| Entity Name: | TRAUMA TREATMENT OF PASCO PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Jul 2020 (5 years ago) |
| Document Number: | L19000020547 |
| FEI/EIN Number | 83-3451982 |
| Address: | 38052 Meridian Ave, Dade City, FL, 33525, US |
| Mail Address: | 38052 Meridian Ave, Dade City, FL, 33525, US |
| ZIP code: | 33525 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669013611 | 2019-10-01 | 2021-12-04 | PO BOX 2398, DADE CITY, FL, 335262398, US | 38052 MERIDIAN AVE, DADE CITY, FL, 335253811, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-518-5232 |
Authorized person
| Name | EMILY GILBERT |
| Role | OWNER |
| Phone | 3525185232 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1740601202 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Gilbert Emily | Owne | 38052 Meridian Ave, Dade City, FL, 33525 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000040839 | MERIDIAN COUNSELING CENTER | ACTIVE | 2021-03-25 | 2026-12-31 | No data | PO BOX 2398, DADE CITY, FL, 33526 |
| G19000103386 | MERIDIAN COUNSELING CENTER | EXPIRED | 2019-09-20 | 2024-12-31 | No data | 38052 MERIDIAN AVE, DADE CITY, FL, 33525 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-28 | 38052 Meridian Ave, Dade City, FL 33525 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| LC AMENDMENT | 2020-07-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-17 | 38052 Meridian Ave, Dade City, FL 33525 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000170175 | TERMINATED | 1000000948466 | PASCO | 2023-04-12 | 2043-04-19 | $ 960.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-03-12 |
| LC Amendment | 2020-07-29 |
| ANNUAL REPORT | 2020-06-17 |
| Florida Limited Liability | 2019-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
