| Entity Name: | BMG OF FLORIDA PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Jun 2019 (6 years ago) |
| Date of dissolution: | 23 Apr 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Apr 2020 (5 years ago) |
| Document Number: | P19000051281 |
| Address: | 106 BOSTON AVE, 204, ALTAMONTE SPRINGS, FL 32701 |
| Mail Address: | 23275 S POINTE DRIVE, SUITE 100, LAGUNA HILLS, CA 92653 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649814393 | 2019-11-05 | 2019-11-05 | 23275 S POINTE DR STE 100, LAGUNA HILLS, CA, 926531498, US | 106 BOSTON AVE STE 204, ALTAMONTE SPRINGS, FL, 327014712, US | |||||||||||||||||||
|
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| Phone | +1 615-562-4048 |
Authorized person
| Name | DR. QUOC HA |
| Role | DIRECTOR |
| Phone | 6155624048 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UROLOGY |
| Number | 208800000X |
| State | FL |
| Name | Role |
|---|---|
| MENON ASSOCIATES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LABARBERA, MARIANNE C | President | 5 CHESCHIRE PLACE, STATEN ISLAND, NY 10301 |
| Name | Role | Address |
|---|---|---|
| LABARBERA, MARIANNE C | Director | 5 CHESCHIRE PLACE, STATEN ISLAND, NY 10301 |
| Name | Role | Address |
|---|---|---|
| LABARBERA, MARIANNE C | Vice President | 5 CHESCHIRE PLACE, STATEN ISLAND, NY 10301 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000072751 | BOSTON MEDICAL GROUP | EXPIRED | 2019-07-01 | 2024-12-31 | No data | 23275 S POINTE DRIVE, SUITE 100, LAGUNA HILLS, CA, 92653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-04-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-04-23 |
| Domestic Profit | 2019-06-19 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
