| 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 | |||||||||||||||||||||||||
|
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| 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
