| Entity Name: | PALM BEACH MEDICINE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Jul 2013 (12 years ago) |
| Date of dissolution: | 16 May 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR REGISTERED AGENT |
| Event Date Filed: | 16 May 2014 (11 years ago) |
| Document Number: | L13000095242 |
| Address: | 3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL, 33449, US |
| Mail Address: | 3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL, 33449, US |
| ZIP code: | 33449 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942641667 | 2013-07-10 | 2013-07-10 | 11101 S CROWN WAY, SUITE 1, WELLINGTON, FL, 334148792, US | 3319 STATE ROAD 7, SUITE 207, WELLINGTON, FL, 334498094, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-795-9150 |
| Fax | 5617987700 |
| Phone | +1 561-753-1101 |
| Fax | 5617531105 |
Authorized person
| Name | DAMARIS PEREZ |
| Role | OWNER |
| Phone | 5617531101 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ADEN DARMAAN | Agent | 3319 STATE ROAD 7, WELLINGTON, FL, 33449 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR REGISTERED AGENT | 2014-05-16 | No data | No data |
| LC DISSOCIATION MEM | 2014-01-02 | No data | No data |
| LC AMENDMENT | 2013-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-11-08 | ADEN, DARMAAN | No data |
| Name | Date |
|---|---|
| Admin. Diss. for Reg. Agent | 2014-05-16 |
| CORLCDSMEM | 2014-01-02 |
| Reg. Agent Resignation | 2013-12-27 |
| LC Amendment | 2013-11-08 |
| Florida Limited Liability | 2013-07-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
