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SARAH GRAHAM-MCCALL PHYSICIAN ASSISTANT LLC

Company Details

Entity Name: SARAH GRAHAM-MCCALL PHYSICIAN ASSISTANT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 16 Sep 2021 (3 years ago)
Date of dissolution: 28 Jan 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Jan 2023 (2 years ago)
Document Number: L21000411578
FEI/EIN Number 87-2860342
Address: 10521 HEARTH ROAD, SPRING HILL, FL, 34608, US
Mail Address: 18242 AUTUMN LAKE BLVD, HUDSON, FL, 34667, US
ZIP code: 34608
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184379182 2022-02-17 2022-02-17 18242 AUTUMN LAKE BLVD, HUDSON, FL, 346678435, US 18242 AUTUMN LAKE BLVD, HUDSON, FL, 346678435, US

Contacts

Phone +1 352-650-2997

Authorized person

Name SARAH GRAHAM-MCCALL
Role PHYSICIAN ASSISTANT
Phone 3526502997

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
GRAHAM-MCCALL SARAH L Agent 18242 AUTUMN LAKE BLVD, HUDSON, FL, 34667

Player Agent

Name Role Address
GRAHAM-MCCALL SARAH M Player Agent 18242 AUTUMN LAKE BLVD, HUDSON, FL, 34667

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-01-28 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-01-28
ANNUAL REPORT 2022-01-29
Florida Limited Liability 2021-09-16

Date of last update: 03 Feb 2025

Sources: Florida Department of State