| Entity Name: | MIDWAY INFECTIOUS DISEASES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 May 2019 (6 years ago) |
| Document Number: | L19000125516 |
| FEI/EIN Number | 84-1799378 |
| Mail Address: | 745 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984 UN |
| Address: | 356 E. MIDWAY ROAD, FORT PIERCE, FL 34982 |
| ZIP code: | 34982 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902466287 | 2019-06-18 | 2019-06-18 | 356 E MIDWAY RD, FORT PIERCE, FL, 349827148, US | 356 E MIDWAY RD, FORT PIERCE, FL, 349827148, US | |||||||||||||||
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| Phone | +1 772-464-9746 |
| Fax | 7724649750 |
Authorized person
| Name | MOTI N RAMGOPAL |
| Role | CEO |
| Phone | 7724649746 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ANTONIA L GENTRY, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| RAMGOPAL, MOTI | Managing Member | 356 E. MIDWAY ROAD, FORT PIERCE, FL 34982 |
| SUKHRAM, ANAND | Managing Member | 356 E. MIDWAY ROAD, FORT PIERCE, FL 34982 |
| NOBLE, LISA | Managing Member | 356 E. MIDWAY ROAD, FORT PIERCE, FL 34982 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-24 |
| Florida Limited Liability | 2019-05-08 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
