| Entity Name: | VERAT MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jul 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: | L18000179353 |
| Address: | 2 EMBARCADERO CENTER FLOOR 8, SAN FRANCISCO, CA, 94111, US |
| Mail Address: | 2 EMBARCADERO CENTER FLOOR 8, SAN FRANCISCO, CA, 94111, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437636834 | 2018-07-27 | 2018-07-27 | 2 EMBARCADERO CTR FL 8, SAN FRANCISCO, CA, 941113833, US | 8751 N 30TH ST, TAMPA, FL, 336042213, US | |||||||||||||||||||||||||||
|
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| Phone | +1 607-738-6356 |
| Phone | +1 813-980-2422 |
Authorized person
| Name | JACOB HALPERT |
| Role | MANAGER |
| Phone | 6077386356 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| WOODS JOHN L | Manager | 1077 WATKINS CREEK DR, FRANKLIN, TN, 37067 |
| HALPERT JACOB B | Manager | 2 EMBARCADERO CENTER FLOOR 8, SAN FRANCISCO, CA, 94111 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-07-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
