| Entity Name: | BLUE SEAS MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Apr 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | L18000108079 |
| FEI/EIN Number | 82-5446945 |
| Address: | 21 ISLAND ROAD, STUART, FL, 34996 |
| Mail Address: | 21 ISLAND ROAD, STUART, FL, 34996 |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619462272 | 2018-06-26 | 2018-06-26 | PO BOX 2998, STUART, FL, 349952998, US | 5850 SE COMMUNITY DR, STUART, FL, 349976420, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 772-247-7389 |
Authorized person
| Name | DIANA CHIONG |
| Role | OWNER |
| Phone | 7722477389 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS9508 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHIONG DIANA M | Agent | 21 ISLAND ROAD, STUART, FL, 34996 |
| Name | Role | Address |
|---|---|---|
| CHIONG DIANA M | President | 21 ISLAND ROAD, STUART, FL, 34996 |
| Name | Role | Address |
|---|---|---|
| PETRY FERNANDO | Auth | 21 ISLAND ROAD, STUART, FL, 34996 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-29 | CHIONG, DIANA M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| REINSTATEMENT | 2023-09-29 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-06-20 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-06-13 |
| Florida Limited Liability | 2018-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
