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SERENITY INTERNAL MEDICINE, LLC

Company Details

Entity Name: SERENITY INTERNAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 16 Mar 2021 (4 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: L21000109635
Address: 99 NESBIT ST, PUNTA GORDA, FL 33950
Mail Address: 99 NESBIT ST, PUNTA GORDA, FL 33950
ZIP code: 33950
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629652086 2021-05-11 2021-05-11 4566 MELBOURNE ST, PUNTA GORDA, FL, 339803040, US 4566 MELBOURNE ST, PUNTA GORDA, FL, 339803040, US

Contacts

Phone +1 941-286-3432

Authorized person

Name ROBERT A HULL
Role OWNER
Phone 9412685012

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
HOLMES, DAVID A, ESQ Agent 99 NESBIT ST, PUNTA GORDA, FL 33950

Manager

Name Role Address
HULL, ROBERT E, MD Manager 4566 MELBOURNE ST, PUNTA GORDA, FL 33980

Events

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

Documents

Name Date
Florida Limited Liability 2021-03-16

Date of last update: 14 Jan 2025

Sources: Florida Department of State