| Entity Name: | BLUE WATER DOCTORS MSO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 Sep 2012 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000117874 |
| FEI/EIN Number | 46-0985155 |
| Address: | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 |
| Mail Address: | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588914725 | 2012-09-14 | 2012-09-14 | 5215 COCONUT CREEK PKWY, MARGATE, FL, 330633916, US | 5215 COCONUT CREEK PKWY, MARGATE, FL, 330633916, US | |||||||||||||
|
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| Phone | +1 561-843-7720 |
Authorized person
| Name | JOSEPH J DICAPUA |
| Role | CEO |
| Phone | 5618437720 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Di Capua, Joseph J | Agent | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 |
| Name | Role | Address |
|---|---|---|
| Di Capua, Joseph J | Managing Member | 2301 NW 33rd Court, Suite 111 Pompano Beach, FL 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-29 | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-29 | Di Capua, Joseph J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-29 | 2301 NW 33rd Court, Suite 111, Pompano Beach, FL 33069 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-04-29 |
| Florida Limited Liability | 2012-09-14 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
