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LEE ACCIDENT CARE CLINIC, LLC

Company Details

Entity Name: LEE ACCIDENT CARE CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 14 Mar 2017 (8 years ago)
Date of dissolution: 29 Aug 2018 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Aug 2018 (6 years ago)
Document Number: L17000057082
FEI/EIN Number 82-0851371
Address: 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912
Mail Address: 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073026647 2017-11-06 2017-11-06 PO BOX 151850, CAPE CORAL, FL, 339151850, US 1611 SANTA BARBARA BLVD STE 120, CAPE CORAL, FL, 339913479, US

Contacts

Phone +1 239-908-0899
Fax 2397915526
Phone +1 239-288-2908
Fax 2392882908

Authorized person

Name DR. JAMES M BOLGER
Role OWNER
Phone 2399080899

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number CH11936
State FL
Is Primary Yes

Agent

Name Role Address
Bolger James MDC Agent 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912

Owne

Name Role Address
Bolger James Owne 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-08-29 No data No data
REGISTERED AGENT NAME CHANGED 2018-03-27 Bolger, James M, DC No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2018-08-29
ANNUAL REPORT 2018-03-27
Florida Limited Liability 2017-03-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State