| Entity Name: | ID&WM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ID&WM 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Dec 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2024 (7 months ago) |
| Document Number: | L18000277663 |
| FEI/EIN Number |
36-5099601
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1324 SE 17th St., Ft. Lauderdale, FL, 33316, US |
| Mail Address: | 10862 Crescendo cir, BOCA RATON, FL, 33498, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477303055 | 2024-03-25 | 2024-10-31 | 10862 CRESCENDO CIR, BOCA RATON, FL, 334984873, US | 1324 SE 17TH ST, FORT LAUDERDALE, FL, 333161708, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 912-401-3883 |
| Phone | +1 754-777-1333 |
Authorized person
| Name | ALEXANDER BIRUKOFF |
| Role | MANAGER |
| Phone | 7547771333 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1477303055 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1063775674 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1295597664 |
| State | FL |
| Issuer | MEDICAID |
| Number | ST035 |
| State | FL |
| Issuer | MEDICAID |
| Number | ST058 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BIRUKOFF ALEXANDER | Manager | 10862 Crescendo cir, BOCA RATON, FL, 33498 |
| BIRUKOFF ALEXANDER | Agent | 10862 Crescendo cir, BOCA RATON, FL, 33498 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | 1324 SE 17th St., Ft. Lauderdale, FL 33316 | - |
| REINSTATEMENT | 2021-10-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-18 | 10862 Crescendo cir, BOCA RATON, FL 33498 | - |
| REINSTATEMENT | 2019-10-18 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-10-18 | 1324 SE 17th St., Ft. Lauderdale, FL 33316 | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-18 | BIRUKOFF, ALEXANDER | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-14 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| REINSTATEMENT | 2021-10-02 |
| ANNUAL REPORT | 2020-08-31 |
| REINSTATEMENT | 2019-10-18 |
| Florida Limited Liability | 2018-12-03 |
Date of last update: 01 May 2025
Sources: Florida Department of State
