| Entity Name: | CHULUOTA CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Aug 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000103645 |
| FEI/EIN Number | 46-0765557 |
| Address: | 107 W 8TH ST., CHULUOTA, FL, 32766 |
| Mail Address: | 2455 CURRYVILLE RD, CHULUOTA, FL, 32766 |
| ZIP code: | 32766 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508119637 | 2012-10-26 | 2012-10-26 | 107 8TH ST W, CHULUOTA, FL, 327668924, US | 107 8TH ST W, CHULUOTA, FL, 327668924, US | |||||||||||||||||
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| Phone | +1 407-542-7961 |
Authorized person
| Name | MICHAEL GEORGE PRUNER |
| Role | OWNER |
| Phone | 4075427961 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 182428 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRUNER KIRBY M | Agent | 2455 CURRYVILLE RD, CHULUOTA, FL, 32766 |
| Name | Role | Address |
|---|---|---|
| PRUNER PAMELA K | Managing Member | 2455 CURRYVILLE RD, CHULUOTA, FL, 32766 |
| PRUNER KIRBY M | Managing Member | 146 ALDERWOOD ST, WINTER SPRINGS, FL, 32708 |
| SANCHEZ COURTNEY P | Managing Member | 790 MARGIE DR, TITUSVILLE, FL, 32766 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-22 |
| CORLCMMRES | 2013-02-04 |
| ANNUAL REPORT | 2013-01-25 |
| Florida Limited Liability | 2012-08-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
