| Entity Name: | MARTIN COUNTY PHYSICIANS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Oct 2015 (9 years ago) |
| Date of dissolution: | 24 Sep 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Sep 2019 (5 years ago) |
| Document Number: | L15000166840 |
| FEI/EIN Number | 47-5506004 |
| Address: | 3003 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990 |
| Mail Address: | 3003 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669845640 | 2015-11-12 | 2016-09-23 | 3003 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644, US | 3003 SW MARTIN DOWNS BLVD, PALM CITY, FL, 349902644, US | |||||||||||||||||||||||||
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| Phone | +1 772-219-1355 |
| Fax | 7722231122 |
| Phone | +1 772-617-0126 |
Authorized person
| Name | MS. CHRISTINA TUCKER |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7722191355 |
Taxonomy
| Taxonomy Code | 111NX0100X - Occupational Health Chiropractor |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOOGE, HOWARD E | Agent | 400 SE OSCEOLA ST, STUART, FL 34994 |
| Name | Role | Address |
|---|---|---|
| TUCKER, CHRISTINA, PRES | Authorized Member | 3007 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-24 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-24 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-14 |
| Florida Limited Liability | 2015-10-01 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
