Entity Name: | SANTA ROSA HB MEDICAL SERVICES, 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: | 27 Jul 2023 (2 years ago) |
Document Number: | M23000009783 |
FEI/EIN Number |
932501749
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
Mail Address: | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619757952 | 2023-10-04 | 2023-11-13 | PO BOX 680060, FRANKLIN, TN, 370680060, US | 6002 BERRYHILL RD, MILTON, FL, 325705062, US | |||||||||||||||||||||||||
|
Phone | +1 615-628-6504 |
Fax | 6592356176 |
Phone | +1 850-626-7762 |
Authorized person
Name | WENDI KEETON |
Role | SR. DIRECTOR HOSPITAL BASED PROGRAM |
Phone | 6156286507 |
Taxonomy
Taxonomy Code | 208M00000X - Hospitalist Physician |
Is Primary | Yes |
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | No |
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
HAMMONS KEVIN J | Manager | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
PITT JUSTIN D | Manager | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
CASH W. BRADLEY | Manager | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
COBB CHRISTOPHER G | Vice President | 4000 MERIDIAN BLVD., FRANKLIN, TN, 37067 |
CORPORATION SERVICE COMPANY | Agent | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-25 |
Foreign Limited | 2023-07-27 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State