| Entity Name: | PRINCE OF PEACE MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2023 (2 years ago) |
| Document Number: | L23000041306 |
| FEI/EIN Number | 922592646 |
| Address: | 3370 NW 21 CT, COCONUT CREEK, FL, FL, 33066, US |
| Mail Address: | 3370 NW 21 CT, COCONUT CREEK, FL, FL, 33066, US |
| ZIP code: | 33066 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598535973 | 2024-01-05 | 2024-01-09 | 3370 NW 21ST CT, COCONUT CREEK, FL, 330662216, US | 3370 NW 21ST CT, COCONUT CREEK, FL, 330662216, US | |||||||||||||||
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| Phone | +1 954-278-2646 |
| Fax | 9542782646 |
Authorized person
| Name | DR. SLABINE ANTOINE MENELAS |
| Role | PHYSICIAN |
| Phone | 9542782646 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENELAS JACQUESSAINT | Agent | 1451 WEST CYPRESS CREEK RD, FORT LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| MENELAS SLABINE ADr. | Manager | 3370 NW 21 COURT, COCONUT CREEK, FL, 33066 |
| Name | Role | Address |
|---|---|---|
| MENELAS SLABINE ADr. | Director | 3370 NW 21 COURT, COCONUT CREEK, FL, 33066 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
