| Entity Name: | BRIDGE 4 HEALTHCARE SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Nov 2023 (a year ago) |
| Document Number: | N23000014686 |
| FEI/EIN Number | 93-4790158 |
| Address: | 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL 32218 |
| Mail Address: | 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487415394 | 2024-01-17 | 2024-05-09 | 11712 PLEASANT CREEK DR, JACKSONVILLE, FL, 322187566, US | 3636 UNIVERSITY BLVD S STE A7, JACKSONVILLE, FL, 322164210, US | |||||||||||||
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| Phone | +1 888-509-0932 |
Authorized person
| Name | JOHN DISTEFANO |
| Role | BOARD MEMBER |
| Phone | 3523173214 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, MONICA, DR., DNP., APRN. | Agent | 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| GLENN, JASON, DR. | Director | 3532 SONESTA CT, NEW SMYRNA BEACH, FL 32168 |
| FIELDS, MARY | Director | 4640 MISTY DAWN CT N., JACKSONVILLE, FL 32219 |
| DISTEFANO, JOHN | Director | 10348 SW 32ND AVE, GAINESVILLE, FL 32608 |
| JOHNSON, MONICA, DR., DNP., APRN. | Director | 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| FIELDS, MARY | Secretary | 4640 MISTY DAWN CT N., JACKSONVILLE, FL 32219 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, MONICA, DR., DNP., APRN. | President | 11712 PLEASANT CREEK DRIVE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| GLENN, JASON, DR. | Vice President | 3532 SONESTA CT, NEW SMYRNA BEACH, FL 32168 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Domestic Non-Profit | 2023-11-30 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
