| Entity Name: | WOMEN'S HEALTHCARE OF SW FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Oct 2012 (12 years ago) |
| Date of dissolution: | 13 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Mar 2024 (a year ago) |
| Document Number: | L12000136156 |
| FEI/EIN Number | 46-1280925 |
| Address: | 12862 Julip Ct, FORT MYERS, FL, 33966, US |
| Mail Address: | PO BOX 07369, FORT MYERS, FL, 33919, US |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407100043 | 2012-11-05 | 2012-11-05 | 7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL, 339071851, US | 7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL, 339071851, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-939-1999 |
| Fax | 2399394935 |
Authorized person
| Name | DR. ARIEL FIGUEREDO |
| Role | OWNER |
| Phone | 2399391999 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME92164 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME59299 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP3285992 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3382620 |
| State | FL |
| Name | Role |
|---|---|
| AMERICAN SAFETY COUNCIL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PESCITELLI ALBERT RDr. | Authorized Manager | PO BOX 07369, FORT MYERS, FL, 33919 |
| CLYATT PESCITELLI CARYLE LARNP | Authorized Manager | PO BOX 07369, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 12862 Julip Ct, FORT MYERS, FL 33966 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-16 | 12862 Julip Ct, FORT MYERS, FL 33966 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-13 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-24 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
