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ESSIE YATES MD PA

Company Details

Entity Name: ESSIE YATES MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2018 (7 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Jun 2018 (7 years ago)
Document Number: P18000007322
FEI/EIN Number 82-4540782
Address: 407 SE 24th St, FORT LAUDERDALE, FL, 33316, US
Mail Address: 407 SE 24th St, FORT LAUDERDALE, FL, 33316, US
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528886041 2024-10-02 2024-10-02 407 SE 24TH ST, FORT LAUDERDALE, FL, 333163915, US 407 SE 24TH ST, FORT LAUDERDALE, FL, 333163915, US

Contacts

Phone +1 954-463-5208
Fax 9544635288

Authorized person

Name JORDAN YATES
Role VP
Phone 9544635208

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary Yes

Agent

Name Role Address
KUEBERUWA YATES ESSIE MD Agent 407 SE 24th St, FORT LAUDERDALE, FL, 33316

Vice President

Name Role Address
YATES JORDAN Vice President 407 SE 24th St, FORT LAUDERDALE, FL, 33316

Secretary

Name Role Address
YATES JORDAN Secretary 407 SE 24th St, FORT LAUDERDALE, FL, 33316

President

Name Role Address
YATES ESSIE K President 407 SE 24th St, FORT LAUDERDALE, FL, 33316

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000065781 YATES INSTITUTE OF PLASTIC SURGERY ACTIVE 2018-06-06 2028-12-31 No data 407 SE 24TH ST, FORT LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-19 407 SE 24th St, FORT LAUDERDALE, FL 33316 No data
CHANGE OF MAILING ADDRESS 2023-01-19 407 SE 24th St, FORT LAUDERDALE, FL 33316 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-19 407 SE 24th St, FORT LAUDERDALE, FL 33316 No data
AMENDMENT 2018-06-27 No data No data
REGISTERED AGENT NAME CHANGED 2018-06-27 KUEBERUWA YATES, ESSIE, MD No data
AMENDMENT 2018-04-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-09-19
Amendment 2018-06-27
Amendment 2018-04-24
Domestic Profit 2018-01-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State