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ROBIN MANSOUR MD, LLC - Florida Company Profile

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Company Details

Entity Name: ROBIN MANSOUR MD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Oct 2019 (6 years ago)
Document Number: L19000259989
FEI/EIN Number 843529735
Address: 4020 SAWYER ROAD, SARASOTA, FL, 34233, US
Mail Address: 4020 SAWYER ROAD, SARASOTA, FL, 34233, US
ZIP code: 34233
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MANSOUR ROBIN Manager 4020 SAWYER ROAD, SARASOTA, FL, 34233
Mansour Robin Agent 4020 SAWYER ROAD, SARASOTA, FL, 34233

Unique Entity ID

Unique Entity ID:
K9RVHP2V8A14
UEI Expiration Date:
2026-03-17

Business Information

Activation Date:
2025-03-18
Initial Registration Date:
2024-04-16

National Provider Identifier

NPI Number:
1710506522
Certification Date:
2020-04-11

Authorized Person:

Name:
DR. ROBIN MANSOUR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-03 Mansour, Robin -
REGISTERED AGENT ADDRESS CHANGED 2023-02-03 4020 SAWYER ROAD, SARASOTA, FL 34233 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-05
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-06-13
Florida Limited Liability 2019-10-16

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Date of last update: 03 Aug 2025

Sources: Florida Department of State