| Entity Name: | GULFSIDE MEDICAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 May 2011 (14 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: | L11000052059 |
| FEI/EIN Number | 452080293 |
| Address: | 12671 EMERALD COAST PARKWAY, UNIT 215, MIRAMAR BEACH, FL, 32550, US |
| Mail Address: | 12671 EMERALD COAST PARKWAY, UNIT 215, MIRAMAR BEACH, FL, 32550, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952697724 | 2011-06-21 | 2011-06-30 | 12671 EMERALD COAST PKWY UNIT 215, MIRAMAR BEACH, FL, 325508304, US | 12671 EMERALD COAST PKWY UNIT 215, MIRAMAR BEACH, FL, 325508304, US | |||||||||||||||||
|
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| Phone | +1 850-424-7170 |
Authorized person
| Name | THOMAS G ROBERTS |
| Role | PA-C |
| Phone | 8504247170 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME84716 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBERTS THOMAS G | Agent | 12671 EMERALD COAST PARKWAY, MIRAMAR BEACH, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| ROBERTS THOMAS G | Managing Member | 12671 EMERALD COAST PKWY, UNIT 215, MIRAMAR BEACH, FL, 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| LC AMENDMENT | 2011-06-24 | No data | No data |
| Name | Date |
|---|---|
| CORLCMMRES | 2013-08-15 |
| ANNUAL REPORT | 2012-01-06 |
| LC Amendment | 2011-06-24 |
| Florida Limited Liability | 2011-05-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
