| Entity Name: | ADVANCED ADULT MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Oct 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P17000080583 |
| Address: | 1127 NIKKI VIEW DRIVE, BRANDON, FL, 33511, US |
| Mail Address: | 1921 W. DR. M.L. KING JR. BLVD., TAMPA, FL, 33607 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043723752 | 2017-11-16 | 2017-11-16 | 1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336076509, US | 1127 NIKKI VIEW DR, BRANDON, FL, 335114879, US | |||||||||||||||
|
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| Phone | +1 813-876-7600 |
| Fax | 8135337377 |
Authorized person
| Name | DR. STANLEY R DENNISON JR. |
| Role | OWNER |
| Phone | 8138767600 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DENNISON TATIANA C | Agent | 1921 W. DR. M.L. KING JR. BLVD., TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| DENNISON STANLEY RJR. | President | 1921 DR. M.L. KING JR. BLVD., TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2017-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
