| Entity Name: | OPTUMCARE SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Sep 2011 (13 years ago) |
| Date of dissolution: | 15 Nov 2023 (a year ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 15 Nov 2023 (a year ago) |
| Document Number: | L11000111701 |
| FEI/EIN Number | 45-3462809 |
| Address: | 11000 Optum Circle, Eden Prairie, MN 55344 |
| Mail Address: | 11000 Optum Circle, Eden Prairie, MN 55344 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922492883 | 2015-03-27 | 2019-08-19 | 10051 5TH STREET NORTH, ST. PETERSBURG, FL, 337022299, US | 9750 NW 33RD ST, SUITE 212, CORAL SPRINGS, FL, 330654042, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-755-5504 |
Authorized person
| Name | JOHN G. LIETHEN |
| Role | SECRETARY |
| Phone | 9522056262 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME94617 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD., PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Comstock, Troy, M.D. | Manager | 590 N Westshore Blvd,Suite 500,, FL110-1000 Tampa, FL 33609 |
| Name | Role | Address |
|---|---|---|
| Lang, Heather Anastasia | Asst Secretary | 9900 Bren road east, Minnetonka, MN 55343 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000157403 | DAVITA MEDICAL GROUP FLORIDA | ACTIVE | 2022-12-21 | 2027-12-31 | No data | 11000 OPTUM CIRCLE, EDEN PRAIRIE, MN, 55344 |
| G19000123610 | DAVITA MEDICAL GROUP | EXPIRED | 2019-11-18 | 2024-12-31 | No data | 9900 BREN ROAD EAST, MN008-T502, MINNETONKA, MN, 55343 |
| G19000120296 | OPTUM | EXPIRED | 2019-11-08 | 2024-12-31 | No data | 9900 BREN ROAD EAST, MN008-T, MINNITONKA, MN, 55343 |
| G17000008089 | DAVITA MEDICAL GROUP | EXPIRED | 2017-01-23 | 2022-12-31 | No data | 10051 5TH ST. N., STE. 200, ST. PETERSBURG, FL, 33702 |
| G17000007650 | DAVITA MEDICAL GROUP FLORIDA | EXPIRED | 2017-01-20 | 2022-12-31 | No data | 10051 5TH ST. N., STE. 200, ST. PETERSBURG, FL, 33702 |
| G17000007640 | DAVITA MEDICAL GROUP FLORIDA | EXPIRED | 2017-01-20 | 2022-12-31 | No data | 10051 5TH ST. N., STE. 200, ST. PETERSBURG, FL, 33702 |
| G16000136885 | HEALTHCARE PARTNERS SOUTH FLORIDA, LLC | EXPIRED | 2016-12-20 | 2021-12-31 | No data | JLD/SECGOVFIN, 601 HAWAII STREET, EL SEGUNDO, CA, 90245 |
| G12000114441 | 154TH STREET MEDICAL PLAZA HEALTHCARE PARTNERS | EXPIRED | 2012-11-29 | 2017-12-31 | No data | 10051 5TH STREET, NORTH, SUITE 200, ST. PETERSBURG, FL, 33702 |
| G12000114440 | 54TH STREET MEDICAL PLAZA HEALTHCARE PARTNERS | EXPIRED | 2012-11-29 | 2017-12-31 | No data | 10051 5TH STREET, NORTH, SUITE 200, ST. PETERSBURG, FL, 33702 |
| G11000110146 | HEALTHCARE PARTNERS MEDICAL GROUP SOUTH FLORIDA | EXPIRED | 2011-11-11 | 2016-12-31 | No data | 10051 5TH STREET NORTH, SUITE 200, ST. PETERSBURG, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2023-11-15 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS OPTUMCARE MANAGEMENT, LLC. MERGER NUMBER 100000246351 |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-21 | 11000 Optum Circle, Eden Prairie, MN 55344 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-21 | 11000 Optum Circle, Eden Prairie, MN 55344 | No data |
| LC AMENDMENT | 2021-10-08 | No data | No data |
| LC AMENDMENT | 2021-05-28 | No data | No data |
| REINSTATEMENT | 2020-10-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-07 | CT CORPORATION SYSTEM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2020-04-09 | No data | No data |
| LC AMENDMENT | 2020-03-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-21 |
| LC Amendment | 2021-10-08 |
| LC Amendment | 2021-05-28 |
| ANNUAL REPORT | 2021-04-24 |
| REINSTATEMENT | 2020-10-07 |
| LC Amendment | 2020-04-09 |
| LC Amendment | 2020-03-27 |
| LC Amendment | 2019-09-06 |
| LC Amendment and Name Change | 2019-06-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
