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