| Entity Name: | MEDI MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDI MD, 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: | 26 Jun 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L07000067071 |
| FEI/EIN Number |
260765834
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7950 SW 30th Street, DAVIE, FL, 33328, US |
| Mail Address: | 7950 SW 30th Street, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306094586 | 2008-08-31 | 2022-07-21 | 7950 SW 30TH ST STE 200, DAVIE, FL, 333281979, US | 7950 SW 30TH ST STE 200, DAVIE, FL, 333281979, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 888-674-0160 |
| Fax | 8664671802 |
| Fax | 8884671802 |
Authorized person
| Name | SEBASTIAN AHMED |
| Role | EXEC |
| Phone | 8886740160 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | 602238 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 0601 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RR MEDICARE |
| Number | DQ5523 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001991000 |
| State | FL |
| Issuer | BCBS |
| Number | 98322 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STUART A. TELLER, ESQ | Agent | 7320 GRIFFIN ROAD SUITE 216, DAVIE, FL, 33314 |
| AHMED SEBASTIAN | President | 7950 SW 30th Street, Davie, FL, 33328 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000080004 | SERENITY RECOVERY CENTERS | EXPIRED | 2018-07-25 | 2023-12-31 | - | 7950 SW 30TH STREET, SUITE 200, DAVIE, FL, 33328 |
| G17000112408 | SERENITY TREATMENT CENTERS | EXPIRED | 2017-10-11 | 2022-12-31 | - | 7950 SW 30TH STREET, SUITE 200, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-09 | 7320 GRIFFIN ROAD SUITE 216, DAVIE, FL 33314 | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-09 | STUART A. TELLER, ESQ | - |
| REINSTATEMENT | 2018-11-20 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-10 | 7950 SW 30th Street, Suite 200, DAVIE, FL 33328 | - |
| REINSTATEMENT | 2017-10-10 | - | - |
| CHANGE OF MAILING ADDRESS | 2017-10-10 | 7950 SW 30th Street, Suite 200, DAVIE, FL 33328 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| LC AMENDMENT | 2016-07-14 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000095491 | ACTIVE | 1000000878393 | BROWARD | 2021-02-24 | 2031-03-03 | $ 1,017.15 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J11000502695 | TERMINATED | SP11-0638 | ST. JOHNS COUNTY COURT | 2011-07-27 | 2016-08-09 | $3696.63 | PSS WORLD MEDICAL, INC., C/O WILLIAM M. LINDEMAN, P.A., POST OFFICE BOX 3506, ORLANDO, FL 32802 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2019-03-22 |
| REINSTATEMENT | 2018-11-20 |
| REINSTATEMENT | 2017-10-10 |
| LC Amendment | 2016-07-14 |
| REINSTATEMENT | 2016-04-07 |
| ANNUAL REPORT | 2014-01-26 |
| ANNUAL REPORT | 2013-06-11 |
| ANNUAL REPORT | 2012-04-12 |
| ANNUAL REPORT | 2011-04-20 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
