| Entity Name: | MOURACADE RECOVERY MEDICINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2016 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 17 Oct 2023 (a year ago) |
| Document Number: | L16000013086 |
| FEI/EIN Number | 811239180 |
| Address: | 6290 Corporate Court, Fort Myers, FL, 33919, US |
| Mail Address: | P O Box 7099, Fort Myers, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447619887 | 2016-02-13 | 2024-03-12 | 6290 CORPORATE CT STE C201, FORT MYERS, FL, 339193503, US | 6290 CORPORATE CT STE C201, FORT MYERS, FL, 339193503, US | |||||||||||||||||||
|
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| Phone | +1 239-406-6039 |
| Fax | 2393206796 |
Authorized person
| Name | DR. MARY MARGARET MAGNO MOURACADE |
| Role | PRINCIPAL |
| Phone | 2392220700 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME64887 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kyle Kevin A | Agent | 1380 ROYAL PALM SQUARE BLVD, Fort Myers, FL, 33919 |
| Name | Role | Address |
|---|---|---|
| Mouracade Thomas M | Manager | 14661 Double Eagle Court, Fort Myers, FL, 33912 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000130448 | MOURACADE RECOVERY MEDICINE | ACTIVE | 2023-10-23 | 2028-12-31 | No data | 6290 CORPORATE COURT, #C-201, FORT MYERS, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-10-17 | MOURACADE RECOVERY MEDICINE, PLLC | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-06 | 6290 Corporate Court, Suite C-201, Fort Myers, FL 33919 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-08 | 6290 Corporate Court, Suite C-201, Fort Myers, FL 33919 | No data |
| REINSTATEMENT | 2018-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | Kyle, Kevin A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-01 | 1380 ROYAL PALM SQUARE BLVD, Fort Myers, FL 33919 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000202279 | TERMINATED | 1000000885860 | LEE | 2021-04-21 | 2031-04-28 | $ 1,130.62 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| LC Name Change | 2023-10-17 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-07-20 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-10-08 |
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-01-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
