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BLACK SWAN MEDICAL TRANSPORTATION LLC - Florida Company Profile

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Company Details

Entity Name: BLACK SWAN MEDICAL TRANSPORTATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 May 2022 (3 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (a year 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
City: Zephyrhills
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TORRES JASMINE Manager 39851 JERRY RD, ZEPHYRHILLS, FL, 33540
Molina-Robles Marisela Manager 14021 Wineberry Dr., Dade City, FL, 33525
LYNCH GREGG A Agent 14144 SIXTH ST, DADE CITY, FL, 33525

National Provider Identifier

NPI Number:
1689365249
Certification Date:
2023-05-16

Authorized Person:

Name:
MARISELA MOLINA ROBLES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
LC AMENDMENT 2022-11-10 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2023-06-22
ANNUAL REPORT 2023-02-21
Florida Limited Liability 2022-05-24

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Date of last update: 03 Aug 2025

Sources: Florida Department of State