| Entity Name: | BLUESTAR ACCIDENT & INJURY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Feb 2016 (9 years ago) |
| Date of dissolution: | 13 Jun 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2017 (8 years ago) |
| Document Number: | L16000025695 |
| FEI/EIN Number | 81-1372445 |
| Address: | 11740 SW 97th Terrace, OCALA, FL, 34482, US |
| Mail Address: | 11740 SW 97th Terrace, OCALA, FL, 34482, US |
| ZIP code: | 34482 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982062568 | 2016-02-10 | 2016-02-10 | 4900 SW 46TH CT, APT 1620, OCALA, FL, 344746264, US | 9401 SW HIGHWAY 200, SUITE 501, OCALA, FL, 344819612, US | |||||||||||||||||||||||||
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| Phone | +1 352-795-9729 |
| Fax | 3527959262 |
Authorized person
| Name | RICHA DESAI |
| Role | OWNER |
| Phone | 3527959729 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11437 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | CH11437 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DESAI RICHA | Agent | 11740 SW 97th Terrace, OCALA, FL, 34482 |
| Name | Role | Address |
|---|---|---|
| DESAI RICHA | Authorized Member | 11740 SW 97th Terrace, OCALA, FL, 34482 |
| FAZAL ZULFIQAR M | Authorized Member | 11740 SW 97th Terrace, OCALA, FL, 34482 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-06-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-15 | 11740 SW 97th Terrace, OCALA, FL 34482 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-15 | 11740 SW 97th Terrace, OCALA, FL 34482 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-15 | 11740 SW 97th Terrace, OCALA, FL 34482 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-15 |
| Florida Limited Liability | 2016-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
