Home Page
Counties
Broward
33301
LAS OLAS MEDICAL GROUP & SPA, LLC

LAS OLAS MEDICAL GROUP & SPA, LLC

Company Details

Entity Name:	LAS OLAS MEDICAL GROUP & SPA, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Inactive
Date Filed:	16 May 2006 (19 years ago)
Date of dissolution:	26 Sep 2008 (16 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	26 Sep 2008 (16 years ago)
Document Number:	L06000050592
FEI/EIN Number	204889934
Address:	100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301
Mail Address:	100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301
ZIP code:	33301
County:	Broward
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1467472068

2006-07-19

2008-08-26

2607 NE 10TH AVE, WILTON MANORS, FL, 333343707, US

2607 NE 10TH AVE, WILTON MANORS, FL, 333343707, US

Contacts

Phone	+1 954-763-1230
Fax	9547631238

Authorized person

Name	DR. JEFFREY S CARON
Role	MEDICAL DIRECTOR
Phone	9547631230

Taxonomy

Taxonomy Code	207Q00000X - Family Medicine Physician
License Number	ME82806
State	FL
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	066841900
State	FL

Agent

Name	Role	Address
CARON JEFFREY S	Agent	100 SE 15TH AVENUE, FORT LAUDERDALE, FL, 33301

Managing Member

Name	Role	Address
CARON JEFFREY S	Managing Member	100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2008-09-26	No data	No data
REGISTERED AGENT NAME CHANGED	2007-05-01	CARON, JEFFREY SMD	No data
REGISTERED AGENT ADDRESS CHANGED	2007-05-01	100 SE 15TH AVENUE, FORT LAUDERDALE, FL 33301	No data

Debts

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J09001111680	TERMINATED	1000000099413	45817 512	2008-11-19	2029-04-08	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000187731	TERMINATED	1000000099413	45817 512	2008-11-19	2029-01-22	$ 7,360.90	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000423466	ACTIVE	1000000099413	45817 512	2008-11-19	2029-01-28	$ 7,360.90	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000519883	TERMINATED	1000000099413	45817 512	2008-11-19	2029-02-04	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000594308	TERMINATED	1000000099413	45817 512	2008-11-19	2029-02-11	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000669993	TERMINATED	1000000099413	45817 512	2008-11-19	2029-02-18	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000745959	TERMINATED	1000000099413	45817 512	2008-11-19	2014-02-25	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000804210	TERMINATED	1000000099413	45817 512	2008-11-19	2029-03-05	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000864149	TERMINATED	1000000099413	45817 512	2008-11-19	2029-03-11	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000921857	TERMINATED	1000000099413	45817 512	2008-11-19	2029-03-18	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09000988583	TERMINATED	1000000099413	45817 512	2008-11-19	2029-03-25	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J09001048049	TERMINATED	1000000099413	45817 512	2008-11-19	2029-04-01	$ 62.26	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096
J07000150568	LAPSED	06-21414-18	BROWARD COUNTY CIRCUIT COURT	2007-05-08	2012-05-22	$17,313.19	AETNA, INC., 1425 UNION MEETING ROAD, BLUE BELL, PA 19422

Documents

Name	Date
ANNUAL REPORT	2007-05-01
Florida Limited Liability	2006-05-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State