| Entity Name: | FREEDOM HEALTH PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 May 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000209062 |
| Address: | 26 S. FEDERAL HIGHWAY, DANIA BEACH, FL, 33004, US |
| Mail Address: | 26 S. FEDERAL HIGHWAY, DANIA BEACH, FL, 33004, US |
| ZIP code: | 33004 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073189890 | 2021-06-02 | 2021-06-02 | 26 S FEDERAL HWY, DANIA BEACH, FL, 330043605, US | 26 S FEDERAL HWY, DANIA BEACH, FL, 330043605, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-643-2808 |
Authorized person
| Name | MARVIN MICKOW |
| Role | OWNER |
| Phone | 9546432808 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICKOW JACK | Agent | 2705 NE 15TH ST., FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| MICKOW MARVIN | Manager | 26 S. FEDERAL HIGHWAY, DANIA BEACH, FL, 33004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
