| Entity Name: | STAR MEDICAL FL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2022 (2 years ago) |
| Document Number: | L22000511282 |
| FEI/EIN Number | 88-4386843 |
| Address: | 7501 Paragon Road, Ste 201, Dayton, OH 45459 |
| Mail Address: | 7501 Paragon Road, Ste 201, Dayton, OH 45459 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932970092 | 2024-01-09 | 2024-01-09 | 7501 PARAGON RD STE 201, DAYTON, OH, 454595323, US | 1330 WEST AVE # CU-101, MIAMI BEACH, FL, 331390900, US | |||||||||||||||||
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| Phone | +1 904-545-4465 |
| Fax | 8882132730 |
| Phone | +1 305-877-2026 |
Authorized person
| Name | CHRISTA WILLIAMS |
| Role | DIRECTOR, REVENUE CYCLE MANAGEMENT |
| Phone | 9043122295 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| KIM, DAVID | Authorized Member | 17 LIGHTHOUSE ROAD, SANDS POINT, NY 11050 |
| Name | Role | Address |
|---|---|---|
| GROSS, BRANDON | Authorized Representative | 7501 Paragon Road, 201 Dayton, OH 45459 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000136512 | INFOCUS EYECARE | ACTIVE | 2024-11-07 | 2029-12-31 | No data | 7501 PARAGON RD STE 201, DAYTON, OH, 45459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 7501 Paragon Road, Ste 201, Dayton, OH 45459 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 7501 Paragon Road, Ste 201, Dayton, OH 45459 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000502854 | TERMINATED | 1000001006049 | SARASOTA | 2024-08-02 | 2044-08-07 | $ 2,683.90 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J24000490043 | TERMINATED | 1000001005322 | DUVAL | 2024-07-29 | 2044-07-31 | $ 2,151.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-12-05 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
