| Entity Name: | CFY MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Apr 2019 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000115264 |
| FEI/EIN Number | 83-4619450 |
| Address: | 2030 Navaho Ave, Jacksonville, FL, 32210, US |
| Mail Address: | 2030 Navaho Ave, Jacksonville, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437708153 | 2019-09-05 | 2019-09-12 | 1441 MANOTAK AVE APT 1811, JACKSONVILLE, FL, 322101025, US | 1441 MANOTAK AVE APT 1811, JACKSONVILLE, FL, 322101025, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Name | MRS. STEPHANIE CORTES |
| Role | NURSE |
| Phone | 7879481616 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 163WA2000X - Administrator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WC1600X - Continuing Education/Staff Development Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WF0300X - Flight Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WG0000X - General Practice Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WG0600X - Gerontology Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0000X - Pain Management Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0807X - Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0808X - Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP0809X - Adult Psychiatric/Mental Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WP2201X - Ambulatory Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WR0006X - Registered Nurse First Assistant |
| Is Primary | No |
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORTES STEPHANIE | Agent | 2030 Navaho Ave, Jacksonville, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| CORTES STEPHANIE | Manager | 2030 Navaho Ave, Jacksonville, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-06 | 2030 Navaho Ave, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-06 | 2030 Navaho Ave, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-06 | CORTES, STEPHANIE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-06 | 2030 Navaho Ave, Jacksonville, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-08 |
| Florida Limited Liability | 2019-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
