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ESPALDA LLC

Company Details

Entity Name: ESPALDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Mar 2023 (2 years ago)
Document Number: L23000157483
FEI/EIN Number 92-3367548
Address: 3720 SOUTH OCEAN BOULEVARD, APT. 1604, HIGHLAND BEACH, FL, 33487
Mail Address: 3720 SOUTH OCEAN BOULEVARD, APT. 1604, HIGHLAND BEACH, FL, 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336836808 2023-04-24 2023-04-24 2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL, 334096500, US 2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL, 334096500, US

Contacts

Phone +1 516-507-0800
Fax 5616008705

Authorized person

Name CARIANNE YANTZ
Role CREDENTIALS COORD
Phone 5165070800

Taxonomy

Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary Yes

Agent

Name Role Address
GLAZER PAUL A Agent 3720 SOUTH OCEAN BOULEVARD, HIGHLAND BEACH, FL, 33487

Manager

Name Role Address
GLAZER PAUL Manager 3720 SOUTH OCEAN BOULEVARD, HIGHLAND BEACH, FL, 33487

Documents

Name Date
ANNUAL REPORT 2024-01-29
Florida Limited Liability 2023-03-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State