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MEDISUPPORT, LLC

Company Details

Entity Name: MEDISUPPORT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 May 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: L20000133503
FEI/EIN Number 85-1171335
Address: 15151 S US HWY 441, 300, SUMMERFIELD, FL, 34491, US
Mail Address: 3211 SE 95TH ST, OCALA, FL, 34480, US
ZIP code: 34491
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922612233 2020-09-03 2020-09-03 15151 S US HIGHWAY 441, SUMMERFIELD, FL, 344914482, US 15151 S US HIGHWAY 441, SUMMERFIELD, FL, 344914482, US

Contacts

Phone +1 954-444-2879

Authorized person

Name DR. CHERIE L HANSEN
Role OWNER
Phone 9544442879

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
HANSEN CHERIE LDO Agent 3211 SE 95TH ST, OCALA, FL, 34480

Manager

Name Role Address
HANSEN, CHERIE LDO Manager 3211 SE 95TH ST, OCALA, FL, 34480

Events

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

Documents

Name Date
ANNUAL REPORT 2021-02-02
Florida Limited Liability 2020-05-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State