| Entity Name: | MULBERRY MEDICAL GROUP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MULBERRY MEDICAL GROUP, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Nov 2002 (22 years ago) |
| Date of dissolution: | 17 Aug 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Aug 2011 (14 years ago) |
| Document Number: | P02000117421 |
| FEI/EIN Number |
450490879
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8489 SE 165 MULBERRY LANE, LADY LAKE, FL, 32162 |
| Mail Address: | P.O. BOX 587, OXFORD, FL, 34484 |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417132465 | 2008-01-08 | 2010-08-23 | PO BOX 587, OXFORD, FL, 344840587, US | 8489 SE 165TH MULBERRY LN, THE VILLAGES, FL, 321625847, US | |||||||||||||||||||
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| Phone | +1 352-259-7900 |
| Fax | 3522597966 |
Authorized person
| Name | DR. GUILLERMO B AVECILLA |
| Role | PRESIDENT |
| Phone | 3522597900 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME80865 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AVECILLA JOSEPHINE M | President | 8489 SE 165 MULBERRY LANE, THE VILLAGES, FL, 32162 |
| AVECILLA JOSEPHINE M | Agent | 8489 SE 165 MULBERRY LANE, THE VILLAGES, FL, 32162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-08-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2011-04-13 | AVECILLA, JOSEPHINE M | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-03-03 | 8489 SE 165 MULBERRY LANE, LADY LAKE, FL 32162 | - |
| CHANGE OF MAILING ADDRESS | 2003-03-03 | 8489 SE 165 MULBERRY LANE, LADY LAKE, FL 32162 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-03 | 8489 SE 165 MULBERRY LANE, THE VILLAGES, FL 32162 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-08-17 |
| ANNUAL REPORT | 2011-04-13 |
| ANNUAL REPORT | 2010-02-22 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-04-22 |
| ANNUAL REPORT | 2007-07-09 |
| ANNUAL REPORT | 2006-03-21 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-03-11 |
| ANNUAL REPORT | 2003-03-03 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
