| Entity Name: | PATTERSONMD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Oct 2019 (5 years ago) |
| Date of dissolution: | 16 Jul 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Jul 2021 (4 years ago) |
| Document Number: | L19000265549 |
| FEI/EIN Number | 85-3476984 |
| Address: | 18121 NW 9TH AVE, MIAMI, AL 33169 |
| Mail Address: | 18121 NW 9TH AVE, MIAMI, FL 33169 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396356374 | 2020-08-12 | 2021-03-09 | 18121 NW 9TH AVE, MIAMI, FL, 331694215, US | 18851 NE 29TH AVE STE 700, AVENTURA, FL, 331802845, US | |||||||||||||||||||||||||
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| Phone | +1 305-965-4997 |
| Fax | 3059075669 |
Authorized person
| Name | ELTANYA A PATTERSON |
| Role | OWNER |
| Phone | 8003415096 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | ME115754 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATTERSON, SNANTHER | Agent | 18121 NW 9TH AVE, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| PATTERSON, ELTANYA A | Authorized Member | 18121 NW 9TH AVE, MIAMI, FL 33169 |
| PATTERSON, SNANTHER | Authorized Member | 18121 NW 9TH AVE, MIAMI, FL 33169 |
| BENDER, JEAN A | Authorized Member | 18121 NW 9TH AVE, MIAMI, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-31 | 18121 NW 9TH AVE, MIAMI, AL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-31 | 18121 NW 9TH AVE, MIAMI, AL 33169 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-16 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-03-31 |
| Florida Limited Liability | 2019-10-23 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
