| Entity Name: | COCONUT CREEK PHYSICIANS, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Oct 1999 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L99000007226 |
| FEI/EIN Number | 650958084 |
| Address: | 3880 COCONUT CREEK PARKWAY, #100, COCONUT CREEK, FL, 33066 |
| Mail Address: | 3880 COCONUT CREEK PARKWAY, #100, COCONUT CREEK, FL, 33066 |
| ZIP code: | 33066 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083707202 | 2006-10-02 | 2008-06-16 | 3880 COCONUT CREEK PKWY STE 100, COCONUT CREEK, FL, 330661652, US | 3880 COCONUT CREEK PKWY STE 100, COCONUT CREEK, FL, 330661652, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-973-9666 |
| Fax | 9549786625 |
Authorized person
| Name | MICHAEL P ANGELILLO |
| Role | MD |
| Phone | 9549739666 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FERRARA DANIEL D | Agent | 3880 COCONUT CREEK PARKWAY, COCONUT CREEK, FL, 33066 |
| Name | Role | Address |
|---|---|---|
| FERRARA DANIEL D | Managing Member | 3880 COCONUT CREEK PARKWAY - STE 100, COCONUT CREEK, FL, 33066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-06 | FERRARA, DANIEL D.O. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-06 | 3880 COCONUT CREEK PARKWAY, SUITE 100, COCONUT CREEK, FL 33066 | No data |
| LC AMENDMENT | 2010-05-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-25 | 3880 COCONUT CREEK PARKWAY, #100, COCONUT CREEK, FL 33066 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-25 | 3880 COCONUT CREEK PARKWAY, #100, COCONUT CREEK, FL 33066 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000336457 | ACTIVE | 1000000713797 | BROWARD | 2016-05-20 | 2026-05-27 | $ 2,158.89 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-06 |
| LC Amendment | 2010-05-10 |
| CORLCMMRES | 2010-04-06 |
| ANNUAL REPORT | 2010-02-23 |
| ANNUAL REPORT | 2009-02-25 |
| ANNUAL REPORT | 2008-01-10 |
| ANNUAL REPORT | 2007-01-24 |
| ANNUAL REPORT | 2006-01-27 |
| ANNUAL REPORT | 2005-02-03 |
| ANNUAL REPORT | 2004-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
