| Entity Name: | ROBIN MANSOUR MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2019 (5 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 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710506522 | 2020-04-11 | 2020-04-11 | 4016 SAWYER RD, SARASOTA, FL, 342331272, US | 4016 SAWYER RD, SARASOTA, FL, 342331272, US | |||||||||||||||||||||
|
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| Phone | +1 941-366-7475 |
Authorized person
| Name | DR. ROBIN MANSOUR |
| Role | OWNER |
| Phone | 9413667475 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Mansour Robin | Agent | 4020 SAWYER ROAD, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| MANSOUR ROBIN | Manager | 4020 SAWYER ROAD, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-03 | Mansour, Robin | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 4020 SAWYER ROAD, SARASOTA, FL 34233 | No data |
| Name | Date |
|---|---|
| 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 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
