| Entity Name: | EMERGENCY SPECIALISTS OF WELLINGTON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EMERGENCY SPECIALISTS OF WELLINGTON, 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: | 03 Oct 2005 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (6 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (6 months ago) |
| Document Number: | L05000097351 |
| FEI/EIN Number |
203568056
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5121 Maryland Way, Suite 300, Brentwood, TN, 37027, US |
| Mail Address: | 5121 Maryland Way, Suite 300, Brentwood, TN, 37027, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720038391 | 2006-05-12 | 2023-01-27 | PO BOX 24085, FORT WORTH, TX, 761241085, US | 10101 W FOREST HILL BLVD, WELLINGTON, FL, 334146103, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 817-451-4208 |
| Phone | +1 561-798-8535 |
Authorized person
| Name | JAMES GRIMES JR. |
| Role | CFO |
| Phone | 6155516611 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | DE2986 |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 97008 |
| State | FL |
| Issuer | MEDICAID |
| Number | 274329900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | - |
| American Physician Holdings, LLC | Sole | 5121 Maryland Way, Suite 300, Brentwood, TN, 37027 |
| McQueen Andrew | Secretary | 5121 Maryland Way, Suite 300, Brentwood, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2020-04-06 | 5121 Maryland Way, Suite 300, Brentwood, TN 37027 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-06 | 5121 Maryland Way, Suite 300, Brentwood, TN 37027 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-29 | 115 NORTH CALHOUN STREET, SUITE 4, TALLAHASSEE, FL 32301 | - |
| LC AMENDMENT | 2019-10-29 | - | - |
| REINSTATEMENT | 2011-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| REINSTATEMENT | 2010-10-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000768596 | ACTIVE | 2023-CC-017129 | FLORIDA FIFTEENTH JUDICIAL CIR | 2024-09-13 | 2029-12-06 | $1000 | DAVID R. BALDEO, 1593 CABOT LANE, APT. D8, WELLINGTON, FL 33414 |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2024-08-30 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-06 |
| LC Amendment | 2019-10-29 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-02-04 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
