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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
TREPP CARRASCO ALEJANDRO G | Agent | 2890 WEST BROWARD BLVD, FORT LAUDERDALE, FL, 33312 |
Name | Role | Address |
---|---|---|
TREPP CARRASCO ALEJANDRO G | Manager | 1776 N PINE ISLAND RD. SUITE 218, PLANTATION, FL, 33322 |
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 |
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