| Entity Name: | BLUESTAR MEDICAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jun 2016 (9 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P16000056086 |
| FEI/EIN Number | 475501495 |
| Address: | 4101 NW 4th Street, Plantation, FL, 33317, US |
| Mail Address: | 4101 NW 4th Street, Plantation, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720533680 | 2016-08-22 | 2018-09-26 | 4101 NW 4TH ST STE 211, PLANTATION, FL, 333172840, US | 4101 NW 4TH ST STE 211, PLANTATION, FL, 333172840, US | |||||||||||||||
|
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| Phone | +1 954-440-0072 |
| Fax | 9547656793 |
Authorized person
| Name | VICKY JASMINE MARSH |
| Role | PHYSICIAN |
| Phone | 9544400072 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARSH VICKY J | Agent | 4101 NW 4th Street, Plantation, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| MARSH VICKY J | President | 4101 NW 4th Street, Plantation, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-11 | 4101 NW 4th Street, Suite 211, Plantation, FL 33317 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-03 | 4101 NW 4th Street, Suite 211, Plantation, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-03 | 4101 NW 4th Street, Suite 211, Plantation, FL 33317 | No data |
| CONVERSION | 2016-06-29 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L15000183269. CONVERSION NUMBER 500000162445 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000080523 | ACTIVE | CACE21015885 | BROWARD COUNTY COURT | 2023-02-06 | 2028-02-23 | $85,624.33 | BANK OF AMERICA NATIONAL ASSOCIATION, 100 N. TRYON STREET, CHARLOTTE, NC 28202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-03-03 |
| Domestic Profit | 2016-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
