| Entity Name: | BAYFRONT HMA PHYSICIAN MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2012 (12 years ago) |
| Document Number: | L12000151954 |
| FEI/EIN Number | N/A |
| Address: | 4000 Meridian Boulevard, Franklin, TN 37067 |
| Mail Address: | 4000 Meridian Boulevard, Franklin, TN 37067 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588904056 | 2013-02-21 | 2019-10-16 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 603 7TH ST S STE 400, SAINT PETERSBURG, FL, 337014734, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 727-553-7420 |
Authorized person
| Name | JAMES PATRICK WRIGHT |
| Role | VP PHYSICIAN BUSINESS SERVICES |
| Phone | 6157781502 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0127X - Trauma Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008265100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 100545700 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Hammons, Kevin J. | Manager | 4000 Meridian Boulevard, Franklin, TN 37067 |
| Pitt, Justin D. | Manager | 4000 Meridian Boulevard, Franklin, TN 37067 |
| Cash, W. Bradley | Manager | 4000 Meridian Boulevard, Franklin, TN 37067 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000123243 | BAYFRONT HEALTH MEDICAL GROUP | EXPIRED | 2019-11-18 | 2024-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G19000123249 | BAYFRONT TRAUMA & ACUTE CARE | EXPIRED | 2019-11-18 | 2024-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G19000123246 | BAYFRONT PRIMARY CARE ASSOCIATES | EXPIRED | 2019-11-18 | 2024-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G19000039123 | BAYFRONT CARDIOVASCULAR SURGICAL ASSOCIATES | EXPIRED | 2019-03-26 | 2024-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G19000039117 | BAYFRONT CARDIOVASCULAR ASSOCIATES | EXPIRED | 2019-03-26 | 2024-12-31 | No data | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
| G13000124120 | BAYFRONT CARDIOTHORACIC SURGICAL ASSOCIATES | EXPIRED | 2013-12-18 | 2018-12-31 | No data | 603 7TH STREET S, SUITE 101, ST. PETERSBURG, FL, 33701 |
| G13000117643 | BAYFRONT HEALTH MEDICAL GROUP | EXPIRED | 2013-12-03 | 2018-12-31 | No data | 603 7TH STREET SOUTH, SUITE 500, NAPLES, FL, 34108 |
| G13000080242 | BAYFRONT NEUROSURGICAL ASSOCIATES | EXPIRED | 2013-08-12 | 2018-12-31 | No data | 603 7TH STREET S, ST. PETERSBURG, FL, 33701 |
| G13000030563 | BAYFRONT PHYSICIAN ASSOCIATES | EXPIRED | 2013-03-29 | 2018-12-31 | No data | 701 SIXTH STREET SOUTH, BUILDING B, ROOM 279, ST. PETERSBURG, FL, 33701 |
| G13000030565 | BAYFRONT TRAUMA & ACUTE CARE | EXPIRED | 2013-03-29 | 2018-12-31 | No data | 603 7TH STREET SOUTH, SUITE 500, ST. PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 4000 Meridian Boulevard, Franklin, TN 37067 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-25 | 4000 Meridian Boulevard, Franklin, TN 37067 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-25 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ralph Flack, Appellant(s) v. Bayfront HMA Medical Center, LLC, d/b/a Bayfront Health - St. Petersburg, Bayfront HMA Physician Management, LLC, d/b/a Bayfront Trauma & Acute Care, Abigail S. Blackman, MD, Emergency Physicians of St. Petersburg, PA, Steven G. Epstein, M. D., and Katherine Powell, RN, Appellee(s). | 2D2024-2396 | 2024-10-17 | Open | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Name | Ralph Flack |
| Role | Appellant |
| Status | Active |
| Representations | David Ryan Best |
| Name | BAYFRONT HMA MEDICAL CENTER, LLC |
| Role | Appellee |
| Status | Active |
| Representations | Nichole M. Koford, Alyssa Mara Reiter |
| Name | d/b/a Bayfront Health - St. Petersburg |
| Role | Appellee |
| Status | Active |
| Name | BAYFRONT HMA PHYSICIAN MANAGEMENT, LLC |
| Role | Appellee |
| Status | Active |
| Name | d/b/a Bayfront Trauma & Acute Care |
| Role | Appellee |
| Status | Active |
| Name | Abigail S. Blackman, MD |
| Role | Appellee |
| Status | Active |
| Name | Emergency Physicians of St. Petersburg, PA |
| Role | Appellee |
| Status | Active |
| Name | Steven G. Epstein, M. D. |
| Role | Appellee |
| Status | Active |
| Name | Katherine Powell, RN |
| Role | Appellee |
| Status | Active |
| Name | Hon. Thane B. Covert |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Pinellas Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2024-11-14 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time |
| Description | Appellant's motion for extension of time is granted, and Appellant shall satisfy this court's October 17, 2024, fee order within 30 days from the date of this order. |
| View | View File |
| Docket Date | 2024-11-07 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time |
| Description | Motion for Extension of Time |
| On Behalf Of | Ralph Flack |
| Docket Date | 2024-10-24 |
| Type | Misc. Events |
| Subtype | Status Report |
| Description | Status Report |
| On Behalf Of | Pinellas Clerk |
| Docket Date | 2024-10-21 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal |
| On Behalf Of | Ralph Flack |
| Docket Date | 2024-10-17 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | W/ORDER |
| On Behalf Of | Ralph Flack |
| Docket Date | 2024-10-17 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-12-19 |
| Type | Motions Other |
| Subtype | Motion To Dismiss |
| Description | Motion To Dismiss |
| On Behalf Of | Bayfront HMA Medical Center, LLC |
| Docket Date | 2024-12-18 |
| Type | Misc. Events |
| Subtype | Certificate |
| Description | CERTIFICATE OF THE CLERK |
| On Behalf Of | Pinellas Clerk |
| Docket Date | 2024-10-17 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | This appeal has been filed without a filing fee required by section 35.22(2)(a), Florida Statutes. The attorney for Appellant shall forward the required $300.00 filing fee or, if applicable, a certificate or order of the lower tribunal finding Appellant insolvent pursuant to section 57.081, Florida Statutes, within twenty days from the date of this order. If this court does not receive either of the above within the prescribed time, this appeal may be subject to dismissal without further notice. |
| View | View File |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
