Entity Name: | INTEGRATED CARE OF FLORIDA LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 16 Nov 2020 (4 years ago) |
Date of dissolution: | 27 Sep 2024 (5 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (5 months ago) |
Document Number: | L20000359182 |
FEI/EIN Number | 85-4012573 |
Address: | 11216 NW 7TH STREET, CORAL SPRINGS, FL 33071 |
Mail Address: | 11216 NW 7TH STREET, CORAL SPRINGS, FL 33071 |
ZIP code: | 33071 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740884485 | 2020-11-23 | 2020-11-23 | 11216 NW 7TH ST, CORAL SPRINGS, FL, 330717957, US | 703 N FLAMINGO RD, PEMBROKE PINES, FL, 330281006, US | |||||||||||||||
|
Phone | +1 954-681-2881 |
Phone | +1 954-436-5000 |
Authorized person
Name | HERBERT GOLDWIRE |
Role | AUTONOMOUS NURSE PRACTITIONER |
Phone | 9546812881 |
Taxonomy
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GOLDWIRE, HERBERT | Agent | 11216 NW 7TH STREET, CORAL SPRINGS, FL 33071 |
Name | Role | Address |
---|---|---|
GOLDWIRE, HERBERT | Manager | 11216 NW 7TH STREET, CORAL SPRINGS, FL 33071 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-01-10 |
ANNUAL REPORT | 2022-02-12 |
ANNUAL REPORT | 2021-02-02 |
Florida Limited Liability | 2020-11-16 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State