| Entity Name: | STATMED QUICK QUALITY CLINIC AT NORTH PINELLAS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Oct 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2020 (4 years ago) |
| Document Number: | L07000102679 |
| FEI/EIN Number | 261155537 |
| Address: | 27001 US Hwy 19, Ste 1033B, Clearwater, FL, 33761, US |
| Mail Address: | 27001 US HWY 19 North, CLEARWATER, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861675654 | 2007-12-14 | 2018-05-01 | 27001 US HIGHWAY 19 N STE 1033B, CLEARWATER, FL, 337613407, US | 27001 US HIGHWAY 19 N STE 1033B, CLEARWATER, FL, 337613407, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 727-726-1962 |
| Fax | 7277261606 |
Authorized person
| Name | MR. MARK MULLER |
| Role | PRESIDENT |
| Phone | 7277261962 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| License Number | ME0083573 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA9101634 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MULLER MARK P | Agent | US Hwy 19 N, Clearwater, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| Muller Mark P | Owne | 27001 US Highway 19 North, Clearwater, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-24 | MULLER, MARK P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-24 | US Hwy 19 N, Ste 1033B, Clearwater, FL 33761 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-24 | 27001 US Hwy 19, Ste 1033B, Clearwater, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-24 | 27001 US Hwy 19, Ste 1033B, Clearwater, FL 33761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-13 | US Hwy 19 N, Ste 1033B, Clearwater, FL 33761 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-06 | 27001 US Hwy 19, Ste 1033B, Clearwater, FL 33761 | No data |
| REINSTATEMENT | 2020-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-05-15 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-02-02 |
| REINSTATEMENT | 2020-10-05 |
| ANNUAL REPORT | 2019-02-08 |
| REINSTATEMENT | 2018-10-17 |
| REINSTATEMENT | 2017-10-26 |
| ANNUAL REPORT | 2016-02-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
