| Entity Name: | DADE INTENSIVE CARE HOSPITALIST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Jun 2001 (24 years ago) |
| Document Number: | P01000062526 |
| FEI/EIN Number | 651120812 |
| Mail Address: | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919, US |
| Address: | 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073095378 | 2018-09-04 | 2018-09-04 | 265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN, 379194052, US | 1400 NW 12TH AVE, MIAMI, FL, 331361003, US | |||||||||||||||||||||
|
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| Phone | +1 865-693-1000 |
Authorized person
| Name | ROHIT UPPAL |
| Role | PRESIDENT |
| Phone | 8656931000 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BARRACK JOHN | Assistant Treasurer | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Name | Role | Address |
|---|---|---|
| UPPAL ROHIT | Director | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Name | Role | Address |
|---|---|---|
| STAIR JOHN R | Assistant Secretary | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Name | Role | Address |
|---|---|---|
| Corvini Michael | Vice President | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Evans Rob | Vice President | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
| Name | Role | Address |
|---|---|---|
| Leone Alice | Treasurer | 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
