| Entity Name: | AVENTURA NEUROSURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Nov 2004 (20 years ago) |
| Date of dissolution: | 09 Jul 2020 (5 years ago) |
| Last Event: | LC STMNT OF TERM |
| Event Date Filed: | 09 Jul 2020 (5 years ago) |
| Document Number: | L04000085576 |
| FEI/EIN Number | 32-0133246 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Mail Address: | PO BOX 750, NASHVILLE, TN 37202 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457424293 | 2006-11-17 | 2007-10-15 | 21097 NE 27 COURT, SUITE 350, AVENTURA, FL, 33180, US | 21097 NE 27 COURT, SUITE 350, AVENTURA, FL, 33180, US | |||||||||||||||||||||
|
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| Phone | +1 786-428-1059 |
| Fax | 7864281062 |
Authorized person
| Name | GARY DUNCAN |
| Role | VICE PRESIDENT |
| Phone | 5615481089 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DD8713 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| RUTHERFORD, WILLIAM B | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| WYATT, CHRISTOPHER F | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| FRANCK II, JOHN M | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF TERM | 2020-07-09 | No data | No data |
| LC VOLUNTARY DISSOLUTION | 2020-07-02 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-26 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-28 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| CORLCSTERM | 2020-07-09 |
| LC Voluntary Dissolution | 2020-07-02 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-23 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-27 |
| ANNUAL REPORT | 2013-04-22 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
