| Entity Name: | X1 MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Nov 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000237531 |
| FEI/EIN Number | 824591165 |
| Address: | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 33309, US |
| Mail Address: | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497250294 | 2018-03-26 | 2018-03-26 | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 333093450, US | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 333093450, US | |||||||||||||||
|
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| Phone | +1 954-507-0591 |
| Fax | 9549069993 |
Authorized person
| Name | DAVID FINK |
| Role | PHYSICIAN |
| Phone | 9545070591 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTNER BRENT | Agent | 3194 W COMMERICAL BLVD, TAMARAC, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| ORTNER BRENT | Manager | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 33309 |
| AKERS TERESITA | Manager | 3194 W COMMERICAL BLVD, TAMARAC, FL, 33309 |
| HELFELD CHARLES DC | Manager | 3194 W COMMERCIAL BLVD, TAMARAC, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-28 |
| Florida Limited Liability | 2017-11-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
