| Entity Name: | PATRICE MORENO MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PATRICE MORENO MD LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Jan 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L16000005355 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 601 MAIN ST, DUNEDIN, FL, 34698, US |
| Mail Address: | 646 Virginia ST, DUNEDIN, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932590544 | 2015-02-18 | 2015-02-18 | 601 MAIN ST, DUNEDIN, FL, 346985848, US | 601 MAIN ST, DUNEDIN, FL, 346985848, US | |||||||||||||||||||||
|
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| Phone | +1 727-734-6787 |
| Fax | 7277367458 |
Authorized person
| Name | DR. PATRICE MORENO |
| Role | PHYSICIAN |
| Phone | 7277346787 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 524897 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORENO PATRICE | Manager | 646 Virigina ST, DUNEDIN, FL, 34698 |
| MORENO PATRICE | Agent | 646 Viriginia ST, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-03-17 | 601 MAIN ST, DUNEDIN, FL 34698 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-17 | 646 Viriginia ST, Suite 400, DUNEDIN, FL 34698 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-03-17 |
| Florida Limited Liability | 2016-01-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
