| Entity Name: | FIRST COAST PATHOLOGY ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FIRST COAST PATHOLOGY ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Sep 2015 (10 years ago) |
| Date of dissolution: | 16 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jan 2024 (a year ago) |
| Document Number: | L15000150567 |
| FEI/EIN Number |
47-4966641
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 460 E Kesley Ln, St.Johns, FL, 32259, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700255841 | 2015-09-18 | 2015-09-18 | 9102 DUCALE WAY APT 204, PALM BEACH GARDENS, FL, 334188164, US | 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257, US | |||||||||||||||||||||||
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| Phone | +1 904-302-3553 |
Authorized person
| Name | VIRENDRA DESAI |
| Role | PHYSICIAN |
| Phone | 9043023553 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | ME 93419 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2764806 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DESAI VIRENDRA D | Authorized Member | 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257 |
| DESAI VIRENDRA | Agent | 9421 WAYPOINT PLACE, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-16 | - | - |
| CHANGE OF MAILING ADDRESS | 2021-01-16 | 9421 WAYPOINT PLACE, JACKSONVILLE, FL 32257 | - |
| LC AMENDMENT | 2018-04-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-04-02 | DESAI, VIRENDRA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-02 | 9421 WAYPOINT PLACE, JACKSONVILLE, FL 32257 | - |
| REINSTATEMENT | 2016-10-30 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-16 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-24 |
| LC Amendment | 2018-04-02 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-14 |
| REINSTATEMENT | 2016-10-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
