| Entity Name: | FANA MEDICAL GROUP - PORT RICHEY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FANA MEDICAL GROUP - PORT RICHEY, L.L.C. 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: | 13 Nov 2012 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | L12000143244 |
| FEI/EIN Number |
61-1701767
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 9183 Waterash Lane N, Pinellas Park, FL, 33782, US |
| Address: | 5798 38TH AVENUE NORTH, ST. PETERSBURG, FL, 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356689111 | 2013-01-29 | 2013-01-29 | 5537 GULF DR, NEW PORT RICHEY, FL, 346524021, US | 7505 ROTTINGHAM RD, PORT RICHEY, FL, 346682648, US | |||||||||||||||||||
|
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| Phone | +1 727-849-2600 |
| Fax | 7278477703 |
Authorized person
| Name | DR. MIGUEL A FANA JR. |
| Role | PRESIDENT |
| Phone | 8133827898 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME80639 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FANA MIGUEL | Manager | 5798 38TH AVENUE NORTH, ST. PETERSBURG, FL, 33710 |
| GASSMAN ALAN S | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-03-24 | 5798 38TH AVENUE NORTH, ST. PETERSBURG, FL 33710 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-02-06 |
| Florida Limited Liability | 2012-11-13 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
