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GULFSHORE UROLOGY LLC

Company Details

Entity Name: GULFSHORE UROLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Apr 2015 (10 years ago)
Document Number: L15000067812
FEI/EIN Number 47-3840826
Address: 28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL, 34134
Mail Address: 28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL, 34134
ZIP code: 34134
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306209200 2016-03-30 2016-03-30 28930 TRAILS EDGE BLVD, SUITE 200, BONITA SPRINGS, FL, 341347582, US 28930 TRAILS EDGE BLVD, SUITE 200, BONITA SPRINGS, FL, 341347582, US

Contacts

Phone +1 239-333-3200
Fax 2399925785

Authorized person

Name DR. ROLANDO RIVERA
Role SHAREHOLDER
Phone 2393333200

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Agent

Name Role
ACME AGENT FLORIDA LLC Agent

Manager

Name Role Address
JAY JONATHAN DR. Manager 28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL, 34134
RIVERA ROLANDO DR. Manager 28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL, 34134
WILKINSON DAVID DR. Manager 28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL, 34134

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-19 Acme Agent Florida LLC No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-04-16
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-28
Florida Limited Liability 2015-04-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State