| Entity Name: | DK MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Feb 2018 (7 years ago) |
| Document Number: | P18000017439 |
| FEI/EIN Number | 82-4538091 |
| Address: | 4302 HOLLYWOOD BLVD., 267, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 4302 HOLLYWOOD BLVD., 267, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | DK MD, INC., MISSISSIPPI | 1291131 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982101044 | 2018-04-06 | 2021-07-07 | 4302 HOLLYWOOD BLVD # 267, HOLLYWOOD, FL, 330216635, US | 4302 HOLLYWOOD BLVD # 267, HOLLYWOOD, FL, 330216635, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-774-2246 |
Authorized person
| Name | DR. DEREK KING |
| Role | PRESIDENT |
| Phone | 7867742246 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | ME135881 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KING DEREK | Agent | 4302 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| KING DEREK | President | 4302 HOLLYWOOD BLVD. #267, HOLLYWOOD, FL, 33021 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-16 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-13 |
| Domestic Profit | 2018-02-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
