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EMERGENCY PHYSICIANS OF CROSSROADS LLC - Florida Company Profile

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Company Details

Entity Name: EMERGENCY PHYSICIANS OF CROSSROADS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Apr 2023 (2 years ago)
Document Number: L23000206867
FEI/EIN Number 92-3843139
Address: 701 6th St S, ST PETERSBURG, FL, 33701, US
Mail Address: 701 6TH STREET SOUTH, ST PETERSBURG, FL, 33710, US
ZIP code: 33701
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
FREDERICKS JENNIFER Authorized Member 701 6th St S, ST PETERSBURG, FL, 33701
GILLIS KRISTA Authorized Member 701 6th St S, ST PETERSBURG, FL, 33701
GIRGIS BETH Managing Member 701 6th St S, ST PETERSBURG, FL, 33701
HAWKINS MARIBEL Authorized Member 701 6th St S, ST PETERSBURG, FL, 33701
LAWLESS MICHAEL Authorized Member 701 6th St S, ST PETERSBURG, FL, 33701
MANZELLA JASON D.O. Authorized Member 701 6th St S, ST PETERSBURG, FL, 33701

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
HANNAH BENNING
User ID:
P3257323

Unique Entity ID

Unique Entity ID:
M69VLWQ7GED6
CAGE Code:
9V3B1
UEI Expiration Date:
2026-03-04

Business Information

Activation Date:
2025-03-06
Initial Registration Date:
2024-04-02

Commercial and government entity program

CAGE number:
9V3B1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-06
CAGE Expiration:
2030-03-06
SAM Expiration:
2026-03-04

Contact Information

POC:
HANNAH BENNING

National Provider Identifier

NPI Number:
1538858774
Certification Date:
2023-05-03

Authorized Person:

Name:
BRIAN HEDRICK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-31 360 CENTRAL AVENUE, SUITE 500, ST. PETERSBURG, FL 33701 -
REGISTERED AGENT ADDRESS CHANGED 2024-12-03 311 PARK PLACE BOULEVARD, SUITE 300, CLEARWATER, FL 33759 -
CHANGE OF PRINCIPAL ADDRESS 2024-09-10 701 6th St S, ST PETERSBURG, FL 33701 -
CHANGE OF MAILING ADDRESS 2024-01-25 701 6th St S, ST PETERSBURG, FL 33701 -
REGISTERED AGENT NAME CHANGED 2024-01-25 CHESTNUT BUSINESS SERVICES, LLC -
REGISTERED AGENT ADDRESS CHANGED 2024-01-25 490 FIRST AVENUE SOUTH, SUITE 700, ST PETERSBURG, FL 33710 -

Documents

Name Date
ANNUAL REPORT 2025-01-31
AMENDED ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2024-01-25
Florida Limited Liability 2023-04-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State