| Entity Name: | CORBETT FAMILY MEDICAL CENTER PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CORBETT FAMILY MEDICAL CENTER PLC 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: | 15 Oct 2013 (12 years ago) |
| Date of dissolution: | 10 Apr 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 Apr 2017 (8 years ago) |
| Document Number: | L13000145186 |
| FEI/EIN Number |
46-3915413
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4991 Royal Gulf Circle, FT MYERS, FL, 33966, US |
| Mail Address: | 4991 Royal Gulf Circle, FT MYERS, FL, 33966, US |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679981641 | 2014-07-23 | 2016-04-01 | 4991 ROYAL GULF CIR, FORT MYERS, FL, 339667006, US | 4991 ROYAL GULF CIR, FORT MYERS, FL, 339667006, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-333-4100 |
| Fax | 2393334101 |
Authorized person
| Name | CRISTA CORBETT |
| Role | PHYSICIAN ASSISTANT |
| Phone | 2393334100 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA9106885 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | PA 9106885 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | OS7984 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORBETT CRISTA R | Manager | 4991 Royal Gulf Circle, FT MYERS, FL, 33966 |
| Corbett James W | Manager | 4991 Royal Gulf Circle, FT MYERS, FL, 33966 |
| CAVENAGO CARLOS JIII, ES | Agent | 2069 1ST STREET, FT MYERS, FL, 33901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000085315 | CORBETT FAMILY MEDICAL CENTER | EXPIRED | 2014-08-19 | 2019-12-31 | - | 7503 SIKA DEER WAY, FORT MYERS, FL, 33966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-04-10 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-05-09 | CAVENAGO, CARLOS J, III, ESQ | - |
| LC STMNT OF RA/RO CHG | 2016-05-09 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-09 | 2069 1ST STREET, FT MYERS, FL 33901 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-12 | 4991 Royal Gulf Circle, FT MYERS, FL 33966 | - |
| CHANGE OF MAILING ADDRESS | 2015-01-12 | 4991 Royal Gulf Circle, FT MYERS, FL 33966 | - |
| LC STMNT OF RA/RO CHG | 2014-10-16 | - | - |
| Name | Date |
|---|---|
| CORLCRACHG | 2016-05-09 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-01-12 |
| CORLCRACHG | 2014-10-16 |
| ANNUAL REPORT | 2014-08-19 |
| Florida Limited Liability | 2013-10-15 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
