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EASTSIDE HOSPITALISTS, INC. - Florida Company Profile

Company Details

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

EASTSIDE 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: 29 Mar 2006 (19 years ago)
Document Number: P06000045735
FEI/EIN Number 20-4595837

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
1285676957 2006-06-10 2024-03-27 1643 NW 136TH AVE STE 100, SUNRISE, FL, 333232857, US 3501 JOHNSON ST, HOLLYWOOD, FL, 330215421, US

Contacts

Phone +1 800-424-3672
Fax 9543773042
Phone +1 954-265-2000

Authorized person

Name DR. ROHIT UPPAL
Role PRESIDENT
Phone 8004243672

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes
Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 276716300
State FL
Issuer BCBS OF FL
Number 97954
State FL

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
Uppal Rohit MD Director 265 Brookview Centre Way, Knoxville, TN, 37919
STAIR JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
BARRACK JOHN Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Owens Lara MD Assi 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Corvini Michael Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919
Evans Rob Vice President 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN, 37919

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-08 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 NAME CHANGED 2007-04-20 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2007-04-20 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-27

Date of last update: 02 Apr 2025

Sources: Florida Department of State