| Entity Name: | DR DAVID GUERRA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Dec 2018 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000289239 |
| FEI/EIN Number | 833028424 |
| Address: | 4560 LAKEVIEW DRIVE, SEBRING, FL, 33870, US |
| Mail Address: | 4560 LAKEVIEW DRIVE, SEBRING, FL, 33870, US |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215496781 | 2019-03-14 | 2020-06-05 | 3670 US HIGHWAY 27 N, SEBRING, FL, 338701691, US | 3670 US HIGHWAY 27 N, SEBRING, FL, 338701691, US | |||||||||||||||||||||
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| Phone | +1 863-471-1236 |
| Fax | 8633048157 |
Authorized person
| Name | JEANNETTE P DIAZ |
| Role | MANAGER |
| Phone | 8634711236 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002457800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Gerard & Associates, CPA's | Agent | 219 East Center Avenue, SEBRING, FL, 33870 |
| Name | Role | Address |
|---|---|---|
| GUERRA DAVID | Manager | 4560 LAKEVIEW DRIVE, SEBRING, FL, 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2019-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-11-06 | Gerard & Associates, CPA's | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-06 | 219 East Center Avenue, SEBRING, FL 33870 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-24 |
| REINSTATEMENT | 2019-11-06 |
| Florida Limited Liability | 2018-12-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
