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GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC

Company Details

Entity Name: GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 10 Mar 2014 (11 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 24 Jun 2019 (6 years ago)
Document Number: L14000040394
FEI/EIN Number 46-5056917
Address: 9580 WEST COLONIAL DRIVE, OCOEE, FL 34761
Mail Address: 4800 DEERWOOD CAMPUS PARKWAY, DC1-7, JACKSONVILLE, FL 32246
ZIP code: 34761
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003416843 2020-10-30 2024-06-18 4800 DEERWOOD CAMPUS PKWY FL DC1004, JACKSONVILLE, FL, 322468317, US 2465 N ORANGE BLOSSOM TRAIL, KISSIMMEE, FL, 34744, US

Contacts

Phone +1 904-885-2413
Fax 9046475559
Phone +1 407-917-5911

Authorized person

Name KAREN WALKER
Role VP OF OPERATIONS
Phone 9048852413

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
JOLLY, AREZOU C Agent 4800 DEERWOOD CAMPUS PARKWAY, DC1-7, JACKSONVILLE, FL 32246

Treasurer

Name Role Address
READ, KIM Treasurer 4800 DEERWOOD CAMPUS PARKWAY, DC 1-5, JACKSONVILLE, FL 32246

Chief Executive Officer

Name Role Address
Schrader, Elana, Dr. Chief Executive Officer 4800 DEERWOOD CAMPUS PARKWAY, DC1-8, JACKSONVILLE, FL 32246

Chairman

Name Role Address
Schrader, Elana, Dr. Chairman 4800 DEERWOOD CAMPUS PARKWAY, DC1-8, JACKSONVILLE, FL 32246

Secretary

Name Role Address
Hall, Allen Secretary 4800 DEERWOOD CAMPUS PARKWAY, DC1-7, JACKSONVILLE, FL 32246

Chief Operating Officer

Name Role Address
BLUMBERG, STEVEN Chief Operating Officer 4800 Deerwood Campus Parkway DC 9 001, 0121 Jacksonville, FL 32246

Director

Name Role Address
BLUMBERG, STEVEN Director 4800 Deerwood Campus Parkway DC 9 001, 0121 Jacksonville, FL 32246

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000047503 GUIDEWELL EMERGENCY DOCTORS EXPIRED 2014-05-14 2024-12-31 No data 4800 DEERWOOD CAMPUS PKWY., DC1-7, JACKSONVILLE, FL, 32246

Events

Event Type Filed Date Value Description
LC AMENDMENT 2019-06-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-10 9580 WEST COLONIAL DRIVE, OCOEE, FL 34761 No data
CHANGE OF MAILING ADDRESS 2016-04-22 9580 WEST COLONIAL DRIVE, OCOEE, FL 34761 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-22 4800 DEERWOOD CAMPUS PARKWAY, DC1-7, JACKSONVILLE, FL 32246 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-04-13
LC Amendment 2019-06-24
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-04-22

Date of last update: 22 Jan 2025

Sources: Florida Department of State