| Entity Name: | ALLIGATOR BAY INPATIENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Oct 2013 (11 years ago) |
| Document Number: | L13000145993 |
| FEI/EIN Number | 46-3896410 |
| Address: | 20 Burton Hills Boulevard, Suite 500, Nashville, TN 37215 |
| Mail Address: | 20 Burton Hills Boulevard, Suite 500, Nashville, TN 37215 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740618248 | 2013-10-17 | 2013-10-22 | 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US | 21298 OLEAN BLVD, PORT CHARLOTTE, FL, 339526705, US | |||||||||||||||||||||||
|
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| Phone | +1 469-401-2386 |
| Fax | 2147122444 |
Authorized person
| Name | GREGORY BYRNE |
| Role | PRESIDENT |
| Phone | 4694012386 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | Manager | 20 Burton Hills Boulevard, Suite 500 Nashville, TN 37215 |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | President | 20 Burton Hills Boulevard, Suite 500 Nashville, TN 37215 |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D., Gregory J | Secretary and Treasurer | 20 Burton Hills Boulevard, Suite 500 Nashville, TN 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-21 | 20 Burton Hills Boulevard, Suite 500, Nashville, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-21 | 20 Burton Hills Boulevard, Suite 500, Nashville, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
