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MYSTICAL MEDICAL TRANSPORT L.L.C. - Florida Company Profile

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Company Details

Entity Name: MYSTICAL MEDICAL TRANSPORT L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 12 Dec 2022 (3 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 28 Mar 2023 (2 years ago)
Document Number: L22000518849
FEI/EIN Number 92-1392670
Address: 1641 NORTH DR., FORT MYERS, FL, 33907, US
Mail Address: 1641 NORTH DR., FORT MYERS, FL, 33907, US
ZIP code: 33907
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ROMAN MARIBEL AMRG 1641 NORTH DR, FORT MYERS, FL, 33907
OLIVERA DIETER N AMRG 1641 NORTH DR., FORT MYERS, FL, 33907
OLIVERA DIETER N Agent 1641 NORTH DR, FORT MYERS, FL, 33907
OLIVERA DIETER N Manager 1641 NORTH DR., FORT MYERS, FL, 33907
RODRIGUEZ MARIBEL R Manager 1641 NORTH DR., FORT MYERS, FL, 33907

National Provider Identifier

NPI Number:
1578333514
Certification Date:
2024-01-02

Authorized Person:

Name:
DIETER NOEL OLIVERA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-03-04 - -
LC AMENDMENT 2023-03-28 - -

Documents

Name Date
ANNUAL REPORT 2024-03-13
LC Amendment 2023-03-28
Florida Limited Liability 2022-12-12

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Date of last update: 03 Aug 2025

Sources: Florida Department of State