| Entity Name: | BELLAVISTA DERMATOLOGY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BELLAVISTA DERMATOLOGY GROUP LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Jun 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L18000157911 |
| Address: | 1509 CULLAIG COURT, JACKSONVILLE, FL, 32259 |
| Mail Address: | 1509 CULLAIG COURT, JACKSONVILLE, FL, 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801379409 | 2018-09-10 | 2018-09-10 | 3636 UNIVERSITY BLVD S, UNIT B2, JACKSONVILLE, FL, 32216, US | 3636 UNIVERSITY BLVD S, UNIT B2, JACKSONVILLE, FL, 32216, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-297-1415 |
Authorized person
| Name | MR. RIGEL MARTINEZ |
| Role | OWNER |
| Phone | 9042971415 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207ND0900X - Dermatopathology Physician |
| Is Primary | No |
| Taxonomy Code | 207NI0002X - Clinical & Laboratory Dermatological Immunology Physician |
| Is Primary | No |
| Taxonomy Code | 207NP0225X - Pediatric Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PARIKH ANKUR A | Manager | 1509 CULLAIG COURT, JACKSONVILLE, FL, 32259 |
| MAMTORA VIPUL B | Manager | 1360 ROBERTS RD, JACKSONVILLE, FL, 32259 |
| MARTINEZ RIGEL | Manager | 3126 BELDEN CIR#4, JACKSONVILLE, FL, 32207 |
| PARIKH ANKUR A | Agent | 1509 CULLAIG COURT, JACKSONVILLE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-06-27 |
Date of last update: 01 May 2025
Sources: Florida Department of State
