| Entity Name: | TAHA MED, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Jun 2015 (10 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: | L15000107571 |
| FEI/EIN Number | 474620483 |
| Address: | 4112 Island Lakes Dr., WINTER HAVEN, FL, 33881, US |
| Mail Address: | 4112 Island Lakes Dr., WINTER HAVEN, FL, 33881, US |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871978973 | 2015-07-30 | 2020-01-27 | 4112 ISLAND LAKES DR, WINTER HAVEN, FL, 338815605, US | 4112 ISLAND LAKES DR, WINTER HAVEN, FL, 338815605, US | |||||||||||||||||||
|
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| Phone | +1 863-594-8354 |
| Fax | 4073867878 |
Authorized person
| Name | DR. TAHA DIAS |
| Role | OWNER |
| Phone | 8635948354 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME96911 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Taha Dias | Agent | 4112 Island Lakes Dr., Winter Haven, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| DIAS TAHA | Authorized Member | 4112 Island Lakes Dr., WINTER HAVEN, FL, 33881 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-22 | 4112 Island Lakes Dr., WINTER HAVEN, FL 33881 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-22 | Taha , Dias | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-22 | 4112 Island Lakes Dr., Winter Haven, FL 33881 | No data |
| REINSTATEMENT | 2019-01-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-22 | 4112 Island Lakes Dr., WINTER HAVEN, FL 33881 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-10-09 |
| REINSTATEMENT | 2019-01-22 |
| Florida Limited Liability | 2015-06-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
