| Entity Name: | MEDI MELBOURNE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Mar 2008 (17 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L08000026151 |
| FEI/EIN Number | 26-2170455 |
| Mail Address: | 412 E. MADISON STREET, SUITE 1100, TAMPA, FL 33602 |
| Address: | 7630 NORTH WICKHAM ROAD, SUITE 104, MELBOURNE, FL 32940 |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629520606 | 2016-10-26 | 2016-10-26 | 7630 N WICKHAM RD STE 104, MELBOURNE, FL, 329408257, US | 7630 N WICKHAM RD STE 104, MELBOURNE, FL, 329408257, US | |||||||||||||||
|
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| Phone | +1 321-610-7982 |
| Fax | 3216107984 |
Authorized person
| Name | TOM WILLETT |
| Role | OWNER |
| Phone | 3216107982 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLETT, THOMAS K | Agent | 412 E. MADISON STREET, SUITE 1100, TAMPA, FL 33602 |
| Name | Role | Address |
|---|---|---|
| WILLETT, THOMAS K | Manager | 412 E. MADISON STREET, SUITE 1100, TAMPA, FL 33602 |
| MADDIX, SHARIFA K | Manager | 7630 NORTH WICKHAM ROAD, SUITE 104, MELBOURNE, FL 32940 |
| Name | Role | Address |
|---|---|---|
| WEIGHTLOSS HOLDINGS, LLC | Managing Member | 412 E. MADISON STREET, SUITE 1100, TAMPA, FL 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08143900375 | MEDI WEIGHTLOSS CLINIC MELBOURNE | EXPIRED | 2008-05-22 | 2013-12-31 | No data | 412 E. MADISON STREET, SUITE 1100, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| LC AMENDMENT | 2009-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-05 | 7630 NORTH WICKHAM ROAD, SUITE 104, MELBOURNE, FL 32940 | No data |
| LC AMENDMENT | 2008-06-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-02-10 |
| ANNUAL REPORT | 2010-03-19 |
| LC Amendment | 2009-09-23 |
| ANNUAL REPORT | 2009-03-05 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
