| Entity Name: | PEDIM OUTREACH AND SPECIALTY CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jan 2016 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 26 Dec 2018 (6 years ago) |
| Document Number: | L16000020176 |
| FEI/EIN Number | 30-0950727 |
| Address: | 1982 N PROSPECT AVE, LECANTO, FL, 34461, US |
| Mail Address: | 1982 N PROSPECT AVE, LECANTO, FL, 34461, US |
| ZIP code: | 34461 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558128819 | 2024-03-04 | 2024-03-04 | PO BOX 2066, LECANTO, FL, 344602066, US | 2805 W FLARE LN, LECANTO, FL, 34461, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-634-8736 |
| Phone | +1 352-527-6888 |
Authorized person
| Name | DACELIN ST MARTIN |
| Role | OWNER |
| Phone | 3525276888 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| THE PERMENTER LAW FIRM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| DSTM MANAGEMENT LLC | Manager | PO BOX 2066, LECANTO, FL, 34460 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000143627 | COGNISLEEP SLEEPCARE | ACTIVE | 2024-11-25 | 2029-12-31 | No data | P.O. BOX 2066, LECANTO, FL, 34460 |
| G24000143621 | SCOFA SLEEPCARE | ACTIVE | 2024-11-25 | 2029-12-31 | No data | P.O. BOX 2066, LECANTO, FL, 34460 |
| G24000143634 | SICKNWELL CARE | ACTIVE | 2024-11-25 | 2029-12-31 | No data | P.O. BOX 2066, LECANTO, FL, 34460 |
| G23000098794 | SLEEP CLINIC OF AMERICA | ACTIVE | 2023-08-23 | 2028-12-31 | No data | 1990 N PROSPECT AVE, LECANTO, FL, 34461 |
| G21000057600 | MD SLEEPCARE | ACTIVE | 2021-04-27 | 2026-12-31 | No data | PO BOX 2066, LECANTO, FL, 34460 |
| G21000057596 | MHST | ACTIVE | 2021-04-27 | 2026-12-31 | No data | PO BOX 2066, LECANTO, FL, 34460 |
| G18000136283 | MHSLEEPTESTING | ACTIVE | 2018-12-27 | 2028-12-31 | No data | PO BOX 2066, LECANTO, FL, 34460 |
| G18000136278 | MYHOMESLEEPTESTING | ACTIVE | 2018-12-27 | 2028-12-31 | No data | PO BOX 2066, LECANTO, FL, 34460 |
| G18000023977 | SLEEP CLINIC OF AMERICA | ACTIVE | 2018-02-15 | 2028-12-31 | No data | 1982 N PROSPECT AVE, LECANTO, FL, 34461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-04 | 1982 N PROSPECT AVE, LECANTO, FL 34461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-22 | 2201 S.E. 30th Avenue, Suite 202, Ocala, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-22 | The Permenter Law Firm, P.A. | No data |
| LC STMNT OF RA/RO CHG | 2018-12-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-07 | 1982 N PROSPECT AVE, LECANTO, FL 34461 | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-09-27 | PEDIM OUTREACH AND SPECIALTY CLINIC LLC | No data |
| LC AMENDMENT | 2016-11-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-01-03 |
| LC Amendment and Name Change | 2017-09-27 |
| ANNUAL REPORT | 2017-01-17 |
| LC Amendment | 2016-11-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
