| Entity Name: | FLORIDA PEDIATRIC PULMONOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Mar 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L05000022992 |
| FEI/EIN Number | 202451033 |
| Address: | 15740 NEW HAMPSHIRE CT., SUITE B, FORT MYERS, FL, 33908 |
| Mail Address: | 15740 NEW HAMPSHIRE CT., SUITE B, FORT MYERS, FL, 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386765386 | 2007-04-03 | 2008-02-23 | PO BOX 7518, FORT MYERS, FL, 339117518, US | 15740 NEW HAMPSHIRE CT, # B, FORT MYERS, FL, 339084173, US | |||||||||||||||||||||
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| Phone | +1 239-931-7262 |
| Fax | 2399317397 |
| Phone | +1 239-466-1243 |
Authorized person
| Name | LUIS FAVERIO |
| Role | PRESIDENT |
| Phone | 2394661243 |
Taxonomy
| Taxonomy Code | 2080P0214X - Pediatric Pulmonology Physician |
| License Number | ME73220 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAVERIO LUIS A | Agent | 15740 NEW HAMPSHIRE CT., FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| FAVERIO LUIS A | Manager | 15740 NEW HAMPSHIRE CT. SUITE B, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-27 | 15740 NEW HAMPSHIRE CT., SUITE B, FORT MYERS, FL 33908 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-27 | 15740 NEW HAMPSHIRE CT., SUITE B, FORT MYERS, FL 33908 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-27 | 15740 NEW HAMPSHIRE CT., SUITE B, FORT MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-03-12 |
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-04-18 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-04-27 |
| Florida Limited Liabilites | 2005-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
