| Entity Name: | EKOS PEMBROKE PINES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Oct 2022 (2 years ago) |
| Document Number: | L22000457965 |
| FEI/EIN Number | 92-0926789 |
| Address: | 18461 Pines Blvd, Pembroke Pines, FL, 33029, US |
| Mail Address: | 8794 W. BOYNTON BEACH BLVD, #218, BOYNTON BEACH, FL, 33473, US |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417665860 | 2022-11-14 | 2023-08-23 | 18461 PINES BLVD, PEMBROKE PINES, FL, 330291400, US | 18461 PINES BLVD, PEMBROKE PINES, FL, 330291400, US | |||||||||||||
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| Phone | +1 954-433-8880 |
Authorized person
| Name | GIOVANNA DEJESUS |
| Role | OPERATIONS |
| Phone | 8133400116 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tomalty Sean A | Agent | 8794 W. BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| TOMALTY SEAN ADMD | Manager | 8794 W. BOYNTON BEACH BLVD, #218, BOYNTON BEACH, FL, 33473 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000008584 | CHAPEL TRAIL OF PEMBROKE PINES | ACTIVE | 2024-01-15 | 2029-12-31 | No data | 8794 W. BOYNTON BEACH BLVD, SUITE 218, BOYNTON BEACH, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-23 | Tomalty, Sean A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 8794 W. BOYNTON BEACH BLVD, 218, BOYNTON BEACH, FL 33473 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 18461 Pines Blvd, Pembroke Pines, FL 33029 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-13 |
| Florida Limited Liability | 2022-10-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
