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MEDALLION HEALTH CARE SERVICES, LLC

Company Details

Entity Name: MEDALLION HEALTH CARE SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Oct 2009 (15 years ago)
Document Number: L09000102439
FEI/EIN Number 90-0524148
Address: 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114
Mail Address: 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780849745 2008-07-18 2008-07-18 815 KOTTLE CIR S, DAYTONA BEACH, FL, 321144719, US 308 S. MARTIN LUTHER KING BLVD., STE. 113, DAYTONA BEACH, FL, 32114, US

Contacts

Phone +1 386-405-4155

Authorized person

Name MS. KEONA LATOSHA SLATER
Role OWNER
Phone 3864054155

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
BARNWELL, SEAN Agent 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114

Managing Member

Name Role Address
BARNWELL, SEAN Managing Member 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114
BARNWELL, KEONA Managing Member 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-05-29 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114 No data
CHANGE OF PRINCIPAL ADDRESS 2011-08-29 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114 No data
CHANGE OF MAILING ADDRESS 2011-08-29 847 ORANGE AVE., STE. B, DAYTONA BEACH, FL 32114 No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-03-31

Date of last update: 25 Jan 2025

Sources: Florida Department of State