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PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS, LLC - Florida Company Profile

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Company Details

Entity Name: PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 10 Jun 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Dec 2016 (9 years ago)
Document Number: M15000004548
FEI/EIN Number 61-1763210
Address: 501 N. REO ST., TAMPA, FL, 33609, US
Mail Address: 501 N. REO ST., TAMPA, FL, 33609, US
ZIP code: 33609
City: Tampa
County: Hillsborough
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
Helms Josh Chief Executive Officer 501 N. REO ST., TAMPA, FL, 33609
Gari Tracie Chief Administrative Officer 501 N. REO ST., TAMPA, FL, 33609
Wood David L Agent 501 N. REO ST., TAMPA, FL, 33609
Hammonds Kevin Chief Financial Officer 501 N. REO ST., TAMPA, FL, 33609

National Provider Identifier

NPI Number:
1932581071

Authorized Person:

Name:
DAVID WOOD
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8138701383

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000062222 FLORIDA PAIN RELIEF GROUP EXPIRED 2015-06-17 2020-12-31 - 4730 N HABANA AVENUE, SUITE 204, TAMPA, FL, 33614
G15000062231 FLORIDA PRIMARY CARE CLINICS EXPIRED 2015-06-17 2020-12-31 - 4730 N HABANA AVENUE, SUITE 204, TAMPA, FL, 33614
G15000062227 URGENT CARE OF FLORIDA EXPIRED 2015-06-17 2020-12-31 - 4730 N HABANA AVENUE, SUITE 204, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-14 Wood, David L -
CHANGE OF PRINCIPAL ADDRESS 2020-06-26 504 N. REO ST., TAMPA, FL 33609 -
CHANGE OF MAILING ADDRESS 2020-06-26 504 N. REO ST., TAMPA, FL 33609 -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 504 N. REO ST., TAMPA, FL 33609 -
REINSTATEMENT 2016-12-09 - -
REVOKED FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-07
ANNUAL REPORT 2018-04-22
ANNUAL REPORT 2017-02-20
REINSTATEMENT 2016-12-09
Foreign Limited 2015-06-10

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Date of last update: 03 Aug 2025

Sources: Florida Department of State