| Entity Name: | TERESA LICCARDI, M.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Aug 2019 (6 years ago) |
| Document Number: | L19000186618 |
| FEI/EIN Number | 84-3279801 |
| Address: | 1153 10th Ave N, NAPLES, FL, 34102, US |
| Mail Address: | 1153 10th Ave N, NAPLES, FL, 34102, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336710748 | 2021-07-07 | 2021-08-30 | 1153 10TH AVE N, NAPLES, FL, 341025425, US | 1153 10TH AVE N, NAPLES, FL, 341025425, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 980-461-8050 |
Authorized person
| Name | DR. TERESA MARIE LICCARDI |
| Role | SOLE PROPRIETOR/ ADMINISTRATOR |
| Phone | 9084618050 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HF REGISTERED AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LICCARDI TERESA MM.D. | Manager | 1153 10th Ave N, NAPLES, FL, 34102 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000104534 | SWFL KIDNEY CARE | ACTIVE | 2021-08-11 | 2026-12-31 | No data | 1153 10TH AVE N, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-14 | HF REGISTERED AGENTS, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-26 | 1153 10th Ave N, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 1153 10th Ave N, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-26 |
| Florida Limited Liability | 2019-08-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
