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  5. EASTSIDE HOSPITALISTS, INC.

EASTSIDE HOSPITALISTS, INC.

Company Details

Entity Name: EASTSIDE HOSPITALISTS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Mar 2006 (19 years ago)
Document Number: P06000045735
FEI/EIN Number 20-4595837
Mail Address: 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN 37919
Address: 1643 NW 136TH AVE, BUILDING H, SUITE 100, Sunrise, FL 33323
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

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Address
Uppal, Rohit, MD Director 265 Brookview Centre Way, Suite 203 Knoxville, TN 37919

President

Name Role Address
Uppal, Rohit, MD President 265 Brookview Centre Way, Suite 203 Knoxville, TN 37919

Assistant Secretary

Name Role Address
STAIR, JOHN Assistant Secretary 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN 37919

Assistant Treasurer

Name Role Address
BARRACK, JOHN Assistant Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN 37919
Owens, Lara Assistant Treasurer 265 BROOKVIEW CENTRE WAY, SUITE 203, KNOXVILLE, TN 37919

Vice President

Name Role Address
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

Secretary

Name Role Address
Leone, Alice Secretary 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 2024-04-08 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 NAME CHANGED 2007-04-20 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2007-04-20 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data

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

Related by officers

Uppal, Rohit, MD

HM SPECIAL OPS TEAM, P.A.

STAIR, JOHN

SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. OCALA PHYSICIANS GROUP, P.A. SOUTHEAST PROVIDER SERVICES, LLC MID-OHIO EMERGENCY SERVICES, LLC WEST BOCA PHYSICIANS GROUP, INC. SOUTH MIAMI HOSPITALIST, INC. FLORIDA HOSPITAL MEDICINE SERVICES, INC. NORTHEAST FLORIDA HOSPITALISTS, INC. TEAM HEALTH ANESTHESIA MANAGEMENT SERVICES, INC.

BARRACK, JOHN

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. MID-ATLANTIC ER PHYSICIANS, INC. FLORIDA POST-ACUTE MEDICAL SERVICES 1, P.A. FLORIDA ANESTHESIA MEDICAL SERVICES 1, P.A.

Owens, Lara

FLORIDA GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC SOUTHEAST ER PHYSICIANS, P.A. SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. TREASURE COAST ANESTHESIA GROUP, P.A. OCALA PHYSICIANS GROUP, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. CLINIC MANAGEMENT SERVICES, INC. HM SPECIAL OPS TEAM, P.A. HCFS HEALTH CARE FINANCIAL SERVICES, LLC

Corvini, Michael

FLORIDA GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC SOUTHEAST ER PHYSICIANS, P.A. SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. TREASURE COAST ANESTHESIA GROUP, P.A. OCALA PHYSICIANS GROUP, P.A. HM SPECIAL OPS TEAM, P.A. MHS EMERGENCY SERVICES, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC PARAGON CONTRACTING SERVICES, LLC

Evans, Rob

FLORIDA GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC SOUTHEAST ER PHYSICIANS, P.A. SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. TREASURE COAST ANESTHESIA GROUP, P.A. OCALA PHYSICIANS GROUP, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. HM SPECIAL OPS TEAM, P.A. MHS EMERGENCY SERVICES, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC

Leone, Alice

GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES, LLC SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. HM SPECIAL OPS TEAM, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC PARAGON CONTRACTING SERVICES, LLC INPHYNET SOUTH BROWARD, LLC INPHYNET CONTRACTING SERVICES, LLC THE EMERGENCY ASSOCIATES FOR MEDICINE, LLC PARAGON EMERGENCY SERVICES, LLC

Related by address

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

SOUTHEAST ER PHYSICIANS, P.A. TREASURE COAST ANESTHESIA GROUP, P.A. OCALA PHYSICIANS GROUP, P.A. HOSPITAL PHYSICIAN SERVICES SOUTHEAST, PROFESSIONAL CORPORATION P.A. CLINIC MANAGEMENT SERVICES, INC. HM SPECIAL OPS TEAM, P.A. HCFS HEALTH CARE FINANCIAL SERVICES, LLC DHP OF MANATEE, P.A. MHS EMERGENCY SERVICES, P.A. FLORIDA HOSPITAL MEDICINE SERVICES, LLC

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

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 INPHYNET SOUTH BROWARD, LLC INPHYNET CONTRACTING SERVICES, LLC THE EMERGENCY ASSOCIATES FOR MEDICINE, LLC PARAGON EMERGENCY SERVICES, LLC IPN SOUTH BROWARD, P.A.

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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