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BLUE WATER DOCTORS OF LAKE WORTH, LLC - Florida Company Profile

Company Details

Entity Name: BLUE WATER DOCTORS OF LAKE WORTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLUE WATER DOCTORS OF LAKE WORTH, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Sep 2012 (13 years ago)
Date of dissolution: 12 Jan 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Jan 2016 (9 years ago)
Document Number: L12000121869
FEI/EIN Number 46-1043560

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3472 FOREST HILL BLVD,STE 2C, PALM SPRINGS, FL, 33406, US
Mail Address: 3472 FOREST HILL BLVD,STE 2C, PALM SPRINGS, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326399791 2012-09-26 2012-09-26 5215 COCONUT CREEK PKWY, MARGATE, FL, 330633916, US 4801 S CONGRESS AVE, SUITE 304, LAKE WORTH, FL, 334614746, US

Contacts

Phone +1 954-586-8058

Authorized person

Name JOSEPH J DICAPUA
Role MGMR
Phone 5618437720

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
BASSETT ROY MD Managing Member 3472 FOREST HILL BLVD,STE 2C, PALM SPRINGS, FL, 33406
George Sadowski MD PA Manager 2460 Gold Moultrie Road, St. Augustine, FL, 32086
HINMAN ROY HMD Agent 100 ARRICOLA AVE, ST. AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-01-12 - -
REGISTERED AGENT NAME CHANGED 2015-04-14 HINMAN, ROY H, MD -
REGISTERED AGENT ADDRESS CHANGED 2015-04-14 100 ARRICOLA AVE, ST. AUGUSTINE, FL 32080 -
LC AMENDMENT 2014-04-07 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-01-12
ANNUAL REPORT 2015-04-14
LC Amendment 2014-04-07
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-04-29
Florida Limited Liability 2012-09-24

Date of last update: 03 Apr 2025

Sources: Florida Department of State