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BRADENTON CARDIOLOGY PHYSICIAN NETWORK, LLC

Company Details

Entity Name: BRADENTON CARDIOLOGY PHYSICIAN NETWORK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2011 (14 years ago)
Document Number: L11000008279
FEI/EIN Number 383831651
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203
Mail Address: ONE PARK PLAZA - LEGAL DEPT, NASHVILLE, TN, 37203
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720373228 2011-06-13 2011-06-13 2010 59TH ST W, STE. 4200, BRADENTON, FL, 342094616, US 2010 59TH ST W, STE. 4200, BRADENTON, FL, 342094616, US

Contacts

Phone +1 941-794-3999
Fax 9417924048

Authorized person

Name JOHN JOHANNESSEN
Role PRESIDENT
Phone 7277936004

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes
Taxonomy Code 207RI0011X - Interventional Cardiology Physician
Is Primary No

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
FRANCK II JOHN M Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Manager ONE PARK PLAZA, NASHVILLE, TN, 37203
Cuffe Michael S Manager 2000 HealthPark Drive, Brentwood, TN, 37027

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000037756 BRADENTON HEART CENTER ACTIVE 2011-04-18 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-20
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-23
ANNUAL REPORT 2015-04-21

Date of last update: 03 Jan 2025

Sources: Florida Department of State