| Entity Name: | DEAN HEALTHCARE SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Nov 2017 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | M17000009859 |
| FEI/EIN Number | 82-3337115 |
| Address: | 3616 HARDEN BLVD, #311, LAKELAND, FL 33803 |
| Mail Address: | 3616 HARDEN BLVD, #311, LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679167134 | 2021-02-25 | 2021-02-25 | 1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL, 338053257, US | 1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL, 338053257, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 863-937-7157 |
| Fax | 8633330260 |
Authorized person
| Name | BYRON R DEAN |
| Role | MANAGER |
| Phone | 8639377157 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 275345600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEAN, BYRON | Agent | 3616 HARDEN BLVD, #311, LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| DEAN, BYRON | Authorized Member | 3616 HARDEN BLVD, #311, LAKELAND, FL 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2021-10-02 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-01-28 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-31 | DEAN, BYRON | No data |
| REINSTATEMENT | 2018-10-31 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-30 |
| REINSTATEMENT | 2021-10-02 |
| REINSTATEMENT | 2020-01-28 |
| REINSTATEMENT | 2018-10-31 |
| Foreign Limited | 2017-11-20 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
