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ON-SITE MEDICAL PROVIDERS, LLC

Company Details

Entity Name: ON-SITE MEDICAL PROVIDERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 09 Feb 2018 (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: L18000036684
Address: 6928 BAYOU GEORGE DRIVE, PANAMA CITY, FL 32404
Mail Address: 6928 BAYOU GEORGE DRIVE, PANAMA CITY, FL 32404
ZIP code: 32404
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124527320 2018-02-03 2018-02-03 6928 BAYOU GEORGE DR, PANAMA CITY, FL, 324045013, US 6928 BAYOU GEORGE DR, PANAMA CITY, FL, 324045013, US

Contacts

Phone +1 210-722-2963

Authorized person

Name JENNIFER REYES
Role PRESIDENT
Phone 2107222963

Taxonomy

Taxonomy Code 152W00000X - Optometrist
Is Primary Yes

Agent

Name Role Address
REYES, JENNIFER Agent 6928 BAYOU GEORGE DRIVE, PANAMA CITY, FL 32404

Authorized Person

Name Role Address
REYES, JENNIFER Authorized Person 6928 BAYOU GEORGE DRIVE, PANAMA CITY, FL 32404 UN
MCCROSKEY, STEPHANIE Authorized Person 11815 SEASHORE LANE, PANAMA CITY, FL 32407

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-02-09

Date of last update: 18 Jan 2025

Sources: Florida Department of State