| Entity Name: | ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Apr 2020 (5 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 06 Apr 2020 (5 years ago) |
| Document Number: | L20000096832 |
| FEI/EIN Number | 65-0790741 |
| Address: | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Mail Address: | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548701840 | 2017-03-20 | 2022-04-14 | 900 NW 13TH ST, SUITE 206, BOCA RATON, FL, 334862335, US | 900 NW 13TH ST, SUITE 206, BOCA RATON, FL, 334862335, US | |||||||||||||||
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| Phone | +1 561-338-3267 |
| Fax | 5613914420 |
Authorized person
| Name | KELLY DURLAND |
| Role | DIRECTOR |
| Phone | 5613383267 |
Taxonomy
| Taxonomy Code | 207Y00000X - Otolaryngology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLUM, TODD S | Agent | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| NACHLAS, NATHAN, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| WIRTSCHAFTER, ARI, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| ARONSOHN, MICHAEL, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| LANZA, JOHN, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| OLSON, TERRY, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| GALIN, MICHAEL, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Daube, Daniel, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Johnson, Curtis, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Rivera, Miguel, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Powell, Scott, Dr. | Manager | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| Blum, Todd, Phd | Chief Executive Officer | 1601 CLINT MOORE RD SUITE 215, BOCA RATON, FL 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2020-04-06 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P97000092432. CONVERSION NUMBER 500000201675 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-04-06 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
