| Entity Name: | EKOS KISSIMMEE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Apr 2023 (2 years ago) |
| Document Number: | L23000150379 |
| FEI/EIN Number | 92-3442449 |
| Address: | 8794 W. BOYNTON BEACH BLVD #218, BOYNTON BEACH, FL 33473 |
| Mail Address: | 8794 W. BOYNTON BEACH BLVD #218, BOYNTON BEACH, FL 33473 |
| ZIP code: | 33473 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194412783 | 2023-04-24 | 2024-02-09 | 8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL, 334724469, US | 106 N DEAN RD STE 140, ORLANDO, FL, 328253767, US | |||||||||||||
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| Phone | +1 407-614-6161 |
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 | 951 YAMATO ROAD, SUITE 250, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| TOMALTY, SEAN A, DR | Manager | 8794 W. BOYNTON BEACH BLVD #218, BOYNTON BEACH, FL 33473 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000118050 | NULIFE DENTAL AND MED CENTER | ACTIVE | 2023-09-25 | 2028-12-31 | No data | 106 N. DEAN ROAD, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-23 | Tomalty, Sean A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Florida Limited Liability | 2023-04-03 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
