| Entity Name: | BLUE CONCIERGE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 May 2021 (4 years ago) |
| Document Number: | L21000084155 |
| FEI/EIN Number | 86-3266627 |
| Address: | 671 Goodlette Frank Rd, Naples, FL, 34102, US |
| Mail Address: | 6305 Naples Blvd #1239, Naples, FL, 34109, US |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659046498 | 2021-08-13 | 2021-08-13 | 700 2ND AVE N STE 305, NAPLES, FL, 341025702, US | 700 2ND AVE N STE 305, NAPLES, FL, 341025702, US | |||||||||||||
|
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| Phone | +1 239-610-1230 |
Authorized person
| Name | REBECCA MIKNAITIS |
| Role | DO |
| Phone | 2396101230 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIKNAITIS REBECCA | Agent | 6305 Naples Blvd, Naples, FL, 34109 |
| Name | Role | Address |
|---|---|---|
| MIKNAITIS REBECCA | Member | 6305 NAPLES BLVD #1239, NAPLES, FL, 34109 |
| Name | Role | Address |
|---|---|---|
| BUTTERS RACHAEL | Manager | 6305 Naples Blvd #1239, Naples, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 671 Goodlette Frank Rd, Suite 110, Naples, FL 34102 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-17 | 6305 Naples Blvd, Suite 1239, Naples, FL 34109 | No data |
| CHANGE OF MAILING ADDRESS | 2023-12-13 | 671 Goodlette Frank Rd, Suite 110, Naples, FL 34102 | No data |
| LC AMENDMENT | 2021-05-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-01-28 |
| LC Amendment | 2021-05-06 |
| Florida Limited Liability | 2021-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
