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INTENSIVE CARE CONSORTIUM, INC.

Headquarter

Company Details

Entity Name: INTENSIVE CARE CONSORTIUM, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 25 Jan 2005 (20 years ago)
Document Number: P05000015438
FEI/EIN Number 20-2252101
Address: ONE PARK PLAZA, NASHVILLE, TN 37203
Mail Address: ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN 37203
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of INTENSIVE CARE CONSORTIUM, INC., IDAHO 4388184 IDAHO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962164780 2021-10-08 2021-10-08 2000 HEALTH PARK DR, BRENTWOOD, TN, 370274692, US 3476 S UNIVERSITY DR, DAVIE, FL, 333282000, US

Contacts
Phone +1 615-372-5426
Phone +1 954-767-5758

Authorized person
Name MR. JOHN LAVERTY
Role VICE PRESIDENT
Phone 6155072312

Taxonomy
Taxonomy Code 207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
CUFFE, MICHAEL Director 2000 HealthPark Drive, BRENTWOOD, TN 37027
WYATT, CHRISTOPHER F. Director ONE PARK PLAZA, NASHVILLE, TN 37203

President

Name Role Address
CUFFE, MICHAEL President 2000 HealthPark Drive, BRENTWOOD, TN 37027

Senior Vice President

Name Role Address
WYATT, CHRISTOPHER F. Senior Vice President ONE PARK PLAZA, NASHVILLE, TN 37203
Hackett, John M. Senior Vice President One Park Plaza, Nashville, TN 37203

DVPA

Name Role Address
FRANCK, JOHN M., II DVPA ONE PARK PLAZA, NASHVILLE, TN 37203

Vice President

Name Role Address
GRUBBS, RONALD L, Jr. Vice President ONE PARK PLAZA, NASHVILLE, TN 37203
CLINE, NATALIE H Vice President ONE PARK PLAZA, NASHVILLE, TN 37203

Treasurer

Name Role Address
Hackett, John M. Treasurer One Park Plaza, Nashville, TN 37203

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000116600 ICC AT HCA FLORIDA POINCIANA HOSPITAL ACTIVE 2024-09-17 2029-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G23000131126 HCA HEALTHCARE INTENSIVIST SERVICES ACTIVE 2023-10-24 2028-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000154368 ICC AT BAYONET POINT ACTIVE 2021-11-18 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000117329 ICC AT MERCY HOSPITAL ACTIVE 2021-09-13 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G21000117334 ICC AT UNIVERSITY HOSPITAL ACTIVE 2021-09-13 2026-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G20000129052 ICC AT WEST FLORIDA HOSPITAL ACTIVE 2020-10-05 2025-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G20000124978 ICC AT LAKE CITY MEDICAL CENTER ACTIVE 2020-09-25 2025-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G20000042097 ICC AT UNIVERSITY HOSPITAL & MEDICAL CENTER ACTIVE 2020-04-16 2025-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G17000067450 ICC AT OCALA REGIONAL MEDICAL CENTER ACTIVE 2017-06-19 2027-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203
G17000019870 ICC AT ST. PETERSBURG GENERAL HOSPITAL ACTIVE 2017-02-23 2027-12-31 No data ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-03-20 ONE PARK PLAZA, NASHVILLE, TN 37203 No data
CHANGE OF MAILING ADDRESS 2012-03-20 ONE PARK PLAZA, NASHVILLE, TN 37203 No data
REGISTERED AGENT NAME CHANGED 2012-03-20 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2012-03-20 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-25
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-15

Related by officers

CUFFE, MICHAEL

TENNESSEE HEALTHCARE MANAGEMENT, INC. CITRUS PRIMARY CARE, INC. CITRUS SPECIALTY GROUP, INC. GRANT CENTER HOSPITAL OF OCALA, INC.

WYATT, CHRISTOPHER F.

INVIVOLINK, INC. GME SERVICES OF OSCEOLA, LLC JPM AA HOUSING, LLC CONCEPT WEST EFL IMAGING CENTER, LLC DELRAY EFL IMAGING CENTER, LLC

FRANCK, JOHN M., II

JPM AA HOUSING, LLC

GRUBBS, RONALD L, Jr.

POINCIANA MEDICAL CENTER, INC. INVIVOLINK, INC. SURGICARE OF BAYONET POINT, INC.

CLINE, NATALIE H

POINCIANA MEDICAL CENTER, INC. TENNESSEE HEALTHCARE MANAGEMENT, INC. PARALLON REVENUE CYCLE SERVICES, INC. HEALTHTRUST LOCUMS, INC. CITRUS PRIMARY CARE, INC. CITRUS SPECIALTY GROUP, INC. CITRUS MEMORIAL HOSPITAL, INC. CITRUS MEMORIAL PROPERTY MANAGEMENT, INC. EAST FLORIDA - DMC, INC. SLS SOUTH ATLANTIC DIVISION, LLC

Hackett, John M.

POINCIANA MEDICAL CENTER, INC. TENNESSEE HEALTHCARE MANAGEMENT, INC. PARALLON REVENUE CYCLE SERVICES, INC. HEALTHTRUST LOCUMS, INC. CITRUS PRIMARY CARE, INC. CITRUS SPECIALTY GROUP, INC. CITRUS MEMORIAL HOSPITAL, INC. CITRUS MEMORIAL PROPERTY MANAGEMENT, INC. INVIVOLINK, INC. EAST FLORIDA - DMC, INC.

Related by address

ONE PARK PLAZA, NASHVILLE, TN 37203

LARGO PHYSICIAN GROUP, LLC KENDALL MEDICAL SPECIALISTS, LLC SURGICARE OF BAYSIDE, LLC BAYSIDE AMBULATORY CENTER, LLC HEALTHCARE PURCHASING ALLIANCE, LLC POINCIANA MEDICAL CENTER, INC. WEST FLORIDA CARDIOLOGY PHYSICIANS, LLC OCALA HEALTH TRAUMA, LLC MIAMI-DADE CARDIOLOGY CONSULTANTS, LLC EAST FLORIDA CARDIOLOGY NETWORK, LLC

ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN 37203

LARGO PHYSICIAN GROUP, LLC SURGICARE OF BAYSIDE, LLC BAYSIDE AMBULATORY CENTER, LLC POINCIANA MEDICAL SPECIALISTS, LLC NATIONAL CONTACT CENTER MANAGEMENT GROUP, LLC CAPITAL REGIONAL HEART ASSOCIATES LLC INVIVOLINK, INC. EAST FLORIDA CARENOW URGENT CARE, LLC HEATHROW INTERNAL MEDICINE, LLC AVENTURA CANCER CENTER MANAGER, LLC

Date of last update: 04 Jan 2025

Sources: Florida Department of State

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