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MID-FLORIDA CRITICAL CARE PHYSICIAN SERVICES, L.L.C. - Florida Company Profile

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Company Details

Entity Name: MID-FLORIDA CRITICAL CARE PHYSICIAN SERVICES, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 21 May 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: L08000050623
FEI/EIN Number 421765832
Address: 200 AVE F NORTHWEST, WINTER HAVEN, FL, 33881
Mail Address: 200 AVE F NORTHWEST, WINTER HAVEN, FL, 33881
ZIP code: 33881
City: Winter Haven
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ANASTASIO LANCE W Manager 200 AVE F NORTHEAST, WINTER HAVEN, FL, 33881
ANASTASIO LANCE W Agent 200 AVE F NORTHWEST, WINTER HAVEN, FL, 33881

National Provider Identifier

NPI Number:
1356502108

Authorized Person:

Name:
DAVE MACDOUGALL
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8639680653
Fax:
8632971867

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
ANNUAL REPORT 2011-05-01
ANNUAL REPORT 2010-04-30
ANNUAL REPORT 2009-04-23
Florida Limited Liability 2008-05-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State