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ADVENTHEALTH PRIMARY CARE NETWORK, INC. - Florida Company Profile

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Company Details

Entity Name: ADVENTHEALTH PRIMARY CARE NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 30 Jun 2023 (2 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Jul 2023 (2 years ago)
Document Number: N23000007925
FEI/EIN Number 932208118
Address: 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US
Mail Address: 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714, US
ZIP code: 32714
City: Altamonte Springs
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DIDENKO VADYM Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
BROMME JEFF Agent 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
STILTZ BRYAN President 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
DAVIS BRENT Treasurer 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
BAIRD-WERTMAN JESSICA Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
BAIRD-WERTMAN JESSICA Director 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
ADDISCOTT LYNN C Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
BERRIOS TONI Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
STILTZ BRYAN Director 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
DAVIS BRENT Director 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714

National Provider Identifier

NPI Number:
1093493637
Certification Date:
2023-09-15

Authorized Person:

Name:
KELLY J PETTIJOHN
Role:
SVP-CFO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000081143 ADVENTHEALTH PRIMARY CARE WATERGRASS ACTIVE 2025-06-26 2030-12-31 - 7800 CURLEY ROAD, SUITE 206, WESLEY CHAPEL, FL, 33545
G25000081193 ADVENTHEALTH PRIMARY CARE WEKIVA SPRINGS ACTIVE 2025-06-26 2030-12-31 - 2437 E SEMORAN ROAD, APOPKA, FL, 32703
G25000080139 ADVENTHEALTH PRIMARY CARE CARROLLWOOD ACTIVE 2025-06-24 2030-12-31 - 2502 W HILLSBOROUGH AVE, TAMPA, FL, 33614
G25000077975 ADVENTHEALTH PRIMARY CARE CHAMPIONS GATE ACTIVE 2025-06-18 2030-12-31 - 40124 HIGHWAY 27, STE 101, DAVENPORT, FL, 33837
G25000073524 ADVENTHEALTH PRIMARY CARE WINDERMERE ACTIVE 2025-06-06 2030-12-31 - 8981 CONROY WINDERMERE ROAD, ORLANDO, FL, 32835
G25000073537 ADVENTHEALTH PRIMARY CARE PALM HARBOR ACTIVE 2025-06-06 2030-12-31 - 34661 US HIGHWAY 19 N, PALM HARBOR, FL, 34684
G25000073528 ADVENTHEALTH PRIMARY CARE PUNTA GORDA ACTIVE 2025-06-06 2030-12-31 - 713 E MARION AVENUE, SUITE 121, PUNTA GORDA, FL, 33950
G25000072882 ADVENTHEALTH PRIMARY CARE VICTORIA MEDICAL PARK ACTIVE 2025-06-05 2030-12-31 - 151 VICTORIA COMMONS BOULEVARD, STE 102, DELAND, FL, 32724
G25000072404 ADVENTHEALTH PRIMARY CARE WESLEY CHAPEL ACTIVE 2025-06-04 2030-12-31 - 26240 GOLDEN MAPLE LOOP, SUITE B, WESLEY CHAPEL, FL, 33544
G25000071351 ADVENTHEALTH PRIMARY CARE ORMOND BEACH ACTIVE 2025-06-02 2030-12-31 - 1474 W GRANADA BLVD, SUITE 455, ORMOND BEACH, FL, 32174

Events

Event Type Filed Date Value Description
AMENDMENT 2023-07-19 - -
REGISTERED AGENT NAME CHANGED 2023-07-19 BROMME, JEFF -
AMENDED AND RESTATEDARTICLES 2023-07-17 - -

Documents

Name Date
ANNUAL REPORT 2025-01-14
AMENDED ANNUAL REPORT 2024-09-30
ANNUAL REPORT 2024-07-12
Amendment 2023-07-19
Amended and Restated Articles 2023-07-17
Domestic Non-Profit 2023-06-30

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Date of last update: 02 Jul 2025

Sources: Florida Department of State