| Entity Name: | NUCCI MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 May 2009 (16 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 23 Aug 2011 (13 years ago) |
| Document Number: | L09000051743 |
| FEI/EIN Number | 27-0304030 |
| Address: | 6322 GUNN HIGHWAY, TAMPA, FL 33625 |
| Mail Address: | 6322 GUNN HIGHWAY, TAMPA, FL 33625 |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477781219 | 2009-07-01 | 2011-09-28 | 6322 GUNN HIGHWAY, TAMPA, FL, 33625, US | 6322 GUNN HIGHWAY, TAMPA, FL, 33625, US | |||||||||||||||||||||||||||
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| Phone | +1 813-864-3998 |
| Fax | 8138643971 |
Authorized person
| Name | DR. ROBERT C NUCCI |
| Role | MANAGER |
| Phone | 8138643998 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | OS7010 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| License Number | ME66521 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Simon, Shawn P, Esq. | Agent | 6322 GUNN HIGHWAY, TAMPA, FL 33625 |
| Name | Role | Address |
|---|---|---|
| NUCCI, ROBERT C | Manager | 6322 GUNN HIGHWAY, TAMPA, FL 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | Simon, Shawn P, Esq. | No data |
| LC AMENDMENT AND NAME CHANGE | 2011-08-23 | NUCCI MEDICAL CLINIC LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
