2395920438

Authorized person

Name	MR. JAMES PATRICK WRIGHT
Role	SR. DIRECTOR
Phone	6154657587

Taxonomy

Taxonomy Code	207R00000X - Internal Medicine Physician
Is Primary	Yes
Taxonomy Code	207RC0000X - Cardiovascular Disease Physician
Is Primary	No
Taxonomy Code	207V00000X - Obstetrics & Gynecology Physician
Is Primary	No
Taxonomy Code	207X00000X - Orthopaedic Surgery Physician
Is Primary	No
Taxonomy Code	2084N0400X - Neurology Physician
Is Primary	No
Taxonomy Code	208600000X - Surgery Physician
Is Primary	No
Taxonomy Code	363L00000X - Nurse Practitioner
Is Primary	No

Agent

Name	Role
CORPORATION SERVICE COMPANY	Agent

Manager

Name	Role	Address
Hammons Kevin J	Manager	4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067
Pitt Justin D	Manager	4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067
Cash W. B	Manager	4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G13000000179	WUESTHOFF PHYSICIAN NETWORK	EXPIRED	2013-01-02	2018-12-31	No data	1004 BEVERLY DRIVE, SUITE F, ROCKLEDGE, FL, 32955
G12000069602	WUESTHOFF OB/GYN	EXPIRED	2012-07-11	2017-12-31	No data	240 N. WICKHAM ROAD, SUITE 104, MELBOURNE, FL, 32940
G11000081684	INTERNAL MEDICINE ASSOCIATES OF SOUTH BREVARD	EXPIRED	2011-08-17	2016-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G11000066074	INTERNAL MEDICINE ASSOCIATES OF BREVARD	EXPIRED	2011-06-30	2016-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G11000057310	NEUROLOGY ASSOCIATES OF BREVARD	EXPIRED	2011-06-10	2016-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G11000045806	UROLOGY ASSOCIATES OF BREVARD	EXPIRED	2011-05-12	2016-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000090466	FIRST CARE FAMILY PHYSICIANS	EXPIRED	2010-10-04	2015-12-31	No data	5811 PELICAN BAY BOULEVARD, SUITE 500, NAPLES, FL, 34108-2710
G10000087505	ANTHONY WARE ORTHOPAEDICS	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD, SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087572	SURGICAL ASSOCIATES OF BREVARD	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087563	ORTHOPAEDIC ASSOCIATES OF BREVARD	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087520	NEUROLOGY ASSOCIATES OF MELBOURNE	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087516	CARITAS WOMANCARE	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087511	CARDIOLOGY ASSOCIATES OF BREVARD	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108
G10000087507	BAYTREE MEDICAL ASSOCIATES	EXPIRED	2010-09-23	2015-12-31	No data	5811 PELICAN BAY BLVD, SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108

Events

Event Type	Filed Date	Value	Description
LC VOLUNTARY DISSOLUTION	2023-10-20	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2014-05-01	4000 MERIDIAN BOULEVARD, FRANKLIN, TN 37067	No data
CHANGE OF MAILING ADDRESS	2014-05-01	4000 MERIDIAN BOULEVARD, FRANKLIN, TN 37067	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	No data

Documents

Name	Date
LC Voluntary Dissolution	2023-10-20
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
ANNUAL REPORT	2014-05-01
Reg. Agent Change	2014-02-25
ANNUAL REPORT	2013-04-16
ANNUAL REPORT	2012-04-19
ANNUAL REPORT	2011-03-24
FEI#	2010-09-07
Florida Limited Liability	2010-07-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State