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MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC - Florida Company Profile

Company Details

Entity Name: MANATEE SPECIALTY PHYSICIAN ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MANATEE SPECIALTY PHYSICIAN ALLIANCE, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 21 Nov 2022 (2 years ago)
Document Number: L22000496854
FEI/EIN Number 92-1174273

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 206 SECOND STREET EAST, BRADENTON, FL, 34208, US
Mail Address: 367 S GULPH RD, KING OF PRUSSIA, PA, 19406, US
ZIP code: 34208
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881304624 2022-12-02 2023-10-30 367 S GULPH RD, KING OF PRUSSIA, PA, 194063121, US 714 MANATEE AVE E, BRADENTON, FL, 342081235, US

Contacts

Phone +1 484-913-7527
Phone +1 941-212-2010

Authorized person

Name TODD EVANS
Role VP - PHYS. OPERATIONS
Phone 6103824422

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary No
Taxonomy Code 207VX0201X - Gynecologic Oncology Physician
Is Primary No
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes
Taxonomy Code 2084N0400X - Neurology Physician
Is Primary No
Taxonomy Code 208600000X - Surgery Physician
Is Primary No

Key Officers & Management

Name Role
MANATEE PHYSICIAN ALLIANCE, LLC Authorized Member
CORPORATION SERVICE COMPANY Agent

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-07
Florida Limited Liability 2022-11-21

Date of last update: 02 Mar 2025

Sources: Florida Department of State