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BROWARD ENDOCRINE INSTITUTE PLLC

Company Details

Entity Name: BROWARD ENDOCRINE INSTITUTE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Mar 2023 (2 years ago)
Document Number: L23000161847
FEI/EIN Number 923496415
Address: 1776 N Pine Island Rd, Suite 218, PLANTATION, FL, 33322, US
Mail Address: 1776 N Pine Island Rd, Suite 218, PLANTATION, FL, 33322, US
ZIP code: 33322
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194411900 2023-04-14 2023-09-13 1776 N PINE ISLAND RD STE 218, PLANTATION, FL, 333225223, US 1776 N PINE ISLAND RD STE 218, PLANTATION, FL, 333225223, US

Contacts

Phone +1 954-314-7526
Fax 9543147536

Authorized person

Name DR. ALEJANDRO GABRIEL TREPP CARRASCO
Role OWNER
Phone 9543147526

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes

Agent

Name Role Address
TREPP CARRASCO ALEJANDRO G Agent 2890 WEST BROWARD BLVD, FORT LAUDERDALE, FL, 33312

Manager

Name Role Address
TREPP CARRASCO ALEJANDRO G Manager 1776 N PINE ISLAND RD. SUITE 218, PLANTATION, FL, 33322

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-07 1776 N Pine Island Rd, Suite 218, PLANTATION, FL 33322 No data
CHANGE OF MAILING ADDRESS 2023-08-07 1776 N Pine Island Rd, Suite 218, PLANTATION, FL 33322 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
Florida Limited Liability 2023-03-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State