| Entity Name: | FLO-MEDILAB SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Oct 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L14000167137 |
| FEI/EIN Number | 47-2194005 |
| Address: | 716 HUGHEY ST., B, KISSIMMEE, FL, 34741, US |
| Mail Address: | 716 HUGHEY ST., B, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740677467 | 2015-04-21 | 2021-01-13 | 716 HUGHEY ST UNIT B, KISSIMMEE, FL, 347415626, US | 716 HUGHEY ST UNIT B, KISSIMMEE, FL, 347415626, US | |||||||||||||||||||||||
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| Phone | +1 844-356-6334 |
| Fax | 5125320923 |
Authorized person
| Name | DR. JAQUELYN ALICE AGASAN |
| Role | MANAGING DIRECTOR/OWNER |
| Phone | 4073698125 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 10D2093547 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA |
| Number | 10D2093547 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARTER DAVID G | Agent | 716 HUGHEY ST., KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| Agassan Jaquelyn | Manager | 716 Hughey Street, Kissimmee, FL, 34741 |
| ZUZU HOLDINGS LLC | Manager | No data |
| WELLSPRING USA, LLC | Manager | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2020-08-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-08-07 | CARTER, DAVID G | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000214934 | ACTIVE | 1000000919855 | OSCEOLA | 2022-04-19 | 2032-05-04 | $ 450.93 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J20000394813 | ACTIVE | 1000000868569 | OSCEOLA | 2020-11-25 | 2030-12-09 | $ 450.51 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000393718 | ACTIVE | 1000000827474 | OSCEOLA | 2019-05-23 | 2029-06-05 | $ 1,519.39 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2021-12-01 |
| ANNUAL REPORT | 2021-03-16 |
| LC Amendment | 2020-08-07 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-03-29 |
| Florida Limited Liability | 2014-10-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
