| Entity Name: | FREMONT PEAK EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Jun 2014 (11 years ago) |
| Date of dissolution: | 24 Oct 2024 (3 months ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 24 Oct 2024 (3 months ago) |
| Document Number: | L14000095059 |
| FEI/EIN Number | 47-1328980 |
| Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760891758 | 2014-08-05 | 2019-08-25 | 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US | 12311 W NEWBERRY ROAD, NEWBERRY, FL, 32669, US | |||||||||||||||||||||||
|
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| Phone | +1 954-838-2371 |
| Phone | +1 469-401-2386 |
Authorized person
| Name | DOUGLAS J SMITH |
| Role | VICE PRESIDENT |
| Phone | 9548382371 |
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 |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FL-I MEDICAL SERVICES, LLC | MEMBER |
| Name | Role | Address |
|---|---|---|
| BAXTER MD, BRIAN | Chief Operating Officer | 20 Burton Hills Blvd., Suite 500 NASHVILLE, TN 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2024-10-24 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS VALESCO LEGACY HOLDINGS, LLC. MERGER NUMBER 900000259769 |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-15 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-15 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
