| Entity Name: | CARRERE GASTROENTEROLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Oct 2015 (9 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: | L15000172558 |
| Address: | 16848 FOX DEN, FORT MYERS, FL, 33908 |
| Mail Address: | 16848 FOX DEN, FORT MYERS, FL, 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134590144 | 2015-10-16 | 2015-10-16 | 16848 FOX DEN, FORT MYERS, FL, 339084322, US | 16848 FOX DEN, FORT MYERS, FL, 339084322, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 239-278-1155 |
| Fax | 2392781159 |
Authorized person
| Name | JUAN CARRERE |
| Role | OWNER |
| Phone | 2392781155 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME85054 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | ME85054 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARRERE JUAN A | Agent | 16848 FOX DEN, FORT MYERS, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| CARRERE JUAN J | Manager | 16848 FOX DEN, FORT MYERS, FL, 33908 |
| GARCIA MARIA S | Manager | 16848 FOX DEN, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-10-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
