Entity Name: | ENDOSCOPY CENTER OF GULF BREEZE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
ENDOSCOPY CENTER OF GULF BREEZE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 28 Jun 2005 (20 years ago) |
Date of dissolution: | 26 Sep 2014 (11 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2014 (11 years ago) |
Document Number: | L05000064061 |
FEI/EIN Number |
432086670
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1116 GULF BREEZE PKWY, GULF BREEZE, FL, 32561 |
Mail Address: | 4828 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
ZIP code: | 32561 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386730950 | 2006-10-04 | 2008-04-20 | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561, US | |||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 850-934-4438 |
Fax | 8509344211 |
Authorized person
Name | MRS. ALICE L CARTEE |
Role | ADMINISTRATOR |
Phone | 8504748988 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | AETNA |
Number | 7956778 |
Issuer | CIGNA |
Number | 9256246 |
Issuer | USA HEALTH NETWORK |
Number | 987294 |
Issuer | BCBS OF FLORIDA |
Number | 6M1 |
State | FL |
Issuer | RAILROAD MEDICARE |
Number | P00326955 |
Issuer | HEALTH OPTIONS |
Number | 6M1 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ENDOSCOPY CENTER OF GULF BREEZE, LLC 401(K) PROFIT SHARING PLAN | 2012 | 432086670 | 2014-01-03 | ENDOSCOPY CENTER OF GULF BREEZE, LLC | 16 | |||||||||||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2014-01-03 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 621900 |
Sponsor’s telephone number | 8504778109 |
Plan sponsor’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Plan administrator’s name and address
Administrator’s EIN | 432086670 |
Plan administrator’s name | ENDOSCOPY CENTER OF GULF BREEZE, LLC |
Plan administrator’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Administrator’s telephone number | 8504778109 |
Signature of
Role | Plan administrator |
Date | 2013-05-03 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 621900 |
Sponsor’s telephone number | 8504778109 |
Plan sponsor’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Plan administrator’s name and address
Administrator’s EIN | 432086670 |
Plan administrator’s name | ENDOSCOPY CENTER OF GULF BREEZE, LL |
Plan administrator’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Administrator’s telephone number | 8504778109 |
Signature of
Role | Plan administrator |
Date | 2012-04-30 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-04-30 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 621900 |
Sponsor’s telephone number | 8504778109 |
Plan sponsor’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Plan administrator’s name and address
Administrator’s EIN | 432086670 |
Plan administrator’s name | ENDOSCOPY CENTER OF GULF BREEZE, LL |
Plan administrator’s address | 1116 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32561 |
Administrator’s telephone number | 8504778109 |
Signature of
Role | Plan administrator |
Date | 2011-04-04 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2011-04-04 |
Name of individual signing | STEVE DUNN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
HARRIMAN ROBERT | Manager | 100 W MORENO, PENSACOLA, FL, 32501 |
CARTEE WAYNE | Manager | 4810 N DAVIS HWY, PENSACOLA, FL, 32503 |
PORTER JOHN | Manager | 1000 W MORENO, PENSACOLA, FL, 32501 |
Dunn Steve | Agent | 4810 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32503 |
SPEER CARL | Manager | 4810 N DAVIS HWY, PENSACOLA, FL, 32503 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
REGISTERED AGENT NAME CHANGED | 2013-03-15 | Dunn, Steve | - |
CHANGE OF MAILING ADDRESS | 2010-02-16 | 1116 GULF BREEZE PKWY, GULF BREEZE, FL 32561 | - |
CHANGE OF PRINCIPAL ADDRESS | 2009-04-03 | 1116 GULF BREEZE PKWY, GULF BREEZE, FL 32561 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2013-03-15 |
ANNUAL REPORT | 2012-01-06 |
ANNUAL REPORT | 2011-01-04 |
ANNUAL REPORT | 2010-02-16 |
ANNUAL REPORT | 2009-04-03 |
ANNUAL REPORT | 2008-01-14 |
ANNUAL REPORT | 2007-03-22 |
ANNUAL REPORT | 2006-03-22 |
Florida Limited Liabilites | 2005-06-28 |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
338931975 | 0419700 | 2013-02-27 | 1116 GULF BREEZE PKWY, GULF BREEZE, FL, 32561 | |||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State