| Entity Name: | INDEPENDENT PHYSICIANS CONSORTIUM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Oct 2013 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L13000143040 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 3100 US HIGHWAY 1 SOUTH, SUITE A, ST. AUGUSTINE, FL, 32086, US |
| Mail Address: | 3100 US HIGHWAY 1 SOUTH, SUITE A, ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| AKHIYAT M. MICHAEL MD | Agent | 3100 US HIGHWAY 1 SOUTH, ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| AKHIYAT M. MICHAEL MD | Managing Member | 3100 US HIGHWAY 1 SOUTH, SUITE A, ST. AUGUSTINE, FL, 32086 |
| KRUEGER LOTHAR MD | Managing Member | 1099 A1A BEACH BOULEVARD, ST. AUGUSTINE, FL, 32080 |
| MONZON RAUL AMD | Managing Member | 1301 PLANTATION ISLAND DRIVE, ST. AUGUSTINE, FL, 32080 |
| DIEGUEZ EDUARDO MD | Managing Member | 120 HEALTH PARK BOULEVARD, ST. AUGUSTINE, FL, 32086 |
| PACELLA BERNARD LMD | Managing Member | 200 MISSION ROAD, SUITE 100, PALATKA, FL, 32177 |
| MARTINE GEDEON DMD | Managing Member | 19 ST. JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-28 |
| Florida Limited Liability | 2013-10-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
