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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HANSEN CHERIE LDO | Agent | 3211 SE 95TH ST, OCALA, FL, 34480 |
Name | Role | Address |
---|---|---|
HANSEN, CHERIE LDO | Manager | 3211 SE 95TH ST, OCALA, FL, 34480 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
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