Entity Name: | LEONARD A. ROUDNER, M.D., F.A.C.S., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 Aug 1981 (43 years ago) |
Document Number: | 698189 |
FEI/EIN Number | 592123035 |
Address: | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134, US |
Mail Address: | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134, US |
ZIP code: | 33134 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861640179 | 2008-08-29 | 2008-08-29 | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 331345730, US | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 331345730, US | |||||||||||||||
|
Phone | +1 305-444-8585 |
Fax | 3055671519 |
Authorized person
Name | DR. LEONARD A ROUDNER |
Role | PRESIDENT |
Phone | 3054448585 |
Taxonomy
Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROUDNER, LEONARD A., MD | Agent | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134 |
Name | Role | Address |
---|---|---|
ROUDNER LEONARD | Director | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134 |
Name | Role | Address |
---|---|---|
ROUDNER LEONARD | President | 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 1990-12-20 | LEONARD A. ROUDNER, M.D., F.A.C.S., P.A. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State