| Entity Name: | CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 18 Feb 2003 (22 years ago) |
| Date of dissolution: | 26 Sep 2008 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (17 years ago) |
| Document Number: | L03000005958 |
| FEI/EIN Number |
320060512
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1958 DAIRY RD, MELBOURNE, FL, 32904 |
| Mail Address: | 1958 DAIRY RD, MELBOURNE, FL, 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063548287 | 2007-02-23 | 2020-08-22 | 5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA, 913676579, US | 1958 DAIRY RD, MELBOURNE, FL, 329044045, US | |||||||||||||||||
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| Phone | +1 800-377-3606 |
| Fax | 8185958206 |
| Phone | +1 800-530-5441 |
Authorized person
| Name | RICHARD ST.ANDREW |
| Role | CREDENTIALING COORDINATOR |
| Phone | 8003773606 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARE LEVEL MANAGEMENT LLC | Managing Member | - |
| KHALIL RAOUF | Agent | 1958 DAIRY RD, MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-06-18 | 1958 DAIRY RD, MELBOURNE, FL 32904 | - |
| CHANGE OF MAILING ADDRESS | 2007-06-18 | 1958 DAIRY RD, MELBOURNE, FL 32904 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-06-18 | 1958 DAIRY RD, MELBOURNE, FL 32904 | - |
| REINSTATEMENT | 2005-12-12 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-06-18 |
| ANNUAL REPORT | 2006-03-17 |
| REINSTATEMENT | 2005-12-12 |
| ANNUAL REPORT | 2004-02-18 |
| Florida Limited Liabilites | 2003-02-18 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
