Detail by Officer/Registered Agent Name
Florida Limited Liability Company
SELECT PHYSICIANS ALLIANCE, P.L.
Filing Information
L10000083552
27-3337174
08/09/2010
FL
ACTIVE
LC AMENDED AND RESTATED ARTICLES
10/28/2011
NONE
Principal Address
Changed: 11/17/2017
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Changed: 11/17/2017
Mailing Address
Changed: 11/17/2017
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Changed: 11/17/2017
Registered Agent Name & Address
WATTS, SHERYL A
Name Changed: 03/19/2014
Address Changed: 01/25/2018
10002 PRINCESS PALM DR
SUITE 332
TAMPA, FL 33619
SUITE 332
TAMPA, FL 33619
Name Changed: 03/19/2014
Address Changed: 01/25/2018
Authorized Person(s) Detail
Name & Address
Title PRESIDENT
RIVERA, MIGUEL A, MD
Title DIRECTOR
AGNELLO, PETER FMD
Title MGR
BARTELS, LOREN JMD
Title MGR
CASTELLANO, DOMINIC MMD
Title VP
SCOTCH, BRETT A, DO
Title MGR
VINCENT, DANIEL MD
Title Manager
POWELL, SCOTT A, MD
Title SECRETARY
DANNER, CHRISTOPHER J, MD
Title MANAGER
MCKERNAN, PETER B, MD
Title Manager
AGLIANO, DENNIS S, MD
Title Manager
ANDERSON, SCOTT R, MD
Title Manager
BAINES, PAMELA B, MD
Title Manager
BOOTHBY, RENE A, MD
Title Manager
DOLGIN, SANFORD R, MD
Title MANAGER
LEE, JANET I, MD
Title Manager
NOFSINGER, YOON C, MD
Title Manager
ROGERS, JEREMY B, MD
Title Manager
ALLEN, KYLE, MD
Title PRESIDENT
RIVERA, MIGUEL A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title DIRECTOR
AGNELLO, PETER FMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title MGR
BARTELS, LOREN JMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title MGR
CASTELLANO, DOMINIC MMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title VP
SCOTCH, BRETT A, DO
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title MGR
VINCENT, DANIEL MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
POWELL, SCOTT A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title SECRETARY
DANNER, CHRISTOPHER J, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title MANAGER
MCKERNAN, PETER B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
AGLIANO, DENNIS S, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
ANDERSON, SCOTT R, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
BAINES, PAMELA B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
BOOTHBY, RENE A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
DOLGIN, SANFORD R, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title MANAGER
LEE, JANET I, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
NOFSINGER, YOON C, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
ROGERS, JEREMY B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Title Manager
ALLEN, KYLE, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619
STE 332
TAMPA, FL 33619
Annual Reports
Report Year | Filed Date |
2022 | 03/30/2022 |
2023 | 04/20/2023 |
2024 | 03/01/2024 |
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