| Entity Name: | LEEWARD MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Apr 2014 (11 years ago) |
| Date of dissolution: | 22 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Jan 2024 (a year ago) |
| Document Number: | L14000063832 |
| FEI/EIN Number | 465468280 |
| Address: | 1390 SUNSET BEACH DR, NICEVILLE, FL, 32578, US |
| Mail Address: | 1390 SUNSET BEACH DR, NICEVILLE, FL, 32578, US |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831586312 | 2015-04-22 | 2020-03-23 | 105 BLUE GULF DR, SANTA ROSA BEACH, FL, 324594585, US | 4554 E HIGHWAY 20, NICEVILLE, FL, 325789755, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 512-212-4865 |
| Fax | 8508554045 |
Authorized person
| Name | KASEY NICOLE HANDWERKER |
| Role | OWNER |
| Phone | 8502152337 |
Taxonomy
| Taxonomy Code | 175L00000X - Homeopath |
| Is Primary | No |
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARCUS A.HUFF,ESQ | Agent | 500 GRAND BOULEVARD SUITE 270, MIRAMAR BEACH, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| DAO HIEN | Manager | 1390 SUNSET BEACH DRIVE, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-22 | No data | No data |
| LC AMENDMENT | 2023-12-04 | No data | No data |
| LC STMNT OF RA/RO CHG | 2020-05-08 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-22 |
| LC Amendment | 2023-12-04 |
| ANNUAL REPORT | 2023-07-13 |
| Reg. Agent Resignation | 2022-09-15 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-15 |
| CORLCRACHG | 2020-05-08 |
| ANNUAL REPORT | 2020-02-13 |
| Reg. Agent Resignation | 2020-01-13 |
| ANNUAL REPORT | 2019-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
