| Entity Name: | DOLPHIN EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Oct 2013 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 22 Oct 2013 (11 years ago) |
| Document Number: | L13000149239 |
| FEI/EIN Number | 75-2965268 |
| 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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871542712 | 2006-05-08 | 2013-12-23 | 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US | 9521 SW HIGHWAY 200, OCALA, FL, 344817719, US | |||||||||||||||||||||||||||||||
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| Phone | +1 469-401-2386 |
| Fax | 2147122444 |
| Phone | +1 352-351-7500 |
| Fax | 3526712593 |
Authorized person
| Name | DR. TERRY R. MEADOWS |
| Role | VICE PRESIDENT |
| Phone | 4694012386 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 265221800 |
| State | FL |
| Issuer | BLUE SHIELD |
| Number | 34164 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BYRNE, GREGORY J. , MD | Manager | 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215 |
| Name | Role | Address |
|---|---|---|
| BYRNE, GREGORY J. , MD | President | 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215 |
| Name | Role | Address |
|---|---|---|
| BYRNE, GREGORY J. , MD | Secretary and Treasurer | 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| CONVERSION | 2013-10-22 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001482 ORIGINALLY FILED ON 10/21/2013. CONVERSION NUMBER 100000135271 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| 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 | 2015-06-09 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
