| Entity Name: | SAMUELS PEDIATRICS FLORIDA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 May 2019 (6 years ago) |
| Document Number: | L19000138224 |
| FEI/EIN Number | 84-1985978 |
| Address: | 17574 sparkling river Road, Boca Raton, FL, 33496, US |
| Mail Address: | 17574 sparkling river Road, Boca Raton, FL, 33496, US |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427691989 | 2019-10-28 | 2020-05-13 | 9065 WATERCREST CIR E, PARKLAND, FL, 330762850, US | 14505 COMMERCE WAY STE 800, MIAMI LAKES, FL, 330161599, US | |||||||||||||
|
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| Phone | +1 954-412-2026 |
Authorized person
| Name | DR. MARTEL SAMUELS |
| Role | PRESIDENT |
| Phone | 9544122026 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUELS MARTEL | Agent | 17574 sparkling river Road, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| Samuels MARTEL G | Director | 17574 sparkling river Road, Boca Raton, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-27 | 17574 sparkling river Road, Boca Raton, FL 33496 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-27 | 17574 sparkling river Road, Boca Raton, FL 33496 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-27 | 17574 sparkling river Road, Boca Raton, FL 33496 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-25 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-04-22 |
| Florida Limited Liability | 2019-05-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
