| Entity Name: | MAGNOLIA EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MAGNOLIA 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Nov 2013 (11 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 01 Nov 2013 (11 years ago) |
| Document Number: | L13000154438 |
| FEI/EIN Number |
75-2885762
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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164471090 | 2006-05-08 | 2017-10-02 | 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US | 1500 SW 1ST AVE, OCALA, FL, 344716504, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 469-401-2386 |
| Phone | +1 352-351-3407 |
| Fax | 3523517602 |
Authorized person
| Name | GREGORY BYRNE |
| Role | PRESIDENT |
| Phone | 4694012386 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE SHIELD |
| Number | 45624 |
| State | FL |
| Issuer | MEDICAID |
| Number | 260431100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BYRNE, M.D. GREGORY J | President | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | - |
| CONVERSION | 2013-11-01 | - | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001554 ORIGINALLY FILED ON 10/31/2013. CONVERSION NUMBER 900000135689 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
