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MANATEE PHYSICIAN ALLIANCE, LLC - Florida Company Profile

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Company Details

Entity Name: MANATEE PHYSICIAN ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Aug 2010 (15 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 30 Jan 2017 (8 years ago)
Document Number: L10000082739
FEI/EIN Number 273276948
Mail Address: 367 S GULPH RD, KING OF PRUSSIA, PA, 19406, US
Address: 206 SECOND ST EAST, BRADENTON, FL, 34208, US
ZIP code: 34208
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Role
Managing Member
Agent

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
COURTNEY MEALEY
User ID:
P3206860
Trade Name:
MANATEE PHYSICIAN ALLIANCE LLC

Unique Entity ID

Unique Entity ID:
U6X2E3NF86R4
CAGE Code:
9QYE3
UEI Expiration Date:
2025-09-30

Business Information

Doing Business As:
MANATEE PHYSICIAN ALLIANCE LLC
Activation Date:
2024-10-02
Initial Registration Date:
2023-11-03

National Provider Identifier

NPI Number:
1700181005

Authorized Person:

Name:
EUGENNIA JENNINGS
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000009244 LAKEWOOD RANCH MEDICAL GROUP - GENERAL SURGERY ACTIVE 2021-01-19 2026-12-31 - 8340 LAKEWOOD RANCH BLVD., SUITE 290, BRADENTON, FL, 34202
G20000079373 LAKEWOOD RANCH PRIMARY CARE - LORRAINE ROAD ACTIVE 2020-07-07 2025-12-31 - 14616 STATE RD. 70 EAST, BRADENTON, FL, 34202
G20000058568 LAKEWOOD RANCH PRIMARY CARE - LORRAINE ACTIVE 2020-05-27 2025-12-31 - 14616 STATE RD. 70 EAST, BRADENTON, FL, 34202
G20000028652 LAKEWOOD RANCH MEDICAL GROUP - OB/GYN ACTIVE 2020-03-05 2025-12-31 - 6310 HEALTH PARK WAY #200, LAKEWOOD RANCH, FL, 34202
G18000057372 SARASOTA URGENT CARE ACTIVE 2018-05-10 2028-12-31 - 6272 LAKE OSPREY DRIVE, SARASOTA, FL, 34240
G18000057385 LAKEWOOD RANCH URGENT CARE EXPIRED 2018-05-10 2023-12-31 - 9908 SR 64 EAST, BRADENTON, FL, 34212
G18000056192 MANATEE URGENT CARE EXPIRED 2018-05-07 2023-12-31 - 1001 3RD AVENUE WEST, SUITE 190, BRADENTON, FL, 34205
G18000051856 BRADENTON URGENT CARE ACTIVE 2018-04-25 2028-12-31 - 4647 MANATEE AVENUE WEST, BRADENTON, FL, 34209
G17000083308 MANATEE MEMORIAL HOSPITAL INTERNAL MEDICINE RESIDENCY CLINIC EXPIRED 2017-08-03 2022-12-31 - 250 2ND STREET EAST, SUITE 4G, BRADENTON, FL, 34208
G17000036462 NORTH RIVER FAMILY HEALTH CENTER EXPIRED 2017-04-05 2022-12-31 - 606 4TH AVE. W, PALMETTO, FL, 34221

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2017-01-30 - -
REGISTERED AGENT NAME CHANGED 2017-01-30 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2017-01-30 1201 HAYS ST., TALLAHASSEE, FL 32301 -
LC AMENDMENT 2012-06-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-06
CORLCRACHG 2017-01-30

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Date of last update: 03 Jul 2025

Sources: Florida Department of State