| Entity Name: | PULIDO LUNG CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Nov 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L12000146529 |
| FEI/EIN Number | 90-0909306 |
| Address: | 1539 Mayfair Road, JACKSONVILLE, FL 32207 |
| Mail Address: | 1539 Mayfair Road, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710228648 | 2013-03-01 | 2013-09-03 | 6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172509, US | 6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172509, US | |||||||||||||||||||||
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| Phone | +1 904-503-1277 |
| Fax | 9045516851 |
| Phone | +1 904-655-7920 |
Authorized person
| Name | DR. JUAN DANIEL PULIDO |
| Role | OWNER |
| Phone | 9046557920 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME102087 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Pulido, Juan D, Dr. | Agent | 1539 Mayfair Road, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| PULIDO, JUAN D | Managing Member | 1539 Mayfair Road, JACKSONVILLE, FL 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-03-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-23 | 1539 Mayfair Road, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-23 | 1539 Mayfair Road, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-23 | 1539 Mayfair Road, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-23 | Pulido, Juan D, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-03-23 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-04-16 |
| Florida Limited Liability | 2012-11-20 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
