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MOBILITY MEDICINE PLLC

Company Details

Entity Name: MOBILITY MEDICINE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Feb 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000064922
FEI/EIN Number 84-4998840
Address: 3902 Henderson Blvd, TAMPA, FL, 33629, US
Mail Address: 3902 Henderson Blvd, TAMPA, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710593769 2020-09-16 2020-09-16 3902 HENDERSON BLVD STE 208-9, TAMPA, FL, 336295038, US 3902 HENDERSON BLVD STE 208-9, TAMPA, FL, 336295038, US

Contacts

Phone +1 248-385-3412

Authorized person

Name JONATHAN BRUNER
Role OWNER/MEDICAL DIRECTOR
Phone 2483853412

Taxonomy

Taxonomy Code 204D00000X - Neuromusculoskeletal Medicine & OMM Physician
Is Primary Yes

Agent

Name Role Address
Bruner Jonathan Agent 3902 Henderson Blvd, TAMPA, FL, 33629

Owne

Name Role Address
BRUNER JONATHAN Owne 3902 Henderson Blvd, TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-01 3902 Henderson Blvd, #208-9, TAMPA, FL 33629 No data
CHANGE OF MAILING ADDRESS 2021-02-01 3902 Henderson Blvd, #208-9, TAMPA, FL 33629 No data
REGISTERED AGENT NAME CHANGED 2021-02-01 Bruner, Jonathan No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-01 3902 Henderson Blvd, #208-9, TAMPA, FL 33629 No data

Documents

Name Date
ANNUAL REPORT 2021-02-01
Florida Limited Liability 2020-02-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State