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