| Entity Name: | CV&D HEALTHCARE MANAGEMENT GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Jan 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L10000008424 |
| FEI/EIN Number | N/A |
| Address: | 10137 LANCASHIRE DRIVE, JACKSONVILLE, FL 32219 |
| Mail Address: | 10137 LANCASHIRE DRIVE, JACKSONVILLE, FL 32219 |
| ZIP code: | 32219 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659695658 | 2010-03-18 | 2010-03-18 | 2129 HOLCROFT DR, JACKSONVILLE, FL, 322082550, US | 2129 HOLCROFT DR, JACKSONVILLE, FL, 322082550, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 904-465-2651 |
Authorized person
| Name | DR. VERONICA M. LEWIS |
| Role | CLINICAL DIRECTOR |
| Phone | 9044652651 |
Taxonomy
| Taxonomy Code | 174H00000X - Health Educator |
| License Number | PS31697 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1835P0018X - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PS3169 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1835P1200X - Pharmacotherapy Pharmacist |
| License Number | PS31697 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SANTANA W | Agent | 221 N. HOGAN ST., #334, JACKSONVILLE, FL 32202 |
| Name | Role | Address |
|---|---|---|
| LEWIS, VERONICA M | Manager | 4450 WILLSCARLET RD, JACKSONVILLE, FL 32208 |
| WASHINGTON, DIONE | Manager | 10137 LANCASHIRE DRIVE, JACKSONVILLE, FL 32219 |
| NKENGLA, CHO | Manager | 8787 SOUTHSIDE BLVD. #3710, JACKSONVILLE, FL 32256 |
| WASHINGTON, ANDRE | Manager | 6619 CRYSTAL RIVER RD, JACKSONVILLE, FL 32219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2012-07-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-11 | 10137 LANCASHIRE DRIVE, JACKSONVILLE, FL 32219 | No data |
| CHANGE OF MAILING ADDRESS | 2012-07-11 | 10137 LANCASHIRE DRIVE, JACKSONVILLE, FL 32219 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2012-07-11 |
| ADDRESS CHANGE | 2010-10-04 |
| Florida Limited Liability | 2010-01-25 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
