| Entity Name: | SUZANNE PAVLOU MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Jan 2012 (13 years ago) |
| Date of dissolution: | 23 Jan 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jan 2023 (2 years ago) |
| Document Number: | L12000009537 |
| FEI/EIN Number | N/A |
| Address: | 9858 CLINT MOORE ROAD, SUITE C111-236, BOCA RATON, FL 33496 |
| Mail Address: | 9858 CLINT MOORE ROAD, SUITE C111-236, BOCA RATON, FL 33496 |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396017513 | 2012-02-03 | 2012-02-03 | 9858 CLINT MOORE RD, SUITE C111-236, BOCA RATON, FL, 334961034, US | 9858 CLINT MOORE RD, SUITE C111-236, BOCA RATON, FL, 334961034, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-676-7488 |
| Fax | 5619104785 |
Authorized person
| Name | SUZANNE PAVLOU |
| Role | MANAGING MEMBER |
| Phone | 5616767488 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME90011 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 270305000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAVLOU, SUZANNE MD | Agent | 9858 CLINT MOORE ROAD, SUITE C111-236, BOCA RATON, FL 33496 |
| Name | Role | Address |
|---|---|---|
| PAVLOU, SUZANNE MD | Managing Member | 9858 CLINT MOORE RD., STE C111-236, BOCA RATON, FL 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-23 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-05-03 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-29 |
| ANNUAL REPORT | 2014-05-01 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
