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BLACKFIN MEDICAL, LLC - Florida Company Profile

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Company Details

Entity Name: BLACKFIN MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Dec 2017 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 23 Sep 2019 (6 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
City: Jupiter
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PETERS BRADFORD G Manager 2411 SE Tailwinds Rd, Jupiter, FL, 33478
TREVINO ANDREA Agent 6415 LAKE WORTH RD, LAKE WORTH, FL, 33463

National Provider Identifier

NPI Number:
1174093959
Certification Date:
2020-03-27

Authorized Person:

Name:
BRADFORD GEORGE PETERS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251X00000X - Supports Brokerage Agency
Is Primary:
Yes

Contacts:

Fax:
5613315263
Fax:
5612376034

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-21 2411 SE Tailwinds Rd, Jupiter, FL 33478 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-08 6415 LAKE WORTH RD, SUITE 102, LAKE WORTH, FL 33463 -
CHANGE OF MAILING ADDRESS 2020-11-19 2411 SE Tailwinds Rd, Jupiter, FL 33478 -
LC STMNT OF RA/RO CHG 2019-09-23 - -
REGISTERED AGENT NAME CHANGED 2019-09-23 TREVINO, ANDREA -

Documents

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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State