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ST. JOHNS MEDICAL TRANSPORT LLC - Florida Company Profile

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Company Details

Entity Name: ST. JOHNS MEDICAL TRANSPORT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 29 Aug 2023 (2 years ago)
Date of dissolution: 05 Feb 2025 (7 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 05 Feb 2025 (7 months ago)
Document Number: L23000404733
FEI/EIN Number 933168871
Address: 120 Palencia Village Dr, ST. AUGUSTINE, FL, 32095, US
Mail Address: 120 Palencia Village Dr., ST. AUGUSTINE, FL, 32095, US
ZIP code: 32095
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MALLICK TARUN K Authorized Member 120 PALENCIA VILLAGE DR., ST. AUGUSTINE, FL, 32095
MALLICK TARUN K Agent 120 PALENCIA VILLAGE DRIVE, ST. AUGUSTINE, FL, 32095

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
NADINE HIJAZI
User ID:
P3270960

Unique Entity ID

Unique Entity ID:
LTVQY4QPH5C5
CAGE Code:
9W7G7
UEI Expiration Date:
2025-04-29

Business Information

Division Name:
ST JOHNS MEDICAL TRANSPORT
Activation Date:
2024-05-08
Initial Registration Date:
2024-04-22

Commercial and government entity program

CAGE number:
9W7G7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-29
CAGE Expiration:
2029-05-08
SAM Expiration:
2025-04-29

Contact Information

POC:
NADINE HIJAZI

National Provider Identifier

NPI Number:
1194500702
Certification Date:
2023-10-06

Authorized Person:

Name:
TARUN K MALLICK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-02-05 - -
CHANGE OF PRINCIPAL ADDRESS 2023-11-17 120 Palencia Village Dr, Suite C-105 (#126), ST. AUGUSTINE, FL 32095 -
CHANGE OF MAILING ADDRESS 2023-11-17 120 Palencia Village Dr, Suite C-105 (#126), ST. AUGUSTINE, FL 32095 -
LC STMNT OF RA/RO CHG 2023-11-15 - -
REGISTERED AGENT ADDRESS CHANGED 2023-11-15 120 PALENCIA VILLAGE DRIVE, ST. AUGUSTINE, FL 32095 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2025-02-05
ANNUAL REPORT 2024-03-02
CORLCRACHG 2023-11-15
Florida Limited Liability 2023-08-29

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Date of last update: 02 Aug 2025

Sources: Florida Department of State