| Entity Name: | TAYLOR MOBILE MED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Sep 2017 (7 years ago) |
| Document Number: | L17000200480 |
| FEI/EIN Number | 82-2927269 |
| Address: | 8647 Betty Street, Port Richey, FL 34668 |
| Mail Address: | 8647 Betty Street, Port Richey, FL 34668 |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548770118 | 2017-10-09 | 2023-10-10 | 8647 BETTY ST, PORT RICHEY, FL, 346686044, US | 8647 BETTY ST, PORT RICHEY, FL, 346686044, US | |||||||||||||||||||||
|
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| Phone | +1 941-777-5159 |
| Fax | 2780768297 |
| Fax | 8336887731 |
Authorized person
| Name | LINDY ALLISON TAYLOR |
| Role | OWNER |
| Phone | 9417775159 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME110686 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Taylor, Lindy, Dr. | Agent | 8647 Betty Street, Port Richey, FL 34668 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, LINDY | Manager | 8647 Betty Street, Port Richey, FL 34668 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000118920 | THE HOME DOCTOR OF MANATEE | EXPIRED | 2018-11-05 | 2023-12-31 | No data | 7612 SENRAB DR., BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 8647 Betty Street, Port Richey, FL 34668 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-17 | 8647 Betty Street, Port Richey, FL 34668 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-17 | 8647 Betty Street, Port Richey, FL 34668 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Taylor, Lindy, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-17 |
| AMENDED ANNUAL REPORT | 2022-07-31 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-04 |
| Florida Limited Liability | 2017-09-27 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
