| Entity Name: | CUSTOM CROWNS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CUSTOM CROWNS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Jun 2018 (7 years ago) |
| Date of dissolution: | 04 Apr 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Apr 2023 (2 years ago) |
| Document Number: | L18000150394 |
| FEI/EIN Number |
83-0971013
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5202 PLUNKETT ST., HOLLYWOOD, FL 33021 |
| Mail Address: | 5202 PLUNKETT ST., HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538813910 | 2022-02-04 | 2022-02-04 | 5202 PLUNKETT ST, HOLLYWOOD, FL, 330218023, US | 5400 S UNIVERSITY DR, DAVIE, FL, 333285312, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-788-7779 |
| Phone | +1 954-947-0641 |
Authorized person
| Name | TYSHAWN MARTIN |
| Role | CEO |
| Phone | 3057887779 |
Taxonomy
| Taxonomy Code | 2080P0006X - Developmental - Behavioral Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 246RM2200X - Medical Laboratory Technician |
| Is Primary | Yes |
| Taxonomy Code | 247ZC0005X - Clinical Laboratory Director (Non-physician) |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARTIN, MARVA | Agent | 2240 NW 170 ST, MIAMI GARDENS, FL 33056 |
| MARTIN-MCCRAY, TYSHAWN | Authorized Member | 5202 PLUNKETT ST., HOLLYWOOD, FL 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000136671 | SCALP | ACTIVE | 2021-10-11 | 2026-12-31 | - | 5202 PLUNKETT ST, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-04 | - | - |
| LC STMNT OF RA/RO CHG | 2021-07-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-07-22 | MARTIN, MARVA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-22 | 2240 NW 170 ST, MIAMI GARDENS, FL 33056 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-04-04 |
| ANNUAL REPORT | 2022-03-07 |
| CORLCRACHG | 2021-07-22 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-06-19 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
