| Entity Name: | PATRICIA TANYA WADE MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Nov 2007 (17 years ago) |
| Document Number: | L07000113121 |
| FEI/EIN Number | 142013952 |
| Address: | 2301 N. UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL, 33024 |
| Mail Address: | PO BOX 823902, PEMBROKE PINES, FL, 33082 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043490881 | 2007-11-09 | 2014-04-16 | PO BOX 823902, PEMBROKE PINES, FL, 33082, US | 2301 N UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL, 330243617, US | |||||||||||||||
|
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| Phone | +1 954-965-1119 |
| Fax | 9549650119 |
Authorized person
| Name | DR. PATRICIA WADE-GIBBS |
| Role | OWNER |
| Phone | 9549651119 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WADE PATRICIA T | Agent | 2301 N. UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| WADE PATRICIA T | Manager | 2301 N UNIVERSITY DR SUITE 207, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-13 | 2301 N. UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-13 | 2301 N. UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-13 | 2301 N. UNIVERSITY DR, SUITE 207, PEMBROKE PINES, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-07-10 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-09-15 |
| ANNUAL REPORT | 2019-08-17 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
