Entity Name: | EVALUCARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 21 Jan 2009 (16 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | L09000006983 |
FEI/EIN Number | 264136249 |
Address: | 644 SE FOURTH AVE., FT. LAUDERDALE, FL, 33301 |
Mail Address: | 644 SE FOURTH AVE., FT. LAUDERDALE, FL, 33301 |
ZIP code: | 33301 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073740106 | 2009-06-16 | 2009-06-16 | 6261 NW 6TH WAY, SUITE 110, FORT LAUDERDALE, FL, 333096103, US | 6261 NW 6TH WAY, SUITE 110, FORT LAUDERDALE, FL, 333096103, US | |||||||||||||||
|
Phone | +1 954-634-6400 |
Fax | 9546346444 |
Authorized person
Name | DR. MICHAEL T KAZAMIAS |
Role | CEO |
Phone | 9546346400 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GOLDEN E. SCOTT | Agent | 644 SE FOURTH AVE., FT. LAUDERDALE, FL, 33301 |
Name | Role | Address |
---|---|---|
TUSHINSKI WILLIAM | Manager | 4004 SAPPHIRE COVE, WESTON, FL, 33331 |
KAZAMIAS MICHAEL M | Manager | 7512 COLONY LAKE DR, BOYNTON BEACH, FL, 33436 |
KITZMILLER JEFFREY | Manager | 2612 BROWNVILLE RD., FEASTERVILLE, PA, 19053 |
RICHARDSON MICHAEL | Manager | 1647 MONROE ST, HOLLYWOOD, FL, 33020 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2010-04-29 |
Florida Limited Liability | 2009-01-21 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State