| Entity Name: | AGUIRRE INTERNAL MEDICINE GROUP OF THE PALM BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Mar 2007 (18 years ago) |
| Date of dissolution: | 13 Sep 2018 (6 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 13 Sep 2018 (6 years ago) |
| Document Number: | M07000001666 |
| FEI/EIN Number | 208662297 |
| Address: | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202, US |
| Mail Address: | PO BOX 740026, LOUISVILLE, KY, 40201-7426, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265614713 | 2007-11-27 | 2008-04-20 | 4960 SW 72ND AVE, SUITE 406, MIAMI, FL, 331555544, US | 6215 S DIXIE HWY, WEST PALM BEACH, FL, 334054327, US | |||||||||||||||||||
|
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| Phone | +1 305-662-5200 |
| Fax | 3052847948 |
| Phone | +1 561-582-1201 |
| Fax | 5615828076 |
Authorized person
| Name | OTTO CAMPO |
| Role | VICE PRESIDENT |
| Phone | 3056625200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BEVERIDGE ROY AM.D. | CHIE | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| KANE BRIAN A | CHIE | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| LECLAIRE BRIAN PPHD | CHIE | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Name | Role | Address |
|---|---|---|
| BROUSSARD BRUCE D | President | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Name | Role | Address |
|---|---|---|
| VENTURA JOSEPH CM.D. | SENI | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Name | Role | Address |
|---|---|---|
| BAILEY ALAN A | Vice President | 500 WEST MAIN STREET, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2018-09-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-27 | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 500 WEST MAIN STREET, LOUISVILLE, KY 40202 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-27 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| LC ARTICLE OF CORRECTION | 2007-04-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-03-17 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-03-14 |
| ANNUAL REPORT | 2010-03-06 |
| ANNUAL REPORT | 2009-04-06 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
