| 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 (16 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598916611 | 2008-10-07 | 2008-10-07 | 447 N BELAIR RD STE 103, EVANS, GA, 308093091, US | 9400 GLADIOLUS DR, SUITE 105, FORT MYERS, FL, 339086699, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 706-854-3333 |
| Fax | 7068542059 |
| Phone | +1 239-454-4800 |
Authorized person
| Name | DR. KEITH L DAVIS |
| Role | PARTNER |
| Phone | 7068543333 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| License Number | ME23742 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME102815 |
| State | FL |
| Is Primary | Yes |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| Foreign Limited | 2008-10-13 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
