| Entity Name: | BLUE WATER DOCTORS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Aug 2010 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Apr 2014 (11 years ago) |
| Document Number: | L10000081589 |
| FEI/EIN Number | 27-3172091 |
| Address: | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 |
| Mail Address: | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821303744 | 2010-08-16 | 2024-05-10 | 2730 N STATE ROAD 7, MARGATE, FL, 330635726, US | 2730 N STATE ROAD 7, MARGATE, FL, 33063, US | |||||||||||||||||||||||||||
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| Phone | +1 954-586-8058 |
| Fax | 9542226417 |
| Phone | +1 561-688-8917 |
| Fax | 5616888987 |
Authorized person
| Name | JOSEPH DI CAPUA |
| Role | OWNER |
| Phone | 5618437720 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DI CAPUA, JOSEPH | Agent | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 |
| Name | Role | Address |
|---|---|---|
| DI CAPUA, JOSEPH | Manager | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000022075 | BLUE WATER DOCTORS MSO | EXPIRED | 2011-03-01 | 2016-12-31 | No data | 100 ARRICOLA AVENUE, SAINT AUGUSTINE, FL, 32080-4515 |
| G10000091039 | BLUE WATER DOCTORS, LLC | EXPIRED | 2010-10-05 | 2015-12-31 | No data | 303B ANASTASIA BLVD, UNIT 129, SAINT AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-28 | DI CAPUA, JOSEPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-06 | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-24 | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-24 | 2730 NORTH STATE ROAD 7, MARGATE, FL 33063 | No data |
| LC AMENDMENT | 2014-04-28 | No data | No data |
| LC AMENDMENT | 2010-10-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-27 |
| AMENDED ANNUAL REPORT | 2016-12-22 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
