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  5. FLORIDA HOSPITAL WATERMAN, INC.

FLORIDA HOSPITAL WATERMAN, INC.

Company Details

Entity Name: FLORIDA HOSPITAL WATERMAN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 02 Jul 1992 (33 years ago)
Document Number: N49760
FEI/EIN Number 593140669
Address: 1000 WATERMAN WAY, TAVARES, FL, 32778, US
Mail Address: 1000 WATERMAN WAY, TAVARES, FL, 32778, US
ZIP code: 32778
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356007439 2021-11-12 2024-01-18 770 W GRANADA BLVD STE 203, ORMOND BEACH, FL, 321745179, US 1000 WATERMAN WAY, TAVARES, FL, 327785266, US

Contacts
Phone +1 386-231-4252
Fax 3866762560
Phone +1 352-253-3333

Authorized person
Name TERRI WARREN
Role CFO
Phone 3522533300

Taxonomy
Taxonomy Code 261QR0404X - Cardiac Rehabilitation Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 010109500
State FL

Agent

Name Role Address
BROMME JEFF Agent 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714

Director

Name Role Address
Howard Barbara Director 1000 Waterman Way, Tavares, FL, 32778
Weiss David Director 1000 Waterman Way, Tavares, FL, 32778
Werner Thomas Director 1670 CR 452, Eustis, FL, 32726

Asst

Name Role Address
Saunders Michael Asst 900 Hope Way, Altamonte Springs, FL, 32714

Assistant Secretary

Name Role Address
ADDISCOTT LYNN Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714
VINCENT HANEY Assistant Secretary 900 HOPE WAY, ALTAMONTE SPRINGS, FL, 32714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000006044 ADVENTHEALTH SLEEP CENTER WATERMAN ACTIVE 2025-01-14 2030-12-31 No data 1000 WATERMAN WAY, TAVARES, FL, 32778
G22000007603 ADVENTHEALTH INTENSIVE CARDIAC REHAB WATERMAN ACTIVE 2022-01-20 2027-12-31 No data 1000 WATERMAN WAY, SUITE 1011, TAVARES, FL, 32778
G21000032259 ADVENTHEALTH FOR WOMEN ACTIVE 2021-03-08 2026-12-31 No data 1000 WATERMAN WAY, 2ND FLOOR, TAVARES, FL, 32778
G18000132267 ADVENTHEALTH HOME INFUSION TAMPA BAY EXPIRED 2018-12-14 2023-12-31 No data 3632 LAND O' LAKES BLVD, SUITE 106-22, LAND O LAKES, FL, 34639
G18000132265 ADVENTHEALTH HOME INFUSION WEST FLORIDA EXPIRED 2018-12-14 2023-12-31 No data 11461 NORTH US HIGHWAY 301, SUITE 105, THONOTOSASSA, FL, 33592
G18000132269 ADVENTHEALTH HOME INFUSION CENTRAL FLORIDA EXPIRED 2018-12-14 2023-12-31 No data 556 FLORIDA CENTRAL PARKWAY, SUITE 1044, LONGWOOD, FL, 32750
G18000131910 ADVENTHEALTH RADIATION ONCOLOGY WATERMAN ACTIVE 2018-12-13 2028-12-31 No data 4000 WATERMAN WAY, TAVARES, FL, 32778
G18000128740 ADVENTHEALTH WATERMAN MEDICAL OFFICES ACTIVE 2018-12-05 2028-12-31 No data 32845 RADIO ROAD, LEESBURG, FL, 34788
G18000113908 ADVENTHEALTH LAB ACTIVE 2018-10-20 2028-12-31 No data 1000 WATERMAN WAY, TAVARES, FL, 32778
G18000109781 ADVENTHEALTH WATERMAN GIFT SHOP ACTIVE 2018-10-08 2028-12-31 No data 1000 WATERMAN WAY, TAVARES, FL, 32778

Events

Event Type Filed Date Value Description
AMENDMENT 2005-10-12 No data No data
AMENDMENT AND NAME CHANGE 1996-10-24 FLORIDA HOSPITAL WATERMAN, INC. No data

Related by officers

Howard Barbara

FRIENDS OF THE TAMPA BAY NATIONAL WILDLIFE REFUGES, INC. BLACK FLORIDIANS CARE, INC. MONARCH COUNTRY CLUB HOMEOWNERS ASSOCIATION, INC. FLORIDA VENTURE FOUNDATION, INC.

Weiss David

ALACHUA HABITAT FOR HUMANITY, INC. COVENTRY H CONDOMINIUM ASSOCIATION, INC. ADOPT A CHILD OR TWO, INC. SYNAGOGUE COUNCIL OF SARASOTA-MANATEE, INC.

Saunders Michael

THE COMFORTER HEALTH CARE GROUP, INC. QUALITY CIRCLE FOR HEALTHCARE, INC. TEXAS HEALTH HUGULEY, INC. BROMELIAD SOCIETY OF CENTRAL FLORIDA, INC. PRINCETON PROFESSIONAL SERVICES, INC. SUNBELT HEALTH CARE CENTERS, INC. APOPKA HEALTH CARE PROPERTIES, INC. SOUTHWEST VOLUSIA HEALTHCARE CORPORATION ADVENTHEALTH HOME HEALTH AND HOSPICE, INC. ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

ADDISCOTT LYNN

MISSION STRATEGIES, INC. AHS ACQUISITION CORPORATION FLORIDA HOSPITAL ZEPHYRHILLS, INC. FLORIDA HOSPITAL MEDICAL GROUP, INC. SUNBELT HEALTH CARE CENTERS, INC. ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION APOPKA HEALTH CARE PROPERTIES, INC. SOUTHWEST VOLUSIA HEALTHCARE CORPORATION ADVENTIST HEALTH SYSTEM/SUNBELT, INC. PASCO-PINELLAS HILLSBOROUGH COMMUNITY HEALTH SYSTEM, INC.

BROMME JEFF

EMPLOYER CHOICE INSURANCE COMPANY, INC. REAL PROPERTY HOLDINGS OF ADVENTIST CARE CENTERS, LLC AHS ACQUISITION CORPORATION QUALITY CIRCLE FOR HEALTHCARE, INC. MEMORIAL HEALTH SYSTEMS FOUNDATION, INC. PRINCETON PROFESSIONAL SERVICES, INC. MEMORIAL HOSPITAL - WEST VOLUSIA, INC. SOUTHWEST VOLUSIA HEALTH SERVICES, INC. ROLLINS BEDFORD CORPORATION FLORIDA HOSPITAL HEALTHCARE SYSTEM, INC.

Related by address

1000 WATERMAN WAY, TAVARES, FL, 32778, US

CENTRAL FLORIDA PATHOLOGY GROUP, P.A.

1000 WATERMAN WAY, TAVARES, FL, 32778, US

CENTRAL FLORIDA PATHOLOGY GROUP, P.A.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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