| Entity Name: | PARADISE COAST BREAST SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Aug 2018 (6 years ago) |
| Date of dissolution: | 27 Dec 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Dec 2022 (2 years ago) |
| Document Number: | L18000196076 |
| FEI/EIN Number | 83-1673994 |
| Address: | 7955 AIRPORT-PULLING ROAD NORTH, NAPLES, FL, 34109, US |
| Mail Address: | 7955 AIRPORT-PULLING ROAD NORTH, NAPLES, FL, 34109, US |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184106973 | 2018-08-29 | 2020-09-28 | 7955 AIRPORT RD N STE 100, NAPLES, FL, 341091794, US | 7955 AIRPORT RD N STE 100, NAPLES, FL, 341091794, US | |||||||||||||||||||||||
|
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| Phone | +1 239-734-3533 |
Authorized person
| Name | MRS. TROY SHELL |
| Role | OWNER |
| Phone | 2397343533 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME123757 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME123757 |
| State | FL |
| Name | Role |
|---|---|
| PARADISE COAST BREAST SPECIALISTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SHELL, M.D. TROY | Manager | 7955 AIRPORT-PULLING ROAD NORTH, NAPLES, FL, 34109 |
| Name | Role | Address |
|---|---|---|
| MASOURAS PANAGIOTIS M | Authorized Member | 7955 AIRPORT-PULLING ROAD NORTH, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-11 | Paradise Coast Breast Specialists, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-11 | 7955 AIRPORT-PULLING ROAD NORTH, SUITE 100, NAPLES, FL 34109 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-13 | 7955 AIRPORT-PULLING ROAD NORTH, SUITE 100, NAPLES, FL 34109 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-08 | 7955 AIRPORT-PULLING ROAD NORTH, SUITE 100, NAPLES, FL 34109 | No data |
| LC AMENDMENT | 2018-08-30 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-27 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-19 |
| LC Amendment | 2018-08-30 |
| Florida Limited Liability | 2018-08-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
