| Entity Name: | STATUS MED ASSISTANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 May 2013 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L13000070583 |
| FEI/EIN Number | 90-0987415 |
| Address: | 17070 Collins Avenue, STE 257, SUNNY ISLES BEACH, FL 33160 |
| Mail Address: | 17070 Collins Avenue, STE 257, SUNNY ISLES BEACH, FL 33160 |
| ZIP code: | 33160 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417366253 | 2014-08-06 | 2014-08-06 | 17070 COLLINS AVE, 257, SUNNY ISLES BEACH, FL, 331603635, US | 17070 COLLINS AVE, 257, SUNNY ISLES BEACH, FL, 331603635, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 305-306-0000 |
| Fax | 3053061111 |
Authorized person
| Name | DR. MARIANA BUBUCEA |
| Role | PRESIDENT |
| Phone | 3053060000 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME113594 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006257100 |
| State | FL |
| Issuer | MEDICARE |
| Number | GJ2842 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEVIDOMY, VLADIMIR | Agent | 17070 COLLINS AVENUE, 257, SUNNY ISLES BEACH, FL 33160 |
| Name | Role | Address |
|---|---|---|
| NEVIDOMY, VLADIMIR | Managing Member | 2030 S Ocean Drive, APT# 1504 HALLANDALE BEACH, FL 33009 |
| Muzyka, Vera | Managing Member | 18671 Collins Avenue, 1502 Sunny Isles Beach, FL 33160-3635 |
| Name | Role | Address |
|---|---|---|
| Bubucea, Mariana, Dr. | Member | 1745 E Hallandale Beach Blvd, Apt# 1806W Hallandale, FL 33009 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000052666 | SUNNY MEDICAL CENTER | EXPIRED | 2014-05-31 | 2019-12-31 | No data | 17070 COLLINS AVE SUITE 257, SUNNY ISLES BEACH, FL, 33160 |
| G14000044964 | GYNECOLOGY-PEDIATRICS.COM | EXPIRED | 2014-05-06 | 2019-12-31 | No data | 17070 COLLINS AVE, SUITE 257, SUNNY ISLES BEACH, FL, 33160 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-23 | NEVIDOMY, VLADIMIR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-23 | 17070 COLLINS AVENUE, 257, SUNNY ISLES BEACH, FL 33160 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-31 | 17070 Collins Avenue, STE 257, SUNNY ISLES BEACH, FL 33160 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-31 | 17070 Collins Avenue, STE 257, SUNNY ISLES BEACH, FL 33160 | No data |
| LC AMENDMENT | 2013-10-31 | No data | No data |
| LC AMENDMENT | 2013-08-22 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000471742 | LAPSED | 2015-016767-SP-05 | MIAMI-DADE COUNTY COURT | 2016-07-18 | 2021-08-10 | $13,187.75 | GHERMAN LEGAL, PLLC, 25 SE 2ND AVENUE, 808, MIAMI, FL 33131 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-28 |
| AMENDED ANNUAL REPORT | 2015-08-24 |
| AMENDED ANNUAL REPORT | 2015-07-23 |
| AMENDED ANNUAL REPORT | 2015-05-26 |
| AMENDED ANNUAL REPORT | 2015-05-14 |
| ANNUAL REPORT | 2015-01-07 |
| AMENDED ANNUAL REPORT | 2014-08-05 |
| AMENDED ANNUAL REPORT | 2014-05-31 |
| ANNUAL REPORT | 2014-04-07 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
