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MLMG OF FLA, LLC

Company Details

Entity Name: MLMG OF FLA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 09 Oct 2013 (11 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: L13000142887
Address: 16578 N DALE MABRY HWY, TAMPA, FL 33618
Mail Address: 101 RICE BENT WAY, 12, COLUMBIA, SC 29229
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649607508 2013-10-08 2013-10-08 16578 N DALE MABRY HWY, TAMPA, FL, 336181325, US 16578 N DALE MABRY HWY, TAMPA, FL, 336181325, US

Contacts

Phone +1 843-812-5988
Fax 8779031383

Authorized person

Name DWAYNE POPE
Role MANAGING PARTNER
Phone 8438125988

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role Address
COLEMAN, LUCIOUS, JR Agent 16578 N DALE MABRY, TAMPA, FL 33618

Managing Member

Name Role Address
POPE, DWAYNE Managing Member 101 RICE BENT WAY #12, COLUMBIA, SC 29229

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Documents

Name Date
Florida Limited Liability 2013-10-09

Date of last update: 22 Jan 2025

Sources: Florida Department of State