| Entity Name: | ST. CLOUD GASTROENTEROLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Feb 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L14000020517 |
| FEI/EIN Number | 46-4745200 |
| Address: | 2801 13th St, Saint Cloud, FL, 34769, US |
| Mail Address: | 2801 13th St, Saint Cloud, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518382647 | 2014-02-26 | 2018-09-04 | 2801 13TH STREET, SAINT CLOUD, FL, 347694134, US | 2801 13TH STREET, SAINT CLOUD, FL, 34769, US | |||||||||||||||||||
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| Phone | +1 407-892-8925 |
| Fax | 4078928926 |
Authorized person
| Name | DR. RAFAEL FLEITES |
| Role | OWNER |
| Phone | 4078928925 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME35796 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST CLOUD GASTROENTEROLOGY PLLC 401 K PROFIT SHARING PLAN TRUST | 2015 | 464745200 | 2016-07-27 | ST CLOUD GASTROENTEROLOGY PLLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-07-27 |
| Name of individual signing | RAFAEL FLEITES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FLEITES FELY NURSE M | Agent | 2801 13th St, Saint Cloud, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| FLEITES RAFAEL | Owne | 2801 13th St, Saint Cloud, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-28 | 2801 13th St, Saint Cloud, FL 34769 | No data |
| REINSTATEMENT | 2018-10-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-28 | 2801 13th St, Saint Cloud, FL 34769 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-28 | 2801 13th St, Saint Cloud, FL 34769 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-14 | FLEITES, FELY, NURSE MANAGER | No data |
| REINSTATEMENT | 2016-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-12-17 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000298513 | ACTIVE | 1000000951909 | OSCEOLA | 2023-05-15 | 2033-06-28 | $ 609.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829 |
| J19000210375 | ACTIVE | 1000000817614 | OSCEOLA | 2019-03-07 | 2029-03-20 | $ 579.81 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J17000506529 | TERMINATED | 1000000751965 | OSCEOLA | 2017-08-10 | 2027-08-31 | $ 487.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J18000123422 | TERMINATED | 2017-CA-000646 | OSCEOLA COUNTY CIRCUIT COURT | 2017-01-10 | 2023-03-28 | $24,103.00 | IBIS CAPITAL GROUP, LLC, C/O WILLIAM M. LINDEMAN, P.A., P.O. BOX 3506, ORLANDO, FL 32802 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2018-10-28 |
| ANNUAL REPORT | 2017-01-22 |
| REINSTATEMENT | 2016-10-14 |
| REINSTATEMENT | 2015-12-17 |
| Florida Limited Liability | 2014-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
