| Entity Name: | ORANGE BLOSSOM SURGICAL ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Aug 2018 (7 years ago) |
| Date of dissolution: | 02 May 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 May 2019 (6 years ago) |
| Document Number: | L18000191171 |
| Address: | 2043 LITTLE ROAD, TRINITY, FL, 34655 |
| Mail Address: | 2043 LITTLE ROAD, TRINITY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437630530 | 2018-08-27 | 2018-08-27 | 2043 LITTLE RD, TRINITY, FL, 346554421, US | 2043 LITTLE RD, TRINITY, FL, 346554421, US | |||||||||||||||
|
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| Phone | +1 727-999-3322 |
| Fax | 7274408211 |
Authorized person
| Name | REUT BARDACH |
| Role | OWNER |
| Phone | 7278467000 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARDACH REUT | Agent | 19350 AUTUMN CHASE CT., LAND O'LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| BARDACH REUT | Authorized Member | 19350 AUTUMN CHASE CT., LAND O'LAKES, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-02 | No data | No data |
| LC AMENDMENT | 2018-09-12 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-02 |
| LC Amendment | 2018-09-12 |
| Florida Limited Liability | 2018-08-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
