| Entity Name: | ZACHARIS MEDICAL CONSULTING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Nov 2008 (16 years ago) |
| Document Number: | L08000109632 |
| FEI/EIN Number | 263125242 |
| Address: | 1911 LISMORE COURT, NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 1911 LISMORE COURT, NEW SMYRNA BEACH, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134669203 | 2017-03-08 | 2017-03-08 | 1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL, 321686201, US | 1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL, 321686201, US | |||||||||||||||||||||||||
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| Phone | +1 386-423-0505 |
| Fax | 3864230515 |
Authorized person
| Name | THEODOSSIS ZACHARIS |
| Role | OWNER |
| Phone | 3864230505 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME95732 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZACHARIS THEODOSSIS | Agent | 1911 Lismore Ct, New Smyrna Beach, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| ZACHARIS THEODOSSIS | Manager | 1911 LISMORE COURT, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-01 | 1911 Lismore Ct, New Smyrna Beach, FL 32168 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-13 | 1911 LISMORE COURT, NEW SMYRNA BEACH, FL 32168 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
