| Entity Name: | CONNIE KUSHCH AU.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Feb 2017 (8 years ago) |
| Document Number: | L17000045333 |
| FEI/EIN Number | 82-0648814 |
| Address: | 5353 N. FEDERAL HIGHWAY, SUITE 207, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 8958 W. STATE ROAD 84, #113, DAVIE, FL, 33324, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063947190 | 2017-04-26 | 2017-04-26 | 9900 N ABIACA CIR, DAVIE, FL, 333287126, US | 5353 N FEDERAL HWY, SUITE 207, FORT LAUDERDALE, FL, 333083245, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-472-8921 |
| Fax | 9545331937 |
| Phone | +1 954-562-3274 |
Authorized person
| Name | DR. CONNIE ANNE KUSHCH |
| Role | AUDIOLOGIST |
| Phone | 9545623274 |
Taxonomy
| Taxonomy Code | 231H00000X - Audiologist |
| License Number | AY119 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUSHCH CONNIE A | Agent | 9900 N. ABIACA CIRCLE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| KUSHCH CONNIE A | Manager | 9900 N. ABIACA CIRCLE, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-13 | 5353 N. FEDERAL HIGHWAY, SUITE 207, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-08 |
| Florida Limited Liability | 2017-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
