| Entity Name: | FLORIDA TRAUMA SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Feb 2022 (3 years ago) |
| Document Number: | L22000048630 |
| FEI/EIN Number | 88-0633471 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
| Mail Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477296952 | 2022-04-14 | 2022-04-14 | PO BOX 748538, ATLANTA, GA, 303748538, US | 1703 LEWIS TURNER BLVD, FORT WALTON BEACH, FL, 325471221, US | |||||||||||||||||||
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| Phone | +1 615-373-7600 |
| Phone | +1 850-864-4033 |
Authorized person
| Name | WILLIAM TEDERICK JOHNSON |
| Role | GROUP VICE PRESIDENT/AO |
| Phone | 6153737630 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0127X - Trauma Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| FRANCK JOHN MII | Manager | ONE PARK PLAZA, NASHVILLE, FL, 37203 |
| WYATT CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, FL, 37203 |
| Cuffe Michael S | Manager | 2000 HealthPark Drive, Brentwood, TN, 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000020554 | HCA FLORIDA MEMORIAL HAND SPECIALISTS | ACTIVE | 2023-02-13 | 2028-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G22000068693 | HCA FLORIDA TRAUMA SPECIALISTS | ACTIVE | 2022-06-05 | 2027-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G22000061120 | HCA FLORIDA BAYONET POINT TRAUMA | ACTIVE | 2022-05-16 | 2027-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G22000045712 | HCA FLORIDA TRAUMA SPECIALISTS ORANGE PARK | ACTIVE | 2022-04-11 | 2027-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| G22000045722 | HCA FLORIDA TRAUMA SPECIALISTS JACKSONVILLE | ACTIVE | 2022-04-11 | 2027-12-31 | No data | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| Florida Limited Liability | 2022-02-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
