| Entity Name: | BASS LAKE INPATIENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jul 2013 (12 years ago) |
| Date of dissolution: | 31 May 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 May 2024 (8 months ago) |
| Document Number: | L13000099388 |
| FEI/EIN Number | 46-3203600 |
| Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN, 37215, US |
| Mail Address: | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN, 37215, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467886267 | 2013-08-28 | 2013-08-28 | PO BOX 37944, PHILADELPHIA, PA, 191010544, US | 1000 MAR WALT DR, FORT WALTON BEACH, FL, 325476708, US | |||||||||||||||||
|
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| Phone | +1 800-444-7009 |
| Fax | 8003053233 |
| Phone | +1 850-862-0213 |
Authorized person
| Name | DR. GREGORY J BYRNE |
| Role | OWNER & PRESIDENT , INPATIENT SVCS |
| Phone | 8004447009 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Byrne, M.D. Gregory J | Manager | 20 Burton Hills Boulevard, NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-31 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-21 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-21 | 20 Burton Hills Boulevard, Suite 500, NASHVILLE, TN 37215 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-31 |
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
