| Entity Name: | OBSERVATION MEDICINE SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jul 2015 (10 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 28 Dec 2016 (8 years ago) |
| Document Number: | L15000129189 |
| FEI/EIN Number | 47-4742481 |
| Address: | 500 WINDERLEY PLACE, SUITE 115, MAITLAND, FL 32751 |
| Mail Address: | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134596893 | 2015-08-28 | 2015-11-11 | 500 WINDERLEY PL, SUITE 115, MAITLAND, FL, 327517247, US | 500 WINDERLEY PL, SUITE 115, MAITLAND, FL, 327517247, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-875-0555 |
Authorized person
| Name | JORGE LOPEZ-FERRER |
| Role | PRESIDENT |
| Phone | 4078750555 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| FLORIDA EMERGENCY PHYSICIANS KANG & ASSOCIATES, MD, INC. | MEMBER | 500 WINDERLEY PLACE, SUITE 115 MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| Stair, John R | Asst. Secretary | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Name | Role | Address |
|---|---|---|
| Barrack, John | Asst. Treasurer | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Owens, Lara | Asst. Treasurer | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Name | Role | Address |
|---|---|---|
| Corvini, Michael | President | 265 Brookview Centre Way, Suite 203, Attn: Legal Dept. Knoxville, TN 37919 |
| Name | Role | Address |
|---|---|---|
| Evans, Rob | Vice President | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Simon, Emily | Vice President | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| McCormack, Shannon | Vice President | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Name | Role | Address |
|---|---|---|
| Leone, Alice | Secretary | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Name | Role | Address |
|---|---|---|
| Leone, Alice | Treasurer | 265 Brookview Centre Way, Suite 203, Knoxville, TN 37919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-10 | 500 WINDERLEY PLACE, SUITE 115, MAITLAND, FL 32751 | No data |
| LC STMNT OF RA/RO CHG | 2016-12-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-28 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| REINSTATEMENT | 2016-10-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-19 | Corporation Service Company | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-12 |
| CORLCRACHG | 2016-12-28 |
| REINSTATEMENT | 2016-10-19 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
