| Entity Name: | MESA MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MESA MEDICAL, LLC 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 Feb 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L13000023206 |
| FEI/EIN Number |
300764591
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1860 FOREST HILL BOULEVARD, SUITE 102, WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 1860 FOREST HILL BOULEVARD, SUITE 1021, WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477967511 | 2014-06-17 | 2014-06-17 | 1870 FOREST HILL BLVD, STE 101, WEST PALM BEACH, FL, 334066057, US | 1870 FOREST HILL BLVD, WEST PALM BEACH, FL, 334066057, US | |||||||||||||||||||||||||
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| Phone | +1 561-766-2373 |
| Fax | 5617662615 |
Authorized person
| Name | DR. ANGEL R MESA |
| Role | DOCTOR |
| Phone | 5617662373 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME99661 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 279227300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MESA UENDI | Managing Member | 1860 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33406 |
| MESA UENDI E | Agent | 1860 FOREST HILL BOULEVARD, WEST PALM BEACH, FL, 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000106216 | ANGEL R MESA, MD | EXPIRED | 2018-09-27 | 2023-12-31 | - | 1860 FOREST HILL BLVD SUITE, 102, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-18 | MESA, UENDI ELISABEL | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-03 | 1860 FOREST HILL BOULEVARD, SUITE 102, WEST PALM BEACH, FL 33406 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-27 | 1860 FOREST HILL BOULEVARD, SUITE 102, WEST PALM BEACH, FL 33406 | - |
| CHANGE OF MAILING ADDRESS | 2015-03-27 | 1860 FOREST HILL BOULEVARD, SUITE 102, WEST PALM BEACH, FL 33406 | - |
| REINSTATEMENT | 2014-10-31 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| LC AMENDMENT | 2013-04-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-27 |
| REINSTATEMENT | 2014-10-31 |
| LC Amendment | 2013-04-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3866858406 | 2021-02-05 | 0455 | PPS | 1860 Forest Hill Blvd Ste 102, West Palm Beach, FL, 33406-6086 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8820917205 | 2020-04-28 | 0455 | PPP | 1860 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL, 33406-6086 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
