| Entity Name: | PHOENIX EMERGENCY SERVICES OF INVERNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Aug 2008 (16 years ago) |
| Date of dissolution: | 03 Jun 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Jun 2024 (8 months ago) |
| Document Number: | L08000077599 |
| FEI/EIN Number | 263169744 |
| Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN, 37215, US |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538316591 | 2008-08-21 | 2009-05-22 | 3114 CROASDAILE DR, SUITE 200, DURHAM, NC, 277052508, US | 502 W HIGHLAND BLVD, INVERNESS, FL, 344524720, US | |||||||||||||||||||||||||
|
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| Phone | +1 919-425-1565 |
| Fax | 9194250478 |
Authorized person
| Name | DR. STEVEN R SCOTT |
| Role | CEO |
| Phone | 9194251565 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| License Number | ME87515 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000202600 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BYRNE, M.D. GREGORY J | Manager | 20 Burton Hills Blvd., NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| LC STMNT OF RA/RO CHG | 2014-08-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-08-06 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-08-06 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-03 |
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
