| Entity Name: | C12 MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
C12 MEDICAL, 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: | 20 Jun 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L16000120657 |
| FEI/EIN Number |
81-2899350
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8498 108TH WAY, SEMINOLE, FL, 33772, US |
| Mail Address: | 8498 108TH WAY, SEMINOLE, FL, 33772, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972071801 | 2018-11-08 | 2018-11-08 | 8498 108TH WAY, SEMINOLE, FL, 337724318, US | 333 16TH AVE SE, LARGO, FL, 337714407, US | |||||||||||||||||||
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| Phone | +1 727-251-7782 |
Authorized person
| Name | CHRISTIAN S CHILDERS |
| Role | OT |
| Phone | 7272517782 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | OT10920 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHILDERS CHRISTIAN | Authorized Member | 8498 108TH WAY, SEMINOLE, FL, 33772 |
| CHILDERS CHRISTIAN | Agent | 8498 108TH WAY, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-08 | 8498 108TH WAY, SEMINOLE, FL 33772 | - |
| CHANGE OF MAILING ADDRESS | 2025-10-08 | 8498 108TH WAY, SEMINOLE, FL 33772 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REINSTATEMENT | 2021-10-05 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-10-05 | CHILDERS, CHRISTIAN | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-10-05 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-06-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4565438410 | 2021-02-06 | 0455 | PPS | 8498 108th Way, Seminole, FL, 33772-4318 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3147318205 | 2020-08-04 | 0455 | PPP | 8498 108th Way N, Seminole, FL, 33772-4318 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
