| Entity Name: | RONIE J. ZARUCHES, O.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Oct 2009 (15 years ago) |
| Document Number: | L09000097081 |
| FEI/EIN Number | 271076768 |
| Address: | 6380 N.W. 110TH AVE, PARKLAND, FL, 33076, US |
| Mail Address: | 6380 N.W. 110TH AVE, PARKLAND, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215077441 | 2007-02-07 | 2009-10-28 | 142 POWERLINE ROAD, DEERFIELD BEACH, FL, 33442, US | 142 POWERLINE ROAD, DEERFIELD BEACH, FL, 334425006, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-789-3868 |
Authorized person
| Name | DR. RONIE ZARUCHES |
| Role | PRESIDENT |
| Phone | 5617893868 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OPC2462 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE DMEPOS |
| Number | 0669720002 |
| State | FL |
| Issuer | MEDICAID |
| Number | 078900300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZARUCHES RONIE | Agent | 6380 N.W. 110TH AVE, PARKLAND, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| ZARUCHES RONIE | Manager | 6380 N.W. 110TH AVE, PARKLAND, FL, 33076 |
| ZARUCHES ROBYN | Manager | 6380 NW 110 AVE, PARKLAND, FL, 33076 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-05-05 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
