| Entity Name: | LISA E MARK, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Nov 2024 (4 months ago) |
| Document Number: | L13000042531 |
| FEI/EIN Number | 46-2424692 |
| Address: | 7433 KNIGHT STREET, PARKLAND, FL 33067 |
| Mail Address: | 7433 KNIGHT STREET, PARKLAND, FL 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124452446 | 2013-08-22 | 2013-08-22 | 3701 TYLER ST APT 116, HOLLYWOOD, FL, 330216827, US | 9917 PINES BLVD, PEMBROKE PINES, FL, 330246174, US | |||||||||||||||||
|
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| Phone | +1 954-330-8604 |
Authorized person
| Name | DR. LISA MARK |
| Role | OWNER |
| Phone | 9543308604 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME100791 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARK, LISA E | Agent | 7433 KNIGHT STREET, PARKLAND, FL 33067 |
| Name | Role | Address |
|---|---|---|
| MARK, LISA E | Managing Member | 7433 KNIGHT STREET, PARKLAND, FL 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-03 | MARK, LISA E | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-03 | 7433 KNIGHT STREET, PARKLAND, FL 33067 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-11 | 7433 KNIGHT STREET, PARKLAND, FL 33067 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-11 | 7433 KNIGHT STREET, PARKLAND, FL 33067 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-03 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-02-25 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
