| Entity Name: | ACCESS MEDICAL GROUP OF LAUDERDALE LAKES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Sep 2022 (2 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 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134845514 | 2022-10-17 | 2023-05-25 | 6100 BLUE LAGOON DR STE 365, MIAMI, FL, 331267010, US | 4337 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333194856, US | |||||||||||||||||||
|
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| Phone | +1 786-322-7333 |
| Fax | 7863475022 |
| Phone | +1 954-676-8873 |
| Fax | 9542828005 |
Authorized person
| Name | MR. RAYNY RAMIREZ |
| Role | PRESIDENT |
| Phone | 7863227333 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| KOSTER, CHRISTOPHER A | Manager | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| CHERVITZ, CHARLES | Manager | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| Name | Role | Address |
|---|---|---|
| KOSTER, CHRISTOPHER A | Secretary | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| Name | Role | Address |
|---|---|---|
| Dinkelman, Tricia | Vice President | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| Baiocchi, Sarah | Vice President | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| Name | Role | Address |
|---|---|---|
| Dinkelman, Tricia | Tax | 7700 FORSYTH BLVD., ST. LOUIS, MO 63105 |
| Name | Role | Address |
|---|---|---|
| Ramirez, Rayny | President | 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| Majors, Richard | VIce President | 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| Majors, Richard | Finance | 6100 BLUE LAGOON DR., STE. 365, MIAMI, FL 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000114734 | COMMUNITY MEDICAL GROUP | ACTIVE | 2022-09-13 | 2027-12-31 | No data | 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| AMENDED ANNUAL REPORT | 2023-05-23 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-06 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
