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IMPACT MEDICAL LLC - Florida Company Profile

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Company Details

Entity Name: IMPACT MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Oct 2021 (4 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L21000446389
FEI/EIN Number 87-3103459
Address: 6735 CONROY RD, ORLANDO, FL, 32835, US
Mail Address: 214 SOUTH DILLARD STREET, OPTIONAL, WINTER GARDEN, FL, 34787, US
ZIP code: 32835
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HEALY NICHOLAS B Member 214 SOUTH DILLARD STREET, OPTIONAL, WINTER GARDEN, FL, 34787
- Agent -

National Provider Identifier

NPI Number:
1245993765
Certification Date:
2021-10-21

Authorized Person:

Name:
DR. NICHOLAS HEALY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
4076343207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000156314 THE IMPACT CLINIC ACTIVE 2021-11-23 2026-12-31 - 6735 CONROY-WINDERMERE RD., 331, ORLANDO, FL, 32835

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2022-01-20 6735 CONROY RD, 331, ORLANDO, FL 32835 -

Documents

Name Date
ANNUAL REPORT 2022-01-03
Florida Limited Liability 2021-10-12

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Date of last update: 03 Aug 2025

Sources: Florida Department of State