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ADVANCED WOUND CARE OF NORTH FLORIDA, LLC

Company Details

Entity Name: ADVANCED WOUND CARE OF NORTH FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 07 Oct 2014 (10 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L14000156997
FEI/EIN Number 47-2034335
Address: 108 PRINCE PHILLIP DRIVE, ST. AUGUSTINE, FL, 32092
Mail Address: 108 PRINCE PHILLIP DRIVE, ST. AUGUSTINE, FL, 32092
ZIP code: 32092
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477946820 2015-03-10 2015-03-10 108 PRINCE PHILLIP DR, ST AUGUSTINE, FL, 320921746, US 13500 SUTTON PARK DR S, SUITE 403, JACKSONVILLE, FL, 322245251, US

Contacts

Phone +1 813-380-1492
Phone +1 904-493-3390
Fax 9044933395

Authorized person

Name JOHN DEMETRIOS LAGOUTARIS
Role OWNER
Phone 8133801492

Taxonomy

Taxonomy Code 213EP1101X - Primary Podiatric Medicine Podiatrist
License Number PO3240
State FL
Is Primary Yes
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number PO3240
State FL
Is Primary No
Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
License Number PO3240
State FL
Is Primary No

Agent

Name Role Address
LAGOUTARIS JOHN Agent 108 PRINCE PHILLIP DRIVE, ST. AUGUSTINE, FL, 32092

Manager

Name Role Address
LAGOUTARIS JOHN Manager 108 PRINCE PHILLIP DRIVE, ST. AUGUSTINE, FL, 32092

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-22
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-14
Florida Limited Liability 2014-10-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State