| Entity Name: | OAKLAND PARK FAMILY MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2022 (2 years ago) |
| Document Number: | L22000361644 |
| FEI/EIN Number | 88-3743982 |
| Address: | 3101 N FEDERAL HWY, OAKLAND PARK, FL, 33306, US |
| Mail Address: | 3101 N FEDERAL HWY, OAKLAND PARK, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457079279 | 2022-08-17 | 2024-08-27 | 3101 N FEDERAL HWY STE 610, OAKLAND PARK, FL, 333061044, US | 3101 N FEDERAL HWY STE 610, OAKLAND PARK, FL, 333061044, US | |||||||||||||||
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| Phone | +1 954-565-9966 |
| Fax | 9545650535 |
Authorized person
| Name | MRS. LAUREN A SALUS |
| Role | OWNER |
| Phone | 9542953507 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OAKLAND PARK FAMILY MEDICINE LLC 401(K) PLAN | 2023 | 883743982 | 2024-07-03 | OAKLAND PARK FAMILY MEDICINE LLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SALUS LAUREN A | Agent | 3101 N FEDERAL HWY, OAKLAND PARK, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| Salus Lauren | President | 3101 N FEDERAL HWY, OAKLAND PARK, FL, 33306 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000114678 | OAKLAND PARK FAMILY MEDICINE | ACTIVE | 2022-09-12 | 2027-12-31 | No data | 3101 N FEDERAL HWY STE 610, OAKLAND PARK, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-19 | 3101 N FEDERAL HWY, ste 610, OAKLAND PARK, FL 33306 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-08 | 3101 N FEDERAL HWY, 610, OAKLAND PARK, FL 33306 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-08 | 3101 N FEDERAL HWY, 610, OAKLAND PARK, FL 33306 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-08 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-05 |
| Florida Limited Liability | 2022-08-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
