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SECURE TRUST PHYSICIAN MEDICAL BILLING, LLC

Company Details

Entity Name: SECURE TRUST PHYSICIAN MEDICAL BILLING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 May 2024 (9 months ago)
Document Number: L20000121048
FEI/EIN Number 85-0925939
Address: 14900 SW 30TH STREET, Miramar, FL, 33027, US
Mail Address: 14900 SW 30TH STREET, Miramar, FL, 33027, US
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538853213 2023-06-06 2023-06-06 14900 SW 30TH ST UNIT 278043, MIRAMAR, FL, 330277228, US 2907 SW 67TH LANE, MIRAMAR, FL, 33023, US

Contacts

Phone +1 754-204-2190

Authorized person

Name SADRINA S GREEN
Role OWNER/DIRECTOR OF OPERATIONS
Phone 7542042190

Taxonomy

Taxonomy Code 305S00000X - Point of Service
Is Primary Yes

Agent

Name Role Address
GREEN SADRINA S Agent 2907 SW 67TH LANE, MIRAMAR, FL, 33023

Authorized Person

Name Role Address
MOHAMAD SHATHEA W Authorized Person 2435 PIERCE STREET APT 27, HOLLYWOOD, FL, 33020

Manager

Name Role Address
Green Sadrina S Manager 14900 SW 30TH STREET, Miramar, FL, 33027

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-05-06 2907 SW 67TH LANE, MIRAMAR, FL 33023 No data
REINSTATEMENT 2024-05-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-05-06 14900 SW 30TH STREET, UNIT 278802, Miramar, FL 33027 No data
CHANGE OF MAILING ADDRESS 2024-05-06 14900 SW 30TH STREET, UNIT 278802, Miramar, FL 33027 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2022-12-31 GREEN, SADRINA S No data
REINSTATEMENT 2022-12-31 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
REINSTATEMENT 2024-05-06
REINSTATEMENT 2022-12-31
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-05-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State