Entity Name: | PESTANA PRIMARY CARE, PLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 31 Aug 2007 (17 years ago) |
Date of dissolution: | 24 Apr 2017 (8 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 24 Apr 2017 (8 years ago) |
Document Number: | L07000089504 |
FEI/EIN Number | 260818284 |
Address: | 1840 MEASE DRIVE, SUITE 315, SAFETY HARBOR, FL, 34695, US |
Mail Address: | 1840 MEASE DRIVE, SUITE 315, SAFETY HARBOR, FL, 34695, US |
ZIP code: | 34695 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730374711 | 2007-09-12 | 2012-09-27 | 1840 MEASE DR, SUITE 315, SAFETY HARBOR, FL, 346956602, US | 1840 MEASE DR, SUITE 315, SAFETY HARBOR, FL, 346956602, US | |||||||||||||||||||||||||||
|
Phone | +1 727-781-7711 |
Fax | 7277818711 |
Authorized person
Name | DR. JASPREET KAUR PESTANA |
Role | MANAGER |
Phone | 7277817711 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | OS9855 |
State | FL |
Is Primary | No |
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
License Number | ME96774 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PESTANA JASPREET KDr. | Agent | 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695 |
Name | Role | Address |
---|---|---|
PESTANA JASPREET KDr. | Managing Member | 1840 MEASE DRIVE, SAFETY HARBOR, FL, 34695 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2017-04-24 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2014-01-15 | PESTANA, JASPREET K, Dr. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-03-19 | 1840 MEASE DRIVE, SUITE 315, SAFETY HARBOR, FL 34695 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-03-19 | 1840 MEASE DRIVE, SUITE 315, SAFETY HARBOR, FL 34695 | No data |
CHANGE OF MAILING ADDRESS | 2013-03-19 | 1840 MEASE DRIVE, SUITE 315, SAFETY HARBOR, FL 34695 | No data |
REINSTATEMENT | 2011-10-04 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
LC AMENDMENT | 2009-10-07 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2016-03-09 |
ANNUAL REPORT | 2015-01-17 |
ANNUAL REPORT | 2014-01-15 |
ANNUAL REPORT | 2013-03-19 |
ANNUAL REPORT | 2012-02-08 |
REINSTATEMENT | 2011-10-04 |
ANNUAL REPORT | 2010-03-22 |
LC Amendment | 2009-10-07 |
ANNUAL REPORT | 2009-04-23 |
ANNUAL REPORT | 2008-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State