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ISLAND ENT LLC

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: 420 NOKOMIS AVE, VENICE, FL, 34285, US
Mail Address: 420 NOKOMIS AVE, VENICE, FL, 34285, US
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366165607 2022-09-21 2022-09-21 420 NOKOMIS AVE S, VENICE, FL, 342852617, US 420 NOKOMIS AVE S, VENICE, FL, 342852617, US

Contacts

Phone +1 941-786-0386
Fax 9417860386

Authorized person

Name MRS. HEATHER JOY CLARK
Role BUSINESS OWNER/ MANAGER
Phone 9417860386

Taxonomy

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

Agent

Name Role Address
GARBADE JOSEPH Agent 249 NOKOMIS AVE S, VENICE, FL, 34285

Manager

Name Role Address
CLARK M JONATHAN Manager 106 SHADYLAWN AVE, NOKOMIS, FL, 34275
CLARK HEATHER J Manager 106 SHADYLAWN AVE, NOKOMIS, FL, 34275

Documents

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

Date of last update: 01 Feb 2025

Sources: Florida Department of State