| Entity Name: | ALLERGY, ASTHMA AND IMMUNOLOGY SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jul 2018 (7 years ago) |
| Document Number: | L18000172924 |
| FEI/EIN Number | 83-1377768 |
| Address: | 7100 Camino Real, BOCA RATON, FL, 33433, US |
| Mail Address: | 7100 Camino Real, BOCA RATON, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215417191 | 2018-08-20 | 2018-08-20 | 7050 W PALMETTO PARK RD STE 15-433, BOCA RATON, FL, 334333426, US | 7100 CAMINO REAL STE 121, BOCA RATON, FL, 334335510, US | |||||||||||||||||||||
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| Phone | +1 561-289-6888 |
Authorized person
| Name | DR. AMY B SCHIFFMAN |
| Role | MANAGER |
| Phone | 5612896888 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| License Number | ME132107 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1972864064 |
| Name | Role | Address |
|---|---|---|
| Schiffman Amy Dr. | Agent | 7100 Camino Real, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| SCHIFFMAN AMY B | Manager | 7100 Camino Real, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-19 | 7100 Camino Real, Suite 121, BOCA RATON, FL 33433 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-19 | Schiffman, Amy, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-19 | 7100 Camino Real, Suite 121, BOCA RATON, FL 33433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-16 | 7100 Camino Real, Suite 121, BOCA RATON, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-16 |
| Florida Limited Liability | 2018-07-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
