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INDEPENDENCE EAR, NOSE &THROAT, LLC

Company Details

Entity Name: INDEPENDENCE EAR, NOSE &THROAT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Feb 2018 (7 years ago)
Document Number: L18000036165
FEI/EIN Number 82-4492667
Address: 1400 NW FEDERAL HWY, STUART, FL 34994
Mail Address: 1400 NW FEDERAL HWY, STUART, FL 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063913713 2018-02-27 2022-04-14 1400 NW FEDERAL HWY, STUART, FL, 349941020, US 1400 NW FEDERAL HWY, STUART, FL, 349941020, US

Contacts

Phone +1 772-888-1880
Fax 8556182315
Phone +1 772-285-5334

Authorized person

Name MRS. KAITLYN C LUSTGARTEN
Role MANAGER
Phone 7728881880

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

Agent

Name Role Address
Nunez, Robert L Agent 4180 N Highway A1A, Unit 1001B, Hutchinson Island, FL 34949

Manager

Name Role Address
NUNEZ, ROBERT Manager 1400 NW FEDERAL HWY, STUART, FL 34994

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-09 Nunez, Robert L No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-09 4180 N Highway A1A, Unit 1001B, Hutchinson Island, FL 34949 No data
CHANGE OF PRINCIPAL ADDRESS 2020-09-15 1400 NW FEDERAL HWY, STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2020-09-15 1400 NW FEDERAL HWY, STUART, FL 34994 No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-16
Florida Limited Liability 2018-02-08

Date of last update: 18 Jan 2025

Sources: Florida Department of State