| Entity Name: | PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 May 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L14000076575 |
| FEI/EIN Number | 46-5660937 |
| Address: | 12431 Brantley Commons Ct, 102, FORT MYERS, FL 33907 |
| Mail Address: | 12431 Brantley Commons Ct, 102, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619389962 | 2014-05-21 | 2014-05-21 | 19 GEORGETOWN, FORT MYERS, FL, 339191088, US | 19 GEORGETOWN, FORT MYERS, FL, 339191088, US | |||||||||||||
|
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| Phone | +1 210-216-5650 |
Authorized person
| Name | DOUGLAS J GOTTSCHALK |
| Role | SOLE PROPRIETOR |
| Phone | 2102165650 |
Taxonomy
| Taxonomy Code | 207YP0228X - Pediatric Otolaryngology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GOTTSCHALK, DOUGLAS J | Manager | 19 GEORGETOWN, FORT MYERS, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 12431 Brantley Commons Ct, 102, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 12431 Brantley Commons Ct, 102, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| Florida Limited Liability | 2014-05-12 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
