| Entity Name: | PRESERVATION PARK EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Feb 2012 (13 years ago) |
| Date of dissolution: | 24 Oct 2024 (3 months ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 24 Oct 2024 (3 months ago) |
| Document Number: | L12000018362 |
| FEI/EIN Number | 45-4492354 |
| Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619616406 | 2022-06-01 | 2023-02-14 | 5565 CENTERVIEW DR STE 107, RALEIGH, NC, 276063563, US | 19605 S DIXIE HWY, CUTLER BAY, FL, 331577724, US | |||||||||||||||
|
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| Phone | +1 973-251-1132 |
| Phone | +1 561-798-3300 |
Authorized person
| Name | KATHLEEN MARIE KONDAS |
| Role | OFFICER |
| Phone | 9195185000 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Baxter MD, Brian | Chief Operating Officer | 20 Burton Hills Blvd., Suite 500 Nashville, TN 37215 |
| Name | Role |
|---|---|
| FL-I MEDICAL SERVICES, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2024-10-24 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS VALESCO LEGACY HOLDINGS, LLC. MERGER NUMBER 500000259795 |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
