Entity Name: | GREEN TREE FAMILY MEDICINE LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
GREEN TREE FAMILY MEDICINE 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: | 15 Aug 2024 (8 months ago) |
Document Number: | L24000358789 |
FEI/EIN Number |
994438347
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 33304, US |
Mail Address: | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 33304, US |
ZIP code: | 33304 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699507756 | 2024-08-16 | 2024-08-16 | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 333044152, US | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 333044152, US | |||||||||||||
|
Phone | +1 813-512-1496 |
Authorized person
Name | DR. JEGAN E GABBIDON |
Role | PHYSICIAN |
Phone | 8135121496 |
Taxonomy
Taxonomy Code | 207QA0505X - Adult Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GABBIDON JEGAN | Authorized Member | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 33304 |
GABBIDON JEGAN | Agent | 525 NE 7TH ST APT 11212, FORT LAUDERDALE, FL, 33304 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-01-29 | 1411 N. Flagler Drive, Ste 9300B, West Palm Beach, FL 33401 | - |
CHANGE OF MAILING ADDRESS | 2025-01-29 | 1411 N. Flagler Drive, Ste 9300B, West Palm Beach, FL 33401 | - |
Name | Date |
---|---|
Florida Limited Liability | 2024-08-15 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State