Search icon

EXCLUSIVE EYEWEAR NO.2, LLC.

Company Details

Entity Name: EXCLUSIVE EYEWEAR NO.2, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Jan 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 06 Sep 2022 (2 years ago)
Document Number: L20000019112
FEI/EIN Number 84-4761167
Address: 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071
Mail Address: 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071
ZIP code: 33071
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790396810 2020-08-12 2021-02-19 1156 - 1158 FEDERAL HIGHWAY, POMPANO BEACH, FL, 33062, US 1150 N FEDERAL HWY STE 11561158, POMPANO BEACH, FL, 330624322, US

Contacts

Phone +1 954-582-2100
Fax 5618288367

Authorized person

Name JACKIE BENNETT
Role CREDENTIALING SUPERVISOR
Phone 5616124531

Taxonomy

Taxonomy Code 332H00000X - Eyewear Supplier
Is Primary Yes

Agent

Name Role Address
SIDDIQU, FOZAN Agent 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071

Manager

Name Role Address
SIDDIQU, FOZAN Manager 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-09-06 No data No data
REGISTERED AGENT NAME CHANGED 2022-09-06 SIDDIQU, FOZAN No data
CHANGE OF PRINCIPAL ADDRESS 2022-04-21 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 No data
CHANGE OF MAILING ADDRESS 2022-04-21 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-21 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 No data

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-04-16
LC Amendment 2022-09-06
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-15
Florida Limited Liability 2020-01-13

Date of last update: 16 Jan 2025

Sources: Florida Department of State