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MUTUAL FAMILY HEALTH, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
FIGUEROA YEZABELL M Agent 6702 W LINEBAUGH AVE, TAMPA, FL, 33625

Managing Member

Name Role Address
FIGUEROA YEZABELL M Managing Member 6702 W LINEBAUGH AVE, TAMPA, FL, 33625

Authorized Member

Name Role Address
FIGUEROA BRENDA L Authorized Member 6702 W LINEBAUGH AVE, TAMPA, FL, 33625

Fictitious Names

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

Events

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

Documents

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