| Entity Name: | MEDICAL SERVICE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Mar 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000065642 |
| FEI/EIN Number | 38-4067272 |
| Address: | 11576 PIERSON RD, #K3-K7, WELLINGTON, FL 33414 |
| Mail Address: | 333 E PALMETTO PARK ROAD, 720, C/O THOMAS SMITH, BOCA RATON, FL 33432 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467958082 | 2018-04-03 | 2018-04-03 | 6801 LAKE WORTH RD STE 350, GREENACRES, FL, 334672974, US | 11576 PIERSON RD STE K6, WELLINGTON, FL, 334148765, US | |||||||||||||||||
|
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| Phone | +1 561-337-7976 |
Authorized person
| Name | THOMAS SMITH |
| Role | CEO |
| Phone | 5613377976 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 56081347114901 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SMITH THOMAS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SQUARE ONE RECOVERY LC | Manager | 11576 PIERSON RD, #K3-K7 WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-09-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-04 | 11576 PIERSON RD, #K3-K7, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-09-04 | 333 E PALMETTO PARK ROAD,, #720, BOCA RATON, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-07 | 11576 PIERSON RD, #K3-K7, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2018-09-04 |
| Florida Limited Liability | 2018-03-13 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
