| Entity Name: | PIONEER MONONGALIA MEDICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PIONEER MONONGALIA MEDICAL GROUP, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Apr 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: | L21000192898 |
| Address: | 13067 TELECOM PKWY N, TAMPA, FL, 33637, US |
| Mail Address: | 13067 TELECOM PKWY N, TAMPA, FL, 33637, US |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275293599 | 2021-12-28 | 2021-12-28 | 13067 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370926, US | 13067 N TELECOM PKWY, TEMPLE TERRACE, FL, 336370926, US | |||||||||||||||||
|
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| Phone | +1 813-779-6303 |
Authorized person
| Name | JAMES GRIFFITH |
| Role | BUSINESS MANAGER |
| Phone | 8137796303 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INTERNAL MEDICINE |
| Number | 123456789 |
| Name | Role | Address |
|---|---|---|
| ALI SYED I | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| MERCANDO RONNIE | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| BROWN MILTON MD | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| KHAN MASOOD | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| SHAUKAT KHIZZAR M.D. | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| MEHTA DIPTI IM.D. | Authorized Member | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| ALI SYED I | Agent | 13067 TELECOM PKWY N, TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-04-30 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
