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BLOOM FAMILY MEDICINE, PLLC - Florida Company Profile

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Company Details

Entity Name: BLOOM FAMILY MEDICINE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLOOM FAMILY MEDICINE, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Jan 2022 (3 years ago)
Document Number: L22000047204
FEI/EIN Number 88-0584752

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 3288 CAPPIO DR, MELBOURNE, FL, 32940, US
Address: 7341 Office Park Pl, Suite 202B, MELBOURNE, FL, 32940, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Agent -
BOVELSKY CHRISTINA H Authorized Member 3288 CAPPIO DR, MELBOURNE, FL, 32940

National Provider Identifier

NPI Number:
1396485710
Certification Date:
2022-08-19

Authorized Person:

Name:
DR. CHRISTINA HABIB BOVELSKY
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-03 7341 Office Park Pl, Suite 202B, MELBOURNE, FL 32940 -
REGISTERED AGENT ADDRESS CHANGED 2023-02-18 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-12
Florida Limited Liability 2022-01-26

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Date of last update: 02 Jun 2025

Sources: Florida Department of State