Entity Name: | POPHEALTHCARE L.L.C. |
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: | 29 Jun 2017 (8 years ago) |
Document Number: | M17000005545 |
FEI/EIN Number |
461845163
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 113 Seaboard Lane, Suite 200B, Franklin, TN, 37167, US |
Mail Address: | 113 Seaboard Lane, Suite 200B, Franklin, TN, 37167, US |
Place of Formation: | ARIZONA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326617150 | 2021-06-24 | 2021-06-24 | 113 SEABOARD LN STE 200B, FRANKLIN, TN, 370678282, US | 532 RIVERSIDE AVE, RIVERSIDE COMPLEX, 8 CENTER, JACKSONVILLE, FL, 32202, US | |||||||||||||||
|
Phone | +1 615-905-6944 |
Phone | +1 800-793-7050 |
Authorized person
Name | MELISSA RAGSDALE |
Role | CREDENTIALING SUPERVISOR |
Phone | 6159056944 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DIVERSIFIED HEALTH SERVICES, INC. | SOLE | - |
LANGENFELD JILL | Chief Executive Officer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL, 32246 |
GRIGSBY KRISTINA | Treasurer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL, 32246 |
LOMBARDI DAVID | Chief Financial Officer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL, 32246 |
JOLLY AREZOU | Secretary | 4800 DEERWOOD CAMPUS PARKWAY DC 1-7, JACKSONVILLE, FL, 32246 |
BATEH SUSAN | ASSI | 4800 DEERWOOD CAMPUS PARKWAY DC1-7, JACKSONVILLE, FL, 32246 |
CORPORATION SERVICE COMPANY | Agent | - |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 | - |
CHANGE OF MAILING ADDRESS | 2024-04-05 | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 | - |
REGISTERED AGENT NAME CHANGED | 2022-10-31 | CORPORATION SERVICE COMPANY | - |
REGISTERED AGENT ADDRESS CHANGED | 2022-10-31 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-04-23 |
ANNUAL REPORT | 2024-04-05 |
ANNUAL REPORT | 2023-04-29 |
Reg. Agent Change | 2022-10-31 |
ANNUAL REPORT | 2022-04-20 |
AMENDED ANNUAL REPORT | 2021-04-26 |
ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2020-05-12 |
ANNUAL REPORT | 2019-03-20 |
ANNUAL REPORT | 2018-03-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State