| Entity Name: | DAVID EVANS DO INTERNAL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Oct 2014 (10 years ago) |
| Date of dissolution: | 28 Feb 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Feb 2022 (3 years ago) |
| Document Number: | L14000153550 |
| FEI/EIN Number | 47-1992186 |
| Address: | 13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL 33470 |
| Mail Address: | 13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588069546 | 2014-11-01 | 2014-11-01 | 15642 CYPRESS PARK DR, WELLINGTON, FL, 334146356, US | 13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL, 334709206, US | |||||||||||||||||||||||
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| Phone | +1 609-440-7386 |
| Fax | 5612251803 |
| Phone | +1 561-790-4445 |
| Fax | 5617904237 |
Authorized person
| Name | DAVID EVANS |
| Role | OWNER/PHYSICIAN |
| Phone | 6094407386 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS-11552 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION COMPANY OF MIAMI | Agent |
| Name | Role | Address |
|---|---|---|
| EVANS, DAVID, D.O. | Manager | 15885 MEADOW WOOD DRIVE, WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-18 | 13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL 33470 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-18 | 13005 SOUTHERN BLVD, SUITE 121, LOXAHATCHEE, FL 33470 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-08-23 | 200 S. BISCAYNE BLVD., SUITE 4100 (JAF), MIAMI, FL 33131 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-08-23 | CORPORATION COMPANY OF MIAMI | No data |
| REINSTATEMENT | 2016-08-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-09-11 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-11 |
| REINSTATEMENT | 2016-08-23 |
| Florida Limited Liability | 2014-10-01 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
