| Entity Name: | NORTHWEST FLORIDA CARDIOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Jun 2005 (20 years ago) |
| Date of dissolution: | 28 Mar 2014 (11 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2014 (11 years ago) |
| Document Number: | L05000057018 |
| FEI/EIN Number | 753194073 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN, 37203, US |
| Mail Address: | ONE PARK PLAZA, LEGAL DEPT., NASHVILLE, TN, 37203, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295719037 | 2005-12-05 | 2010-05-10 | 490 HIGHWAY 85 N, STE A & B, NICEVILLE, FL, 325781010, US | 490 HIGHWAY 85 N, STE A & B, NICEVILLE, FL, 325781010, US | |||||||||||||||||||||
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| Phone | +1 850-678-6501 |
| Fax | 8506786516 |
Authorized person
| Name | MR. MICKEY PICKLER |
| Role | VP |
| Phone | 8505232117 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DF1366 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| FRANCK II JOHN M | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| RUTHERFORD WILLIAM B | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| STINNETT DONALD W | Manager | ONE PARK PLAZA, NASHVILLE, TN, 37203 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08203900321 | NORTHWEST FLORIDA CARDIOLOGY | EXPIRED | 2008-07-21 | 2013-12-31 | No data | ONE PARK PLAZA, LEGAL DEPARTMENT, NASHVILLE, TN, 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2014-03-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| LC NAME CHANGE | 2008-07-16 | NORTHWEST FLORIDA CARDIOLOGY, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-25 | ONE PARK PLAZA, NASHVILLE, TN 37203 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2014-03-28 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-04-01 |
| LC Name Change | 2008-07-16 |
| ANNUAL REPORT | 2008-04-18 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
