| Entity Name: | CEDARS MEDICAL GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CEDARS MEDICAL GROUP, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Mar 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (12 years ago) |
| Document Number: | L10000033932 |
| FEI/EIN Number |
364668229
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11621 SHELDON RD., TAMPA, FL, 33626 |
| Mail Address: | 11621 SHELDON RD., TAMPA, FL, 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942517339 | 2010-09-07 | 2012-04-02 | 11621 SHELDON RD, TAMPA, FL, 336264306, US | 11621 SHELDON RD, TAMPA, FL, 336264306, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-802-7778 |
| Phone | +1 813-475-5906 |
| Fax | 8134755907 |
Authorized person
| Name | EILEEN DEBIEN |
| Role | MANAGER |
| Phone | 8134755906 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 24821 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5701568 |
| Name | Role | Address |
|---|---|---|
| PADGETT SHAUN | Manager | 11621 SHELDON RD., TAMPA, FL, 33626 |
| AEBEL ERIN S | Agent | 101 E. KENNEDY BLVD., TAMPA, FL, 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000058363 | BAY SCRIPTS PHARMACY | EXPIRED | 2010-06-24 | 2015-12-31 | - | 190 112TH AVE N APT 1410, ST PEETRSBURG, FL, 33716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-15 | 11621 SHELDON RD., TAMPA, FL 33626 | - |
| REGISTERED AGENT NAME CHANGED | 2011-08-15 | AEBEL, ERIN S | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-15 | 101 E. KENNEDY BLVD., SUITE 2800, TAMPA, FL 33602 | - |
| CHANGE OF MAILING ADDRESS | 2010-11-09 | 11621 SHELDON RD., TAMPA, FL 33626 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001035909 | LAPSED | 1000000405027 | HILLSBOROU | 2012-12-13 | 2022-12-19 | $ 402.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J12000860018 | LAPSED | 1000000291586 | PINELLAS | 2012-11-19 | 2022-11-28 | $ 750.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-12-15 |
| ANNUAL REPORT | 2011-10-26 |
| ANNUAL REPORT | 2011-08-15 |
| ADDRESS CHANGE | 2010-11-09 |
| Florida Limited Liability | 2010-03-26 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
