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INTENSIVIST MEDICINE SERVICES OF FL, LLC - Florida Company Profile

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Company Details

Entity Name: INTENSIVIST MEDICINE SERVICES OF FL, 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: 15 Feb 2023 (2 years ago)
Document Number: M23000002042
FEI/EIN Number NOT APPLICABLE

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

Mail Address: ONE PARK PLAZA, BUILDING 1, NASHVILLE, TN, 37203, US
Address: 2901 W SWANN AVE, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
HCA-EMCARE HOLDINGS, LLC Member 1A BURTON HILLS BLVD, NASHVILLE, TN, 37215

National Provider Identifier

NPI Number:
1235836388
Certification Date:
2023-06-14

Authorized Person:

Name:
MR. JOHN REBOK
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000056481 ICC AT HCA FLORIDA FAWCETT HOSPITAL ACTIVE 2025-04-27 2030-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-31 2901 W SWANN AVE, TAMPA, FL 33609 -

Documents

Name Date
ANNUAL REPORT 2024-05-31
Foreign Limited 2023-02-15

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Date of last update: 01 Jun 2025

Sources: Florida Department of State