| Entity Name: | FATIMA MUSIC, ARNP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Feb 2018 (7 years ago) |
| Date of dissolution: | 19 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jan 2020 (5 years ago) |
| Document Number: | L18000047457 |
| FEI/EIN Number | 82-4584426 |
| Address: | 1811 PALMCREST LN., CLEARWATER, FL, 33764 |
| Mail Address: | 1811 PALMCREST LN., CLEARWATER, FL, 33764 |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689176075 | 2018-03-01 | 2018-03-01 | 1811 PALMCREST LN, CLEARWATER, FL, 337646445, US | 1811 PALMCREST LN, CLEARWATER, FL, 337646445, US | |||||||||||||||||
|
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| Phone | +1 727-420-4150 |
Authorized person
| Name | FATIMA MUSIC |
| Role | ARNP |
| Phone | 7274204150 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ARNP9214616 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUSIC FATIMA | Agent | 1811 PALMCREST LN, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| Music Fatima | APRN | 1811 PALMCREST LN., CLEARWATER, FL, 33764 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000032007 | WEST FLORIDA MOBILE HEALTHCARE | EXPIRED | 2018-03-07 | 2023-12-31 | No data | 14690 SUGAR CANE WAY, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-19 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-19 |
| ANNUAL REPORT | 2019-03-25 |
| Florida Limited Liability | 2018-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
