| Entity Name: | THORACIC SURGERY OF INDIAN RIVER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
THORACIC SURGERY OF INDIAN RIVER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Feb 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L08000017355 |
| FEI/EIN Number |
262523724
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 32958, US |
| Mail Address: | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 32958, US |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1467628156 | 2008-05-02 | 2009-05-21 | 14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 329583289, US | 14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 329583289, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-589-2009 |
| Fax | 7725892299 |
Authorized person
| Name | DR. PETER A SEIRAFI |
| Role | MANAGING MEMBER |
| Phone | 7725892009 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME80733 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA |
| Number | 2610659 |
| State | FL |
| Issuer | BCBS FLORIDA |
| Number | 35676 |
| State | FL |
| Issuer | FEDERAL BLACK LUNG |
| Number | 613325100 |
| Issuer | AETNA |
| Number | 7435144 |
| State | FL |
| Issuer | MEDICARE RAILROAD |
| Number | DN6310 |
| State | FL |
| Issuer | WELLCARE |
| Number | 162138 |
| State | FL |
| Issuer | QUALITY HEALTH PLAN |
| Number | PRO6612 |
| State | FL |
| Issuer | AETNA FL |
| Number | 1865828 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEIRAFI PETER A | Managing Member | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 32958 |
| SEIRAFI PETER A | Agent | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL, 32958 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-07 | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958 | - |
| CHANGE OF MAILING ADDRESS | 2009-01-07 | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958 | - |
| REGISTERED AGENT NAME CHANGED | 2009-01-07 | SEIRAFI, PETER AM.D. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-07 | 14430 U.S. HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958 | - |
| LC AMENDMENT | 2008-05-05 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-01-07 |
| LC Amendment | 2008-05-05 |
| Florida Limited Liability | 2008-02-18 |
Date of last update: 02 May 2025
Sources: Florida Department of State
