Entity Name: | MATHIS DREAM, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
MATHIS DREAM, 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: | 13 Jan 2006 (19 years ago) |
Date of dissolution: | 25 Sep 2009 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2009 (16 years ago) |
Document Number: | L06000004862 |
FEI/EIN Number |
204310869
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1321 GEORGIA AVE., BAKER, FL, 32531 |
Mail Address: | 1321 GEORGIA AVE., BAKER, FL, 32531 |
ZIP code: | 32531 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164649703 | 2007-04-18 | 2020-08-22 | 1321 GEORGIA AVE, BAKER, FL, 325312605, US | 1321 GEORGIA AVE, BAKER, FL, 325312605, US | |||||||||||||||||||||||||
|
Phone | +1 850-537-2700 |
Fax | 8505372702 |
Authorized person
Name | MRS. DEBRA LYNN MATHIS |
Role | OWNER- NURSE PRACTITIONER |
Phone | 8505372700 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
License Number | ARNP 1427202 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | OCCUPATIONAL LICENSE |
Number | 3600100732600 |
State | FL |
Name | Role | Address |
---|---|---|
MATHIS DEBRA L | Managing Member | 1321 GEORGIA AVE., BAKER, FL, 32531 |
WELTON & WILLIAMSON, LLC | Agent | THE MADISON BLDG., CRESTVIEW, FL, 32536 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
REINSTATEMENT | 2008-10-25 | - | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
Name | Date |
---|---|
REINSTATEMENT | 2008-10-25 |
ANNUAL REPORT | 2007-09-04 |
Florida Limited Liability | 2006-01-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State