| Entity Name: | PALM BEACH ALLERGY AND IMMUNOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Dec 2023 (a year ago) |
| Date of dissolution: | 02 Nov 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Nov 2024 (3 months ago) |
| Document Number: | L23000554392 |
| FEI/EIN Number | 93-4933667 |
| Address: | 6671 WEST INDIANTOWN RD, STE 50-247, JUPITER, FL, 33458, US |
| Mail Address: | 106 Rockingham Rd, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134999089 | 2024-01-02 | 2024-01-02 | 6671 W INDIANTOWN RD STE 50-247, JUPITER, FL, 334583991, US | 106 ROCKINGHAM RD, JUPITER, FL, 334583015, US | |||||||||||||
|
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| Phone | +1 561-974-6123 |
Authorized person
| Name | STACEY SHELTON |
| Role | BUSINESS CONSULTANT |
| Phone | 5133139014 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ ELENA | Agent | 106 ROCKINGHAM RD, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| KOTERBA ALAN | Manager | 216 SHORES POINTE DRIVE, JUPITER, FL, 33458 |
| PEREZ ELENA | Manager | 106 ROCKINGHAM RD, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-04 | 6671 WEST INDIANTOWN RD, STE 50-247, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-02 |
| ANNUAL REPORT | 2024-02-04 |
| Florida Limited Liability | 2023-12-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
