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ACCESS MEDICAL GROUP OF LAUDERDALE LAKES, LLC - Florida Company Profile

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Company Details

Entity Name: ACCESS MEDICAL GROUP OF LAUDERDALE LAKES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Sep 2022 (3 years ago)
Document Number: L22000388716
FEI/EIN Number 92-0261029
Mail Address: 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Address: 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL, 33126
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
KOSTER CHRISTOPHER A Manager 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
CHERVITZ CHARLES Manager 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Dinkelman Tricia Vice President 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Ramirez Rayny President 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL, 33126
Baiocchi Sarah Vice President 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105
Majors Richard A VIce 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL, 33126

National Provider Identifier

NPI Number:
1134845514
Certification Date:
2023-05-25

Authorized Person:

Name:
MR. RAYNY RAMIREZ
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7863475022
Fax:
9542828005

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000114734 COMMUNITY MEDICAL GROUP ACTIVE 2022-09-13 2027-12-31 - 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105

Documents

Name Date
ANNUAL REPORT 2024-04-29
AMENDED ANNUAL REPORT 2023-05-23
ANNUAL REPORT 2023-05-01
Florida Limited Liability 2022-09-06

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Date of last update: 02 Jul 2025

Sources: Florida Department of State