| Entity Name: | POPHEALTHCARE L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2017 (8 years ago) |
| Document Number: | M17000005545 |
| FEI/EIN Number | 46-1845163 |
| Address: | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 |
| Mail Address: | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 |
| 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 | |||||||||||||||
|
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| 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 |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| DIVERSIFIED HEALTH SERVICES, INC. | SOLE MEMBER |
| Name | Role | Address |
|---|---|---|
| LANGENFELD, JILL | Chief Executive Officer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| LANGENFELD, JILL | Chief Operating Officer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| GRIGSBY, KRISTINA | Treasurer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| LOMBARDI, DAVID | Chief Financial Officer | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| JOLLY, AREZOU | SECRETARY | 4800 DEERWOOD CAMPUS PARKWAY DC 1-7, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| BATEH, SUSAN | ASSISTANT SECRETARY | 4800 DEERWOOD CAMPUS PARKWAY DC1-7, JACKSONVILLE, FL 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-05 | 113 Seaboard Lane, Suite 200B, Franklin, TN 37167 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-31 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-31 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| 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: 18 Jan 2025
Sources: Florida Department of State
