| Entity Name: | BLUM SURGICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jul 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L07000074297 |
| FEI/EIN Number | 260555541 |
| Address: | 4308 ALTON RD., STE #850, MIAMI BEACH, FL, 33140 |
| Mail Address: | 4308 ALTON RD., STE #850, MIAMI BEACH, FL, 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154569945 | 2009-02-02 | 2010-08-06 | 4308 ALTON RD STE 850, MIAMI BEACH, FL, 331404558, US | 4308 ALTON RD STE 850, MIAMI BEACH, FL, 331404558, US | |||||||||||||||||
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| Phone | +1 305-538-4556 |
| Fax | 3055382019 |
Authorized person
| Name | DR. JEFFREY D. BLUM |
| Role | PRESIDENT |
| Phone | 3055384556 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Marquez Antonio R | Agent | 4308 ALTON RD., MIAMI BEACH, FL, 33140 |
| Name | Role | Address |
|---|---|---|
| BLUM JEFFREY D | Managing Member | 4308 ALTON RD. #850, MIAMI BEACH, FL, 33140 |
| Nicolaievsky Eduardo | Managing Member | 4308 ALTON RD., MIAMI BEACH, FL, 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-24 | Marquez, Antonio R | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-13 | 4308 ALTON RD., STE #850, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-20 | 4308 ALTON RD., STE #850, MIAMI BEACH, FL 33140 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-20 | 4308 ALTON RD., STE #850, MIAMI BEACH, FL 33140 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-13 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-01-07 |
| Florida Limited Liability | 2007-07-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
