| Entity Name: | CLEARWATER MEDICAL AND CONSULTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jan 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Oct 2020 (4 years ago) |
| Document Number: | L10000009389 |
| FEI/EIN Number | 271763237 |
| Address: | 2901 West Busch Blvd, Tampa, FL, 33618, US |
| Mail Address: | P O BOX 272849, TAMPA, FL, 33688, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154767135 | 2013-05-16 | 2014-03-26 | PO BOX 272849, TAMPA, FL, 336882849, US | 6166 SEMINOLE BLVD, SEMINOLE, FL, 337726835, US | |||||||||||||||||||||||
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| Phone | +1 813-335-9669 |
| Fax | 8137934690 |
| Phone | +1 727-495-7246 |
| Fax | 7274957247 |
Authorized person
| Name | DR. DOUGLAS PHILIP CLEARWATER |
| Role | PRESIDENT |
| Phone | 8133359669 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8998 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLEARWATER DOUGLAS | Agent | 2901 W Busch Blvd, Tampa, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| CLEARWATER DOUGLAS | Manager | P O BOX 272849, TAMPA, FL, 33688 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000045960 | INJURY HEALTH CENTER | EXPIRED | 2013-05-14 | 2018-12-31 | No data | 14005-A NORTH DALE MABRY HIGWAY, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-21 | 2901 W Busch Blvd, suite 807, 807, Tampa, FL 33618 | No data |
| REINSTATEMENT | 2019-10-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-21 | 2901 West Busch Blvd, 807, Tampa, FL 33618 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2017-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-27 | CLEARWATER, DOUGLAS | No data |
| REINSTATEMENT | 2016-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-04-23 |
| REINSTATEMENT | 2020-10-09 |
| REINSTATEMENT | 2019-10-21 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-09-28 |
| REINSTATEMENT | 2016-09-27 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5956948902 | 2021-05-01 | 0455 | PPS | 3704 Monarch Dr, Tampa, FL, 33618-4612 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5733867310 | 2020-04-30 | 0455 | PPP | 2901 W BUSCH BLVD Suite 807, TAMPA, FL, 33618-4571 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
