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DR. EDWIN W. MALDONADO, M.D., P.L.

Company Details

Entity Name: DR. EDWIN W. MALDONADO, M.D., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 May 2006 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Oct 2014 (10 years ago)
Document Number: L06000049136
FEI/EIN Number 204887717
Address: 1211 CREEKSIDE DR, WELLINGTON, FL, 33414, UN
Mail Address: 1211 CREEKSIDE DR, WELLINGTON, FL, 33414, UN
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255920153 2021-01-14 2021-06-06 1211 CREEKSIDE DR, WELLINGTON, FL, 334143137, US 3400 BURNS RD STE 101, PALM BEACH GARDENS, FL, 334104352, US

Contacts

Phone +1 954-376-9281
Phone +1 561-578-4582

Authorized person

Name EDWIN MALDONADO
Role OWNER
Phone 5615374582

Taxonomy

Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493008XO1UAVAFEKE04 L06000049136 US-FL GENERAL ACTIVE 2006-05-11

Addresses

Legal C/O EDWIN MALDONADO, 1211 CREEKSIDE DR, WELLINGTON, US-FL, US, 33414
Headquarters 160 Congress Park Drive Unit 101, Delray Beach, US-FL, US, 33445

Registration details

Registration Date 2022-06-24
Last Update 2023-08-04
Status LAPSED
Next Renewal 2023-06-23
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As L06000049136

Agent

Name Role Address
MALDONADO EDWIN Agent 1211 CREEKSIDE DR, WELLINGTON, FL, 33414

Manager

Name Role Address
MALDONADO EDWIN WMR Manager 1211 CREEKSIDE DR, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-10-23 1211 CREEKSIDE DR, WELLINGTON, FL 33414 UN No data
REINSTATEMENT 2014-10-23 No data No data
CHANGE OF MAILING ADDRESS 2014-10-23 1211 CREEKSIDE DR, WELLINGTON, FL 33414 UN No data
REGISTERED AGENT ADDRESS CHANGED 2014-10-23 1211 CREEKSIDE DR, WELLINGTON, FL 33414 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REGISTERED AGENT NAME CHANGED 2008-01-09 MALDONADO, EDWIN No data
LC AMENDED AND RESTATED ARTICLES 2006-05-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-01-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State