| Entity Name: | MAIDEN TO MOTHER MIDWIFERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Oct 2013 (11 years ago) |
| Document Number: | L13000144711 |
| FEI/EIN Number | 46-3911073 |
| Address: | 4431 NW 10 Street, Coconut Creek, FL, 33066, US |
| Mail Address: | 4431 NW 10 Street, Coconut Creek, FL, 33066, US |
| ZIP code: | 33066 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821593187 | 2018-03-28 | 2023-01-16 | 4431 NW 10TH ST, COCONUT CREEK, FL, 330661531, US | 4431 NW 10TH ST, COCONUT CREEK, FL, 330661531, US | |||||||||||||||||||||||||||
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| Phone | +1 954-404-3502 |
| Fax | 9543372480 |
| Fax | 5615608852 |
Authorized person
| Name | ELIZABETH CHARRON |
| Role | OWNER |
| Phone | 9544043502 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| License Number | MW283 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009785100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHARRON ELIZABETH MGR | Agent | 4431 NW 10 Street, Coconut Creek, FL, 33066 |
| Name | Role | Address |
|---|---|---|
| Charron Elizabeth | Manager | 4431 NW 10 Street, Coconut Creek, FL, 33066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-15 | 4431 NW 10 Street, Coconut Creek, FL 33066 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-15 | 4431 NW 10 Street, Coconut Creek, FL 33066 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-15 | CHARRON, ELIZABETH, MGR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-15 | 4431 NW 10 Street, Coconut Creek, FL 33066 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-02-05 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
