| Entity Name: | MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jul 2013 (12 years ago) |
| Date of dissolution: | 10 Jul 2024 (7 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Jul 2024 (7 months ago) |
| Document Number: | L13000097160 |
| FEI/EIN Number | 46-3242559 |
| Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN, 37215, US |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043652498 | 2013-07-26 | 2013-07-26 | 815 S PALAFOX ST, STE 300, PENSACOLA, FL, 325025960, US | 1000 MAR WALT DR, FORT WALTON BEACH, FL, 325476708, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 800-444-7009 |
| Fax | 8003053233 |
| Phone | +1 850-863-7610 |
Authorized person
| Name | JOSEPH H. GATEWOOD |
| Role | PRESIDENT |
| Phone | 8004447009 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207PP0204X - Pediatric Emergency Medicine (Emergency Medicine) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GATEWOOD, M.D. JOSEPH H | President | 20 Burton Hills Blvd., NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-07-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-17 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-07-10 |
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
