| Entity Name: | OUR LADY OF MERCY CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jun 2018 (7 years ago) |
| Document Number: | L18000147374 |
| FEI/EIN Number | 83-1232935 |
| Address: | 9336 LITTLE ROAD, NEW PORT RICHEY, FL, 34654, US |
| Mail Address: | 9336 LITTLE ROAD, NEW PORT RICHEY, FL, 34654, US |
| ZIP code: | 34654 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083492284 | 2023-09-19 | 2024-03-12 | 2410 NORTHSIDE DR, CLEARWATER, FL, 337612236, US | 9336 LITTLE RD, NEW PORT RICHEY, FL, 346543415, US | |||||||||||||||||
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| Phone | +1 727-499-0351 |
| Fax | 7272230157 |
| Phone | +1 727-233-6430 |
Authorized person
| Name | AMGAD N MARCUS |
| Role | MD |
| Phone | 7272336430 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YONGE L. TYLER ESQ. | Agent | 6987 EAST FOWLER AVENUE, TAMPA, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| MARCUS AMGAD | Manager | 9336 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000100531 | TRUE CARE CLINIC | ACTIVE | 2023-08-28 | 2028-12-31 | No data | 9336 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 9336 LITTLE ROAD, NEW PORT RICHEY, FL 34654 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 9336 LITTLE ROAD, NEW PORT RICHEY, FL 34654 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-06-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
