| Entity Name: | WILLIAM PENA MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Feb 2007 (18 years ago) |
| Date of dissolution: | 09 Sep 2011 (13 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Sep 2011 (13 years ago) |
| Document Number: | L07000012105 |
| FEI/EIN Number | 450588115 |
| Mail Address: | P.O. BOX 260340, PEMBROKE PINES, FL, 33026 |
| Address: | 601 N FLAMINGO ROAD, 315-A, PEMBROKE PINES, FL, 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215190723 | 2008-07-03 | 2008-11-07 | 601 N FLAMINGO RD, SUITE 315-A, PEMBROKE PINES, FL, 330281015, US | 601 N FLAMINGO RD, SUITE 416, PEMBROKE PINES, FL, 330281015, US | |||||||||||||||
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| Phone | +1 954-436-3331 |
| Fax | 9544363430 |
Authorized person
| Name | WILLIAM PENA |
| Role | PRESIDENT |
| Phone | 9454398859 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PENA WILLIAM R | Agent | 11910 NW 14 STREET, PEMBROKE PINES, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| PENA WILLIAM R | Managing Member | 601 N FLAMINGO ROAD SUITE 315-A, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2011-09-09 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-06-01 | 601 N FLAMINGO ROAD, 315-A, PEMBROKE PINES, FL 33028 | No data |
| LC NAME CHANGE | 2008-08-14 | WILLIAM PENA MD LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-31 | 601 N FLAMINGO ROAD, 315-A, PEMBROKE PINES, FL 33028 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-02-07 | PENA, WILLIAM R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-07 | 11910 NW 14 STREET, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2011-09-09 |
| ADDRESS CHANGE | 2010-06-01 |
| ANNUAL REPORT | 2010-03-12 |
| ANNUAL REPORT | 2009-06-18 |
| LC Name Change | 2008-08-14 |
| ANNUAL REPORT | 2008-05-31 |
| ANNUAL REPORT | 2008-02-07 |
| Florida Limited Liability | 2007-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
