| Entity Name: | BLUEBIRD CARE PHYSICIANS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Sep 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Oct 2023 (a year ago) |
| Document Number: | L23000437160 |
| FEI/EIN Number | 93-3579160 |
| Address: | 1936 Dairy Rd, West Melbourne, FL 32904 |
| Mail Address: | 1936 Dairy Rd, West Melbourne, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659144251 | 2023-11-06 | 2023-11-06 | 1936 DAIRY RD, WEST MELBOURNE, FL, 329044046, US | 1936 DAIRY RD, WEST MELBOURNE, FL, 329044046, US | |||||||||||||||
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| Phone | +1 321-821-4041 |
| Fax | 3218214044 |
Authorized person
| Name | RONALD MENDEZ |
| Role | OWNER |
| Phone | 3473300291 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Mendez, Ronald | Manager | 7901 4th St N STE 300, St. Petersburg, FL 33702 |
| Gomez, Marinelsa | Manager | 7901 4th St N STE 300, St. Petersburg, FL 33702 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000139325 | BLUEBIRD CARE PHYSICIANS | ACTIVE | 2023-11-14 | 2028-12-31 | No data | 1936 DAIRY RD, WEST MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-13 | 1936 Dairy Rd, West Melbourne, FL 32904 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-13 | 1936 Dairy Rd, West Melbourne, FL 32904 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-13 | 7901 4th St N, STE 300, St. Petersburg, FL 33702 | No data |
| LC AMENDMENT | 2023-10-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| LC Amendment | 2023-10-04 |
| Florida Limited Liability | 2023-09-20 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
