| Entity Name: | STELLAR PERFORMANCE MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Aug 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 27 Oct 2020 (4 years ago) |
| Document Number: | L20000232522 |
| FEI/EIN Number | 85-2506177 |
| Address: | 555 W GRANADA BLVD, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 911 GINGER TREE PLACE, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952991614 | 2021-01-26 | 2021-01-26 | PO BOX 731891, ORMOND BEACH, FL, 321731891, US | 555 W GRANADA BLVD STE E2, ORMOND BEACH, FL, 321749401, US | |||||||||||||||
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| Phone | +1 305-240-5901 |
| Fax | 6175440568 |
Authorized person
| Name | LUIS EDUARDO GOMEZ |
| Role | APRN-OWNER |
| Phone | 3052405901 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ LUIS E | Agent | 555 W GRANADA BLVD, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| GOMEZ LUIS E | Managing Member | 911 GINGER TREE PLACE, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-24 | 555 W GRANADA BLVD, STE E1, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-03 | 555 W GRANADA BLVD, STE E1, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-03 | 555 W GRANADA BLVD, STE E1, ORMOND BEACH, FL 32174 | No data |
| LC AMENDMENT | 2020-10-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-05-03 |
| LC Amendment | 2020-10-27 |
| Florida Limited Liability | 2020-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
