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66101 SUNSET STRIP, LLC

Company Details

Entity Name: 66101 SUNSET STRIP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 18 Oct 2010 (14 years ago)
Date of dissolution: 21 Aug 2012 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 21 Aug 2012 (12 years ago)
Document Number: L10000108498
Address: 40 SE 5TH STREET, 406, BOCA RATON, FL 33432
Mail Address: 40 SE 5TH STREET, 406, BOCA RATON, FL 33432
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235433749 2010-12-28 2010-12-28 40 SE 5TH ST STE 406, BOCA RATON, FL, 334326003, US 40 SOUTH EAST 5TH STREET, SUITE 406, BOCA RATON, FL, 33432, US

Contacts

Phone +1 561-368-7118
Fax 5613687116

Authorized person

Name DR. THOMAS MEDNOLIA
Role VP
Phone 3365752833

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 22512
State NJ
Is Primary Yes

Agent

Name Role Address
VIA, CAROLYN Agent 40 SE 5TH STREET, 406, BOCA RATON, FL 33432

President

Name Role Address
VIA, CAROLYN President 40 SE 5TH STREET SUITE 406, BOCA RATON, FL 33432

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2012-08-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2012-08-21
CORLCMMRES 2011-09-26
Florida Limited Liability 2010-10-18

Date of last update: 24 Jan 2025

Sources: Florida Department of State