Entity Name: | PREMIER CARDIOLOGY ASSOCIATES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 11 Jan 2013 (12 years ago) |
Date of dissolution: | 25 Sep 2020 (4 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (4 years ago) |
Document Number: | L13000006078 |
FEI/EIN Number | 46-2024721 |
Address: | 661Goodlette Frank Rd, NAPLES, FL, 34102, US |
Mail Address: | 661 GOODLETTE FRANK RD - UNIT 104, NAPLES, FL, 34102-5609 |
ZIP code: | 34102 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922447143 | 2013-06-20 | 2020-07-28 | 661 GOODLETTE-FRANK RD N STE 104, NAPLES, FL, 341025609, US | 661 GOODLETTE-FRANK RD N STE 104, NAPLES, FL, 341025609, US | |||||||||||||||||||||
|
Phone | +1 239-674-6593 |
Fax | 9418272932 |
Authorized person
Name | RICHARD DEMAIO |
Role | CEO, PRESIDENT, DIRECTOR |
Phone | 9179691925 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE PTAN |
Number | HS665A |
State | FL |
Name | Role | Address |
---|---|---|
DeMaio Richard | Agent | 661 GOODLETTE FRANK RD - UNIT 104, NAPLES, FL, 341025609 |
Name | Role | Address |
---|---|---|
DeMaio Richard | Manager | 61-36 75th Place, Middle Village, NY, 11379 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-06-15 | 661 GOODLETTE FRANK RD - UNIT 104, NAPLES, FL 34102-5609 | No data |
CHANGE OF MAILING ADDRESS | 2020-06-15 | 661Goodlette Frank Rd, UNIT 104, NAPLES, FL 34102 | No data |
LC AMENDMENT | 2020-06-15 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-06-08 | 661Goodlette Frank Rd, UNIT 104, NAPLES, FL 34102 | No data |
LC STMNT OF RA/RO CHG | 2020-03-11 | No data | No data |
REINSTATEMENT | 2019-10-09 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
LC AMENDMENT | 2017-06-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-03-08 | DeMaio, Richard | No data |
Name | Date |
---|---|
LC Amendment | 2020-06-15 |
CORLCRACHG | 2020-03-11 |
REINSTATEMENT | 2019-10-09 |
LC Amendment | 2017-06-22 |
ANNUAL REPORT | 2017-01-14 |
ANNUAL REPORT | 2016-03-08 |
ANNUAL REPORT | 2015-01-09 |
ANNUAL REPORT | 2014-04-18 |
Florida Limited Liability | 2013-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State