| Entity Name: | CHARLOTTE COUNTY MEDICAL SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jun 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P10000050205 |
| FEI/EIN Number | 272839721 |
| Address: | 3191 HARBOR BLVD, SUITE C, PORT CHARLOTTE, FL, 33952 |
| Mail Address: | 3191 HARBOR BLVD, SUITE C, PORT CHARLOTTE, FL, 33952 |
| ZIP code: | 33952 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619283033 | 2010-08-23 | 2010-08-23 | 3822 BROADWAY, SUITE C, FORT MYERS, FL, 339018148, US | 3191 HARBOR BLVD, SUITE C, PORT CHARLOTTE, FL, 339526755, US | |||||||||||||||||||||||
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| Phone | +1 239-274-3004 |
| Fax | 2392746007 |
| Phone | +1 941-206-2630 |
| Fax | 9412062633 |
Authorized person
| Name | EMILIYA S HILL |
| Role | MEDICAL DIRECTOR |
| Phone | 2392743004 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | PMC56 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Lindgren Laura | Agent | 3191 Harbor Blvd, Suite C, Port Charlotte, FL, 33952 |
| Name | Role | Address |
|---|---|---|
| LINDGREN TODD | Vice President | 3191 Harbor Blvd Suite C, Port Charlotte, FL, 33952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000080513 | THE LIVING YOUNG INSTITUTE | EXPIRED | 2014-08-05 | 2019-12-31 | No data | 3191 HARBOR BLVD. UNIT C, PORT CHARLOTTE, FL, 33952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-27 | 3191 Harbor Blvd, Suite C, Port Charlotte, FL 33952 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-27 | Lindgren, Laura | No data |
| AMENDMENT | 2012-09-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-27 | 3191 HARBOR BLVD, SUITE C, PORT CHARLOTTE, FL 33952 | No data |
| AMENDMENT | 2010-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-09-27 | 3191 HARBOR BLVD, SUITE C, PORT CHARLOTTE, FL 33952 | No data |
| AMENDMENT | 2010-08-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-08-05 |
| ANNUAL REPORT | 2013-02-27 |
| Amendment | 2012-09-17 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-01-12 |
| Amendment | 2010-09-27 |
| Amendment | 2010-08-11 |
| Domestic Profit | 2010-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
