| Entity Name: | FLORIDA MOBILE PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Oct 2014 (10 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L14000162243 |
| FEI/EIN Number | 47-2300381 |
| Address: | 7313 INTERNATIONAL PLACE, SARASOTA, FL, 34240-8406, US |
| Mail Address: | 7313 INTERNATIONAL PLACE, SARASOTA, FL, 34240-8406, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124476585 | 2016-05-26 | 2016-05-26 | 7313 INTERNATIONAL PL STE 80, LAKEWOOD RANCH, FL, 342408406, US | 7313 INTERNATIONAL PL STE 80, LAKEWOOD RANCH, FL, 342408406, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-907-1190 |
Authorized person
| Name | LALANYA ROBERTSON |
| Role | CLINICAL DIRECTOR |
| Phone | 9419071190 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | ARNP 2858852 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| License Number | ARNP2858852 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1093113086 |
| Issuer | PTAN/MEDICARE NUMBER |
| Number | IB626A |
| Name | Role | Address |
|---|---|---|
| Robertson LaLanya | Agent | 7313 INTERNATIONAL PLACE, SARASOTA, FL, 342408406 |
| Name | Role | Address |
|---|---|---|
| ROBERTSON LALANYA D | Manager | 7313 INTERNATIONAL PLACE, SARASOTA, FL, 342408406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-21 | Robertson, LaLanya | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-21 | 7313 INTERNATIONAL PLACE, SUITE 80, SARASOTA, FL 34240-8406 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-04 | 7313 INTERNATIONAL PLACE, SUITE 80, SARASOTA, FL 34240-8406 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-04 | 7313 INTERNATIONAL PLACE, SUITE 80, SARASOTA, FL 34240-8406 | No data |
| LC NAME CHANGE | 2014-11-05 | FLORIDA MOBILE PHYSICIANS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-05-06 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-01 |
| AMENDED ANNUAL REPORT | 2016-08-02 |
| ANNUAL REPORT | 2016-04-21 |
| AMENDED ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
