| Entity Name: | ISLAND MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Nov 2019 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000279865 |
| FEI/EIN Number | 84-4469422 |
| Address: | 90130 OLD HIGHWAY, TAVERNIER, FL, 33070, US |
| Mail Address: | 101425 OVERSEAS HIGHWAY, #192, KEY LARGO, FL, 33037, US |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619508793 | 2020-01-28 | 2020-01-28 | 101425 OVERSEAS HWY # 192, KEY LARGO, FL, 330374505, US | 90130 OLD HWY, TAVERNIER, FL, 330702368, US | |||||||||||||||
|
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| Phone | +1 484-358-0614 |
| Phone | +1 305-852-9300 |
Authorized person
| Name | DR. NIKOLE CZAPP |
| Role | PHYSICIAN |
| Phone | 4843580614 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CZAPP NIKOLE MD | Agent | 101425 OVERSEAS HIGHWAY, KEY LARGO, FL, 33037 |
| Name | Role | Address |
|---|---|---|
| CZAPP NIKOLE MD | Manager | 101425 OVERSEAS HIGHWAY #192, KEY LARGO, FL, 33037 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-11-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
