| Entity Name: | DYNAMIC PHYSIOMENTAL HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Nov 2021 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L21000472597 |
| FEI/EIN Number | 87-3346421 |
| Address: | 6826 W LINEBAUGH AVE, TAMPA, FL, 33625 |
| Mail Address: | 6826 W LINEBAUGH AVE, TAMPA, FL, 33625 |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982369062 | 2021-11-03 | 2022-01-27 | 6826 W LINEBAUGH AVE, TAMPA, FL, 336254951, US | 6826 W LINEBAUGH AVE, TAMPA, FL, 336254951, US | |||||||||||||||||
|
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| Phone | +1 813-767-0283 |
Authorized person
| Name | JOEY ANCHETA |
| Role | PRESIDENT |
| Phone | 8137670283 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANCHETA MD JOEY S | Agent | 6826 W LINEBAUGH AVE, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| ANCHETA JOEY S | President | 6826 W LINEBAUGH AVE, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2022-10-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-26 | ANCHETA MD, JOEY S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-11 |
| REINSTATEMENT | 2022-10-26 |
| Florida Limited Liability | 2021-11-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
