| Entity Name: | OMT HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Dec 2022 (2 years ago) |
| Document Number: | L22000508342 |
| FEI/EIN Number | 92-1254453 |
| Address: | 500 SW 145TH AVE, APT 230, PEMBROKE PINES, FL, 33027, US |
| Mail Address: | 500 SW 145TH AVE, APT 230, PEMBROKE PINES, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083300289 | 2023-04-12 | 2023-04-12 | 777 N ORANGE AVE APT 515, ORLANDO, FL, 328011184, US | 777 N ORANGE AVE APT 515, ORLANDO, FL, 328011184, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-553-0177 |
Authorized person
| Name | ORESTES MEDEROS TRUJILLO |
| Role | OWNER |
| Phone | 7865530177 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEDEROS TRUJILLO ORESTES | Agent | 500 SW 145TH AVE, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| MEDEROS TRUJILLO ORESTES | Manager | 500 SW 145TH AVE, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 500 SW 145TH AVE, APT 230, PEMBROKE PINES, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-26 | 500 SW 145TH AVE, APT 230, PEMBROKE PINES, FL 33027 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-26 | MEDEROS TRUJILLO , ORESTES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-26 | 500 SW 145TH AVE, APT 230, PEMBROKE PINES, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-12-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
