| Entity Name: | BLUE LIFE MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Jun 2018 (7 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L18000082168 |
| FEI/EIN Number | 82-5055413 |
| Address: | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 |
| Mail Address: | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528537693 | 2018-11-19 | 2020-06-17 | 6272 MIRAMAR PKWY, MIRAMAR, FL, 330233942, US | 6272 MIRAMAR PKWY, MIRAMAR, FL, 330233942, US | |||||||||||||||
|
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| Phone | +1 954-404-8308 |
| Fax | 9544048287 |
Authorized person
| Name | FELIX M MIGUEZ |
| Role | PRESIDENT |
| Phone | 9544048308 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ PEREZ, JORGE R | Agent | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ PEREZ, JORGE R | Manager | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2020-09-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-19 | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 | No data |
| LC AMENDMENT | 2019-11-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-19 | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2019-11-19 | 6272 MIRAMAR PKWY #6272, MIRAMAR, FL 33023 | No data |
| LC AMENDMENT | 2019-07-03 | No data | No data |
| LC AMENDMENT | 2018-10-26 | No data | No data |
| LC AMENDMENT | 2018-07-16 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2020-09-21 |
| ANNUAL REPORT | 2020-06-16 |
| LC Amendment | 2019-11-19 |
| LC Amendment | 2019-07-03 |
| ANNUAL REPORT | 2019-03-28 |
| LC Amendment | 2018-10-26 |
| LC Amendment | 2018-07-16 |
| CORLCMMRES | 2018-06-17 |
| Florida Limited Liability | 2018-04-03 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
