Entity Name: | GO GROW LIVE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 08 Jun 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: | L21000265132 |
Address: | 12015 WHITMARSH LN, TAMPA, FL, 33626, US |
Mail Address: | 12015 WHITMARSH LN, TAMPA, FL, 33626, US |
ZIP code: | 33626 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1457928491 | 2021-06-08 | 2021-06-08 | 12114 RUSTIC RIVER WAY, TAMPA, FL, 336359534, US | 12015 WHITMARSH LN, TAMPA, FL, 336261737, US | |||||||||||||||||||
|
Phone | +1 813-587-0605 |
Authorized person
Name | ERICA HAND |
Role | CEO |
Phone | 8134076074 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 109361900 |
State | FL |
Name | Role | Address |
---|---|---|
HAND ERICA | Agent | 12015 WHITMARSH LN, TAMPA, FL, 33626 |
Name | Role | Address |
---|---|---|
HAND ERICA | Chief Executive Officer | 12015 WHITMARSH LN, TAMPA, FL, 33626 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2021-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State