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IDALIA M SANTAELLA MD LLC - Florida Company Profile

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Company Details

Entity Name: IDALIA M SANTAELLA MD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Feb 2012 (14 years ago)
Document Number: L12000020630
FEI/EIN Number 45-4524425
Mail Address: 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 33496-1568, US
Address: 17792 Fieldbrook Circle West, Boca Raton, FL, 33496-1568, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Professional Trust Acctg Inc Agent 4800 N FEDERAL HWY, BOCA RATON, FL, 334961568
SANTAELLA IDALIA MDr. Managing Member 17792 FIELDBROOK CIRCLE WEST, BOCA RATON, FL, 334961568

National Provider Identifier

NPI Number:
1376887117

Authorized Person:

Name:
DR. IDALIA M SANTAELLA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
3054489282

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-22 135 San Lorenzo Avenue, 100, Coral Gables, FL 33146 -
REGISTERED AGENT NAME CHANGED 2013-03-30 SANTAELLA, IDALIA M, Dr. -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-03-28
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-02-01

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Date of last update: 01 Aug 2025

Sources: Florida Department of State