| Entity Name: | DPBMD.LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Mar 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2020 (4 years ago) |
| Document Number: | L16000045336 |
| FEI/EIN Number | 81-2292328 |
| Address: | 5187 STARFISH AVENUE, NAPLES, FL, 34103 |
| Mail Address: | 1561 W Fairbanks Ave., Suite 100, Winter Park, FL, 32789, US |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568941946 | 2018-08-07 | 2024-07-19 | 1561 W FAIRBANKS AVE STE 100, WINTER PARK, FL, 327894678, US | 1561 W FAIRBANKS AVE STE 100, WINTER PARK, FL, 327894678, US | |||||||||||||||||||||||||
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| Phone | +1 407-478-4920 |
| Fax | 4074784921 |
Authorized person
| Name | DAVID BUSER |
| Role | PRESIDENT |
| Phone | 4074784920 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117461700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUSER DAVID MD | Agent | 5187 STARFISH AVENUE, NAPLES, FL, 34103 |
| Name | Role | Address |
|---|---|---|
| BUSER DAVID MD | Manager | 5187 STARFISH AVENUE, NAPLES, FL, 34103 |
| Walsh Julia B | Manager | 6611 Town Hall Rd, Belleville, IL, 62223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000099306 | WINTER PARK ONCOLOGY | ACTIVE | 2023-08-24 | 2028-12-31 | No data | 1561 W FAIRBANKS AVE., SUITE 100, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-03 | 5187 STARFISH AVENUE, NAPLES, FL 34103 | No data |
| REINSTATEMENT | 2020-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-16 | BUSER, DAVID, MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-15 |
| REINSTATEMENT | 2020-10-07 |
| REINSTATEMENT | 2019-10-16 |
| ANNUAL REPORT | 2018-07-30 |
| ANNUAL REPORT | 2017-04-19 |
| Florida Limited Liability | 2016-03-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
