| Entity Name: | WILLNATH MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Aug 2017 (7 years ago) |
| Document Number: | L17000174012 |
| FEI/EIN Number | 82-2506460 |
| Address: | 26809 Tanic Drive, Wesley Chapel, FL, 33544, US |
| Mail Address: | 26809 Tanic Drive, Wesley Chapel, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881349611 | 2022-02-21 | 2022-03-30 | 26809 TANIC DR STE 101, WESLEY CHAPEL, FL, 335444605, US | 26809 TANIC DR STE 101, WESLEY CHAPEL, FL, 335444605, US | |||||||||||||||
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| Phone | +1 813-435-5199 |
| Fax | 8137965389 |
Authorized person
| Name | LISA NYANDA-MANALO |
| Role | OWNER |
| Phone | 8134355199 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FRESH LEGAL PERSPECTIVE, PL | Agent |
| Name | Role | Address |
|---|---|---|
| Nyanda-Manalo Lisa | Authorized Member | 26809 Tanic Drive, Wesley Chapel, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000141719 | NYANDA DERMATOLOGY | ACTIVE | 2021-10-21 | 2026-12-31 | No data | 8009 HAMPTON LAKE DRIVE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-26 | Fresh Legal Perspective, PL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-10 | 26809 Tanic Drive, Suite 101, Wesley Chapel, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-10 | 26809 Tanic Drive, Suite 101, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-08 | 6930 W. LINEBAUGH AVE, TAMPA, FL 33625 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-04-09 |
| Florida Limited Liability | 2017-08-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
