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THE GOOD SHEPHERD MEDICAL CENTER LLC

Company Details

Entity Name: THE GOOD SHEPHERD MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 03 Jul 2014 (11 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L14000106045
FEI/EIN Number 47-1416201
Address: 28960 US HWY 19 N, STE 104, CLEARWATER, FL 33761
Mail Address: 28960 US HWY 19 N, STE 104, CLEARWATER, FL 33761
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861934721 2016-11-09 2016-11-09 3080 E BAY DR, SUITE 100, LARGO, FL, 337712692, US 9119 RIDGE RD, SUITE 4, NEW PORT RICHEY, FL, 346545059, US

Contacts

Phone +1 727-807-6969

Authorized person

Name SUMMER DEMETRIUS
Role OWNER
Phone 7278076969

Taxonomy

Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary Yes

Agent

Name Role Address
Beniamin, Wael Agent 9119 RIDGE RD STE144, NEW PORT RICHEY, FL 34654

Authorized Member

Name Role Address
Beniamin, Wael Authorized Member 3080 East Bay Dr, STE 144 Largo, FL 33770
YOUSSEF, TAMER Authorized Member 39 SANDPIPER RD, TAMPA, FL 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000121909 SERENITY SLEEP SOLUTIONS EXPIRED 2017-11-06 2022-12-31 No data 9119 RIDGE ROAD, SUITE 144, NEW PORT RICHEY, FL, 34654

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2020-10-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
LC AMENDMENT 2019-08-08 No data No data
REGISTERED AGENT NAME CHANGED 2019-04-16 Beniamin, Wael No data
CHANGE OF MAILING ADDRESS 2019-04-16 28960 US HWY 19 N, STE 104, CLEARWATER, FL 33761 No data
CHANGE OF PRINCIPAL ADDRESS 2017-12-20 28960 US HWY 19 N, STE 104, CLEARWATER, FL 33761 No data
LC STMNT OF RA/RO CHG 2017-12-05 No data No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-07 9119 RIDGE RD STE144, NEW PORT RICHEY, FL 34654 No data

Documents

Name Date
REINSTATEMENT 2020-10-08
LC Amendment 2019-08-08
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-26
CORLCRACHG 2017-12-05
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-01-28
Florida Limited Liability 2014-07-03

Date of last update: 21 Jan 2025

Sources: Florida Department of State