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PHARMCLINIC TWO, LLC

Company Details

Entity Name: PHARMCLINIC TWO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 15 Nov 2012 (12 years ago)
Date of dissolution: 05 Jun 2017 (8 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 05 Jun 2017 (8 years ago)
Document Number: L12000144508
FEI/EIN Number 46-1396037
Address: 1116 N. FERDON BLVD., CRESTVIEW, FL 32536
Mail Address: 1116 N. FERDON BLVD., CRESTVIEW, FL 32536
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245576685 2012-12-12 2012-12-12 1116 N FERDON BLVD, CRESTVIEW, FL, 325361710, US 1135 PROFESSIONAL PARK DR, BRANDON, FL, 335114887, US

Contacts

Phone +1 850-683-1111
Fax 8506831753
Phone +1 813-689-9911
Fax 8136531177

Authorized person

Name MR. BRYAN HENDERSON
Role OWNER/MANAGER
Phone 8502938459

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
DENSMAN, HAL Agent 1224 CUDDLE DOON AVENUE, MILTON, FL 32571

Managing Member

Name Role Address
DENSMAN, HAL Managing Member 1224 CUDDLE DOON AVENUE, MILTON, FL 32583
HENDERSON, BRYAN Managing Member 3084 WHITLEY OAKS LANE, PACE, FL 32571
SPREIER, MITCHELL P Managing Member 1472 THE CROSSINGS, NICEVILLE, FL 32578

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000113322 WELLNESS & WEIGHTLOSS OF TAMPA EXPIRED 2012-11-27 2017-12-31 No data 1116 N. FERDON BLVD., CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2017-06-05 No data No data

Documents

Name Date
LC Voluntary Dissolution 2017-06-05
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-01-15
ANNUAL REPORT 2013-01-30
Florida Limited Liability 2012-11-15

Date of last update: 23 Jan 2025

Sources: Florida Department of State