| Entity Name: | HEALTHY SENIOR MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Oct 2020 (4 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000335381 |
| Address: | 515 E LAS OLAS BLVD, SUITE 120, FORT LAUDERDALE, FL, 33301, US |
| Mail Address: | 515 E LAS OLAS BLVD, SUITE 120, FORT LAUDERDALE, FL, 33301, US |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194327379 | 2020-11-12 | 2020-11-12 | 2199 NE 5TH AVE, BOCA RATON, FL, 334317610, US | 515 E LAS OLAS BLVD STE 120, FORT LAUDERDALE, FL, 333014261, US | |||||||||||||||||||
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| Phone | +1 561-702-1299 |
| Fax | 5615847505 |
| Phone | +1 954-787-8874 |
| Fax | 9547878875 |
Authorized person
| Name | CHRISTOPHER J PETTAS |
| Role | CEO |
| Phone | 5617021299 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| MARINOFF CLAUDIA | Manager | 4285 NW 66 PL, BOCA RATON, FL, 33496 |
| SALAMA ERIC | Manager | 4285 NW 66 PL, BOCA RATON, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| PETTAS CHRISTOPHER | Authorized Member | 2199 NE 5TH AVE, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-10-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
