| Entity Name: | CCRM FLORIDA,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2023 (2 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Apr 2024 (10 months ago) |
| Document Number: | M23000008173 |
| FEI/EIN Number | 873211160 |
| Mail Address: | 4010 W. BOY SCOUT BLVD, SUITE 500, TAMPA, FL, 33607, US |
| Address: | 19505 Biscayne Blvd, Suite 2230, Miami, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336882836 | 2022-04-14 | 2022-04-14 | 9380 STATION ST, LONE TREE, CO, 801246831, US | 19505 BISCAYNE BLVD, MIAMI, FL, 331802314, US | |||||||||||||
|
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| Phone | +1 303-885-5762 |
Authorized person
| Name | JON PARDEW |
| Role | CEO |
| Phone | 3039681950 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| FERTILITY LAB SCIENCES, LP | Member | 4010 W. BOY SCOUT BLVD, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Wright Brian | Auth | 4010 W. BOY SCOUT BLVD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-21 | 19505 Biscayne Blvd, Suite 2230, Miami, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-20 | 19505 Biscayne Blvd, Suite 2230, Miami, FL 33180 | No data |
| LC STMNT OF RA/RO CHG | 2024-04-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-10 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-10 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| CORLCRACHG | 2024-04-10 |
| Foreign Limited | 2023-06-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
