| Entity Name: | WINTER HAVEN INTENSIVE CARE CONSULTANTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Mar 2007 (18 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L07000034213 |
| FEI/EIN Number | 651300627 |
| Address: | 1511 SW 1ST AVENUE, OCALA, FL, 34471, US |
| Mail Address: | P.O. BOX 3130, OCALA, FL, 34478, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356563829 | 2007-05-03 | 2007-10-15 | 1511 SW 1ST AVE, OCALA, FL, 344744005, US | 200 AVENUE F NE, ATTN: CHERYL PETTITT, WINTER HAVEN, FL, 338814131, US | |||||||||||||||||||||||||
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| Phone | +1 352-867-8311 |
| Fax | 3528671053 |
Authorized person
| Name | DR. VINCENT C PALMIRE |
| Role | OWNER |
| Phone | 3528678311 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | ME97772 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA |
| Number | 33551 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORTES, JR. JOSE H | Agent | 4 S.E. BROADWAY, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| PALMIRE VINCENT C | Managing Member | 1511 SW 1ST AVENUE, OCALA, FL, 34471 |
| ROBERTIE PAUL G | Managing Member | 1511 SW 1ST AVENUE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-12 | 1511 SW 1ST AVENUE, OCALA, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-12 | CORTES, JR., JOSE HESQ | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-08 | 1511 SW 1ST AVENUE, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-11 |
| ANNUAL REPORT | 2012-02-28 |
| ANNUAL REPORT | 2011-03-09 |
| ANNUAL REPORT | 2010-03-12 |
| ANNUAL REPORT | 2009-04-08 |
| ANNUAL REPORT | 2008-04-21 |
| Florida Limited Liability | 2007-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
