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ST JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE, PLLC

Company Details

Entity Name: ST JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 14 Aug 2014 (11 years ago)
Date of dissolution: 21 Apr 2024 (10 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Apr 2024 (10 months ago)
Document Number: L14000127736
FEI/EIN Number 47-1587964
Address: 46 Weeden St, St Augustine, FL 32084
Mail Address: 46 Weeden St, St Augustine, FL 32084
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447767686 2018-01-09 2021-06-03 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 322165479, US 8767 PERIMETER PARK BLVD, JACKSONVILLE, FL, 322165479, US

Contacts

Phone +1 904-402-8346
Fax 9044028347

Authorized person

Name JAMES K ST. GEORGE
Role CEO
Phone 9044028346

Taxonomy

Taxonomy Code 202K00000X - Phlebology Physician
Is Primary No
Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
Is Primary Yes

Agent

Name Role Address
ST GEORGE, JAMES Agent 46 Weeden St, St Augustine, FL 32084

Manager

Name Role Address
ST GEORGE, JAMES Manager 46 Weeden St, St Augustine, FL 32084

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-04-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
REGISTERED AGENT NAME CHANGED 2023-01-26 ST GEORGE, JAMES No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
CHANGE OF MAILING ADDRESS 2023-01-26 46 Weeden St, St Augustine, FL 32084 No data
LC AMENDMENT AND NAME CHANGE 2017-11-03 ST JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE, PLLC No data
LC NAME CHANGE 2016-05-06 JACKSONVILLE INTERVENTIONAL AND VASCULAR CENTER, PLLC No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-04-21
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-24
LC Amendment and Name Change 2017-11-03
ANNUAL REPORT 2017-04-02
LC Name Change 2016-05-06

Date of last update: 20 Feb 2025

Sources: Florida Department of State