| Entity Name: | NORTH FLORIDA ID, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Apr 2007 (18 years ago) |
| Date of dissolution: | 10 May 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 May 2016 (9 years ago) |
| Document Number: | L07000038791 |
| FEI/EIN Number | 208821577 |
| Address: | 4963 SW 91ST WAY, GAINESVILLE, FL, 32608, US |
| Mail Address: | 4963 SW 91ST WAY, GAINESVILLE, FL, 32608, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215158035 | 2007-05-01 | 2007-08-03 | 7257 NW 4TH BLVD, #43, GAINESVILLE, FL, 326071600, US | 7257 NW 4TH BLVD, #43, GAINESVILLE, FL, 326071600, US | |||||||||||||||||||||||||
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| Phone | +1 352-375-0819 |
| Fax | 3523736775 |
Authorized person
| Name | DR. ROBERT W. YANCEY JR. |
| Role | PRESIDENT |
| Phone | 3523750819 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0045380 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME0045380 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YANCEY ROBERT W | Agent | 4963 SW 91ST WAY, GAINESVILLE, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| YANCEY ROBERT W | Managing Member | 4963 SW 91ST WAY, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-05-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-11 | 4963 SW 91ST WAY, GAINESVILLE, FL 32608 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-11 | 4963 SW 91ST WAY, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-11 | 4963 SW 91ST WAY, GAINESVILLE, FL 32608 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-05-10 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-24 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-11 |
| ANNUAL REPORT | 2008-08-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
