| Entity Name: | TEAMMD PHYSICIANS, P.C. CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 18 Mar 2019 (6 years ago) |
| Date of dissolution: | 25 Apr 2023 (2 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 25 Apr 2023 (2 years ago) |
| Document Number: | F19000001348 |
| FEI/EIN Number | 300445773 |
| Mail Address: | 9900 BREN RD E, MINNETONKA, MN, 55343 |
| Address: | 9900 Bren Rd E, Minnetonka, MN, 55343, US |
| Place of Formation: | IOWA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316591316 | 2019-07-29 | 2020-01-13 | 9900 BREN RD E # NJ975, MINNETONKA, MN, 553439664, US | 10151 DEERWOOD PARK BLVD STE 420, JACKSONVILLE, FL, 322560566, US | |||||||||||||||||
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| Phone | +1 800-957-6046 |
| Fax | 8662396576 |
| Phone | +1 952-202-2925 |
Authorized person
| Name | DONNA FORREST |
| Role | VP |
| Phone | 6514148735 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bruhl, D.O. Melissa Sue | Director | 9900 Bren Rd E, Minnetonka, MN, 55343 |
| M.D. Kyle John Kircher | Director | 9900 Bren Rd E, Minnetonka, MN, 55343 |
| Name | Role | Address |
|---|---|---|
| Bruhl, D.O. Melissa Sue | Secretary | 9900 Bren Rd E, Minnetonka, MN, 55343 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2023-04-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 9900 Bren Rd E, Minnetonka, MN 55343 | No data |
| REGISTERED AGENT CHANGED | 2023-04-25 | REGISTERED AGENT REVOKED | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-01 | 9900 Bren Rd E, Minnetonka, MN 55343 | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2023-04-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-02-11 |
| Foreign Profit | 2019-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
