| Entity Name: | GOODWILLUS MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Oct 2007 (17 years ago) |
| Date of dissolution: | 13 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Apr 2015 (10 years ago) |
| Document Number: | L07000109414 |
| FEI/EIN Number | 611543636 |
| Address: | 7037 STATE RD 52, HUDSON, FL, 34667 |
| Mail Address: | 7037 STATE RD 52, HUDSON, FL, 34667 |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922318948 | 2010-10-08 | 2011-10-28 | 7037 STATE ROAD 52, HUDSON, FL, 346676706, US | 7037 STATE ROAD 52, HUDSON, FL, 346676706, US | |||||||||||||||||||
|
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| Phone | +1 727-862-3600 |
| Fax | 7278628899 |
Authorized person
| Name | MRS. ADETOLA ADEYANJU-ISHOLA |
| Role | PRESIDENT/CEO |
| Phone | 7278623600 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME56548 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADEYANJU-ISHOLA ADETOLA O | Agent | 10109 VISTA POINTE DR, TAMPA, FL, 33635 |
| Name | Role | Address |
|---|---|---|
| ADEYANJU-ISHOLA ADETOLA O | Manager | 10109 VISTA POINTE DR, TAMPA, FL, 33635 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-22 | ADEYANJU-ISHOLA, ADETOLA O | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-14 | 7037 STATE RD 52, HUDSON, FL 34667 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-14 | 7037 STATE RD 52, HUDSON, FL 34667 | No data |
| REINSTATEMENT | 2008-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001649376 | TERMINATED | 1000000546624 | PASCO | 2013-10-16 | 2023-11-07 | $ 369.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-13 |
| ANNUAL REPORT | 2014-04-20 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-03-08 |
| ANNUAL REPORT | 2011-02-14 |
| ANNUAL REPORT | 2010-02-21 |
| ANNUAL REPORT | 2009-02-07 |
| REINSTATEMENT | 2008-10-31 |
| Florida Limited Liability | 2007-10-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
