| Entity Name: | LTR MEDICAL MANAGEMENT GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Aug 2003 (21 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P03000095528 |
| FEI/EIN Number | 800075358 |
| Address: | 3101 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 3101 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972555316 | 2006-05-16 | 2020-08-22 | PO BOX 55065, JACKSONVILLE, FL, 322160065, US | 3101 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322162750, US | |||||||||||||||
|
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| Phone | +1 904-727-7733 |
| Fax | 9047277737 |
Authorized person
| Name | JANET L STEPHENS |
| Role | OFFICE MANAGER |
| Phone | 9047277733 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WALLACH RICHARD S | Director | 13850 SW 100 AVE, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-05-03 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-05-03 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-28 | 3101 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-28 | 3101 UNIVERSITY BLVD. SOUTH, SUITE 100, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-05-03 |
| ANNUAL REPORT | 2005-09-16 |
| ANNUAL REPORT | 2004-04-28 |
| Domestic Profit | 2003-08-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
