| Entity Name: | HOSPITALIST MEDICINE PHYSICIANS OF FLORIDA - JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Feb 2018 (7 years ago) |
| Document Number: | L18000038634 |
| FEI/EIN Number | 82-4540219 |
| Address: | 120 Brentwood Commons Way, Ste. 510, Brentwood, TN, 37027, US |
| Mail Address: | 120 Brentwood Commons Way, Ste. 510, Brentwood, TN, 37027, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841778461 | 2018-08-06 | 2018-08-06 | 5410 MARYLAND WAY STE 300, BRENTWOOD, TN, 370275339, US | 15255 MAX LEGGETT PKWY, JACKSONVILLE, FL, 322187273, US | |||||||||||||||||
|
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| Phone | +1 615-377-5658 |
| Fax | 6152463870 |
| Phone | +1 904-383-1000 |
Authorized person
| Name | ROB BESSLER |
| Role | PRESIDENT |
| Phone | 6153775658 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Birkmeyer John | Auth | 120 Brentwood Commons Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| Birkmeyer John | President | 120 Brentwood Commons Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| Templer Michael | Chief Financial Officer | 120 Brentwood Commons Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| Klug Nicole | Secretary | 120 Brentwood Commons Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| VAUGHAN LINDSEY | Asst | 120 Brentwood Commons Way, Brentwood, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 120 Brentwood Commons Way, Ste. 510, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 120 Brentwood Commons Way, Ste. 510, Brentwood, TN 37027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-04-15 |
| Florida Limited Liability | 2018-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
