| Entity Name: | ORANGE PARK ACUTE TRAUMA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Aug 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Sep 2013 (11 years ago) |
| Document Number: | L13000117335 |
| FEI/EIN Number | 46-1365918 |
| 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427397264 | 2013-02-13 | 2021-04-20 | 5565 CENTERVIEW DR STE 107, RALEIGH, NC, 276063563, US | 2140 KINGSLEY AVE, SUITE 14, ORANGE PARK, FL, 320735180, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 972-265-0370 |
| Fax | 2147122444 |
Authorized person
| Name | KATHY KONDAS |
| Role | OFFICER |
| Phone | 3176149871 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0127X - Trauma Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | Manager | 20 Burton Hills Blvd., Suite 500 NASHVILLE, TN 37215 |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | President | 20 Burton Hills Blvd., Suite 500 NASHVILLE, TN 37215 |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | Secretary and Treasurer | 20 Burton Hills Blvd., Suite 500 NASHVILLE, TN 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| LC AMENDMENT | 2013-09-23 | No data | No data |
| CONVERSION | 2013-08-13 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001133 ORIGINALLY FILED ON 08/12/2013. CONVERSION NUMBER 300000133663 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
