| Entity Name: | TRICOUNTY MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Oct 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2017 (7 years ago) |
| Document Number: | L14000162355 |
| FEI/EIN Number | 47-2115635 |
| Address: | 1906 WINGFIELD DRIVE, LONGWOOD, FL, 32779 |
| Mail Address: | 1906 WINGFIELD DRIVE, LONGWOOD, FL, 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821496597 | 2014-12-12 | 2015-02-04 | 1906 WINGFIELD DR, LONGWOOD, FL, 327797007, US | 1906 WINGFIELD DR, LONGWOOD, FL, 327797007, US | |||||||||||||||||
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| Phone | +1 407-637-2898 |
Authorized person
| Name | DR. SHAHID SHARIF |
| Role | OWNER |
| Phone | 4076372898 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME92280 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| M KERMALI, CPA, PA | Agent |
| Name | Role | Address |
|---|---|---|
| SHARIF SHAHID | Manager | 1906 WINGFIELD DRIVE, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 922 WILLISTON PARK PT, 1310, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-12 | M KERMALI CPA PA | No data |
| REINSTATEMENT | 2017-11-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-01-03 |
| REINSTATEMENT | 2017-11-08 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
