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MY FAVORITE CLINIC LLC

Company Details

Entity Name: MY FAVORITE CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Mar 2022 (3 years ago)
Document Number: L22000147531
FEI/EIN Number 88-1685158
Address: 36750 US Highway 19 N, Palm harbor, FL, 34684, US
Mail Address: 2708 W SAINT JOHN ST, TAMPA, FL, 33607, US
ZIP code: 34684
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982342275 2022-05-25 2022-05-25 2708 W SAINT JOHN ST, TAMPA, FL, 336072944, US 2708 W SAINT JOHN ST, TAMPA, FL, 336072944, US

Contacts

Phone +1 813-444-7779
Phone +1 813-703-4849

Authorized person

Name ELIZABETH SIRBAN
Role CEO
Phone 8137034849

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
SIRBAN ELIZABETH Agent 2708 W SAINT JOHN ST, TAMPA, FL, 33607

Authorized Member

Name Role Address
SIRBAN ELIZABETH Authorized Member 2708 W SAINT JOHN ST, TAMPA, FL, 33607

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-28 36750 US Highway 19 N, 3086, Palm harbor, FL 34684 No data

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-02-26
Florida Limited Liability 2022-03-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State