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PALM TREES NURSING REGISTRY LLC - Florida Company Profile

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Company Details

Entity Name: PALM TREES NURSING REGISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Jun 2023 (2 years ago)
Document Number: L23000283845
FEI/EIN Number 93-1821191
Address: 101 N.E. 3rd Ave, Fort Lauderdale, FL, 33301, US
Mail Address: 101 N.E. 3rd Ave, unit 45, Fort Lauderdale, FL, 33301, US
ZIP code: 33301
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
YAKOUT MOHAMED Manager 1610 NW 9TH AVE, FORT LAUDERDALE, FL, 33311
TUCKER DEDRIE Manager 2981 HIBISCUS AVENUE, OAKLAND PARK, FL, 33311
SUJBALLI TIA Manager 4807 NW 67TH AVENUE, LAUDERHILL, FL, 33319
TUCKER DEDRIE Agent 2981 HIBISCUS AVENUE, OAKLAND PARK, FL, 33311

National Provider Identifier

NPI Number:
1902589435
Certification Date:
2023-08-10

Authorized Person:

Name:
MR. MOHAMED YAKOUT
Role:
MANAGING OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-25 101 N.E. 3rd Ave, SUITE 1500, Fort Lauderdale, FL 33301 -
CHANGE OF MAILING ADDRESS 2023-10-25 101 N.E. 3rd Ave, SUITE 1500, Fort Lauderdale, FL 33301 -

Documents

Name Date
ANNUAL REPORT 2024-01-03
Florida Limited Liability 2023-06-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State