| Entity Name: | MPM CARDIOLOGY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MPM CARDIOLOGY SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Dec 2011 (13 years ago) |
| Date of dissolution: | 28 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Dec 2017 (7 years ago) |
| Document Number: | L11000135832 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 300 S. PARK PLACE BLVD., SUITE 180, CLEARWATER, FL, 33759, US |
| Mail Address: | 300 S. PARK PLACE BLVD., SUITE 180, CLEARWATER, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114295698 | 2011-12-12 | 2015-06-16 | PO BOX 9200, PALM HARBOR, FL, 346829200, US | 300 PARK PLACE BLVD, SUITE 170, CLEARWATER, FL, 337594932, US | |||||||||||||||||||||||||
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| Phone | +1 727-789-3179 |
| Fax | 7277811315 |
| Phone | +1 727-532-0002 |
| Fax | 7272664928 |
Authorized person
| Name | MR. GLENN D. WATERS |
| Role | PRESIDENT |
| Phone | 7275321355 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008209100 |
| State | FL |
| Name | Role |
|---|---|
| MORTON PLANT MEASE HEALTH SERVICES, INC. | Authorized Member |
| BAYCARE HEALTH SYSTEM, INC. | Agent |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-12-28 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-03-02 | BAYCARE HEALTH SYSTEM, INC. | - |
| CHANGE OF MAILING ADDRESS | 2015-04-23 | 300 S. PARK PLACE BLVD., SUITE 180, CLEARWATER, FL 33759 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-23 | 300 S. PARK PLACE BLVD., SUITE 180, CLEARWATER, FL 33759 | - |
| LC AMENDMENT | 2014-12-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-21 | ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 | - |
| LC AMENDMENT AND NAME CHANGE | 2012-12-04 | MPM CARDIOLOGY SERVICES, LLC | - |
| LC NAME CHANGE | 2011-12-23 | MPMS MEDICAL SERVICES, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-23 |
| LC Amendment | 2014-12-24 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-29 |
| LC Amendment and Name Change | 2012-12-04 |
| ANNUAL REPORT | 2012-03-12 |
| LC Name Change | 2011-12-23 |
| Florida Limited Liability | 2011-12-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
