| Entity Name: | ESSERE VERO, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Mar 2013 (12 years ago) |
| Date of dissolution: | 26 Mar 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Mar 2014 (11 years ago) |
| Document Number: | P13000023677 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL, 34711, US |
| Mail Address: | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558700674 | 2013-06-21 | 2013-06-21 | 2105 HARTWOOD MARSH RD, SUITE 9, CLERMONT, FL, 347115389, US | 2105 HARTWOOD MARSH RD, SUITE 9, CLERMONT, FL, 347115389, US | |||||||||||||||||||||||||
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| Phone | +1 352-536-6002 |
| Fax | 3525366018 |
Authorized person
| Name | DR. MATTHEW L SMITH |
| Role | PHYSICIAN |
| Phone | 3525366002 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME98015 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277908100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bening M | Agent | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| Bening Mel | President | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000076342 | CELEBRATION PEDIATRICS OF LAKE COUNTY | EXPIRED | 2013-07-31 | 2018-12-31 | No data | 2105 HARTWOOD MARSH RD, SUITE 9, CLERMONT, FL, 34711 |
| G13000025684 | BENEDICO BAMBINI MEDICAL GROUP | EXPIRED | 2013-03-14 | 2018-12-31 | No data | 2430 US HIGHWAY 27 STE 370, CLERMONT, FL, 34714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-03-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-26 | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-26 | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-26 | Bening, M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-26 | 2105 HARTWOOD MARSH RD STE 7, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2014-03-17 |
| Reg. Agent Change | 2013-12-09 |
| Domestic Profit | 2013-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
