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UROLOGY ASSOCIATES OF VERO BEACH LLC

Company Details

Entity Name: UROLOGY ASSOCIATES OF VERO BEACH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 21 Oct 2002 (22 years ago)
Document Number: L02000027796
FEI/EIN Number 161635580
Address: 1765 PELICAN WAY, VERO BEACH, FL, 32963
Mail Address: 1765 PELICAN WAY, VERO BEACH, FL, 32963
ZIP code: 32963
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588696694 2006-07-07 2008-02-14 3745 11TH CIR, SUITE 103, VERO BEACH, FL, 329604837, US 3745 11TH CIR, SUITE 103, VERO BEACH, FL, 329604837, US

Contacts

Phone +1 772-794-9771
Fax 7727949773

Authorized person

Name CHRISTOPHER P TARDIF
Role PRESIDENT/OWNER
Phone 7727949771

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Agent

Name Role Address
RENNICK SANDRA G Agent 979 BEACHLAND BLVD., VERO BEACH, FL, 32963

Manager

Name Role Address
TARDIF CHRISTOPHER P Manager 1765 PELICAN WAY, VERO BEACH, FL, 32963

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
LC NAME CHANGE 2008-03-31 UROLOGY ASSOCIATES OF VERO BEACH, LLC No data
REINSTATEMENT 2007-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State