| Entity Name: | DEVOTED MEDICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Jun 2018 (7 years ago) |
| Date of dissolution: | 20 Sep 2024 (4 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Sep 2024 (4 months ago) |
| Document Number: | L18000141372 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027, US |
| Mail Address: | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750860961 | 2018-08-08 | 2018-08-08 | 2801 SW 149TH AVE STE 202, MIRAMAR, FL, 330274146, US | 2801 SW 149TH AVE STE 202, MIRAMAR, FL, 330274146, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 617-958-1611 |
Authorized person
| Name | DR. DAN BLUMENTHAL |
| Role | AUTHORIZED REPRESENATIVE |
| Phone | 6176941113 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KOCHER ROBERT | President | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| Yale W. Bradley | Treasurer | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| Jernigan Paul | Secretary | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| Wagle Neil | Auth | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000069357 | ORINOCO MEDICAL GROUP | EXPIRED | 2018-06-19 | 2023-12-31 | No data | 2801 SW 149TH AVENUE, SUITE 100, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-09-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-10 | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-10 | 880 Southwest 145th Avenue Suite 202, Pembroke Pines, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| LC STMNT OF RA/RO CHG | 2020-01-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-07 | REGISTERED AGENT SOLUTIONS, INC. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-09-20 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-01 |
| CORLCRACHG | 2020-01-07 |
| ANNUAL REPORT | 2019-02-11 |
| Florida Limited Liability | 2018-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
