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OBSERVATION MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: OBSERVATION MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 20 Feb 2018 (7 years ago)
Document Number: L16000048479
FEI/EIN Number 81-1780073
Address: 2502 W ST ISABEL ST, TAMPA, FL, 33607, US
Mail Address: 2502 W ST ISABEL ST, TAMPA, FL, 33607, US
ZIP code: 33607
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Restrepo Chris M Treasurer 2502 W ST ISABEL ST, TAMPA, FL, 33607
Samerson Dion RMD Manager 2502 W ST ISABEL ST, TAMPA, FL, 33607
ROBELLI JAMES M President 2502 W ST ISABEL ST, TAMPA, FL, 33607
Samerson Dion RMD Agent 2502 W ST ISABEL ST, TAMPA, FL, 33607
Zarreke Chris M Chie 2502 West St. Isabel Street, Tampa, FL, 33607

National Provider Identifier

NPI Number:
1467094425

Authorized Person:

Name:
DION RICHARD SAMERSON
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-17 Samerson, Dion R, MD -
LC STMNT OF RA/RO CHG 2018-02-20 - -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-02-28
CORLCRACHG 2018-02-20
ANNUAL REPORT 2017-02-28
Florida Limited Liability 2016-03-10

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Date of last update: 03 Jul 2025

Sources: Florida Department of State