| Entity Name: | INTERNAL MEDICINE MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2022 (3 years ago) |
| Document Number: | L22000306396 |
| FEI/EIN Number | 883210917 |
| Address: | 14153 YOSEMITE DR, HUDSON, FL, 34667, US |
| Mail Address: | 14153 YOSEMITE DR, HUDSON, FL, 34667, US |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982332011 | 2022-08-08 | 2022-09-14 | 10642 FIREBRICK CT, TRINITY, FL, 346555030, US | 14153 YOSEMITE DR STE 104, HUDSON, FL, 346678065, US | |||||||||||||
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| Phone | +1 727-267-6490 |
Authorized person
| Name | DR. JOHN HANNA |
| Role | MANAGER |
| Phone | 7272676490 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANNA JOHN MD | Agent | 14153 YOSEMITE DR, HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| HANNA JOHN MD | Director | 14153 YOSEMITE DR, HUDSON, FL, 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-23 | 14153 YOSEMITE DR, STE 104, HUDSON, FL 34667 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-13 | 14153 YOSEMITE DR, STE 104, HUDSON, FL 34667 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-13 | 14153 YOSEMITE DR, STE 104, HUDSON, FL 34667 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| Florida Limited Liability | 2022-07-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
