| Entity Name: | DECK V, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Nov 2021 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | M21000014905 |
| FEI/EIN Number | 85-2118315 |
| Address: | 11516 OAKHURST ROAD, LARGO, FL, 33774, US |
| Mail Address: | 11516 OAKHURST ROAD, LARGO, FL, 33774, US |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063029668 | 2020-09-28 | 2020-09-28 | 11516 OAKHURST RD, LARGO, FL, 337743948, US | 11516 OAKHURST RD, LARGO, FL, 337743948, US | |||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 800-588-5219 |
| Fax | 8005885219 |
Authorized person
| Name | DR. DARREN JEFFERY SOMMER |
| Role | CEO |
| Phone | 8005885219 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 207RH0000X - Hematology (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SOMMER DARREN | Agent | 19211 GULF BOULEVARD, INDIAN SHORES, FL, 33785 |
| Name | Role | Address |
|---|---|---|
| SOMMER DARREN | Managing Member | 19211 GULF BOULEVARD, INDIAN SHORES, FL, 33785 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000149046 | INNOVATOR HEALTH PHYSICIAN | ACTIVE | 2022-12-05 | 2027-12-31 | No data | 11516 OAKHURST ROAD, LARGO, FL, 33774 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-25 |
| Foreign Limited | 2021-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
