| Entity Name: | LAKE WORTH CARDIOLOGY CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Oct 2008 (16 years ago) |
| Date of dissolution: | 18 Jan 2012 (13 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jan 2012 (13 years ago) |
| Document Number: | L08000093551 |
| FEI/EIN Number | 800276765 |
| Address: | 4849 LAKE WORTH RD, GREENARCES, FL, 33463 |
| Mail Address: | 4849 LAKE WORTH RD, GREENARCES, FL, 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386896173 | 2008-10-13 | 2009-03-28 | 4849 LAKE WORTH RD, GREENACRES, FL, 334633455, US | 4849 LAKE WORTH RD, GREENACRES, FL, 334633455, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-202-6064 |
| Fax | 5612026089 |
| Phone | +1 561-433-4446 |
| Fax | 5614333026 |
Authorized person
| Name | MRS. ADELINE ETIENNE |
| Role | MANAGER |
| Phone | 7189729712 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME102740 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NATIONAL PROVIDER ID |
| Number | 1336161603 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THELUSMOND LOUIS H | Agent | 1131 SAN MICHELE WAY, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| THELUSMOND LOUIS H | Managing Member | 1131 SAN MICHELE WAY, PALM BEACH GARDENS, FL, 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2012-01-17 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2012-01-18 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-02-13 |
| ANNUAL REPORT | 2009-05-15 |
| Florida Limited Liability | 2008-10-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
