| Entity Name: | EMERGENCY PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Aug 2015 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 31 May 2017 (8 years ago) |
| Document Number: | L15000136147 |
| FEI/EIN Number | 47-4792459 |
| Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN, 37215, US |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558731901 | 2015-09-29 | 2019-08-25 | PO BOX 450489, SUNRISE, FL, 333450489, US | 700 W OAK ST, KISSIMMEE, FL, 347414924, US | |||||||||||||||||||||
|
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| Phone | +1 407-846-2266 |
Authorized person
| Name | KATHLEEN KONDAS |
| Role | DIRECTOR |
| Phone | 9548382371 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0204X - Pediatric Emergency Medicine (Pediatrics) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Cuffee Michael S | Manager | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| LAVERTY JOHN | Manager | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| PAVON RICARDO | Manager | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| McCreesh Glenn | Manager | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| Page Robert S | Manager | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| Name | Role | Address |
|---|---|---|
| BAXTER, MD BRIAN | Chief Operating Officer | 20 Burton Hills Blvd., Nashville, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| 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 |
| LC STMNT OF RA/RO CHG | 2017-05-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-31 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-31 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-23 |
| AMENDED ANNUAL REPORT | 2017-10-30 |
| CORLCRACHG | 2017-05-31 |
| ANNUAL REPORT | 2017-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
