| Entity Name: | BLACKFIN MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Dec 2017 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 23 Sep 2019 (5 years ago) |
| Document Number: | L17000260023 |
| FEI/EIN Number | 83-1267844 |
| Address: | 2411 SE Tailwinds Rd, Jupiter, FL, 33478, US |
| Mail Address: | 6415 LAKE WORTH RD, LAKE WORTH, FL, 33463, US |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174093959 | 2018-12-05 | 2020-03-27 | 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 334633009, US | 6415 LAKE WORTH RD STE 102, GREENACRES, FL, 334633009, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-331-0808 |
| Fax | 5613315263 |
| Fax | 5612376034 |
Authorized person
| Name | BRADFORD GEORGE PETERS |
| Role | CEO |
| Phone | 5613310808 |
Taxonomy
| Taxonomy Code | 251X00000X - Supports Brokerage Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TREVINO ANDREA | Agent | 6415 LAKE WORTH RD, LAKE WORTH, FL, 33463 |
| Name | Role | Address |
|---|---|---|
| PETERS BRADFORD G | Manager | 2411 SE Tailwinds Rd, Jupiter, FL, 33478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-21 | 2411 SE Tailwinds Rd, Jupiter, FL 33478 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-08 | 6415 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-19 | 2411 SE Tailwinds Rd, Jupiter, FL 33478 | No data |
| LC STMNT OF RA/RO CHG | 2019-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-23 | TREVINO, ANDREA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-23 |
| CORLCRACHG | 2019-09-23 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-07-18 |
| Florida Limited Liability | 2017-12-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
