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MANATEE PHYSICIAN ALLIANCE, LLC

Company Details

Entity Name: MANATEE PHYSICIAN ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Aug 2010 (14 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
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700181005 2011-01-18 2011-01-18 PO BOX 281741, ATLANTA, GA, 303841741, US 8340 LAKEWOOD RANCH BLVD, SUITE 140, LAKEWOOD RANCH, FL, 342025180, US

Contacts

Phone +1 941-782-2800

Authorized person

Name EUGENNIA JENNINGS
Role PRACTICE MANAGER
Phone 9417537585

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Managing Member

Name Role Address
Manatee Memorial Hospital, LP Managing Member 367 S GULPH RD, KING OF PRUSSIA, PA, 19406

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 No data 8340 LAKEWOOD RANCH BLVD., SUITE 290, BRADENTON, FL, 34202
G20000079373 LAKEWOOD RANCH PRIMARY CARE - LORRAINE ROAD ACTIVE 2020-07-07 2025-12-31 No data 14616 STATE RD. 70 EAST, BRADENTON, FL, 34202
G20000058568 LAKEWOOD RANCH PRIMARY CARE - LORRAINE ACTIVE 2020-05-27 2025-12-31 No data 14616 STATE RD. 70 EAST, BRADENTON, FL, 34202
G20000028652 LAKEWOOD RANCH MEDICAL GROUP - OB/GYN ACTIVE 2020-03-05 2025-12-31 No data 6310 HEALTH PARK WAY #200, LAKEWOOD RANCH, FL, 34202
G18000057372 SARASOTA URGENT CARE ACTIVE 2018-05-10 2028-12-31 No data 6272 LAKE OSPREY DRIVE, SARASOTA, FL, 34240
G18000057385 LAKEWOOD RANCH URGENT CARE EXPIRED 2018-05-10 2023-12-31 No data 9908 SR 64 EAST, BRADENTON, FL, 34212
G18000056192 MANATEE URGENT CARE EXPIRED 2018-05-07 2023-12-31 No data 1001 3RD AVENUE WEST, SUITE 190, BRADENTON, FL, 34205
G18000051856 BRADENTON URGENT CARE ACTIVE 2018-04-25 2028-12-31 No data 4647 MANATEE AVENUE WEST, BRADENTON, FL, 34209
G17000083308 MANATEE MEMORIAL HOSPITAL INTERNAL MEDICINE RESIDENCY CLINIC EXPIRED 2017-08-03 2022-12-31 No data 250 2ND STREET EAST, SUITE 4G, BRADENTON, FL, 34208
G17000036462 NORTH RIVER FAMILY HEALTH CENTER EXPIRED 2017-04-05 2022-12-31 No data 606 4TH AVE. W, PALMETTO, FL, 34221

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2017-01-30 No data No data
REGISTERED AGENT NAME CHANGED 2017-01-30 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-30 1201 HAYS ST., TALLAHASSEE, FL 32301 No data
LC AMENDMENT 2012-06-22 No data No data

Documents

Name Date
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
ANNUAL REPORT 2016-05-03

Date of last update: 03 Jan 2025

Sources: Florida Department of State