| Entity Name: | INNOVATIVE GYNECOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 May 2008 (17 years ago) |
| Date of dissolution: | 21 Mar 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Mar 2012 (13 years ago) |
| Document Number: | L08000052623 |
| FEI/EIN Number | 262698704 |
| Address: | 14430 U.S. HIGHWAY 1, SEBASTIAN NORTHPOINT, SEBASTIAN, FL, 32958 |
| Mail Address: | 14430 U.S. HIGHWAY 1, SEBASTIAN NORTHPOINT, SEBASTIAN, FL, 32958 |
| ZIP code: | 32958 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740436831 | 2008-08-08 | 2011-08-11 | 709 SEBASTIAN BLVD STE F, SEBASTIAN, FL, 329588704, US | 709 SEBASTIAN BLVD STE F, SEBASTIAN, FL, 329588704, US | |||||||||||||||||||||||||
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| Phone | +1 772-388-3332 |
| Fax | 7723883356 |
Authorized person
| Name | DR. DEBORAH LOUISE KAUFMAN |
| Role | PRESIDENT |
| Phone | 7723883332 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | OS10268 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF FL |
| Number | 48171 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KAUFMAN DEBORAH D | Agent | 14430 U.S. HIGHWAY 1, SEBASTIAN, FL, 32958 |
| Name | Role | Address |
|---|---|---|
| KAUFMAN DEBORAH | Chief Executive Officer | 14430 US HWY 1, SEBASTIAN, FL, 32958 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-21 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-21 |
| ANNUAL REPORT | 2011-04-06 |
| ANNUAL REPORT | 2010-03-08 |
| ANNUAL REPORT | 2009-04-03 |
| Florida Limited Liability | 2008-05-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
