| Entity Name: | MATTHEW TELTSER MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Feb 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Aug 2017 (8 years ago) |
| Document Number: | L12000026855 |
| FEI/EIN Number | 45-4444671 |
| Address: | 4780 SW 64th Ave, Davie, FL, 33314, US |
| Mail Address: | 3520 N 55 AVE, HOLLYWOOD, FL, 33021 |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801168802 | 2012-02-07 | 2012-03-27 | 1779 N UNIVERSITY DR, SUITE 204, PEMBROKE PINES, FL, 330240929, US | 1779 N UNIVERSITY DR, SUITE 204, PEMBROKE PINES, FL, 330240929, US | |||||||||||||||||||||
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| Phone | +1 954-962-7200 |
| Fax | 9548935936 |
Authorized person
| Name | MATTHEW TELTSER |
| Role | OWNER |
| Phone | 9549627200 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004610300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TELTSER MATTHEW | Agent | 3520 N 55 AVE, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| TELTSER MATTHEW | Manager | 3520 N 55 AVE, HOLLYWOOD, FL, 33021 |
| TELTSER NORA E | Manager | 3520 N 55TH AVE, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-20 | 4780 SW 64th Ave, Davie, FL 33314 | No data |
| REINSTATEMENT | 2017-08-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-08 | TELTSER, MATTHEW | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-08-08 |
| ANNUAL REPORT | 2015-02-16 |
| ANNUAL REPORT | 2014-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
