| Entity Name: | ALO MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Oct 2019 (5 years ago) |
| Document Number: | L19000246387 |
| FEI/EIN Number | 84-3213814 |
| Address: | 1101 S EUSTIS STREET, EUSTIS, FL, 32726, US |
| Mail Address: | 1101 S EUSTIS STREET, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285343699 | 2022-11-15 | 2022-11-15 | 1101 S EUSTIS ST, EUSTIS, FL, 327265558, US | 1101 S EUSTIS ST, EUSTIS, FL, 327265558, US | |||||||||||||||||||||
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| Phone | +1 352-589-9661 |
| Fax | 3525895983 |
Authorized person
| Name | ADA L RIVERA CRUZ |
| Role | OWNER |
| Phone | 3525899661 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICAL LICENSE NUMBER |
| Number | ME117748 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIVERA CRUZ ADA LMGR | Agent | 2439 SANTA VISTA LOOP, APOPKA, FL, 32703 |
| Name | Role | Address |
|---|---|---|
| RIVERA CRUZ ADA L | Manager | 2439 SANTA VISTA LOOP, APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-26 | RIVERA CRUZ , ADA L, MGR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-26 | 2439 SANTA VISTA LOOP, APOPKA, FL 32703 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-19 | 1101 S EUSTIS STREET, EUSTIS, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-19 | 1101 S EUSTIS STREET, EUSTIS, FL 32726 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-23 |
| Florida Limited Liability | 2019-10-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
