| Entity Name: | THETA MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 May 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: | L18000114864 |
| Address: | 23635 VIA CARINO LANE, BONITA SPRINGS, FL 34135 |
| Mail Address: | 23635 VIA CARINO LANE, BONITA SPRINGS, FL 34135 |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962991547 | 2018-05-09 | 2018-05-09 | 23635 VIA CARINO LN, BONITA SPRINGS, FL, 341358265, US | 23635 VIA CARINO LN, BONITA SPRINGS, FL, 341358265, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-285-9143 |
Authorized person
| Name | MR. MARLON D ALFARO |
| Role | MANAGING MEMBER |
| Phone | 2392859143 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALFARO, MELVIN D | Agent | 23635 VIA CARINO LANE, BONITA SPRINGS, FL 34135 |
| Name | Role |
|---|---|
| ALFA BROTHERS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-05-07 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
