Entity Name: | ANTHONY SOLAGES AND INFECTIOUS DISEASE ASSOCIATES, LLC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 09 Mar 2009 (16 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 10 Jun 2009 (16 years ago) |
Document Number: | L09000023041 |
FEI/EIN Number | 264216161 |
Address: | 4745 SW 148TH AVE, SUITE 301, DAVIE, FL, 33330, US |
Mail Address: | PO BOX 292523, DAVIE, FL, 33329, US |
ZIP code: | 33330 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215170402 | 2009-04-17 | 2014-04-01 | PO BOX 292523, DAVIE, FL, 333292523, US | 4745 SW 148TH AVE, 301, SOUTHWEST RANCHES, FL, 333302126, US | |||||||||||||||||||||||||
|
Phone | +1 954-583-9661 |
Fax | 9542728201 |
Authorized person
Name | ANTHONY SOLAGES |
Role | PRESIDENT |
Phone | 9545839661 |
Taxonomy
Taxonomy Code | 207RI0200X - Infectious Disease Physician |
License Number | 92045 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 272879600 |
State | FL |
Name | Role | Address |
---|---|---|
SOLAGES ANTHONY | Agent | 4745 SW 148TH AVE, DAVIE, FL, 33330 |
Name | Role | Address |
---|---|---|
SOLAGES Florence | Manager | PO BOX 292523, DAVIE, FL, 33329 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2012-04-15 | 4745 SW 148TH AVE, SUITE 301, DAVIE, FL 33330 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2012-04-15 | 4745 SW 148TH AVE, SUITE 301, DAVIE, FL 33330 | No data |
LC AMENDMENT | 2009-06-10 | No data | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-04-28 |
ANNUAL REPORT | 2024-04-01 |
ANNUAL REPORT | 2023-01-31 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2020-01-20 |
ANNUAL REPORT | 2019-03-05 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-03-16 |
ANNUAL REPORT | 2016-02-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State