| Entity Name: | TRINITY HEALTH PACE OF PENSACOLA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 17 Feb 2023 (2 years ago) |
| Document Number: | N23000002054 |
| FEI/EIN Number | 92-2940854 |
| Address: | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 32505, US |
| Mail Address: | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 32505, US |
| ZIP code: | 32505 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285323352 | 2023-05-04 | 2023-05-05 | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 325051869, US | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 325051869, US | |||||||||||||||
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| Phone | +1 850-806-0900 |
| Fax | 8508060901 |
Authorized person
| Name | TRAVIS GARRETT |
| Role | EXECUTIVE DIRECTOR |
| Phone | 8508060830 |
Taxonomy
| Taxonomy Code | 251T00000X - PACE Provider Organization |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Garrett Travis | Exec | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 32505 |
| Name | Role | Address |
|---|---|---|
| Dosh Elizabeth | Fina | 5020 COMMERCE PARK CIR, PENSACOLA, FL, 32505 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000134875 | TRINITY HEALTH PACE PENSACOLA | ACTIVE | 2023-11-02 | 2028-12-31 | No data | 20555 VICTOR PARKWAY, LIVONIA, MI, 48152 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-09 | C T CORPORATION SYSTEM | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| Domestic Non-Profit | 2023-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
