| Entity Name: | ON-CALL MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Jul 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L16000137853 |
| FEI/EIN Number | 81-3399541 |
| Address: | 3727 Saratoga Lane, Davie, FL, 33328, US |
| Mail Address: | 3727 Saratoga Lane, Davie, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144760935 | 2017-02-28 | 2018-10-02 | 3727 SARATOGA LN, DAVIE, FL, 333281308, US | 3727 SARATOGA LN, DAVIE, FL, 333281308, US | |||||||||||||||||||||||||||
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| Phone | +1 954-235-9793 |
Authorized person
| Name | DR. HINA FATIMA SIDDIQUI |
| Role | PHYSICIAN |
| Phone | 9542359793 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | OS 10689 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA LICENSE |
| Number | OS106089 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Siddiqui Hina Dr. | Agent | 3727 Saratoga Lane, Davie, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI HINA FDR. | Authorized Member | 3727 Saratoga Lane, Davie, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-05 | Siddiqui, Hina, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-05 | 3727 Saratoga Lane, Davie, FL 33328 | No data |
| REINSTATEMENT | 2020-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 3727 Saratoga Lane, Davie, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-29 | 3727 Saratoga Lane, Davie, FL 33328 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000178481 | TERMINATED | 1000000985662 | BROWARD | 2024-03-21 | 2034-03-27 | $ 583.43 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-09-01 |
| REINSTATEMENT | 2020-10-05 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-02-28 |
| Florida Limited Liability | 2016-07-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
