| Entity Name: | HOLLYWOOD MEDICAL ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Jan 2010 (15 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: | L10000000640 |
| Address: | 6030 HOLLYWOOD BLVD, 250, HOLLYWOOD, FL, 33024 |
| Mail Address: | P.O. BOX 6455, WEST PALM BEACH, FL, 33405 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891017869 | 2010-02-18 | 2010-02-18 | PO BOX 6455, WEST PALM BEACH, FL, 33405, US | 6030 HOLLYWOOD BLVD., SUITE 250, HOLLYWOOD, FL, 33024, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-627-2821 |
| Fax | 5616270542 |
Authorized person
| Name | RAFAEL FOSS |
| Role | MM |
| Phone | 7863701111 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOSS RAFAEL | Agent | 4212 NORTHLAKE BLVD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| FOSS RAFAEL | Manager | 4212 NORTHLAKE BLVD., PALM BEACH GARDENS, FL, 33410 |
| ALVAREZ TONY | Manager | 3330 NE 190 STREET SUITE 2217, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| LC NAME CHANGE | 2010-01-19 | HOLLYWOOD MEDICAL ASSOCIATES LLC | No data |
| Name | Date |
|---|---|
| LC Name Change | 2010-01-19 |
| Florida Limited Liability | 2010-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
