| Entity Name: | MCCI MAYFAIR/JAFFER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Jul 2012 (13 years ago) |
| Date of dissolution: | 23 Aug 2018 (6 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 23 Aug 2018 (6 years ago) |
| Document Number: | L12000094122 |
| FEI/EIN Number | 46-0645502 |
| Address: | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Mail Address: | PO BOX 740026, LOUISVILLE, KY 40201-7426 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174868871 | 2012-12-06 | 2012-12-06 | 4960 SW 72ND AVE, SUITE 406, MIAMI, FL, 331555544, US | 4960 SW 72ND AVE, SUITE 406, MIAMI, FL, 331555544, US | |||||||||||||||
|
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| Phone | +1 305-662-5200 |
| Fax | 3052847948 |
Authorized person
| Name | JEFFREY LAWRENCE |
| Role | CFO |
| Phone | 3056625200 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BEVERIDGE, ROY AINSWORTH, M.D. | CHIEF MEDICAL OFFICER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| BEVERIDGE, ROY AINSWORTH, M.D. | MANAGER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| BROUSSARD, BRUCE DALE | MANAGER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| KANE, BRIAN ANDREW | MANAGER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| BROUSSARD, BRUCE DALE | PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| KANE, BRIAN ANDREW | CHIEF FINANCIAL OFFICER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| VENTURA, JOSEPH CHRISTOPER | SENIOR VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| ROBINSON, DONALD HANK | SENIOR VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| ZIPPERLE, CYNTHIA HILLEBRAND | SENIOR VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| VENTURA, JOSEPH CHRISTOPER | ASSOCIATE GENERAL COUNSEL | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| VENTURA, JOSEPH CHRISTOPER | CORPORATE SECRETARY | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| LECLAIRE, BRIAN PHILLIP, PHD | CHIEF INFORMATION OFFICER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| BAILEY, ALAN JAMES | VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| EDWARDS, DOUGLAS ALLEN | VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| KUHN, JENNIFER | VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| WILSON, RALPH MARTIN | VICE PRESIDENT | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| BAILEY, ALAN JAMES | TREASURER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| ZIPPERLE, CYNTHIA HILLEBRAND | CHIEF ACCOUTING OFFICER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| KUHN, JENNIFER | FINANCE | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| ROBINSON, DONALD HANK | TAX | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Name | Role | Address |
|---|---|---|
| ZIPPERLE, CYNTHIA HILLEBRAND | CONTROLLER | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2018-08-23 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L13000161299. MERGER NUMBER 100000184881 |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-27 | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-27 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-03-17 |
| Florida Limited Liability | 2012-07-19 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
