Entity Name: | DZUY LE, MD, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 22 Aug 2007 (17 years ago) |
Date of dissolution: | 23 Apr 2012 (13 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 23 Apr 2012 (13 years ago) |
Document Number: | L07000086248 |
FEI/EIN Number | 260818015 |
Address: | 1116 GEIGER STREET, ROCKLEDGE, FL, 32955, US |
Mail Address: | 1116 GEIGER STREET, ROCKLEDGE, FL, 32955, US |
ZIP code: | 32955 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851577415 | 2008-01-14 | 2010-08-06 | 150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL, 329533488, US | 211 CORAL SANDS DR, SUITE B, ROCKLEDGE, FL, 329552749, US | |||||||||||||||||||||||
|
Phone | +1 321-449-4168 |
Fax | 3214494164 |
Phone | +1 321-690-0709 |
Fax | 3216900976 |
Authorized person
Name | SANDI LAROCHE |
Role | MSO CREDENTIALING COORDINATOR |
Phone | 3214494168 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
License Number | ME79752 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SCHF FAMILY PHYSICIAN INC | Agent | 1116 GEIGER STREET, ROCKLEDGE, FL, 32955 |
Name | Role | Address |
---|---|---|
SCHF FAMILY PHYSICIANS INC | Managing Member | 1116 GEIGER STREET, ROCKLEDGE, FL, 32955 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2012-04-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-04-26 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
CHANGE OF MAILING ADDRESS | 2011-04-26 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
REGISTERED AGENT NAME CHANGED | 2011-04-26 | SCHF FAMILY PHYSICIAN INC | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-04-26 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2012-04-23 |
ANNUAL REPORT | 2012-03-23 |
ANNUAL REPORT | 2011-04-26 |
ANNUAL REPORT | 2010-03-29 |
ANNUAL REPORT | 2009-01-15 |
ANNUAL REPORT | 2008-07-15 |
Florida Limited Liability | 2007-08-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State