| Entity Name: | ARTHUR BAUTISTA, MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 30 Jan 2024 (a year ago) |
| Date of dissolution: | 14 Jun 2024 (8 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Jun 2024 (8 months ago) |
| Document Number: | L24000054747 |
| Address: | 1440 SW 74 AVENUE, PLANTATION, FL 33317 |
| Mail Address: | 1440 SW 74 AVENUE, PLANTATION, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104594167 | 2021-09-02 | 2021-09-02 | 2261 NE 36TH ST STE 2, LIGHTHOUSE POINT, FL, 330647588, US | 2261 NE 36TH ST STE 2, LIGHTHOUSE POINT, FL, 330647588, US | |||||||||||||||
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| Phone | +1 954-786-9552 |
| Fax | 9547869557 |
Authorized person
| Name | DANIELLE WANSER |
| Role | ADMINISTRATOR |
| Phone | 9547869552 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WANSER, DANIELLE | Agent | 5174 S UNIVERSITY DR, DAVIE, FL 33328 |
| Name | Role | Address |
|---|---|---|
| BAUTISTA, ARTHUR, MD | Manager | 1440 SW 74 AVENUE, PLANTATION, FL 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-14 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-14 |
| Florida Limited Liability | 2024-01-30 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
