| Entity Name: | CONVIVA PHYSICIAN GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CONVIVA PHYSICIAN GROUP, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Nov 2017 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Aug 2022 (3 years ago) |
| Document Number: | L17000227822 |
| FEI/EIN Number |
82-3311429
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 500 West Main Street, Louisville, KY, 40202, US |
| Mail Address: | 500 West Main Street, Louisville, KY, 40202, US |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Diamond Susan M | Chief Financial Officer | 500 West Main Street, Louisville, KY, 40202 |
| Edwards Douglas A | Seni | 500 West Main Street, Louisville, KY, 40202 |
| Feld Daniel K | Asso | 500 West Main Street, Louisville, KY, 40202 |
| Marcoux Robert M | Vice President | 500 West Main Street, Louisville, KY, 40202 |
| Buckingham Renee J | President | 500 West Main Street, Louisville, KY, 40202 |
| Pabo Erika M | Vice President | 500 West Main Street, Louisville, KY, 40202 |
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000090581 | CONVIVA PRIMARY CARE ANYWHERE | ACTIVE | 2023-08-03 | 2028-12-31 | - | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| G23000084157 | CENTERWELL PRIMARY CARE ANYWHERE | ACTIVE | 2023-07-18 | 2028-12-31 | - | 500 WEST MAIN ST, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-12 | 500 West Main Street, Louisville, KY 40202 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-12 | 500 West Main Street, Louisville, KY 40202 | - |
| LC STMNT OF RA/RO CHG | 2022-08-03 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-08-03 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | - |
| REGISTERED AGENT NAME CHANGED | 2022-08-03 | CT CORPORATION SYSTEM | - |
| LC AMENDMENT AND NAME CHANGE | 2020-12-16 | CONVIVA PHYSICIAN GROUP, LLC | - |
| LC NAME CHANGE | 2018-01-25 | CONVIVA PHYSICIAN GROUP, PLLC | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-11 |
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-29 |
| CORLCRACHG | 2022-08-03 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-29 |
| LC Amendment and Name Change | 2020-12-16 |
| ANNUAL REPORT | 2020-05-29 |
| AMENDED ANNUAL REPORT | 2019-07-31 |
| AMENDED ANNUAL REPORT | 2019-05-29 |
Date of last update: 01 May 2025
Sources: Florida Department of State
