| Entity Name: | TRINITY HEALTH SOUTH PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
TRINITY HEALTH SOUTH PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Sep 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L13000130636 |
| FEI/EIN Number |
46-3675247
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 110 Calle Norte, ST AUGUSTINE, FL, 32095, US |
| Mail Address: | 110 Calle Norte, Saint Augustine, FL, 32095, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780126664 | 2016-11-09 | 2016-11-09 | 110 CALLE NORTE, ST AUGUSTINE, FL, 32092, US | 475 W TOWN PL, SUITE 105, ST AUGUSTINE, FL, 320923648, US | |||||||||||||||||||
|
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| Phone | +1 904-806-4579 |
| Fax | 9048635566 |
Authorized person
| Name | WENDY C LU |
| Role | CREDENTIALING COORDINATOR |
| Phone | 9042212535 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME104865 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOWLER JANTZEN | Managing Member | 110 Calle Norte, SAINT AUGUSTINE, FL, 32095 |
| Fowler Jantzen S | Agent | 110 Calle Norte, SAINT AUGUSTINE, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-12 | 110 Calle Norte, ST AUGUSTINE, FL 32095 | - |
| CHANGE OF MAILING ADDRESS | 2020-03-12 | 110 Calle Norte, ST AUGUSTINE, FL 32095 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-12 | 110 Calle Norte, SAINT AUGUSTINE, FL 32095 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-11 | Fowler, Jantzen S | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-08 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-11 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
