| Entity Name: | BROOKSVILLE WALK IN CLINIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jul 2000 (25 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L00000008355 |
| FEI/EIN Number | 593659102 |
| Address: | 11077 Spring Hill Dr, Spring Hill, FL, 34608, US |
| Mail Address: | 11077, SPRINGHILL DR, SPRINGHILL, FL, 34608 |
| ZIP code: | 34608 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942335104 | 2007-02-21 | 2012-07-25 | 433 W JEFFERSON ST, BROOKSVILLE, FL, 346012500, US | 433 W JEFFERSON ST, BROOKSVILLE, FL, 346012500, US | |||||||||||||||||||||||||||
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| Phone | +1 352-796-7171 |
| Fax | 3527961020 |
Authorized person
| Name | DR. GAURAV MALHOTRA |
| Role | MEMBER |
| Phone | 3526843300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME93291 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0076833 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALHOTRA GAURAV V | Agent | 11077, SPRINGHILL DR, SPRINGHILL, FL, 34608 |
| Name | Role | Address |
|---|---|---|
| MALHOTRA GAURAV V | Manager | 11077, SPRINGHILL DR, SPRINGHILL, FL, 34608 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000053489 | CENTRAL WALK-IN CLINIC | EXPIRED | 2010-06-14 | 2015-12-31 | No data | 433 JEFFERSON STREET, BROOKSVILLE, FL, 34601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-01 | 11077 Spring Hill Dr, Spring Hill, FL 34608 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-19 | 11077 Spring Hill Dr, Spring Hill, FL 34608 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-19 | MALHOTRA, GAURAV V | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-19 | 11077, SPRINGHILL DR, SPRINGHILL, FL 34608 | No data |
| REINSTATEMENT | 2006-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-05 |
| ANNUAL REPORT | 2012-03-12 |
| ANNUAL REPORT | 2011-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
