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PARADISE COAST PAVILION, LLC - Florida Company Profile

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Company Details

Entity Name: PARADISE COAST PAVILION, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 13 Oct 2008 (17 years ago)
Date of dissolution: 25 Sep 2009 (16 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (16 years ago)
Document Number: M08000004589
FEI/EIN Number 263356748

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 9400 GLADIOLUS DRIVE, SUITE 105, FT. MYERS, FL, 33908
Mail Address: 9400 GLADIOLUS DRIVE, SUITE 105, FT. MYERS, FL, 33908
ZIP code: 33908
County: Lee
Place of Formation: GEORGIA

Key Officers & Management

Name Role Address
DAVIS KEITH L Manager 447 NORTH BELAIR ROAD, SUITE 103, EVANS, GA, 30809
ROTH STEVEN M Manager 447 NORTH BELAIR ROAD, SUITE 103, EVANS, GA, 30809
MANDRACCIA ROBERT V Agent 9400 GLADIOLUS DRIVE, SUITE 105, FT. MYERS, FL, 33908

National Provider Identifier

NPI Number:
1598916611

Authorized Person:

Name:
DR. KEITH L DAVIS
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7068542059

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
Foreign Limited 2008-10-13

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Date of last update: 03 Jun 2025

Sources: Florida Department of State