Entity Name: | WOMENS CONSULTATION LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 20 Jan 2021 (4 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 29 Oct 2024 (3 months ago) |
Document Number: | L21000040428 |
FEI/EIN Number | 86-1958203 |
Address: | 1920 HALLANDALE BEACH BLVD, SUITE 901, HALLANDALE, FL, 33009, US |
Mail Address: | 1920 HALLANDALE BEACH BLVD, SUITE 901, HALLANDALE, FL, 33009, US |
ZIP code: | 33009 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255908380 | 2021-06-08 | 2021-06-08 | 15901 COLLINS AVE APT 3205, SUNNY ISLES BEACH, FL, 331604154, US | 1920 E HALLANDALE BEACH BLVD STE 901, HALLANDALE BEACH, FL, 330094726, US | |||||||||||||||||||||
|
Phone | +1 954-204-0054 |
Fax | 9545054491 |
Authorized person
Name | ALBERT STARIKOV |
Role | OWNER |
Phone | 9542040054 |
Taxonomy
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 101784800 |
State | FL |
Name | Role | Address |
---|---|---|
STARIKOV ALBERT | Agent | 16001 Collins Avenue, SUNNY ISLES BEACH, FL, 33160 |
Name | Role | Address |
---|---|---|
STARIKOV ALBERT | Authorized Member | 1920 HALLANDALE BEACH BLVD, SUITE 901, HALLANDALE, FL, 33009 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-10-29 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-10-29 | 16001 Collins Avenue, 3905, SUNNY ISLES BEACH, FL 33160 | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REINSTATEMENT | 2022-11-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2022-11-28 | STARIKOV, ALBERT | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2024-10-29 |
ANNUAL REPORT | 2023-04-04 |
REINSTATEMENT | 2022-11-28 |
Florida Limited Liability | 2021-01-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State