| Entity Name: | TMG MEDICAL MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Sep 2019 (5 years ago) |
| Document Number: | L19000243347 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 3535 N W Federal Hwy, Jensen Bch, FL 34957 |
| Mail Address: | 714 N W LEONARDO CIRCLE, PSL, FL 34986 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013544063 | 2020-03-26 | 2020-03-26 | 714 NW LEONARDO CIR, PORT ST LUCIE, FL, 349864354, US | 714 NW LEONARDO CIR, PORT ST LUCIE, FL, 349864354, US | |||||||||||||
|
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| Phone | +1 954-448-3913 |
Authorized person
| Name | TAMMY GRISHAM |
| Role | NURSE PRACTITIONER |
| Phone | 9544483913 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRISHAM, TAMMY M | Agent | 714 N W LEONARDO CIRCLE, PSL, FL 34986 |
| Name | Role | Address |
|---|---|---|
| GRISHAM, TAMMY M | Manager | 714 N W LEONARDO CIRCLE, PSL, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 3535 N W Federal Hwy, Jensen Bch, FL 34957 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-09-26 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
