| Entity Name: | BIOFOURMIS CARE FL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2022 (2 years ago) |
| Document Number: | L21000198131 |
| FEI/EIN Number | 86-3946023 |
| Address: | 117 Kendrick Street, Needham, MA, 02494, US |
| Mail Address: | 117 Kendrick Street, Needham, MA, 02494, US |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BIOFOURMIS CARE FL PLLC, MISSISSIPPI | 1336554 | MISSISSIPPI |
| Headquarter of | BIOFOURMIS CARE FL PLLC, RHODE ISLAND | 001736390 | RHODE ISLAND |
| Headquarter of | BIOFOURMIS CARE FL PLLC, ALABAMA | 001-097-061 | ALABAMA |
| Headquarter of | BIOFOURMIS CARE FL PLLC, MINNESOTA | ace8cb65-7deb-ed11-9071-00155d01c440 | MINNESOTA |
| Headquarter of | BIOFOURMIS CARE FL PLLC, KENTUCKY | 1304840 | KENTUCKY |
| Headquarter of | BIOFOURMIS CARE FL PLLC, COLORADO | 20231495232 | COLORADO |
| Headquarter of | BIOFOURMIS CARE FL PLLC, CONNECTICUT | 2783990 | CONNECTICUT |
| Headquarter of | BIOFOURMIS CARE FL PLLC, IDAHO | 4712839 | IDAHO |
| Headquarter of | BIOFOURMIS CARE FL PLLC, ILLINOIS | LLC_14312463 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174299333 | 2021-08-18 | 2022-11-14 | 333 SE 2ND AVE STE 2000, MIAMI, FL, 331312185, US | 1857 WELLS RD STE 209B, ORANGE PARK, FL, 320732340, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 310-626-1049 |
Authorized person
| Name | DEVION SMITH |
| Role | DIRECTOR, PAYER CONTRACTING |
| Phone | 4243268711 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Majmudar Maulik | Owne | 117 Kendrick Street, Needham, MA, 02494 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-01 | 117 Kendrick Street, Unit 300, Needham, MA 02494 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-01 | 117 Kendrick Street, Unit 300, Needham, MA 02494 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-01 | 1200 North Calhoun St., Suite 4, Tallahassee, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-10 | COGENCY GLOBAL INC. | No data |
| REINSTATEMENT | 2022-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC NAME CHANGE | 2021-07-20 | BIOFOURMIS CARE FL PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-04-21 |
| REINSTATEMENT | 2022-10-10 |
| Reg. Agent Change | 2022-07-14 |
| LC Name Change | 2021-07-20 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
