Entity Name: | MUTUAL FAMILY HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 06 May 2013 (12 years ago) |
Date of dissolution: | 20 Feb 2020 (5 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 20 Feb 2020 (5 years ago) |
Document Number: | L13000066176 |
FEI/EIN Number | APPLIED FOR |
Address: | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625, US |
Mail Address: | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625, US |
ZIP code: | 33625 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417460668 | 2017-11-09 | 2017-11-09 | PO BOX 1784, BENTONVILLE, AR, 72712, US | 8865 COMMODITY CIR, ORLANDO, FL, 32819, US | |||||||||||||||||||
|
Phone | +1 479-636-9702 |
Fax | 8774272307 |
Authorized person
Name | MACKENZIE HAHN |
Role | NCPDP COORDINATOR |
Phone | 4796369702 |
Taxonomy
Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
License Number | 9235999 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FIGUEROA YEZABELL M | Agent | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625 |
Name | Role | Address |
---|---|---|
FIGUEROA YEZABELL M | Managing Member | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625 |
Name | Role | Address |
---|---|---|
FIGUEROA BRENDA L | Authorized Member | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000088646 | MUTUAL FAMILY HEALTH MULTISPECIALTY CLINIC | EXPIRED | 2016-08-18 | 2021-12-31 | No data | 6702 W. LINEBAUGH AVE, TAMPA, FL, 33625 |
G15000004341 | MUTUAL FAMILY HEALTH CLINIC | EXPIRED | 2015-01-12 | 2020-12-31 | No data | 6702 W. LINEBAUGH AVE, TAMPA, FL, 33625 |
G15000004342 | MUTUAL FAMILY HEALTH | EXPIRED | 2015-01-12 | 2020-12-31 | No data | 6702 W LINEBAUGH AVE, TAMPA, FL, 33625 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2020-02-20 | No data | No data |
LC AMENDMENT | 2018-05-29 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-12-22 | FIGUEROA, YEZABELL M. | No data |
LC AMENDMENT | 2016-12-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-02-12 | 6702 W LINEBAUGH AVE, TAMPA, FL 33625 | No data |
CHANGE OF MAILING ADDRESS | 2015-02-12 | 6702 W LINEBAUGH AVE, TAMPA, FL 33625 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-02-12 | 6702 W LINEBAUGH AVE, TAMPA, FL 33625 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2020-02-20 |
ANNUAL REPORT | 2019-04-30 |
LC Amendment | 2018-05-29 |
AMENDED ANNUAL REPORT | 2018-04-20 |
ANNUAL REPORT | 2018-03-08 |
ANNUAL REPORT | 2017-04-28 |
LC Amendment | 2016-12-22 |
ANNUAL REPORT | 2016-04-13 |
ANNUAL REPORT | 2015-02-12 |
ANNUAL REPORT | 2014-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State