| Entity Name: | MGROUP PHYSICIAN SERVICES OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Jul 2019 (6 years ago) |
| Document Number: | L19000172615 |
| FEI/EIN Number | 84-2402346 |
| Address: | 795 Collany Road Unit 302, Tierra Verde, FL 33715 |
| Mail Address: | 795 Collany Road Unit 302, Tierra Verde, FL 33715 |
| ZIP code: | 33715 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598317810 | 2019-07-16 | 2019-07-16 | 1103 GULF WAY, ST PETE BEACH, FL, 337064223, US | 1103 GULF WAY, ST PETE BEACH, FL, 337064223, US | |||||||||||||||||||||||||
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| Phone | +1 727-644-3038 |
Authorized person
| Name | CHRISTOPHER ANDREW MORRISON |
| Role | CEO |
| Phone | 7276443038 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2083P0011X - Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MORRISON, CHRISTOPHER A | Agent | 1103 GULF WAY, ST. PETE BEACH, FL 33706 |
| Name | Role | Address |
|---|---|---|
| MORRISON, CHRISTOPHER A | Manager | 795 COLLANY ROAD UNIT 302, TIERRA VERDE, FL 33715 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-05 | 795 Collany Road Unit 302, Tierra Verde, FL 33715 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-05 | 795 Collany Road Unit 302, Tierra Verde, FL 33715 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-18 |
| Florida Limited Liability | 2019-07-02 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
