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STATESERV MEDICAL OF FLORIDA, LLC

Headquarter

Company Details

Entity Name: STATESERV MEDICAL OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 12 Nov 2010 (14 years ago)
Last Event: LC RESTATED ARTICLES
Event Date Filed: 09 Oct 2023 (a year ago)
Document Number: L10000118129
FEI/EIN Number 27-3959693
Address: 1201 S ALMA SCHOOL RD, STE 4000, MESA, AZ 85210
Mail Address: 1201 S. Alma School Rd., Suite 4000, Mesa, AZ 85210
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of STATESERV MEDICAL OF FLORIDA, LLC, ALABAMA 000-633-915 ALABAMA

National Provider Identifier

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

Contacts

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

Agent

Name Role
C T CORPORATION SYSTEM Agent

Chief Executive Officer

Name Role Address
DiCosmo, Paul A Chief Executive Officer 1201 S. Alma School Rd., Suite 4000 Mesa, AZ 85210

Chief Operating Officer

Name Role Address
Roode, Christopher Chief Operating Officer 1201 S. Alma School Rd., Suite 4000 Mesa, AZ 85210

Chief Technical Officer

Name Role Address
TAYLOR, JAMES B Chief Technical Officer 1325 NW 98TH COURT, 9 DORAL, FL 33172

Chief Financial Officer

Name Role Address
AMUNDSON, ELLIOT Chief Financial Officer 405 5TH AVENUE NORTH, SOUTH ST. PAUL, MN 55075

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000141563 DRAGONFLY HEALTH ACTIVE 2024-11-20 2029-12-31 No data 1025 BLANDING BOULEVARD STE 503, ORANGE PARK, FL, 32065
G20000031448 DECUBEX ACTIVE 2020-03-12 2025-12-31 No data 1201 S. ALMA SCHOOL RD., SUITE 4000, MESA, AZ, 85210

Events

Event Type Filed Date Value Description
LC RESTATED ARTICLES 2023-10-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-09 1201 S ALMA SCHOOL RD, STE 4000, MESA, AZ 85210 No data
LC AMENDMENT 2022-12-15 No data No data
LC AMENDMENT 2019-04-18 No data No data
CHANGE OF MAILING ADDRESS 2019-02-07 1201 S ALMA SCHOOL RD, STE 4000, MESA, AZ 85210 No data

Documents

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

Date of last update: 24 Jan 2025

Sources: Florida Department of State