| Entity Name: | EAST HILL MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 1999 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 25 Apr 2016 (9 years ago) |
| Document Number: | P99000028271 |
| FEI/EIN Number | 593568297 |
| Address: | 114 East Gregory Street, Pensacola, FL, 32502, US |
| Mail Address: | 114 East Gregory Street, Pensacola, FL, 32502, US |
| ZIP code: | 32502 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538604509 | 2016-12-30 | 2016-12-30 | 99 S ALCANIZ ST, SUITE B, PENSACOLA, FL, 325028002, US | 99 S ALCANIZ ST STE B, PENSACOLA, FL, 325028002, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-437-0035 |
| Fax | 8504290005 |
Authorized person
| Name | PAULA BOSWELL |
| Role | BILLING MANAGER |
| Phone | 2519439954 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 10642 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME80025 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1740285006 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOGAN KEVIN MD.C. | Agent | 114 East Gregory Street, Pensacola, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| HOGAN KEVIN MDr. | President | 99 B South Alcaniz Street, Pensacola, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| HOGAN KEVIN MDr. | Treasurer | 99 B South Alcaniz Street, Pensacola, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| HOGAN CHERI M | Vice President | 99 B South Alcaniz Street, Pensacola, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| HOGAN CHERI M | Secretary | 99 B South Alcaniz Street, Pensacola, FL, 32502 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000071800 | EAST HILL MEDICAL GROUP | ACTIVE | 2021-05-10 | 2026-12-31 | No data | 99 S. ALCANIZ STREET, PENSACOLA, FL, 32502 |
| G16000039567 | EAST HILL CHIROPRACTIC | ACTIVE | 2016-04-19 | 2026-12-31 | No data | 99 B SOUTH ALCANIZ STREET, PENSACOLA, FL, 32502 |
| G16000039580 | EAST HILL LASER | EXPIRED | 2016-04-19 | 2021-12-31 | No data | 99 B SOUTH ALCANIZ ST, PENSACOLA, FL, 32502 |
| G15000058566 | EAST HILL MEDICAL GROUP | EXPIRED | 2015-06-11 | 2020-12-31 | No data | 99-B S. ALCANIZ STREET, PENSACOLA, FL, 32502 |
| G12000098139 | EAST HILL LASER & AESTHETICS, LLC | ACTIVE | 2012-10-08 | 2028-12-31 | No data | 114 EAST GREGORY STREET, PENSACOLA, FL, 32502 |
| G12000071108 | EAST HILL CHIROPRACTIC CENTER, INC. | EXPIRED | 2012-07-17 | 2017-12-31 | No data | 2045 NO 12TH AVENUE, PENSACOLA, FL, 32503 |
| G08003900282 | PROGRESSIVE FAMILY CHIROPRACTIC | EXPIRED | 2008-01-03 | 2013-12-31 | No data | 2045 N. 12TH AVENUE, PENSACOLA, FL, 32503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-08 | 114 East Gregory Street, Pensacola, FL 32502 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-08 | 114 East Gregory Street, Pensacola, FL 32502 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-08 | 114 East Gregory Street, Pensacola, FL 32502 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-04 | HOGAN, KEVIN M., D.C. | No data |
| NAME CHANGE AMENDMENT | 2016-04-25 | EAST HILL MEDICAL GROUP, INC. | No data |
| CANCEL ADM DISS/REV | 2003-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-05 |
| Name Change | 2016-04-25 |
| ANNUAL REPORT | 2016-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
