| Entity Name: | STATESERV MEDICAL OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
STATESERV MEDICAL OF FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Nov 2010 (14 years ago) |
| Last Event: | LC RESTATED ARTICLES |
| Event Date Filed: | 09 Oct 2023 (2 years ago) |
| Document Number: | L10000118129 |
| FEI/EIN Number |
273959693
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1201 S ALMA SCHOOL RD, MESA, AZ, 85210, US |
| Mail Address: | 1201 S. Alma School Rd., Suite 4000, Mesa, AZ, 85210, US |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | STATESERV MEDICAL OF FLORIDA, LLC, ALABAMA | 000-633-915 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124894191 | 2023-11-30 | 2023-11-30 | 1201 SOUTH ALMA SCHOOL RD, SUITE 4000, MESA, AZ, 85210, US | 4213 RECKER HWY, WINTER HAVEN, FL, 33880, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 877-633-7250 |
Authorized person
| Name | CHRISTOPER ROODE |
| Role | COO |
| Phone | 8776337250 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DiCosmo Paul A | Chief Executive Officer | 1201 S. Alma School Rd., Mesa, AZ, 85210 |
| Roode Christopher | Chief Operating Officer | 1201 S. Alma School Rd., Mesa, AZ, 85210 |
| TAYLOR JAMES B | Chief Technical Officer | 1325 NW 98TH COURT, DORAL, FL, 33172 |
| AMUNDSON ELLIOT | Chief Financial Officer | 405 5TH AVENUE NORTH, SOUTH ST. PAUL, MN, 55075 |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000141563 | DRAGONFLY HEALTH | ACTIVE | 2024-11-20 | 2029-12-31 | - | 1025 BLANDING BOULEVARD STE 503, ORANGE PARK, FL, 32065 |
| G20000031448 | DECUBEX | ACTIVE | 2020-03-12 | 2025-12-31 | - | 1201 S. ALMA SCHOOL RD., SUITE 4000, MESA, AZ, 85210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC RESTATED ARTICLES | 2023-10-09 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-09 | 1201 S ALMA SCHOOL RD, STE 4000, MESA, AZ 85210 | - |
| LC AMENDMENT | 2022-12-15 | - | - |
| LC AMENDMENT | 2019-04-18 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 1201 S ALMA SCHOOL RD, STE 4000, MESA, AZ 85210 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| LC Restated Articles | 2023-10-09 |
| ANNUAL REPORT | 2023-02-03 |
| LC Amendment | 2022-12-15 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-02 |
| LC Amendment | 2019-04-18 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-07 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4241632 | Intrastate Non-Hazmat | 2024-05-16 | - | - | 94 | 120 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total Number of Inspections for the measurement period (24 months) | 2 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 2 |
| Vehicle Maintenance BASIC Roadside Performance measure value | .5 |
| Total Number of Vehicle Inspections for the measurement period | 2 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 1 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Crashes
| Unique state report number for the incident | FL2618128003 |
| Sequence number for each vehicle involved in a crash | 1 |
| The date a incident occurred | 2023-12-08 |
| State abbreviation | FL |
| Total number of fatalities reported in the crash | 0 |
| Total number of injuries reported in the crash | 0 |
| The vehicle involved in the accident was towed from the scene | Y |
| Description of the trafficway | Two-Way Trafficway Not Divided |
| Description of the road surface condition | Dry |
| Description of the weather condition | No Adverse Conditions |
| Description of the light condition | Daylight |
| Vehicle Identification number (VIN) | 1FDWE3FL0BDA13207 |
| Vehicle license number | AF50TY |
| Vehicle license state | FL |
| The severity weight that is assigned to the incident | 1 |
| The time weight that is assigned to the incident | 1 |
| Sequence number | 1 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
