| Entity Name: | CENTRAL FLORIDA BREASTFEEDING MEDICINE AND PRIMARY CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jul 2023 (2 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION |
| Event Date Filed: | 17 Aug 2023 (a year ago) |
| Document Number: | L23000358906 |
| FEI/EIN Number | 93-3843221 |
| Address: | 2020 FLORIDA A1A #101, INDIAN HARBOUR BEACH, FL, 32937, US |
| Mail Address: | 500 N BREVARD AVE, UNIT 320504, COCOA BEACH, FL, 32932, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457133126 | 2023-10-17 | 2023-10-17 | 500 N BREVARD AVE UNIT 320504, COCOA BEACH, FL, 329327022, US | 2020 HIGHWAY A1A STE 101, INDIAN HARBOUR BEACH, FL, 329373581, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 321-345-0199 |
| Fax | 3216167656 |
Authorized person
| Name | DR. KELLY LYN MARTINKUS |
| Role | PHYSICIAN/OWNER |
| Phone | 3213450199 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINKUS KELLY MD | Agent | 2020 FLORIDA A1A #101, INDIAN HARBOUR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| MARTINKUS KELLY Dr. | Manager | 500 N BREVARD AVE UNIT 320504, COCOA BEACH, FL, 32932 |
| MICHAEL PHILLIP | Manager | 500 N BREVARD AVE UNIT 320504, COCOA BEACH, FL, 32932 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-09-26 | CENTRAL FLORIDA BREASTFEEDING MEDICINE AND PRIMARY CARE, PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-26 | 2020 FLORIDA A1A #101, INDIAN HARBOUR BEACH, FL 32937 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-26 | MARTINKUS, KELLY, MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-26 | 2020 FLORIDA A1A #101, INDIAN HARBOUR BEACH, FL 32937 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-23 | 2020 FLORIDA A1A #101, INDIAN HARBOUR BEACH, FL 32937 | No data |
| LC ARTICLE OF CORRECTION | 2023-08-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| LC Amendment and Name Change | 2023-09-26 |
| JSDENNIS | 2023-08-17 |
| Florida Limited Liability | 2023-07-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
