| Entity Name: | RIVER WATCH ACUTE TRAUMA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jan 2014 (11 years ago) |
| Document Number: | L14000008556 |
| FEI/EIN Number | 46-4557262 |
| 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386066728 | 2014-01-18 | 2023-03-23 | 13737 NOEL RD STE 1600, DALLAS, TX, 752401374, US | 2001 KINGSLEY AVE, ORANGE PARK, FL, 320735148, US | |||||||||||||||||||
|
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| Phone | +1 954-838-2371 |
| Phone | +1 904-276-8500 |
Authorized person
| Name | KAREN VAUGHN |
| Role | OFFICER |
| Phone | 9732511132 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0127X - Trauma Surgery Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BYRNE, M.D. GREGORY J | Manager | 20 Burton Hills Blvd, NASHVILLE, TN, 37215 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000107207 | EMERALD COAST SURGICAL SPECIALISTS | ACTIVE | 2021-08-18 | 2026-12-31 | No data | 2202 STATE AVENUE, SUITE 108B, PANAMA CITY, FL, 32405 |
| G19000096327 | FORT WALTON BEACH SURGICAL ASSOCIATES | EXPIRED | 2019-09-03 | 2024-12-31 | No data | 7700 W. SUNRISE BOULEVARD, MAILSTOP PL6, PLANTATION, FL, 33322 |
| G17000113746 | LAKEFRONT SURGICAL ASSOCIATES | ACTIVE | 2017-10-16 | 2027-12-31 | No data | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 |
| G16000093211 | SOUTHLAKE SURGICAL SPECIALISTS | EXPIRED | 2016-08-26 | 2021-12-31 | No data | 6363 S. FIDDLERS GREEN CIRCLE, 14TH FLOOR, GREENWOOD VILLAGE, CO, 80111 |
| G14000023428 | ORANGE PARK SURGICAL ASSOCIATES | EXPIRED | 2014-03-06 | 2019-12-31 | No data | 6200 SYRACUSE WAY, STE 200, GREENWOOD VILLAGE, CO, 80111 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
