| Entity Name: | ANTHONY P. NICOSIA MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ANTHONY P. NICOSIA MD LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Aug 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 May 2018 (7 years ago) |
| Document Number: | L11000092412 |
| FEI/EIN Number |
453047537
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 512 35TH ST, UNION CITY, NJ, 07087, US |
| Mail Address: | 512 - 35TH STREET, UNION CITY, NJ, 07087 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043589187 | 2011-12-19 | 2013-03-31 | PO BOX 8540, PORT ST LUCIE, FL, 349858540, US | 1502 SE HOLIDAY RD, PORT ST LUCIE, FL, 349525416, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 772-332-1757 |
| Fax | 7723359843 |
Authorized person
| Name | DR. ANTHONY PETER NICOSIA |
| Role | PRESIDENT |
| Phone | 7723321757 |
Taxonomy
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 278035600 |
| State | FL |
| Issuer | BLUE CROSS |
| Number | 91967 |
| State | FL |
| Issuer | RRMCR# |
| Number | P00476573 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NICOSIA ANTHONY P | Managing Member | 512 35TH ST, UNION CITY, NJ, 07087 |
| NICOSIA ANTHONY P | Agent | 1502 SE HOLIDAY RD, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-19 | 512 35TH ST, UNION CITY, NJ 07087 | - |
| REINSTATEMENT | 2018-05-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-05-01 | NICOSIA, ANTHONY PMD | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000616330 | TERMINATED | 1000000678130 | ST LUCIE | 2015-05-20 | 2035-05-22 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-13 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-08-05 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-03-04 |
| REINSTATEMENT | 2018-05-01 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-01-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6413188505 | 2021-03-03 | 0455 | PPP | 1502 SE Holiday Rd, Port Saint Lucie, FL, 34952-5416 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Apr 2025
Sources: Florida Department of State
