| Entity Name: | FIREMED OF SOUTHEAST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Aug 2021 (4 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: | L21000353276 |
| Address: | 2479 TRIANNA STREET, NORTH PORT, FL, 34291, US |
| Mail Address: | 246 CRAWFORD STREET, LOWELL, MA, 01854, US |
| ZIP code: | 34291 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013687177 | 2021-09-20 | 2021-09-20 | 2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL, 34291, US | 2479 TRIANNA STREET, FIREMED SOUTHEAST, NORTH PORT, FL, 34291, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 941-899-1430 |
Authorized person
| Name | MR. ANTHONY C PERKINS |
| Role | PRESIDENT |
| Phone | 9782309668 |
Taxonomy
| Taxonomy Code | 207RI0001X - Clinical & Laboratory Immunology (Internal Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DODSON CHARLOTTE | Agent | 2479 TRIANNA STREET, NORTH PORT, FL, 34291 |
| Name | Role | Address |
|---|---|---|
| PERKINS ANTHONY C | Manager | 246 CRAWFORD STREET, LOWELL, MA, 01854 |
| DODSON CHARLOTTE | Manager | 2479 TRIANNA STREET, NORTH PORT, FL, 34291 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-08-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
