| Entity Name: | NORTHSOUTH MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Aug 2009 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L09000083363 |
| FEI/EIN Number | 270832486 |
| Address: | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417 |
| Mail Address: | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417 |
| ZIP code: | 33417 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659606655 | 2009-10-08 | 2009-10-08 | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174624, US | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 334174624, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-684-0710 |
Authorized person
| Name | AL JEROME |
| Role | PRESIDENT |
| Phone | 5616840710 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 3028 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEROME ALBERT | Agent | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417 |
| Name | Role | Address |
|---|---|---|
| JEROME AL | Manager | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417 |
| Name | Role | Address |
|---|---|---|
| blumenfeld fred | mgr | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-19 | JEROME, ALBERT | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-15 | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-15 | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-15 | 4676 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417 | No data |
| LC AMENDMENT | 2009-11-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-14 |
| AMENDED ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2020-01-08 |
| AMENDED ANNUAL REPORT | 2019-11-20 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
