| Entity Name: | SHORESIDE MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 May 2014 (11 years ago) |
| Date of dissolution: | 16 Nov 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Nov 2015 (9 years ago) |
| Document Number: | L14000080333 |
| Address: | 419 EAST THIRD AVE, NEW SMYRNA BEACH, FL, 32169 |
| Mail Address: | 419 EAST THIRD AVE, NEW SMYRNA BEACH, FL, 32169 |
| ZIP code: | 32169 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518371996 | 2014-06-13 | 2014-06-13 | 449 ROCKEFELLER DR, NEW SMYRNA, FL, 321688937, US | 419 EAST THIRD AVE, NEW SMYRNA BEACH, FL, 32169, US | |||||||||||||||||||
|
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| Phone | +1 386-957-3800 |
| Fax | 3864265939 |
Authorized person
| Name | MS. TRACI LW POSTELL |
| Role | CEO |
| Phone | 3863164111 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS8699 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POSTELL TRACI L | Agent | 449 ROCKEFELLER DRIVE, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| POSTELL TRACI L | Chief Executive Officer | 449 ROCKEFELLER DRIVE, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-11-16 |
| Florida Limited Liability | 2014-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
