| Entity Name: | ICOM CORAL SPRINGS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Dec 2021 (3 years ago) |
| Document Number: | L21000509501 |
| FEI/EIN Number | 87-3925774 |
| Address: | 5551 N UNIVERSITY DR, #203, CORAL SPRINGS, FL, 33067 |
| Mail Address: | 5551 N UNIVERSITY DR, #203, CORAL SPRINGS, FL, 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952171720 | 2024-01-03 | 2024-01-03 | 611 NE 13TH ST, FT LAUDERDALE, FL, 333041109, US | 5551 N UNIVERSITY DR STE 203, CORAL SPRINGS, FL, 330674651, US | |||||||||||||||
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| Phone | +1 954-361-0464 |
| Fax | 7862214442 |
Authorized person
| Name | TATIANA SANTIAGO HERZOG |
| Role | DENTIST |
| Phone | 9543610464 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERZOG TATIANA S | Agent | 5201 NE 33rd AVE, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| HERZOG TATIANA S | Authorized Member | 5201 NE 33rd AVE, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 5201 NE 33rd AVE, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-12-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
