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COLLIER HMA PHYSICIAN MANAGEMENT, INC. - Florida Company Profile

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Company Details

Entity Name: COLLIER HMA PHYSICIAN MANAGEMENT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Feb 2006 (19 years ago)
Date of dissolution: 20 Nov 2008 (17 years ago)
Last Event: CONVERSION
Event Date Filed: 20 Nov 2008 (17 years ago)
Document Number: P06000024799
FEI/EIN Number 204366463
Mail Address: 5811 PELICAN BAY BLVD SUITE 500, ATTN: LEGAL DEPT, NAPLES, FL, 34108
Address: 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108
ZIP code: 34108
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
PARRY TIMOTHY R Director 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108
PARRY TIMOTHY R Vice President 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108
PARRY TIMOTHY R Secretary 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108
BRYANT GARY S Treasurer 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108
PUTTER JOSHUA S Director 2500 HARBOR BOULEVARD, PORT CHARLOTTE, FL, 33952
PUTTER JOSHUA S Vice President 2500 HARBOR BOULEVARD, PORT CHARLOTTE, FL, 33952
MOEBIUS GEOFFREY D Director 6101 PINE RIDGE ROAD, NAPLES, FL, 34119
MOEBIUS GEOFFREY D President 6101 PINE RIDGE ROAD, NAPLES, FL, 34119
HOLLOWAY KATHLEEN K Assistant Secretary 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL, 34108

National Provider Identifier

NPI Number:
1770621815
Certification Date:
2022-03-09

Authorized Person:

Name:
MS. JENNIFER JACKSON
Role:
SENIOR DIRECTOR PROVIDER ENROLLMENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2395989433

Events

Event Type Filed Date Value Description
CONVERSION 2008-11-20 - CONVERSION MEMBER. RESULTING CORPORATION WAS L08000107934. CONVERSION NUMBER 900000091479
CHANGE OF MAILING ADDRESS 2008-04-15 5811 PELICAN BAY BLVD SUITE 500, NAPLES, FL 34108 -

Documents

Name Date
ANNUAL REPORT 2008-04-15
ANNUAL REPORT 2007-04-18
Domestic Profit 2006-02-17

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Date of last update: 03 Jul 2025

Sources: Florida Department of State