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ADVENTHEALTH PALM COAST PARKWAY, INC. - Florida Company Profile

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Company Details

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

Key Officers & Management

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

National Provider Identifier

NPI Number:
1861102345
Certification Date:
2024-01-18

Authorized Person:

Name:
MARK RATHBUN
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Fax:
3866762560

Fictitious Names

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

Events

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. -

Documents

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

Tax Exempt

Employer Identification Number (EIN) :
88-2288563
In Care Of Name:
% BEVERLY MORGAN
Classification:
Religious Organization
Ruling Date:
1947-04

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Date of last update: 01 Jun 2025

Sources: Florida Department of State