| Entity Name: | MEDICAL CLINIC PCB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L10000050817 |
| FEI/EIN Number | 272599577 |
| Address: | 8317 FRONT BEACH ROAD, 37B, PANAMA CITY BEACH, FL, 32407 |
| Mail Address: | 8317 FRONT BEACH ROAD, 37B, PANAMA CITY BEACH, FL, 32407 |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700180130 | 2010-12-28 | 2010-12-28 | 8317 FRONT BEACH RD STE 37B, PANAMA CITY BEACH, FL, 324074896, US | 8317 FRONT BEACH RD STE 37B, PANAMA CITY BEACH, FL, 324074896, US | |||||||||||||||||||
|
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| Phone | +1 850-249-1002 |
| Fax | 8507692366 |
Authorized person
| Name | DR. ROBERT B SPERRAZZA |
| Role | DOCTOR/OWNER |
| Phone | 8502491002 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME94438 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SPERRAZZA ROBERT B | Agent | 211 TIERRA VERDE LANE, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| SPERRAZZA ROBERT B | Managing Member | 8317 FRONT BEACH ROAD STE. 37B, PANAMA CITY BEACH, FL, 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-09 | 8317 FRONT BEACH ROAD, 37B, PANAMA CITY BEACH, FL 32407 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-09 | 8317 FRONT BEACH ROAD, 37B, PANAMA CITY BEACH, FL 32407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-01-09 |
| Florida Limited Liability | 2010-05-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
