Entity Name: | HAPPY HEARTS SURGICAL ASSIST LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 22 Dec 2016 (8 years ago) |
Date of dissolution: | 27 Jan 2022 (3 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 27 Jan 2022 (3 years ago) |
Document Number: | L16000230626 |
FEI/EIN Number | 81-4770589 |
Address: | 1625 SE 3RD AVE, FORT LAUDERDALE, FL 33316 |
Mail Address: | 4023 PALM PLACE, WESTON, FL 33331 |
ZIP code: | 33316 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1184169393 | 2016-12-23 | 2016-12-23 | 4023 PALM PL, WESTON, FL, 333315036, US | 4023 PALM PL, WESTON, FL, 333315036, US | |||||||||||||||||||
|
Phone | +1 954-298-1218 |
Fax | 9549176817 |
Authorized person
Name | MR. MATTHEW KENICK |
Role | PHYSICIAN ASSISTANT |
Phone | 9542981218 |
Taxonomy
Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
License Number | PA3593 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KENICK, MATTHEW M, MR. | Agent | 4023 PALM PLACE, WESTON, FL 33331 |
Name | Role | Address |
---|---|---|
KENICK, MATTHEW M, MR. | Manager | 4023 PALM PLACE, WESTON, FL 33331 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2022-01-27 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2022-01-27 |
ANNUAL REPORT | 2021-01-09 |
ANNUAL REPORT | 2020-02-19 |
ANNUAL REPORT | 2019-01-07 |
ANNUAL REPORT | 2018-01-06 |
ANNUAL REPORT | 2017-01-05 |
Florida Limited Liability | 2016-12-22 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State