| Entity Name: | SOUTHEAST OUTPATIENT CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jul 2013 (12 years ago) |
| Date of dissolution: | 19 Mar 2018 (7 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Mar 2018 (7 years ago) |
| Document Number: | L13000100849 |
| FEI/EIN Number | 46-3199625 |
| Address: | 1665 KINGSLEY AVE, STE 105, ORANGE PARK, FL, 32073, US |
| Mail Address: | 1665 KINGSLEY AVE, STE 105, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023450012 | 2013-07-19 | 2013-07-19 | 1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL, 320734490, US | 1465 KINGSLEY AVE, 1201, ORANGE PARK, FL, 320734504, US | |||||||||||||
|
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| Phone | +1 904-421-2119 |
Authorized person
| Name | DEEVID MILLER |
| Role | REGISTERED AGENT |
| Phone | 9044212119 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER DEEVID M.D. | Agent | 1665 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| MILLER DEEVID M.D. | Manager | 1665 KINGSLEY AVE - STE 105, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Garcia Omar | President | 1665 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Zapp John | Vice President | 1665 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Suhrer Scott M.D. | Secretary | 1665 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Cumpstone Theresa | Treasurer | 1665 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2018-03-19 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2018-03-19 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-03-31 |
| Florida Limited Liability | 2013-07-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
