| Entity Name: | EVERGREEN MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Dec 2010 (14 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: | L10000130639 |
| Address: | 5944 CORAL RIDGE DR.,, 138, CORAL SPRINGS, FL, 33076 |
| Mail Address: | 5944 CORAL RIDGE DR.,, 138, CORAL SPRINGS, FL, 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811291305 | 2010-12-27 | 2010-12-27 | 5944 CORAL RIDGE DR # 138, CORAL SPRINGS, FL, 330763300, US | 5944 CORAL RIDGE DR # 138, CORAL SPRINGS, FL, 330763300, US | |||||||||||||||||
|
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| Phone | +1 954-415-8253 |
Authorized person
| Name | DR. JORDAN H. JORDAN |
| Role | MNGR. |
| Phone | 9544158253 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH4871 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JORDAN JORDAN H | Agent | 5944 CORAL RIDGE DR.,, CORAL SPRINGS, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| JORDAN JORDAN H | Manager | 5944 CORAL RIDGE DR., #138, CORAL SPRINGS, FL, 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000118004 | ON-SITE NERVE TESTING, LLC | EXPIRED | 2010-12-23 | 2015-12-31 | No data | 5944 CORAL RIDGE DR., #138, CORAL SPRINGS, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2010-12-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
