| Entity Name: | LRI MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Feb 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Oct 2016 (8 years ago) |
| Document Number: | L15000026987 |
| FEI/EIN Number | 47-2895119 |
| Address: | 756 N. Suncoast Blvd., Crystal River, FL 34429 |
| Mail Address: | 1223 N. HUNT CLUB DR., HERNANDO, FL 34442 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225556442 | 2017-09-08 | 2017-09-08 | PO BOX 919357, ORLANDO, FL, 328919357, US | 5423 COMMERCIAL WAY, SPRING HILL, FL, 346061110, US | |||||||||||||||||||||||||
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| Phone | +1 352-746-1558 |
| Fax | 3527463838 |
| Phone | +1 352-228-4984 |
| Fax | 3527943843 |
Authorized person
| Name | HONG LOSSING |
| Role | ADMINISTRATOR |
| Phone | 3527460041 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280792100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Accountants & Business Advisors, LLC | Agent | 2631-A NW 41st Street, Gainsville, FL 32606 |
| Name | Role | Address |
|---|---|---|
| SEMBRANO-NAVARRO, CATHERINE P | Authorized Member | 1223 N. HUNT CLUB DR., HERNANDO, FL 34442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-07 | Accountants & Business Advisors, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-07 | 2631-A NW 41st Street, Gainsville, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-30 | 756 N. Suncoast Blvd., Crystal River, FL 34429 | No data |
| REINSTATEMENT | 2016-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-13 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-05-30 |
| REINSTATEMENT | 2016-10-27 |
| Florida Limited Liability | 2015-02-12 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
