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WOUND AND MEDICAL OUTREACH CLINIC LLC - Florida Company Profile

Company Details

Entity Name: WOUND AND MEDICAL OUTREACH CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

WOUND AND MEDICAL OUTREACH CLINIC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Feb 2020 (5 years ago)
Date of dissolution: 24 Sep 2021 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (4 years ago)
Document Number: L20000053861
Address: ADMIN 12250 BLUE PACIFIC DRIVE, RIVERVIEW, FL, 33579, UN
Mail Address: ADMIN 12250 BLUE PACIFIC DRIVE, RIVERVIEW, FL, 33579, UN
ZIP code: 33579
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881229532 2020-03-03 2023-11-27 12250 BLUE PACIFIC DR, RIVERVIEW, FL, 335791803, US 12250 BLUE PACIFIC DR, RIVERVIEW, FL, 335791803, US

Contacts

Fax 8003512611
Phone +1 813-777-1591

Authorized person

Name JILL M MARSHALL ALLEN
Role MGMR
Phone 8137771591

Taxonomy

Taxonomy Code 163WW0000X - Wound Care Registered Nurse
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Key Officers & Management

Name Role Address
MARSHALL-ALLEN JILL Manager ADMIN:12250 BLUE PACIFIC DRIVE, RIVERVIEW, FL, 33579
MARSHALL-ALLEN JILL Agent 12250 BLUE PACIFIC DRIVE, RIVERVIEW, FL, 33579

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7736858101 2020-07-24 0455 PPP 12250 Blue Pacific Drive Admin Office, RIVERVIEW, FL, 33579
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 13000
Loan Approval Amount (current) 13000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address RIVERVIEW, HILLSBOROUGH, FL, 33579-0001
Project Congressional District FL-16
Number of Employees 1
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13117
Forgiveness Paid Date 2021-06-24

Date of last update: 01 May 2025

Sources: Florida Department of State