| Entity Name: | SCENIC PRIMARY CARE MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Jan 2014 (11 years ago) |
| Date of dissolution: | 16 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jan 2018 (7 years ago) |
| Document Number: | L14000010240 |
| FEI/EIN Number | 46-4578912 |
| Address: | 8105 SCENIC HIGHWAY, PENSACOLA, FL, 32514, US |
| Mail Address: | 4811 ROSEMONT CT, PENSACOLA, FL, 32514 |
| ZIP code: | 32514 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326461609 | 2014-01-22 | 2014-05-08 | 8105 SCENIC HWY, PENSACOLA, FL, 325147806, US | 8105 SCENIC HWY, PENSACOLA, FL, 325147806, US | |||||||||||||||||
|
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| Phone | +1 850-857-7763 |
Authorized person
| Name | DR. MUNIRA MIAN |
| Role | PHYSICIAN |
| Phone | 8508577763 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME61977 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIAN TARIQ | Agent | 4811 ROSEMONT CT, PENSACOLA, FL, 32514 |
| Name | Role | Address |
|---|---|---|
| MIAN TARIQ | Manager | 8105 SCENIC HIGHWAY, ESCAMBIA, FL, 32514 |
| MIAN MUNIRA | Manager | 8105 SCENIC HIGHWAY, ESCAMBIA, FL, 32514 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-16 | No data | No data |
| LC STMNT OF RA/RO CHG | 2014-07-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-24 | 8105 SCENIC HIGHWAY, PENSACOLA, FL 32514 | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-24 | 8105 SCENIC HIGHWAY, PENSACOLA, FL 32514 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-24 | MIAN, TARIQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-07-24 | 4811 ROSEMONT CT, PENSACOLA, FL 32514 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-25 |
| CORLCRACHG | 2014-07-24 |
| Florida Limited Liability | 2014-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
