| Entity Name: | ALEXANDRA CONDE GREEN MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | P19000044952 |
| FEI/EIN Number | 84-1981841 |
| Address: | 6100 Glades Road, Boca Raton, FL, 33434, US |
| Mail Address: | 6100 Glades Road, Boca Raton, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861048498 | 2019-08-09 | 2024-10-15 | 6100 GLADES RD STE 302, BOCA RATON, FL, 334344372, US | 6100 GLADES RD STE 302, BOCA RATON, FL, 334344372, US | |||||||||||||||
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| Phone | +1 561-617-0240 |
| Fax | 5617639353 |
Authorized person
| Name | ALEXANDRA CONDE GREEN |
| Role | DOCTOR |
| Phone | 5616170240 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONDE GREEN ALEXENDRA MD | Agent | 6100 Glades Road, Boca Raton, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| Conde Green Alexandra MD | President | 6100 Glades Road, Boca Raton, FL, 33434 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000051118 | ACG PLASTIC SURGERY | ACTIVE | 2022-04-22 | 2027-12-31 | No data | 6100 GLADES ROAD, SUITE 302, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 6100 Glades Road, suite 302, Boca Raton, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-21 | 6100 Glades Road, 302, Boca Raton, FL 33434 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-21 | 6100 Glades Road, 302, Boca Raton, FL 33434 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-01 |
| Domestic Profit | 2019-05-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
