| Entity Name: | CRESTSIDE EMERGENCY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Aug 2013 (11 years ago) |
| Date of dissolution: | 09 Jul 2024 (7 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jul 2024 (7 months ago) |
| Document Number: | L13000116714 |
| FEI/EIN Number | 46-1115487 |
| 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003169996 | 2012-10-17 | 2013-07-05 | PO BOX 37903, PHILADELPHIA, PA, 191010403, US | 700 MEDICAL BLVD, ENGLEWOOD, FL, 342233964, US | |||||||||||||
|
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| Phone | +1 941-475-6571 |
Authorized person
| Name | DR. JOSEPH H GATEWOOD |
| Role | PRESIDENT |
| Phone | 7275072513 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GATEWOOD, M.D. JOSEPH H | Manager | 20 Burton Hills Blvd., NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-07-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 20 Burton Hills Blvd., Suite 500, NASHVILLE, TN 37215 | No data |
| LC AMENDMENT | 2013-09-23 | No data | No data |
| LC NAME CHANGE | 2013-08-21 | CRESTSIDE EMERGENCY PHYSICIANS, LLC | No data |
| CONVERSION | 2013-08-14 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1300001131 ORIGINALLY FILED ON 08/12/2013. CONVERSION NUMBER 900000133639 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-07-09 |
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
