| Entity Name: | SAMANTHA SHROUDER M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Mar 2021 (4 years ago) |
| Document Number: | P21000029325 |
| FEI/EIN Number | 86-3107254 |
| Address: | 9700 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
| Mail Address: | 9700 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SHROUDER RYAN CESQ. | Agent | 9700 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| SHROUDER SAMANTHA M.D. | President | 9700 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-06 |
| Domestic Profit | 2021-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
