| Entity Name: | TRAVEL MEDICINE & INFECTIOUS DISEASES OF THE PALM BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Mar 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Dec 2015 (9 years ago) |
| Document Number: | L15000056355 |
| FEI/EIN Number | 81-0862368 |
| Address: | 5401 S CONGRESS AVE, ATLANTIS, FL, 33462, US |
| Mail Address: | 5401 S CONGRESS AVE, ATLANTIS, FL, 33462, US |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487194981 | 2017-03-02 | 2022-02-18 | 10115 FOREST HILL BLVD, SUITE 102, WELLINGTON, FL, 334143105, US | 5401 S CONGRESS AVE STE 201, ATLANTIS, FL, 334626637, US | |||||||||||||||||||
|
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| Phone | +1 561-967-0101 |
| Fax | 5619676260 |
Authorized person
| Name | DIANE ESCOBEDO |
| Role | OFFICE MANAGER |
| Phone | 5619670101 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME0094948 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TAX CONSULTING GROUP, CORP. | Agent |
| Name | Role | Address |
|---|---|---|
| ETIENNE JOSEPH H | Authorized Member | 5401 S CONGRESS AVE, ATLANTIS, FL, 33462 |
| Name | Role | Address |
|---|---|---|
| Mateo-Bibeau A. Raquel | Vice President | 5401 S CONGRESS AVE, ATLANTIS, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-09 | 5401 S CONGRESS AVE, STE 201, ATLANTIS, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-09 | 5401 S CONGRESS AVE, STE 201, ATLANTIS, FL 33462 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-21 | Tax Consulting Group Corp | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-21 | 4330 W Broward Blvd, Suite D, Plantation, FL 33317 | No data |
| LC AMENDMENT | 2015-12-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-07-15 |
| LC Amendment | 2015-12-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
