| Entity Name: | FIRST COAST DIABETES INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 May 2012 (13 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: | L12000060542 |
| Address: | 1166 AUTUMN POINT CT., JACKSONVILLE, FL, 32218, US |
| Mail Address: | 1166 AUTUMN POINT CT., JACKSONVILLE, FL, 32218, US |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588903231 | 2013-01-31 | 2013-01-31 | 1166 AUTUMN POINT CT, JACKSONVILLE, FL, 322189029, US | 1126 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322118850, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-703-3041 |
| Phone | +1 904-384-9303 |
Authorized person
| Name | MR. MARCIO CORREA |
| Role | CEO |
| Phone | 9047033041 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CORREA MARCIO | Managing Member | 1166 AUTUMN POINT CT., JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2012-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
