| Entity Name: | ADDISON MIZNER MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2007 (17 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Jan 2008 (17 years ago) |
| Document Number: | L07000085286 |
| FEI/EIN Number | 260749112 |
| Address: | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL, 33432, US |
| Mail Address: | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902090202 | 2007-08-29 | 2010-05-18 | 233 S FEDERAL HWY, SUITE 103, BOCA RATON, FL, 334324937, US | 233 S FEDERAL HWY, SUITE 103, BOCA RATON, FL, 334324937, US | |||||||||||||||
|
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| Phone | +1 561-347-2996 |
| Fax | 5613478998 |
Authorized person
| Name | DR. RICHARD MARQUES |
| Role | PHYSICIAN |
| Phone | 5613472996 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARQUES RICARDO | Agent | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| MARQUES RICHARD D | Managing Member | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL, 33432 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08016900277 | QUICK MED | EXPIRED | 2008-01-16 | 2013-12-31 | No data | 233 SOUTH FEDERAL HIGHWAY, SUITE 106, BOCA RATON, FL, 33432 |
| G08016900311 | QUICK MED WALK-IN MEDICAL CENTER | EXPIRED | 2008-01-16 | 2013-12-31 | No data | 233 SOUTH FEDERAL HIGHWAY, SUITE 106, BOCA RATON, FL, 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-07-21 | MARQUES, RICARDO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-06-04 | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL 33432 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-25 | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-25 | 233 SOUTH FEDERAL HIGHWAY, SUITE 103, BOCA RATON, FL 33432 | No data |
| LC AMENDMENT | 2008-01-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
