| Entity Name: | BREAKTHROUGH MED TRANSPORT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Sep 2019 (5 years ago) |
| Document Number: | L19000227704 |
| FEI/EIN Number | 84-3144110 |
| Address: | 2110 N. Donnelly Street, Mt. Dora, FL, 32757, US |
| Mail Address: | PO BOX 639, PLYMOUTH, FL, 32768, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003407628 | 2021-01-27 | 2022-01-26 | PO BOX 639, PLYMOUTH, FL, 327680639, US | 2110 N DONNELLY ST STE 500, MOUNT DORA, FL, 327576968, US | |||||||||||||||||||||||||
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| Phone | +1 407-616-1530 |
| Phone | +1 321-362-4176 |
| Fax | 3212565176 |
Authorized person
| Name | STEPHANIE MCSHAN |
| Role | OWNER/ PROVIDER |
| Phone | 4076161530 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 347E00000X - Transportation Broker |
| Is Primary | No |
| Name | Role |
|---|---|
| BREAKTHROUGH TRANSITIONS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MCSHAN STEPHANIE A | Authorized Representative | 2110 N. Donnelly Street, Mt Dora, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| JOSEPH SMITH DIVINNE B | Authorized Member | 2110 N. Donnelly Street, Mt Dora, FL, 32757 |
| WHITE COWAN LAVORA | Authorized Member | 2110 N. Donnelly Street, Mt Dora, FL, 32757 |
| Name | Role |
|---|---|
| BREAKTHROUGH TRANSITIONS LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-26 | 2110 N. Donnelly Street, Suite 500, Mt. Dora, FL 32757 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | BREAKTHROUGH TRANSITIONS LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-26 | 2110 N. Donnelly Street, Suite 500, Mt. Dora, FL 32757 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
