| Entity Name: | COGENT HEALTHCARE OF FORT MYERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COGENT HEALTHCARE OF FORT MYERS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Jun 2002 (23 years ago) |
| Date of dissolution: | 07 Nov 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Nov 2017 (7 years ago) |
| Document Number: | L02000015338 |
| FEI/EIN Number |
753067930
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1498 PACIFIC AVE, SUITE 400, TACOMA, WA, 98402, US |
| Mail Address: | 1498 PACIFIC AVE, SUITE 400, TACOMA, WA, 98402, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952352163 | 2006-05-12 | 2008-07-21 | 5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN, 370275064, US | 2776 CLEVELAND AVE, CARE MANAGEMENT DEPARTMENT, 8TH FLOOR, FT MYERS, FL, 339015864, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 615-377-5670 |
| Fax | 6153771687 |
| Phone | +1 239-344-5837 |
Authorized person
| Name | SUSAN A. BROWNIE |
| Role | TREASURER |
| Phone | 6153775630 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine 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 | 266101200 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHEILD FL |
| Number | 34480 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| BESSLER ROBERT A | President | 1498 PACIFIC AVE, TACOMA, WA, 98402 |
| NICHOLAS COOK | Asst | 5410 MARYLAND WAY STE 300, BRENTWOOD, TN, 37027 |
| MCCARTY STEVEN | Secretary | 1498 PACIFIC AVE, TACOMA, WA, 98402 |
| BRINK PETER | Treasurer | 1498 PACIFIC AVE, TACOMA, WA, 98402 |
| CAPUTO MARK | Auth | 1498 PACIFIC AVE, TACOMA, WA, 98402 |
| KUERBITZ RONALD A | Auth | 1498 PACIFIC AVE, TACOMA, WA, 98402 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-11-07 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-21 | 1498 PACIFIC AVE, SUITE 400, TACOMA, WA 98402 | - |
| CHANGE OF MAILING ADDRESS | 2016-01-21 | 1498 PACIFIC AVE, SUITE 400, TACOMA, WA 98402 | - |
| REGISTERED AGENT NAME CHANGED | 2004-09-09 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-09-09 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-03-25 |
| ANNUAL REPORT | 2014-01-15 |
| ANNUAL REPORT | 2013-04-01 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-01-22 |
| ANNUAL REPORT | 2008-04-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
