| Entity Name: | DR. MELISSA RUDD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 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: | L21000115764 |
| Address: | 3522 SADDLEBACK LANE, LUTZ, FL, 33548, UN |
| Mail Address: | 3522 SADDLEBACK LANE, LUTZ, FL, 33548, UN |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407452626 | 2020-12-11 | 2021-01-26 | 3522 SADDLE BACK LN, LUTZ, FL, 335484765, US | 3522 SADDLE BACK LN, LUTZ, FL, 335484765, US | |||||||||||||||||||||
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| Phone | +1 813-541-4962 |
| Fax | 8134058436 |
Authorized person
| Name | DR. MELISSA RUDD |
| Role | OWNER |
| Phone | 8134058436 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016684300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RUDD AUSTIN | Agent | 26444 CHIANINA DRIVE, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-03-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
