| Entity Name: | PUTNAM PHYSICIAN PRACTICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Aug 2008 (17 years ago) |
| Date of dissolution: | 01 May 2015 (10 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 01 May 2015 (10 years ago) |
| Document Number: | M08000003609 |
| FEI/EIN Number | 263042979 |
| Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Mail Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780957944 | 2012-02-20 | 2014-06-04 | 700 ZEAGLER DR, SUITE 7, PALATKA, FL, 321776806, US | 700 ZEAGLER DR, SUITE 7, PALATKA, FL, 321776806, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-326-8965 |
| Fax | 3863268967 |
Authorized person
| Name | CHARLES MATTHEWS |
| Role | DIRECTOR OF PHYSICIAN SERVICES |
| Phone | 3863267793 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Judy Jess N | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Coggin Michael S | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Teague Kathy | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Clark Jeremy D | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Green Christy S | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Monte Christopher N | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000012437 | PUTNAM ORTHOPAEDIC ASSOCIATES | EXPIRED | 2014-02-04 | 2019-12-31 | No data | 700 ZEAGLER DRIVE, SUITE 7, PALATKA, FL, 32177 |
| G10000037615 | PUTNAM CARDIOVASCULAR ASSOCIATES | EXPIRED | 2010-04-28 | 2015-12-31 | No data | 103 POWELL COURT, SUITE 200, BRENTWOOD, TN, 37027 |
| G09000175897 | ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM | EXPIRED | 2009-11-17 | 2014-12-31 | No data | 103 POWELL COURT, STE. 200, BRENTWOOD, TN, 37027 |
| G08218900041 | PUTNAM SURGICAL ASSOCIATES | EXPIRED | 2008-08-05 | 2013-12-31 | No data | 103 POWELL COURT,STE 200, BRENTWOOD, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2015-05-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-01 | 330 Seven Springs Way, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-01 | 330 Seven Springs Way, Brentwood, TN 37027 | No data |
| Name | Date |
|---|---|
| LC Withdrawal | 2015-05-01 |
| ANNUAL REPORT | 2015-04-11 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-18 |
| Foreign Limited | 2008-08-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
