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POMPANO MEDICAL SPECIALTY GROUP LLC

Company Details

Entity Name: POMPANO MEDICAL SPECIALTY GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Jan 2018 (7 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000014232
Address: 2700 W. ATLANTIC BLVD., STE. #214, POMPANO BEACH, FL, 33069
Mail Address: 2700 W. ATLANTIC BLVD., STE. #214, POMPANO BEACH, FL, 33069
ZIP code: 33069
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124526207 2018-01-24 2018-01-24 2700 W ATLANTIC BLVD STE 214, POMPANO BEACH, FL, 330695727, US 2700 W ATLANTIC BLVD STE 214, POMPANO BEACH, FL, 330695727, US

Contacts

Phone +1 561-932-8155

Authorized person

Name MAYRA FUENTES
Role CEO
Phone 5619328155

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Agent

Name Role Address
FUENTES BANOS MAYRA Agent 2700 W. ATLANTIC BLVD., STE. #214, POMPANO BEACH, FL, 33069

Authorized Member

Name Role Address
FUENTES BANOS MAYRA Authorized Member 2700 W. ATLANTIC BLVD., STE. #214, POMPANO BEACH, FL, 33069

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-01-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State