| Entity Name: | ENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ENDOONE DIABETES & ENDOCRINOLOGY CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Sep 2023 (a year ago) |
| Document Number: | L23000428164 |
| FEI/EIN Number |
93-3406678
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 602 S Audubon Ave, TAMPA, FL, 33609, US |
| Mail Address: | 602 S Audubon Ave, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053188417 | 2023-12-06 | 2024-08-22 | 602 S AUDUBON AVE STE A, TAMPA, FL, 336094217, US | 602 S AUDUBON AVE STE A, TAMPA, FL, 336094217, US | |||||||||||||||||||||||||
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| Phone | +1 813-931-2424 |
| Fax | 8138693148 |
Authorized person
| Name | GUSTAVO ANTONIO MEYRELES CHALJUB |
| Role | MD |
| Phone | 8139312424 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121617900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CANDELARIO MADELINE MD | Manager | 602 S Audubon Ave, TAMPA, FL, 33609 |
| MEYRELES-CHALJUB GUSTAVO MD | Manager | 602 S Audubon Ave, TAMPA, FL, 33609 |
| Candelario-Cosme Madeline | Agent | 602 S Audubon Ave, Tampa, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-10 | 602 S Audubon Ave, Suite A, TAMPA, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-10 | 602 S Audubon Ave, Suite A, TAMPA, FL 33609 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-10 | Candelario-Cosme, Madeline | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-10 | 602 S Audubon Ave, Suite A, Tampa, FL 33609 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-04-10 |
| Florida Limited Liability | 2023-09-13 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
