Entity Name: | BLOCK MEDICAL CONSULTING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 09 Jun 2008 (17 years ago) |
Date of dissolution: | 20 Feb 2012 (13 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 20 Feb 2012 (13 years ago) |
Document Number: | L08000056954 |
FEI/EIN Number | 262942359 |
Address: | 13906 NW 15TH LANE, GAINESVILLE, FL, 32606 |
Mail Address: | 13906 NW 15TH LANE, GAINESVILLE, FL, 32606 |
ZIP code: | 32606 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659501575 | 2009-07-27 | 2009-08-03 | 3511 WEDGEWOOD LN, PO BOX 107, THE VILLAGES, FL, 321627187, US | 11834 COUNTY ROAD 101, THE VILLAGES, FL, 321629340, US | |||||||||||||||||||
|
Phone | +1 352-528-2801 |
Fax | 3525283824 |
Authorized person
Name | DR. DALE J BLOCK |
Role | OWNER |
Phone | 3525282801 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME81500 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BLOCK DALE J | Agent | 13906 NW 15TH LANE, GAINESVILLE, FL, 32606 |
Name | Role | Address |
---|---|---|
BLOCK DALE J | Managing Member | 13906 NW 15TH LANE, GAINESVILLE, FL, 32606 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G09000131761 | THE CENTER FOR HEALTH CHANGE | EXPIRED | 2009-07-06 | 2014-12-31 | No data | 13906 NW 15TH LANE, GAINESVILLE, FL, 32606 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2012-02-20 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-03-06 | 13906 NW 15TH LANE, GAINESVILLE, FL 32606 | No data |
CHANGE OF MAILING ADDRESS | 2011-03-06 | 13906 NW 15TH LANE, GAINESVILLE, FL 32606 | No data |
REGISTERED AGENT NAME CHANGED | 2010-01-11 | BLOCK, DALE JMD | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2012-02-20 |
ANNUAL REPORT | 2011-03-06 |
ANNUAL REPORT | 2010-01-11 |
ANNUAL REPORT | 2009-02-28 |
Florida Limited Liability | 2008-06-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State