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NANCY EKLUND, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: NANCY EKLUND, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2000 (25 years ago)
Document Number: P00000070598
FEI/EIN Number 651026743
Address: 14220 SW 79 AVENUE, PALMETTO BAY, FL, 33158, US
Mail Address: 14220 SW 79 AVENUE, PALMETTO BAY, FL, 33158, US
ZIP code: 33158
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DEROSSET JAMES B Agent 14220 S.W. 79TH AVE., PALMETTO BAY, FL, 33158
EKLUND NANCY Director 14220 S.W. 79TH AVE., PALMETTO BAY, FL, 33158

National Provider Identifier

NPI Number:
1992036255

Authorized Person:

Name:
DR. NANCY MARIE EKLUND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3052702284

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G02101900079 MIAMI CENTER FOR HOLISTIC HEALING ACTIVE 2002-04-11 2027-12-31 - 14220 SW 79TH AVENUE, PAALMETTO BAY, FL, 33158

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-12-04 14220 SW 79 AVENUE, PALMETTO BAY, FL 33158 -
CHANGE OF MAILING ADDRESS 2023-12-04 14220 SW 79 AVENUE, PALMETTO BAY, FL 33158 -
REGISTERED AGENT ADDRESS CHANGED 2012-01-17 14220 S.W. 79TH AVE., PALMETTO BAY, FL 33158 -
REGISTERED AGENT NAME CHANGED 2004-01-08 DEROSSET, JAMES B -

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-28
ANNUAL REPORT 2015-01-09

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Date of last update: 03 Aug 2025

Sources: Florida Department of State