| Entity Name: | CANNACARE MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Dec 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000003388 |
| Address: | 1046 S FLORIDA AVE, LAKELAND, FL, 33803, US |
| Mail Address: | 1046 S FLORIDA AVE, LAKELAND, FL, 33803, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780345728 | 2022-01-03 | 2022-01-03 | 2137 SANDY HOOK, LAKELAND, FL, 338131350, US | 1046 S FLORIDA AVE, LAKELAND, FL, 338031118, US | |||||||||||||||
|
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| Phone | +1 918-914-0895 |
| Phone | +1 800-201-3624 |
Authorized person
| Name | JOCELYN GRACE EDMUNDSON |
| Role | OFFICE MANAGER |
| Phone | 9189140895 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REED JOSEF | Agent | 2137 SANDY HOOK, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| EDMUNDSON KEVIN E | Authorized Representative | 4603 ALVAMAR TRAIL, LAKELAND, FL, 33801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC DISSOCIATION MEM | 2022-08-01 | No data | No data |
| LC DISSOCIATION MEM | 2022-07-29 | No data | No data |
| Name | Date |
|---|---|
| CORLCDSMEM | 2022-08-01 |
| CORLCDSMEM | 2022-07-29 |
| Florida Limited Liability | 2021-12-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
