| Entity Name: | MPN MEDICAL CENTER CARROLLWOOD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Apr 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000068659 |
| Mail Address: | 2607 WINDGUARD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 33544 |
| Address: | 7001 N DALE MABRY, SUITE A, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164833984 | 2014-05-14 | 2014-05-14 | 2607 WINDGUARD CIR STE 101, WESLEY CHAPEL, FL, 335447352, US | 7001 N DALE MABRY HWY, SUITE A, TAMPA, FL, 336143910, US | |||||||||||||||||||
|
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| Phone | +1 813-388-2945 |
| Fax | 8133330606 |
| Phone | +1 813-932-2848 |
| Fax | 8139327551 |
Authorized person
| Name | MR. HERBERT B MINOR |
| Role | CEO |
| Phone | 8133882945 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MINOR HERBERT B | Agent | 2607 WINDGUARD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| MINOR HERBERT B | Chief Executive Officer | 2607 WINDGUARD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2014-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
