| Entity Name: | OAKLAND PARK INTEGRATED MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2020 (5 years ago) |
| Document Number: | L20000087776 |
| FEI/EIN Number | 85-0492951 |
| Address: | 7554 Via Luria, Lake Worth, FL, 33467, US |
| Mail Address: | 7554 via luria, lake worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447886361 | 2020-03-23 | 2020-03-23 | 410 NE 44TH ST, OAKLAND PARK, FL, 333341423, US | 410 NE 44TH ST, OAKLAND PARK, FL, 333341423, US | |||||||||||||||
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| Phone | +1 954-561-4700 |
| Fax | 9545610812 |
Authorized person
| Name | DOUGLAS KELLERMAN |
| Role | OWNER |
| Phone | 9545614700 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLERMAN DOUGLAS | Agent | 7554 Via Luria, Lake Worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| KELLERMAN DOUGLAS | Manager | 7554 VIA LURIA, LAKE WORTH, FL, 33467 |
| PETRIE MICHAEL | Manager | 920 SE 10TH CT, POMPANO BEACH, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-21 | KELLERMAN, DOUGLAS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-21 | 7554 Via Luria, Lake Worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 7554 Via Luria, Lake Worth, FL 33467 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-25 | 7554 Via Luria, Lake Worth, FL 33467 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-21 |
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-16 |
| Florida Limited Liability | 2020-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
