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HEALTH FIRST PRIVIA MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: HEALTH FIRST PRIVIA MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jan 2019 (7 years ago)
Document Number: L19000030262
FEI/EIN Number 32-0602652
Address: 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955, US
Mail Address: 6450 US Highway 1, Rockledge, FL, 32955, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Redding Natasha Assi 950 N Glebe Rd, Arlington, VA, 22203
- Auth -
ROMANELLO NICHOLAS W Agent 6450 US Highway 1, Rockledge, FL, 32955

National Provider Identifier

NPI Number:
1700649043
Certification Date:
2025-02-20

Authorized Person:

Name:
LORA MORSE
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
320602652
Plan Year:
2023
Number Of Participants:
125
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
45
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000067346 PRIVIA MEDICAL GROUP FLORIDA ACTIVE 2020-06-15 2025-12-31 - 6450 US HIGHWAY 1, ], ROCKLEDGE, FL, 32955
G19000085539 PRIVIA MEDICAL GROUP CENTRAL FLORIDA ACTIVE 2019-08-13 2029-12-31 - 6450 US HIGHWAY 1, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-15 6450 US HIGHWAY 1, ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2020-06-15 6450 US HIGHWAY 1, ROCKLEDGE, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2020-06-15 6450 US Highway 1, Rockledge, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-06-15
Florida Limited Liability 2019-01-29

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Date of last update: 01 Aug 2025

Sources: Florida Department of State