| Entity Name: | MBOD, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2004 (21 years ago) |
| Document Number: | L04000044370 |
| FEI/EIN Number | 201318776 |
| Address: | 1717 N. BAYSHORE DRIVE, 230, MIAMI, FL, 33132 |
| Mail Address: | 1717 N. BAYSHORE DRIVE, 230, MIAMI, FL, 33132 |
| ZIP code: | 33132 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710913066 | 2006-06-25 | 2020-08-22 | 1717 N BAYSHORE DR, 230, MIAMI, FL, 331321180, US | 1717 N BAYSHORE DR, 230, MIAMI, FL, 331321180, US | |||||||||||||||||||
|
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| Phone | +1 305-374-7011 |
| Fax | 3056752630 |
Authorized person
| Name | GHASSAN EDWARD FAHEL |
| Role | MEDICAL DIRECTOR |
| Phone | 3053747011 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS7046 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fahel Ghassan E | Agent | 1717 N. BAYSHORE DRIVE, MIAMI, FL, 33132 |
| Name | Role | Address |
|---|---|---|
| CAMACHO TANIA M | Manager | 1717 N. BAYSHORE DRIVE #2740, MIAMI, FL, 33132 |
| FAHEL GHASSAN E | Manager | 1717 N. BAYSHORE DRIVE, MIAMI, FL, 33132 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G05210900199 | MBOD MEDICAL SPA | ACTIVE | 2005-07-29 | 2025-12-31 | No data | 1717 N. BAYSHORE DRIVE, SUITE 230, MIAMI, FL, 33132 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 1717 N. BAYSHORE DRIVE, 230, MIAMI, FL 33132 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-13 | Fahel, Ghassan E. | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-31 | 1717 N. BAYSHORE DRIVE, 230, MIAMI, FL 33132 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-14 | 1717 N. BAYSHORE DRIVE, 230, MIAMI, FL 33132 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
