| Entity Name: | GODDARD ONE MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Oct 2017 (7 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: | L17000211759 |
| FEI/EIN Number | 82-3101996 |
| Address: | 5831 PARKSET DR, LITHIA, FL 33547 |
| Mail Address: | 5831 PARKSET DR, LITHIA, FL 33547 |
| ZIP code: | 33547 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316447618 | 2018-02-14 | 2018-02-14 | 5831 PARKSET DR, LITHIA, FL, 335474892, US | 5831 PARKSET DR, LITHIA, FL, 335474892, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 440-313-7810 |
Authorized person
| Name | DONALD GODDARD |
| Role | OWNER |
| Phone | 4403137810 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| 1963, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GODDARD, DONALD | Authorized Member | 5831 PARKSET DR, LITHIA, FL 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-09-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2018-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-11-08 | 1963 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-09-12 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-11-08 |
| Florida Limited Liability | 2017-10-12 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
