Entity Name: | MOBILE PHLEBOTOMY PROFESSIONALS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 19 Jun 2024 (8 months ago) |
Document Number: | L24000278169 |
FEI/EIN Number | 99-3591881 |
Address: | 126 WILSHIRE BOULEVARD, SUITE 1022, CASSELBERRY, FL 32707 |
Mail Address: | 126 WILSHIRE BOULEVARD, SUITE 1022, CASSELBERRY, FL 32707 |
ZIP code: | 32707 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1205671013 | 2024-06-25 | 2024-06-28 | 617 ASHBERRY LN, ALTAMONTE SPRINGS, FL, 327147409, US | 617 ASHBERRY LN, ALTAMONTE SPRINGS, FL, 327147409, US | |||||||||||||
|
Phone | +1 551-404-0359 |
Authorized person
Name | LIZI GONZALEZ |
Role | AUTHORIZED OFFICIAL |
Phone | 5514040359 |
Taxonomy
Taxonomy Code | 246R00000X - Pathology Technician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GONZALEZ, LIZI | Agent | 617 ASHBERRY LN, ALTAMONTE SPRINGS, FL 32714 |
Name | Role | Address |
---|---|---|
GONZALEZ, LIZI | Authorized Representative | 617 ASHBERRY LN, ALTAMONTE SPRINGS, FL 32714 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-08-21 | 126 WILSHIRE BOULEVARD, SUITE 1022, CASSELBERRY, FL 32707 | No data |
CHANGE OF MAILING ADDRESS | 2024-08-21 | 126 WILSHIRE BOULEVARD, SUITE 1022, CASSELBERRY, FL 32707 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-29 |
Florida Limited Liability | 2024-06-19 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State