| Entity Name: | TEAM ROSE MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Oct 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Oct 2018 (6 years ago) |
| Document Number: | L17000214526 |
| FEI/EIN Number | 82-3134736 |
| Address: | 2470 SW 131ST TER., DAVIE, FL, 33325, US |
| Mail Address: | 2470 SW 131ST TER., DAVIE, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730940909 | 2024-01-16 | 2024-01-16 | 2470 SW 131ST TER, DAVIE, FL, 333255135, US | 2470 SW 131ST TER, DAVIE, FL, 333255135, US | |||||||||||||
|
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| Phone | +1 954-684-7420 |
Authorized person
| Name | ROSA TAM |
| Role | OWNER |
| Phone | 9546847420 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TEAM ROSE 401(K) PLAN | 2019 | 823134736 | 2020-09-28 | TEAM ROSE MEDICAL CARE, LLC | 1 | |||||||||||||
|
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| Name | Role | Address |
|---|---|---|
| TAM ROSA | Agent | 2470 SW 131ST TER., DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| TAM ROSA | Authorized Member | 2470 SW 131ST TER., DAVIE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-22 | TAM, ROSA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-22 | 2470 SW 131ST TER., DAVIE, FL 33325 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-04-09 |
| REINSTATEMENT | 2018-10-22 |
| Florida Limited Liability | 2017-10-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
