| Entity Name: | MPM SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MPM SPECIALISTS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Feb 2005 (20 years ago) |
| Date of dissolution: | 27 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Dec 2017 (7 years ago) |
| Document Number: | L05000010608 |
| FEI/EIN Number |
300305109
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL, 33759, US |
| Mail Address: | 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1851346829 | 2006-05-24 | 2015-02-14 | PO BOX 10744, CLEARWATER, FL, 337578744, US | 300 PARK PLACE BLVD, SUITE 170, CLEARWATER, FL, 337594932, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-532-0002 |
| Fax | 7272664928 |
| Phone | +1 727-532-1355 |
Authorized person
| Name | MR. KEVIN L. CORRIGAN |
| Role | CAO |
| Phone | 7275321355 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE NUMBER |
| Number | DD7747 |
| State | FL |
| Issuer | MEDICAID |
| Number | 275066000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Ulbricht William | Secretary | 300 SOUTH PARK PLACE BOULEVARD, CLEARWATER, FL, 33759 |
| Fink Andrew M.D. | Director | 4902 EISENHOWER BOULEVARD, TAMPA, FL, 33634 |
| FLAREAU BRUCE M.D. | Director | 2985 DREW STREET, CLEARWATER, FL, 33759 |
| WATERS GLENN | Director | 2985 DREW STREET, CLEARWATER, FL, 33759 |
| BORRECA JOHN | Director | 5405 SUNFLARE WEST, LUTZ, FL, 33558 |
| BAYCARE HEALTH SYSTEM, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000129654 | BAYCARE MEDICAL GROUP | EXPIRED | 2014-12-24 | 2024-12-31 | - | 3503 E. FRONTAGE ROAD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-12-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-03-07 | BAYCARE HEALTH SYSTEM, INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-28 | ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL 33759 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL 33759 | - |
| LC AMENDMENT | 2009-05-15 | - | - |
| NAME CHANGE AMENDMENT | 2005-08-26 | MPM SPECIALISTS LLC | - |
| NAME CHANGE AMENDMENT | 2005-03-11 | MORTON PLANT MEASE SPECIALISTS, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-27 |
| AMENDED ANNUAL REPORT | 2016-08-15 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-02-19 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-03-31 |
| LC Amendment | 2009-05-15 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
