| Entity Name: | EMERGENCY PROVIDERS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2011 (14 years ago) |
| Document Number: | L11000028766 |
| FEI/EIN Number | 800697059 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
| Mail Address: | ONE PARK PLAZA - LEGAL DEPT, NASHVILLE, TN, 37203, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164711206 | 2011-03-29 | 2011-04-29 | PO BOX 741630, ATLANTA, GA, 303741630, US | 1000 MAR WALT DR, FORT WALTON BEACH, FL, 325476708, US | |||||||||||||
|
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| Phone | +1 850-862-1111 |
Authorized person
| Name | MARK PENKHUS |
| Role | VICE PRESIDENT |
| Phone | 6153449551 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| 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 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000029767 | EMERGENCY PHYSICIANS FWB | ACTIVE | 2011-03-23 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
