| Entity Name: | ST. FELOPATEER MEDICAL CONSULTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2020 (5 years ago) |
| Document Number: | L20000019580 |
| FEI/EIN Number | 844448421 |
| Address: | 31201 US HIGHWAY 19 N,, PALM HARBOR, FL, 34684, US |
| Mail Address: | 3033 WENTWORTH WAY, TARPON SPRINGS, FL, 34688, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306473996 | 2020-03-24 | 2024-09-14 | 31201 US HIGHWAY 19 N, ST 3, PALM HARBOR, FL, 346844422, US | 31201 US HIGHWAY 19 N, ST 3, PALM HARBOR, FL, 346844422, US | |||||||||||||||
|
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| Phone | +1 727-741-8355 |
| Fax | 3392300927 |
Authorized person
| Name | DR. JOHN ISAAK |
| Role | MANAGER |
| Phone | 7277418355 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ISAAK JOHN | Agent | 3033 WENTWORTH WAY, TARPON SPRINGS, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| ISAAK JOHN | President | 3033 WENTWORTH WAY, TARPON SPRINGS, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| Tadros Dalia | Auth | 3033 WENTWORTH WAY, TARPON SPRINGS, FL, 34688 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000070325 | PRIME M.D. | ACTIVE | 2020-06-22 | 2025-12-31 | No data | 31201 US HWY 19 N, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-28 | 31201 US HIGHWAY 19 N,, ST 3, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
