| Entity Name: | SUNCOAST SENIOR CARE CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Apr 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L08000042930 |
| FEI/EIN Number | 262611022 |
| Address: | 1935 Manatee Ave West, BRADENTON, FL, 34205, US |
| Mail Address: | 1935 Manatee Ave West, BRADENTON, FL, 34205, US |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598059156 | 2011-06-01 | 2013-04-08 | 5304 MANATEE AVE W, BRADENTON, FL, 342093743, US | 5304 MANATEE AVE W, BRADENTON, FL, 342093743, US | |||||||||||||||||||||||||
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| Phone | +1 941-747-7620 |
| Fax | 9417477148 |
Authorized person
| Name | DR. MELISSA KIPP CLARK |
| Role | OWNER |
| Phone | 9417477620 |
Taxonomy
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| License Number | AY898 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003967300 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| CLARK MELISSA KDr. | Managing Member | 1935 Manatee Ave West, BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-28 | 1935 Manatee Ave West, BRADENTON, FL 34205 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-16 | 1935 Manatee Ave West, BRADENTON, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-03 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-09 |
| ANNUAL REPORT | 2012-02-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
