| Entity Name: | ORANGE BLOSSOM MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Jun 2023 (2 years ago) |
| Document Number: | L23000307214 |
| FEI/EIN Number | 93-2139679 |
| Address: | 6800 SW 40TH STREET, #156, MIAMI, FL 33155 |
| Mail Address: | 6800 SW 40TH STREET, #156, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952084485 | 2023-08-10 | 2023-08-10 | 6800 SW 40TH ST # 156, MIAMI, FL, 331553708, US | 7000 SW 62ND AVE PENTHOUSE B, SOUTH MIAMI, FL, 33143, US | |||||||||||||
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| Phone | +1 305-282-1501 |
Authorized person
| Name | DR. MONICA BARBARA SUAREZ KOBILIS |
| Role | OWNER |
| Phone | 3052821501 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SUAREZ KOBILIS, MONICA B | Authorized Member | 6800 SW 40TH ST. #156, MIAMI, FL 33155 |
| KOBILIS, JOHN B | Authorized Member | 6800 SW 40TH ST. #156, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 7901 4TH ST. N STE 300, St. PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-06-27 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
