Search icon

CHILDREN'S HEALTH ALLIANCE, L.L.C.

Company Details

Entity Name: CHILDREN'S HEALTH ALLIANCE, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Sep 2011 (13 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 Jan 2020 (5 years ago)
Document Number: L11000112362
FEI/EIN Number 453584282
Address: 6900 Tavistock Lakes Blvd., ORLANDO, FL, 32827, US
Mail Address: 6900 Tavistock Lakes Blvd., ORLANDO, FL, 32827, US
ZIP code: 32827
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366709321 2012-04-16 2021-06-22 10140 CENTURION PKWY N, JACKSONVILLE, FL, 322560532, US 9145 NARCOOSSEE RD STE 103, ORLANDO, FL, 328275768, US

Contacts

Phone +1 407-650-7006
Fax 4076507075

Authorized person

Name MR. ROBERT BRIDGES
Role EVP, OPERATIONS
Phone 9046975628

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

ENT

Name Role Address
MCGILL MARTHA G ENT 6900 Tavistock Lakes Blvd., ORLANDO, FL, 32827

PRAC

Name Role Address
HEJMANOWSKI RAY J PRAC 6900 Tavistock Lakes Blvd., ORLANDO, FL, 32827

PRIM

Name Role Address
MAHAN KELLI E PRIM 6900 Tavistock Lakes Blvd., ORLANDO, FL, 32827

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000148781 NEMOURS CHILDREN'S HEALTH OVIEDO SOUTH ACTIVE 2021-11-05 2026-12-31 No data 6900 TAVISTOCK LAKES BLVD, SUITE 450, ORLANDO, FL, 32827
G21000108783 NEMOURS CHILDREN'S HEALTH ACTIVE 2021-08-23 2026-12-31 No data 6900 TAVISTOCK LAKES BLVD,SUITE 450, ORLANDO, FL, 32827
G21000027700 NEMOURS CHILDREN'S PRIMARY CARE, THE VILLAGES, FL ACTIVE 2021-02-26 2026-12-31 No data 6900 TAVISTOCK LAKES BLVD, SUITE 350, ORLANDO, FL, 32827
G20000127303 NEMOURS CHILDREN'S PRIMARY CARE, MOSS PARK ACTIVE 2020-09-30 2025-12-31 No data 6900 TAVISTOCK LAKES BLVD, SUITE 350, ORLANDO, FL, 32827
G19000066706 NEMOURS CHILDREN'S PRIMARY CARE, ST. CLOUD EXPIRED 2019-06-11 2024-12-31 No data 6900 TAVISTOCK LAKES BLVD, SUITE 350, ORLANDO, FL, 32827
G18000133969 NEMOURS CHILDREN'S PRIMARY CARE, THE VILLAGES EXPIRED 2018-12-19 2023-12-31 No data 1400 US HWY 441 N,, SUITE 522, THE VILLAGES, FL, 32159
G18000041810 NEMOURS CHILDREN'S PRIMARY CARE, WINTER GARDEN EXPIRED 2018-03-30 2023-12-31 No data 2020 DANIELS ROAD, WINTER GARDEN, FL, 33805
G17000130948 NEMOURS CHILDREN'S PRIMARY CARE, DOWNTOWN ORLANDO EXPIRED 2017-11-30 2022-12-31 No data 6900 TAVISTOCK LAKES BLVD., SUITE 350, ORLANDO, FL, 32827
G17000058953 NEMOURS CHILDREN'S PRIMARY CARE, VERO BEACH EXPIRED 2017-05-26 2022-12-31 No data 840 37TH PLACE, SUITE 1, VERO BEACH, FL, 32960
G16000069536 NEMOURS CHILDREN'S PRIMARY CARE, ISLAND PEDIATRICS ACTIVE 2016-07-14 2027-12-31 No data 960 37TH PLACE, SUITE 101, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-08-20 6900 Tavistock Lakes Blvd., Suite 450, ORLANDO, FL 32827 No data
CHANGE OF MAILING ADDRESS 2021-08-20 6900 Tavistock Lakes Blvd., Suite 450, ORLANDO, FL 32827 No data
LC STMNT OF RA/RO CHG 2020-01-17 No data No data
REGISTERED AGENT NAME CHANGED 2020-01-17 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-17 1200 S PINE ISLAND RD, PLANTATION, FL 33324 No data
LC STMNT OF RA/RO CHG 2016-08-29 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-01-03
AMENDED ANNUAL REPORT 2021-08-20
ANNUAL REPORT 2021-01-12
CORLCRACHG 2020-01-17
ANNUAL REPORT 2020-01-09
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-03-08
ANNUAL REPORT 2017-05-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State