| Entity Name: | BAILEY MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Feb 2009 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000018734 |
| FEI/EIN Number | 26-4334786 |
| Address: | 3100 SOUTH DIXIE HIGHWAY, 300, MIAMI, FL 33133 |
| Mail Address: | 3100 SOUTH DIXIE HIGHWAY, 300, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184906729 | 2011-09-09 | 2011-09-09 | 2000 S DIXIE HWY, #105B, MIAMI, FL, 331332456, US | 2000 S DIXIE HWY, #105B, MIAMI, FL, 331332456, US | |||||||||||||||||||||||
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| Phone | +1 305-860-2488 |
| Fax | 3052852422 |
Authorized person
| Name | DR. TREVOR BAILEY |
| Role | MEDICAL DIRECTOR |
| Phone | 3058602488 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS 9465 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PERSONAL NPI |
| Number | 1417969239 |
| Name | Role | Address |
|---|---|---|
| BAILEY, TREVOR L, Dr. | Agent | 1745 E. HALLANDALE BEACH BLVD, #2506 WEST, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| BAILEY, TREVOR L, Dr. | Manager | 1745 E. HALLANDALE BEACH BLVD #2506 WEST, HALLANDALE BEACH, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-18 | BAILEY, TREVOR L, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-11 | 3100 SOUTH DIXIE HIGHWAY, 300, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-11 | 3100 SOUTH DIXIE HIGHWAY, 300, MIAMI, FL 33133 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-11 | 1745 E. HALLANDALE BEACH BLVD, #2506 WEST, HALLANDALE BEACH, FL 33009 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-18 |
| ANNUAL REPORT | 2012-02-11 |
| ANNUAL REPORT | 2011-04-04 |
| ANNUAL REPORT | 2010-04-15 |
| Florida Limited Liability | 2009-02-24 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
