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MD ONE, LLC

Company Details

Entity Name: MD ONE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 20 Jul 2005 (20 years ago)
Document Number: M05000003990
FEI/EIN Number 81-0673854
Address: 1501 US HWY 441 NORTH, SUITE 1702, THE VILLAGES, FL 32159
Mail Address: 1501 US HWY 441 NORTH, SUITE 1702, THE VILLAGES, FL 32159
ZIP code: 32159
County: Lake
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962741181 2013-02-07 2014-09-30 1501 N US HIGHWAY 441, STE 1702, THE VILLAGES, FL, 321598999, US 1501 N US HIGHWAY 441, STE 1702, THE VILLAGES, FL, 321598999, US

Contacts

Phone +1 352-750-4333
Fax 3527502023

Authorized person

Name NELSON KRAUCAK
Role OWNER
Phone 3527504333

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

Agent

Name Role Address
KRAUCAK, NELSON Agent 1501 US HWY 441 NORTH, SUITE 1702, THE VILLAGES, FL 32159

Manager

Name Role Address
KRAUCAK, NELSON Manager 1501 US HWY 441 NORTH, SUITE 1702, THE VILLAGES, FL 32159

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2011-04-05 KRAUCAK, NELSON No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-03-07
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-01-06

Date of last update: 04 Jan 2025

Sources: Florida Department of State