| Entity Name: | NORTH FLORIDA REGIONAL PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Mar 2014 (11 years ago) |
| Document Number: | L14000040450 |
| FEI/EIN Number | 46-5123983 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Mail Address: | P.O. BOX 750, NASHVILLE, TN 37202 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295295178 | 2019-03-25 | 2021-03-16 | 2101 NE 2ND ST APT 114, GAINESVILLE, FL, 326098626, US | 1121 NW 64TH TER STE B, GAINESVILLE, FL, 326054256, US | |||||||||||||||||||||
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| Phone | +1 352-792-8069 |
| Phone | +1 615-372-5426 |
Authorized person
| Name | RAVEN SHENETTE MAYES |
| Role | OPTOMETRIST |
| Phone | 3527928069 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA ISSUE PROVIDER |
| Number | 50-2560 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Cuffe, Michael S. | Manager | 2000 HealthPark Drive, Brentwood, TN 37027 |
| WYATT, CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| FRANCK, JOHN M, II | Manager | 0NE PARK PLAZA, NASHVILLE, TN 37203 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000157465 | HCA FLORIDA BEHAVIORAL HEALTH SPECIALISTS | ACTIVE | 2021-11-29 | 2026-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G19000059523 | NORTH FLORIDA PSYCHIATRY | EXPIRED | 2019-05-20 | 2024-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
