| Entity Name: | TANIA MCLEAN ADULT & GERIATRIC PRIMARY CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jul 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Apr 2020 (5 years ago) |
| Document Number: | L18000169397 |
| FEI/EIN Number | 83-1216713 |
| Address: | 4182 SW BAIRD STREET, PORT ST LUCIE, FL 34953 |
| Mail Address: | 4182 SW BAIRD STREET, PORT ST LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083192819 | 2018-08-02 | 2020-05-07 | 4182 SW BAIRD ST, PORT ST LUCIE, FL, 349533136, US | 4182 SW BAIRD ST, PORT ST LUCIE, FL, 349533136, US | |||||||||||||
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| Phone | +1 561-714-6059 |
Authorized person
| Name | TANIA BUREY MCLEAN |
| Role | OWNER |
| Phone | 5617146059 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUREY MCLEAN, TANIA, MRS | Agent | 4182 SW BAIRD STREET, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| BUREY MCLEAN, TANIA, MRS | Manager | 4182 SW BAIRD STREET, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| MCLEAN, VICTOR, MR | Authorized Representative | 4182 SW BAIRD ST, PORT ST LUCIE, FL 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000048638 | QUALITY WELLNESS HOUSE CALLS | ACTIVE | 2020-05-03 | 2025-12-31 | No data | 4182 SW BAIRD STREET, PORT ST LUCIE, FL, 34953 |
| G18000081413 | QUALITY WELLNESS | ACTIVE | 2018-07-30 | 2028-12-31 | No data | 4182 SW BAIRD STREET, PORT ST LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-04-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-30 | BUREY MCLEAN, TANIA, MRS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-02 |
| REINSTATEMENT | 2020-04-30 |
| Florida Limited Liability | 2018-07-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8276388301 | 2021-01-29 | 0455 | PPP | 4182 SW Baird St, Port St Lucie, FL, 34953-3136 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
