| Entity Name: | 1ST STICK MOBILE MEDICAL SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 11 Jul 2024 (7 months ago) |
| Document Number: | L21000436685 |
| FEI/EIN Number | 87-3113952 |
| Address: | 139 South PEBBLE BEACH BLVD, #107, SUN CITY CENTER, FL, 33573, US |
| Mail Address: | 139 South PEBBLE BEACH BLVD, #107, SUN CITY CENTER, FL, 33573, US |
| ZIP code: | 33573 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770316333 | 2024-08-20 | 2024-08-20 | 139 S PEBBLE BEACH BLVD STE 107, SUN CITY CENTER, FL, 335734711, US | 139 S PEBBLE BEACH BLVD STE 107, SUN CITY CENTER, FL, 335734711, US | |||||||||||||||||||
|
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| Phone | +1 813-296-3232 |
| Fax | 8132139228 |
Authorized person
| Name | ALFREDIA L WHITE |
| Role | OWNER/ NURSE PRACTITIONER |
| Phone | 8132963232 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Hemmati Khadijeh | Agent | 336 E. COLLEGE AVE., TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| WHITE ALFREDIA | Authorized Member | 9612 PEMBROOKE PINES DRIVE, SUN CITY CENTER, FL, 33573 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000120451 | MAKE ME UNIQUE BODY & WELLNESS | ACTIVE | 2023-09-28 | 2028-12-31 | No data | 2424 BRANDON BLVD #1112, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2024-07-11 | 1ST STICK MOBILE MEDICAL SERVICES, LLC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-11 | 139 South PEBBLE BEACH BLVD, #107, SUN CITY CENTER, FL 33573 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-11 | 139 South PEBBLE BEACH BLVD, #107, SUN CITY CENTER, FL 33573 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-24 | Hemmati , Khadijeh | No data |
| REINSTATEMENT | 2022-12-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-07-11 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-24 |
| REINSTATEMENT | 2022-12-15 |
| Florida Limited Liability | 2021-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
