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INDIAN RIVER PHYSICIANS, LLC

Company Details

Entity Name: INDIAN RIVER PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 12 Apr 2013 (12 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L13000054010
FEI/EIN Number 46-2871030
Address: 1986 35th Avenue, Vero Beach, FL 32960
Mail Address: 1986 35th Avenue, Vero Beach, FL 32960
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558798470 2013-10-09 2013-10-09 1986 35TH AVE, VERO BEACH, FL, 329602533, US 1986 35TH AVE, VERO BEACH, FL, 329602533, US

Contacts

Phone +1 772-562-9339

Authorized person

Name DR. JOSEPH P CRAWFORD
Role MANAGER
Phone 7725629339

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
Shea, T. Michael, Sr. Agent 1986 35th Avenue, VERO BEACH, FL 32960

Manager

Name Role Address
CRAWFORD, JOSEPH P Manager 1986 35TH AVENUE, VERO BEACH, FL 32960

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2015-10-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-24 1986 35th Avenue, VERO BEACH, FL 32960 No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-24 1986 35th Avenue, Vero Beach, FL 32960 No data
CHANGE OF MAILING ADDRESS 2014-04-24 1986 35th Avenue, Vero Beach, FL 32960 No data
REGISTERED AGENT NAME CHANGED 2014-04-24 Shea, T. Michael, Sr. No data

Documents

Name Date
ANNUAL REPORT 2017-03-28
ANNUAL REPORT 2016-04-28
REINSTATEMENT 2015-10-23
ANNUAL REPORT 2014-04-24
Florida Limited Liability 2013-04-12

Date of last update: 22 Jan 2025

Sources: Florida Department of State