Entity Name: | FIRST COAST INTEGRATIVE PSYCHIATRY LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
FIRST COAST INTEGRATIVE PSYCHIATRY 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: | 19 Apr 2019 (6 years ago) |
Date of dissolution: | 28 Apr 2024 (a year ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 28 Apr 2024 (a year ago) |
Document Number: | L19000107186 |
FEI/EIN Number |
83-4580320
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 17 Saint Johns Medical Park Drive, St. Augustine, FL, 32086, US |
Mail Address: | 189 Belmont Drive, Jacksonville, FL, 32259, US |
ZIP code: | 32086 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750946158 | 2019-05-01 | 2019-05-01 | 2220 COUNTY ROAD 210 W STE 108-221, JACKSONVILLE, FL, 322594058, US | 304 KINGSLEY LAKE DR STE 601, ST AUGUSTINE, FL, 320923042, US | |||||||||||||||
|
Phone | +1 352-339-6311 |
Phone | +1 352-339-3064 |
Authorized person
Name | DR. HEATHER LUING |
Role | MEDICAL DIRECTOR |
Phone | 3523393064 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Aflalo Daniel | Manager | 189 Belmont Drive, Jacksonville, FL, 32259 |
AFLALO DANIEL | Agent | 189 Belmont Drive, Jacksonville, FL, 32259 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2024-04-28 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2023-03-28 | 17 Saint Johns Medical Park Drive, St. Augustine, FL 32086 | - |
CHANGE OF MAILING ADDRESS | 2023-03-28 | 17 Saint Johns Medical Park Drive, St. Augustine, FL 32086 | - |
REGISTERED AGENT ADDRESS CHANGED | 2023-03-28 | 189 Belmont Drive, Jacksonville, FL 32259 | - |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2024-04-28 |
ANNUAL REPORT | 2023-03-28 |
ANNUAL REPORT | 2022-01-22 |
ANNUAL REPORT | 2021-01-18 |
ANNUAL REPORT | 2020-01-26 |
Florida Limited Liability | 2019-04-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State