| Entity Name: | MARTIN A. MALZ, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Feb 2022 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L22000057688 |
| FEI/EIN Number | 87-4341133 |
| Address: | 1205 PIPER BLVD, SUITE 201, NAPLES, FL, 34110, US |
| Mail Address: | 1205 PIPER BLVD, SUITE 201, NAPLES, FL, 34110, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902539836 | 2022-07-07 | 2022-07-07 | 1205 PIPER BLVD, SUITE 201, NAPLES, FL, 34110, US | 1205 PIPER BLVD, SUITE 201, NAPLES, FL, 34110, US | |||||||||||||
|
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| Phone | +1 239-500-9080 |
Authorized person
| Name | MARTIN A MALZ |
| Role | DR |
| Phone | 2395009080 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALZ MARTIN AMD | Agent | 1205 PIPER BLVD, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| MALZ MARTIN AMD | Authorized Person | 1205 PIPER BLVD SUITE 201, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-06 |
| Florida Limited Liability | 2022-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
