| Entity Name: | AXIOM MEDICAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AXIOM MEDICAL CLINIC, 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: | 07 Apr 2005 (20 years ago) |
| Date of dissolution: | 15 Sep 2006 (19 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (19 years ago) |
| Document Number: | L05000034062 |
| Address: | 9507 ANDERSON ROAD, TAMPA, FL, 33634 |
| Mail Address: | 9507 ANDERSON ROAD, TAMPA, FL, 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750335329 | 2006-05-19 | 2020-08-22 | 7177 CRIMSON RIDGE DR, SUITE 14, ROCKFORD, IL, 611076208, US | 9507 ANDERSON RD, TAMPA, FL, 336341252, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 815-227-9900 |
| Fax | 8152279805 |
| Phone | +1 813-319-1330 |
| Fax | 8133191340 |
Authorized person
| Name | WENDY NEWMAN |
| Role | COMPTROLLER |
| Phone | 8152279900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8788 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 93347 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT20245 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MATHER KENNETH G | Agent | 100 SOUTH ASHLEY DRIVE, TAMPA, FL, 33602 |
| NTB, LTD. | Manager | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2005-04-07 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
