| Entity Name: | NEW RIVER MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Aug 2009 (15 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L09000082784 |
| FEI/EIN Number | 270813696 |
| Address: | 5817 N. Andrews Way, Suite B, FORT LAUDERDALE, FL, 33309, US |
| Mail Address: | 5817 N. Andrews Way, Suite B, FORT LAUDERDALE, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235362427 | 2009-09-03 | 2011-11-22 | 800 NE 62ND ST, SUITE 204, FORT LAUDERDALE, FL, 333343522, US | 800 NE 62ND ST, SUITE 204, FORT LAUDERDALE, FL, 333343522, US | |||||||||||||||
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| Phone | +1 954-771-8903 |
| Fax | 9547718905 |
Authorized person
| Name | MR. WILLIAM WESLEY SHELTON |
| Role | CEO |
| Phone | 9545661330 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHELTON WES W | Agent | 5817 N. Andrews Way, FORT LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| SHELTON WILLIAM W | Manager | 5817 N. Andrews Way, FORT LAUDERDALE, FL, 33309 |
| SHELTON STEPHEN H | Manager | 5817 N. Andrews Way, FORT LAUDERDALE, FL, 33309 |
| MOON HARRY K | Manager | 5817 N. Andrews Way, FORT LAUDERDALE, FL, 33309 |
| NATIONAL COMMUNITY FOUNDATION CHARITABLE T | Manager | THIRD FLOOR, 4401 WEST KENNEDY BLVD., TAMPA, FL, 33609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000156913 | MICROBIOLOGY ASSOCIATES | EXPIRED | 2009-09-18 | 2014-12-31 | No data | 1500 N. FEDERAL HWY., SUITE 230, FT. LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-19 | 5817 N. Andrews Way, Suite B, FORT LAUDERDALE, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-19 | 5817 N. Andrews Way, Suite B, FORT LAUDERDALE, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-19 | 5817 N. Andrews Way, Suite B, FORT LAUDERDALE, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-06-17 | SHELTON, WES WWES SHE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-04-23 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-06-17 |
| Florida Limited Liability | 2009-08-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
