Entity Name: | TEAM PHYSICIANS OF FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 05 Feb 2013 (12 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | L13000017987 |
FEI/EIN Number | 46-1949744 |
Address: | 1501 S. MISSOURI AVE, CLEARWATER, FL 33756 |
Mail Address: | 1501 S. MISSOURI AVE, CLEARWATER, FL 33756 |
ZIP code: | 33756 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043551344 | 2013-03-12 | 2014-04-09 | 1501 S MISSOURI AVE, CLEARWATER, FL, 337562236, US | 1501 S MISSOURI AVE, CLEARWATER, FL, 337562236, US | |||||||||||||||||||||
|
Phone | +1 727-488-8044 |
Authorized person
Name | DR. BENOIT O CHOINIERE |
Role | MANAGING MEMBER |
Phone | 7274888044 |
Taxonomy
Taxonomy Code | 111NN0400X - Neurology Chiropractor |
License Number | CH10323 |
State | FL |
Is Primary | No |
Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CHOINIERE, BENOIT O | Agent | 1600 MISTY PLATEAU TRAIL, CLEARWATER, FL 33765 |
Name | Role | Address |
---|---|---|
CHOINIERE, BENOIT O | Managing Member | 1600 MISTY PLATEAU TRAIL, CLEARWATER, FL 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000003656 | TEAM PHYSICIANS OF CLEARWATER | EXPIRED | 2014-01-10 | 2019-12-31 | No data | 1501 S. MISSOURI AVE, CLEARWATER, FL, 33756 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
LC NAME CHANGE | 2014-02-14 | TEAM PHYSICIANS OF FLORIDA, LLC | No data |
REGISTERED AGENT NAME CHANGED | 2014-01-10 | CHOINIERE, BENOIT O | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2015-01-07 |
LC Name Change | 2014-02-14 |
ANNUAL REPORT | 2014-01-10 |
Florida Limited Liability | 2013-02-05 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State