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SHADY SALIB MD LLC

Company Details

Entity Name: SHADY SALIB MD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Apr 2013 (12 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: L13000048331
FEI/EIN Number 46-2431920
Address: 2657 COOPER WAY, WELLINGTON, FL, 33414, US
Mail Address: 2657 COOPER WAY, WELLINGTON, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194456665 2022-06-23 2023-01-09 3345 BURNS RD STE 204, PALM BEACH GARDENS, FL, 334104306, US 3345 BURNS RD STE 204, PALM BEACH GARDENS, FL, 334104306, US

Contacts

Phone +1 561-622-7604
Fax 5616227542

Authorized person

Name SHADY SALIB
Role OWNER
Phone 5619010429

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
SALIB SHADY Agent 2657 COOPER WAY, WELLINGTON, FL, 33414

Managing Member

Name Role Address
SALIB SHADY E Managing Member 2657 cooper way, wellington, FL, 33414

Chief Executive Officer

Name Role Address
SALIB NANCY Chief Executive Officer 2657 COOPER WAY, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-27 2657 COOPER WAY, WELLINGTON, FL 33414 No data
CHANGE OF MAILING ADDRESS 2021-01-27 2657 COOPER WAY, WELLINGTON, FL 33414 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-27 2657 COOPER WAY, WELLINGTON, FL 33414 No data

Documents

Name Date
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-02-24
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-01-27
ANNUAL REPORT 2014-03-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State