Entity Name: | MUA OF CHARLOTTE COUNTY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 30 Aug 2009 (15 years ago) |
Date of dissolution: | 27 Sep 2013 (11 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2013 (11 years ago) |
Document Number: | L09000083374 |
FEI/EIN Number | 27-0852784 |
Address: | 2905 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
Mail Address: | 2905 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
ZIP code: | 33950 |
County: | Charlotte |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821324211 | 2009-10-20 | 2009-11-03 | PO BOX 864602, ORLANDO, FL, 328864602, US | 1400 EDUCATION WAY, PT CHARLOTTE, FL, 339481000, US | |||||||||||||||||||||
|
Phone | +1 941-625-9800 |
Authorized person
Name | KEVIN M. VAN NOSTRAND |
Role | AUTHORIZED OFFICIAL |
Phone | 9416259800 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | No |
Taxonomy Code | 208VP0000X - Pain Medicine Physician |
Is Primary | No |
Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
VAN NOSTRAND, KEVIN MBS DC | Agent | 2905 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
Name | Role | Address |
---|---|---|
VAN NOSTRAND, KEVIN BS DC | Managing Member | 2905 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2010-04-21 | VAN NOSTRAND, KEVIN MBS DC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2012-02-22 |
ANNUAL REPORT | 2011-02-21 |
ANNUAL REPORT | 2010-04-21 |
Florida Limited Liability | 2009-08-30 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State