| Entity Name: | MEDXCLUSIVE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Mar 2022 (3 years ago) |
| Document Number: | L22000142978 |
| FEI/EIN Number | 88-1373591 |
| Address: | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 |
| Mail Address: | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 |
| ZIP code: | 32312 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609637420 | 2024-01-18 | 2024-02-22 | 3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL, 323087971, US | 3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL, 323087971, US | |||||||||||||
|
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| Phone | +1 734-812-3939 |
Authorized person
| Name | SHELBY HOPKINS VANDERLAN |
| Role | MANAGING PARTNER |
| Phone | 7348123939 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VANDERLAN, SHELBY | Agent | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 |
| Name | Role | Address |
|---|---|---|
| VANDERLAN, SHELBY | Managing Member | 3320 Thomasville Road, Suite 302 TALLAHASSEE, FL 32312 |
| SMITH, RUTH | Managing Member | 3320 Thomasville Road, Suite 302 TALLAHASSEE, FL 32312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-11 | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-11 | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-11 | 3320 Thomasville Road, Suite 302, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-15 | 5721 ROANOKE TRAIL, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-15 | 5721 ROANOKE TRAIL, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-03-23 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
