| Entity Name: | CONCIERGE MEDHEALTH CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Mar 2015 (10 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: | L15000041317 |
| FEI/EIN Number | 47-3367454 |
| Address: | 6060 26TH STREET WEST, BRADENTON, FL, 34207, US |
| Mail Address: | 6060 26TH STREET WEST, BRADENTON, FL, 34207, US |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760848758 | 2016-01-07 | 2016-01-07 | 6060 26TH ST W, BRADENTON, FL, 342074401, US | 6060 26TH ST W, BRADENTON, FL, 342074401, US | |||||||||||||||||
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| Phone | +1 941-755-5608 |
| Fax | 9417557097 |
Authorized person
| Name | MR. TODD WILLIAM GALUSZKA |
| Role | OWNER |
| Phone | 9417555608 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONCIERGE MEDHEALTH CLINIC LLC 401 K PROFIT SHARING PLAN TRUST | 2015 | 473367454 | 2016-07-12 | CONCIERGE MEDHEALTH CLINIC LLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-07-12 |
| Name of individual signing | ANNE GALUSZKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| BLALOCK WALTERS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| GALUSZKA TODD | Manager | 6060 26TH STREET WEST, BRADENTON, FL, 34207 |
| GALUSZKA ANNE | Manager | 6060 26TH STREET WEST, BRADENTON, FL, 34207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-07 |
| Florida Limited Liability | 2015-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
