| Entity Name: | FRANKLYN INTERNAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2017 (8 years ago) |
| Document Number: | L17000003053 |
| FEI/EIN Number | 814912881 |
| Address: | 11800 NW 17th Pl., Plantation, FL, 33323, US |
| Mail Address: | 11800 NW 17th Pl., Plantation, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124542741 | 2017-07-26 | 2017-07-26 | 10911 NW 6TH CT, PLANTATION, FL, 33324, US | 7201 NORTH UNIVERSITY DR, TAMARAC, FL, 33321, US | |||||||||||||||||||||||||||
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| Phone | +1 518-428-8774 |
| Phone | +1 954-721-2200 |
Authorized person
| Name | CAMILLO FRANKLYN |
| Role | SOLE OWNER |
| Phone | 5184288774 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME124905 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| License Number | DR0050287 |
| State | CO |
| Is Primary | No |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Franklyn Camillo | Authorized Member | 11800 NW 17th Pl., Plantation, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-10 | 11800 NW 17th Pl., Plantation, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-10 | 11800 NW 17th Pl., Plantation, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-30 |
| Florida Limited Liability | 2017-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
