Entity Name: | MAINLAND PHYSICIANS GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 21 Jan 2016 (9 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | L16000015045 |
FEI/EIN Number | 81-2573288 |
Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
Mail Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
ZIP code: | 32080 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003419763 | 2020-11-17 | 2020-11-17 | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 320804515, US | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 320804515, US | |||||||||||||||
|
Phone | +1 904-825-4368 |
Fax | 9048259107 |
Authorized person
Name | MR. JOHN PAUL JAMES SHADDOCK |
Role | DIRECTOR OF NETWORK MANAGMENT |
Phone | 8503416322 |
Taxonomy
Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HINMAN ROY HII | Agent | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
Name | Role | Address |
---|---|---|
HINMAN ROY HII | Manager | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000064113 | MEDICAL HEALTH CENTERS | ACTIVE | 2023-05-23 | 2028-12-31 | No data | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-04-03 | HINMAN, ROY H, II | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-04-03 | 100 ARRICOLA AVE, ST AUGUSTINE, FL 32080 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-03-09 |
ANNUAL REPORT | 2022-01-21 |
ANNUAL REPORT | 2021-03-23 |
ANNUAL REPORT | 2020-03-16 |
ANNUAL REPORT | 2019-04-03 |
ANNUAL REPORT | 2018-03-07 |
ANNUAL REPORT | 2017-02-08 |
Florida Limited Liability | 2016-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State