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WEST FLORIDA BEHAVIORAL HEALTH, INC. - Florida Company Profile

Company Details

Entity Name: WEST FLORIDA BEHAVIORAL HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WEST FLORIDA BEHAVIORAL HEALTH, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 01 Oct 2001 (23 years ago)
Document Number: P01000095380
FEI/EIN Number 621868402

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: ONE PARK PLAZA, NASHVILLE, TN, 37203, US
Mail Address: PO BOX 750, NASHVILLE, TN, 37202, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457336604 2005-12-09 2024-03-01 2000 HEALTH PARK DR, BRENTWOOD, TN, 370274692, US 8333 N DAVIS HWY, 11TH FLOOR, PENSACOLA, FL, 325146050, US

Contacts
Phone +1 615-373-7406
Phone +1 850-474-8360
Fax 8509692970

Authorized person
Name RICHARD DILALLA
Role VICE PRESIDENT
Phone 6035312657

Taxonomy
Taxonomy Code 2084P0805X - Geriatric Psychiatry Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 264017100
State FL

Key Officers & Management

Name Role Address
Hackett John MII Senior Vice President One Park Plaza, Nashville, TN, 37203
FRANCK JOHN MII DVPA ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Director ONE PARK PLAZA, NASHVILLE, TN, 37203
WYATT CHRISTOPHER F Senior Vice President ONE PARK PLAZA, NASHVILLE, TN, 37203
HAZEN SAMUEL N Director ONE PARK PLAZA, NASHVILLE, TN, 37203
HAZEN SAMUEL N President ONE PARK PLAZA, NASHVILLE, TN, 37203
Hackett John MII Treasurer One Park Plaza, Nashville, TN, 37203
CLINE NATALIE H Vice President ONE PARK PLAZA, NASHVILLE, TN, 37203
GRUBBS RONALD MJr. Vice President ONE PARK PLAZA, NASHVILLE, TN, 37203
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND RD., PLANTATION, FL, 33324

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000157484 HCA FLORIDA BEHAVIORAL HEALTH SPECIALISTS ACTIVE 2021-11-29 2026-12-31 - ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G10000102244 FORT WALTON PSYCHIATRIC HOSPITALISTS ACTIVE 2010-11-08 2025-12-31 - ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2004-04-23 ONE PARK PLAZA, NASHVILLE, TN 37203 -
CHANGE OF MAILING ADDRESS 2004-04-23 ONE PARK PLAZA, NASHVILLE, TN 37203 -
REGISTERED AGENT ADDRESS CHANGED 2004-04-23 1200 SOUTH PINE ISLAND RD., PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-10
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-28

Companies related by officers

Hackett John MII

SURGICARE OF FT. PIERCE, INC. - Active
Domestic Profit (1995 )
SURGICARE OF FT. PIERCE, INC. - Active
Domestic Profit (1995 )
SURGICARE OF MANATEE, INC. - Active
Domestic Profit (1991 )
SURGICARE OF MANATEE, INC. - Active
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FRANCK JOHN MII

NASSAU HEALTH SERVICES, LLC - Active
Florida Limited Liability Co. (2022 )
SURGICARE AMERICA-WINTER PARK, INC. - Active
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NORTH FLORIDA DIVISION PRACTICE, INC. - Active
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PUTNAM SURGICAL GROUP, LLC - Active
Florida Limited Liability Co. (2015 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )
WEST FLORIDA URGENT CARE NETWORK, LLC - Active
Florida Limited Liability Co. (2016 )
CEDARS BTW PROGRAM, INC. - Inactive
Domestic Profit (1986 - 2015)
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SOUTH FLORIDA DIVISION PRACTICE, INC. - Active
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SEBRING HEALTH SERVICES, LLC - Active
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WYATT CHRISTOPHER F

NASSAU HEALTH SERVICES, LLC - Active
Florida Limited Liability Co. (2022 )
SURGICARE AMERICA-WINTER PARK, INC. - Active
Domestic Profit (1992 )
SURGICARE AMERICA-WINTER PARK, INC. - Active
Domestic Profit (1992 )
OCALA REGIONAL OUTPATIENT SERVICES, INC. - Active
Domestic Profit (1997 )
OCALA REGIONAL OUTPATIENT SERVICES, INC. - Active
Domestic Profit (1997 )
NORTH FLORIDA DIVISION PRACTICE, INC. - Active
Domestic Profit (1997 )
NORTH FLORIDA DIVISION PRACTICE, INC. - Active
Domestic Profit (1997 )
PUTNAM SURGICAL GROUP, LLC - Active
Florida Limited Liability Co. (2015 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )

HAZEN SAMUEL N

NASSAU HEALTH SERVICES, LLC - Active
Florida Limited Liability Co. (2022 )
SURGICARE AMERICA-WINTER PARK, INC. - Active
Domestic Profit (1992 )
SURGICARE AMERICA-WINTER PARK, INC. - Active
Domestic Profit (1992 )
OCALA REGIONAL OUTPATIENT SERVICES, INC. - Active
Domestic Profit (1997 )
OCALA REGIONAL OUTPATIENT SERVICES, INC. - Active
Domestic Profit (1997 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )
CEDARS BTW PROGRAM, INC. - Inactive
Domestic Profit (1986 - 2015)
CEDARS BTW PROGRAM, INC. - Inactive
Domestic Profit (1986 - 2015)
OUTPATIENT SERVICES HOLDINGS, INC. - Active
Foreign Profit (2010 )

CLINE NATALIE H

SURGICARE AMERICA-WINTER PARK, INC. - Active
Domestic Profit (1992 )
OCALA REGIONAL OUTPATIENT SERVICES, INC. - Active
Domestic Profit (1997 )
BASIC AMERICAN MEDICAL, INC. - Active
Foreign Profit (1981 )
CEDARS BTW PROGRAM, INC. - Inactive
Domestic Profit (1986 - 2015)
OUTPATIENT SERVICES HOLDINGS, INC. - Active
Foreign Profit (2010 )
HCA HEALTH SERVICES OF MIAMI, INC. - Active
Domestic Profit (2010 )
SOUTH FLORIDA DIVISION PRACTICE, INC. - Active
Domestic Profit (1997 )
EAST FLORIDA - DMC, INC. - Active
Domestic Profit (2015 )
EAST FLORIDA - DMC, INC. - Active
Domestic Profit (2015 )
WEST JACKSONVILLE MEDICAL CENTER, INC. - Active
Domestic Profit (2009 )

GRUBBS RONALD MJr.

OUTPATIENT SERVICES HOLDINGS, INC. - Active
Foreign Profit (2010 )
CITRUS MEMORIAL PROPERTY MANAGEMENT, INC. - Active
Domestic Profit (2014 )
SURGICARE OF FT. PIERCE, INC. - Active
Domestic Profit (1995 )
CITRUS MEMORIAL HOSPITAL, INC. - Active
Domestic Profit (2014 )
BONITA BAY SURGERY CENTER, INC. - Active
Domestic Profit (1995 )
ENGLEWOOD COMMUNITY HOSPITAL AUXILIARY, INC. - Active
Domestic Non-Profit (1985 )
SURGICARE OF MERRITT ISLAND, INC. - Active
Domestic Profit (1993 )
TAMPA SURGI-CENTRE, INC. - Active
Domestic Profit (1980 )

CT CORPORATION SYSTEM

MERRILL LYNCH ACCEPTANCE CORP. - Inactive
Foreign Profit (1990 - 1996)
TDM FRANCHISING, LLC - Inactive
Foreign Limited Liability Co. (2019 - 2020)
JOHNSON COMMUNICATIONS CORPORATION - Inactive
Domestic Profit (1966 - 1995)
ESIS INTERNATIONAL, INC. - Inactive
Foreign Profit (1981 - 2001)
S.A.S. WHOLESALE DISTRIBUTING, INC. - Inactive
Foreign Profit (1988 - 1995)
MAUCH CARE HEALTH SERVICES, INC. - Inactive
Foreign Profit (1988 - 1996)
CS KEY WEST I, LLC. - Inactive
Foreign Limited Liability Co. (2008 - 2008)
PHILIP WILLIAMS & ASSOCIATES, LTD., INC. - Inactive
Foreign Profit (2005 - 2011)
PACER PROPERTIES, INC. - Inactive
Domestic Profit (1995 - 1996)
NW FLORIDA EMERGENCY PHYSICIANS, LLC - Active
Florida Limited Liability Co. (2010 )

Companies related by address

ONE PARK PLAZA, NASHVILLE, TN, 37203, US

HCA - VIERA ALF, LLC STEREOTACTIC RADIOSURGERY SYSTEMS OF BRANDON, LLC LAKE FOREST UTILITY, LLC LAKE CITY IMAGING, LLC BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA, LLC SPECIALTY HOSPITALISTS AT FT. WALTON BEACH, LLC EMERGENCY PROVIDERS GROUP LLC OSCEOLA PHYSICIAN NETWORK, LLC HEALTHCARE PURCHASING ALLIANCE, LLC POINCIANA MEDICAL CENTER, INC.

PO BOX 750, NASHVILLE, TN, 37202, US

LAKE FOREST UTILITY, LLC HEALTHCARE PURCHASING ALLIANCE, LLC GME SERVICES OF OSCEOLA, LLC WEST COAST SURGICENTER, LLC SURGICARE OF WEST COAST, LLC EAST FLORIDA CARENOW URGENT CARE, LLC CENTRAL FLORIDA MANAGEMENT SERVICES, LLC ZACK 1030, LLC CAPE CRUSADER 1114,LLC LEXI 509, LLC

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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