| Entity Name: | HAVEN EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HAVEN 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Aug 2014 (11 years ago) |
| Date of dissolution: | 20 Oct 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Oct 2023 (a year ago) |
| Document Number: | L14000122293 |
| FEI/EIN Number |
75-2759047
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215, US |
| Mail Address: | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518916469 | 2006-05-09 | 2011-03-30 | PO BOX 13943, PHILADELPHIA, PA, 191013943, US | 11375 CORTEZ BLVD, SPRING HILL, FL, 346135409, US | |||||||||||||||||||||||||
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| Phone | +1 352-596-6632 |
Authorized person
| Name | DR. TERRY R. MEADOWS |
| Role | VICE PRESIDENT |
| Phone | 8005078874 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE SHIELD |
| Number | 21848 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254691400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| Byrne, M.D. Gregory J | Manager | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-01 | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN 37215 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 1A BURTON HILLS BOULEVARD, NASHVILLE, TN 37215 | - |
| CONVERSION | 2014-08-01 | - | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1400001030 ORIGINALLY FILED ON 07/30/2014. CONVERSION NUMBER 500000142735 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-20 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
