| Entity Name: | TRILLIUM MEDICAL CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Oct 2010 (14 years ago) |
| Document Number: | L10000108345 |
| FEI/EIN Number | 273833306 |
| Address: | 10151 ENTRPRS CNTR BLVD, BOYNTON BEACH, FL, 33437, US |
| Mail Address: | 10151 ENTRPRS CNTR BLVD, BOYNTON BEACH, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730485343 | 2011-01-28 | 2011-09-22 | 7545 W BOYNTON BEACH BLVD, SUIT 201, BOYNTON BEACH, FL, 334376166, US | 7545 W BOYNTON BEACH BLVD, SUITE 201, BOYNTON BEACH, FL, 334376166, US | |||||||||||||||||||||||
|
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| Phone | +1 561-736-0881 |
| Fax | 5617360887 |
| Phone | +1 561-906-3238 |
| Fax | 5615825204 |
Authorized person
| Name | DR. KIMBERLY ANN SUSSMAN |
| Role | PRESIDENT |
| Phone | 5619063238 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS10321 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUSSMAN KIMBERLY Dr. | Agent | 10151 ENTRPRS CNTR BLVD, BOYNTON BEACH, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| SUSSMAN KIMBERLY Dr. | Owne | 10151 ENTRPRS CNTR BLVD, BOYNTON BEACH, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-19 | 10151 ENTRPRS CNTR BLVD, Suite 105, BOYNTON BEACH, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-19 | 10151 ENTRPRS CNTR BLVD, Suite 105, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-19 | 10151 ENTRPRS CNTR BLVD, Suite 105, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-05 | SUSSMAN, KIMBERLY, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
