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  5. SOUTH MIAMI HOSPITALIST, INC.

SOUTH MIAMI HOSPITALIST, INC.

Company Details

Entity Name: SOUTH MIAMI HOSPITALIST, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 May 2006 (19 years ago)
Date of dissolution: 20 Dec 2024 (a month ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Dec 2024 (a month ago)
Document Number: P06000069092
FEI/EIN Number 20-4895465
Mail Address: 265 BROOKVIEW CENTRE WAY STE 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
1649362765 2006-09-28 2007-11-02 14050 NW 14TH STREET, SUITE 190, SUNRISE, FL, 33323, US 11750 BIRD ROAD, MIAMI, FL, 33175, US

Contacts
Phone +1 800-424-3672
Fax 9543773042
Phone +1 305-223-8000

Authorized person
Name DR. STEPHEN G. HOLTZCLAW
Role PRESIDENT
Phone 8004243672

Taxonomy
Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Other Provider Identifiers
Issuer BLUE SHIELD
Number 97466
State FL

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Director

Name Role Address
UPPAL, ROHIT Director 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

President

Name Role Address
UPPAL, ROHIT President 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

Assistant Secretary

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

Assistant Treasurer

Name Role Address
barrack, john Assistant Treasurer 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

Vice President

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

Treasurer

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

Secretary

Name Role Address
Leone, Alice Secretary 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

Asst. Treasurer

Name Role Address
Owens, Lara Asst. Treasurer 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-12-20 No data No data
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 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
Voluntary Dissolution 2024-12-20
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-14
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

Related by officers

UPPAL, ROHIT

DHP OF MANATEE, 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. FLORIDA HOSPITAL MEDICINE SERVICES, INC. EASTSIDE HOSPITALISTS, INC. NORTHEAST FLORIDA HOSPITALISTS, INC. TEAM HEALTH ANESTHESIA MANAGEMENT SERVICES, INC.

barrack, john

SOUTHEAST ER PHYSICIANS, P.A. SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. TREASURE COAST ANESTHESIA GROUP, P.A. MHS EMERGENCY SERVICES, P.A. IPC HEALTHCARE, INC. WEST BOCA PHYSICIANS GROUP, INC.

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

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

Related by address

265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919

SOUTH FLORIDA ANESTHESIA & PAIN TREATMENT, P.A. THE EMERGENCY ASSOCIATES FOR MEDICINE, LLC WOLVERINE ANESTHESIA CONSULTANTS, LLC FLORIDA POST-ACUTE MEDICAL SERVICES 1, P.A. SOUTHWEST FLORIDA EMERGENCY MANAGEMENT, LLC FLORIDA EMERGENCY SERVICES 1, P.A. QUANTUM PLUS, LLC TELEMEDICINE SERVICES OF FL, INC. TELEHEALTH MEDICAL SERVICES OF NJ, P.C., INC. FLORIDA EMERGENCY PHYSICIANS KANG & ASSOCIATES, M.D., 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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