| Entity Name: | PALM BEACH PEDIATRIC LUNG AND ASTHMA CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Mar 2017 (8 years ago) |
| Date of dissolution: | 02 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Dec 2017 (7 years ago) |
| Document Number: | L17000065099 |
| FEI/EIN Number | 82-0901818 |
| Address: | 12957 PALMS WEST DR STE 103, LOXAHATCHEE, FL 33470 |
| Mail Address: | 14280 S MILITARY TRAIL #7192, DELRAY BEACH, FL 33482 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154852143 | 2017-03-22 | 2017-04-19 | 14280 S MILITARY TRL UNIT 7192, DELRAY BEACH, FL, 334825053, US | 12957 PALMS WEST DR STE 103, LOXAHATCHEE, FL, 334704932, US | |||||||||||||
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| Phone | +1 561-706-0529 |
Authorized person
| Name | CHIARINA GALVEZ |
| Role | PEDIATRIC PULMONOLOGIST |
| Phone | 5617060529 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| GALVEZ, CHIARINA | Manager | 14280 S MILITARY TRAIL #7192, DELRAY BEACH, FL 33482 |
| FELIX, LOGAN | Manager | 14280 S MILITARY TRAIL #7192, DELRAY BEACH, FL 33482 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000051699 | PALM BEACH PEDIATRIC LUNG AND ASTHMA CENTER | EXPIRED | 2017-05-10 | 2022-12-31 | No data | 14280 S MILITARY TRL #7192, DELRAY BEACH, FL, 33482 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-21 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| VOLUNTARY DISSOLUTION | 2017-12-02 | No data | No data |
| LC AMENDMENT | 2017-04-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-25 | 12957 PALMS WEST DR STE 103, LOXAHATCHEE, FL 33470 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2017-04-25 |
| Florida Limited Liability | 2017-03-22 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
