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NORTHEAST FLORIDA HOSPITALISTS, INC. - Florida Company Profile

Company Details

Entity Name: NORTHEAST FLORIDA HOSPITALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NORTHEAST FLORIDA HOSPITALISTS, 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: 02 Aug 2005 (20 years ago)
Document Number: P05000107348
FEI/EIN Number 203266367

Federal Employer Identification (FEI) Number assigned by the IRS.

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

Key Officers & Management

Name Role Address
UPPAL ROHIT MD Director 1643 NW 136TH AVE, Sunrise, FL, 33323
STAIR JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
BARRACK JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
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
Leone Alice Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
CORPORATION SERVICE COMPANY Agent -

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 -
CHANGE OF PRINCIPAL ADDRESS 2022-04-12 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323 -
REGISTERED AGENT ADDRESS CHANGED 2006-11-09 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

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

Date of last update: 03 Apr 2025

Sources: Florida Department of State