| Entity Name: | DIGESTIVE AND LIVER DISEASE INSTITUTE OF FLORIDA, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Feb 2019 (6 years ago) |
| Document Number: | L19000050681 |
| FEI/EIN Number | 83-3826911 |
| Address: | 505 W OAK ST, SUITE 202, KISSIMMEE, FL, 34741 |
| Mail Address: | 5418 OSPREY ISLE LANE, ORLANDO, FL, 32819 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194375378 | 2019-09-18 | 2019-09-18 | 505 W OAK ST STE 202, KISSIMMEE, FL, 347414986, US | 505 W OAK ST STE 202, KISSIMMEE, FL, 347414986, US | |||||||||||||||
|
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| Phone | +1 407-846-6331 |
| Fax | 4078460137 |
Authorized person
| Name | BASHER ATIQUZZAMAN |
| Role | PRESIDENT |
| Phone | 4074152481 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAQUE AMIN | Agent | 7232 W SAND LAKE ROAD, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| ATIQUZZAMAN BASHER M | Manager | 5418 OSPREY ISLE LANE, ORANGE CITY, FL, 32819 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-30 |
| Florida Limited Liability | 2019-02-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
