| Entity Name: | BLACK SWAN MEDICAL TRANSPORTATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 May 2022 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000241409 |
| FEI/EIN Number | 88-3154954 |
| Address: | 39851 JERRY RD, ZEPHYRHILLS, FL 33540 |
| Mail Address: | 39851 JERRY RD, ZEPHYRHILLS, FL 33540 |
| ZIP code: | 33540 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689365249 | 2023-05-16 | 2023-05-16 | 39851 JERRY RD, ZEPHYRHILLS, FL, 335407101, US | 39851 JERRY RD, ZEPHYRHILLS, FL, 335407101, US | |||||||||||||
|
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| Phone | +1 813-679-7823 |
Authorized person
| Name | MARISELA MOLINA ROBLES |
| Role | OWNER |
| Phone | 8136797823 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LYNCH, GREGG A | Agent | 14144 SIXTH ST, DADE CITY, FL 33525 |
| Name | Role | Address |
|---|---|---|
| TORRES, JASMINE | Manager | 39851 JERRY RD, ZEPHYRHILLS, FL 33540 |
| Molina-Robles, Marisela | Manager | 14021 Wineberry Dr., Dade City, FL 33525 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT | 2022-11-10 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2023-06-22 |
| ANNUAL REPORT | 2023-02-21 |
| Florida Limited Liability | 2022-05-24 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
