| Entity Name: | ICOM POMPANO BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2022 (3 years ago) |
| Document Number: | L22000203077 |
| FEI/EIN Number | 88-2334516 |
| Mail Address: | 5201 NE 33rd AVE, FORT LAUDERDALE, FL, 33308, US |
| Address: | 2323 NE 26th AVE, POMPANO BEACH, FL, 33062, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427828292 | 2024-01-03 | 2024-01-03 | 611 NE 13TH ST, FT LAUDERDALE, FL, 333041109, US | 2323 NE 26TH AVE STE 108, POMPANO BEACH, FL, 330621147, US | |||||||||||||||
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| Phone | +1 954-507-0799 |
| Fax | 7862214442 |
Authorized person
| Name | TATIANA SANTIAGO HERZOG |
| Role | DENTIST |
| Phone | 9545070799 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERZOG TATIANA | Agent | 5201 NE 33rd AVE, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| HERZOG TATIANA | Manager | 5201 NE 33rd AVE, FORT LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000137074 | IMPLANT CENTER OF LIGHTHOUSE POINT | ACTIVE | 2022-11-01 | 2027-12-31 | No data | 1941 S OAK HAVEN CIR, MIAMI, FL, 33179 |
| G22000131814 | ORAL SURGERY OF LIGHTHOUSE POINT | ACTIVE | 2022-10-21 | 2027-12-31 | No data | 1941 S OAK HAVEN CIR, MIAMI, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 2323 NE 26th AVE, UNIT 108, POMPANO BEACH, FL 33062 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 5201 NE 33rd AVE, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-02 | 2323 NE 26th AVE, UNIT 108, POMPANO BEACH, FL 33062 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-02 |
| Florida Limited Liability | 2022-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
