| Entity Name: | ALFONSINO EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Oct 2014 (10 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: | L14000161404 |
| FEI/EIN Number | 47-2079785 |
| Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN, 37215, US |
| Mail Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598169823 | 2014-10-15 | 2019-12-05 | 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US | 2339 GULF TO BAY BLVD, CLEARWATER, FL, 337654102, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 973-251-1132 |
| Phone | +1 954-838-2371 |
Authorized person
| Name | KATHY KONDAS |
| Role | OFFICER |
| Phone | 9732511132 |
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 Boulevard, 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 300000259753 |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-20 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-20 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
