| Entity Name: | ANGELS MEDICAL TRANSPORTATION SERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| 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 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699464396 | 2023-05-08 | 2023-06-19 | 16295 PALACKY ST, BROOKSVILLE, FL, 346047821, US | 16295 PALACKY ST, BROOKSVILLE, FL, 346047821, US | |||||||||||||
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| Phone | +1 352-797-2336 |
Authorized person
| Name | MR. BRENT CIRO CLARK |
| Role | MANAGER |
| Phone | 3522540159 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CLARK, BRENT | Agent | 16295 PALACKY ST., MASARYKTOWN, FL 34604 |
| Name | Role | Address |
|---|---|---|
| CLARK, BRENT | Manager | 16295 PALACKY ST., MASARYKTOWN, FL 34604 UN |
| Name | Role | Address |
|---|---|---|
| CLARK, DEBORAH | Authorized Member | 16295 PALACKY ST., MASARYKTOWN, FL 34604 UN |
| 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 | No data | 16295 PALACKY ST., BROOKSVILLE, FL, 34604--782 |
| G23000033259 | ANGELS MEDICAL TRANSPORTATION | ACTIVE | 2023-03-13 | 2028-12-31 | No data | 16295 PALACKY ST., MASARYKTOWN, FL, 34604 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-08 |
| Florida Limited Liability | 2023-03-02 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
