| Entity Name: | FARIS K. AZAR, M.D., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Mar 2019 (6 years ago) |
| Document Number: | L19000079224 |
| FEI/EIN Number | 83-4299346 |
| Address: | 2560 RCA BLVD, STE 106, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 2560 RCA BLVD, STE 106, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316501505 | 2019-04-24 | 2019-04-24 | 3375 BURNS RD STE 206, PALM BEACH GARDENS, FL, 334104361, US | 3375 BURNS RD STE 206, PALM BEACH GARDENS, FL, 334104361, US | |||||||||||||
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| Phone | +1 561-799-9559 |
Authorized person
| Name | FARIS K AZAR |
| Role | OWNER |
| Phone | 5617999559 |
Taxonomy
| Taxonomy Code | 2086S0127X - Trauma Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAUERBERG, ERICV M | Agent | 3896 BURNS RD, STE 104, PALM BEACH GARDENS, FL 33410 |
| Name | Role | Address |
|---|---|---|
| AZAR, FARIS K, M.D. | Manager | 2560 RCA BLVD, STE 106 PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 2560 RCA BLVD, STE 106, PALM BEACH GARDENS, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 2560 RCA BLVD, STE 106, PALM BEACH GARDENS, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-02 | 3896 BURNS RD, STE 104, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-21 |
| Florida Limited Liability | 2019-03-21 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
