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

Company Details

Entity Name: PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS, 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: 10 Jun 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Dec 2016 (8 years ago)
Document Number: M15000004548
FEI/EIN Number 61-1763210

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

Address: 504 N. REO ST., TAMPA, FL, 33609, US
Mail Address: 504 N. REO ST., TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932581071 2015-06-25 2015-06-25 4730 N HABANA AVE, SUITE 204, TAMPA, FL, 336147163, US 4730 N HABANA AVE, SUITE 204, TAMPA, FL, 336147163, US

Contacts

Phone +1 813-549-2134
Fax 8138701383

Authorized person

Name DAVID WOOD
Role MANAGER
Phone 8135492134

Taxonomy

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

Key Officers & Management

Name Role Address
Helms Josh Chief Executive Officer 504 N. REO ST., TAMPA, FL, 33609
Gari Tracie Chief Administrative Officer 504 N. REO ST., TAMPA, FL, 33609
Wood David L Agent 504 N. REO ST., TAMPA, FL, 33609

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

Date of last update: 02 Mar 2025

Sources: Florida Department of State