| Entity Name: | ZEPHYRHILLS FAMILY PRACTICE AND GERIATRIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 2020 (4 years ago) |
| Document Number: | L17000251135 |
| FEI/EIN Number | 82-3636870 |
| Address: | 7213 Greenslope Drive, ZEPHYRHILLS, FL 33541 |
| Mail Address: | PO Box 2239, ZEPHYRHILLS, FL 33539 |
| ZIP code: | 33541 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154825677 | 2018-03-20 | 2018-03-30 | PO BOX 3268, ZEPHYRHILLS, FL, 335393268, US | 7213 GREEN SLOPE DR, ZEPHYRHILLS, FL, 335411306, US | |||||||||||||||||
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| Phone | +1 813-355-4914 |
| Fax | 8555475415 |
| Phone | +1 813-355-4917 |
Authorized person
| Name | CYNTHIA BARRENTINE |
| Role | OFFICE MANAGER |
| Phone | 8133554914 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Win-Kyaing, Sabrina Thet | Agent | 18142 Longwater Run Dr., Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| WIN, MOETHU, M.D. | Authorized Member | 6833 MEDICAL VIEW LANE, ZEPHYRHILLS, FL 33542 |
| Khadim, Ghazanfar, M.D. | Authorized Member | 6833 Medical View Lane, ZEPHYRHILLS, FL 33542 |
| Name | Role | Address |
|---|---|---|
| TUN, AUNG, M.D. | Manager | 6833 Medical View Lane, Zephyrhills, FL 33542 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000134282 | ZEPHYRHILLS MEDICINE AND GERIATRIC PRACTICE | EXPIRED | 2017-12-08 | 2022-12-31 | No data | 6833 MEDICAL VIEW LANE, ZEPHYRHILLS, FL, 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 7213 Greenslope Drive, ZEPHYRHILLS, FL 33541 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-13 | Win-Kyaing, Sabrina Thet | No data |
| REINSTATEMENT | 2020-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-05 | 7213 Greenslope Drive, ZEPHYRHILLS, FL 33541 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-05 | 18142 Longwater Run Dr., Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-16 |
| ANNUAL REPORT | 2021-01-13 |
| REINSTATEMENT | 2020-11-10 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-05 |
| Florida Limited Liability | 2017-12-04 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
