| Entity Name: | LBH MED GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Oct 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000187792 |
| FEI/EIN Number | 81-4107409 |
| Address: | 4423 PARK BLVD N., PINELLAS PARK, FL 33781 |
| Mail Address: | 4423 PARK BLVD N., PINELLAS PARK, FL 33781 |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639620651 | 2016-10-14 | 2016-10-14 | 4423 PARK BLVD N, PINELLAS PARK, FL, 337813540, US | 4423 PARK BLVD N, PINELLAS PARK, FL, 337813540, US | |||||||||||||||||
|
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| Phone | +1 727-827-2825 |
Authorized person
| Name | ESTHER SANTANA |
| Role | CEO |
| Phone | 7278272825 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | DN11200 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANTANA, ESTHER | Agent | 4423 PARK BLVD. N., PINELLAS PARK, FL 33781 |
| Name | Role | Address |
|---|---|---|
| SANTANA, ESTHER | Authorized Member | 4423 PARK BLVD. N., PINELLAS PARK, FL 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-10-11 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
