| Entity Name: | RICHARD R. LANDRIGAN, M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2002 (23 years ago) |
| Document Number: | L02000017283 |
| FEI/EIN Number | 810560260 |
| Address: | 5205 MERION CT, VALRICO, FL, 33596 |
| Mail Address: | 5205 MERION CT, VALRICO, FL, 33596 |
| ZIP code: | 33596 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609195213 | 2010-05-21 | 2010-06-02 | 321 E ROBERTSON ST, BRANDON, FL, 335115253, US | 505 EICHENFELD DR, SUITE 109, BRANDON, FL, 335115985, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-685-2191 |
| Fax | 8136898755 |
| Phone | +1 813-684-0808 |
| Fax | 8136890825 |
Authorized person
| Name | DR. RICHARD ROY LANDRIGAN |
| Role | MEDICAL DOCTOR |
| Phone | 8136840808 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | ME0035858 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277890400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GLASSMAN ALAN S | Agent | 1245 COURT STREET, STE. 102, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| LANDRIGAN RICHARD R | Manager | 5205 MERION CT, VALRICO, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-24 | 5205 MERION CT, VALRICO, FL 33596 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-24 | 5205 MERION CT, VALRICO, FL 33596 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
