| Entity Name: | OASIS MEDICAL PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Feb 2018 (7 years ago) |
| Date of dissolution: | 01 May 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 May 2021 (4 years ago) |
| Document Number: | L18000037737 |
| FEI/EIN Number | 82-4365681 |
| Address: | 316 PASEO REYES DRIVE, BLDG 10, UNIT #4, ST AUGUSTINE, FL, 32095 |
| Mail Address: | 1096 DORADO DRIVE, ST AUGUSTINE, FL, 32086 |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659869238 | 2018-04-29 | 2018-04-29 | 1096 DORADO DR, SAINT AUGUSTINE, FL, 320867075, US | 316 PASEO REYES DR, SAINT AUGUSTINE, FL, 320958464, US | |||||||||||||||
|
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| Phone | +1 814-571-5504 |
| Phone | +1 904-342-0219 |
Authorized person
| Name | MR. JOHN P CROYLE JR. |
| Role | MANAGER/PROVIDER |
| Phone | 8145715504 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROYLE JOHN PJR | Agent | 1096 DORADO DRIVE, ST AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| CROYLE JOHN PJR | Manager | 1096 DORADO DRIVE, ST AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| CROYLE JOHN PJR | Authorized Member | 1096 DORADO DRIVE, ST AUGUSTINE, FL, 32086 |
| CROYLE JAMES T | Authorized Member | 2091 FAIRVIEW RD, GLENMOORE, PA, 19343 |
| SHORT MARY EJR | Authorized Member | 1209 OVERDALE RD, ST AUGUSTINE, FL, 32080 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000046363 | OASIS MEDICAL | EXPIRED | 2018-04-11 | 2023-12-31 | No data | 316 PASEO REYES DRIVE, BLDG 10, UNIT #4, ST AUGUSTINE, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-05-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-05-01 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-05 |
| Florida Limited Liability | 2018-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
