Entity Name: | ADVENT MEDICAL GROUP L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 29 Jun 2015 (10 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | L15000112753 |
Address: | 5297 SANCERRE CIRCLE, LAKE WORTH, FL 33463 |
Mail Address: | 5297 SANCERRE CIRCLE, LAKE WORTH, FL 33463 |
ZIP code: | 33463 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487037313 | 2015-07-09 | 2015-07-09 | 5297 SANCERRE CIR, LAKE WORTH, FL, 334637477, US | 5297 SANCERRE CIR, LAKE WORTH, FL, 334637477, US | |||||||||||||||||||||
|
Phone | +1 561-606-0241 |
Fax | 5614080096 |
Phone | +1 561-406-0241 |
Authorized person
Name | AZIN STEADMAN |
Role | PHYSICIAN ASSISTANT |
Phone | 5614062401 |
Taxonomy
Taxonomy Code | 363AM0700X - Medical Physician Assistant |
License Number | PA9107441 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
STEADMAN, AZIN | Agent | 5297 SANCERRE CIRCLE, LAKE WORTH, FL 33463 |
Name | Role | Address |
---|---|---|
STEADMAN, AZIN | Manager | 5297 SANCERRE CIRCLE, LAKE WORTH, FL 33463 |
Name | Role | Address |
---|---|---|
STEADMAN, MARQUENE | Authorized Representative | 5297 SANCERRE CIRCLE, LAKE WORTH, FL 33463 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2015-06-29 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State