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ANGELS MEDICAL TRANSPORTATION SERVICE LLC - Florida Company Profile

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Company Details

Entity Name: ANGELS MEDICAL TRANSPORTATION SERVICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Mar 2023 (2 years ago)
Document Number: L23000111560
FEI/EIN Number 92-2841568
Address: 16295 PALACKY ST., MASARYKTOWN, FL, 34604, UN
Mail Address: 16295 PALACKY ST., MASARYKTOWN, FL, 34604, UN
ZIP code: 34604
City: Brooksville
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLARK BRENT Manager 16295 PALACKY ST., MASARYKTOWN, FL, 34604
CLARK DEBORAH Authorized Member 16295 PALACKY ST., MASARYKTOWN, FL, 34604
CLARK BRENT Agent 16295 PALACKY ST., MASARYKTOWN, FL, 34604

National Provider Identifier

NPI Number:
1699464396
Certification Date:
2023-06-19

Authorized Person:

Name:
MR. BRENT CIRO CLARK
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000010031 ANGELS MEDICAL AMBULANCE SERVICE ACTIVE 2024-01-17 2029-12-31 - 16295 PALACKY ST., BROOKSVILLE, FL, 34604--782
G23000033259 ANGELS MEDICAL TRANSPORTATION ACTIVE 2023-03-13 2028-12-31 - 16295 PALACKY ST., MASARYKTOWN, FL, 34604

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-02-08
Florida Limited Liability 2023-03-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State