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SOUTHLAND SELECT HOSPITALIST GROUP, LLC - Florida Company Profile

Company Details

Entity Name: SOUTHLAND SELECT HOSPITALIST GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
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: 08 Jan 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Jan 2024 (a year ago)
Document Number: M14000000238
FEI/EIN Number 46-4011412

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

Address: 100 S MADISON ST, THOMASVILLE, GA, 31792
Mail Address: 100 S MADISON ST, THOMASVILLE, GA, 31792
Place of Formation: GEORGIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821427246 2013-11-06 2013-11-06 PO BOX 102545, ATLANTA, GA, 303682545, US 1554 SURGEONS DR, TALLAHASSEE, FL, 323084631, US

Contacts

Phone +1 850-219-6950

Authorized person

Name MARK ALLEN LEE
Role CHIEF EXECUTIVE OFFICER
Phone 2292004019

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
LEE M. ALLEN Manager PO BOX 1276, THOMASVILLE, GA, 31799
WILLIAMS JONATHAN S Manager PO BOX 1276, THOMASVILLE, GA, 31799
Henry Russell DEsq. Agent 1 Independent Drive, Jacksonville, FL, 32202

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-03 - -
REGISTERED AGENT NAME CHANGED 2024-01-03 Henry, Russell D, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2024-01-03 1 Independent Drive, Suite 3130, Jacksonville, FL 32202 -
REVOKED FOR ANNUAL REPORT 2015-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-02-12
REINSTATEMENT 2024-01-03
Foreign Limited 2014-01-08

Date of last update: 03 Apr 2025

Sources: Florida Department of State