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LEONARD A. ROUDNER, M.D., F.A.C.S., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ROUDNER, LEONARD A., MD Agent 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134

Director

Name Role Address
ROUDNER LEONARD Director 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134

President

Name Role Address
ROUDNER LEONARD President 550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL, 33134

Events

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