| Entity Name: | LIFELINE VASCULAR CENTER-NICEVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Dec 2012 (12 years ago) |
| Date of dissolution: | 02 May 2024 (9 months ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 02 May 2024 (9 months ago) |
| Document Number: | M12000007182 |
| FEI/EIN Number | 36-4750919 |
| Address: | One Parkway North, Deerfield, IL, 60015, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962849794 | 2013-06-03 | 2021-06-30 | PO BOX 782282, PHILADELPHIA, PA, 191782282, US | 4585 E HIGHWAY 20 STE 125, NICEVILLE, FL, 325787709, US | |||||||||||||||||||||||||||
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| Phone | +1 847-388-2001 |
| Fax | 8473882020 |
| Phone | +1 850-678-0184 |
| Fax | 8506780155 |
Authorized person
| Name | JASON LOHMEYER |
| Role | CFO |
| Phone | 8479493855 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| CVI Management, L.L.C. | Member | One Parkway North, Deerfield, IL, 60015 |
| Name | Role |
|---|---|
| RMS LIFELINE INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000106723 | LIFELINE VASCULAR & INTERVENTIONAL CENTER | EXPIRED | 2013-10-29 | 2018-12-31 | No data | 4585 HIGHWAY 20 EAST, SUITE 125, NICEVILLE, FL, 32578 |
| G13000003484 | LIFELINE VASCULAR CENTER-NICEVILLE | EXPIRED | 2013-01-11 | 2018-12-31 | No data | 4585 HIGHWAY 20 EAST, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2024-05-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-02 | One Parkway North, Suite 200S, Deerfield, IL 60015 | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2024-05-02 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
