| Entity Name: | PANSEONAT MIRACLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Aug 2004 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | L04000061343 |
| FEI/EIN Number | 201531750 |
| Address: | 333 SAN LORENZO AVE., NORTH PORT, FL, 34287 |
| Mail Address: | P.O. BOX 7485, NORTH PORT, FL, 34290 |
| ZIP code: | 34287 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851322341 | 2006-07-05 | 2020-08-22 | 5400 BISCAYNE DR, SUITE A, NORTH PORT, FL, 342870000, US | 5400 BISCAYNE DR, SUITE A, NORTH PORT, FL, 342870000, US | |||||||||||||||||
|
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| Phone | +1 877-387-1777 |
Authorized person
| Name | DORIT YABROV |
| Role | MEDICAL DIRECTOR |
| Phone | 9414849730 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| License Number | ME 93717 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUPISHCHEV ALEX | Agent | 11723 TEMPEST HARBOR LOOP, VENICE, FL, 34287 |
| Name | Role | Address |
|---|---|---|
| MATCHIN MIRA | Managing Member | 416 HACIENDA STREET, NORTH PORT, FL, 34287 |
| SUPISHCHEV ALEX | Managing Member | 11723 TEMPEST HARBOR LOOP, VENICE, FL, 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| LC AMENDMENT | 2008-11-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-11-14 | 11723 TEMPEST HARBOR LOOP, VENICE, FL 34287 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-11-14 | 333 SAN LORENZO AVE., NORTH PORT, FL 34287 | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-14 | 333 SAN LORENZO AVE., NORTH PORT, FL 34287 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-11-14 | SUPISHCHEV, ALEX | No data |
| CANCEL ADM DISS/REV | 2007-12-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-02-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000751076 | LAPSED | 1000000341253 | SARASOTA | 2012-10-15 | 2022-10-25 | $ 528.70 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-02-18 |
| LC Amendment | 2008-11-14 |
| ANNUAL REPORT | 2008-02-18 |
| REINSTATEMENT | 2007-12-11 |
| REINSTATEMENT | 2006-02-10 |
| Florida Limited Liability | 2004-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
