| Entity Name: | OBSERVATION MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
OBSERVATION MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| Mail Address: | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467094425 | 2019-10-11 | 2019-10-11 | PO BOX 10855, DAYTONA BEACH, FL, 321200855, US | 6901 SIMMONS LOOP, RIVERVIEW, FL, 335789498, US | |||||||||||||||
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| Phone | +1 386-274-7800 |
| Phone | +1 813-302-8000 |
Authorized person
| Name | DION RICHARD SAMERSON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8138745707 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Samerson, Dion R, MD | Agent | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| Restrepo, Chris MD | Treasurer | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| Samerson, Dion R, MD | Manager | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| Samerson, Dion R, MD | Chief Executive Officer | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| ROBELLI, JAMES MD | President | 2502 W ST ISABEL ST, TAMPA, FL 33607 |
| 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 | - | - |
| 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 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
