| Entity Name: | BRADEN RIVER INTERNAL MEDICINE ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Aug 2008 (17 years ago) |
| Date of dissolution: | 19 Aug 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Aug 2022 (2 years ago) |
| Document Number: | L08000074965 |
| FEI/EIN Number | 263055503 |
| Address: | 2834 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 2834 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750538476 | 2008-08-25 | 2010-05-24 | PO BOX 405484, ATLANTA, GA, 303845484, US | 8625 54TH DR E, BRADENTON, FL, 342119456, US | |||||||||||||||||||||||||
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| Phone | +1 941-238-0380 |
| Fax | 9412380390 |
Authorized person
| Name | DR. CHRISTINE T LOMBOY |
| Role | OWNER |
| Phone | 9413291329 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME86360 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 62800 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MANATEE MEMORIAL HOSPITAL, L.P. | Managing Member | 367 S GULPH RD, KING OF PRUSSIA, PA, 19406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-01-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-30 | 2834 REMINGTON GREEN CIRCLE, STE 201, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-30 | 2834 REMINGTON GREEN CIRCLE, STE 201, TALLAHASSEE, FL 32308 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-30 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-30 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-19 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-03 |
| CORLCRACHG | 2017-01-30 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
