| Entity Name: | BLESS MEDICAL CENTER OF LEHIGH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Nov 2020 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000351651 |
| FEI/EIN Number | 85-4009511 |
| Address: | 3400 LEE BLVD STE 102, LEHIGH ACRES, FL, 33971, US |
| Mail Address: | 3400 LEE BLVD STE 102, LEHIGH ACRES, FL, 33971, US |
| ZIP code: | 33971 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699361394 | 2020-12-16 | 2020-12-16 | 440 E SAMPLE RD STE 107, POMPANO BEACH, FL, 330644432, US | 3400 LEE BLVD STE 102, LEHIGH ACRES, FL, 339711309, US | |||||||||||||
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| Phone | +1 954-864-6401 |
Authorized person
| Name | OZZIE MARTINEZ |
| Role | COO |
| Phone | 9548646401 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DOMA MD, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Louis-Charles Hans MDr. | Auth | 326 Lopez Pl, Clewiston, FL, 33440 |
| Name | Role |
|---|---|
| DOMA MD, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-08 | DOMA MD, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-08 | 440 E. SAMPLE RD, STE 107, POMPANO BEACH, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-08 |
| Florida Limited Liability | 2020-11-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
