| Entity Name: | MATTLAURE INDUSTRIES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Nov 2010 (14 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 22 Nov 2010 (14 years ago) |
| Document Number: | L10000116701 |
| FEI/EIN Number | 27-3929263 |
| Address: | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 |
| Mail Address: | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 |
| ZIP code: | 33412 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285481739 | 2024-05-02 | 2024-05-02 | 3319 S STATE ROAD 7 STE 113, WELLINGTON, FL, 334498099, US | 3319 S STATE ROAD 7 STE 113, WELLINGTON, FL, 334498099, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-422-1003 |
| Fax | 5614221003 |
Authorized person
| Name | MRS. DANIELLE MALONE |
| Role | OM |
| Phone | 5614221003 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269259700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARIB-SANKAR, ANITA | Agent | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| GARIB-SANKAR, ANITA | Managing Member | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 |
| SANKAR, DAMIEN | Managing Member | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-01-05 | GARIB-SANKAR, ANITA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-05 | 13212 71ST PLACE NORTH, WEST PALM BEACH, FL 33412 | No data |
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2010-11-22 | MATTLAURE INDUSTRIES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-10 |
| ANNUAL REPORT | 2015-04-11 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
