| Entity Name: | SANTIAGO M LEYTE VIDAL MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 May 2007 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L07000049977 |
| FEI/EIN Number | 260141620 |
| Address: | 465 MINUTEMEN CAUSEWAY, COCOA BEACH, FL, 32931, US |
| Mail Address: | 465 MINUTEMEN CAUSEWAY, COCOA BEACH, FL, 32931, US |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770791741 | 2007-05-21 | 2007-07-30 | 465 MINUTEMEN CSWY, COCOA BEACH, FL, 329312881, US | 465 MINUTEMEN CSWY, COCOA BEACH, FL, 329312881, US | |||||||||||||||
|
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| Phone | +1 321-783-2412 |
| Fax | 3217841689 |
Authorized person
| Name | DR. SANTIAGO M LEYTE VIDAL JR. |
| Role | MANAGING MEMBER |
| Phone | 3217832412 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SANTIAGO M LEYTE VIDAL MD LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LEYTE VIDAL SANTIAGO M | Managing Member | 465 MINUTEMEN CAUSEWAY, COCOA BEACH, FL, 32931 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000124108 | COCOA BEACH INTERNAL MEDICINE ASSOCIATION | EXPIRED | 2019-11-19 | 2024-12-31 | No data | 465 MINUTEMEN CAUSEWAY, COCOA BEACH, FL, 32931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-02 | Santiago M Leyte-Vidal MD LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-02 | 465 Minutemen Cswy, Cocoa Beach, FL 32931 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000054506 | ACTIVE | 6:20-MC-00045-PGB-GJK | US DISRICT, MIDDLE DISTRICT | 2020-09-29 | 2026-02-09 | $293,221.33 | BALBOA CAPITAL CORPORATION, 575 ANTON BLVD, 12TH FLOOR, COSTA MESA, CA 92626 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-25 |
| REINSTATEMENT | 2019-10-02 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-02-20 |
| ANNUAL REPORT | 2014-03-22 |
| ANNUAL REPORT | 2013-03-18 |
| ANNUAL REPORT | 2012-04-08 |
| ANNUAL REPORT | 2011-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
