| Entity Name: | TULLY C. PATROWICZ MD, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Feb 2009 (16 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L09000019354 |
| FEI/EIN Number | 264400419 |
| Address: | 405 SASSAFRAS LANE, MOUNT DORA, FL, 32757, US |
| Mail Address: | 405 SASSAFRAS LANE, MOUNT DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710128459 | 2009-03-10 | 2013-03-18 | 8900 SE 165TH MULBERRY LN, THE VILLAGES, FL, 321625884, US | 8900 SE 165TH MULBERRY LN, THE VILLAGES, FL, 321625884, US | |||||||||||||||||||
|
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| Phone | +1 352-357-3851 |
| Phone | +1 352-674-5000 |
Authorized person
| Name | DR. TULLY COLCORD PATROWICZ |
| Role | SOLE PROPRIETOR - OPHTHALMOLOGIST |
| Phone | 3523573851 |
Taxonomy
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| License Number | ME14662 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATROWICZ TULLY C | Agent | 405 SASSAFRAS LANE, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| PATROWICZ TULLY C | Managing Member | 405 SASSAFRAS LANE, MOUNT DORA, FL, 32757 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-13 | 405 SASSAFRAS LANE, MOUNT DORA, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-13 | 405 SASSAFRAS LANE, MOUNT DORA, FL 32757 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-13 | 405 SASSAFRAS LANE, MOUNT DORA, FL 32757 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-03 | PATROWICZ, TULLY C | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-02-05 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-02-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
