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CHELSEY SHEPOS, LLC

Company Details

Entity Name: CHELSEY SHEPOS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 07 Apr 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: L20000098740
FEI/EIN Number 85-0679473
Address: 1030 WEST BAY DR, SUITE 200, LARGO, FL, 33770, US
Mail Address: 4962 BALLANTRAE BLVD, LAND O LAKES, FL, 34638, US
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962022137 2020-04-17 2020-04-25 4962 BALLANTRAE BLVD, LAND O LAKES, FL, 346383061, US 1030 WEST BAY DR, SUITE 200, LARGO, FL, 33770, US

Contacts

Phone +1 412-527-9466
Phone +1 727-585-2200

Authorized person

Name DR. CHELSEY LYN SHEPOS
Role OPTOMETRIST
Phone 4125279466

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
SHEPOS CHELSEY L Agent 4962 BALLANTRAE BLVD, LAND O LAKES, FL, 34638

Manager

Name Role Address
Shepos Chelsey L Manager 4962 Ballantrae Blvd, Land O Lakes, FL, 34638

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-02-21
Florida Limited Liability 2020-04-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State