| Entity Name: | PATHWAY PEDIATRIC CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Nov 2022 (2 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: | L22000469385 |
| Address: | 137 S LAKE GEORGE DRIVE, GEORGETOWN, FL 32139 |
| Mail Address: | 137 S LAKE GEORGE DRIVE, GEORGETOWN, FL 32139 |
| ZIP code: | 32139 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790493096 | 2022-11-07 | 2022-11-07 | 137 S LAKE GEORGE DR, GEORGETOWN, FL, 321393109, US | 137 S LAKE GEORGE DR, GEORGETOWN, FL, 321393109, US | |||||||||||||
|
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| Phone | +1 386-316-3904 |
Authorized person
| Name | ASPEN NEACE |
| Role | AR |
| Phone | 3863163904 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NEACE, ASPEN | Agent | 137 S LAKE GEORGE DRIVE, GEORGETOWN, FL 32139 |
| Name | Role | Address |
|---|---|---|
| NEACE, ASPEN | Authorized Representative | 137 S LAKE GEORGE DRIVE, GEORGETOWN, FL 32139 |
| MATHEW, JUDAH | Authorized Representative | 1106 BENT CREEK DRIVE, SAINT JOHNS, FL 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-11-01 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
