| Entity Name: | VERIMED HEALTH GROUP GANDY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 May 2012 (13 years ago) |
| Date of dissolution: | 13 Jun 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2014 (11 years ago) |
| Document Number: | L12000070576 |
| FEI/EIN Number | 45-5354792 |
| Address: | 4543 S. MANHATTAN AVENUE, STE. 101, TAMPA, FL, 33611 |
| Mail Address: | 4543 S. MANHATTAN AVENUE, STE. 101, TAMPA, FL, 33611 |
| ZIP code: | 33611 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205170008 | 2012-11-16 | 2012-11-30 | 4543 S MANHATTAN AVE STE 101, TAMPA, FL, 336112330, US | 4543 S MANHATTAN AVE STE 101, TAMPA, FL, 336112330, US | |||||||||||||||
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| Phone | +1 813-837-0262 |
| Fax | 8138370919 |
Authorized person
| Name | GLADYMAR VELEZ |
| Role | ADMINISTRATOR |
| Phone | 8138370262 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUNSFORD TINA | Agent | 201 N. FRANKLIN STREET, STE. 2200, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| Revello Martin | Manager | 4543 S. Manhattan Ave. Suite 101, Tampa, FL, 33611 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| VOLUNTARY DISSOLUTION | 2014-06-13 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-06-13 |
| ANNUAL REPORT | 2013-04-24 |
| Florida Limited Liability | 2012-05-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
