| Entity Name: | MID-FLORIDA UROLOGY PHYSICIAN SERVICES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Feb 2008 (17 years ago) |
| Date of dissolution: | 27 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Dec 2017 (7 years ago) |
| Document Number: | L08000014712 |
| FEI/EIN Number | 611558558 |
| Address: | 200 AVENUE F NORTHEAST, WINTER HAVEN, FL, 33881 |
| Mail Address: | 200 AVENUE F NORTHEAST, WINTER HAVEN, FL, 33881 |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942476791 | 2008-05-01 | 2008-07-11 | 200 AVENUE F NE, WINTER HAVEN, FL, 338814131, US | 200 AVENUE F NE, WINTER HAVEN, FL, 338814131, US | |||||||||||||||
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| Phone | +1 863-297-1899 |
| Fax | 8632971867 |
Authorized person
| Name | DAVE MACDOUGALL |
| Role | CFO |
| Phone | 8632971899 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| INZINA TOMMY | Director | 2985 DREW STREET, CLEARWATER, FL, 33759 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000024567 | ROBOTICS INSTITUTE & CENTER FOR UROLOGY | EXPIRED | 2013-03-12 | 2018-12-31 | No data | 199 AVENUE B NW, SUITE 310, WINTER HAVEN, FL, 33881, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-12-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-16 | BayCare Health System, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-04-02 |
| AMENDED ANNUAL REPORT | 2013-12-17 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-05-01 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
