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ADVENTHEALTH PRIMARY CARE NETWORK, INC. - Florida Company Profile

Company Details

Entity Name: ADVENTHEALTH PRIMARY CARE NETWORK, 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: 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

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093493637 2023-07-05 2023-09-15 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 327141502, US 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 327141502, US

Contacts

Phone +1 407-357-1000

Authorized person

Name KELLY J PETTIJOHN
Role SVP-CFO
Phone 4073571000

Taxonomy

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

Key Officers & Management

Name Role Address
STILTZ BRYAN President 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
STILTZ BRYAN Director 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
DAVIS BRENT Treasurer 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
DAVIS BRENT Director 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
DIDENKO VADYM Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
BROMME JEFF Agent 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000028732 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT PALM HARBOR NORTH ACTIVE 2025-02-26 2030-12-31 - 34661 US HIGHWAY 19 NORTH, PALM HARBOR, FL, 34684
G25000027806 ADVENTHEALTH PRIMARY CARE AT VICTORIA MEDICAL PARK ACTIVE 2025-02-25 2030-12-31 - 151 VICTORIA COMMONS BOULEVARD, SUITE 102, DELAND, FL, 32724
G25000024766 ADVENTHEALTH PRIMARY CARE TRAINING CENTER ACTIVE 2025-02-19 2030-12-31 - 15310 AMBERLY DRIVE, SUITE 102, TAMPA, FL, 33647
G25000011234 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT PORT ORANGE ACTIVE 2025-01-27 2030-12-31 - 5821 S WILLIAMSON BLVD, SUITE 204, PORT ORANGE, FL, 32128-8321
G25000006122 ADVENTHEALTH PRIMARY CARE AT TIMBERRIDGE ACTIVE 2025-01-14 2030-12-31 - 9401 SW HIGHWAY 200, BUILDING 200, OCALA, FL, 34481
G24000142929 ADVENTHEALTH MEDICAL GROUP FAMILY & INTERNAL MEDICINE AT APOPKA ACTIVE 2024-11-22 2029-12-31 - 201 NORTH PARK AVENUE, SUITE 105, APOPKA, FL, 32703
G24000134943 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT FREYTAG 101 ACTIVE 2024-11-04 2029-12-31 - 1 MEMORIAL MEDICAL PARKWAY, SUITE 101, PALM COAST, FL, 32164
G24000130192 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT DELTONA ACTIVE 2024-10-23 2029-12-31 - 1745 STERLING SILVER BLVD., SUITE 104, DELTONA, FL, 32725
G24000127699 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT OVIEDO ACTIVE 2024-10-16 2029-12-31 - 8315 RED BUG LAKE ROAD, OVIEDO, FL, 32765
G24000127655 ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT WINTER PARK ACTIVE 2024-10-16 2029-12-31 - 4270 ALOMA AVE, WINTER PARK, FL, 32792

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

Date of last update: 02 Mar 2025

Sources: Florida Department of State