Detail by Officer/Registered Agent Name

Florida Limited Liability Company

125 4TH AVENUE NE, LLC

Filing Information
L17000123222 82-1867589 06/06/2017 FL ACTIVE REINSTATEMENT 03/11/2019
Principal Address
125 4TH AVE NE
ST. PETERSBURG, FL 33701
Mailing Address
8220 US HWY 19 N
PORT RICHEY, FL 34668
Registered Agent Name & Address MILLER, RICHARD A
8220 US HWY 19 N
PORT RICHEY, FL 34668

Name Changed: 03/11/2019
Authorized Person(s) Detail Name & Address

Title Manager

Krutchik, Michael A, Dr.
8220 US HWY 19 N
PORT RICHEY, FL 34668

Title Manager

Dorton, David W, Dr.
8220 US HWY 19 N
PORT RICHEY, FL 34668

Title Manager

Esguerra, David, Dr.
8220 US HWY 19 N
PORT RICHEY, FL 34668

Title Manager

Witfill, Kristin, Dr.
8220 US HWY 19 N
PORT RICHEY, FL 34668

Title Manager

Miller, Richard A, Dr.
8220 US HWY 19 N
PORT RICHEY, FL 34668

Annual Reports
Report YearFiled Date
2022 03/22/2022
2023 04/15/2023
2024 04/25/2024