| Entity Name: | DEER CREEK MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DEER CREEK MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Apr 2015 (10 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L15000076829 |
| FEI/EIN Number |
47-3894600
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1761 W HILLSBORO BLVD, SUITE 329, DEERFIELD BEACH, FL, 33442, US |
| Mail Address: | PO BOX 4102, DEERFIELD BEACH, FL, 33442, US |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073978318 | 2015-12-30 | 2015-12-30 | PO BOX 4102, DEERFIELD BEACH, FL, 334424102, US | 3401 DEER CREEK COUNTRY CLUB BLVD, SUITE B, DEERFIELD BEACH, FL, 334428427, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-531-0420 |
| Fax | 9545310268 |
Authorized person
| Name | DR. MICHAEL R BASTKOWSKI |
| Role | PRFESIDENT |
| Phone | 9545310420 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7166 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BASTKOWSKI MICHAEL | Managing Member | 1761 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| BASTKOWSKI MICHAEL | Agent | 1761 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-24 | 1761 W HILLSBORO BLVD, SUITE 329, DEERFIELD BEACH, FL 33442 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-24 | 1761 W HILLSBORO BLVD, SUITE 329, DEERFIELD BEACH, FL 33442 | - |
| CHANGE OF MAILING ADDRESS | 2017-03-18 | 1761 W HILLSBORO BLVD, SUITE 329, DEERFIELD BEACH, FL 33442 | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-24 | BASTKOWSKI, MICHAEL | - |
| REINSTATEMENT | 2016-10-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-18 |
| REINSTATEMENT | 2016-10-24 |
| Florida Limited Liability | 2015-04-30 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
