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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PETROV SERGEY DR. | Agent | 572 piedmont L, Boca Raton, FL, 33484 |
Name | Role | Address |
---|---|---|
Petrov Sergey | President | 572 piedmont L, Boca Raton, FL, 33484 |
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 |
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 |
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