| Entity Name: | AUSTIN MEDICAL ASSOCIATES X , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Nov 2023 (a year ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Dec 2024 (2 months ago) |
| Document Number: | L23000527934 |
| FEI/EIN Number | 93-4664750 |
| Address: | MY BILLING MD, LLC, 180 FITZGERALD ROAD, SUITE 2, LAKELAND, FL, 33813, US |
| Mail Address: | MY BILLING MD, LLC, 180 FITZGERALD ROAD, SUITE 2, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134995830 | 2023-12-04 | 2024-03-06 | 180 FITZGERALD RD STE 2, LAKELAND, FL, 338132712, US | 180 FITZGERALD RD STE 2, LAKELAND, FL, 338132712, US | |||||||||||||||||||||
|
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| Phone | +1 813-754-7777 |
Authorized person
| Name | DR. JOHN C AUSTIN |
| Role | MEDICAL DIRECTOR |
| Phone | 8637772736 |
Taxonomy
| Taxonomy Code | 170300000X - Genetic Counselor (M.S.) |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTAGNO CHRISTOPHER | Agent | MY BILLING MD, LLC, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| CASTAGNO CHRISTOPHER | Managing Member | MY BILLING MD, LLC 180 FITZGERALD ROAD, SU, LAKELAND, FL, 33813 |
| AUSTIN JOHN | Managing Member | 4350 SNEED RD, NASHVILLE, TN, 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-12-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-09 | CASTAGNO, CHRISTOPHER | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-12-09 |
| Florida Limited Liability | 2023-11-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
