| Entity Name: | TRINITY OAKS FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Aug 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L16000148062 |
| FEI/EIN Number | 81-3524142 |
| Address: | 2044 Trinity Oaks Blvd, TRINITY, FL, 34655, US |
| Mail Address: | 2044 Trinity Oaks Blvd, TRINITY, FL, 34655, US |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487102620 | 2016-09-16 | 2018-09-20 | 2044 TRINITY OAKS BLVD STE 220, TRINITY, FL, 346554406, US | 2044 TRINITY OAKS BLVD, STE 220, TRINITY, FL, 346554405, US | |||||||||||||||||||||
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| Phone | +1 727-645-6900 |
| Fax | 7273728989 |
Authorized person
| Name | DR. ROBERT J FERREIRA |
| Role | OWNER |
| Phone | 7276456900 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DW9980 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERREIRA ROBERT | Agent | 2044 Trinity Oaks Blvd, TRINITY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| FERREIRA ROBERT | Manager | 10309 ALTRARA WAY, TRINITY, FL, 34655 |
| VIEIRA LEONARDO | Manager | 1031 TOSCANO DR, TRINITY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-15 | 2044 Trinity Oaks Blvd, Suite 220, TRINITY, FL 34655 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-15 | 2044 Trinity Oaks Blvd, Suite 220, TRINITY, FL 34655 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-15 | 2044 Trinity Oaks Blvd, Suite 220, TRINITY, FL 34655 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000152130 | TERMINATED | 1000000816916 | PASCO | 2019-02-21 | 2029-02-27 | $ 450.17 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LARGO SERVICE CENTER, 11351 ULMERTON RD STE 220, LARGO FL337781629 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-04-15 |
| Florida Limited Liability | 2016-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
