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  5. NORTHEAST FLORIDA HOSPITALISTS, INC.

NORTHEAST FLORIDA HOSPITALISTS, INC.

Company Details

Entity Name: NORTHEAST FLORIDA HOSPITALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Aug 2005 (20 years ago)
Document Number: P05000107348
FEI/EIN Number 203266367
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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013036219 2007-03-28 2020-09-14 PO BOX 635684, CINCINNATI, OH, 452635684, US 5352 LINTON BLVD, DELRAY BEACH, FL, 334846514, US

Contacts
Phone +1 800-424-3672
Phone +1 561-498-4440

Authorized person
Name DR. ROHIT UPPAL
Role PRESIDENT
Phone 8004243672

Taxonomy
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 278248100
State FL
Issuer BCBS OF FLORIDA
Number 24805
State FL

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Address
UPPAL ROHIT MD Director 1643 NW 136TH AVE, Sunrise, FL, 33323

Assi

Name Role Address
STAIR JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
BARRACK JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919

Vice President

Name Role Address
Corvini Michael MD Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Evans Rob Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919

Treasurer

Name Role Address
Leone Alice Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-10 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-12 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 No data
REGISTERED AGENT ADDRESS CHANGED 2006-11-09 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13000860297 TERMINATED 1000000489389 BROWARD 2013-04-25 2023-05-03 $ 879.09 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-14

Related by officers

UPPAL ROHIT MD

LTC HOSPITALISTS, INC. FL PACS 2, P.A. HOSPITAL PHYSICIAN SERVICES OF FLORIDA, P.A. INPATIENT CONSULTANTS OF FLORIDA, INC. WEST PALM BEACH PHYSICIAN GROUP, INC. WEST BOCA PHYSICIANS GROUP, INC. NORTH BROWARD HOSPITALIST, INC. MEMORIAL HOSPITALIST, INC. MIAMI BEACH HOSPITALIST, INC. WESTSIDE HOSPITALIST, INC.

STAIR JOHN

METROAMERICAN RADIOLOGY CONSULTANTS, P.A. LTC HOSPITALISTS, INC. HIALEAH ANESTHESIA SPECIALISTS, LLC PARRISH ANESTHESIA SPECIALISTS, LLC PBG TEAM ANESTHESIA, P.A. IPN EMERGENCY PHYSICIANS OF NORTH FLORIDA, P.A. THSE-MARCO URGENT CARE, LLC PALMETTO ANESTHESIA SPECIALISTS, LLC SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. OCALA PHYSICIANS GROUP, P.A.

BARRACK JOHN

BLUE LAGOON HOSPITALISTS, INC. HIALEAH ANESTHESIA SPECIALISTS, LLC PBG TEAM ANESTHESIA, P.A. OCALA PHYSICIANS GROUP, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. CLINIC MANAGEMENT SERVICES OF FLORIDA, PA HM SPECIAL OPS TEAM, P.A. DHP OF MANATEE, P.A. DANIEL & YEAGER, LLC IPN SOUTH BROWARD, P.A.

Corvini Michael MD

LTC HOSPITALISTS, INC. HOSPITALIST SERVICES OF FLORIDA, INC. HM SPECIAL OPS TEAM, P.A. MID-ATLANTIC ER PHYSICIANS, INC. NAPLES CONTRACTING SERVICES, P.A. HOSPITAL PHYSICIAN SERVICES OF FLORIDA, P.A. WEST PALM BEACH PHYSICIAN GROUP, INC. NORTH BROWARD HOSPITALIST, INC. MEMORIAL HOSPITALIST, INC. MIAMI BEACH HOSPITALIST, INC.

Evans Rob

PARAGON CONTRACTING ALABAMA, LLC BLUE LAGOON HOSPITALISTS, INC. LTC HOSPITALISTS, INC. HIALEAH ANESTHESIA SPECIALISTS, LLC PARRISH ANESTHESIA SPECIALISTS, LLC PBG TEAM ANESTHESIA, P.A. THSE-MARCO URGENT CARE, LLC PALMETTO ANESTHESIA SPECIALISTS, LLC GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC SOUTHEAST ER PHYSICIANS, P.A.

Leone Alice

PARAGON CONTRACTING ALABAMA, LLC LTC HOSPITALISTS, INC. HOSPITALIST SERVICES OF FLORIDA, INC. THSE-MARCO URGENT CARE, LLC GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC HM SPECIAL OPS TEAM, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC PARAGON CONTRACTING SERVICES, LLC INPHYNET SOUTH BROWARD, LLC INPHYNET CONTRACTING SERVICES, LLC

Related by address

265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919, US

PARAGON CONTRACTING ALABAMA, LLC BLUE LAGOON HOSPITALISTS, INC. LTC HOSPITALISTS, INC. HIALEAH ANESTHESIA SPECIALISTS, LLC PARRISH ANESTHESIA SPECIALISTS, LLC PBG TEAM ANESTHESIA, P.A. URGENT CARE OF NAPLES, P.A. THSE-MARCO URGENT CARE, LLC PALMETTO ANESTHESIA SPECIALISTS, LLC PSYCHIATRISTS ONLY, LLC

1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL, 33323, US

PARAGON CONTRACTING ALABAMA, LLC BLUE LAGOON HOSPITALISTS, INC. LTC HOSPITALISTS, INC. URGENT CARE OF NAPLES, P.A. THSE-MARCO URGENT CARE, LLC OCALA PHYSICIANS GROUP, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. MHS EMERGENCY SERVICES, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC PARAGON CONTRACTING SERVICES, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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