| Entity Name: | PHYSICIAN ASSISTANT SERVICES OF FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 May 2003 (22 years ago) |
| Date of dissolution: | 20 Dec 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Dec 2019 (5 years ago) |
| Document Number: | L03000022095 |
| FEI/EIN Number | 593614710 |
| Address: | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL, 32937, US |
| Mail Address: | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972673184 | 2006-11-08 | 2008-04-20 | PO BOX 1261, MELBOURNE, FL, 329021261, US | 301 E HIBISCUS BLVD, MELBOURNE, FL, 329013105, US | |||||||||||||||||||
|
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| Phone | +1 321-409-8941 |
| Fax | 3214099392 |
Authorized person
| Name | CHARLES HAMILTON BOONE |
| Role | OWNER |
| Phone | 3214098941 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| License Number | PA3525 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOONE CHARLES H | Agent | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| BOONE CHARLES H | President | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| BOONE PENNY R | Vice President | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-08 | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL 32937 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-29 | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL 32937 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-22 | 505 ELEUTHERA LANE, INDIAN HARBOR BEACH, FL 32937 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-26 | BOONE, CHARLES HCEO | No data |
| MERGER | 2003-05-15 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000045439 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-20 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-01-29 |
| ANNUAL REPORT | 2014-04-07 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-03-19 |
| ANNUAL REPORT | 2011-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
