| Entity Name: | JOHN W. TYRONE, MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jun 2005 (20 years ago) |
| Document Number: | L05000063245 |
| FEI/EIN Number | 203055267 |
| Address: | 108 NW 76TH DRIVE, SUITE A, GAINESVILLE, FL, 32607 |
| Mail Address: | 108 NW 76TH DRIVE, SUITE A, GAINESVILLE, FL, 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326256470 | 2007-05-21 | 2013-11-04 | 108 NW 76TH DR STE A, STE F, GAINESVILLE, FL, 326076652, US | 108 NW 76TH DR STE A, STE F, GAINESVILLE, FL, 326076652, US | |||||||||||||||||||||||||
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| Phone | +1 352-332-1150 |
| Fax | 3523321044 |
Authorized person
| Name | MRS. CHERYL C TYRONE |
| Role | CO-OWNER |
| Phone | 3523321150 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME89702 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1063458768 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TYRONE JOHN W | Agent | 108 NW 76th Drive, Suite A, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| TYRONE JOHN W | Managing Member | 108 NW 76th Drive, Suite A, GAINESVILLE, FL, 32607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000069511 | GAINESVILLE BREAST IMPLANTS | EXPIRED | 2010-07-28 | 2015-12-31 | No data | 1204 NW 69TH TERRACE, SUITE F, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-01 | 108 NW 76th Drive, Suite A, GAINESVILLE, FL 32607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-07 | 108 NW 76TH DRIVE, SUITE A, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-07 | 108 NW 76TH DRIVE, SUITE A, GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-27 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
