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EMERALD WATERS INPATIENT SERVICES, LLC

Company Details

Entity Name: EMERALD WATERS INPATIENT SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Oct 2013 (11 years ago)
Last Event: CONVERSION
Event Date Filed: 15 Oct 2013 (11 years ago)
Document Number: L13000145403
FEI/EIN Number 46-0667791
Address: 20 Burton Hills Blvd., Suite 500, Nashville, TN, 37215, US
Mail Address: 20 Burton Hills Blvd., Suite 500, Nashville, TN, 37215, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215283734 2012-08-02 2014-06-04 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US 449 W 23RD ST, PANAMA CITY, FL, 324054507, US

Contacts

Phone +1 469-401-2386
Fax 2147122444
Phone +1 850-769-8341

Authorized person

Name GREGORY J BYRNE
Role PRESIDENT
Phone 4694012386

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
BYRNE GREGORY JMD Manager 20 Burton Hills Blvd., Nashville, TN, 37215

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-15 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 No data
CHANGE OF MAILING ADDRESS 2024-04-15 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 No data
CONVERSION 2013-10-15 No data GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001389 ORIGINALLY FILED ON 10/11/2013. CONVERSION NUMBER 100000134911

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State