| Entity Name: | MINIMALLY INVASIVE SURGICAL SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jan 2017 (8 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L17000019490 |
| FEI/EIN Number | 81-5090587 |
| Address: | 5017 Glenn Drive, New Port Richey, FL, 34652, US |
| Mail Address: | 5017 Glenn Drive, New Port Richey, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114447521 | 2017-06-27 | 2019-09-09 | 8142 BELLARUS WAY STE 101, TRINITY, FL, 346551799, US | 8142 BELLARUS WAY STE 101, TRINITY, FL, 346551799, US | |||||||||||||||||||
|
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| Phone | +1 727-274-1330 |
| Fax | 8552740039 |
Authorized person
| Name | TIFFANI SHELTON |
| Role | OWNER, PHYSICIAN |
| Phone | 7272741330 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | OS13410 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHELTON TIFFANI D | Agent | 8142 Bellarus Way, Trinity, FL, 346551799 |
| Name | Role | Address |
|---|---|---|
| shelton tiffani d | Authorized Person | 5017 Glenn Drive, New Port Richey, FL, 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-07 | 5017 Glenn Drive, Suite 101, New Port Richey, FL 34652 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-07 | 5017 Glenn Drive, Suite 101, New Port Richey, FL 34652 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-25 | 8142 Bellarus Way, Suite 101, Trinity, FL 34655-1799 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-02-27 |
| ANNUAL REPORT | 2019-07-25 |
| ANNUAL REPORT | 2018-01-16 |
| Florida Limited Liability | 2017-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
