Entity Name: | FLORIDA PREMIER CARDIOLOGY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 19 Jan 2016 (9 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | L16000013131 |
FEI/EIN Number | 81-1300926 |
Address: | 5210 Linton Blvd, Delray Beach, FL, 33484, US |
Mail Address: | 11195 JOG ROAD, SUITE 6, BOYNTON BEACH, FL, 33437, US |
ZIP code: | 33484 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760836316 | 2016-04-20 | 2016-04-20 | 11195 S JOG RD STE 6, BOYNTON BEACH, FL, 334371830, US | 11195 S JOG RD STE 6, BOYNTON BEACH, FL, 334371830, US | |||||||||||||||||||
|
Phone | +1 561-807-0500 |
Fax | 8662146612 |
Authorized person
Name | RODOLFO CARRILLO-JIMENEZ |
Role | MEMBER |
Phone | 5618070500 |
Taxonomy
Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
License Number | ME82672 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CARRILLO-JIMENEZ RODOLFO MD | Agent | 11195 JOG ROAD, BOYNTON BEACH, FL, 33437 |
Name | Role | Address |
---|---|---|
CARRILLO-JIMENEZ RODOLFO MD | President | 11195 JOG ROAD, SUITE 6, BOYNTON BEACH, FL, 33437 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-05-17 | 5210 Linton Blvd, Delray Beach, FL 33484 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-03-19 |
ANNUAL REPORT | 2021-01-03 |
ANNUAL REPORT | 2020-02-03 |
ANNUAL REPORT | 2019-03-30 |
ANNUAL REPORT | 2018-04-09 |
ANNUAL REPORT | 2017-07-06 |
Florida Limited Liability | 2016-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State