| Entity Name: | STEPHEN L. SCRANTON, M.D. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Dec 2015 (9 years ago) |
| Document Number: | L16000004471 |
| FEI/EIN Number | 59-2670144 |
| Address: | 3253 MCMULLEN BOOTH RD., SUITE 200, CLEARWATER, FL, 33761, US |
| Mail Address: | 3253 MCMULLEN BOOTH RD., SUITE 200, CLEARWATER, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275925513 | 2015-02-24 | 2015-02-24 | PO BOX 766, DUNEDIN, FL, 346970766, US | 3253 N MCMULLEN BOOTH RD, SUITE 200, CLEARWATER, FL, 337612043, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-738-8416 |
| Fax | 7277368812 |
| Phone | +1 727-725-6174 |
| Fax | 7277991521 |
Authorized person
| Name | DR. STEPHEN LLOYD SCRANTON |
| Role | MANAGING PHYSICIAN |
| Phone | 7277256174 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME37761 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | P00221159 |
| State | FL |
| Issuer | BCBS |
| Number | 30450 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 110243960 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Scranton Stephen L | Agent | 3253 MCMULLEN BOOTH RD., SUITE 200, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| SCRANTON STEPHEN LM.D. | Manager | 3253 MCMULLEN BOOTH RD., SUITE 200, CLEARWATER, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-22 | Scranton, Stephen L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-04-18 |
| Florida Limited Liability | 2015-12-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
