| Entity Name: | NOSTRUM MEDICAL GROUP MSO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Sep 2011 (13 years ago) |
| Date of dissolution: | 09 Nov 2016 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Nov 2016 (8 years ago) |
| Document Number: | L11000101882 |
| FEI/EIN Number | 453551099 |
| Address: | 10899 SW 72ND STREET, MIAMI, FL, 33173, US |
| Mail Address: | 10899 SW 72ND STREET, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912279225 | 2012-02-01 | 2012-02-01 | 1235 N KROME AVE, R, HOMESTEAD, FL, 330304204, US | 1235 N KROME AVE, R, HOMESTEAD, FL, 330304204, US | |||||||||||||||
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| Phone | +1 305-242-9952 |
| Fax | 3052429998 |
Authorized person
| Name | MR. LAZARO MOREIRA |
| Role | MGRM |
| Phone | 3052429952 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOREIRA LAZARO | Agent | 10899 SW 72ND STREET, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| MOREIRA LAZARO | Manager | 10899 SW 72ND STREET, MIAMI, FL, 33173 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000092197 | NOSTRUM MEDICAL GROUP MSO | EXPIRED | 2016-08-25 | 2021-12-31 | No data | 10899 SW 72ND ST, STE 203, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-11-09 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-11-08 | NOSTRUM MEDICAL GROUP MSO LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-08 | MOREIRA, LAZARO | No data |
| LC DISSOCIATION MEM | 2016-11-07 | No data | No data |
| LC NAME CHANGE | 2016-08-23 | OPTIMUS MSO III, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-08-17 | 10899 SW 72ND STREET, STE 203, MIAMI, FL 33173 | No data |
| LC AMENDMENT | 2016-08-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-08-03 | 10899 SW 72ND STREET, SUITE 203, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-03 | 10899 SW 72ND STREET, SUITE 203, MIAMI, FL 33173 | No data |
| LC AMENDMENT | 2016-08-03 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2016-11-09 |
| LC Amendment and Name Change | 2016-11-08 |
| CORLCDSMEM | 2016-11-07 |
| Reg. Agent Resignation | 2016-11-07 |
| LC Name Change | 2016-08-23 |
| LC Amendment | 2016-08-17 |
| LC Amendment | 2016-08-03 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-03-09 |
| ANNUAL REPORT | 2014-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
