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SUNCOAST MEDICAL CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: SUNCOAST MEDICAL CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Feb 2001 (25 years ago)
Date of dissolution: 23 May 2016 (9 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 23 May 2016 (9 years ago)
Document Number: L01000001925
FEI/EIN Number 593410987
Address: 620 10th Avenue North, Attn: Mark Gordon, ST. PETERSBURG, FL, 33705, US
Mail Address: 620 10th Street North, Attn: Dr. Mark Gordon, ST. PETERSBURG, FL, 33705, US
ZIP code: 33705
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GORDON MARK M Agent 620 10th Street North, ST. PETERSBURG, FL, 33705
GORDON MARK M Managing Member 620 10th Street North, ST. PETERSBURG, FL, 33705
GARNER KEVIN M Managing Member 620 10th Street North, ST. PETERSBURG, FL, 33705
MARSHALL REBECCA H Managing Member 620 10th Street North, ST. PETERSBURG, FL, 33705

National Provider Identifier

NPI Number:
1205061140

Authorized Person:

Name:
GEORGE L ETTEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7278243132

Form 5500 Series

Employer Identification Number (EIN):
593410987
Plan Year:
2012
Number Of Participants:
79
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
239
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000066878 BAYCARE MEDICAL GROUP EXPIRED 2014-06-27 2019-12-31 - 4902 EISENHOWER BLVD, SUITE 375, TAMPA, FL, 33634

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2016-05-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-03-02 620 10th Avenue North, Attn: Mark Gordon, Suite 3D, ST. PETERSBURG, FL 33705 -
CHANGE OF MAILING ADDRESS 2015-03-02 620 10th Avenue North, Attn: Mark Gordon, Suite 3D, ST. PETERSBURG, FL 33705 -
REGISTERED AGENT ADDRESS CHANGED 2015-03-02 620 10th Street North, Attn: Dr. Mark Gordon, Suite 3D, ST. PETERSBURG, FL 33705 -
REGISTERED AGENT NAME CHANGED 2010-03-16 GORDON, MARK MD -
MERGER 2004-12-30 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000051143
NAME CHANGE AMENDMENT 2003-11-25 SUNCOAST MEDICAL CLINIC, LLC -

Documents

Name Date
LC Voluntary Dissolution 2016-05-23
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-03-02
ANNUAL REPORT 2014-01-17
ANNUAL REPORT 2013-04-06
ANNUAL REPORT 2012-02-28
ANNUAL REPORT 2011-03-14
ANNUAL REPORT 2010-03-16
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-04-10

USAspending Awards / Contracts

Procurement Instrument Identifier:
ING10PA00040
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of the Interior
Performance Start Date:
2010-04-14
Description:
INDUSTRIAL GASSES
Naics Code:
923120: ADMINISTRATION OF PUBLIC HEALTH PROGRAMS
Product Or Service Code:
R407: PROGRAM EVALUATION SERVICES

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Date of last update: 02 Aug 2025

Sources: Florida Department of State