| 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 |
| 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 | |||||||||||||||||||||||||||||||
|
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| 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 |
| 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 |
| 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 |
| 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 | - | - |
| 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
