| Entity Name: | PATIENT CONNECT HEALTHCARE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 May 2011 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L11000059571 |
| FEI/EIN Number | 452379231 |
| Address: | 6350 CENTRAL AVE, SUITE A, ST. PETERSBURG, FL, 33707, US |
| Mail Address: | 6350 CENTRAL AVE, SUITE A, ST. PETERSBURG, FL, 33707, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104106525 | 2011-08-17 | 2012-05-24 | 6350 CENTRAL AVE, SUITE A, ST PETERSBURG, FL, 337071430, US | 6350 CENTRAL AVE, SUITE A, ST PETERSBURG, FL, 337071430, US | |||||||||||||||||
|
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| Phone | +1 727-490-6326 |
Authorized person
| Name | MRS. ANN L CONARD |
| Role | FINANCIAL OFFICER |
| Phone | 7274906326 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | LC9743 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONARD SCOTT W | Agent | 6350 CENTRAL AVE SUITE A, ST. PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| CONARD SCOTT W | Managing Member | 6350 CENTRAL AVE. SUITE A, ST. PETERSBURG, FL, 33707 |
| BRANNICK MARY E | Managing Member | 6350 CENTRAL AVE. SUITE A, ST. PETERSBURG, FL, 33707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-28 | 6350 CENTRAL AVE, SUITE A, ST. PETERSBURG, FL 33707 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-28 | 6350 CENTRAL AVE, SUITE A, ST. PETERSBURG, FL 33707 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-28 | CONARD, SCOTT W | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-28 | 6350 CENTRAL AVE SUITE A, ST. PETERSBURG, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-28 |
| Florida Limited Liability | 2011-05-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
