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INSULINIC OF PEMBROKE LLC

Company Details

Entity Name: INSULINIC OF PEMBROKE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Mar 2022 (3 years ago)
Document Number: L22000138602
FEI/EIN Number 30-1306400
Address: 3700 Washington St, Ste 304, Hollywood, FL 33021
Mail Address: 3700 Washington St, Ste 304, Hollywood, FL 33021
ZIP code: 33021
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043932528 2022-09-13 2022-09-13 3700 WASHINGTON ST STE 304, HOLLYWOOD, FL, 330218258, US 3700 WASHINGTON ST STE 304, HOLLYWOOD, FL, 330218258, US

Authorized person

Name ATHANASIO SARIDIS
Role CEO
Phone 6472736484

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
OCEANVIEW FINANCIALS, INC Agent

Manager

Name Role Address
SARIDIS, ATHANASIOS Manager 711 S. HOLLYBROOK DRIVE STE 102, PEMBROKE PINES, FL 33015

Authorized Member

Name Role
SARCORP LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000138352 INSULINIC OF HOLLYWOOD ACTIVE 2022-10-27 2027-12-31 No data 3700 WASHINGTON ST, STE 304, HOLLYWOOD, FL, 33021

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 2825 N University Dr, 420, Coral Springs, FL 33065 No data
CHANGE OF MAILING ADDRESS 2023-06-21 3700 Washington St, Ste 304, Hollywood, FL 33021 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-13 3700 Washington St, Ste 304, Hollywood, FL 33021 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-06-21
Florida Limited Liability 2022-03-21

Date of last update: 12 Jan 2025

Sources: Florida Department of State