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TALLAHASSEE MEDICAL GROUP, PLLC - Florida Company Profile

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Company Details

Entity Name: TALLAHASSEE MEDICAL GROUP, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jun 2021 (4 years ago)
Document Number: L21000280121
FEI/EIN Number 87-1466300
Address: 1511 SURGEONS DRIVE, TALLAHASSEE, FL, 32308, US
Mail Address: 1511 SURGEONS DRIVE, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
City: Tallahassee
County: Leon
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VANLANDINGHAM CODY Manager 1511 SURGEONS DRIVE, TALLAHASSEE, FL, 32308
VANLANDINGHAM HUGH Manager 1511 SURGEONS DRIVE, TALLAHASSEE, FL, 32308
BRANNEN JOSEPH B Agent 215 S. MONROE STREET, TALLAHASSEE, FL, 32301

National Provider Identifier

NPI Number:
1972265130
Certification Date:
2021-10-06

Authorized Person:

Name:
MR. HUGH VANLANDINGHAM
Role:
MGR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8503090354

Form 5500 Series

Employer Identification Number (EIN):
871466300
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
27
Sponsors Telephone Number:

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-03-28
Florida Limited Liability 2021-06-16

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Date of last update: 01 Aug 2025

Sources: Florida Department of State