| Entity Name: | MAGELLAN CLINICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jun 2005 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | L05000064203 |
| FEI/EIN Number | 203089239 |
| Address: | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL, 33135, US |
| Mail Address: | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083647713 | 2006-07-08 | 2020-08-22 | 7737 W 15TH CT, HIALEAH, FL, 330143310, US | 255 SW 8TH ST, STE 204, MIAMI, FL, 331303529, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-709-6977 |
| Phone | +1 305-642-7245 |
Authorized person
| Name | JORGE CARBONELL |
| Role | MANAGER |
| Phone | 7867096977 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC6604 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JORGE CARBONELL | Agent | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| JORGE CARBONELL | Managing Member | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-06-11 | JORGE CARBONELL | No data |
| LC AMENDMENT | 2007-04-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-26 | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL 33135 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-09 | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2006-03-09 | 2955 S.W. 8TH STREET, SUITE 204, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-06-11 |
| ANNUAL REPORT | 2007-04-30 |
| LC Amendment | 2007-04-26 |
| ANNUAL REPORT | 2006-03-23 |
| ANNUAL REPORT | 2006-03-09 |
| Florida Limited Liability | 2005-06-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
