| Entity Name: | ACINA MEDICAL CENTERS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Aug 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000183079 |
| Mail Address: | 7700 MASSACHUSETTS AVE, NEW PORT RICHEY, FL 34653-3024 |
| Address: | 6914 W LINEBAUGH AVE, 102, TAMPA, FL 33625-5816 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184142986 | 2017-09-01 | 2017-09-01 | 6914 W LINEBAUGH AVE STE 102, TAMPA, FL, 336255816, US | 6914 W LINEBAUGH AVE STE 102, TAMPA, FL, 336255816, US | |||||||||||||
|
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| Phone | +1 727-432-1380 |
Authorized person
| Name | JANIS HIGGINBOTHAM |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 7274321380 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSE, TREVOR, MD | Agent | 6914 W LINEBAUGH AVE, 102, TAMPA, FL 33625-5816 |
| Name | Role | Address |
|---|---|---|
| ROSE, TREVOR, MD | AMPR | 6914 W LINEBAUGH AVE STE 102, TAMPA, FL 33625-5816 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-08-28 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
