| Entity Name: | MED-SOURCE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jun 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L12000080552 |
| FEI/EIN Number | 45-5536940 |
| Address: | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| Mail Address: | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114304144 | 2015-04-28 | 2015-04-28 | 15476 NW 77TH CT, MIAMI LAKES, FL, 330165823, US | 15476 NW 77TH CT, MIAMI LAKES, FL, 330165823, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-443-0873 |
Authorized person
| Name | OTTO J VALDES |
| Role | CEO |
| Phone | 7864430873 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Valdes Otto | Agent | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| VALDES OTTO | Manager | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| VALDES OTTO | Secretary | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| Cruz Yanet | Auth | 471 WEST 33D STREET, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-03-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | Valdes, Otto | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 471 WEST 33D STREET, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2015-03-24 |
| ANNUAL REPORT | 2013-04-30 |
| Florida Limited Liability | 2012-06-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
