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PUTNAM PHYSICIAN PRACTICES, LLC - Florida Company Profile

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Company Details

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

Key Officers & Management

Name Role Address
- Agent -
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

National Provider Identifier

NPI Number:
1780957944

Authorized Person:

Name:
CHARLES MATTHEWS
Role:
DIRECTOR OF PHYSICIAN SERVICES
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
3863268967

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000012437 PUTNAM ORTHOPAEDIC ASSOCIATES EXPIRED 2014-02-04 2019-12-31 - 700 ZEAGLER DRIVE, SUITE 7, PALATKA, FL, 32177
G10000037615 PUTNAM CARDIOVASCULAR ASSOCIATES EXPIRED 2010-04-28 2015-12-31 - 103 POWELL COURT, SUITE 200, BRENTWOOD, TN, 37027
G09000175897 ORTHOPEDICS AND SPORTS SPECIALISTS OF PUTNAM EXPIRED 2009-11-17 2014-12-31 - 103 POWELL COURT, STE. 200, BRENTWOOD, TN, 37027
G08218900041 PUTNAM SURGICAL ASSOCIATES EXPIRED 2008-08-05 2013-12-31 - 103 POWELL COURT,STE 200, BRENTWOOD, TN, 37027

Events

Event Type Filed Date Value Description
LC WITHDRAWAL 2015-05-01 - -
CHANGE OF PRINCIPAL ADDRESS 2014-05-01 330 Seven Springs Way, Brentwood, TN 37027 -
CHANGE OF MAILING ADDRESS 2014-05-01 330 Seven Springs Way, Brentwood, TN 37027 -

Documents

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State