| Entity Name: | FOCUS-FL 1012, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Apr 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L14000068695 |
| FEI/EIN Number | 46-5535442 |
| Address: | 1501 SOUTH DALE MABRY HWY STE A-6, TAMPA, FL, 33629 |
| Mail Address: | 1501 SOUTH DALE MABRY HWY STE A-6, TAMPA, FL, 33629 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720494024 | 2014-07-08 | 2014-07-08 | 510 LORNA SQ, HOOVER, AL, 352165480, US | 1501 S DALE MABRY HWY STE A6, TAMPA, FL, 336295837, US | |||||||||||||||
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| Phone | +1 877-225-3542 |
| Fax | 8776389903 |
Authorized person
| Name | REGINA A HARDIN |
| Role | MD |
| Phone | 8882253542 |
Taxonomy
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARDIN REGINA AMD | Agent | 1501 SOUTH DALE MABRY HWY STE A-6, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| HARDIN REGINA AMD | Manager | 1501 SOUTH DALE MABRY HWY STE A-6, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 1501 SOUTH DALE MABRY HWY STE A-6, TAMPA, FL 33629 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-27 |
| Florida Limited Liability | 2014-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
