Entity Name: | ONSITE MEDICAL GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 06 Aug 2014 (11 years ago) |
Date of dissolution: | 27 Sep 2019 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2019 (5 years ago) |
Document Number: | L14000123143 |
FEI/EIN Number | 47-1539918 |
Address: | 6525 White Blossom Cir, JACKSONVILLE, FL, 32258, US |
Mail Address: | 2525 Reagan Lakes Ln, JACKSONVILLE, FL, 32221, US |
ZIP code: | 32258 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598164451 | 2014-08-17 | 2015-06-22 | 12269 HICKORY FOREST RD, JACKSONVILLE, FL, 322264201, US | 3200 W COLONIAL DR, ORLANDO, FL, 328088023, US | |||||||||||||||||||
|
Phone | +1 407-801-2664 |
Fax | 8779874232 |
Authorized person
Name | FERNANDO GANT |
Role | VP OF OPERATIONS AND COMPLIANCE |
Phone | 4078012664 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | L14000123143 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Fields Jerleshia | Agent | 2525 Reagan Lakes Ln, JACKSONVILLE, FL, 32221 |
Name | Role | Address |
---|---|---|
Fields Jerleshia | Manager | 2525 Reagan Lakes Ln., JACKSONVILLE, FL, 32221 |
Aleger Vorbes | Manager | 181 St. Johns Forest Blvd, SAINT JOHNS, FL, 32259 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
CHANGE OF MAILING ADDRESS | 2017-01-31 | 6525 White Blossom Cir, JACKSONVILLE, FL 32258 | No data |
REGISTERED AGENT NAME CHANGED | 2017-01-31 | Fields, Jerleshia | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-01-31 | 2525 Reagan Lakes Ln, JACKSONVILLE, FL 32221 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-04-24 | 6525 White Blossom Cir, JACKSONVILLE, FL 32258 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2018-04-29 |
ANNUAL REPORT | 2017-01-31 |
ANNUAL REPORT | 2016-04-24 |
ANNUAL REPORT | 2015-05-14 |
Florida Limited Liability | 2014-08-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State