| Entity Name: | DOMA MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jul 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Mar 2021 (4 years ago) |
| Document Number: | L19000174465 |
| FEI/EIN Number | 84-2423198 |
| Address: | 440 E. SAMPLE RD STE 107, POMPANO BEACH, FL, 33064 |
| Mail Address: | 440 E. SAMPLE RD STE 107, POMPANO BEACH, FL, 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790330397 | 2019-08-09 | 2019-08-09 | 4000 N 37TH AVE, HOLLYWOOD, FL, 330211927, US | 440 E SAMPLE RD STE 107, POMPANO BEACH, FL, 330644432, US | |||||||||||||||
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| Phone | +1 754-205-2496 |
| Fax | 7542055156 |
Authorized person
| Name | MR. OSVALDO MARTINEZ |
| Role | ADMINISTRATOR |
| Phone | 9549184533 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sanchez Manuel | Agent | 440 E. SAMPLE RD, POMPANO BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ MANUEL | Manager | 440 E. SAMPLE RD STE 107, POMPANO BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | Sanchez, Manuel | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-26 | 440 E. SAMPLE RD, STE 107, POMPANO BEACH, FL 33064 | No data |
| REINSTATEMENT | 2021-03-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-26 |
| REINSTATEMENT | 2021-03-02 |
| Florida Limited Liability | 2019-07-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
