| Entity Name: | PEDIATRIC INTENSIVIST GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2011 (13 years ago) |
| Date of dissolution: | 07 Apr 2021 (4 years ago) |
| Last Event: | LC STMNT OF TERM |
| Event Date Filed: | 07 Apr 2021 (4 years ago) |
| Document Number: | L11000106467 |
| FEI/EIN Number | 383851835 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Mail Address: | ONE PARK PLAZA LEGAL DEPT, NASHVILLE, TN, 37203 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659638849 | 2012-04-12 | 2012-04-12 | 111 JFK DR STE A, ATLANTIS, FL, 334626634, US | 1700 S 23RD ST, FORT PIERCE, FL, 349504803, US | |||||||||||||||||||
|
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| Phone | +1 954-767-5716 |
| Phone | +1 720-530-9100 |
Authorized person
| Name | WARREN STOWELL |
| Role | VP PHYSICIAN SERVICES, HCA |
| Phone | 9547675716 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 2080P0203X - Pediatric Critical Care Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| RUTHERFORD WILLIAM B | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| WYATT CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| FRANCK II JOHN M | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-07 | No data | No data |
| LC STMNT OF TERM | 2021-04-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-24 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-07 |
| CORLCSTERM | 2021-04-07 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-27 |
| ANNUAL REPORT | 2013-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
