| Entity Name: | CEDARS MEDICAL GROUP, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Mar 2010 (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: | L10000033932 |
| FEI/EIN Number | 364668229 |
| 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 |
|---|---|---|
| AEBEL ERIN S | Agent | 101 E. KENNEDY BLVD., TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| PADGETT SHAUN | Manager | 11621 SHELDON RD., TAMPA, FL, 33626 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000058363 | BAY SCRIPTS PHARMACY | EXPIRED | 2010-06-24 | 2015-12-31 | No data | 190 112TH AVE N APT 1410, ST PEETRSBURG, FL, 33716 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-15 | 11621 SHELDON RD., TAMPA, FL 33626 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-08-15 | AEBEL, ERIN S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-15 | 101 E. KENNEDY BLVD., SUITE 2800, TAMPA, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2010-11-09 | 11621 SHELDON RD., TAMPA, FL 33626 | No data |
| 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 Feb 2025
Sources: Florida Department of State
