| Entity Name: | ARTHRITIS AND RHEUMATOLOGY CENTER OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2018 (7 years ago) |
| Document Number: | L18000008797 |
| FEI/EIN Number | 82-4071733 |
| Address: | 5901 COLONIAL DRIVE, SUITE 303, MARGATE, FL, 33063, US |
| Mail Address: | 5901 COLONIAL DRIVE, SUITE 303, MARGATE, FL, 33063, US |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427559251 | 2018-02-27 | 2022-02-18 | 5901 COLONIAL DR STE 303, MARGATE, FL, 330635683, US | 5901 COLONIAL DR STE 303, MARGATE, FL, 330635683, US | |||||||||||||||||||||||||
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| Phone | +1 954-281-8891 |
| Fax | 9543759664 |
Authorized person
| Name | JIGAR SHAH |
| Role | OWNER |
| Phone | 9542818891 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| License Number | ME113940 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007247100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH JIGAR K | Agent | 5901 COLONIAL DRIVE, MARGATE, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| SHAH JIGAR K | Manager | 5901 COLONIAL DRIVE, MARGATE, FL, 33063 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-03-23 |
| Florida Limited Liability | 2018-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
