| Entity Name: | L.P. SLACK MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Jun 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: | L11000065900 |
| FEI/EIN Number | 452463006 |
| Address: | 6037 Fall River Drive, New Port Richey, FL, 34655, US |
| Mail Address: | 6037 Fall River Drive, New Port Richey, FL, 34655, US |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437444304 | 2011-06-18 | 2011-06-18 | 260 KILLARNEY BAY CT, WINTER PARK, FL, 327892907, US | 260 KILLARNEY BAY CT, WINTER PARK, FL, 327892907, US | |||||||||||||||||
|
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| Phone | +1 305-778-7857 |
Authorized person
| Name | LAURA SLACK |
| Role | OWNER/PRESIDENT |
| Phone | 3057787857 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME105733 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SLACK LAURA P | Agent | 6037 Fall River Drive, New Port Richey, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| SLACK LAURA P | Managing Member | 6037 Fall River Drive, New Port Richey, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-28 | 6037 Fall River Drive, New Port Richey, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-28 | 6037 Fall River Drive, New Port Richey, FL 34655 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-28 | 6037 Fall River Drive, New Port Richey, FL 34655 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-28 |
| ANNUAL REPORT | 2012-03-06 |
| Florida Limited Liability | 2011-06-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
