| Entity Name: | MAHAN MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Mar 2006 (19 years ago) |
| Date of dissolution: | 08 Dec 2008 (16 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Dec 2008 (16 years ago) |
| Document Number: | L06000031625 |
| FEI/EIN Number | 84-1706714 |
| Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Mail Address: | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053440610 | 2007-03-02 | 2020-08-22 | 1705 MAHAN DR, TALLAHASSEE, FL, 323085201, US | 1705 MAHAN DR, TALLAHASSEE, FL, 323085201, US | |||||||||||||||
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| Phone | +1 850-877-7164 |
| Fax | 8506561391 |
Authorized person
| Name | MICKEY PICKLER |
| Role | VP |
| Phone | 8006613365 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| MOORE, A. BRUCE JR. | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| JOHNSON, R. MILTON | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| HANKINS, ROBERT SAMUEL JR. | Manager | ONE PARK PLAZA, NASHVILLE, TN 37203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2008-12-08 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2008-12-08 |
| ANNUAL REPORT | 2008-04-17 |
| ANNUAL REPORT | 2007-05-01 |
| Florida Limited Liability | 2006-03-24 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
