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CHOICE ONE MEDICAL GROUP, L.L.C. - Florida Company Profile

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Company Details

Entity Name: CHOICE ONE MEDICAL GROUP, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 05 May 2010 (15 years ago)
Date of dissolution: 22 Sep 2017 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (8 years ago)
Document Number: L10000048588
FEI/EIN Number 272530185
Address: 49 N Federal Hwy, Pompano Beach, FL, 33062, US
Mail Address: 49 N FEDERAL HWY #135, POMPANO BEACH, FL, 33062, US
ZIP code: 33062
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BODGAN MICHAEL Managing Member 49 N FEDERAL HWY #135, POMPANO BEACH, FL, 33062
KRUGER ALLAN Agent 7451 WILES RD, CORAL SPRINGS, FL, 33067

National Provider Identifier

NPI Number:
1508172206

Authorized Person:

Name:
MARY C MARTINEZ
Role:
VP OPERATIONS & NETWORK MNGT
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
No
Selected Taxonomy:
171W00000X - Contractor
Is Primary:
Yes

Contacts:

Fax:
5618283372

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2016-03-22 49 N Federal Hwy, 135, Pompano Beach, FL 33062 -
REGISTERED AGENT NAME CHANGED 2015-11-06 KRUGER, ALLAN -
REGISTERED AGENT ADDRESS CHANGED 2015-11-06 7451 WILES RD, 204, CORAL SPRINGS, FL 33067 -
CHANGE OF MAILING ADDRESS 2015-01-05 49 N Federal Hwy, 135, Pompano Beach, FL 33062 -
LC AMENDMENT 2014-09-12 - -
LC AMENDMENT 2014-06-24 - -

Documents

Name Date
ANNUAL REPORT 2016-03-22
AMENDED ANNUAL REPORT 2015-11-06
AMENDED ANNUAL REPORT 2015-11-03
ANNUAL REPORT 2015-04-15
LC Amendment 2014-09-12
LC Amendment 2014-06-24
ANNUAL REPORT 2014-04-08
ANNUAL REPORT 2013-04-12
ANNUAL REPORT 2012-03-26
ANNUAL REPORT 2011-03-16

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Date of last update: 03 Aug 2025

Sources: Florida Department of State