| Entity Name: | CLOVER EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CLOVER EMERGENCY PHYSICIANS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Oct 2013 (12 years ago) |
| Date of dissolution: | 31 May 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 May 2024 (a year ago) |
| Document Number: | L13000149259 |
| FEI/EIN Number |
75-2758837
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891744736 | 2006-05-08 | 2013-12-22 | 13737 NOEL RD, DALLAS, TX, 752401331, US | 2323 9TH AVE N, ST PETERSBURG, FL, 337136832, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 469-401-2386 |
| Fax | 2147122444 |
| Phone | +1 727-326-6185 |
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 | BLUE SHIELD |
| Number | 21794 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254689200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BYRNE GREGORY JMD | Manager | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-31 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | - |
| CONVERSION | 2013-10-22 | - | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001484 ORIGINALLY FILED ON 10/21/2013. CONVERSION NUMBER 300000135383 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-31 |
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
