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ISLAND ENT LLC - Florida Company Profile

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Company Details

Entity Name: ISLAND ENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Aug 2022 (3 years ago)
Document Number: L22000337072
FEI/EIN Number 88-3514672
Address: 901 Venetia Bay Blvd., VENICE, FL, 34285, US
Mail Address: 901 Venetia Bay Blvd., VENICE, FL, 34285, US
ZIP code: 34285
City: Venice
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLARK M JONATHAN Manager 106 SHADYLAWN AVE, NOKOMIS, FL, 34275
CLARK HEATHER J Manager 106 SHADYLAWN AVE, NOKOMIS, FL, 34275
GARBADE JOSEPH Agent 249 NOKOMIS AVE S, VENICE, FL, 34285

National Provider Identifier

NPI Number:
1366165607
Certification Date:
2025-05-16

Authorized Person:

Name:
MRS. HEATHER JOY CLARK
Role:
BUSINESS OWNER/ MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332S00000X - Hearing Aid Equipment
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9417860386

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-07
Florida Limited Liability 2022-08-01

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Date of last update: 01 Aug 2025

Sources: Florida Department of State