| Entity Name: | MASSON MEDICAL SPECIALIST CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jul 2021 (4 years ago) |
| Document Number: | P21000065156 |
| FEI/EIN Number | 87-1893735 |
| Mail Address: | 1721 SE 17th Street, FORT LAUDERDALE, FL, 33316, US |
| Address: | 10756 NW 20th Drive, Coral Springs, FL, 33071, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528763901 | 2023-04-04 | 2024-09-03 | 10756 NW 20TH DR, CORAL SPRINGS, FL, 330714215, US | 10756 NW 20TH DR, CORAL SPRINGS, FL, 330714215, US | |||||||||||||
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| Phone | +1 954-849-6566 |
Authorized person
| Name | LYNE CONNOR |
| Role | PRESIDENT |
| Phone | 9548496566 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONNOR LYNE | Agent | 1721 SE 17th Street, Fort Lauderdale, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| Connor Lyne | President | 1721 SE 17th Street, Fort Lauderdale, FL, 33316 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000045563 | WOUNDXPERTS | ACTIVE | 2024-04-03 | 2029-12-31 | No data | 2255 GLADES ROAD, SUITE 324A, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-07 | 10756 NW 20th Drive, Coral Springs, FL 33071 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-29 | 1721 SE 17th Street, Fort Lauderdale, Fl 33316, Apt#540, Fort Lauderdale, FL 33316 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-14 | 10756 NW 20th Drive, Coral Springs, FL 33071 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-13 |
| Domestic Profit | 2021-07-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
