| Entity Name: | VALUE BASED INPATIENT SPECIALIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Sep 2018 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000211796 |
| FEI/EIN Number | 83-1848342 |
| Address: | 525 TECHNOLOGY PARK, 109, LAKE MARY, FL, 32746, US |
| Mail Address: | 525 TECHNOLOGY PARK, 109, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790260388 | 2018-09-28 | 2018-09-28 | 525 TECHNOLOGY PARK STE 109, LAKE MARY, FL, 327467107, US | 525 TECHNOLOGY PARK STE 109, LAKE MARY, FL, 327467107, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-647-2346 |
Authorized person
| Name | ERIC LUETKEMEYER |
| Role | OWNER/PRESIDENT |
| Phone | 4076472346 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUETKEMEYER ERIC | Agent | 525 TECHNOLOGY PARK, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| LUETKEMEYER ERIC | Manager | 525 TECHNOLOGY PARK SUITE 109, LAKE MARY, FL, 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000153450 | SAFE TRANSITIONS HOME | ACTIVE | 2020-12-03 | 2025-12-31 | No data | 525 TECHNOLOGY PARK, SUITE 109, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-19 |
| Florida Limited Liability | 2018-09-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
