| Entity Name: | ATLANTIC ISLES INPATIENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Feb 2012 (13 years ago) |
| Date of dissolution: | 24 Oct 2024 (3 months ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 24 Oct 2024 (3 months ago) |
| Document Number: | L12000018374 |
| FEI/EIN Number | 45-4493059 |
| Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 |
| Mail Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205109063 | 2012-02-09 | 2019-12-05 | 13737 NOEL ROAD, 1600, DALLAS, TX, 75240, US | 1800 SE TIFFANY AVE, PORT ST LUCIE, FL, 349527521, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 973-251-1132 |
Authorized person
| Name | DR. DOUG SMITH |
| Role | OFFICER |
| Phone | 9732511132 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BAXTER MD, BRIAN | Chief Operating Officer | 20 Burton Hills Boulevard, Suite 500 NASHVILLE, TN 37215 |
| Name | Role |
|---|---|
| FLORIDA IPS MEDICAL SERVICES, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2024-10-24 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS VALESCO LEGACY HOLDINGS, LLC. MERGER NUMBER 300000259753 |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-19 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-19 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
