| Entity Name: | MUNDIAL MEDICAL CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jun 2019 (6 years ago) |
| Date of dissolution: | 20 Aug 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Aug 2021 (3 years ago) |
| Document Number: | L19000167865 |
| FEI/EIN Number | 84-2217122 |
| Address: | 6450 38TH AVE N, STE 300, ST. PETERSBURG, FL 33710 |
| Mail Address: | 10101 HAMLIN BLVD, SEMINOLE, FL 33776 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891345419 | 2019-09-16 | 2020-01-02 | 10101 HAMLIN BLVD, SEMINOLE, FL, 337761046, US | 6450 38TH AVE N STE 300, ST PETERSBURG, FL, 337101649, US | |||||||||||||||
|
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| Phone | +1 813-842-0237 |
| Phone | +1 727-300-1845 |
Authorized person
| Name | VERONICA PEREZ |
| Role | OFFICE MANAGER |
| Phone | 7273001845 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAYMAN, STEPHEN D, ESQ | Agent | 6605 GUNN HWY, TAMPA, FL 33625 |
| Name | Role | Address |
|---|---|---|
| PEREZ, HUMBERTO | Manager | 10101 HAMLIN BLVD, SEMINOLE, FL 33776 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-08-20 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000484024 | ACTIVE | 52-2021-007741-CO | CTY CT 6TH JUD PINELLAS CTY FL | 2022-09-19 | 2027-11-08 | $22,646.38 | GALEN OF FLORIDA, INC., PO BOX 750, NASHVILLE, TN 37202 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-08-20 |
| ANNUAL REPORT | 2020-06-04 |
| Florida Limited Liability | 2019-06-26 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
