| Entity Name: | ADVENTHEALTH PALM COAST PARKWAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| 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: | 05 Mar 2021 (4 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 10 Jun 2022 (3 years ago) |
| Document Number: | N21000004320 |
| FEI/EIN Number |
882288563
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US |
| Mail Address: | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861102345 | 2022-11-25 | 2024-01-18 | 770 W GRANADA BLVD STE 203, ORMOND BEACH, FL, 321745179, US | 1 ADVENTHEALTH WAY, PALM COAST, FL, 32127, US | |||||||||||||||||
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| Phone | +1 386-312-4252 |
| Fax | 3866762560 |
| Phone | +1 386-586-4301 |
Authorized person
| Name | MARK RATHBUN |
| Role | CFO |
| Phone | 3865864301 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| De Aquino Walmir | Director | 60 Memorial Medical Way, Palm Coast, FL, 32164 |
| Bales-Chubb Denyse | Director | 60 Memorial Medical Way Palm Coast, FL 3, Palm Coast, FL, 32164 |
| Gregory Gregory | Director | 550 E. Rollins Street, Orlando, FL, 32803 |
| Addiscott Lynn | Assi | 900 Hope Way, Altamonte Springs, FL, 32714 |
| Berrios Toni | Assi | 900 Hope Way, Altamonte Springs, FL, 32714 |
| Bromme Jeffrey S | Agent | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714 |
| Rathbun Mark | Director | 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000099603 | ADVENTHEALTH IMAGING PALM COAST PARKWAY | ACTIVE | 2023-08-25 | 2028-12-31 | - | 1 ADVENTHEALTH WAY, PALM COAST, FL, 32137 |
| G23000093965 | ADVENTHEALTH PALM COAST PARKWAY MEDICAL OFFICE BUILDING | ACTIVE | 2023-08-11 | 2028-12-31 | - | 3 ADVENTHEALTH WAY, PALM COAST, FL, 32137 |
| G22000149690 | ADVENTHEALTH PALM COAST PARKWAY | ACTIVE | 2022-12-06 | 2027-12-31 | - | 1 ADVENTHEALTH WAY, PALM COAST, FL, 32137 |
| G22000149782 | ADVENTHEALTH LAB | ACTIVE | 2022-12-06 | 2027-12-31 | - | 1 ADVENTHEALTH WAY, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-25 | Bromme, Jeffrey S | - |
| NAME CHANGE AMENDMENT | 2022-06-10 | ADVENTHEALTH PALM COAST PARKWAY, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-04-25 |
| AMENDED ANNUAL REPORT | 2023-09-12 |
| ANNUAL REPORT | 2023-01-25 |
| Name Change | 2022-06-10 |
| ANNUAL REPORT | 2022-04-28 |
| Domestic Non-Profit | 2021-03-05 |
| EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 88-2288563 | Association | Unconditional Exemption | 1 ADVENTHEALTH WAY, PALM COAST, FL, 32137-4702 | 1947-04 | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Organization Name | ADVENTHEALTH PALM COAST PARKWAY INC |
| EIN | 88-2288563 |
| Tax Period | 202212 |
| Filing Type | E |
| Return Type | 990EZ |
| File | View File |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
