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FANA MEDICAL GROUP - PORT RICHEY, L.L.C. - Florida Company Profile

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Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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 (13 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
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FANA MIGUEL Manager 5798 38TH AVENUE NORTH, ST. PETERSBURG, FL, 33710
GASSMAN ALAN S Agent 1245 COURT STREET, CLEARWATER, FL, 33756

National Provider Identifier

NPI Number:
1356689111

Authorized Person:

Name:
DR. MIGUEL A FANA JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7278477703

Events

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 -

Documents

Name Date
ANNUAL REPORT 2015-03-24
ANNUAL REPORT 2014-04-10
ANNUAL REPORT 2013-02-06
Florida Limited Liability 2012-11-13

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Date of last update: 02 Jul 2025

Sources: Florida Department of State