| Entity Name: | EAST BROADWAY MEDICAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Oct 2020 (4 years ago) |
| Document Number: | P20000080944 |
| FEI/EIN Number | 85-3200017 |
| Address: | 2064 PARK STREET, JACKSONVILLE, FL, 32204, US |
| Mail Address: | 2064 PARK STREET, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| KING CHRISTINE M | Agent | 1515 RIVERSIDE AVENUE STE A, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| STEMBER DORON MD | Manager | 2064 PARK STREET, JACKSONVILLE, FL, 32204 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000143844 | DORON STEMBER, MD | ACTIVE | 2020-11-09 | 2025-12-31 | No data | 2064 PARK STREET, JACKSONVILLE, FL, 32204 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-01-27 |
| Domestic Profit | 2020-10-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
