| Entity Name: | SOURCE MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Dec 2017 (7 years ago) |
| Date of dissolution: | 28 Dec 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Dec 2020 (4 years ago) |
| Document Number: | L17000255295 |
| FEI/EIN Number | 823717586 |
| Address: | 3801 SW 47TH AVE, SUITE 502, DAVIE, FL, 33314, US |
| Mail Address: | 3801 SW 47TH AVENUE, SUITE 502, DAVIE, FL, 33314, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912405010 | 2018-01-24 | 2018-01-24 | 3801 SW 47TH AVE STE 502, DAVIE, FL, 333142816, US | 3801 SW 47TH AVE STE 502, DAVIE, FL, 333142816, US | |||||||||||||
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| Phone | +1 954-444-2961 |
Authorized person
| Name | LOUIS D BIANCO |
| Role | PRESIDENT |
| Phone | 6784921492 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BIANCO LOUIS D | Agent | 3801 SW 47TH AVENUE, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| BIANCO LOUIS D | Authorized Member | 3801 SW 47TH AVENUE, SUITE 502, DAVIE, FL, 33314 |
| AUSTIN ANGELA M | Authorized Member | 3801 SW 47TH AVENUE, SUITE 502, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-12-28 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-08 |
| Florida Limited Liability | 2017-12-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
