| Entity Name: | TREASURE COAST MEDICAL MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Nov 2010 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L10000116866 |
| FEI/EIN Number | 273949816 |
| Address: | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL, 34952, US |
| Mail Address: | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477844355 | 2011-04-26 | 2012-02-25 | 1700 SE HILLMOOR DR, SUITE 305, PORT ST LUCIE, FL, 349527539, US | 1700 SE HILLMOOR DR, SUITE 305, PORT ST LUCIE, FL, 349527539, US | |||||||||||||||||||||||||
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| Phone | +1 772-335-5001 |
| Fax | 8883808595 |
Authorized person
| Name | JEFF GREENBERG |
| Role | CEO |
| Phone | 7723490429 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME43949 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 069125900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GREENBERG JEFF | Agent | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| GREENBERG JEFF | Managing Member | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL, 34952 |
| GREENBERG MARK HMD | Managing Member | 2504 SE ANCHORAGE COVE APT F-1, PORT ST. LUCIE, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000065689 | MARK H. GREENBERG, MD | EXPIRED | 2013-06-28 | 2018-12-31 | No data | 1700 SE HILLMOOR DR SUITE 305, PORT ST. LUCIE, FL, 34952 |
| G12000001900 | TREASURE COAST MEDICAL MANAGEMENT, LLC | EXPIRED | 2012-01-05 | 2017-12-31 | No data | 1700 SE HILLMOOR DR, SUITE 305, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-25 | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-25 | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-25 | 2920 SE BAKERSFIELD ST, PORT ST. LUCIE, FL 34952 | No data |
| LC AMENDMENT | 2013-05-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-03 | GREENBERG, JEFF | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-01-03 | TREASURE COAST MEDICAL MANAGEMENT, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-01-04 |
| ANNUAL REPORT | 2014-01-05 |
| ANNUAL REPORT | 2013-01-09 |
| ANNUAL REPORT | 2012-01-03 |
| LC Amendment and Name Change | 2012-01-03 |
| ANNUAL REPORT | 2011-02-17 |
| Florida Limited Liability | 2010-11-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
