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SERGEY PETROV MD, PLLC

Company Details

Entity Name: SERGEY PETROV MD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jun 2020 (5 years ago)
Document Number: L20000214721
FEI/EIN Number 85-3226864
Address: 572 piedmont L, Delray Beach, FL, 33484, US
Mail Address: 572 piedmont L, Delray Beach, FL, 33484, US
ZIP code: 33484
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306506613 2021-12-28 2021-12-28 230 MONACO E, DELRAY BEACH, FL, 334461927, US 141 NW 20TH ST STE G2, BOCA RATON, FL, 334317964, US

Contacts

Phone +1 212-365-0864
Phone +1 305-747-5164

Authorized person

Name SERGEY PETROV
Role PRESIDENT
Phone 2123650864

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
PETROV SERGEY DR. Agent 572 piedmont L, Boca Raton, FL, 33484

President

Name Role Address
Petrov Sergey President 572 piedmont L, Boca Raton, FL, 33484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000126515 MAVLET MEDICAL ACTIVE 2020-09-29 2025-12-31 No data 1615 S. CONGRESS AVE STE 103, DELRAY BEACH, FL, 33445

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-09 572 piedmont L, Delray Beach, FL 33484 No data
CHANGE OF MAILING ADDRESS 2024-04-09 572 piedmont L, Delray Beach, FL 33484 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-05 572 piedmont L, Boca Raton, FL 33484 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-03-16
Florida Limited Liability 2020-06-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State