| Entity Name: | PATHWAY MEDCONSULT CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Jul 2020 (5 years ago) |
| Document Number: | L20000116234 |
| FEI/EIN Number | 85-0907258 |
| Address: | 202-A SW 17TH STREET, OCALA, FL, 34471, US |
| Mail Address: | 202-A SW 17TH STREET, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215516174 | 2021-04-06 | 2021-04-06 | 202B SW 17TH ST, OCALA, FL, 344718138, US | 202B SW 17TH ST, OCALA, FL, 344718138, US | |||||||||||||
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| Phone | +1 352-427-6609 |
Authorized person
| Name | MIGDALIA SANES |
| Role | CREDENTIALING SPECIALIST |
| Phone | 3524273882 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEAN TIMOTHY S | Agent | 230 NE 25TH AVENUE, OCALA, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| FRANCK PAUL | Manager | 202-A SW 17TH STREET, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2020-07-07 | PATHWAY MEDCONSULT CLINIC, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-07-27 |
| LC Amendment and Name Change | 2020-07-07 |
| Florida Limited Liability | 2020-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
