| Entity Name: | ACTIVE MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2022 (3 years ago) |
| Document Number: | L22000165927 |
| FEI/EIN Number | 88-2226698 |
| Address: | 909 NORTH MIAMI BEACH BLVD, SUITE 403, NORTH MIAMI, FL, 33162 |
| Mail Address: | 909 NORTH MIAMI BEACH BLVD, SUITE 403, NORTH MIAMI, FL, 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790563575 | 2023-09-21 | 2023-09-21 | 909 N MIAMI BEACH BLVD STE 403, NORTH MIAMI BEACH, FL, 331623712, US | 909 N MIAMI BEACH BLVD STE 403, NORTH MIAMI BEACH, FL, 331623712, US | |||||||||||||
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| Phone | +1 305-940-3506 |
Authorized person
| Name | NATALIA KOGAN |
| Role | NP |
| Phone | 9545446124 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISCHETTI LAW GROUP | Agent | 7593 BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| KOGAN NATALIA | President | 909 NORTH MIAMI BEACH, SUITE #403, NORTH MIAMI, FL, 33162 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-11 |
| Florida Limited Liability | 2022-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
