| Entity Name: | JENNIFER MURDOCK MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L22000469047 |
| FEI/EIN Number | 92-1060569 |
| Address: | 2020 N Bayshore Dr., Miami, FL, 33137, US |
| Mail Address: | 2020 N Bayshore Dr., Miami, FL, 33137, US |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427811470 | 2024-02-02 | 2024-08-28 | 12750 NW 17TH ST UNIT 226, MIAMI, FL, 331821423, US | 12750 NW 17TH ST UNIT 226, MIAMI, FL, 331821423, US | |||||||||||||||||||||||
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| Phone | +1 305-315-5577 |
| Fax | 8323246986 |
Authorized person
| Name | DR. JENNIFER MURDOCK |
| Role | OWNER/ MEMBER |
| Phone | 3053155577 |
Taxonomy
| Taxonomy Code | 207WX0200X - Ophthalmic Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QS0132X - Ophthalmologic Surgery Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1538401583 |
| Name | Role | Address |
|---|---|---|
| MURDOCK JENNIFER | Agent | 2020 N Bayshore Dr., Miami, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| MURDOCK JENNIFER | Owne | 2020 N Bayshore Dr., Miami, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-05 | 2020 N Bayshore Dr., 1705, Miami, FL 33137 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-05 | 2020 N Bayshore Dr., 1705, Miami, FL 33137 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-05 | 2020 N Bayshore Dr., 1705, Miami, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-05 |
| Florida Limited Liability | 2022-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
