| Entity Name: | RUSSELL DENEA, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Oct 2017 (7 years ago) |
| Date of dissolution: | 17 Aug 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Aug 2022 (3 years ago) |
| Document Number: | L17000214366 |
| FEI/EIN Number | 22-3630325 |
| Address: | 4102 A1A SOUTH, SAINT AUGUSTINE, FL 32080 |
| Mail Address: | PO Box 840111, SAINT AUGUSTINE, FL 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972016210 | 2017-11-08 | 2017-12-27 | 4102 A1A S, SAINT AUGUSTINE, FL, 320806942, US | 4102 A1A S, SAINT AUGUSTINE, FL, 320806942, US | |||||||||||||||||||
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| Phone | +1 904-471-1300 |
| Fax | 9044711333 |
Authorized person
| Name | DR. RUSSELL DENEA |
| Role | OWNER |
| Phone | 9044711300 |
Taxonomy
| Taxonomy Code | 102L00000X - Psychoanalyst |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DENEA, RUSSELL, MD | Agent | 4201 A1A SOUTH, SAINT AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| HARRIS, LOUISE, MD | Manager | 4102 A1A SOUTH, SAINT AUGUSTINE, FL 32080 |
| DENEA, RUSSELL W, MD | Manager | 4102 A1A SOUTH, SAINT AUGUSTINE, FL 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 4102 A1A SOUTH, SAINT AUGUSTINE, FL 32080 | No data |
| VOLUNTARY DISSOLUTION | 2022-08-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 4102 A1A SOUTH, SAINT AUGUSTINE, FL 32080 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-14 | DENEA, RUSSELL, MD | No data |
| LC AMENDED AND RESTATED ARTICLES | 2017-11-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-17 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-16 |
| AMENDED ANNUAL REPORT | 2019-10-14 |
| Reg. Agent Resignation | 2019-09-27 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-04 |
| LC Amended and Restated Art | 2017-11-27 |
| Florida Limited Liability | 2017-10-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5784287302 | 2020-04-30 | 0491 | PPP | 4102 A1A S, ST AUGUSTINE, FL, 32080 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
